Permit (6) ` NCITY OF TIGARD MASTER PERMIT
2. . COMMUNITY DEVELOPMENT Permit MST2023-00197
T[(:ARi7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/17/2023
Parcel: 2S108DC25000
Jurisdiction: Tigard
Site address: 15717 SW VANDERWOOD AVE
Subdivision: RIVER TERRACE CROSSING Lot:
Project: River Terrace Crossing, Lot 114
Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES HAVE BEEN
PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 3 First: 1245 sf Basement: 439 sf Left: 3 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1380 sf Garage: 399 sf Front: 12 Smoke
Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 3064 sf Value: $495,712.41 Rear: 15
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
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Bckflw Prevntr: 1
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 li
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
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: 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 8 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 3064
Owner: Contractor:
WEEKLEY HOMES 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 2 1-HR FIRE RATED EAVES
3 GEO TECH REQUIRED
PRIOR TO POUR
PHONE: PHONE: 503-213-4415
FAX:
Total Fees: $26,772.85
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specially 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
oF9-nnt_not n thrni inh(1Gp OF9-nel-nn . .nnnv of the nJne nr,Brant n,iocfinne fn M IN(:Ku no Winn 4n1 919 1QR7 nr 1 ann 119 9144
CY1C1---Nt'0-- Ht:74.-c
Issued By: ,..----2) Permittee Signature:
.,,s
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.
Buildint Permit Application
Residential FOR OFFICE USE ONLY
City5 Wof Tigard RE C EI 5t _ Permit No.: �E9 7
1h1neS50Ha11Blvd.,Tigard,: 03OR 98.19 eve /E ''Z � `
Phone: 503.718.2439 Fax: 503.598.1960 V.J Other Permit: 000���
2
Date/Be:
i f
I.I 16 AR D Inspection Line: 503.639.4175 1, 1 e Ready/By: mr�s See Page 2 for
Internet: www.tigard-or.gov P'�.!', 1 17StifiedadZBEZd:51 0 It4 K. .-T.�,G I Supplemental Information
i.�l LfI
TYPE OF WORK � 4i1
REQUIRED DATA:1-AND 2-FAMILY DWELLING
1
El New construction ❑Demolitio{ 1 ._`"ri'lyv n. -'
Permit fees*are based on the value of the work pet-timed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application. I
El I-and 2-family dwelling ❑Commercial/industrial Valuation: 000 �(�� l/�/1 rl
+
El Accessory building El Multi-family Number of bedrooms: 3 9�
❑Master builder ❑Other: Number of bathrooms: 5.-3
JOB SITE INFORMATION AND LOCATION Total number of floors:�,� a 9),4(Q3
Job site address: 15717 SW Vanderwood Ave New dwelling area:= of square feet IStsCt
City/State/ZIP: Tigard,OR 97007 Garage/carport area: 399 square feet f Vic-
Suite/bldg./apt.no.: Project name: River Terrace Crossing Covered porch area: 39 square feet 1131
l Cross street/directions to job site: 138 J Deckmmarea: `` ^�r��'� square feet
OthetsMrc4e aletr�►R 1138 square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST •
Subdivision: River Terrace Crossing I Lot no.: 114 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 2S108DC06100 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.
3070 sf SFR to be constructed. Owners Retreat+2 bd,2.5 ba,2nd fl Retreat, 1st Valuation: $
fl Study,Basement Gameroom,399 sf 2 car gar,39 sf front porch, 138 sf deck, Existing building area: square feet
138 sf bsmt patio *Defer all Transportation&Park SDC's* New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:David Weckley Homes Type of construction:
Address: 1905 NW 169'h Place Suite 102 Occupancy groups:
City/State/ZIP:Beaverton,OR 97006 Existing:
Phone:(503)213-4415 Fax:( ) New:
0 APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedulee)
Business name:David Weekley Homes
Maria HastyStructural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address: 1905 NW 1691h Place,Suite 102
Total fees due upon application:
City/State/Z1P: Beaverton/OR/97006
Phone:( 503) 213-4428 Fax::( ) Amount received:
E-mail MHasty@DWHomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
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 169th Place,Suite 102 Solar Installation Specialty Code checklist.
City/State/ZIP: Beaverton/OR/97006 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503)213-4415 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:213653
�y'/A,,wI.��-'. Total fee due upon application: $201.60
Authorized signature: ! ' This permit application expires if a permit is not obtained
(/// within 180 days after it has been accepted as complete.
Maria Has 05/09/23 *Fee methodology set by Tri-County Building Industry
Print name: Hasty Date: Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440.4613T(I I/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE: USE ONLY
City of Tigard Received
13125 SW Hall Blvd.,Tigard,OR 97223
Datwn PemitNo.:
■ ' Phone: 503.718.2439 Fax: 503.598.1960 Associated permits:
24-Hour Inspection Line. 503.639.4175 12) Electrical ® Plumbing El Mechanical
IICAItD
Internet wwwrigard-or ❑ other.
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
I Land use actions completed. See jurisdiction criteria for concurrent reviews. IS 0 0
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ® ❑ ❑
3 Verification of approved plat/lot. ® ❑ 0
4 Fire district approval required. Name of district: ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity . 0 0 0
6 Sewer permit. 0 0 0
7 Water district approval. 0 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- Z ❑ ❑
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
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ® 0 ❑
there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements
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, ® 0 0
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. ® 0 0
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- ® 0 0
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 ® 0 ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑
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
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ® 0 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 ® ❑ 0
architect licensed in Ore:on 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". ® 0 0
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. ® ❑ ❑
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ® 0 0
27 "Drawn to scale"indicates standard architect or engineer scale. ® 0 0
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ® 0 0
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 0 Ej
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, 0 ❑
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.\Buildmg\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Application 1 012 OFFICE I SE O\'L'I
City of Tigard Received
Pem a Na
;�� ' 13125 SW Hall Blvd.,Tigard,OR 97223 Plan
RevBy: f.• T 'T3fj' ••'.: d`i,7
Phone: 503.718.2439 Fax: 503.598.1960 Date Ry.
an By. Other Permit:
Inspection Line. 503.639.4175
TIC:A K I1 � Date Ready'By: Jwis fa See Page 2 for
Internet: www.tigard-or.gov Notified/Method. Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE-USE CHECKLIST
Mechanical permit fees*are based on the value ofthe work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials.eauipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special Information use checklist
❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Hestipp7coolinp:
Air conditioning 1 46.75 46.75
Job site address: 15717 SW Vanderwood Ave Furnace 100,000 BTU(ducts/vents) I 46.75 46.75
City/State/ZIP: Tigard,OR 97007 Furnace 100,000+BTU(ducts-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 far any of above 23.32
Subdivision: River Terrace Crossing Lot no.: 114 Other: 23.32
Other fud appliances:
Tax map/parcel no.: 25108DC06100 Water heater 1 23.32 23.32
DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 33.39
3070 sf SFR to be constructed. Owners Retreat+2 bd, 2.5 ba,2nd fl Retreat, Flue vent for water heater or gas
fireplace 23.32
1st fl Study, Basement Gameroom,399 sf 2 car gar,39 sf front porch, 138 sf Log lighter(gas) 23.32
Wood/pellet stove 33.39
deck, 138 sf bsmt patio Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0 PROPERTY OWNER 0 TENANT Other: 23 32
Environmental exhaust and ventilation:
Name:David Weekley Homes Range hood/other kitchen 33.39
equipment 1 33.39
Address:1905 NW 169th Place,Suite 102 Clothes dryer exhaust 1 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:
$14.15 for first four;S4.03 for each additional
Contact name: Maria Hasty Furnace,etc.
Address:1905 NW 169th Place,Suite 102 Gas heat pump
Wall/suspended/unit heater
City/StateiZlP:Beaverton/OR/97006 Water heater
Phone: 503-213-4428 Fax::( ) Fireplace
E-maiE-mail:MHasty@DWHomes.com Ranee
Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:David Weekley Homes Other:
MECHANICAL PERMIT FEES.
Address:1905 NW I69th Place Suite 102
Subtotal 216.99
City/State/ZIP:Beaverton/OR/97006 Minimum permit fee($90.00)
Phone:(503)213-4415 Fax: ( ) Plan review(25%ofpermitfee)
State surcharge(12%of permit fee)
CCB lic.:213653 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
�� i/(7A dayss after it has been accepted as complete.
Authorized signature: 1�1�,/ Fee methodology act by Tri-County Building industry Service Board
Print name: Maria Hasty Date:05/09/23
t tBwtdrnglPene,i 114EC_Pem.itApp_040113 doe 440-4617T(I I roz COM,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:\Building\Permits\MEC_PermitApp_040 I I3 doc 2
Electrical Permit Application FOIL 0111( 1. I Si.0\1,1
City of Tigard Received
-Date lenliMPAIMen Mill
• 13125 SW Hall Blvd.,Tigard,OR 97223 �c 0 C f\ Jr _Plan Review
II'. Phone: 503.718.2439 Fax: 503.598.1960 ` V 1.Dattl13•: Related Permit e:
Inspection Line: 503.639.4175 Ready DateBy: fens la See Page 2 for
l I G A R D Internet: www.tigard-orgov t, t,t f 4 ... Notiled'Msthod: Supplemental Information
I _ 1
TYPE OF WORK PLAN REVIEW
®New construction ❑Addition/alteration/replacement Please check all that apply(submit j sets of plans w'items checked):
❑Service or feeder 400 amps or more 0 Building over three stories.
El Demolition El 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-family dwelling ❑Commercial/industrial ❑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. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
68260114 ❑Addition of new motor load of system.
Job#: Job site address:15717 SW Vanderwood Ave 100H9 or more. ❑"A","E","I-2","I-3",
City/State/ZIP: Tigard,OR 97007 El Six or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.4: Project name: River Terrace Crossing ❑Hazardous locations. 0 Supply voltage for mote than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site. FEE SCHEDULE
Deectiaaoa 1 city. 1 ram I Total I
New residential single-or multi-family dwelling unit.
Subdivision:River Terrace Crossing Lot#:114 Includes attached garage.
Tax map/parcel 4: 2S108DC06100 1,000 sq.ft.or less I 168.54 168s4 4
Ea.add'I 500 sq.ft.or portion 5 33.92 169.60 1
DESCRIPTION OF WORK Limited energy,residential
3070 sf SFR to be constructed. Owners Retreat+2 bd,2.5 ha,2nd fl Retreat,1st fl Study, (with above sq.ft.) 1 75.00 75.00 2
Limited energy,multi-family 75.00 2
Basement Gameroom,399 sf 2 car gar,39 sf front porch,138 sf deck,138 sf bsmt patio residential(with above sq.fl.)
Renewable Energy ElSee Page 2
El PROPERTY TENANT PROPERTY OWNER Services or feeders installation,alteration,and/or relocation
Name: David Weekley Homes 200 amps or less 100.70 2
Address: 1905 NW169"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
Email:
MSchiedler@DWHomes.com Temporary services or feeders installation,alteration,and/or
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
IN 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'whom
service or feeder fee,first
Address:1905 NW 169t6 Place Suite 102 branch circuit 56.18 2
City/State/ZIP:Beaverton/OR/97006 Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503)213-4428 Fax::( ) Each manufactured or modular 67.84 2
Email: MHasty@DWHomes.com dwelling,service and/or feeder
Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Garner Electric Sign or outline lighting 67.84 2 I,
Address:2890 SE Brookwood Ave Signal,aclteratiouit(s)n,
or limited-energyxns 0 See Page 2 2
panel, 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(Ihrmin) 90.00%hr
Email:permits@garnerelectric.com Industrial plant(1 hr min) 78 IS'hr
Inspections for which no fee is 90.00 hr
CCB Lie.:121159 Electrical Lie.- 305C Suprv.Lic.:3707S specifically listed(5i hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,require Subtotal: 413.14
Print name:Charles Garner Date: 05/09/23 0 Plan Review Required(25%of permit fee):
��//,,,,,� State surcharge(12%of permit fee):
Authorized signature: ���' �LI/L4CZ� TOTAL PERMIT FEE:
�� This permit application expires if a permit is not obtained within ISO
Print name:Brittany Burian Date: 05/09/23 days after it has been accepted as complete.
• Number of inspections allowed per permit.
11Bodding\Pennns'\ELC PertnitApp_EIR_ERE doe Rev 06/17/2015 440-46I5T(1I/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Fee for all residential systems combined: $75.00 e °" I Qh : Each I Tab I
R
y Renewable electrical energy systems:
Check Type of Work Involved: s kva orless 10070 2
5,01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15D1 to 25 kva zoo 34 • 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
Z Garage Door Opener* >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
El Vacuum Systems* >100 kva-no additional charge 0.0 3
Each additional inspection over allowable in an__of the above:
El Other: Each additional inspection is 66.25'hr 1
charged at an hourly(1 hr min)
•
Inspections for which no fee is 90.00"hr
specifically listed(A hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1):
•
(SEE OAR 918-309-0000) Number of inspections allowed per permit.
Check Type of Work Involved:
0 Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
El Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
11nmldmgiPennns5ELC_Peonn.4pp.ELR_ERE doc Rev 06 17.2015
Plumbine Permit Application
Building Fixtures - r' %ti r 1 i is :0 , it 1 1 r,., ,
City of Tigard �� Reecho(' PmidiNa:
13125 SW Hall Blvd.,Tigard,OR 97223 , 20231 1 �5 ��!e
Phone: 503.7182439 Fax: 503.598.196Oi:,. Date/By:
0 Permit No.:
Inspection Lima 503 639 4175 Dam Ready/By: lurk RI Bee P for f '
Internet www.tlgardorgov ---- Noilfled(Methnik
9a knendl lnferuatlon
� n. �C f� de � iftp + "+ t .17Sj1/4� V AP r � i '411C7f(14 1� "i13' i „L ' C . kms.�. .a- . M ".P ( g �
®New construction ❑Demolition For speciallq/anneeton use checklist I Total
Desoripd Qty.
on J . I Ea. -❑Addition/alteration/replacement 0 Other New 1-2damlly dwellings(includes 100 it for each utilit connection)
ggleWl-fitelMiTiggilflOngkei;,. $ r• SFR Li)bath 312.70
®I and 2-family dwelling ❑Commerciallindustrial SFR(2)bath 1 437,78 437.78
❑Accessory building 0 Multi-family
SFR(3)bath - 500.32
Lich additional bitehen 25.02
❑Master budder ❑Other
Piro sprinkler( sq.ILI Page 2
` . " ,,f i s i . ,o�.rii t". e'.4..70 Y • *+ .;, Site utilities:
Job site address: 15717 SW Va n d e rwood Ave Catch basin or area drain 18,76
City/State/ZIP: Tigard, OR 97007 Drywall leach line,otrcachd dada 18.76
Footing drain(no.linear ft.:IQ) Page 2 87.55
Sulte/bldg/apt,no.: I Project name' River Terrace Crossing ManUth.CtUTh home utilities 50.03
Cross sveeUdireotions to Job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:_) No 2
*Defer all Transportation&Park SDC's* stamn Settle((no.linear ft:_) Page
Water service(no.linear I.:J _ Page 2
Subdivision: River Terrace Crossing I Lot no.. 114 Fblareerlkm;
Tax map/parcel no.: 25108DC06100 Baoktlow preventer 1 31.27 31.27
„dti' A `,i e: 9,tF i i., i i#411106MTO Ba&kwaNr valve 12,51
3070 sf SFR to be constructed. Owners Retreat+2 bd, 2.5 ba,2nd Dioll herwaslsm 1 25.oz 25.02 I
fl Retreat, 1st fl Study,Basement Gameroom, 399 sf 2 car gar, Drinkhi her 1 25.02, 25.02
Drinking fountain _ 25.02
39 sf front porch 138 sf deck, 138 sf bsmt patio Ejectors/sump 25.02
.•171-LfA ::1- 4iI 'a'i ''71; 1 War 31P."iT:"d'(i'L.s's`-`f Expansimtank _ 12.51
Name:David Weekley Homes F r cap 25.02
Address:1905 NW 1696 Place Suite 102 Floor drain/floor sinkihub 25.02
City/Stale/LIP:Beaverton,OR 97006 image disposal _ t 25.02 25.02
Hose bib 2 25.02 50.04
Phone:(5)3)1134415 Fax:( ) Ice maker 1 12.51 12.51
„ . ,. . alp` ,, x `. :: �j 7'0"4...kif. .A ..-4 interceptor/meme trap _ 25.02
Business name David Weekley Homes Medical gas(value:S ) Page2
Contact name: Maria Hasty Primer 12.51
Roof drain(commercial) 12.51
Address:1905 NW 1696 Place.Suite lot •
• S nWbaslnllnvatory 5 25.02 125.10
City/SttdeIZIP:aeaverton/OW97006 Solar amnia(potable wafer) I 62.54
Phone:l 503-213-4428 Fax::( ) Tub/shower/shower pan 1 2 12.51 25.02 _
E-ma0, MHasty@DWHomes.com a Urinal 25.02
Witte-closet3 25.02 75.06
.".� .'_ •."" Water heater 1 37.52 37.52
Business name:Melmedai Plumbing waerptpin tDWV 5629
Address:PO Box 207 Other: 25.02
City/State/ZIP;Banks/OR/97106 SubMhil 956.91
Phone:(503)324-0759 Fax:1 ) Minimum permit Re: $72.50
Plan review(25%of permit the)
CCB Lie.:102535 Plumbing Lie.no.:34-276PB
Mate surcharge(12%otpennit fee)
Authorized signature: Carolina Malinedel '- _ - -• TOTAL PERMIT FEE
Print name:Corolla*Melmedal Date:i 05/09/23 This pumit application wires Ili penult b not&stabled*BUN 711edys
liner it bee been aeeepred as e&aplete.
"Fee iwile dology wi by Ti-Cerny Bulling laabsay Service Board
rlaWi(Saa nauertr1W1nalgAppdz 10N1at9 440.44 IoT(10.4LCOM,watl)
Plumbing Permit Application.- City of Tigard
Page 2-Supplemental Informlation
Fee Schedule: Residential Fire Suppression Systems:
itefitifitr��,�..jit'< M �ra�.yY�.n�,�nr:. s"� `?b e. ,si�,� ,[;;d� rdAY' {•l�� f . -'. .3t3 ^I ,;4.�
i!rrP.r...4`iY-'tiC.4r.,r.Tt3 •., � 7R"s $611*a`�%�:<,Ax tt '• .. - YS'g ''}KOZ:x
Footing drain•I"100' 50.03 0 to 2,000 S 121.90
Footing drain-each additional 100' 37.52 2001 to 3,600 5169.69
S 3,601 10 7200 S23320
Sewer let IQ0' 62.54
7,201 and greater 5327.54
Sewer-eaoh additional 100' 37.52
Water Service•let 100• 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52 +, ' +Tr- y�y5Perr g'-_,t
Stone&Rain Drain-1st 100' 62.54 to .00� »+ r'`Yn>� �� S72.50 '"
S1.00toS5,lYJ0.00 Minimum fee S72.50
Storm&Rain Drain-each additional 100' 37.52 $5,001,00 to 810,000.00 $72.50 for the*tit$5,000.00 and S 1.52 Por
.., n ,�±inb" #i y UAW. a iorA a each additional$100.00 or Ruction thereof,to
f"n+�4 and includingS10,000.00.Inspection of existing plumbing or for $10,001.00 to$'25000.00 S 148.50 Por the first 810,000.00 and$1.54 for -
which no&e is specifically Indicated 90.00/hr each addilooal S 103.00 or Ruction thereof,to
(minimum chair-1/2 hour) and including 525,000.00.
Inspections outside of normal business 90.00/hr 525,001.00 to$50,000.00 5379.50 for the first 125,000.00 and 31.450x
hours(minimum charge-2 hours) each additional S100.00 or*action thereof,to
Relnupection Fees 90.004vr and including$50,W0.00.
Additional plan review for revisions 90.00/hr S50,001.00 and up S742.00 for the f rst S50,000.00 and S1.20 for
(minimum charge-ltl hart each additional$I00,00 or hacnon thereof
Sabtotali
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*.
i �gffr �v� gt'•.+- 1(i' ..::4?d.aa '.rbY�p'nyfareT .tt't< e W . w.y, '.
'ty�rF'f f` f i4;. tE �• a Y j t ,a(' t5i. iris.
t ` ,. a It ?' Plan review is required for any of the following.
43tAiti'a o' _ t e .. 440002t. f! . Please check all that apply.
Baptistry/Font 0 Any new commaroial banding with water service 2"and
Bath -Tub/Shows
Jacuzzi/Whirlpool greeter,except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
-Drive Tlau 0 New exterior plumbing site utilities for any complex structure
Cuspldor/WalerAspimtor as defined in OAR918.780-0040,
Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities.
-Demesne • 0 Any multipurpose fire sprinkler system.
Deakhrg Fountain ❑ Arty complex structure as defined in OAR91$-780-0040,
Eye Wash
Floor DraIWsink -2" Submit 2 sets of plans with any of the above.
-3"
Car Wash Orrin ;l4; l g f461416,", . •
Garbage •Domestic-na,•food isometric or riser diagram is required for new buildings
Disposal •Domestic-rood related that meet the qualifications above. •
-Commercial-food related
-Industrial-food related
Ice MachdRefrlg.Drains
011 Separator(Gas Stance) Comments regarding fixture work:
Reo.vehicle Dump Station
Shower -bang
-Still I
SlnklGv -Non-food Mated
-Studley
-Commercial-food related
-Service
Swimming Pool Filter this
"Note: If the fixture workunder 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:
C:\Users\Malmedal\AppoatalLocehMicrosoR1WindowsMINetCeche\Conte*t.Outlook\3H2CXR481Piumblng Pennit.doc
City of Tigard R E C e
• Deferral Until Occupancy Request MAY ` 2oz3
CITY OF Tlr:;i'D
T 1 GARD Washington County Transportation Development Tax (TDT),Trans t r ,, IiicltinSiat4 System
Development Charges (SDCs)
This form is to be signed and submitted prior building permit issuance or,if no building permit is required,then
upon land use approval (TMC 3.24, as amended by Ordinance No.21-09).
Date: 5/17/2023 Site Address: 15717 SW Vanderwood
Project River Terrace Crossing Land Use Case or MST2023-00197
Name: DW Homes Building Permit#:
Tax Lot 1S108DC25000 Total Parks $11,830.00
#/: Lot 114 Amount*:
TDT Total TSDC
Amount: N/A Amount*: $12,004.00
*The total TSDC amount shown above is the sum of$7,760.00 for TSDC-Improvement, $448.00 for TSDC-
Reimbursement,and $1,796.00 for TSDC-River Terrace,if applicable..
*The total Parks SDC amount shown above is the sum of$6,812.00 for Parks-Improvement, $ 1,887.00 for Parks-
Reimbursement,and either$ N/A for Parks-Neighborhood or$ 3,131.00 for Parks-Neighborhood River Terrace.
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 if the TDT is greater than the amount for a single-family residence. 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 both the Property Owner and the Developer must sign this request.
Property Owner: Date: 05/17/2023
n�• C1MTX8...
p �' Signer ID:A MCIMTY.B...
Developer: ,�y/ Date: 05/17/2023
%glom: air i!
p Signer ID AlMMc1MTX8..:
Permit Coordinator: 16111,0jt1 Date: 5/17/2023
City of Tigard
" COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
Ili !: l)
Building Permit #: (n5- ,0-3"OCSV(,7
Site Address: 15717 SW Vanderwood Ave El Verified in Accela
Project Name: RT Crossing Lot/Unit #: 114
Proposal: New SFR Zone: RES-C
Housing Type: 0 SFR(fl. Single Detached ❑ Duplex ❑Triplex❑ADU) ❑ Rowhouse ❑Cottage Cluster❑ CYU ❑Quad ❑ Other
Required Site Plan Elements:
0 3 copies of site plan on max 11x17"
O Drawn to standard scale liiliheiseskosimlissesisoriliiniejoisioisction
O North arrow 0 Street and site trees shown / labeled
O Site address, project name, lot # ^ TM� ' ` �� ` r r�• -.. •-�,`urity
O Street names (N/A for SFR)
O Applicant name and phone # applicable)
O Lot and setback dimensions 0 Vision clearance triangle
❑ C„:..t:..g .,t._et_.e] Q f__L_,_ 0 Utility locations & easements
O Footprint of new structure and FFE B Property corner elevations
O Sidewalk/driveway dimensioned .—__. LIDA (- 1,000 .,f
O Lot area and lot coverage percentage 0 Erosion control
ed Elevation Plan Elements:
(For SFR: eeded only on street-facing) Summ e with calculations for:
❑ Drawn to Stan le otal facade area
❑ Building height dimensions ❑ Total window and door area
❑ Facade dimensi
O Wi nd doors dimensioned
Garage doors dimensioned
oor Plan Elements:
(Not required for ❑ Summary table that includes
❑ Each story dimensioned Total floor area
❑ Each story floor area calculated ❑ Floor ar
Planning Review
The following standards have been met:
Setbacks 0 Front: 12/8 Rear: 15/10 Side: 3 Min/Max Street Side: 8 / Garage: 20
Height 0 Max. Height: NA Proposed Height: 24'
❑ -- ! ► A Landscape
❑ Yes ❑ N/A _-sing (Quad only)
❑ Yes ❑ N/A % Window • - -se
❑ Yes ❑ N/A Garage (SFR Only) Parki • : •er Res)
❑ Yes ❑ N/A Entrance (SFR, Rowhouse, Quad on y
❑ Yes ❑ N/A Other building design standards (Rowhouse on
LI Yes ❑ N/A Accessory Structure Standards
LI Yes ❑ No Qualifying pre-existing unit exemp •m standards (Cottage unit only)
•nal standards for Courtyard Units - •ttage Clusters, Rowhouses, and Quads:
❑ Yes ❑ N _ .' Count:
❑ Yes ❑ N/A Lot Widt . •z-
❑ Yes LI N/A Pathway
Additional standard •r Courtyard Units an. . .e Clusters only:
❑ Yes ❑ N/A Area:
El Yes El N Floor Area (per story)
❑ Ye . /A Courtyard
'es ❑ N/A Fence
❑ Yes 0 No IN/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
0 Yes 0 No ❑N/A Public Facilities Improvement (PFI) Permit:
Required: Q"Yes 0 No
Applied For: 0 Yes 0 No, stop intake
O Sensitive Lands: ❑ Yes 0 No
O Main Land Use Case #s: PDR2016-00016, PDR2018-00005 0 Conditions met
0 Applicant notified of land use expirat p - e: 3/22/26
Approved By Planning: W1 4 ate: I A
Notes Facade standards (windows, a ra•e etc do not .j+ • to "T Crossin•
Revision 1: 0 Approved ❑ Not Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
Building Permit Submittal
Original Submittal Date: 5 1 it I2ot3
Site Plans #:
Building Plans #: 3
Building Permit #: EfBuilding permit # entered on page 1
Workflow Routing: ('Planning VEngineering 'Permit Coordinator 2(Building
Workflow Sign-off: erSign-off for Planning (include notes from planning review)
Route Documents: R'Engineering: (1) copy of permit application, (1) site plan, (1) building plan
and original plan review routing form.
I /Building: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.
Permit Technician: ,& i'VYNAd O r - l 1, ; JL _ Date: Nth lion
Notes: f i
Engineering Review
❑ PFI Permit:
lSlope at building pad: Avg
/L41 'Conditions met prior to issuance of permit
asements (encroachments) per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes b7-No
Assess Water Quantity Fee in-lieu: ❑ Yes tn-No/
LIDA Facility on lot: ❑ Yes C1 No Add Fee: ❑ Yes ❑ No
nal Plat Recorded
❑ NOT Approved: Date:
Notes:
Approved By Engineering: Date :4
Revision 1: 0 Approved ❑ N Approved _ Date:
Revision 2: ❑ Approved ❑ Not Approved to roved Date:
PP
Permit Coordinator Review
Conditions met prior to permit issuance
❑ Approved, NOT Released: Date notified applicant:
❑ ENG Revisions Required: Date notified applicant:
'SDC Exemption: 0 Applied for ❑ Received Does not apply
,O SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: fidYes ❑ N/A Deferred
Parks SDC: 'Yes ❑ N/A (Deferred
LIDA ❑ Yes /21'N/A
7 OK to Issue/Approved by Permit Coordinator: - Date: 6))47/0 /3
Revision 1: 0 Approved ❑ Not Approved Date:
Revision 2: 0 Approved ❑ Not Approved Date: