Permit (128) Mechanical Permit ApplicatiRt ECEIVE t FOR OFFICE USE ONLY n /�
Plan ed Permit No.: M�^(�11a,ll��U,
City of Tigard 2023 Received
eceive W
't 13125 SW Hall Blvd.,Tigard,OR 97223 SEP 2 8 Plan Review Other Permit:
503.718.2439 Fax: 503.598.1960 Date/By him:Othe See Page 1 far
1 i:H 1,r Inspection Line: 503.639.4175 CITY OF TIGARD flallob d(hdtethyod: Supplemental Information
Internet: www.tigardar.gov BUILDING DIVISION
COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
TYPE OF WORK Mechanical permit fees*are based on the value of the work
®New construction 0 Addition/alteration/replacement rmedthevalue( ndedd tothd llar)of all
CI Demolition El Other: performed
o materials, overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
1l! 1-and 2-family dwelling ❑CommerciaUmdustrial 0 Accessory building For special Information use checklist
Description I Qty. I Ea. I Total
I jMtelti-family ❑Master builder 0 Other:
Heating/cooling: 46.7 S
JOB SITE INFORMATION AND LOCATION Air conditioning 1 46.75
Job site address: 14594 SW 165th Ave Fumace 100,000 BTU(ducts/vents) 1 46.75 46.75
Furnace 100,000+BTU(duets/vents) 54.91
City/State/ZIP:Tigard,OR 97224 Heat pump 1 61.06 61.06
Suite/bldg./apt no.: 1$ Project name: South River Terrace Duct work 23.32
Hydronic hot water system 23.32
Cross street/directions to job site: Residential boiler(radiator or
hydronic) 23.32
Unit beaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Other: 23.32
Lot n°•'3 Other fuel appliances:
Subdivision: South River Terrace _
Water heater 23.32
Tax map/parcel no.: 33.39
Gas fireplace/insert
DESCRIPTION OF WORK Flue vent for water heater or gas
fireplace 23.32
New construction-Type SFU Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other 23.32
ElPROPERTY OWNER I 0 TENANT Environmental exhaustand ventilation:
Range hood/other kitchen 33.39 33.39
Name:Taylor Morrison Northwest LLC. equipment
Address:703 Broadway St.,Ste.510 Clothes dryer exhaust 1 33.39 33.39
Single-duct exhaust(bathrooms, 1 23.322
City/State/ZIP:Vancouver,WA 98660 toilet compartments,utility rooms) 23.3
( )
Phone:(360)695-7700 Fax: Atticicrawlspace fans 23.32
23.32
0 CONTACT PERSON Other:
® APPL[CANTFuel piping:
Business name:Taylor Morrison Northwest LLC. 514.15 for first four;5413 for each additional
Furnace,etc. I 1
Contact name:Tonjs Morris Gas heat pump 1
Address:703 Broadway St.,Ste 510 Wall/suspended/unitheater
City/State/ZIP:Vancouver,WA 98660 Water heater 1l
Phone:(360)695 7700 I Fax: :(360)693 4442 FireplaceRenQe 1
E-mail:permitaubmittals(gtaylOrmorrison.com Barbecue
CONTRACTOR Clothes dryer(gas')
Other:
Business name:Pro Heating&Cooling MECHANICAL PERNHT FEES*
Subtotal $262.84
Address: NWAloeiek Dr,Ste.1104 Minimum permit fee(590.00)
City/State/ZIP:Hillsboro,OR Plan review(25%of permit fee)
Phone:(360)270-1590 1 Fax:( ) State surcharge(12%of permit fee)
TOTAL PERMIT FEE
-CCB lie.:209001 This permit application expires if a permit is oat obtained within 1a6
_ VWi� pun- days after it hasbees accepted as complete.
• Fee methodology set by TO-County Building Industry Service Board
Atnborizul signature:
Print name:Etta Duran I Date:9/27/23
,-,nnilA:welP,rtt e.lAAFr V•e,ns An.,NMI1 An,
RECEIVED FOR OFFICE USE ONLY
Electrical Permit Application
•
City of Tigard
Received Permit •n�
SEP 2 8 2023 Date/B M
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Related Permits:
IIPhone: 503.718.2439 Fax: 503.598.C9(OF TIGARD Date/B
BUILDING DIVISION Ready Date/By: Duns PI See Page2 for
Inspection Line. 50d-or ov Notified/Method: Supplemental Information
111,A I.I J Internet ww'vv.tigard-or.gov
TYPE OF WORK PLAN REVIEW
®New construction ❑Addition/alteration/replacement
Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition 0 Other: where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to ground or exceeds 14,000 0 Commercial-use agricultural
® 1-and 2-family dwelling ❑ Commercial/industrial ❑Accessory building amps for all other installations. buildings.
❑Other: 0 Fire pump. 0 Installation of 150 KVA or
0 Multi-family ❑ Master builder 0 Emergency system. larger separately derived
JOB SITE INFORMATION AND LOCATION ❑Addition of new motor load of system.
Job site address: 14594 SW I65th Ave I00HP or more. ❑ A."E", l-2". 1-'''
Job#: occupancy.
0 Six or more residential units. 0 ocRcupancy.
. vehicle parks.
City/State/ZIP: Tigard OR 97224 ❑Health-care facilities.
Suite/bldg./apt.#: 18 I Project name: South River Terrace ❑Hazardous locations. 0 Supply voltage for more than600 volts nominal_
0 Service or feeder 600 amps or more
Cross street/directions to job site: FEE SCHEDULE
Description I Qtr. I Each I Total I
New residential single-or multi-family dwelling unit.
Lot#: 3 Includes attached garage.
Subdivision: South River Terrace 1,000 sq.R.or less 168.54 4
Tax map/parcel 4: Ea.add'I 500 sq.R.or portion 33.92 I
DESCRIPTION OF WORK . .. Limited energy,residential 75.00 2
(with above sq.R.)
New home construction. Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
] PROPERTY OWNER I ❑ TENANT
Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
200 amps or less 100.70 2
Name:Taylor Morrison Northwest LLC. 133.s6 2
Address: 703 Broadway St., Ste 710 201 amps to 400 amps 401 amps to 600 amps 200.34 2
City/State/ZIP: Vancouver, WA 98660 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
Phone:(360 )695-7700 Fax:( )
Temporary services or feeders installation,alteration,and/or
Email:permitsubmittals@taylormorrison.com relocation
or less 59.36 1 s
Owner installation:This installation is being made on property that[own which is not 200 amps 125 08 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 168.54 2
Date: 401 amps to 599 amps
Owner signature: Branch circuits—new,alteration,or extension,per panel
® APPLICANT I El CONTACT PERSON A.Fee for branch circuits wflh
' above service or feeder fee, 7 42 2
Business name: Taylor Morrison Northwest LLC. each branch circuit .
B.Fee for branch circuits withaul
Contact name:Tonja Morris service or feeder fee,first 2
Address: 703 Broadway St, Ste 710 branch circuit 56.18
Each add'l branch circuit 7.42 2
City/State/ZIP: Vancouver WA 98660 Miscellaneous(service or feeder not included)
Phone:(360 )816-7800 I Fax: :( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
[mail: permitsubmittals@taylormorrison.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: Portland Electric
Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ❑ See Page 2 2
Address: 1915 E 5th St., Ste D panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP: Vancouver,WA 98661 Additional inspection(I hr min) 66.25/hr
Phone:( 360)314-4915 I Fax:( )
Investigation(l hr min) 90.00/hr
Industrial plant(I hr min) 78,l8/hr
Email:paul@portlandeleetrie.biz Inspections for which no fee is 90 00/hr
49205 specifically listed('S hr min)
CCB Lic.: 194066 I Electrical Lic.: C760 Suprv.Lic.: ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: 1.J it,X, Subtotal
8/14/23 0 Plan Review Required(25%of permit fee):
Print name: Alex Shalya State surcharge(12%of permit fee):
Q _ Q ,, L TOTAL PERMIT FEE:
Authorized signature: �(//LG1�KJ / �� I This permit applicationstrit expires if a permit is complete. within 180
Date: days after it has been accepted as of obtained
complete.
Print name: Serqey MlShchuk * Number of inspections allowed per permit.
440-4615T(I iioS/COM1WEB
[:U3udding�Permics,ELC_Permiblpp_F.LR_ERE.doc Rev 06/17/2015 ,
Plumbing Permit Application
Building Fixtures RECEIVED FOR OFFICE USE ONLL' (n,
City of Tigard ReceiveDate/By: N1 1 Ulllt3' f3U VIA
2U23Permit No
III v 13125 SW Hall Blvd.,Tigard,OR 97Z��p 2$ Plan Review
_ Phone: 503.718 2439 Fax: 503.59 Da1e/By Other Permit No.
T I GARD Inspection Line 503.639.4175 Date Ready/By: orris: See Page 2 for
Internet. wwwcttgard-or.gov CITY OF TI VISION , Notified/Method: Supplemental Information
TYPE OF DING D FEE* SCHEDULE
®New construction ❑Demolition For special information use checklist
Description I Qty. i Ea. I Total
❑Addition/alteration/replacement ❑Other: New I-2-family dwellings(includes 100 ft for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
El1-and 2-family dwelling ElCommercial/industrial SFR(2)bath 437 78
SFR(3)bath 500.32
❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler(_sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 14594 SW 165th Ave Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP: Tigard OR 97224 2
Footing drain(no.linear ft.._) Page
Suite/bldg./apt.no.: 18 1 Project name:South River Terrace 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: South River Terrace I Lot no.: 3 Fixture or item:
Tax mapiparccl no.: Backtlow preventer 31.27
Backwater valve 12.51
DESCRIPTION OF WORK
1 Clothes washer 25.02
New home construction. Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER I 0 TENANT Expansion tank 12.51
Fixture/sewer cap 25.02
Name: Taylor Morrison Northwest LLC
Floor drain/floor sink/hub 25.02
Address:703 Broadway St.,Ste 710
Garbage disposal 25.02
City/State/ZIP: Vancouver,WA 98660 Hose bib 25.02
Phone:( 360 )695 7700
Fax:( ) Ice maker 12.51
® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Medical gas(value:$ ) Page 2
Business name:
Taylor Morrison Northwest LLC
Primer 12.51
Contact name: Tonja Morris Roof drain(commercial) 12.51
Address: 703 Broadway St.,Ste 710 Sink/basin/lavatory 25.02
City/State/ZIP: Vancouver,WA 98660 Solar units(potable water) 62.54
Phone:( 360 )695 7700 Fax: :( ) Tub/shower/shower pan 12.51
F-mail: Perm itSubmittalst taylormorrison.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name: Wolcott Plumbing Water piping/DWV 56.29
Address: 1075 W Historic Columbia River Hwy Other: 25.02
City/State/ZIP:Troutdale, OR 97060 Subtotal
Phone:(503)-667-1781 Fax:(503)-667-9891 Minimum permit fee: $72.50
112220Plumbing 26-824PB Plan review (25%of permit fee)
CCB Lic.: Tic.no.:
[� State surcharge(12%of permit fee)
�Authorized signature: �-'rLlcl td C 196Gti1'ILCU7'i TOTAL PERMIT FEE
Print name: Cliff Bow n Date: 8/14/23 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.
1.13,idingTermits\PLMU-PermaApp doe 10/0IN9 440-4616T(I0N2/COM/WEB)
�� CAA-va-,%
A U
ill Building Division
One & Two-Family Dwelling
TIGARD Fees Checklist
PERMIT INFORMATION:
Application Date - FEE VERSION JA. 7 O
C 2 Plan #: `k'tv3 O D is Floors:
Permit #: 5 ,�Z�— I
Valuation:
Covered Porch: - , Basement
Bedrooms:
3 Deck: 1"Floor ao
WC (toilets) Deck Cover: 2 d Floor l 1 00°(
Lavatories S Patio Cover 3rd Floor
Accessory Struct. �— R-3 Total I `7') 9
Tub/shower
Laundry Tray Water Heater / Gas / ec Garage -3/ 6
Exhaust Vents LJ Gas Flue Vents — Total for Elec. 21'1=7
Backflow Prey. l Heat Pump AC # for Electrical
BBQ ...---- Gas Fireplace —^ #Fuel Lines o2
FEES: Description: Fee App Fee Entered:
DC Prov Revw: Planning
Info Proc/Arch: Lg$2.00 (over 11x17)
Info Proc/Arch: Sm $.50 (up to 11x17)
Metro CET: Residentialilse
School CET: District: ��\0 i .
Tigard CET: Admin
Tigard CET: ODHCS ✓/
Tigard CET: AH ✓
Electrical Permit: Permit Fee:
Limited Energy:
12% State Surcharge �j
Mech. Permit: Permit Fee: `✓'/
12% State Surcharge //
Plumbing Permit: Permit Fee: ((/... .
12% State Surcharge .."-/
Erosion Control: w/Permit-Ping V'
l:\Building\Forms\ResPlenCheckFees_Dec2022_AA.doc 12/21/22
Page 1
City of Tigard
74 COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit #: M5'k 2.01;5" OO521 — —-
Ver if ied in Accela
Site Address: 14594 SW 165th Ave __
Project Name:
South River Terrace Phase 1 __ Lot/unit #: Tract J
Proposal: Rowhouse Building 18, Unit 3 of 3 (Tract J) Zone: RES-C
Housing Type: O SFR(❑Single Detached ❑ Duplex 0 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
O North arrow 0 Street and site trees shown / labeled
O Site address, project name, lot # Table cakul�t. y be, co atu ily
applicable)
O Street names (N/A for SFR)
L7 Cour.ydrd reddngle dliiiensiuiied (if
O Applicant name and phone # FU/icinn rloaranra trianr�le
O Lot and setback dimensions 0 Utility locations &easements
0 EA 0 Property corner elevations
O Footprint of new structure and FFE
O Sidewalk/driveway dimensioned 0 Erosion control
O Lot area and lot coverage percentage
Required Elevation Plan Elements: Summary table with calculations for:
(For SFR: talcs needed only on street-facing) ❑Total table area
O Drawn to standard scale
O Building height dimensioned
0 Total window and door area
O Facade dimensioned
O Windows and doors dimensioned
0 Garage doors dimensioned
Requiren Elements:
(Not required for SFR) ❑ Summary table that includes
❑ Each story dimensioned r area
❑ Each story floor area calculated ❑ Floor area per sto
Planning Review
The following standards have been met: 4/2�
Interior) Garage:
Setbacks 0 Front: 8/12 Rear: o 0 alley)Side: ( Min/Max Street Side: /
Height 0 Max. Height: 35 Proposed Height: 25
0 Yes ❑ N/A Landscape
0 Yes 0 N/A Screening (Quad only)
❑ Yes 0 N/A % Window Coverage Facade not street facing
0 Yes ❑ N/A Garage (SFR Only) Parking (Other Res)
0 Yes 0 N/A Entrance (SFR, Rowhouse, Quad only)
0 Yes 0 N/A Other building design standards (Rowhouse only)
❑ Yes 0 N/A Accessory Structure Standards
❑ Yes 0 No Qualifying pre-existing unit exempt from standards (Cottage unit only)
Additional standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
0 Yes 0 N/A Unit Count: 3
0 Yes ❑ N/A Lot Width and Size Tract J = 114,586sf
0 Yes ❑ N/A Pathway
dditional standards for Courtyard Units and Cottage Clusters only:
❑ Yes Unit Area:
❑ Yes 0 N/A ea (per story)
0 Yes ❑ N/A Courtyard
0 Yes 0 N/A Fence
❑ Yes 0 No ON/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes ❑ No ON/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes ❑ No
Applied For: 0 Yes ❑ No, stop intake
0 Sensitive Lands: ❑ Yes ❑ No
I Main Land Use Case #s: PDR2018-00003, PDR2021-00003
0 Applicant notified of land use ex ' ti date: Permits b 11/2/24 Final by 11/2/2El
6Conditions met
Approved By Planning: T Notes Uses rowhouse s an ar — Date:
Revision 1: ❑ Approve Not Approved �7
Revision 2: ❑ Approved ❑ Not ApprovedDate:
Date:
Building Permit Submittal
Original Submittal Date: ae a3
Site Plans #:
Building Plans #:
Building Permit #: *Building
Workflow Routing: � 9 permit # entered on page 1
Planning $-Engineering fg.Permit Coordinator ip..Building
Workflow Sign-off: Sign-off for Plannin
Route Documents: 9 (include notes from planning review)
Engineering: (1) copy of permit application, (1) site plan, (1) building plan
and original plan review routing form.
Is Building: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.
Permit Technician:
Notes: _ Date: . $ o�3
Engineering Review
❑ PFI Permit:
anlope at building pad:
i��fd Conditions met prior to issuance of permit
IVEasements (encroachments) per engineering conditions of approval and plat
j2'cNater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes Flo
Assess Water Quantity Fee in-lieu: ❑ Yes IRNo
LIDA Facility on lot: ❑ Yes /2'No Add Fee: ❑ Yes
Final Plat Recorded ❑ No
❑ NOT Approved:
Notes: Date:
Approved By Engineering:
Revision 1: ❑ Approved El Approved
Date: �Ufl�fj
pp _ Date:
Revision 2:
❑ Approved ❑ Not Approved
Date:
TZWIIIT Coordinator Review
XConditions met prior to permit issuance
Approved, NOT Released:❑ ENG Revisions Required: Date notified applicant:
Date notified applicant:
SDC Exemption: ❑ Applied for ❑ Received Goes not apply
DC Fees Entered: Wash Co Trans Dev Tax: Yes
Tigard Trans SDC: ❑ N/A
Parks SDC: Yes ❑ N/A Deferred
LIDA Yes ❑ N/A Deferred
❑ Yes 12"N/A
J01K to Issue/Approved by Permit Coordinator:
Revision 1: 0 Approved ❑ Not Approved — Date: "
Revision 2: 0 Approved ❑ Not ApprovedDate:
__ Date: