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Permit
CITY OF TIGARD MASTER PERMIT '. COMMUNITY DEVELOPMENT Permit#: MST2023-00601 T t GAR O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/18/2023 Parcel: 2S108DC33600 Jurisdiction: Tigard Site address: 15567 SW EVERGLADE AVE Subdivision: CROSSING AT BULL MOUNTAIN Lot: 192 Project: River Terrace Crossing, Lot 192 Project Description: New detached dwelling w/120sf patio cover. Parks and Transportation demo credits applied from B U P2017-00155. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 1308 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1452 sf Garage: 383 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2760 sf Value: $495,978.96 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: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=10OK: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2760 Owner: Contractor: STONE BRIDGE HOMES NW LLC WEEKLEY HOMES Required Items and Reports(Conditions) 4230 GALEWOOD ST STE 100 1905 NW 169TH PLACE SUITE 102 1 Ersn Cntrl 503-639-4175 LAKE OSWEGO,OR 97035 BEAVERTON,OR 97006 2 1-HR FIRE RATED EAVES PHONE: PHONE: 503-213-4415 FAX: Total Fees: $16,624.64 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. ATT ON: Oregon law req ' follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR oF9-nn1-nnin+hrn nh n R OF')-nni-Mon ninh} n nnnw of the.mine nr Aron.i ni,ocrinnc 4n ni!Air by nn iiinn Fn1 919 10547 nr 1 Ann 11',914d Issued By: Permittee Signature: 5 e� Q l i Cam" 'V`7 Call 503.639.4 :00 a.m.for the next available inspection date. This permit card shall be kept in a c spicuous 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 Applicatio Residential RECEIVED FOR OFFICE USE ONLY City of Tigard NOV 2 2023 Received / qq,, 2 Date/By: I ir1! /7 K-6. Permit No.: l't,(c T rl, 3 _'.sty 'i 13125 SW Flail Blvd.,Tigard,OR 97223 ' - Phone: 503.718.2439 Fax: 503.598.1 IITY OF TIGARD Plan Review r� !2 3 Z Date/By: G Other Permit Inspection Line: 503.639.4175 - ?�' '' 't`` TIGARD BUILDING DIVISION Not edMehod3�+ t_13, J i15 I ® SeePage2for Internet: www.tigard-or.gov . /t it' , Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. �,— Eli_and 2-family dwelling 0 Commercial/industrial Valuation: $ 4 , 00 i f/5,a e. 47.( ElAccessory building 0 Multi-family Number of bedrooms: 3 ❑Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 3 J T 3 Job site address: 15567 SW Everglade Ave New dwelling area: 2760 square feet//5-2, City/State/ZIP:Tigard/OR/97224 Garage/carport area: 383 square feet 1 A Suite/bldg./apt.no.: Project name: River Terrace Crossing Covered porch area: 138 square feet Cross street/directions to job site: Deck area: "kP�-Psa�se. square feet - c) C Qc \ts 1� tmtu,J120 square feet 6l�FC 7_© _ —Q C�\S S REQUIRED DATA:COMMERCIAL-USE CHE CKLIST Subdivision: River Terrace Crossing Lot no.: 192 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. 2760 sq SFR to be constructed. Owner's Retreat+2 bd,2.5 ba,2nd fl Retreat, Valuation: $ 1st fl Study,383 sf 2 car gar, 138 sf front porch, 120 sf patio Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ 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) Maria Hast Structural plan review fee(or deposit): Contact name: y 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 Address: 1905 NW 169,Place,Suite 102 and fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. City/State/ZIP:Beaverton/OR/97006 Permit Fee(includes plan review $180.00 Phone:(503)213-4415 Fax: and administrative fees): ( ) State surcharge(12%of permit fee): $21.60 CCB lie.:213653 Total fee due upon application: $201.60 Authorized signature: 7'/L LL This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Maria Hasty Date: 11/22/23 *Fee methodology set by Tri-County Building Industry Service Board. I:ABuilding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received Permit No.: - As permits:a 13125 SW Hall Blvd.,Tigard,OR 97223 Associated Phone: 503.718.2439 Fax: 503.598.1960 24- ® Electrical ® Plumbing ® Mechanical Hour Inspection Line: 503.639.4175 TtGAUD Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW ties No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ® 0 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ® 0 0 3 Verification of approved plat/lot. ® 0 0 4 Fire district approval required. Name of district: • 0 0 0 5 Septic system permit or authorization for remodel. Existing system capacity 0 0 0 0 0 0 6 Sewer permit. 0 0 7 Water district approval. 0 0 El 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. El 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. Z El El Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size and location. ® 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- ® 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. ® 0 El Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. ® 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. ® 0 El 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 0 El 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 Z ❑ 0 over 10 feet long and/or any beam/joist carrying a non-uniform load. [3] 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 ® 0 0 for four or more appliances. 0 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 Ore.on and shall be shown to be as I licable to the sro•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". ® 00 0 0 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ® 0 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ® 00 0 0 27 "Drawn to scale"indicates standard architect or engineer scale. 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ® 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 0 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, 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 ApplicatippEr‘El VE City of Tigard ECC1Ve i 4 13125 SW Hall Blvd.,Tigard,OR 97223 Nw `�2023 711 Plan Rev 1 a ail 7. )f�' Permit No.:vik: ; Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Date By: Other Permit: T Inspection Line: 503.639.4175 CITY I IGARI Internet: www.tigard-or.gov Date Ready/ey: 'urn H See Page 2 for Notified/Method: I Supplemental Information 3UILDING 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 ❑Demolition 0 Other: mechanical materials,equipment labor overhead,and profit. CATEGORY OF CONSTRUCTION Value:$ El1-and 2-familRESIDENTIAL EQUIPMENT/SYSTEMS FEES* y dwelling ❑CommerciaVindustrial 0 Accessory building For ❑Multi-family 0 Master builderspeclellnjormatlon use checklist 0 Other: Description I Qty. l Ea. I Total JOB SITE INFORMATION AND LOCATION Heatin¢/coolimg: Job site address: 15567 SW Everglade 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(ductstvents) 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 I Lot no.: 192 Other: 23.32 Other fuel appliances: Tax map/parcel no.:: Water heater 1 23.32 23.32 DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 33.39 Flue 2760 sq SFR to be constructed. Owner's Retreat+2 bd,2.5 ba,2nd fl Retreat, fireplace water heater or gas 23.32 1st fl Study, 383 sf 2 car gar, 138 sf front porch, 120 sf patio Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 - Chimney/liner/flue/vent 23.32 El PROPERTY OWNER f 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name:David Weekley Homes Range hood/other kitchen Address:1905 NW 1691"Place,Suite 102 equipment I 33.39 33.39 Clothes dryer exhaust 1 33.39 33.39 City/State/ZIP: Beaverton/OR/97006 Single-duct exhaust(bathrooms, toilet compartments utility rooms) 23.32 Phone:(503)213-4415 Fax:( ) Attic/crawlspace fans 23.32 ® APPLICANT ® CONTACT PERSON Other: 23.32 Business name:David Weekley Homes Fuel pipiae: $14.15 for first four;$4.03 for each additional Contact name: Maria Hasty Furnace,etc. Address:1905 NW 1696 Place,Suite 102 Gas heat pump City/State/ZIP:Beaverton/OR/97006 Wall/suspended/imitheater Water heater Phone: 503-213-4428 ( Fax::( ) Fireplace Ranee 1 E-mail: MHasty@DWHomes.com I. Barbecue CONTRACTOR Clothes dryer(gas) Business name:David Weekley Homes Other: Address:1905 NW 169th Place Suite 102 MECHANICAL PERMIT FEES* Subtotal 216.99 City/State/ZIP:Beaverton/OR/97006 Minimum permit fee($90.00) Phone:(503)213-4415 I F ( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lic.:213653 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 /G2Ad� days set y has been accepted ss compkSe Authorized signature: �� j 7 * Fee methodology set by Tri-County Building Industry Service Board IPrint name: Maria Hasty I Date: 11/22/23 I\Building\PennitsIMEC PermitApp_040113 doc 440-4617r(11/01 COM/WES) 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 Electrical Permit Application RECEIVEEfilimummimimmum City of Tigard NOV 22 2023 Received Date/By: 11 �- �. 13125 SW Hall Blvd.,Tigard,OR 97223 Z ennt Pt #:( a,- t Ili o � IG1j (i/1 ? y ( ■ Phone: 503.718.2439 Fax: 503.598.1960 �-+ Plan Review CITY®F TIGARD Date/By Related Permit/?: T I G A It 1) DateB - Inspection Line: 503.639.4175 Ready Internet: www.ti and-or. ov aUILDING DIVISIC Supplemental o' luris SeePene2fnr g g is Notified/Method: upplementallaformafioo TYPE OF WORK PLAN REVIEW ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 3 sets of plans w/items checked): ❑Service or feeder 400 amps or more 0Building over three stories. El Demolition 0 Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at I50 volts or P 0 Floating buildings. ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural El Multi-familyamps for all other installations. buildings. ❑Master builder ❑Other: 0 Fire pump JOB SITE INFORMATION AND LOCATION 0 Emergency system. 0 Installationgrpa of y d KVAveor 8 cY Y larger separately derived Job#: 68260192 Job site address: 15567 SW Everglade Ave ❑Addition of new motor load of system. 100HP or more. ❑"A" "E" "I-2" "I-3" City/State/ZIP:Tigard/OR/97224 El Six or more residential units. occupancy. ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: River Terrace Crossing 0 Hazardous locations. ❑Supply voltage for more than Cross street/directions to job site: ElService or feeder 600 amps or more. 600 volts nominal. FEE SCHEDULE Description I Qty. I Each I I Total • New residential single-or multi-family dwelling unit. Subdivision: River Terrace Crossing Lot#: 192 Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 1 168.54 168.54 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 2760 sq SFR to be constructed. Owner's Retreat+2 bd, 2.5 ba, 2nd fl Retreat, (with above sq.ft.) Limited energy,multi-family 1st fl Study, 383 sf 2 car gar, 138 sf front porch, 120 sf patio residential(with above sq.ft.) 75.00 2 ® PROPERTY OWNER I ❑ TENANT Renewable Energy ❑ See Page 2 Services or feeders installation,alteration,and/or relocation Name:David Weekley Homes 200 amps or less 100.70 2 Address: 1905 NW169'h 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 I Fax:( ) Over 1,000 amps or volts 552.26 2 Email: MSchiedler@DWHomes.com 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 I t 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 I ® CONTACT PERSON Branch circuits—new,alteration,or extension,per panel Business name:David Weekley Homes A.Fee for branch circuits with above service or feeder fee, Contact name: Maria Hasty each branch circuit 7.42 2 B.Fee for branch circuits without Address: 1905 NW169'I'Place Suite 102 service or feeder fee,first branch circuit 56.18 2 City/State/"LIP:Beaverton/OR/97006 Each add'I branch circuit 7.42 2 Phone:(503)213-4409 I 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(1 hr min) 78.18/hr Inspections for which no fee is CCB Lic.:121159 I Electrical Lie.. 4-305C I Suprv.Lic.:3707S specifically listed('h hr min) 90.00/hr Suprv.Electrician signature,require ELECTRICAL PERMIT FEES Subtotal: 351.30 Print name:Charles Garner I Date: 11/22/23 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: 4. a , 'ote.an. TOTAL PERMIT FEE: (((/U// 11/22/23 ( This permit application expires if a permit is not obtained within 180 Print name:Brittany Burian I Date: days after it has been accepted as complete. * Number of inspections allowed per permit. I.\Bwldngu'emuts\ELC PermitApp_ELR_ERE.doe Rev 06/17/2015 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Description i Qh• I Each I Total I " Fee for all residential systems combined: $75.00 Renewable electrical energy systems: 5 kva or less 100.70 2 Check Type of Work Involved: 5.01 to IS 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 El 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(/hr min) ELECTRICAL PERMIT FEES COMMERCIAL WORK ONLY: Subtotal(Enter on Page 1): I 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 [\BuddmgTennits\ELC_PermitApp_ELR_ERE doe Rev 06r 17,2015 Plumbine Permit Apulica E E I'V Building Fixtures City of TigardEl NOV 2023 Received 13125 SW Hall Blvd,Tigard,OR 95a344, Dgterl3y !d Z,?i Pceatlt Na:✓(A T-2- '''' �� ,� Phone: 503.718.2439 Fax: 503.5 OF TIGAHj �w FvntdtNo.: C Inspection Line: 503.639.4175 3U'LDING Internet www.tigard orgov DIVISION DIfte _Otterru S Se°Pep2ta !�� x 7 s � ,1'r. 2 �.� �,_„ l T � 8u k�aeohtfa/orautlon t;� w .: .41 xir... ,s.A r ., �i 1 iik .�e' h ®New consttuctiunt �: 0 Demolition For suede!Ig/onnadioe use checklist Description Addition/alteradon/replacement 0Other ( Qty. I Be. Total New 1-2-family dwellings(includes 100 ft.for each utility connection) r 7��7py� ,, p •` . y'li ! t l.lM r" f � * SFR(1)bath R Y �,t�i, Grp^ �a:.Fgti4 T<' 312,70 ®1-an 2•fhmily dwellhtg 0 Commercial/industrial"i S (2) 1 437,78 437.78 ❑Accessory building ❑Multi,family SFR(3)bath 500.32 CI Master builds 0 Other, Each additional bath/kitchen 25.02 • Fire („__sq. ---- „ro 1 -....',.,1",,,: ra in ; '{'. i .ra. tc sprinklerIt) P 2 ** � •ta _ite utilities: Job site address: 15567 SW Everglade Ave Catch basin or area drain 18 76 City/State/ZIP:Tigar'd/OR/97224 Dryaoil,leach line,or trench clink 18.76 Suite/bldg./apt no.: Project name: River Terrace Crossing Footing drain(no.linear It: Paget 87.55 Cross skeet/directions to job site:' Manufactured home utilities 50.03 Manholes 18.76 Rain drain connector _ 18.76 Sanitary sewer(no.linear ft.: Page 2 Storm sewer(no.linear It.:__) Page 2 Subdivision: River Terrace Crossing Lot no.: 192 Waterservtce(no'UneariL:--) Paget Tax map/parcelI Fish're er item; no ._ Backflow preventer i x ���, 31.27 3 L27 :0-. "i '" ; . `4; +_` ' Ff" r irri 9J Backwater valve 12.51 2760 sq SFR to be constructed. Owner's Retreat+2 bd,2.5 Clothes washer I 25.02 25.02 ba,2nd fl Retreat, 1st fl Study,383 sf 2 car gar, 138 Sf front Dishveihar I 25.02, 25.02 porch, 120 patio Drinking fountain 23.02 02 ,, sf Ejectors/sump 22.51 � ._ � _ �!t Le��' , kt6 �',Mr"�� '�¢ ,„�r� Expansion tank 12.31 25.02 Name:David Weekley Heroes Fixture/sewer cap Adtkosa;1905 NW 1694 Place Suite 102 Floor drain/floor sink/hub 25.02 Garb City/State/ZIP:Beaverton,OR 97006 age disposal 1 25.02 25.02 Phone:(S03�13.4415 Hose bib 25.02 0 13- 5 Fax ( ) Ice maker 1 12.51 "+ ,, a ,„,e'4. i. t a i Ali d it`;,y' ` ,i" '+�` I;jr, Interceptor/grease 12.51 ��. � �: _,, s_�, ':� Ptor grease pup 25.02 Business name:David Weekley Homes Medical gas(value:S•_) Page 2 Contactnume: Maria Hasty Primer 12.5I Address:1905 NW 169°Place,Suite 102 • Roofdraln(commercial) 12.51 SinldbasWlavetory 6, 25.02 150.12 City/State/ZIP:Beaverton/OR/97006 Solar units(potable water) L 62.54 Phone:I 503 213 4428 I Fax::( ) Tub/shower/shower pan 1 3 12.51 37.53 E-mail MHasty@DWHomes corn Urinal 2502 -- a t77.; ' a '` ;.111:,a rV a�- �. F s,,,�'14 7, -,,,i. ?^,,g Water cimet 3' 25.02 75.06 " ` Water heater Businassne Malroedal Plumbing 1 37.52 37.52 mtn; Address:PO Box 207 Water pipittg/DWV 56.29 Other: 25.02 City/State/ZIP:Banks/Olt/97106 Subtotal 944.40 Phone:(503)324-0759 I Fax:( ) Minimum permit he: $72.50 • CCB Lie.:102535 Plumbing Lic,no.:34-276PB Plan review(25%of permit 8x) Authorized signature: CarolinaMamie! State surcharge(12%ofpennit he) PERMIT FEE Print name:Carolina Malm,dnl I Date:'.. 11/22/23 I Tbu permit appikatlon expires itat khnotobtainedwen111indays otter it bee been accepted as simpler,. *Fee inethodology eat M TV-Coney Building fatherly Service Board. BButidneWerejtwtAIWoaw .doe taroirov 440-16i6T110p2/coauxEr; Plumbing Permit Application -City of Tigard Page 2-Supplemental Information Fee Schedule: Residential Fire Sup.ression S tems: AiipalEE'� k a e.,4 •7 /, x 6' � t y e yam• t' wv. heawA i tJ ?`:t::;:,, k Q ..v, .?.A.t fit. a y,, �,` 11 :a'l.: n ' L= - - -:. .}.,.'n�i kc ,;:it Footing drain-I"100' 50.03 >0 to 2,000 $121.90 Footingdrain-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 additicne1100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service•each additional 100' 37.52 ,.. 4�M>. ,.. 62.54 ,ic ti „ };x `?ram<; Stonn&Rahn Drain-1d WO' $1.00 to$5,000.00 • Minimum fee 72.50 Storm&Rain Drain-each additional 100' 37.52 35,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1,52 for L ��,-�y each additional$100.00 or section thereof,to ;: - 'td' and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 3148.501hr the first$10,000.00 and$1.54 fbr which no the 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 AS for hours(minimum charge-2 hours) each additional$100.00 or*action thereof,to Reinspection Fees 90•00mr and including$50,000.00. • Additional plan review fix revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for each additional$100.00 or*action thereof. (minimum charge—112 hour) Sabtotal: ' Commercial Fixture Work: Are you capping,adding or replacing fixtures? if"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in Increased sewer fees*. u t� ��yro ppp ir.+ t ^Y i. •'r ,Sp.R' ; it a aalttf Fy. l ii'ir! di^! , , .ale ;IT i.�:'1 ti inCiON.w i'-;yttwilgol' 1�0 _ ,L ',,cu aj- s F' T";_'4'$'f Plan review is required for any of the following. ! SslSlti/Font ,a{. <r .. � " Please check all that apply. /Font ,r.•. ❑ Any SLOW commercial building with water service 2"and Beth -Tub/Shower greater,except systems designed end stamped by licensed dacuzzi/Whidpod engineer. Car Wash -Each Stall ❑ New exterior plumbing site utilities for any complex structure Cu -Drive or as defined in OAR918-780-0040. Dishwasher her ComaWr 0 Medical gas and vacuum systems for health care facilities. Dishwaslxr -Commercial -Domestic • 0 Any multipurpose tire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040. Eve Wash Floor Drain/sink -2" Submit 1 sets of plans with any of the above. 3" Car Wash Drain ■ Isometric or riser diagram is required for new buildings Garbage -Domestic-goon-food that meet the qualifications above. Disposal -Domestic-food related -Commercial-food related • -industrial-food related . leeMaoha .Drain' Comments regarding future work: ou Separator(Gas Station) Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley • -Commercial-food related -Service • Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes Increase of sewer EDUs,a sewer permit will be issued and Water Extractor Water - fees assessed for the sewer increase must be paid before the Urinal Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: C:\Users\MalmedttMppDuta\Loaal1Microsoft\Windows\INetCache\Coat lt.Oudook\3H2CXR48\Plumbing Pennit.doc 1111 _ a " �1i1 '1 - Building Division One & Two-Family Dwelling TIGARD Fees Checklist PERMIT INFORMATION: Application Date - FEE VERSION /ity Z023 Permit #: /J Cr7�Z uJ 2-"C(26 ( Plan #: 3 q-7-7 �,6 Floors: Valuation: C Covered Porch: t 16 3 S Basement Bedrooms: 3 Deck: _,_e,.., 1" Floor Sc WC (toilets) 3 Deck Cover: _______ 2id Floor 4SZ Lavatories Patio Cover 3'd Floor Tub/shower 3 Accessory Struct. ____ ---- R-3 Total 2-1 t _D Laundry Tray Water Heater C ria-Di Elec Garage .4e � Exhaust Vents Gas Flue Vents -____ Total for Elec. 31 43 Backflow Prev. �, O ui�ac�/ Heat Pump er � # for Electrical 5 BBQ �.� Gas Fireplace Ni LI- --8 #Fuel Lines LI FEES: Description: Fee Ap lie : Fee Entered: DC Prov Revw: Planning Info Proc/Arch: Lg$2.00 (over 11x17) �-7 Info Proc/Arch: Sm $.50 (up to 11x17) \„1/5 Metro CET: Residential Use School CET: District: k it /' Tigard CET: Admin �/V Tigard CET: ODHCS Tigard CET: AH Electrical Permit: Permit Fee: Limited Energy: 12% State Surcharge Mech. Permit: Permit Fee: /✓✓✓/ 12% State Surcharge l ' Plumbing Permit: Permit Fee: 12% State Surcharge Erosion Control: w/Permit - Ping cl I j-a 1 I:ABinding\Forms\ResPlanCheckFe s_I e 72 AA.doc 12/21/22 Page 1 S-R— 41160-0 Il- ryvt.R--�Y p i \ L C�`!� /r:0-; rt--, r/-c-A Q P,`— i4 City of Tigard !Pi " COMMUNITY DEVELOPMENT DEPARTMENT RECEIVED Building Permit Review - Residential NOV 7 2 ?023 TIG RD x.di i T or I IIaAHU Building Permit #: fl--D ;4, BUILDING DIVISION 1 Site Address• 5567 SW Everglade Ave • ® Verified in Accela Project Name: River Terrace Crossing Lot/Unit #: 192 Proposal: New Detached SFR Zone: Res-C Housing Type: IX]SFR(®Single Detached ❑ Duplex❑Triplex❑ADU) ❑ Rowhouse❑Cottage Cluster❑CYU ❑Quad❑Other Required Site Plan Elements: r IX] 3 copies of site plan on max 11x17" � U 14'� ` _ v"�`� r`o.cf P L 441 v LA) 1< re F' � ® Drawn to standard scale ❑ Rctoincd trcc3, drip linc/ trcc protcction ® North arrow ® Street and site trees shown / labeled El Site address, project name, lot # El Street names (N/A for SFR) ® Applicant name and phone # 1 Lot and setback dimensions ❑ Vision clearance triangle ❑ Existing structures &square footagc ® Utility locations &easements ® Footprint of new structure and FFE ® Property corner elevations IX] Sidewalk/driveway dimensioned ® LIDA (>1,000 sf disturbance) ® Lot area and lot coverage percentage El Erosion control ' ed Elevation Plan Elements: (For SFR: c ded only on street-facing) Summary table with calc or: ❑ Drawn to standar ❑ Total f a ❑ Building height dimensioned o al window and door area ❑ Facade dimensioned ❑ Windows an imensioned e doors dimensioned r Plan Elements: (Not required for mary table that includes ❑ Each story dimensio I floor area oor area calculated ❑ 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: 8' / N/A Garage: 20' Height ® Max. Height: 35' Proposed Height: 22'4" ❑ 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) ▪ nal standards for Co Units, Cottage Clusters, Rowhouses, and Quads: ❑ Yes ❑ it ❑ Yes ❑ of WI Size 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 ❑ No EN/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995) ❑ Yes ❑ No EN/A Public Facilities Improvement (PFI) Permit: Required: ❑ Yes ❑ No Applied For: ❑ Yes ❑ No, stop intake E Sensitive Lands: E Yes El No l Main Land Use Case #s: PDR2016-00016; PDR2018-00005 ❑ Conditions met Applicant notified of land use xpj : • date: 3/22/2026 Approved By Planning: ;- �` Z�" Date: 11/20/2023 Notes Revision 1: /p roved ❑ Not Approved ___(11 Date: V2414 (' )3 Revision 2: ❑ Approved ❑ Not Approved Date: Building Permit Submittal Original Submittal Date: it/ 7 Site Plans #: Building Plans #: Building Permit #: E( .Building per it # entered on page 1 Workflow Routing: El'Planning di Engineering D'Permit Coordinator Et Building Workflow Sign-off: EY ign-off for Planning (include notes from planning review) Route Documents: engineering: (1) copy of permit application, (1) site plan, (1) building plan any original plan review routing form. M1 t 'Building: original permit application, site plans, building plans, engineer and beam calculations and trust details, if applicable, etc. Permit Technician: =��,U', ;/ �' Date: ''' Notes: Engineering Review ❑, PFI Permit: 'l Slope at building pad: 4'4 l,�,/''Conditions met prior to issuance of permit CJ Easements (encroachments) per engineering conditions of approval and plat ti'Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes WI% Assess Water Quantity Fee in-lieu: ❑ Yes Lai No LIDA Facility on lot: ❑ Yes Vo Add Fee: El Yes ❑trrinal Plat Recorded ❑ NOT Approved: Date: Notes: Approved By Engineering: Date: /2/#/2! Revision 1: ❑ Approved of Approved Date: Revision 2: ❑ Approved El Not Approved Date: Permit Coordinator Review Conditions met prior to permit issuance ❑ Approved, NOT Released: Date notified applicant: ❑ ENG Revisions Required: Date notified applicant: \\6SDC Exemption: El Applied for 0 Received aboes not apply 1 DC Fees Entered: Wash Co Trans Dev Tax: ll Yes El N/A Tigard Trans SDC: op Yes El N/A i❑ Deferred Parks SDC: Yes ❑ N/A ❑ Deferred LIDA El Yes ,N/A OK to Issue/Approved by Permit Coordinator: Date: 1-' Revision 1: ❑ Approved ❑ Not Approved Date: Revision 2: ❑ Approved El Not Approved Date: FOR OFFICE USE ONLY—SITE ADDRESS: C S0 3- S IAJ EVG YZC1L-69- �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 11,1 r i Tr n m a s ttal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: 4\\ukh Pccr\r)SAYITAn DAT r DEPT: BUILDING DIVISION u�v C IE D L� DEC 1 1 2.023 FROM: �1n c)-- \ T S CITY OF TIGARD COMPANY: \ \%k‘ BUILDING DIVISION PHONE: SC' Co 2l By: EMAIL: Or1\nck-� � 0w to�YL45 , CJo "Yh RE: \ Sitress S �eArn1. 5T Zc Co Coo I (Permit Number) ve_ 1 exyovC Cxo l r-1 „2Ceo 19 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s)of plans. 3 Revisions: `2.FF— l ) P Ir�t- P I 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: eeN>\ QC-A e'° � f k r ( -t- e . FOR OF CE USE ONLY Routed to Permit Technici : Date: I WO- ?-a Initials: Alir Fees Due: ❑ Yes aNN to Fee Descripti n: Amount Due: icC $ $ Special Instructions: Reprint Permit(per Pp: ❑ Yes 121.10 . ❑ Done Applicant Notified: V Date:N I41,pti3.1,M(!,J ox j `,AV LL Initials: U(11118