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Permit FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: ALLYSON ARMSTRONG DATE RECEIVED: DEPT: BUILDING DIVISION A ' ? 15 2019 FROM: NIKKI PRUETT ;n COMPANY: RIVERSIDE HOMES PHONE: 503-645-0986 By. RE: 7572 SW HANSEN LN MST2019-00114 (Site Address) (Permit Number) ELDERBERRY RIDGE LOT 18 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. 2 Engineer's calculations. Other(explain): REMARKS: ENERGY EFFICIENCY CHANGES TO TRUSSES FO .7. USE ONLY Routed to Pc nit Techifician: Date: Li 7 I0 19 Initials: Or b Fees Due: Y ❑ No Fee Descriptio Amount Due: $ 1(S7 Special Instructions: Reprint Permit(per PE): ❑ Yes 4No ❑ Done Applicant Notified: Date: S-�ja Initials: i q/ 1:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 CITY OF TIGARD MASTER PERMIT 111 I COMMUNITY DEVELOPMENT +~ yLit Permit#: MST2019-00114 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 t ' Date Issued: Aug 19 2020 12:00AM TEt: AR.C7 9 ` Zp •&� Parcel: 2S112BD12200 Jurisdiction: Tigard Site address: 7572 SW HANSEN IN Subdivision: ELDERBERRY RIDGE Lot: 18 Project: Elderberry Ridge, Lot 18 Project Description: New SF. 8/21/2020: REPRINTED to correct number of tub/showers to(4). BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1179 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 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: $332,033.90 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 SrvclFeeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add9 500 sf: 4 201-400 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 8 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 BEAVERTON,OR 97006 PHONE: 503-645-0986 PHONE: 503-645-0986 FAX: 503-690-2942 Total Fees: $32,264.09 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(OAR 952-00 90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By:('---- ( kia.----- Perrnittee Signature: QA✓ el--,73 cI C.e7-77e1A/ 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. CITY OF TIGARD MASTER PERMIT III 2~ ,1 COMMUNITY DEVELOPMENT Permit#: MST2019-00114 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: Aug 19 2020 12:00AM Parcel: 2S112BD12200 Jurisdiction: Tigard Site address: 7572 SW HANSEN LN Subdivision: ELDERBERRY RIDGE Lot: 18 Project: Elderberry Ridge, Lot 18 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1179 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 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: $332,033.90 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 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 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 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=10OK: 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 l 500 sf: 4 201-400 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 BEAVERTON,OR 97006 PHONE: 503-645-0986 PHONE: 503-645-0986 FAX: 503-690-2942 Total Fees: $32,264.09 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 h OAR 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. Issued B �t Permittee Signature: &4/- �L.. —?7"4ii/ 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 Residential RECEIVED FOR OFFICE USE ON l 1. City TigardMAR 2 8 2019 Raeived of i�1I / S T Pe" "°�1�T YQ— kt.4 ' DateBy: (( / 1h1neS50 Hall .2 39Tigard,Ol. 9t Plan ReviewLf 'C \(i_ lC s Phone: 503.718.2439 Fax: so3s98Ct{Otr OF TIGARD DateBy: �5 �q tP7TMM Other Permt..�)v� 1 ,t ,1 1, Inspection Line: 503.639.4175 BUILDING DIVISION Datc Ready/By: kris. ® See Paget for Internet: www.tigard-°r.gov •otified/Method: 1— / l Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑✓ New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $437,i tibb ❑✓ I-and 2-family dwelling 0 Commercial/industrial • ❑Accessory building El Multi-familyNumber of bedrooms: 4 ❑Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCAT3faki .smey., Total number of floors: 2 3 oiCS S— Job site address: 7572 SW Hansen Ln New dwelling area: 2B26 square feet 1-T t 7 City/State/ZIP: Tigard, OR 97224 Garage/carport area: 379 square feet `ill Suite/bldg./apt.no.: Project name: Elderberry Ridge Covered porch area:N square feet Cross street/directions to job site: SW Bonita Rd &SW 76th Ave Deck area: [2-0 square feet Other structure area: square feet n REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Elderberry Ridge '2-o ( (, L. I Lot no.: 018 Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK ��, work indicated on this application. Construction of SFR Valuati°°: $ Existing building area: square feet New building area: square feet ❑✓ PROPERTY OWNER ❑ 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: ❑ APPLICANT a4CCONTACT PERSON 7' BUILDING PERMIT FEES* Business name: Riverside Homes, LLC (Please refer ro fee schedule) Structural plan review fee(or deposit): Contact name: Nikki Pruett 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: npruett@riversidehome.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic 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 PI., 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 lic.: 189148 Total fee due upon application: $201.60 Authorized signaturel/: 7, a�. This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Nikki Pruett Date: 3/12/19 *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) ` Building Permit Application Checklist One- and Two-Family DwellinV E U E I V E D FOR OFFICE USE ONLY City of Tigard MAR 2 8 2019 ReceivedDate/By: Permit No.:'tub ,j64frii C • 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGARD CI Electrical ❑ Plumbin ICAKU 24-Hour lnspectionLine: 503.639.4175 BUILDING DIVISION g 0 Mechanical Internet: www.tigard-or.gov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW res Ni y,'k 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 • ❑ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0 3 Verification of approved plat/lot. 00 ❑ 4 Fire district approval required. Name of district: . 0 0 0 5 Septic system permit or authorization for remodel. Existing system capacity . 0 ❑ El 6 Sewer permit. ❑ 0 0 7 Water district approval. 0 ❑ 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0 9 Erosion control ❑plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ 0 ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ❑ ❑ ❑ there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ 0 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 ❑ furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- 0 ❑ 0 floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. 0 0 ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ❑ 0 ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing 0 0 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ 0 0 systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ 0 ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 0 ❑ 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑ 0 ❑ architect licensed in Ore on and shall be shown to be a licable to the ro'ect under review. 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ❑ 0 ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 0 0 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ 0 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ 0 ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. 0 ❑ 0 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ 0 ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\Building\PermitsiBUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) • Mechanical Permit Application E C E I V E , FOR OFFICE USE ONLY City of Tigard MAR 28 2019 Received Permit No. i kk • 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: ��?�,�\Q_ �\t g Plan Review Other Permit: 1 Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGARD Date/By: l It;A I:n Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: Juds ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE- USE CHECKLIST Mechanical permit 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 0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:S CATEGORY OF CONSTRUCTION ,.. • RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑✓ I-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist ❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 1 46.75 46.75 Job site address: 7572 SW Hansen Ln 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 healers(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: Elderberry Ridge Lot no.: 018 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 1 23.32 23.32 DESCRIPTION OF .''s 'i. f 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 0 TENANT Environmental exhaust and ventilation: Name: Riverside Homes, LLC Range hood/other kitchen equipment 1 33.39 33.39 Address: 17933 NW Evergreen PI., Ste 370 Clothes dryer exhaust 1 33.39 33.39 City/State/ZIP: Beaverton, OR 97007 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 5 23.32 116.60 Phone:(503 )645-0986 Fax:( ) Attic/crawlspace fans 23.32 k Other: 23.32 k ❑ APPLICANT ilika a CONTACT PERSON Business name: Riverside Homes, LLC - Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: Nikki Pruett Furnace,etc. 1 14.15 Gas heat pump Address: 17933 NW Evergreen PI., Ste 370 Walvsuspendedunitheater 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: npruett@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)Hillsboro, OR 97124 Plan review(25%of permit fee) Phone:( 971)205-4989 Fax:( ) State surcharge(12%of permit fee) CCB lie.: 209001 TOTAL PERMIT FEE '/� This permit application expires if a permit is not obtained within 180 �� (r / days after it has been accepted as complete. Authorized signature: L/ . 6`�'�.u'l':e '` ' Fee methodology set by Tn-County Building Industry Service Board Print name: Nikki Pruett Date: 3/12/19 I:1Building\PermitsMEC PennitApp_040113.doc 440-4617r(1 l/02/COMJWEB) Mechanical Permit Application - City of Tigard Page 2 -Supplemental Information Commercial & Multi-Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building\Permits\MEC_PermitApp_040113.doc 2 RECEIVED ` Electrical Permit Application FOR OFFICE USE ONLY Ci ofTi and t 2 8 2019 Received p `J g Date/B : it .. • 13125 SW Hall Blvd.,Tigard,43I7)F TIGARD Plan Review Phone: 503.718.2439 Fax: I DateDate/B : Related Permit#: ��)n DIVISION Inspection Line: 503.639A175 Ready Date/By: luris: El See Page 2 for TIGA[:D Internet: www.tigard-or.gov Notified/Method: Supplemental Information r TYPE OF WORK PLAN.REVIlFW, ElNew construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): O Service or feeder 400 amps or more ❑Building over three stories. 0 Demolition ❑Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. ❑✓ 1-and 2-family dwelling ❑Commerciallindustrial ❑Accessory building less to ground,or exceeds 14,000 0 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: 7572 SW Hansen Ln 100HP or more. ❑"A","E", 'l-2",'l.3", City/State/ZIP: Tigard, OR 97224 ❑Six or more residential units. occupancy. 0 Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: Elderberry Ridge ❑Hazardous locations. ❑Supply voltage for more than O Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: SW Bonita Rd &SW 76th Ave FEE SCHEDULE Description I Qty. I Each I Total New residential single-or multi-family dwelling unit. Subdivision: Elderberry Ridge Lot#: 018 Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 Ea.aeld'1500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential Construction of S F R (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) r w Renewable Energy 0 See Page 2 ` l7 PROPERTY OWNER `.; ❑ TENANT -{' 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 Temporary services or feeders installation,alteration,and/or Email: 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 0 APPLICANT 1111 . ❑✓ CONTACT PERSON 11 Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name: Riverside Homes, LLC above service or feeder fee, each branch circuit 7.42 2 Contact name: Nikki Pruett B.Fee for branch circuits without service or feeder fee,first Address: 17933 NW Evergreen Pl., Ste 370 branch circuit 56.18 2 City/State/ZIP: Beaverton, OR 97007 Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503)645-0986 Fax: :( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: npruett@riversidehome.com Reconnect only 67.84 2 C. . Pump or irrigation circle 67.84 2 Business name: Sunlight Electric Inc Sign or outline lighting 67.84 2 Address: Signal circuit(s)or limited-energy ❑ See Page 2 2 2804 NE 65th Ave. St. D panel,alteration,or extension. City/State/ZIP: Each additional inspection over allowable in any of the above ty Vancouver, WA 98661 Additional inspection(1 hr min) 6625/hr Phone:(360)518-7589 Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(I hr min) 78.18/ht / Email: 0/L / Inspections for which no fee is CCB Lic.: 172549 Electrical Lic.: C230 Suprv.Lie.:i 773 ,tVly specifically listed(%hr min) 90.00/hr � ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: k t+t.t.: Subtotal: Print name: Chester Garrett Date: 3/12/19 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature:L/V t„ ge,vz- . TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Nikki Pruett Date: 3/12/19 days after it has been accepted as complete. " Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015 440-4615T(11/05/CAM/WEB Electrical Permit Application-City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Description I Qtv. I Each F Total I * Fee for all residential systems combined: $75.00 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 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >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 an of the above: ❑ Other: Each additional inspection is 66.25/hr 1 ------ - charged at an hourly(1 hr min) _ Inspections for which no fee is 90.00/hr s.ecificall listed Y,hr min) COMMERCIAL WORK ONLY: ran. wiDtmlinuai • Fee for each commercial system: $75.00 allowe Subtotal(Enter on Page I): (SEE OAR 918 309 0000) * 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 ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:iBuilding\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 Plumbing Permit Application E C E I V E D Building Fixtures FOR OFFICE USE ONLY City of Tigard MAR 28 2019 ReceivedDate (` :, 04 • 13125 SW Hall Blvd.,Tigard,OR 9722 ,1Plan Review: Permit No.f�`�h\ ""(_ �' I,� �Y OF TIGARD Plan Phone: 503.718.2439 Fax: 503.59 U DING DIVISION Date/BY: Other Permit No.: I.I c,,\it t� Inspection Line: 503.639.4175 Date Ready/By: Avis: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE" SCHEDULE 2 New construction 0 Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 IE I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 El Accessory buildingSFR(3)bath 1 500.32 ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other. Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 7572 SW Hansen Ln Catch basin orazeadrain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: Tigard, OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name: Elderberry Ridge Manufactured home utilities 50.03 Cross street/directions 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.: 018 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 Construction of SFR Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 F ID PROPERTY OWNER x 0 TEN yT._:, Expansion tank 12.51 Name: Riverside Homes, LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 17933 NW Evergreen Pl., Ste 370 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 0 APPLICANT ❑✓ CONTACT PERSON Interceptor/grease trap 25.02 Business name: Riverside Homes, LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: Nikki Pruett Roof drain(commercial) 12.51 Address: 17933 NW Evergreen PI., 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: npruett@riversidehome.com Urinal 25.02 Water closet 3 25.02 CONTRACTOR Water heater 1 37.52 Business name: H & H Mechanical Waterpiping/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 Lic.: 178122 Plumbing Lic.no.: PB414 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: ___ - TOTAL PERMIT FEE Print name: Nikki Pruett Date: 3/12/19 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. I:1Building)Permits\PLMU-Pern6tApp.doc 10/01/09 440-4616T(10/02/COM,WEB) ' Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee: Fooling drain-l"100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 Sewer-1st 100' 62.54 3,601 to 7,200 $233.20 Sewer-each additional 100' 7,201 and greater $327.54 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 - - Storm&Rain Drain-1st 100' Valuation: . Permit Fee: 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantity by Fixture Type Plan Review for Plumbing Installations Fixture Type for Replace/ Work Performed: Capped Added Relocate Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath Tub/Shower ❑ Any new commercial building with water service 2"and -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" Isometric or Riser Diagram Car Wash Drain Garbage Domestic-non-food 0 Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: C:\Users\npruett\Downloads\PLMF_PermitApp.doe 2 City of Tigard 11 v COMMUNITY DEVELOPMENT DEPARTMENT I T 1 GA RD Building Permit Review — Residential Building Permit #: W.., MCA - : (.. ,\',\.. Site Address: =S L .W 1-6AvA L,u Project Name: �,�acr() Pope Lot #: le (New dwelling= ubdivisio name;Addition or Alteration=last name of owner) Planning Review _CM Proposal: �f tw,,, _CM �� i Verify address/suite # active in Accela. L� In River Terrace: No 0 Yes,River Terrace Review Addendum Sttan Elements: oston Control lld>2opies of site plan on 8-1/2"x 11"or 11 x 17"paper Rdottined trees with drip line and tree protection measures E 'Dyawn to scale(standard architect or engineer scale) L'��'Fiotprint of new structure(including decks) and FFE arrow gri U,: locations&easements(required for new and additions) i address,project or subdivision name and lot number it idewalk/driveway approach II o plicant information(name and phone number) li' ,cation of wells/septic systems I! .t dimensions and building setback dimensions �yh S et tree size,type and location algvate footage of buildings to be demolished treet names Misting structures on site Omer elevations(2'contours if more than 4'diff ntial) Mot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? es ❑No pervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? 0144ONo Clean Water Services—Service Provider Lette/(lot platted prior to 9/10/1995): („ „Required: 0 Yes,applicant was notified Eif No Received: ❑ Yes ❑ No 1 litt 1111 Public Facilitipsrlmprovement (PH) Permit: �A quired: lt Yes,applicant was notified ❑ No Applied For: [D"Yes ❑ No,stop intake L and Use Case#: 190f`L°1610OO Ci [6oning: +ITV/Required Setbacks: Front: IS Rear: I S Side: S Street Side: AM. Garage: ZO �lding Height: Max.Height: Actual Height: �-35 IN Lan ,.dscape ea: % W i Lot Coverage Max• P % Entrance et back no more than 8'froni^street-facing wall RE Parallel to street or offset 45 degrees or less Windows um 12%of area of all street-facing facades 1�.1.1 Garage Rf Garage door is behind widest street-facing wall ❑ Yes /No,one of the following is met: V Door extends no more than 5'from wall and there is a covered porch extending beyond garage. /0 Door extends no more than 5'from and there is a 12 sq ft.window above garage on 2nd floor. l Garage door width is ❑ 12'or less 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance 0 Wall offset 0 1'Roof cave ❑ Roof offset ❑ Fire shingles 0 Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer O Accent siding ivrp Window trim ❑ Window recess ❑ Window projection ❑ Balcony DVisual Clearance ��rban Forestry Plan I' ensitive Lands: L1? Yes ❑ No Type: U�'� i�� rri ir Conditions met prior o tss nce of buill g rmit o s: (,dnai r3 T1 f tLt Yr P� 1A�n� rnt1- itS�a�Ce Approved By Planning: L`ri - Date: q-3-1 t Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_022819.docx Building Permit Submittal Original Submittal Date: 1j1 t 19 Site Plans: # Building Plans: # Building Permit#: Enter building permit#above. Workflow Routing: 13/ Er/EngineeringPlanning Ei Permit Coordinator E 'Building Workflow Sign-off: [ ' Sign-off for Planning(include notes from planning review) Route Application Documents: [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. Notes: By Permit Technician: Date: Lk' \Ut Engineering Review Slope at building pad: 24 VConditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: 0 Yes ❑ No E Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: LL 4pproved by Engineering: Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved 0 Not Approved Revision 3: ❑ Approved 0 Not Approved Permit Coordinator Review O Conditions "Met"prior to issuance of building permit i . roved,NOT Released: `y r�JP� t 61,7, . ate: '`f 1'q j f r Note frt/k��-�'7 aRevisions (afte uilding Submittal only) Revision otice 1: Date Sent to Applicant: Revi ' n Notice 2: Date Sent to Applicant: •sion Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: [sy�ye 0 N/A Tigard Trans SDC: Kg--, es ❑ N/A Parks SDC: Yes ❑❑ LIDA 0 Yes LS N/A , C OK to Issue Permit / Approved by Permit Coordinator: fl ate: "4/ ;/ " I:\Building\Forms\B IdgPermitRvw_RES_022819.docx CITY OF TIGARD MASTER PERMIT Irl 1: .• COMMUNITY DEVELOPMENT Permit#: MST201 9-001 1 4 Date Issued: 08/19/2020 Tf G AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112BD12200 Jurisdiction: Tigard Site address: 7572 SW HANSEN LN Subdivision: ELDERBERRY RIDGE Lot: 18 Project: Elderberry Ridge, Lot 18 Project Description: New SF. 8/21/2020: REPRINTED to correct number of tub/showers to(4). 10/22/2020: REPRINT permit to revised deck to 160 sq ft. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1179 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1447 sf Garage: 379 sf Front: 15 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 2626 sf Value: $332,989.90 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 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 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!500 sf: 4 201-400 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 BEAVERTON,OR 97006 PHONE: 503-645-0986 PHONE: 503-645-0986 FAX: 503-690-2942 Total Fees: $32,310.24 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 160 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 through OAR 95�/2---0(00 1-00 00 9 0.. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1t987�or 1.800.332.2344..8 Issued By: IA 11r3�) LJX tlk�V\3 Permittee Signature: On C�`.y71\c� C 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. FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 111 : Transmittal Letter T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION _ . R 0.11 F FROM: KEITH RICHARDS 0 C I 1 2020 COMPANY: RIVERSIDE HOMES GUY OF'F!r `'•7? BUsL[) NG "1' PHONE: 971-470-1153 By. RE: 7572 SW HANSEN LN MST2019-00114 (Site Address) (Permit Number) ELDERBERRY RIDGE LOT 18 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: (Copies: Description: - -I Additional set(s)of plans. Revisions: Cross section(s)and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. 2 Engineer's calculations. 3 Other ):Main Floor Plan,Deck S Sheet r( REMARKS: 16'x 10'deck. Included is a revision to A4 Main Floor plan showing the deck,Deck S Sheet and Engineering, and site plan. ^1)9-6'--- R6c,J lleo I� 17-6* FOR OFFACE USE ONLY Routed to Permit Technician: Date: It/(C// YC7 Initials: Afr Fees Due: Yes ❑ No Fee Descrlptio Amount Due: $ _CO yi, L l vy'r,►.- $ Lf S . $ _$ Special OM 5,� , r,(i ihr LJovie 1yn.J igr-A ek r. Instructions: ._ �� ;o r i�ssc xc. A C. ,z..t i4,a,9 T(J;1❑ _ k)i t3�ad r_j�- Reprint Permit(per PE : Yes ❑No Done Applicant Notified: C-7,q,[� ate: Ko/�776w Initials-iC I:\Building\Forms\TransmittalLetter-Revisions.doe 05/25/2012 City of Tigard 11111 COMMUNITYDEVELOPMENl•DEP9RTMENT s Building Permit Review — Residential TIGARD Building Permit #: W`T auCt (j()t k' Site Address: f5'7-2- Sw Rl MilA 1 V1t Project Name: EUerbt Ridge Lot #: lb (New dwelling= bdivisio name;Addition or Alteration=last name of owner) Plan Review iv///,h, ',s,a �ev : ii- -€ rung S•, A4.-, A,•.t 714-43,7ol. .., P�ro�sal: Jtl.W SF� Lld Verify address/suite#active in Accela. In River Terrace No 0 Yes, River Tenure Review Addendum Sit an Elements: sion Control [ ').copies of site plan on 8-1/2"x 11"or 11 x 17"paper fined trees with drip line and tree protection measures 11:1:: wn to scale(standard architect or engineer scale) Vit otprint of new structure(including decks)and FFE arrow U.. • locations&easements(required for new and additions) t address,project or subdivision name and lot number Ill idewalk/driveway approach II :plicant information(name and phone number) B 'cation of wells/septic systems ril •t dimensions and building setback dimensions /S et tree size,type and location (5• footage of buildings to be demolished treet names II Ming structures on site omer elevations(2'contours if more than 4'dif�fef ntial) VI •t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? UfYes ❑No iIfimpervious area(applicable if R-7,R-12,R-25&R-40) yes,is a storm water quality facility shown? ❑ ❑No , 1' Clean Water Services—Service Provider Lette}A(lot platted prior to 9/10/1995}: 1—?,4p�t.n ' equired: ❑ Yes,applicant was notified C�No Received: ❑ Yes 0 No ( Public FaciltitipsrIm Permit (PFI)Permi (u wired: a Yes,applicant was notified ❑ No Appheded For. Yes 0 No,stop intake [ nd Use Case#: PDP�ib`00OO q CV onIng: 7— r. ( eguired Setbacks: Front: 'S Rear: S Side: S Street Side: Garage: ZO 641 Sding Height Max.Height: �j--- Actual Height 1-3,5 I.td Landscapeikrea: 10 % � � L�1 Lot Coverage Max). P Entrance et back no more than 8'front�treet-facing wall Parallel to street or offset 45 degrees or less Windows Minimum 12%of area of all street-facing facades I .L/ Garage or Garlge door is behind widest street-facing wall 0 Yes No,one of the following is met: Li Door extends no more than 5'from wall and there is a covered porch extending beyond garage. llig0 Door extends no more than 5'from and there is a 12 sq ft.window above garage on 2°d floor. Garage door width is 0 12'or less IV 50%or less of facade 0 60%or less and includes 7 of following: O Covered porch 0 Recessed entrance 0 Wall offset 0 1'Roof eave 0 Roof offset ❑ Fire shingles 0 Lap Siding 0 Roof pitch 0 Gable,hip,or gambrel roof 0 Dormer O Accent siding pll Window trim 0 Window recess 0 Window projection 0 Balcony (f Visual Clearance ig,Llrban Forestry Plan / [ ensitive Lands: L1� V Yes 0 No Type: iliAlk$1 Grr lfr cConditions met prior to issutance of buil . g )rmit a: (,:4t�{ir-3 I'Ll )r A,. v,iil� t} Ici,4tgLe Approved ByPlanning: (� �� Date: q-3'l4i PP `"T� ` Revisions (after Building Submittal only) Reviewer Date Revision 1: CKApproved ❑ Not Approved Au 1015/20 Revision 2: 0 Approved 0 Not Approved Revision 3: ❑ Approved 0 Not Approved 1:1Building`forms\BldgPetmitRvw_RES 0228I9.docx Building Permit Submittal Original Submittal Date: 1) t lCI Site Plans: # 3 Building Plans: # — Building Permit#: Enter building permit#above. Workflow Routing Q'Planning Engineering El Permit Coordinator er Building Workflow Sign-off: 12 Sign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1)copy of permit application,(1) site plan,(1) building plan and original plan review routing form. ['Building. original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: �( 1 By Permit Technician: X7—' �� Date: `3\fat Engineering Review Slope at building pad: ("Conditions"Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat O Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No 2 Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Gt./Approved by Engineering: Date: Revisions (after Bu' ing Submittal only) er Date Revision I: Approved 0 Not Approved Lt//' / p Revision 2: 0 Approved ❑ Not Approved Revision 3: 0 Approved ❑ Not Approved Permit Coordinator Review ❑Conditions"Met"prior to issuance of building permit l� Approved,NOT Released: `y 6ewr j: cie: /41 f f t Note few/Jr l•..�$•-ciRevisions(afte wilding Submittal only) Revision otice 1: Date Sent to Applicant: f t L 1 OI,31-147 R ' i n Notice 2: Date Sent to Applicant: sion Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: �Q'�Ye ❑ N/A Tigard Trans SDC: L4'Yes ❑ N/A Parks SDC: [ --fes ❑� LIDA ❑ Yes t3 NIA OK to Issue Permit / Approved by Permit Coordinator. /V Date: "4i3 AL - 1°1194W 1:1Building\Forms\BldgPennitRvw.RES_022819.docx TREE PLANTING NOTES 1.NEW TREES THAT ARE PLANTED TO MEET THE EFFECTIVE CANOPY REQUIREMENTS SHALL CONFORM TO THE APPLICABLE STANDARDS IN THE TIGARD URBAN FORESTRY MANUAL.THEY SHALL BE PLANTED IN ACCORDANCE WITH THE AMERICAN NATIONAL STANDARDS INSTITUTE(ANSI)STANDARDS FOR TREE PLANTING(A300,PART 6)AND ADDITIONAL STANDARDS ADOPTED BY THE OREGON LANDSCAPE CONTRACTORS BOARD.NURSERY STOCK SHALL MEET THE V REQUIREMENTS OF THE AMERICAN ASSOCIATION OF NURSERYMEN FOR NURSERY STOCK(ANSI Z60.1)FOR GRADE NO.1 OR BETTER.DOUBLE STAKE TREES IF NEEDED FOR STABILITY DURING THE ESTABUSHMENT PERIOD. 2.ROOT BARRIERS SHALL BE INSTALLED ACCORDING TO THE MANUFACTURER'S SPECIFICATIONS WHEN A STREET TREE IS PLANTED WITHIN 5'OF ANY HARD SURFACE,PAVING.OR UTILITY BOX. 3.IF NEEDED,IRRIGATION TO BE DESIGN/BUILD BY THE LANDSCAPE CONTRACTOR. 0 10' 20 4.IF NEEDED,SPECIES SUBSITUTIONS SHALL BE COORDINATED WITH THE PROJECT ARBORIST TO ENSURE EQUIVALENT CANOPY COVER IN ORDER TO AVOID MODIFICATION OF THE PREVIOUSLY APPROVED URBAN FORESTRY PLAN. 5.STREET TREES SHALL BE PLANTED WITHIN 6-FEET OF THE RIGHT-OF-WAY. SCALE 1"=20' 6.STREET TREES SHALL NOT BE CLOSER THAN 2-FEET ON CENTER FROM ANY UNDERGROUND UTILITY. The project arborist has reviewed this plan and certifies that the trees and tree protection are accurately represented in accordance with the previously approved Urban Forestry Plan, Lot Area: 4211 SF / I ,I Bldg Coverages 1613 SF Morgan Date:Jone 18,,ISA BoardI hCertified Master Arborist N-6145B),ISA Tree Risk Assessor Qualified 4 �L�J„ Total Impervious: 2047 SF Date: 18,2020I Phone Number.971.409.9354 I \ GyQ1 Y�"� Coverage: 38% / 48% Total _ 10' PRIVATE WALL EASEMENT _1135ir- — 135 L water Service 137 - s57Ofr- -- -. I • — — Drainage --> 15' Grade lines CI r l� m K.- -- 140 I acwr Val w./[IOW,ww.uu ,r n /0 i Zo - 5ft 1114 146 - - O T 19 155FFE 148 L O T 17 o.{- - i CO FIREPLACE CANTILEVER Em • • : 2626 -- -- 150 'i' ' Er25ft c, U'u i i LU IJ 154GFE OF I ��ff I BU',I. i0:IG i,JP,;,,•,311._,)t-I \ R IV I t, e .. N • vv r i ✓ —I -'4"---C CrY f .— T .a. .. �• 45 i • NA- • �1 • r - - - 153 F' f - ' ``,J' 4 152 , �•� ® I r TRACT F 8' PUE / N ow- 0 / / ,,' '� CITY OF LARD Q Approved by Planning SW HANSEN LANE Date: d 2fl _____.., g Initials: _ 4/ ts y DATE 08/15/201B ELDERBERRY RIDGE Ill WESTLAKE REVISION DRAWN BY TIGARD, OREGON CONSULTANTS Wm DAB 7572 SW HANSEN LN ENGINEERING • SURVEYING • PLANNING Ft CHECKED BY o JAB LOT SETBACKS PACIFIC CORPORATE CENTER JOB NO. LOT 18, 4211 SF 15115 S.B. SEUOIA PARKWAY, SUITE 150 15091 684-0652 1306-006 TIGARD, OREGON97224 FAX (503) 624-0157 ' Buildinu Permit Application Residential RECEIVED I(1R„l:l.I(I.: ( bI.:0\1 , City of Tigard MAR 28 2019 R"`""' `1 Permit No. • 13125SV Hall Blvd.,Ti Tigard, 97223 ti nRev Y' r'� qSM. 1`1 - _" W1'�' ;� e8 Plan Review 4 J I T Other Perm' �_co`(]1 C Phone: 503.718.2439 Fax: 503.59gotry OF TIGARD DztdBv: J r7� v..,�-sl , ,, ,i i, Inspection Line: 503.639.4175 BUILDING DIVISION D■tc Ready/Br heir: 10 See Pa e 2 for Internet: www.tigard-or.gov otice,M�pd, S r I // Supplme.talf.rorms:km TYPE OF WORK - REQUIRED DATA:I-AND 2-FAMI,LY DWELLING ❑" 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 F work indicated on this application. CATEGORY OF CONSTRUCTI t 'I Valuation: $531, l�01-and 2-family dwelling 0 Commercial/industrial v f IDAccessory building El Multi-familyNumber of bedrooms: 4 ❑Master builder ❑Other: Number of bathrooms: 3 ,t;,.'!kS „? 3t,' TION AND LOCATION Total number of floors: 2 3b(S-" ---- Job site address- 7572 SW Hansen Ln New dwelling area: 2626 square feet ,4y7 city/State/zIP: Tigard,OR 97224 Garage/carport area: 379 square feet `ilCI 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: 12o square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Elderberry Ridge '2.4OZ b 9, Lr Lot no.: 018 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.. equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK :L , h , y work indicated on this application. Construction of SFR Valuation: $ Existing building area: square feet New building area: square feet .1:1 PROPERTY O R ( Number of stories: Name: Riverside Homes, LLC Type of construction: Address: 17933 NW Evergreen PI.,Ste 370 Occupancy groups: City/State/ZIP: Beaverton,OR 97007 Existing: Phone:(503)645-0986 Fax:( ) New: 0 APPLICANT <Q✓ CONTACT PERSON BUILDING PERMIT FEES" refBusiness name: Riverside Homes, LLC (�� `~h` ` du Structural plan review fee(or deposit): Contact name: Nikki Pruett FLS plan review fee(if applicable): Address: 17933 NW Evergreen PI., Ste 370 Total fees due upon application: City/State/ZIP: Beaverton, OR 97007 Phone:(503)645-0986 Fax::( ) Amount received: F-mail npruett@riversidehome corn PHOTOVOLTAIC SOLAR P. 1ELSYSTEMFEES• "-- - _— 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 PI., Ste 370 Solar Installation Specialty Code checklist. City/State/ZIP: Beaverton,OR 97007 Permit Fee(includes plan review S180.00 and administrative fees): Phone:(503)645-0986 I aX 1 ) State surcharge(12%of penult fee): 521.60 CCB lie.: 189148 Total fee due upon application: $201.60 Authorized signature; ; - / i This permit application expires if a permit is not obtained ,.r c,fa/l .�.�cc c- within 180 days after it bas been accepted as complete. Print name: Nikki PruettDate: 3/12/19 •Fee methodology set by Tri-County Building Industry Service Board. 1:1Building'Permits'.BUP-RESPermitApp.doc 02/24/2011 440-4613T(1UO2/COM/WEB) FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT _ " Transmittal Letter 1 i A. r t 1 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION FROM: KEITH RICHARDS OCT 1 2020 COMPANY: RIVERSIDE HOMES CITY OF TIGARD [I.L 1Rf_[ ING D1`v6,:,ION„, PHONE: 971-470-1153 By: RE: 7572 SW HANSEN LN MST2019-00114 (Site Address) (Permit Number) ELDERBERRY RIDGE LOT 18 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: _., - .. � ybys� nR t ) q �p�ICS '��p QR•T - . ae� } `Y f .V�� .Copies;;� Pescnptto>�;; . �� Additional set(s)of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. 2 Engineer's calculations. 3 Other(explain): A4 Main Floor Plan,Deck S Sheet REMARKS: Changing the patio to a 16'x 10'deck. Included is a revision to A4 Main Floor plan showing the deck,Deck S Sheet and Engineering,and site plan. FOR OFFICE USE ONLY Routed to Permit Technician: Date: Initials: Fees Due: El Yes ❑No Fee Description: Amount Due: Special Instructions: Reprint Permit(per PE): ❑ Yes ❑No []Done Applicant Notified: Date: Initials: I:\Buildmg\Fomvs\TransmittalLetter-Revisions.doc 05/25/2012