Permit CITY OF TIGARD MASTER PERMIT
' ■ ' ' COMMUNITY DEVELOPMENT .� - Permit#: MST2022-00047
;, ,
Tic ;Ali ID 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 s ,� � ; Date Issued: 05/25/2022
..'-% Parcel: 2S108AB07100
Jurisdiction: Tigard
Site address: 15311 SW SILKWOOD CT
Subdivision: Lot: 11
Project: Bull Mountain Summit, Lot 11
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
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 Srvc/Feeders 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+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 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. ATTE N: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
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Issued By: Permittee Signature: Cle—e 6rt �l ILA, f
03.639.4175 7:00 a.m.for the next available inspection date. f
This permit card shall be kept In a picuous 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.
This form and the information it provides helps the review process and response to your project.
71 ‘ City of Tigard ' COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
r I i;A It 1) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Allyson Armstrong DATE VED:
DEPT: BUILDING DIVISION D
APR 2 7 202?
FROM: Matt Weatherdon/Val Howland
CITY OF TIGARD
COMPANY: Chad E. Davis Construction LLC BUILDING DIVISION
PHONE: 503-357-8587
Z942-__I
EMAIL: ValH@chadedavisconstruction.com
RE: 15311 SW Silkwood Ct. MST2022-00047
(Site Address) (Permit Number)
Bull Mountain Summit—Lot 6
(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 6-15311 SW Silkwood Court(MST2022-00048)
3 copies of each document is attached here.
O FICE USE ONLY
Routed to Permit Technic' . e: 5 D. 1 v-- _Initials: /1'/4— —
Fees Due: ❑ Yes No Fee Des ription: Amount Due:
, ' , . . r i' l' N")
$
Special
Instructions: / /
Reprint Permit(per PE): ❑ Yes No // ❑ Done
Applicant Notified: I ate: S-'-/,z 12-1 _ Initials: x,-Th
�,
1
.1Pi11
'1 City of Tigard
TIGARD
RECEIVED
APR 2 7 2022
April 4, 2022
CITY OF TIGARD
BUILDING DIVISION
RE: Bull Mountain Summit—Lot 6
Project Information
Building Permit: MST2022-00047 Construction Type: VB
Address: 15311 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. Please confirm this is correct.
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
CITY OF TIGARD MASTER PERMIT
' Permit#: MST2022-00047
' � � COMMUNITY DEVELOPMENT
T i r;:?Kr) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/25/2022
Parcel: 2S 108AB01400
Jurisdiction: Tigard
Site address: 15311 SW SILKWOOD CT
Subdivision: BULL MOUNTAIN SUMMIT Lot:
Project: Bull Mountain Summit, Lot 6
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
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
Furn<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'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&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 2673
Owner: Contractor:
KEMMER RIDGE LLC CHAD E DAVIS CONSTRUCTION Required Items and Reports(Conditions)
12555 SW HALL BLVD 2608 19TH AVE 1 Ersn Cntrl 503-639-4175
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
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l AJL(�Issued By: . f Permittee Signature: Ifr=il
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 job site at the time of each Inspection.
Building Permit Application RECEIVED // / .A _
Residential FOR ouuICE USE oNLv
City of Tigard NOV 15 2021 Received A/�� % Permit No.:MsT2022^OQ04-7
Date/By:(/JL
14 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.196 .fTDIdF rIGARD Davey: S/9 ;-Z A Other Penm VJR2022.-a027
.I ri;`i, , Inspection Line: 503.639.4175 NG DIVISION ate Ready/By. 'runs'
&1 See Paget for
Internet: www.tigard-or.gov Notified/tvietho Supplemental lnformafion
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 w
® I-and 2-family dwelling ❑Commercial/industrial Valuation: $ 371/ I�ZI
CI Accessory building ❑Multi-family Number of bedrooms:4 1
❑Master builder ❑Other: Number of bathrooms .
JOB SITE INFORMATION AND LOCATION Total number of floors: 2 3 1 V4
Job site address:15311 SW Silkwood Ct New dwelling area:2673 square feet 51/
City/State/ZIP:Tigard, Oregon 97224 Garage/carport area. L1t. t square feet!`IV
Suite/bldg./apt.no.: Project name:Bull Mountain Summit Covered porch area: I 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 Lot no.:6 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
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:
® APPLICANT VI CONTACT PERSON - BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Chad E. Davis Construction LLC
Structural plan review fee(or deposit): 75/.0
Contact name:Matt Weatherdon
FLS plan review fee(if applicable):
Address:2808 19th Ave
Total fees due upon application:
City/State/ZIP:Forest Grove, Oregon 97116
Phone:( )503-357-8587 Fax: :( ) Amount received:
E-mail:ValH@chadedavisconstruction.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 Specialty 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 lie.:154184
��,,L- Total fee due upon application: $201.60
/Authorized signature: Gr� 1Z7.(..G - This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name:Chad E. Davis Date:11.15.2021 Service Board.
I:\Building\PennitstBUP-RESPennitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
•
' Mechanical Permit ApplicaticRECEIVED Received 2`FOR OFFICE USE ONLYIII
�q��
City of Tigard Date/By: Permit No.: , `^^� 1 r 7 >`.1.7
• 13125 SW Hall Blvd.,Tigard,OR 97223 NOV 1 5 2021 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
1 16 A R D Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: ruris: I 0 See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK CONEHERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
Z I-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:153 1 1 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 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.:6
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 0 TENANT Other: 23.32
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/Slate/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
Fuel piping:
Business name:Chad E Davis Construction LLC $14.15 for first four;$4.03 for'each addifiomal
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
'7� •
This permit application expires if a permit is not obtained within 180
Ce7Pa Uri- -- ' days after it has been accepted as complete.
Authorized signature: Fee methodology set by Tri-County Building Industry Service Board
Print name:Chad E. Davis Date:11.15.2021
I\Building\Permits\MEC PermitApp_040113.doc 440-4617T(11/02/COMM'EB)
T EIefirical Permit ApplicatioA iEC EIVED FOR OFFICE USE ONLY
City of Tigard NOV 15 2021 lam`""d ��ST2O22- 17
13123 SW Hall Blvd.,Tigard.OR 97223 oaoeiHy.
¢ Plan Review
Phone: 503.718.2439 Fax: 503,598.1 Related Permit a:
�°9TY OF TIGARD Ready y:
- Inspection Line: 503.639A175 - -
Read Dote.-Bo - - -- ran::
T GARI) BUILDING DIVISION Notifed.Method_ ®SeePene2 Information
Internet: wxnv.tigard-or.gov _. Supplemental Information
I q TYPE OF WORK ( PLAN REVIEW
IN New construction ❑Addi tion'alteration:replacement Please check all mat apply(submit 2 sets of plans wruem>rneckedl.
0 Demolition ❑Other: ❑Seri Lee corer feeder 400 amps or more ❑Building oer three stories.
where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION . exceeds 10.000 amps at 150 volts or 0 Floating buildings.
El1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground.or exceeds 14.000 0 Commercial-use agricultural
Multi-family0 amps for all other installations. buildings.
❑ ❑Master builderOther: ❑Fire pump. ❑installation of 150 1,:bl4 or
_ JOB SITE INFORMATION.AND:LOCATION 0 Emergency system. larger separately derived
lob 4. l Job site address: 15311 SW Silkwood Ct ❑Aaanianofnew motor load of system.
100HP or more. ❑"A""E'"I-�"`V-3"
City/Slate/ZIP. ['Six or more residential units occupancy.
0 Health-care facilities. 0 Recreational t-ehiele parks
Suite/bldg./apt.4: Project name:Bull Mountain Summit ❑Hazardous locations. 0 Supply voltage for more than
0 Service-or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: _ - FEE SCHEDULE
ihscription 1 ot,r. i Each I ram__[.
Ness residential single-or multi-family dwelling unit.
Subdivision:Bull Mountain Summit _ I Lot µt 6 Includes attached garage.
Tax mapparcel 6: 1.000 sq.ft.or less b. 168.54 4 16gr5'11 4
Fa.add'I 500 sq.ft.or portion 33.92 VI,%t( I
- DF„SCRIP'F7UN OF-WORK; Limited energy,residential
New Construction - Single Family Residential (with above sy.R.) 75.00 2
-------- Limited energy,multi-family 75.00 2
residential/with above sq.0.) _
:PROPERTY OWNER. 0 TENANT Services
Enemy ❑ See Page 2
-- - - Services or feeders installation,alteration,and/or relocation
Name:Chad E Davis Construction, LLC 200 amps or less 100.70 2 1
Address:2808 19th Ave 201 amps to 40O amps 133.56 2
401 amps to 600 amps 200.34 2
cityistate/alp:Forest Grove, Oregon 97116 601 amps to 1.000 amps 301.04 2
Phone:( )503-357-8587 Fax:( ) Over 1,000 amps or volts 552.26 2
Email:VaIH@chadedavisconstruction.com Temporary services or feeders installation,alteration,and/or
relocation
Owner installation:Thjs installation is being made on property that 1 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 I68.54 2
® APPLICANT - ® .COIY_•hACl.-PERSON Branch circuits-new,alteration,or extension,per panel
A.Fee tor branch circuits loth
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 without
Address:2808 19th Ave service or!"der fee.first S .l8
branch circuit -
City/State/ZIP:Forest Grove, Oregon 97116 Each add'1 branch circuit 7.42 -
Miscellaneous(service or feeder not included)
Phone:( )503-357-8587 Fax::( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email:VaIH@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
Address:4676 Commercial Street SE#248 signal It eratio)orhm"ea energy 0 See Paget 2
panel,alteration,or extension.
Each additional inspection over allowable in any of the above City/state/zIP:Serlem, Oregon 97302
Additional inspection(1 hr min) 66.25'hr
Phone:( )503-510-5173 Fax:( )
Investigation(I hr min) 90.00-hr
Email: ‘ Industrial plant(I hr min) 78 I8"hr
At,A411e1vFf VIC (w CLicnCaSr. Ait'.t Inspections for w Mai no fee is
CCB Lie.:172027 Electrical Li • t uprv.l.ic.: -I/_ -C soecifiralls listed(':hr min i MI oo hr
c�t�l P J�I ELECTRICAL PERMIT-FEES '
Suprv.Electrician signature.required: 6aa., 1 tA�A 1� Subtotal: a jI ,38
Print name: J�rN (N1�k�I . I Date: i '---.I G -�-1 ❑Plan Review Rcyuired(25°io of permit fee): i
State surcharge(12%of permit fee): )_$,3 to,
Authorized signature: �'P4.Gv� TOTAL PERMIT FEE: �(0q,'1t.(
This permit application expires if a permit is not obtained within 180
Print name:Chad E. Davis Date: days after it has been accepted as complete.
8f . Number of inspections allowed per permit.
i.Ruiuing,Permis`Et C_Pm,uIApp_ELR ERE.doe Ra 06'I is MI5 40-16i 51(11,05C051'WEB
Plumbing Permit Application
Building Fixtures FOR OFFICE USE ONLY
City of Tigard Received PermitNo.:
11111 .113125 SW Hall Blvd.,Tigard,OR 97223 Pate an Review
s Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.:
TI G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK FEE" SCHEDULE
®New construction ❑ Demolition For special information use checklist
Description I Qty. I 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
IXI-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 El
Other: Fire sprinkler(_sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:15311 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.:6 Fixture or item:
Backflow preventer 31.27
Tax map/parcel no.:
DESCRIPTION OF WORK Backwater valve 12.51
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 . ❑ 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
® APPLICANT ® CONTACT PERSON Interceptor/grease trap 25.02
Business name:Chad E Davis Construction, LLC Medical gas(value:$ ) Page 2
Contact name:Matt Weatherdon Primer 12.51
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
CONTRACTOR
Water heater 37.52
Business name:The Mullen Company _ - WaterpipingfDWV 5629
Address:1601 A SE River Road Other: 25.02
City/State/ZIP:Hillsboro, Oregon 97123 Subtotal
Phone:( )503 640-0113 Fax:( ) r
/ /i 0), Minimum permit fee: $72.50
Plan review (25%of permit fee)
,Y J
CCB Lie.:92689 /J Plumbing Lic.no.: 412/„Q State surcharge(12%of permit fee)
Authorized signature: (1 1a /(Z7CLfiY.d 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-Coanty Building Industry Service Board.
IiBuilding'Permits1PLM 1-PermitApp.doc 10/01/09 440-4616T(l0/02JCOM/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' I 62.54 62.54 7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' I 62.54 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52
Valuation: Permit Fee: •
Storm&Rain Drain-1st 100' I 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
Qty. Fee(ea) Total ' each additional$100.00 or fraction thereof,to
Other Inspections or Fees
and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
which no fee is specifically indicated 90.00/hr
(minimum charge-1/2 hour) and nc udadditingal 5,0.00 or fraction thereof,to
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/lu 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$1.20 for
(minimum charge-1/2 hour) each additional$(00.00 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
Bath: Tub/Shower greater,except systems designed and stamped by licensed
•
-Jacuzzi/Whirlpool engineer.
IDCar Wash: Each Stall New exterior plumbing site utilities for any complex structure
Drive Thm as defined in OAR918-780-0040.
Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher: Commercial El Any multipurpose fire sprinkler system.
•
-Domestic ElAny 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
❑ Isometric or riser diagram is required for new buildings
-Car Wash Drain that meet the qualifications above.
Garbage -Domestic non-food
Disposal: -Domestic food related
-Commercial food related
-Industrial food related
Ice Mach./Refrig.Drains Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -Iav/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:
I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2
1
Plumbing Permit ApplicatiRECEIVED
Building Fixtures FOR OFFICE LSE ONLY
City of Tigard NOV 15 2021 Received Permit { 2- .Z
Date/By: itN wv .
1111 • 13125 SW Hall Blvd.,Tigard,OR 977r21 plan Review
0 Phone: 503.718.2439 Fax: 503.59 ( OF TIGARD DatelBy Other Permit No.:
TI G A R D Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/Ay: lads BI See Page 2 for
Internet. www_tigard-or.gov 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
El1-and 2-family dwelling ElCommercial/industrial SFR(2)bath 437.78
ElAccessory building El Multi-familySFR(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:15311 SW Silkwood Ct Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/Z►P: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.:6 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 ❑ 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/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
% - Water closet 25.02
CONTRACTOR
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
Plan review (25%of permit fee)
CCB Lie.:92689 Plumbing Lic.no.:
�+�7-� State surcharge(12%of permit fee)
i
Authorized signature: Clew ( . ( CL1tiLa.. 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.
TAB wilding/Permils\PL.MU-PemitApp_doa 10/01/09 440-4616T(10/02/COMAWEB)
r
6 City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Residential
Building Permit #: V1 ST2D22 -7
-
Site Address: 153 II cSk ) S( V k. d1C-!
Project Name: gkAL /\AO VVLra,P( 1 EC/04 44" Lot #: 6
Planning Review
Proposal: J" Dea-Cl_dii 4 „.1)w.e/f IP
0 Verify address/suite# active in Accela. ❑ In River Terrace: p No ❑ Yes, River Terrace Review Addendum
Site Plan Elements: XE,rosion Control
C)3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper ees wt
!1iirawn to scale(standard architect or engineer scale) AFootprint of new structure (including decks)and FFE
North arrow AJtility locations&easements(required for new and additions)
,ite address,project or subdivision name and lot number pSidewalk/driveway approach
?Applicant information(name and phone number)
,Lot dimensions and building setback dimensions Street tree size,type and location
Is4v � Street names
[' y ACorner elevations(2'contours if more than 4'differential)
?Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? aYes ❑No
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes e No
<. Clean Water S t- c �e sire nine; l r ++ n �}atte a�9g5j.__
Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No
x e nr or s eet— ,
Required: E Yes,applicant was notified 0 No Received: ❑ Yes ❑ No
❑ ADC Exuupduir frn A apBi l31 e l oor: 0 Yes ❑ No Received: 0 Yes 0 No
V Public Facilities Improvement(PFI) Permit:
Required: 0 Yes,applicant was notified tfg)No Applied For: 0 Yes 0 No,stop intake
W Land Use Case #:$UJZd2e — claces I 20 Zoning:
I
0 Required Setbacks: Front: 1 0t Rear: 15 t Side: fI Street Side: i.e0 t
V Garage: � I
J Building Height: Max. Height: 3 5 I Actual Height: Z3.-1 t
ip Landscape Area: 7,0 % Lot Coverage Max:
Entrance 9) Set back no more than 8'from street-facing wall R Parallel to street or offset 45 degrees or less
Windows Al Minimum 12%of area of all street-facing facades
Garage Lk0 Garage door is behind widest street-facing wall ha 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.
A Garage door width is 0 12'or less !: 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 0 Window projection El Balcony
earance ❑ Urban Forestry Plan
'Sensitive Lands: El Yes No Type:
s e • f building permit
N es:
ee ?i1lOOOO
Approved By Planning: Date: 7i 22
visions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I:\Building\Fonns1BldgPeimitRvw_RES_122419.docx
1
Building Permit Submittal <
Original Submittal Date: /( /5/2621
Site Plans: # 3
Building Plans: # 3
Building Permit#: l�Enter building permit#above.
Workflow Routing: [Planning Engineering E Permit Coordinator Building
Workflow Sign-off: C Sign-off for Planning(include notes from planning review)
Route Application Documents: vl1/Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: .„‘i§ Date: /03/,zQ73._
Engineering Review
"Slope at building pad: 2 %/d
E Conditions "Met"prior to issuance of building permit
L"Easements (encroachments)per engineering conditions of approval and plat
R"Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: E Yes Cv'No
Assess Water Quantity Fee in-lieu: ❑ Yes 11/..No
LIDA Facility on lot: ❑ Yes C/No
❑ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes: Dv /+of r/eJe uh,4/ c -. 0) 1 met abtCf p14.3 $�-yr r'eern- ire
RI/Approved by Engineering: "Treed ar-4.k.ty Date: 3/ /za a
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
�fP\ermi t Coordinator Review
( LJ)Conditions "Met"prior to issuance of building permit
/Approved,NOT Released: AL 3f2/2b2'22 Date:
Notes: MZ C *Yer0r9(6 -,
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
frSDC Exemption: D Received gr Does not apply
7 SDC Fees Entered: Wash Co Trans Dev Tax: /Yes ❑ N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: 71 Yes ❑ N/A
LIDA ❑ Yes ,z N/A
(ZOK to Issue Permit n
Approved by Permit Coordinator: !-1a, .noe,_ Date: v1F2, ` z_—
I:\Building\Forms\BldgPermitRvw_RES_1224I 9.docx
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