Loading...
Permit (4) CITY OF TIGARD MASTER PERMIT ,1114 I COMMUNITY DEVELOPMENT Permit#: MST2023-00186 T I GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/08/2023 Parcel: 2S108DC15100 Jurisdiction: Tigard Site address: 15544 SW VANDERWOOD AVE Subdivision: RIVER TERRACE CROSSING Lot: 16 Project: River Terrace Crossing, Lot 16 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: 2109 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 20 Bathrooms: 2 Second: 0 sf Garage: 659 g sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2109 sf Value: $370,758.80 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: 4 201-400 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 2109 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 98686 VANCOUVER,WA 98682 PHONE: PHONE: 360-213-0813 FAX: 360-574-6401 Total Fees: $22,699.11 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 Qc9-nni_nnln thrni inh nAR oc9-nnl-anon vni 1 may al rnn,of tha ndcc nr iiirart n„ucfinnc to nl'lc. by rollinn cal 919 1 QR7 nr 1 can z29 93dd.-..-- Issued ByG z01he �tivi -. �.�-� Permittee Signature: ` " Call 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 I O R 01 II( 1. 1 tiI';(111 City of TigardDatetB Received V if,77— PemtitNo.'13125 SW Hall Blvd.,Tigard OR 9CEIVED 23 Plan Reviewr1- 7 av�yR-0`)i 8 Phone: 503.718.2439 Fax: 503.598.19 Aq, p 0 3 Date/By: 22) � Other Penult: irk*�'3..�1 a Inspection Line: 503.639.4175 I*i N i 0 t7 J Date Rea B tuns: Page 1 .'':1I'.-1 P Ready/By:Y b 1I�^ I pp Page2for Internet: www.tigard-or.gov Notitied Method: G Supplemental Information �m^..k'i ic"1a3 fi- 'h 11 Y', 'j? 1. ' '.4 i H F' 10.1 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 4 s r 7 r ; i t �� � work indicated on this application. ((�) �y�,L�-Lt^/-a�*�..� ....... .......: ...r,i„._ � � �.-•!L� �'�a..... t #�t �� 5� p•�� 37V17 S V ®1-and 2-family dwelling ❑CommerciaUindustriai Valuation: 00 1 ❑Accessory building ❑Multi-family Number of bedrooms: 3 ❑Master builder El Other: Number of bathrooms: 2 .,R mo t. le b ',4 � z z . ° � c. 5 Total number of floors: 1 2� Job site address:15544 SW VANDERWOOD AVE New dwelling area: 2109 square feet 21 v l City/State/ZIP:Tigard,OR Garage/carport area: 659 square feet Suite/bldg./apt.no.: Project name:River Terrace Crossing Covered porch area: 45 square feet Cross street/directions to job site: Deck area: 192 square feet Other st trCNjt/.t( l,� Square feet -.iu;7i. Subdivision:River Terrace Crossing Lot no.:16 Permit fees*are based on the value of the work performed. Tax map/parcel no2S1081K 01600 Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the 7:1Aa ' .: " • . ,u s ° '2 i'` i t " . K•S ix''- ai M" , ,, work indicated on this application. Valuation: $ New SFR Existing building area: square feet New building area: square feet 1 h` w` Number of stories: Name:Pacific Lifestyle Homes Type of construction: Address:11815 NE 99th Street,Suite 1200 Occupancy groups: City/State/ZIP:Vancouver,WA 98682 Existing: Phone:(360)573-8081 Fax: New: a ..--,,,,,- v-.---4�c i 17ri s Ra 1 r ' R & :t' <.: P E"Y z. '. , !r ii 1:i-; ._..,. ' „. '; ,.. .r v,II �h.'.. .a._' r ,-' ,, « ar k YaC2 ''f c, � Business name:Pacific Lifestyle Homes ) ` ' nA r r. ° Structural plan review fee(or deposit): Contact name:Permit Coordinator-Kell{e Franklin FLS plan review fee(if applicable): Address:11815 NE 99th Street,Suite 1200 Total fees due upon application: City/State/ZIP:Vancouver,WA 98682 Phone:(360)213-0809 Fax::( ) Amount received E-mail:permits'buildplh.com »: p ; *fir h r-0,, Commercial and residential prescriptive installation of "YW- � r ... : t, ,:., � ' , roof-top mounted Photovoltaic Solar Panel System. Business name:Same Submit two(2)sets of roof plan with connection details Address:Same and fire department access,along with the 2010 Oregon Solar Installation Specially Code checklist. City/State/ZIP:Same Permit Fee(includes plan review and administrative fees): $180.00 Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21,60 CCB lie.:173524 Total fee due upon application: $201.60 Authorized signature: �t p440,4� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Kettle Franklin Date:5/3/2023 *Fee methodology set by Tri-County Building Industry Service Board. I:Huilding-,Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) . Mechanical Permit Application ►OR 01 11( 1. I c,NI City of Tigard Received 11111 13125 SW Hall Blvd.,Tigard,OR 97223 lam Review Phone: 503.718.2439 Fax: 503.598.196� sate/B Other Permit. Inspection Line: 503.639.4175 Date/By: TIGARI) P Date Read/B Inds: 2and-or. ov a y Y o See Page for Internet: www.ti g g �l`€a`�tf 6 �.�„��' Notified/Method: Supplementallnformation L r .Rl�_���'.'/.� . ...'�. t_�.'; .s. Mechanical permit fees*are based on the value of the workf ®New construction ❑Addition/alteratilllttlD���VISION performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: g mechanical materials,equipment,labor,overhead,and profit. ".:..." � ', f y p 't "a_ vd v.,'� ,'„ - ,a a �.3 ""-' •"y'"I� �. rP �� i :::1 Value $ 0. 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Q(Y. I Ea. I Total a pva � ti r 3 Heating/cooling: 's...r Air conditioning 46.75 Job site address:15544 SW VANDERWOOD AVE Furnace 100,000 BTU(ducts/vents) 46,75 City/State/ZIP:Tigard,OR Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 1 61.06 Suite/bldg./apt.no.: Project name:River Terrace Crossing Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision:River Terrace Crossing Lot no.:16 Other. 23.32 Other fuel appliances: Tax map/parcel no.:2S108DC01600 Water heater 23.32 ti..e....�_-� w�;'c"7Po��f��,y' r'`� ��, �0 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 3 di s r € s W € .' `4 ' :s Other: 23.32 k .41:M Environmental exhaust and ventilation: Name:Pacific Lifestyle Homes Range hood/other kitchen Address:11815 NE 99th St.,Suite 1200 equipment 1 33.39 Clothes dryer exhaust I 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 '" ��t,._w� __.. .__. ., .,..P>z">��c,,�✓.��*:,�.�rf���1_{._.��,et �u.�K �. .,5..'�� Other: 23.32 Fuel piping: Business name:Pacific Lifestyle Homes $14.15 for first four,$4.03 for each additional Contact name:Permit Coordinator-Ketfie Franklin Furnace,etc. J,iJ 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@buildplh.com Barbecue � Clothes dryer(gas)1;51, er Business name:Wolcott Plumbing Address:1075 West Historic Columbia River HWY Subtotal City/State/ZIP:Troutdale,OR 97060 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)667-1781 Fax:( ) State surcharge(12%ofpern it fee) CCB lic.:112220 TOTAL PER..HT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Fee methodology set by Tn County Building[udustt Service Board Authorized signature:Xi at p'AGZ��'� Print name:Ketlie Franklin Date:5/3/2023 t/Building'Pemnts MEC_PennitApp_040113.doc 440 17T(11/02/COM/wEB) • • Electrical Permit Application RECEIVE' l(1►z()► ► ►t I. l Sl-.(),►., City of TigardIt N Received Deceiv V V t1iJ D�E u 13125 SW Hall Blvd.,Tigard,OR 97223 �y AN t Phone: 503.718.2439 Fax: 503.598.1960 't'a 1 '`3 Plan Review Date+By: Related Permit#: Inspection Line: 503.639.4175 }h p Ready Date/By. hats: HI See Page 2 for T It.1I D Internet: www.tigard-or.gov CITY OF T I(.aARI Notified/Method: Supplemental Information ?W..,. ,_.. . .: .,a. _,...:., .t-... :z . 'y ..5_.:...,_ -1,.....2: .. ' 4 ;Y '" 4i g ,lr h:::, aN i,j'" E -I _ . �`.3*' ;,4u` s° ®New construction Cl Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition ❑Other: ❑Service or feeder 400 amps or more ❑Building over three stories. where the available fault current ❑Marinas and boatyards. . a t.::"rya ¢� r " `" 1 ,I. s .' �i -- � `r'``' exceeds 10,000 am s at 150 volts or Floatin buildin s. _ ,r.:<...�._,_ _, ...:-_ _ ,.._�� ._:. W._..>. fi ,�t.' y{I' ,,,� a:�s, P ❑ g g ®1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or .3" t..='z7a�. :.k;'`.�,`f.. "s...l.,.sa_ .� ,1.._ �I_� .r:..�., m; .::_ ._..w �;s` `ya :% ❑Emergencysystem, largerseparately'derived ❑Addition of new motor load of system. Job#: Job site address:15544 SW VANDERWOOD AVE 100HP or more. ❑`A `E",°t-z".'1-3". City/State/ZIP:Tigard, OR ❑Six ar more residential units. occupancy. ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: I Project name:River Terrace Crossing 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more 600 volts nominal Cross street/directions to job site: s;g Ens t' SN 's t / kM57il1 .; y.' ii;: Description Qty. Each Total ' New residential single-or multi-family dwelling unit. Subdivision:River Terrace Crossing I Lot#:16 Includes attached garage. Tax map/parcel#:2S 108DC01600 1,000 sq.ft.or less 2 168.54 4 n r Ea.add'l 500 sq.ft.or portion 1 33.92 1 I L S iif[, 4,? €,'' f'1 u r i ' i 4 t, 1 , T r s w 75.00 2 r.�--_�..� t:����.• �a ,.� _ vv __< ����+y„<..R_ x �; �� g_� - :�� Limited energy,residential New SFR (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) .. _ ..,-,.. .._j .. F ._... RenewableEnert±Y ❑ See Paget "",P2i.: ,'- . _ a ,�Yj T s: L ; � s ':tx Y mo t : Services or feeders 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 I Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email:permits@buildplh.com relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less I 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 i * ;l 5� i "s Branch circuits—new,alteration,or extension, r panel 3eer� S ,,.. _fin .e.r .:hdra A.Fee for branch circuits with Business name:Pacific Lifestyle Homes above service or feeder tee, 7.42 each branch circuit Contact name:Kellie Franklin B.Fee for branch circuits without Address:11815 NE 99th St., Suite 1200 service or feeder fee,brat 56.18 2 broach circuit City/State/ZIP:Vancouver,WA 98682 Each add't branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360-213-0809 I Fax: :( ) Each manufactured or modular 67.84 2 dwelling service and/or feeder Email:permitsLdibuildplh com Recoffiect only _ 67.84 2 67.84 2 ��..,� i Pump or irrigation circle Business name:Garner Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address:2890 SE Brookwood Ave. 0 See Page 2 panel,alteration,or extension. CityfStatetZ[P: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:permitsCigarnerelectric.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee rs 90 00 hr CCB Lie.: 121159 Electrical Lic.: 34-305C Suprv.Lic.: 3707-S specr6tally,listed�i/z hr mm) 'a ' t 1, Supra.Electrician signature,required: eia....., Subtotal: Print name: Charles Gamer I Date:5/3/2023 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: g,, 7�j dy 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. [lioaldog:Pamirs ELC PennitApp_ELR_EREdoc Rev06/17/2015 4104615T(I1"05:COM WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: _ Desc tion mi mi-Effl0 Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 _El 5.01 to 15 kva III 133.56 _© El Audio and Stereo Systems* 15.01 to 25 kva 200.34 _© Wind eneration s stems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 _© 50.01 to 100 kva 552.26 © ❑ Garage Door Opener* >100 kva(fee io accordance with OAR 918-309-0040 ■ 552.26 _� ❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 III 7.42 _© El Vacuum Systems* >100 kva-no additional charge I. 0.0 _© Each additional ins, on over allowable in a •of the above: ❑ Other: Each additional inspection is ■ 66 25'hr —� char ed at an hourl 1 hr min Inspections for which no fee is hr s ficall listed '/z hr min ■ �' —. t 1.m Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): (SEE OAR 918-309-0000) ' Number of inspections allowed per peiinil. Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC El Instrumentation ❑ Intercom and Paging Systems El Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations t:'$uitdingPenoitsELC PmnitApp_Et.tt_ORE.&c Rev 0617{201t • Plumbing Permit Application Building Fixtures 1()R t I ►t 11 ,,, t)\I \ City of Tigard Received .an Re Permit No.:M S-Tt�y -oil.,i`Sn a 13125 SW Hall Blvd.,Tigard,OR 972'tCB l•at Review II `` )) �i vv V 7 4 N . Phone: 503.718.2439 Fax: 503.598. I Date/By: Other Permit No.: 1.1 c `i.p Inspection Line: 503.639.4175 J Date ReadyBy. Jam Fa See Page 2 for Internet: www.tigard-or.gov 1.9,1 8 2023 Notified/Method: Supplemental Information � Fs` ':r �Y t i -_, . �'t'r ?k sP�,4t'' � ' 4 t i�tc 'P' '4 4 ,u` ` r ?: $ • �'�.., x.� ,.x r..,.,, r.<...„., m_ �. �s, �� ils!,; r,..ir. . ..w _.. _ �>:;.. _gam �?�, 1,a R! For special information use checklist. El New construction El i i i� "' �$ �9 �1+� t 1����`t� Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Ott1 New 1-2-family dwellings(includes 100 ft.for each utility connection) 1 ^ :tk,,: t rr s ; W a5N it SFR(1)bath 312.70 El1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 1 437.78 SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: ;5` � 4 r 7 ->F '+ �. , N Fire sprinkler sq.ft.) Page2 (5098 �ii . _1;;.Pf . ..•., }!y s " . ,,. !, ' :4l Site utilities; Job site address:15544 SW VANDERWOOD AVE 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.:_J Page 2 Water service(no.linear ft.: Page 2 Subdivision:River Terrace Crossing I Lot no.:16 Fixture or item; Tax map/parcel no.: 2S108DC01600 Backflowpreventer 1 31.27 �$ 1;,,%. ,-r�, ,f 7., ,r o- ; '�G w z t" + x �': ria F.at '" Backwater valve 1 12.51 �--P'2 ry`i~,=.w.M; .. r.:,%. :;(44,A,3Eq '`�"ta' �''�' Clothes washer 1 25.02 New SFR Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 • - , '` l tt £r ;:1"v �. A a E anion 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 d Interceptor/grease trap25.02 �:.#i, .x)°+ .. ,.. ..��.,. � �,:.:F� #.;r�w;.4�,. :<�!^i,r�.;,r��: kr +.. ,:, > ��k 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 99th 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@buildplh.com Urinal 25.02 Water closet 2 25.02 `- 14. Water heater 1 37.52 Business name:Wolcott Plumbing Water piping/DWV 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: $72.50 , CCB Lic.:112220 Plumbing Lie.no.: D l<\5 Plan review(25%of permit fee) �6 ,, ��t 1.1 State surcharge T 2r°io of permitfee) Authorized signature: �.//uQ�;, '1 1�� W�/i' , TOTAL PERMIT FEE Print name:Keltie Franklin Date:5/3/2023 This permit application expires Ira permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tn-County Budding Industry-Service Board. L'BuildingiPerntilsiPLMSYPetn itA pr.doe 10,0139 440-0616T1 10/02/COM/WEB) �( h Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Su t m ression S stems: .__.t. rh�,� `"t � t3 i " '.�.? i�+..",„.' ""°" h a. y,�: ^.. s,?":' x .. 5 £a.•`' ,�3ss 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 z • s JAtif Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Stoma&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 each additional$100.00 or fraction thereof,to 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 c .e-ll2 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 char_e-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 c _e-1f2 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*. QId r" p Plan review is required for any of the following.2 Baptistry/Font Please check all that apply. Bath Tub/Shower El Any new commercial building with water service 2"and -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru 0 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 0 Any multipurpose fire sprinkler system. Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drairesink -2" Submit 2 sets of plans with any of the above. -3" Car Wash Drains .0. a , F _ � • Garbage -Domestic-non-food ❑ Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the •ualitications 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/Lay -Non-food related -Bradley -Commercial-food related -Service Pool Swimming Filter *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(Koppi 3650 F)"aPermits and InspectionslPLB_PermitApp.doc r T City of Tigard " COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review - Residential TIGARD Building Permit#: /' $j ien — Site Address: 15544 SW Vanderwood Ave 0 Verified in Accela Project Name: River Terrace Crossing Lot/Unit#: 1 fi Proposal: New Detached SFR Zone: RES-C Housing Type: 0 SFR( l Single Detached 0 Duplex❑Triplex 0 ADU) 0 Rowhouse❑Cottage Cluster 0 CYU❑Quad❑Other Required Site Plan Elements: 0 3 copies of site plan on max 11x17" m Drawn to standard scale n Reialned trees, chip line/ bee pivlei.lion- O North arrow © Street and site trees shown / labeled El Site address, project name, lotfgont setback El Tablc calculating trcc canopy at maturity looks to be 0 Street names (N/A for SFR) 0 Applicant name and phone # measured but ❑ Lot and setback dimensions measurement ik _____ __ ____ _ hh ❑ Cxi3ting structure &3quarc foogtiodgdcen m ' i y locations&easements O Footprint of new structure and FFE rooerty corner a eval� a kr 5/g/Z3 O 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) table with calcul as-fa : O Drawn to standard scale 0 Total fa a O Building height dimensioned window and door ar'�- e dimensioned ❑ Windows dimensioned age doors dimensione oor Plan Elements: (Not required for ale that includes ❑ Each story dimensione oor area oor area calculated 0 Floor area per s Planning Review The following standards have been met: 12; 8 porch 8' ubli Setbacks ❑ Front: Rear: 10' Side: 3' Min/Max Street Side: public Garage: 20' ivate Height 0 Max. Height: N/A Proposed Height: 20' 3" pr ❑ Yes 0 N/A Landscape Garage and window standards (garage width, �aYe A Screening (Quad only) etc.) do not apply. These standards were ❑Yes ❑ N/A ow Coverage optional at the time of approval. ❑Yes 0 N/A Garage (SF a Other Res) See pg. 35-36 of PDR2016-00016 ❑Yes 0 N/A Entrance (SF whouse, nly) section 18.660.070.E.2 in which 'd', "high- Yes Yes 0 N/A Ot i ding design standards (Row g ❑ Yes 0 Accessory Structure Standards architectural features" was not opted for s 0 No Qualifying pre-existing unit exempt from standards (Cottage unit itional standards for Courtyard Units, Cottage Clusters, Rowhouses,a ds: ❑Yes Unit Count: ❑Yes ❑ N/A L • th and Size 0 Yes 0 N/A Pathway Additional standards for Courtyar Cottage Clusters only: ❑ Yes ❑ N/A Unit Area: ❑ Yes ❑ N/A Floor per story) ❑Yes ❑ N ourtyard N/A Fence & a ❑Yes ❑ No ON/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: 17 Yes 0 No Applied For: i 1 Yes 0 No, stop intake O Sensitive Lands: 0 Yes 0 No O Main Land Use Case #s: PDR2016-00016; PDR2018-00005 0 Conditions met o Applicant notified of land use expir o date: 3/22/202 _ Approved By Planning: Date: Notes Revision 1: 0 Approved 0 Not Approved Date: Revision 2: 0 Approved 0 Not Approved Date: Building Permit Submittal Original Submittal Date: 5 41" Site Plans #: Building Plans #: Building Permit #: E'Building permit # entered on page 1 Workflow Routing: E3'glanning ❑ Engineering 0 Permit Coordinator 0 Building Workflow Sign-off: ®'Sign-off for Planning (include notes from planning review) Route Documents: R'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and griginal plan review routing form. WiSuilding: original permit application, site plans, building plans, engineer and beam calculations and trust details, if applicable, etc. Permit Technician: ` Zsc--ee— 7 Date: "//?/ j Notes: Engineering Review ❑ PFI Permit: s Slope at building pad: 24 //ft f Conditions met prior to issuance of permit El Easements (encroachments) per engineering conditions of approval and plat (Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes Et-No Assess Water Quantity Fee in-lieu: 0 Yes LO No LIDA Facility on lot: 0 Yes EYNo Add Fee: ❑ Yes ❑ No I�Final Plat Recorded O NOT Approved: Date: Notes: Approved By Engineering: Date: .S^�ZA3 Revision 1: 0 Approved 0 Not 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: ‘A SDC Exemption: 0 Applied for 0 Received 0 Does not apply ¶SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes 0 N/A Tigard Trans SDC: 4 Yes 0 N/A Deferred Parks SDC: E1 Yes 0 N/A E Deferred LIDA 0 Yes N/A I fOK to Issue/Approved by Permit Coordinator: Date: Revision 1: 0 Approved 0 Not Approved Date: Revision 2: 0 Approved 0 Not Approved Date: