Permit IN ■ City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
T l c a R v Building Permit Review — Residential
Building Permit #: pi5T202 f'OO5j
Site Address: I L( 6'1 14 5 w A--ti,e_
Project Name: St VlA Lot #: 13
Planning Review 4C2Vv01 --R.Ell%bStre V W WNO HOUSti rtevsieb
Proposal: \ a(bittLkei di ,UIttj "fbHAVEA 4' ORIAINA9.
99 Verify address/suite #active in Accela. ❑ In River Terrace: A No ❑ Yes, River Terrace Review Addendum
Site Plan Elements: FErosion Control
PG copies of site plan on 8-1/2"x 11"or 11 x 17"paper [Retained trees with drip line and tree protection measures
Lh rawn to scale(standard architect or engineer scale) [ Footprint of new structure(including decks) and FFE
ii1;INorth arrowJtility locations&easements (required for new and additions)
gl Site address,project or subdivision name and lot number dSidewalk/driveway approach
Applicant information(name and phone number) s
[ Lot dimensions and building setback dimensions pStreet tree size,type and location
Street names
fiF -iet: etr cturo site
N,ot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? Kkes ❑No
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes cal?No
pClean Water Services—Service Provider Letter (lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified ? No Received: ❑ Yes ❑ No
Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No
❑. SDC l xe* ti urADU applied for• I—I yPs n 11^ Received: ❑ Yes ❑ No
Lia Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicantnt was notified No Applied For: ❑ Yes ❑ No,stop intake
p Land Use Case#: Sv 4� 2Z �L QlW I )4 Zoning: !tom I Z
Required Setbacks: Front: l frj 1 Rear: lGjC1 t Side: 5 Street Side: 110 l Garage: 2_O
Building Height: Max. Height: J Actual H i ht: 23
(p Landscape Area: % p Lot Coverage Max: W
Entrance Set back no more than 8'from street-facing wall Parallel to street or offset 45 degrees or less
Windows le" Minimum 12%of area of all street-facing facades
Garage ( Garage door is behind widest street-facing wall ll'Yes ❑ No,one of the following is met:
❑ 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.
Garage door width is ❑ 12'or less kr 50%or less of facade ❑ 60%or less and includes 7 of following:
❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset
❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony
Visual Clearance $ Urban Forestry Plan ., i / / ,t
I' Sensitive Lands: C Yes CIV No Type: 5 (—d V u foe
AConditions met prior to issuance of building permit
Notes:
Ig Approved By Planning: Date: ___IVO(7. __
Revisions (after Building Submittal only) Revie er Dat
Revision 1: RI CI Not Approved r� 297J?--
Revision 2: ❑ Approved ❑ Not Approved
I:\Building\Forms\B1dgPeimitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: 7 al/
Site Plans: #
Building Plans: # 3
Building Permit#: leEnter building permit#above.
Workflow Routing: 11/Planning a'Engineering [Permit Coordinator ('Building
Workflow Sign-off: Er 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.
N' Building: original permit application,site plans,building plans,engineer and
,' • . ' beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: g _ 2021
Engineering Review
(Slope at building pad: 2#4
CCYConditions "Met"prior to issuance of building permit
CYEasements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility: /
Assess Water Quality Fee in-lieu: 0 Yes L�'//No
Assess Water Quantity Fee in-lieu: 0 Yes
LIDA Facility on lot: 0 Yes 3 No
19/Final Plat Recorded:
E NOT Approved by Engineering: Date:
Notes:
El Approved by Engineering: jre0.774- Date: 1 l/2-2/u'2'
Revisions (after Building Submittal only) Reviewer Date
Revision 1: Rr Approved 0 Not Approved 7- f /gn 31 i I 202-7
Revision 2: 0 Approved 0 Not Approved
Permit Coordinator Review
eier 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: ht, - 3. 2,20 ZZ-
Revision Notice 2: Date Sent to Applicant:
SDC Exemption: 0 Received /1 Does not apply
SDC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A
Tigard Trans SDC: /Yes 0 N/A
Parks SDC: / Yes 0 N/A
LIDA 0 Yes , N/A
OK to Issue Permit f
Approved by Permit Coordinator: Date: I(I'Z?j12Xii
I:\Building\Forms\BldgPennitRvw_RES_122419.docx
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 t,,\r< i) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Site Plan Review Dept DATE RECEIVED:
DEPT: BUILDING DIVISION ' I vt r
EID
FROM: Emerald Weeks FEB 2 P,2022
COMPANY: DR Horton vi i 0 (RfiL
PHONE: 503-222-4151 1ILDING
EMAIL: esweeks@drhorton.com
RE: Serenus Lot 23 MST2021-00500
(Site Address) (Permit Number)
Serenus
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. 3 Revisions: Site Plan
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: Pulling house forward to have a 4'driveway,front setbacks are still met
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: 1/3/ZD, Initials: l
Fees Due: (l Yes F No Fee Description: Amount Due:
Special $
Instructions:
Reprint Permit(per PE): ❑ Yes 1To ❑ Done
Applicant Notified: Date: 3/';j2 Initials:
(omit;►�
CITY OF TIGARD MASTER PERMIT
11 .I COMMUNITY DEVELOPMENT Permit*: MST2021-00500
Date Issued: 02/02/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112BD01100
Jurisdiction: Tigard
Site address: 14644 SW 79TH AVE
Subdivision: Serenus Subdivision Lot:
Project: Serenus, Lot 23
Project Description: New detached dwelling
BUILDING
Floor Areas Required Setbacks Required
Stones: 2 Bedrooms: 4 First: 951 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 23 Bathrooms: 3 Second: 1327 sf Garage: 403 st Front: 15 Smoke Yes
Dwelling Units: 1 Third: 0 sf
Right: 5 Detectors:
Total: 2278 sf Value: $318,127.08 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: Storm Sewer: 100
0
100 Catch Basins: 0
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: Bckflw Prevntr: 0
1 Hose Bib: 2 Backwater Value: 1
Footing Drain: 0 Ice Maker: Other Fixtures: 0
Drywell-Trench Drain: 0 Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N 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: 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 WI 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+ampNolt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
N SecurityAlarm: N Vaccuum System. N Garage Opener. N All Y
Audio&Stereo: N HVAC: Ecompasingl
Other: N Other Description:
BUILDING INFO
Square Feet:
Class of Work: Type of Use: Type of Constr: Occupancy Group: 2278
NEW
SF VB R-3
Owner: Contractor: Required Items and Reports(Conditions)
BLUE PALOUSE PROPERTIES LLC DR HORTON INC PORTLAND 1 Ersn Cntrl 5Required Items
14630 SW 79TH AVE 4380 SW MACADAM AVE SUITE 100
75
TIGARD,OR 97224 PORTLAND,OR 97239
PHONE: PHONE: 503-222-4151
FAX: 503-222-1304
Total Fees: $38,897.57
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
oc,_nfH-nn1 n lhrn..nh nap C5911n1-fm0q Yn.,ma"Within a rnnv of tha n,laa nr.tirart n,mttinna 1n Oh INC Kw Tallinn cm 949 10a7 nr 1 Ron q'19 914A
Issued By:
Ed Ma4danado- Permittee Signature: ia'�`L
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 lob site at the time of each inspection.
Building Permit Application Checklist • .
- One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received
.� Associated Date/By Permit No..
• 13125 SW Hall Blvd.,Tigard,OR 97223
I Phone: 503.718.2439 Fax: 503.598.1960 permits:
TIGARD 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing ❑ Mechanical
Internet: www.tigard-or.gov 0 Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PI.A S REVIEW Yes No N/A
I Land use actions completed. See jurisdiction criteria for concurrent reviews. x 1 ❑ D ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. x❑ ❑ ❑
3 Verification of approved plat/lot. x❑ ❑ ❑
4 Fire district approval required. Name of district: • x❑ 0 0
5 Septic system permit or authorization for remodel. Existing system capacity ❑❑ ❑❑
6 Sewer permit.
7 Water district approval. x❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on tile or with application. x❑ 0 ❑
9 Erosion control 0 plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- x❑ 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
!I surface drainage.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size x❑ 0
12and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, x❑ ❑ ❑
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❑ ❑ ❑
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 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❑ 0 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 x❑ ❑ 0
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered x❑ ❑ ❑
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
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 ❑ 0 ❑
for four or more appliances. x
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑ ID ❑
architect licensed in Ore•on and shall be shown to be a. licable to the .ro'ect under review. x
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 0
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 0 0
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 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 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 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 0 0
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\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit AnPlicati F(H2(1Ffu,: t Sl 0\IA
ECEIVE 14 -0000
Received permit No.:
II
City of Tigard Date/By:
13125 SW Hall Blvd.,Tigard,OR 97223 Nov 04 2021 Plan Review Other Permit.
IPhone: 503.718.2439 Date/By:
Inspection Line: 503.639.4175 1 Date Ready/8y: lad:: ® See Page 2 for
CITY OF i1GNRl Notified/Method: Supplemental information
"" �" Internet: vvww.tigard-or.gov BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE*SCHEDULE-USE CHECKLIST
Mechanical permit fees'are based on the value of the work
®New construction ❑ Other: daltetation/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special htfarmatlon use checklist.
❑Multi-family 0 Master builder 0 Other: Description 1 Qty. i Ea. 1 Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 14644 SW 79TH AVE Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Furnace 100,000+BTU(ducts/vents) 1 54.91
Heat pump 61.06
Suitelbldg./apt.no.: I Project name: Serenus 1 23.32
Duct work
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
Lot no.:23 Other: 23.32
Subdivision: Serenus 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
I
0 PROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust sad ventilation:
Name: DR Horton Range hood/other kitchen 1 33.39
equipment
Address: 4380 SW Macadam Ave Ste 200 Clothes dryer exhaust 1 33.39
City/State/ZIP: Portland OR 97239 Single-duct exhaust(bathrooms, 4 23.32
toilet compartments,utility rooms)
Phone:( 503 ) 222-4151 Fax:( ) Attic/crawlspace fans , 23.32
0 APPLICANT
0 CONTACT PERSON Other: 23.32
Fuel piping:
Business name: DR Horton $14.1$for first four;$4.03 for each additional
t
Contact nine: Emerald Weeks Furnace,etc. 1
4380 SW Macadam Ave Ste 200 Gas heat pump
Address: WalUsuspended/unit heater
City/State/ZIP: Portland OR 97239 Water heater 1
Phone:( 503 ) 222-4151 I Fax: :( ) Fireplace 1
Range
E-mail: esweelrsLadrltorton.com Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name: Development Northwest Inc.,dba Wolcott HVAC Ot MECHANICAL PERMIT FEES*
Address: 1075 W Historic Columbia River Hwy Subtotal
Minimum permit fee($90.00)
City/State/ZIP: Troutdale,OR,97060 Plan review(25%of permit fee)
Phone:( 503 ) 667-1781 I Fax:( 503 ) 667-9891 State surcharge(12%ofpermitfee)
TOTAL PERMIT FEE
CCB lie.: 112220
This permit application expires if a permit is not ed within ISO
a...z..../e-...„---"-
days of t y has Coen accepted as complete.duatey
Authorized signature: • Fee methodology set by Tri-County Building Industry Service Board
tI Andrew Dadand I Date: 10/21/21
I Print name:
440.4617T(I 1/02)COM/WEB)
1:\Buildin8��r'itsUv¢C permnAPP_OR2320.doc
m.
•
USE ONLY
•
Electrical Permit Application FOR OFFICE �,
' t a RECEIVED Received (20?rt
Permit h: �CJr 1
City of Tigard Date/By:
• 13125 SW Hall Blvd.,Tigard,OR 97223Iht ��G! Plan Review Permit#:
■ Phone: 503.718.2439 Fax: 503.598.1960 NOV G DateBy: Relatedis. ® See Page 2 for
inspection Line: 503.639.4175 Ready Date/By:
T'I GA RU Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method:
Supplemental Information
111 CIt G eiVIS101P PLAN REVIEW
TYPE OF WOR '
El New construction ❑Addition/alteration/replacement
Please check all that apply(submit 2 sets of plans isitems checked).
❑Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
less to ground.or exceeds 74.000 ❑Commercial-use agricultural
❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings.
El Multi-family IDMaster builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or
_ 0 Emergency system. larger separately derived
JOB SITE INFORMATION AND LOCATION ❑Addition of new motor load of system.
Job#: I Job site address:14644 SW 79TH AVE Io0HP or more. ❑"A" "E" "1-2" "1-3'.
occupancy.
0 Six or more residential units. 0 Recreational vehicle parks.
City/State/ZIP: ❑Health-care facilities.
0 Hazardous locations. 0 Supply voltage for more than
Project name:Serenus 600 volts nominal.
Suite/bldg./apt.#: J ❑Service or feeder 600 amps or more.
Cross street/directions to job site: FEE SCHEDULE
Dmeriplioa I oh'. I Each 1 Total I
New residential single-or multi-family dwelling unit.
Lot#:23 Includes attached garage.
Subdivision: Serenus 1,000 sq.ft.or less 1 168.54 4
Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 3 33.92 1
"""°...-"° "" DESCRIPTION OF WORK Limited energy.residential 75.00 2
(with above sq.ft.)
NSPId Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy 0 See Page 2
❑ PROPERTY OWNER I El TENANT Services or feeders installation,alteration,and/or relocation
200 amps or less 100.70 2
Name: DR Horton 201 amps to 400 amps 133.56 2
Address: 4380 SW Macadam Ave Ste 200 401 amps to 600 amps 200.34 2
amps 301.04 2000 1,
City/State/ZIP: Portland OR 97239 601 amps to552.26 2
Phone:(503 ) 222-4151 I Fax: ) Over 1,000 amps or volts Temporary services or feeders installation,alteration,and/or
Email: esweeks@drhorton.com drhorton.com relocation
59.36 1
Owner installation:This installation is being made on property that i own which is not 200 amps or less 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401201 amps to 400 amps amps to 599 amps 125.0 125.08 2
Owner signature: _ Date:
Branch circuits—new,alteration,or extension,per panel
CILANT I ❑ CONTACT PERSON A.Fee for branch circuits with
DR Horton above service or feeder fee, 7.42 2
Business name: each branch circuit
B.Fee for branch circuits without
Contact name:Emerald Weeks service or feeder fee,first 56.18 2
Address: 4380 SW Macadam Ave Ste 200 branch circuit
Each add'I branch circuit 7.42 2
City/State/Z1P: Portland OR 97239 Miscellaneous(service or feeder not included)
222-4151Each manufactured or modular 67.84 2
Phone:( 503 ) I Fax: :( ) dwelling,service and/or feeder
Email: esweeksndrhorton.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Sign or outline lighting 67.84 2
Business name:Garner Electric CO Signal circuit(s)or limited-energy 0 See Page 2 2
Address:2890 SE Brookwood Ave. panel,alteration,or extension.
Each additional Inspection over allowable in any of the above
City/State/ZiP:Hillsboro, OR 97123 Additional inspection(1 hr min) 66.25/hr
Phone:603-848-4552 I Fax:( )
Investigation(I hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email: permits@garnerelectric.com Inspections for which no fee is 90.00/hr
' ite:
CCB Lie.:121159 I Electrical Lic.: Sit peci
rv. Lie.:3707-S sfically listed hr min)
P @ELL ECTRICAL PERMIT FEES
Suprv.Eleccian signature,required: / Subtotal:
0 Plan Review Required(25%of permit fee):
Print name: Charles Garner /, /n State surcharge(12%of permit fee):
c ' - TOTAL PERMIT FEE:
Authorized signature: I This permit application aspires if a permit is not obtained within 180
Date: 6/3/2021 days after it has been accepted as complete.
Print name: Emerald Weeks a Number of inspections allowed per permit.
L‘Building‘PermnstEl.C_PermilApp_ELR_ERE.doc Rev 06/17I2015
440-4615T(I t/051CAM/WEB
•
Electrical Permit Application —City of Tigard 4
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: REE sceEov[t
Fee for all residential systems combined: $75.00 Description I QIy. I Each Toll *
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 to25 kva
200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 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 an of the above:
❑ Other: Each additional inspection is 66.25/hr
charged al an hourly(I hr min)
Inspections for which no fee is 90.00/hr
specifically listed('A hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal
perm t 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:Building,PermitsNELC_PermitApp ELR ERE.doc Rev 06.,17/2015
•Plumbing Permit Application
ONLY
. Building Fixtures RECEIVED FOR OFFICE USE O ^
Received Permit No.:��2�'� W
T
City of Tigard 04 JO?1 Date/By:13125 S W Hall Blvd.,Tigard,OR 97223N�V Plan Review
i� Other Permit No.:
s Phone: 503.718.2439 Fax: 503.598.1960 , Date/By:
Inspection Line: 503.639.4175 CITY OF iIUARU Date Ready'By: lurk. ® See Page 2 for
TIGARD Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method. Supplemental Inform alion
TYPE OF WORK FEE* SCHEDULE
Demolition For special information use checklist.
Q New construction ❑ Description I Qty. I Ea. I Total
❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
,, .,...,7,..,.,,-." ''.."'''a SFR(1)bath 312.70
TEGORY OF CONSTRUCTION
SFR(2)bath 437.78
❑ I-and 2-family dwelling 0 Commercial/industrial 500.32
SFR(3)bath I
❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02
o Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Catch basin or area drain 18.76
Job site address:14644 SW 79TH AVE 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 It.:_) Page 2
Subdivision: Serenus I Lot no.:23 Fixture or item:
Backflow preventer 31.27
Tax map/parcel no.: Backwater valve 12.51
DESCRIPTION OF WORK Clothes washer 1 25.02
NSFR Dishwasher 1 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
0 PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Fixture/sewer cap 25.02
Name: DR Horton Floor drain/floor sink/hub • 25.02
Address: 4380 SW Macadam Ave Ste 200 Garbage disposal 25.02
City/State/ZIP: Portland OR 97239 Hose bib 2 25.02
Phone:( 503 ) 222-4151 Fax:( ) Ice maker 12.51
0 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Medical gas(value:$_) Page 2
Business name: DR.Horton 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 rNrhorton.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
Subtotal
City/State/ZIP: Troutdale,OR 97060
Minimum permit fee: S72.50
Phone:( 503)492-3490 Fax:( 503 ) 912-6438
Plan review (25%of permit fee)
CCB Lic.: 184601 Plumbing Lic.no.: PB732 State surcharge(12%of permit fee)
Authorized signature: /'��� TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within ISO days
Date:
Print name: Gavin Thomes 7.01.2021 after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
is Buildiaecrmits\PLMII-PermdApp.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:
Footing drain-I"100' 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69
3,601 to 7.200 S233.20
Sewer-1st 100' 62.54 7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service-Ist 100' 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52
Storm&Rain Drain-1st 100' 62.54 Valuation: - Permit Fee:
$1.00 to S5,000.00 Minimum fee$72.50
Stonn&Rain Drain-each additional 100' 37.52 S5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
Other Inspections or Fees Qty. PPe(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 90.00hr each additional$100.00 or fraction thereof;to
(minimum charge-1/2 hour) and including$25,000.00.
Inspections outside ofnonnal business 90.00/hr $25,001.00 to$50,000.00 S379.50l'or the first$25,000.00 and$1.45 for
hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to
Reinspection Fees 90.00Av and including$50,000.00.
Additional plan review for revisions 90.00/hr S50,001.00 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*. Plan Review for Plumbing Installations
Quantity by Fixture Type Plan review is required for any of the following.
Fixture Type for Replace/ Please check all that apply.
Work Performed: Capped Added Relocate
Baptistry/Font 0 Any new commercial building with water service 2"and
greater,except systems designed and stamped by licensed
Bath: -Tub/Shower
engineer.
-Jacuzzi/Whirlpool
Car Wash: Each Stall ❑ New exterior plumbing site utilities for any complex structure
Drive as defined in OAR918-780-0040.
Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system.
Domestic El Any complex structure as defined in OAR918-780-0040.
Drinking Fountain
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2"
3' , Isometric or Riser Diagram'}
4 ❑ Isometric or riser diagram is required for new buildings
-Car Wash Drain
Garbage Domestic non-food that meet the qualifications above.
Disposal: -Domestic food related
-Commercial food related
-Industrial food related
Ice Mach./Rcfrig,Drains Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -Lay./Bar non-food related
-Bradley
-Com/Serv/Utii 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
Water Extractor fees assessed for the sewer increase must be paid before the
Water Closet-Toilet plumbing permit can be issued.
Urinal
Other Fixtures:
l:A Building\Permits\PLMFPermitApp.doc 08/04/2011 2
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
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tieard-onizov
TO: Allyson Armstrong DATEJ" ff
DEPT: BUILDING DIVISION
DEC 2 01011
FROM: Emerald Weeks CITY OF TIGARL)
COMPANY: DR Horton 6UILDING DIVISION,
PHONE: 503-222-415] By:
EMAIL: esweeks@drhorton.com
R • 14644 SW 78th Ave 1 ;2-3 MST2021-00500
(Site Address) (Permit Number)
Serenus
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: 1 Description: Copies: 1 De§cripton:
Additional set(s)of plans. 1 Revisions:
Cross section(s)and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain):
REMARKS: Corrected Truss Layout page
� FOR OF ICE USE ONLY
Routed to Permit Technician: 1}ae: L2/20 Z S Initials:
Fees Due:Due: ❑ Yes EgrNo " Fee Description:` _ Amount Due:
$
Special
Instructions: /
Reprint Permit (per PE): Q Yes No ❑Done
Initials:
Applicant Notified: 11-6:7,
Date: