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Permit (21) CITY OF TIGARD MASTER PERMIT 10,1 ' COMMUNITY DEVELOPMENT Permit#: MST2023-00286 Date Issued: 08/10/2023 T i c;A R n l 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S108DC28400 Jurisdiction: Tigard Site address: 15420 SW MISSOURI AVE Subdivision: CROSSING AT BULL MOUNTAIN Lot: 139 Project: River Terrace Crossing, Lot 139 Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES HAVE BEEN PAID. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1258 at Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 22 Bathrooms: 3 Second: 1614 sf Garage: 440 sf Front: 8 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 2872 sf Value: $464,104.64 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 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 Bckflw Prevntr: 0 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: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0 Fum<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 3 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 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 2872 Owner: Contractor: ICHIJO USA CO LTD ICHIJO USA CO LTD Required Items and Reports(Conditions) 3800 SW CEDAR HILLS BLVD STE 3800 SW CEDAR HILLS BLVD STE 130 1 Ersn Cntrl 503-639-4175 131 BEAVERTON,OR 97005 2 (2)layers of 2x fire blocking BEAVERTON,OR 97005 at area indicated PHONE: PHONE: (503)430-7413 FAX: Total Fees: $25,748.68 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. ATTENTI : Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR Q _nnt..1ntA fhmi in A 0c2.fM-nnnQfl r, av nhtain a,nnv of tha n Jae nr dirpr.t nnnetinnc to(II intr...Kw Tallinn gill 9/719 10R7nnr 1�fAnn IT)91act Issued By: /�/ /�/G Permittee Signature: Sa li \\1L i\ It 1. 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. I t Building Permit Application Residential RECEIVE* FOR OFFICE 1 sli ONLY Cityof Tigard li;;,� Received CP Pe ,,L _ _ ,i— v 131 SW Hall Blvd.,Tigard,OR 97223 2023 pan Review-7 eview ( (a( -�J 1111 ' /1 j '� ' o4# a3-00 /75- Phone: 503.718.2439 Fax: 503.598.1960 Date/By: TIGARD Inspection Line: 503.639.4175 pCITY OF TIGARD Dare ReadyBy: t Fj ggg ,, Juris: El See Page 2 for Internet: www.tigard-or-gov r: 111 i "', l )T'E Noll fied/Method: g l�14 ' Supplemental Information ti1(AUL U tit 1.lq TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING •New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. lel( 1-and 2-family dwellingValuation: $ U (J ` y 0Commercial/industrial 4 1/ I b l, ❑Accessory building ❑Multi-family Number of bedrooms: 4 ❑Master builder 0 Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 3� la— u. Job site address: 15420 SW M I S SO U R I AVE New dwelling area: 2872 square feet 'Y`i City/State/ZIP: Tigard / OR / 97224 Garage/carport area: 440 square feet / -5 Suite/bldg./apt.no.: Project name:River Terrace Crossing Lot 139 Covered porch area: square feet Cross street/directions to job site: Deck area: 140 square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST. Subdivision: Crossing At Bull Mountain Lot no.: 139 Permit fees*are based on the value of the work performed. Tax map/parcel no. 2S 108 DC TL#139 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. Single Family Detached Dwelling Valuation: $ Existing building area: square feet Request the Transportation and Parks SDCs to be deferred to occupancy New building area: square feet II PROPERTY OWNER El TENANT Number of stories: Name: ICHIJO USA CO., LTD. Type of construction: Address: 3800 SW Cedar Hills Blvd. Ste. 131 Occupancy groups: City/State/ZIP: Beaverton/OR/97005 Existing: Phone:(503)430-7413 Fax:(503)430-7621 New: -- - IIIII APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: ICHIJO USA CO., LTD. (Please refer tn fee schedule) Structural plan review fee(or deposit): Contact name: Naoki Yamaoka FLS plan review fee(if applicable): Address: 3800 SW Cedar Hills Blvd. Ste. 131 Total fees due upon application: City/State/ZIP: Beaverton/OR/97005 Phone:(503)430-7413 Fax: :(503)430-7621 Amount received: • E-mail: nao©ichijousa.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* - - Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: ICHIJO USA CO., LTD. Submit two(2)sets of roof plan with connection details -- --- and fire department access,along with the 2010 Oregon Address: 3800 SW Cedar Hills Blvd. Ste. 131 Solar Installation Specialty Code checklist. City/State/ZIP: Beaverton/OR/97005 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(503)430-7413 Fax:(503)430-7621 State surcharge(12%of permit fee): $21.60 CCB lie.: 215360 Total fee due upon application: $201.60 Authorized signature: ✓�; — This permit application expires if a permit is not obtained "GG within 180 days after it has been accepted as complete. Print name: Naoki Yamaoka Date: 06/21/2023 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) I Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard ROecreeed Permit No.: •t 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: _ Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 ❑ Electrical 0 Plumbing ❑ Mechanical TIGARD Internet: www.tigard-or.gov 0 Other THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW }CS NO VA 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ El 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 ❑ 0 3 Verification of approved plat/lot. 0 0 0 4 Fire district approval required. Name of district: • 0 0 0 5 Septic system permit or authorization for remodel. Existing system capacity 0 0 0 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. 0 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0 9 Erosion control ❑plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 0 ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state • 0 0 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 111 0 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 III 0 0 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 U 0 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 0 g 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 IN ❑ 0 over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. U 0 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required El 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 0 architect licensed in Oreton and shall be shown to be a.plicable 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 0 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. • 0 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 0 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 II 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 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, 0 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:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) S. Mechanical Permit ApplicatRECEIVED FOR OFFICE USE ONLY City of Tigard Received Fe 'n Fp�-�j Date/By: ' '�' O'+�� ^ "eJ�� • 13125 SW Hall Blvd.,Tigard,OR 97223 UN 21 2023 Plan Review . Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: T 1 GAR D Inspection Line: 503.639 4175 Date Ready/By: Juris: Ila See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD NotiSod/Mothod: J Supplemental Information BUILDING DIVISION -- TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work 111 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 CONSTRUCTIONRESIDENTIAL EQUIPMENT/SYSTEMS FEES* • 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: . Air conditioning 46.75 Job site address: 15420 SW M I SS O U R I AVE Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Tigard / OR / 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 1 61.06 Suite/bldg./apt.no.: Project name: River Terrace Crossing Lot 139 Ductwork 1 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: Crossing At Bull Mountain Lot no.: 139 Other: 23.32 Other fuel appliances: Tax map/parcel no.: 2S108DC TL#139 Water heater 1 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 - Flue vent for water heater or gas Single Family Detached Dwelling fireplace 23.32 Log lighter(gas) 23.32 — - - Wood/pellet stove 33.39 _ Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 • ll PROPERTY OWNER 0 TENANT Other: 23.32 ---- Environmental exhaust and ventilation: Name: ICHIJO USA CO., LTD. Range hood/other kitchen equipment1 33.39 Address: 3800 SW Cedar Hills Blvd. Ste. 131 Clotheessdryer Clothes exhaust 1 33.39 City/State/ZIP: Beaverton/OR/97005 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 5 23.32 Phone:(503) 430-7413 Fax:(503) 430-7621 Attic/crawlspacefans 23.32 111 APPLICANT ❑ CONTACT PERSON Other: 23.32 Fuel iping: Business name: ICHIJO USA CO., LTD. p --- $14.15 for firs[four;$4.03 for each additional Contact name: Naoki Yamaoka Furnace,etc. ump Address: 3800 SW Cedar Hills Blvd Ste. 131 Gashe Wal]/suspspendeded/unit heater City/State/ZIP: Beaverton / OR / 97005 Water heater 1 Phone:(503)430-7413 Fax: :(503)430-7621 Fireplace Range 1 E-mail: nao@ichijousa.com Barbecue 1 • CONTRACTOR Clothes dryer(gas) Other: I Business name: Supreme Heating and Cooling LLC MECHANICAL PERMIT FEES* Address: 13009 NE 91ST Circle Subtotal • • City/State/ZIP: Vancouver, WA 98682 Minimum permit fee($90.00) Phone:(503)333-3213 Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lie.: 221270 TOTAL PERMIT FEE 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: Naoki Yamaoka Date: 06/21/2023 I:1Building1Permits\MEC_PemutApp_040113.doc 440-4617T(11/02/COMIWES) 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. 1:1Building\Permits\MEC_PermitApp_040113.doc 2 • Electrical Permit Applicatioii 'ECEIVEU FOR OFFICE ELSE ONLY Received II e l333l25rSW Hall Blavd.,Tigard,OR 97223 JUN 21 2023 Plan Review P ,0-dro -3 —D02_8io i Phone: 503.718.2439 Fax: 503.598.196TY'jrTIGARD Date/B : Related Permit#: Inspection Line: 503.639.4175 Ready Date/By: dads: la See Page 2 for TIGARD Internet: www.tigard-or.gov BUILDING DIVISION Notificd/Method: Supplemental information TYPE OF WORK PLAN REVIEW New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ['Service or feeder 400 amps or more ElBuilding over three stories. ❑Demolition El Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION rf exceeds 10,000 amps at 150 volts or ❑Floating buildings. II I-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural ngs. ❑Multi-family 0 Master builder 0 Other: ampsirefor allother installations. Inbustallation ❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION - ❑Emergency system. larger separately derived Addition of new Job#: Job site address: 15420 SW M I SSO U R I AVE 0 100HP or more.motor load of system. ❑"A" `E» "1-2""1-3" City/State/ZIP: Tigard / /OR 97224 ❑Six or more residentialunits. occupancy. ❑ b ❑Health-care facilities. Recreational vehicle parks. Suite/bldg./apt.#: Project name: River Terrace Crossing Lot 1 ❑Hazardous locations. ❑Supply voltage for more than39 600 volts nominal. ID Service or feeder 600 amps or more. 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: Crossing At Bull Mountain Lot#: 139 Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: 2S108DC TL#139 Ea add'1 500 sq.ft.or portion 33.92 I DESCRIPTION OF WORK Limited energy,residential (with above sq.ft.) 75.00 2 Single Family Detached Dwelling Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy ❑ Sec Page 2 „/ PROPERTY OWNER ❑.TENANT Services or feeders installation,alteration,and/or relocation Name: ICHIJO USA CO., LTD. 200 amps or less 100.70 2 Address: 3800 SW Cedar Hills Blvd. Ste. 131 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: Beaverton/OR/97005 601 amps to 1,000 amps 301.04 2 Phone:(503 )430-7413 Fax:(503) 430-7621 Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: info@iChljoUsa.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 2 111 APPLICANT El CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name: ICHIJO USA CO., LTD. above service or feeder fee, 742 2 each branch circuit Contact name: Naoki Yamaoka B.Fee for branch circuits without - service Address: 3800 SW Cedar Hills Blvd. Ste 131 branch orcu derfee,srst 56.18 2 City/State/ZIP: Beaverton / OR / 97005 Each add'I branch circuit 7.42 2 • Miscellaneous(service or feeder not included) Phone:(503) 430-7413 Fax: :(503)430-7621 Each manufactured or modular 67.84 2 Email: nao@ichiJousa.com dwelling,service and/or feeder Reconnect only 67.84 2 .CONTRACTOR Pump or irrigation circle 67.84 2 Business name: WEST SIDE ELECTRIC COMPANY Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy ❑ See Page 2 2 Address: 1834 SE 8TH AVE panel,alteration,or extension. City/State/ZIP: PORTLAND, OR 97214 Each additional inspection over allowable in any of the above _. . - Additional inspection(I hr min) 66.25/hr Phone:(503 )231-1548 Fax:( ) Investigation(I hr min) 90.00/hr Email: OFFICE@WESTSIDEELECTRIC.COM Industrial plant(1brmin) 78.18/hr Inspections for which no fee is 90 00/hr CCB Lie.: 13306 Electrical Lic.: 26-135C Suprv.Lic.: 5698S specifically listed(Vs hr min) l 'y ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: > [ .t.lf�t.,. Subtotal: Print name: BRENT WALL 5698-S Date: 06/21/2023 0 Plan Review Required(25%of permit fee): State surcharge permit of fee): Authorized signature: TOTAL PERERMITTFEE:: This permit application expires if a permit is not obtained within 180 Print name: Naoki Yamaoka Date: 06/21/2023 days after it has been accepted as complete. * Number of inspections allowed per permit. I:1Building1Permits1ELC_PernitApp_ELR_ERE.doc Rev 06/17/2015 440-46I5T(11/05/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 DeFee for all residential systems combined: $75.00 ene wa cription I ()CD I �° 1 T°tat y Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 n 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 ElClara e Door O ener* 50.01 to 100 kva 552.26 2 g p >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 any of the above: ❑ 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(%hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page I): y ' Number of Inspecnans allowed per permd (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC T Instrumentation ❑ Intercom and Paging Systems n Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls [1 Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations t,IBuildinglPermisslPrf_PermitApp_ELR_ERE.doc Rev 06/172015 Plumbing Permit Application_ Building Fixtures ECEIVE , FOR OFFICE USE ONLY - Cityof Ti and Received ' ` l it j - a ODf6 II ■ 13125 SW Hall Blvd.,Tigard,OR 97223 JUN 21 2023 e Pe Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.: TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: kris: H See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method. Supplemental Information TYPE OF WORK FEE* SCHEDULE II New construction El Demolition For special information use checklist Description I Qty. 1 Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-famil 2-family dwellings(includes 100 R.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 I♦1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ❑Multi-family SFR(3)bath 1 500.32 Each additional bath/kitchen 25.02 El Master builder ❑Other: Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 15420 SW MISSOURI AVE Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: Tigard / OR / 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name: River Terrace Crossing Lot139 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: Crossing At Bull Mountain Lotno.: 139 Fixture or item: Tax map/parcel no.: 2S108DC TL#139 Backflowpreventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 Single Family Detached Dwelling Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 II PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name: ICHIJO USA CO., LTD. Fixture/sewercap 25.02 Address: 3800 SW Cedar Hills Blvd. Ste. 131 Floor drain/floor sinlc/hub 2 .02 Garbage disposal 1 25.02 City/State/ZIP: Beaverton/OR/97005 Hose bib 2 25.02 Phone:(503)430-7413 Fax:(503)430-7621 Ice maker 1 12.51 • APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: ICHIJO USA CO., LTD. Medical gas(value:$_) Page 2 Primer 12.51 Contact name: Naoki Yamaoka Roof drain(commercial) 12.51 Address: 3800 SW Cedar Hills Blvd. Ste. 131 Sink/basin/lavatory 6 25.02 City/State/ZIP: Beaverton / OR / 97005 Solar units(potable water) 62.54 Phone:(503)430-7413 Fax: :(503)430-7621 Tub/shower/shower pan 4 12.51 E-mail: nao@ichijousa.com Urinal 25.02 Water closet 3 25.02 CONTRACTOR Water heater 1 37.52 Business name: Pipe It Plumbing LLC. - . Waterpiping/DWV 56.29 Address: PO BOX 1389 Other: 25.02 City/State/ZIP: Boring / OR / 97009 Subtotal Phone:(503) 544-0477 Fax:(503) 912-0045 Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.: 174351 Plumbing Lic.no.: PB297 State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: Naoki a m a o ka Date: 06/21/2023 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:1BuildingNerrmts1PLMU-PermitApp.doc 10/01/09 440-0616T(10/02ICOM/WEB) Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Suppression Sjstems: Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee: Footing drain-Is'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 Valuation: Permit Fee: Storm&Rain Drain-1st 100' 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 ec Ins tions 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: 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 for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped Added Relocate ❑ Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool ❑ New exterior plumbing site utilities for any complex structure Car Wash: -Each Stall -Drive Thru as defined in OAR918-780-0040. Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: -Commercial ElAny multipurpose fire sprinkler system. Domestic El 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 ❑ 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: -Lav/Bar 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:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 City of Tigard RECEIVED COMMUNITY DEVELOPMENT DEPARTMENT JUN 2 1 2023 Building Permit Review - Residential CITY OF TIGARD TIGARD BUILDING DIVISION Building Permit #: /A.5-r,�-O.1- bO -R6 Site Address: 15420 SW Missouri Ave K Verified in Accela Project Name: River Terrace Crossing Lot/Unit #: 139 Proposal: New Single Detached SFR Zone: RES-B Housing Type: QQ SFR(ICI Single Detached ❑ Duplex❑Triplex❑ADU)❑ Rowhouse❑Cottage Cluster❑ CYU ❑Quad ❑Other Required Site Plan Elements: M 3 copies of site plan on max 11x17" X Drawn to standard scale X North arrow X Street and site trees shown / labeled X Site address, project name, lot # M Street names (N/A for SFR) XI Applicant name and phone # ble) X Lot and setback dimensions ❑ Vision clearance triangle ❑ Cniotn�y ati.,,,Lw..,, is wyJ.a.. f....t..7.. X Utility locations &easements M Footprint of new structure and FFE kl Property corner elevations M Sidewalk/driveway dimensioned ❑ LIDA (-1,A00 rf dicturbanco) X Lot area and lot coverage percentage XI Erosion control Re i levation Plan Elements: (For SFR: calcs only on street-facing) Summary table with calculations for: ❑ Drawn to standard sc ❑ Total façade area ❑ Building height dimensioned ❑ Total window and door area ❑ Façade dimensioned ❑ Windows and doors dimensioned ❑ Garage doors dimensioned Requir n Elements: (Not required for SFR) ❑ Summary table that includes ❑ Each story dimensioned oor area El Each story floor area calculated ❑ Floor area pe Planning Review The following standards have been met: 1 Setbacks ❑ Front: 8' Rear: 10' Side: 3' Min/Max Street Side: 8' / Garage: 20' Height ❑ Max. Height: 35' Proposed Height: 22' ❑ Yes ❑ N/A Landscape ❑ Yes ❑ N/A Screening (Quad only) ❑ Yes ❑ N/A °/o Window Coverage ❑ Yes ❑ N/A Garage (SFR Only) Parking (Other Res) ❑ Yes ❑ N/A Entrance (SFR, Rowhouse, Quad only) ❑ Yes ❑ N/A Other building design standards (Rowhouse only) ❑ Yes ❑ N/A Accessory Structure Standards ❑ Yes ❑ No Qualifying pre-existing unit exempt from standards (Cottage unit only) Additional standards for Courtyard Units, Cottage Clusters, Rowhouses,and Quads: ❑ Yes N/A Unit Count: ❑ Yes E N/A Lot Width and Size ❑ Yes �1 N/A Pathway Additional standards for Courtyard Units and Cottage Clusters only: ❑ Yes N/A Unit Area: ❑ Yes N/A Floor Area (per story) ❑ Yes N/A Courtyard ❑ Yes N/A Fence ❑ Yes ❑ No (N/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995) ❑ Yes ❑ No I6N/A Public Facilities Improvement (PFI) Permit: Required: ❑ Yes 0 No Applied For: ❑ Yes ❑ No, stop intake CK Sensitive Lands: ❑ Yes j81 No ❑ Main Land Use Case #s: PDR2016-00016/PDR2018-00005 ❑ Conditions met p4 Applicant notified of land use expiration 3/22/26 Approved By Planning: Date: 6/14/23 Notes Revision 1: ❑ Approved ❑ Not Approved Date: Revision 2: ❑ Approved ❑ Not Approved Date: Building Permit Submittal Original Submittal Date: 47( �1 I }77 Site Plans #: ���jjj/ Building Plans #: ' ) Building Permit #: ti Building permit # entered on page 1 Workflow Routing: K Planning IgEngineering A.Permit Coordinator &Building Workflow Sign-off: '4 Sign-off for Planning (include notes from planning review) Route Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. X Building: original permit application, site plans, building plans, engineer and beam calculations and trust details, if applicable, etc. /j Permit Technician: Date: Iv ( "1 13 Notes: Engineering Review ❑ PFI Permit: Slope at building pad: .3 0/0 ta'Conditions met prior to issuance of permit IrEasements (encroachments) per engineering conditions of approval and plat [t'Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes fa/No Assess Water Quantity Fee in-lieu: ❑ Yes fNo � � LIDA Facility on lot: ❑ Yes SNo Add Fee: ❑ Yes ❑ No "Final Plat Recorded ❑ NOT Approved: Date: Notes: l Approved By Engineering: Date: / ( Z3 Revision 1: El Approved ❑ Ndf Approved Date: Revision 2: ❑ Approved ❑ Not Approved Date: 't Coordinator Review :k nditions met prior to permit issuance ❑ Approved, NOT Released: Date notified applicant: ❑ ENG Revisions Required: Date notified applicant: 4`JSDC Exemption: 0 Applied for ❑ Received IfDoes not apply q SDC Fees Entered: Wash Co Trans Dev Tax: 47 Yes CI N/A ( Tigard Trans SDC: m}Y Yes ❑ N/A LI Deferred Parks SDC: Yes ❑ N/A Deferred LIDA ❑ Yes Wi.PN‘1/A .7OKto Issue/Approved by Permit Coordinator: �6`U �11 ,�1� Date: ' /-''_ -S Revision 1: ❑ Approved ❑ Not Approved Date: Revision 2: ❑ Approved ❑ Not Approved Date: RECEIVED City of Tigard Deferral Until Occupancy Request JUN 1 2023 a h y CITY OFF TIGARD D Washington County Transportation Development Tax (MT),TranspoNIAMWM9fItem 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: 06/19/2023 Site Address: 15420 SW MISSOURI AVE Project River Terrace Crossing Land Use Case or Name: Ichijo Building Permit#: 1 ��2crL�--0CZ gte -L too Tax Lot 2S108DC T 139 Total Parks #: Amount*: $11,830.00 Lot 139 TDT N/A Total TSDC Amount: 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$ 3.796.00 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: /,Li% 'VQ Date: 6/19/2023 Developer: ` "Y\ Date: 47!22 Permit Coordinator: V\ Date: n - V��