Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2023-00351
T I i i A it 1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/05/2023
Parcel: 2S108DC28700
Jurisdiction: Tigard
Site address: 15316 SW HAWK RIDGE RD
Subdivision: CROSSING AT BULL MOUNTAIN Lot: 142
Project: River Terrace Crossing, Lot 142
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: 28 Bathrooms: 4 Second: 1470 sf Garage: 440 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes
Total: 3076 sf Value: $556,047.72 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: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Bckflw Prevntr: 0
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 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: 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 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 area indicated
3 Geo Tech Required
PHONE: PHONE: (503)430-7413
FAX:
Total Fees: $28,940.22
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
QFAn(Y1_nnin thrnunh AR QF9 nn1-OnOn jVn,i may nhtain a rnnu of tho nilac nr dirort nnactinne to(11 INR by Tallinn snl 919 1Q17 nr 1 Ann 119 TIAA
{ r"4 41
Issued By: �! -"v'' `x`� 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 proj ct.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential FOR OFFICE ESE ONLY
City of Tigard r !Eew
114 �.��,,���
Phone: 503.718.2439 Fax: 503.598.1 6 Date/By: is 23 .- Other Permit:yl 1W 1(.)l��i 7
TIGARD Inspection Line: 503.639.4175 Date Ready By: h Juris: o See Page 2 for
Internet: www.tigard-or.gov JUL L 6 2023 Notified/Method: i Ito Supplemental Information
F F _ " TYPE OF WOR " rz,.:.. UIRED DATA 1-AND 2-FAMILY:DWELLING
.>. ' ���C�11��i #�lf3�l r,..,
•New construction o i ion 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
work indicated on this application.
CATEGORY OF CONSTRUCTIo r_4 � �'�����
. 1-and 2-family dwelling ❑Commercial/industrial
Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms: 4
III Master builder El Other:
Number of bathrooms: 4
Total number of floors: '2)5 t Co
JOB',SITE INFORMATION';AND LOCATION 3
Job site address: 15316 SW HAWK RIDGE RD New dwelling area: 3076 square feet IL{ 1)0
?City/State/ZIP: Tigard / OR / 97224 Garage/carport area: 440 square feet L b ! t
Suite/bldg./apt.no.: Project name:River Terrace Crossing Lot 142 Covered porch area: square feet 5tis
Cross street/directions to job site: Deck area: 80 ,square feet
NO'O�e.. •a 10 11:2 square feet
REQUIRED:DATA COMMERCIAL-USE CHECKLIST%.
Subdivision: Crossing At Bull Mountain Lot no.: 142 Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: 2 S 108 D C T L#142
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
11 PROPERT;Y`dWNER I'A' r 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 BUILDINGP,ERMIT FEES*
Business name:
ICHIJO USA CO., LTD.
- (Please refer to fee schedule)°`,
Structural plan review fee(or deposit):
Contact name: Naoki Yamaoka
FLS plan review fee(if applicable):
Address: 3800 SW Cedar Hills Blvd. Ste. 131
Total fees due upon application:
City/State/ZIP: Beaverton/OR/97005
Phone:(503)430-7413 Fax: :(503)430-7621 Amount received
E-mail: nao@ichijousa.com PHOTOVOLTAICSOLARPANELSYSTEMFEES*
Commercial and residential prescriptive installation of
., � ...
C RACTOR r n 16, roof-top mounted Photovoltaic Solar Panel System.
Business name: ICHIJO USA CO., LTD. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 3800 SW Cedar Hills Blvd. Ste. 131 Solar Installation Specialty Code checklist.
City/State/ZIP: Beaverton/OR/97005 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503)430-7413 Fax:(503)430-7621 State surcharge(12%of permit fee): $21.60
CCB lie.: 215360 Total fee due upon application: $201.60
Authorized signature: i 14 --- 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: 07/26/2023 *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 ' It
One- and Two-Family Dwelling FOR OFFICE USE ONLY
Received
City of Tigard Date/By: Permit No.:
114I 13125 SW Hall Blvd.,Ti ard,OR 97223
g Associated permits:
Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 El Electrical El Plumbing ID Mechanical
TIGARD
Internet: www.tigard-or.gov 0 Other:
•
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Fes 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: J ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ ❑ 0
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 ❑
9 Erosion control ❑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 ® 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 ❑ ❑
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, i ❑ ❑
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- U 0 ❑
floor,wall construction,roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings
and foundation,stairs,fireplace construction,thermal insulation,etc.
15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. 0 0
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 MI 0 0
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 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 U ❑ 0
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 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 0
architect licensed in Oregon and shall be shown to be as slicable to the uroject 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". ii ❑ 0
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. IN ❑ 0
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. II ❑ 0
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. I ❑ ❑
27 "Drawn to scale"indicates standard architect or engineer scale. ni 0 ❑
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 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
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, ❑ ❑ IIII
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)
Mechanical Permit Application FOR OFFICE USE ONLY
CityII
of Ti gar Received Permit No.: ..±
- g Date/By: idLll,,t• - _
13125 SW Hall Blvd.,Tigard,OR 97223 PlanRevtew
Phone: 503.718.2439 Fax: 503.598.RECEIVED Date/By: Other Pennit:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: 7uris: VI See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
JUL 2 6 2023
TYPE".OF WOiK - ,
,.. COMMERCIAL FEE*:SCHEDULE USE';CHECKLIST =
Y I' "°' `' Mechanical permit fees*are based on the value of the work
El New construction ❑ Other:on/alteratlL r ISION performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑ BUIL- I mechanical materials,equipment,labor,overhead,and profit.
: w" CATEGORY yOF CONSTRUCTION - ,.4 j EES* '
Value:
.- ��,.: _,a RESIDENTIAL EQUIPMENT]SYSTEMS F .
NI 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE,.INFORMATION„AND LOCATION' con
Heating cooing:
Air ditioning 46.75
Job site address: 15 316 SW HAWK RIDGE RD 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 142 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
Other: 23.32
Subdivision: Crossing At Bull Mountain Lotno.:
142
Other fuel appliances:
Tax map/parcel no.: 2S1O8DC TL#142 Water heater 1 , 23.32
DESCRIPTIOl 0l 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
Other: 23.32
PROPERTY OWNER y❑ TENANT 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
U APPLICANT 0 CONTACT PERSON Other: 23.32
ash,
Fuel piping:
Business name: ICHIJO USA CO., LTD.
$14.15 for first four;$4.03 for each additional
Contact name: Naoki Yamaoka Furnace,etc.
Gas
Address: 3800 SW Cedar Hills Blvd Ste. 131 heuspunspend Wall/se
ed/unithcater
City/State/ZIP: Beaverton / OR / 97005 Water heater 1
Fax: :(503)430-7621 Fireplace
Phone:(503)430-7413Range 1
E-mail: nao@ichijousa.com Barbecue 2
Sj$ CONTRACTOR v .e1, i„.. Clothes dryer(gas)
Business name: Supreme Heating and Cooling LLC other
MECHANICAL PERMIT FEES*fr ,. . ,
Address: 13009 NE 91ST Circle 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: 4V * Fee methodology set by Tri-County Building Industry Service Board
Print name: Naoki Yamaoka Date: 07/26/2023
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 ,_ Perrin f ee
$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
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard ,PBed
ill v 13125 SW Hall Blvd.,Tigard,OR 97223FIECE,IVE`I•''1atean/Review L
IMIIII
Phone: 503.718.2439 Fax: 503.598.19 0 Date/B : Related Permit#:
Inspection Line: 503.639.4175 Ready Date By: Juris: WI See Page 2 for
TIGARD Internet: www.tigard-or.gov JUL 2023 Notified Method: Supplemental Information
=i TYPE'OF,:WORK PL~AN REVIEW
�� � r � I Please check all that apply(submit 2 sets of plans w/items checked):
▪New construction ❑Addition/alteratioi +
t j� 1b d DIVISION ❑Service or feeder 400 amps or more ❑Building over three stones.
❑Demolition ❑Other: where the available fault current ❑Mar nas and boatyards.
,n:-- ' ',CATEGOR.Y PF CONSTR,IUCTJiON, _4 M; ,�, exceeds 10,000 amps at 150 volts or ❑Floating buildings.
111 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agr cultural
amps for all other installations, buildings.
❑Multi-family ❑Master builder ❑Other: El Fire pump. ❑Installation of 150 KVA or
JOB SITE,JN](ORMATION AND:LOCATION,A ,„i; ;_ Emergency system. larger separately derived
El Addition of new motor load of system.
Job#: Job site address: 15316 SW HAWK RIDGE RD 100HPor more
. ❑"A","E","1-2","1-3",
City/State/ZIP: 97224
❑Six or more residential units. occupancy.
ri Tigard / O R / 9 7 22 4 ❑Health-care facilities. ❑Recreational vehicle parks.
❑Hazardous locations. ❑Supply voltage for more than
Suite/bldg./apt.#: Project name: River Terrace Crossing Lot 142 600 volts nominal.
❑Service or feeder 600 amps or more.
Cross street/directions to job site: g . '-FEE SCHEDUZ E
Description I Qty. I Each I Total I
New residential single-or multi-family dwelling unit.
Subdivision: Crossing At Bull Mountain Lot#: 142 Includes attached garage.
Tax map/parcel#: 2S108DC TL#142 1,000 sq.ft.or less 168.54 4
Ea.add'l 500 sq.ft.or portion 33.92 1
DESCRIPTION'.OF,'WORK,F , .:,. Limited energy,residential 75.00 2
Singleg FamilyDetached Dwelling (withd energy,bove sq.
Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
Renewable Energy ❑ See Page 2
•,PROPERTY OWNER„/_x 0':TENANT'�`„ Services or feeders installation,alteration,and/or relocation
Name: ICHIJO USA CO., LTD. 200 amps or less 100.70 2
Address: 3800 SW Cedar Hills Blvd. Ste. 131 201 amps to 400 amps 133.56 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
Branch circuits—new,alteration,or extension,per panel
APPLICANT ,„ , . ;�. , , . •€, _ ❑F CONTACT PERSON"'`` 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
service or feeder fee,first
Address: 3800 SW Cedar Hills Blvd. Ste 131 branchcircuit 56.18 2
City/State/ZIP: Beaverton / OR / 97005 Eachadd'lbranchcircuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503) 430-7413 Fax: :(503)430-7621 Each manufactured ormodnlar 67.84 2
Email: nao@ichijousa.com dwelling,service and or feeder
Reconnect only 67.84 2
CONTRACTOR . 4 '. Pump or irrigation circle 67.84 2
Business name: WEST SIDE ELECTRIC COMPANY Sign or outline lighting 67.84 2
Address: 1834 SE 8TH AVE par el,alteration,or orlim extensioner ❑ See Page 2 2
City/State/ZIP: PO RTLAN D, 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 ESTS I D E E L ECT R I C.CO M Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: 13306 Electrical Lic.: 26-135C Suprv.Lic.: 5698S specifically listed(%hr min)
'' iLECTRTCAL A?EkMllT FEES_ ,;.,
Suprv.Electrician signature,required:114 ,1..1f Subtotal:
Print name: BRENT WALL 5698"S Date: 07/26/2023 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: 07/26/2023 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELR_ERE.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:
IRESIDENTIAL"WORK ONLI' _ ,,,, , .. FEE SCHEDULE r :
I *
Fee for all residential systems R stems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ B• urglar 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 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('h hr min)
COMMERCIAL WORICONLY 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
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ O• utdoor 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_PermitAppELR_ERE.doc Rev 06/17/2015
$lumbing Permit Application
Building Fixtures FOR OFFICE 1iSF ONLY
City of Tigard ECEIVEI Received
ll Date/By: Permit No.: �/') -y,., 3 - 3�}
13125 SW Hall Blvd.,Tigard,OR / Q% '�/ t
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.:
T I C A R D Inspection Line: 503.639.4175 JUL 1 I 2 6 2023 Date Ready/By: 7u is: See Page 2 for
Internet: www.tigard-or.gov J Notified/Method: Supplemental Information
g TYPE`OFS WOR .' _ ,., , fi FEE* SCHEDUJ E . ,., ' .
•New construction lG DIVISION. For special information use checklist
Description I Qty. I Ea. 1 Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft for each utility connection)
CATEGORY OF CON STRUCTION SFR(1)bath 312.70
•1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
buildingSFR(3)bath 1 500.32
0 Accessory ❑Multi-family
Each additional bath/kitchen 1 25.02
❑Master builder 0 Other:
Fire sprinkler( sq.ft.) Page 2
JOB`SITE INFORMATION AND LOCATION=' Site utilities:
Job site address: 15316 SW HAWK RIDGE RD Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP: Tigard / OR / 97224
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: 1 Project name: River Terrace Crossing Lot142 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: Crossing At Bull Mountain Lotno.: 142 Fixture or item:
Tax map/parcel no.: 2 S 108 D C T L#142 Backflow preventer 31.27
DESCRIPTION OF V4!ORf Backwater valve 12.51
Clothes washer 1 25.02
Single Family Detached Dwelling Dishwasher 1 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
PROPERTYt WNER "',❑ TE ANT Expansion tank 12.51
Name: ICHIJO 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
l APPIrICANF t' ❑ CONTAoT 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 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
a Water closet 4 25.02
COI4TRACTOR ` _ heater- Water 1 37.52
Business name: Assurance Plumbing LLC. Water piping/DWV 56.29
Address: PO Box 9020 Other: 25.02
City/State/ZIP: Surprise / AZ / 85374 Subtotal
Phone:(503)593-8475 Fax:( ) Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lie.: 220485 Plumbing Lic.no.: PB2097
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name: Naoki a m a o k a Date:07/2 6/202 3 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tn-County Building Industry Service Board.
I:\Building\Permits\PLMU-PermitApp.doe 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:
' Qty Fee eaj ?rota► S' uare oota e` 'Permit Fee ':
q ��� g . 3 ��E� �
Footing drain-ls`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 a f•
'Nalpation Per m><t 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 Tot91 a each additional$100.00 or fraction thereof,to
OtherInspectionsor f'ees, 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
(minimum charge 1/2 hour) each additional$100.00 or fraction thereof.
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*. Platt 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
Car Wash: -Each Stall ❑ New exterior plumbing site utilities for any complex structure
as defined in OAR918-780-0040.
-Drive Thru
Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system.
Domestic ❑ Any complex structure as defined in OAR918-780-0040.
Drinking Fountain
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2"
3" = .Isome tric-orRiser Diagram .
❑ Isometric or riser diagram is required for new buildings
-Car Wash Drain
that meet the qualifications above.
Garbage -Domestic non-food
Disposal: -Domestic food related
-Commercial food related
-Industrial food related
Ice Mach./Refrig.Drains Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -Lav/Bar non-food related
-Bradley
-Com/Serv/Util food related
-Service *Note: If the fixture work under this permit results in an
Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and
Washer-Clothes fees assessed for the sewer increase must be paid before the
Water Extractor
Water Closet-Toilet plumbing permit can be issued.
Urinal
Other Fixtures:
I:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2
IPIt° REPORT a REQUIRED uilding Division
-: BEFORE THE FOOT! COn;. & Two-Family Dwelling
TIGARD INSPECT/ON IS APPROVED xa.
4. . .. :te n , , ,,, Fees Checklist
PERMIT INFORMATION: Application Date - FEE VERSION 'J I 223
D 3L
Permit #: rS I�Z3 ' (DP 35) Plan #: i ._` floors: 3
Valuation: 551 f A 4/'„-7;. ,Covered Porch: ,------ Basement 5 j
w
Bedrooms: 1 Deck: l a'C 1st Floor (.d SQ
WC (toilets) Li Deck Cover: ` r�V 2ndt
Floor ` CD�
Lavatories kX Patio Cover - ` 3' Floor
Tub/shower Accessory Struct. R-3 Total(n
Laundry Tray Water Heater 1 4;1 j Elec Garage L. g D
Exhaust Vents Le Gas Flue Vents �, Total for Elec. 2_L`L
Backflow Prey. —- Furnace �/ / AC # for Electrical S
BBQ 2 Gas Fireplace ---_____ #Fuel Lines 9
FEES: Description: Fee Appli : Fee Entered:
DC Prov Revw: Planning
Info Proc/Arch: Lg$2.00 (over 11x17)
Info Proc/Arch: Sm $.50 (up to 11x17) 9�
Metro CET: Residential Use
School CET: District: 1 4ss
Tigard CET: Admin C .
Tigard CET: ODHCS L/
Tigard CET: AH 1.
Electrical Permit: Permit Fee:
Limited Energy: ✓'
12% State Surcharge `./
Mech. Permit: Permit Fee: l/
12% State Surcharge ✓-
Plumbing Permit: Permit Fee: l./.
12% State Surcharge
Erosion Control: w/Permit- Ping L---7
41
I:\Building\Forms\ResPlanCheckFees_Dec2022_AA.doc 12/21/22
Page 1
FOR OFFICE USE ONLY—SITE ADDRESS: I S3/to 5JAJ)4— `04/ e
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
IN
Transmittal Letter
r<,,,,k l) 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 SEP 1 4 2023
COMPANY: ICHIJO USA CO., LTD. CITY OF TIGARU
BUILDING DIVISIO
PHONE: (503)430-7413 By:
EMAIL: nao@ichijousa.com
RE: 15316 SW HAWK RIDGE RD Tigard OR 97224 MST2023-00351
(Site Address) (Permit Number)
Crossing At Bull Mountain/River Terrace Crossing Lot 142
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description:, Copies: Description:
Additional set(s) of plans. 3 Revisions: Basement Floor Plan
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: Add Shower Stall on basement floor
PO (A)/14-rs le,u.,,c_ci p_t_K Ocerx.4.._ Slak....e..._ q/56(2,3
F OF ICE USE ONLY ��J
Routed to Permi echnician: Date: 99/2- Initials:
Fees Due: es ❑No Fee Description: Amount Due:
�' itavart re-A.A.1 $ 4/ `o a
$
Special
Instructions:
Reprint Permit(per Pj): Yes ❑No ❑Done
Applicant Notified: Ni Date:10411,01i. 1,ra,(0,4 lath• Initials: VVO
City of Tigard
III q 0
COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit #: it NsT -a -3—oz.)- 3 S +
Site Address: 15316 SW Hawk Ridge Road X Verified in Accela
Project Name: River Terrace Crossing Lot/Unit #: 142
Proposal: New Single Detached SFR Zone: RES-B
Housing Type: X SFR(X Single Detached ❑ Duplex❑Triplex❑ADU) ❑ Rowhouse ❑Cottage Cluster❑ CYU ❑Quad ❑Other
Required Site Plan Elements:
X 3 copies of site plan on max 11x17"
X Drawn to standard scale
X North arrow X Street and site trees shown / labeled
X Site address, project name, lot #
Xl Street names (N/A for SFR)
X Applicant name and phone # ❑ Cwu.tre,J ,,clu,4,_ Ji., ,,.J (if u.Nl;.,able)
X Lot and setback dimensions "icion ci^1ranc triant e
❑ G.;al;..y .31,udu. Q,mu.,, f..,„txxic X Utility locations &easements
X Footprint of new structure and FFE M. Property corner elevations
X Sidewalk/driveway dimensioned ❑ LIDA (>1,000 cf dicturbanco)
X Lot area and lot coverage percentage X Erosion control
Re ' levation Plan Elements:
(For SFR: calcs only on street-facing) Summary table with calculations for:
❑ Drawn to standard sca ❑ Total façade area
❑ Building height dimensioned ❑ Total window and door area
❑ Façade dimensioned
❑ Windows and doors dimensioned
❑ Garage doors dimensioned
Requir n Elements:
(Not required for SFR) ❑ Summary table that includes
❑ Each story dimensioned oor area
❑ Each story floor area calculated ❑ Floor area pe
Planning Review
The following standards have been met:
Setbacks ,PJ Front: 8' Rear: 10' Side: 3' Min/Max Street Side: 8' / Garage: 20'
Height /Max. Height: 35' Proposed Height: 28'
❑ Yes ❑ N/A Landscape
❑ Yes ❑ N/A Screening (Quad only)
❑ Yes ❑ N/A % Window Coverage
❑ Yes ❑ N/A Garage (SFR Only) Parking (Other Res)
❑ Yes ❑ N/A Entrance (SFR, Rowhouse, Quad only)
❑ Yes ❑ N/A Other building design standards (Rowhouse only)
❑ Yes ❑ N/A Accessory Structure Standards
❑ Yes ❑ No Qualifying pre-existing unit exempt from standards (Cottage unit only)
Additional standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
0 Yes
N/A Unit Count:
❑ Yes i N/A Lot Width and Size
❑ Yes N/A Pathway
Additional standards for Courtyard Units and Cottage Clusters only:
❑ Yes ❑ N/A Unit Area:
❑ Yes 0 N/A Floor Area (per story)
❑ Yes ❑ N/A Courtyard
LI Yes 0 N/A Fence
❑ Yes ❑ No XN/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes ❑ No SIN/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes ❑ No
Applied For: ❑ Yes ❑ No, stop intake
X Sensitive Lands: ❑ Yes pal No
❑ Main Land Use Case #s: PDR2016-00016/PDR2018-00005 ❑ Conditions met
X Applicant notified of land use expiration�Cl 3/22/26
Approved By Planning: , - Date: 7/10/23 7/a6/ .3
Notes
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
Building Permit Submittal
Original Submittal Date: ,( 'IA/ I'Lo1.'
Site Plans #:
Building Plans #:
Building Permit #: 'Building permit # entered on page 1
Workflow Routing: 67/Planning 6 "Engineering 'i Permit Coordinator I /Building
Workflow Sign-off: ®'Sign-off for Planning (include notes from planning review)
Route Documents: dEngineering: (1) copy of permit application, (1) site plan, (1) building plan
and original plan review routing form.
IN/Building: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc. ff � A
Permit Technician: jj Q Nil/ Date: 's I I Wl
Notes:
Engineering Review
❑ PFI Permit: a
izi Slope at building pad: 24 '/
if/A) Conditions met prior to issuance of permit
Pa'Easements (encroachments) per engineering conditions of approval and plat
trWater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 41'No
Assess Water Quantity Fee in-lieu: ❑ Yes k No
LIDA Facility on lot: ❑ Yes krNo Add Fee: ❑ Yes ❑ No
'inal Plat Recorded
❑ NOT Approved: Date:
Notes:
Approved By Engineering: Date: TJ/2�� .�
Revision 1: ❑ Approved ❑ N pproved Date: GGL
Revision 2: ❑ Approved ❑ of Approved Date:
Permit Coordinator Review
onditions met prior to permit issuance
❑ Approved, NOT Released: Date notified applicant:
`ENG Revisions Required: Date notified applicant:
�❑ SDC Exemption: ❑ Applied for ❑ Received EOes not apply
DC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: Yes ❑ N/A Deferred
Parks SDC: Yes ❑ N/A ■ Deferred
LIDA ❑ Yes ;nf'N/A,.
�K to Issue/Approved by Permit Coordinator: t RID `l...) ) 7 2 3
Date:
Revision 1: 0 Approved ❑ Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date: