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1111 CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2022-00508 Date Issued: 06/01/2023 T[G A D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108DC23700 Jurisdiction: Tigard Site address: 15199 SW FLATCREEK LN Subdivision: RIVER TERRACE CROSSING Lot: 103 Project: River Terrace Crossing, Lot 103 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: Bathrooms: 3 Second: 1614 sf Garage: 440 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2872 sf Value: $463,280.40 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 Furn<100K: 0 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) 3800 SW CEDAR HILLS BLVD,STE 3800 SW CEDAR HILLS BLVD STE 130 1 (2)layers of 2x fire blocking 131 BEAVERTON,OR 97005 at area indicated BEAVERTON,OR 97005 2 Ersn Cntrl 503-639-4175 PHONE: 503-430-7413 PHONE: (503)430-7413 FAX: Total Fees: $25,772.24 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-nnl-nnln thr, inh nA oc9-n -nnon vn au nhrain a nw of tha'lilac nr riirart niiactinnc to ni INr:by rauinn cnz 91 OA7 nr 1 Ann T19 914d r. 2SIssued By: l Permittee Signature: r' r L:!G��A �—t] Call 03.639.4175 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. .• ... LT ( a 3 Building Permit Applicatina&I�ECEIVED Residential f ) (� FOR OFFICE USE ONLY i, I 1 2U22 Received i 4, ( /) ^'4 s�, ")—Cj(A ��:} of Tigard i E" Date/By: City g Permit No.: L " 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1 OF TIGARD Oth `l TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: /� (/r Juris: See Page 2 for Internet: www.tigard-or.gov Notified/Method: ( S �(�'.� Supplementallnformahon girl ( q D TYPE OF WORK REQUIRED;DATA I AND 2 AMILY DWELLING MI New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the - CATEGORY-OF CON STRU;CTION ,-. work indicated on this application. 1-and 2-famil y dwellingValuation: $ 9li3 2W 14a ❑Commercial/industrial ElAccessory building ❑Multi-family Number of bedrooms: 4 ID builder 0 Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 33 l--D—' Job site address: 15199 SW FLATCREEK LN New dwelling area: 2872 square feet tLe( 1 City/State/ZIP: Tigard / OR / 97224 Garage/carport area: 440 square feet [1St Suite/bldg./apt.no.: Project name:River Terrace Crossing Lot 103 Covered porch area: 64 square feet Cross street/directions to job site: Deck area: Sp square feet Other structure area: Patio 140<quare feet REQUIRED:D,ATA:COMMERCIAL-USE' CHECKLIST Subdivision: River Terrace Crossing Lot no.: 103 Permit fees*are based on the value of the work performed. Tax map/parcel no.: 2S108DC09500 Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the :DESCRIPTION OF WORK work indicated on this application. 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 • PROPERTY OWNER ' ❑ TENANT` 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: ik APPLICANT - f ❑ CONTACT PERSON : BUILDING PERMIT-FEES* Business name: ICHIJO USA CO., LTD. iP� ereferrofeeschedule) t : 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: Phone:(503)430-7413 Fax: :(503)430-7621 Amount received: E-mail: naoc ichijousa.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* _... .> ,, s., of CONTRACTOR Commercial and residential prescriptive installation roof-top mounted Photovoltaic 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 lic.: 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: 12/12/2022 *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) „ .„,4 Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE I.SE ONLY City of Tigard ReceivDate/By: PINPermit No.: �1 13125 SW Hall Blvd.,Ti ard,OR 97223 a g Associated permits: I Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing 0 Mechanical T 1 G A R D Internet: www.tigard-or.gov ❑ Other. THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1'es No N/.1 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity 0 ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 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 IIII ❑ ❑ 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 I ❑ ❑ 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 U ❑ ❑ 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- In ❑ ❑ 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. Ili 0 ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- E ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing I ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 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 j ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. MI ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or II ❑ ❑ architect licensed in Oreton and shall be shown to be al 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". U 0 ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. I. ❑ ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. I ❑ ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. I ❑ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. U ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, NI ❑ ❑ 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) Electrical Permit Application FOR OFFICE USE ONLY City of TigardDate Received Permit#: 114 Plan R q 13125 SW Hall Blvd.,Tigard,OR 97223 . Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#: Inspection Line: 503.639.4175 Ready Date/By: Juris: VI See Page 2 for TIGARD Internet: www.tigard-or.gov Notified/Method: Supplemental Information ,.. . < TYPF OF WORK .: �.�x� _ b.. _ v ,, ,RLAIsT REVILW , —:` `„`- 111 New construction D 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 0 Marinas and boatyards. CATEGORY;OF CONSTRUCTaION . „'s '., exceeds 10,000 amps at 150 volts or 0 Floating buildings. ■ 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. ID Installation of 150 KVA or :JOB SITE'INFORMATION:AND_„LOCATI,ON ii: ❑Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: 15199 SW FLATCREEK LN l00HPormore. City/State/ZIP: Tigard / OR / 97224 ❑Six or more residential units. occupancy. ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: River Terrace Crossing Lot 103 ❑Hazardous locations. CI Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal Cross street/directions to job site: . 'FEE SCHEDULE , Description I Qty, I Each I Total I New residential single-or multi-family dwelling unit. Subdivision: River Terrace Crossing Lot#: 103 Includes attached garage. 2S108DC09500 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION.OF WORK :} Limited energy,residential 75.00 2 Single Family Detached Dwelling (wedenegy,th above lt) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy ❑ See Page 2 .PROPERTY OWNER .❑°-TENANT ' 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 133.5E 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 do r exten t _ .,APPLICANT ., ., ,;;CONTACT PERSON ranc clrcmts new,alters ' n,o s'on,per panel A Fee for branch circuits with Business name: IC H I i 0 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 3800 SW Cedar Hills Blvd. Ste 131 service or feeder fee,first Address: 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 dwelling,service and or feeder Email: nao@ichijousa.com Reconnect only 67.84 2 CONTRACTORx .�P'=' .F 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 Address: 1834 SE 8TH AVE panel,alteration,or extension. ❑ See Page 2 2 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 ES TS I D E E L ECT R I C.CO M 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 min) ELECTRICAL 1ERMIT FEES _ t '' Suprv.Electrician signature,required: Subtotal: Print name: BRENT WALL 5698-5 Date: 12/12/2022 ❑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: N a o ki Yamaoka Date: 12/12/2022 days after it has been accepted as complete. * Number of inspections allowed per permit. 1:\Building\Permits\ELC_PermitApp_ELR_ERE.doe 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: RESIDENTIAL WORK'ONLY: FEEexEnuE Fee for all residential systems combined: $75.00 Description I Qty. I Each I Total I }' Renewable electrical energy systems: Check Type of Work Involved: s 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 ❑ Garage Door Opener* 50.01 to 100 kva 552.26 2 Cl gh >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: ❑ 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 specifically listed('/hr min) COMMERCIAL WORK ONLY ELECTRICAL PERMIT FEES: Fee for each commercial system: $75.00 alowedle per t.o Page 1): Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Buildi"g\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015 Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Received Permit No.: • 13125 SW Hall Blvd.,Tigard,OR 97223 _ Phone: 503.718.2439 Fax: 503.598.1960 Plan Review D Other Permit: Date/By: TIGARD Inspection Line: 503.639.4175 Date Ready/By: Sufis: 0 See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information rz TYPE OF WORK C IAL>FEE'E SCHEDULE USE CHECKLIST New construction,: ._ - . .. Mechanical permit fees*are based on the value of the work ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. CATEGORYrOF CONSTRUCTION , ES*mow Value:$ - RESIDENTIAL EQUIPMENT/SYSTEMS FE • 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist. 0 Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total 'JOB STTE.INFORMATION;:AND LOCATION, , Heating/cooling: Air conditioning 46.75 Job site address: 15199 SW F LAT C R E E K L N 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 103 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.: 103 Other: 23.32 River Terrace Crossing Other fuel appliances: Tax map/parcel no.: 2 S 108 D C09500 Water heater 1 23.32 DESCRIPTION OF'WORK 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 :� PROPERTY OWNER , 0 TENANT Other: 23.32 - Environmental exhaust and ventilation: Name: I C H I J O 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 APPLICANT '_` ❑,CONTACT PERSON Other: 23.32 Fuel piping: Business name: IC H I J O 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 Gas he Wall/suspspendeded/unitheater 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 CONTRACTOR 1.; :4 Clothes dryer(gas) Business name: Supreme Heating and Cooling LLC Other IECIJANIC PE>CR1YIIT FEES*.`y9 Address: 13009 NE 91ST Circle Subtotal City/State/ZIP: Vancouver, WA 98682 Minimum permit fee($90.00) (503)333 3213 ( ) Plan review(25%of permit fee) Phone: 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: 4kit" * Fee methodology set by Tri-County Building Industry Service Board Print name: Naoki Yamaoka Date: 12/12/2022 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: Total Valuation: Permit Fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building\Permits\MEC_PermitApp_040113.doc 2 Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY Cityll of Tigard Received II - Date/By: Permit No.: I • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No.: Date/By: Inspection Line: 503.639.4175 T I G A R D Date Ready/By: Suns. 0 See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information . TYPE OF WORK E* SCHEDULE;"CHEDULE •New construction ❑Demolition For special information use checklist Description Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) ' i 4-� CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 El 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ElAccessory building 0 Multi-family SFR(3)bath 1 500.32 Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 ". JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 15199 SW F LAT C R E E K L N 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 103 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 Lotno.: 103 Fixture or item: Tax map/parcel no.: 2 S 10 8 D C 0 9 5 0 0 Backflow preventer 31.27 DESCRIPTION OF WORK is 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 • PROPERTY OWNER ' ❑ TENANT 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 1 25.02 Garbage disposal City/State/ZIP: Beaverton/OR/97005 Hose bib 2 25.02 Phone:(503)430-7413 Fax:(503)430-7621 Ice maker 1 12.51 APPLICANT ,' ❑ CONTACT PERSON 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 ,„ „ .. '" o''4-, -, 4CONTRAC3TOR., ,. , 3 ,.. ' . Water heater 1 37.52 Business name: Pipe It Plumbing LLC. Water Pni 1P g/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 174351Plumbing PB297 Plan review (25%of permit fee) CCB Lic.: Lic.no.: State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: Naoki a m a o k a 12/12/2 0 2 2 This permit application expires if a permit is not obtained within 180 days Date: 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 Suppression Systems: Permit Site Utilit><e's �; � Square.Footage Fee: Footing drain-1st 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 Valuat><on Permit Fee 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 Qty''; Fee(ea) Tofal ', each additional$100.00 or fraction thereof,to Other;Inspections or Fees �' 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*. Plan Review forPlumbing Installations Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped Added Relocate ❑ 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 Car Wash: -Each Stall ❑ New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. -Drive Thru Wrator ❑ Medical gas and vacuum systems for health care facilities. Cuspidor/Water Aspirator ❑ 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" Isometric:or_RiserrDiagram._`, 0 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 can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 City of Tigard RECEIVED U COMMUNITY DEVELOPMENT DEPARTMENT DEC 1 2 2022 C Building Permit Review - Residential CITY OFTIGARD TIGARD BUILDING DIVISION Building Permit #: M %i a?-Od'--"-"Do 5 © S Site Address: 1 �` Verified in Accela Project Name: AeN1 CQ.. CP°S C'4% 1-°+' .(9; 2 Lot/Unit #: II (5 Proposal (include housing type): 5 R De1lk&ok Zone: R-e5 - Required/ Site Plan Elements: f] 3 cppies of site plan on max 11x17" 42/Drawn to standard scale / rotection orth arrow m Street and site trees shown/ labeled iSite address, project name, lot # fstreet names y Applicant name and phone # Lot and setback dimensions (IArP footage0/Utility locations &easements /Footprint of new structure and FFE t2i Property corner elevations 0,Sidewalk/driveway dimensioned ❑ ID c ®'Lot area and lot coverage percentage prd Erosion control Required Elevation Plan Elements: (For S R: calcs needed only on street-facing) Garage doors dimensioned Drawn to standard scale Summary table with calculations for: Building height dimensioned di otal facade area lityagadp dimensioned t J/otal window and door area 44 Windows and doors dimensioned TotaI garage area Requited Floor Plan Elements: EI Summary table that includes 'kach story dimensioned otal floor area Pe Each story floor area calculated Floor area per story Planning Review The following standards have been met: t�Qe� Q n Setbacks Front: l b Rear: I Side: S " Min/Max Street Side: D / Garage: 20 Height 0 Max. Height: N IA Proposed Height: I /A IJ Yes 0/N/A Landscape ❑ Yes w N/A Screening (Quad only) Yes 0 N/A % Window Coverage Yes 0 N/A Garage (SFR Only) Parking(Other Res) EiYes 0/N/A Entrance (SFR, Rowhouse, Quad only) ❑ Yes a /A Other building design standards (Rowhouse only) 0 Yes VIIINA Accessory Structure Standards ❑ Yes ef No Qualifying pre-existing unit exempt from standards (Cottage unit only) ional standards for Courtyard Units, Cottage Clusters, Ro ,an uads: ❑ Yes 0 't Count: ❑Yes 0 N/A Lot Wi ize ❑ Yes 0 N/A Pathway Additional standards for yard Una d Cottage Clusters only: ❑ Yes ❑ N/A Unit . ❑ Yes ❑ N lour Area (per story) ❑ Y N/A Courtyard Yes 0 N/A Fence ❑ es ❑ No�]N/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995) 'Yes 0 No ON/A Public Facilis Improvement (PFI) Permit: Required: lie/Yeses 0 No Applied For: Yes ❑)lo, stop intake ❑ Sensitive Lands: 0 Yes No �R�Ig-O ❑ Land Use Case #: f I)P 16 - O 0 J b 9- P ❑ Conditions met prior permit issuance Approved By Planning: Date: 1 2/0- a-D-. Notes Revision 1: 0 Approved 0 Not Approved Date: Revision 2: 0 Approved 0 Not Approved Date: Building Permit Submittal Original Submittal Date: i_- 1_' d'_- Site Plans #: Building Plans #: Building Permit #: A,Building permit # entered on page 1 Workflow Routing: 1K Planning tdi Engineering 011 Permit Coordinator 64 Building Workflow Sign-off: 4 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 original plan review routing form. tkBuilding: original permit application, site plans, building plans, engineer and beam calculations and trust details, if applicable, etc. ,77 Permit Technician: �) Date: `O-(1 (`''7 c� Notes: E ineering Review le Slope at building pad: �e 4 oh ///,'Conditions met prior to issuance of permit litasements (encroachments) per engineering conditions of approval and plat 'Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes e2(No Assess Water Quantity Fee in-lieu: 0 Yes li4No � LIDA Facility on lot: 0 Yes 'No Add Fee: 0 Yes 0 No e"Final Plat Recorded ❑ NOT Approved: Date: Notes: j Approved By Engineering: Date: /X/`17/2Z Revision 1: 0 Approved 0 No pproved Date: Revision 2: 0 Approved 0 Not Approved Date: Permit Coordinator Review 9''onditions met prior to permit issuance ❑ Approved, NOT Released: Date notified applicant: ❑ ENG Revisions Required: Date notified applicant: ter SDC Exemption: 0 Applied for 0 Received 7boes not apply 2(SDC Fees Entered: Wash Co Trans Dev Tax: /Yes 0 N/A Tigard Trans SDC: ,Yes ❑ N/A pl'beferred Parks SDC: /Yes 0 N/A X Deferred LIDA ❑ Yes X N/A OK to Issue/Approved by Permit Coordinator: P/"►(/E��. Date: 12'I 1q l�Z2 Revision 1: 0 Approved 0 Not Approved �� ��JJ Date: Revision 2: 0 Approved 0 Not Approved Date: