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Permit CITY OF TIGARD MASTER PERMIT ' Permit#: MST2020-00212 COMMUNITY DEVELOPMENT and OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Date Issued: Aug 19 2020 12:00AM T[ ;;1.R1'f 9 Parcel: 2S112BD12300 Jurisdiction: Tigard Site address: 7540 SW HANSEN LN Subdivision: ELDERBERRY RIDGE Lot: 19 Project: Elderberry Ridge, Lot 19 Project Description: New detached dwelling. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1179 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23.5 Bathrooms: 3 Second: 1447 sf Garage: 379 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2626 sf Value: $343,947.83 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 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: 4 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'I 500 sf: 5 201-400 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: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2626 Owner: Contractor: RIVERSIDE HOMES LLC RIVERSIDE HOMES LLC Required Items and Reports(Conditions) 17933 NW EVERGREEN PL STE 17933 NW EVERGREEN PKWY 370 1 Ersn Cntrl 503-639-4175 370 BEAVERTON,OR 97006 2 Site Specific-Geo Tech BEAVERTON,OR 97006 Required Prior To Pour PHONE: PHONE: 503-645-0986 FAX: 503-690-2942 Total Fees: $37,574.21 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 requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throu AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.��r Issued By: 111 / ' Permittee Signature: �•✓ /> .1.�/e 2 r--Z G 77d 4/ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. 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 Job site at the time of each inspection. Building Permit Application._ ' ,zz Residential ECEIVED FOR OFFICE LSE ONLY r Received /i 7 �/ al2 City of Tigard JUN 2 2 2020 DateBy:? I0 -C,`✓19 Permit itis-rzo L7J ' O • 13125 SW Hall Blvd..Tigard,OR 97223 Plan Revie Phone: 503.718.2439 Fax: 503.598.1QTY OF TIGARD Date/By: 7 21 ZzZe Ati. OtherPermLj f 1 j. i—pa 13I TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: 1 y,� q lair: lit See Page for Internet: www.tigard-or.gov Notified/Method:Y �I� / l Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING Q New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 343 9y"7 II]1-and 2-family dwelling ❑ lii Commerciandustrial Valuation: $ e 1 Number of bedrooms: 4 ❑Accessory building 0 Multi-family ❑Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 6 Job site addreq9.10SW Hansen Lane New dwelling area: 2626 square feet ' k4(44 City/State/ZIP: Tigard, OR 97224 Garage/carport area: 379 square feet t`�laJl Suite/bldg./apt.no.: Project name: Elderberry Ridge Covered porch area: square feet Cross street/directions to job site: SW Bonita Rd &SW 76th Ave Deck area: 1 lY square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Elderberry Ridge Lot no.: 019 Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax mapiparcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Construction of SFR Valuation: $ Existing building area: square feet New building area: square feet ❑✓ PROPERTY OWNER 0 TENANT Number of stories: Name: Riverside Homes, LLC Type of construction: Address: 17933 NW Evergreen Pl., Ste 370 Occupancy groups: City/State/ZIP: Beaverton, OR 97007 Existing: Phone:( 503)645-0986 Fax:( ) New: 0 APPLICANT ❑✓ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to,fee schedule) Business name: Riverside Homes, LLC Structural plan review fee(or deposit): !n S t. 3 y Contact name: Keith Richards FLS plan review fee(if applicable): Address: 17933 NW Evergreen Pl., Ste 370 Total fees due upon application: City/State/ZIP: Beaverton, OR 97007 Amount received: Phone:(503)645-0986 Fax::( ) E-mail: krichardS@riverSidehOme.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: Riverside Homes, LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 17933 NW Evergreen Pl., Ste 370 Solar Installation Specialty Code checklist. City/State/ZIP: Beaverton, OR 97007 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(503)645-0986 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: 189148 Total fee due upon application: $201.60 �7 This permit application expires if a permit is not obtained Authorized signature: .may. l`c a - within 180 days after it has been accepted as complete. Print name: Jennifer DotyDate: 5/26/20 *Fee methodology set by Tri-County Building Industry Service Board. I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46I3T(11/02/COM/WEB) r. Mechanical Permit ApplicableIFCEIVED FOR OFFICE USE()NIA City of Tigard Received 11111 g /By: PlanRe .I 13125 SW Hall Blvd.,Tigard,OR 97223 JUN 2 2 2020 Plan Review C Phone: 503.718.2439 Fax: 503.595.19 Date/By: Other Permit: TIGARO Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: tutu: ® See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical pemrit fees*arc based on the value of the work ✓❑New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑r 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 1 46.75 46.75 Job site address ' L W Hansen Lane Furnace 100,000 BTU(ducts/vents) 1 46.75 46.75 City/State/ZIP: Tigard, OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 - Heat pump 61.06 Suite/bldg./apt.no.: Project name: Elderberry Ridge Duct work 23.32 Cross street/directions to job site: SW Bonita Rd &SW 76th Ave Hydronic hot water system 23.32 ' Residential boiler(radiator or 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: Elderberry Ridge Lot no.: 019 Other fuel appliances: Tax map/parcel no.: Wafer heater 1 _ 23.32 23.32 DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 33.39 Flue vent for water heater or gas Construction of SFR fireplace _ 23.32 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 ❑ TENANT Environmental exhaust and ventilation: Name: Riverside Homes, LLC Range hood/other kitchen equipment 1 33.39 33.39 Address: 17933 NW Evergreen Pl., Ste 370 Clothes dryer exhaust 1 33.39 33.39 City/State/ZIP: Beaverton, OR 97007 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 4 23.32 93.28 Phone:(503)645-0986 Fax:( ) Attic/crawlspace fans 23.32 ❑ APPLICANT ❑✓ CONTACT PERSON Other: 23.32 Business name: Riverside Homes, LLC Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: Keith Richards Furnace,etc. 1 14.15 Address: 17933 NW Evergreen PI., Ste 370 Gas heat pumpWall/suspended/unitheater City/State/ZIP: Beaverton, OR 97007 Water heater 1 14.15 Phone:(503 )645-0986 Fax::( ) Fireplace 1 14.15 Range 1 14.15 E-mail: krichards@riversidehome.com Barbecue _ CONTRACTOR Clothes dryer(gas) _ Business name: Pro Heating &Cooling Other: MECHANICAL PERMIT FEES* Address: 2095 NW Alocleck Rd.#1103 Subtotal City/State/ZIP: Minimum permit fee($90.00) tT Hillsboro, OR 97124 Plan review(25%of permit fee) Phone:( 971)205-4989 Fax:( ) State surcharge(12%of permit fee) CCB Be.: 209001 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within ISO �) days after it has been accepted as complete. Authorized signature: �� y 4_ * Fee methodology set by Tri-Cowry Building Industry Service Board Print name: Jennifer Doty Date: 5/26/20 I:\Building\PermitsrMBC_PerntitApp_0401 13.doc 440-4617r(I t102/COM/WEB) RECEIVED . Electrical Permit Applica onUN 2 2 2020 FOR OFFICE rsi.ON1.\ ,� - City of Tigard SS Received Permit#' U 13125 SW Hall Blvd.,Tigard,OR GYP!OF TIGARD Plan/B : jy 'T 4y 'LO-.kip J ?— Plan Review Phone: 503.718.2439 Fax: 50tl GDIVISION Datc/B : Related Permit#: I.I GAR D Inspection Line: 503.639.4175 Ready Date/By: kris: El See Page 2 for ... Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW El 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 stories. ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. l7 1-and 2-family dwelling 0 Commercial/industrial El Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder Other: ❑ El Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ['Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site addreRcliVI SW Hansen Lane 100HP or more. ❑"A","E","1.2","1-3", City/State/ZIP: Tigard, OR 97224 ❑Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: Elderberry Ridge 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: SW Bonita Rd &SW 76th Ave FEE SCHEDULE nererlpaon I Qty. I Each I Total I • New residential single-or multi-family dwelling unit. Subdivision: Elderberry Ridge Lot#: 019 Includes attached garage. Tax map/parcel#: 1,000 sq.R.or less / 168.54 4 Ea.add]500 sq.ft.or portion S 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 Construction of SFR (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) ❑✓ PROPERTY OWNER 0 TENANT Renewable Energy ❑ See Page 2 Services or feeders installation,alteration,and/or relocation Name: Riverside Homes, LLC 200 amps or less 100.70 2 Address: 17933 NW Evergreen Pl., Ste 370 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: Beaverton, OR 97007 601 amps to 1,000 amps 301.04 2 Phone:(503)645-0986 Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or 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 Branch circuits-new,alteration,or extension,per panel 0 APPLICANT Q CONTACT PERSON A.Fee for branch circuits with Business name: Riverside Homes, LLC above service or feeder fee, 742 2 each branch circuit Contact name: Keith Richards B.Fee for branch circuits without Address: 17933 NW Evergreen PI., Ste 370 service or fee,first branchh c circuit56.18 2 t City/State/ZIP: Beaverton, OR 97007 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503)645-0986 Fax: :( ) Each manufactured or modular 67.84 2 Email: kichards@riversidehome.com dwelling,service and/or feeder Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Sunlight Electric Inc Sign or outline lighting 67.84 2 2804 NE 65th Ave. St. D Signal t(s)or limited-energy Address: panel,alteration,or extension. 0 See Page 2 2 Each additional inspection over allowable in any of the above City/State/ZIP: Vancouver, WA 98661 Additional inspection(1 hr min) 66.25/hr Phone:(360) 518-7589 Fax:( ) Investigation(1 hr min) 90.00/hr Email: Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lic.: 172549 Electrical Lic.: C230 Suprv.Lic.: /7q 3 S specifically listed(h hr min) 90.00/fir n/ , ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: /144.0 ti.. �e .2T4 Subtotal: Print name: Chester Garrett Date: 5/26/20 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: �� ! TOTAL PERMIT FEE: Print name: This permit application expires If a permit is not obtained within 180 Jennifer Doty Date: 5/26/20 days after it has been accepted as complete. • Number of inspections allowed per permit. 1:1Building\Permits1ELC_PemstApp_ELR_ERE.doe Rev 06/172015 440.4615T(I1/05/COM/WEB • Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Fee for all residential systems combined: $75.00 Description J Qty. I Each l Total I * Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 nBurglar Alarm Wind generation systems in excess of 25 kva: 25.01 to 50 kva 301.04 2 ❑ Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 © Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is 66.25/hr charged at an hourly(1 hr min) Inspections for which no fee is specifically listed('ii hr min) 90.00/hr COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): (SEE OAR 918-309-0000) F Number of inspections allowed per permit. Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling n Other: Total number of commercial systems: _ *No licenses are required. Licenses are required for all other installations 19Building'Permits'ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015 • • • •Plumbing Permit Anplicatio4 ECEIVED Building Fixtures JUN 2 2 2020 l t)R mil( rl �f ONI 1 City of Tigard Received 1114 • 13125 SW Hall Blvd.,Tigard,OR 97223CITY OF TIGARD DateBy Permit NoJ�l. On • • Phone: 503.718.2439 Fax: 503.598 r•/.I Plan Rev ew V LDING DIVISION Drawn/ ey: Other Permit No.: 'I i G A R D Inspection Line: 503.639.4175 Date Ready/By: Jwis: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE I I New construction 0 Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New t-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 El1-and 2-family dwelling ElCommercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 1 500.32 Each additional bath/kitchen 25.02 0 Master builder El Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: L (SW Hansen Lane Catch basin or area drain 18.76 City/State/ZIP: Tigard, OR 97224 - Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: Elderberry Ridge Manufactured home utilities 50.03 Cross streetdirections to job site: SW Bonita Rd &SW 76th Ave Manholes 18.76 Rain drain connector 1 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: Elderberry Ridge I Lot no.: 019 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Construction of SFR Clothes washer 1 25.02 Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 El PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name: Riverside Homes, LLC Fixture/sewer cap 25.02 Address: 17933 NW Evergreen PI., Ste 370 Floor drain/floor sink/hub 25.02 Garbage disposal 1 25.02 City/State/ZIP: Beaverton, OR 97007 Hose bib 2 25.02 Phone:(503)645-0986 Fax:( ) Ice maker 1 12.51 - ❑ APPLICANT ElCONTACT PERSON Interceptor/grease trap 25.02 Business name: Riverside Homes, LLC Medical gas(value:$_) Page 2 Contact name: Primer 12.51 Keith Richards Roof drain(commercial) 12.51 Address: 17933 NW Evergreen Pl., Ste 370 Sink/basin/lavatory 6 25.02 City/State/ZIP: Beaverton, OR 97007 Solar units(potable water) 62.54 Phone:(503)645-0986 Fax::( ) Tub/shower/shower pan 4 12.51 E-mail: kichards@riversidehome.com Urinal 25.02 CONTRACTOR Water closet 3 25.02 Water heater 1 37.52 Business name: H & H Mechanical Water piping/DWV 56.29 Address: 5757 SE Willow Ln Other: 25.02 City/State/ZIP: Milwaukie, OR 97267 Subtotal Phone:( 503 975-9787 Fax:( ) Minimum permit fee: $72.50 CCB Lie.: 178122 Plumbing Lie.no.: PB414 Plan review (25%of permit fee) 1 State surcharge(12%of permit fee) Authorized signature: i 2c.,..� TOTAL PERMIT FEE Print name: Jennifer Doty Date: 5/26/20 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building0ennhs\PLMU-PermilApp.doc 10/01/09 440-4616T(10/02/COM/WEB) " City of Tigard ��� Z COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Residential Building Permit #: P1 S T 7-o 2-0 ' b 0 7 7 17--7) Site Address: 7 ' 0 �'it) /2; Project Name: p,64,17 �1"� Lot #: / `% Plan ' g Review 6 / Pr osa1: 1) � >� Verify address/suite# active in Accela. n River Te e: Od No ❑ Yes,River Terrace BeviepAddendum Sit Plan Elements: 7,osion Control 'copies of site plan on 8-1/2"x 11"or 11 x 17"paper itamed trees with drip line and tree protection measures �rawn to scale(standard architect or engineer scale) ^ 'F otprint of new structure(including decks)and FFE -orth arrow {��tility locations&easements(required for new and additions) e address,project or subdivision name and lot number Sid Walk/driveway approach IV .plicant information(name and phone number) 11 t,,cation of wells/septic systems 7 ot dimensions and building setback dimensions I.Sfeet tree size,type and location t11jrL�.uare footage of buildings to be demolished feet names St. sting structures on site Corner elevations(2'contours if more than 4'diffeenntial) ot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? JYes'❑Eoo impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Yes No Ill Jean Water Services-Service Provider Lette (lot platted prior to 9/10/1995):ogeq aired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No ater Meter Fixture Unit Worksheet-Addi126ns,Remodels and ADUs Reclined: ❑ Yes,applicant was notified T No / Received: ❑ Yes ❑ No � 0.. I C Exemptio or ADU applied for: ❑ Yes No Received: ❑ Ye ❑ No i• Public Faciliti Improvement (PF1) Permit: quired: Yes,applicant was notified ❑ No A ed For: Yes ❑ No,stop intake lie- Use Case#: .� r'JI'(p^(7(ll�Q L-Zoning: ec-�— '',, Setbacks: Front: :� Rear: Side: Garage:�� Orneqduired / � Street Side: ding Height: Max. Height: Actual Heigh • & , Landscape Area: •--00 % IZI Lot Coverage Max: % Entrance back no more than 8' from street-facing wall ❑ Parallel to street o et 45 degrees or less Windows ❑ minim °A,of area of all street-facing facades 1 Garage ❑ Garage door is be ' widest street-facing wall 11+t s ❑ No,one of the following is met: ❑ Door extends no mor n 5'from wall and s a covered porch extending beyond garage. ❑ Door extends no more than 5 and there is a 12 sq ft.window above garage on 2nd floor. ❑ Garage door width is ❑ 12'o ❑ r less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ecessed entrance ❑ ffset ❑ 1'Roof cave ❑ Roof offset ❑ Fire s ' s ❑ Lap Siding ❑ Roof pitch e,hip,or gambrel roof ❑ Donner ccent siding & Window trim ❑ Window recess ' dow projection ❑ Balcony &11' visual Clearance a rban Forestry Plan �//n_ l! Sensitive Lands: Yes 0 No Type: ep ,� 4 ❑ Co lions t�gpriojt9 issuance of banding ermit ,[ U L No s: / /7ri 1)7U /710 r} /v fl)1!T- LQ Approved By Planning: - -- Date• / ' Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved I:\Building\Forms\B1dgPennitRvw RES 122419.docx Building Permit Submittal Original Submittal Date: 1p/2,21'2-0 Site Plans: # 3 Building Plans: # Building Permit#: 'f-Enter building permit#above. Workflow Routing: Planning Ei >~:ngineering f rmit Coordinator ut c ing Workflow Sign-off: a-Sign-off for Planning(include notes from planning review) Route Application Documents: n Fngineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. ❑_.Bfiilding: original permit application,site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: .<" & Date: 7/n/?.n Enigineering Review fe Slope at building pad: 2 r 0 f,,��onditions "Met"prior to issuance f building permit L(� Easements (encroachments)per engineering conditions of approval and plat [VWater Quality/Quantity Facility: • Assess Water Quality Fee in-lieu: ❑ Yes Etr>10 Assess Water Quantity Fee in-lieu: ❑ Yes g No LIDA Facility on lot: ❑ Yes eNo fFinal Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: / Approved by Engineering: Date: T/`.VtP� Revisions (after Building Submittal only) Reviewer d Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved D Not Approved Permit Coordinator Review (Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: !Sti).SDC Exemption: ❑ Received .-Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: ` Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: A Yes ❑ N/A LIDA ❑ Yes $ N/A YOK to Issue Permit Approved by Permit Coordinator: AlOYI ReiL Date: 7 I 11(ZV I:\Building\Forms\BldgPermitRvw_RES_1224I9.docx Branden Taggart From: Branden Taggart Sent: Friday,August 7, 2020 5:28 PM To: krichards@riversidehome.com Subject: Elderberry Ridge, Lot 19: MST2020-00212 - 7540 SW Hansen Ln. Attachments: Permit Invoice.pdf Hi Keith, The permits for lot 19 of Elderberry Ridge are ready to issue. I have attached invoices above for you to reference, and the fees due are as follows: Elderberry Ridge Lot# Permit# Fees Due 19 MST2020-00212 $ 36,822.87 19 SWR2020-00131 $ 5,835.00 Total: $ 42,657.87 The above permit fees can be paid online through our website: https://aca.accela.com/tigard/Default.aspx, From there, click on the Building tab, enter the permit numbers in the Record Number field, and click Search. Once paid, please notify us at TigardBuildingPermitsPtigard-or.gov, and we will place these permits and plans in the open conference room adjacent to the outer Permit Center lobby for pickup between the hours of 8:00 a.m. and 5:00 p.m., Monday through Thursday. We are closed on Fridays. Thank you, Branden Taggart 11111 „... a City of Tigard w ,. Senior Permit Technician Community Development TIGARD 13125 SW hdll Blvd Tigard,OR 97223 (503)7.18-2449 bra n dent@tigard-or.gov 1