HomeMy WebLinkAboutRES2025-0048 WELLNER BUILDING PERMIT APPLICATION RESIDENTIAL Building Permit Application
Residential FOR OFFICE USE ONLY
111 City of Tigard Date/By:
■ 13125 SW Hall Blvd.,Tigard,OR 97223 Received
Plan Review
Permit No.:
e Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris: 0 See Page 4 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK 11 REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑■ 1-and 2-family dwelling ElCommercial/industrial Valuation: $
IIIAccessory building ❑Multi-family Number of bedrooms: 5
El Master builder El Other:
Number of bathrooms: 4
JOB SITE INFORMATION AND LOCATION Total number of floors: 2
Job site address: SW 150th Ave 15907 SW Bluewater Terrace New dwelling area: 4228 square feet
City/State/ZIP:Tigard, OR Garage/carport area: 710 square feet
Suite/bldg./apt.no.: Project name: Covered porch area: 1 36 square feet
Cross street/directions to job site: Deck area: 336 square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2S108DC12800 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.
New S F R Valuation: $
Existing building area: square feet
New building area: square feet
❑■ PROPERTY OWNER ❑ TENANT Number of stories:
Name:Matt Wellner Type of construction:
Address:15907 SW Bluewater Terrace Occupancy groups:
City/State/ZIP:Portland, OR 97224 Existing:
Phone:(503 ) 970-5699 Fax:( ) New:
I] APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
ii (Please refer to fee schedule)
Business name:Makana Homes and Consulting LLC
Structural plan review fee(or deposit):
Contact name: Chris Boerste
FLS plan review fee(if applicable):
Address:16460 SW Snowy Owl Ln
Total fees due upon application:
City/State/ZIP:Beaverton, OR 97007
Amount received:
Phone: 03 ) 922-9055 Fax: :( )
E-mail:hillcrest_homes@msn.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Makana Homes and Consulting LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:220971 Total fee due upon application: $201.60
Authorized signature: CIAZ4-1.056(l This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Chris Boerste Date:08/04/2025 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Buildmg\Permits\BUP-RESPermitApp.doc 01/25/2023 440-4613T(11/02/COM/WEB)
Mechanical Permit Application FOR OFFICE I'SE ONI.I
City of Tigard DatO1yd
Penns No
111 q 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
+
Phone: 503.7182 Date/By:Fax: 503.598.1960 ()the;Permit:
I I c,\R u Inspection Line: 503.639.4175 Date Ready/By: June M See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE -USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist
❑Multi-family 0 Master builder 0 Other: Description Qty. j_ Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 1 46.75 46.75
Job site address:15907 SW Bluewater Terrace Furnace 100,000 BTU(ducts/vents) 1 46.75 46•75
City/State/ZIP:Tigard, OR Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 6I.06
Suite/bldg./apt.no.: Project name:
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: Lot no.: Other 23.32
Other fuel appliances:
Tax map/parcel no.: _Water heater 1 23.32 23.32
DESCRIPTION OF WORK Gas fireplace/insert 2 33.39 88.78
Flue vent for water heater or gas
New SFR fireplace 1 23.32 23.32
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:Matt Wellnet Range hood/other kitchen
equipment 1 33.39 33.39
Address: Clothes dryer exhaust 1 33.39 33.39
City/State/ZIP: Single-duct exhaust(bathrooms, 5 116.60
toilet compartments,utility rooms) 23.32
Phone:( 503 970-5699 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name Makana Homes and Consulting LLC Fuel piping:
S14.15 for first four;S4.03 for each additional
Contact name: Furnace,etc. 1
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater 1
Phone:( 503)922-9055 Fax::( ) -Fireplace 1
Range 1
E-mail:hillcrest_homes@msn.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Makana Homes and Consulting LLC Other:
MECHANICAL PERMIT FEES*
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00)
- - Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lie.:220971 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: Chris Boerste Date:08/13/2025
I:lBuildmgTermits\MEC_PermstApp_040113.doe 4 0-4617r(11/02/COM/WEB)
Electrical Permit Application FOR OFFICE I SE ONI.1
City of Tigard Permit
" 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Related PermitC- Phone: 503.718.2439 Fax: 503.598.1960 O - :Ott-
Inspection Line: 503.639.4175 Ready Date/By: Jmis ® See Page 2 for
fIGARD Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
®New construction 0 Addition/alteration/replacement Please check all that apply(submit j sets of plans w/items checked):
❑DemolitionOther: 0 Service or feeder 400 amps or more 0 Building over three stories.
0 where the available fault current 0 Marinas and boatyards.
-
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
1-and 2-familydwelling ❑Commercial/industrialless to ground,or exceeds 14,000 0 Commercial-use agricultural
® 0Accessory building
amps for all other installations. buildings.
0 Multi-family ❑Master builder ❑Other: 0 Fire pump. 0 installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Add of
Job#: Job site address:15907 SW Bluewater Terrace ❑100H ooP or moew motor load of system
00H more. ❑"A" "E"..I-2" "1-3"
City/State/ZIP: 0 Six or more residential units. occupancy.
❑Health-care facilities 0 Recreational vehicle parks.
Suite/bldg✓apt.#• Project name: 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. I Each I Total I
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ft.or less I 168.54 168.54 4
Tax map/parcel#:2S108DC12800 Ea.add'l 500 sq.ft.or portion 3 33.92 101.76 I
DESCRIPTION OF WORK Limited energy,residential
New SFR (with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
® PROPERTY OWNER ❑ TENANT Renewable Energy 0 See Page 2
Services or feeders installation,alteration,and/or relocation
Name:Matt Wellner 200 amps or less 100.70 2
Address: 201 amps to 400 amps 1 133.56 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: 601 amps to 1,000 amps 301.04 2
Phone:(503)970-5699 Fax:( ) Over 1,000 amps or volts 552.26 2
relocation
n services or feeders installation,alteration,and/or
Email: matt@erandallgroup.com
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I
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 0 CONTACT PERSON
Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:Makana Homes and Consulting LLC above service or feeder fee, 7.42 2
each branch circuit _
Contact name: B.Fee for branch circuits without
Address: service or feeder fee,first 56.18 2
branch circuit
City/State/ZIP: Each add'l branch circuit _ 7.42 2
Miscellaneous(service or feeder not included)
Phone:( 503)922-9055 Fax::( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:hillcrest_homes@msn.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Ross Electric Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy 0 Page See 2 2
Address:2870 SE 75th Ave Suite 203 panel,alteration,or extension.
City/State/ZIP:Hillsboro, OR Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)642-2800 Fax:( ) Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email:rosselectric@comcast.net Inspections for which no fee is 90.00/!rr
CCB Lic.:157891 Electrical Lic.:34-436C Suprv.Lie.:7867 specifically listed(V hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name:Steve RO Date:08/13/2025 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: v.- -"1 TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within I80
Print name:Steve Ross Date:8/13/2025 days atter it has been accepted as complete.
Number of inspections allowed per permit.
11 Building\Permits\ELC_PermitApp_ELR_ERE.doc Res'06/17/2015 440-1615T(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
DescriptionI Qty. I Each I Total I
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
® Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems In excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
® Garage Door Opener* >100 kva(fee in accordance
552.26 2
with OAR 918-309-0040)
® Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System*
Each additional kva over 25 7.42 3
® Vacuum Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in 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('/-hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Subtotal(Enter
Fee for each commercial system: $75.00
�' • r Number of inspections allowed per permit.
Page 1):
(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
n 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
l:\Bwlding\Permits\ELC_PemalApp_ELR_ERE.doc Rev 06/17/2015
Plumbing Permit Application
Building Fixtures rok Orr lc 1. I St. ()NI 1
City of Tigard Received
Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 Date/By:
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Other Permit No.:
Date/By:
I I ci A R D Inspection Line: 503.639.4175 Date Ready/By: tuns ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
el New construction ❑Demolition For special information use checklist
Description [ Qty. ( Ea. 1 Total
0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 1 500.32 500.32
❑Accessory building 0 Multi-family
Each additional bath/kitchen 1 25.02 25.02
❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE LNFORMATION AND LOCATION Site utilities:
Job site address:15907 SW Bluewater Terrace Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP:
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: I Project name: 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: I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 1 31.27 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 1 25.02 25.02
New SFR Dishwasher 1 25.02 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER I 0 TENANT Expansion tank 12.51
'Name: Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:
Garbage disposal 1 25.02 25.02
City/State/ZIP: Hose bib 2 25.02 50.04
Phone:( ) Fax:( ) Ice maker 1 12.51 12.51
® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:Makana Homes and Consulting LLC Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Chris Boerste Roof drain(commercial) 12.51
Address: Sink/basin/lavatory 6 25.02 150.30
City/State/ZIP: Solar units(potable water) 62.54
Phone:( 503 922-9055 Fax: :( ) Tub/shower/shower pan 5 12.51 62.55
Urinal 25.02
E-mail:hillcrest_homes@msn.com water closet 4 25.02 100.08
CONTRACTOR -
Water heater 1 37.52 37.52
Business name:Rome Plumbing Water piping/DWV 56.29
Address:17295 SW Edy Rd Other: 25.02
City/State/ZIP:Sherwood, OR Subtotal
Phone:( ) Fax:( )
Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lic.:96346 Plumbing Lic.no.:34-265-PB State surcharge(12%of permit fee)
Authorized signature: `C litt5
j TOTAL PERMIT FEE
Print name: Date: � 7L This permit application expires if a permit is not obtained within 180 days
�it „�- fj Il 11 S after it has been accepted as complete.
"Fee methodology set by Tri-County Building Industry Service Board.
1:1Budding/Permds\PLM(i-PernuiApp-doc 10/011i09 440-4616T(10/02ICOM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee:
Footing drain-1'100' 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' 1 62.54 62.54 7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 1 62.54 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52 Valuation: Permit Fee:
Storm&Rain Drain-1st 100' 1 62.54 62.54 $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
Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to
p 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 Plumbing Installations
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 - ❑ Any new commercial building with water service 2"and
greater,except systems designed and stamped by licensed
Bath: -Tub/Shower
engineer.
-Jacuzzi/Whirlpool
Car Wash: -Each Stall ❑ New exterior plumbing site utilities for any complex structure
-Drive as defined in OAR918-780-0040.
Cuspidor/Water Aspiator hr0 Medical gas and vacuum systems for health care facilities.
Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system.
Domestic 0 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
0 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 Maeh./Refrig Drains Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -Lav/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