Permit (3) t CITY OF TIGARD MASTER PERMIT
r1 II COMMUNITY DEVELOPMENT Permit#: MST2023-00528
Date Issued: 01/04/2024
T E GAR j) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108DC16500
Jurisdiction: Tigard
Site address: 15174 SW DEEPBROOK LN
Subdivision: RIVER TERRACE CROSSING Lot: 30
Project: River Terrace Crossing, Lot 30
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: 1445 sf Basement: 501 sf Left: 3 Parking Spaces: 0
Height: 26 Bathrooms: 4 Second: 791 sf Garage: 366
g sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes
Total: 2737 sf Value: $490,649.69 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 5 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: 6 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: 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 2737
Owner: Contractor:
WEEKLEY HOMES LLC WEEKLEY HOMES Required Items and Reports(Conditions)
1111 N POST OAK RD 1905 NW 169TH PLACE SUITE 102 1 Ersn Cntrl 503-639-4175
HOUSTON,TX 77055 BEAVERTON,OR 97006 2 Geo Tech Required
PHONE: PHONE: 503-213-4415
FAX:
Total Fees: $46,346.63
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 re ' ou to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
a<9-M1_nnln thrr„irrh AR 0c9_M1_n�ni may n nin a rnnv of tha'Iliac nr Airorf ni iactinnc fn(II IMr.by Tallinn crll 919 10M7 nr 1 Ann 119G t co9'tdd
Issued By: ,' Permittee Signature: certo ) c
Call 503. . 75 by 7:00 a.m.for the next available inspection date.
I, 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 ApplicatiORlECEIVE
D
Residential t
FOR OFFICE Lsl:o��l,1
IiiCity of Tigard OCT 1 6 2023 Received `` Pe �+���
w Date/By: (0 iJ " o.)-1-oo✓�8
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598. OF TIGARD DateBy: i ///j , I 1 Other Permit.SWReti,6/' AC
Inspection Line. g503.639..4175 BUILDING DIVISION Date Read/B i� ^A �� �u mds: �/�1J
FIGARD Y Y I pp ® SeePage2 or
Internet: www.tl and-or. ov Notified Method: 3 At Q. Supplemental Information
E YKI ilLd ititax't.U_ • J
TYPE OF WORK REQUIRED DATA:1-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,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application. G,
® 1-and 2-familydwellingValuation: $ 4 , 0 CI .ipL 4,
0 Commercial/industrial I
['Accessory building 0 Multi-family Number of bedrooms: 4
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: 3 2.1 3 [03
Job site address: 15174 SW Deepbrook Lane New dwelling area: 320f' square feet—'ie)6
City/State/ZIP:Tigard/OR/97224 Garage/carport area:
366 square feet 199
Suite/b1dg./apt.no.: Project name: River Terrace Crossing �Z�K C' „„0V/Aak I. square feet Lj D j
Cross street/directions to job site: Deck area: 115 square feet
tittprp,.. 2413 square feet
REQUIRE DATA:COMMERCIAL-USE CHECKLIST
Subdivision: River Terrace Crossing Lot no.: 30 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.
3205 SFR to be constructed. Owner's Retreat+3 bd,3.5 ba,Up Lv Retreat,Main Valuation: $
Lv Study, Lwr Lv Gameroom,366 sf 2 car gar,29 sf front porch,115 sf rear Existing building area: square feet
covered deck New building area: square feet
_4 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:
0 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
to FLS plan review fee(if applicable):
Address: 1905 NW 169 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*
Commercial and residential prescriptive installation of
CONTRACTOR 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 169t'Place,Suite 102 Solar Installation Specialty Code checklist.
City/State/ZIP:Beaverton/OR/97006 Permit Fee(includes plan review
and administrative fees): $180.00
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: 17// This permit application expires if a permit is not obtained
(/,l within 180 days after it has been accepted as complete.
Print name: Maria Hasty Date: 9/25/23 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE OMLA
City of Tigard Date/ReceivBy:
l Permit No.:
• 13125 SW Hall Blvd.,Ti ard,OR 97223 a
g Associated permits:
I. Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 ® Electrical 1E1 Plumbing 1E1 Mechanical
TIGARD Internet: www.tigard-or.gov
Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/:t
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 1E) El El
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ® 0 0
3 Verification of approved plat/lot. ® 0 0
4 Fire district approval required. Name of district: 0 El
5 Septic system permit or authorization for remodel. Existing system capacity 0 0 El
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 ®plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- ® 0 0
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ® 0 0
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ® 0 ❑
there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements
and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction
indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and
surface drainage.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ® ❑ 0
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ® ❑ 0
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ® 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.
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ® 0 0
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing ® ❑ 0
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 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 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. ® 0 0
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. ® 0 0
27 "Drawn to scale"indicates standard architect or engineer scale. ® 0 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 0
El
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 0 El
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 A DlicafE i ��)
p � � ' ,LJ lore OFFICE I SE 0N1,1
City g Permit No.:of Tigard Received Mt"1'W" 005t8
awv
i 4 13125 SW Hall Blvd.,Tigard,OR 97223III
OCT a �ti131 PlanD Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
I.i, ,\�;I, Inspection Line: 503.639.4175
Internet for
www.tigard-or.gov No
CITY OF TIGAHD ��od Supplemental ee Information
BUILDING DIVISION :
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
0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEFS*
®1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Far special information use checklist
❑Multi-family ❑Master builder 0 Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION HeatioR/coolinf;:
Air conditioning 1 46.75 46.75
Job site address: 15174 SW Deepbrook Lane Furnace 1013,000 BTU(duets/vents) 1 46.75 46.75
City/State/ZIP: Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: 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.: 30 Other: 23.32
Other fud appliances:
Tax map/parcel no.:: Water heater 1 23.32 23.32
DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 33.39
Flue vent for water heater or gas
3205 SFR to be constructed. Owner's Retreat+3 bd,3.5 ba,Up Lv Retreat, fireplace 23.32
Mn Lv Study,Lwr Lv Gameroom,366 sf 2 car gar,29 sf front porch, 115 sf rear Log lighter(gas) 23.32
Wood/pellet stove 33.39
covered deck Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER ' ❑ 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 169th Place,Suite 102 Clothes dryer exhaust I 33.39 33.39
City/State/ZIP:Beaverton/OR/97006 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) O 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:
$14.15 for first four;S4.03 for each additional
Contact name: Maria Hasty Fiance,etc. 1
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 I
Range
E-mil: MHasty@DWHomes.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:David Weekley Homes Other:
MECHANICAL PERMIT FEES*
Address:1905 NW 169a Place Suite 102 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 application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: 711.10-4-1 .• GZ • Fee methodology set by Tri-County Building industry Service Board
Print name: Maria Hasty Date: 9/25/23
I.\BuildinglPennitstMEC_PennitApp_040113 doc 440-4617T(I t/02'COM/W EB)
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_040I 13.doc 2
Electrical Permit ApplicatiR E C J\f I O IL O I P i( I. ► S I.(1 NI.)
City of Tigard (�ry �} Received
IIIMI
,� OCT 1 .ii23 Date/B : 1 t
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
' Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit 4:
Inspection Line: 503.639.4175 CITY OF TIGARD Ready Date/By: Jung H See Page 2 for
AGAR. g
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑Demolition El Other: 0 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 0 Floating buildings.
® 1-and 2-family dwelling 0 CommerciaVindustrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
0 Multi-family ❑Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ['Emergency system. larger separately derived
Job#: 68260030 Job site address: 15174 SW Deepbrook Lane ❑Addition of new motor load of system.
100HP or more. ❑"A","E","1-2","l-3",
City/State/ZIP:Tigard/OR/97224 ❑Six or more residential units. occupancy.
0 Health-care facilities. ❑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 Qtr. I Each I Total I •
New residential single-or multi-family dwelling unit.
Subdivision: River Terrace Crossing Lot#: 30 Includes attached garage.
Tax map/parcel#:
1,000 sq.ft.or less 1 168.54 168.54 4
Ea.add'I 500 sq.ft.or portion 4 33.92 107.76 I
DESCRIPTION OF WORK Limited energy,residential
3205 SFR to be constructed. Owner's Retreat+3 bd,3.5 ba,Up Lv Retreat,Main (with above sq.ft.) 1 75.00 75.00 2
Limited energy,multi-family 75.00 2
Lv Study,Lwr Lv Gameroom,366 sf 2 car gar,29 sf front porch,115 sf rear covered deck residential(with above sq.ft.)
0 TENANT Renewable Energy ❑ See Page 2
® PROPERTY OWNERServices or feeders installation,alteration,and/or relocation
Name:David Weekley Homes 200 amps or less 100.70 2
Address:1905 NW 169t°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 1 ® CONTACT PERSON Branch circuits—new,alteration,or extension,Rer panel
A.Fee for branch circuits with
Business name:David Weekley Homes above service or feeder fee, 7.42 2
each branch circuit
Contact name: Maria Hasty B.Fee for branch circuits without
Address:1905 NW 169th 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)213-4409 Fax::( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
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
Signal circuit(s)or limited-energy Address:2890 SE Brookwood Ave panel,alteration,or extension. El 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(1 hr min) 90.00/hr
Email:permits@garnerelectric.com Industrial plant(1 hr min) 78.18 hr
Inspections for which no fee is 90.00/hr
CCB Lic.:121159 Electrical Lic.. 4-305C Suprv.Lic.:3707S specifically listed(rYa hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,require Subtotal: 351.30
Print name:Charles Gamer /'' Date: 9/25/23 0 Plan Review Required(25%of permit fee):
r�
State surcharge(12%of permit fee):
Authorized signature: g4/1: 9�14,lCUfi TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name:Brittany Burian Date: 9/25/23 days after it has been accepted as complete.
• Number of inspections allowed per permit.
11Bmlding\Pennhls\ELC_PermitApp_ELR_ERE doe Rev 06/17/2015 440-46I5T(l1/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
•
Fee for all residential systems combined: $75.00 Description
I Qty. Each I Total I
y 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:
❑ 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
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed(%hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Pagel):
• 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\Building\Pennits\ELC_PemtitApp_ELR_ERE.doc Rev 06;'17,2015
. RECEIVED
o r( ' 6 2023
Plumbine Permit Am)licationClTY ; ; TIGARD
Building Fixtures BUILDING DIVISIO
City of Tigardill
eec�we Penult N0.:*' /� p
13125 SW Hall Blvd,Tiganl,Ott 97223 1�'`� ` ��n ,51 p
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review
Inspection Life: 503.639.4175 Dete/Bu: Other Forest No.:
Internee www tigard or gov Judeit flee Pogo 2to
�yy. i, Su hii(abroad=
?W Sa. IL tc.. 5 i3k„ 5 a 1: h_. ,,
®New oonstntution [I Demolition For 10
,I, ,E
ttfwrnartoe sae�i,�,tuar.
Description I Q►Y. I Ea. I Total
❑Addition/altaradon/replaceatent ❑Other: New 1-2-family dwellings(includes 100 ft.for each utllit ry_conncotion)
;fratianitrack0Grogrzo ,{ 4 SFR(1)bath
®1-and 2-family dwelling 0 Commeroial/iadusirlal SFR(2)bath 437.78
❑Accessory building ID Multi-family SFR(3)bath T 500.32 500.32•-
❑Master builderEach additional bathAcitchen 25.02
0 er • Fite sprinkler(_sq.It) Page 2
X .. ?e, k/ ,a,r'Y i?n ;; , 32,,y I, a' , Site utilities:
Jab site address: 15174 SW Deepbrook Lane Catch basin or area drain 18.76
City/State/ZIP:Tlgard/OR/97224 Drywall,leach line,or transit drain 18.76
Footing drain(no.linear ft.:20) Page 2 87.55
Sulte/bldg./apt,no.: I Project name: River Terrace Crossing Manufactured home utilities 50.03
Cross street/dkections to job site:' Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: Page 2
Stone sewer(no.liner It.:_) Page 2
Water service(no.linear 8':_) Page 2
Subdivision: River Terrace Crossing I Lot no.: 30 Fistareoritem;
Tax map/parcel no.: Baokflow precentor 1 31.27 31.27
�r •Ar- 'gar 4 1 L' ''f o ,t(F,� rf ti :i ` N am'`. 7, Backwater valve 12.51
3205 sf SFR to be constructed. Owners Retreat+3 bd,3.5 ba, clothes maim
1 25.02 25.02
Dishwasher t 25.02, 25.02
Up Ivl Retreat, Mn Lv Study,Lwr lv Gameroom,366 sf 2 car gar, Drinking fountain 25.02
29 sf front porch,115 sf rear covered deck Ejectors/sump 25.02
It ;,,,-1..n -fir'_+1=` ,''+`.' ,' �t +"'Y e a,,q4 t6E_°- 14i "f t ! 'F&t.i --4';s' B en tank 12.31 ,
Name David Weekley Homes FixttueJeee er cap 25.02
Adddesa:1905 NW 169a Place Suite 102Garb Floc draiNlloor ainighrtb 25.02
City/State/ZIP:Beaverton,OR 97006
Hose age
bii�s 1 25.02 25.02
b 25.02
Phone:(S03)2134415 Fla ( ) Ice maker 1 12.51 12.51
y - ., i L5, t/.i r,t1P'_-•os so41"l f�" liro-y stir`ro4 ,"f111-;,e' --A' Interceptor/grease Imp 25.02
Business name:David Weckley HomesP Medical gas(value:S_) _ Page 2
Contact num Maria Hasty ss0f _ 12.51
Roofdraln(commercial) 12.51
Address:190S NW 169's Place,Suite 102 • • Sink/Wahl/lavatory 7 25.02 175.14
C(ty/StMNZIP:Beaverton/OR/97006 Solar units(potable water) I_ 62.54
Phone:t 503-213-4428 I Fax::( ) Tub/shower/shower pen 1 3 12.51 37.53
Email MHasty@DWHomes.com Urinal 25.02
r fi ti ,-a` 1, - y'+� ti, Water closet 425.02 100.08
Water heater
_ I 37.52 37.52
Business name:Malmedal Plumbing Weterp(p(ng/DWV 56.29
Address:PO Box 207 Other: 25.02
City/State/ZIP:Banks/OR/97106 Subtotal 1056.98
Phone:(503)3244759 Fax:( ) Minimum permit Poe: $72.50
CCB LIe.:102535 Plumbing Lie,no.:34-276PB Plan review(25%of permit the)
State surcharge(12%otpennit Poo)
Authorized signature Carolina Malmedal ' TOTAL PERMIT FEE
IPrint name:Carolina Ma(medal Date:,•.9/25/23 glib permit pptk•tiesi soiree ir•walk h not°batlaal'kids isedrys
otter k bee aeon mooted r epnp4h.
*Fee methodology set by Tri•Cauay Building Industry Service Bond.
Ltholl salPrmitdPLIth-ro uitApp.due MAIM 440-1616T(I0N2/COMWeu)
Plumbing Permit ADDlication -City of Tigard
Page 2-Supplemental Information
Fee Schedule: .Residential Fire Suppression S tams:
Footing drain-I'100' 50.03 0 to 2,000 $121.90
Footing drain-each additlanel 100' 37.52 2,001 to 3,600 $169.69
Sewer-1st 100' 62 and
3,601 7,200 S233:20
7,201 a greater S327.54
Sewer-each additional 100' 37.52
Water Service-lac 100' 62.54 Medical Gas S stems:
Water Service•each additiemtl00' 37.52 • afi� , �• ;. t ;�
Storm&Rain Drain-lot100' 62.54 �$1.00to$5000.00 Minimumfee 72.50 .
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and S 1.52 for
1. each additional$too.ao or Ruction thereof,toi,' t W � , VtIMP and lncltdingS10,000.00. _
Inspection of existing plumbing or for S 10,001.00 to$25,000.00 S 148.50 f r the first$10,000.00 and$1.54 for
which no fee is specifically indicated 90.00/hr each additional$100.00 or Election 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 SI AS for
hours(minimum charge—2 hours) each additional$100.00 or Auction thereof,to
Relnepection Fees 90.004r and including$50,000.00. -
Additional plan review for revisions 90.00/hr S50,001.00 and up S742.00 for the Ent$50,000.00 and$1.20 for
(minimum charge-1/2 hour) each additional$100.00 or ftactlon thweof 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*.
` t, . ali .yi yF ' rr ;1 c ',is.'''
-„r • .' t1 it ' ter ilikt
+t n . $'`tV,S.-; .. ` caw *` e `61;' ' „mow.... ease view i all
d zed for any of the following.
Baptiskv/F -Tub/Shower ❑ Any new commercial building with water service 2"and
Bath -facwzi/Whirlpool greater,except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
-Drive mu ❑ New exterior plumbing site utilities for any complex structure
Cuspidor/WaterAspimt« as defined)nOAR918-780-0040.
Dishwasher -Commer ial ❑ Medical gas and vacuum systems for health care facilities.
-Domestic ❑ Any multipurpose Ike sprinkler system.
Drinking Fountain In Any complex structure as defined in OAR918-780-0040,
Eve Wash
Floor Drain/sink -2" Submit$sets of plans with any of the above.
-3"
-4" . t " ',- ril;lii1j 1 ii t.. ':;-f i tTr ,i nF. ... u
Car Wash DfBin ■ isometric or riser diagram is required for new buildings
Garbage -Domestic-non-food
Disposal -Domestic-food related that meet the qualifications above. •
-Commercial-road related
-Industrial-food related
Ice MaohiRef ig.Draft's
ou Separator(Gas Station) Comments regarding fixture work:
Rea.Vehicle Dump Station
Shower -Gang
-Stall
Sink/Lay -Non-food related
Findley
-Commercial-tbod related .
-Service .
Swimming Pool Filter *Note: If the fixture work under this permit results in an
Walter-Clotho increase of sewer EDUs,a sewer permit will be issued and
Water Extractorfees assessed for the sewer increase must be paid before the
Water Close--Toilet
Urinal plumbing permit can be issued.
Other Fixtures:
C:\Users Malmedai\AppDutalL,octtltMicrosoft\Windows\NNetCache\Conte t.Oudook\3K2CXR481PIumbing Pennit.doc
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"'! , ,,, 'CEOTECHNICAL { Building Division
-.'' REQUIRED _
REPORT IS 1 ne & Two P,amily Dw 'rig
TIGARI BEFORE THE FOOTING
. . $ , Fees Checklist
PERMIT INFORMATION: Application Date - FEE VERSION 'SJ 1 y �7-<-3
Permit #: IYLS 7i,J J BbSZg Plan #: Q,e(z ...k Floors:
Valuation: (q4o bA4 bq Covered Porch: 2-(3 Basement
SO
Bedrooms: 4 Deck: i 1 S 1' Floor ' ki L/
WC (toilets) (1 Deck Cover: g` IS— 2nd Floor �9
Lavatories 5 Patio Cover � 3`d Floor
Tub/shower Accessory Struct. „---- R-3 Total
Laundry Tray ,,' Water Heater Gas / Elec Garage
Exhaust Vents Gas Flue Vents -- Total for Elec.
� L 03
Backflow Prey. �� i / Heat Pump61—'it > # for Electrical 5
BBQ \ Gas Fireplace / #Fuel Lines
Lf
FEES: Description: Fee Appli : Fee Entered:
DC Prov Revw: Planning
Info Proc/Arch: Lg$2.00 (over 11x17) 3D
Info Proc/Arch: Sm $.50 (up to 11x17)
Metro CET: Residential Use
School CET: District: v
Tigard CET: Admin
Tigard CET: ODHCS
Tigard CET: AH
Electrical Permit: Permit Fee:
Limited Energy:
12% State Surcharge
Mech. Permit: Permit Fee:
12% State Surcharge lr7
Plumbing Permit: Permit Fee:
12% State Surcharge V
Erosion Control: w/Permit - Ping
) k..,0•-ik‹-r-KA i 0 r1/4) ( t)irviel-LE:fr° 4r) ( Pri) vC'car-A- 11-4-r ii .S-°-.7 . 9,Zi(-2-)
1:ABuilding\Forms\ResPlanCheckFees_Dec2022_AA.doc 12/21/22
Page 1
FOR OFFICE USE ONLY—SITE ADDRESS: t t 7 t ''W l)C e p LOro o -.
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
N _ Transmittal Letter
r i c n R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: 1 6-Y--) ---tr-Dr-, DATE RECEIVED:
DEPT: BUILD G DIVISION
( - RECEIVED
FROM: nn CA--� G---k cX_S DEC 7 2023
COMPANY: DCX\%1 CA \ i L k^ �5 CITY OF TIGARD
BUILDING DIV SION
PHONE: 5C Ft — 249 By. '
EMAIL: Cm° CG CJ'�m 5, (JOT- '1
RE: \�J\-L\ CJ cAorcibk_, om6T 2223"_cc 528
(Site Address) (Permit Number)
PA-Ve)( \e)(1rccce. C.-)ra i
(Project name or subdivision name and lot number) r _�L �-3O
ATTACHED ARE THE FOLLOWING ITEMS: lS�
Copies: Description: Copies: Description:
Additional set(s)of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
3 Other(explain): )\o h rP— C?t C) COY r rY A--`
REMARKS: A---eX' �--rn ire-Q.Y (D( \ c4cex '
rz
FOR FF CE USE ONLY
Routed to Permit Technici . Date: I Z/t 3 Initials: —
Fees Due: El Yes [lj'No Fee Descriptio : Amount Due:
aNj6 $
$ ,) )
Special
Instructions:
Reprint Permit(per P : ❑ Yes [10 _fl Done
Applicant Notified: f Date: iA'1 l,03 Initials: WO
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
IGARD
Building Permit #: MS1'I,0 ti MS ti$
Site Address: 15174 SW Deep rook Lane l Verified in Accela
Project Name: River Terrace Crossing Lot/Unit #: 30
Proposal: New Detached SFR Zone: RES-C
Housing Type: ® SFR(IRl Single Detached ❑ Duplex❑Triplex 0 ADU)❑ Rowhouse❑Cottage Cluster❑ CYU ❑Quad 0 Other
Required Site Plan Elements:
l 3 copies of site plan on max 11x17"
® Drawn to standard scale 0 Retained trcc3, drip lint/ trcc protcction
® North arrow ® Street and site trees shown / labeled
® Site address, project name, lot # E-Table-eaFealaing trcc canopy at maturity
® Street names (N/A for SFR)
l Applicant name and phone # rectangle dimensioncd (if applicable)
I Lot and setback dimensions ❑ Vision clearance triangle
❑ Existing structures & square footage ® Utility locations &easements
l Footprint of new structure and FFE ® Property corner elevations
® Sidewalk/driveway dimensioned ® LIDA (>1,000 sf disturbance)
® Lot area and lot coverage percentage E Erosion control
• ed Elevation Plan Elements:
(For SFR: c ded only on street-facing) Summary table with talc or:
❑ Drawn to standar ❑ Total f ea
❑ Building height dimensioned otal window and door area
❑ Facade dimensioned
❑ Windows a imensioned
e doors dimensioned
or Plan Elements:
(Not required for mart' table that includes
❑ Each story dimensio I floor area
oor area calculated El Floor area pe
Planning Review
The following standards have been met:
8'front porch
Setbacks ® Front: 12' Rear: 10' Side: 3' Min/Max Street Side: N/A / N/A Garage: 20'
Height ® Max. Height: 35' Proposed Height: 25'9"
❑ Yes ® N/A Landscape
❑ Yes MI N/A Screening (Quad only)
❑ Yes ® N/A % Window Coverage
❑ Yes ® N/A Garage (SFR Only) Parking (Other Res)
❑ Yes El 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)
�ltl ' ' nal standards for Co Units, Cottage Clusters, Rowhouses, and Quads:
❑ Yes ❑ it
❑ Yes ❑ of Wi Size
El N/A Pathway
'tional standards for Court nits and Cottage Clusters only:
❑ Yes Unit Area:
❑ Yes ❑ N/A ea (per story)
❑ Yes 0 Courtyar
N/A Fence
❑ Yes 0 No llN/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 ❑ No
Applied For: 0 Yes 0 No, stop intake
M Sensitive Lands: 0 Yes El No
l Main Land Use Case #s: PDR2016-00016; PDR2018-00005 0 Conditions met
i Applicant notified of land u ex ira ' te: 3/22/2026
Approved By Planning: Date: 10/10/2023 i a//t/A Z,
Notes
Revision 1: 0 Appro ed ❑ Not Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
Building Permit Submittal
Original Submittal Date: 10 illorl i
Site Plans #: 3
Building Plans #: 3
Building Permit #: 'Building permit # entered ofp page 1
Workflow Routing: 'Planning 'Engineering m Permit Coordinator l /'Building
Workflow Sign-off: 'Sign-off for Planning (include notes from planning review)
Route Documents: "Engineering: (1) copy of permit application, (1) site plan, (1) building plan
a).d original plan review routing form.
•�Building: original permit application, site plans, building plans, engineer and
beam calculationslcy and trust details, if applicable, etc.
Permit Technician: 'A /Y QJ� SJV`,ai Date: nti0 i1023
Notes:
Engineering Review
❑ P I Permit:
Slope at building pad: 20,70.
'Conditions met prior to issuance of permit
0/Easements (encroachments) per engineering conditions of approval and plat
RSWater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes I]YNo
Assess Water Quantity Fee in-lieu: ❑ Yes KrNo
� � LIDA Facility on lot: 0 Yes trNo Add Fee: ❑ Yes 0 No
P'Final Plat Recorded
❑ NOT Approved: Date:
Notes:
Approved By Engineering: Date: /���' c
Revision 1: 0 Approved of Approved Date:
Revision 2: 0 Approved ❑ Not Approved Date:
Permit Coordinator Review
onditions met prior to permit issuance
Approved, NOT Released: Date notified applicant:
ENG Revisions Required: Date notified applicant:
DC Exemption: ❑ Applied for 0 Received Does not apply
SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: Yes ❑ N/A Deferred
Parks SDC: Yes 0 N/A Deferred
LIDA Yes /A.r to Issue/Approved by Permit Coordinator: Date: Vi-l` 2:3.
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date: