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HomeMy WebLinkAboutPermit CITY OF TIGARD MASTER PERMIT '"# I COMMUNITY DEVELOPMENT ,C t Permit#: MST2021-00528 ` Date Issued: 05/25/2022 T I G A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ril J0 �.., Parcel: 2S108AB06900 Jurisdiction: Tigard Site address: 15349 SW SILKWOOD CT Subdivision: Lot: 9 Project: Bull Mountain Summit, Lot 9 Project Description: New detached dwelling. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1053 sf Basement; 0 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1504 sf Garage: 514 sf Front: 15 Smoke DwellingUnits: 1 Yes Third: 0 sf Right: 5 Detectors: Total: 2557 sf Value: $360,250.98 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 TYPOS 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: 3 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 WI 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 2557 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 TIGARD,OR 97224 FOREST GROVE,OR 97116 PHONE: PHONE: 503-357-8587 FAX: Total Fees: $40,289.62 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This pemlit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR oc9-nn1Jlntn$hrnnn p oc9-nnllnnon Vnu m fain nnu of the.'lilac nr diranl III mcfinnc fn(-a INC M,nallrnn FO'1 9”10A7 nr 1 Ann'1Q9 99dd Issued By: Permittee Signature: y'e>P Ur t I Na Call 503.639.4175 by :00 a.m.for the next available inspection date. J This permit card shall be kept in a nspicuous 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. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Allyson Armstrong DATE REECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Matt Weatherdon/Val Howland JuN 2 2022 COMPANY: Chad E. Davis Construction LLC CITY DIVISTIGARI 3UILDING DIVISI PHONE: 503-357-8587 By fr— EMAIL: ValH@chadedavisconstruction.com RE: 15349 SW Silkwood Court MST2021-00528 (Site Address) (Permit Number) Bull Mountain Summit—Lot 8 (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 reverse layout to match site plan for Bull Mountain Summit Lot 8-115349 SW Silkwood Court(MST2021-00528) No other changes.3 copies of each document is attached here. FORFFICE USE ONLY Routed to Permit Technic' e: (Q V Initials: N W Fees Due: I I Yes No Fee Desc ipt on: Amount Due: 0 -lJ t/ $ Special Instructions: Reprint Permit(per PE): ❑ Yes / R o ❑ Done At, Applicant Notified: It/J --Date: (y t ( f) 2_ Initials: City of Tigard 41 11111 COMNMUNI'IY DEVELOPMENT DEPARTM1.:INT ■ l�, k Building Permit Review — Residential Building Permit #: 11/4(ZTC2( It 5213 Site Address: LG3 iq 5W S t [k G4f------- Project Name: 'gv U j✓`,p()l�.yt lt14 �4- Lot #: ) Planning Review'V '=ie5( 10011 j,cry�`lrs 4+wtrs� 1Rypeq• N•w7b h, s� ,crhy Proposal: kka iff c pr Verify address/suite# active in Accela. El In River Terrace: pis No ❑ Yes, River Terrace Review Addendum I(i r`, Site Plan Elements: ?Erosion Control ►'4 copies of site plan on 8-1/2"x 11"or 11 x 17"paper RRcl uiecd um-with lip G(,...,,u l-tilt tnutCl,llurl llleiilti(CJ 74114 rawn to scale(standard architect or engineer scale) igiFootprint of new structure(including decks)and FEE 1'; 'orth arrow I t?tility locations&easements(required for new and additions) Aite address,project or subdivision name and lot number Zlidewalk,/driveway approach Applicant information (name and phone number) XP.ot dimensions and building setback dimensions /dStreet tree size,type and location agc( olished gStreet names IDElitirkaiug strut-titres on sue.. ciikorner 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? FAVes ❑No impervious area(applicable if R 7,R 12,R-25&R-40) If yes,is a storm water quality facility shown? ElYes )No O—f_'lean yG rvtces— et-vice—S.' Provider Letter o 'or to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes El No dell and ADUs Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes El No gi—S0e-Rremption for Ant, applied tor: n Yes El No Received: ❑ Yes 0 No La Public Facilities improvement(PFI)Permit: Required: ❑ Yes,applicant was notified /� No Applied For: ❑ Yes ❑ No,stop intake 0 Land Use Case#: 5J6' C19e). , ( p Zoning: 1'-'`_ `1 Required Setbacks: Front: t c= Rear: t `? Side: 5 t Street Side: L t Garage: ,--7 DI Building Height: Max. I leight:_'1j ' I Actual Hei ht: 7i3t tig Landscape Area: Z *Lot Coverage Max: % Entrance ❑ Set back no more than 8' from street-facing wall RI Parallel to street or offset 45 degrees or less Windows p Minimum 12%o of area of all street-facing facades Garage pi Garage door is behind widest street-facing wall ❑ Yes 1W No,one of the following is met: 4 Door extends no more than 5'from wall and there is a covered porch extending beyond garage. ia 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 0 12'or less 50%or less of facade 0 60%or less and includes 7 of following: 0 Covered porch 0 Recessed entrance ❑ Wall offset 0 1'Roof eave El Roof offset 0 Fire shingles ❑ I ap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer 0 Accent siding 0 Window trim 0 Window recess ❑ Window projection ❑ Balcony ❑ istrti:nlL:k:u:u�er ❑ Urban Forestry Plan .1i3 Sensitive I.ands: ❑ Yes yb No Type: ❑ Conditie et rierrto issuance of building permit Notes: Approved By Planning: Date: (?��I Revisions (after Building Submittal only) ,1/ viewer . 7 ` Date 1 '`' 'x " 't{ Approved O Not Approved , ���, �G-idi( 6 , (Z _2o Z Z_ Revision 2: ❑ Approved ❑ Not Approved t:\BuildingF'ornls'13Idg Permit Rvw_RE S_1224 19.docx Building Permit Submittal Original Submittal Date: l iJ i /.2-04 Site Plans: # �..' Building Plans: # '3 Building Permit#: LBEnter building permit# above. Workflow Routing: ( 'Planning Er Engineering [ ' Permit Coordinator EiBuilding 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. ' 5-Building: original permit application,site plaits,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ' Date: LQ .2.0� Engineering Review LSlope at building pad: 2,4 ❑ Conditions"Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat Er-Water Quality/Quantity Facility: Assess Water Quality Fcc in-lieu: 0 Yes l 'No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lop. 0 Yes [No ❑ Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: be, nv/ re/d4S-e t/H'i1 (w.,yt/ -. _r''lt ''hf 7/41 rrtan-it'd Q Approved by Engineering: j,, Date: t Lf(.// 4 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: 0 Approved 0 Not Approved Permit Coordinator Review ® Conditions "Met"prior to issuance of building permit ,ef Approved,NOT Released: �2e - ( Plat 4flier."( Cok. -PL Date: 1i4l<5 12421 Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: SDC Exemption: 0 Received Does not apply AIP SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: e Yes 0 N/A LIDA ❑ Yes , N/A OK to Issue Permit Approved by Permit Coordinator: Atk/k..'1' t► "`� Date: S Zt-1 20Z'L I:1Building\Forms\BldgPctmii Rvw_R FS_1224 19.locx CITY OF TIGARD MASTER PERMIT s COMMUNITY DEVELOPMENT Permit a: MST2021-00528 Date Issued: 05/25/2022 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108AB01400 Jurisdiction: Tigard Site address: 15349 SW SILKWOOD CT Subdivision: BULL MOUNTAIN SUMMIT Lot: Project: Bull Mountain Summit, Lot 8 Project Description: New detached dwelling. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1053 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1504 sf Garage: 514 sf Front: 15 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 2557 sf Value: $360,250.98 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 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 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Tema Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr. 0 Ea add!500 sf: 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 2557 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: $40,289.62 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 cic9J1n1JNn fhm.,nh AP O57-nn1_MQ Vn„mot,nhfain o rnnv of 41-c n iln¢nr Airerl ni inctinn<In rN par by rnl[inn Am 9A9 1QA7 nr I Ann 11?71114 Issued By: !/VJfVlilAl✓l/l4 Permittee Signature: \i?—Q 11 C71 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. a .4 Building Permit Application RECEIVE...• %� - Residential FOR OFFICE USE ONLY NOV 15 2021 Received �•r . City of Tigard Date By I" 03 ZOZI i/i p., ,No.: 5T2Dzf1�XI5 .� 7 13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF TIGARD Plan Review 57 7,2 /L p/fjg77_/y r/� Phone: 503.718.2439 Fax: 503598.196�UILDING DIVISION Date/By. �`f70 Other Permi�� See' Page�2^for v"/ f- �. c_ ,�,I Inspection Line: 503.639.4175 Dace adyBy: Internet: www.tigard-or.gov llvletho ��� Supplemental Information / i 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. -1b ® 1-and 2-family dwelling ElCommercial/industrial Valuation: $ 3W O, 25 D, ❑Accessory building El Multi-familyNumber of bedrooms:4 ❑ Master builder ❑Other: Number of bathrooms3 JOB SITE INFORMATION AND LOCATION Total number of floors:2 '30 151.. Job site address:15349 SW Silkwood Ct New dwelling area: 2557 square feet 1 City/State/ZIP:Tigard, Oregon 97224 Garage/carport area: 9(4 square feet 1175 Suite/bldg./apt.no.: Project name:Bull Mountain Summit Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERC1AL-USE CHECKLIST Subdivision:Bull Mountain Summit Lot no.:8 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 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name:Chad E. Davis Construction LLC Structural plan review fee(or deposit): Contact name:Matt Weatherdon Address:2808 19th Ave FLS plan review fee(if applicable): City/State/ZIP:Forest Grove, Oregon 97116 Total fees due upon application: Phone:( )503-357-8587 Fax: : ( ) Amount received: E-mail:VaIH@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 tic.:154184 Total fee due upon application: $201.60 Authorized signature: ejtezeec--7—sD `� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Chad E. Davis Date:11.15.2021 *Fee methodology set by Tri-County Building Industry Service Board. Cluuilding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit ApplicatioiFIECEIVE t FOR OFFICE USE ONLY City of Tigard Received cT� /1 5,4 III DateBy: Permit No.: v ��V Q • 13125 SW Hall Blvd.,Tigard,OR 97223 NOV 029 ® Phone: 503.718.2439 Fax: 503.598.1960 DatePlan/By: Other Permit: DateBy: TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Jm Ls'. See Page 2for Internet: www.tigard-or.gov BUILDING DIVISIONNotified/Method: Supplemental Information TYPE OF WORK LLB 1.1 J COMMERCIAL FEE* SCHEDULE-USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special informalion 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:15349 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.:$ 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 D TENANT Other: 23.32 Environmental exhaust and ventilation: Name:Chad E Davis Construction, LLC Range hood/other kitchen equipment 1 33.39 33.39 Address: 280 19thAve 8 A Clothes dryer exhaust 1 33.39 33.39 City/State/ZIP:Forest Grove, Oregon 97116 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 3 23.32 69.96 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. 1 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 1 Range I E-mail:ValH@chadedavisconstruction.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:Pyramid Heating and Cooling otber. MECHANICAL PERMIT FEES* Address:9409 NE Colfax Street Subtotal City/State/ZIP:Portland, Oregon 97220 Minimum permit fee($90.00) Phone:( )503-786-9522 Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lie.:59382 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 �7� / 7� days after it has been accepted as complete. Authorized signature: C _ ( pezb s- * Fee methodology set by Tri-County Building Industry Service Board Print name:Chad E. Davis Date:11.15.2021 I:1BuildingtPennitslMEC_PermitApp_0401 13 doe 440-4617f(I I/02/COM/WEB) Electrical Permit Application RECEIVE I FOR OFFICE USE ONLY City l g Received sT2o,2(-cOJ?-8 1 o Tigard RecDa'eive Permit 13125 SW'Nall Blvd.,Tigard.OR 97223 NOV 15 2021 Plan R)' C Phone: 503.718.2439 Fax: 503.598.1960 Date:By: Related Permit n. Inspection Line: 503.639.4175 CITY OF TIGARD Ready i)at Ei'. turfs: El See Page 2 for T.r'nRF Internet: w'auttigard-ar.gov Notified Method: Supplemental information BUILDING DIVISICI V— • [ -TYPE OF WORK _ PLAN` REVIEW ;.. ® New construction 0 Addition'alteration/replacement Please cheek all Mai apply(submit 2 sets of plans w/items enerked): 0 Service or feeder 4011 amps or more ❑Building ower three stories. 0 Demolition 0 Otlter: where the available fault current ❑Marinas and boatyards. CATEGORY OF.CONSTRUCTION exceeds 10.000 amps at 150 volts or 0 Floating buildings. ® I-and 2-family dwelling ❑C'omtnereial`industrial 9 Accessory building leas ro ground.or exceeds 14,000 ❑Commercu4uscagricultural ❑Multi-family ❑ Master builder Q Other: fires for all other installations. buildings. 0 Fire pump. 0 Installation of 150 K\'q or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: 15349 SW Silkwood Ct I00HP or more. City/State/ZIP: 0 six or more residential units occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.4. Project name:Bull Mountain Summit ❑Hamidous locations. ❑Supply voltage for more than ❑Service or feeder 600 amps or more 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Doan pttan I r/n. Each Twat • New residential single-or multi-family dwelling unit. Subdivision:Bull Mountain Summit I Lot sl: 8 Includes attached garage. 1.000 sq.ft.or less 168.54 1‘.2 I ci 4 Tax map parcel Ea.add'l 500 sq.ft.or portion 33-92 (o-'I,ssr( I -: . .. - DESCLOTTION OF WORK Limited energy,residential 7500 ) New Construction - Single Family Residential (with above sq ft.) Limited energy.multi-family residential(with above sq.0.) 75.00 1 Renewable Energy ❑ See Page 2 ® PR(IP RTYN'O ?VER I ❑ TENANT_ _. _ Services or feeders installation.alteration.and/or relocation Name:Chad E Davis Construction, LLC I 200 amps or less 10070 - Address:2808 19th Ave 201 amps to 400 amps 133.56 1 2 401 amps to 600 amps 20034 2 City/State/ZIP:Forest Grove, Oregon 97116 601 amps to 1,000amps 301.04 2 Phone:( )503-357-8587 I Fax:( ) Over 1,000 amps or volts 552.26 2 -1-- Temporary services or feeders installation,alteration,and/or Email:Valli@chadedavisconstruction.com relocation Owner Installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I 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 - 0 APPLICANT - . 0 CONTACT PERSON Branch circuits new,alteration,or extension,per panel circuits Fee for branch nickI Business name:Chad E Davis Construction, LLC above service or feeder fee, 742 2l each branch circuit Contact name:Matt Weatherdon B.Fee for branch circuits without I Address:2808 19th Ave service or feeder Ice.first 5ti 18 2 branch circuit City/State/ZIP.Forest Grover Oregon 97116 Each add'I branch circuit 7.42 r ---- Miscellaneous(service or feeder not included) I Phone:( )503-357-8587 Fax::( ) Each manufactured or modular 67.84 dwelling.service and/or feeder Email:ValH@chadedavisconstruction.com Reconnect only 67.84 I 2 _.. .:._ ... COir!'TRACT'OR:. Pump or irrigation circle 67.84 r 2 Business name.Platinum Electric Inc Sign or outline lighting 67.84 2 Address:4676 Commercial Street SE#248 Signal circuit(s)a limited tnergv ❑ see Page 2 2 panel,alteration,or extension. city/stale/ZIP:Solem 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:I I Investigation(I hr min) 90.00,hr .'0}'�t Industrial plant(I hr min) 78 18'hr Email: 1 T(y\tA II e wC C 1 C 6) CvL't� upry C rS T T. t' t Inspections for which no fee is 90 0o car CCB Lie.:172027 Electrical Li L.a'1 iV .Lie.: 3—)(+ _ _oeeifically listed( a hr mini _ ELECTRICAL PERSOT:FEES Suprv.Electrician signature.required: dM. Subtotal ..3fti,38 Print name: tJY J VSt-10-�1.4 , Date: 1 ,-:'0 2,I 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): .3. 3 6 Authorized signature: �'T�a..tid TOTAL PERMIT FEE: a-t0(�r`)t{ This permit application expires if a permit is not obtained within la0 Print name:Chad E. Davis Date: 11.15.2021 days after it has been accepted as complete. .- " 'umber of inspections allowed per permit. Id9ai41ing Fcrrnilx'P.I C_,cronuApp ELR ERE.doc Res 05'I 7'an15 44:1-3S1 Si'(11.0i:CO1.114E1 A_ Plumbing Permit Application Building Fixtures RECEIVE FOR OFFICE USE ONLY Cityof Tigard Received ) • 131 SW Hall Blvd.,Tigard,OR 97223 NOVN�V 15 2021 Date/By: Permit No.: MsT�z!-e�5�� NI ill Plan Review ��71 Phone: 503.718.2439 Fax: 503.598.1960 Date/BY: Other Permit No.: CITY OF TIGARrf�I r TIGARD Inspection Line: 503.639.4175 9UIL.C�ING DIVISIO p.pate Ready/By: lens. See Page 2 for Internet www.tlgard-km otified(Method- Supplemental Information TYPE OF WORK FEE* SCHEDULE ® New construction ❑Demolition For special information use checklist Description Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other. New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION - ,� : : SFR(1)bath 312.70 ® 1-and 2-family dwelling El 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 0 Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:15349 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 1i 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 Lot no.:8 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 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 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 1 25.02 25.02 City/State/ZIP:Forest Grove, Oregon 97116 Hose bib 2 25.02 50.04 Phone:( )503-357-8587 Fax:( ) Ice maker 1 12.51 12.51 ® APPLICANT ® CONTACT PERSON Interceptor/grease trap 25.02 Business name:Chad E Davis Construction, LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Matt Weatherdon Roof drain(commercial) 12.51 Address:2808 19th Ave Sink/basin/lavatory 3 25.02 75.06 City/State/ZIP:Forest Grove, Oregon 97116 Solar units(potable water) 62.54 Phone:( )503-357-8587 Fax::( ) Tub/shower/shower pan 2 12.51 25.02 E-mail:ValH©chadedavisconstruction.com Urinal 25.02 Water closet CONTRACTOR 3 25.02 75.06 Water heater 37.52 Business name:The Mullen Company Water piping/DWV 56.29 Address:1601 A SE River Road Other: 25.02 City/State/ZIP:Hillsboro, Oregon 97123 Subtotal Phone:( )503-640-0113 Fax:( ) ``4.2. , Minimum permit fee: $72.50 CCB Lie.:92689 Plumbing Lie,no: Plan review (25%of permit fee) T7'i� (f State surcharge(12%of permit fee) Authorized signature: ( dia6Z('vailN.B. 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:16uilding\PerrnitslPLMU-PernitApp.doc 10/01/09 440-4616I(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-1"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 Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to P and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. Subtotal: 3 187.62 Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Plan Review for Plumbing Installations Quantity by Fixture Type Plan review is required fbr any of the following. Fixture'Type for Replace/ Please check all that apply. Work Performed: Capped Added Relocate PP y 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 Car 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 4' ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage Domestic non-food that meet the qualifications above. Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -LavBar non-food related -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:1Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 T ` ' Plumbing Permit Application Building Fixtures RECEIVE f rolz orrlcu: I SF ONLY Cityof Tigard Received �e �y n 131 SW Hallll Blvd.,Tigard,OR 97223 NOV 15 2021 PIm Review Permit No.: 1' '�N�(�(/�� tITY OF TIGARD Plan Rev ew J Phone: 503.718.2439 Fax: 503.598.196 Pan Re Other Permit o.: TIGARD Inspection Line: 503.639.4175 BUILDING DI�ISIONDate Ready/By: kris VISee Page2for Internet: www.tigard-OCgov Notified/Rledrud: 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 Eli-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 buildingSFR(3)bath 500.32 0 Accessory ❑Multi-family --- - Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:15349 SW Silkwood et 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.:_) Paget 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.:8 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 31.27 DESCRIPTION OF WORK Backwater valve t 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 VI 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 CCB Lie.:92689 Plumbing Lic.no.: Plan review (25%of permit fee) �7GG�GTi (� State surcharge(12%of permit fee) Authorized signature: ��/ Z7G,U/. 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:1Building\Permirs\PLMU.PermitApp.doc 10/01/09 4404616T(I 0/02/COMIWEB) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT C TIGARD Building Permit Review — Residential Building Permit #: ki sr,20. ( - J5Z5 Site Address: 1G" cf 4t $'jj S i C k.,4,0pOL a, Project Name: tv(t j'4Q tcatln SU H,l i+ Lot #: (� Planning Review Proposal: IV d&vim` kniti(41, p Verify address/suite#active in Accela. 0 In River Terrace: vp No 0 Yes, River Terrace Review Addendum Site Plan Elements: ?Erosion Control ►_u$ copies of site plan on 8-1/2"x 11"or 11 x 17"paper . 741Prawn to scale(standard architect or engineer scale) FFootprint of new structure(including decks) and FFE ►3s orth arrow P'Utility locations&easements(required for new and additions) atie address,project or subdivision name and lot number aidewalk/driveway approach VI kpplicant information(name and phone number) NY,ot dimensions and building setback dimensions Street tree size,type and location DiStraamt6=grot-hinicting _,olished J7 Street names ❑Existing stnwrtnrvs on situ Corner 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? Ares ❑No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes irNo ❑-glean W'dtrrSSrvices- ervice Provider tter(o for to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No r7 ��rster 1 Lter I nctare Ekrit�dbzvt} , dels and ADUs Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No *o or app e or: Yes ❑ No Received: ❑ Yes ❑ No e Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified , No Applied For: ❑ Yes ❑ No,stop intake Q JD Land Use Case #: $ 3(lam ?CD r 0e) ( A Zoning: 2— T c Required Setbacks: Front: 1,5 Rear: C S Side: 5 Street Side: £DI Garage: '7 I I4 Building Height: Max. Height: .3�prj I Actual Hei h : Z31 vg Landscape Area: Z % Xr Lot Coverage Max: Entrance ❑ Set back no more than 8'from street-facing wall 1 Parallel to street or offset 45 degrees or less Windows p Minimum 12%of area of all street-facing facades Garage pl Garage door is behind widest street-facing wall ❑ Yes No,one of the following is met: pDoor extends no more than 5'from wall and there is a covered porch extending beyond garage. jj Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2"d floor. j27 Garage door width is ❑ 12'or less xi 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance 0 Wall offset 0 1'Roof eave ❑ Roof offset ❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony 1 ❑ yisuaLceatauee— 0 Urban Forestry Plan .1E Sensitive Lands: ❑ Yes T No Type: ❑ Con -ae.tptfto issuance of building permit Notes: ( `,[ I fl Approved By Planning: Date: tr-Oa Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: iV(5/2-0 -� Site Plans: # 111r 3 Building Plans: # '3 Building Permit#: [ 'Enter building permit#above. Workflow Routing: [V Planning E.-Engineering Permit Coordinator EBuilding Workflow Sign-off: Er Sign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: _ 63 20 Engineering Review Slope at building pad: Z 6 ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ▪ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes 2"No Assess Water Quantity Fee in-lieu: ❑ Yes 2"-No LIDA Facility on lot: 0 Yes W"No ❑ Final Plat Recorded: 0 NOT Approved by Engineering: Date: Notes: De na/ r-e/f&S v)fi) (a.,Lai;674-, frilert mho( ?fa- f''Cakrity C7'Approved by Engineering: j 1f, Date: i y f/Ojyi Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Permit Coordinator Review Conditions "Met"prior to issuance of building permit ,E1 Approved,NOT Released: getorri plod 4 mwt Co . —AL Date: 11.0 17,614 Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: SDC Exemption: ❑ Received / Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes , N/A N OK to Issue Permit Ativ.q Approved by Permit Coordinator: Date: 3/2 j 1I 2OZZ f I:\Building\Forms\BldgPermitRvw_RES_122419.docx y��-/zZ Plan# 19'l1Yl-Zr.�j7-�j q Floors Large I Bed rooms Small -7 Le we 3 LAV L Tub 3 Basement j I� , f ,..e., ! 0I/'/ pr';t dvt.�-..4-� Vent 1st Floor �S 3 Water Heater ` 2nd Floor Lj bti AC 1 3rd Floor _ School' �° R-3 Total 265 7 rI(`✓ —& Garage �j 1 L7aA n Total 3v LOLL") Mom( #for Elec I s) Piatzsz- ajvv.“__ ( 14 C ^r-6(-7 k. I • L"' Vit7 f 6p rY� . rovvd-c- ba-tavv---(4 H-Dos-e_ . 0 i � � ( 1--- Q Ito( . I ( 1 ( DS. 0 3 1\1 [ 3