HomeMy WebLinkAboutPermit (96) r .
Building Permit Application
Residential FOR OFFICE USE ONLYI /� �]
AUG 21 2023 Received Q A(� _: \J'41J VO5
71 City of Tigard DateBy: ok/ Pem�it"°• 13125 SW Hall Blvd.,Tigard,OR 972ifitY
OF T[GAh Plan Review49
1AIf)t' '
� yt _ Other Penmt:S�R���• '
Phone: 503.718 2439 Fax: 503.598. r y y� r a C ar?+ DateBy. ATrf
Inspection Line: 503.639.4175 ILDNG DI I 1 Date ReadyBy: ® See Page 2 for
T I G A R U
Internet www.ligard-or.gov Natified/telethod. 10 IV lta 44 I.
�y1,
l l4 Supplemental Information,��d J
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 ❑Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application. VS
CATEGORY OF CONSTRUCTION Valuation: dn€till K/1( Ll'1 tS
t
® 1-and 2-family dwelling 0 Commercial/industrial
Number of bedrooms: 3
❑Accessory building D Multi-family❑Master builder 0 Othe �y
Number of bathrooms: T 3
r. � ��2
JOB SITE INFORMATION AND LOCATION
Total number of floors: 2
Job site address: 15839 SW Bluewater Terrace
New dwelling area: 2760 square feet 52_,
City/State/ZIP:Tigard/OR/97224 Garage/carport area: 383 square feet 1?)0S
Suite/bldg./apt.no.: I Project name: River Terrace Crossing Covered porch area: 183 square feet
Cross street/directions to job site:
Deck area: square feet
Other structure area: 43 square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:
River Terrace CrossingI Lot no.: 123 Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
2760 sq SFR to be constructed. Owner's Retreat+2 bd,2.5 ba,2nd fl Retreat,
Valuation: $
1st fl Study,383 sf 2 car gar,43 sf front porch, 183 sf extended covered porch Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑
TENANT Number of stories:
Name:David Weekley Homes Type of construction:
Address: 1905 NW 169'Place Suite 102 Occupancy groups:
City/State/ZIP: Beaverton,OR 97006 Existing:
Phone:(503)213-4415 Fax:( ) New:
❑ APPLICANT ® CONTACT PERSON B�LLDDING PEferRMITfee dE FEES*
Business name:David Weekley Homes Structural plan review fee(or deposit):
Contact name: Maria Hasty
FLS plan review fee(if applicable):
Address: 1905 NW 169'Place,Suite 102 Total fees due upon application:
City/State/ZIP: Beaverton/OR/97006 Amount received:
Phone:(503 ) 213-4428 I Fax: :( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: MHasty@DWHomes.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Submit two(2)sets of roof plan with connection details
Business name:David Weekley Homes and fire department access,along with the 2010 Oregon
Address: 1905 NW 169"Place,Suite 102 Solar Installation Specialty Code checklist.
Permit Fee(includes plan review $180.00
City/State/ZIP:Beaverton/OR/97006 and administrative fees):
Phone:(503)213-4415 EH-Tr-7-1 State surcharge(12%of permit fee): $21.60
CCB lic.:213653 Total fee due upon application: $201.60
This permit application expires if a permit is not obtained
Authorized signature: within 180 days after it has been accepted as complete.
23 I *Fee methodology set by Tri-County Building Industry
Print name Maria Hasty I Date. 8/15/ Service Board
I:\Building1Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I1/02/COM/WEB)
—
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
. City of Tigard Received
• 13125 SW Hall Blvd.,Tigard,OR 97223 . soci : Permit No
■ ' Phone: 503.718.2439 Fax: 503.598.1960 Associated permrcs:
t I l,A R U 24-Hour Inspection Line: 503.639.4175 lgI Electrical l$I Plumbing ® Mechanical
Internet: www.tigardor.gov 0 Other:
"I'IIE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW l'es No N/A
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 El3 Verification of approved plat/lot. ® 0 0
4 Fire district approval required. Name of district: • 0 0 0
5 Septic system permit or authorization for remodel. Existing system capacity
6 Sewer permit. ❑ 0 0
7 Water district approval. 0 0 0
8 Soils report. Must carry original applicable stamp and.signature on file or with application. 0 0 ❑
9 Erosion control ®plan El 0 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
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.
I I Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if El 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 ® 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
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 ofrebar. For engineered 0 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 El ❑ ❑
over 10 feet long and/or any beam/joist canying 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 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 ® ❑ ❑
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".
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 ❑
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 El 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
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.
I:1 Build ing\Permits\BUP-RESPermitApp_doc 02/24/2011 440-4613T(1 I/02/COM/WEB)
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Mechanical Permit Applicati l 9 I-011()MCI.: l SEO\Ll
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City of Tigard Renew o.:Permit N M\-I.1 W V
/t�,3,OO V 15 oate/By: U t
;� • 13125 SW Hall Blvd.,Tigard,OR 97223 AUG 2 1 2023 Plan Review Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 Date/By.
Inspection Line: 503.639.4175 Date Rea 'B : lane E See Page 2 for
p CITY OF TIGARD o I Supplemental information
Internet. www.tigard-or.gov BUILDING DIVISION_Notified/Method:
TYPE OF WORK COMMERCIAL FEE" SCHEDULE-USE CHECKLIST
Mechanical permit fees'are based on the value of the work
®New construction 0 Add ition/altetation/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Other: mechanical materials,equipment,labor,overhead,and profit.
O Demolition Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist
❑Multi-family El Master builder
0 Other: Description Qty. Ea. I Total
Heatinn/eooling:
JOB SITE INFORMATION AND LOCATION Air conditioning 1 46.75 46.75
Job site address: 15839 SW Bluewater Terrace Furnace 100,000 BTU(ducts/vents) 1 46.75 46.75
City/State/ZIP: Tigard OR 97224 Furnace 100,000+BTU(ductsvents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: I Project name: River Terrace Crossing Ductwork 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
Other 23.32
Subdivision: River Terrace Crossing I Lot no.: 123 Other fuel appliances:
Tax map/parcel no.: Water heater 1 23.32 23.32
DESCRIPTION OF WORK Gas fireplace/insert I 33.39 33.39
Flue vent for water heater or gas
2760 sq SFR to be constructed. Owner's Retreat+2 bd, 2.5 ba, 2nd fl Retreat, fireplace 23.32
Log lighter(gas) 23.32
1st fl Study,383 sf 2 car gar,43 sf front porch, 183 sf extended covered porch- Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/1iner/flue/vent 23.32
Other: 23.32
® PROPERTY OWNER ❑ TENANT Environmental exhaust and ventilation:
Name:David Weekley Homes Range hood/other kitchen 33.39
equipment I 33.39
Address:1905 NW 169'Place,Suite 102 Clothes dryer exhaust 1 33.39 33.39
Single-duct exhaust(bathrooms,
City/State/ZIP: Beaverton/OR/97006 toilet compartments,utility rooms) 5 23.32
Phone:(503)213-4415 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT 0 CONTACT PERSON Other: 23.32
Fuel pipina:
Business name:David Weckley Homes 514.15 for first four;54.03 for each additional
Contact name: Maria Hasty Furnace,etc. 1
Gas heat pump
Address:1905 NW 169"Place,Suite 102 Wall/suspended/unit heater
City/State/ZIP:Beaverton/OR/97006 Water heater )
Fireplace y
Phone: 503-213-4428 Fax::( ) Ranee , l
E-mail: MHasty@DWHomes.com Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name:David Weekley Homes MECHANICAL PERMIT FEES*
Address:1905 NW 169"Place Suite 102 Subtotal 216.99
----- - Minimum permit fee($90.00)
City/State/ZIP:Beaverton/OR/97006 Plan review(25%of permit fee)
Phone:(503)213-4415 Fax:( ) State surcharge(12%of permit fee)
CCB tic.:213653 TOTAL PERMIT FEE
This permit application expires de permit is not obtained within 180
days after it has been acceptedas complete.
�^
Authorized signature: /Z • Fee methodology set by Tri-County Building Industry Service Board
Print name: Maria Hasty Date: 8/15/23
I\Building\rennits\h1EC_PemdtApp_040I IS doc 4 40-4 6 111(11102.COM W EB)
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_040I 13.doc 2
Electrical Permit Application'` '• .,uw, . foI urrH 1-.I sl:IA\l.I
City of Tigard ,!! 2 1 2023 Received I 1
DatNB
ia
lig • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
g Phone: 503,718.2439 Fax: 503 5J9S$19.60 Dated Related Permit a.
Inspection Line: 503.639.4175 IOFBUILDING
G F TIGARD Ready Date/y. funs el See Page 2 for
TIGA RU Internet: www.tigard-ougov BUILDING DIVISION Notified vlethod. Supplemental Information
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 0 Building over three stories.
❑Demolition ❑Other. where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® I-and 2-family dwelling 0 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. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: 68260123 Job site address: 15839 SW Bluewater Terrace 100HP or more. ❑"A","E","I-2","I-3",
Cit y/State/ZIP:Ti ard/OR/97224 0 Six ormore residential units occupancy
y g ❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name: River Terrace Crossing 0 Hazardous locations_ 0 Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site. FEE SCHEDULE
Description I OD. I Each I Total I •
New residential single-or multi-family dwelling unit.
Subdivision: River Terrace Crossing Lot#: 123 Includes attached garage.
1,000 sq.ft.or less I 168.54 168,54 4
Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 4 33.92 107.76 1
DESCRIPTION OF WORK Limited energy,residential
(with above sq.ft.) 1 75.00 75.00 2
2760 sq SFR to be constructed. Owner's Retreat+2 bd,2.5 ba,2nd fl Retreat, Limited energ
y, 75.00 2
1st fl Study,383 sf 2 car gar,43 sf front porch, 183 sf extended covered porch residential(with above sq.ft.)
® PROPERTY OWNER I ❑ TENANT Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
Name:David Weekley Homes 200 amps or less 100.70 2
Address:1905 NW 169th Place Suite 102 201 amps to 400 amps 133 Sfi 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
Temporary services or feeders installation,alteration,and/or
Email: MSchiedler@DWHomes.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
—
® 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 without
Address:1905 NW 169*Place Suite 102 service or feeder fee,first 56.18 2
branch circuit
City/State/ZIP:Beaverton/OR/97006 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503)213-4409 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
Address:2890 SE Brookwood Ave Signal lte circuit(s)or limited-energy
0 See Page 2 2
panel,alteration,or extension.
City/State/ZIP:Hillsboro,OR.97123 Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66.29'hr
Phone:(503)648-4552 Fax:( ) Investigation(I hr min) 90.00.'hr
Industrial plant(I hr min) 78.18-hr
Email:permits@garnerelectric.com Inspections for which no fee is 90.00.'hr
CCB Lie.:121159 Electrical Lie; 4-305C Suprv.Lie.:3707S specifically listed(Se hr min)
- ELECTRICAL PERMIT FEES
Suprv.Electrician signature,require Subtotal 351.30
Print name:Charles Gamer Date: 8/15/23 0 Plan Review Required(25%of permit fee).
��I��I////////////,,,,,,,,,,,,,,,�����'��'��'� State surcharge(12%of permit fee).
Authorized signature: g4e^- "'� gGU1L(2Ni TOTAL PERMIT FEE:
OO This permit application expires if a permit is not obtained within 180
Print name:Brittany Burian Date: 8/15/23 days after it has been accepted as complete.
• Number of inspections allowed per permit.
11Bwlding\ermos\ELC PemritApp ELR_ERE doc Rev 06/17/2015 440-4615TO 1/05/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 Qh'• I Each I Total I •
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
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
® Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva(fee in accordance 552.26 2
with OAR 918-309-0040)
® Heating, Ventilation and Air Conditioning Solar generation systems in excess of25 kva:
System*
Each additional kva over 25 7.42 3
n Vacuum Systems* >100 kva-no additional charge 0.0 3
Each additional inspection over allowable in an of the above:
❑ Other: Each additional inspection is 66.25 hr I
charged at an hourly(I 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 Pagel).
• Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
D HVAC
❑ Instrumentation
❑ 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
1\Building\Permits\ELC_PenvnApp ELR_ERE doe Rev 06 17 2015
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AUG 21 2023
Plumbing Permit AuulicatiofBUILDINGG F T DIG
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Building Fixtures Mk (III It I I �I r1\1 1
City of Tigard Pauli No.: `1W(l1�J bQ<115
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
pale
VIIt
Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No.:
Received
Inspection Line: 503.639.4175 Dap,pre ny; ears m 8e pay x for
Internet www.Ugard-orgov NdiAed+MeUad;
��pa�@�5'�k& �j�{p��}� ,y ��.�yT�mj 'Q�j� yy 8 kmynnl Information
,h'zlt �sgitl+ �14>!riFf' - ' r::illr '.tt: {,;. ''+t{>! •` 4 Wt'i�, "! �t:4� ,,,p' [ 1.11x}illigi
®New consWction ❑Demolition Fes speciallq/brmadoe sae checklist.Deserhbon I Qry. i Pa. I Total -
❑Addition/Rhaetian/replacement ���,L ��,:::
0 Other New 1-2-family dwellings(inoludes 100 ft.for each utilittconneotlon)
'�u ;z3."dtR�l ge 'lh'' ' ;V $. SFR(1)bath 312.70
®1-end 2-family dwelling ❑Commercial/industrial SPR(2)bath 1 437,78 437.78
❑Accessory building 0 Multi.family SPR(3)bath - 500.72
❑Master budder Each additional bath/kitchen 25.02
�� Pire sprinkler(_sq.ft.) Paget
Job site address: 15839 SW BluewaterTerrace Catch basin or area drain 18,76
Clty/SIaI/ZIP:Tigard/OR/97224
Drywe11,(each line,or trench chain 18.76
Footing drain(no,linear ft,: Page 2 87.35
Suite/bldg./apt.no.: I Project name River Terrace Crossing Manufactured home utilities $0.03
Cross street/directions to Job site:' Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(ne.linear R.: ) Paget
Storm sewer(no.linear ft.:_) Page 2
Water service(no,linear It.:J _ Page 2
Subdivision: River Terrace Crossing I Lotno.; 123 Future or item;
Tax map/parcel no.:. Backtlow preventer 1 31.27 31.27
. i "' . this t , R° „. Baokwater valve 12.51
2760 sq SFR to be constructed. Owner's Retreat+2 bd, 2.5 ba, CtoMheswasher t 25.o2 25.02
2nd fl Retreat,1st fl Study,383 sf 2 car gar,43 sf front porch, Drinking
o t 25.02, 25.02
fauhkin 25.02
183 sf extended covered porch Ejectors/sump 2502
r . " ' ',':F Tt i,e4 t^i vn�.aluig i," i Vi, fi Bxpanslon Milk 12.51
Name:David Weekley Homes Fixnae/aewereaD 25.02
Floor dmWlloor sink/hub
Address:1905 NW J69e Place Suite 102 25.02
Garbage disposal 1 25.02 25.02
City/Statc(LIP:Beaverton,OR 97006 Hose bib 25.02
Mono:(303)213.4415 Fat.:( ) Ice maker 1 12.51 12.51
„• '.-. , • aiy -Gs „4s_. ;1 , Interceptor/greasenap 25.02
Business name:David Weekley Homes Medical gas(value:3_) Paget
Contact name: Maria Hasty Primer 12.51
Roof drain(commercial) 12.51
Address:1905 NW 169d'Place,Suite 102 •
Sink/basin/lavatory F 5' 23.02 125.10
City/State/ZIP:Beaverton/OR/97006 Solar units(potable water) I_ 62.54
Phonc:1503-213-4428 I Fax:( ) Tub/shower/shower pen ` 2 12,51 25.02_
E-mail. MHasty@DWHomes.com urinal I 23.02
Weer closet f 3 25.02 75.06
r< " Water heater 1 17.52 37.32
Business name:Malmedal Plumbing Water pipingJDWV 56.29
Address:PO Bax 207 Other:
25.02
City/State/LIP;Banks/OR/97106 Subtotal 906.87
Phone:(S03)324-0759 I Fax:( ) Minimum permit be: ST2.50
Plan review(25%of permit fee)
CCB Lie.:102535 Plumbing Lb.no.:34-276PB
' AutorVodsignature: Carolina Malmadal 'o� Stnrewrcherge(I2%ofponnitfeo)
TOTAL PERMIT FEE
Print name:Carolina Malmedel Dare:•. 8/15/23 I This pesmil application aspires Ira permit h not abrolaM*lake lMdays
aRer k boa bean accepted r employ,
Fee rnededology as by TnCotety BulMing Imlteny Service Beset
f..laylkkg,PnnitMLNU•nrruil p.dw 1W0159 4404a11ir(I0/0s.'Obo*an)
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Plumbing Permit Application - City of Tigard
Page 2-Supplemental Information
Fee Schedule: Residential Fire Suppression S stems
�,;y•354*a. '. {„ .rt t ', ).?: . t ',`yyke {[ (;.�P.'a; .x13�ir .`4, ^" .
� ' �M .. �.ar..�: 4�:`vd:4"...;:: �!{�A�.�F��."2,pr/.at'� �.-It.'i r, a.
Footing drain-I'100' 50.03 0 to 2,000 $121.90
Fooling Main-each additional 100' 37.52 2,001 to 3,600 $169.69
Sewer-I t 100' 62.54 3,601 to 7,200 $23320
7,201 and greater E327.54
Sewer-each additional 100' 37.52 -
• Water Service-let 100' 62.54 Medical Gas Systems:
Water Service•each additional 100' 37.52 ,.,+u a x', vinni e
atmt ter"
Sknn&Rain Drain-1et100' 62.54 31.00toS5,000.00 Minimum fen E72.50
Storm k Rain Drain-each additional 100' 37.52 35,001.00 to 310,000.03 $72.50 for die first$5,000.00 and$1.52 for
A each additional$100.00 or[Medan thereof,to
r law, µ BY:) and including$10,000.00.
Inspection°Pexisting plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1,54 for
w tkh no Rae is specifically Indicated 90.00/hr each additional$100.00 or @action thereof,to
(minimum charge-1/2 hour) and in:luding$2SA00.00.Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379,50 for the first$25,000.00 and 31.45 for —
hours(minimum charge-2 hours) each additional 3100.00 or Ruction thereof,to
Reinfection Fees 90.00rhr and inoluding S50 000.00.
Additional plan review for revisions 90.004v $50,001.00 and up $742.00 for the Ern 350,000.00 and$1.20 for
(minimum charge-1/2 hour) each additional$100.00 or fraction the red
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased
}7."t t4r fe yii",'ya •a.<t', a"+F`.; s�.+-,=�' rt t sewer fees*.
/=r@laa ryliirl7� , i y�t R1i$ y }l
lg '
4.6"ilsOefouti
, 4
Plan review is required for any of the following.
Baptistry/FontPlease check all that apply.
Beth Tut, hewer 0 Any now commercial building with water service 2"and
lacvai/Whidpod greater,except systems designed end stamped by licensed
Car Wash -Each Stall engineer.
-Drive Ihru ❑ New exterior plumbing site utilities for any complex structure
Cuspldor/Water Aspirator as defined in OAR918-780.0040.
Dishwasher -Commercial ❑ Medical gas and vacuum systems for health Dare facilities.
-Domestic 0 Any multipurpose tire sprinkler system.
Drinking Fountain 0 Any complex structure as defined in 0AR918.780-0040.
Eve Wash
Floor Dmfn/sink -2" Submit 2 ads of plans with any of the above.
.3"
"Wraitriiittrotikr
-4" •'raw:.,,. .> .riallerfiarjr14
Car Wash Drain l� Isometric or riser diagram is required for new buildings
Garbage -Dmneatia-tan-tbod agrerl g
Disposal -Domestic-food related that meet the qualifications above. •
-Commercial-food related
-Industrial-food related
Ice Mach/Rettig.Drains
01 Separator(Gus Status) Comments regarding fixture work:
Ran.vehicle Dump Stutiat
Shower -Ong
-Stall
Slnk/lnv -Non-food related
•Bradley
-Commercial-food related
-Service
Swimming Fool Filter *Note: If the fixture work under this permit results in an
Washer- sewer s,a sewer Increase of EDU 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:\UserslMelmeditnAppDuti .ocahMicrosoft\WlndowsUNetCache\ContaBtOutlook\3H2CER48\plumbingPennlbdoc
City of Tigard
le
COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
i� /�^ (MIS
F , , E s 'r V «�. E A T 1
Building Permit #: 1i lif I/ IS
Site Address: 15839 S Bluewater Terrace Verified in Accela
Project Name: River Terrace Crossing Lot/Unit #: 123
Proposal: New SFR Zone: RES-C
Housing Type: 0 SFR(0 Single Detached ❑ Duplex❑Triplex❑ADU)❑ Rowhouse❑Cottage Cluster❑CYU ❑Quad ❑Other
Required Site Plan Elements:
O 3 copies of site plan on max 11x17"
O Drawn to standard scale ER t l,• J L, J,I, I;•• / L.-, ,—A—bon
d North arrow 0 Street and site trees shown / labeled
O Site address, project name, lot # ❑ T LI el l t:.., 1.__ , ..t _tufty
O Street names (N/A for SFR)
O Applicant name and phone # ❑ (:f applicable)
O Lot and setback dimensions
Q , f 1 , 0 Utility locations &easements
O Footprint of new structure and FFE p Property corner elevations
O Sidewalk/driveway dimensioned
O Lot area and lot coverage percentage 0 Erosion control
ired Elevation Plan Elements:
(For S • aics needed only on street-facing) Summary table ' calculations for:
❑ Drawn tandard scale ❑ Total de area
❑ Building heig 'mensioned al window and door area
❑ Façade dimensione
❑ Windows and doors dimen • ed
❑ Garage doors dimensioned
Required Floor Plan ments:
(Not required f R) ❑ Su ry table that includes
❑ Ea ory dimensioned ❑ Total floor a
ach story floor area calculated ❑ Floor area per st
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: 22'
■ Yes ❑ N/A Landscap- *RTC did not apply optional design standards. 2016
• Yes ❑ N/A Screen: • (Quad only) TCDC Ch 18 codes apply.
❑ -s ❑ N/A % Win•ow Coverage
❑ Ye. ❑ N/A Gara•- (SFR Only) Parking (Other Res)
❑ Yes ■ N/A Ent•znce (SFR, Rowhouse, Quad only)
❑ Yes • N/A 0 er building design standards (Rowhouse only)
❑ Yes ❑ A .ccessory Structure Standards
❑ Yes ❑ N• Qualifying pre-existing unit exempt from standards (Cottage unit only)
Additional - andards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
❑ Yes ❑ N/ Unit Count:
❑ Yes ❑ A .of Width and Size
❑ Yes ❑ /A P. hway
Additi•nal stand. ds for Courtyard Units and Cottage Clusters only:
❑ Ye- ❑ N/A Unit rea:
❑ Y-s ❑ N/A Floor • ea (per story)
O es ❑ N/A Courtya •
•• Yes 0 N/A Fence
❑ Yes ❑ No EN/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
El Yes ❑ No mN/A Public Facilities Improvement (PFI) Permit:
Required: El Yes El No
Applied For: ❑ Yes 0 No, stop intake
❑ Sensitive Lands: ❑ Yes El No
o Main Land Use Case #s: PDR2016-00016, PDR2018-00005 l Conditions met
o Applicant notified of land use i `ion date: 3/22/26
Approved By Planning: Date:$/ 3 872-I h.v -3
Notes ,� , /,
Revision 1: Apr d ❑ Not Approved — - Date:
Revision 2: '❑ Approved ❑ Not Approved Date:
Building Permit Submittal p
Original Submittal Date: p 1/
Site Plans #:
Building Plans #:
Building Permit #: ID/Building permit # entered op page 1
Workflow Routing: N/Planning 15/Engineering L9'Permit Coordinator t uilding
Workflow Sign-off: 'Sign-off for Planning (include notes from planning review)
Route Documents: P/Engineering: (1) copy of permit application, (1) site plan, (1) building plan
anji original plan review routing form.
Building: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.Permit T Q chnician: Date: O I2VI/.197/3
Notes: KuRmAntti YOIt On Q 207/3
Engineering Review
❑ PFI Permit:
fd'Slope at building pad: /O %
i2'Conditions met prior to issuance of permit
0-Easements (encroachments) per engineering conditions of approval and plat
g'Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes CtrNo
Assess Water Quantity Fee in-lieu: ❑ Yes 4-No
LIDA Facility on lot: El Yes 4-No Add Fee: ❑ Yes ❑ No
p/Final Plat Recorded
❑ NOT Approved: Date:
Notes:
Approved By Engineering: Date: e3/ 472 3
Revision 1: ❑ Approved 0 of Approved Date:
Revision 2: ❑ Approved 0 Not Approved Date:
Permit Coordinator Review
Conditions met prior to permit issuance
❑ Approved, NOT Released: Date notified applicant:
❑ ENG Revisions Required: Date notified applicant:
.,-SDC Exemption: ❑ Applied for 0 Received ,&hoes not apply
'IfSDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: Yes ❑ N/A Deferred Lr \ S
Parks SDC: Yes ❑ N/A tl Deferred Ti
LIDA ❑ \7YYes� N/A
4 OK to Issue/Approved by Permit Coordinator: k1 t7W W.V� Date: 0 -1 7-
Revision 1: 0 Approved 0 Not Approved Date:
Revision 2: ❑ Approved 0 Not Approved Date:
111
r Building Division
One & Two-Family Dwelling
TIGARD Fees Checklist
PERMIT INFORMATION: Application Date - FEE VERSION _ k...)(`j
Zez3
Permit#: cs z- Dv 15- Plan #: {�c1-7-7�4 Floors: 2l
Valuation: 4aq Q1S �,$ l
Covered Porch: 3 Basement _ —
1 1
Bedrooms: 3 Deck: - 1s`Floor `30 8
WC (toilets) Deck Cover: �-_______ 2nd Floor 1 �Z
Lavatories L' Patio Cover 33 3`d Floor 1
Tub/shower Accessory Struct. R-3 Total (. C)
Laundry Tray Water Heater ` `Gas) Elec Garage 2%3
Exhaust Vents Gas Flue Vents --- Total for Elec. \
Backflow Prey. '.. Fuxnac / Heat Pump &
\ AC) # for Electrical - S
BBQ ��— Gas Fireplace \{ - e-� #Fuel Lines l J
FEES: Description: Fee Ap�: Fee Entered:
DC Prov Revw: Planning
Info Proc/Arch: Lg$2.00 (over 11x17) 7
Info Proc/Arch: Sm$.50 (up to 11x17) r.
Metro CET: Residential Use I
School CET: District 1 l' ✓
Tigard CET: Admin I/'
Tigard CET: ODHCS LV-
Tigard CET: AH t.✓
Electrical Permit: Permit Fee: V-
Limited Energy: ✓
12% State Surcharge 1✓
Mech. Permit: Permit Fee: ✓
12% State Surcharge L
Plumbing Permit: Permit Fee: 1✓
12% State Surcharge
rosion Control: w/Permit- Ping ✓
1 .PN VF") f,'{-e.___ r-a,+- ' e�,L, A._ j . (s . v/VA. ., .4%
I:\Building\Forms\ResPlanCheckFees_LeCZd22_AA.doc 12/21/22
Page 1
FOR OFFICE USE ONLY-SITE ADDRESS: 1S$34 SW t1101IXADie 'llxr•
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
•
111111
Transmittal Letter
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: 1"'CO\LA YTh DATE RECEIVED:
DEPT: BUIL G DIVISION RECEIVED
FROM: r10.x1o.-, SEP 18 2023
^
COMPANY: -)ci,\A c �� kE -S BUILDING OF TIGDIVARD
D
QN
PHONE: c J ?r
EMAIL: fY (. - C-ar1r>
RE: Vb Q'1kvc,V c-- 1 6r. 2c2.3- cl5
(Sitee Address) (Permit-Number)e
C�J[ l
,./vN�.�CDSS� ( LC I2J
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: I Description: I Copies: I Description:
Additional set(s) of plans. 3 Revisions: P' Ackym -Ty‘ ,
Cross section(s) and details. Wall bracing and/orlateral analysis. 913nSe
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: ' c YL'7V ld-'z- FVCG- -`^+
t . PV2C - StItta.QC�-C,�le� V X--•
FOR/OFFICE USE ONLY ��/
Routed to Permit Technici : Date: G( '' Z3 Initials: �'/Q
Fees Due: ❑ Yes Qi No Fee Description: Amount Due:
INN $
Iv
$
Special
Instructions:
Reprint Permit(per PEE): ❑ Yes No ❑ Done
Applicant Notified: 4 Date: \(\1\ID 1 11,01) . Initials: 14