Permit (116) Building Permit Application
Residential RECEIVE , FOR OFFICE USE ONLY
City of Tigard Received I '�I �� �p Permit No:MViler.nOgl 'I
DateBy, r, 1.21
v Yl
• 13125 SW Hall Blvd.,Tigard,OR 97223 SEP 1 2 2023 Plan Review 2 �M
Phone: 503.718.2439 Fax: 503.598.1960 DateB : I. 7. V21 44 Other Permit %�� 1 t oa4U1
r 1
FIG A R D Inspection Line: 503.639.4175 Date Ready/By. 'O 11 �^,.� �,!^ lur`is: ® See Page 2 or
Internet: www.tigard-or.gov BUILLDDING DIVIIS►O. . NOhfiea' (,(� 3 `/ lQ . Supplemental[nformntion
TYPE OF WORK rC 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 I�
CATEGORY OF CONSTRUCTION w i work indicated on this application. t tql 030 e
El1-and 2-family dwelling 0 Commercial/industrial Valuation: $ 000
❑Accessory building El Multi-family Number of bedrooms: 3
❑Master builder 0 Other: Number of bathrooms: J- J
JOB SITE INFORMATION AND LOCATION Total number of floors: 2 1,03 I
Job site address: 15593 SW Vanderwood Ave New dwelling area: 2633 square feet l'1ygo
City/State/ZIP:Tigard/OR/97224 Garage/c-rportterealf,398 square feet L 63
Suite/bldg./apt.no.: Project name: River Terrace Crossing L ll�E�nrr
213 square feet
Cross street/directions to job site: Deck area: 2..,i3 square feet
Other structure area: 82 square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: River Terrace Crossing I Lot no.: 12 Permit fees* are based on the value of the work performed.
Tax map/parcel no.: 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.
2633 sf SFR new construction home. Owner's Retreat+2 bd,2.5 ba, 2nd fl Retreat, Valuation: $
1st fl Study,398 sf 2 car gar,82 sf front porch,213 sf extended covered rear 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 BUILDING PERMIT FEES*
Business name:David Weekley Homes (Please refer ro fee schedule
Contact name: Maria Hasty Structural plan review fee(or deposit):
m FLS plan review fee(if applicable):
Address: 1905 NW 169 Place,Suite 102
Total fees due upon application:
City/State/ZIP:Beaverton/OR/97006
Phone:(503 )213-4428 Fax::( ) Amount received:
E-mail: MHasty@DWHomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:David Weekley Homes Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 1905 NW 169th Place,Suite 102 Solar Installation Specialty Code checklist.
City/State/ZIP:Beaverton/OR/97006 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503)213-4415 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:213653
Total fee due upon application: $201.60
Authorized signature: l. This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Maria Hasty Date: 9/5/23 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building1Permits\BUP-RESPermitApp.doc 02/24/2011 440-613T(11/02/COM/WEB)
Building Permit Application Checklist .
One- and Two-Family Dwelling FOR OFFICE USE ONLY
eived
- City of Tigard Rec Receive: Permit No..
UPI13125 SW Hall Blvd.,Tigard,OR 97223 Dat
Associated permits:
Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 ® Electrical -4 Plumbing ® Mechanical
TIGARD Internet: www.tigard-or.gov ❑ Other.
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. E 0 0
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. E 0 0
3 Verification of approved plat/lot. E ❑ El
4 Fire district approval required. Name of district: ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity . 0 0 0
6 Sewer permit. 0 0 ❑
7 Water district approval. 0 El ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. E ❑ 0
9 Erosion control ®plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- E ❑ ❑
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state E 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 E ❑ ❑
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 E 0 ❑
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, Z ❑ ❑
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- E 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. E ❑ 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- E ❑ ❑
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 E ❑ 0
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 E
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 E 0 ❑
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. E El ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required E ❑ 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 E ❑ El
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 1 l above. Site plans must be 8-1/2"x 11"or 11"x 17". E ❑ ❑
24 Two(2)sets each are required for Items 16,19,20 and 22 above. E ❑ ❑
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. E ❑ 0
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. E ❑ ❑
27 "Drawn to scale"indicates standard architect or engineer scale. E ❑ ❑
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard E ❑ 0
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ E
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 ❑ E
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)
Mechanical Permit APEoliciiEnCEIVED FOR OFFICE,I SE ONL1
City of Tigard Receive.
III Date/By: Permit No.: (16 t1
.- u 13125 SW Hall Blvd.,Tigard,OR 9726Ep 1 2 2023MS'Itio1,'�.1'l Y
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
r 1 c (,(1 Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready By: Ions: I ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE-USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to thenearestdollar)of all
0 Demolition 0 Other: mechanical materials,equipment labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist
❑Multi-family 0 Master builder 0 Other: Description I Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Hestinp/cooling:
Air conditioning 1 46.75 _ 46,75
Job site address: 15593 SW Vanderwood Ave Furnace 100,000 BTU(ducts/vents) I 46.75 46.75
City/State/ZIP: Tigard,OR 97140 Furnace 100 000+BTU(ducts,vents) 54.91
Suite/bldg./apt.no.: I Project name: River Terrace Crossing Heat pump 61.06
Duct work 23-32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall in-duct,suspended,etc. 46.75
Flue/vent for anv of above 23.32
Subdivision: River Terrace Crossing I Lot no.: 12 Other: 23.32
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
2633 sf SFR new construction home. Owner's Retreat+2 bd,2.5 ba, 2nd fl fireplace 23.32
Retreat, 1st fl Study,398 sf 2 car gar, 82 sf front porch,213 sf extended Log lighter(gas) 23.32
Wood/pellet stove 33.39
covered rear porch Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:David Weekley Homes Range hood/other kitchen 33.39
equipment 1 33.39
Address: 1905 NW 169th Place,Suite 102 Clothes dryer exhaust 1 33.39 33.39
City/State/ZIP: Beaverton/OR/97006 Single-duct exhaust(bathrooms,
toilet compartments utility rooms) 5 23.32
Phone:(503)213-4415 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT ® CONTACT PERSON Other: 23.32
Business name:David Weekley Homes
Fuel alpine:
$14.15 for first four;$4.03 for each additional
Contact name: Maria Hasty Furnace etc. I
Address: 1905 NW 169th Place,Suite 102 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Beaverton/OR/97006 Water heater i
Phone: 503-213-4428 Fax::( ) Fireplace 1
E-mail: MHasty@DWHomes.com Ranee
Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:David Weekley Homes Other:
MECHANICAL PERMIT FEES*
Address: 1905 NW 169th Place Suite 102 Subtotal 216.99
City/State/ZIP:Beaverton/OR/97006 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)213-4415 Fax: ( ) State surcharge(12%of permit fee)
CCB lie.:213653 TOTAL PERMIT FEE -
This permit application expires if a permit is not obtained within IN
0.''''1 C-� Cl C * days after it has been accepted as complete.
Authorized signature: 1 - 1 C's--- Fee methodology set by Tri-County Building Industry Service Board
Print name: Maria Hasty _..Datg:-.`9/5/23
I\BuildingTermitt4MEC_PensdApp_040117 doc 440.461 Tr(11/02,COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
1\Building\Permits\MEC_PermitApp_040113.doc 2
Electrical Permit ApplicatiaECEIVED FOR 01.I.ICI- I 'NI 0\1.1
City of Tigard �SEp 1 2 2023 Received
DisR Permit/R:
�i a •OO r b-1
13125 SW Hall Blvd.,Tigard,OR 9722
Phone_ 503.718.2439 Fax 503.598.1960 Plan Review
DateB•: Related Permit a.
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Ready Date•By. tuns 61 See Page 2 for
Internet www.tlgard-orgov BUILDING DIVISION NolifieeStethod: 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 0Building over three stories.
0 Demolition El Other:
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
El Multi-familyamps for all other installations. buildings.
❑Master builder 0 Other: ❑Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Job#: 68260012 Job site address: 15593 SW Vanderwood Ave ❑Addition more. otor load of system_
l00HP or more. ❑"A'"'E" `9 2" "I-}^
City/State/Z.IP:Tigard/OR/97224 0 Six or more residential units, occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: River Terrace Crossing ❑Hazardous locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site:
FEE SCHEDULE
Description 1 Qcy. 1 Each 1 Total 1 '
New residential single-or multi-family dwelling unit.
Subdivision: River Terrace Crossing Lot#: 12 Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less I 168.54 168.54 4
Ea.add'I 500 sq.ft.or portion 4 33.92 107.76 1
DESCRIPTION OF WORK Limited enerresidential
e
2633 sf SFR new construction home. Owner's Retreat+2 bd,2.5 ba,2nd fl Retreat, (with above sgft)ntial 1 75.00 75.00 2
Limited energy,multi-family
1st fl Study,398 sf 2 car gar,82 sf front porch,213 sf extended covered rear porch residential(with above sq.ft.) 75.00 2
Renewable Energy 0See Page 2
® PROPERTY OWNER ID TENANT
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 133.56 2
City/State/ZIP:Beaverton/OR/97006 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Phone:(503)213-4415 Fax:( ) Over 1,000 amps or volts 552.26 2
Email: MSchiedler@DWHomes.core Temporary services or feeders installation,alteration,and/or
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59 36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449.670.and 701. 201 amps to 400 amps 125.08 12
Owner signature: Date: 401 amps to 599 amps 168.54 2
Branch circuits—new,alteration,or extension, panel
fa APPLICANT ® CONTACT PERSON
A.Fee for branch circuits with
Business name:David Weekley Homes above service or feeder fee,
Contact name: Maria Hasty
each branch circuit 7.42 2
B.Fee for branch circuits without
Address: 1905 NW 169th Place Suite 102 service or feeder fee,first
branch circuit 56.18 2
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
Email: MHast dwellin ,service and/or feeder 67.84 2
y@DWHomes.com g
Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84
2
Business name:Garner Electric Signor outline lighting 67.84 2
Address:2890 SE Brookwood Ave Signal circuit(s)or limited-energy
panel,alteration,or extension. 0 See Page 2 2
City/State/ZIP:Hillsboro,OR.97123 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25'hr
Phone:(503)648-4552 Fax:( ) Investigation(1 hr min) 90.00:hr
Email:permits@garnerelectric.com IndusMalplant(Ihrmin) 78.18'nr
Inspections for which no fee is
CCB Lic.:121159 Electrical Lic.• 4-305C Suprv.Lie.:3707S specifically listed pr hr min) 90.00-hr
Suprv.Electrician signature.require ELECTRICAL PERMIT FEES
Subtotal: 351.30
Print name:Charles Garner Date: 09/05/23 ❑Plan Review Required(25%of permit fee)'
State surcharge(12%of permit fee):
Authorized signature: 1/ <uiu . ‘3L/i2.LCZIL TOTAL PERMIT FEE:
BrittanyBurian 09/05/23 This permit aaysfton expires if a permit is not obtained within ISO
Print name: Date: days after it has been accepted as complete.
• Number of inspections allowed per permit.
I 1Bwld,nglPermns1ELC PemutApp_ELR_ERE dot Rev 06/17/2015 440-4615T(I l/05/COMAVEB
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 Qry. I Each I Total I •
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
5kvaorless 100.70 2
Check Type of Work Involved: 5.01 to IS kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to25 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 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 an of the above:
❑ Other: Each additional inspection is 66 25:hr
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00 hr
specifically listed('7 hr min)
ELECTRICAL PERMIT FEES
COMMERCIAL WORK ONLY: 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
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ 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
I laoddmg1Penes'ELC PemnrtAPP.ELR_ERE doe Rev 06 17 2015
RECEIVED
Plumbing Permit Application SEP 2 2023
Building Fixtures BUILDINNG OF DIV DIVISION
City R. "' '" "tI I " ""
13i2 Tigard h11S1wti
13125 SW Hall Blvd,Tigard,OP. 97223 � _Penult Na: ('I`q�1
Phone: 503.718.2439 Fax: 503.598.1960 Plea Review V u
Inspection Line: 503.639.4175 DaleDati Re: Oder Porous No.:
���, Internet www.tigerd or.gov Date
lII R Jury 187 Sae Peaa 2 Co.
yyq'"T ( '�r7?,.i1�' rk I•°s° f{'�"'t fi tf. a L t 9apalonentst Information
Mtitikkgmaglizejg
®New construction ('Demolition For specialInfornrasion was cl ectUsl.
Dencr❑Addition/alteration/replacement 0 Other: t-2-f i Qty. Ea. Total
N"y'S�'`y�4'�q�"a;6?„ ,. „ '+mom, �t o ,. x New 1-2-fatally dwellings(includes 100 ft,Sr each utilityconneotlon)
� ' 3. r[ ,� TATA ' +q.st r P , _ 8 SFR(I)bath 312.70
®I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 1 437.78 437.78 t
❑Accessory building ❑Multi family SFR(3)bads 500.32
❑Master bu0der Each additiatml hadvkitchen 25,02 --
❑Other Fire riskier� sp (__sq.R•) Page 2
ro ' K',( AZ, „ Mlxl, i ryti ., . Site uggdes:
Job site address: 15593 SW Vanderwood Ave Catch basin orereadaln 18,7E
City/State/ZIP:Tlgard/OR/97221 Drywall leach line,or trench drain 18.7E
Sult/bldg./apt,no.; I Project name: River Terrace Crossing Faodngdrain(no. tilift.:j� Paget 87.55
Manufactured homee u utilities 50.03
Cross streeVd11e0tions to Job site:' Mnnlwlas
18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:__,) Page 2
Storm sewer(no.linear ft.:_) Page 2
Subdivision: River Terrace Crossing , lot no.; 12 Water service(no.linear IL:_) Page 2
Fixture or ikm;
Tex ma 'parcel n o. Backflow preventer I 31.27 31.27
se - P " ". ecji:., �14. Baokwatervalve a 12.51
2633 sf SFR new construction home. Owner's Retreat+2 bd,2.5 ba 2nd fl Retreat Clotlleswasher 1 25.02 25.02
1st fl Study,398 sf 2 car Dlshwnaher I 25.02• 25.02
Y gar,82 of front porch,213 sf extended covered rear porch Drinking tbuntaln
25.02
Ejectors/sump 25.02
"""':Se' _i4 f i ; "" :�td] .v , Expansion tank 12.51
w.i.. f4al �a6P•� era t ,.�.
Name David WeekleyHoma Fixnae/sewercap 2502
Address:1905 NW 169a place Suite 102 Floor drain/floor sink/hub 25.02
City/StateJZ1P:Beaverton,OR 9700E Garbage disposal 1 25.02 25.02
Hose bib 25 02
Phone;(503)213-4415 Fax:( ) Ice maker
u ,. ,e`'-di" r '^�s.�' ?;_,'if +t '` interceptor/gm. l 12.51 t2.S1
< trap 25.02
Business stint*:David Weekley Homes Medical gas(value:S ) Page 2
Contact name: Maria Hasty Primer 12.51 -
Address:1905 NW 1694 Place,Suite 102 • Roof drain(commercial)
City/State/ZIP:Beaverton/OW97006 SolarSink/units vatory
5' 25.02 125.25
Solar units(potable water) I 62.54
Phonc:1503-213-4428 I Fax::( ) Tub/shower/shower pen 1 2 12.51 25.02
E-mail. MHasty@DWHomes.com - Urinal 25.02
Water closet 3'• 25.02 75.06
water water
Business nom Maimedal Plumbing I, 37.52 37.52
water pipiag/DWv 56.29
Address;PO Box 207 t)thm,
25.02
Clty/StatrlxlP:Banks/OR/97106
Subtotal 907.02
Phone:(503)324-0759 I Fax:( ) Minimum wink&e; S72.50
CCB Lie:102535 Plumbing Lie no,:34-276PB Plan review(25%of permit t>e)
Audsortrsd signature: Carolina Malmedsl 8 Stale surcharge(12%ofpannit fee)
TOTAL PERMIT FEE
I Print name;Carolina Mannerist I Date:1.9/5/23 I 'sale peewit*fakedaa expire.tra perish k not°Nuked within lee day"
after let.awn...pied m aoapleN,
'Foe methodology at by Tit-County Building Industry ustry Serviee Bond
IasdlgegtramMvl.aul ruanpp.mu 1551rov 44e-616r(I0,02KY1MIwLJlt
Plumbine Permit Application - City of Tigard
Page 2-Supplemental Information
Fee Schedule: a l Residential Fire Su ression S stems: ,tier
M1 .jikk y41.J/i\'i S}��rl T t .} ' `'. e'Fi r. eRialriFW0 ;
1 �'Y yW�,�(Vq J�
T ; Y .i ci A: `-ANY gt14 b�A` W.:�
Foctingdraln-I°100' 50.03 0to2,000 S121.90
Footing drain-eoch additional 100' 37.52 2,001 to 3,660 8169.69
3,601 to 7100 S23310
Sewer-1st I00' 62.54 7,201 and greeter S327.54
Sewer-each additional 100' 37.52
Water Service•1st 100' 62•54 Medical Gas Systems:
Water Service•each additional WO' 37.52 0R " t!,` ` ' te1
Storm&Rain Drain-let 100' 62.54 $t.00toS5,000.00 Minimum feeS72.50
Storm&Rain Donn-each additional 100' 37.52 S5,001.00 to S10,000.00 $72.50 for the first S5,000.00 and$1.52 for
qr ,rs., A 3 �x each addidonal$100.00«fraction thereof,to
p llytd 3l a „� of _ and including S10,000.00.
Inspection of existing plumbing or for 310,001.00 to$25,000.00 S 148.50 for the first S 10,000.00 and$1.54 for
which no the Is specifically Indicated 40.00/hr each additional$100.00 or*action thereof,to
(minimum charge-in hoar) and including$25,0 0.00.
Inspections outside of normal business 90.00/hr S25,001.00 to$50,000.00 S379.50 for the first S25,000.00 and SI A5 for
hours(minimum charge-2 hours) each additional S100.00ar Ruction thereof,to
Relnspection Fees 90.00Au and inoludin&S50,000.00,
Additionalplan review for revisions 90.00/hr $50,001.00 and up S742.00 for the first S50,000.00 and S1.20 for
each additional S100.00 or fraction thereof
outuitnum charge-1st hour)
Sabtolatr
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could resultl_i'n Increased sewer fees*. �yr��Cpp t a�af Yq�y�( r, pY
try. ...If y*kt•.'Mr h.K" '-�`r 4 ffww lif dd�! rnitOtraM�.O .•A-rt«.+1;irlti TfEttfitr'ii ,
-TS)''�,k°•-„e" p s'Y ;'T„y ,e Plan review is required for any of the following.
knd6rti+aRfatarired. :". ,v.. Jlt?tsft. + Please cheek all that entity.
Beptishv/Font 0 Any new commercial building with water service 2"and
Bath -Tuh/Shower greater,except systems designed and stamped by licensed
-Jacuzzi/Whirlpool engineer.
Car Wash -EachD Stall ❑ New exterior plumbing site utilities for any complex structure
-Drive or as defined In OAR918-780-0040.
Diswasheratar-Coin er
Dishwasher •Commem:iel 0 Medical gas and vacuum systems for health care facilities.
Domestic 0 Any multipurpose fire sprinkler system.
Drinking Fountain 0 Any complex structure as defined in OAR918.780.0040.
Eye Wash
Floor Drain/sink •2" Submit/sets of plans with any of the above.
-3" �v
Car Wash Drain IDiIsometric or riser diagram is required for new buildings
Garbage -Domestic-awn-food •
Disposal -Domestic-food related that meet the qualifications above.
-Cammerclal-food related
-Industrial-food related
IceMachJRefrig.Drabs
Oil Separator(Gas Station) Comments regarding fixture work:
Roe.Vehicle Dump Station
Shower -Clang
-Stall
Sink/inv -Non•food related
•Bmdlcy
-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
�WaterExtractor fees assessed for the sewer Increase must be paid before the
Water Closet-Todot Urinal plumbing permit can be issued.
-Caber
_ Fixtures:
CArserAMalmedal\AppOutall ocaMlicroso ft\Windows 1INotCache1ConteSt.Oudook\3 H2CXR4S\Plumbing Penni t.doc
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit #: MAtiutiVAAk.o l
Site Address: 15593 SW Vanderwood Ave E Verified in Accela
Project Name: River Terrace Crossing Lot/Unit #: 12
Proposal:
New single detached SFR Zone: RES-C
Housing Type: E SFR(E Single Detached ❑ Duplex❑Triplex ❑ADU) ❑ Rowhouse ❑Cottage Cluster❑ CYU 'Quad ❑Other
Required Site Plan Elements:
E 3 copies of site plan on max 11x17"
E Drawn to standard scale L rcetdined ueeS, drip line/ free PrvleLlivii
E North arrow 0 Street and site trees shown / labeled
l Site address, project name, lot #
E Street names (N/A for SFR)
® Applicant name and phone #
E Lot and setback dimensions fl 4 lo-r-me trla441*
❑ Existi,,g-sNtretrres & square footage El Utility locations & easements
E Footprint of new structure and FFE X Property corner elevations
E Sidewalk/driveway dimensioned
El Lot area and lot coverage percentage E Erosion control
uired Elevation Plan Elements:
(For • calcs needed only on street-facing) Summary t with calculations for:
❑ Drawn tandard scale ❑ T agade area
❑ Building heig ensioned Total window and door area
❑ Facade dimensione
❑ Windows and doors dimensi
❑ Garage doors dimension
Required Floor P lements:
(Not require r SFR) ❑ Summ able that includes
❑ story dimensioned ❑ Total floor are
Each story floor area calculated ❑ Floor area per story
Planning Review
The following standards have been met:
Setbacks E Front: 12/8 Rear: 10/5 Side: 3 Min/Max Street Side: 8 / Garage: 20
Height E Max. Height: NA Proposed Height: 23.5
E Yes ❑ N/A Landscape
r Yes ❑ N/A Screening (Q .d only)
❑ -s ❑ N/A % Window 'overage
❑ Ye- ❑ N/A Garage ( R Only) Parking (Other Res)
❑ Yes IN N/A Entrance (SFR, Rowhouse, Quad only)
❑ Yes ❑ " A Other Building design standards (Rowhouse only)
❑ Yes ❑ N/, Acc sory Structure Standards
❑ Yes ❑ No S .alifying pre-existing unit exempt from standards (Cottage unit only)
Additional sta• 'ards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
❑ Yes ❑ N/A Un . Count:
❑ Yes 0 N/, Lot •ath and Size
❑ Yes ❑ A Pathwa
Additio•al standards fo Courtyard Units and Cottage Clusters only:
❑ Yes i N/A Unit Area:
❑ Y: ❑ N/A Floor Area (pe story)
❑ es ❑ N/A Courtyard
r. Yes ❑ N/A Fence
❑ Yes ❑ No 131N/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes 0 No 1N/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes ❑ No
Applied For: 0 Yes 0 No, stop intake
1 Sensitive Lands: 0 Yes El No
El Main Land Use Case #s: PDR2016-00016 , PDR2018-00005 l i Conditions met
R1 Applicant notified of land use expiration date: Permits 3/22/24 , Final 3/22/26
Approved By Planning: _ Date: 9/6/23
Notes
Revision 1: ❑ proved 0 Not Approved Date:
Revision 2: Approved 0 Not Approved Date:
Building Permit Submittal
Original Submittal Date: 4 I I 1 1 'U 1,3
Site Plans #:
Building Plans #:
Building Permit #: r 'Building permit # entered on page 1
Workflow Routing: I 'Planning l"Engineering 'Permit Coordinator 'Building
Workflow Sign-off: I 'Sign-off for Planning (include notes from planning review)
Route Documents: I 'Engineering: (1) copy of permit application, (1) site plan, (1) building plan
and original plan review routing form.
VBuilding: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.
Permit Technician: /r\A t 1, V /e1.4A.- Date: 4 j IZ OA 7,3
Notes:
Engineering Review
FI Permit: PF 1 11„ vz,v 3.-6
-Slope at building pad: 0278. %
,2onditions met prior to issuance of permit
2-Easements (encroachments) per engineering conditions of approval and plat
p-Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 12--No
Assess Water Quantity Fee in-lieu: ❑ Yes 2-NO
LIDA Facility on lot: ❑ Yes ID-Nrf Add Fee: ❑ Yes ❑ No
final Plat Recorded
0 NOT Approved:
Notes: Date:
Approved By Engineering: V,, r 'S to 2 Date: q - 2 (-'a0z,'3
Revision 1: ❑ Approved 0 Not Approved Date:
Revision 2: 0 Approved ❑ 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 ❑ Received p43oes not apply
I DC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A
Tigard Trans SDC: Yes 0 N/A Deferred
Parks SDC: Yes 0 N/A J Deferred
LIDA 0 Yes 151q/A JJJ
.....pOK to Issue/Approved by Permit Coordinator: 0- ?0llarCc Date: e l Z-S
Revision 1: 0 Approved ❑ Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date:
'PI
a ) al ' ;e:t,+P` Building Division
One & Two-Family Dwelling
T I G ARD Fees Checklist
PERMIT INFORMATION: Application Date - FEE VERSION 30 (11. Zo23
Permit#: l'aS j j y CD y(47_ _ Plan #: IJ 2 _A-7 _8 Floors: ^1
Valuation: AM 610 • l-ICovered Porch: 2._ Basement �L
,
Bedrooms: 3 Deck: 1 3 1"Floor l S-3
WC (toilets) 3 Deck Cover: 3 2'd Floor / 3'60
Lavatories l J Patio Cover 3`d Floor �—
Tub/shower `(a Accessory Struct. —_ R-3 Total .2(133
Laundry Tray Water Heater ( <' 6_ Elec Garage 39 g
Exhaust Vents 5 Gas Flue Vents Total for Elec. 30S l
1
✓
Backflow Prey. q�. ` / Heat Pump C # for Electrical S
BBQ � _ Gas Fireplace #Fuel Lines 11
FEES: Description: Fee Applies: Fee Entered:
DC Prov Revw: Planning
Info Proc/Arch: Lg$2.00 (over 11x17)
Info Proc/Arch: Sm$.50 (up to 11x17)
r
Metro CET: Residential Use i
School CET: District: cJ` ✓ r
Tigard CET: Admin ✓ ? R
Tigard CET: ODHCS ✓ t 1'
Tigard CET: AH ✓
Electrical Permit: Permit Fee: I.
Limited Energy:
12% State Surcharge
Mech. Permit: Permit Fee: I. V.
12% State Surcharge �/"-;
Plumbing Permit: Permit Fee:
12% State Surcharge s
Erosion Control: w/Permit- Ping
I:\Building\Forms\ResPlanCheckFees_Dec2022_AA.doc12/21/22
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