HomeMy WebLinkAboutRES2025-0025 LOT 168 APPLICATIONS Building Permit Application
Residential FOR OFFICE USE ONLY
Received
City of Tigard Date/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: 0 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK r REQUIRED DATA:1-AND 2-FAMILY DWELLING
®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 111 work indicated on this application.
Valuation: $ 550,000
® 1-and 2-family dwelling ElCommercial/industrial
IIIAccessory building ❑Multi-family Number of bedrooms: 5
❑Master builder ❑Other: Number of bathrooms: 3.5
MMI JOB SITE INFORMATION AND LOCATION Total number of floors: 3
Job site address: 15566 SW Everglade Ave New dwelling area: 3104 square feet
City/State/ZIP:Tigard/OR/97224 Garage/carport area: 416 square feet
Suite/bldg./apt.no.: Project name: River Terrace Crossing Covered porch area: 120 square feet
Cross street/directions to job site: Deck area: 179 square feet
Other structure area: 179 square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: River Terrace Crossing Lot no.: 168 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 2S110DA11400 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.
3104 sf SFR to be constructed. Owner's Retreat+4 beds,3.5 ba, 1st fl Study,416 Valuation: $
sf 2 car gar, 120 sf front porch, 179 sf ext rear covered deck, 179 sf rear coy patio Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT II- Number of stories:
Name:David Weekley Homes Type of construction:
Address:1905 NW 169th Place Suite 102 Occupancy groups:
City/State/ZIP:Beaverton,OR 97006 Existing:
Phone:(503)213-4415 Fax:( ) New:
❑x APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:David Weekley Homes (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name: Maria Hasty
FLS plan review fee(if applicable):
Address:1905 NW 169th Place,Suite 102
Total fees due upon application:
City/State/ZIP:Beaverton/OR/97006
Phone:(503 ) 213-4428 Fax::( ) Amount received:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: MHasty@DWHomes.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:David Weekley Homes Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:1905 NW 169th Place,Suite 102 Solar Installation Specialty Code checklist.
City/State/ZIP:Beaverton/OR/97006 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503)213-4415 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:213653 Total fee due upon application: $201.60
Authorized signature: ?/'�/ r�V This permit application expires if a permit is not obtained
77 within 180 days after it has been accepted as complete.
Print name: Maria Hasty Date: 6/16/25 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Application. 1 OR OFFICE I SE o'Ll
City of Tigard Received
Permit No.:
• 13125 SW Hall Blvd.,Tigard,OR 97223 y
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date By: Other Permit:
Inspection Line: 503.639.4175 Date ReadyB Juris 161 See Page 2 for
TIGARD Y: g
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 ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials.equipment.labor,overhead.and profit.
Value:$350,000.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 1 46.75 46.75
Job site address: 15566 SW Everglade Ave Fumace 100.000 BTU(ducts/vents) 1 46.75 46.75
City/State/ZIP: Tigard,OR 97224 Furnace 100,000+BTU(ducts vents) 54.91
Suite/bldg./apt.no.: I Project name: River Terrace Crossing 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
Other: 23.32
Subdivision: River Terrace Crossing I Lot no.: 168
Other fuel appliances:
Tax map/parcel no.: 2S110DA11400 Water heater 1 23.32 23.32
DESCRIPTION OF WORK Gas fireplace/insert l 33.39 33.39
Flue vent for water heater or gas
3104 sf SFR to be constructed. Owner's Retreat+4 beds, 3.5 ba, 1st fl fireplace 23.32
Study, 416 sf 2 car gar, 120 sf front porch, 179 sf ext rear covered deck, Log lighter(gas) 23.32
Wood/pellet stove 33.39
179 sf rear coy patio Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
® PROPERTY OWNER ❑ TENANT Environmental exhaust and ventilation:
Name:David Weekley Homes Range hood/other kitchen
equipment 1 33.39 33.39
Address: 1905 NW 169th Place,Suite 102 Clothes dryer exhaust 1 33.39 33.39
City/State/ZIP: Beaverton/OR/97006 Single-duct exhaust(bathrooms, 116.60
toilet compartments,utility rooms) 5 23.32
Phone:(503)213-4415 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT ® CONTACT PERSON Other: 23.32
Business name:David Weekley Homes Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: Maria Hasty Furnace.etc.
Address: 1905 NW 169th Place,Suite 102 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Beaverton/OR/97006 Water heater
Phone: 503-213-4428 Fax: :( ) Fireplace
Ranee
E-mail: MHasty@DWHomes.com
Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:David Weekley Homes Other:
MECHANICAL PERMIT FEES*
Address: 1905 NW 169th Place Suite 102 Subtotal $333.59
City/State/ZIP:Beaverton/OR/97006 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)213-4415 Fax:( ) State surcharge(12%of permit fee)
CCB lic.:213653 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: al. * Fee methodology set by Tri-County Building Industry Service Board
Print name: Maria Hasty Date: 6/16/25
I\Building\Pennits\MEC_PermitApp_040113 doc 440-4617T(11/02 COM/WEB)
Electrical Permit Application FOR OFFICE USE ONLY
Received
City of TigardEri Date/B : Permit#:
q 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#:
TIGARD Inspection Line: 503.639.4175 Ready Date/By: Juris: Ef See Page 2 for
e Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK 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 0 Building over three stories.
❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
IN1-and 2-family dwelling ElCommercial/industrial E Accessory building less to ground,or exceeds 14,000 El 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
❑Addition of new motor load of system.
Job#: 68260168 Job site address: 15566 SW Everglade Ave 100HP or more. ❑"A","E","1-2","1-3",
City/State/ZIP: Tigard,OR 97224 0 Six or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
❑Supply voltage for more than
Suite/bldg./apt.#: Project name: River Terrace Crossing ❑Hazardous locations. 600 volts nominal.
❑Service or feeder 600 amps or more.
Cross street/directions to job site: FEE SCIT EDULE
Description Qty. Each Total *
New residential single-or multi-family dwelling unit.
Subdivision: River Terrace Crossing 1 Lot#: 168 Includes attached garage.
1,000 sq.ft.or less 1 168.54 168.54 4
Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 5 33.92 169.60 1
DESCRIPTION OF WORK Limited energy,residential
3104 sf SFR to be constructed. Owner's Retreat+4 beds,3.5 ba, 1st fl Study,416
(with above sq.ft.) 1 75.00 75.00 2
Limited energy,multi-family 75.00 2
sf 2 car gar, 120 sf front porch, 179 sf ext rear covered deck, 179 sf rear coy patio residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
` ® PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: David Weekley Homes 200 amps or less 100.70 2
Address: 1905 NW 169th Place,Suite 102 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: Beaverton,OR 97006 601 amps to 1,000 amps 301.04 2
Phone:( 503 ) 213-4415 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: MSchiedler@DWHomes.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
® APPLICANT ® CONTACT PERSON Branch circuits new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: David Weekley Homes above service or feeder fee, 7.42 2
each branch circuit
Contact name: Maria Hasty B.Fee for branch circuits without
e
Address: 1905 NW 169th Place,Suite 102 ach cr feeder fee,first
bran ircuit 56.18 2
brch c
City/State/ZIP: Beaverton,OR 97006 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503 ) 213-4428 Fax: :( ) Each manufactured or modular 67.84 2
Email: MHasty@DWHomes.com dwelling,service and/or feeder
Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: Westside Electric Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ❑ See Page 2 2
Address: 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: dispatch@westsideelectric.com Industrial plant(lhrmin) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: Electrical Lic.: 13306 Suprv.Lic.: 5698-S ss ecificall listed('/z hr min)
`��W ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal: $413.14
Print name: Brent Wall 5698-5 late: 6/16/25 0 Plan Review Required(25%of permit fee):
.1 State surcharge(12%of permit fee):
Authorized signature: v l •t w� TOTAL PERMIT FEE:
5 69 8-S This permit application expires if a permit is not obtained within 180
Print name: Brent Wall Date: 6/16/25 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 NI 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
mw-
TYPE OF WORK FEE* SCHEDULE i
®New construction ❑Demolition For special information use checklist
Description I Qty. I Ea. 1 Total
❑Addition/alteration/replacement ❑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/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: 15566 SW Everglade Ave Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP: Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name: River Terrace Crossing 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: River Terrace Crossing Lot no.: 168 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
3104 sf SFR to be constructed. Owner's Retreat+4 beds,3.5 ba, 1st fl Study, Dishwasher 1 25.02 25.02
416 sf 2 car gar, 120 sf front porch, 179 sf ext rear covered deck, 179 sf rear Drinking fountain 25.02
covered patio Ejectors/sump 25.02
® PROPERTY OWNER ❑ TENANT Expansion tank 12.51
Name: David Weekley Homes Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 1905 NW 169th Place,Suite 102
Garbage disposal 1 25.02 25.02
City/State/ZIP: Beaverton,OR 97006 Hose bib 2 25.02 25.02
Phone:(503 )213-4415 Fax:( ) Ice maker 1 12.51 12.51
M APPLICANT 1 ® CONTACT PERSON Interceptor/grease trap 25.02
Medical gas(value:$ ) Page 2
Business name: David Weekley Homes
Primer 12.51
Contact name: Maria Hasty
Roof drain(commercial) 12.51
Address: 1905 NW 169th Place,Suite 102 Sink/basin/lavatory 6 25.02 150.12
City/State/ZIP: Beaverton,OR 97006 Solar units(potable water) 62.54
Phone:(503 ) 213-4428 Fax: :( ) Tub/shower/shower pan 3 12.51 37.53
E-mail: MHasty@DWHomes.com Urinal 25.02
Water closet 4 25.02 100.08
CONTRACTOR
Water heater 1 37.52 37.52
Business name: G&B Plumbing Water piping/DWV 56.29
Address: PO Box 92 Other: 25.02
City/State/ZIP: St Paul,OR 97137 Subtotal $969.43
Phone:(503 )868-1417 Fax:( ) Minimum permit fee: $72.50
CCB Lic.: 184372/Metro 10424 Plumbing Lic.no.: PB 634 Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: '1 TOTAL PERMIT FEE
Print name: Steve Fowler pa,
Date: 6/16/25 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)