Permit City of Tigard
Iii . Deferral Until Occupancy Request
e Trans nation and Parks System
T 1 c A R D Washington County Transportation Development Tax (TDT), po
Development Charges (SDCs)
This form is to be signed and submittteds prior
building
bdy n apermit iance ssuance
a ce or,
if no building permit is required,then
upon land use approval(TMC 3.24,
Date: 10125l2022
Site Address: 15079 SW Coolwater Lane
MST2022-00407
Project River Terrace Crossing Building Permit Land Use Case or
Name: (Davod Weekley Homes)
Tax Lot Total Parks $11,830.00
Lot56 C05100 Amount*:
#' Lot 56
TDT Total TSDC $12,004.00
Amount:
Amount*:
*The total TSDC amount shown above is the sum of Ulna—0�for TSDC-Improvement,$448.00 for TSDC-
Reimbursement,and$a 7r L00—for TSDC-River Terrace,if applicable..
f 6,812.00 for Parks-Improvement,$ 1 887 00 for Parks-
Reimbursement,h n SDCndamount shown above
r Parks-Neighborhood is e sum or$ 3,131.00 for Parks-Neighborhood River Terrace.
and either$ NIA
This constitutes my request to defer payment of the TDT,TSDC,and Parks SDCs,as provided above,to
prior to final inspection.
Payment of the TDT,TSDC, and Parks SDCs may be deferred until issuance of the occupancy permit. In
requesting this option,I understand that any deferred TDT,TSDC,and Parks SDCs must be paid prior to final
inspection.
TDT may only be deferred tf theme • Qr t r h he
_.r....,. :,,o1P_family resid n . I further
understand that the amount of TDT due on deferred obligations shall be the amount in effect at the time of
issuance of the building permit.
For a deferral request to be accepted h ih_the Property Owner and the Developer must sign this request.
Date: Via• zS� 7?
Property Owner:
�_.� Date: L tF z c
Developer:
--4 Date: 1012512022
Permit Coordinator:
CITY OF TIGARD MASTER PERMIT
II Is COMMUNITY DEVELOPMENT Permit#: MST2022-00407
Date Issued: 12/14/2022
T!GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108DC05100
Jurisdiction: Tigard
Site address: 15079 SW COOLWATER LN
Subdivision: RIVER TERRACE CROSSING Lot: 56
Project: River Terrace Crossing, Lot 56
Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES ARE PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 02 Bedrooms: 3 First: 1308 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 23 Bathrooms: 3 Second: 1452 sf Garage: 383 sf Front: 12 Smoke
Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 2760 sf Value: $439,545.89 Rear: 8
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100
Tubs/Showers: 2 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
Vents:Fum<100K:
1 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 W/Svc or Fdr: 0
Ea add1500 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 2760
Owner: Contractor:
CND-RIVER TERRACE LLC WEEKLEY HOMES Required items and Reports(Conditions)
1111 N POST OAK RD 1905 NW 169TH PLACE SUITE 102 1 Ersn Cntrl 503-639-4175
HOUSTON,TX 77055 BEAVERTON,OR 97006
PHONE: PHONE: 503-213-4415
FAX:
Total Fees: $25,237.39
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 yo to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
0c2.nnl-nrHn thmn AR oS9-nniJ non Vn,, a n A a rnm,of tha nape nr rlirart nuaetinne to ell INC:by Tallinn Sn4 949 10R7 nr 1 Ann 119 9'idd
r
Issued By: ��.fi IA Al Permittee Signature: �'e 1 e I I c k 0-
1
Ca 1503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a cons. .•us place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
. .. tiii:A__e_cc,,c) _ e_3(___ _c-i-c-3.),,nec.7y-. - -- _Ae__\_\__ Poudclge
Building Permit Application tE66
aar
Residential q qqryry FOR OFFICE USE ONLY
OCTl 82ULC Received
City of Tigard DateBy: /t, ( � if 'e (1ZZ-ceit.�
7
13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF TICaAHD plan Review V ����
Phone: 503.718.2439 Fax: 503.598.I96 Date,By: lA /1'l7Z. it ,�riq� iGLL q�J/)j
Inspection Line: 503.639.4175 �3UILDING DIVISION Date Read B J runs:
TIG.�RD p � � See Page2for
Internet: www.tigard-or.gov ified,TAethod: / �����(�,%� Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
S 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. t1
® I-and 2-family dwelling ❑Commercial/industrial Valuation: $ 3 00 l� l 154 S I
❑Accessory building El Multi-familyNumber of bedrooms: 3 11
D Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: 2 3 i 4 3
Job site address: 15079 SW Coolwater Lane New dwelling area: 2760 square feet '452
City/State/ZIP:Tigard/OR/97224 Garage/carport area: 383 square feet 12 'Qj(
\\
7dg./apt,
no.: Project name: River Terrace Crossing Covered porch area: square feet
street/directions to job site: Deck area: //�� square feet
Other structure
square feet
& `LS o� /fr. Op�� � r REQUIRED DATA a: ?(.CIAL USE CHECKLIST
Subdivision: River Terrace Crossing I Lot no.: 56 Permit fees*are based on the value of the work performed.
Tax map parcel no.: 25110DA11400 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 SFR to be built-2760. 2 beds+owners retreat,2.5 bath,2nd flr retreat,1st Valuation: $
flr Study,383sf 2 car gar,43 s h _ Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:David Weekley Homes Type of construction:
Address: 1905 NW 169th Place Suite 102 Occupancy groups:
City/State/ZIP:Beaverton,OR 97006 Existing;
Phone:(503)213-4415 Fax:( ) New:
❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:David Weekley Homes (Please refer to fee schedule)
Structural plan review tee(or deposit):
Contact name: Maria Hasty
FLS plan review fee(if applicable):
Address:1905 NW 169th Place,Suite 102
Total fees due upon application:
City/State/ZIP:Beaverton/OR/97006
Phone:(503 ) 213-8285 Fax::( ) Amount received:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: MHasty@DWHomes.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:David Weekley Homes Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:1905 NW 169's Place,Suite 102 Solar Installation Specialty Code checklist.
City/State/ZIP:Beaverton/OR/97006 Permit Fee(includes plan review $
and administrative fees):
Phone:(503)213-4415 Fax;( ) State surcharge(12%of permit fee): $.
CCB lie.:213653 '/ Total fee due upon application: S.
Authorized signature: �/a � This permit application expires if a permit is not obtained
7! ''� "(J,Y within 180 days after it has been accepted as complete.
Print name: Maria Hasty Date: 09/06/2022 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building'Pelmits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(l l/02/COM/WEB)
I
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received Permit No.:
a 13125 SW Hall Blvd.,'I'igard,OR 97223 AssociatedDate/By
■ Phone: 503.718.2439 Fax: 503.598.1960 permits:
24-Hour Inspection Line: 503.639.4175 ® Electrical ® Plumbing ® Mechanical
T I G A R U
Internet: www.tigard-or.gov IDOther:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW ties No N/A
I Land use actions completed. See jurisdiction criteria for concurrent reviews. ® ❑ 0
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ® ❑ 0
3 Verification of approved plat/lot. ® 0 0
4 Fire district approval required. Name of district: . ❑ ❑ Cl
5 Septic system permit or authorization for remodel. Existing system capacity El ❑
6 Sewer permit. ❑ 0 ❑
7 Water district approval. El 0 0
8 Soils report. Must carry original applicable stamp and signature on file or with application. ® ❑ ❑
9 Erosion control ®plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- ® ❑ If
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ® ❑ ❑
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size 1
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if 1
copyright violations exist.
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if Z 0 ❑
there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements 1
and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction
indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and
surface drainage.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ® ❑ ❑
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ® ❑ ❑
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ® 0 0
floor,wall construction,roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings
and foundation,stairs,fireplace construction,thermal insulation,etc.
15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ® ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ® ❑ ❑
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing ® ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 El
systems,see item 22,"Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ® ❑ ❑
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. ® 0 0
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ® ❑ 0
for four or more appliances.
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or tEl 0 ❑
architect licensed in Oregon and shall be shown to be applicable to the .ro'ect under review.
JURISDICTIONAL SPECIFICS
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ® ❑ ❑
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ® ❑ 0
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ® 0 ❑
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ® ❑ ❑
27 "Drawn to scale"indicates standard architect or engineer scale. ® ❑ ❑
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ® ❑ ❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 0
and protection measures must be drawn to scale and must include the project arborist's signature of approval.
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ El
including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9,1995.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46 I 3T(11/02/COMIWEB)
Pr
Mechanical Permit Applicatl C VELA i 012 OFFict I `NE 0\1.1
City of Tigard OCT1 g 2022 Received
✓ Date/By: Permit No.:
III 13125 SW Hall Blvd.,Tigard,OR 97223
-� Plan Review
Phone: 503.718.2439 Fax: 503.598.I960 r� Date/By: Other Permit:
Inspection Line. 503.639.4175 CIT`( L� I IUHNU
f1 p� n Date Ready/By: runs. la See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISIO' Notified/Method:
Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE-USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
O Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. _
Value:$350,000.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist
O Multi-family ❑Master builder 0 Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION HeaOnpJcoolinQ:
Air conditioning 1 46.75 46.75
Job site address: 15079 SW Coolwater Lane Furnace 100,000 BTU(ducts/vents) _ I 46.75 46.75
City/State/ZIP: Tigard,OR 97224 Furnace 100,000+BTU(duds/vents) 54.91
Suite/bldg./apt.no.: Project name: River Terrace Crossing Heat pump 61.06
Duct work 23.32
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: River Terrace Crossing Lot no.: 56 Other: 23.32
Other fuel appliances:
Tax map/parcel no.:: 2S110DA11400 Water heater I 23.32 23.32
DESCRIPTION OF WORK Gas fireplace/insert 1 _33.39 33.39
Flue vent for water heater or gas
New Construction 5FR to be built-2760. 2 beds+owners retreat,2.5 bath,2nd fir retreat,1st fireplace 23.32
h r Study,383sf 2 car gar,43 sf front porch,183 sf rear covered porch Log lighter(gas) 23.32
- Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/Flue/vent _ 23.32
® PROPERTY OWNER I 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:David Weekley Homes Range hood/other kitchen 33.39
equipment I 33.39
Address: 1905 NW 169th Place,Suite 102 Clothes dryer exhaust I 33.39 33.39
City/State/ZIP: Beaverton/OR/97006 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)213-4415 Fax.( ) Attic/crawlspace fans 23.32
® APPLICANT ® CONTACT PERSON Other: 23.32
Business name:David Weekley Homes Fuel piping:
S14.15 for first four;S4.03 for each additional
Contact name: Maria Hasty Furnace,etc.
Address:1905 NW 169'h Place,Suite 102 Gas heat pump
-- ------- Wall/suspended/unit heater
City/StateZlP:Beaverton/Oft/97006 Water heater
Phone: 503-213-8285 Fax: :( ) Fireplace
E-mail. MHasty@DWHomes.com Range
Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:David Weekley Homes Other:
MECHANICAL PERMIT FEES*
Address: 1905 NW 169th Place Suite 102
Subtotal 216.99
City/State/ZIP:Beaverton/OR/97006 Minimum permit fee(S90.00) 90.00
Plan review(25%of permit fee)
Phone:(503)213-4415 Fax:( ) State surcharge(12%of permit fee)
CCB tic.:213653 TOTAL PERMIT FEE 306.99
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: ° Fee methodology set by Tri-County Building Industry Service Board
Print name: Maria Hasty Date: 09/06/2022
11Building/PelmilstMEC PemutApp_040113 doe 440-46171"(II/022OM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:\BuildinglPermits\MEC_PermitApp_040113 doc 2
RECEIVE(
Electrical Permit Application OCT 1. 8 1022 FOIL OFFICE Lsl.os1,)
r City of Tigard Received
r11Receiv Permit H:
a 13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF I Kafiri
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 ?DateB': Related Permit a.
BUILDING DIVISI
r 1 G A R D Inspection Line: 503 639.4175 Ready Date By Jens !a See Page 2 for
Internet: www.tigard-or.gov Notitied'Method. Supplemental Information
TYPE OF WORK PLAN REVIEW
®New construction ❑Addition/alteration/replacement Please check all that apply(submit,I sets of plans w items checked):
❑Demolition El Other: 0 Service or feeder 400 amps or more 0 Building over three stones.
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® 1-and 2-family dwelling ElCommercial/industrial El Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
Job if: 68260056 Job site address: 15079 SW Coolwater Lane ❑00HPorm re of wmotorloadof system.
❑"A" "E" ••12""l 3"
City/State/ZIP:Tigard/OR/97224 ❑Six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.4: Project name: River Terrace Crossing ❑Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site. FEE SCHEDULE
Dem-Wien I (AY. I Each I Test I •
New residential single-or multi-family dwelling unit.
Subdivision: River Terrace Crossing Lots: 56 Includes attached garage.
1,000 sq.ft,or less 1 168.54 168.54 4
Tax map/parcel 4: 2511ODA11400 Ea.add'I 500 sq.ft.or portion 4 33.92 107.76 I
DESCRIPTION OF WORK • Limited energy,residential
New Construction SFR to be built-2760. 2 beds+owners retreat,2.5 bath,2nd fir retreat,1st (with above sq.ft) 75.00 2
Limited energy,multi-family 75.00 2
fir Study,383sf 2 car gar,43 sf front porch,183 sf rear covered porch residential(with above sq.ft-)
Renewable Energy 0 See Page 2
® PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name:David Weekley Homes 200 amps or less 100.70 2
Address: 1905 NW 169th Place Suite 102 201 amps to 400 amps 133 56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Beaverton/OR/97006 601 amps to 1,000 amps 301.04 2
Phone:(503)213-4415 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: MSchiedler@DWHomes.com relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
® APPLICANT ® CONTACT PERSON Branch circuits-new,alteration,or extension,Per panel
A.Fee for branch circuits with
Business name:David Weekley Homes above service or feeder fee, 7.42 2
each branch circuit
Contact name: Maria Hasty B.Fee for branch circuits without
service or feeder fee,first
Address: 1905 NW 169th Place Suite 102 branch circuit 56.18 2
City/State/ZIP:Beaverton/OR/97006 Each add'I branch circuit 7,42 2
Phone:(503) Miscellaneous(service or feeder not included)
213-8285 Fax::( ) Each manufactured or modular
Email: MHdsty@DWHOmeS.COm dwelling,service and/or feeder 67.84 2
Reconnect only 67.84 2
-
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Garner Electric Sign or outline lighting 67.84 2
Address:2890 SE Brookwood Ave Signal circuit(s)or limited-energy
0 See Page 2 2
panel,alteration,or extension.
City/State/ZIP:Hillsboro,OR.97123 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)648-4552 Fax:( ) Investigation(I hr min) 90.00-hr
Email:permits@garnerelectric.com Industrial plant(I hr min) 78.18/hr
Inspections for which no fee is 90.00;hr
CCB 1.ic.:121159 Electrical Lie; 4305C Supry.Lie.:3707S specifically listed(4,hrmin)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,require Subtotal:
Print name:Charles Garner Date: 09/06/2022 0 Plan Review Required(25%of permit fee):
.//.;, State surcharge(12%of permit fee):
Authorized signature: g2i^-c- 7.. t u TOTAL PERMIT FEE:
Uhl This permit application expires if a permit is not obtained within 180
Print name:Brittany Burian Date: 09/06/2022 days after it has been accepted as complete.
• Number of inspections allowed per permit.
I WBwlding'8ennastELC PermitApp_ELR_ERE doe Rev 06/17/2015 440-46157(1 I/05/COMJWEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Description I Qty. I Each I Total ( •
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: s kva or less too 7o 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
® Garage Door Opener* -
50.01 to 100 kva 552 26 2
>100 kva(fee in accordance 552.26 2
with OAR 918-309-0040)
® Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System*
Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva-no additional charge 0.0 3
Each additional inspection over allowable in an of the above:
❑ Other: Each additional inspection is 66.25 hr
charged at an hourly(I hr min)
Inspections for which no fee is 90.00'hr
specifically listed(4 hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1):
• Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
El Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
n Instrumentation
El Intercom and Paging Systems
El Landscape Irrigation Control*
El Medical
n Nurse Calls
❑ Outdoor Landscape Lighting*
El Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I\Btaldmg'PemmtslELC_PennuApp ELR ERE doc Rev 06 17 2015
,.
RECEIVE(':
Plumbing Permit Application OCT 1 8 2022'
Building Fixtures CITY OF TIGAh i(ill 1,1) It 1 I ,I t1.1 3
City of Tigard ?UILDING DIVISI -p�y�.: Penult No.:
13125 SW Hall Blvd.,Tigard,OR 97223 Piet Review
Phone: 503.718.2439 Fax J03.598.1960 pr�By. OtlePorndtNo.:
Inspection Line: 5036394175
Internet ww v tlgald-orgov oral • hob W 84e Page t ror
� Wafts la�,y r :. e.+ KtrL' 1 Sv tenmhl fnfermabun
Sl'�°'a
7*e ', • :- i art _ 2v. 'treo ' R ..a.a. '� Y
®New construction 0 Demolition For'pedal 14/ornralion weechair:'t.
Description J QIY• I a ( Total
❑Addition/alteration/replacement ❑Other: New 1-2-famlly dwellings(includes 100 it for each utilitycannection)
t4$ ,tsa's,. .yxv. rr ft+ s'" *- i. SFR 1 bath
312.70
la I.and 2. roily dwellhig ❑Coon ciallindushial SPR(2)bath 1 437.78 437.78
❑Accessory building 0 Multi-family SFR(31 bath 300.32
-
Each additional harldkitchen I 25.02 25.02
❑Master bonder 0 Other
. � Fire sprinkler(^,sq.ft.) Page2
rc ,► "t il}i I '. Site ninnies:
nrrn-a�aaa a, ,fin-.e
Job site address: 15079 SW Coo I wate r Lane Catch basin or area coda 18.76
City/State/ZIP:Tlgard/OR/97224 Drywall lraoltline ar trench daaln 18,76
Footing drain(no.linear ft.:go Page 2 87.55
Suite/bldg./apt nd.: I Project name• River Terrace Crossing Manufactured hone utilities 50.03
Cross strut/directions to job site:' Manholes 18.76
Bain drain connector I8.76
Sanitary sewer(no.linear ft.:__) Page 2
Storm sewer(no.linger R.:_) Page 2
Water service(no.linear It.:_) _ Page 2
Subdivision: River Terrace Crossing I Lot no.; 56 Fh lure oritem;
Tax map/parcel no.:'. 251100A11400 Bacl-tlowpteventer 1 31.27 31.27
0,7 x@ ;i,11. ,L 1 bi,':. R •• "7./P.' 1 fr..;;,-q Backwater valve 25.51
New Construction SFR to be built-2760. 2 beds+owners retreat,2.5 bath, . Clnthns washer t 1 .02 25.02
Dishwasher I 25.02. 25.02
2nd fir Retreat,1st fir Study,383sf 2 car gar,43 sf front porch,183 sf rear covered Drinking fountain 25.02
porch Electors/mom 25.02
.w_$ f<. rfi; ,' p,'f, eitribtri0154. ., �.,�,
Expansion tank 12.51
Names David Weekley Homes
Address: 25,02
Address:1905 NW 169a Plate Suite 102 Flag dralNHoor slrk1sub 25,02
Garbage disposal 1 23.02 25.02
City/StaleiZUP:Beaverton,OR 97006 Hose bib ~ 2 25.02 50.04
Phone:(503)213-4415 Fat:( ) Ice maker 1 12.51 12.51
all :. ` [ '�,,,,9' - Mtercepmrlgreaselrap 25,02 .
Business nave:David Weekley Homes Medical gas Mitre:S_) _ Page
Contact name Maria Hasty Primer 12.31
Roof dreln(comrneRuial) 12.51
Adtkess:1905 NW 169a Place,Suite 102 ' SinkkasMavatory s 25.02 125.10
City/State/ZIP:Beaverton/OR/97806 Saltr traits(potable water) I- 62.54
Phone;1 503-213-8285 Fax::( ) Tub/shower/shower pen 1 2 12.31 I 25.02 _
E-mail MHasty@DWHomes.com Urinal 25.02
.:-, r ,v .it x.-. Water closet 1 25.02 75.06
. e1?,',e,a'k .Y nintr.- 1 u 1*1 ,- tabs a.,.',;` 1i, tl7-, 1.-L Water heater
1 37.52 37.32
Busirims name:Maim edal Plumbing Water pipiag/DWV 56.29
Adtkoaa:PO Boa 207 Other:
25.02
City/State/ZIP:Banks/Olt/97106 Subtotal 981.93
Phone:(503)324-0759 Fax:( ) Minimum permit he: 572.30 72.50
CCB Lin:102535 Plumbing Lie,no.:34-276P8 Plan review(2596 of permit the)
State surcharge(12%ofpennit fee)
Authorized signamra Carolina Malmadal ` '""^ TOTAL PERMIT FEE
Print name:Carolina Malmedal Date:1Q9/06/2022 I This permitappkndan makes Ife permit hnot obtained wltbielMdays
*nee It bee been erupted m eomplaro,
"Fee irod!Udoloay ear by Ten-County Building Industry Service Board
1:1BWidMPermitOLMU•PconnApe.drs IaNINe 440446161116Ai3MOMMRm)
Plumbing Permit Application.-City of Tigard
Page 2-Supplemental information
Fee Schedule:, 5� Residential Fire Su l ression S stems:
s •.! eri .My ,�,Na i ery'�t , t'i ! .a a r.-}s fir 4. I .1 lent*
. .K sSf..c��"... '8�tr 'n, t'r��;! hull��4P'�I`t•.. � t�,:,Art �.A . .�� �`:b,nF�n .�i,
Foothtg dtnin-14100' 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 $23320
Sewer-let 100' 62,54 7,201 and greeter $327.54
Sewer•each additional 100' 37.52 -
Water Service•let 100' 62.54 Medical Gas S stems:
Water Service-each additional 100' 37.52 ro�n s �.,..� ,
Storm&Raih Drain-lot 100' 62.54 >S�i"` ' "a"-+Mira 'a * 'itirr
51.0O to S5,000.0O Minimum fee$72.50
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.03 $72.50 for the first$5,000.00 and$1.52 for
iolditia t` ^
� A gj each additional$100.00 or fraction tiareof,to
i it ` A � and including S10,000.00.
inspection of existing plumbing or for 510,601.00 to$25,000.00 $145.5O Rif the first$10,000.00 and$1.54 for -
wttieh no fee is specifically Indicated 9O.00/hr each additional S 100.00 or fraction thereof,to
(mleimum charge-1/2 hour) and including Sumo),Inspections outside of normal business 9O.00/hr $25,001.00 to$50,000.00 '$379.5O for the Bra S25,000,0O and$1.45 for
hours(minimum charge-2 hours) each additional S 100.00 or Auction thereof,to
Relrepect:on Fees 90.00/r and including 35O,000.00,Additional plan review for revisions 90.00/hr $5O,001.00 and up $742.00 for the Brat$50,000.00 and$1.20 for _
(mhwnam charge-1/2 hour) each additional$100.00 or*Ilion tlureof.
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing flxtures7 If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*.
n`?f,�� y l4: ^'*.i -t`' b -:4 as ii ialre'T .,SaKJ O ii'i3' g.+r:. c , aq..
- 9 jl L. Lt '� a}� v7', CI; !rR'� ?�!�'. Op. a '•
l Pa „ ,� >y . , i x�! t '1 r x Plmt review is required for any of the following.
OapUahy/Fmt Please check all that apply.
•
Both TuWShower 0 My new commercial building with water service 2"and
-Jacuzzi/MI floodgreater,except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
-Drive Ilia 0 New exterior plumbing site utilities for any complex structure
Cusplder/WaterAspirator as defined In OAR918-780-0040,
Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities.
-Domestic 0 Any multipurpose lire sprinkler system.
Drinking Fountain ❑ Any complex structure as defined in OAR918.780.0040.
Eve Wash .
Floor Dmhdslnk -2" Submit l sets of plans with any of the above.
-3" p ,L yygg
4"
1 nxJ4�6,s M '9 t,2
Car Wash Drain aaYrW'.'ll! `
Garbage -Daneatic-noon-eeod Isometric or riser diagram is required for new buildings
Disposal -Domestic-food related that meet the qualifications above.
-Commercial-food related
•Industrial-food related
lee Meoh/Refrig.Drains
Oil SepamNr(Gas Statice) - Comments regarding fixture work:
Rem Vehicle Dump Station '
Shower -Gong
-Stall
SlnkfLav -Non-food related
-Bradley
-Commerolal-food related
-Service
Swimming Pool Filter *Note: lithe fixture work under this
Washer-Clothes permit results in an
Water Extractor Increase of sewer EDUs,a sewer permit will be issued and
Water Close-Toilet _ fees assessed for the sewer Increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures:
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