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HomeMy WebLinkAboutRES2025-0015 LOT 33 ALL PERMIT APP Building Permit Application Residential FOR OFFICE USE ONLY City of Tigard Received By: Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris: a See Page 4 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING liI 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. ll 1-and 2-family dwelling ElCommercial/industrial Valuation: $365600 ❑Accessory building El Multi-familyNumber of bedrooms: 6 El builder ❑Other: Number of bathrooms: 4 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address:15974 SW Peace Ave New dwelling area: 3656 square feet City/State/ZIP:Tigard,OR,97224 Garage/carport area: 390 square feet Suite/bldg./apt.no.: Project name:Darby Ridge Covered porch area: 68 square feet Cross street/directions to job site: Deck area: 208 square feet SW Peace Ave Other structure area: N/A square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:Darby Ridge Lot no.:33 Permit fees*are based on the value of the work performed. Tax map/parcel no.:2S108DC00105 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. Valuation: $ Build a 2-story single-family house w/ attached - unfinished/unheated garage Existing building area: square feet New building area: square feet ❑■ PROPERTY OWNER ❑ TENANT Number of stories: Name:Pulte 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* Business name:Pulte Homes (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name:Michael Ronning FLS plan review fee(if applicable): Address:3535 Factoria Blvd SE#600 Total fees due upon application: City/State/ZIP:Bellevue,WA,98006 Phone:( 425 )897-0024 Fax: :( ) Amount received: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail:Michael.Ronning@Pulte.com 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: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Michael Ronning Date:6/12/2025 *Fee methodology set by Tri-County Building Industry Service Board. I:\Buildmg\Permits\BUP-RESPermitApp.doc 01/25/2023 440-4613T(11/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY Received City of Tigard Date/By: PennitNo.: IIIg 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 0 Phone: 503.718.2439 Date/By: Other Permit: i I C I \R I I Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE*SCHEDULE—USE CHECKLIST I ❑New construction ❑Addition/alteration/replacement Mechanical permit fees*are based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit. . CATEGORY OF CONSTRUCTION Value:$ 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 46.75 Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Furnace 100,000+BTU(ducts/vents) _ 54.91 Suite/bldg./apt.no.: Project name: 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 23.32 DESCRIPTION OF WORK Gas fireplace/insert 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 El PROPERTY OWNER ❑ TENANT Other: 23.32 Name: Environmental exhaust and ventilation: Range hood/other kitchen Address: equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, Phone:( ) Fax:( ) toilet compartments,utility rooms) 23.32 Attic/crawlspace fans 23.32 APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name: Fuel piping: Contact name: $14.15 for first four;$4.03 for each additional Furnace,etc. Address: Gas heat pump City/State/ZIP: Wall/suspended/unit heater Water heater Phone:( ) Fax: :( ) Fireplace E-mail: Range CONTRACTOR Barbecue Clothes dryer(gas) Business name: Other: Address: MECHANICAL PERMIT FEES* Subtotal City/State/ZIP: Minimum permit fee($90.00) Phone:( ) Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lie.: 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: Date: 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 El See Page 2 for TIGARD Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK s PLAN REVIEW E 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. ❑ 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.#: Project name:Darby Ridge 0 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: 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 5 33.92 1 DESCRIPTION OF WORK Limited energy,residential Plan : 3033- New Residence Wiring (with above sq.ft.) 75.00 2 Limited energy,multi-family residential(with above sq.ft.) 75.00 2 Renewable Energy CI See Page 2 ❑ PROPERTY OWNER ' El TENANT Services or feeders installation,alteration,and/or relocation Name: 200 amps or less 100.70 2 Address: 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: 601 amps to 1,000 amps 301.04 2 Phone:( ) 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 A.Fee for branch circuits with Business name: 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:( ) Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: 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 I 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: 338.14 Print name: Yegor Shevchenko Date: 0 Plan Review Required(25%of permit fee): 40.57 J I N" State surcharge(12%of permit fee): ���Authorized signature: 0 TOTAL PERMIT FEE: 378.71 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 City of Tigard Received Permit No.: MI III 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 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 El1-and 2-family dwelling ❑Commercial/industrialSFR(2)bath 437.78 SFR(3)bath 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 City/State/ZIP: Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: 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: 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 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 ❑ APPLICANT CONTACT PERSON Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name: Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax: :( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name: Water piping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal Phone:( ) Fax:( ) Minimum permit fee: $72.50 CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: „ SB,,,,.',4, TOTAL PERMIT FEE Print name: Date: 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)