Permit (114) CITY OF TIGARD1111 MASTER PERMIT
11 > COMMUNITY DEVELOPMENT rye/ 4f. Permit#: MST2017-00504
T j A R t) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/20/2018
Parcel: 2S 104AB00100
Jurisdiction: Tigard
Site address: 12082 SW REDBERRY CT
Subdivision: PROGRESS LANDING Lot:
Project: Progress Landing, Lot 3
Project Description: New SF. DEMO CREDITS FROM BUP2017-00210 FOR TRANSPORTATION AND PARKS
APPLIED TOWARDS THIS PERMIT. 5/29/2018: REPRINT to add irrigation backflow.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First: 1352 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 23 Bathrooms: 4 Second: 1533 sf Garage: 491 sf Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes
Total: 2885 sf Value: $351,611.19 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0
Catch Basins: 0
Bckflw Prevntr: 1
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'l 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 2885
Owner: Contractor:
RIVERSIDE HOMES LLC RIVERSIDE HOMES LLC Required Items and Reports(Conditions)
17933 NW EVERGREEN PKWY STE 17933 NW EVERGREEN PKWY 370 1 Ersn Cntrl 503-639-4175
370 BEAVERTON,OR 97006
BEAVERTON,OR 97006
PHONE: PHONE: 503-645-0986
FAX: 503-690-2942
Total Fees: $9,646.19
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 thr gh OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: l Ln -. Permittee Signature: (7A7 7474/(f j 7o "
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Plumbing Permit Application ' t 4
Building Fixtures MAY Zai FOR OFFICE USE OyLv
City of Tigard Received 1 `e/
1 ^-PefmitNo
13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: . V 7'Cl 5-d'`�
ou
Phone: 503.718.2439 Fax: 503.598 s f Plan Review
-- � e q�ij Date/By: Other Permit No.:
I G A K I) Inspection Line: 503.639.4175 Date Ready/By: Jur s: ® See Page 2 for
Internet:11111 a www.tigard-or.gov
t t t t; -
Supplemental don
Notified/Method:
upp a orma
®New construction 0 Demolition For special information use checklist
Description Qty. Ea. Total
0 Addition/alteration/replacement
0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
Y
.: t , I t SFR(1)ba'Clitit4WJ'' -74:f th 312.70
® fa
1-and 2- mily dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory building
0 Multi-family SFR(3)bath 500.32
El Master builder Each additional bath/kitchen 25.02
Other:
Fire sprinkler sq.ft.) g 2
At ` t a �r� Site utilities:
Job site address: 12082 SW REDBERRY CT Catch basin or area drain 18.76
City/State/ZIP: TIGARD, OR 97223 Drywell,leach line,or trench drain 18.76
oting drain(no.linearft.:_) Page 2
Fo
Suite/bldg./apt.no.: I Project name: PROGRESS LANDING Manufactured home utilities 50.03
Cross street/directions to job site: SW WALNUT ST. &SW 135TH AVE. 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: PROGRESS LANDING I Lot no.: 03 Fixture or item:
Tax map/parcel no.: preventer 1 31.27 31.27
� E8
" ' . ,
Backwater Backflow valve 12.51
° Clothes washer 25.02
Adding backflow preventer to lot for irrigation Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
kf c
r Expansion tank
4' 12.51
Name: Riverside Homes, LLC Fixture/sewer cap 25.02
174 Address: 17933 NW Evergreen Parkway, Suite 370 Floordrain/floorespsink/hub 25.02
Garbage disposal 25.02
city/State/ZIP: Beaverton, OR 97006 Hose bib 25.02
Phone:(503) 645-0986 Fax:( ) Ice maker 12.51
:a 1 M ;' Interceptor/grease trap 25.02
Business name: Same as above Medical gas(value:$ ) Page 2
Primer 12.51
Contact name: WES BOISVERT
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: Wboisvert@riversidehome.COm Urinal 25.02
Water closet 25.02
: , v . „ ,. a'" ' Water heater 37.52
Business name: TruScapes Water piping/DWV
56.29
Address: 21600 SW Amberwood Dr. Other: 25.02
City/State/ZIP: Hillsboro, OR 97124 Subtotal 31.27
Phone:(503) 531-8216 Fax:( ) Minimum permit fee: $72.50
CCB Lic.: LCB#7962 Plumbing Lic.no.:
Plan review (25%of permit fee)
State surcharge(12%of permit fee) 3.75
Authorized signature: t TOTAL PERMIT FEE 35.02 t/
IL
;(
Print name: Wes Boisvert LiDate: 5/17/18 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.
440-4616T(10/02/COM/WEB)
I:\Building\Permits\PLMU-PennitApp.doc 10/01/09
a
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Su' .ression S stems:
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 S stems:
Water Service-each additional 100' 37.52 , • k Vi;
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
tri
i �r :; 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 char_e-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 char l e-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 char_•a 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*.
a" • (luau*tk t#ife Type - r !ZAN,! f,
'l tea,
Plan review is required for any of the following.
ormed v w ea ! ,. R eloc"• Please check all that1
Baptistry/Font app y.
Bath Tub/Shower
0 Any new commercial building with water service 2"and
Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
Drive Thru 0 New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918-780-0040.
Dishwasher Commercial
0 Medical gas and vacuum systems for health care facilities.
-Domestic 0 Any multipurpose fire sprinkler system.
Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040.
Eye Wash
Floor Drain/sink -2" Submit 2 sets of plans with any of the above.
-3" -
Car Wash Drain
0 Isometric or riser diagram is required kfor new buildings
Garbage -Domestic-non-food a g
Disposal Domestic food related that meet the •ualifications above.
-Commercial-food related
-Industrial-food related
Ice Mach./Refrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall
Sink/Lav -Non-food related
-Bradley
-Commercial-food related
-Service
Swimming Pool Filter *Note: If the fixture work under this permit results in an
Washer-Clothes
Water Extractor increase of sewer EDUs,a sewer permit will be issued and
Water Closet-Toilet fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures:
C:\Users\npruett\Downloads\PLMF PermitApp(1).doc 2
CITY OF TIGARD MASTER PERMIT
IIII''� Permit#: MST2017-00504
s •`- COMMUNITY DEVELOPMENT
TtGAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/20/2018
Parcel: 2S104AB00100
Jurisdiction: Tigard
Site address: 12082 SW REDBERRY CT
Subdivision: PROGRESS LANDING Lot:
Project: Progress Landing, Lot 3
Project Description: New SF. DEMO CREDITS FROM BUP2017-00210 FOR TRANSPORTATION AND PARKS
APPLIED TOWARDS THIS PERMIT. Demo Credits for transportation and parks applied 3/15/18.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First: 1352 sf Basement: 0 sf Left 5 Parking Spaces: 0
Height: 23 Bathrooms: 4 Second: 1533 sf Garage: 491 sf Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2885 sf Value: $351,611.19 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Drains: 0
Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 2885
Owner: Contractor:
RIVERSIDE HOMES LLC RIVERSIDE HOMES LLC Required Items and Reports(Conditions)
17933 NW EVERGREEN PKWY STE 17933 NW EVERGREEN PKWY 370 1 Ersn Cntrl 503-639-4175
370 BEAVERTON,OR 97006
BEAVERTON,OR 97006
PHONE: PHONE: 503-645-0986
FAX: 503-690-2942
Total Fees: $9,611.17
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to folio. I- rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may ob,:in a copy of the les or direct questions to OUNC by calling 503.232.1987 or .80 32.2 44.
({. .../. '
Issued By: --` . _ .. Permittee Signature: / ii-F
Ca 1503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
° $uijding Permit ApplicationIED
' D 7 3
Residential
City of Tigard � � 2017Folz orrlcE usl otiLN
- Received _
13125 SW Hall Blvd.,Tigard,OR 97223 y Date/B : ,�11111
�� PennitNo •
Phone: 503.718.2439 Fax: 503.598.1960 CI 1 i 1` s �l Plan Review ,!� !/ �j �j�
TI G n R D Inspection Line: 503.639.4175 ISIr .e/B : Other Permit: �//
Internet: www.tigard-or.gov DIN I V ,t a Ready/By: •..� i
B�',,-i1.L Notified/Method: J°'S' ® See Page 2i for
$ Supplemental Information
, _� v 3 e� �.�'§� „`=,,,'' r 4. ` s 1' '�'� fi ,t1‘,4,, r'a•' m
k sz.-v ; , #"%# .'"'m s.g „x�?x 3=i: '7 p &•1 d � ,t '1f 6 r 91 9 <.�r J "-.m
®New construction �", . t
0 Demolition Permit fees*are based on the value of the work performed.
��
❑Addition/alteration/replacement 0 Other:
Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit
0407'-04
,c.4,..-. .,, .A4.,
.!6 .fir e `A t - q - work indicated on this application. '
® 1-and 2-family dwelling 1,
0 Commercial/industrial Valuation: $ t (�y>.
❑Accessory building
❑Multi-family Number of bedrooms: 5
❑Master builder
0 Other: Number of bathrooms:
„s it " ..F > '„,0-4.6. ' iik, ", ;
'`i 4 ' ' IT i '"at ' A. Total number of floors: 2
Job site address:12082 SW REDBERRY CT. � �������"�� '"'"
City/State/ZIP:TIGARD.OR New dwelling area: 2885 square feet I _1
Suite/bldg./apt.no.:97223 Garage/carport area: 491 square feet IS
Project t name:PROGRESS LANDING _
Cross street/directions to job site:SW WALNUT ST.&SW 135TH AVE Covered porch area: ,GS' square feet
Deck area: 0 square feet
t
`7 Other structure area: 0 square feet
1
Subdivision:PROGRESS LANDING 1 '�° �
Lot no.:03 * : 1 1 i t rt #,"!•• ,.:,,.,:,:..,ie -4
Permit fees*are based on the value of the work performed.
Tax map/parcel no Indicate the value(rounded to the nearest dollar)of all
. b equipment,materials,labor,overhead,and the profit for the
.. i "� � 1� ! 1`i o * work indicated on this ap.lication.
Construction of SFR Home ' ' -� ,� 1
Valuation: $
Existing building area: square feet
New building area: square feet
`
Name:Riverside Homes,LLCType
Number of stories:
Address:17933 NW Evergreen Parkway,Suite 370 Occu of construction:
City/State/ZIP:Beaverton,OR 97006 Occupancy groups:
Phone:(503)645-0986 Existing:
Business name:Same as Above •
Structural ;., ,., �at .�. tir 6.�.' , r
Contact name:Brett GrovesA. ``
plan review fee(or deposit):
Address: FLS plan review fee(if applicable):
City/State/ZIP:
Total fees due upon application:
Phone:( )
Fax :( ) Amount received:
i , PH rOV T .�L *:E-mail:bgroves@riversidehome.com
,p , CQN ' ` Commercial and residential prescriptive installation of
> " IA ;
roof-top mounted Photovoltaic Solar Panel System.
Business name:Riverside Homes,LLC
Submit two(2)sets of roof plan with connection details
Q Address:17933 NW Evergreen Parkway,Suite 370 and fire department access,along with the 2010 Oregon
City/State/ZIP:Beaverton,OR 97006 Solar Installation S.ecial Code checklist.
Permit Fee(includes plan review
Phone:(503)645-0986 and administrative fees): $180.00
Fax:( )
CCB lie.:189148 State surcharge(12%of permit fee): $21.60
Authorized signature: 0.:.? 1 Total fee due upon application: $201.60
This permit application expires if a permit is not obtained
Print name:Brett Groves within 180 days after it has been accepted as complete.
Date:11/30/2017 *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)
Building Permit Application Checklist
One- and Two-Family Dwelling
FOR OFFICE L'SE 01L1
City of Tigard Received
13125 SW Hall Blvd.,Tigard,OR 97223 ✓L7 Date/By: Permit No.:
_ Phone: 503.718.2439 Fax: 503.598.1960IN
(:)
Associated permits:
T 1 G R D 24-Hour Inspection Line: 503.639.4175 0 Electrical
Internet: www.tigard-or.gov ❑ Plumbing ❑ Mechanical
❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW les 10 1/,-
I Land use actions completed. See jurisdiction criteria for concurrent reviews.
0
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0
3 Verification of approved plat/lot. 0
4 Fire district approval required. Name of district: 0 0 0
5 Septic system permit or authorization for remodel. Existing system capacity ❑ 0 0
6 Sewer permit. 0 0 0
7 Water district approval. 0 0 0
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 ❑
9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 ❑ ❑
basin protection,etc. 0 0 0
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size ❑ 0
0
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if 0 0 0
there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements
and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction
indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and
surface drainage.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size
and location. 0 0 0
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater,
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. ❑ 0 0
14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-
floor,wall construction,roof construction. More than one cross section may be required to clearly portray 0
0 0
construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings
and foundation,stairs,fireplace construction,thermal insulation,etc.
15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels.
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. ❑ 0
0
Full-size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non-
prescriptive path analysis provide specifications and calculations to engineering standards. 0 0
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and
locations. Show attic ventilation. bearing 0 0 0
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered
systems,see item 22,"Engineer's calculations." 0 0 0
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists 0 0
over 10 feet long and/or any beam/joist carrying a non-uniform load. ❑
20 Manufactured floor/roof truss design details.
0 0
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic ❑
is required 0 0
for four or more appliances. 0
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or
architect licensed in Ore:on and shall be shown to be a..licable to the .ro'ect under review. ❑ 0 0
JURISDICTIONAL SPECIFICS
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17".
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ 0 0
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 ❑ 0
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ 0 0
27 "Drawn to scale"indicates standard architect or engineer scale. 0
CI 1:1
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 ❑ 0
Street Tree List. 0 0
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 0
and protection measures must be drawn to scale and must include the project arborist's signature of approval. ❑
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions,
including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings ❑ 0
0
on a lot of record approved prior to September 9, 1995.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011
440-46131(11/02/COM/WEB)
1 I
Mechanical Permit Applicatiol -, J '
rtalz orFicl: l SI.0\I.1
City of Tigard Received
13125 SW Hall Blvd.,Tigard,OR 97223 5 /1;j% Date/By: Permit N 1 ' of?�d p,y
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review
Inspection err/Line: 503.639.4175 / t^ Date/By: Other Permit:
7 E(,\ I) p d OF T A
Internet: www.tigard-or.gov ' sate Ready/By: loris: ® See Page 2 for
BILD , G SIS l,�hfied/Method
1 jb) p 18 Supplemental information
. ,. t
®New constructionMechanical permit fees*are based on the value of the work
0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: h 1
met aorta materials,equipment,labor,overhead,and profit.
Y sn r;
.,. Ifc r CTIO ' " ` tt ; Value:$
� U ,,, ' .moi a t2itii'- .ettitits,. *4, '
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other:
Description I Qty.
14 4. ,, ., .r, Alba � i°l 'i.F 13 1 1 Av t+ '4"
i\' 1. % ` , Heating/cooling: Ea. Total
4= ' Air conditioning 46.75
Job site address: 12082 SW REDBERRY CT.
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Tigard, OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: I Project name: PROGRESS LANDING Heat pump 61.06
Duct work 23.32
Cross street/directions to job site: SW WALNUT ST. &SW 135 AVE 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: PROGRESS LANDING l Lot no.: 03 Other: 23.32
Tax map/parcel no.: Other fuel appliances:
Water heater 23.32
;.' p ..ei B okk ;' :''
� Gas fireplace/insert
. , �. ' t x 33.39
Flue vent for water heater or gas
Construction of SFR
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
. 1,,',. 'k 1 Other: 23.32
_ *' Environmental exhaust and ventilation:
Name: Riverside Homes, LLC Range hood/other kitchen
Address: 17933 NW Evergreen Parkway, Suite 370 equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: Beaverton, OR 97006 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( 503) 645-0986 Fax:( )
-
o Attic/crawlspace fans 23.32
! , .. of ". " '`f - 0. 0E3`cosmt'* 0 .,. *` Other: 23.32
Business name: Same as above Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: BRETT GROVES
Furnace,etc.
Address: Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Water heater
Phone:( ) I Fax::( ) Fireplace
E-mail: bgroves@riversidehome.com Range
°' . ,; Barbecue
»
_., � � , �: : ; A` : : . ~!'' Clothes dryer(gas)
Business name: Pro Heating&Cooling Other:
Address: 2095 NW Alocleck Rd.#1103
MEdIANICAt PiRMT FEES*., y
Subtotal
City/State/ZIP: Hillsboro, OR 97124 Minimum permit fee($90.00)
Phone:(971 )205-4989 I Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lit.: 209001 ✓y TOTAL PERMIT FEE
,Z This permit application expires if a permit is not obtained within 180
�j days after It has been accepted as complete.
Authorized signature:
* Fee methodology set by Tri-County Building Industry Service Board
Print name: Brett Groves I Date: 11/30/2017
1:1Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 -Supplemental Information
Commercial &Multi-Family Fee Schedule:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:1Building1Permits\MEc PermitApp_040113.doc 2
V
Plumbing Permit Application RIC11 ,
Building Fixtures fl roll Oi FI( I. I SI_ oN1.1
City of Tigard DEC 1 Z°
U Received Date/By: Permit N
13125 SW Hall Blvd.,Tigard,OR 97223 U o.
-r s7 / . y
Phone: 503.718.2439 Fax: 503.598.1960 .--44 r 1 I t/l i- Review Other Permit No.:
t!c t:a Inspection Line: 503.639.4175 i a V
Internet: www.tigard-or.gov r l's ) I��ted NI rho Jura id See Page 2 for
s,11 ethod Supplemental information
" i,• " � tea, r 's' ' • ..,.M ,," . " : �;.��• ',.'` :.. ' � i3i.F ®.. 'a " ' _'
®New construction 0 Demolition For special information use checklist
❑Addition/alteration/replacement 0 Other: Description Qty. Ea. Total
New 1-2-family dwellings(includes 100 ft.for each utility connection)
P " a A E s. " 1. . f; , �".,• " k= SFR(I)bath 312.70
® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory building 0 Multi-family SFR(3)bath 500.32
❑Master builder Each additional bath/kitchen 25.02
❑Other
ai ti Fire sprinkler( sq.ft.) Page 2
" ' , t . $t' t 'OrSite utilities:
Job site address: 12082 SW REDBERRY CT Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP: TIGARD, OR 97223
Suite/bldg./apt.no.: I Project name: PROGRESS LANDING Footing drain(no.linear ft.:_) Page 2
Manufactured home utilities 50.03
Cross street/directions to job site: SW WALNUT ST. &SW 135TH AVE. Manholes
18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.:_) Page 2
Water service(no.linear ft.:_) 1 Page 2
Subdivision: PROGRESS LANDING Lot no.: 03 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
a 0 I.. LI;*TU., Backwater valve 12.51
'. -*.4r
"4 Clothes washer
Construction of SFR 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
tp i �; Expansion tank 12.51
Name: Riverside Homes, LLC Fixture/sewer cap 25.02
Address: 17933 NW Evergreen Parkway,Suite 370 Floor drain/floor sink/hub 25.02
City/State/ZIP: Beaverton, OR 97006 Garbage disposal 25.02
Hose bib 25.02
Phone:(503) 645-0986 Fax:( ) Ice maker
� „en ' 12.51
'�? n. ;je �. ,r -" ," '''k: va .r Interceptor/grease trap 25.02
Medical gas(value:$ ) Page 2
Business name: Same as above
Contact name: BRETT GROVES Primer 12.51
Address:
Roof drain(commercial) 12.51
Sink/basin/lavatory 25.02
City/StatelZIP: Solar units(potable water) 62.54
Phone:( ) Fax::( ) Tub/shower/shower pan 12.51
E-mail: bgroves@riversidehome.com Urinal 25.02
'V " . Water closet 25.02
Business name: H& H Mechanical Water heater 37.52
Water piping/DWV 56.29
Address: 5757 SE Willow Ln Other:
25.02
City/State/ZIP: Milwaukie, OR 97267 Subtotal
Phone:(503) 975-9787I Fax:( ) Minimum permit fee: $72.50
CCB Lic.: 178122 Plumbing Lic.no.: PB414 Plan review (25%ofpermit fee)
71
Authorized signature:
1State surcharge(12%of permit fee)
"�"'"' TOTAL PERMIT FEE
Print name: Brett Groves I Date: 11/30/2017 I This permit application expires if a permit is not obtained within iStt 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 S stems:
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
Sewer-1st 100' 62.54 3,601 to 7,200 $233.20
7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 62.54
Water Service-each additional 100' 37.52 Medical Gas Systems:
Storm&Rain Drain-1st 100' 62.54 ' ►" . l`r+ 5 . ,
$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
4 P F �,�' 'pig.^
herll O. ) 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$100.00 or fraction thereof.
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
byl ixture
accurately report fixtures could result in increased sewer fees*.
Qua*, Type. �-' `,_
fixture Type for . tt face/ . ":, E+ ! +at. ! 0�it
Fork Perforured: caped Addeo r' 1t bcate z Plan review is required for any of the following.
Baptistry/Font Please check all that apply.
Bath Tub/Shower
0 Any new commercial building with water service 2"and
-Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
-Drive Thm 0 New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918-780-0040.
Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities.
-Domestic 0 Any multipurpose fire sprinkler system.
Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040.
Eye Wash
Floor Drain/sink -2" Submit 2 sets of plans with any of the above.
-3"
-4>. ; Vis.•-,a x-w
Car Wash Drain
�$�`Dia , !+
Garbage Domestic-non-food ❑ Isometric or riser diagram is required for new buildings
Disposal -Domestic-food related that meet the qualifications above.
-Commercial-food related
-Industrial-food related
Ice Mach./Refrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall
Sink/Lav -Non-food related
-Bradley
-Commercial-food related
-Service
Swimming Pool Filter
Washer-Clothes *Note: If the fixture work under this permit results in an
Water Extractor increase of sewer EDUs,a sewer permit will be issued and
Water Closet-Toilet fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures:
C:\Users\npruett\Downloads\PLMF_PernitApp(I).doc 2
` ' r
Electrical Permit Application rt)lz of rlc i, i Sl_Ov.l
City of Tigard i Received
Date/B Permit#: Aw / J `/
13125 SW Hall Blvd,,Tigard,OR 97223 Plan Reviewre)
I II'PIPhone: 503.718.2439 Fax: 503.598.1960 / Related Permit#:
Inspection Line: 503.639.4175 JJ 8 �L , early D
I
T 1 C i A Ft D early Date/By: Anis: la See Page 2 for
Internet www.tigard-or.gov BUILDING
/ SupplementalInformation
iia�� �;� DIVIS ed/Method
x� 7:7;„ 4. *7' 0: .: `' P P7"-.a g , 4,-, .�' `. 1 7 err.
New construction s ^checked):
❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wJitems
❑Demolition Other:
0 Service or feeder 400 amps or more 0 Building over three stories.
v where the available fault current 0 Marinas and boatyards.
k,,,.. .spa. -44 f ''," !I ,.. 9* t t ,. ,' ,, , s .. ,:ii, exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
❑Multi-famil amps for all other installations. buildings.
Y ❑Master builder ❑Other: 0 Fire u
;,��� pump. CI Installation of 150 KVA or
v a' ',,. 7 A. ,:''''''''''f'
t4 ® AT4p]!f; ..xk , M ❑Emergency system, larger separately derived
Job#: Job site address: 12082 SW REDBERRY CT. ❑Addition ofnew motor load of system,
10OHP or more. ❑"A","E","I-2","1-3",
City/State/ZIP: Tigard, OR 97223 ❑Six or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: PROGRESS LANDING 0 Hazardous locations. 0 Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volts nominal
Cross street/directions to job site: SW WALNUT ST. &SW 135 AVE
Description Qty. Each I Total
New residential single-or multi-family dwelling unit.
Subdivision: PROGRESS LANDING Lot#: 03 Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less 168,54 4
Ea.add'I 500 sq.ft.or portion 33.92 1
N"" ,,,. ,, ,_ , t" !3! ' 4.;e-... .. ?' '' *,— 1 Limited energy,residential 75.00 2
Construction of SFR (with above sq.ft.)
Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
• Renewable Energy
0 See Page 2
w , 1 1 'Ala. Yir:s it tk 4U icz h_ Services or feeders installation,alteration,and/or relocation
Name: Riverside Homes, LLC 200 amps or less 100.70 2
Address: 17933 NW Evergreen Parkway, Suite 370 201 amps to 400 amps 133.56 2
City/State/ZIP: Tigard, OR 97223 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Phone:( 503) 645-0986 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: bgroves@riversidehome.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
ppw • Branch circuits—new alteration or extension,per panel
*AV:* r, >
A.Fee for branch circuits with
Business name: Same as above above service or feeder fee,
each branch circuit 7.42 2
Contact name: Brett Groves 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
Phone: Miscellaneous(service or feeder not included)
( ) Fax::( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: bgroves@riversidehome.com
47 i ? f; Reconnect only2
'::,,�' ,:' Et ' Wlr ^, I .' . � :s_. Pump or irrigation circle 67.8467.84 2
Business name: Garner Electric Sign or outline lighting 67.84 2
Address: 2920 SE Brookwood Ave#1 Signal circuit(s)or limited-energy
panel,alteration,or extension. ❑ See Page 2 2
City/State/ZIP: Hillsboro, OR 97123 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( 503) 648-4552 Fax:( 503)642-7925 Investigation(1 hr min) 90.00/hr
Email: ge@garnerelectric.com / Industrial plant(1 hr min) 78.18/hr
30 30r ?(,./20t'V//� Inspections for which no fee is
CCB Lic.: 121159 Electrical Lic.: 3 Suprv.
3 4 Lic.3 listed('/z hr min) 90.00/hr
7U 7 ELEµ. C 4 L EMI E
Suprv.Electrician signature,required:
Subtotal:
Print name: Chuck Garner p Date: 11/30/2017 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
appcationPrint name: Brett Groves Date: 11/30/2017 This permit days after it hasrbs been acceptedif a permitis as complete.not
within 180
* Number of inspections allowed per permit.
I:lBuildiing\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-46!5T(i1/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
Ya -fr Iv � �;hil�$7
Fee for all residential systems combined: $75.00 p °" Q�
Each IT°'''
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
0 Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
❑X 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
specificall listed(%z hr min) 90.00/hr
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1):
(SEE OAR 918-309-0000) * Number of inspections allowed per permit.
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ 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
I:\Building\Permils\ELC_PermilApp_ELR_ERE.doe Rev 06/17/2015
''mmmMMM.I...1r....I.....".I.IlI1IIIIIIIIIIIllIlllIlllIlllllllllIIlIlIIl.lIlli I
111111
City of Tigard
' COMMUNITY DEVELOPMENT DEPARTMENT
Tl �,- Building Permit Review — Residential
Building Permit #:
Site Address: '/Q6, SY()
, e9,,_-71--_
Project Name: ��
� `2�s' s 9' • Lot #: o'
(New we subdivision name;Addition orAg,era:•n=last name of owner)
Planning Review
Proposal: Gni, Q I
iV Verify site address/suite#
exists and activ pernut system.
IJ). i6er Terrace Neighborhood: rr No 0 Yes,See River Terrace Review Addendum Attached
Sit Plan Elements:
ree(3)copies of site plan
W e plan must be on 8-1/2"x 11"or 11 x 17"paper ��'R`sting structures on site
i- ootprint of new structure(including decks)with finished
PI
Yawn to scale(standard architect or engineer scale) /floor elevations
►�orth arrow
,titi ity locations&easements(required for new and additions)
to address,project or subdivision name and lot number
Mii Sidewalk/driveway approach
.plicant information(name and phone number) 1D ;fcation of wells/septic systems
iG ot dimensions and building setback dimensions
J r'!,sting trees to be retained with drip line,and tree
a t! .re footage of buildings to be demolished
protection measures
9t, area,building coverage area,percentage of coverage and
pervious area(applicable if R-7,R-12,R-25&R-40) �treet tree eize,type and location
reet
s
Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? NJ Yes
p neo
4 foot differential)
If es,is a storm water •uali facili shown? 0 es No
1 r1 1 can Water Services—Service Provider Lett: (lot platted prior to 9/10/1995): y�IJVP'
equired: 0 Yes,applicant was notified VI 0 , `' u�
/ No Received: ❑ Yes 0 No
ITA Public Facilitjks Improvement(PFI)Permit: 7 y�
Required: Yes,applicant was notified 0 No Applied For: /� ta — 3
Yes 0 No,stop intake
1241/Land Use Case#: �l/A...2a,2(a— 6,000(e
oning: P- !
Required Setbacks: Front 2 tJ Rear
andscape Requirement: % /`� Side
Street Side iarage
ill ti ot Coverage Maximum:
01
7. Building Height: Maximum Height
Actual Height
IPI, P' isual Clearance
fa -nsitive Lands: 0 Yes P_ No
I! Urban Forestry Plan Type
❑ Conditions "Met"prior to issuance of building permit
Notes: g Gt"
".i/ / /�f / 4 eS7, /
Approved By Planning:
- ...._. 1. Date: .;2 1/7
Revisions (after Building Submittal only)
Revision 1: 0 Approved 0 Not Approved Reviewer Date
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
I:1BuildingWorms1B1dgPermitRvw RES_061417.docx
Building Permit Submittal J
Original Submittal Date: L�: ' '3 / 17
Site Plans: #
Building Plans: #
Building Permit#: nter building permit#above. Permit CoordinatorBuiiding
Workflow Routing: Planning Engineering
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: Fr Engineering: (1) copy of permit application, (1) site plan, (1)building plan and
original plan review routing form.
Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: /� , /f /G( /� /�0 j>
�' Date: / J
By Permit Technician: i '
Engineering Review
LE ope at building pad: 0 4
onditions"Met"prior to issuance of building permit
ric
sements (encroachments)per engineering conditions of approval and plat
Lv1 Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes 0 No
Assess Water Quantity Fee in-lieu: 0 Yes 0 No
X
LIDA Facility on lot: 0 Yes —❑ No
al Plat Recorded: 7/ l�
lam'NOT Approved by Engineering:
%� Date: /ai / 7
A >,w�ef PIai w g
Notes: $�not.J Cov.�ou.r S, )144,/ • r� CO IA „
ee
//5 elf r Ate t........-r....., �,..:..-�/,,,,,,, ,7-G. i4 f
Approved by Engineering:S"b1i/e/ -per 9-4"-1P"'-c15Date:
ewer ate
/Date to
Revisions (after Bu.iing Submittal only) D
Revision 1: l� Approved 0 Not Approved /
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Permit Coordinator Review
❑ Conditions"Met"prior to issuance of building permit / /40
Approved,NOT Released: GN ^( '�
Date:
Notes:
C
Rsions (after Building Submittal only) /Y?G"–
evision Notice 1: Date Sent to Applicant: 1 ®2 /
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A
Tigard Trans SDC: / Yes 0 N/A
Parks SDC: eHn
Yes 0 N/A
LIDA 0 Yes N/A
OK to Issue Permit 7.14
l�
Approved by Permit Coordinator:
Date:
IABuilding\Forms\BldgPermitRvw_RES_111617.docx
FOR OFFICE USE ONLY-SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
II
II = Transmittal Letter
TI G A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: A 1)1 1)C " DATE RECEIVED:
DEPT: BUILDING DIVISION IMO i'3
FROM: -6 Y t Cj vQv / MAR 72018
COMPANY: 1 ' v 6;\I\ e 1--- p P- t,5 UPI' it; ‘
PHONE: `�Gb- �1 W '3 V1) �i Di" 1) ' j„�
RE: C` 1 I C tp -1- 5 UI V(-6(L in C1 yrs S 1- 'l. D)) Oi)-L t J
(Site Address) 1 (Permit Number)
?• v II r ss Lin-41v',, t_--C A ".•
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
)(\ Floor/roof framing. Basement and retaining walls.
>c Beam calculations. Engineer's calculations.
Other(explain):
REMARKS:
FOR OFFICE USE ONLY
Routed to Permit T�cian: Date: Initials:
Fees Due: ;,4\Y ❑No Fee Description: Amount Due:
$ Li(- ---c)C
Y2 �n (\e,�,t�.w -\-D $
Pi .,� $
Special
Instructions:
Reprint Permit(per PE): ❑Yes r*o ❑ Done
Applicant Notified: Date: V/ c171- Initials: ` s9A
I:\Building\Forms\TransmittalLetter-Revisions 061316.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12082 SW REDBERRY CT, TIGARD, OR, 97223 July 9, 2018 at 12:45:33 PM
Record Type: Record ID:
Residential - Master Permit MST2017-00504
Inspection Type: Inspector:
399 Plumbing final David Young
Result:
FA I L
Comments:
Correction #1 from previous inspection not complete.
Backflow test report received. 1 " febco model 850, serial # 70696.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12082 SW REDBERRY CT, TIGARD, OR, 97223 July 9, 2018 at 12:44:13 PM
Record Type: Record ID:
Residential - Master Permit MST2017-00504
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
FA I L
Comments:
Seal all penetrations at HVAC equipment in garage. ORSC R302
Seal ceiling penetration at microwave hood vent. ORSC chapter 11
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12082 SW REDBERRY CT, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2017-00504
Inspection Type: Inspector:
199 Electrical final Aaron Cillo-Gobel
Result:
PASS
Comments:
A/C installed
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12082 SW REDBERRY CT, TIGARD, OR, 97223 July 12, 2018 at 9:54:12 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00504
Inspection Type: Inspector:
699 Mechanical final Aaron Cillo-Gobel
Result:
PASS
Comments:
Previous corrections completed.
A/C installed
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12082 SW REDBERRY CT, TIGARD, OR, 97223 July 17, 2018 at 12:09:38 PM
Record Type: Record ID:
Residential - Master Permit MST2017-00504
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - CofO
Comments:
Corrections complete as noted on previous inspection.
Final erosion control approved.
Street tree certification received.
Moisture content form received.
Moisture barrier form received.
High efficiency lighting form received.
Blower door test report checked.
Insulation certification checked.
C of 0 left on site with approved plans.
Violation Summary:
Inspector Contractor