10-October (11) CITY OF TIGARD MASTER PERMIT
Is a COMMUNITY DEVELOPMENT Permit#: MST2023-00514
Date Issued: 11/07/2023
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S1060003300
Jurisdiction: Tigard
Site address: 13729 SW 166TH AVE
Subdivision: RIVER TERRACE TOWN CENTER Lot:
Project: River Terrace Town Center, Lot 139
Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES HAVE BEEN
PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 667 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 29.5 Bathrooms: 3 Second: 949 sf Garage: 390 sf Front: 12 Smoke
Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 1616 sf Value: $297,959.40 Rear: 3
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100
Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add!500 sf: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VU R-3 1616
Owner: Contractor:
TNHC OREGON LLC Required Items and Reports(Conditions)
15231 LAGUNA CANYON ROAD 1 Ersn Cntrl 503-639-4175
SUITE 250
IRVINE,CA 92618
PHONE: PHONE: 503-312-6213
FAX:
Total Fees: $21,353.03
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work
will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
the 180 days. ATTENTION: Oregon law r uires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
O69_nni_nMf1 thr h nap eq9_nnt_rin a„nhfain a rnnv of fho ndoc nr rlirorf nuoctinne fn rll INf1 by rallinnlRCA,T7 1O t7 nr
d 1 Ann 929 97d
Issued By: Permittee Signature: rrJ 1, f n
Call 50 .639.4175 by 7:00 a.m.for the next available inspection date. 1 I�
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the iob site at the time of each inspection.
Building Permit Application
Residential RECEIVE I FOR OFFICE USE ONLY a� �l/t
Received PcrilNo.. Mil tP � -OOSILj
City of Tigard Date/sy Iof GI23 ,O p,�zjL
13125 SW Hall Blvd„Tigard,OR 97223 OCT 0 9 2023 Dan Review 1 t� AllOther Permit sw /3
Phone: 503.718.2439 Fax: 503.598,1960 Date/By: 1/0/1 /% l/�
CITY OF TIGARD Date Ready/By ��s I ® See Yage J
T I G A R D n Line: 503.639.4175 to/3 ) 1 t;g Supplemental for Information
Inspectio: www.tigard-or gov BUILDING DIVISION
Notified/Method: 1 1AF
2.rn.o.ap-d. rY.n.errn.le_
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
Permit fees*are based on the value of the work performed.
New construction El Demolition Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application j
LP
CATEGORY OF CONSTRUCTION ii 15 .
Valuation: $ 20 ), II
• I-and 2-family dwelling ❑Commercial/industrial
Number of bedrooms: 3
❑Accessory building ❑Multi-family _
Number of bathrooms: )/54.
3
❑Master builder ❑Other: ��,,.�( ,�
JOB SITE INFORMATION AND LOCATION q A
Total number of floors: 2 ta k4 OCA—P
New dwelling area: square feet E 9 [
Job site address:13729 SW 166th eve �' w�
C ity/State/Z IP:S he rwood/OR/97140 Garage/carport area: 390 square feet Le
Project name:River Terrace Town Center Covered porch area: 47 square feet
Suite/bldg./apt.no.: I Pro
Cross street/directions to job site.
Deck area: square feet
Other structure area: square feet
SW Jean louisP rd
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:River Terrace I Lot no.:139 Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no. parcel no: 2S1060003300 equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
ReqUesting_Deferred_SOCjee.S Existing building area: square feet
New building area: square feet
® PROPERTY OWNER I. 0
TENANT Number of stories:
Name:TNHC OREGON LLC Type of construction:
Address:15231 Laguna Canyon RD STE 250 Occupancy groups:
City/State/ZIP'Irvine/CA/92618 Existing:
Phone:(503)310-7571 l'ax:( ) New:
If APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:TNHC OREGON LLC Structural plan review fee(or deposit):
Contact name:Frank Sandoval FLS plan review fee(if applicable):
Address:15455 NW Greenbrier Parkway Suite 240 Total fees due upon application:
City/State/ZIP:Beaverton/OR/97006 Amount received:
Phone:(503) 310-7571 Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: fandoval@nWhm.eom Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
-- Submit two(2)sets of roof plan with connection details
Business name:TNHC OREGON LLC and fire department access,along with the 2010 Oregon
Address:15231 Laguna Canyon RD STE 250 Solar Installation Specialty Code checklist.
Permit Fee(includes plan review $180.00
City/State/ZIP:Irvine/CAI 92618 and administrative fees):
Phone:(503 )310-7571 I Fax( ) State surcharge(12%of permit fee): $21.60
CCB lic.:241108 Total fee due upon application: $201.60
�� I This permit application expires if a permit is not obtained
Authorized signature: I within l80 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name:Frank Sandoval l Date:10l9l2023 Service Board.
1:1Building1Permits\BUP-RESPermitApp.doc 01/25/2023 440-4613T(I 1/02/COM/WEB)
Mechanical Permit ApTERENCEIVED FOR OFFICE USE ONLY
Received
City of Tigard Date/By: Permit No: MS1'ZOZ3— OOc"I
• 13125 SW Hall Blvd.,Tigard,OR 9722A fx T 0 9 2023 Plan Review Other Permit:
Phone: 503.718.2439 Fax: 503.598.1 Date/By:
Inspection Line: 503.639 4175 Date Ready/By: Juns: ® See Page 2 for
I I(,ARU Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information
BUILDING DIVISION -
t`r"' T' f r4 . TYPE OF WORK COMMERCIAL FEE* SCHEDULE -USE CHECKI1S'r
fxw
,�,„�, ... Mechanical permit lees*are based on the value of the work
®New construction 0 Addition/alteration/replacement performed.
Indmaticate
elthe value
(rounded
tuipment,labor,o the
hehnearest
and llar)of all
0 Demolition ❑Other: mecValue $
CATEGORY OF CONSTRUCTION ,. RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® I-and 2-family dwelling ❑Commercial/industrial ❑ Accessory building For special information use checklist.
❑ Multi-family ❑
Master builder ❑Other: Description Qty. Ea. Total
Heating/cooling:
JOB SITE INFORMATION AND LOCATION Air conditioning 1 46.75
Job site address: 13729 SW 166th ave Furnace 100,000 BTU(ducts/vents) 46 75
Furnace 100,000+BTU(duets/vents) 1 54.91
city/state/zIP:Sherwood OR 97140 Heat pump 61.06
Suite/bldg./apt.no.: Project name:River Terrace Town Center Duct work 23.32
Hydronic hot water system 23.32
Cross street/directions to job site: Residential boiler(radiator or
SW Jean Louise rd hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Other: 23.32
Subdivision:River Terrace Town Center I Lot no.:139 Other fuel appliances:
Tax map/parcel al no.:2s1060003300 Water heater 23.32
p' rce
DESCRIPTION OF WORK Gas fireplace/insert 1 33.39
Flue vent for water heater or gas
NEW HOME CONSTRUCTION fireplace 2332
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23,32
Other 23.32
® PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation:
Name:TNHC OREGON LLC Range hood/other kitchen
equipment 1 33.39
Address:15231 Laguna Canyon Rd STE 250 Clothes dryer exhaust 33.39
Single-duct exhaust(bathrooms,
City/State/ZIP:Irvine CA 92618 toilet compartments,utility rooms) 23 32
Phone:(503)310-7571 Fax: ( ) Attic/crawlspace fans 23.32
APPLICANT 0
CONTACT PERSON Other: 2332
Furl piping:
Business name:TNHC OREGON LLC $14.15 for first four;$4.03 for each additional
Contact name:Frank Sandoval Furnace,etc.
Gas heat pump
Address:15455 NW Greenbrier Parkway #240 Wall/suspended/unit heater
City/State/ZIP:Beaverton OR 97006 Water heater
Fireplace
Phone:(503)310 7571 Fax::( Range
E-mail:fandoval@nwhm.com Barbecue
CONTRACTOR Clothes dryer(gas)
Other
Business name:Pro Heating and Cooling, INC MECHANICAL PERMIT FEES*
Address:4200 NW Leisy rd Subtotal
Minimum permit fee($90.00)
City/SCarelzlP:HIIISborO, OR 97124 Plan review(25%of permit fee)
Phone:(971)205 4989 I Fax:( ) State surcharge(12%of permit fee)
TOTAL PERMIT FEE
CCB lie.:209001 This permit application expires if a permit is not obtained within I80
�f days after it has been accepted as complete.
Authorized signature: C A" Z7t2'QN' * Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Duran I Date:3/17/2023
I:\Building\Permits\MEC_PermitApp_040113 doe 440-46I7r(I I/02/COM/W EB)
Electrical Permit Application RECEIVE FOR OFFICE I SE ONLY
PPPCity of Tigard OCT 0 9 2023 �1eBy: Pest h11si 'i 23 O�S�A
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Dat By: Related Permit n:
Inspection Line: 503.639.4175 CITY OF TIGARD eady Dete/By: tarts: ® See Page 2 for
TIGARD Internet. www.tigard-or.gov BUILDING DIVISIOI odf;cd!M1fethod: Supplemental Information
TYPE OF WORK PLAN REVIEW 1
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stones.
0 Demolition 0 Other: where the available fault current 0 Marinas end boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. •
El 1-and 2-family dwelling ElCommercial/industrial ElAccessory building less to mound,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address:13729 SW 166th ave 100HP or more. ❑
❑Six or more residential units. occupancy.
City/State/ZIP: Sherwood/ OR/97140 ❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: RTTC ❑Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
SW Jean Louise rd Deacdpnon I Qty. I Each I Total I
New residential single-or multi-family dwelling unit.
Subdivision: River Terrace Town Center Lot#:1 39 Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: 2s 1060003300 Ea.add'1500 sq.ft or portion 33.92 I
DESCRIPTION OF WORK Limited energy,residential
(with above sq.ft.) 75.00 2
NEW HOME CONSTRUCTION Limited energy,multi-family
75.00 2
residential(with above sq.ft.)
Renewable Energy 0 See Page 2
I:4 PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: THNC OREGON LLC 200 amps or less 100.70 2
Address: 15231 Laguna Canyon Rd STE 250 201 amps o400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: Irvine CA 92618 601 amps to 1,000amps 301.04 2
Phone:(503 )310-7571 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: Fsandoval@newhomeco.com relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
RIAPPLICANT El CONTACT PERSON Branch circuits-new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: THNC OREGON LLC above service or feeder fee, 7.42 2
each branch circuit
Contact name: Frank Sandoval B.Fee for branch circuits without
service or feeder fee,first 56.18 2
Address: 15455 NW Greenbrier Parkway#240 branch circuit
City/State/ZIP: Beaverton OR 97006 Each add't branch circuit 7 42 2
Miscellaneous(service or feeder not included)
Phone:(503)310-7571 Fax::( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email: Fsandoval@newhomeco.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Development Northwest Inc., DBA Wolcott Electrical Sign or outline lighting 67.84 2
Signal circuit(s)or linuted-energy 0 See Page 2 2
Address:1075 W Historic Columbia River Hwy panel,alteration,or extension
City/State/ZIP:Troutdale, OR, 97060 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone;(503)853-9420 Fax:( ) Investigation(I hr min) 90.00/hr
Email:MWOLCOTT@WOLCOTT.PRO Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00i hr
CCB Lie.:112220 Electrical Lic.:C1272 Suprv.Lie.:5782S specifically listed(?:hrmin)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required:1 Q t n ..„,„, Subtotal:
Print name:David Campbell Date:10/12/2023 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: o� TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name:Malachi J. Wolcott Date:10/12/2023 days after it has been accepted as complete.
• Number of inspections allowed per permit.
t:Muilding\Permits\ELC PermitApp_ELR_ERE.doe Rev 06/17/2015 440-4515T(II/031COMJWEB
Plumbing Permit ApplieatRECEIVED
Building Fixtures FOR OFFICE USE ONLY
City TigardOCT 0 9 2023 Received tSACII 1,0 i `�
a Permit No.: 1-,J 1 1N VJ `
III 13125 SW Hall Blvd.,Tigard,OR 97223 Date/8y:
Plan Review
N, Phone: 503.718.2439 Fax: 503.5'CRY OF TIGARD Dale/By: Other Permit No.:
•
Inspection Line: 503.639.4175 •BUILDING DIVISION Dale Ready/By: Jurist ES See Page2 for
1IGA()Alin Internet: wwv.ti and-or. ov
g g Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
0 New construction ❑Dcmoltlion For special information ase checklist. _
Description I Qty. I En I I oral
0 Addition/alteration/replacement ❑Other_ New 1-2-family dwellings(includes 100 fl,for each utility connection)
CATEGORY OF CONSTRUCTION SFR(I)bath 312.70
® I-and 2-family dwelling IDCommercial/industrial SFR(2)bath 43Z78
SFR(3)bath 50032
❑Accessory building 0 Multi-family -
Each additional bath/kitchen 2502 •
0 Master builder ID Other: Fire sprinkler( sq.fl.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 13729 SW 166th Ave Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76 •
City/State/ZIP: Sherwood/OR/97140
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name: RTTC Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
SW Jean Louise Rd Rain drain connector 18.76
Sanitary sewer(no.linear ft.._) Page 2
Storm sewer(no.linear ft,: ) Page 2 •
Water service(no.linear ft.:_) Page 2 •
Subdivision: River Terrace Town Center I Lot no.:1 39 Fixture or item: ,.•
Tax map/parcel no.: 2s1060003300 Backflow preventer 31.27 •
DESCRIPTION OF WORK Backwater valve 12.5I ',.
New Home Construction Clothes washer 25.02
Dishwasher 25.02
•
Drinking fountain 25.02
Ejectors/sump 25.02
El PROPERTY OWNER 0 TENANT Expansion tank 12.51
Name: TNHC OREGON LLC Fixture/sewercap 25.02
Address: 15231 Laguna Canyon Rd STE 250 Floor drain/floor sink/hub 25.02
Garbage disposal 25.02
•
city/stare/DIP: Irvine CA 92618 Hose bib 2502
Phone:(503)310-7571 Fax:( ) Ice maker 12.51 •
® APPLICANT (il CONTACT PERSON Interceptor/grease trap 25.02 •
Business name: TH NC OREGON LLC Medical gas(value:$_) Paget
Primer 12.51 •
Contact name: Frank Sandoval
Roof drain(commercial) 12.51
Address: 15455 NW Greenbrier Parkway#240 Sink/basin/lavatory 25.02
City/state/zip: Beaverton OR 97006 Solar units(potable water) 62.54
Phone:(503)310-7571 Fax::( ) Tub/shower/shower pan 12.51
E-mail: Urinal 25.02
Water closet 25.02
CONTRACTOR •
Water heater 37.52
Business name:Wolcott Plumbing Water piping/DWV 56.29
Address:1075 West Historic Columbia River Hwy Other: 25.02
City/State/ZIP:Troutdale OR. 97060 Subtotal
Phone:( 503-667-1781 Fax:( )
Minimum permit fee: $72.50
CCB Lie.:112220 Plumbing Lic.no.:26824 PB Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature:1/4—(Abr. v� TOTAL PERMIT FEE
•
Print name:Mark Baleme Date:10/12/2023 This permit application expires ita permit is not obtained within 180 days
•
after it has been accepted as complete.
*Fee methodology set by Tel-County Building Industry Service Board.
I\Building\Pmmiia\PLMU-PermiiApp.doc 10/01;09 440.4616T(10/02/COM/WEB)
■ Building Division
One & Two-Family Dwelling
T 1 G ARD Fees Checklist
PERMIT INFORMATION: Application Date - FEE VERSION 30\li 2-02'3
Permit#: 5-rio,2z bbC,( Plan #: t
U r Floors: 7
Valuation: Covered Porch: l�j -7 Basement ���—
4-247, 95g. �f0 l
Bedrooms: 3 Deck: 1s`Floor 142L2-1
WC (toilets) Deck Cover: r--- 2"d Floor !ket
Lavatories 4 Patio Cover 3rd Floor
Tub/shower Accessory Struct. r-- R-3 Total
IQA
Laundry Tray Water Heater k / Gas al. Garage 39 0
Exhaust Vents 5 Gas Flue Vents - Total for Elec. D o ( „
Backflow Prey. , Heat Pump /(AE # for Electrical `+'
BBQ _------ Gas Fireplace ` ' eQ #Fuel Lines
FEES: Description: Fee Ap : Fee Entered:
DC Prov Revw: Planning
Info Proc/Arch: Lg$2.00 (over 11x17) a4"
Info Proc/Arch: Sm $.50 (up to 11x17) 55-
Metro CET: Residential�se
School CET: District: ti. ✓
Tigard CET: Admin V
Tigard CET: ODHCS V
Tigard CET: AH ✓
Electrical Permit: Permit Fee:
Limited Energy: ✓/
12% State Surcharge ✓
Mech. Permit: Permit Fee: ✓
12% State Surcharge
Plumbing Permit: Permit Fee: ✓
12% State Surcharge ✓
Erosion Control: w/Permit-Ping ✓
I:\Building\Forms\ResP]anCheckFees_Dec2022_AA.doc 12/21/22
Page 1
City of Tigard
: . " COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
61)
Building Permit #: MSt 7AV)• O0514
Site Address: 13729 SW 166th Avenue 'Verified in Accela
Project Name: River Terrace Town Center Lot/Unit #: 139
Proposal: New Single Detached SFR Zone: C-C
Housing Type: V SFR(V Single Detached ❑ Duplex❑Triplex❑ADU)❑ Rowhouse❑Cottage Cluster❑ CYU EQuad ❑Other
Required Site Plan Elements:
V 3 copies of site plan on max 11x17"
'Drawn to standard scale ❑ Rclaii icd ti ee , di ip lii le/ IA et pr ulcdion
V North arrow V Street and site trees shown / labeled
V Site address, project name, lot # ❑ Tablc calculating trcc canopy at maturity
V Street names (N/A for SFR)
VApplicant name and phone # ❑ Courtyard rcctanglc dimensioncd (if applicable)
tiLot and setback dimensions V Vision clearance triangle
O CAirGiiy Zli uctui co B.oyuat c ruplayc V Utility locations &easements
V Footprint of new structure and FFE '0 Property corner elevations
' 1 Sidewalk/driveway dimensioned I fLIDA (>1,000 sf disturbance)
ci Lot area and lot coverage percentage 61f Erosion control
Required Elevation Plan Elements:
(For SFR: calcs needed only on street-facing) Summary table with calculations for:
�O Drawn to standard scale V Total facade area
V Building height dimensioned VTotal window and door area
VFacade dimensioned
V Windows and doors dimensioned
VGarage doors dimensioned
Requir an Elements:
(Not required for SFR ❑ Summary table that includes
O Each story dimensioned tal floor area
❑ Each story floor area calculated ❑ Floor ar
Planning Review
The following standards have been met:
8'porch 3' alley
0 Front:irbummog Rear: 3'alley Side: 3' Min/Max Street Side: 7 / Garage:
Height iMax. Height: 35' Proposed Height: 29'-6 5/8"
l Yes ❑ N/A Landscape
0 Yes [I] N/A Screening (Quad only)
V Yes ❑ N/A % Window Coverage
VYes ❑ N/A Garage (SFR Only) Parking (Other Res)
VYes ❑ N/A Entrance (SFR, Rowhouse, Quad only)
❑ Yes N/A Other building design standards (Rowhouse only)
❑ Yes N/A Accessory Structure Standards
❑ Yes No Qualifying pre-existing unit exempt from standards (Cottage unit only)
Additional standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
❑ Yes N/A Unit Count:
❑ Yes N/A Lot Width and Size
❑ Yes N/A Pathway
Additional standards for Courtyard Units and Cottage Clusters only:
❑ Yes N/A Unit Area:
❑ Yes N/A Floor Area (per story)
❑ Yes N/A Courtyard
0 Yes N/A Fence
❑ Yes ❑ No 62fN/A Clean Water Services - Service Provider Letter(lot platted prior to 9/10/1995)
❑ Yes ❑ No'N/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes ❑ No
Applied For: LI Yes ❑ No, stop intake
❑ Sensitive Lands: 21 Yes ❑ No
V Main Land Use Case #s: PDR2021-00004 ❑ Conditions met
Applicant notified of land use expiratio e: Submit and a for all a licable devpermits b 1/31/2025.Final occ b 1/31/2027
Approved By Planning: S Date: 9/14/2023 IO/,/ -3
Notes: Building permit can be issued pno o final plat but not prior to conditions being met
Revision 1: 0 Approved ❑ Not Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
Building Permit Submittal
Original Submittal Date: 10 ( 1 1113
Site Plans #:
Building Plans #: l
Building Permit #: 4/Building permit # entered on page 1
Workflow Routing: '❑ Planning, JKEngineering .Permit Coordinator Vtuilding
Workflow Sign-off: y1 Sign-off for Planning (include notes from planning review)
Route Documents: xJ Engineering: (1) copy of permit application, (1) site plan, (1) building plan
and original plan review routing form.
❑ Building: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.
Permit Technician: rl ‘ Date: (flt/32 ( Z3
Notes:
Engineering Review
❑ PFI Permit:
41/47fSlope at building pad:
Ci'i'Conditions met prior to issuance of permit
Easements (encroachments) per engineering conditions of approval and plat
Mir Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes *1Jo
Assess Water Quantity Fee in-lieu: ❑ Yes WAG
LIDA Facility on lot: ❑ Yes lio Add Fee: ❑ Yes ❑ No
1p6Final Plat Recorded
0 NOT Approved: Date:
Notes:
Approved By Engineering: Date: /b/e4/2
Revision 1: 0 Approved ❑ Not A roved Date:
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