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Permit
1,111 1.CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2021-00526 r T IGAR O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/25/2022 °f�' Parcel: 2S108AB06200 Jurisdiction: Tigard Site address: 15330 SW SILKWOOD CT Subdivision: Lot: 2 Project: Bull Mountain Summit, Lot 2 Project Description: New detached dwelling. Demo credits applied from BUP2021-00056 for Transportation& Parks only. BUILDING Floor Areas Required Setbacks Required Stones: 2 Bedrooms: 4 First: 1085 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1495 sf Garage: 686 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2580 sf Value: $372,074.48 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 Bdcflw 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 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: I 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'!500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener. N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2580 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 97224 FOREST GROVE,OR 97116 PHONE: PHONE: 503-357-8587 FAX: Total Fees: $13,529.74 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 os9-nnlllnl n thrn (spa oc nnl-nnon vn„ hmin a rnn,of 1ha n ileac nr dirnrf ni,e tinnc tn(II e r by rollinn cn'�9a9 10a7 nr 1 Ann 119 94da IIssued By: • � Permittee Signature: �t t D r r ) ( n k all 503.639.4175 by :00 a.m.for the next available inspection date. This permit card shall be kept in a onspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. IIIII CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2021-00526 T I c;AI<.[> 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/25/2022 Parcel: 2S108AB01400 Jurisdiction: Tigard Site address: 15330 SW SILKWOOD CT Subdivision: BULL MOUNTAIN SUMMIT Lot: Project: Bull Mountain Summit, Lot 4 Project Description: New detached dwelling. Demo credits applied from BUP2021-00056 for Transportation & Parks only. BUILDING Floor Areas Reauired Setbacks Required Stones: 2 Bedrooms: 4 First: 1085 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1495 sf Garage: 686 sf Front: 15 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 2580 sf Value: $372,074.48 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 Bckflw Prevntr: 1 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum>=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 Wl Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc!Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio 8 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 2580 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 97224 FOREST GROVE,OR 97116 • PHONE: PHONE: 503-357-8587 FAX: Total Fees: $13,529.74 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR octon..-nnin+hrnnnh f1GA 059-nn1-nnon we.rem,nhtain a rnnv of tha n doe nr riirar+nnaetinne+n fN INC by nallinn cm 9g9 10a7 nr 1 eon 119 9144 • Issued By: "Y IR 7-11 l V L Permittee Signature: %Re_ C?13\I C-q h"1 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the lob site at the time of each Inspection. Mechanical Permit Application CAVE City of Tigard � Received Q� �/ .� NOV O�1 it ?tl s DateBy: Permit No.: Ji 4 • 13125 SW Hall Blvd.,Tigard,OR 97223 -(�` plan Review Phone: 503.718.2439 Fax: 503.598.1960 Other Permit: CITY OF -I (iNiiL) DateBy: Inspection Line: 503.639.4175 Date Read B Suns: 41 See Page 2 for I IG;1RU g €3UILDING Di\l" ON Notified/Method: Supplemental information Internet: www ti d-or. ov t i I TYPE OF WORK COMMERCIAL FEE* SCHEDULE- USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® I-and 2-family dwelling ❑ Commercial/industrial ❑Accessory building For special inJirnmtion 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:15330 SW Silkwood Ct Furnace 100,000 BTU(ducts/vents) 1 46.75 46.75 City/State/ZIP:Tigard, Oregon 97224 Furnace 10Q000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:Bull Mountain Summit Ductwork 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 Subdivision:Bull Mountain Summit Lotno.:4 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 1 23.32 23.32 DESCRIPTION OF WORK Gas fireplace/insert I 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 ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name:Chad E Davis Construction, LLC Range hood/other kitchen 33.39 2808 19th Aveequipment 1 33.39 Address: 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. I 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 '?"' 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) Plan review(25%of permit fee) Phone:( )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 / 77�� ,/e% days after it has been accepted as complete. l Authorized signature: a., Q * Fee methodology set by Tri-County Building Industry Service Board Print name:Chad E. Davis Date:11.15:2021 C1Building\Pern6ts\MEC_PermitApp_040113.doc 440-46171'(11/02/COM/WEB) 1 Eleftrical permit ApplicatioPECEl V ED FOR 011 It 1_I 1_t)N1.5 � 5City of Tigard Received Permit e: ` �1�02 0057� 2021 Date's. [� 13125 SW Hall Blvd.,Tigard.OR 97223N0 V 1 Plan Review = Phone: 503.718.2439 Fax: 503.,598.1960 Datr;➢y. Related Per it a: Inspection Line: 503.639.4175 CITY OF TIGARD Ready 6ate'➢y: for I IC Internet:Aww d larir. ® 5<e Pa 2Inf w.tigard-or BUILDING DIVISION Notified Supplemental Information 1 TYPE OF'WORK - PLAN REVIEW ®New construction ❑Addition.'alteration/replacement Please check all that apply(submit 2 vets of plans wi items checked,.. ❑Demolition El Other: ['Seri ice or feeder 400 amps or more ❑➢uilding over three stories. 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 ❑Commercial/industrial U Accessory building lees w ground.or exceeds Ia,o00 ❑Commercial-use agricultural arras far all other installations. buildings. ❑Multi-family 0 Master builder ❑Other: ❑Fire pum p p 0 installation oft30 Kb'A or JOB.SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job Addition of new motor load of system. .: Joh site address:15330 SW Silkwood ClCt• IOOHPmmore. ❑'A","E".-I-2"•l3 City Stale,Ll P: ❑Six or more residential noire occupancy. 0 Health-care facilities. ❑Recreational vehicle parks Suiterbldg./apt.0. Project name:Bull Mountain Summit ❑Hazardous locations. ❑Supply voltage for more thou Cross street/directions to job site: ❑Service or feeder 600 amps or rrrore 600 volts nominal. FEE SCHEDULE _IlfaLinorm V_ [set, nn • New residential single-or multi-family dwelling unit. Subdivision:Bull Mountain Summit I Lot 4 Includes attached garage. - -- 1.000. ft.or less 168.54 4 Tax map'parcel.. t6g,S Ea.add'l 500 sq.ft.or portion 33.92 fd'),eyy I '. zoEsC*RIP770N OF-WORK Limited energy,residential 75.00 2 (with above sq.R.) New Construction - Single Family Residential Limited energy.multi-family 7s.0a residential(with above sq.R.) - Renewable Energy g Izi PR "PROPERTY OWNER TELAAN -T to See Page 2 -- - Services or feeders installation,alteration,and/or relocation Name:Chad E Davis Construction, LLC 200 amps or less 100.70 Address:2808 19th Ave 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Forest Grove, Oregon 97116 601 amps to 1,000 amiss 301.04 1 1 22 Phone:( )503-357-8587 Fax:( 1 Over 1.000 amps or volts 552.26 2 Temporary services or feeders Installation,alteration,andior Email:ValH@chadedavisconstruction.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 163.54 2 'ApPLICAI.`T i. - CONTACT. PERSON. .. Branch circuits-new,alteration,or extension.per panel - A.I-ce for branch circuits trick Business name:Chad E Davis Construction, LLC above service or feeder fee, 742 12 Contact name:Matt Weatherdon F or circuit rc B.Feeeh for branch ranch circuits nirlrnur Address:2808 19th Ave service or feeder fee,first 56 IS branch circuit City/StateiZIP:Forest Grove, Oregon 97116 Each add'1 branch circuit 7.42 2 Miscellaneous(service or feeder not included) I Phone:( )503-357-8587 I Fax::( ) Each manufactured or modular "— dwelling,service andior feecer 67.84 Email:ValH@chadedavisconstruction.com Reconnect only 6784 2 CONTR.4CT011:. Puntp or inigauon circle 67.84 > Business name:Platinum Electric Inc Sign or outline lighting 67.84 2 Address:4676 Commercial Street SE#248 Signal. lteatonit(s)orlixtension. 0 See Paget 2 panel.alteration,or extension. Each additional inspection over allowable in any of the above City/State/ZIP:Salem, Oregon 97302 Additional inspection(1 hr min) 66.25'hr Phone:( )503-510-5173 Fax:( ) Investigation(I hr min) 90.00 hr Entail! t)l n\_ Industrial plant t l hr min) Inspection for vs no fee is iA.l8'hr 1 MA L'L'V Q�� C�F"1L �4 � `�T. t' 1— _ 90 110.hr CCB Lie.:172027 Electrical Li L, -I U uprv.Lie.: 3.)(s+ S soecihcalb,listed I' nr mini ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: eAte, Subtotal: -3(6,38 1 Print name: �pSJ�) 0,11 ra�.V4 y`1- Date. 1 1—!0 `3..1 0 Plan Review Required(23%of permit fee): 1 n'a41/ State surcharge(12%of permit fee): 18, 3 Authorized signature: e �TT]Ct.ey,� TOTAL PERMIT FEE: _(()(4.1(,/ This permit application expires if*permit Is not obtained within 110 Print name:Chad E. Davis Date: 11.15.2021 days after it has been accepted as complete. A-. " Number of inspections allowed per permit. I.aui1Jine'Pnmi+s`LLC-PcrnmApp_ELR_ERE.Jac Rcv ohs 112015 .NIN6157(I I.OSC(Rt:WE6 RECEIVED Plumbing Permit Application Building Fixtures NOV 1 a ,�zF FOR OFFICE USE ONLY CITY OF I IUAIiL) Received ST�� �q���f� ,� City of Tigard Pemut No.: -(� Lt UILDlRG !�!VlSIOl� Date By: • 13125 SW Hall Blvd.,Tigard,OR 97 3 Plan Review I Phone: 503.718.2439 Fax: 503.598.1960 Date/By Other Permit No.: T I G A R D Inspection Line: 503.639.4175 Date Ready/13y: kris ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction E Demolition Far special information use checklist Description I Qty. 1 Ea. 1 Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 ® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 2.5 1 437.78 437.78 SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:15330 SW Silkwood Ct Catch basin 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./apt.no.: 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 it:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision:Bull Mountain Summit I Lotno.:4 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 • Backwater valve 12.51 DESCRIPTION OF WORK Clothes washer 25.02 New Construction - Single Family Residential Dishwasher 25.02 25.02 Drinking fountain 25.02 Plumbing Permit - 1 Backflow Device needed per lot Ejectors/sump 25.02 0 PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name:Chad E Davis Construction, LLC Fixture/sewer cap 25.02 Floor drain/floor sinklhub 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 I 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 z5.0z Water closet 3 25.02 75.06 CONTRACTOR Water heater 37.52 Business name:The Mullen Company Waterpiping/DWV 56.29 • Address:1601 A SE River Road Other: 25.02 City/State/ZIP:Hillsboro, Oregon 97123 Subtotal Phone:( )503-640-0113 Fax:( ) /4[f1)4 Minimum permit fee: $72.50 fa��� Plan review (25%of permit fee) CCB Lie.:92689 Plumbing Lie.no.:31 State surcharge(12%of permit fee) Authorized signature: Cjiadf(57:;:t CL(/,Gd TOTAL PERMIT FEE Print name:Chad E. Davis Date:11.15.2021 This permit application expires if a permit is nut obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Budding\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COMNlE13) Plumbing Permit ApplicatiotRECEIVED Building Fixtures NOV 15 ZOZ1 FOR OFFICE USE ONLY City of Tigard Received /�� e% CITY OF 1'IGARD Date By: Permit No.: /u `L/6 ■ 13125 SW Hall Blvd.,Tigard,OR 97 V Phone: 503.718.2439 Fax 503.598. DING DI1IISiON Plan Review Other Permit No.. PlanRev T 1 G A R l7 Inspection Line: 503.639.4175 Date Ready/By: Iurir. H See Page 2 for Internet: www_tigard-orgov 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) „ -41 CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 IS] 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:15330 SW Silkwood Ct Catch basin or area drain 18.76 City/State/ZIP:Tigard, Oregon 97224 Drywell,leach line,or trench drain 18.76 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.:4 Fixture or item: Tax map/parcel no: Backflow preventer 1 31.27 31.27 DESCRIPTION OF WORK Backwater valve 1 12.51 12.51 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 IO PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name:Chad E Davis Construction, LLC Fixture/sewer cap 25.02 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 ® 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/basim9avatory 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 - Water closet 25.02 CONTRACTOR - - -- Water heater 37.52 Business name:The Mullen Company Waterpiping/DWV 56.29 Address:1601 A SE River Road Other: 25.02 City/State/ZIP:Hillsboro, Oregon 97123 Subtotal Phone:( )503-640-0113 Fax:( ) Minimum permit fee: $72.50 CCB Lic.:92689 Plumbing Lic.no.: Plan review (25%of permit fee) /J State surcharge(12%of permit fee) Authorized signature:ColeLGTi C 7 U. (..- TOTAL PERMIT FEE Print name:Chad E. Davis Date:11.15.2021 This permit application expires if a permit is sot obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PeemitApp.doc 10/01/09 440-4616T(10/02/COMMEB) City of Tigard • 7111 COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Residential Building Permit#: 1, -0052(a Site Address: 15330�W Silkwood Ct. Project Name: Bull Mountain Summit Lot#: 4 Planning Review Proposal: New single detached house ❑✓ Verify address/suite# active in Accela. ❑✓ In River Terrace: ?✓ No ❑ Yes,River Terrace Reid ew Addendum Site Plan Elements: icirosion Control , copies of site plan on 8-1/2"x 11"or 11 x 17"paper S2etained trees with drip line and tree protection measures yawn to scale(standard architect or engineer scale) 'Li-7ootprint of new structure(including decks)and FFE orth arrow 1,Jtility locations&easements(required for new and additions) r✓Vite address,project or subdivision name and lot number sidewalk/driveway approach LApplicant information(name and phone number) .,..ah.,.=-..f w..11,/,.pdk,yso ns ✓'of dimensions and building setback dimensions :;,,r3treet tree size,type and location quare footage of buildings to be demolished street names xis ing structures on site ✓��orner elevations(2'contours if more than 4'differential rJof area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? es o ✓ impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? es ✓ o ❑✓ Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: 0 Yes,applicant was notified ❑✓ No Received: ❑Yes ❑✓ No ElWater Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑Yes,applicant was notified ❑✓ No Received: Yes El No ✓ Received:❑ SDC Exemption fox ADU applied fox: ❑Yes ❑No �Yes No ❑✓ Public Facilities Improvement(PFI)Permit: Required: 0 Yes,applicant was notified ❑✓ No Applied For: ❑✓ Yes 0 No,stop intake ❑✓ Land Use Case#: SUB2020-00001 ❑✓ Zoning. R-7 ❑✓ Required Setbacks: Front: 15 Rear: 15 Side: 5 Street Side: 10 Garage: 20 0 Building Height: Max.Height: 35 Actual Height: 24 0 Landsca.e Area: 20 % 0 Lot Coverage Max: 80 % Entrance 11 Set back no more than 8'from street-facing wall ❑Parallel to street or offset 45 degrees or less Windows 0 Minimum 12%of area of all street-facing facades Garage G r ge door is behind widest street-facing wall ❑✓ 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 ❑✓ 50%or less of facade 60%or less and includes 7 of following - Covered porch Recessed entrance 0 Wall offset 1'Roof cave 8 g Roof offset - Fire shingles Lap Siding 0 RoiApitch 0 Gable,hi ,or gambrel roof Dormer _ Accent siding Window trim U Window recess LI Window projection ❑Balcony ❑✓ Visual Clearance ❑✓ Urban Foresta,Plan ❑✓ Sensitive Lands: ❑ Yes I_"I No Type: ❑✓ Conditions met prior to issuance of building permit Notes:0 Approved By Planning: A e t (I�I C� Date: 2 21/ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved 1:\Buildin g\Fonns\BldgPermitRvw_RES_122419.docx Building Permit Submittal / Original Submittal Date: / is/242( Site Plans: # 3 Building Plans: # c'S Building Permit#: Enter boil permit#above. Workflow Routing: 12/Planning Engineering Er Permit Coordinator Building Workflow Sign-off: u 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 yriginal plan review routing form. Building: original permit application,site plans,building plans,engineer and beam calculations and st details,if applicable,etc. Notes: By Permit Technician: Date: lr /5/O,74 Engineering Review Slope at building pad: 2% ElConditions"Met"prior to issuance of building permit ❑ asements (encroachments)per engineering conditions of approval and plat IA Water Quality/Quantity Facility. Di Assess Water Quality Fee in-lieu: El Yes �D No Assess Water Quantity Fee in-lieu: El Yes �LJNo LIDA Facility on lot: Ely Yes l No ❑ Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: to not r{/- i . Cvv.olrfi?lv15 n61 we-+ P).t Ytaf v((v-lea( Approved by Engineering: Date: 13)WZ) Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved 0 Not Approved Permit Coordinator Review 0 Conditions "Met"prior to issuance of building permit Z Approved,NOT Released: mcm wk. Ave[,q p( p1 - AL Date: 12 tIS I Zv 24 Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: ,L SDC Exemption: ❑ Received ,Does not a7 ly SDC Fees Entered: Wash Co Trans Dev Tax: "Yes N/A Tigard Trans SDC: ,��yI Yes ❑ N/A Parks SDC: ,�I Yes ❑ N/A LIDA ❑ Yes ,121/N/A 2OK to Issue Permit Approved by Permit Coordinator: t Date: it.2.-4-/(2./.)/12.--- 1:\Building\Fonns\BldgPennitRvw_RE 5_122419.docx Plan# 2(j4f2.—SH / / Floors a- Large U 31,: /i2 Bed rooms w Small 10'f We 3 LAV y pJA ba-d `2S1� Tub 3 Basement tIA& Vent 5 1st Floor ( D 7S Water Heater 1 r,41,,( , 2nd Floor N q, — AG -(f7 (� 3rd Floor School - ,. �} R-3 Total 1.6/r�- b 2 f a" .3 Garage (� 4° Total ? ' (p cu4 I c`(f\J-4 / _ #forElec ( •� S� 1 ..JL-L- A-aP-o0C <s1 ./ Yheszb�sryl p i 'EL) 7__- DutAs • lot.) La") S kx>(,ems Z . 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