Permit (3) t CITY OF TIGARD MASTER PERMIT
91 a : ' COMMUNITY DEVELOPMENT Permit#: MST2023-00133
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/03/2023
Parcel: 2S106DC16100
Jurisdiction: Tigard
Site address: 13869 SW 171ST AVE
Subdivision: RIVERSIDE AT SCHOLLS MEADOW Lot:
Project: Riverside at Scholls Meadow, Lot 54
Project Description: New detached dwelling. Model Home.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First: 1018 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 21 Bathrooms: 3 Second: 1450 sf Garage: 390 sf Front: 8 Smoke
Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 2466 sf Value: $395,613.12 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: I Laundry Trays: I Rain Drain: 1 Urinals: 0
Lavatories: 4 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
Bckflw Prevntr: 0
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
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: 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 601ramp-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 2466
Owner: Contractor:
RIVERSIDE HOMES LLC RIVERSIDE HOMES LLC Required Items and Reports(Conditions)
15350 SW SEQUOIA PKWY STE 320 17933 NW EVERGREEN PKWY 370 1 Ersn Cntrl 503-639-4175
PORTLAND,OR 97224 BEAVERTON,OR 97006 2 1-HR FIRE RATED EAVES
PHONE: PHONE: 503-645-0986
FAX: 503-690-2942
Total Fees: $47,667.32
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 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
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Issued By: n Petmittee Signature: �`y��� 7� �/t(/{-!/f ���///3
503.639.4175 by 7:00 a.m.for the next available inspection date. ,c/tt /O /
This permit card shall be kept in a conspicuous place on the job site until completion of the pr ec .
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential FOR OFFICE USE ONI.V
City of Tigard a 1741/ Permit No.:A.I ripzo — /3 3
4 13125 SW Hall Blvd.,Tigard,OR 97223 R E C E I V E Ian Review f � q yp
• I. Phone: 503.718.2439 Fax: 503.598.1960 Date/By: mr,„ ,.,„, Other PermitSlVt 2d23.'000 /tO
T I G A R U Inspection Line: 503.639.4175 - APR 1 1 2023 Date Ready/By: kris: H See Page 2 for
Internet: www.tigard-or.gov Notified/Method:lakw
�I�'G3• (1t� (�'L Supplemental Information
ti , .r• PLM2t123-00 ,32-- ao
TYPE OF WO R UIRED DATA:1-AND 2-FAMILY DWELLING c—,
0 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,overhe and the profit for th4
CATEGORY OF CONSTRUCTION work indicated on this application. 5 , 0 3-
❑✓ 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ •
Number of bedrooms: 5
ElAccessory building ❑Multi-family
El builder ❑Other: Number of bathrooms: 3
. JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Z85C9
Job site address: 13869 SW 171ST Ave New dwelling area: 2466 square feet t'!41 ct
City/State/ZIP: Tigard/OR/97140 Garage/carport area: 390 square feet /a 1
Suite/bldg./apt.no.: Project name: Riverside at Scholls Meadow Covered porch area square feet
Cross street/directions to job site: Roy Rogers&Jean Louise Rd Deck area: square feet
Other structure area: square feet
REQUIRED DATA;[OM��`MERCIAL-USE CHECKLIST
Subdivision: Riverside at Scholls Meadow I Lot no.: 54 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: WCTM 2S 106DC 16100 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.
Construction of single family detached residence Valuation: $
Existing building area: square feet
New building area: square feet
❑✓ PROPERTY OWNER 0 TENANT Number of stories:
Name: Riverside Homes Type of construction:
Address: 15350 SW Sequoia Pkwy, Suite 320 Occupancy groups:
City/State/ZIP: Portland, OR 97224 Existing:
Phone:( 971) 371-1310 Fax:( ) New;
❑✓ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer iv fee schedule)
Business name: Riverside Homes
Structural plan review fee(or deposit):
Contact name: Jennifer Doty
FLS plan review fee(if applicable):
Address: 15350 SW Sequoia Pkwy, Suite 320
City/State/ZIP: Portland, OR 97224 Total fees due upon application:
Amount received:
Phone:(971 ) 371-1310 Fax: :( )
E-mail: jdoty@riversidehome.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Riverside Homes Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 15350 SW Sequoia Pkwy, Suite 320 Solar Installation Specialty Code checklist.
City/State/ZIP: Portland, OR 97224 Permit Fee
includes plan review
and administrative fees): $180.00
Phone:( 971) 371-1310 Fax:( ) State surcharge(12%of permit fee): $21.60
cce lie.: 189148 Total fee due upon application: $201.60
r This permit application expires if a permit is not obtained
Authorized signature: `?"-- within 180 days after it bits been accepted as complete.
Print name: Date: 2/6/23 *Fee methodology set by Tri-County Building Industry
Jennifer DotyService Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received
114 Date/By: Permit No.:
■ 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
Phone: 503.718.2439 Fax: 503.598.1960
I.WARD 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing El Mechanical
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N,.1
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ® 0 0
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: Tualtin Valley Fire&Rescue ® ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity 0 0
6 Sewer permit. ® 0 0
7 Water district approval. ® 0 0
8 Soils report. Must carry original applicable stamp and signature on file or with application. ® 0 ❑
9 Erosion control ICJ plan ❑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 ® ❑ ❑
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 ❑
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 ❑
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 ❑
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 0
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ 0
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 ® 0 ❑
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. ® 0 0
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ® ❑ 0
for four or more appliances.
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ® ❑ 0
architect licensed in Ore on and shall be shown to be a licable to theproject under review.
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 ❑
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ® 0 ❑
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ® 0 0
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ 0 21
27 "Drawn to scale"indicates standard architect or engineer scale. ❑ 0 ❑
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ® 0 ❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ 0 El
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 El
including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
1
•
r Mechanical Permit Application FOR OFFICE USE ONLY
Cityof Tigard Received �t l 9
_ g DateBy: I ,('fT7 �- Permit No.: .. <Ta0)3-V''o/3 13125 SW Hall Blvd.,Tigard,OR 97 E C E I V E D Plan Review ` ` J
Phone: 503.718.2439 Fax: 503.598. DateBy: Other Permit:
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: 63 See Page 2 for
Internet: www.tigard-or.gov APR 1 1 2023 Notified/Method: -T. Supplemental Information
I
TYPE OF COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
0 New construction 0 Addition/alterltt � t performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition D Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$
RESIDENTIAL 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 1 46.75 46.75
Job site address: 13869 SW 171 ST Ave Furnace 100,000 BTU(duets/vents) 1 46.75 46.75
City/State/ZIP: Tigard/OR/97140 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: Riverside at Scholls Meadow Duct work 23.32
Cross street/directions to job site: Roy Rogers&Jean Louise Rd 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: Other: 23.32
Riverside at Scholls Meadow Lot no.: 54 Other fuel appliances:
Tax map/parcel no.: WCTM 2S1O6DC16100 Water heater 1 23.32 23.32
DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 33.39
Flue vent for water heater or gas
Construction of single family detached residence fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0 PROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Riverside Homes Range hood/other kitchen
equipment
Address: 15350 SW Sequoia Pkwy, Suite 320 Clothesdryer 1 33.39 33.39
er exhaust 1 33.39 33.39
City/State/ZIP: Portland, OR 97224 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 5 23.32 116.6
Phone:(971 ) 371-1310 Fax:( ) Attic/crawlspace fans 23.32
❑✓ APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name: Riverside Homes
S14.15 for first four;S4.03 for each additional
Contact name: Jennifer Doty Furnace,etc. 1
Address: 15350 SW Sequoia Pkwy, Suite 320 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Portland, OR 97224 Water heater 1
Phone:(971 )371-1310 Fax: :( ) Fireplace 1
Range 1
E-mail: jdoty@riversidehome.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: Proheating &Cooling Other:
MECHANICAL PERMIT FEES*
Address: 2123 NE Aloclek Dr, Suite 1209 Subtotal
City/State/ZIP: Hillsboro/OR//97124 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( 971)205-4989 Fax:( ) State surcharge(12%of permit fee)
CCB lie.: 209001 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
t days after it has been accepted as complete.
Authorized signature: � * Fee methodology set by Tri-County Building Industry Service Board
Print name: Jennifer Doty Date: 2/6/23
I:16uiiding\Penaits1MEC_PermitApp_040113.doc 440.46171-(I l/a2/COM/WED)
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:\BuildinglPermits\MEC_PermitApp_040113.doc 2
Electrical Permit APPlicationRECEIVED FOR OFFICE USE ONLY
iv-
1
City of Tigard R '' ,
A - • 13125 SW Hall Blvd.,Tigard,OR 97223 JUN 6 2023 DateB : a I b I
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#:
TIGARD Inspection Line: 503.639.4175 Ready DateBy: tuns: ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information
BUD DING DIVISION
TYPE OF WORK PLAN REVIEW
❑New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition El Other: where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
1-and 2-familydwellingCommercial/industrial less to ground,or exceeds 14,000 0 Commercial-use agricultural
❑ ❑ El building amps for all other installations. buildings.
❑Multi-family ❑Master builder
❑Other: ❑Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Job#: Job site address: 13869 SW 171ST Ave ❑Addition of new motor load of system
100HP or more. ❑"A" "E" "1-2" "1-3"
City/State/ZIP: Tigard/OR/97140 0 six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Riverside at Scholls Meadow l7 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: Roy Rogers& Jean Louise Rd FEE SCHEDULE
Description I Qty. ) Each 1 Total
New residential single-or multi-family dwelling unit.
Subdivision: Riverside at Scholls Meadow Lot#: 54 Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: WCTM 2S 106DC 16100 Ea add'l 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
(with above sq.ft.) 75.00 2
Construction of single family detached residence Limited e gy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy 0 See Page 2
0 PROPERTY OWNER El TENANT
Services or feeders installation,alteration,and/or relocation
Name: Riverside Homes 200 amps or less 100.70 2
Address: 15350 SW Sequoia Pkwy, Suite 320 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: Portland, OR 97224 601 amps to 1,000 amps 301.04 2
Phone:(971 ) 371-1310 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:
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
ElAPPLICANT 0 CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: Riverside Homes above service or feeder fee, 7.42 2
each branch circuit
Contact name: Jennifer Doty B.Fee for branch circuits without
service or feeder fee,first Address: 15350 SW Sequoia Pkwy, Suite 320 branch circuit 56.18 2
City/State/ZIP: Portland, OR 97224 Each add'l branch circuit 7.42 2
Phone: (g71 ) 371-131 O Fax: : Miscellaneous(service or feeder not included)
( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: jdoty@riversidehome.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: Sunlight Electric Sign or outline lighting 67.84 2
Address: Signal circuit(a)or limited-energy
2804 N E 65th Ave, Ste. D panel,alteration,or extension. 0 See Page 2 2
Each additional Inspection over allowable In any of the above
City/State/ZIP: Vancouver/WAl98661
Additional inspection(1 hr min) 66.25/hr
Phone:(360) 518-7589 Fax:( ) Investigation(1 hr min) 90.00/hr
Email: yegor@sunlightelectricinc.com Industrial plant(lhrmin) 78.18/hr
Inspections for which no fee is
CCB Lie.: 172549 Electrical Li • 280 Suprv.Lie.: 6652S specifically listed(/4 hr min) 90.00/hr
ELECTRICAL PERMIT
Suprv.Electrician signature,requi — Exp 10/01/25 FEES
Print name: Sunlight Electric Date: 6/6/23 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: ��= -- TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Jennifer Doty Date: 6/6/23 days after it has been accepted as complete.
* Number of inspections allowed per permit.
l:Bsilding\Permits'ELC PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(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
Description I Qty. I Each I Total I *
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
5 kva or less 100.70 2
Check Type of Work Involved:
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
❑ Garage Door Opener* >100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
❑ 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 any 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
Subtotal(Enter on Page 1):
Fee for each commercial system: $75.00 Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
El Clock Systems
❑ Data Telecommunication Installation
El Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
n Landscape Irrigation Control*
❑ Medical
El Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I/BoildingsPermitsELC_PermiIApp_Et.R ERE.doc Rev 06/17/2015
Plumbing Permit Application - City of Tigard ink
Page 2 -Supplemental Information ' ` '
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee:
Footing drain-1"l00' 50.03 0 to 2,000 $121.90
2,001 to 3,600 $169.69
Footing drain-each additional 100' 37.52 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 fec$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
Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to
Other Inspections or Fees 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
Rcinspection 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
each additional$100.00 or fraction thereof.
(minimum charge-1/2 hour)
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 Int ro s-.,
Fixture Type for Replace/ Plan review is required for any of the following.
Work Performed: Capped Added Relocate Please check all that apply.
Baptistry/Font ❑ Any new commercial building with water service 2"and
Bath -Tub/Shower greater,except systems designed and stamped by licensed
-Jacuzzi/Whirlpool engineer.
Car Wash -Each Stall
-Drive Thm ❑ New exterior plumbing site utilities for any complex structure
Cas defined in OAR918-780-0040.
Dis
hwasher
s Coirator
-Commercial 0 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 .µ
Car Wash Drain 0 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 increase of sewer EDUs,a sewer permit will be issued and
Water Extractor
Water Closet-Toilet fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures:
C:\Users\npruett\Downloads\PLMF_PermitApp.doc 2