Permit (10) CITY OF TIGARD MASTER PERMIT
1: COMMUNITY DEVELOPMENT Permit#: MST2023-00394
Date Issued: 09/21/2023
T j G,ry R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108DC19200
Jurisdiction: Tigard
Site address: 15394 SW PEACE AVE
Subdivision: RIVER TERRACE CROSSING Lot:
Project: River Terrace Crossing, Lot 58
Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES HAVE BEEN
PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 1142 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1428 sf Garage: 416 sf Front: 12 Smoke Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 2570 sf Value: $467,702.10 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100
Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 1
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 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,500 sf: 4 201-400 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 2570
Owner: Contractor:
TREZ BLUE DIAMOND PORTFOLIO II LP WEEKLEY HOMES Required Items and Reports(Conditions)
BY WEEKLEY HOMES LLC 1905 NW 169TH PLACE SUITE 102
1111 N POST OAK RD BEAVERTON,OR 97006
HOUSTON,TX 77055
PHONE: PHONE: 503-213-4415
FAX:
Total Fees: $37,604.00
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
Oc9-nn1-nn1n thrniinh(1 R Qc9-nn1-nnon Vnii MAW n In a rnmiTtr413a nilac nr'lir/art nuoctinnc to(ll IM(1 hi rollinn cn'3 9'29 10A7 nr 1 Ann 329 91a4
Issued By: Pecmittee Signature:' ` \ &5c
al 3.639.4175 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.
Building Permit Applicati r , '& r
Residential 'y �� °
y FOR OFFICE USE ONLY
City of Tigard / '= 1 £,023 Received 9 Lf
13125 SW Hall Blvd.,Tigard,OR 97223 DateBy: �� a�j Ji Pen a 0a�3—0 O3�
C Plan Review
Phone: 503.718.2439 Fax: 503.598 OF gt.j LJ oth4, (���_0 0 8
i 7') l x ���� Date/By. 11 O
T I G A R D Inspection Line: 503.639.4175 �tp s €� a ,�^� t t Date Ready/By. I ;r
Internet: www.tigard-or.gov L7 �.LVBGvO ���1' IU6�J ® See Ior
Notified Method: l�� ''�'ljp !�Q I Supplemental Information
C iltilcuai tl wta.,r
TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING
®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 ❑Other: equipment,materials,labor,overhea , d the profit for the 17
CATEGORY OF CONSTRUCTION work indicated on this application . 70 oZ,
® 1-and 2-familY g dwellin Valuation: $
❑Commercial/industrial
ElAccessory building 0 Multi-family Number of bedrooms: 3
❑Master builder 0 Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: 2 2,9 '8(P
Job site address: 15394 SW Peace Ave New dwelling area: 2570 square feet 1 y(.-(3
City/State/ZIP:Tigard/OR/97224 Garage/carport area: 416 square feet r t�'1
Suite/bldg./apt.no.: Project name: River Terrace Crossing Covered�ettYarea: 179 square feet 1
Cross street/directions to job site: Deck area: square feet
,.. attuetur„ul& 119 square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: River Terrace Crossing Lot no.: 58 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
2570 sf New Construction Home. Owners Retreat+2 bd,2.5 ba,2nd fl Retreat Valuation: $
1st fl Study,416 sf 2 car gar, 119 sf front porch, 179 sf covered porch Existing building area: square feet
New building area: square feet
g PROPERTY OWNER 0 TENANT Number of stories:
Name:David Weekley Homes Type of construction:
Address: 1905 NW 169th Place Suite 102 Occupancy groups:
City/State/ZIP:Beaverton,OR 97006
Existing:
Phone:(503)213-4415 Fax:( )
New:
APPLICANT C. CONTACT PERSON BUILDING PERMIT FEES*.
Business name:David Weekley Homes (PleasereJerto eeschedulee)
Contact name: Maria Hasty Structural plan review fee(or deposit):
Address:1905 NW 169th Place,Suite 102 FLS plan review fee(if applicable):
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 PhotoVoltaic 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 $180.00
and administrative fees):
Phone:(503)213-4415 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lic.:213653
Total fee due upon application: $201.60
Authorized signature: 5GZ This permit application expires if a permit is not obtained
U/l within 180 days after it has been accepted as complete.
Print name: Maria Hasty Date: 07/21/23 *Fee methodology set by Tri-County Building Industry
Service Board.
C\Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440-46 13T(11/02/COM/WEB)
Building Permit Application Checklist `
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of TigardIII Received Permit No.:
Date/By:'I 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
• Phone: 503.718.2439 Fax: 503.598.1960 ® Electrical ® Plumbing ® Mechanical
T l G A R D 24-Hour Inspection Line: 503.639.4175
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. Z El El
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. El® 0 0
0
3 Verification of approved plat/lot. 0 El 0
4 Fire district approval required. Name of district: •
5 Septic system permit or authorization for remodel. Existing system capacity 0 00 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.
9 Erosion control ®plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ® 0 0
basin protection,etc. ® 0 0
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 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. ® 0 El
Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size
and location. El 0 0
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- Z 0 0
floor,wall construction,roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings
and foundation,stairs,fireplace construction,thermal insulation,etc.
15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ® 0 ❑
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. El 0 0
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non-
prescriptive path analysis provide specifications and calculations to engineering standards. Z 0 0
17 Floor/roof framing. Provide plans for all floors/roof assemblies, indicating member sizing,spacing,and bearing
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 ❑
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. El 0 0
20 Manufactured floor/roof truss design details.
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required Z 0 0
for four or more appliances. El 0 0
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or
architect licensed in Oreton and shall be shown to be applicable to the Iro•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 00 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. ® 0 0
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ® 0El 0
El
"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 ® 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
El
and protection measures must be drawn to scale and must include the project arborist's signature of approval. 0 ❑
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ►�
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 ApplicatiRECEIVED
City of Tigard RIILIIJIPIIIIIMMIIIEIIIEIIIIIIIIII
III i . 13125 SW Hall Blvd.,Tigard,OR 97223 Plan By:
Rev 19�1-4�a33 03��
Phone: 503.718.2439 Fax: 503.598.1960 AUG 14 2023 Plan Review
r 1 , 1 Line:
;I, Inspection 503.639.4175 Date/By Other Permit
InternetLine:www.tigard-or.gov CITY OFDate Ready/By; ions I 0 See Page 2 for '
TIGARO Notified/Method: Supplemental Information
BUILDING DIVISION -
TYPE OF WORK COMMERCIAL FEE* SCHEDULE-USE CHECKLIST
®New constructionMechanical permit fees'are based on the value of the work
0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$
®I-and 2-familRESIDENTIAL EQUIPMENT/SYSTEMS FEES*
Y dwelling ❑Commercial/industrial ❑Accessory building For
El Multi-family ❑Master builder '�/°/%f°�°�O^LSe��klir�
0 Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heatingfcooling:
Job site address: 15394 SW Peace Ave Air conditioning 1 46.75 46.75
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 _
Suite/bldg./apt.no.: I Project name: River Terrace Crossing Heat pump -
61.06
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
Subdivision: River Terrace Crossing Lot no.: S8 Other: 23.32
Other fud appliances:
Tax map/pacel no.:. Water heater 1 23.32 23.32
DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 33.39
2570 sf New Construction Home. Owners Retreat+2 bd,2.5 ba,2nd fl Retreat Flue vent for water heater or gas
fireplace 23.32
1st fl Study,416 sf 2 car gar,119 sf front porch, 179 sf covered porch Log lighter(gas) 23.32
-
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
IN PROPERTY OWNER 0 TENANT Other. 23.32 +
Environmental exhaust and ventilation:
Name:David Weekley Homes Range hood/other kitchen
Address:1905 NW 169"Place,Suite 102 equipment I 33.39 33.39
Clothes dryer exhaust I 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
Fuel piping:
Business name:David Weekley Homes
S14.15 for first four;S4.03 for each additional
Contact name: Maria Hasty Furnace,etc.
Address:1905 NW 169'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:MHasty0D WHomes.com Ranee I.
Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:David Weekley Homes Other:
Address:1905 NW 169'Place Suite 102 MECHANICAL PERMIT FEES*
Subtotal $216.99
City/State/ZIP:Beaverton/OR/97006 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)213-4415 Fax:( )
State surcharge(12%of permit fee)
CCB lic.:213653 TOTAL PERMIT FEE
This permit applicationdaysaer
expires if a ift it has been accepted is asnot complete.obtained within 180
Authorized signature: • Fee methodology set by Tri-County Building Industry Service Board
Print name: Maria Hasty Date: 07/21/23
t tBuddintPennitsIMEC_PemdtApp_040113 doe 440-4617r(11/02 COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 -Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:\Building\Permits\MEC_PermitApp_040113.doc 2
- ' t RECEIVED
Electrical Permit Application Mk 01 I I( I I St. o v►.1
City of Tigard AUG 14 2023 Received r—
Petmit# rf I o a ?j 13125 SW Hall Blvd.,Tigard,OR 972 Date/B : .-3 -
Phone: 503.718.2439 Fax: 503.598.1 OF TIGARD Plan Review
DateB Related Permit#:
I I G n Iz a Inspection Line: 503.639.4175 BUI DING DIVISION Ready DateBy: Ions 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):
or more
Cl Demolition El Other: 0 Service or feeder 400 amps
ElBuilding over three stories.
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
0 Multi-familyamps for all other installations. buildings.
0 Master builder 0 Other: 0 Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Job#: 68260058 Job site address: 15394 SW Peace Ave ❑Addition of new motor load of system.
100HP or more. ❑"A" "E" `1-2" "1-3„
City/State/ZIP:Tigard/OR/97224 ❑Six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: River Terrace Crossing 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site:
FEE SCHEDULE
Description I OtY. I Each 1 Total I
•
New residential single-or multi-family dwelling unit.
Subdivision: River Terrace Crossing Lot#: 58 Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less i 168.54 168.54 4
DESCRIPTION OF WORK Ea.add'I 500 sq.ft.or portion 4 33.92 107.76 1
Limited energy,residential 1 75.00 75.00 2
2570 sf New Construction Home. Owners Retreat+2 bd, 2.5 ba,2nd fl Retreat (with above sq.ft.)
Limited energy,multi-family
1st fl Study,416 sf 2 car gar, 119 sf front porch, 179 sf covered porch residential(with above sq.ft.) 75.00 2
® PROPERTY OWNER I ❑ TENANT Renewable Energy 0 See Page 2
Services or feeders installation,alteration,and/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
City/State/ZIP:Beaverton/OR/97006 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Phone:(503)213-4415 Fax:( ) Over 1,000 amps or volts 552.26 2
Email: Temporary services or feeders installation,alteration,and/or
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
Branch circuits—new,alteration,or extension,per panel
0 APPLICANT ® CONTACT PERSON
Business name:David Weekley Homes A.Fee for branch circuits with
above service or feeder fee,
each branch circuit 7.42 2
Contact name: Maria Hasty B.Fee for branch circuits without
Address:1905 NW 169th Place Suite 102 service or feeder fee,first
branch circuit 56.18 2
City/State/"LIP:Beaverton/OR/97006 Each add'l branch circuit 7.42 2
Phone:(503)213-4409 Fax::( ) Miscellaneous(service or feeder not included)
Each manufactured or modular
Email: MHasty@DWHomes.com dwelling,service and/or feeder 67.84 2
Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Garner Electric Sign or outline lighting 67.84 2
Address:2890 SE Brookwood Ave Signal circuit(s)or limited-energy
panel,alteration,or extension. 0 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 I Fax:( ) Investigation(1 hr min) 90.00/hr
Email:permits@garnerelectric.com Industrial plant(i hr min) 78.18 hr
Inspections for which no fee is
CCB Lic.:121159 Electrical Lic.• 4-305C Suprv.Lic.:3707S specifically listed(1,4 hr min) 90.00/hr
Suprv.Electrician signature,requi ELECTRICAL PERMIT FEES
Subtotal: $351.30
Print name:Charles Garner I Date: 07/21/23 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: 64�%�a t g' 'L. Zit. TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name:Brittany BUrlan I Date: 07/21/23 I days after it has been accepted as complete.
' Number of inspections allowed per permit.
I.\Bwlding\PertnnstELC_PermitApp_ELR_ERE.doc Rev 06/17/2015
440-4615T(11/05/COM/WEB
ti
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Description Qty. Each I Total
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
5 kva or less 100.70 2
Check Type of Work Involved:
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
® Garage Door Opener* >100 kva(fee in accordance 552.26 2
with OAR 918-309-0040)
• Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva-no additional charge 0.0 3
Each additional inspection over allowable in an 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(Yr hr min)
ELECTRICAL PERMIT FEES
COMMERCIAL WORK ONLY: Subtotal(Enter on Page 1): 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
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I\Bmldmg\Pennns\ELC_PentotAPP_ELR_ERE doc Rev 06r 172015
Plumbing Permit ADDlitiC E IVE D
Building Fixtures AUG 14 2023 ;(H< <)I 0 I . ,,,, ,
City of TigardSi
Received
13125 SW Hall Blvd,Tigard,OI F TIGARD Review
1T�v33 -O O 3'Y�{
Phone: 503.718.2439 Fax: q TNG DIVISION Datem al�rl ,airNo.:
Inspection Line. 503.639.417i"'
Internet www.tigard or gov 1 Y' miler# See Pap 2 for
r,..'Pi rj ',s . .fm r " Nofifte Metlgd: tat faftraatioa
�plpCEk F�y�� �
5'1. ff:�hf Ekt,. " r.. ! .'A l- .S 5..� '' .e � +*. 6+ y6' I q�11 1`:{,I 4i
At
®New construction Cl DeatolWon For al+r ldrrrmadtolr are diackust
Description
CIAddition/alteration/replacentent 0other: Qtr. 1 Ea. I Total
, � r New 1-2-family dwellin s(includes 100 it for each utility connection).
d: :,r I.
c?r(?r ,,;A.,. r 4.. ', SPR(1)bath 312.70
®1-and 2 Iltenily dwelling ❑ComtneroiaVmdustrtal SFR(2)bath 1 437.78 437.78
❑Accessory building ❑Multifamily SFR(3)bath 500.32
Each additional bath/kitchen 25.02❑Master builder El Other
{ • 4, Fin:sprinkler(„._ sq.It) p 2'
t.` _',.,' .ii.S'',. • ,7.,y1'.1:i c'P <*' .,s:id', �,'w: '.t : °, .''47!ti1^ Site utilities: age
Jab site address: 15 394 SW Peace Ave Catch herein or area dram 18.76
City/State/Z1P:Tlgard/O W97224 Drywall,leach line,or trench drain 18.76
Suitedbldg:/apt no.: I Project name: River Terrace Crossing Footing drain(no,linear It:jib Page 2 87.55-
Manufactured home utilities -
50.03
Cross street/directions to Job site:' Manholes
_ I8.7G
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:,J Page 2
Strom sewer(no.linear ft:_,.....) Paget
Subdivision: River Terrace Crossing Waterservice(no.lineari"-) Page
1 Lotno.: 58 Elders or item;
Tax map/parcel no.:. Bp preventer I 31.27 31.27
_
'�� � .. r {,l.b,:;' •;!'�, v`. F ',` 7, w..- Bucher sr valve 12.51
2570 sf New Construction Home. Owners Retreat+2 bd, 2.5 ba, Ctodneswaahr 1 25.02 25.02
2nd Fl Retreat, 1st fl Study,416 sf 2 car gar, 119 sf front porch, D 1 25.02, 25.02
Drinking
Dishwasher fountain 25.02
179 sf covered porch Ejectors/sump
25.02
---' !f::- � '/�'.. s�'.�,'..i'ij _ .. "4;'" ,t±al* .tt.)+'.urs✓, :vot.1 G..`. Expansion tank 12.51
Name:David Weekley Homes Fixturo/sewer cap 25.02
Address:1905 NW 169*Place Suite 102 Floor dminl loor sink/hub 25.02
City/State/ZiP:Beaverton,OR 97006 Hose b Calrbl bib 2 25.02 50.04
Phone (503)213.4415 Fax:( ) lee maker
.A r ,'-- ''-c f, ' r3 r f a i',,- 1417€'fr17:.. g 4' ,5i; a ` ,- Interceptor/grease trap 1 25.02 12.51 12.51
Business name:David Weekky Homes Medical gas l wlere:$
) Pap 2
Comm*name Maria Hasty Primer 12.51
Roofdraln(comme real) 12.51
Addlw)ss:1905 NW 1696 Piave,Suite 102
City/State/ZIP:Beaverton/OR/971106 • S��tory 6 25.02 150.12
Solar units(potable water) I. 62.54
Phone:1503-213-4428 I Fax:;( ) Tub/shower/shower pan I
2 12.51 25.02
E-mail MHasty@DWHomes comUrinal_ 25A2
'' , '°_ 1 �1 'a� ;4q" ;. a -, Water closet 3' 25.02 75.06 P '�' `'�' � � _e; Water heater
Business name:Malmedal Plumbing 1 37.52 37.52
Water pipinWDWV 56.29
Address:PO Box 207 Other
25.02
Clty/StatVZ1P:Sankt/OR/97106 Subtotal $981.93
Phone:(503)324-0759 Fax( ) Minimum permit tlx: $72.50
CCB Lie.:102535 Plumbing Lie,no.:34-276PB Plan review(25%of permit the)
Authorized signature: Gwollno Malmodal State surcharge(12%ofpetmit the)
TOTAL PERMIT FEE
I Print name:Carolina Malmedel Date:IQ7/21/23 Tbb permit appgcttiaa tapir.Ita peak h trot ebrolaed uw la.days
after k bat hate accepted as toaepkU,
"Fee metlgdoloay sot by T1i-Coeuny Building Indiray Service Board
L•IadldeleormitAIN)d'eraihAep•doo ta/01fe9 440.46I6T(iO 2 oMWu n)
Plumbing Permit Application-City of Tigard
Page 2-Supplemental Information
Fee Schedule: Residential Fire Su cession S ,tams:
.,m k R v;•+13++ �,'.�tNNW t n 3K1' rt i'`. • J•^,� r ..4,y,
Footing drain-I'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 additiaad 100' 37.52
Water Service-1st 100' 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52 r vu.'yr_.r; • ,fit
Storm&Rain Drain-Id WO' 62.54 1� 0 Min :�'
f1.00to$5,000.00 Minimum S0
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 lbr the first$3,000.00 end$1.52 lbr
each additional$100.00 or ftacdon thereof,to
>'1 t_`., it - •
and including$10,000.00.
erg* .
Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 fix the fad i!10,000.00 and$1.54 for
which no fee is specifically Indicated 90.00/hr each additional$100.00 or faction thereat;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 AS for
hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to
Relnspection Fees 90•WMr and inoluding$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 itaction thereof.
Sabtotah •
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately resort fixtures could result in increased sewer fees*.
F'41 r„ st "°-r+.f`n ,� 1 jlt rt a i #tie '30 3: 1 ? �'; ! 11;3 `4 s
i ►€�4l 4, i, ` +,:€ .�.. fi'� ;., Plan review is required for any of the following.
Rigriitte i. A.s.•- ... "' �"" Please check all that apply.
Baptistry/Font ❑ Any new recsmerolel building with water service 2"and •
Bo -Tub/Shower greater,except systems designed end stamped by licensed
-Iacurai/Whirtpool engineer.
Car Wash -Each Stall
-Drive Thru El New exterior plumbing site utilities for any complex structure
Cuspidor/WaterAspirator as defined InOAlt918-780-0040.
Dishwasher -Commercial C3 Medical gas and vacuum systems for health care hankies.-Domestic • Any multipurpose fire sprinkler system.
Drinking Fountain Any complex structure as defined in OAR918-780-0040.
Eve Wash
Floor Drain/sink -2" Submit sets of plans with any of the above.
•3"
Car Wash Drain ■ Isometric or riser diagram is required for new buildings
Garbage -Domesti` non that meet the qualifications above.
Disposal -Domestic-food related
•
-Commercial-fond related
-Industrial-food related
Ice MaohdRefttig.Drains ,
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall
-Sink/I.av Non-food related
-Bradley
-Commercial-food related •
-Service •
Swimming Pool Filter *Note: lithe fixture work under this permit results in an
Walla-Clothes increase of sewer EDUs,a sewer permit will be issued and
Water Extractorfees assessed for the sewer increase must be paid before the
-
Water Closet-Toilet
Urinal plumbing permit can be issued.
Other Fixtures: —
C:\Users1MalmedaMpPnuta\Lon allMicrosoft\Windows\Mott;ache\ContaBt.Outlook\3I42CXR48Miumbing Pennit.doc
im
n B uilding Division
One & Two-Family Dwelling
TIGARD
Fees Checklist
PERMIT INFORMATION: Application Date - FEE VERSION (CO (7 2423
Permit #: rn'S 1 i _ oQ2,11 Plan #: 6.9-7 5---`A, Floors:
Valuation: 1A011101. 10 Covered Porch: t l Basement
Bedrooms: 3 Deck: s� 1st Floor
WC (toilets) 3 2 Deck Cover: nd ( �
Floor 1 LI i
'�j
Lavatories Patio Cover 1-1 G� 3'd Floor
Tub/shower Accessory Struct. l R-3 Total
Laundry Tray Water Heater l (-Ga�( Elec Garage (-1/I
Exhaust Vents S Gas Flue Vents - Total for Elec. �Q�/Q (
Backflow Prey. ( / Heat Pum )p AC # for ElectricalLi
_/ �7 Q
BBQ t � w-Gas Fireplace #Fuel Lines
\( L)2 Li
FEES: Description: Fee Applie : Fee Entered:
DC Prov Revw: Planning
Info Proc/Arch: Lg$2.00 (over 11x17) ZCo
Info Proc/Arch: Sm $.50 (up to 11x17) M(Q
Metro CET: Residential Use
School CET: District: � 4 -gl
Tigard CET: Admin
Tigard CET: ODHCS
Tigard CET: AH
Electrical Permit: Permit Fee: l�
Limited Energy:
12% State Surcharge
Mech. Permit: Permit Fee:
12% State Surcharge
Plumbing Permit: Permit Fee:
12% State Surcharge ✓.
Erosion Control: w/Permit- Ping
I:\Building\Forms\ResPlanCheckFees_Dec2022_AA.doc 12/21/22
Page 1
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIG. A D
Building Permit #: AlhT 00 3 qLf
Site Address: 15394 SW Peace Avenue ❑ Verified in Accela
Project Name: River Terrace Crossing Lot/Unit #: 58
Proposal: New Detached SFR Zone: RES-C
Housing Type: ®SFR(®Single Detached ❑ Duplex❑Triplex❑ADU)0 Rowhouse❑Cottage Cluster 0 CYU ❑Quad 0 Other
Required Site Plan Elements:
13 copies of site plan on max 11x17"
El Drawn to standard scale
® North arrow El Street and site trees shown/ labeled
El Site address, project name, lot # 0 Tahle cplcu1p ing tro p t �u *y
67 Street names (N/A for SFR)
l Applicant name and phone # )
E Lot and setback dimensions
�::�istiwg�iwresidree&e�eare feeage ® Utility locations &easements
i Footprint of new structure and FFE I Property corner elevations
® Sidewalk/driveway dimensioned 0 LIDA (>1,000 3f dizturbenec)
in Lot area and lot coverage percentage IX] Erosion control
uired Elevation Plan Elements:
(For - • alcs needed only on street-facing) Summary table with calculations for:
❑ Drawn - andard scale 0 Total facade area
❑ Building heig _•• ensioned ❑ Total window and door area
❑ Façade dimensione.
❑ Windows and doors dimensi• -•
❑ Garage doors dimensioned
Required Floor Plan Elements:
(Not required for SFR) ❑ Summ. .ble that includes
❑ Each story dimensioned ❑ Total floor are-
❑ Each story floor area calculated ❑ Floor area per story
Planning Review
The following standards have been met:
Setbacks VFront:$ Porch Rear: 10' Side: 3' Min/Max Street Side: 8 / Garage: 20'
12' Front
Height j21'Max. Height: NA Proposed Height: 24'-5 1/4"
El Yes ❑ N/A Landscape
❑ Yes I N/A Screening (Quad only)
❑ Yes I N/A % Window Coverage
❑ Yes !I N/A Garage (SFR Only) Parking (Other Res)
❑ Yes iI N/A Entrance (SFR, Rowhouse, Quad only)
❑ Yes i1 N/A Other building design standards (Rowhouse only)
❑ Yes i1 N/A Accessory Structure Standards
❑ Yes II No Qualifying pre-existing unit exempt from standards (Cottage unit only)
Additi nal standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
❑ Yes 'I N/A Unit Count:
❑ Yes II N/A Lot Width and Size
❑ Yes II N/A Pathway
Additi nal standards for Courtyard Units and Cottage Clusters only:
❑ Yes II N/A Unit Area:
❑ Yes II N/A Floor Area (per story)
❑ Yes i i N/A Courtyard
0 Yes i I N/A Fence
❑ Yes 0 No ❑N/A Clean Water Services — Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes 0 No ❑N/A Public Facilities Improvement (PFI) Permit:
Required: ❑Yes 0 No
Applied For: 0 Yes 0 No, stop intake
❑ Sensitive Lands: 0 Yes 0 No
❑ Main Land Use Case #s: PDR2016-00016. PDR20 -00005 0 Conditions met
❑Applicant notified of land use expiration 2/27/2024
Approved By Planning: .H-------- Date: 8/9/23
Notes Gara a and window standards do not a . Standards were o tional at time of a roval see 35-36 of PDR2016-00016
Revision 1: 0 Approved 0 Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date:
Building Permit Submittal
Original Submittal Date: .e1 /Y /}3
Site Plans #: ��jj
Building Plans #: 3
Building Permit #: N Building permit # entered on page 1
Workflow Routing: tf Planning *Engineering k Permit Coordinator Al Building
Workflow Sign-off: g Sign-off for Planning (include notes from planning review)
Route Documents: g Engineering: (1) copy of permit application, (1) site plan, (1) building plan
and original plan review routing form.
l Building: original permit application, site plans, building plans, engineer and
j beam calculations and trust details, if applicable, etc.
�Y
Permit Technician: Date: 8// /a'
Notes:
Engineering Review
o P5 Permit: d
EV' lope at building pad: Z/A oh
/gConditions met prior to issuance of permit
basements (encroachments) per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes EA
Assess Water Quantity Fee in-lieu: 0 Yes peNo
LIDA Facility on lot: 0 Yes 22410 Add Fee: ❑Yes 0 No
nal Plat Recorded
❑ NOT Approved: Date:
Notes:
Approved By Engineering: Date: 4// S. 2
Revision 1: 0 Approved ❑ No proved Date:
Revision 2: 0 Approved 0 Not Approved Date:
Permit Coordinator Review
41.nditions met prior to permit issuance
■ Approved, NOT Released: Date notified applicant:
0 ENG Revisions Required: Date notified applicant:
-I SDC Exemption: 0 Applied for 0 Received Eoes not apply
DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A 0-
Tigard Trans SDC: Yes ❑ N/A Deferred
Parks SDC: Yes 0 N/A Deferred -4
\L\\
LIDA Yes q
((N/A / 23
ordinator: \�```� Date: ` �ll``
K to Issue/Approved by Permit Co
Revision 1: 0 Approved 0 Not Approved ��(`j v
Date:
Revision 2: 0 Approved 0 Not Approved Date:
(- � z3 _ oc,3e/Lt "CROSSING AT BULL MOUNTAIN" 2:-31ei 5( ; /ce et“,
LOTs8 —.
HUB AND TACK CERTIFICATION t?id ) CSC? 677 Z27
SE 1/4 SEC. 8, T 2 S, R 1 W, W.M.
CITY OF TIGARD, WASHINGTON COUNTY, OREGON
SURVEYED SEPTEMBER 29, 2023
' / / PREPARED FOR:
DAVID WEEKLEY HOMES
1905 NW 169TH PLACE, SUITE 210
BEAVERTON, OR. 97006
6.00'
PUBLIC 57
UTILITY
. EASEMENT 8.00'
PUBLIC
UTILITY
ob EASEMENT
_ 0i
N89'55'53"E i'91.29'
.,_-25.47'
18.74'
W 25.32' N.
D 0 0
! Z 0 0
ILI tV
W
3
-5' 0 58 W
Q Lu 0 ,
M
a 0 I ' 00 _.
N Z ! I V)
csi ( 25.63'
t 8.93
0 S89'55'53"W + 91.66' ! '-25.97.
gI
o
_
! I W
! 59 ! w
o ! Q
u REGISTERED i =
PROFESSIONAL
LAND SURVEYOR } tra
h
./C/ ( 1
1 OREGON I
a JULY 9, 2002L G!
w TRAVIS C. JANSEN
57751
N 60
o RENEWS: 6/30/2025
N
�' I, TRAVIS C. JANSEN, A REGISTERED PROFESSIONAL LAND SCALE
o SURVEYOR IN THE STATE OF OREGON, HEREBY CERTIFY THAT 20 0 10 20
o I HAVE ACCURATELY SURVEYED AND STAKED THE O
9 FOUNDATION ENVELOPE FOR LOT 56 OF THE PLAT OF 1 INCH = 20 FEET
"CROSSING AT BULL MOUNTAIN".
DRAWN BY: TRK DATE:10/02/23 PACIFIC COMMUNITY DESIGN
3- REVIEWED BY: T2 DATE:10/02/23
z 130—007 PLANNING - ENGINEERING - SURVEYING
PROJECT No.: (503) 941-9484