Permit CITY OF TIGARD MASTER PERMIT
I COMMUNITY DEVELOPMENT Permit#: MST2023-00045
Date Issued: 06/08/2023
TIC A IZ D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108DC22100
Jurisdiction: Tigard
Site address: 15192 SW HUNTWOOD ST
Subdivision: RIVER TERRACE CROSSING Lot: 86
Project: River Terrace Crossing, Lot 86
Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES HAVE BEEN
PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 4 First: 1088 sf Basement: 518 sf Left: 3 Parking Spaces: 0
Height: 24.58 Bathrooms: 4 Second: 1470 sf Garage: 440 sf Front: 12 Smoke Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 3076 sf Value: $503,178.28 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100
Tubs/Showers: 3 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: N Vent Fans: 6 Clothes Dryers: 1
Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add!500 sf: 6 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
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 3076
Owner: Contractor:
ICHIJO USA CO LTD ICHIJO USA CO LTD Required Items and Reports(Conditions)
1406 140TH PL NE#104 3800 SW CEDAR HILLS BLVD STE 130 1 (2)layers of 2x fire blocking
BELLEVUE,WA 98007 BEAVERTON,OR 97005 at area indicated
2 Geo Tech Required
3 Ersn Cntrl 503-639-4175
PHONE: PHONE: (503)430-7413
FAX:
Total Fees: $27,014.57 •
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
Qa9_nn1_nnln thr n h OAR OR9- nnoi vni i may nhtain a rnn,of the nape nr iiirprt no oactinnc to(1l IN(:by Tallinn FM 919 1QR7 nr 1 Ann 119 9144
Issued By: Permittee Signature: t G`ti )1,-1
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This pe card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the lob site at the time of each inspection.
Building Permit Application Lii.isT ig 4
Residential RECEIVED FOR OFFICE USE ONLY'
City of Tigard fl 9l Date/By:Received , CAI ,) Perr � j/'�,7 ` �V s
11111 a 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review n
11 Phone: 503.718.2439 Fax: 503.598.1960 FEB 1 3 2023 Date/By: 2/o?//23 4 4/1 max/` -00O3L*
TIGARD Inspection Line: 503.639.4175 Date ReadyBy: C /+ Juris: See Page 2 for
Intemet: www.tigard-or.gov CITY OF TIGARD N ed Method: s 1 ' Supplemental Information
iN
w., ' `,.. Z. ; it**pp,!. K ` w A,,,,,, ' -a44," Pv ,REQUIRED' ATtl I.AND 2-. `M I LY DWELLING'
mi New construction ❑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
c - 6 4 r' work indicated on this application.
} Zi:: • _:..: A' )111( OF r-c9 T, UCTIO : .4. 1
Valuation: $
1-and 2-family dwelling ❑Commercial/industrial to I 'W r
❑Accessory building ID Multi-familyNumber of bedrooms: 4
❑Master builder ❑Other: Number of bathrooms: 4
:- ON ;. N 3 35A'� „ Jo :SIT F OlY Q,,, TIO Total number of floors:
Job site Faddress: 15192 SW H U NTWOO D ST New dwelling area: 3076 square feet l(00
City/State/ZIP: Tigard / OR / 97224 Garage/carport area: 440 square feet I Dee
Suite/bldg./apt.no.: Project name:River Terrace Crossing Lot 86 Covered porch area: 64 square feet s'$
Cross street/directions to job site: Deck area: 180 square feet
Oth s ucture area 180 square feet
Q ,. D DA1 A COMMERCIAL USE Cit HECKLTST
Subdivision: River Terrace Crossing Lot no.: 86 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 2S 108 DC07900 Indicate the value(rounded to the nearest dollar)of all
„� DESCRIPTION OF W `'? „� q labor,l atand theprofit for the
equipment,materials, overhead, r
work indicated on this application.
Single Family Detached Dwelling Valuat n: $
xisting building area: square feet
Request the Transportation and Parks SDCs to be deferred to occupancy New building area: square feet
' sys,PRtOPERTY QVI R ' . t ie'.r TENANT n Number of stories:
Name: ICHIJO USA CO., LTD. Type of construction:
Address: 3800 SW Cedar Hills Blvd. Ste. 131 Occupancy groups:
City/State/ZIP: Beaverton/OR/97005 Existing:
Phone:(503)430-7413 Fax:(503)430-7621 New:
ven°' '� E CAIY`I" " .; �� GQNTr�G�, RSO �° ' t ,;..; �, ( QG;PERMTI'•F,EES*,
Business name: ICHIJO USA CO., LTD. aseiefertofeeschedute} .: :.. . ..
Structural plan review fee(or deposit):
Contact name: Naoki Yamaoka
Address: 3800 SW Cedar Hills Blvd. Ste. 131 FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP: Beaverton/OR/97005
Amount received
Phone:(503)430-7413 Fax: :(503)430-7621
mwignroftifttfctiof
E-mail: nao@Ichijousa.com
O .Q O I R PAI EIS Y T-.E fffi *,
„ Z, .,t,, , )r. Commercial and residential prescriptive installation of
41, x , vase v . ,,,Ass `v s— roof-top mounted Photo Voltaic Solar Panel System.
Business name: ICHIJO USA CO., LTD. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 3800 SW Cedar Hills Blvd. Ste. 131 Solar Installation Specialty Code checklist.
City/State/ZIP: Beaverton/OR/97005 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503)430-7413 Fax:(503)430-7621 State surcharge(12%of permit fee): $21.60
CCB lie.: 215360 Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Naoki Yamaoka Date: 02 08 2 02 3 *Fee methodology set by Tri-County Building Industry
/ / Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46 13 T(1 1/02/COM/WEB)
:w d M4
c
Building Permit Application Checklist
One- and Two"-Family Dwelling FOR OFFICE ESE ONLY
City of Tig
ard d Received
11
ll Date/By:
No.:
�� 13125 SW Hall Blvd.,Tigard,OR 97223
N Phone: 503.718.2439 Fax: 503.598.1960 Associated permits:
TIGARD 24-Hour Inspection Line: 503.639.4175 ElElectrical ElPlumbing CIMechanical
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW l'es No N/,1
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑
3 Verification of approved plat/lot. El ❑ ❑
4 Fire district approval required. Name of district: • ❑ El 0
5 Septic system permit or authorization for remodel. Existing system capacity . El ❑ 0
6 Sewer permit. ❑ 0 El
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 ❑ El
9 Erosion control ❑plan El permit required. Include drainage-way protection,silt fence design and location of catch- ❑ 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 ® ❑ ❑
there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements
and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction
indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and
surface drainage.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size III 0 ❑
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, • ❑ ❑
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. • ❑ ❑
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- • ❑ El
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 • ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
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 carrying a non-uniform load.
20 Manufactured floor/roof truss design details. El ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required In ❑ ❑
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 • ❑ El
architect licensed in Ore ton and shall be shown to be a plicable to the .ro'ect under review.
JURISDICTIONAL SPECIFICS
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". • ❑ ❑
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. • ❑ ❑
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. U ❑ ❑
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. • ❑ El
27 "Drawn to scale"indicates standard architect or engineer scale. • ❑ El
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, • ❑ ❑
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 II
including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
•
•
t Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Receiv
Date/By: Pen 9-v 79"0 OM "
4I 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
IIIII L Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Surfs: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
''''''v .. b ,E .`$ECKLIST.
1.' T tPL O ff.:.. .': .�. - on
he
Mechanical permit fees are based on the value of the work
II New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
.�........ ...:.. .r:.
:., ., Value:
Value:
1 TG,ORYd ; 3 ` i l:` : 'N ""' RTDovAEQ ki
NI 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
;_4. Heating/cooling:
JO >SITE R1yTIO1Y A L IO .
............ .., ..,,,.; Air conditioning 46.75
Job site address: 15192 SW H U NTWOO D ST Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Tigard / OR / 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 1 61.06
Suite/bldg./apt.no.: Project name: River Terrace Crossing Lot 86 Ductwork 1 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Lot no.: Other: 23.32
River Terrace Crossing 86 Other fuel appliances:
Tax map/parcel no.: 2S108DC07900 Water heater 1 23.32
`I•:�., ... a: :4. .-, ' S R 011 91+',WOR, ; .,. . Gas fireplace/insert 33.39
Flue vent for water heater or gas
Single Family Detached Dwelling fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
,.rrEt!lir..... 13-W ..,. _ Environmental exhaust and ventilation:
Name: ICHIJO USA CO., LTD. Range hood/other kitchen
equipment 1 33.39
Address: 3800 SW Cedar Hills Blvd. Ste. 131 Clothes dryer exhaust 1 33.39
City/State/ZIP: Beaverton/OR/97005 Single-duct exhaust(bathrooms, 6
toilet compartments,utility rooms) 23.32
Phone:(503) 430-7413 Fax:(503) 430-7621 Attic/crawlspace fans 23.32
'.P Other: 23.32
i:° i :: ti . _�� t x ❑. 'A T PFI2 O
Fuel piping:
Business name: ICHIJO USA CO., LTD. $14.15 for first four;$4.03 for each additional
Contact name: Naoki Yamaoka Furnace,etc.
ump
Address: 3800 SW Cedar Hills Blvd Ste. 131 Gasne
Wall/suuspspenndede
d/unit heater
City/State/ZIP: Beaverton / OR / 97005 Water heater 1
Phone:(503)430-7413 Fax: :(503)430-7621 Fireplace
Range 1
E-mail: nao@ichijousa.com Barbecue 2
Or 4(Y'OR r'rClothes dryer(gas)
Business name: Supreme Heating and Cooling LLC other 7
y s
Address: 13009 NE 91ST Circle Subtotal
City/State/ZIP: Vancouver, WA 98682 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)333-3213 Fax:( ) State surcharge(12%of permit fee)
CCB lic.: 221270 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: 7/ * Fee methodology set by Tri-County Building Industry Service Board
Print name: Naoki Yamaoka Date: 02/08/2023
I:\Building\Permits\MEC PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
to�`ali la uatio,n w Perixtit ee
$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_040113.doc 2
Electrical Permit Application FOR OFFICE r:sl ONLY
City of Tigard DateBed I 41
111 "I 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
9 Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#:
- Inspection Line: 503.639.4175 Ready Date/By: Juris: 91 See Page 2 for
TIGARD Internet: www.tigard-or.gov Notified/Method: Supplemental Information
,;
. .W
I.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 ❑Building over three stories.
❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
, c P T t 's exceeds 10,000 amps at 150 volts orFloatingbuildings.
��.,;. �.� , .,� R U�F`,COIST�iUCTI(� , P 0 g
▪ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump. 0 Installation of 150 KVA or
, QB t ❑Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: 15192 SW HUNTWOOD ST 100HPormore. ❑"A"."E","1-2 'l-3",
City/State/ZIP: ❑Six or more residential units. occupancy.
ri Tigard / O R / 97224 ❑Health-care facilities. ❑Recreational vehicle parks.
❑Hazardous locations. ❑Supply voltage for snore than
Suite/bldg./apt.#: Project name: River Terrace Crossing Lot 86 600voltsnominal.
❑Service or feeder 600 amps or more.
Cross street/directions to job site: � 11-' E'CHDE ,
_Description I Qty. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision: River Terrace Crossing Lot#: 86 Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel# 2S108DC07900 Ea add'l 500 sq ft or portion 33.92 1
' ` ` ESGRIPTION:00.WQR
io
��_.. E.� .... . i.�-. Limited energy,residential
(with above sq.ft.) 75.00 2
Single Family Detached Dwelling Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
Renewable Energy ❑ See Page 2
.., ,g,.witgPERTT O*.ER•: - ,, , ;Il TENA.NT,,., q Services or feeders installation,alteration,and/or relocation
Name: ICHIJO USA CO., LTD. 200 amps or less 100.70 2
Address: 3800 SW Cedar Hills Blvd. Ste. 131 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: Beaverton/OR/97005 601 amps to 1,000 amps 301.04 2
Phone:(503 )430-7413 Fax:(503) 430-7621 Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: info@ichijousa.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
*« Branch circuits—new alteration or extension'
xtension per panel
,d::t, ., �, P�,c NT �,: , ' ` '❑ '4 E <..Q .. t>i A.Fee for branch circuits with '
Business name: ICHIJO USA CO., LTD. above service or feeder fee, 7.42 2
each branch circuit
Contact name: N a o k i Yamaoka B.Fee for branch circuits without
service or feeder fee,first
Address: 3800 SW Cedar Hills Blvd. Ste 131 branch circuit 56.18 2
City/State/ZIP: Beaverton / OR / 97005 Eachadd'lbranchcircuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503) 430-7413 Fax: :(503)430-7621 Each manufactured or modular 67.84 2
Email: nao@ichijousa.com dwelling service and or feeder
Reconnect only 67.84 2
.. r,., RACTOR Pump or irrigation circle 67.84 2
Business name: WEST SIDE ELECTRIC COMPANY Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ❑ See P age 2
Address: 2
1834 SE 8TH AVE panel,alteration,or extension.
City/State/ZIP: PO RT LAN D, OR 97214 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503 )231-1548 Fax:( ) Investigation(1 hr min) 90.00/hr
Email: OFFICE@WESTSIDEELECTRIC.COM Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: 13306 Electrical Lic.: 26-135C Suprv.Lie.: 5698S specifically listed('/hr min)
Suprv.Electrician signature,required: & . W.A.. Subtotal:
Print name: BRENT WALL 5698-S Date: El 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: Naoki Yamaoka Date: 02/08/2023 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\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:
1SIDEl TK WQRK QNLY 1 Desc
Fee for all residential systems 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:
❑ B• urglar 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
❑ Vacuum Systems* >100 kva-no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Each additional inspection is
Other: 66.25/hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed(%hr min)
CQllIlYIERCIAL WORK ELECTRIC e,ERnur=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
❑ C• lock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
n L• andscape Irrigation Control*
❑ Medical
❑ N• urse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I.\Building\Permits\ELCPermitApp_ELR_ERE.doe Rev 06/17/2015
$
Plumbing Permit Application
Building Fixtures roiz OFFICE lusi ONLY
City of Tigard Received Pe
. 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: '/l 1"` (}�
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.:
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
New construction ❑Demolition For special information use checklist
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
=""e it :,,;, ` t1.T ® )j r G4)1VtSTJt,ITC['O0 "" SFR s (1)bath 312.70
El 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 1 500.32
❑Accessory building ❑Multi-family
Each additional bath/kitchen 1 25.02
❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
O$ SIT FO< O C TI Site utilities:
Job site address: 15192 SW H U N T W O O D ST Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP: Tigard / OR / 97224
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name: River Terrace Crossing Lot 86 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: River Terrace Crossing Lot no.: 86 Fixture or item:
Tax map/parcel no.: 2 S 108 D C O 7 9 0 0 Backflow preventer 31.27
° r Backwater valve 12.51
,, . 1). P.- -91 OF':,.9 -I es washer
tea« .: Cloth w 1 25.02
Single Family Detached Dwelling Dishwasher 1 25.02
Drinking fountain 25.02
Ejectors/sump 1 25.02
Expansion tank 12.51
Name: ICHIJO USA CO., LTD. Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 3800 SW Cedar Hills Blvd. Ste. 131
Garbage disposal 1 25.02
City/State/ZIP: Beaverton/OR/97005 Hose bib 2 25.02
Phone:(503)430-7413 Fax:(503)430-7621 Ice maker 1 12.51
4 40 i y ❑ C ® Interceptor/grease trap 25.02
Business name: ICHIJO USA CO., LTD. Medical gas(value:$ ) Page 2
Primer 12.51
Contact name: Naoki Yamaoka
Roof drain(commercial) 12.51
Address: 3800 SW Cedar Hills Blvd. Ste. 131 Sink/basin/lavatory 7 ' 25.02
City/State/ZIP: Beaverton / OR / 97005 Solar units(potable water) 62.54
Phone:(503)430-7413 Fax: :(503)430-7621 Tub/shower/shower pan 3 12.51
E-mail: nao@ichijousa.com Urinal 25.02
Water closet 4 25.02
r_ a111: . i,,...,. ..is . _. .`;Jiit " Water heater 1 37.52
Business name: Pipe It Plumbing LLC. Waterpiping/DWV 56.29
Address: PO BOX 1389 Other: 25.02
City/State/ZIP: Boring / OR / 97009 Subtotal
Phone:(503) 544-0477 Fax:(503) 912-0045 Minimum permit fee: $72.50
CCB Lie.: 174351 Plumbing Lic.no.: P B297 Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: t��<. , TOTAL PERMIT FEE
Ai Print name: Naoki jf
a m a o k a Date:02/08/2 0 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.
I:tBuilding\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
IotRoT a Sf11l aree.1r.40tage
Footing drain-ls`100' 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69
3,601 to 7,200 $233.20
Sewer-1st 100' 62.54 7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52 ,
Iuat><on
Storm&Rain Drain-1st 100' 62.54
$1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
Oth Ii ect on Or Fees &" �� Pee �O "` each additional$100.00 or fraction thereof,to
-.. l�_•" .• x ." ,. and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to
(minimum charge-1/2 hour) and including$25,000.00.
Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to
Reinspection Fees 90.00/hr and including$50,000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
(minimum charge 1/2 hour) each additional$100.00 or fraction thereof.
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*. pla„ „ Lyjee&tbr:Plum ing , Sta1Ia ions
Quantity.by Fixtur`e,Type`:: Plan review is required for any of the following.
Fixture Type for Replace/ Please check all that apply.
Work Performed: Capped. Added"= Relocate,
Baptistry/Font ❑ Any new commercial building with water service 2"and
greater,except systems designed and stamped by licensed
Bath: -Tub/Shower
-Jacuzzi/Whirlpool engineer.
Car Wash:Wash: -Each Stall New exterior plumbing site utilities for any complex structure
Drive Thr as defined in OAR918-780-0040.
Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher: Commercial El Any multipurpose fire sprinkler system.
Domestic ❑ Any complex structure as defined in OAR918-780-0040.
Drinking Fountain
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2"
-
❑ Isometric or riser diagram is required for new buildings
-Car Wash Drain that meet the qualifications above.
Garbage -Domestic non-food
Disposal: -Domestic food related
-Commercial food related
-Industrial food related
Ice Mach./Refrig.Drains Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -Lav/Bar non-food related
-Bradley _
-Com/Serv/Util food related
-Service *Note: If the fixture work under this permit results in an
Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and
Washer-Clothes fees assessed for the sewer increase must be paid before the
Water Extractor
Water Closet-Toilet plumbing permit ermit can be issued.
Urinal _
Other Fixtures:
I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2
City of Tigard
III ■
'' COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD f
Building Permit #: 6r3oa3 000 Li�J ./
Site Address: I a 5wi `t1�kn0=G& '4• iVerified in Accela
Project Name: ' � 5c• L''-} Lot/Unit #: try 4.6
Proposal (include housing type): 0-' R c '1‘ 2 ‘er `'at Cs"" ne: Eve -C
Required Site Plan Elements:
13 cppies of site plan on max 11x17"
Nil/Drawn to standard scale ❑,Rcteincd trccs, d i c-/ tfec--yretcction
LEI North arrow 11 Street and site trees shown / labeled
Site address, project name, lot # •
Er/Street names -for S )
Applicant name and phone #
ot and setback dimensions
Mi Utility locations &easements
/Footprint of new structure and FFE /Property corner elevations
PJ Sidewalk/driveway dimensioned ® LIDA (>1,000 sf disturbance)
Er Lot area and lot coverage percentage Er Erosion control
Required Elevation Plan Elements:
(For SfrR: calcs needed only on street-facing) Siam with calculations for:
t rawn to standard scale Total façade are ;
i� ensioned � window and door area
Façade dimensioned
ant-doors dimensioned
dGarage doors dimensioned
Required Floor Plan Elements: /
(Not required for SFR) E( ummary table that includes
L�f Each story dimensioned f ,7otal floor area
L�3'
Each story floor area calculated Floor area per story
Planning Review
The followin• - • •ards,h., - - - - .
Setback- 'a Front: d _ear: a Side: in/Max Street Side: 14 / 107i Garao• e,
H ight i Max. Height: Proposed Height: 2-`1 7
Of Yes ❑ N/A Landscape
� �17 w� �� o ied-for AS a i�
' ��y� % n• refitrca ohtt tS� �1�-e S:c2AI�n� u�1 s1: P
. 0 N-/A ° Vtr'I IsiW n,.. ' aottoQy.A/4 410,0 /
Yes ❑ Garage (SFR Only)
/ �g{Other�Ft )
® Yes 0 N/A Entrance (SFR, Rowhouse, Quad only)
.,Q Yes 0 N4A Other • w ouse )
ge unit only)
Additional standards for Courtyard U ttage Clusters, Rowhouses, and Quads:
N/A Unit Co •
❑ Yes ❑ N • d Size
❑ N/A Pathway
d al standards for Courtyard U ' Cottage Clusters only:
❑ Yes ❑ N Unit Area:
❑ Yes ❑ N/A Area (per story)
❑ Y /A Courtya
Yes 0 N/A Fence
❑/Yes 0 No dN/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
® Yes 0 No ON/A Public Facili ies Improvement (PFI) Permit:
Required: 1yes 0 No
Applied For: O Yes 0 No, stop intake
"Sensitive Lands: 0 Yes VNo
'Main Land Use Case #s: I't)0.2-0+t -- 000 b Sub'}�'�"'�`''�' Conditions met>
i Applicant notified of land use xpir e: ')_/ Q-7 / a0
Approved By Planning: Date: 2/
Notes
Revision 1: 0 Ap roved 0 Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date:
Building Permit Submittal
Original Submittal Date: 2l i
Site Plans #:
Building Plans #:
Building Permit #: "Building permit # entered on page 1
Workflow Routing: 'lanningiTEngineering'Permit Coordinator,--ErBuilding
Workflow Sign-off: 4ign-off for Planning (include notes from planning review)
Route Documents: ,a Engineering: (1) copy of permit application, (1) site plan, (1) building plan
and original plan review routing form.
Building: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc. // //
Permit Technic • Date: 02. <t'3`&3
Notes: 6 z
Engineering Review
❑ PFI Permit:
lYSlope at building pad: 2.1.
NM- Etonditions met prior to issuance of permit
CJ'Easements (encroachments) per engineering conditions of approval and plat
['Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes t'fVo
Assess Water Quantity Fee in-lieu: 0 Yes 6'No
LIDA Facility on lot: 0 Yes t'No Add Fee: 0 Yes 0 No
C' inal Plat Recorded
❑ NOT Approved: Date:
Notes:
Approved By Engineering: Date: 2A/1L
Revision 1: 0 Approved 0 N Approved Date:
Revision 2: 0 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:
ZrSDC Exemption: 0 Applied for 0 Received 9-Does not apply
2 SDC Fees Entered: Wash Co Trans Dev Tax: ,PIYes 0 N/A
Tigard Trans SDC: des 0 N/A Deferred
Parks SDC: Yes 0 N/A Deferred
LIDA 0 Yes rErN/A
,OK to Issue/Approved by Permit Coordinator: Date: 2.12212b2
Revision 1: 0 Approved 0 Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date:
FOR OFFICE USE ONLY—SITE ADDRESS: IS Wi SW ,nk ococC SA '
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
!NI
■ Transmittal Letter
TIC A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov
TO: City of Tigard DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
FROM: Naoki Yamaoka MAY 2 2023
COMPANY: ICHIJO USA CO., LTD. CITY OF TIGARD
BUILDING DIVIBIQI ei,
PHONE: (503)430-7413
EMAIL: nao@ichijousa.com
RE: 15192 SW HUNTWOOD ST Tigard OR 9797224 MST2023-00045
(Site Address) (Permit Number)
River Terrace Crossing Lot 86
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies .Description ;, -'" , 'Copies Description, _, 1
3 Additional set(s) of plans. 3 Revisions: Structural Drawings
3 Cross section(s)and details. Wall bracing and/or lateral analysis.
3 Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: Change the Slab on Grade to Post and Beam for Basement Floor
Add Crawl space and Crawl Space Vent
Add 18"x24" Crawl Space ACCESS
, . , ,FO O ICE USE O 'NLY , . ':,
Routed to Pe ' Technician: Date: 5 3 Z� Initials: ; , :
Fees Due: Yes El No Fee Descripti n: Amount Due:
2 V 1
a
✓t r.[,mot;-ems $ 9c
$
Special
Instructions:
Reprint Permit(per PE): ❑Yes E No ❑ Done
Applicant Notified: I Date: 'SOA I'Loti1. EMMW) 1.1R4 Initials: m