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: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Michael Ronning Date:6/12/2025 *Fee methodology set by Tri-County Building Industry
Service Board.
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Mechanical Permit Application FOR OFFICE USE ONLY
Received
City of Tigard Date/By: PennitNo.:
IIIg 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
0 Phone: 503.718.2439 Date/By: Other Permit:
i I C I \R I I Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE*SCHEDULE—USE CHECKLIST I
❑New construction ❑Addition/alteration/replacement Mechanical permit fees*are based on the value of the work
performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit.
. CATEGORY OF CONSTRUCTION Value:$
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:
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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.
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