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Permit (4)
CITY OF TIGARD MASTER PERMIT I COMMUNITY DEVELOPMENT Permit#: MST2023-00040 7-EGA IF L7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: Parcel: 2S108DC22500 Jurisdiction: Tigard Site address: 15159 SW HUNTWOOD ST Subdivision: RIVER TERRACE CROSSING Lot: 90 Project: River Terrace Crossing, Lot 90 Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES HAVE BEEN PAID. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1258 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 22.6 Bathrooms: 3 Second: 1614 sf Garage: 440 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 2872 sf Value: $461,528.80 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0 Fum<100K: Vents: 0 Woodstoves: 0 Gas Outlets: 3 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'I 500 sf: 5 201-400 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 Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2872 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 Ersn Cntrl 503-639-4175 PHONE: PHONE: (503)430-7413 FAX: Total Fees: $25,705.36 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 oc ..nni_nn1n thrni,nh(lap oc ..nn1-nnon au nhtain a rnn,of}ha ri doze nr riirart ni iactinnc to(11 nun hu Tallinn'.n4 119 10117 nr 1 Ann 3/Z9 %IA Issued By: Permittee Signature: ) r I 1 t-(a� Call 503. .4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. ` } t 'T10 Building Permit Application Residential RECEIVED FOR OFFICE ESE ONLY City of Tigard FEB 0 8 2023 Received y 111 trL DateB . Permit No.: 3 , 't 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 0 Phone: 503.718.2439 Fax: 503.598.19 Date/By: i ��, OtherPett7) Inspection Line: 503.639.4175 �I I OF TIGARD T'I G A R D p Date Ready/By: AA r Juris: 0 See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION NotifiedMethod:4j4 3'A1 .�M Supplemental Information ifiz:,i, ,"': -!','; :,:z cy'! „„i., ,,,:',,;' :*;,,„-1,-,-*;:r? ii!. _,:i' PC-':i if: 5:j ;:'' '1; if 0170 -„'::41:-'','. 114i ':'''14.11.4:',! ii 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 ` Z f `: © --" OO °g ` work indicated on this application. II 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ Liiii 15n. ❑Accessory building 0 Multi-family Number of bedrooms: 4 ❑Master builder 0 Other: Number of bathrooms: 3 S p . p . T p Total number of floors: 2 33 I Job site address: 15.159 SW H U NTWOOD ST New dwelling area: 2872 square feet 1 n!, City/State/ZIP: Tigard OR 97224 Garage/carport area: 440 square feet Suite/bldg./apt.no.: Project name:River Terrace Crossing Lot 90 Covered porch area: 64 square feet Cross street/directions to job site: Deck area: square feet Other structure area: ..P.„...9.1i.olcsquare feet Subdivision: River Terrace Crossing Lot no.: 90 Permit fees*are based on the value of the work performed. 2 S 108 D C 083 00 Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no. : equipment,materials,labor,overhead,and the profit for the Imo F li.. a tt work indicated on this application. Single Family Detached Dwelling Valuation: $ Existing building area: square feet Request the Transportation and Parks SDCs to be deferred to occupancy New building area: square feet t;. ` . .4171. -O;P .N ..... -_R'` .. . :.:. . .:.. . .:'. , fit." ..-"...3... ..,." . ., 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: Business name: ICHIJO USA CO., LTD. . :ems rPre ���ffeLhe"e�. Structural plan review fee(or deposit): Contact name: Naoki Yamaoka Address: 3800 SW Cedar Hills Blvd. Ste. 131 FLS plan review fee(if applicable): City/State/ZIP: Beaverton/OR/97005 Total fees due upon application: Amount received: Phone:(503)430-7413 Fax: :(503)430-7621 .E-mail: M nao@ichijousa.com ,T T® ® ° _ t " °_ ., W: r : Commercial and residential prescriptive installation of ; . .:.. r: ''': - c ,t ® ;. .1;4)- A, '.' < 1,° : . 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: 449da;obt-- 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 440-4613T(11/02/COM/WEB) tfit Building Permit Applicaliam Checklist One- and Two-Family Dwelling FOR OFFICE t sl ONLY City of Tigard Received Date/By: , Permit No.: 114 " 13125 SW Hall Blvd.,Tigard,OR 97223 g Associated permits: ® Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 ❑ Electrical 0 Plumbing ❑ Mechanical TIGARD Internet: www.tigard-or.gov "" ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW l cs No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 0 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ 0 0 3 Verification of approved plat/lot. 0 0 ❑ 4 Fire district approval required. Name of district: • 0 0 ❑ 5 Septic system permit or authorization for remodel. Existing system capacity 0 ❑ 0 6 Sewer permit. 0 0 0 7 Water district approval. ❑ 0 ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0 9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state • 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 ® ❑ ❑ there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size • ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, • ❑ 0 furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- • 0 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- • ❑ 0 prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing • 0 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ 0 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 IN ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. U ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required Q ❑ ❑ 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 II 0 0 architect licensed in Ore•on and shall be shown to be a slicable to the sro'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 ❑ 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 ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard III0 ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, U ❑ ❑ 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 • 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.doe 02/24/2011 440-4613T(11/02/COM/WEB) Electrical Permit Application Foa OFFICE I'SE ONLY Received City of Tigard Dat �!- 0 Receiv A: Permit#: J( 3e 000 14 ll Iii '1 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 11 Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#: Inspection Line: 503.639.4175 Ready Date/By: Juris: 61 See Page 2 for TIGARD Internet: www.tigard-or.gov Notified/Method: Supplemental Information e�rtw� :.. ., ...: t.,; t ,.c'. I. Yam,„.... Q,.r. 1: 2 , ..v- . ,.. 47..: .. .. 361 IIII New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more ❑Building over three stories. 0 Demolition D OtheT where the available fault current ❑Marinas and boatyards. C OR} I: p `' ;' exceeds 10,000 amps at 150 volts or 0 Floating buildings. NI 1-and 2-family dwellingless to ground,or exceeds 14,000 ❑Commercial-use agricultural ❑Commercial/industrial ❑Accessory building ❑Multi-family ❑Master builder ❑Other: Fire umall other installations. Installation 0Fire pump. ❑Installation of 150 KVA or '` ' . 4 ❑E OTB 8I ,,„,° rt ,: ,'' ° ( €' ,4 '' mergency syste . larger separately derived ❑Addition of new motor load of system. Job#: Job site address: 15159 SW HUNTWOOD ST l0OHPormore. ❑"A","E","1-2","1-3", City/State/ZIP: Tigard / OR / 97224 ❑Six or more residential units. occupancy. ❑Health-care facilities. ❑Recreational vehicle parks. ❑Hazardous locations. ❑Supply voltage for more than Suite/bldg./apt.#: Project name: River Terrace Crossing Lot 90 600voltsnomnal. ❑Service or feeder 600 amps or more. Cross street/directions to job site: ;• s:, Description I Qty. I Each I Total I New residential single-or multi-family dwelling unit. Subdivision: River Terrace Crossing Lot#: 90 Includes attached garage. 1,0Tax map/parcel# 2S108DC08300 a a sq.ft.or less or portion 1 . 4 E . dd 1500 sq.ft. 33 33.92 1 . , .:.. ,. Limited energy,residential 75.00 2 (with above sq.ft.) Single Family Detached Dwelling Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy ❑ See Page 2 " _ s•y`'` ' _ p 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 2ol amps to400amps 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,per panel • � "` �-� � �° - 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 branchcircuit 56.18 2 City/State/ZIP: Beaverton / OR / 97005 Eachadd'lbranchcircuit 7.42 2 Phone:(503) 430-7413 Fax: :(503)430-7621 Miscellaneous(service or feeder not included) Each manufactured or modular 67.84 2 Email: nao@ichijousa.com dwelling,service and/or feeder Reconnect only 67.84 2 ".; 0 : O ,OR`'.: rt`i=,. ':. `. ,.,' :.;" .A.:::. 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 0 See page 2 2 Address: 1834 SE 8TH AVE panel,alteration,or extension. g City/State/ZIP: PORTLAND, 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@W ESTSI DEELECTRIC.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.Lic.: 5698S specifically listed(%hr mm) Suprv.Electrician signature,required:n . . Subtotal. Print name: BRENT WALL 5698-S Date: 02/08/2023 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: 4/-ifiejaikt— 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 pernut. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(I1/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: .:. � Fee for all residential systems combined: $75.00 Description Qty. I Each I Total 3' 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 ❑ Gara e Door O ener* 50.01 to 100 kva 552.26 2 g p >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 any of the above: ❑ Other: Each additional inspection is 66.25/hr I charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed hr min) .. ,�LE�CRL,z1 E Wiz... O1 1 ERGWQRK., ..�` . , Fee for each commercial system: $75.00 Subtotal lerpermt Pagel). y * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation n Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitAppELR_ERE.doe Rev 06/17/2015 , r Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Received Permit 111 13125 SW Hall Blvd.,Tigard,OR 97223 Date By: � 3 Up�i -( 0 Plan Review "a Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: ia See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information w, _:;: 0 O LI E ,. Mechanical permit fees*are based on the value of the work •New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. 4OCC Value:$ dwellingNNtfit NV _.. 1. 1-and 2-family e y ❑CommerciaUindustrial El building For special information use checklist. ❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total ,,, 'INF fi ' t ,. Heating/cooling: . ,u . Air conditioning 46.75 Job site address: 15159 SW H U N T W O O 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 90 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 Other: 23.32 Subdivision: River Terrace Crossing Lotno.: 90 Other fuel appliances: Tax map/parcel no.: 2S108DC08300 Water heater 1 23.32 5 , i ,1 1 , 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 R T .x Other: 23.32 `` ""°" L]` TENAT 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, toilet compartments,utility rooms) 5 23.32 Phone:(503) 430-7413 Fax:(503) 430-7621 Attic/crawlspace fans 23.32 '': A=" ERS01 . Other: 23.32 Fuel piping: Business name: ICHIJO USA CO., LTD. $14.15 for first four;$4.03 for each additional Contact name: Naoki Yamaoka Furnace,etc. Address: 3800 SW Cedar Hills Blvd Ste. 131 Gasheasp Wall/suspended/unit hcater 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 1 r Clothes dryer(gas) Business name: Supreme Heating and Cooling LLC Other: Address: 13009 NE 91 ST 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: 44kih * Fee methodology set by Tri-County Building Industry Service Board Print name: Naoki Yamaoka Date: 02/08/2023 I:\Budding\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: zT at,inn w e ni t ;e` $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 • Plumbing Permit Application Building Fixtures FOR OFFICE ESE oNi.v City of Tigard Received Permit M�1 Z) '0oo tom,,, 14 - II 13125 SW Hall Blvd.,Tigard,OR 97223 DaDate/By: Pla te/By: 1 Phone: 503.718.2439 Fax: 503.598.1960 n Review Other Permit No.: Da T I G A R D Inspection Line: 503.639.4175 Date Y Read/B Juris: la See Page 2 for Y Internet: www.tigard-or.gov Notified/Method: Supplemental Information w yE. ri A MI 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) ;'' ... V „ '"?:: SFR(1)bath 312.70 III 1-and 2-family dwellingSFR(2)bath 437.78 ❑Commercial/industrial ❑Accessory building ❑Multi-family SFR(3)bath 1 500.32 Each additional bath/kitchen 25.02 ❑Master builder ❑Other Fire sprinkler( sq.ft.) Page 2 ? o 11 Site utilities: Job site address: 15159 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.: I Project name: River Terrace Crossing Lot 90 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 I Lot no.: 90 Fixture or item: Tax map/parcel no.: 2 S 108 D C 0 83 0 0 Backflow preventer 31.27 '4`: `t4 .4, 44 ;rroe"?., Backwater valve 12.51 " Clothes washer 1 25.02 Single Family Detached Dwelling Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 z $ R .i I 1 .: .. ..5 . ; :, 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 ,A 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 6 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 4 12.51 E-mail: nao@ichijousa.com Urinal 25.02 Water closet 3 25.02 : F:. ' ":`;,.. .> Water heater 1 37.52 Business name: Pipe It Plumbing LLC. Water piping/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 174351 g P B297 Plan review (25%of permit fee) CCB Lic.: Plumbing Lic.no.: State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: Naoki a m a o k a Date:02/08/2023 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:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Sup ression Systems 1 ee(ear r ua 4aage,.. 'e rt I Fee. Footing drain-1 s`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 t Storm&Rain Drain-1st 100' 62.54 1C $1.00 too$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 Qty ee lea J'1:; each additional$100.00 or fraction thereof,to , „w 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*. y @,,, . ,ro 11T1,1?,n ,; uantity byFiz'ture Type` Plan review is required for any of the following. Fixture Type for Replace/""' Please check all that apply. Work:Performed Capped �� Added ❑ Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool ❑ New exterior plumbing site utilities for any complex structure Car Wash: -Each Stall as defined in OAR918-780-0040. -Drive Thru Cuspidor/Water Aspirator El Medical gas and vacuum systems for health care facilities. ❑ Any multipurpose fire sprinkler system. Dishwasher: -Commercial 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" 3„ r eragrr „ 4" ❑ 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: -Lay/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 can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2 City of Tigard ° COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review - Residential TIGARD liNIMI Building Permit #: :'4 c �"' OOO7k U Site Address: i�S t SD( 5 ��v/tv�{� S} , tVerified in Accela Project Name: ( ��5 'v �' � L± qo Lot/Unit #: L-0+ e I) Proposal (include housing type): Qfb'J t), 5 — `" t( Ck V)Zone: ( e5 —4— Rerired Site Plan Elements: to 3 copies of site plan on max 11x17" Vp awn to standard scale pro ion Vfitorth arrow Street and site trees shown / labeled reiSite address, project name, lot # ' g re 'ty ,Street names (-N/A for SrR) ff pplicant name and phone # gfieTdimensioned (if appiicabte) of Lot and setback dimensions i — Utility locations &easements ootprint of new structure and FFE Property corner elevations cSidewalk/driveway dimensioned d_LIDA (>1,000 sf disturbance) Ef Lot area and lot coverage percentage fd Erosion control Required Elevation Plan Elements: (For SFR: talcs needed only on street-facing) Suynmary table with calculations for: `drawn to standard scale U otal façade area ilding height dimensioned El Total window and door area ViPagade dimensioned HAI/Windows and doors dimensioned tof Garage doors dimensioned Required Floor Plan Elements: (Not required for SFR) L$ummary table that includes Each story dimensioned metal floor area liy'ach story floor area calculated VFloor area per story Planning Review The followin tandards.have teen met: ,,., , Setbacks Front: 11 Rear: IC) Side: 7 Min/Max Street Side: f'/i / P/4 Garage: %'-°'v Heiight /ax. Height: 1,1A Proposed Height: ok-a 2 Yes ❑ N/A Landscape LJ N/A Screening (Quad only) - ❑ N/A % Window Coverage Yes ❑ N/A Garage (SFR Only) � Parking (Other Res) 7'Yes 0 N/A Entrance (SFR, Rowhouse, Quad only) use only`) • ar s Cottage uni o dditional standards for Cour rd Units, Cottage Clusters, Rowhouses, and Quads: ❑ Yes Unit ❑ Yes ❑ N/ of i Size ❑ Y N/A Pathway al standards for and Units and Cottage Clusters only: ❑ Yes ❑ N ni a: ❑ Yes ❑ N/A oo a (per story) ❑ Yes A Courtyard O 0 N/A Fence ❑ Yes 0 No /A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995) ❑ Yes 0 No tdN/A Public Facili ies Improvement (PFI) Permit: Required: Y s 0 No Applied For: lOkes 0 No, stop intake 0" t Mail nLand Use Case #s: r'o,aeit ,00 ci 1,, Sut, d d-o003 Co Conditions met ) (Applicant notified of land se a pir ton date: 2 / 4? / 'A_o =1-1 Approved By Planning: Date: /g/)-O Notes Revision 1: 0 Approved 0 Not Approved Date: Revision 2: 0 Approved 0 Not Approved Date: Building Permit Submittal Original Submittal Date: 11812013 Site Plans #: 3 Building Plans #: 3 Building Permit #: I 'Building permit # entered on page 1 Workflow Routing: d'Planning L Engineering 13"Permit Coordinator 0 Building Workflow Sign-off: Rt'Sign-off for Planning (include notes from planning review) Route Documents: ('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 cal ulations and trust detertails, if applicable, etc. Permit Technician: ti"y"' T or )dU1Ph NJ ClAill Date: 4131201.1 Notes: Engineering Review ❑ PFI Permit: "Slope at building pad: 2/A ok vU/,� Et/Conditions met prior to issuance of permit VEasements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes Z-flo Assess Water Quantity Fee in-lieu: 0 Yes C9'No � � LIDA Facility on lot: 0 Yes r t Il I Add Fee: 0 Yes 0 No f1�'Final Plat Recorded ❑ NOT Approved: Date: Notes: Approved By Engineering: Date: Z/ i Z 3 Revision 1: 0 Approved 0 Approved Date: Revision 2: 0 Approved 0 Not Approved Date: Permit Coordinator Review Conditions met prior to permit issuance O Approved, NOT Released: Date notified applicant: O ENG Revisions Required: Date notified applicant: SDC Exemption: 0 Applied for 0 Received Does not apply -1SDC Fees Entered: Wash Co Trans Dev Tax: 'Yes 0 N/A Tigard Trans SDC: -Yes 0 N/A 'Deferred Parks SDC: ,12-Yes 0 N/A Deferred LIDA ❑ Yes ,a N/A ,I(OK to Issue/Approved by Permit Coordinator: M!`Qv Date: 2-(22-120i�J Revision 1: 0 Approved 0 Not Approved Date: Revision 2: 0 Approved 0 Not Approved Date: