Permit CITY OF TIGARD MASTER PERMIT
11111
' COMMUNITY DEVELOPMENT Permit#: MST2022-00507
T f( A R 1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/25/2023
Parcel: 2S108DC24600
Jurisdiction: Tigard
Site address: 15757 SW VANDERWOOD AVE
Subdivision: RIVER TERRACE CROSSING Lot: 111
Project: River Terrace Crossing, Lot 111
Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES HAVE BEEN
PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 3 First: 1088 sf Basement: 518
sf Left: 3 Parking Spaces: 0
Height: Bathrooms: 4 Second: 1470 sf Garage: 440 sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes
Total: 3076 sf Value: $503,178.28 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer 100
Tubs/Showers: 3 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: 1
Other Fixture Units: Ejector/Sump
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 6 Clothes Dryers: 1
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 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: 6 201-400 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 3076
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 Ersn Cntrl 503-639-4175
131 BEAVERTON,OR 97005 2 Geo Tech Required
BEAVERTON,OR 97005 3 (2)layers of 2x fire blocking
at area indicated
PHONE: 503-430-7413 PHONE: (503)430-7413
FAX:
Total Fees: $27,037.19
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. ATT TION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
Q50.nni_rin1n thr flAP Qc9-M1-Anon V n, =inn nnnv of Oho ndoe nr rliroM ni ioefinne fn fll INr by nnllinn Sn4 9Q9 1 QR7 nr 1 Rnn Z19 9'24d
Issued By: Adid(4 111"11 �� Permittee Signature: r �, Pn
�, Call 503.639.4175 y 7:00 a.m.for the next available inspection date. lipt
This permit card shall be k 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 1/Cfr 1 `,
Residential 1 RECEIVED' FOR OFFICE ISE ONLY'
City of Tigard Received
qIII
13125 SW Hall Blvd.,Tigard,OR 97223 l". L 1L 2.2 Date/By: fij - j al- 3.z Permit N �(�tj�—0(�C�i7
I 111. Plan Review ,.�//
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: �Z127 ZZ otherP4t4'/ca. —
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD DateReady/By: y (((( Juds: ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: 1 I/3 3 , Supplemental Information
I (67,4 eZL
TYPE OF WORK - .'
'` REQUIRED DATA:1 AND 2-FAMILY DWELLING„
F _. .New construction 0 Demolition Permit fees*are based on the value of the work p erformed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
` CATEGORY OF CONSTRUCTION ' work indicated on this application. Q
1-and 2-family dwelling ElCommercial/industrial Valuation: $ 5 03 ^7 8 D
❑Accessory building ❑Multi-family Number of bedrooms: 3 / !
0 Master builder 111 Other:
Number of bathrooms: 4
JOB,SITE INFORMATION AND LOCATION Total number of floors: 3 'S
Job site address: 15757 SW VANDERWOOD AVE New dwelling area: 3076 square feet 1,47C)
City/State/ZIP: Tigard / OR / 97224 Garage/carport area: 440 square feet 16w$
Suite/bldg./apt.no.: Project name:River Terrace Crossing Lot 111 Covered porch area: 64 square feet 5( (a
Cross street/directions to job site: Deck area: 180 square feet
Ot er strut ure a 1.,-Q' I 13
0 square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: River Terrace Crossing Lot no.: 111 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 2 S 108 D C 103 0 0 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 _ 0 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:
APPLICANT 0 CONTACT.PERSON
BUILDING PERMIT FEES*
Business name: ICHIJO USA CO., LTD. (Please refer to fee schedule)
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: nao@ichijousa.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*,
, . :
CONTRACTOR '� ` `; `' prescriptive
Commercial and residential installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name: ICHIJO USA CO., LTD. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 3800 SW Cedar Hills Blvd. Ste. 131 Solar Installation Specialty Code checklist.
City/State/ZIP: Beaverton/OR/97005 Permit Fee(includes plan review
and administrative fees): $180.00
Phone:(503)430-7413 Fax:(503)430-7621 State surcharge(12%of permit fee): $21.60
CCB lie.: 215360
Total fee due upon application: $201.60
Authorized signature: 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: 12/12/2 02 2 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(I 1/02/COM/WEB)
J g 0 0 i6,�
y
Building Permit Application'Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received Permit No.:
lig U 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
t II Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing 0 Mechanical
TIGARD Internet: www.tigard-or.gov ❑ Other.
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW l'es No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑
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 . ❑ ❑ ❑
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 ❑
9 Erosion control 0 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 11. 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 II ❑ ❑
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 II ❑ ❑
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, MI ❑ ❑
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- I ❑ ❑
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. I ❑ ❑
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- II ❑ 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 j ❑ ❑
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 IN ❑ ❑
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. I ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required I ❑ ❑
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 Ore:on and shall be shown to be applicable to the .roject 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". Ili 0 ❑
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. al ❑ ❑
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. MI 0 ❑
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. U ❑ ❑
27 "Drawn to scale"indicates standard architect or engineer scale. • ❑ ❑
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard U ❑ 0
_ Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 ❑ ❑
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, ❑ ❑ 1111
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 Tigard Received
Date/B Permit#:
Iii 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: 7uris: EdSee Page 2 for
TIGARD, Internet: www.tigard-or.gov Notified/Method: Supplemental Information
_ , _ .. TYPE OF WORK,- '; .,PLAN.REVIEW '.
III New construction ❑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.
`_ + r CATEGORY OF CONSTRUCTION'`- _, exceeds 10,000 amps at 150 volts or 0 Floating buildings.
II 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building tens to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
0 Multi-family ❑Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION,AND LOCATION._' ❑Emergency system. larger separately derived
Job#: Job site address: ❑Addit;on of new motor load of system.
15757 SW VANDERWOOD AVE 100HPormore. ❑"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 Lot 111 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: FEE SCHEDULE ` ,',,
Description I Qty. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision: River Terrace Crossing Lot#: 111 Includes attached garage.
Tax map/parcel#: 2S108DC10300 t,000 sq.ft.orless 168.54 4
Ea.add'I 500 sq.ft.or portion 33.92 1
' DESCRIPTION.OF WORK Limited energy,residential
(with above sq.ft.) 75.00 2
Single Family Detached Dwelling Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
III
PROPERTY:OWNER ❑ TENANT Renewable Energy ❑ See Page 2
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 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: Beaverton/OR/97005 601 amps to 1,000 amps 301.04 2
Phone:(503 )430-7413 Fax:(503) 430-7621 Over 1,000 amps or volts 552.26 2
Email: info@ichijousa.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 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♦ APPLICANT . Branch circuits-new alteration or extension,Per Panel
= 0 CONTACT PERSON P
A.Fee for branch circuits with
Business name: ICHIJO USA CO., LTD. above service or feeder fee,
each branch circuit 7.42 2
Contact name: N a o k i Ya m a o ka B.Fee for branch circuits without
Address: 3800 SW Cedar Hills Blvd. Ste 131 service or feeder fee,first 56.18 2
branch circuit
City/State/ZIP: Beaverton / OR / 97005 Eachadd'lbranchcircuit 7.42 2
(503) 430-7413 Fax: : Miscellaneous(service or feeder not included)
Phone: (503)430-7621 Each manufactured ormodulaz
Email: nao@ichijousa.com
dwelling,service and or feeder 67.84 2
Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: WEST SIDE ELECTRIC COMPANY Sign or outline lighting 67.84 2
Address: 1834 S E 8TH AVE Signal circuit(s)or limited-energy ❑ See Page 2 2
panel,alteration,or extension.
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
CCB Lic.: 13306 Electrical Lic.: 26-135C Suprv.Lic.: 5698S specifically listed(/hr min) 90.00/hr
Suprv.Electrician signature,required: , .Lliaki{,.-
,ELECTRICAL.I,'ERNIIT FEES
Subtotal:
Print name: BRENT WALL 5698-S Date: 12/12/2022 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
4This permit application expires if a permit is not obtained within 180
Print name: N a o k i Yam a o k a Date: 12/12/2022 days after it has been accepted as complete.
* Number of inspections allowed per perm t.
I:\Building\Permits\ELC_PermitApp_ELRERE.doc 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: FEE SCHEnEI E
Description I Qty. I Each I Total *
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
5 kva or less 100.70 2
Check Type of Work Involved:
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
50.01 to 100 kva 552.26 2
❑ Garage Door Opener* >100 kva(fee in accordance 552.26 2
with OAR 918-309-0040)
❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva-no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is 66.25/hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed(Yz hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Subtotal(Enter on Page 1):
Fee for each commercial system: $75.00 • Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ L• andscape Irrigation Control*
❑ M• edical
❑ N• urse Calls
❑ O• utdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
1:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015
- Mechanical Permit Application
FOR OFFICE LSE ONLY
City of Tigard Received
Date/By: Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
*I Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Read B Inds:
Internet: www.tigard-or.gov y y See Page 2 for
Notified/Method: Supplemental Information
TYPE OF WORK :' , COMA RCIAL FEE*::SCHEDULE; TJSE CHECKLIST -
II
New construction ❑Addition/alteration/replacement Mechanical permit fees*are based on the value of the work
performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCT.ION
1-MI and 2-familyn SIDENTIAL EQUIPMENT TSYSTEM FEES*
dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family 0 Master builder ❑Other: Description P Qty. Ea. Total
-
JOB SITE,INFORMATION AND LOCATION Heating/cooling:
A15757 SW VANDERWOOD AVE r conditioning0 , 46.75
Job site address: 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 111
Duct work 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: River Terrace Crossing Lot no.: 111 Other: 23.32
Other fuel appliances:
Tax map/parcel no.: 2S 108 D C 10300 Water heater 1 23.32
DESCRIPTION OFs 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 ----1,--,-,,- Other: 23.32
:_" > ❑ TENANT
Environmental exhaust and ventilation:
Name: ICHIJO USA CO., LTD. Range hood/other kitchen
Address:
3800 SW Cedar Hills Blvd. Ste. 131 equipment 1 33.39
Clothes dryer exhaust 1 33.39
City/State/ZIP: Beaverton/OR/97005 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 6 23.32
Phone:(503) 430-7413 Fax:(503) 430-7621 Attic/crawlspace fans 23.32
"ii<APPLICANT ❑,CONTACT PERSON Other: 23.32
Business name: ICHIJO USA CO., LTD. Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: Naoki Yamaoka Furnace,etc.
Address: 3800 SW Cedar Hills Blvd Ste. 131 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Beaverton / OR / 97005 Water heater 1
Phone:(503)430-7413 Fax::(503)430-7621 Fireplace
Range 1
E-mail: nao ichijousa corn Barbecue 2
. . : CONTRACTOR'. '.;r ' Clothes dryer(gas)
Business name: Supreme Heating and Cooling LLC Other:
MECHANICAL PERNIIT FEES*
Address: 13009 NE 91ST Circle
Subtotal
City/State/ZIP: Vancouver, WA 98682 Minimum permit fee($90.00)
(503)333-3213 ( ) Plan review(25°/nof permit fee)
Phone: Fax:
State surcharge(12%of permit fee)
CCB lie.: 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: * 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 oNLI.
City of Tigard Received
- Date/By: Permit No.:
q 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
illiiPhone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.:
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: H See Page 2 for
Internet www.tigard-or.gov Notified Method
Supplemental Information -
TYPE;OF WORK } FEE* SCHEDULE
•New construction 0 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)
CATEGORY OF CONSTRUCTION - ' SFR(1)bath 312.70
III 1-and 2-family dwelling IDCommercial/industrial SFR(2)bath 437.78
ElAccessory building 0 Multi-family SFR(3)bath 1 500.32
El Master builderEach additional bath/kitchen 1 25.02
0 Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION: Site utilities:
Job site address: 15757 SW VAN D E R W O O D A V E Catch basin or area drain 18.76
y Tigard / O R / 97224 Drywell,leach line,or trench drain 18.76
City/State/ZIP:
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: Project name: River Terrace Crossing Lot 111 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.: 111 Fixture or item:
Tax map/parcel no.: 2 S 108 D C 10 3 00 Backflow preventer 31.27
DESCRIPTION OE WORK. Backwater valve 12.51
Clothes washer 1 25.02
Single Family Detached Dwelling Dishwasher 1 25.02
Drinking fountain 25.02
Ejectors/sump 1 25.02
:PROPERTY OWNER ❑ TENANT : ' Expansion tank 12.51
Name: I C H I J O USA CO., LTD. Fixture/sewer cap 25.02
Address:
3800 SW Cedar Hills Blvd. Ste. 131 Floor drain/floor sink/hub 25.02
Garbage disposal 1 25.02
City/State/ZIP: Beaverton/OR/97005 Hose bib 2 25.02
Phone:(503)430-7413 Fax:(503)430-7621 Ice maker
1 12.51
U APPLICANT ❑{CONTACT PERSON Interceptor/grease trap 25.02
Business name: I C H I J O USA CO., LTD. Medical gas(value:$ ) Page 2
Primer
Contact name: Naoki Yamaoka 12.51
Roof drain(commercial) 12.51
Address: 3800 SW Cedar Hills Blvd. Ste. 131 Sink/basin/lavatory 7 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 3 12.51
E-mail: nao@ichijousa.com Urinal 25.02
.h CONTRACTOR t Water closet 25.02
4
3. ' ii,.7- _ ?, . ,:, Water heater 1 37.52
Business name: Pipe It Plumbing LLC. Water piping/DWV 56.29
Address: PO BOX 1389 Other: 25.02
City/State/ZIP: Boring / OR / 97009 Subtotal
Phone:(503) 544-0477 Fax:(503) 912-0045 Minimum permit fee: $72.50
CCB Lie.: 174351 Plumbing Lic.no.: P B297 Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name: Naoki 'a m a o ka Date:12/12/2 0 22 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\Building'Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB)
•
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site;;Utilities Qty; Fee(ea)` Total : Square Footage::f Permit Fee :.,.
Footing drain-1 a`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 valuation: 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(eat Total"<, 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
each additional$100.00 or fraction thereof
(minimum charge-1/2 hour)
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 for Plumbing�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 ❑ New exterior plumbing site utilities for any complex structure
Car Wash: -Each Stall as defined in OAR918-780-0040.
-Drive Thru ❑ Medical gas and vacuum systems for health care facilities.
Cuspidor/Water Aspirator
-Commercial ❑ Any multipurpose fire sprinkler system.
Dishwasher: - ommer ommerc ❑ Any complex structure as defined in OAR918-780-0040.
-D
Drinking Fountain Submit 2 sets of plans with any of the above.
Eye Wash
Floor Drain/sink: -2"
-3" Isometric:or Riser Diagram „f
4" ❑ Isometric or riser diagram is required for new buildings
-Car Wash Drain that meet the qualifications above.
Garbage -Domestic non-food
Disposal: -Domestic food related
-Commercial food related
-Industrial food related
Ice Mach./Refrig.Drains Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -Lay/Bar non-food related
-Bradley
-Com/Serv/Util food related
-Service *Note: If the fixture work under this permit results in an
Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and
Washer-Clothes fees assessed for the sewer increase must be paid before the
Water Extractor plumbing permit can be issued.
Water Closet-Toilet
Urinal
Other Fixtures:
I:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2
City of Tigard RECEIVED
II la II:
COMMUNITY DEVELOPMENT DEPARTMENT DEC 1 2 2022
Building Permit Review - Residential CITY OF TIGARD
TIGARD BUILDING DIVISION
Building Permit #: M�dt ' 0 0 Ca O 1
Site Address: 1 5 —7 S 7 S ) VaNttl¢fiA)" A' ' — IZJ Verified in Accela
Project Name: K1 cQ- C.Y‘'S C "/1% * lit Inn Lot/Unit #: 111
Proposal (include housing type): S R P eili&Ok Zone: R'5— C-
Re/quired Site Plan Elements:
f�J 3 cppies of site plan on max 11x17"
,I/Drawn to standard scale / rotection
RI/North arrow l Street and site trees shown / labeled
II/Site address, project name, lot # m
0 treet names
•
pplicant name and phone #
Lot and setback dimensions
4SriLiara footage tility locations &easements
/Footprint of new structure and FFE Of Property corner elevations
m,Sidewalk/driveway dimensioned nee
toeLot area and lot coverage percentage Erosion control
Required Elevation Plan Elements:
(For SFR: talcs needed only on street-facing) Garage doors dimensioned
Drawn to standard scale Summary table with calculations for:
i,Building height dimensioned i2jTotal facade area
f acade dimensioned RI tal window and door area
Windows and doors dimensioned otal garage area
Requ' ed Floor Plan Elements: �ummary table that includes
ach story dimensioned t otal floor area
'Each story floor area calculated 'Floor area per story
Planning Review
The following standards/ have been met: �1
Setbacks Di Front: )fy. Rear: (D Side: ' Min/Max Street Side: D / Garage: 0
Height 0 Max. Height: N IA Proposed Height: !v /.A
{Yes ❑ N/A Landscape
0/Yes V N/A Screening (Quad only)
Yes 0 N/A 0/0Window Coverage
4Yes 0 N/A Garage (SFR Only)
Parking (Other Res)
dYes ❑ /A Entrance (SFR, Rowhouse, Quad only)
❑ Yes /A Other building design standards (Rowhouse only)
0 Yes /A Accessory Structure Standards
❑ Yes v�����fff1 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 Size
❑ Yes ❑ N/A Pathway
Additional standards for yard Um d Cottage Clusters only:
0 Yes ❑ N/A Unit .
0 Yes ❑ N loor Area (per story)
0 Y N/A Courtyard
Yes 0 N/A Fence
❑yes ❑ No y]N/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
t Yes 0 No ❑N/A Public Faciliyes Improvement (PFI) Permit:
Required: ®Yes 0 No
Applied For: Ili Yes 0 pleb, stop intake
❑ Sensitive Lands: 0 Yes QiNo
El Land Use Case #: P D ikacD 16 " O v 14 9- P QRAg,p ❑ Conditions met prior permit issuance
Approved By Planning: Date: 1�l/a-/ a-D_
Notes
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
Building Permit Submittal
Original Submittal Date: (V17-17"1"
Site Plans #:
Building Plans #: "39
Building Permit #: )1 Building permit # entered on page 1
Workflow Routing: XPlanning V Engineering `i Permit Coordinator tsf Building
Workflow Sign-off: ,X Sign-off for Planning (include notes from planning review)
Route Documents: .d3(Engineering: (1) copy of permit application, (1) site plan, (1) building plan
and original plan review routing form.
K Building: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.
Permit Technician: .. Date: 1 J-ll3'/ `
Notes:
Engyneering Review
Slope at building pad: 26 s 0/0
AI/4 GO/Conditions met prior to issuance of permit
yrEasements (encroachments) per engineering conditions of approval and plat
' ater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: El Yes EfrfVo
Assess Water Quantity Fee in-lieu: ❑ Yeso
� � LIDA Facility on lot: ❑ Yes No Add Fee: 0 Yes ❑ No
E�'Final Plat Recorded
❑ NOT Approved: Date:
Notes: �-----7
G
Approved By Engineering: _— -- Date: LZ/`�,/l�0
Revision 1: ❑ Approve Not Approved Date:
Revision 2: ❑ Approved 0 Not Approved Date:
Permit Coordinator Review
Conditions met prior to permit issuance
El Approved, NOT Released: Date notified applicant:
El ENG Revisions Required: Date notified applicant:
SDC Exemption: ❑ Applied for 0 Received Does not apply
pSDC Fees Entered: Wash Co Trans Dev Tax: /Yes ❑ N/A
Tigard Trans SDC: ./ Yes 0 N/A Deferred
Parks SDC: ,Yes 0 N/A / Deferred
LIDA 0 Yes - 'N/A
,WOK to Issue/Approved by Permit Coordinator: pe,/.- Date: I ZI(ti IZ02,Z'
Revision 1: 0 Approved ❑ Not Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
FOR OFFICE USE ONLY—SITE ADDRESS: \51 I W \fa nde_r u--gi,tA,
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard ' COMMUNITY DEVELOPMENT DEPARTMENT
11111 ® ' Transmittal Letter
1 1,,A ft I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: City of Tigard DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
FROM: Naoki Yamaoka MAY 2 2023
COMPANY: ICHIJO USA CO., LTD. CITY OF TIGARD
BUILDING DIVISIO
PHONE: (503)430-7413 By: /',-)
EMAIL: nao@ichijousa.com
RE: 15757 SW VANDERWOOD AVE Tigard OR 9797224 MST2022-00507
. (Site Address) (Permit Number)
River Terrace Crossing Lot 111
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies:;,` bescription;.F, Copies:, Description:;? .;
3 Additional set(s) of plans. 3 Revisions: Structural Drawings
3 Cross section(s)and details. Wall bracing and/or lateral analysis.
3 Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: Change the Slab on Grade to Post and Beam for Basement Floor
Add Crawl space and Crawl Space Vent
Add 18"x24" Crawl Space ACCESS
,. FOR.OFFICE USE ONLY '. ., .
Routed to Pe echnician: Date: Cam- q) 23 Initials: k
Fees Due: Yes No Fee Descriptio : Amount Due:
$ CEO
x =ail 7;4/iii► $ �� S •/.
P $
YIA.s n 0 ,�S► < $
Special 1
Instructions:
Reprint Permit(per PE • ❑Yes Er o LI Done
Applicant Notified: V Date: ¶ I - I'.02A• 1,1\'A11 N\(' • Initials: NV