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Permit (2) CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2023-00200 TIG.ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/21/2023 Parcel: 2S 108DC32700 Jurisdiction: Tigard Site address: 15413 SW EVERGLADE AVE Subdivision: CROSSING AT BULL MOUNTAIN Lot: 181 Project: River Terrace Crossing, Lot 181 Project Description: New detached dwelling. NO FINAL UNTIL DEFERRED SDC FEES HAVE BEEN PAID. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1164 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1512 sf Garage: 440 sf Front: 8 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 2676 sf Value: $430,317.32 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: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 3 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 add9 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 2676 Owner: Contractor: ICHIJO USA CO LTD ICHIJO USA CO LTD Required Items and Reports(Conditions) 3800 SW CEDAR HILLS BLVD STE 3800 SW CEDAR HILLS BLVD STE 130 1 Ersn Cntrl 503-639-4175 131 BEAVERTON,OR 97005 2 (2)layers of 2x fire blocking BEAVERTON,OR 97005 at area indicated PHONE: PHONE: (503)430-7413 FAX: Total Fees: $24,799.57 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 uires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR ac rin1_nr 1n thr n nAR Qa9_nn1-nnQ Vn i nhtain a rnmi of tha n doc nr rlirc.rt nuoctinnc to fll IN(:by Tallinn Fn3 919 1QR7 nr 1 Ann 119 9144 Issued By: � Permittee Signature: 5 r af 1 i(.4,f t� Call 503.639.417 y 7:00 a.m.for the next available inspection date. / This permit card shall be k 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 Application , Residential FOR OFFICE USE ONLY City of Tigard Received Permit No.: 1,111 III 13125 SW Hall Blvd.,Tigard,OR 9722E E : � il gL."°"- Date/By: -j/' /� �5� �� J ® �^ Plan Review r Phone: 503.718.2439 Fax: 503.598.1 04 -"' Rat' Date/By: Zy Other Permit:� TI GARD Inspection Line: 503.639.4175 Date ReadytB Juds: Z See e 2 fo w 1 Internet: www.tigard-or.gov ';/ -0,l Notified/Method: Q I � � � �S s� (( � � ��V �y ��- „c„ Supplemental Informahon a <.. :. „,t .. 3 a �£ 7 .� =tee t .4 CA O t - - 4, 4.< : ita 4� . i . .., E OF WO :J' , < .<.;; , "REQUIRE l DATA:',I ` 2-FAMILY DWE LING ,N - ..s a c€ -'a: . ,�.;s > t.,.„c..d^: .Y a:-* 1111 New construction ❑ 'I 'h'hibpg .. , 7.. 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 jt f,CATEGOR ",OF CONS,UCT ON k _` F work indicated on this application. 2 . 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ LI' / ��', ❑Accessory building 0 Multi-family Number of bedrooms: 4 ✓'' ❑Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND`LOCATION ,,. V.,: ." Total number of floors: 2 ' I l ( i Job site address: 15413 SW EVERGLADE AVE New dwelling area: 2676 square feet ) S/D- City/State/ZIP: Tigard / OR / 97224 Garage/carport area: 440 square feet 11 leg Suite/bldg./apt.no.: Project name:River Terrace Crossing Lot 181 Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA COMMERCIAL-USE CHECKLIST Subdivision: Crossing At Bull Mountain Lot no.: 181 Permit fees*are based on the value of the work performed. 2 S 108 D C T L#181 Indicate the value(rounded to the nearest dollar)of'all Tax map/parcel no equipment,materials,labor,overhead,and the profit for the ;'.',-ifTlittd.7-,4,I„ii-.7:i,ilgli,Al?'iti*gaWiii!Wiii*iitrA::111V.Illtillpitt4M work indicated on this application. Single Family Detached Dwelling Valuation: $ Existing building area: square feet Request the Transportation and Parks SDCs to be deferred to occupancy New building area: square feet PROPERTX OWNER _ ' TENANT # Ni7A IV << < ,,4 V k': ., , Q Number of stories: Name: ICHIJO USA CO., LTD. Type of construction: Address: 3800 SW Cedar Hills Blvd. Ste. 131 Occupancy groups: City/State/ZIP: Beaverton/OR/97005 Existing: Phone:(503)430 7413 Fax (503)430 7621 New ;` ' AP'LICANT. ., ❑ CONTACT PERSON A ,J ' , BUILDINGPERMITFEES*' 1 Business name: P ,.,.:; ,..'t4:,><>(Pleasere/er,tofeeschedute),'' . t,,. ICHIJO USA CO., LTD. Structural plan review fee(or deposit): Contact name: Naoki Yamaoka Address: 3800 SW Cedar Hills Blvd. Ste. 131 FLS plan review fee(if applicable): City/State/ZIP: Beaverton/OR/97005 Total fees due upon application: Phone:(503)430-7413 Fax: :(503)430-7621 Amount received: E-mail: nao@ichijousa.com PHOTOVO T AICSOLARPA.NELS%STEMFEES* ; 1 ' t f — i r,- < Commercial and residential prescriptive installation of CONTRACTOR V ..' -� ' roof-top mounted Photo Voltaic Solar Panel System. Business name: ICHIJO USA CO., LTD. Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 3800 SW Cedar Hills Blvd. Ste. 131 Solar Installation Specialty Code checklist. City/State/ZIP: Beaverton/OR/97005 Permit Fee(includes plan review and administrative fees): $180.00 Phone:(503)430-7413 Fax:(503)430-7621 State surcharge(12%of permit fee): $21.60 CCB lie.: 215360 Total fee due upon application: $201.60 Authorized signature: 44,ftfrokt-- This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Naoki Yamaoka Date: 5/11/2023 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist ' t, One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard11114 Received Receve Permit No.: Date 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: ■ Phone: 503.718.2439 Fax: 503.598.1960 ❑ Electrical El Plumbing ❑ Mechanical T I G A RD 24-Hour Inspection Line: 503.639.4175 Internet: www.tigard-or.gov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes 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. 0 0 0 4 Fire district approval required. Name of district: ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ 0 6 Sewer permit. ❑ ❑ 0 7 Water district approval. 0 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- ❑ 0 ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state • ❑ 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 MI ❑ ❑ 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 I ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, U ❑ ❑ 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- • ❑ ❑ 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. • ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- • ❑ 0 prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing IN ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ 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 • ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. II ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required Al ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or II ❑ ❑ architect licensed in Ore.on and shall be shown to be applicable to the project 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". • ❑ ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. IN ❑ ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. II ❑ ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. • ❑ ❑ 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 • ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, I ❑ ❑ 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, ❑ ❑ • 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.doe 02/24/2011 440-4613T(11/02/COM/WEB) Electrical Permit Application FOR OFFICE USE ONLY City of Tigard - ilk.• :, ,M.. 111 a 13125 SW Hall Blvd.,Tigard,OR 97223 ,, S Phone: 503.718.2439 Fax: 503.598.196 m�.. L..w a """""`t� view Date/B Related Permit#: Inspection Line: 503.639.4175 Ready Date/By: kris: ® See Page 2 for TIGARD Internet: www.tigard-or.gov l' �` '� �' Notified Method: Supplemental Information r " : ,:6Ylt 5" ti"," TYPE OF WOW K'":n;, '`,,I". ai, ,_:'., yv :=1.. .., _. :' .U-''.,a-.. >,PLAN;REVIEI?it .;e. ,_ 4 11 New construction ❑Addition/alteration/reaWan+e,14�" ""�In.,, Please check all that apply(submit 2 sets of plans w/items checked): 4 ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition Other: c •° '`°'3 ❑ G' ' -"' k where the available fault current ❑Marinas and boatyazds. t F F "_ #, : tCATE.GORY OF+r' O.DNSTRUOTION,=,,,F.;,: _ ,, c u s exceeds 10,000 amps at 150 volts or ❑Floating buildings. El 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑;.,Master builder ❑Other: ['Fire pump. ❑Installation of 150 KVA or : fO7 SITE' It�.e'OEM TI19�i:4NO LOCArIO)1T ` ' ' ❑Emergency system. larger separately derived "' '' 0Addition of new motor load of system. Job#: Job site address:15413 SW EVERGLADE AVE I00HPormore. ❑"A","E",'l-2","l-3", City/State/ZIP: Tigard / OR / 97224 ❑Six or more residential units. occupancy. ❑Health-caze facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: River Terrace Crossing Lot 181 ❑Hazardous locations. ❑Supply voltage for more than volts nominal. ❑Servtce or feeder 600 amps or more. Cross street/directions to job site: t i J'EE SCIIEOULR ',:"ems i Description I Qty. i Each I Total I * New residential single-or multi-family dwelling unit. Subdivision: Crossing At Bull Mountain Lot#: 181 Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel# 25108 DC TL#181 Ea.add'1500 sq.ft.or portion 33.92 1 `t s:y, .. ,, ,„ UESCRiPTION OF WORK .3 k�,„,, , Limited energy,residential 75.00 2 .) Single FamilyDetached Dwelling (wedenegy,mth above sq.multi g Limited energy,multi-family residential(with above sq.ft.) 75.00 2 Renewable Energy ❑ See Page 2 V-`. . ' ;��liPROPER,,T OWNER t.:) ` ❑.=TENANT . x Services or feeders installation,alteration,and/or relocation Name: ICHIJO USA CO., LTD. 200 amps or less 100.70 2 Address: 3800 SW Cedar Hills Blvd. Ste. 131 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: Beaverton/OR/97005 601 amps to 1,000 amps 301.04 2 Phone:(503 )430-7413 Fax:(503) 430-7621 over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: info@ichijousa.com relocation Owner installation: This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 : t o NTACF PERSQireqa Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name: ICHIJO USA CO., LTD. above service or feeder fee, 7 42 2 each branch circuit Contact name: N a o k i Yamaoka B.Fee for branch circuits without service or feeder fee,first Address: 3800 SW Cedar Hills Blvd. Ste 131 branch circuit 56.18 2 City/State/ZIP: Beaverton / OR / 97005 Eachadd'lbranchcircuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503) 430-7413 Fax: :(503)430-7621 Each manufactures ormoaular 67.84 2 Email: nao@ichijousa.com dwelling,service and or feeder : ; - r i , ' Q (,TRACTOR :` t ' g Reconnect only 67.84 2 ��-,��,,,.. c� .,,r �„ ,� `.mot. _ ,�s .�,; ; ,�.ts Pump or irrigation circle 67.84 2 Business name: WEST SIDE ELECTRIC COMPANY Sign or outline lighting 67.84 2 Address: Signal circuit(s)or limited-energy ❑ See Page 2 2 1834 SE 8TH AVE panel,alteration,or extension. City/State/ZIP: PORTLAND, OR 97214 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503 )231-1548 Fax:( ) Investigation(1 hr min) 90.00/hr Email: OFFICE@W ESTS I D EE LECTRI C.CO M Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 13306 Electrical Lic.: 26-135C prv.Su Lic.: 5698S a.ect� fically listed(/hr mm) �� Suprv.Electrician signature,required: .`Gl1 ,.a. Subtotal: Print name: BRENT WALL ' Date: 5/11/2023 ❑Plan Review Required(25%n of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: N a o k i Yamaoka Date: 5/11/2023 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELCPermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WOR ;ONLY . . f,.. FEE;SCI EDULE . ., .. ;.,_ Fee for all residential systems combined: $75.00 Description Q�• I Each Totaly Renewable electrical energy systems: Check Type of Work Involved: s 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: E 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 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 charged at an hourly(1 hr min) 66.25/hr 1 Inspections for which no fee is 90.00/hr specifically listed('/z hr min) COMMERCIAL`WORK ONLY E>i CTRICAL,PERnsrr:FEES , ,:, ; . Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical n Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 _Mechanical Permit Application FOR OFFICE ESE ONLY City of Tigard Received Date/By: Permit No.: e, a,I , 11 ■ 13125 SW Hall Blvd.,Tigard,OR 97223. 'Ca Plan Review S Phone: 503.718.2439 Fax: 503.598.196 ` '''u Date/By: Other Permit: T1GARD Inspection Line: 503.639.4175 DateReadyBy: Juris: 1d See Page 2 for Internet: www.tigard-or.gov t-;,...1 # —'�"�—"� Notified/Method: Supplemental Information ` '. . TYPE OF WOR a :; r gP ..=COMMERC ' 'EE*SCHEDU, - USEr ECKLIST� ` ` `" ` ■ t Mechanical permit fees*are based on the value of the work New construction Addition/alteratio repl cement y a ❑ P performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. V ue:$ ,1 --Wt X QF i 1StO R[- T e ; '' •, Iit§Tii:'AT,E QaI *F SXSTE40,0 II 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total x _ g + Heatin /coolin : fat JOB SITJ NFOk vt PIOtA T.O:0745 �, 1 _. •_ g g . : Air conditioning 46.75 Job site address: 15413 SW EVERGLADE AVE Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Tigard / OR / 97224 Fumace 100,000+BTU(ducts/vents) 54.91 Heat pump 1 61.06 Suite/bldg./apt.no.: Project name: River Terrace Crossing Lot 181 Ductwork 1 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: Crossing At Bull Mountain Lotno.: 181 Other: 23.32 Other fuel appliances: Tax map/parcel no.: 2 S 108 D C T L#181 Water heater 1 23.32 DESCRIPII[O QF WORK: r n`' 2w` t Gas fireplace/insert 33.39 +e� �€ . `1 i* ..:« .'N-.,.. ` _..` ... _, .. '. ., " a.-= Flue vent for water heater or gas Single Family Detached Dwelling fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 1... .RQ }.,_� .R '', 0. 'F(Y.ANT`;,f .,� ,: ;= Ether: 23.32 Environmental exhaust and ventilation: Name: ICHIJO USA CO., LTD. Range hood/other kitchen equipment 1 33.39 Address: 3800 SW Cedar Hills Blvd. Ste. 131 Clothes dryer exhaust 1 33.39 City/State/ZIP: Beaverton/OR/97005 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 5 23.32 Phone:(503) 430-7413 Fax:(503) 430-7621 Attic/crawlspace fans 23.32 , t t ti i r ,I ® CONTACT PERSON , Other: 23.32 Fuel piping: Business name: ICHIJO USA CO., LTD. $14.15 for first four;$4.03 for each additional Contact name: Naoki Yamaoka Furnace,etc. ump Address: 3800 SW Cedar Hills Blvd Ste. 131 Gas he Wall/suuspspenndede d/unit heater City/State/ZIP: Beaverton / OR / 97005 Water heater 1 Phone:(503)430-7413 Fax: :(503)430-7621 Fireplace Range 1 E-mail: nao@ichijousa.com Barbecue 1 . : .'. r ..Ft:..f ,r: tCONTRACTOR .,. ., :�s�, r:.: ° .: ,�",s Clothes dryer(gas) Business name: Supreme Heating and Cooling LLC other .,,. *GU :,,C.AL.PEES*,* ... . .,. Address: 13009 NE 91ST Circle Subtotal City/State/ZIP: Vancouver, WA 98682 Minimum permit fee($90.00) — (503>333-3213 ( ) Plan review(25%of permit fee) Phone: Fax: State surcharge(12%of permit fee) CCB lic.: 221270 TOTAL PERMIT FEE -_---- - - - This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name: Naoki Yamaoka Date: 5/11/2023 I:\Building\Permits\MEC PermitApp_040113.doc 440-4617r(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: `Total Valation ' 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 Plumbing Permit Application ' Building Fixtures FOR OFFICE USE ONLY Received Cityof Tigard PennitNo.: Date/By: 4 /�,�.� IIII • 13125 SW Hallll Blvd.,Tigard,OR 97223 y > /�r/)--3 MST }3 -C� efly Phone: 503.718.2439 Fax: 503.598.1 an Review Inspection Line: 503.639.4175 telly: Other Permit No.: T I G A R D x' m,. ate Ready/By: Juris: 65 See Page 2 for Internet www tgard or gov Notified/Method: �,e, Supplemental Information r: 7V! r a ,ter . �1; .g w" ,;,. EE' ScHEAU t. a.sm iot..' .a. :::,; :.;,,..;. TYPE ETA RK, '.. ..:4 ..,. ._:..:.:4. .. ., ..ems _.''. r. _: . _ .. f .� . ..;.r,1 : El New construction ❑Demq]j For special information use checklist i� {I _ Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Ot1LDIt New 1-2-family dwellings(includes 100 ft.for each utility connection) 'ice` ' 041* �' r CAT`GOR (O Ol{ST UGTIO ;e ms "4 SFR(1)bath 312.70 III 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 0 Accessory building 0 Multi-family SFR(3)bath 1 500.32 Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 e ''' JQ, I E NR TINANT) LOCfO * ; Site utilities:„ ' ilO , n Job site address: 15413 SW EVERGLADE AVE Catch basin or area drain 18.76 City/State/ZIP: Tigard / OR / 97224 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: River Terrace Crossing Lot 181 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: Crossing At Bull Mountain Lot no.: 181 Fixture or item: Tax map/parcel no.: 2 S 108 D C T L#181 Backflow preventer 31.27 r - .a: Backwater valve 12.51 _ `` ..,,,,www, ,,CRIPTIOIV d 13'ORK " ', :; , ,. . ::t Clothes washer 1 25.02 Single Family Detached Dwelling Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 PI20PERT-Y OWNER r' 4fi ❑ TES' T Expansion tank 12.51 Name: ICHIJO USA CO., LTD. Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 3800 SW Cedar Hills Blvd. Ste. 131 Garbage disposal 1 25.02 City/State/ZIP: Beaverton/OR/97005 Hose bib 2 25.02 Phone:(503)430-7413 Fax:(503)430-7621 Ice maker 1 12.51 ?L1I Interceptor/grease „:, � LTG } 0 GONT0. ERSOk trap 25.02 Business name: ICHIJO USA CO., LTD. Medical gas(value:$ ) Page2 Primer 12.51 Contact name: Naoki Yamaoka Roof drain(commercial) 12.51 Address: 3800 SW Cedar Hills Blvd. Ste. 131 Sink/basin/lavatory 6 25.02 City/State/ZIP: Beaverton / OR / 97005 Solar units(potable water) 62.54 Phone:(503)430-7413 Fax: :(503)430-7621 Tub/shower/shower pan 4 12.51 Urinal 25.02 E-mail: nao@ichijousa.com -,:, Water closet 3 25.02 °`. 0o IRAgTo I. . -5; ^t . _ ....:_ . - ..,_ .�< ._ �. aiii., ., .a¢ Water heater 1 37.52 Business name: Pipe It Plumbing L L C. Water piping/DWV 56.29 Address: PO BOX 1389 Other: 25.02 City/State/ZIP: Boring / OR / 97009 Subtotal Phone:(503) 544-0477 Fax:(503) 912-0045 Minimum permit fee: $72.50 CCB Lie.: 174351 Plumbing Lic.no.: P B297 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: v�/. TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name: Naoki a m a o ka Date: 5/11/2023 after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: a QIy Fee ea) Natal p Square Footage, ` Jer it e .. �'. S1te�JtIlitleS :. Footing drain-ls`100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 p a , Storm&Rain Drain-1st 100' 62.54 Nit a ro ,� ;; i,,e]C'I111 Fee v . i ,; ,.. ' $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for 1%"Qty Fee(ea) dotal; each additional$100.00 or fraction thereof,to Other,InSpeCtiops or.Fees ,. ., and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge 1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Plan Review for;Plumb ng Tnstallatlons :7, .,' Quantity by Fixture Type Plan review is required for any of the following. Fixture Type'for Replace/ Please check all that apply. Work Performed: Capped Added Relocate Baptistry/Font El Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed Bath: -Tub/Shower -Jacuzzi/Whirlpool engineer. ❑Stall New exterior plumbing site utilities for any complex structure Car Wash: -Each to - as defined in OAR918-780-0040. -DrivCuspidor/Water Aspirator CIMedical gas and vacuum systems for health care facilities. Dishwasher: Commercial CI Any multipurpose fire sprinkler system. Domestic ❑ Any complex structure as defined in OAR918-780-0040. Drinking Fountain _ Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" -3> `,, € * Isometric or Riser-Diagram,,., ', ., ,A, -4„ ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage Domestic non-food • that meet the qualifications above. Disposal: -Domestic food related -Commercial food related -Industrial food related • Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lay/Bar non-food related -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 City of Tigard III " COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review - Residential TIGARD Building Permit #: - ik,7)3 00 7 Site Address: 15413 SW Everglade Avenue X Verified in Accela Project Name: River Terrace Crossing Lot/Unit #: 181 Proposal: New Single Detached SFR Zone: RES-C Housing Type: Cgt SFR(X Single Detached ❑ Duplex❑Triplex❑ADU) ❑ Rowhouse❑Cottage Cluster❑CYU ❑Quad ❑Other Required Site Plan Elements: lM 3 copies of site plan on max 11x17" X Drawn to standard scale ei=iei. X North arrow X Street and site trees shown / labeled X Site address, project name, lot # '- Ti l ^^'^ul i^^ tr^^- o ' 1` ma uri y Xl Street names (N/A for SFR) Xl Applicant name and phone # 0 Ceui lyu„1 It.Clu14� d;111..n31.,11,.d V uppli,able) X Lot and setback dimensions ❑ Vision clearance triangle ❑ CAi.l.i,,y ..,1,u..tu. Q.yu., f��l,,v... lX Utility locations &easements M Footprint of new structure and FFE N Property corner elevations X Sidewalk/driveway dimensioned 0 LIDA (-1,000 cf dicturbanco) X Lot area and lot coverage percentage Nl Erosion control Re levation Plan Elements: (For SFR: calcs only on street-facing) Summary table with calculations for: ❑ Drawn to standard sca ❑ Total façade area ❑ Building height dimensioned ❑ Total window and door area ❑ Façade dimensioned ❑ Windows and doors dimensioned ❑ Garage doors dimensioned Requir n Elements: (Not required for SFR) ❑ Summary table that includes ❑ Each story dimensioned loor area ❑ Each story floor area calculated ❑ Floor area per Planning Review The following standards have been met: Setbacks al Front: 8' Rear: 10' Side: 3' Min/Max Street Side: 8' / Garage: 20' Height Q Max. Height: 35' Proposed Height: 24'-4" ❑ Yes ❑ N/A Landscape ❑ Yes ❑ N/A Screening (Quad only) ❑ Yes ❑ N/A % Window Coverage ❑ Yes 0 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 0 N/A Accessory Structure Standards ❑ Yes 0 No Qualifying pre-existing unit exempt from standards (Cottage unit only) Additional standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads: ❑ Yes N/A Unit Count: ❑ Yes El N/A Lot Width and Size ❑ Yes N/A Pathway Additional standards for Courtyard Units and Cottage Clusters only: ❑ Yes ❑ N/A Unit Area: ❑ Yes 0 N/A Floor Area (per story) ❑ Yes ❑ N/A Courtyard ❑ Yes 0 N/A Fence ❑ Yes ❑ No MN/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995) ❑ Yes ❑ No SIN/A Public Facilities Improvement (PFI) Permit: Required: ❑ Yes 0 No Applied For: ❑ Yes 0 No, stop intake X Sensitive Lands: 0 Yes 1131 No ❑ Main Land Use Case #s: PDR2016-00016/PDR2018-00005 ❑ Conditions met X Applicant notified of land use expiration 3/2 /26 Approved By Planning: ;('"' i//�l� Date: 5/9/23 St(i /—.-3 Notes U Revision 1: ❑ Approved ❑ Not Approved Date: Revision 2: ❑ Approved ❑ Not Approved Date: Building Permit Submittal Original Submittal Date: j//P5 Site Plans #: Building Plans #: Building Permit #: � f�ing permit # entered on page 1 Workflow Routing: i'Pla ing ❑ Engineering ❑ Permit Coordinator ❑ Building Workflow Sign-off: -Sign-off for Planning (include notes from planning review) Route Documents: U.Errgineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. ding: original permit application, site plans, building plans, engineer and beam calculations and trust details, if applicable, etc. Permit Technician: ��_/ Date: 5/174) Notes: Engineering Review ❑ PFI Permit: lEf Slope at building pad: Z./ ifs o/o it I&Conditions met prior to issuance of permit VEasements (encroachments) per engineering conditions of approval and plat fW'Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes f-No Assess Water Quantity Fee in-lieu: ❑ Yes 4-el-No LIDA Facility on lot: CI ,Yes 'No Add Fee: CIYes CINo !Anal Plat Recorded ❑ NOT Approved: Date: Notes: Approved By Engineering: Date: .5/203 Revision 1: ❑ Approve ❑ Not Approved Date: Revision 2: 0 Approved ❑ Not Approved Date: Permit Coordinator Review 4 Conditions met prior to permit issuance ' Approved, NOT Released: Date notified applicant: ❑ ENG Revisions Required: Date notified applicant: NiirsDC Exemption: ❑ Applied for ❑ Received Goes not apply 4 SDC Fees Entered: Wash Co Trans Dev Tax: l7 Yes ❑ N/A Tigard Trans SDC: IV] Yes ❑ N/A t Deferred Parks SDC: 3=1 Yes ❑ N/A Deferred LIDA CI Yes r N/A OK to Issue/Approved by Permit Coordinator: \\ i-,\I LV Date: ��V �X1 �� 6 Revision 1: CI Approved ❑ Not Approved Date: Revision 2: ❑ Approved 0 Not Approved Date: