Permit CITY OF TIGARD MASTER PERMIT
III19 COMMUNITY DEVELOPMENT Permit#: MST2022-00449
Date Issued: 12/15/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108DC10900
Jurisdiction: Tigard
Site address: 15229 SW FLATCREEK LN
Subdivision: RIVER TERRACE CROSSING Lot: 117
Project: River Terrace Crossing, Lot 117
Project Description: New detached SF dwelling w. 196sf patio cover. NO FINAL UNTIL DEFERRED SDC FEES ARE
PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 1910 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 16 Bathrooms: 3 Second: 527 sf Garage: 454 sf Front: 12 Smoke Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 2437 sf Value: $401,639.97 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100
Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 BckBw Prevntr: 1
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvcIFeeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add?500 sf: 4 201-400 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 2437
Owner: Contractor:
CND-RIVER TERRACE LLC PACIFIC LIFESTYLE HOMES Required Items and Reports(Conditions)
1111 N POST OAK RD 11815 NE 99TH ST#1200 1 Ersn Cntrl 503-639-4175
HOUSTON,OR 97055 VANCOUVER,WA 98682
PHONE: PHONE: 360-213-0813
FAX: 360-574-6401
Total Fees: 823,971.41
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 he 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. ATT ON: Oregon law requires Yee-io-7 w the rules adopted by the Oregon Utility N tification Center. Those rules are set f in OAR
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Issued By: ermittee Signature:
Call 503.639.4175 by 7:00 a.m. r the next available inspection date.
This permit card shall be kept in a conspicuo s place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application - City of Tigard •
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit E
$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:\Building\Permits\MEC_PermitApp_040I 13.doc 2
Electrical Permit Application FOR OFFICE LSE ONLY
Cityo TI afd Received
UPI
. g DateB : Permit#.
- 'r 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#:
TIGAAD Inspection Line: 503.639 41 75 Ready Date/By: nuts. El See Page 2 for
r Internet: www_tigard-or.goy Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
®New construction ❑Additionlalteration/replacement Please check all that apply(submit 2 sets of plans iv/Items checked)
ElService or feeder 400 amps or more ElBuilding over three stones
Ili Demolition ❑ Other: .
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-familydwellingCommercial/industrial less to ground,or exceeds 14,000 0 Commercial-use agricultural
f® ❑ ❑Accessory building
amps for all other installations. buildings.
❑Multi-family ❑ Master builder ❑ Other: ❑Fire pump. 0 Insinuation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
O Addition of new motor load of system.
Job#: Job site address:15229 SW Flatcreek Ln IOOHP or more. ❑"A","E "1-2","1-3',
['Six or more residential units. occupancy.
City/State/ZIP:Tigard, Oregon ❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name:River terrace crossing ❑Hazardous locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. I Farb I Total
New residential single-or multi-family dwelling unit.
Subdivision:River terrace crossing Lot#:117 Includes attached garage.
Tax map/parcel#:2S 108DC10900 1,000 sq.ft or less 1 168.54 4
Ea.add'l 500 sq.ft.or portion 4 33.92 1
.tt DESCRIPTION OF WORK Limited energy,residential 75.00 2
New SFR (with above sq.ft)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
laPROPERTY OWNER Renewable Energy 0 See Page 2
CI Services or feeders installation,alteration,and/or relocation
Name:Pacific Lifestyle Homes 200 amps or less I 100.70 2
Address:11815 NE 99th St. Suite 1200 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Vancouver, WA 98682 601 amps to 1,000 amps 301.04 2
Phone:660-673-8081 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: permits@buildplh.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:Pacific Lifestyle Homes above service or feeder fee, 7.42 2
each branch circuit
Contact name:Summer Dowell B.Fee for branch circuits without
service or feeder fee,first
Address:Same as owner branch circuit
56.18 2
City/State/ZIP: Each add'I branch circuit 7.42 2
Phone: Miscellaneous(service or feeder not included)
( ) Fax: :( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:
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. Signalnl,circuit(s)or extension, 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:(503)642-7925 Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email:permits@garnerelectric.com Inspections for which no fee is
CCB Lie.: 121159 Electrical Lie.: 34-305C Suprv.Lie.: 3707-S specifically listed(Vihrmin) 9000/hr
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: 40‘ Subtotal:
Print name: Charles Garner Date:10/27/2022 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: rj a TOTAL PERMIT FEE:
` '` This permit application expires if a permit is not obtained within 180
Print name: Brittany Burian Date:10/27/2022 days after it has been accepted as complete.
• Number of inspections allowed per permit
1iBuilding1Permits1ELC_PemutApp_ELR ERE.doe Rev 06/17/2015 440-4615T(1 I/n5/COM/WEB
Plumbing Permit Application
Building Fixtures FOR OFFICE USE ONLY
City of Tigard Received
g Permit No.:
■ 1312525 SW Hall Blvd.,Tigard,OR 97223 Date/By:
• Phone: 503.718.2439 Fax: 503.598.1960 Plan Other Permit No.:
Date/By:By:
1 i C.A It I) Date Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigardor.gov Notified/Method: Supplemental Information
'".: t., s + `+,xi a.. . ,2-.: ""„ - ems FEE* SCHEDULE
® New construction ❑Demolition For special information use checklist.
Description Qty. Ea. I Total
0 Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
A.-gipo- w _. ..
1 CATEGORY OF CONSTRUCTION SFR(I)bath 312.70
® 1-and 2-family dwelling ❑ Commercial/industrial SFR(2)bath 437.78
❑Accessory building ❑Multi-family SFR(3)bath 1 500.32
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:15229 SW Flatcreek Ln Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name: Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) 1 Page 2
Storm sewer(no.linear ft.: ) I Page 2
Water service(no.linear ft.: ) 1 Page 2
Subdivision:River Terrace I Lot no.:117 Fixture or item:
Tax map/parcel no.:2S108DC10900 Backflow preventer 1 31.27
DESCRIPTION OF WORK Backwater valve 1 12.51
' Clothes washer 1 25.02
New SFR
Dishwasher 1 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER ❑ TENANT Expansion tank 12.51
Name: Pacific Lifestyle Homes Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:11815 NE 99u'ST.Suite 1200
Garbage disposal 1 25.02
City/State/ZIP:Vancouver,WA 98682 Hose bib 2 25.02
Phone:(360)573-8081 Fax:( ) Ice maker 12.51
ti ® APPLICANT �� CONTACT PERSON Interceptor/grease trap 25.02
Business name:Pacific Lifestyle Homes Medical gas(value:S ) Page 2
Primer 12.51
Contact name:Permit Coordinator
Roof drain(commercial) 12.51
Address:11815 NE 99ts Street,Suite 1200 Sink/basin/lavatory 6 25.02
City/State/ZIP:Vancouver,WA 98682 Solar units(potable water) 62.54
Phone:(360)573-8081 Fax::(360)574-6401 Tub/shower/shower pan 4 12.51
E-mail:permits@bntldplh.com Urinal 25.02
Water closet 3 25.02
CONTRACTOR
Water heater 1 37.52
Business name:Wolcott Water piping/DWV 56.29
4" Address:1075 W Historic Columbia River Hwy Other. 25.02
' City/State/ZIP:Troutdale,OR 97060 Subtotal
Phone:( ) Fax:( ) i``512_-Z Minimum permit fee: S72.50
J Plan review (25%of permit fee)
Iktatit
CCB Lic.:Mtn l / ,6 2 Plumbing Lic.no.: l�g,G/106
l`4`J State surcharge(12%of permit fee)
Authorized signature: tf TOTAL PERMIT FEE
Print name:Summer Dowell Date: 10/10/2022 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:'.Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(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' 62.54 7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52 tg
Permit Fee:
Storm&Rain Drain-1st 100' 62.54 `$1.00to$5,000.00 Minimum fee$72.50 x
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 fiction 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 S100.00 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:
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*.
Quantity by Fixture Type Plan Review for Plumbing Installations
Fixture Type for Replace/
Work Performed: Capped Added Relocate Plan review is required for any of the following.
Baptistry/Font Please check all that apply.
Bath -Tub/Shower ❑ Any new commercial building with water service 2"and
-Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
-Drive Thru ❑ New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918-780-0040.
Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities.
-Domestic ❑ Any multipurpose fire sprinkler system.
Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040.
Eye Wash
Floor Drain/sink -2" Submit 2 sets of plans with any of the above.
-3"
Isometric or Riser Diagram
Car Wash Drain ❑ Isometric or riser diagram is required for new buildings
Garbage -Domestic-non-food
Disposal -Domestic-food related that meet the qualifications above.
-Commercial-food related
-Industrial-food related
Ice Mach./Refrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall
Sink/Lav -Non-food related
-Bradley
-Commercial-food related
-Service
Swimming Pool Filter *Note: If the fixture work under this permit results in an
Washer-Clothes
Water Extractor increase of sewer EDUs,a sewer permit will be issued and
Water Closet-Toilet fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures:
P:Uob Folders\Oregon\Subdivisions\River Terrace\Lot 117\Permits and lnl rections\PLBPennitApp.doc