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HomeMy WebLinkAboutRES2025-0009 DARBY RIDGE LOT 4 APPLICATIONS_V1 Building Permit Application Residential FOR OFFICE USE ONLY City of Tigard Received By: Permit No.: II ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review I 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: N/A equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. l l 1-and 2-family dwelling ElCommercial/industrial Valuation: $248600 ❑Accessory building El Multi-familyNumber of bedrooms: 3 ❑Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 .lob site address:15957 SW BLUEWATER TERRACE New dwelling area: 2486 square feet City/State/ZIP:Tigard, OR, 97224 Garage/carport area: 404 square feet Suite/bldg./apt.no.: Project name:Darby Ridge Covered porch area: 55 square feet Cross street/directions to job site: Deck area: 120 square feet SW Peace Ave Other structure area: N/A square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:Darby Ridge Lot no.:04 Permit fees*are based on the value of the work performed. Tax map/parcel no.:2S 108DC00105 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. Build a 2-story single-family house w/ attached Valuation: $ unfinished/unheated garage Existing building area: square feet New building area: square feet II ❑■ PROPERTY OWNER • ❑ TENANT Number of stories: Name:PU lte Homes Type of construction: Address:3535 Factoria Blvd SE #600 Occupancy groups: City/State/ZIP:Bellevue, WA, 98006 Existing: Phone:( 425 897-0024 Fax:( ) New: ❑■ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* a (Please refer to fee schedule) Business name:PUlte Homes Structural plan review fee(or deposit): Contactname:Michael Ronning FLS plan review fee(if applicable): Address:3535 Factoria Blvd SE #600 City/State/ZIP:Bel levue, WA, 98006 Total fees due upon application: Amount received: Phone:( 425 897-0024 Fax: :( ) E-mail:Michael.Ronning@Pulte.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:Pulte Homes Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:3535 Factoria Blvd SE #600 Solar Installation Specialty Code checklist. City/State/ZIP:Bellevue, WA, 98006 Permit Fee(includes plan review $180.00 and administrative fees): Phone:( 425 897-0024 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.:PULTEHW800C Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Michael Ro n n i n 6/11/2025 *Fee methodology set by Tri-County Building Industry g Date: Service Board. I:\Buildmg\Permits\BUP-RESPermitApp.doc 01/25/2023 440-4613T(11/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard ReceivedDate/By: PennitNo.: Ill 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Date/By: Other Permit: i I C I \R I I Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE*SCHEDULE—USE CHECKLIST I ®New construction ❑Addition/alteration/replacement Mechanical permit fees*are based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit. . CATEGORY OF CONSTRUCTION Value:$ RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi-family ❑ Master builder ❑ Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Job site address: Air conditioning 1 46.75 city/state/ZIP: Ti ard, OR, 97224 Furnace 100,000 BTU(ducts/vents) 1 46.75 g Furnace 100,000+BTU(ducts/vents) _ 54.91 Suite/bldg./apt.no.: Project name: Darby Ridge 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: Lot no.: Other: 23.32 Tax map/parcel no.: Other fuel appliances: Water heater 1 23.32 DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ® PROPERTY OWNER ❑ TENANT Other: 23.32 Name:Razvan Mosu Environmental exhaust and ventilation: Range hood/other kitchen Address:3535 Factoria Blvd SE Suite 600 equipment 1 33.39 Clothes dryer exhaust 1 33.39 City/State/ZIP:Bellevue, WA, 98006 Single-duct exhaust(bathrooms, Phone:(4254216-3407 Fax:( ) toilet compartments,utility rooms) 4 23.32 _ Attic/crawlspace fans 23.32 IMF APPLICATIMI ❑ CONTACT PERSON Other: 23.32 Business name:Pulte Homes of Oregon Inc Fuel piping: Contact name: Razvan Mosu $14.15 for first four;$4.03 for each additional Furnace,etc. 1 Address:3535 Factoria Blvd SE Suite 600 Gas heat pump City/State/ZIP:Bellevue, WA, 98006 Wall/suspended/unit heaterWater heater 1 Phone:(4254216-3407 Fax: :( ) Fireplace 1 E-mail:rmosu@pulte.com Range 1 CONTRACTOR ii Barbecue Clothes dryer(gas) Business name: Lakeside Heating & Cooling Other: Address: MECHANICAL PERMIT FEES* 7021 SW McEwan Rd Subtotal City/State/ZIP: Lake Oswego, Or 97035 Minimum permit fee($90.00) (503 ) 635-5253 Plan review(25%of permit fee) Phone: Fax:( ) State surcharge(12%of permit fee) CCB lie.: 227694 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board Print name: Jason Charlton Date: 04/17/2025 I:\Building\Pemuts\MEC_PermitApp_082520.doc 440-4617T(11/02/COM/WEB) Electrical Permit Application FOR OFFICE USE ONLY City of Tigard Date/By:13125 SW Hall Blvd.,Tigard,OR 97223 Received Plan Review Mill Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Pcrmity: Related Permit#: Inspection Line: 503.639.4175 Ready Date/By: Juris: 1 ® See Page 2 for TIGARD Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK s PLAN REVIEW IZ New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): O Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION r exceeds 10,000 amps at 150 volts or ❑Floating buildings. Ig 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 JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived Job#: Job site address: ❑Addition of new motor load of system. 100HP or more. ❑"A","E","1-2","1-3", City/State/ZIP:TIGARD, OR 97223 ❑Six or more residential units. occupancy. O Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: 1 Project name:Darby Ridge ID Hazardous locations. ❑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 Total I * New residential single-or multi-family dwelling unit. Subdivision: 1 Lot#: Includes attached garage. 1,000 sq.ft.or less 1 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 3 33.92 1 DESCRIPTION OF WORK Limited energy,residential Plan : 3024 - New Residence Wiring (with above sq.ft.) 75.00 2 Limited energy,multi-family residential(with above sq.ft.) 75.00 2 Renewable Energy ❑ See Page 2 XI PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation Name:Razvan M os u 200 amps or less 100.70 2 Address:3535 Factoria Blvd SE Suite 600 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Bellevue, WA, 98006 601 amps to 1,000 amps 301.04 2 Phone:(4254216-3407 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 ® APPLICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel 1. A.Fee for branch circuits with Business name:Pulitte aoupes of Oregon Inc above service or feeder fee, 7.42 2 each branch circuit Contact name:Razva n MOsu B.Fee for branch circuits without service or feeder fee,first 56.18 2 Address:3535 Factoria Blvd SE Suite 600 branch circuit City/State/ZIP:Bellevue, WA, 98006 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(425216-3407 Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email:rmosu@pulte.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Sunlight Electric Inc Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy El See Page 2 2 Address:7524 NE 88th Street panel,alteration,or extension. City/State/ZIP:Vancouver, WA 98662 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(971 j222-5758 Fax:( ) Investigation(1 hr min) 90.00/hr Email: Peter@Su n l ig htElectricl nc.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.:172549 Electrical Lic.:C230 Suprv.Lic.:6652S sec listed(�'/2 hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: 270.30 Print name: Yegor Shevchenko Date: 0 Plan Review Required(25%of permit fee): 32.44 J I N" State surcharge(12%of permit fee): ���Authorized signature: 0 TOTAL PERMIT FEE: 302.74 This permit application expires if a permit is not obtained within 180 Print name: Peter Kozarez Date: days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC PermitApp_ELR ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY III City of Tigard 13125 SW Hall Blvd.,Tigard,OR 97223 Received Permit No.: Date/By: Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date By:MI Other Permit No.: T I GARD Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK Mr FEE* SCHEDULE i ©New construction ❑Demolition For special information use checklist Description I Qty. I Ea. 1 Total ❑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 ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 1 500.32 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/Z>P:Tlgard, OR, 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: Darby Ridge 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: 1 Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK MM Backwater valve _ 12.51 Clothes washer 25.02 Lot 18 plumbing work Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER ___11M. ❑ TENANT Expansion tank 12.51 Name:Razvan Mosu Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:3535 Factoria Blvd SE Suite 600 Garbage disposal 25.02 City/State/ZIP:Bellevue, WA, 98006 Hose bib 25.02 Phone:(425Q16-3407 Fax:( ) Ice maker 12.51 l APPLICANT CONTACT PERSON Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name:pulte Homes of Oregon Inc Primer 12.51 Contact name:Razvan Mosu Roof drain(commercial) 12.51 Address:3535 Factoria Blvd SE Suite 600 Sink/basin/lavatory 25.02 City/State/ZIP:Bellevue, WA, 98006 Solar units(potable water) 62.54 Phone:(425-216-3407 Fax: :( ) Tub/shower/shower pan 12.51 Urinal 25.02 E-mail:rmosu@pulte.com Water closet 25.02 CONTRACTOR Water heater 37.52 Business name: Wolcott Plumbing Water piping/DWV 56.29 Address: 1075 W Historic Columbia River Hwy Other: 25.02 City/State/ZIP: Troutdale,OR 97060 Subtotal 500.32 Phone:(503 ) 667-1781 Fax:(503 ) 667-9891 Minimum permit fee: $72.50 CCB Lie.: 112220 Plumbing Lic.no.: 26-824PB Plan review (25%of permit fee) �� - J State surcharge(12%of permit fee) 60.04 Authorized signature: e �',�rd2G�i �6G�t><'1ZCLiL TOTAL PERMIT FEE 560.32 Print name: Cliff Bowma Date: 4/15/25 This permit application expires if a permit is not obtained within 180 days 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: 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' 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 Valuation: _ Permit Fee: Storm&Rain Drain-1st 100' 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 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 Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial ❑ 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 4„ 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 Mach./Refit.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