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Permit (2) CITY OF TIGARD MASTER PERMIT . ' COMMUNITY DEVELOPMENT Permit#: MST2023-00171 TF G AR 17 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/25/2023 Parcel: 2S108DC25500 Jurisdiction: Tigard Site address: 15779 SW BLUEWATER TER Subdivision: RIVER TERRACE CROSSING Lot: 120 Project: River Terrace Crossing, Lot 120 Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES HAVE BEEN PAID. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1685 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 22 Bathrooms: 5 Second: 1965 sf Garage: 835 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 3650 sf Value: $606,992.15 Rear: 10 PLUMBING Sinks: 1 Water Closets: 5 Washing Mach: 2 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 7 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100 Tubs/Showers: 5 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: 7 Clothes Dryers: 2 Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'500 sf: 7 201-400 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 3650 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 2 Geo Tech Required PHONE: PHONE: 360-213-0813 FAX: 360-574-6401 Total Fees: $29,976.43 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: Orego law r you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR :: ;;:n fhrni na. QS9 Qn V 11 v nhtoin o rnnv of the ni nr rtirert netinnc to nl INr hu riiinn Sn:99/ Permittee Signature: j9 ) Call 503.639. 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 lob site at the time of each inspection. Building Permit Application RECEIVED }OK O1 1 1( I. L til:()NIA City of Tigard ry n�ie se�l7a 7 '�' 13125 SW Hall Blvd.,Tigard,OR 97223 APR 27 2023 Plan Review S. 3 2 n� Q1-{til rl� OOO4 � Phone: 503.718.2439 Fax: 503.598.1960 DateBy: � Fir, OtherPetuut:vW LtJb IJIJV"""K J�_ J`1) Inspection Line: 503.639.4175 CITY OF I Date Ready,By: Q • inns, 53 See Page 2 for Internet: www.tigard-or.gov CI 1 TIG!'1t!D Notified/Method:S Ili /U �� Supplemental Information LDING DIVISION 1,A l t ►�,tiLI»1 s t,ut,:. .,r<.,......._,., ,;. r.,..,ia:. ......,.e..:: ,,.n,/,<',,,;'..ati t..e✓<. .S..,sk i/,..< cia a:.: a ,....;v,.,, : ,..rry it ......r«2.', ._....Jsry z ....r.._ ,i,,- .,iS:i:<kk<_,a. ®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 x ✓ ' f} work indicated on this application. El1-and 2-family dwelling ❑Commercial/industrial Valuation: $3 ❑Accessory building ❑Multi-family Number of bedrooms: 5 ❑Master builder ❑Other: Number of bathrooms: 5 5 Total number of floors: 2 q S Job site address: 15779 SW Bluewater Ter. New dwelling area: 3650 square feet 1' City/State/ZIP: Tigard,OR 97224 Garage/carport area: 835 square feet I Suite/bldg./apt.no.: I Project name:River Terrace Crossing Covered porch area: 40 square feet Cross street/directions to job site: Deck area: 160 square feet Other structure area: square feet q f ,•r.�r itv r,i i j+ar s'�.�'r R S ,� . 3 Subdivision:River Terrace Crossing I Lot no.:120 Permit fees*are based on the value of the work performed. Tax map/parcel no.:R2 05867 Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the µ Wf �y r r r r , ' tt W work indicated on this application. s. �� .�..,�., .,. ,.✓_.,, .<,.e,7:�zii:i.,_ s�,d.__,.9u.zrrt.;✓ xu t:.:s`.Ctrs.. z...,..�._ �.�'.i,Y,r,„5s` , New SFR ` 1e.41L v.( QU Valuation: $ Existing building area: square feet New building area: square feet a? 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)213-0809 Fax:( ) New: fir, ��yy,/art�.,,, Six F��� g(a x`A7+? .a'" ;x . ...qf x,G. �"Sv ✓`�PvzC.Y 3 c ..�, ,,:.r.r 7k t i + �'^' , 4 .x' Y a"� .> ne 4 q sue.'�� �is,`�..s' ar�i,z: .�',,....«.. ....as<.�.eo-'�r �'§'��h%:�'� �.rc,.:�x..�c,+a.:-rh,,..a�9�.s?�...�:w a✓s<✓d:"�.:v ,_�;;� a� .. ce �,t a�5.. �^r:z� eo '�,{. 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 Total fees due upon application: City/State/ZIP:Vancouver,WA 98682 Amount received: Phone:(360)213-0809 I Fax::( ) Vier "777✓P%F,7,V " it'K*, T ,'nrr g u 7:FV%a E-mail:permits@buildplh.com :ox,i;;' 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. City/State/ZIP:Same Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.:173524 � /�J/�J�� /Q Total fee due upon application: $201.60 Authorized signature: -4ta^r�Q o�/ 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:4/7/2023 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPemutApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) • Building Permit Application Checklist One- and Two-Family Dwelling rtllz OI I I(l. t sE ONLY City of Tigard Received DateBy: Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: ■`' 'Phone: 503.718.2439 Fax: 503.598.1960 l 1GAl:r) 24-Hour Inspection Line: 503.639.4175 El Electrical El Plumbing El Mechanical Internet: www.tigard-or.gov El Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ 0 3 Verification of approved plat/lot. ❑ ❑ 0 4 Fire district approval required. Name of district: . 0 0 0 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ 0 6 Sewer permit. ❑ ❑ 0 7 Water district approval. ❑ ❑ ❑ 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- 0 ❑ ❑ 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 0 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 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. 0 0 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- ❑ 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 ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 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 ❑ 0 ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ❑ 0 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 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 ❑ ❑ ❑ architect licensed in Orel on and shall be shown to be a',licable to the ,roect 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". 0 0 0 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 0 0 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ 0 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 0 0 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, ❑ ❑ ❑ 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:1Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Annlica IV ® l OR OFI lcl. 1.1 Received AVIi Cityof Tigard Petuut No.: 4 t • k 1,1 13125 SW Hall Blvd.,Tigard,OR 97223 t }R 9 7 2013 DatevBy: Plan Review = Phone: 503.718.2439 Fax: 503.598.1960 t`i 't ` DateBy: Other Permit T I G A R D Inspection Line: 503.639.4175 Date Read:B luris: 2 Internet: www.ti and-or. ov CITY OF TIGARD 5 y Supplemental See Page forn g g NotifietUMethod: Information ILDING DIVISION ;' %G''i9 a c �`"x 't Y 'r'?�` '.,y^x :.: i/��'✓ g,!� %:k %�' ' s� .: i ...E m'1 - 3 v r ,, 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 ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. .ua:�.. eil,.�. C ,,._.<4.:.?"..�_. ,...m ,,,. ..s.,&.....nG.n:..:r::.; �..r..,.......z.. .ii,.,.,.:s,rr'.,,.._...,^ ::�:,F:i ✓l.:o 3 i 3x:.1 z aa r r .;rs ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total �� w« e t t c;? ;! , 9 Heating/cooling: ,FE .:'K s-i 3 £. 3 Y t,V :u,;17iiri ;z.. z..,, Y,I'�4. r tz u ' :. j a. «. . Air conditioning 46.75 Job site address: 15779 SW Bluewater Ter. 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 61.06 Suite/bldg./apt.no.: Project name:River Terrace Crossing Duet 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.:120 Other: 23.32 Other fuel appliances: Tax map/parcel no.:R2205867 Water heater 23.32 y z �I s',r F `' a 3: a r''nab/ �T*F.Z g ',, Gas fireplace/insert 1 33.39 33.39 s.✓u� 2 s :.:.�. . ,. ...,..�u� "tom, s,.,_._...,rdu».:e.`a�.3 w4kG .:" 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 23.32 Environmental exhaust and ventilation: Name:Pacific Lifestyle Homes Range hood/other kitchen equipment 1 33.39 33.39 Address:11815 NE 99th Street,Suite 1200 Clothes dryer exhaust 2 33.39 66.78 City/State/ZIP:Vancouver,WA 98682 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 8 23.32 186.56 Phone:(360)213-0809 Fax:( ) Attic/crawlspace fans 23.32 �2 f".%'Y".✓' !c'7M: "" ;§" r y �//. g SaPkt` o-^ � Other 23.32 Fuel piping: Business name:Pacific Lifestyle Homes S14.15 for first four;$4.03 for each additional Contact name:Permit Coordinator-Kellie Franklin 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@buildplh.com Barbecue 1 / ?T rry Clothes dryer(gas) Business name:Wolcott HVAC OtherM3Iy admr 7r�,o w-- / y�y� ri.'Zag: jai w.a-.�:. c.re +i'r x c � x 77A 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%of permit fee) CCB lie.:112220 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 � A _ �4^Gt'�?� days after it has been accepted as complete. Authorized signature: „E!//,G�:• �' Fee medtodology set by Tri-County Building Industry Service Boazd Print name:Kellie Franklin Date:4/7/2023 IBuitdingPennits\MEC_PemutApp_0401 t3.doc 440-46I7T(t Ii01COM/WEB) Mechanical Permit Application - City of Tigard Page 2-Supplemental Information Commercial&Multi-Famil Fee Schedule: $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\Pemuts\MEC_PerntitApp_040113.doc 2 RECEIVED Electrical Permit Application r{� FOR OEFI( I I SE ONI APR7 City of Tigard i � Received ERWLIMZIEll III • 13125 SW Hall Blvd.,Tigard,OR 97223 Dan Rteds : �" i Plan Review • Phone: 503.718.2439 Fax: 503.548.196�L9TY OF TIGARD Date/B : Related Permit#: 1'IGARD Inspection Line: 503.639.4175 BUILDING DIVISIONReady y' WI See Page 2 for Date/By: Julia Internet: www.tigard-or.gov Notified/Method: Supplemental Information ❑New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. J exceeds 10,000 am . -..� .'- ',;� ,-_- _. -' -'. .. .��..:<.�.<,:�<� ps at 150 volts or ❑Floating buildings. ❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14.000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or a.<;v;,,,,._<,_ .. , r , .Y�-: ;:p ' 3"' < l fi ❑Emergency system. larger separately derived Job#: Job site address: 15779 SW Bluewater Ter. ❑Addition of new motor load of system. 100HP or more. ❑"A"."E","1-2","1-3", 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 ❑Hazardous locations. 0 Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: 6 x s r x ,'', x __,�.....� �, `.;' s'' � ,tam ,�'� x Description Qty. Each Total * New residential single-or multi-family dwelling unit. Subdivision:River Terrace Crossing Lot#:120 Includes attached garage. Tax map/parcel#:R2205867 1,000 sq.ft.or less 4 168.54 4 Ea.add'1500 sq.ft.or portion 1 33.92 1 %_ ,>., .,,_3. Limited energy,residential 75.00 2 New SFR Ly (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) 'sz` #. s w i x Renewable Energy ❑ See Page 2 "1 " n «s ,<--;h,-A h=-� l .x. Services or feeders installation,alteration,and/or relocation Name:Pacific Lifestyle Homes 200 amps or less 100.70 2 Address:11815 NE 99th Street, Suite 1200 201 amps to 400 amps 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)-213-0809 Fax:( ) Over 1,000 amps or volts 552.26 2 Email:permits@buildplh.COm Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 t 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 n :Z ; ( •'` r; n r F t 1 s < , Branch circuits-new alteration,or extension, er panel ,.4..sS.:":4y"_o.'..;,.,<,r.� _ •.�„.3.W, ..uU, .v�.v/...., :� r am._-.s r_. - :- ..,.z:. �.-,.r ".,' A.Fee for branch circuits with E 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 service 11815 NE 99th Street, Suite 1200 or fee,first feeder 56.18 2 branch circuit City/State/ZIP:Vancouver, WA 98682 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360 )213-0809 Fax: :( ) Each manufactured or modular 67.84 2 Email permits@buildplh.com dwelling,service and`or feeder Reconnect only 67.84 2 W" 4 m Via;• ,u3 «Q s' f6a5 sa f `'�' iv .; ., r Pump or irrigation circle 67.84 2 Business name:Garner Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address:2890 SE Brookwood Ave. panel,alteration,or extension. El See Page 2 2 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(I hr min) 90.00i"hr Email:permits@garnerelectric.com Industrial plant(1 hr min) 78.18!hr Inspections for which no tee is 90.001 hr CCB Lie.: 121159 Electrical Lie.: 34-305C Suprv.Lie.: 3707-S s ificall listed i4 hr min Suprv.Electrician signature,required: ,1711111111111111111.1111111 Subtotal: Print name: Charles Garner Date:4/7/2023 inPlan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: gar .�i,✓a,,24, TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Brittany Burian Date:4/7/2023 days after it has been accepted as complete. Number of inspections allowed per permit. L'Building/PermitsiELC_PemitApp_ELR_ERE_dec Rev 06/17/2015 44016t5T(i1/05/COMIWEB • Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: "�tion ( •)[��®' 0 Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5kvaorless 100.70 _II 5.01 to 15 kva III 133.56 in ❑ Audio and Stereo Systems* 15.01 to 25 kva - 200.34 _Ei Wind eneration s stems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva MI 301.04 _© 50.01 to 100 kva 1. 552.26 _B ❑ Garage Door Opener* >100 kva(fee in 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 _© ❑ Vacuum Systems* >100 kva-no additional charge - 0.0 _© Each additional ins.ection over allowable in an of the above: ❑ Other: Each additional inspection is II 66.25'hr -© char•ed at an hourl 1 hr min Inspections for which no fee is ■ 90.00.j hr -. s cificall listed V2 hr min Fee for each commercial system: $75.00 Subtotal(Enter on Page 1). ` Number of inspections allowed per pemut. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems El Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation El 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\Pemvts'ELC PemutApp_ELR ERE.doc Rev 06r 17f2015 • Plumbing Permit Application Building Fixtures RECEIVE' F., ()FFI( l. Fst. ()\l.l City of Tigard Il Received Q l�2 p Date(B Permit No.: MJl i0 L.] aO`1 I 1 ill 13125 SW Hall Blvd.,Tigard,OR 97223 1 R 2 7 2023 plan Review Phone: 503.718.2439 Fax: 503.598.196 f Date/By: Other Permit No.: TIGARD Inspection Line: 503.639.4175 Date Ready/By: hair. ® See Page 2 for Internet www.tigard-or.gov ITV OF TIGARD •�.. ..< _..,L...� _..�.,..:a .. ........ . ,.a,!-J.:F..?__..,......... Notified/Method: tifi ed/Metlos rd Supplemental ame eto nform ah 4w.kf.,?;y9 � : .. �� o' � � £e _S. x, ir;, eyv,.9G:! _: _ , .<_ ,. .. te'c::., - ®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) _..>....,,.7<..�?7 '„4�) v < '? • , ' 7'_fi_ SFR(i)bath 312.70 ®1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 1 500.32 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 2 25.02 50.04 ❑Master builder 0 Other a kl •x;, Fire sprinkler(4485 sq.ft.) Page 2 x� :�ply�s .. . . . °„`�. . <� .'„,v. .. ,. ,r x �.�..rA � %r�.,� Site utilities: Job site address:15779 SW Bluewater Ter. 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.: ) 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 7 18.76 131.32 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.:120 Fixture or item: Tax map/parcel no.:R2205867 Backflow preventer 1 31.27 31.27 r; Backwater valve 1 12.51 12.51 2 25.02 50.04 New SFR Dishwasher 1 25.02 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 5 xyJ'r£y �, v i<jysxf�3 r" ji, �` o� .d'_z ,c. a^ <s�s3Rs'�i� �/� Expansion tank 12.51 `3:r�,:z°fF<.._.t�.'c,.�,'. ;Ir .4,sf-,,.sus`K' gl�<`��'"s��v��t�rcaa�:�'�,VJi I.^«.2?�k.�r�2 +.2? 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 25.02 City/State/ZIP:Vancouver,WA 98682 Hose bib 2 25.02 50.04 Phone:(360)213-0809 Fax:( ) Ice maker 12.51 3 � �a��� y .r t�1r ,r � Intere tor/ rease tra 2 a`� y v 7 , r �,...x_ 1S JE :�4•:<�._:�..,._. 111:77 j1 eP g P 25.02 Business name:Pacific Lifestyle Homes Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Permit Coordinator-Kellie Franklin Roof drain(commercial) 12.51 Address: 11815 NE 990i Street,Suite 1200 Sink/basin/lavatory 9 25.02 225.18 City/State/ZIP:Vancouver,WA 98682 Solar units(potable water) 62.54 Phone:(360)213-0809 Fax::( ) Tub/shower/shower pan 5 12.51 62.55 E-mail:permits@buildplh.com Urinal 25.02 zs r 5 25.02 125.10 � � nVN . aar s,. Water closet ���k� �'"'� �"""' �`� `""`'"` /pf;.`� Water heater i 37.52 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 Lie.:112220 Lb-%rt d�� Plan review (25%ofpemutfee) v ��� State surcharge(12%of permit fee) Plumbing Lic.no.: �t! O b�l Authorized signature: n P4,20%eG1L TOTAL PERMIT FEE Print name:Kellie Franklin Date:4/7/2023 This permit application expires it 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:/BuildingTermits',PLMU-PerniLApp.doc 10/01/09 440-4616T(10102COMAVEB) Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Su i i ression S stems: • • Footing drain-14 100' 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, eater $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 Stone&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 each additional$100.00 or fraction thereof to a ' le $...ra ! ✓ ...h.3 uca. w .�.0 «< and includin'$10000.00. 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 cha •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 cha:e-2 hours each additional$100.00 or fraction thereof,to Reinspection 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 char_e-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*. J?+ 4' f x .ram' r r Plan review is required for any of the following. Please check all that apply. Baptistry/Font ❑ Any new commercial building with water service 2"and Bath -Tub/Shower Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Than ❑ 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 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 'ualifications above. -Commercial-food related -Industrial-food related Ice Mach.fRefrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes 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 Tot 120(Koppi 3650 F)\Permits and Inspections\PLBPermitApp.doc City of Tigard III g COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review - Residential TIGARD Building Permit #: ZR57, — �/7/ Site Address: k5T1m twit caitr 12Y 0 Verified in Accela Project Name: $cc(�(�, ,,I.,�p�1 Lot/Unit #: �,r Proposal: ( S't 1-"- Zone: iS-C Housing Type: FRingle Detached 0 Duplex 0 Triplex❑ADU)0 Rowhouse DCottage Cluster❑CYU OQuad❑Other Required Site Plan Elements: copies of site plan on max 11x17" rawn to standard scale trRetained gees, drip line/ tree protection � orth arrow �P(Street and site trees shown / labeled ` 1 Site adder, project name, lot # dating tree canopy at maturity 4J treet names (N/A for SFR) Lpplicant name and phone # and rectangle dimensioned (if applicable) ot and setback dimensions 0 Vision clearance triangle fl Existing structures &square footage Utility locations &easements Footprint of new structure and FFE 'Property corner elevations ❑ Sidewalk/driveway dimensioned ffr-E-Hi+A-(>1,000 sf disturbance) 4-Lot area and lot coverage percentage ,0'Erosion control Required Elevation Plan Elements: (For SFR: calcs needed only on street-facing) Summary table with calculations for: Xr6rawn to standard scale ,r�-otal facade area _'Building height dimensioned Ai Total window and door area /Facade dimensioned /Windows and doors dimensioned utilid A/ t ✓ % Perdolif hV ifir /Garage doors dimensioned Required Floor Plan Elements: (No for SFR) 0 Summary table that includes ❑ Each story dim ❑ Total_floor area ❑ Each c e Floor area per story Planning Review The following standards have been met: Setbacks /Front: 0 la' Rear: t510 Side: 3 Min/Max Street Side: Cb / Garage: Z 2 Height IMax. Height: JCj, Proposed Height: 22 1"Yes ❑ N/A Landscape ❑ Yes N/A Screening (Quad only) ❑ Yes N/A % Window Coverage ❑ Yes N/A Garage (SFR Only) Parking (Other Res) ❑ Yes N/A Entrance (SFR, Rowhouse, Quad only) ❑ Yes N/A Other building design standards (Rowhouse only) ❑ Yes N/A Accessory Structure Standards ❑ Yes No Qualifying pre-existing unit exempt from standards (Cottage unit only) Additional standards for Courtyard Units, Cottage Clusters, Rowhouses,and Quads: es ❑ N/A Unit Count: ❑ Yes N/A Lot Width Size ❑ Yes ❑ N Path Additional sta rds for Courtyard Units and Cottage Clusters only: ❑ Yes 0 N/ Unit a: ❑ Yes /A Floor Area r story) ❑ ❑ N/A Courtyard Yes 0 N/A Fence ❑ Yes ❑ NoA Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995) ❑ Yes 0 No,g1f1/A Public Facilities Improvement (PFI) Permit: Required: ❑ Yes ❑ No Applied For: ❑ Yes 0310, stop intake Sensitive Lands: 0 Yeso Main Land Use Case #s: isle-Z I(o — 00016 , riv.29 ) r cocas' ❑ Conditions met ❑Applicant notified of land use expiration date: Approved By Planning: MP- dilbvt' 20 It•, K. dehp Date: Notes Revision L.:v 0 Approved 0 Not Approved Date: Revision 2: ❑ Approved ❑ Not Approved Date: Building Permit Submittal Original Submittal Date: /�?72,73 Site Plans #: Building Plans #: Building Permit #: .a Building permit # entered on page 1 Workflow Routing: Panning ❑ E ineering'6 Permit Coordinator -0 Building Workflow Sign-off: gn-off for Planning (include notes from planning review) Route Documents: -B'I_ngineering: (1) copy of permit application, (1) site plan, (1) building plan gad-original plan review routing form. r❑ Building: original permit application, site plans, building plans, engineer and bea calc atio - and tr.st details, if applicable, etc. : . / Permit Technician: '` y/��`�� Date: )/2} Notes: Engineering Review LJJFI Permit: ', 0J 'Slope at building pad: Z© rd ///.g ¢2'Conditions met prior to issuance of permit 'Easements (encroachments) per engineering conditions of approval and plat 'Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes J1Vo Assess Water Quantity Fee in-lieu: ❑ Yes VNo LIDA Facility on lot: 0 Yes 421'No Add Fee: 0 Yes 0 No 'nal Plat Recorded ❑ NOT Approved: Date: Notes: Approved By Engineering: � Date: -S-N2-S Revision 1: 0 Approved 0 N Approved Date: Revision 2: 0 Approved 0 Not Approved Date: Permit Coordinator Review Conditions met prior to permit issuance ❑ Approved, NOT Released: Date notified applicant: ❑ ENG Revisions Required: Date notified applicant: SDC Exemption: 0 Applied for 0 Received Cyboes not apply ySDC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A Tigard Trans SDC: ,'Yes 0 N/A /Deferred Parks SDC: /Yes 0 N/A J Deferred LIDA ❑ Yes N/A 70K to Issue/Approved by Permit Coordinator: /�., it Date:513129z3 Revision 1: 0 Approved 0 Not Approved Date: Revision 2: ❑ Approved ❑ Not Approved Date: