Permit CITY OF TIGARD MASTER PERMIT
a° . COMMUNITY DEVELOPMENT Permit#: MST2022-00434
T r r..;A I<i3 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/25/2023
Parcel: 2S 108DC 10200
Jurisdiction: Tigard
Site address: 15777 SW VANDERWOOD AVE
Subdivision: RIVER TERRACE CROSSING Lot: 110
Project: River Terrace Crossing, Lot 110
Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES HAVE BEEN
PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 4 First: 1088 sf Basement: 518
sf Left: 3 Parking Spaces: 0
Height: 24 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: 0
Other Fixture Units:
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 l 500 sf: 6 201-400 amp: 0 201-400 amp: 0 W/O SvclFdr: 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 (2)layers of 2x fire blocking
BEAVERTON,OR 97005 at sides-no eave vents
3 Geo Tech Required
PHONE: 503-430-7413 PHONE: (503)430-7413
FAX:
Total Fees: $27,063.57
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 requirera to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
Q69_nM-nnln thr A 1 •m nht in o rnnw of the n,loc nr riirert n,ooefinne In rii INr:h,i nnllinn cn'2 949 1QR7 nr 1 Ann 4Z9 9444
Issued By: ler Permittee Signature: r r�-`tl
503.639.4175 7:00 a.m.for the next available inspection date.
. LI ii
This permit card shall be kep 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.
r- t IV
Building Permit Application tio*ar
Residential RECEIVED
City of Tigard OCTeceived
�0�� Date/By:
'1) :?7ZI
_ ...,9. Permit No.:M —Coif 71 tt
111 • 13125 SW Hall Blvd.,Tigard,OR 97223Plan Review v / I
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Y t �G Other Permit:is W g.1t7,../2- L>C j I:7
Ti G A R D Inspection Line: 503.639.4175 CITY OF TIGARD Date ReadyBy: li Juris: BI See Page 2 for
Internet www.tigard-or.gov Notlfied/Method: l , p 1
BUILDING DIVISION Supplemental Information
T3YE OF WORK o : Ds Tr1� . ,D 2 FAIYITL D4LLING `6
II 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CA`1 EGORY44- .OF tCONYSTRUCTION work indicated on this application. IS
�, . ; i.. .r4 - Ate" . ..,_ - _
� 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ 5D�� ( ��r
ElAccessory building 0 Multi-family Number of bedrooms: 4
0 Master builder 0 Other: Number of bathrooms: 4
r JOB SITE INFORMATION AND LOCATION t Total number of floors: 3 l
(19
Job site address: 15777 SW VANDERWOOD AVE New dwelling area: 3076 square feet l if-7D
City/State/ZIP: Tigard / OR / 97224 Garage/carport area: 440 square feet I'p
Suite/bldg./apt.no.: Project name:River Terrace Crossing Lot 110 Covered porch area: 64 square feet 5`,tt
Cross street/directions to job site: Deck area: 180 square feet
UcmFeEe&aW I -OCR square feet
REQUIRED DATA COMMERCIAL USE CHECKLIST
t
Subdivision: River Terrace Crossing Lot no.: 110 Permit fees*are based on the value of the work performed.
2S108DC10200 Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK 7' work indicated on this application.
.:. .. ..< ,�. ems., n '
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
U EROPER OWOER $'❑ 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:
A.PPLICA p CONTACT PERSON ,: A B
,.�. _� �. _.. ,.�. AA-i UILDING PERIV�IT)FEES
Business name: ICHIJO USA CO., LTD. (Pleasezefe toyee"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 r `PIFIOTOVOL AteSOLARPANEIJSYSTEMFEES*" =:
RA 4 ; Commercial and residential prescriptive installation of
0Y .- ` ` rCONT MCTO a 0, .nt: 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 $180.00
and administrative fees):
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: 10/27/2022 *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)
f
Building Permit Application'Checklist
One- and Two-Family Dwelling ' FOR OFFICE. LSE, oNi,l'
City of Tigard
Received
`
IN Permit No.:
Date/By:ard,OR 97223 Aia
ted permits:
111 Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 0 $1ectnpal 0 Plumbing 0 Mechanical
TIGARD Internet: www.tigard-or.gov ❑,Other • „
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No A/.1
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 ❑ 0
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0
3 Verification of approved plat/lot. 0 0 ❑
4 Fire district approval required. Name of district: 0 0 0
5 Septic system permit or authorization for remodel. Existing system capacity 0 0 0
6 Sewer permit. 0 0 0
7 Water district approval. 0 0 0
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0
9 Erosion control 0 plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ 0 0
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state in 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 ® 0 0
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 0 0
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, in 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- in 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. ❑ ❑
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- in 0 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 II ❑ 0
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered in 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 II 0 0
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. I 0 0
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required U 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 II ❑ 0
architect licensed in Ore.on and shall be shown to be as•licable 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". • 0 0
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. U 0 0
-
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. in 0 0
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. in 0 0
27 "Drawn to scale"indicates standard architect or engineer scale. U 0 0
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard M 0 0
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 0 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, 0 ❑ ON
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_RECEIVED l OFFICE ESE ONLY
City o Tigard H Received /
I b DateB : ,L i Permit#:
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.196(O C T 2 7 2022 DateB : Related Permit#:
T I GA RD Inspection Line: 503.639.4175 Ready Date/By: Juris: 0See Page 2 for
Internet www.tigard-or.gov Notified/Method: Supplemental Information
tt... . .." .Tyrgior.yL3E a s ' .. 'R :, .. .: :? :.PLAN,REVIEW r #
1.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.
.t.-, ` CATEGORY OF ONSTRUCTION exceeds 10,000 amps at 150 volts or
`-{• ,,u.. a. �... , .5 s �.s� .� k� P ID Floating buildings.
II 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 El Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder ❑Other:
s, � � .,. Fire pump. Installation of 150 KVA 0 or
JOB SITE` bR1yIATION'AND I CATIO ❑Emer enc s stem. laz arse aratel delved
.. O. E. s >:. g y y g P Y
15777 SW VANDERWOOD AVE ❑A0HPo morwmotorloadof system.
Job#: Job site address: loop 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 Lot 110 ❑Hazazdouslocations, ❑Supply voltage for more than
❑Service or feeder 600 amps or more 60o volts nominal
Cross street/directions to job site: FEE SGFIEDULE
Description I Qty. I Each I Total
New residential single-or multi-family dwelling unit.
Subdivision: River Terrace Crossing Lot#: 110 Includes attached garage.
Tax map/parcel#: 2S108DC10200 1,000 sq.ft.or less 168.54 4
Ea.add'1500 sq.ft.or portion 33.92 1
,,DESCRIPTION,OE 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
Renewable Energy ❑ See Page 2
P OPERTY,OWNER, f. ,>F .y ❑ TENANT s�; 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
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
„, ,,,.ilAPPLICAN . mot„,Y :`.❑,CONTACT PERSON' ' Branch circuits—new,alteration,or extension,Per panel
" °'" A.Fee for branch circuits with
Business name: ICHIJO 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
56.18 2
3800 SW Cedar Hills Blvd. Ste 131 service or feeder fee,first
Address: branch circuit
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 ormodulaz
Email: nao@ichijousa.com
dwelling,service and/or feeder 67.84 2
Reconnect only 67.84 2
g *:; CONTRACTOR ',. . ,,. ., 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 hrmin) 90.00/hr
Email: OFFICE@WESTSIDEELECTRIC.COM Industrial plant(1 hrmin) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: 13306 Electrical Lic.: 26-135C Suprv.Lic.: 5698S specifically listed(V5 hr min)
.. ELECTRICALiPERMFI FEES; .:
Suprv.Electrician signature,required:°' [Lf4 Subtotal:
Print name: BRENT WALL 568-5 Date: 10/27/2022 0 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 k i Yamaoka Date: 10/27/2022 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\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:
r r +c 11t k, FEE,SCHEDULE
RESIDENTIAL W02K ONLY:
Description � Qty. � Each � I� Total I "
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(/hr min)
COMMERCIAL,WORK ONLY
Fee for each commercial system: $75.00 ELEGTRICt1L PERMIT:,FEES
Subtotal(Enter on Page 1):
• Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ D• ata Telecommunication Installation
❑ F• ire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ P• rotective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015
Mechanical Permit Applicat' FOR OFFICE USE ONLY
CI of Tigard 'ECEIVED Received
DatDate/By: 1.1 t-7 3 Permit No.:
71
■ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
a Phone: 503.718.2439 Fax: 503.598.1960 O C T 2 7 2022 Other Permit:
Date/By:
T 1 GARD Inspection Line: 503.639.4175 Date Ready/By: 7uris: iii See Page 2 for
Internet www.tigard-or.gov crry OF TIGARD Notified/Method: Supplemental Information
BULLRING DIVISION
" tTYPE OF£WORK :-F 011 .-'-FEE*SCHEDULE USA C HLCKLIST-
Mechanical permit fees*are based on the value of the work
•New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
;; * Value:$
▪ 1- ... .. g T bF CONSTRUCTION " SIDJlNTIA rEQUIPMENT'/SYSTEMSkFEES'
and 2-familydwelling Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION t Y Heating/cooling:
: �.._. .r:.. .. . e�.: Air conditioning 46.75
Job site address: 15777 SW VANDERWOOD AVE Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Tigard / OR / 97224 Fumace 100,000+BTU(ducts/vents) 54.91
Heat pump 1 61.06
Suite/bldg./apt.no.: Project name: River Terrace Crossing Lot 110 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.: 110 Other: 23.32
River Terrace Crossing Other fuel appliances:
Tax map/parcel no.: 2 S 108 D C 10200 Water heater 1 23.32
AFSCRIPTTON OF:WORK 1? i Gas fireplace/insert 33.39
. __:' r �"`'_,- ""`"' " ' ` ' " 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
Other: 23.32
PROFETY OWNER 0 TEN vT.!..'- .. : . '- " .,
,' " Environmental exhaust and ventilation:
Name: ICHIJO 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) 6 23.32
Phone:(503) 430-7413 Fax:(503) 430-7621 Attic/crawlspace fans 23.32
:.CA ,K r Other: 23.32
,,, : � APPLINT ❑GO ACT PERSON
Business name: Fuel piping:
ICHIJO USA CO., LTD. $14.15 for first four;$4.03 for each additional
Contact name: Naoki Yamaoka Furnace,etc.
Address: 3800 SW Cedar Hills Blvd Ste. 131 Wall/su Gasheuspndp
spended/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.com Barbecue 2
CONTRACTOR r t 4_ Clothes dryer(gas)
Business name: Supreme Heating and Cooling LLC Other:
Address: 13009 NE 91 ST Circle • ;t - ` A? IA , IR1i1FrFEEs*„ , rt .',
Subtotal
City/State/ZIP: Vancouver, WA 98682 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)333-3213 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: 7/ * Fee methodology set by Tri-County Building Industry Service Board
Print name: Naoki Yamaoka Date: 10/27/2022
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:
s. x
Total_V lu;ation.,,:'` Perri itFee _, ` ,
$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
City of Tigard Received
II
- • 13125 SW Hall Blvd., Date/By: Permit No.:
OR 97223 Tigard, Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.:
T 1 G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: 0 See Page 2 for
Internet www.tigard-or.gov Notified/Method: Supplemental Information
. , ,'4 , TYPE OF WORK . . . w'NE:Irj0,,73:.104,'A5 Eaa 3mF,,i,t:'6'SMAe,:7Vi{',:g,-:: l.-,,,,i,tf:k',- ,::''s,,,eifiba' i,A1, 7114-ig-
El 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)
' - ..., k CATEGORY�OF 5O14STRUCT,.IO1�# _ SFR(1)bath 312.70
•1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory building El Multi-familySFR(3)bath 1 500.32
❑Master builderEach additional bath/kitchen 1 25.02
❑Other: Fire sprinkler( sq.ft.) Page 2
JOB SITh INFORMATION AND LOCATION Q:, Site utilities:
Job site address: 15777 SW VANDERWOOD AVE Catch basin or area drain 18.76
ri 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.: 1 Project name: River Terrace Crossing Lot 110 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 I Lotno.: 110 Fixture or item:
Tax map/parcel no.: 2S 108 DC 10200 Backflow preventer 31.27
DESCRIPTION OF '""'-'3WORK : i 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
tr PROPERTY OWNER ;❑ TENAW 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
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
iAPPLICAN F ❑ 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 7 25.02
City/State/ZIP: Beaverton / OR / 97005 Solarunits(potablewater) 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
, ek CONTR 4CTOR - Water closet 4 25.02
�,:t,� u '* .r,<K.. . : :� ... , r ° .. Water heater 1 37.52
Business name: Pipe It Plumbing LLC Water PP�
1P m 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 B 29 7 Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name: Naoki ha m a o k a Date: 10/27/2022 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 Utilities4.>, Qty. Fee(ea) -Total( a Square Footage:£ '' Permit
Footing drain-1s`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 aluation: , 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) Total '; each additional$100.00 or fraction thereof,to
Other Inspections or'Fees r 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
Dishwasher: -Commercial ❑ Any multipurpose fire sprinkler system.
❑ Any complex structure as defined in OAR918-780-0040.
-Domesticmer
Drinking Fountain
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2"
3> Isometric orf Riser Diagram;
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: -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
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
q COMMUNITY DEVELOPMENT DEPARTMENT
m OCT 2 7 2022
Building Permit Review - Residential
T I G A R D CITY OF TIGARD
Building Permit #: '7 QVIIDI►IC A'V'S1CP'
Site Address: l 5111 latmomoxt Ave j2'Verified in Accela
Project Name: g-we/i cexracC c%`1 • Lot/Unit #: ni 1\
Proposal (include housing type): ‘`‘e c,v, Le pettG`r.G? Zone:
Required Site Plan Elements:
51 copies of site plan on 11x17"
Drawn to standard scale ne/ tree protection
IA North arrow krStreet and site trees shown / labeled
,Site address, project name, lot # u a ree canopy at maturity
Street names (N/A for SFR)
1Applicant name and phone # .0 Courtyard rectangle dimensioned (if applicable)
Xi Lot and setback dimensions )e'Vision clearance triangle
res square o age ,S Utility locations &easements
yr Footprint of new structure and FFE ,a"Property corner elevations
iSidewalk/driveway dimensioned )a'LIDA (>1,000 sf disturbance)
)2'Lot area and lot coverage percentage Erosion control
Required Elevation Plan Elements:
(For SFR: calcs needed only on street-facing) Garage doors dimensioned
Drawn to standard scale Summary table with calculations for:
.0 Building height dimensioned ,ErTotal facade area
j2'Fagade dimensioned ,,0-Total window and door area
,121"Windows and doors dimensioned ,0-total garage 1,4,04,
Required Floor Plan Elements: Summary table that includes
.6 Each story dimensioned ,'Total floor area
fd'Each story floor area calculated Floor area per story
Planning Review
The following standards have been met:
Setbacks )ront: 1 Z Rear: I D Side: 3 Min/Max Street Side: 8 / Garage: 20
Height 7-Max. Height: Nil- Proposed Height: 27
1
Ayes 0 N/A Landscape
0 Yes,ErN/A Screening (Quad only)
,, Yes ❑ N/A % Window Coverage 12.1`l.
es 0 N/A Garage (SFR Only)
Parking (Other Res)
Yes V/A Entrance (SFR, Rowhouse, Quad only)
❑ Yes /A Other building design standards (Rowhouse only)
❑ Yes p/N/A Accessory Structure Standards
O Yes 2"No Qualifying pre-existing unit exempt from standards (Cottage unit only)
Additional standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
Yes 0 N/A Unit C nt:
❑ s 0 N/A Lo idth and Size
❑ Yes N/A athway
Additio standards for Courtyard Units and Cottage Clusters only:
❑ Yes N/ Unit Area:
❑ Y 0 N/A loor Area (per story)
O es 0 N/A C rtyard
Yes 0 N/A Fen
❑ Yes 0 NoFI<JA dean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes 0 No g /A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes 0 No
Applied For: 0 Yes 0 No, stop intake
7' ensitive Lands: 0 Yes 71-C10
p-Land Use Case #: 21.1(p—[ 1(0 , f fl-26 k -00005 /Conditions met prior permit issuance
Approved By Planning: Date: �7/2Z"
Notes
Revision 1: 0 Approved 0 Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date:
Building Permit Submittal // I
Original Submittal Date: t 0(�7
Site Plans #:
Building Plans #:
Building Permit #: f f Building permit # entered on page 1
Workflow Routing: , 1 Planning I 'Engineering kI Permit Coordinator 1,1 Building
Workflow Sign-off: -Sign-off for Planning (include notes from planning review)
Route Documents: Xl Engineering: (1) copy of permit application, (1) site plan, (1) building plan
and original plan review routing form.
N Building: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.
Permit Technician: Date: (k
Notes:
Engineering Review
AA Slope at building pad: 2e7
it/(# (a'Conditions met prior to issuance of permit
�'Easements (encroachments) per engineering conditions of approval and plat
kJ Water Quality/Quantity Facility: �_',!!
Assess Water Quality Fee in-lieu: 0 Yes CNo
Assess Water Quantity Fee in-lieu: 0 Yes g'ICIo
LIDA Facility on lot: ❑ Yes &XNo Add Fee: ❑ Yes 0 No
Final Plat Recorded
❑ NOT Approved: Date:
Notes:
Approved By Engineering: Date: /17YZZ-
Revision 1: 0 Approv Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date:
Permit Coordinator Review
'Conditions met prior to permit issuance
Approved, NOT Released: Date notified applicant: t 124202/7—
❑ ENG Revisions Required: Date notified applicant:
7ISDC Exemption: 0 Applied for 0 Received JDoes not apply
/ SDC Fees Entered: Wash Co Trans Dev Tax: , Yes 0 N/A
Tigard Trans SDC: Yes 0 N/A Ft Deferred
Parks SDC: )XYes 0 N/A /] Deferred
LIDA ❑ Yes_ XN/A
gIOK to Issue/Approved by Permit Coordinator: CC /�.U'�-. Date: It t `?.a22
Revision 1: 0 Approved 0 Not Approved v Date:
Revision 2: 0 Approved 0 Not Approved Date:
FOR OFFICE USE ONLY—SITE ADDRESS: \Y111 Sli\] VaXI(kX W '-AUQ, •
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
i III Transmittal Letter
$11
r i c;A R D 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 TIGARC
PHONE: (503)430-7413 BUILDING DIVISICN3y:0,7;
EMAIL: nao@ichijousa.com
RE: 15777 SW VANDERWOOD AVE Tigard OR 9797224 MST2022-00434
(Site Address) (Permit Number)
River Terrace Crossing Lot 110
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Go`piies Description:{ , Coges.: 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
n. , FOR OFN' CE U_SE;ONLY.. ,
Routed to Perm' echnician: Date: 5 J�3 Initials:
Fees Due: Yes ❑No Fee Desc iptio : Amount Due:
ç Ni
Special
Instructions:
Reprint Permit(per PE): El Yes No ❑Done
Applicant Notified: Ni Date: SVIAilatt. clAMtJ1,V) Ian . Initials: pom
Agnes Lindor
From: Agnes Lindor
Sent: Wednesday, November 2, 2022 11:23 AM
To: Naoki Yamaoka
Cc: Boris Piatski; Hope Pollard;Jenny McGinnis
Subject: RT Crossing Lot 110, 62, 112, 63
Attachments: MST2022-00436 Lot 112.pdf; MST2022-00437 Lot 63.pdf; MST2022-00434 Lot 110.pdf;
MST2022-00435 Lot 62.pdf
Hi Naoki-
Please see attached deferrals that need to be signed by both the property owner and developer. This permits have been
approved but cannot be released until these conditions are met:
07. Prior to commencing site improvements, the Applicant must submit a preliminary intersection sight distance
certification for the intersections between SW Everglade Ave and SW Hawk Ridge Rd and between SW Missouri Ave and
SW Hawk Ridge Rd. The certification shall be prepared and stamped by a registered professional engineer,and in
accordance with County Standards, as well as a detailed list of improvements necessary to obtain adequate intersection
sight distance.
10. Prior to final plat approval,the Applicant must submit a final intersection sight distance certification for the
intersections between SW Everglade Ave and SW Hawk Ridge Rd and between SW Missouri Ave and SW Hawk Ridge Rd
indicating that intersection sight distances are still adequate. The certification shall be prepared and stamped by a
registered professional engineer, and in accordance with County Standards.
If you have questions related to these COAs, please contact Boris copied on this email. I believe that Boris did reach out
to Pacific Community Design about this and they are working on it. Thanks,
Agnes Lindor I Senior Planner
City of Tigard I Community Development
13125 SW Hall Boulevard
Tigard, Oregon 97223
Phone: 503.718.2429
Email:AgnesL@tgard-or.gov
1