Permit CITY OF TIGARD MASTER PERMIT
III I . ' COMMUNITY DEVELOPMENT M " I Permit#: MST2022-00048
T IGAR.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Date Issued: 05/25/2022
to (a-oiaa- Parcel: 2S108AB06100
Jurisdiction: Tigard
Site address: 15318 SW SILKWOOD CT
Subdivision: Lot: 1
Project: Bull Mountain Summit, Lot 1
Project Description: New detached dwelling.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1107 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 23.5 Bathrooms: 3 Second: 1566 sf Garage: 431 sf Front: 15 Smoke
DwellingUnits: 1 Yes
Third: 0 sf Right: 5 Detectors:
Total: 2673 sf Value: $371,142.02 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 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
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'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+ampNolt 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 2673
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: $40,732.62
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
o59-nn1-nnin thrn, rut 4:59-M1 no} ni,may nhtein a,-nnv of Iha n dne nr Alront n,,aetinnc In fit INC!by PA llinn Sn2 929 1 OR7 nr'I Rnn 229 92dA
r,i7 iha (
Issued By: Permittee Signature: 5ee 0
Call 503.63 175 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.
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.
1 This form and the information it provides helps the review process and response to your project.
1 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
III Transmittal Letter
r i G A tt D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Allyson Armstrong DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
i APR 27 2022
FROM: Matt Weatherdon/Val Howland
CITY OF TIGAF3D
COMPANY: Chad E.Davis Construction LLC BUILDING DIVISION
By
PHONE: 503-357-8587
EMAIL: VaIH@chadedavisconstruction.com
RE: 15318 SW Silkwood Court MST2022-00046
(Site Address) (Permit Number)
Bull Mountain Summit—Lot 5
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. 3 copies 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: Submitting revisions posted for Bull Mountain Summit Lot 5-15318 SW Silkwood Court(MST2022-00047)
3 copies of each document is attached here.
FO 7FICE USE ONLY
Routed to Permit Technicia ate: 6 2Z / lf Initials: ' -
Fees Due: ❑ Yes I O Fee Description: Amount Due:
(\.../.6 c\i- ,C... d—i„,,,----- $ c7.y_____,I
Special
Instructions:
Reprint Permit(per PE): ❑ Yes M No n Done
Applicant Notified: Date: �`LL 3 ) -�- Initials: o,a_
,
114 q City of Tigard
TIGARD
RECEIVED
April 1, 2022 APR 2 7 2022
CITY OF TIGARD
BUILDING DIVISION
RE: Bull Mountain Summit—Lot 5
Project Information
Building Permit: MST2021-00048 Construction Type: VB
Address: 15318 SW Silkwood Ct. Occupancy Types: R3
Area: Stories:
The plan review was performed under the Oregon Residential Specialty Code (ORSC) 2021 edition.
The submitted plans have been reviewed and the following information is required prior to issuance
of the permit.
Please see correction responses to each question provided in red.
1. Plan says a total of 5 pages. No page 5 included in plan. Am I missing page 5?
House plans have been updated to meet this requirement.
2. Please clarify the number of fuel lines to be installed and which appliances they serve.
Fuel piping=4
2—Fireplace
1—Range
1—Furnace
Water Heater will be electric.
3. Please clarify which room is to be the 4th bedroom. Plan shows 3 bedrooms+den + bonus.
Bedrooms=4,+ Den
4. Master bath requires an exhaust fan. See table M1505.5.
House plans have been updated to meet this requirement.
5. Provide a Balanced Whole-House Mechanical Ventilation System. M1505.1.
https://www.oregon.gov/bcd/codes-stand/Documents/res-techb-whole-house-
ventilation.pdf
House plans have been updated to meet this requirement.
6. Roof ventilation note has incorrect percentages per R806.2. Page 3 of plan.
House plans have been updated to meet this requirement.
7. Select the Additional Measure you will be installing from Table N1101.1(2)on page 4 of
plan.
Additional Measure 1.
8. Note: All ductwork located in unconditioned spaces must meet minimum standards per
N1105.2& N1105.3. See https://www.oregon.gov/bcd/codes-stand/Documents/res-techb-
ducts.pdf
House plans have been updated to meet this requirement.
Please let me know if you have any questions.
Thank you,
Allyson Armstrong
503-718-8137
4 CITY OF TIGARD MASTER PERMIT
s COMMUNITY DEVELOPMENT Permit#: MST2022-00048
Date Issued: 05/25/2022
TIGARD 13125 SW Hall Blvd Tigard OR 97223 503.718.2439
Parcel: 2S108AB01400
Jurisdiction: Tigard
Site address: 15318 SW SILKWOOD CT
Subdivision: BULL MOUNTAIN SUMMIT Lot:
Project: Bull Mountain Summit, Lot 5
Project Description: New detached dwelling.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1107 sf Basement: 0 sf Left. 5 Parking Spaces: 0
Height: 23.5 Bathrooms: 3 Second: 1566 sf Garage: 431 sf Front: 15 Smoke Yes
Dwelling Units: 1 Third: 0 sf Right: 5 Detectors:
Total: 2673 sf Value: $371,142.02 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 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
Fooling 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 TYPOS Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
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: 5 201-000 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 2673
Owner: Contractor:
KEMMER RIDGE LLC CHAD E DAVIS CONSTRUCTION Required Items and Reports(Conditions)
12555 SW BALL BLVD 2808 19TH AVE 1 Ersn Cntrl 503-639-4175 i
TIGARD,OR 97224 FOREST GROVE,OR 97116
PHONE: PHONE: 503-357-8587
FAX:
Total Fees: $40,687.62
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_nn1JIMn thrnunh ffAP OF9-nnLMOf Vnu/ mot,nhtnin n rnrnr of the.rn lnc nr rlirnrt n uactinne to(II Irdr`by rellinn Fn1 117 10A7 nr I Rnn 9 d I9 9Zd
Issued By: 1211 CI .1 Permittee Signature: 5ee Op I�Tl
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. I'
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.
•
I.
Building Permit Application / Li-6
Residential RECEIVED roliorrl,. rsl:(NI,Y
DReceived /�` [)
City of Tigard 0 3 PemtNo.:IVh7 � Q{
'� b Pltan
Review
�i�
^ 13125 SW Hall Blvd.,Tigard,OR 97223 N 0 V 15 2021 plan Review rr q [� �
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: /fi ZZ 'T , Other Pe (0�2' e- 2g
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready: /./ is: RI See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION No. &Method: ).,y/ �F. Supplemental Information
r
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
®New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® I-and 2-family dwelling ❑Commercial/industrial Valuation: $ 1/1,422�
❑Accessory building ❑Multi-family Number of bedrooms:4 r
❑ Other: Number o fbathrooms ?j
❑Master builder �I
JOB SITE INFORMATION AND LOCATION Total number of floors:2 y b
Job site address:15318 SW Silkwood Ct New dwelling area: 2673 square✓feet '
City/State/Z1P:Tigard, Oregon 97224 Garage/carport area: c/3i square feet //67
Suite/bldg./apt.no.: Project name:Bull Mountain Summit Covered porch area: s. square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Bull Mountain Summit I Lot no.:5 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.
New Construction -Single Family Residential Valuation: $
• Plumbing Permit - 1 Backflow Device needed per lot Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:Chad E. Davis Construction LLC Type of construction:
Address:2808 19th Ave Occupancy groups:
City/State/ZIP:Forest Grove, Oregon 97116 Existing:
Phone: ( )503-357-8587 Fax:( ) New: 1
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule).
Business name:Chad E. Davis Construction LLC
•
• Structural plan review the(or deposit): /N.
Contact name:Matt Weatherdon
Address:2808 19th Ave FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP:Forest Grove, Oregon 97116
Phone:( )503-357-8587 Fax::( ) Amount received:
E-mail:VaIH@ChadOdaVlSConstrUCtIOn.COm PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photovoltaic Solar Panel System.
Business name:Chad E Davis Construction LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:2808 19th Ave Solar Installation Specially Code checklist.
City/State/ZIP:Forest Grove, Oregon 97116 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( )503-357-8587 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lic.:154184 ��� Total fee due upon application: $201.60
1 Authorized signature: �✓ i �v7��L(AGd This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Chad E. Davis Date:11.15.2021 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB)
Mechanical Permit A licatio ECElVE 1 FOR OFFICE USE ONLY
eceived
/�/�
City of TigardTigardDateBy: Permit No.: $" u' ..CO� g
13125 SW Hall Blvd.,Tigard,OR 97223 NOV�V ���� Plan Review
■ Phone: 503.718.2439 Fax: 503.598.1960 Other Permit:
Inspection Line: 503.639.4175 CITY OF TIGARD Date
T I G A R D Date Ready/By: Funs= RI See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method. Supplemental Information
TYPE OE.WORK.. COMMERCIAL FEE* SCHEDULE- USE . *
Mechanical permit fees*are based on the value of the work
®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value.$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 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:15318 SW Silkwood Ct Furnace 100,000 BTU(ducts/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 Ductwork 8 2332 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.:5 Other: 23.32
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 OWNEROther: 23.32
0 TENANT Environmental exhaust and ventilation:
Name:Chad E Davis Construction, LLC Range hood/otherkitchen
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, 3 69.96
toilet compartments,utility rooms) 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:
S14.15 for first four;S4.03 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
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
��^ ' days after it has been accepted as complete.
Authorized signature: C7Pal. reQ.. * Fee methodology set by Tri-County Building Industry Service Board
Print name:Chad E. Davis Date:11.15.2021
L`Building\Permits\MEC_PermitApp_040113.doc 440-4617r(I 1/02/COM/WEB)
E1eirical Permit ApplicationRECEIVE I FOR OFFICE USE ONLY
City of Tigard Received ^rZozin JJ Q 7
Deceive Penult 3: i e'pQ
111_ 131?5 SW Hall Blvd.,Tigard.OR 97223 NOV 15 2021 Plan Rcyiew lial
_ ' Phone: 503.718.2439 Fax: 503.598.1960 Date;By: Related Permit
7 IC'41. 11 Inspection Line: 503.639.4)75 CITY OF TIGARD Ready Date'By: loos: I ®See Page 2 for
Internet wurw.ligard-or.goe BUD DING DIVISION Notified Merhod: Supplemental Information
_. '. .TYPE OF WORK - PLAN REVIEW
El New construction 0 Addition/alteration/replacement Phase oiler.[all[hat apply(submit 2 sets of plans w nems cocckedk
❑Service or feeder 400 amps or more 0 Building user three stories.
El Demolition ID Other.
where the mailable fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or 0 Floating buildings.
® I-and 22-family dwelling ❑Commercial'industrial 0 Accessor building tsatoground.orexutds14,000 ❑Cominercal-use agricultural
gs
❑Multi-family 0 Master builder 0 Other: rotes for all other installations. buita
❑firc pomp. 0 Installation of 150 KVA or
dOn SITE INFORMATION.AND LOCATION 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job : i Job site address:15318SWSilkwoodCt 10014P or more. ❑"A"."E"."I-?"."i•3".
City/Stale/ZIP: I ❑Six or more residential units occupancy.
❑Health-care facilities. 0 Recreational Sehkk parks
❑Hazardous locations.
$uitebldg./apt.': Pmjectname:Bull Mountain Summit ❑Supply voltage for more than600 volts nominal.
FEE street/directions to job site: Scrimorfm(crfiao .ormore
. SCHEDULE
Description rfn. t Each I Total
New residential single-or multi-family dwelling unit.
Subdivision:Bull Mountain Summit Lot 5 Includes attached garage.
Tax map Parcel=: 1.000 sq.ft.or less 168.54 (CI,c1It 4
Ea.add'l 500 sq.ft or portion 33.92 b-),cdtl t
DESCRIPTION OF WORK ' i€ rx
Limited energy,residential 75.00 2
New Construction - Single Family Residential (with above sq.0) -
Limited energy,multi-family ,5 00 • n
residential(with above sq.II.)
_ ® PROPERTY OWNER .. ❑ TENANT Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
Name:Chad E Davis Construction, LLC i 200 amps or less 100.70 2
Address:2808 19th Ave 201 amps to 400 amps 133.56 2 1
401 amps to 600 amps 200.34 2 1
City/State/ZIP:Forest Grove, Oregon 97116 601 snips to 1,000 amps 301.04 2
Phone:( )503-357-8587 ' Fax:( ) Over 1.000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:VaIH@ChadedaVlSCOnStrUCtIOn.COm
relocation
Owner installation:Thjs installation is being made on property that I own which is not 200 stops or less 59.36
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
-
t�l APPLICANT' ® CONTACT PERSON Branch circuits-new,alteration,or extension,per panel
A,Fee for branch circuits with
Business name:Chad E Davis Construction, LLC above service or feeder fee, 742 - 2
each branch circuit
Contact name:Matt Weatherdon B.Fee for branch circuits rrirhour
Address:2808 19th Ave service or feeder fee.fits[ 56.18 2
branch circuit
City/Slate,Z[P:Forest Grove, Oregon 97116 Each add'l branch circuit 7.42 2
1 Miscellaneous(service or feeder not included) 1
Phone:( )503-357-8587 I Fax: :( ) Each manufactured or modular 67 g4
dwelling,service and/or feeder
Email:VatH@chadedavlsconstruction.com Reconnect only 6'84 2 l
' CONTRACTOR. Pump or irrigation circle 67.84 '
Business name:Platinum Electric Inc Sign or outline lighting . 67,84
Signal circuit(s)or limited-energy 0 See Page 2 2
Address:4676 Commercial Street SE#248 panel.alteration.or extension.
CityiState/ZIP:Salem Oregon 97302 Each additional inspection over allowable in any of the above
' .Additional inspection(1 hr min) 66.25'hr
Phone:( )503-510-5173 Fax:( ) Investigation(1 hr min) 90.00•hr
Email: ik) lnduslnel plain(I hr min) 7R 1R'tar
C��(L1lAUtI P F C�t lt._ r � `� t r _ Inspmdlonsfor whichnofee s 9[I(70 tar I
CCB Lic.:172027 Electrical Li L P V uprv.Lie.: 31(9 I S soecificalh listed(',.hr min)
I ELECTRICAL PERMIT FEES
ISuprv.Electrician signature,required: Q+A. k-. Subtotal 11-3h,3$ i
Print name: r J tj9'1y,) 1 . Date: I l—:/V' ]-t/•I ❑P!an,Review Required(25%of permit fee):
State surcharge(12%of permit fee): ,{8,3 IO
Authorized signature: Clad(7PatAt� I TOTAL PERMIT FEE: )(o((,")t-4 l
This permit application expires if a permit is not obtained within 180
Print name:Chad E. Davis Date: 1.15.2021 I days after it has been accepted as complete.
I - " Number of inspections allowed per permit.
Id RuiWin5 Pcrmiis�t:Lr_PcrmilApp ELR_F:RE doe Rye W'Ildni5 4404E15111105 C0u-WED
5-
Plumbing Permit Application
Building Fixtures RECEIVE , FOR OFFICE USE ONLY
City of Tigard NOV 15 2021 Received
PernitNo.: pi srZd _ 004
Cj
14 • 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By:Review
Review
: Phone: 503.718.2439 Fax: 503.598.19 Other Permit No.:
ITY OF TIGARD DateBy:
T 1 G A R U Inspection Line: 503.639,4175 Date Ready/Bykris. ® See Page 2 for
Internet www tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction ❑Demolition For special information use checklist
Description I Qty. 1 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
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 ANDLOCATION Site utilities:
Job site address:15318 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.: 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.:5 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
Backwater valve 12.51 1
DESCRIPTION OF WORK
- Clothes washer 25.02
New Construction -Single Family Residential Dishwasher I 25.02 25.02
Drinking fountain 25.02
Plumbing Permit - 1 Backflow Device needed per lot Ejectors/sump 25.02
0 PROPERTY OWNER I ❑ 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 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
0 APPLICANT 0 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/basinflavatory 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:VaIH@chadedavisconstruction.com Urinal 25.02
Water closet 3 25.02 75.06
r - . - 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:( ) i/Ic/23 Minimum permit fee: $72.50
CCB Lie.:92689 Plumbing Lic.no.J� 01®d Plan review (25%of permit fee)
T� N tJ State surcharge(12%of permit fee)
Authorized signature: C �v4IikLd 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:\Building\Permits\PLMU-PermltApp doc 10/01/09 440-4616r(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 $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' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
Other i•nspect•ions 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 Repine& Please check all that apply.
Work Performed: Capped Added Relocate
Baptistry/Font ❑ Any new commercial building with water service 2"and
greater,except systems designed.and stamped by licensed
Bath: -Tub/Shower
engineer.
-Jacuzzi/Whirlpool
ElCar Wash: -Each Stall New exterior plumbing site utilities for any complex structure
Drive•
as defined in OAR918-780-0040.
ElCuspidor/Water Aspirator Medical gas and vacuum systems for health care facilities.
Dishwasher: -Commercial ❑ 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
0 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.Befrig.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/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
Water Extractor fees assessed for the sewer increase must be paid before the
Water Closet-Toilet plumbing permit can be issued.
Urinal
Other Fixtures:
1:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2
Plumbing Permit Application
Building Fixtures roR orlich: l si: ONI.
Received I WZ-48
City of Tigard NOV 15 2021 PemritNo.�$ 6
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Re
Phone: 503.718.2439 Fax: 503.598.19 _ Date/By:
an By:
ew
III C Other Permit No.:
Inspection Line: 503-639.4175 UILY NG GARD Daisy By:
TIGARD P BUILDING DIVISION NDais onhed!Mct o. Saris. ® Seeman 2l fnr
Internet wwW.ltga[d-or.goV Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
IX New construction 0 Demolition For special information use checklist
Description 1 Qty. I Ea. I Total
0 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 437.78
SFR(3)bath 500.32
El Accessory building ❑Multi-family
Each additional bath/kitchen 25.02
El Master builder ❑Other: Fire sprinkler( sq.ft) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:15318 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.: 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 5 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
® PROPERTY OWNER I 0 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) 12.5I
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
, „<.;6 "_, w 'x i L. r. ,.le c1` -°*,. e� "f t< Wa[ercloset 25.02
- s. ..01W1v +1 '• . .. 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:( ) Minimum permit fee: $72.50
CCB Lic.:92689 Plumbing Lic.no.: Plan review (25%of permit fee)
�` A State surcharge(12%of permit fee)
Authorized signature: C - (TDCLG4-/. - 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:/BuildinglPerndts1PLMU-PermitApp.doe 10/01/09 4404616T(10/02/COMIWEB)
City of Tigard
COML'MUNITY DEVELOPMENT DEPARTMENT
11111
TIGAAD Building Permit Review — Residential
Building Permit#: '-{S 022.-o0048
Site Address: 15318 SW Silkwood Ct.
Project Name: Bull Mountain Summit Lot#: 5
Planning Review
Proposal: New single detached house
ElVerify address/suite#active in Accela. r❑ In River Terrace: ❑a No 0 Yes,River Ten-aceReview Addendum
Site Plan Elements: g,rosion Control
lit copies of site plan on 8-1/2"x 11"or 11 x 17"paper Atetained trees with drip line and tree protection measures
7]arawn to scale(standard architect or engineer scale) ,footprint of new structure(including decks)and FFE
Cill 'orth arrow ;,.Jtility locations&easements(required for new and additions)
i l:ite address,project or subdivision name and lot number lidewalk/driveway approach
0 pplicant information(name and phone number) f.m...t:.,...,f wJL,' epeic-systfTs
01 ot dimensions and building setback dimensions Lntrect tree size,type and location
1 u.q are footage of buildings to be demolished Litrcet names
xisting structures on site ,'';:orner elevations(2'contours if more than 4'differential
112 ot 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? I_tr es ° 'o
ElClean Water Services-Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑Yes,applicant was notified ❑r No Received: ['Yes ❑r No
❑" Water Meter Fixture Unit Worksheet-Additions,Remodels and ADUs
Required: 0 Yes,applicant was notified °j No Received: Yes ❑r No
El SDC Exemption for ADU applied for: LI Yes 2 No Received: Yes Q No
ElPublic Facilities (PFI)ImprovementPermit:
Required: Yes,applicant was notified NoApplied For: Yes D No,stop 0PP El ❑ intake
El Land Use Case#: SUB2020-00001 El Zoning: R-7
ElRequired Setbacks: Front: 15 Rear: 15 Side: 5 Street Side: 10 Garage: 20
❑o Building Height: Max.Height: 35 Actual Height: 23.5
ElLandsca.e Area: 20 % ❑r Lot Coverage Max: 80
Entrance CI Set back no more than 8'from street-facing wall Parallel to street or offset 45 degrees or less
Windows Q Minimum 12%of area of all street-facing facades
Garage Q Garage door is behind widest street-facing wall ❑r Yes ❑No,one of the following is met:
BDoor 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 2nd floor.
❑r Garage door width is 12'or less ❑r 50%or less of facade 60%or less and includes 7 of following
- Covered porch Recessed entrance ❑Wall off- t I'Roof eave Roof offset
Fire shingles Lap Siding ❑Roof itch LI Gable,X4 or gambrel roof Dormer
-Accent siding Window trim U Window recess LJ Window projection ❑Balcony
QVisual Clearance CI UrbanForestg, Plan
U Sensitive Lands: ElYes I:J No Type:
ElConditi n prior to issuance of building permit
Notes: 262(^CG0
ElApproved By Planning. i Date: .02_(2.27 —
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I:\BuildingWForms\BldgPennitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: 1 5/2D2-/
Site Plans: # 3
Building Plans: # 3
Building Permit#: g Enter buildingbuilding4ermit#above. Er-
Workflow Routing: Q'planning U ngineering Permit Coordinator Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: Engineering: (1) copy of permit application,(1) site plan,(1)building plan and
original plan review routing form.
I�;�
Building. original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: 02723/27 �
Engineering/ Review
P Dlope at building pad: 2
❑yConditions"Met"prior to issuance of building permit
ElEasements(encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility: y
Assess Water Quality Fee in-lieu: ❑ Yes L7 No
Assess Water Quantity Fee in-lieu: ❑ Yes �No
LIDA Facility on lot: ❑ Yes
❑ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes: Do nil- Y#/d€JAG v„fil Cooa71leonS are— me/ atrro/ T/•si ,S ,17- L' rec° 7011OI
Approved by Engineering: T,,,,i,,., Date: 3 f r J2AZ2
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑conditions"Met"prior to issuance of building permit
Approved,NOT Released: ,� 3 2 ZZ Date:
Notes: MCA Cif {reQarA.
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
,SDC Exemption: ❑ Received Does not amjly
/ErSDC Fees Entered: Wash Co Trans Dev Tax: Yes u N/A
Tigard Trans SDC: Q Yes ❑ N/A
Parks SDC: /2 Yes ❑ N/A
LIDA ❑ YesN/A
OK to Issue Permit /�✓✓��N�j
Approved by Permit Coordinator: .��V �- Date: S f2Lj (7/2 Z-
I:1Building\Fonns\BldgPermitRvw_RES_122419.docx
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