Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2023-00184
T[G tlj?.L 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/08/2023
Parcel: 2S108DC18800
Jurisdiction: Tigard
Site address: 15159 SW COOLWATER LN
Subdivision: RIVER TERRACE CROSSING Lot: 53
Project: River Terrace Crossing, Lot 53
Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES HAVE BEEN
PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 3 First: 1814 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 16 Bathrooms: 2 Second: 0 sf Garage: 433 sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes
Total: 1814 sf Value: $299,844.37 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100
Tubs/Showers: 2 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: 1
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1
Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 2
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: 3 201-400 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 1814
Owner: Contractor:
PACIFIC LIFESTYLE HOMES INC PACIFIC LIFESTYLE HOMES Required Items and Reports(Conditions)
11815 NE 99TH ST#1200 11815 NE 99TH ST#1200 1 Ersn Cntrl 503-639-4175
VANCOUVER,WA 98682 VANCOUVER,WA 98682
PHONE: PHONE: 360-213-0813
FAX: 360-574-6401
Total Fees: $20,831.68
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
QF9_nn1_M1n thrniinh(AR oc9-nn1_nnQn Vnn may nht R a r f the ndac nr riirart nnnctinnc to nl'me.by Tallinn cn't 9'29 107,17 nr 1 Ann
Issued By: Permittee Signature: -1_- —
503.639.4175 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.
Building Permit Application
Residential F01(011.1( I.. t 11: ON►.1
City of Tigard Permit No. t'1
ett
13125 SW Hall Blvd.,Tigard,OR 97223
Plan Review L i
Phone: 503.718.2439 Fax: 503.598.1960 niS4 atetBy: �J / Other Permit: A/ pods
I I , ,I:t, Inspection Line: 503.639.4175 ,;y 8 i.�ate Ready/By- )�n �n inns: See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Lt I Ma/ • N • Supplemental Information
iyT"r'�'� ;F r s ,A � 1I r t l ♦ i <*r
,.er•
®New construction El 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
t zc y v n t i a e 4 P n s:.
work indicated on this applic3aptpiopn. _/�/� p►}�
lam
1-and 2-family dwelling ❑Comercial/industrial Valuation: V„i`1 0 T 1.31
ElAccessory building El Multi-familyNumber of bedrooms: 3
❑Master builder El Other
Number of bathrooms: 2
N Total number of floors: 1 -2-[
Job site address:15159 SW COOLWATER LN New dwelling area: 1814 square feet'Gig
City/State/ZIP:TIgard,OR Garage/carport area: 33square feet
Suiteibldg.lapt.no.: Project name:River Terrace Crossing Covered porch area: 0 square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
Subdivision:River Terrace Crossing I Lot no.:53 Permit fees*are based on the value of the work performed.
Tax map/pared no.:2S108DC04800 Indicate the value(rounded to the nearest dollar)of all
¢ } equipment,materials,labor,overhead,and the profit for the
a * - ; *�y�. work indicated on this application.
New SFR Valuation: $
Existing building area: square feet
New building area: square feet
,n r r Number of stories:
Name:Pacific Lifestyle Homes Type of construction:
Address:11815 NE 99t°Street,Suite 1200 Occupancy groups:
City/State/ZIP:Vancouver,WA 98682 Existing:
Phone (360)573-8081 Fax
z rn�arsnr New:
Business name:Pacific Lifestyle Homes
Structural plan review fee(or deposit):
Contact name:Permit Coordinator-Kellie Franklin
FLS plan review fee(if applicable):
Address:11815 NE 99th Street,Suite 1200
City/State/ZIP:Vancouver,WA 98682
Total fees due upon application:
Phone:(360)213-0809 Fax::( )
Amount received:
E-mail:permits(wburidpih.com
P
��..,�' a,.a
au �
��..���� 4,44
,,,hiotrim Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Same Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:Same Solar Installation Specialty Code checklist.
CitvlState/Z[P:Same Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:173524
Total fee due upon application: $201.60
Authorized signature: Kt? �,lCl.,q�k%eGIZ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Kellie Franklin Date:5/3/2023 *Fee methodology set by Tn-County Building Industry
Service Board.
LaBuildingPennits?B(JP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Application l t)R of l l( l: I til.O\l.l'
C. of T. and Received
a `J g Date/By: Permit No.: L� -O7)1
13125 SW Hall Blvd.,Tigard,OR 97223 •
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Other Pernut:
l i G n R D Inspection Line: 503.639.4175 ," le _
Internet: www.tigard-or.gov ., . •/-.td/Me o: how: Pent Supplemental2 fnr
oti6ed2ofthod: Information
41r ' x t ai - 1 t t r 1
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/r Ott
?j0i9t) t p^z S c�^ performed.Indtcate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: p ti ;. _ :.. e e mechanical materials,equipment,labor,overhead,and profit.
Value $
.'°`x._...�:' .,.,+ �.:.t,�'...,��ir,v..... '_ ., __ �. ._...,.:-_� ��.�:,a,.w�� t_,i._...,.,'.:,. . .:'.�'�. @,��.,.." � �4 Y,,� ,' i{3 i + :, I ::; I�t..,✓M1;,�
® 1-and 2-famil dwellin Commercial/industrial y g ❑ El Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total
„y'� ,7-7 i 7 Cat ° ,c FS130 Heating/cooling:
Air conditioning 46.75
Job site address:15159 SW COOLWATER LN Furnace 100,000 BTU(ducts vents) 46.75
City/State/ZIP:Tigard,OR Fume BTU(ducts/vents) 54.91
Heat pump 1 61.06
Suite/bldgapt.no.: Project name:River Terrace Crossing two 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
Fhreh-ent for any of above 23.32
Subdivision:River Terrace Crossing Lot no.:53
Other 23.32
Other fuel appliances:
Tax map/parcel no.:25108DC04800 Water heater 23.32
r ,71 k „ Gas fireplace/insert 1 33.39
Flue vent for water heater or gas
New SFR 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
_... .. .l_g. ?_ ,., Environmental exhaust and ventilation:
Name:Pacific Lifestyle Homes Range hood/other kitchen
equipment 1 33.39
Address:11815 NE 99th St.,Suite 1200 Clothes dryer exhaust 1 33.39
City/State/ZIP:Vancouver,WA 98682 Single duct exhaust(bathrooms,
toilet compartments,utility rooms) 4 23.32
Phone:(360)573-8081 Fax:( ) Attic/crawlspace fans 23.32
4kM1 -
y � AM1 R" � Other:
._ _u. _., u.. ��.-� 23.32
Business name:Pacific Lifestyle Homes Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Permit Coordinator-Kellie Frnaklin Furnace,etc.
Address:11815 NE 99th Street,Suite 1200 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Vancouver,WA 98682 Water heater
Phone:(360)213-0809 Fax::( ) Fireplace 1
Range 1
E-mail:permits(butldplh.com Barbecue
Clothes dryer(gas)
Business name:Wolcott Plumbing Other s fin;
Address:1075 West Historic Columbia River HWY Subtotal
Minimum permit fee($90.00)
City/State/ZIP:Troutdale,OR 97060 Plan review(25%of permit fee)
Phone:(503)667 1781 Fax:( ) State surcharge(12%of permit fee)
CCB lie.:112220
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:�Q Pizzo AL,g, ' Fee methodology set by Tri-County Building Industry Service Board
Print name:Kellie Franklin Date:5/3/2023
ISBniWiutrrPenn,tsa;,EC PnmitAr_040113.doc 440-4617T(11421COM/WEB)
f
Electrical Permit Application Wai+�ry �^ I OR(1F 11( I I �1 ()\► 1
City of Tigard ,Y Pernut#:
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review L 1• i
Phone: 503.718.2439 Fax: 503.598.1960 `
,s r Date/B : Related Permit#:
T I G,�h D Inspection Line: 503.639.4175 I •/..-, a V 4 J,-,i Ready Date/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
a� � * ......:?s...r.i 5. .. : »� ,'r _ _i, "" t„l P,R, { r�°"r_ LLL 'i. .:21 L.;a r Hsi ,, _, '— .-t ; � 5'I.N� '
®New construction El Addition/alteratio ,lireenieitt ,-,-:.;- --- Please check all that apply(submit 2 sets of plans w/items checked):
❑Demolition 0 Other: ❑Service or feeder 40o amps or more ❑Building over three stories.
where the available fault current ❑Marinas and boatyards.
...: .. .. .:..:.. .,, ,._...v . ,..,-'.4 a_ v:; �,,�'' I:�-1. • _ �,', '�,,� �?9ty : ""i':i exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® 1-and 2-family dwelling 0 Commercial/industrial ❑#Accessory building less to ground or exceeds I4,o00 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or
i x t -. x s
1,31���,�' ��.���> � ��, Emergency
mer enc s stem.1p _�3`'�lt�� (...#'�., ..� ._-.a, s..�-�s -r.. � ,� �[` � r ��g ��.: �y i ❑ g Y Y larger separately derived
Job#: Job site address 15159 SW COOLWATER LN ❑Additionofnewmotorloadof system.
IOOHP or more. ❑"A","E","1-2","1-3",
City/State/ZIP:Tigard, OR ❑Six or more residential units, ocanl�cY
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name:River Ten-ace Crossing ❑Hazardous locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more 600 volts nominal
Cross street/directions to job site: 7
Description Qty. Each Total
New residential single-or multi-family dwelling unit.
Subdivision:River Terrace Crossing Lot#:53 Includes attached garage.
Tax map/parcel#:2S 108DC04800 1,000 sq.ft.or less 1 168.54 4
e W, a �. Ea.add'1500 sq.ft.or portion 2 33.92 I
EtkiV .r.. ..: ,. . J:f.. ". u .i._..'13s ,_r.� .. to a,
� . n Limited energy,residential 75.00 2
New SFR (with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
0 See Page 2
Fe , _ �fi'd.t�tR X'`f "" 'P 1.?' i aIM 4%14
l '' -' , ,, . . a :� 3 e- P5 :-�.,.. �1- �9:- service,or feed installation,alteration,and/or relocation
Name:Pacific Lifestyle Homes 200 amps or less 100.70 2
Address:11815 NE 99th St.,Suite 1200 201 amps to 400 amps 1 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Vancouver,WA 98682 601 amps to 1,000 amps 301.04 2
Phone:(360 )573-8081 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:permits@buildpih.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
W +�+ , re 4, ) dt r t1 Branch circuits—new,alteration,or extension,per panel
a x . r rs,_k i 1 s ,,,. .._-n Ica ,..,,�_ 5 i-v t A.Fee for branch circuits with
Business name:Pacific Lifestyle Homes above service or feeder fee. 7 42 2
each branch circuit
Contact name:Kellie Franklin B.Fee for branch circuits without
Address:11815 NE 99th St.,Suite 1200 service or feeder fee,rust 56.18 2
branch circuit
City/State/ZIP:Vancouver,WA 98682 Each add'1 branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360-213-0809 Fax::( ) Each manufactured or modular
dwelling,service and'or feeder 67.$4 2
Email:permits@buildplh.com Reconnectonl
y�,�`Sy. '�s ,3 �. ss-'.m s •s. y,rx xrt, k x �,:,iwry ,r.,�.--v,iy 67.84 2
4.= 1 -:: ?:�?s'1 s.` A x'�,..� i x- ,. ; .'xtrX� ' 4�t.,3i�t"t' ,:3'+a�a3 Pump or irrigation circle 67.84 2
Business name:Garner Electric Sign or outline lighting 67.84 2
Address:2890 SE Brookwood Ave. Signal circuit(s)or limited-energy ❑ See page 2 2
panel,alteration,or extension
City/State/ZIP:Hillsboro,OR 97123 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)648-4552 Fax:(503)642-7925 Investigation(1 hr min) 90.00'hr
Email:permits@garnerelectric.com Industrial plant(1 hr min) 78.181 hr
Inspections for which no fee is
CCB Lic.: 121159 Electrical Lie.: 34-305C Suprv.Lic.: 3707-S s ifi.eatl listed(.!hr min 90.001 hr
f
Suprv.Electrician signature,required:ier/11711.1111111111111.1111111.111111.1Subtotal:
Print name: Charles Garner Date:5/3/2023 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: �?4.e&z rfa TOTAL PERMIT FEE:
_" �' This permit application expires if a permit is not obtained within 180
Print name: Brittany Burian Date:5/3/2023 days after it has been accepted as complete.
* Number of inspections allowed per permit.
l,Building?PeinutsELC PensitApp ELR ERE.doc Rev 06'17 22015 440-4615T(I t'05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
DescFee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: s kva or less 100.70 2
5.01 to 15 kva 133.56 2
El Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
El Burglar Alarm 25.01 to 50 kva 301.04 2
50 01 to 100 lcva 552.26 2
El Garage Door Opener* >100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
El 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 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
ficall listed 'h hr min
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1):
(SEE OAR 918-309-0000) Nataber of iaspections allowed per penntL
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
El Clock Systems
El Data Telecommunication Installation
El Fire Alarm Installation
El HVAC
El Instrumentation
El Intercom and Paging Systems
El Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
El Outdoor Landscape Lighting*
El Protective Signaling
❑ Other:
Total number of commercial systems: _
*No licenses are required. Licenses are required for all
other installations
Building PennitsELC_PetmitApp_ELR_ERE.dor Rev 06117,2015
• Plumbing Permit Application
Building Fixtures
City ._of Tigard r . `.,_. fk ive
g Date/By: Permit No.:,/yl -r a j __cog�
13125 SW Hall Blvd.,Tigard,OR 97223 g l t �(�
0 Phone: 503.718.2439 Fax: 503.598.1960 1:,1.' 8 ,.$ $evrew Other Permit No.:
Inspection Line: 503.639.4175 u Zt#te
Tit,:1 RP Date Ready/By kris' ® See Page 2 for
Internet: www.tigard-or.gov t-rt, ..,-„ N.tified/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)
f,u' .x ". .'.Z.:::'' r _, ...< . ._ . ,L _._ :: 3.1 ,!. SFR(1)bath 312.70
®1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 2 437.78
SFR(3)bath 500.32
❑Accessory building 0 Multi-family
Each additional bath/kitchen 25.02
❑Master builder ❑Other
Fire sprinkler(5098 sq.ft.) Page 2
r. !-" ', £ .. ." ,i * Site utilities:
Job site address:15159 SW COOLWATER LN Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.: 1 Page 2
Suite/bldg./apt.no.: I Project name:River Terrace Crossing Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 6 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.:53 Fixture or item:
Tax map/parcel no.: 2S108DC04800 Backflow preventer 1 31.27
„ . .., `, ,,, II, . .,...5 �,, Backwater valve 1 12.51
Clothes washer 1 25.02
New SFR Dishwasher 1 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
'.472w
.a i L . � ':, � A Expansion tank 12,51
Name:Pacific Lifestyle Homes Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:11815 NE 99th Street,Suite 1200
Garbage disposal 1 25.02
City/State/ZIP:Vancouver,WA 98682 Hose bib 2 25.02
Phone:(360)213-0809 Fax:( ) Ice maker 12.51
(''v
; s_ v . : ,0 . ._, . ` , . _ „,.. ' Interceptor/grease trap 25.02
Business name:Pacific Lifestyle Homes Medical gas(value:S ) Page 2
Primer 12.51
Contact name:Permit Coordinator-Kellie Franklin
Roof drain(commercial) 12.51
Address: 11815 NE 99ur Street,Suite 1200 Sink/basin/lavatory 5 25.02
City/State/ZIP:Vancouver,WA 98682 Solar units(potable water) 62.54
Phone:(360)213-0809 Fax::( ) Tub/shower/shower pan 2 12.51
E-mail:permits@buildpih.com Urinal 25.02
a, t g : s a,'- ���v aa„„ ,,t e 1 s:': Water closet 2 25.02
`.°"�- x ,,.mot. !*j;`� ", _ :;; _44 M €i 42 a n ..� :. r-'
Water heater 1 37.52
Business name:Wolcott Plumbing Water g�Pip r in WV 56.29
Address:1075 West Historic Columbia River HWY Other: 25.02
City/State/ZIP:Troutdale,OR 97060 Subtotal
Phone:(503)667-1781 Fax:( ) Minimum permit fee: S72.50
CCB Lie.:112220 Plumbing Lie.no,:' -%IA 1
4 Plan review (25%of permit fee)
�Q l_ f i_. 1 State surcharge(12%of fee)
Authorized signature: ,�//�� 1 � �V
TOTAL PERMIT FEE
Print name:Keitie Franklin Date:5/3/2023 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:lBuilding\Penults\PLMU-PetmitApp.doc 10,01/09 440-0616T(10;O2/COMWEB)
•
Plumbing Permit Application - City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Su t t ression S stems:
Footing drain-1"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 01 and y ter $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 62.54 Medical Gas S stems:
Water Service-each additional 100' 37.52
Storm&Ram 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
� , � � �,,�, � �s �� each additional$100.00 or fraction thereof,to
,7].. �'" � ' and includin•$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 c. •e-1/2 hour and includin,$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 a • :e-2 hours each additional$100.00 or fraction thereof,to
Reinspeetion Fees _ 90.00/hr and includin•$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 c e-I/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*.
Plan review is required for any of the following. 43 L
Baptistry/Font Please check all that apply.
Bath -Tub/Shower ElAny new commercial building with water service 2"and
JaeuaitWhirlpool greater,except systems designed and stamped by licensed
Car Wash -Each Stall engineer,
Drive Thru ❑ New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918-780-0040.
Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities.
-Domestic ❑ Any multipurpose fire sprinkler P system.
Drinking Fountain
❑ Any complex structure as defined in OAR918-780-0040.
Eye Wash
FlOor Drain/sink -2" Submit 2 sets of plans with any of the above.
-3"
Car Wash Drain ,
Garbage Domestic-non-food ❑ Isometric or riser diagram is required for new buildings
Disposal -Domestic-food related that meet the r ualifications above.
-Commercial-food related
-Industrial-food related
Ice MachiRefrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall
Sink/Lav -Non-food related
-Bradley
ey
-Commercial-food related
-Service
Swimming Pool Filter
Washer- *Note: If the fixture work under this permit results in an
Water Extractor increase of sewer EDUs,a sewer permit will be issued and
Water Closet-Toilet fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures:
P:°Job Folders\Oregon\Subdivisions\River Terrace Crossing\Lot 120(Kopi 3650 Fj\Permits and Inspections\PLB_PermitApp.doc
City of Tigard
' COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit#: STVjj3 CID IP/
Site Address: 15159 SW Coolwater Lane 0 Verified in Accela
Project Name: River Terrace Crossing Lot/Unit#: 53
Proposal: New Detached SFR Zone: RFS-C
Housing Type: 0 SFR(VI Single Detached 0 Duplex❑Triplex 0 ADU)0 Rowhouse❑Cottage Cluster 0 CYU❑Quad 0 Other
Required Site Plan Elements:
0 3 copies of site plan on max 11x17"
O Drawn to standard scale ❑ Itt..t.l.d cw,
O North arrow 0 Street and site trees shown/ labeled
0 Site address, project name, lot # -Iiil.,.alele..eaAerlit'rg tree c;n^py :t m-k-r'ty
0 Street names (N/A for SFR)
0 Applicant name and phone #
O Lot and setback dimensions
Utility locations &easements
O Footprint of new structure and FFE 0 Property corner elevations
0 Sidewalk/driveway dimensioned 0 LIDA (>1,000 sf disturbance)
O Lot area and lot coverage percentage 0 Erosion control
Required Elevation Plan Elements:
(For SFR: calcs needed only on street-facing) Su table with calculations
O Drawn to standard scale 0 Total faga
O Building height dimensioned 0 Tot and door
�L?Tega imensioned ����_...►""
❑ Windows an ensioned
oors dimensioned
Plan Elements:
(Not required for S ary table that includes
❑ Each story dimension
O r area calculated 0 Floor area per story
Planning Review
The followin rds have been met:
�i ; o porcn
Setbacks 0 Front: Rear: 10' Side: 3' Min/Max Street Side: NSA / Garage: 20'
Height 0 Max. Height: NSA Proposed Height: 15'9"
0 Yes 0 N/A Landscape Garage and window standards(garage width,etc.)
N/A Screening (Quad only) do not apply. These standardswere optional at the
0 Yes ❑ N • dow Coverage time of approval. See pg. 35-36 ofPDR2016-00016,
❑ Yes 0 N/A Garage ( "6w{ (Other Res) section18.660.070.E.2 in which 'd', "high-quality
0 Yes ❑ N/A Entrance , owhous , nly) architecturalfeatures"was not opted for
0 Yes 0 N/A 0 i ding design standards (Row
❑ Yes 0 Accessory Structure Standards
❑ No Qualifying pre-existing unit exempt from standards (Cottage unit o
standards for Courtyard Units, Cottage Clusters, Rowhouses
❑Yes 0 N/A Unit .
❑Yes 0 N/A Lot Width
a way
tandards for Courtyard Units and Cottage Clusters only:
❑ Yes ❑ N/A Um
❑ Yes ❑ N/A Floor Area (per story)
❑ Yes ❑ N/A Cou •_�
Fence
, -
❑Yes ❑ No ❑N/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
0 Yes 0 No ON/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes 0 No
Applied For: 0 Yes 0 No, stop intake
I Sensitive Lands: 0 Yes 0 No
❑ Main Land Use Case #s: PDR2016-00016; PDR2018-00005 0 Conditions met
❑Applicant notified of land use expiration date:
Approved By Planning: JG er Me4*A+ Date: c-/g/73
Notes 'Signer JZLJA9US10...
Revision 1: 0 Approved 0 Not Approved Date:
Revision 2: 0 Approved ❑ Not Approved Date:
Building Permit Submittal
Original Submittal Date: 5—.i$/a3
Site Plans #:
Building Plans #: J
Building Permit #: uilding permit # entered on page 1
Workflow Routing: irnning 0 Engineering ❑ Permit Coordinator 0 Building
Workflow Sign-off: L2eSign-off for Planning (include notes from planning review)
Route Documents: cleErtgineering: (1) copy of permit application, (1) site plan, (1) building plan
and original plan review routing form.
L1-13111cling: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.
Permit Technician: . 7,7-0,- ) Date: jN"//7/
Notes:
Engineering Review
❑ PFI Permit:
VSlope at building pad: ., %
onditions met prior to issuance of permit
12' asements (encroachments) per engineering conditions of approval and plat
p' ater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes
lo
Assess Water Quantity Fee in-lieu: 0 Yes 1/1/NoLIDA Facility on lot: 0 Yes io Add Fee: 0 Yes ❑ No
Final Plat Recorded
❑ NOT Approved: Date:
Notes:
Approved By Engineering: Date: -/e-/��_
Revision 1: ❑ Approved 0 Not proved 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:
SDC Exemption: 0 Applied for 0 Received WDoes not apply
IQ
DC Fees Entered: Wash Co Trans Dev Tax: 0 Yes 0 N/A
Tigard Trans SDC: Q Yes ❑ N/A Deferred
Parks SDC: 0 Yes 0 N/A Deferred
LIDA ❑ Yes -54'N/A
OK to Issue/Approved by Permit Coordinator: `�C)�� Date: 1 ` 4 Cam-- -ai 1
Revision 1: 0 Approved 0 Not Approved Date: 1
Revision 2: 0 Approved ❑ Not Approved Date: