Permit (3) CITY OF TIGARD MASTER PERMIT
II.-'` '.' Permit#: MST2023-00599
COMMUNITY DEVELOPMENT Date Issued: 02/21/2024
T i G A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108DC32600
Jurisdiction: Tigard
Site address: 15403 SW EVERGLADE AVE
Subdivision: CROSSING AT BULL MOUNTAIN Lot: 180
Project: River Terrace Crossing, Lot 180
Project Description: New detached dwelling. Parks and Transportation demo credits applied from BUP2017-00304.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1219 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 25 Bathrooms: 3 Second: 1522 sf Garage: 470 sf Front: 12 Smoke Yes
Ri ht: 3 Detectors:
Dwelling Units: 1 Third: 0 sf 9
Total: 2741 sf Value: $494,793.33 Rear: 10
PLUMBING
Trays: 0 Rain Drain: 1 Urinals: 0
1 Laundry
Sinks: 1 Water Closets: 3 Washing Mach:
Lavatories: 4 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
Drywall-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'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
Ecompasing:
Other: N Other Description:
BUILDING INFO
Square Feet:
Class of Work: Type of Use: Type of Constr: Occupancy Group: 2741
NEW
SF VB R-3
Owner: Contractor: Required Items and Reports(Conditions)
WEEKLEY HOMES LLC WEEKLEY HOMES
1111905 NW 169TH PLACE SUITE 102 1 Ersn Cntrl 503-639-4175
HOUSTON,
N POST OAK RD USTON,TX 77055 BEAVERTON,OR 97006 2 1-HR FIRE RATED EAVES
PHONE: PHONE: 503-213-4415
FAX:
Total Fees: $16,570.90
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. ATTEN • : Oregon law requires yo to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
oc7-0n1_nnln fhrn,, (IAR•F')..1 1- 0 V • hfo'- of+ha n,lcc nr rlirarf ni,ccfinnc+n fll'tor by rnilinn Fn'3 7'2'J 1oA7 nr 1 ant)11'•�'i44
6.40,,
Issued By: �"r Permittee Signature:
‘7 ee „ipCall 503.639.41 :00 a.m.for the next available inspection date.
This permit card shall be kept in: picuous place on the job site until completion of the project.
Approved plans are required on the lob site at the time of each inspection.
Building Permit Application RECEIVE .Residential FOR OFFICE USE ONLY
NCity of Tigard ®V 2023 Received ,�;t
N 2 13125 SW Hall Blvd.,Tigard,OR 97223 � p Date/By: `- ''' ti f i'l/ %,l li Permit No.:ev 7-- ,7 7,�,._i'7<,
Phone: 503.718.2439 Fax: 503.598.1960 CITY OF T�rV71.J Plan Review / /
DateBy: ` /�/�3 - Other Permit: tj ' •7���Inspection Line: 503.639.4175 �/Q ''`
TIGARD p BUILDING QIVIQIO. Date Ready/By: ^/' E/1/� kris: &1 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: 1�/I V I ✓V /
Supplemental Information
Mair( , . 9 '
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 ID Other:
equipment,materials,labor,overhead,and the profit for the
2:70
CATEGORY OF CONSTRUCTION work indicated on this application.
El1-and 2-family dwelling 0 Commercial/industrial Valuation: $ 4 0 Li)1P /
[3Accessory building El Multi-familyNumber of bedrooms: 4
El Master builder ❑Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: 2 ‘-542--A(
Job site address: 15403 SW Everglade Ave New dwelling area: 2741 square feet
City/State/ZIP:Tigard/013/97224 Garage/carport area: 470 square feet )TIC,
Suite/bldg./apt.no.: Project name: River Terrace Crossing J
Covered porch area: >< square feet
Cross street/directions to job site:
Deck area: square feet
P 1��9 j �� ft 5 ` 60 r to ,� 144 square feet
e) 1-' ioc- � A RE
River Terrace Crossing � QUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: J Lot no.: 180 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.
2741 sq SFR to be constructed. Owner's Retreat+3 bd,2.5 ba, 2nd fl Retreat, Valuation: $
1st fl Study,470 sf 2 car gar, 144 sf front porch,50 sf covered rear porch Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:David Weekley Homes
Type of construction:
Address: 1905 NW 169"'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 rejerto 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 I 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 169"'Place,Suite 102
Solar Installation Specialty Code checklist.
City/State/ZIP:Beaverton/OR/97006 Permit Fee(includes plan review
Phone:(503)213-4415 Fax:( )
and administrative fees): $180.00
State surcharge(12%of permit fee): $21.60
CCB lic.:213653
/ Total fee due upon application: $201.60
Authorized signature: �/`.. 7//Gi: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Maria Hasty I Date: 11/22/23 I *Fee methodology set by Tri-County Building Industry
Service Board.
I:ABuilding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I1/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
Received permit No.:
City of Tigard
IIIDate/By:
13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
Phone: 503.718.2439 Fax: 503.598.1960 ® Electrical ® Plumbing 0 Mechanical
TIGAKD 24-Hour Inspection Line: 503.639.4175
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1'es No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews.
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ® ❑ 0
3 Verification of approved plat/lot. ® ❑ ❑
4 Fire district approval required. Name of district: • ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity El 0
6 Sewer permit. 0 0 0
7 Water district approval. 0 ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ® 0 ❑
9 Erosion control ®plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ® ❑ ❑
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
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. ® El 0
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size
and location. 0 El 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. El 0 0
15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels.
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums showing foundation elevations with cross references are acceptable. 0 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. El El ❑
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 0
IZ
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 ® ❑ 0
for four or more appliances. 0 0 El
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 slicable 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 00
El
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. ® ❑❑ 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. 0 El29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines,
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,
including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
, )
Mechanical Permit Application
City of Tigard a0V 2 9 2023 eceive
Date/By: CZ Ili/41 7Z21 Permit No.:
irZ( -r Z 7'=,:__-.1, , ;1 1
III i 4 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 U, nF i IGMNU DatetBy: Other Permit:
T 1 c,,,1+1, Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: Sons r NI See Page 2 fir
Internet: www.tigard-or.gov Notified/Method: I Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE-USE CHECKLIST
Mechanical permit fees'are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family ❑Master builder 0 Other: Description 1 Qty. 1 Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 1 46.75 46.75
Job site address: 15403 SW Everglade Ave 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
Heat pump 61.06
Suite/bldg./apt.no.: I Project name: River Terrace Crossing Ductwork 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.: 180
Other: 23.32
Other fuel appliances:
Tax map/parcel no.:: Water heater 1 23.32 23.32
DESCRIPTION OF WORK Gas fireplace/insert I 33.39 33.39
Flue vent for water heater or gas
2741 sq SFR to be constructed. Owner's Retreat+3 bd, 2.5 ba, 2nd fl Retreat, fireplace 23.32
1st fl Study,470 sf 2 car gar, 144 sf front porch,50 sf covered rear porch Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
- Chimney/liner/flue/vent 23.32
ElPROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:David Weekley Homes Range hood/other kitchen
equipment I 33.39 33.39
Address: 1905 NW 16916 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) 5 23.32
Phone:(503)213-4415 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT ® CONTACT PERSON Other: 23.32
Business name:David Weekley Homes Fuel piping,:
S14.15 for first four;54.03 for each additional
Contact name: Maria Hasty Furnace,etc. 1
Address:1905 NW 169th Place,Suite 102 Gas heat pump
Wall/suspended/unit heater
City/State2lP:Beaverton/OR/97006 Water heater 0
Phone: 503-213-4428 Fax::( ) Fireplace I
Rance
E-mail: MHasty@DWHomes.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:David Weekley Homes Other:
MECHANICAL PERMIT FEES*
Address:1905 NW 169th 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: �� GZG� * Fee methodology set by Tii-County Building Industry Service Board
Print name: Maria Hasty Date: 11/22/23
+ I..\Building\PennitstMEC_PennitApp_040113 doc 440-4617T(1 I/02COM/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
Electrical Permit ApplicatiotRECElVE I Fc)It on.l( F I SF: o\l.l
City of Tigard 19 h 9 2023ReceivedDate/By: ie7. Li//vl ii--)?-7 Permit#: P-,-r tors' "'31-1
1111 q 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
g Phone: 503.718.2439 Fax: 503.598.1960 !i'Y OF TIGARD Ready DateBy: Related Permit#:
T I G n R D Inspection Line: 503.639.4175 JuneEl See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISI, • 'Notified/Method: I 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 ISO volts or ❑Floating buildings.
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
0 Multi-family 0 Master builder ❑Other: 0 Fire pump.p 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: 68260180 Job site address: 15403 SW Everglade Ave 100HP or more. ❑"A","E","I-z ,"1-3 ,
City/State/ZIP:Tigard/OR/97224 ❑Six or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: River Terrace Crossing El 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 Qty. I Each I Total I •
New residential single-or multi-family dwelling unit.
Subdivision: River Terrace Crossing Lot#: 180 Includes attached garage.
1,000 sq.ft.or less 1 168.54 168.54 4
Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 4 33.92 107.76 1
DESCRIPTION OF WORK Limited energy,residential 1 75.00 75.00 2
2741 sq SFR to be constructed. Owner's Retreat+3 bd, 2.5 ba, 2nd fl Retreat, (. above sq.ft.)
Limited energy,multi-family 75.00 2
1st fl Study,470 sf 2 car gar, 144 sf front porch,50 sf covered rear porch residential(with above sq.ft.)
Renewable Energy CI See Page 2
El PROPERTY OWNER El TENANT Services or feeders installation alteration,and/or relocation
Name:David Weekley Homes 200 amps or less 100.70 2
Address: 1905 NW 169d'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
El APPLICANT ® CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:David Weekley Homes above service or feeder fee, 7.42 2
each branch circuit
Contact name: Maria Hasty
B.Fee for branch circuits without
serAddress: 1905 NW 169th Place Suite 102 branchce it feederitfee,first 56.18 2
branch circuit
City/State/`LIP: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 67.84 2
Email: MHasty@DWHomes.com dwelling,service and/or feeder
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 aclteration,
or limited-energy
❑ See Page 2 2
panel,alteration,or extension.
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 Lie.:121159 Electrical Lic.• 4-305C Suprv.Lie.:3707S specifically listed(';2 hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,require
Subtotal: 351.30
Print name:Charles Garner Date: 11/22/23 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: thi aL7. 9u44CLK. TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name:Brittany Burian Date: 11/22/23 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I.\Bwlding\Permus\ELC_PernitApp_ELR_ERE doc Rev 06/17/2015 440-46I5T(t 1/05/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 °eC °° I Qty. I Each I Total I
3' Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01to15kva 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
Z Garage Door Opener* >100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva-no addItional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is 66.25?hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00'hr
specifically listed(A 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 pennit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
El A• udio and Stereo Systems
El Boiler Controls
❑ C• lock Systems
El Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
El Landscape Irrigation Control*
El Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
El Protective Signaling
❑ Other:
Total number of commercial systems: _
*No licenses are required. Licenses are required for all
other installations
I\Building\Pennns\ELC_PermttApp ELR_ERE doe Rev 0617/2015
RECEVED
,
Plumbing Permit Application NOV 9 z023
Building Fixtures I„ ,t ; , „ ,
City of Tigard CITY OF fIGAR• ..
v I l/?�'1 rJ I') Penult No.: V T 72, a, ? "'('1
11
13125 SW Hall Blvd,,Tigard,OR 97223��}u.��Ci DIM Re�iow
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 0tlror.Porndr No.:
Inspection Line: 503.639,4175 Date may; -mrle nee Pa 2 for -
Internet www tigard or.gov1 `°
_ 2T �J�Y� Su alai Information
?'.- 1�)�¢L.,e , <, `, a 'Fit 3tt' '1 7 �i7�• i �. / iniarkgrit
®New consbudxion 0 Demolition For sped.el lk ornroIon sae checklist Description I Qty. I Ea. I Total _
❑Addition/alteratior✓replacentent ❑Other: New 1-2-family dwellings(inoludes 100It for each utility connection)_
i. oS.=' NOy . ,r SFR(1)bath 312,70
®1-and 2-family dwelling 0 Commercial/industrial SPR(2)bath 1 437.78 437.78
❑Accessory building 0 Multi-family SFR(3)bath 500.32
❑Master builder
additional bath/kitchen _ 25.02
r s ❑Other • -
Fire sprinkler( sq.it) Page 2
e a v +vx .11.F
° Site utilities:
Job site address: 15403 SW Everglade Ave Catch basin or area drain 18.76
City/State/ZIP:Tigard/OR/97224 Drywall,leach line,or trench drain18.76
Footing drain(no.linear ft.:jv}Q) Page 2 87.55
Suite/bldg./apt.no.: I Project name: River Terrace Crossing MunuthctUred home utilities 50.03
Cross street/directions to job site:' Manholes 18.76
Rain drain connector 18.76
' Sanitary sewer(no.linear ft.:_) , Page 2
Storm sewer(no.linear R.:_ ) Page2
Water service(no.linear S.:___,) Page 2
Subdivision: River Terrace Crossing I Lot no.: 180 Fixture or item;
Tax map/parcel no.: Backflow preventer 1 31.27 31.27_
, s' n 7rN sa Cate' 1e e `i a 7--siO4,a r
av Backwater valve 12.51_, �'�__, .-ILM.,: ,.z+ r � `A ,, Clothes washer I 25.02 25.02
2741 sq SFR to be constructed. Owner's Retreat + 3 bd,
Dishwasher l 25.02, 25.02
2.5 ba, 2nd fl Retreat, 1st fl Study, 470 sf 2 car gar, 144 sf Drinking fountain 25.02
front porch;50 sf covered rear porch Ejectors/sump 25.02
- A."' ; i49-' , t y'j f' l 7,}i ^. ?"F7 ' Expansion tank (2.51u - .4 e -__ � '' i .ac. a _., , ,LE.,r..._ a. ttY_Nance:David Weekley Homes Fixitae/sewerceP 25.02
Address:1905 NW 16911 Place Suite 102 Floor dtaW9oorsink/hub 25,02
Garbage disposal 1 25.02 25.02
City/State/ZIP:Beaverton,OR 97006 Hose bib 25.02
Phone:(503)213-4415 Fax:( ) Ice maker 1 12.51 12.51
' 'r 1°4a1F- d,r 0 ).r,''_ i °,f +S+r ' 017k ,: `'ems'�4.:, Interceptor/grease trap 15.02
Business name:David Weekley Homes Medicalgas
(value:$_) Paget
Contactna Maria Hasty Primer 12.51
rna
Roof drain(commercial) 12.51
Address:190S NW 1694 Place,Suite 102 Sink/basin/lavatory 5' 25.02 125.10
City/State/ZIP:Beaverton/OR/97006 Solar units(potable water) L 62.54 _
Phone t 5 3 213 "` Fax ( ) Tub/shower/shower pen 2 12.51 25.02
-4428
E-mail. MHasty@DWHomes cam i UriUrinal25.02 -
a ` } ° ea�`��r�r�a ? +� ar odd'•, Watxcloset 3' 25,02 75.06
° i Water hearer 1 37.52 37.52
Businessnanea:Malmedal Plumbing Waterpiping/DWV 56.29
Address:PO Box 207 Other: 25.02
City/State IP:Banks/OR/97106 Subtotal 906.87
Phone:(503)324-0759 Farc( ) Minimum permit the: $72.50
CCB L1a:102535 Plumbing Lie.no.:34-276PB Plan review(25%of permit the)
Authorized aignatttte Carolina btabrlodril State surcharge(12%ofpermit the)
TOTAL PERMIT FEE
Print aetne:Carolina Malmedai Date:1, 11/22/23 'n'U permit applkadea expires Ira parable sot elwned within 1a0dap
after it tus been meowed es complier,
"Pee methodology sot by Di-County Building Industry Service Board.
nevildneermitaLMU-ramilApp,doo teNl/09 4404616T(IOA2/COM/wmI)
Plumbing Permit Application - City of Tigard
Page 2-Supplemental Information
Fee Schedule: Residential Fire Sup ression S stems:
iy 6 tL w 4�.:vN Yra♦ 47 o -; �x .' Xf,Y i t } 4' 4r m
e• A...., .K' i.r 3 ,,` , �:l��y ;�S4& �7. .'.1,. .!,s (•.3 z'.:.i'n it :� x
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 7200 $233.20
Sewer-rat 100' 62.54 7,201 and greeter $327.54
Sewer-each additional 100' 37,52
Water Service•1st 100' 62.54 Medical Gall/stems:
Water Service•each additional 100' 37.52 ° Ii. ert �� ,,
•Storm&Ranh Drain-tat 100 62.54 r
$1.00 to SS,000.00 Minimum fee _.SO� •
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 fbr
each additional$100.00 or traction thereof,to
i 1- 1, I..i-� " 'Rit' and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$225 000.00 $148.50 for the first$10,000.00 and$1.54 for
which no foe is specifically Indicated 90.00/hr each additional$100.00 or fraction thereof,to
(minimum charge-1/2 hour) and including$23 000.00.
Inspections outside of normal business 90.00/hr $25.001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours(minimum charge-2 hours) each additional$100.00 or fraction thereof;to
Reinspection Fees 90.00/hr and including$50,000.00,
•
Additional plan review fbr 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 faction dared
Sebtotel:
Commercial Fixture Work:
Aro 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*.
r•,.. P- d' ,, 7.4 1. '* ' hif
t5d _'' - ,i '.a (" ., Yr+y�.� year S,
._ 9 l�ohj ` ,,. e� r~� ; .,aux •{ # �n.�! d. Iilfi' .
g ( �< Plan review is required for any of the following.
!igli k>fiBCirirel. ... a , x .• . 1 - ftl- A Please check all that apply.
eictistiv/FOm 0 Any now commercial building with water service 2"and •
Bath -Tub/Shower
-Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
-Drive Thu L 0 New exterior plumbing site utilities for any complex structure
Cuvpidor/WeterAspirator as defined In 0AR918-780-0040.
Dishwasher -Commercial El Medical gas and vacuum systems for health care facilities.
-Domestic 0 Any multipurpose fire sprinkler system.
Drinking Fountain ❑ Any complex structure as defined in OAR9 t8.780-0040.
Eye Wash
Floor Drain/sink -2" Submit,/sets of plans with any of the above.
•3"
Car Wash Drain
Garbage -Domestic-non•tbod • Isometric or riser diagram is required for new buildings
Disposal -Domestic-food related that meet the qualifications above. •
-Commercial food related
-industrial-food related
Ice Mech./Raffia.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Clang
-Stall
Sink/Lev Non-food related
• -Bradley
-Commercial-food related
-Service
Swimming Pool Filter
Swimming
-Cletus *Note: lithe fixture work under this permit results in an
Wisheryy meter increase of sewer EDUs,a sewer permit win be issued and
Water Closet-Toilet fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures: •
C:\Users\Malmedal\AppDuta\Lo alMicrosoft\Windows\lNetCache\Cont4t.Oudook\31-12CXR48\Plumbing Pennit.doc
111
_ ' 4-40 PAII Building Division
One & Two-Family Dwelling
TIGARD Fees Checklist
PERMIT INFORMATION: Application Date - FEE VERSION k JW 26 Z�
Permit #: ntvs-i---2112./s
_005-1 1 Plan #: Nab 4_ Floors:
Valuation: I �ry4 .1 33 Covered Porch: 149 Basement
Bedrooms: "l Deck: 1" Floor 1 a 19
WC (toilets) '� Deck Cover: _----__ 2"d Floor 5��
Lavatories ( Patio Cover _ 3'd Floor t
Tub/shower 2 Accessory Struct. _ _ R-3 Total -`-1(..(
Laundry Tray Water Heater i Gas Elec Garage (- -7 o
Exhaust Vents 5' Gas Flue Vents Total for Elec. 32,i I
Backflow Prey. - 2 �/ Heat Pump r'tC # for Electrical e
BBQ .__L/ Gas Fireplace #Fuel Lines -f
FEES: Description: Fee Applies: Fee Entered:
DC Prov Revw: Planning V
Info Proc/Arch: Lg$2.00 (over 11 x 17) ao
Info Proc/Arch: Sm $.50 (up to 11x17) I 'S
Metro CET: Residential Use ✓
�e J
School CET: District: I c S� 1/
Tigard CET: Admin ,✓
Tigard CET: ODHCS 1...---/
Tigard CET: AH
Electrical Permit: Permit Fee: 1�
Limited Energy: \--->
12% State Surcharge
Mech. Permit: Permit Fee:
17 :7.
12% State Surcharge
Plumbing Permit: Permit Fee:
12% State Surcharge I/.
Erosion Control: w/Permit Ping
,rD 4412-._ -t'riL_ e., vi,_,j 6A,,,,,___ .b,,,.,1.60
I: Building\Forms\ResPlanCheckFees_Dec2022_AA.doc 12/21/22
Page 1
FOR OFFICE USE ONLY—SITE ADDRESS: I 'j 0 3 6 tA1 Eve.- t old c
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
111 . " Transmittal Letter
r 1 G n R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Ml &6�C ) 'NCPr)S � DATE VED:
DEPT: BURG DIVISION EIVED
FROM: C�O �\0.s DEC 7 2023
CITY OF TIGARD
COMPANY: CDC\V 1 c BUILDING DIV S10N
PHONE: Sd3"' �"21� / By.
EMAIL: ( Th( C • C
RE: \5t-4 SW ai \ O�"t 2 3 CX�3C\1
(Site Address) L (Permit Number)
r"\rex`fie cam,OreD i
(Project name or subdivision name and lot number) L.QP62 CpC \ 0
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s)of plans. .3 Revisions: P t 0'{' e,0.1n 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): p� f
REMARKS:, ` _ cc- \ra f C\\i S C7.C±C -szA -tG 1 ck F IG JTh
O >c C �c F. 1
FOR OFFICE USE ONLY
Routed to Permit Technic' . Date: (v i r 23 Initials: AA--
Fees Due: ❑ Yes No Fee Descri do : Amount Due:
ii 0 13 L $
$ A,-.
Special
Instructions:
Reprint Permit(per Pp: El Yes o ❑ Done
Applicant Notified: Date: MI1,1 I '1,(lti3• c.YYAMt ill NAa.ir(A_J• Initials: AV
City of Tigard RECEIVED
41 COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIG Rra CITY OFTIGARD
Building Permit #: )' "T ��?a ifi'':''1 BUILDING C�IVllldl�
Site Address: 15403 SW Everglade Ave E Verified in Accela
Project Name: River Terrace Crossing Lot/Unit #: 180
Proposal: New Detached SFR Zone: Res-B
Housing Type: E SFR(E Single Detached ❑ Duplex 0 Triplex 0 ADU) 0 Rowhouse ElCottage Cluster 0 CYU ❑Quad 0 Other
Required Site Plan Elements:
E 3 copies of site plan on max 11x17" R i -i t ye--ir '41 e\lc a" {p 10-( f3/
E Drawn to standard scale ❑ Rctaincd trccs, drip linc/ trcc protcction *()--(
E North arrow E Street and site trees shown / labeled
E Site address, project name, lot # e calculating trcc canopy at maturity
E Street names (N/A for SFR)
E Applicant name and phone # ❑ Courtyard rcctanglc dimcnsioncd (if applicablc)
E Lot and setback dimensions E Vision clearance triangle
❑ Existing structures &squarc footagc E Utility locations & easements
E Footprint of new structure and FFE E Property corner elevations
E Sidewalk/driveway dimensioned E LIDA (>1,000 sf disturbance)
E Lot area and lot coverage percentage E Erosion control
'Rt ' ed Elevation Plan Elements:
(For SFR: c eded only on street-facing) Summary table with calc or:
❑ Drawn to standar 0 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 mart' table that includes
❑ Each story dimensio I floor area
oor area calculated 0 Floor area pe
Planning Review
The following standards have been met:
8'front porch
Setbacks E Front: 12' Rear: 10' Side: 3' Min/Max Street Side: 8' / N/A Garage: 20'
Height E Max. Height: 35' Proposed Height: 24' 10"
O Yes El N/A Landscape
O Yes E N/A Screening (Quad only)
❑ Yes NI N/A % Window Coverage
❑ Yes E N/A Garage (SFR Only) Parking (Other Res)
❑ Yes ISI N/A Entrance (SFR, Rowhouse, Quad only)
❑ Yes E N/A Other building design standards (Rowhouse only)
❑ Yes E N/A Accessory Structure Standards
❑ Yes E No Qualifying pre-existing unit exempt from standards (Cottage unit only)
'onal standards for Co Units, Cottage Clusters, Rowhouses, and Quads:
❑ Yes ❑ it
Yes ❑ otWi Size
N/A Pathway
'tional standards for Court nits and Cottage Clusters only:
❑ Yes Unit Area:
❑ Yes ❑ N/A ea (per story)
❑ Yes ❑ Courtyar
N/A Fence
❑ Yes ❑ No EN/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes 0 No llN/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes ❑ No
Applied For: ❑ Yes ❑ No, stop intake
® Sensitive Lands: ® Yes ❑ No
® Main Land Use Case #s: PDR2016-00016; PDR2018-00005 ❑ Conditions met
El Applicant notified of land use xp date. 3/22/2026
Approved By Planning: � { !(/L� � �, Date: 11/20/2023 i( /��/w�
Notes U r��V' in Revision 1: /Ap roved ❑ Not Approved w Date: t2' 1`z3
Revision 2: ❑ Approved ❑ Not Approved Date:
Building Permit Submittal
Original Submittal Date:
Site Plans #: "°
Building Plans #: /J ''
d Building Permit #: ;Building permit # entered on page 1
Workflow Routing: ❑`Planning It Engineering ErPermit Coordinator LW'Building
Workflow Sign-off: Art/Sign-off for Planning (include notes from planning review)
Route Documents: D Engineering: (1) copy of permit application, (1) site plan, (1) building plan
ar)d original plan review routing form.
le Building: original pegnit application, site plans, building plans, engineer and
�� eam calculations and r` st details, if applicable, etc.
/ t j /
Permit Technician: x�?/� �l l� p Date: , l i•i ( "1' '
Notes:
Engineering Review
❑ 1:b.I Permit:
• Slope at building pad: 2 4
iyo
&Conditions met prior to issuance of permit
/2 Easements (encroachments) per engineering conditions of approval and plat
b-Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 111,No
Assess Water Quantity Fee in-lieu: ❑ Yes ®-No
LIDA Facility on lot: ❑ Yes trNo Add Fee: ❑ Yes ❑ No
final Plat Recorded
❑ NOT Approved: Date:
Notes:
Approved By Engineering: Date: a/y/Z_1
Revision 1: ❑ Approved Not Approved Date: <
Revision 2: ❑ Approved ❑ Not Approved Date:
Permit Coordinator Review
\Sonditions met prior to permit issuance
El Approved, NOT Released: Date notified applicant:
El ENG Revisions Required: Date notified applicant:
SDC Exemption: ❑ Applied for ❑ Received toes not apply
DC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: Yes ❑ N/A V Deferred
Parks SDC: Yes ❑ N/A Deferred
LIDA ❑ Yes ; N/A
7,070K to Issue/Approved by Permit Coordinator: Date: 1'2„° 5 7,-3
Revision 1: 0 Approved ❑ Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date: