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Permit
CITY OF TIGARD MASTER PERMIT ``1 COMMUNITY DEVELOPMENT Permit#: MST2021-00482 T I G;A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/05/2022 Parcel: 2S112BD01000 Jurisdiction: Tigard Site address: 7835 SW MARA CT Subdivision: Serenus Subdivision Lot: Project: Serenus, Lot 4 Project Description: New detached dwelling BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 708 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1029 sf Garage: 401 sf Front: 15 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 1737 sf Value: $247,380.74 Rear: 15 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 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: N Vent Fans: 4 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 SrvclFeeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 3 201-400 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+amplvolt: 0 ELECTRICAL•RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1737 Owner: Contractor: BLUE PALOUSE PROPERTIES LLC DR HORTON INC PORTLAND Required Items and Reports(Conditions) 14630 SW 79TH AVE 4380 SW MACADAM AVE SUITE 100 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97224 PORTLAND,OR 97239 PHONE: PHONE: 503-222-4151 FAX: 503-222-1304 Total Fees: $36,645.69 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 quires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR oc9-nn1_nnln fhrni lnh CIA•• nM- 'WI a mau n al r of thin rulee nr dirt nuacfinnc to fll IPIC by Tallinn cnl 9��3?1057 nr 1 Ann 119 rlAil / Issued By: Permittee Signature: C5�-�— '6 1NC�/ � / 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. I Approved plans are required on the lob site at the time of each inspection. Building Permit Application 13 r I I 2, Residential RECEIVE® FOR OFFICE USE ONIA Ati 0- City of Tigard pay,Byd ii 0� Z021 4i, Permit No.tl./SrZp21.00�.�Z 13125 SW Hall Blvd.,Tigard,OR 97223 N O V 01. 20 Plan Review �'' 11i Other Penn( J.c a JQ ZZ�j, Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 1�i �i4 � r�1/�/.v(.1"UlJ GU 1 TI G A R[) Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: IL !``/ tjtuct ® See Page 2 for Internet: www.ligard-or.gov BUILDING DIVISION otified/Melho �/ �� 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 ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: e) Zy lip. / ❑ 1-and 2-family dwelling 0 Commercial/industrial 7,� 7 ❑Accessory building El Multi-familyNumber of bedrooms:4 ❑Master builder 0 Other: Number of bathroom ' JOB SITE INFORMATION AND LOCATION Total number of floors:2 2196 Job site address:7835 SW MARA CT New dwelling area I73lquare feet i bezq City/State/ZIP: Garage/carport area: tip' square feet —16D Suite/bldg./apt.no.: Project name: Serenus Covered porch area square feet Cross street/directions to job site: Deck area:0 square feet Other structure area: 0 square feet Landing RE kikiAi C' 'ROi1I:13 l cHKCKL3T Subdivision: Serenus Lot no.:4 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 work indicated on this application. NSI R Valuation: $ Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER 0 TENANT Number of stories:2 Name:DR Horton Type of construction: Address: 4380 SW Macadam Ave Ste 200 Occupancy groups: City/State/ZIP: Portland OR 97239 Existing: Phone:(503 ) 222-4151 Fax:( 1 New: 0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: DR Horton Structural plan review fee(or deposit): 76i.51 Contact name: Emerald Weeks FLS plan review fee(if applicable): Address: 4380 SW Macadam Ave Ste 200 Total fees due upon application: City/State/ZIP: Portland OR 97239 Phone:( 503 ) 222-4151 Fax: :( ) Amount received: E-mail: esweeks c/drhorton.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescripti\e installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: I)R Dorton Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 4380 SW Macadam Ave Ste 200 Solar Installation Specialty Code checklist. 'y/State/ZIP: Portland OR 97239 Permit Fee(includes plan review $180.00 and administrative fees): ( 503 ) 222-4151 Fax:( ) State surcharge(12(Yo of permit fee): $21.60 c•. 13U59' (,3 O,F."j 77//iLL Total fee due upon application: $201.60 :ed signature: �/ryL4i 24 'he 0) 6.4_ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. • Emerald Weeks Date: 6/3/2021 *Fee methodology set by Tri-County Building Industry Service Board. 'nits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist - One- and Two-Family Dwelling FOR OFFICE USE O LV City of Tigard Received Date/By: Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: Phone: 503.718.2439 Fax: 503.598.L960 24-Hour Inspection Line: 503.639.4175 ❑ Electrical 0 Plumbing 0 Mechanical T I G ARD Internet: www.tigard-or.gov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW' v_es No N/A I Land use actions completed. See jurisdiction criteria for concurrent reviews. x U U 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. x❑ 0 0 3 Verification of approved plat/lot. x 0 0 0 4 Fire district approval required. Name of district: . x 0 0 0 5 •Septic system permit or authorization for remodel. Existing system capacity . D 0 CD 0 6 Sewer permit. 0 x 0 0 0 7 Water district approval. 8 Soils report. Must carry original applicable stamp and signature on file or with application. x❑ 0 0 9 Erosion control 0 plan 0 permit required. include drainage-way protection,silt fence design and location of catch- x❑ 0 0 basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state x❑ 0 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 x❑ 0 0 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 x❑ 0 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, x 0 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- x 0 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. x 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- x❑ ❑ ❑ 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 x❑ 0 ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered x❑ 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 x❑ 0 0 over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. x❑ ❑ 0 21 Energy Code compliance. identify the prescriptive path or provide calculations. A gas-piping schematic is required x 0 0 0 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 x 0 ❑ 0 architect licensed in Ore:on and shall be shown to be a licable to the project under review. JURISDICTIONAL SPECIFICS 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 0 0 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 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 0 0 27 "Drawn to scale"indicates standard architect or engineer scale. 0 ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 0 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 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, 0 ❑ r 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. 1:ABuilding\Pernits\BUP-RESPernitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application ECElVED City of Tigard Received STZ02(-tJOc�gZ- Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 ` Plan Review Phone: 503.718.2439 N�V �� DatelBy: OtherPennit: I'I ti n k D Inspection Line: 503.639.4175 CITY OFTIGA U Date Ready/By: luns la See Page 2 for Internet: www.tigard-or.govNotified/Method Supplemental Information BUILDING DIVISION TYPE OF WORK COMMERCIAL FEE*SCHEDULE—USE CHECKLIST ®New construction 0 Addition/alteration/replacement Mechanical permit fees*are based on the value of the work perfonned.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. CATEGORY OF CONSTRUCTION Value:$ RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling 0 Commercial/industrial 0 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: Job site address: 7835 SW MARA CT Air conditioning 46.75 • Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Furnace 100,000+BTU(ducts/vents) I 54.91 Suite/bldg./apt.no.: Project name: Serenus Heat pump 61.06 Duct work I 23.32 Cross street/directions to job site: 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 Subdivision: Serenus Lot no.:4 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 NSFR Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 0 PROPERTY OWNER 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name: DR Horton Range hood/other kitchen Address: 4380 SW Macadam Ave Ste 200 equipment 1 33.39 Clothes dryer exhaust 1 33.39 City/State/ZIP: Portland OR 97239 Single-duct exhaust(bathrooms, 4 Phone:( 503 ) 222-4151 Fax:( ) toilet compartments,utility rooms) 23.32 Attic/crawlspace fans 23.32 0 APPLICANT 0 CONTACT PERSON Other: 23.32 Business name: DR Horton Fuel piping: Emerald Weeks S14.15 for first four;S4.03 for each additional Contact name: Furnace,etc. Address: 4380 SW Macadam Ave Ste 200 Gas heat pump City/State/ZIP: Portland OR 97239 Wall/suspended/unit heater Water heater I Phone:( 503 ) 222-4151 Fax: :( ) Fireplace E-mail: esweeks@drhorton.com Range I Barbecue CONTRACTOR Clothes dryer(gas) , Business name: Development Northwest Inc.,dba Wolcott HVAC Other: MECHANICAL PERMIT FEES* Address: 1075 W Historic Columbia River Hwy Subtotal City/State/ZIP: Troutdale,OR,97060 Minimum permit fee($90.00) Phone:( 503 ) 667-1781 Fax:( 503 ) 667-9891 Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lic.: 112220 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: 7—� days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board Print name: Andrew Darland Date: 10/21/21 I.\Building\Pemilcl,MEC_PermitAgp 082520.dos 440-4617T(I I/02/COM/WEB) Electrical Permit Application RECEIVE FOR OFFICE USE ONLY eceived �� t t j� City�f Tigard Date/By: Permit a: G.l 06 /- i 1 w 13125 SW Hall Blvd.,Tigard,OR 97223 VV�v Q 1 2021 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit tt: Inspection Line: 503.639.4175 Ready Date/By: Allis: ® See Page 2 for 7 1 G A R D CITY OF TIGARD Internet: www.tigard-or.gov ufied/Method: Supplemental Information rnv1516�Y BUILDING er4 TYPE OF WORK PLAN REVIEW ®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 D Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ❑ 1-and 2-family dwelling EllCommercial/industrial El Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. O 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:7835 SW MARA CT 100HP or more. ❑"A "E t-z", 1 0 Six or more residential units. occupancy. City/State/ZIP: ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: Serenus ❑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 Description I Qty. I Each i Total I * New residential single-or multi-family dwelling unit. Subdivision: Serenus Lot#:4 Includes attached garage. 1,000 sq.ft.or less 1 168.54 4 Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 3 33.92 I DESCRIPTION OF WORK Limited energy,residential 75.00 2 NSFR (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 ❑ PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name: DR Horton 200 amps or less 100.70 2 Address: 4380 SW Macadam Ave Ste 200 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: Portland OR 97239 601 amps to 1,000 amps 301.04 2 Phone:( 503 ) 222-4151 Fax:( ) Over 1,000 amps or volts 552.26 2 t Temporary services or feeders installation,alteration,and/or Email: esweeks a drhorton.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 Branch circuits—new,alteration,or extension,per panel ❑ APPLICANT 0 CONTACT PERSON A.Fee for branch circuits with Business name: I)R Ilorton above service or feeder fee, 7.42 2 each branch circuit Contact name:Emerald Weeks B.Fee for branch circuits without service or feeder fee,first 56.18 2 Address: 4380 SW Macadam Ave Ste 200 branch circuit City/State/ZIP: Portland OR 97239 Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( 503 ) 222-4151 Fax: :( ) Each manufactured or modular2 dwelling,service and/or feeder 67.84 Email: esweeks@drhorton.com drhorton.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Garner Electric Co Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy 0 See Page 2 2 Address:2890 SE Brookwood Ave. panel,alteration,or extension. City/State/ZIP:Hillsboro, OR 97123 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503-648-4552 Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(I hr min) 78.18/hr Email: permits@garnereleetric.com Inspections for which no fee is CCB Lie.:121159 Electrical Lic.: 4- 05C Suprv, Lic.:3707-S specifically listed CAhr min) 90.00/hr ELECTRICAL PERMIT FEES Suprv. Electrician signature,required: Subtotal: Print name: Charles Garner Date: 0 Plan Review Required(25%ofpennit fee): /' f / State surcharge(12%of permit tee): Authorized signature:(f 1.44.4�Gl.Q�GTi WP4/� TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Emerald Weeks Date: 6/3/2021 days after it has been accepted as complete. * Number of inspections allowed per permit. I:'Building,Pennits`ELC_PermitApp_ELR_ERE.doc Rev06W'17,2015 440-4615T(1105,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 E Q Descriplion I 15 I Each 1 Total Fee for all residential systems combined: $75.00 Renewable electrical energy systems: 5 kva or less 100.70 2 Check Type of Work Involved: 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 , 2 with OAR 918-309-0040) 55_,_6 ❑ 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 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed('h hr min) COMMERCIAL WORK ONLY: .E � PERMIT,' Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 * Number of inspections allowed per permit. (SEE OAR 918-309-0000) 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 Building Permits`ELCPermitApp ELR ERE doc Rev 06,17,2015 ,Plumbing Permit Application - Building Fixtures RECEIVES, FOR OFFICE USE ONLY City of Tigard Received Permit No.: 41 ZOZ(-OOCtQZ. ■ 13125 SW Hall Blvd.,Tigard,OR 97223 NOV 01 202i Date/By: • ■ Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Other Permit No.: Date/By: T I G A R D Inspection Line: 503.639.4175 CITYOF fl(af{fj�e Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISIOR Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE For special information use checklist. New construction ❑Demolition Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath I 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:7835 SW MARA CT Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name: Serenus Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 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: Serenus Lot no.:4 Fixture or item: Tax map/parcel no.: Backtlow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 N.SFR Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Fixture/sewer cap 25.02 Name: DR Horton Address: 4380 SW Macadam Ave Ste 200 Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP: Portland OR 97239 Hose bib 2 25.02 Phone:( 5(3 ) 222-4151 Fax:( ) Ice maker 12.51 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: DR Horton Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: Emerald Weeks Roof drain(commercial) 12.51 Address: 4380 SW Macadam Ave Ste 200 Sink/basin/lavatory 4 25.02 City/State/ZIP: Portland.OR 97239 Solar units(potable water) 62.54 Phone:( 503 ) 222-4151 Fax::( ) Tub/shower/shower pan 2 12.51 Urinal 25.02 E-mail: esweeks ci drhorton.com Water closet 3 25.02 CONTRACTOR Water heater 1 37.52 Business name: Alliance Plumbing, LLC Water piping/DWV 56.29 Address: 146 W Historic Columbia River Hwy Other: 25.02 City/State/ZIP: Troutdale,OR 97060 Subtotal Phone:( 503)492-3490 Fax:( 503 ) 912-6438 Minimum permit fee: $72.50 CCB Lic.: ]84601Plumbing PB732 Plan review (25%of permit fee) Lic.no.: State surcharge(12%of permit fee) Authorized signature: t�-71 TOTAL PERMIT FEE Print name: Gavin Thomes Date: This permit application expires if a permit is not obtained within 180 days 7.01.2021 after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:/Building,Permits,PLMU-PennitApp.doc 10,01,09 440-4616T(10i02ICOM'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: Footing drain- 1" 100' 50.03 0 to 2,000 $121.90 37.52 2,001 to 3,600 $169.69 Footing drain-each additional 100 3,601 to 7,200 $233.20 Sewer-1st 100. 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Valuation• Permit Fee: Storm&Rain Drain-1st 100' 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 Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to Other Inspections or Fees 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 each additional$100.00 or fraction thereof (minimum charge-1/2 hour) 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*. Plan Review for Plumbing Installations Quantity by Fixture Type Plan review is required for any of the following. Replace/ Please check all that apply. Fixture Type for PP Y• Work Performed: Capped Added Relocate ❑ Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool ❑ New exterior plumbing site utilities for any complex structure Car Wash: -Each Stall as defined in OAR918-780-0040. -Drive The, 0 Medical gas and vacuum systems for health care facilities. Cuspidor/Water Aspirator 0 Any multipurpose fire sprinkler system. Dishwasher: -Commercial 0 Any complex structure as defined in OAR918-780-0040. -Domestic Drinking Fountain Submit 2 sets of plans with any of the above. Eye Wash Floor Drain/sink: -2" 3.. Isometric or Riser Diagram 4" ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain that meet the qualifications above. Garbage -Domestic non-food Disposal: -Domestic food related -Commercial food related -Industrial food related Comments regarding fixture work: Ice Mach./Refrig.Drains Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lav/Bar non-food related -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes fees assessed for the sewer increase must be paid before the Water Extractor plumbing permit can be issued. Water Closet-Toilet Urinal . Other Fixtures: I:\Buildinn\Permits\PLMF PennitApp.doc 08/04/2011 2 City of Tigard illil '1 COMMUNITY DEVELOPMENT DEPARTMENT ■ TIGARD Building Permit Review — Residential Building Permit #: gS1"Z02-00tf2_ Site Address: g35 S&iJ '4 A C 1- Project Name: S 2.n U\ ws-r>r1,t1 MI Lot #: Li Planning Review `w� Proposal: New Sj b ce ocp 1►W. Verify address/suite#active in Accela. In River Terrace: I-No ❑ Yes,River Terrace Review Addendum 1 SitP ,�L lan Elements: '•rosion Control / C63 ies of site plan on 8-1/2"x 11"or 11 x 17"paper Elitained trees with drip line and tree protection measures ✓ zecn to scale(standard architect or engineer scale) _L1F�tprint of new structure(including decks)and FFE ��orth arrow rrU ' locations&easements(required for new and additions) IdS' address,project or subdivision name and lot number Sidewalk/driveway approach 019.pplicant information(name and phone number) 111 tion of wells/septic systems 1 la Lot dimensions and building setback dimensions treet tree size,type and location li g g Square footage of buildings to be demolished eet names go ' xisting structures on site Corner elevations(2'contours if more than 4'differ ai) Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? es ❑No im rvious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes ❑j Clean Water Services—Service Provider Letter of platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No YJ Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs uired: ❑ Yes,applicant was notified !Q No Received: ❑ Yes ❑ No C Exemption for ADU applied for: ❑ Yes dCl No Received: ❑ Yes ❑ No Public Facilities Improvement (PFI) Permit: �Required: ❑ Yes,applicant was notified O No Applied For: ❑ Yes E No,stop intake 2 and Use Case#: A1SV W- 0000 I E3 Zoning: LJ Required Setbacks: Front: /S— Rear: 5 Side: Street Side: R . Garage: -z 'ding Height: Max.Height: Actual Height: 231 Landscape Area: 019 % of Coverage Max: Entrance Lie Set back no more than 8'from street-facing wall Parallel to street or offset 45 degrees or less Windows Al Minimum 12%of area of all street-facing facades Garage X Garage door is behind widest street-facing wall ❑ Yes A No,one of the following is met: Q'Door extends no more than 5'from wall and there is a covered porch extending beyond garage. ❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2°d floor. pi,Garage door width is ❑ 12'or less ❑ 50%or less of facade oRt 60%or less and includes 7 of following: Covered porch ?Recessed entrance ❑ Wall offset 74 1'Roof eave ZP Roof offset ❑ Fire shingles Lap Siding ❑ Roof pitch , Gable,hip,or gambrel roof ❑ Dormer pl Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony I-A Visual Clearance ❑ Urban Forestry Plan (` __"" \ Sensitive Lands: 1i Yes ❑ No Type: C I 5 SC(5t It' (mow ,�,v- ) 4. Conditions met prior to issuance of building permit / Notes: e Approved By Planning: Aeigitti V — Date: I/0 (z o Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved i:\Building\Forms\BIdgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: it /01t201 _- Site Plans: # 3 Building Plans: # 3 Building Permit#: [{-Enter building permit#above. Workflow Routing: T /Planning Er Engineering . L'Permit Coordinator P13uilding Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: R.-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. f 'Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: / By Permit Technician: raj Date: ii/O?(20Z( r Engineering Review 2/-Slope at building pad: Z v Er--Conditions "Met"prior to issuance of building permit 12/ asements (encroachments)per engineering conditions of approval and plat /© Water Quality/Quantity Facility: / Assess Water Quality Fee in-lieu: ❑ Yes ICJ No Assess Water Quantity Fee in-lieu: ❑ Yes 'No 2"Final Facility on lot: ❑ Yes 'No LJ Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 1-0.-pAii eyej&Kei Date: 1) {zz)Zd a) Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved ❑ 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: SDC Exemption: ❑ Received Does not apply ASDC Fees Entered: Wash Co Trans Dev Tax: XYes ❑ N/A Tigard Trans SDC: /Yes ❑ N/A Parks SDC: 7 Yes ❑ N/A LIDA ❑ Yes ❑ N/A ,P1 OK to Issue Permit / Approved by Permit Coordinator: (7& Date: I I (22I 20 2( rr I:\Building\Forms\B1dgPermitRvw_RES_122419.docx