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Permit
CITY OF TIGARD MASTER PERMIT ' ■ COMMUNITY DEVELOPMENT Permit#: MST2018-00090 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/26/2018 T I c"' Ii�� 9 Parcel: 2S104AB00100 Jurisdiction: Tigard Site address: 11999 SW REDBERRY CT Subdivision: PROGRESS LANDING Lot: Project: Progress Landing, Lot 10 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1179 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23.5 Bathrooms: 3 Second: 1447 sf Garage: 563 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2626 sf Value: $324,355.77 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 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: 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: 5 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!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 2626 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: $31,359.29 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 through OAR 952-001-0090. ou may••,ain a copy oft e rules or di -ct questions to OUNC by calling 503.232.1 or 1.800.332.2344. Issued By: .6. ZI Li A../ /, ��dL.r/ Permittee Signature: -- 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. • Building Permit Application Residential :` w FOR OFFICE usE 0\l.1 City of Tigard Received • Date/By: �/ ,/, 4i`I .. ennit N 1,1 . 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Reviewlei Jj(9 ( ^ /, a Phone: 503.718.2439 Fax: 503.598.1960 Date/By: C/tL Other Pergq (G� T I G 1 R D Inspection Line: 503.639.4175 a r Date Ready/B y) ® See Page 2 for Internet: www.tigazd-or.gov Notified M od �r NM Supplemental Information ! r i .r 4c iD W. 'a 4`4 l�� .: i„ r .i ta``, t , ,Jz yt. -yam A st,'.. .I• l ,,..... ll :-,..;,.1.,:1,134.: ®New construction 0 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 � f,c . ' , - : ';, I Y work indicated on this application. j ,--{ ^� ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ 3a 1 l 3��J �}I ❑Accessory building 0 Multi-family Number of bedrooms: 4 ❑Master builder 0 Other: Number of bathrooms: 3 Total number of floors: 2 I Y91 41iJob site address:11999 SW REDBERRY CT. New dwelling area: 2626 square feet 1kit-k? City/State/ZIP:TIGARD.OR Garage/carport area: 563 square feet '`1-1 Suite/bldg./apt.no.:97223 I Project name:PROGRESS LANDING Covered porch area: square feet Cross street/directions to job site:SW WALNUT ST.&SW 135TH AVE Deck area: 0 square feet Other structure area: 0 square feet Subdivision:PROGRESS LANDING I Lot no.:10 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 equipment,materials,labor,overhead,and the profit for the ° i ',. work indicated on this application. Construction of SFR Home Valuation: $ Existing building area: square feet New building area: square feet tiiiii '�' `rrA -4,-` } , Number of stories: Name:Riverside Homes,LLC Type of construction: Address:17933 NW Evergreen Parkway,Suite 370 Occupancy groups: City/State/ZIP:Beaverton,OR 97006 Existing: Phone:(503)645-0986 Fax:( ) New: g!lirtPli Business name:Same as Above ° Structural plan review fee(or deposit): Contact name:Nikki Pruett FLS plan review fee(if applicable): Address: Total fees due upon application: City/State/ZIP: Phone: Amount received: ( ) Fax::( ) la _" E-mail:npruett@riversidehome.com71 , ,:',t",4,,,lit,"- `° j . , ; ��; Commercial and residential prescriptive installation of , , ,'.d_ , roof-top mounted Photo Voltaic Solar Panel System. Business name:Riverside Homes,LLC Submit two(2)sets of roof planwith connection details and fire department access,along with the 2010 Oregon Address:17933 NW Evergreen Parkway,Suite 370 Solar Installation Specialty Code checklist. City/State/ZIP:Beaverton,OR 97006 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(503)645-0986 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.:189148 . Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Nikki Pruett Date:3/14/18 *Fee methodology set by Tri-County Building Industry Service Board. I:`Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) ` Mechanical Permit Applica 1 l t `'' N)R U I l R I I ',I:U y I.1 City of Tigard Received Permit No.: Date/By: ;, u 13125 SW Hall Blvd.,Tigard,OR 9722 ,Y Plan Review _ Phone: 503.718.2439 Fax: 503.598.1960 t.; other Permit: Date/By: 11,.-\R l) Inspection Line: 503.639.4175 Date Ready/By: Janis: la See Page 2 for Internet: www.tigard-or.gov , et a '° .t., y Notified/Method: Supplemental Information TYPE%II-WORK{'v 'k 1 d L..:,:]i.f r 1 Q COMMERCIAL FEE* SCHEDULE— USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® I-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 �,�, . IS Job site address: 11999 SW REDBERRY CT. Furnace 100,000 BTU(ducts/vents) r 46.75 `1lp.15 City/State/ZIP: Tigard, OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: PROGRESS LANDING Duct work r 23.32 2;."32. Cross 'S 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 -2i 23.32 4t,.9l O Subdivision: PROGRESS LANDING Lot no.: 101e1' 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 1 23.32 ) 2 DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 �` Flue vent for water heater or gas Construction of SFR fireplace "2.--- 23.32 14(i,4 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 l PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation: Name: Riverside Homes, LLC Range hood/other kitchen 33.39 ;5391 equipment Address: 17933 NW Evergreen Parkway, Suite 370 Clothes dryer exhaust L 33.39 ,.al Single-duct exhaust(bathrooms, Cityistate/zIP: Beaverton,OR 97006 Sin g compartments,utilityrooms) 23.32 toilet partm � 1W.WO Phone:( 503) 645-0986 Fax:( ) Attic/crawlspace fans 23.32 El APPLICANT 0 CONTACT PERSON Other: 23.32 Fuel piping: Business name: Same as above $14.15 for first four;$4.03 for each additional Contact name: N't Y-K-k P E:11- Fumace,etc. 1 1,4-IS Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater 1 qr.1 Phone:( ) Fax::( ) Fireplace k 1� ,�` Range 1 -lS E-mail: fl() c.It fAve vi I j1 .CON Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name: Pro Heating&Cooling MECHANICAL PERMIT FEES* Address: 2095 NW Alocleck Rd.#1103 Subtotal Cho;'11 City/State/ZIP: Hillsboro OR 97124 Minimum permit fee($90.00) ' Plan review(25%of permit fee) Phone:(971 )205-4989 Fax:( ) State surcharge(12%of permit fee) CCB lic.: 209001 ' TOTAL PERMIT FEE IlAtt 1 This permit application expires If a permit is not obtained within 180 days after it has been accepted as complete. Authorized signaturOr e * Fee methodology set by Tri-County Building Industry Service Board Print name: 1\1 ipuie l ` Date: 11/30/2017 I:\Building\Permits\MEC_PermitApp_040113.doe 440.4617T(II/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:1BuildingiPermits\MEC_PermitApp_040113.doc 2 Electrical Permit Application 1()It 0111( 1 1 ',I OM 1 1 Cl ofTigard Received 13125rS Halt Blvd.,Tigard,OR 97223 `'` A 3 '1 Date/B : Permit#: Plan Review Ili I Phone: 503.718.2439 Fax: 503.598.1960 Date/B : " Inspection Line: 503.639.4175 Ready Date/By: Saris: H See Page 2 for I It,A R 1) Internet: www.tigard-or.govNotified/Method: Supplemental Information PLAN REVIEW 4 New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition 0 Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION 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 ags. ❑Multi-family ❑Master builder 0 Other: Firers forallother installations. Inbustallation 0 pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system larger separately derived Job#: Job site address: 11999 SW REDBERRY CT. ❑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: PROGRESS LANDING ❑Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: SW WALNUT ST. &SW 135 AVE FEE SCHEDULE Descdpdos I Qtr. I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision: PROGRESS LANDING Lot#: 10 Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 Construction of SFR (with above sq.ft.) Limited energy,multi-family 75.()0 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 tsi PROPERTY OWNER I 0 TENANT 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 2 401 amps to 600 amps 200.34 2 City/State/ZIP: Tigard, OR 97223 601 amps to 1,000 amps 301.04 2 Phone:( 503) 645-0986 Fax:( ) Over 1,000 amps or volts 552.26 2 Email: bgroves�riversidehome.COm Temporary services or feeders installation,alteration,and/or 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: Same as above above service or feeder fee, � each branch circuit 7.42 2 Contact name: 1v4'( /(mak\ PfAkeAt 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:Afaittt s@riversidehome.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Gamer Electric Sign or outline lighting 67.84 2 Address: 2920 SE Brookwood Ave#1 Signalnl, len or extension. 0 See Page 2 2 panel,alteration,or extension. 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 „� Industrial plant(1 hr min) 78.18/hr Email: ge@garnerelectric.COm 34f 3 6 see 7/i/)0 (v/I f i Inspections for which no fee is CCB Lic.: 121159 Electrical Lic.: 8 I Suprv.Lic.:3)O7 S specifically listed(h hr min) 90.00/hr Suprv.Electrician signature,required: A � v ELECTRICAL PERMIT FEES Subtotal: Print name: Chuck Gamer Date: 11/30/2017 ❑Plan Review Required(25%of permit fee): ato State surcharge(12%of permit fee): Authorized signature: IAV` or TOTAL PERMIT FEE: � This permit application expires if a permit is not obtained within 180 Print name: l vi 1 V_t_1 +pl_,,l e Date: 11/30/2017 days after it has been accepted as complete. • Number of inspections allowed per permit. 1:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Dacriptloe 1 Qty. .1 Each I Total ( ' Fee for all residential systems combined: $75.00 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 50.01 to 100 kva 552.26 2 ❑X Garage Door Opener* >100 kva(fee in accordance 552.26 2 with OAR 918-309-0040) 0 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: El Other Each additional inspection is 66,25/hr 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed('h hr min) COMMERCIAL WO ONLY: ELECTRICAL PERMIT FEES Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 + Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: El Audio and Stereo Systems El Boiler Controls El Clock Systems El Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation El Intercom and Paging Systems El Landscape Irrigation Control* El Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling El Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 - Plumbing Permit Applicata wi Building Fixtures I OR OI l l( ►: 1 l. 0\►.1 City of TigardK, Received Permit No.: •lig13125 SW Hall Blvd.,Tigard,OR 9722 ° Date/By: Review • Phone: 503.718.2439 Fax: 503.598 1960 Other Permit No.: DateBy: i it,,N It I) Inspection Line: 503.639.4175 , ,a; - - - Date Ready/By: Jurist 0 See Page 2 for Internet: www.tigard-or.gov Supplemental Information TYPE OF al ms,' k.,„ o �x i,+ FEE* SCHEDULE ®New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I Total 0 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 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 11999 SW REDBERRY CT Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: TIGARD, OR 97223 Footing drain(no.linear ft.: ) Page 2 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.: 10 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Construction of SFR Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name: Riverside Homes, LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 17933 NW Evergreen Parkway, Suite 370 Garbage disposal 25.02 City/State/ZIP: Beaverton, OR 97006 Hose bib 25.02 Phone:(503) 645-0986 Fax:( ) Ice maker 12.51 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: Same as above Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: N I KL 1912-Liell 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:1 ktt'.& 1),riversidehome.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name: H & H Mechanical Water piping/DWV 56.29 Address: 5757 SE Willow Ln Other: 25.02 City/State/ZIP: Milwaukie, OR 97267 Subtotal Phone:(503) 975-9787 Fax:( ) Minimum permit fee: $72.50 CCB Lic.: 178122 bang Lic.no.: PB414 Plan review (25%of permit fee) i State surcharge(12%of permit fee) Authorized signature: ,/ttj TOTAL PERMIT FEE Print name: N v I l rizie ti Date: 11/30/2017 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. Ili ilding\Permits\PLMU•Permi*App.doc 10/01/09 440-4616T(t0/O2/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 futures? If"yes", please indicate work performed by future. Failure to accurately report fixtures could result in increased sewer fees*. Quantly by Fixture Type Plan Review for Plumbing Installations Fixture Type for Added Relocate Plan review is required for any of the following. Work Performed: Please check all that apply. Baptistty/Font 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 Thar 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" Isometric or Riser Diagram Car Wash Drain 0 Isometric or riser diagramisired for new buildings Garbage -Domestic-non-food required g 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 *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 f Plumbing Permit Applicata f Building Fixtures 1#.:- "- FOR OFFICE LSE ONE MAY'+°J 2. 2-3';1 d Received �,(� 1 - City of Tigard ;t Date/By: /O�l /6(--* �7t7 `em it NQS'% d/f 'e an) 11 r 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.I�Ail `h` Date/B Other Permit No.: Inspection Line: 503.639.4175 a til 4*�' y l 1�; R t) i�...�i �• • '- Date Ready/By: Juris: QI See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information 4 t ' It B l J New construction 0 Demolition For special information use checklist Description Qty. Ea. Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) sr.:, • • s• e t c SFR(1)bath 312.70 ® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler(_sq.ft-) Page 2 t : • i '. a t t 4. ' "$ Site utilities: Job site address: 11999 SW REDBERRY CT Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: TIGARD, OR 97223 Footing drain(no.linear ft.:-) Page 2 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.: 10 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 31.27 s Backwater 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 a r § Expansion tank 12.51 Fixture/sewer ca 25.02 Name: Riverside Homes, LLC p Floor drain/floor sink/hub 25.02 Address: 17933 NW Evergreen Parkway, Suite 370 Garbage disposal 25.02 City/State/ZIP: Beaverton, OR 97006 Hose bib 25.02 Phone:(503) 645-0986 Fax:( )*.w,...1,.. ..•,, Ice maker 12.51 g `1$ '� c Interceptor/grease trap 25.02 .11 . i1, `, - ss 0 ,.• i e Medical gas(value:$ ) Page 2 Business name: Same as above 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 «, 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: TOTAL PERMIT FEE 35.02 Print name: Wes Boisvert €6())4�� Date: 5/17/18 p Thispermit 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-PemdtApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Su t t ression S stems: - . •�: �,t- 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 Medical Gas S stems: Water Service-each additional 100' 37.52 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 thefirst$5,000.00 and$1.52 for t a t s s each additional$100.00 or fraction thereof,to m 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 charl 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 chaz eon 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 chaz 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*. gq WViii'Oertor edi .s C. Plan review is required for any of the following. Please check all thatapply. Baptistry/Font Bath -Tub/Shower ❑ 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 ❑ 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 tttt a r «i st attiti •444.01 1-11' Car Wash Drain Garbage -Domestic-non-food 0 Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the I 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 ■ COMMUNITY DEVELOPMENT DEPARTMENT ■ T 1 G A K D Building Permit Review — Residential Building Permit #: t1S i O/eP —6e/C, 0 Site Address: it M/ SJ rJ(jtr7 Ci-. . Project Name: N `��rtJJ Lot #: 10 (New'w`Ylwelling=subth inion name;Addition or Alteration=last name of owner) Planning Review S Proposal: New' Fi iz CAJl c 4 a£ ; dyerify site address/suite#exists and active permit system. Iffil River Terrace Neighborhood: o ❑ Yes,See River Terrace Review Addendum Attached Site lan Elements: / 11 . ee(3)copies of site plan LSg ting structures on site L . e plan must be on 8-1/2"x 11"or 11 x 17"paper 3-footprint of new structure(including decks)with finished L P.rawn to scale(standard architect or engineer scale) fl..r elevations I Iybrth arrow e lity locations&easements(required for new and additions) 2'SSde address,project or subdivision name and lot number EB sidewalk/driveway approach Epplicant information(name and phone number) !t: •cation of wells/septic systems t dimensions and building setback dimensions Ii xisting trees to be retained with drip line,and tree F, quare footage of buildings to be demolished ppbtection measures Lr'1 .t area,building coverage area,percentage of coverage and ,��t et tree size,type and location E:u pervious area(applicable if R-7,R-12,R-25&R-40) treet names 6irr"!roperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? I/ es ❑No 4 oot differential If yes,is a storm water quality facility shown? ❑Y ]No Clean Water Services—Service Provider Lettep-(lot platted prior to 9/10/1995): */lui4 L/i,41 equired: ❑ Yes,applicant was notified gNo Received: ❑ Yes ❑ No J t' LJ Public Faciliti Improvement(PFI) Permit: 1,Q Ude 5equired: Lg. Yes,applicant was notified ❑ No Applied For: 111(Yes ❑ No,stop intake L�od/�'and Use Case#: SU82016 '00006 LI P 12.O(7`-OOD3 f L� oning. R- .g 'Required Setbacks: Front 2...0 Rear 5 Side S Street Side i 1 Garage litt Landscape Requirement: VA 0/0 Lot Coverage Maximum: k14 % [I uilding Height: Maximum Height 30 Actual Height 2-3,S 1!yisual Clearance R/ lld Sensitive Lands: ❑ Yes Ltd' No Type rban Forestry Plan 2 Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: Date: 3--t f- Revisions (after Building Submittal only) Reviewer Date Revision 1: .15.Approved 0 Not Approved reAVA scitpoca..k At, .1 12-IIi:. Revision 2: 0 Approved ❑ Not Approved Revision 3: ❑ Approved 0 Not Approved I:\Building\Forms\BldgPermitRvw_RES_061417.docx Building Permit Submittal Original Submittal Date: 37�/A -- Site Plans: # Building Plans: # Building Permit#: ©'Enter building permit#above. Workflow Routing: [9-Planning L-Engineering ❑ rmit Coordinator ilding Workflow Sign-off: g--Sign-off for Planning(include notes from planning review) Route Application Documents: Er-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Yuilding. original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: 4):-. P<‘‘'7,ei----s----- Date: -17li�/66- Engineering Review LY ope at building pad: ,5/a . oLlnditions "Met"prior to issuance of building permit Y/./Conditions (encroachments)per engineering conditions of approval and plat 2 Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes ❑ No Assess Water Quantity Fee in-lieu: 0 Yes 0 No LIDA Facility on lot: 0 Yes 0 No anal Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: 1(1---P roved by Engineering: Date: 3 g2 a Revisions (after Building Submittal on y) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved ❑ Not Approved Permit Coordinator Review XConditions"Met"prior to issuance of building permit 0 Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: ACSDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA 0 Yes XN/A X/OK to Issue Permit Approved by Permit Coordinator: G f — Date: '312:2 (tB I:\Building\Forms\BldgPermitRvw_RES_010118.docx City of Tigard Nu II II COMMUNITY DEVELOPMENT DEPARTMENT T CARD Building Permit Review — Residential Building Permit #: /7-S132-0/i --ppa'91 Site Address: . 1111'1 SV K4btrr C-4-, Project Name: P tired tndjnm Lot #: 10 (N welling=subsion name;Addition or Alteration=last name of owner) Planning Review ,/� Proposal: Kk i S F)Z — t?rivi.SrCA Sc_A—to G S L/)Terify site address/suite#exists and active,in permit system. LE'' River Terrace Neighborhood: o 0 Yes,See River Ternice Review Addendum Attached Site 'Ian Elements: U i ee(3)copies of site plan N4isting structures on site E . e plan must be on 8-1/2"x 11"or 11 x 17"paper afootprint of new structure(including decks)with finished L P rawn to scale(standard architect or engineer scale) fl..r elevations Li>6rth arrow t3 ility locations&easements(required for new and additions) L'Siye address,project or subdivision name and lot number �idewalk/driveway approach l 543pplicant information(name and phone number) rdF. •cation of wells/septic systems t dimensions and building setback dimensions I7. xisting trees to be retained with drip line,and tree r4.quare footage of buildings to be demolished pybtection measures Nf'1 .t area,building coverage area,percentage of coverage andet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) treet names —/ CFEirl4roperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? C es ❑No 4 oot differential If yes,is a storm water quality facility shown? ❑YW4 lNo Clean Water Services—ServEice Provider Lettot platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified LIO No Received: �� �� pp ❑ Yes ❑ No �Q� U�� Public Facilitig§Improvement(PFI) Permit: / [quired: (g Yes,applicant was notified ❑ No Applied For: tad Yes ❑ No,stop intake ��and Use Case#: SU8Zdr6 -00006 ` , i°FY210(1---0003 ( oning: R-Al.; L( Required Setbacks: Front 2.D Rear is Side S Street Side IC Garage 2O U Landscape Requirement: Jul 0/0 iM4Lot Coverage Maximum: � % Visual Height: Maximum Height 30 Actual Height 2-3.5 Visual Clearance Iii Sensitive Lands: ❑ Yes Ltd' No Type J Trban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: Date: 3-1/4 Revisions (after Building Submittal only) Reviewer Date Revision 1: X Approved 0 Not Approved re\Ved k -t,,(, 1 )2j It Revision 2: ❑ Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:\Building\Forms\BldgPennitRvw_RES_061417.docx Building Permit Submittal Original Submittal Date: 3, Vie - Site Plans: # 3 Building Plans: # Building Permit#: O'Enter building permit#above. Workflow Routing: [ Planning C7-ngineering ❑ t Coordinator ding Workflow Sign-off: p-Sign-off for Planning(include notes from planning review) Route Application Documents: [ -Engineering: (1) copy of permit application, (1) site plan, (1)building plan and og al plan review routing form. 'Building original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: :,4 if rte— Date: /.0i//ate' Engineering Review [ ope at building pad: til,54 CConditions "Met"prior to issuance of building permit asements (encroachments)per engineering conditions of approval and plat +L� Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 0 No Assess Water Quantity Fee in-lieu: 0 Yes 0 No LIDA Facility on lot: 0 Yes 0 No mal Plat Recorded: 0 NOT Approved by Engineering: Date: Notes: 1E7Approved by Engineering: AP,""- ' Date: 3/,?2i? Revisions (after Building Submittal o I ) ewer Date Revision 1: 1E'Approved 0 Not Approved 7//O/ Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review XConditions"Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: , SDC Fees Entered: Wash Co Trans Dev Tag: Yes 0 N/A Tigard Trans SDC: Yes 0 N/A Parks SDC: Yes 0 N/A LIDA 0 Yes XN/A WOK to Issue Permit G), n Approved by Permit Coordinator: OJemcc/(_ Date: 3IZ�i(�8 1 atLS ` t P 1% lABuildingWorms\BldgPennitRvw_RES 010118.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 a Transmittal Letter etter 1 !C,A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: 741\50() DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED JUN 2 2018 FROM: W: r `S kiiiA- COMPANY: iVQU€ 1.- t,/,\2.-; , L-LC_ BuiLDING nlvisIl i PHONE: D .-• Ll —1 400 74(..... RE: \\CM, s w ,e0\\04-f7 C7 . 4R 1 )\ -O004.0 (Site Address) (Permit Number) Q!e \ SS ���r\\ L* Io (Projecrname or subdivision nadne and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. 3 Revisions: 5 co a Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: FO O FILE USE ONLY Routed to Pe ' e ician: Date: -7 to i'qj Initials: ' Fees Due: YA'❑No Fee Des 'pti n: Amount Due: 1/2 �►n f $ Litb $ Special Instructions: Reprint Permit(per PE): E Yes ❑ Done Applicant Notified: /-ez.._ Date: 7(1 /f Initials: ,HC-- I:\Building TormsgransmittalLetter-Revisions 061316.doc 41 k r Electrical Permit Applicatik;,q, ,.r , `. FOR OFFICE USE ONLY City of Tigard Received 25 E P 1 ' 2013 Date/B : (i / l! '_ :, 0 J ,� Tei • 13125 SW Hall Blvd.,Tigard,OR 972 Plan Review I Phone: 503.718.2439 Fax: 503 598,1,960 DateBy: Related Permit#: Inspection Line: 503.639.4175 L - .. Ready Date/By: Juris: I WI See Page 2 for 1.1 G A RI) Internet: www.tigard-or.gov C5U U.- .ul -' -./ Notified/Method: .. Supplemental Information ®New construction ❑Addition/alteration/replacement !�:• that apply(submit 2 sets of plans whtems checked): I I C • e or feeder 400 amps or more 0 Building over three stories. 0 Demolition 0 Other: 43-• where the available fault current 0 Marinas and boatyards. "r a v CA,tit" OF C4. '7 RUTIN 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 amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE'-INFORMATIO$AND LOCATION 0 Emergency system. larger separately derived Job#: Job site address: 11999 SW REDBERRY CT. ❑Addition of new motor load of system. 100HP or more. ❑"A","E","1-2","1-3", ❑Six or more residential units. occupancy. City/State/ZIP: Tigard, OR 97223 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: PROGRESS LANDING 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: SW WALNUT ST. &SW 135 AVE : k °` r'.-7: FEE; EDULE` : Description I Qty. Each 1 Total New residential single-or multi-family dwelling unit. Subdivision: PROGRESS LANDING Lot#: 10 Includes attached garage. _ 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'l 500 sq. portion or 33.92 1 DESCRIPTION OF WORK Limited energy,residential Construction of SFR (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 PROPER*V'OWNER .v- Services or feeders installation,alteration,and/or relocation ' [� Q TEAIANT `' 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 z 401 amps to 600 amps 200.34 2 City/State/ZIP: Tigard, OR 97223 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: wboisvert@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 i Branch circuits-new,alteration,or extension,per panel s r A.Fee for branch circuits with ..... �Ll�w, �...r,-a::. ;,�,r� ., mzw�.�,..,.a.-, ....�;� t� T �Ea {il. ,. '#�,�:. Business name: Same as above above service or feeder fee, each branch circuit 7.42 2 Contact name: Wes Boisvert 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: wboisvert@riversidehome.corn Reconnect only 67.84 2 i .,? ONTRACTO t ,N. I IN„IN>`-' , 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 0 See Page 2 2 Address: 2804 NE 65th Ave. St. D panel,alteration,or extension. City/State/ZIP: Vancouver, WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( 360)518-7589 Fax:( ) Investigation(1 hr min) 90.00/hr Email: �5 G e . 4 ff- �v y`fO 74i Industrialspecos plant which(1 hr min) 78.18/hr i / /l!/�r [� Inspections for no fee is 90.00/hr CCB Lic.: 172549• I Electrical Lic.:.C.22.0 Suprv.Lic.crZ specifically listed C=hr min) / ELECTRICALY PERMIT FEES Suprv.Electrician signature,required: (2w •,p_ to ll l q Subtotal: Print name: Chester Garrett I Date: 9/11/2018 0 Plan Review Required(25%of permit fee): �/� rf State surcharge(12%of permit fee): Authorized signature: i,/IIfi�� TOTAL PERMIT FEE: ” / This permit application expires if a permit is not obtained within 180 Print name: Wes Boisvert Date: 9/11/2018 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PennitApp_ELR_ERE.doc Rev 06/172015 440-4615T(11/05/COM/WEB City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT !Pi = Request for Permit Action TI .i AR n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 •www.tigard-or.gov TO: CITY OF TIGARD Building Division C � 13125 SW Hall Blvd.,Tigard,OR 97223 V :`.; 201 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@t l or:gov ... FROM: ❑ Owner ® Applicant ❑ Contractor ❑ City Staff Check(✓)one REFUND OR Name: INVOICE TO: (Business or Individual) Riverside Homes, LLC-Wes Boisvert Mailing Address: 17933 NW Evergreen Place, Suite 370 City/State/Zip: Beaverton, OR 97006 Phone No.: 503-645-0986 PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): ❑ CANCEL/VOID PERMIT APPLICATION. ❑ REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). ❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). ❑X REMOVE/REPLACE CONTRACTOR ON PERMIT (do not cancel permit). Permit#: MST2017-00090 Site Address or Parcel#: 11999 SW REDBERRY COURT Project Name: PROGRESS LANDING Subdivision Name: PROGRESS LANDING Lot#: 10 EXPLANATION: CHANGED ELECTRICAL SUBCONTRACTOR-SEE ELECTRICAL PERMIT Signature: Date: 9/11/18 Print Name: Wes oisvert Refund Policy 1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of: • Any fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80%of the application or permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 3-4 weeks for processing refund requests. FOR OFFICE USE ONLY Route to Sys Admin: Date By Route to Records: Date By Refund Processed: Date By Invoice Processed: Date By Permit Canceled: Date By Parcel Tag Added: Date By L\Building\Forms\RegPermitAction_092314.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11999 SW REDBERRY CT, TIGARD, OR, 97223 November 30, 2018 at 10:32:55 AM Record Type: Record ID: Residential - Master Permit MST2018-00090 Inspection Type: Inspector: 199 Electrical final Jeremy Burrows Result: PASS Comments: Corrections completed Note: no A/C Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11999 SW REDBERRY CT, TIGARD, OR, 97223 November 30, 2018 at 10:32:52 AM Record Type: Record ID: Residential - Master Permit MST2018-00090 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: Note: No A/C Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11999 SW REDBERRY CT, TIGARD, OR, 97223 December 3, 2018 at 1 :21 :34 PM Record Type: Record ID: Residential - Master Permit MST2018-00090 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 75 psi Note: 1 " irrigation backflow device Febco model 850 located back yard next to patio approved with test report Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11999 SW REDBERRY CT, TIGARD, OR, 97223 December 4, 2018 at 2:34:12 PM Record Type: Record ID: Residential - Master Permit MST2018-00090 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: PASS - CofO Comments: Final erosion control passed Street tree certificate received Moisture content form received High efficiency lighting form received Insulation certification received Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor