The URL can be used to link to this page

Permit C 1 L/0- ` a CITY OF TIGARD f tkCGt MASTER PERMIT i' } an Permit#: MST2021-00531 COMMUNITY DEVELOPMENT F 1 T I G AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ErJ• r Date Issued: 05/26/2022 Parcel: 2S108AB06600 Jurisdiction: Tigard Site address: 15409 SW SILKWOOD CT Subdivision: Lot: 6 Project: Bull Mountain Summit, Lot 6 Project Description: New detached dwelling. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 940 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 31 Bathrooms: 3 Second: 1404 sf Garage: 486 sf Front: 15 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 2344 sf Value: $331,001.60 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: 3 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: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum>=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'I 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 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 2344 Owner: Contractor: KEMMER RIDGE LLC CHAD E DAVIS CONSTRUCTION Required Items and Reports(Conditions) 12555 SW HALL BLVD 2808 19TH AVE 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 FOREST GROVE,OR 97116 PHONE: PHONE: 503-357-8587 FAX: Total Fees: $39,387.71 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,utL to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR oc9Jln1-nnin th.inh P oS9-nn1-nrlon n.i may htnin rnnv of+ha mine nr dirnrt n,uaefinne fn ru INC h,raliinn Snl 9'79 10A7 nr 1 Ann A19 91dd Issued By: Permittee Signature: GJCt� or.9 I✓t4 1 Call 503.639.4175 b :00 a.m.for the next available inspection date. f This permit card shall be kept in 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. Gale Contractor Services, 15865 SW 74th Ave Suite #115 Tigard, OR 97224 a are contractor services 503-443-2298 Job Info: Chad E Davis Construction 15409 SW Silkwood CT Tigard, OR Lot 11 CFM @ 50Pa ! �33 Volume cuft 20,554 ACH = 3. 1 Date 11/1/2022 Completed by: Daniel Parra ".• i. Se r...... ,.„..v:..lieuniIia7...,:comuineas a a;: .z....,. .._j_...1..:,,!.).„,,•,,,g-,:',.,,,..ii...:::i1.1;.,,,:c...,;:771',//;,„,',.„ . 4::::::::::',.-.,,vii„. ,L.;';'?/.F: ,..:i.,,.::„.v.. ;;;;7,,li;:::::::,,,,,, 1:*.:::::::!;11: ti,SS; . :ti. ::"' '." ..:...'': IglIMI111111 gale ` ,ti LCl1ON OFAMERIea1:,...„,,,„;:.--,.::::;!::::::!:. contractor servicest.„„:,,,:. : :. A TruTeam Company • r '�'"`;, 1900 W. 39th St, B-207 • Vancouver, WA 98660 ' ; `"'`, Vancouver (360) 694-3030 • Portland:•(503) 293-2841 • Fax (360) 993-1311 ;_' il 'E:' !,s's= as: ':: Installed Insulation Certificate s"' ��' We certify insulation material listed herein meeting applicable federal,state and local::•' t.5.iil;ii..:=;'''': specifications has been installed at the following residence surrounding conditioned space. :'.:` R FACTOR AREA TYPE INCHES/BAGS (BLOWN) ,rn 1_.. ~�" R21 WALLS JM 5.5" R30 FLOOR JM 10.25" ' '' 'g.4 ,, R49 ATTIC CLIMATE PRO 16.9" 21 BAGS `w ' \!ry `u.. .'pp Certified by JOE ALBEE 15409 SW SILKWOOD CT LOT 11 v c: Address Lot or Number V.. liw•:iv, "" Title OPERATION SUPPORT SPECIALIST 05-OCT-22 "Y'` Date Installed AliN' r•1' 4t i ! ', r•r .r + 5i. , -• ,il a.• •ra I CITY OF TIGARD MASTER PERMIT 'rl s COMMUNITY DEVELOPMENT Permit#: MST2021-00531 Date Issued: 05/26/2022 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108AB01300 Jurisdiction: Tigard Site address: 15409 SW SILKWOOD CT Subdivision: BULL MOUNTAIN SUMMIT Lot: Project: Bull Mountain Summit, Lot 11 Project Description: New detached dwelling. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 940 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 31 Bathrooms: 3 Second: 1404 sf Garage: 486 sf Front: 15 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 2344 sf Value: $331,001.60 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: 3 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: 1 Drywall-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>=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 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 2344 Owner: Contractor: KEMMER RIDGE LLC CHAD E DAVIS CONSTRUCTION Required Items and Reports(Conditions) 12555 SW HALL BLVD 2808 19TH AVE 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 FOREST GROVE,OR 97116 PHONE: PHONE: 503-357-8587 FAX: Total Fees: $39,387.71 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requ' s you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR oc7-nnlJlnln thrnnnh(1 omnt-nnon Vn, y nhtnin nny ha mlae nr dirt mmctinnc In ill'Nr:by Tallinn 6n1 717 10117 nr 1'Ann 117 921.1 Issued By: Permittee Signature: Z . /� ' Call 503.639.4175 by 7:00 a.m.for the next available inspection date. f This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. s i ` Mechanical Permit Applic FOR OFFICE USE ONLY City of Tigard ��® Received Date/By: Permitq�No.. "I ZO2/-0053i 111/ - a 13125 SW Hall Blvd.,Tigard,OR 9722�IOV 9 1 C 2021 Plan Review Phone: 503.718.2439 Fax: 503.598.19 J Date/By: Other Permit: TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: funs. H See Paget for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE-USE CHECKLIST -- Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTHUC'fION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* IM 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑ Multi-family ❑Master builder ❑ Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 1 46.75 46.75 Job site address:15409 SW Silkwood Ct Furnace 100,000 BTU(duets/vents) 1 46.75 46.75 City/State/ZIP:Tigard, Oregon 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:Bull Mountain Summit Duct work 8 23.32 186.56 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 Other: 23.32 Subdivision:Bull Mountain Summit Lot no.:11 Other fuel appliances: Tax map/parcel no.: Water heater 1 23.32 23.32 DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 33.39 Flue vent for water heater or gas New Construction - Single Family Residential fireplace 1 23.32 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Plumbing Permit - 1 Backflow Device needed per lot Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ® PROPERTY OWNER ❑ TIN "("'" - Other. 23.32 " '' ` .1 Environmental exhaust and ventilation: Name:Chad E Davis Construction, LLC Range hood/other kitchen equipment 1 33.39 33.39 Address:2808 19th Ave Clothes dryer exhaust 1 33,39 33.39 City/State/ZIP:Forest Grove, Oregon 97116 Single-duct exhaust(bathrooms, 69.96 toilet compartments,utility rooms) 3 23.32 Phone:( )503-357-8587 Fax:( ) Attic/crawlspace fans 23.32 ® APPLICANT ® CONTACT PERSON Other: 23.32 Business name:Chad E Davis Construction LLC Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Matt Weatherdon Furnace,etc. Address:2808 19th Ave Gas heat pump Wall/suspended/unit heater City/State/ZIP:Forest Grove, Oregon 97116 Water heater Phone:( )503-357-8587 Fax::( ) Fireplace I Range E-mail ValH@chadedavisconstruction.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:Pyramid Heating and Cooling other. MECHANICAL PERMIT FEES* Address:9409 NE Colfax Street Subtotal City/State/ZIP:Portland, Oregon 97220 Minimum permit fee($90.00) Phone: Plan review(25%of permit fee) ( )503 786 9522 Fax:( ) State surcharge(12%of permit fee) CCB lie.:59382 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: C ("DQ U•GG * Fee methodology set by Tri-County Building Industry Service Board Print name:Chad E. Davis Date:11.15.2021 I:1B10lding\Permits\MEC_PermiiApp_040113.doc 440-4617r(11/02/COM/WEB) Electrical Permit A licati ECEIVED FOR OFFICE USE ONE1 City of TigardReived Permit:;_----- —t7 i7 ej3( 1 Recec ei re 13125 SW Hall Blvd.,Tigard.OR 97223 N O V 1 5 2021 DatPlan It:vie:i- ll C Phone: 503.7182439 Fax: 503.598.19W Dale;By: Related rem Tr 0: ... Inspection Ling: 503.639.4175 CITY OF TIGNtitj Ready DateBy: led; El See Pa TI[73RD I gc2forInternet: wu�e.ligard-or goy Still DIN NOKfied:Mtthod: Supplemental Information , G DJ1ll.Gign _ TYPE OF WORK PLAN REVIEW - `' ®New construction ❑ Addition:alteration/replacement Please check all that apply(submit 2.sets of plans w.,mms clicked) 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demohiion 0 Other: where the available fault current 0 Marinas and boatyards. __ CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or 0 floating buildings. ® I-and 2-family dwelling ❑Cotnmercial`industrial ❑Accessory building loss to round.or exceeds 14.000 ❑Commercial-use agricultural amps for all other installations. buildings D Multi-family ❑Master builder Q Other: ❑fire pump. 0 Installation of 150 ENT or JOB-SITE INFORMATION AND,,LOCATION 0 Emergency system. larger separately derived 1 - - ❑Addition of new motor load of system. Job e; i Job site address: 15409 SW Silk-wood Ct IOOHP or more. ❑"A""E""I-2""i-].. City/State/ZIP: 0 Six or more residential units. occupancy. 0 Health-care ficiliries. ❑Recreational vehicle parks Suite/bldg./apt.#: Project name:Bull Mountain Summit ❑Hazardous locations. ❑Supply voltage for more than ❑Senior or feeder 600 amps or more. 600 volts nominaL Cross street/directions to job site: )i'EE SC)TEDULE __ Description rtS Each I Total I New residential single-or multi-family dwelling unit. Subdivision:Bull Mountain Summit Lot#:11 Includes attached garage. 1.000 sq.ft.or less 168.544 Tax map-parcel c: I �r H�,S� Fa.add'I 500 sq.R.or portion 2._ 33.92 b7,5„4 1 - DPSCR.tP OIL LW WORK Limited energy,residential New Construction - Single Family Residential (with above sq.R,1 75"00 I Limited energy.multi-family 75.00 s residential(with above sq.ft.) - Renewable Energ-v 1 ❑ See Page 2 , ' gl'PROPERTY'OWNER I Et Services or feeders Installation,alteration,and/or relocation Name:Chad E Davis Construction, LLC 2o0am sales 100.70 a. Address:2808 19th Ave 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City Forest Grove, Oregon 97116 but amps toL000amps 301.04 2 Phone:( )503-357-8587 Fax:( 1 Over 1,000 amps or volts 552.26 I 2 Temporary services or feeders installation,alteration,and/or Final l:VaIH@chadedavisconstruction.com relocation Owner installation:Thjs installation is being made on property that I own which is not 200 amps or less 59.16 i intended for sale,lease,rent.or exchange.according to ORS 447.449.670,and 701. 20i amps to 400 amps 125.0R 2 Owner signature:- Date: 401 amps to 599 amps 168.54 2 APPLICANT - I 10 CONTACT.]'ERs.N `, Branch circuits-new,alteration,or extension, Dar panel A.Fee For branch circuits mir6 Businessname:Chad E Davis Construction, LLC above service orfeederMe, 742 2 each branch circuit Contact name:Matt Weatherdon B.Fee for branch circuits uirknur Address:2808 19th Ave service or feeder fee,fast 56.18 2 branch circuit City/State/ZIP:Forest Grove, Oregon 97116 Each addl branch circuit 7.42 2 Miscellaneous(service or feeder not included) I Phone:( )503-357-8587 I Fax::( ) Each manufactured or modular 67.84 n ! _dwelling,service andlor feeder Elnail:ValH@chadedavisconstruction.com Reconnect only 67.84 2 CONTRACTOR. - Pump or irrigation circle 67.84 2 Business name:Platinum Electric Inc Sign or outline lighting 67.84 2 -_ Signal circuit(s)or limited-energy Address:4676 Commercial Street SE#248 panel.alteration,or extension. 0 See Page 2 2 Each additional inspection over allowable is any of the above CityiSlate/ZlP:Salem, Oregon 97302 Additional inspection(1 hr min) 66.25'hr Phone:( )503-510-5173 Fax:( 1 Investigation(I hr min) 90.00:hr L'ma•I, 4,1G� ) Induhnal plant(I hr min) 78.18/hr (Y1lALVS f 1tc\-/-11r.fv>= CIiGnC S T, A L.r l r Irsptcilon>for which no fee is 9(100'hr CCB Lie.:172027 Electrical Li p't G Suprv.Lie.: soecifi ally listed r':hr mini �� ( ELEcrttic L PERMIT-FEES Suprv.Electrician signature-required: t te_ S.,btotnP a3{D,38 I Print name: J0:v`) tA''1vak(A.IQ. Date: I '_/C)-3,l ❑Plan Review Required(25%of permit fee): 1 State surcharge(12%of permit fee): _ZR" _ Authorized signature: .�A.�2Q.tx� rOTAL PERMIT FEE: _(a(�,`")1../This permit application expires if a permit Is not obtained within 180 Print name:Chad E. Davis Date: 11.15.2021 days after it has been accepted as complete. F - Number of inspections allowed per permit. h'BuitlinpPermirs'ELC PamaApp ELR_ERE.doc Res 06i2.2015 140-46151i11i05 cDM'WEB t t Plumbing Permit Application Building Fixtures RECEIVE r roe. orricr: 1sr OyI.' City of Tigard NOV 15 2021 Date1�Ce1VBedy: PemutNo.. q.ZroZ4 '0o5 ( 111 • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review • Phone: 503.718.2439 Fax: 503.598.1960CITyOFTIGARD Date/By: Other Permit o.: Inspection Line: 503.639.4175 ate Ready/By: Jam H See Page z for TIGARD Ri,,IN ,:lipin. T-Nylpl0"° y y' g Internet: wM1vw.tigard-or.gov - NotifiedMethod' Supplemental Information TYPE OF WORK FEE* SCHEDULE ® New construction ❑Demolition For special information use checklist. Description I Qty. 1 La. 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 El1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 0 Accessory building ❑Multi-family Each additional bath/kitchen 25.02 0 Master builder ❑Other: Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:15409 SW Silkwood Ct Catch basin or area drain 18.76 Diywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard, Oregon 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name:Bull Mountain Summit 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:Bull Mountain Summit I Lot no.:11 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 31.27 Backwater valve 1 12.51 12.51 DESCRIPTION OF WORK Clothes washer 25.02 New Construction -Single Family Residential Dishwasher 25.02 Drinking fountain 25.02 Plumbing Permit - 1 Backflow Device needed per lot Ejectors/sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Fixture/sewer cap 25.02 Name:Chad E Davis Construction, LLC Floor drain/floor sink/hub 25.02 Address:2808 19th Ave Garbage disposal 25.02 City/State/ZIP:Forest Grove, Oregon 97116 Hose bib 25.02 Phone.( )503-357-8587 Fax:( ) Ice maker 12.51 la APPLICANT ® CONTACT PERSON Interceptor/grease trap 25.02 Business name:Chad E Davis Construction, LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Matt Weatherdon Roof drain(commercial) 12.51 Address:2808 19th Ave Sink/basin/lavatory 25.02 City/State/ZIP:Forest Grove, Oregon 97116 Solar units(potable water) 62.54 Phone:( )503-357-8587 Fax: : ( ) Tub/shower/shower pan 12.51 E-mail:ValH@chadedavisconstruction.com Urinal 25.02 ivy o„l, 1 , sv,•, .xis .1 „. , „ y, tg Water closet 25.02 Water heater 37.52 Business name:The Mullen Company Water piping/DWV 56.29 Address:1601 A SE River Road Other: 25.02 City/State/ZIP:Hillsboro, Oregon 97123 Subtotal Phone:( )503-640-0113 Fax:( ) d h 59 Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lie.:92689 Plumbing Lic.no.3'y�� Clad' State surcharge(12%of permit fee) /Authorized signature: �Z7a. . t- TOTAL PERMIT FEE Print name:Chad E. Davis Date:11.15.2021 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'.\BuildingNermitslPLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) , r t ' Plumbing Permit Application \J Building Fixtures RECEIVE`ECEI �/E. FOR OFFICE USE ONLY City of TigardReceived NOV Dam Permit No 9T 1-(aQ931 ■ 13125 SW Hall Blvd.,Tigard,OR 97223 15 Z02.f Reviewn Phone: 503.718.2439 Fax: 503.598.196 P1ae/By: III ' CITY OF Ti"ARD Date/By: Othe Permit N .: Inspection Line: 503.639.4175 BUILDING Date ReadyBy: Jurr 0 See Page 2 for TIGARD Internet. www.tigard-or.gov RLJII<.DINU. DIVISION Notified/Method. Supplemental Information TYPE OF WORK FEE" SCHEDULE ® New construction ❑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 ® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 2.5 1 437.78 437.78 El Accessory building Multi-family SFR(3)bath 500.32 ❑ 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:15409 SW Silkwood Ct Catch bas n or area drain • 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard, Oregon 97224 • Footing drain(no.linear ft.:_) Page 2 Suite/bldg.Japt.no.: I Project name:Bull Mountain Summit 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:Bull Mountain Summit I Lot no.:11 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK i Backwater valve 12.51 ------ ''i 'Ia41har�ias Clothes washer 25.02 New Construction -Single Family Residential Dishwasher 1 25.02 25.02 Drinking fountain 25.02 Plumbing Permit - 1 Backflow Device needed per lot Ejectors/sump 25.02 ® PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Fixture/sewer cap 25.02 Name:Chad E Davis Construction, LLC Floor drain/floor sink/hub 25.02 Address:2808 19th Ave Garbage disposal 1 25.02 25.02 City/State/ZIP:Forest Grove, Oregon 97116 Hose bib 2 25.02 50.04 Phone:( )503-357-8587 Fax: ( ) Ice maker 1 12.51 12.51 ® APPLICANT ® CONTACT PERSON Interceptor/grease trap 25.02 Business name:Chad E Davis Construction, LLC Medical gas(value:$_) Page 2 Primer 12.51 Contact name:Matt Weatherdon Roof drain(commercial) 12.51 Address:2808 19th Ave Sink/basin/lavatory 3 25.02 75.06 City/State/ZIP:Forest Grove, Oregon 97116 Solar units(potable water) 62.54 Phone:( )503-357-8587 Fax::( ) Tub/shower/shower pan 2 12.51 25.02 E-mail:ValH@chadedavisconstruction.com Urinal 25.02 Water closet 3 25.02 75.06 .. Water heater 37.52 Business name:The Mullen Company Water piping/DWV 56.29 Address:1601 A SE River Road Other: 25.02 City/State/ZIP:Hillsboro, Oregon 97123 Subtotal Phone:( )503-640-0113 I Fax:( ) Minimum permit fee: $72.50 CCB Lie.:92689 Plumbing Lic.no.: Plan review (25%of permit fee) ��,,,,/ State surcharge(12%of permit fee) Authorized signature: �� (7Z7a'�'� TOTAL PERMIT FEE Print name:Chad E. Davis Date:11.15.2021 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:1Bnidmg\Permils\PLMU-PermiiApp.doc 10/01/09 440-4616T(io/02/COM/WEB) a ' Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square F wfage: 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 $233.20 Sewer-1st 100' 1 62.54 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 1 62.54 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 - • - Valuation: Permit Fee: Storm&Rain Drain-1st 100' 1 62.54 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 17.52 $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 P 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: 3 187.62 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 ElAny 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 as defined in OAR918-780-0040. -Drive Thru Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial El Any multipurpose fire sprinkler system. Domestic ❑ 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./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -LavBar 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 Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 .....- City of Tigard 11111 COMMUNITY DEVELOPMENT DEPARTMENT r 1 c A R D Building Permit Review — Residential Building Permit #: 5TZo2l -c015 ( Site Address: `5�Q (1 k t )o0A C-. Project Name: Fjll [ I /Vve014 ;v1 &J Wi,yl A— Lot #: 1 Planning Review " (� �� Proposal: Nl Y I✓ i.e UM, 0 Verify address/suite# active in Accela. ❑ In River Terrace: Fi No ❑ Yes,River Terrace Review Addendum Site Plan Elements: Erosion Control P23 copies of site plan on 8-1/2"x 11"or 11 x 17"paper (Retained trees with drip line and tree protection measures 7,10_Drawn to scale(standard architect or engineer scale) Footprint of new structure (including decks)and FFE North arrowNIUtility locations&easements (required for new and additions) Site address,project or subdivision name and lot number ®Sidewalk/driveway approach Applicant information(name and phone number) ®Lot dimensions and building setback dimensions ttreet tree size,type and location Street names fit, rea an `te 1K1Corner elevations (2'contours if more than 4'differential) JJLot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? '®Yes ENo impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes.®No Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No Q--Wain Maei Fixrute'i iti ' ":" ," ' ' U Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No ❑ No Received: El Yes ❑ No 111 Public Facilities Improvement (PFJ) Permit: Required: ❑ Yes,applicant was notified Epi No Applied For: ❑ Yes ❑ No,stop intake g Land Use Case#: r✓)(l f 2-0 —0i'J I 1 IA Zoning: 2— p Required Setbacks: Front: I,1 Rear: 15 Side: 51 Street Side: l o Garage: 20 I � Building Height-. Max. Height 5' Actual Hei ht: ' t CV Landscape Area: SO % ® Lot Coverage Max: Entrance Set back no more than 8'from street-facing wall 0 Parallel to street or offset 45 degrees or less Windows Al Minimum 12%of area of all street-facing facades Garage p Garage door is behind widest street-facing wall W 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"a floor. i;gl Garage door width is El 12'or less egi 50%or less of facade ❑ 60%or less and includes 7 of following: El 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 jEl Visual Clearance ❑ Urban Forestry Plan ❑ SL.,siuccLmds. ❑ Yes 0 No Type: n r d F l '1.1' ormir r o. Notes: e Approved By Planning:4/16A24144,____ Date: I,7/��'2-4 evisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved 0 Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_1224 19.docx Building Permit Submittal Original Submittal Date: l/1 5/2_02—J Site Plans: # 3 Building Plans: #� 3 Er- Building Permit#: Enter building permit#above. Workflow Routing: Planning [Engineering U- Permit Coordinator 2-Building Workflow Sign-off: 2/Sign-off for Planning(include notes from planning review) Route Application Documents: Q' Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Pr Building. original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: / By Permit Technician: ; Date: /yU // Engineering Review [Slope at building pad: Z. ❑ Conditions "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: ❑ Yes El'No Assess Water Quantity Fee in-lieu: E Yes 2'No LIDA Facility on lot: ❑ Yes 2'No ❑ Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Pro+ r'e.fenSt ]AVtif 1 cos.c0rall.,3 e vc rite-4 ?(a} r'2c-cUcj Er-Approved by Engineering: .e - U2k Date: (a (w Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved D Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review COConditions "Met"prior to issuance of building permit jZr Approved, NOT Released: QCObrd p C4fl"S - �L Date: �2t5126'24 Notes: I Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: SDC Exemption: ❑ Received 71 Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: yes ❑ N/A Tigard Trans SDC: %Yes ❑ N/A Parks SDC: / Yes ❑ N/A LIDA ❑ Yes I N/A / OK to Issue Permit Approved by Permit Coordinator: Vv` Date: 3 iL/ f 74)Z7-i I:\Building\Forms\BIdgPermitRvw_RES_122419.docx Plan# I' jCbbf _Hid,—C—�yQ Floors Large I Bed rooms 9 Smallwc 3' AV y A-4 P5 eaW PN- r Tub 3 Basement Vent S 1st Floor 9(ID Water Heater I 2nd Floor ) LI DC) AC y 3rd Floor School R-3 Total 239(-1 (ozyg Garage L-{4).(2 C��S Total 2� 3a —1 J #for Elec (—I 1) Z do l -1 n5-a1 ;S v,,a a_c_t-c 10 /22) Prou-v4,c 19A9A.4.,,c,) ON 5v< . y 6ek '� m r l N I br _ (,z)