Permit (2) CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT
Permit#: MST2023-00123
T[GAR.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/23/2023
Parcel: 2S108DC17800
Jurisdiction: Tigard
Site address: 15134 SW COOLWATER LN
Subdivision: RIVER TERRACE CROSSING Lot: 43
Project: River Terrace Crossing, Lot 43
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: 1253 sf Basement: 309 sf Left: 3 Parking Spaces: 0
Height: 23 Bathrooms: 3 Second: 1380 sf Garage: 398 g sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes
Total: 2942 sf Value: $476,445.76 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 4 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: 1
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1
Other Units: 0
Furn<100K: 1 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'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Y
Other: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 2942
Owner: Contractor:
DAVID WEEKLEY HOMES WEEKLEY HOMES Required Items and Reports(Conditions)
1905 NW 169TH PLACE STE 102 1905 NW 169TH PLACE SUITE 102 1 Ersn Cntrl 503-639-4175
BEAVERTON,OR 97006 BEAVERTON,OR 97006 2 Geo Tech Required
PHONE: 503-213-4415 PHONE: 503-213-4415
FAX:
Total Fees: $26,208.03
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work
will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
OR9_nrN-nMrl thrni inh(lap oc9_nnnn1-nnon Vnn mnu rnrnr of the n iloc nr rtiront nnactinnc to(11 IN(:by nnllliin,,cri'' 939 1QR7 nr 1 RCM 119 9344
Issued B ,.4t�!(G-. 1 ° Cl_. �!�Q 5
Y• ,� Call 503.639.4175
Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
---Vicx.:snsec
4 Deer c \ ( ;Y"- --N,�..:Y-1 .
Pactif-,f-_5c -c--_,
Building Permit Application V
RECEI
Residential AI AR 2 FOR OFFICE ESE ONLY
t`t' �t��: AA(�
City of Tigard Date/BReceivea . �� ��� MST 1 ',i, _
► Permit No.:
.14 . . 13125 SW Hall Blvd.,Tigard,OR 97223 OF TIGARD plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Cl� DateB Other Permit: n q
Inspection Line: 503.639.4175 tLD�NG pIV1S1Q ,`•• SW`Q204 v I ���
CIGARD p �� •Date ReadyBy: Juris' (a See Page 2 for
Internet: www.tigard-or.gov Notified/Method. & Supplemental Information
MK11tti M�1tW.
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
®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
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1-and 2-family dwellingValuation. $_,95U,ae ,�,�t eit
0Commercial/industrial
ElAccessory building El Multi-familyNumber of bedrooms: 3
❑Master builder El Other:
Number of bathrooms: .�2�'3
JOB SITE INFORMATION AND LOCATION Total number of floor 9''t .33L73
Job site address: 15134 SW Coolwater Lane New dwelling area: _2633-- square feet t3(?)Q
City/State/ZIP: Tigard,OR 97224 Garage/carport area: 398 square feet 1263
Suite/bldg./apt.no.: Project name: River Terrace Crossing Covered porch area: 82 square feet 309
Cross street/directions to job site: Deck area: a)3 square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: River Terrace Crossing Lot no.: 43 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 25110DA11400 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
3 ir,'TION OF WORK work indicated on this application.
New Construction SFR to be built- . 2 beds+owners retreat,2.5 bath,2nd flr retreat,1st Valuation: S
flr Study,basement gameroom,398sf 2 car gar,82sf front porch,138sf patio Existing building area: square feet
New building area: square feet
®'PROPERTY OWNER 0 TENANT Number of stories:
Name:David Weekley Homes Type of construction:
Address: 1905 NW 169t"Place Suite 102 Occupancy groups:
City/State/ZIP:Beaverton,OR 97006 Existing:
Phone:(503)213-4415 Fax:( ) New:
❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:David Weekley Homes (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name: Maria Hasty
FLS plan review fee(if applicable):
Address: 1905 NW 169t"Place,Suite 102
City/State/ZIP:Beaverton/OR/97006 Total fees due upon application:
Phone:(503 ) 213-4428 Fax: :( ) Amount received:
E-mail: MHasty@DWHomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:David Weekley Homes Submit two(2)sets of roof plan with connection details
—— and fire department access,along with the 2010 Oregon
Address: 1905 NW 169th Place,Suite 102 Solar Installation Specialty Code checklist.
City/State/ZIP: Beaverton/OR/97006 Permit Fee(includes plan review $
and administrative fees):
Phone:(503)213-4415 Fax:( ) State surcharge(12%of permit fee): $
CCB lic.:213653
'/ Total fee due upon application: $
Authorized signature:7/ p/7 (,LL This permit application expires if a permit is not obtained
(//T within 180 days after it has been accepted as complete.
Print name: Maria Hasty Date: 03/22/2023 —1 *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)
Building,Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received Permit No.:
IN II 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By:
Phone: 503.718.2439 Fax: 503.598.1960 Associated permits:
IR,ARI
24-Hour Inspection Line: 503.639.4175 El Electrical El Plumbing 10 Mechanical
Internet: www.tigard-or.gov 0 Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW l cs No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ►'4 ❑ ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ® ❑ ❑
3 Verification of approved plat/lot. ® 0 0
4 Fire district approval required. Name of district: •
0 ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑
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 ❑
9 Erosion control 0 plan 0 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 ® ❑ ❑
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, ® ❑ ❑
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
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- ® ❑ 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 ❑ ❑
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
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 ® ❑ 0
architect licensed in Ore.on and shall be shown to be applicable 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. ® ❑ ❑
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ® ❑ ❑
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ® ❑ ❑
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 ® ❑ ❑
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 ❑
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(I 1/02/COM/WEB)
RECEIV11`
Mechanical Permit Application I OR()Ric!. I Sr 0Nl,1
p.<t..) Reived MS;tea . �11S
11111
City of Tigard i �,; � � 20�3 nacetdBy: PennitNo.:
i n 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Other Permit:
ri - ,,i, i, Inspection Line: 503.639.4175 CITY OF TIG, RD Date/By:
BUILDING DIWISIOi�teResdytey: Jwis El See Page 2for
Internet: www.tigard-or.gov ohfied/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE-USE CHECKLIST
' 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.
Value:$350,000.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
®1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special h,formation use checklist
❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heatiolr[coolirlg:
Air conditioning 1 46.75 46.75
Job site address: 15134 SW Coolwater Lane Furnace 100,000 BTU(ducts/vents) 1 46.75 46.75
City/State/ZIP: Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
River Terrace Crossin Heat pump 61.06
Suite/bldg./apt.no.: Project name: g
Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
River Terrace Crossin Other: 23.32
Subdivision: g Lot no.:43
Other fuel appliances:
Tax map/parcel no.:. 25110DA11400 Water heater 1 23.32 23.32
DESCRIPTION OF WORK Gas fireplace/insert 1 4 33.39 33.39
Flue vent for water heater or gas
New Construction SFR to be built-2633. 2 beds+owners retreat,2.5 bath,2nd fir retreat,1st fireplace 23.32
Log lighter(gas) 23.32
fir Study,basement gameroom,398sf 2 car gar,82sf front porch,138sf patio Wood/pellet stove _ 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
®,PROPERTY OWNER ' 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:David Weekley Homes Range hood/other kitchen
equipment I 33.39 33.39
Address:1905 NW 169u'Place,Suite 102 Clothes dryer exhaust 1 33.39 33.39
City/State/ZIP:Beaverton/OR/97006 Single-duct exhaust(bathrooms,
- toilet compartments,utility rooms) 23.32
Phone:(503)213-4415 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT ® CONTACT PERSON Other: 23.32
Business name:David Weekley Homes Fuel piping:
S14.15 for first four;54.03 for each additional
Contact name: Maria Hasty Furnace,etc. 1
Address:1905 NW 169t'Place,Suite 102 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Beaverton/OR/97006 Water heater I,
Phone: 503-213-4428 Fax::( ) Fireplace
E-mail: MHasty@DWHomes.com Range 1
Barbecue
CONTRACTOR Clothes dryer(gas)
-Oth
Business name:David Weekley Homes er:
MECHANICAL PERMIT FEES*
Address:1905 NW 169t"Place Suite 102 Subtotal 216.99
City/State/ZIP:Beaverton/OR/97006 Minimum permit fee(S90.00) 90.00
Phone:(503)213-4415 Fax( ) Plan review(25%ofpermit fee)
State surcharge(12%of permit fee)
CCB lic.:213653 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: Maria Hasty Date: 03/22/2023
I\Building\Pennits MEC_PemutApp_0401 U.doe 440-4617r(I 1/02 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\PermitaiEC_PermitApp_040I 13.doc 2
Electrical Permit Application RECEIVEDI OIZ till l( l I til u\l ,
City ofg Tigard PMMA 2 7 2023 Received may. Permit#: � .����,� �• ��
1111
� `
11 13125 SW Hall Blvd.,Tigard,OR 97223
r'� Plan Review
g ' Phone: 503.718.2439 Fax: 503.5t8` OF TIGA9® DateBBy: Related Permit II:
Inspection Line: 503.639.4175 BUILDING DIV SlON Ready Date/By: runs: I B See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
®New construction 0 Addition/alteration/replacement Please check all that apply(submit 1 sets of plans w/items checked):
❑Demolition El Other ['Service or feeder 400 amps or more 0 Building over three stories.
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder 0 Other: ❑Fire
pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system- larger separately derived
Job#: 68260043 Job site address: 15134 SW Coolwater Lane 0 Addition of new motor load of system.
IOOHP or more. ❑"A""E""1-2""1-3"
City/State/ZIP:Tigard/OR/97224 ❑Six or isore 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
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Descriodon I Qty. I Rath I Total I •
New residential single-or multi-family dwelling unit.
Subdivision: River Terrace Crossing Lot#: 43 Includes attached garage.
Tax map/parcel#: 2S110DA11400 1,000 sq ft.or less I 168.54 168.54 4
Ea.add'l 500 sq.ft.or portion 4 33.92 107.76 1
DESCRIPTION OF WORK Limited energy,residential
New Construction SFR to be built-2633. 2 beds+owners retreat,2.5 bath,2nd fir retreat,1st (with above sq.ft.) 75.00 2
fir Study,basement gameroom,398sf 2 car gar,82sf front porch,138sf patio Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
® PROPERTY OWNER 0 TENANT Renewable Energy ❑ See Page 2
Services or feeders installations alteration,nod/or relocation
Name:David Weekley Homes 200 amps or less 100.70 2
Address:1905 NW 169th Place Suite 102 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Beaverton/OR/97006 601 amps to 1,000 amps 301.04 2
Phone:(503)213-4415 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: MSchiedler@DWHomes.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
® APPLICANT CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:David Weekley Homes above service or feeder fee, 7.42 2
Maria Hastyeach branch circuit
Contact name: B.Fee for branch circuits without
Address:1905 NW 169d'Place Suite 102 service or feeder fee,first 56.18 2
branch circuit
City/State/ZIP:Beaverton/OR/97006 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503) 213-4428 Fax::( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email: MHasty@DWHomes.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Garner Electric Sign or outline lighting 67.84 2
Sig circuit )
Address:2890 SE Brookwood Ave panel'alteration,or limiteextend-en, rgy ❑ 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:( ) Investigation(I hr min) 90.00/hr
Email:permits@garnerelectric.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
CCB Lic.:121159 Electrical Lic.' •-305C Suprv.Lic.:3707S specifically listed(Vs hr min) 90.00/hr
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,requi r Subtotal:
Print name:Charles Gamer ''' Date: 03/22/2023 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: g4.1.etal.r3a2i:ez#L TOTAL PERMIT FEE:
Print name:BrittanyBurian Date:03/22/2023 This permit application
days
it expires
if t is not obtained within 180
Yaccepted as complete.
• Number of inspections allowed per permit.
t\Building\PermrtstELC_PetmitApp_ELR_ERE.doe Rev 06/17/2015 440-4615T(11105/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Fee for all residential systems combined: $75.00 Descriptions I �' l r I r•Totaly Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
El 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
with OAR 918-309-0040) 552.26 2
® Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva-no additional charge 0.0 3
Each additional inspection over allowable in an of the above:
❑ Other: Each additional inspection is 66.25!hr 1
charged at an hourly Cl hr min)
Inspections for which no fee is 90.007 hr
specifically listed(V2 hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page I):
• Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
El Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
El Medical
El Nurse Calls
El Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems: _
*No licenses are required. Licenses are required for all
other installations
1\Buildlng\Penmts\ELC_PermitApp_ErR_ERE.doe Rev 06'17R015
RECEIVED
Plumbing Permit Application
Building Fixtures MA 27 2023 , , I, ,, , ,
City of Tigard Received 14\ 1Qti'� �1VA
131zsSIV Han BIvd.,Tigarl,oR ,�t,,.'TY OF TIGARD ��,'�,,,, �tN°'`
Phone: 503.71i2439 Fax: 503. ..E 4ING DI"VISjO alder: OthxibadtNo.:
Inspection Line: 503.639.4115 Other
www.tigard-or.gov NN i dm Jane R ales�-iIinkrradon
c . 4 i,q'i" �, ..r'.i .: z�wd ",,7'. sir,../ tfr„,' ?' :1 £Y% •4 •, •-'t,;RzR"Y ..,'S' ,,
®New conakuotioa ❑Demolition For'pedal Informedon site checklist. -
CIAddltiduh/dteradon/repiatxment CI Other Description I Qh: 1 Ea. I Total
New 1-:-family dwellings(includes 100 It lix each utilityconneotion)
..t .....d'u`t4 :atra _S'hz-.ir 4 �'i '�yiu',.:1)�.;'0,r: �avt : -t.n rf SFR(i)bath 312.70
la I.sad 2-family dwelling 0 Commercial/industrial SFR(2)bath 1 437.78 437.78
CI Accessory building ❑Multi-family SFR(3)bath 500.32
ID Master boldsEach additional bathlkitchen 25.02 -
0 Other • Fi:e sprinkler(_„„_sq.ft.) Paget
._,,,t •. .., ram. .afill- to �ti..•-,:x _um..v.. .., ,fh s _.? • ., _.._t.. ,�leatBldes:
Job site address: 15134 SW Coolwater Lane Catch brain or area claim 18.76
City/State/2JP:Tigard/OR/97224 DI7 ll"s,or wench drain 18.76
Footing drain(no.linear ft.: JQ) Page 2 87.55
Suite/bldg./apt no.: I Project name: River Terrace Crossing Manufactured home utilities 50.03
Cross aueet/dhectlons to job site:' Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear f.j , Paget
Storm sewer(no.linear It:_J Page 2
servicelin
Subdivision: River Terrace Crossing Lotno.; 43 Water
e (no' ear$'J Pege2
Melon or Rem;
Tax map/parcel no.:: 25110DA11400 Backtlowptevenier 1 31.27 31.27
z,-,c47 , ''1 c t r7.74.t, 1' 1?-,,,,' r v Backwater valve _ 12.51
.�:, _ _, .s _E- ....4r-_. f . ..t _ Clothes washer t 25.02 25.02
New Construction SFR to be built-2633. 2 beds+owners retreat,2.5
Diehvmsher l 25.02, . 25.02
bath,2nd flr.retreat,1st fir Study,basement gameroom,398sf 2 car Drinking*milk 25.02
gar,82sf frortt porch,138sf patioa �cr Ejectors/sump2502
< F ,' ',._'1-rr "j; __' 4 r rI7 r w"` 'f-i 0,1' ,�i ' mow. ,;r, Expansion mak 12.51
Name:David Weekley Homes FlMlre/sewercap 25.02
Address:1905 NW 169*Place Suite 102 Floor dnidlloor shlkAaA 25,02
City/State/ZIP:Beaverton,OR 97006 image disposal 1 25.02 25.02
Hose bib 2 25.02 50.04
Phone:(5 3)213.4415 Fax:( ) Ice maker 1 12.51 12.51
LAM }! 5 n •fi 1,i r �- ya $i+' Cr`a ny�r�'C"�I 4 f r. lnsrc;eptodgnseae^ P 25.M_,s C.. 5... •.0, ,an _Pt a@"ic. `i7, ...tyres+" _,
Business name:David Weekley Homes Medical gee(value:S_) Page 2
Contactnome: Maria Hasty 0f - 12.51
Roof drain(commercial) 12.51
Address:1905 NW 169a Place,Suite 102 • .
• Sink/baaWkvetory 5 25.02 125.10
City/State/ZIP:Beavertoa/OR/97006 Solar units(potable water) L 62.54
Phone; 503-213-4428 I Fax;:( ) Tublshower/shower pen 1 3 12.51 37.53
E-mail; MHasty@DWHomes.com
Urinal 25.02 -
�I. •� a `Z ti , - t.- , -�c p��E'v'-iq` 4 a2' ?'4'_ Waterclo et 3 25.02 75.06 •
r J' .., : ,,-„,,IV.h,4:'m �rx:_'_?x"=S * ._,,,�. i."d., :3 •.:' Wow hooter 1 37.52 37.52
Business new.Malmedal Plumbing Wmerpiping/DWV 56.29
Address:PO Bet 207 • Other:
25.02
City/State/ZIP;Banks/OR/97106 Subtotal 994.44
Phones(S03)324. 759 Fax:( ) Minimum permit the: $72.50 72.50
CCB Lle.:102535 Plumbing Lie.no.:34-276PB • Plan review(25%of pemit Re) -,
State surcharge(12%°fpamit flee)
Audtoriaed signature: Carolina*Medal -------- TOTAL PERMIT FEB
1 Print name:Carolina Malmedal I Date:03/22/2023 I 'Bib permit application.spiresitoporn*bnotobroMndwitWlseap
stork ban Men awepted r enapbu,
"Pee uediodobay we by Tri-Carer Building f duty Service Bond.
MayilanaWornitawanweneleAw.doe l0101/0e 440.16I6T(14102/CGM/waa) •
Plumbing Permit ADDlication-City of Tigard
Page 2-Supplemental Information
Fee Schedule: Residential Fire Suppression S teas:
IL.Lif.r��,�MM ��"a t ,�=�:,Y DI.. pS .,"• t.4' ,L.,
i-`_ •( )'t t.M• ..,,r. 54,4
Footing drain-Id 100' 50.03 0 to 2.000 $121.90
$
Footing•rain-each ,d , 100' 37.52 2,001 to 3,600 169.69
3,601 to 7200 $233.20
Sewer-1st 100' 62.54 7,201 and greater $327.54
Sewer- •• ., 100' 37.52
Weer Service-tat 100' 62.54 Medical Gas S ; , s:
weal, ee.each too' 37.s2irc'r, _,�y:;r _ 1� -
StonadcRahh Drain-1at100' 62.54 S1.11to moo Minimum he 50
Storm tit Rain Drain-each additional 100' 37.52 S5,001.00 to$10,000.00 $72.50 is the first$5,000.00 and$1.52 for
rs 1 r-t:';'� ' „i-,14 �, ,x ,,''-1 s f7' (9- a r':�. each additional$100.00 or*tenon thereof,to
t ,l tom,... .s ig ,,..1 .....`,:k,_r and includingS10,000.00.
Inspection of exbtitng plumbing or for ■ S I0,00I.00 to$75,000.00 $148.501hr the first$10,000.00 and$1.54 for
which no the is specifically indicated 90.00lhr each additional$100.00 or traction thereof to
minimum -1/2 hour and including$25,000.00.
9o.00/ty $25,001.00 to$50,000.00 $379.50 fir the first$25,000.00 and SI as the
each additional$100.00 or Auction thereof,to
Reinspection Fees 90.00Air and including$50,000.00.
yPy, EgFigiliallil 90.004v - $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
[�„ each additional$100.00 or traction thereof
Sebtotal: ___ .
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures couldresult in increased sewer fees*. j _+ ` �'�y4 _
din r�'F ,4 y k Yam'" .� \ st.�� C..,c .,g.t:& 4' `-:— ' , � I l' .1,'!' ,,i;a
rttt ' ,, +" 2 ` Plan review it required fir any of the following.
:.r... id1;1
' Please check ell that apply.
NOW/Font 0 Any new commerohd building with water service 2"and
g -Tub/Shower
dsounilWhiripod greater,except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
-Drive hbru 0 Now exterior plumbing site utilities for any complex structure
CuspidodWeerAspinator as defined in OAR918-780-0040.
Delon:ghat -Commercial El Medical gas and vacuum systems for health care fkeiiitis.
-Domestic • 0 Any multipurpose lire sprinkler system.
Thinking Fountain 0 Any complex structure as defined in OAR918-780-0040.
Eve Wash
Floor D ein/sinl; -20 Submit&sets of plans with any of the above.
-3,,
Car Wash Drain ■ Isometric or riser diagramsis required for new buildings
Garbage -Daneatio-ran-A,od ,
Disposal -Domestic—fed related that meet the'uglification above. •
-Commercial-ood related •
-Industrial-food related
ice MachiReftig.Drains
oil SepeatorOs Station) Comments regarding fixture work:
Rea.Vehicle Demo Station
Shower -clang
-Stall
Slnk/t av -Non-food related
-Medley
-Commerolal-shod related
-Service •
Swimming Pool Filter *Notes if the fixture work under this permit results in an
Watersbm-Clothe Increase of sewer EDUs,a sewer permit will be issued and
Extractor
Water Closet-Toilet fees assessed for the sewer increase must be paid before the
Urinal I plumbing permit can be issued.
Other Fixtures:
CAUsers1Malmedn11AppDatall.ocshlMicrosoftlWlndowsUNetembiAConti41.0utlook131-12CXR481Plumbing Per itdoo
City of Tigard
. III " COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit #: MST2023- oa42.3
Site Address: i 5( 3 LI 5%.1 cool Wa (M - [il Verified in Accela
Project Name: kt_ J-er TOlvtC2 C9GG & S;R or> Unit #: 143
Proposal: w Ise'likelltk 5 tR i^ P.v&` Jbtce CrOsi 1I. Zone: RCS - C_
Housing Type: 114R( Single Detached ❑ Duplex 0 Triplex❑ADU) ❑ Rowhouse❑Cottage Cluster 0 CYU OQuad❑Other
Required Site Plan Elements:
6'3 c9P ies of site plan on max 11x17"
Lf Drawn to standard scale '
biplorth arrow f "Street and site trees shown / labeled
'Site address, project name, lot # •ty
Street names -MA ror SFR)
RrApplicant name and phone #
Lot and setback dimensions n Vision cicarancP triapgle-
tility locations &easements
ootprint of new structure and FFE 19 Property corner elevations
V'idewalk/driveway dimensioned ILIDA (>1,000 sf disturbance)
ot area and lot coverage percentage E 'Erosion control
Required Elevation Plan Elements:
(For SFR: talcs needed only on street-facing) Summary with s for:
/raven to standard scale ❑ Total e a
Building height dimensioned otal window and do rea
,0 1A/inrinwrd aiia.� `i cT'„�TI,E�" _ poi- l�.lQ nC,
rinnrc aria
P-e . ppR2,oIb-vc)o16
Required Floor Plan Elements:
(Not required for SFR) ,Summary table that includes
L, ach story dimensioned VVotal floor area
ite Each story floor area calculated Cif Floor area per story
Planning Review
The following standards havp been met:
Setbacks l Front: 12 Rear: (0 Side: 3 Min/Max Street Side: elA / N/A! Garage: 'X°_
Height f�Max. Height: NIA Proposed Height: d iO 2: r/
:7E Yes 0 N/A Landscape
8_Yes-�-N/A -Sereenine3-( �
❑ Yes BAN/A % Window Coverage
El Yes KO WA Garage (SFR Only) Parking (Other Res) _ Nod- kRU= P DR` ) 6 - ` OO1 6
❑ Yes Ef N/A Entrance (SFR, Rowhouse, Quad only)
❑ Yes E /A Other building design standards (Rowhouse only)
❑ Yes o1 N/A Accessory Structure Standards
❑ Yes iZ'No Qualifying pre-existing unit exempt from standards (Cottage unit only)
'tional standards for Court rd Units, Cottage Clusters, Rowhouses, and Quads:
❑ Yes ❑ it .
❑ Yes ❑ of I d Size
es ❑ N/A Pathway
A tli ' al standards for Courtyar nd Cottage Clusters only:
❑ Yes ❑ N Unit Area:
❑ Yes ❑ N/A F a (per story)
❑ Yes ❑ N ourtyar
N/A Fence
❑ Yes ❑ No 14A Clean Water Services - Service Provider Letter(lot platted prior to 9/10/1995)
EtYes 0 No ❑N/A Public FaciliiIes Improvement (PFI) Permit:
Required: E7 Y,es 0 No COnitC/l d 1/1
Applied For: FP'Yes ❑ No, stop intake
Ilensitive Lands: ❑ Yes No /> �
I~ ain Land Use Case #s: ?pR'�x b-000)b # ❑ Conditions met)
E 'Applicant notified of land se pir ton date: 2 /27/ 2-07--4
Approved By Planning: Date: 3/Q 7/a.o 23
Notes
Revision 1: 0 Approved ❑ Not Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
Building Permit Submittal
Original Submittal Date: 311.E l2023
Site Plans #: 3
Building Plans #: 3
Building Permit #: ["Building permit # entered on page 1
Workflow Routing: Planning 2(Engineering 'Permit Coordinator I uilding
Workflow Sign-off: C"Sign-off for Planning (include notes from planning review)
Route Documents: E'Engineering: (1) copy of permit application, (1) site plan, (1) building plan
and original plan review routing form.
Et/Building: original permit application, site plans, building plans, engineer and
t, beam calculations and trust details, if applicable, etc.
Permit Technician: 1'�/Y\dr1A✓ c t 14( a d Date: "l I Zit (202 ?
Notes: UU
Engineering Review
❑ PFI Permit:
[ Slope at building pad: Zdi
oh
icli conditions met prior to issuance of permit
Lk"Easements (encroachments) per engineering conditions of approval and plat
Dilater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes o
Assess Water Quantity Fee in-lieu: 0 Yes No
LIDA Facility on lot: 0 Yes "No Add Fee: 0 Yes ❑ No
final Plat Recorded
❑ NOT Approved: Date:
Notes: ,-" /J
Approved By Engineering: Date: 7/zG/d
Revision 1: 0 Approved of 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 ❑ Received 7Does not apply
/SDC Fees Entered: Wash Co Trans Dev Tax: C c'es 0 N/A
Tigard Trans SDC: d'Yes 0 N/A 1" Deferred
Parks SDC: /Yes ❑ N/A p'Deferred
LIDA 0 Yes / N/A //] OK to Issue/Approved by Permit Coordinator: 0 Date: 513 ('z,o 7i2/
❑ Approved 0 Not Approved 1: pp Date:
Revision 2: 0 Approved 0 Not Approved Date: