Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT ig
Permit#: MST2022-00448
T IL A R II"; 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/15/2022
Parcel: 2S108DC05000
Jurisdiction: Tigard
Site address: 15103 SW COOLWATER LN
Subdivision: RIVER TERRACE CROSSING Lot: 55
Project: River Terrace Crossing, Lot 55
Project Description: New detached SF dwelling WI 114sf patio cover. NO FINAL UNTIL DEFERRED SDC FEES ARE
PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 1446 si Basement: 0 si Left: 3 Parking Spaces: 0
Height: 22 Bathrooms: 3 Second: 826 sf Garage: 416 sf Front: 12 Smoke Yes
Dwelling Units: 1 Third: 0 st Right: 3 Detectors:
Total: 2272 sf Value: $374,460.76 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 2 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: 2 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: N Vent Fans: 5 Clothes Dryers: 2
Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 3
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 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 V
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 2272
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,TX 77055 VANCOUVER,WA 98682
PHONE: PHONE: 360-213-0813
FAX: 360-574-6401
Total Fees: $23,246.32
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 ays 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 N ification Center. Those rules are set forth i R
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Issued By: / 4-�XfJJI Permittee Signature: 1 //JttU)'�71V1
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.
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
,Total Valuation: .j"
$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.
1:1Building\Pennits\MEC_PennitApp_0401 I 3.doc 2
Electrjcal Permit Application FOR OFFICE USE ON I.\
City of Tigard Date/B :
Pri
• 13125 SW Hall Blvd.,Tigard,OR 97223 Received
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date B Permit n:: Related Permit#:
Inspection Line: 503.639.4175 Ready Date/By: Juris IA See Page 2 for
TIGARD Internet: gov wwwti ard-or. NotifiedrMethod.www.tigard-or.gov Supplemental Information
TYPIOF WORK PLAN REVIEW
®New construction ❑ Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
O Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition ❑ Other: where the available fault current 0 Marinas and boatyards.
CATEGORY.QF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® 1-and 2-family dwelling ❑ Commercial/industrial E Accessory building less to ground,or exceeds 14,000 0 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
❑Addition of new motor load of system.
Job#: Job site address:15103 SW Coolwater Lane 100HPormore. ❑"A","E","1.2","1-3",
❑Six or more residential units. occupancy.
City/State/ZIP:Tigard, Oregon ❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: 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
Description I Qty. I Each I Total I "
New residential single-or multi-family dwelling unit.
Subdivision: Lot#:55 Includes attached garage.
' 1,000 sq.ft.or less 1 168.54 4
Tax map/parcel#:2S 1 ODCO5000 Ea.add''soo sq.R.or portion 4 33.92 t
DESCRIPTION OF WORK Limited energy,residential
New SFR (with above sq.ft.) 75.00 2
•
--._ Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy 0 See Page 2
® PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name:Pacific Lifestyle Homes 200 amps or less 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:( 360)-573-8081 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 t
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
WA
APPLICANT 0 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
sAddress:Same as owner ervice or feeder fee,first 56.18 2
branch circuit
City/State/ZIP: Each add''branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( ) Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email:permits@buildplh.com Reconnect only 67.R4 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 circuits)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:(503)642-7925 Investigation(1 hr min) 90.00/hr
Email:permits@garnerelectric.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.: 121159 Electrical Lic.: 34-305C Suprv.Lic.: 3707-S specifically listed('Vs hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required:
Subtotal:
Print name: Charles Garner Date: 10127/22 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: g'` r3u TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 190
Print name: Brittany Burian Date: 10/27/22 days after it has been accepted as complete.
Number of inspections allowed per permit.
I:\Building'Permits1ELC_PennitApp_ELR_ERE.doc Rev 06/17/2015 440-46I5T(11/05/COMM'EB