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Permit (52)
CITY OF TIGARD MASTER PERMIT ' COMMUNITY DEVELOPMENT Permit#: MST2017-00503 and OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Date Issued: 07/30/2018 Ti[�;OR D9 Parcel: 2S104AB00100 Jurisdiction: Tigard Site address: 12100 SW REDBERRY CT Subdivision: PROGRESS LANDING Lot: Project: Progress Landing, Lot 1 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 Bathrooms: 3 Second: 1447 sf Garage: 379 sf Front 20 Smoke Dwelling Units: 1 Third: 0 sf Right 5 Detectors: Yes Total: 2626 sf Value: $316,059.21 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 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 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 addl 500 sf: 4 201-400 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: 503-645-0986 PHONE: 503-645-0986 FAX: 503-690-2942 Total Fees: $31,286.74 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 5 '32.1987 o/.800.332.2344. Issued By: f iGE� Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Buie Permit Application _ ,' ' Residential .t , .d�„.; _� I .f 2 -0 7-- City of Tigard DEC 13 017 FOR orHlcr Isl, oNi.� 13125 SW Hall Blvd.,Tigard, Received IN G OR 97223 Date/B Phone: 503.718.2439 Fax: 503.59819 �y �� Permitl T I G e1 R D' Inspection Line: ��'� �� ��� # f�r'i`$'��� Plan Review �) 7 r 503.639.4175 ' S" `'y!"'003_63 Internet: www,tig 03.63. ov Date/B g a '°1 ate Read _"A d, Other Permit: z,€..1 y/By: .� ?i� /� Nohfied Method ��/.�® 0 See Page 2 for �(wHew�t Ya}ar y g q jam+ F.. , , y�s'���] Supplemental Information ®New construction �''"" * .°; ;;:'2,4-:';':44':,4,1i 0 . Demolition �-`���� * �.. t ❑Addition/alteration/replacement Permit fees*are based on the value of the work performed. N T x 0 Other: Indicate the value r ; (rounded to the nearest dollar)of all fro • equipment,materials,labor,overhead,and the profit for i' ® I and 2-family dwelling� � 1" � .= t. work indicated on this application. 0 Commercial/industrial Valuation: _ � ❑Accessory building $ ❑Master builder 0 Multi-family Number of bedrooms: 4 , 111 0 Other: + ��x `' i�t � Number of bathrooms: 3 Job site address:12100 SW N REDBERRY CT. " "` :' Total number of floors: 2 3bo City/State/ZIP:TIGARD.OR New:..- ling area: 2626 square feet Suite/bldg./apt.no.:97223 Project name:PROGRESS LANDING �• i c��'� Cross street/directions to job site:SW WALNUT ��.-r= square feet t "��. ST.&SW 135 Covered pore area: . E '�AVE square feet Deck area: 0 square feet Other structure area: 0 square feet PROGRESS LANDING � '` �' " "; Subdivision:X P no.: Lot no.:01 the , e ofthe Permit fees*are based on value � �.." ll Indicate the valuethe work performed, ' a$ (rounded to the nearest ro Construction '";� "W 7 7 equipment,ted on ls,labor, dollar)theprofitf f n of SFR HO < .A: t r Home " ": x work indicated on this a•slication.ead,and the for the Valuation: $ Existing building area: square feet ». " < , x. ; New building area: Square feet rPROP�R t r &.a:' v xa :.a !tea Number of stories:-r".7"-- ...:414f0,,,"-z.‘, "o- tr rr' .r .}; x Name:RiversideHomes,LLC Type of construction: Address:17933 NW Evergreen Parkway,Suite 370 Occupancy groups: City/State/ZIP:Beaverton,OR 97006 Phone:(503)645-0986 r > @xa: a x . " 3"rs via -.'''..44:::, r s , Business name: t,': Same as, Above = r x ix Contact name:Brett ' „ lr M t" a d t w' Bre Groves .•;�'''+ :14'.. ,';,,,., :, „ '.i'''';'''',"'•r ," 'r r Address: Structural plan review fee(or deposit): City/State/ZIP: FLS plan review fee(if applicable): IIIIIIIIII Phone:( ) Total fees due upon application: E-mail:bgroves@riversidehome.com Amount received: Pte,sx *IIIIIIIIII ,. Business name: �� �� CONTRACTOR� �` y.« Commercial and residential prescriptive installation of Riverside Homes,LLC roof-to Address:17933 NW Evergreen Parkway,Suite 370 roof-top mounted Photo Voltaic Solar Panel System. Submit two(2)sets of roof plan with connection details City/State/ZIP:Beaverton,OR 97006 and fire department access,along with the 2010 Oregon Solar Installation Special Code checklist. Phone:(503)645-0986 Permit Fee(includes plan review CCB lie.:189148111M1111111111111111111111111 and administrative fees): $19 r� State surcharge(12%of permit fee): / .1 / Authorized signature: Total fee due upon application: Print name:Brett Groves This permit application expires if a permi Date:11/30/2017 *Fee thin 180 8ays after it has been acce, I:�Building�Permits�BUP-RESPermitAmethodology set by Tri-County Br. pp.doc 02/24/2011 Service Board. 440-4613 T(11/02/COM/WEB) Building Permit Application Checklist 'One-and Two-Family Dwelling Folz OFFICE USE OI City of Tigard Received ll 1.- h 1 Date/By Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 V Associated permits: IN Phone: 503.718.2439 Fax: 503.598.1960 i.1 u, R 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1s N o 1/,k 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ 0 ❑ 3 Verification of approved plat/lot. 0 0 ❑ 4 Fire district approval required. Name of district: • ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . 0 0 0 6 Sewer permit. ❑ 0 ❑ :J.\Water district approval. ❑ 0 0 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0 9 Erosion control El plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 ❑ ❑ basin protection,etc. 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 10) e1=1 CIbuilding codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if Sites a! lot Ian drawn to scale. he plan must show lot and building setback dimensions;property corner elevations(if ❑ ❑ ❑ there is more t an a 4- .e evation 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. 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. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- El ❑ floor,wall construction,roof construction. More than one cross section may be required to clearly portray 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. X ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. 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- 21- ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing AS 0 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered g ❑ systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 0 W 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ri for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or El El architect licensed in Ore!on and shall be shown to be a..licable to the .ro'ect under review. 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". a ❑ ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 7411 ❑ ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ 0 ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 ❑ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard El ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ ❑ 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 on a lot of record approved prior to September 9, 1995. I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 1 1,,., .Mechanical Permit Application 1.01z Orel("h, 1 SI OM.v City of Tigard DEC Received 'ermit o.: 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: �S miaow., t II Phone: 503.718.2439 Fax: 503.598.1960 Crn: , f ii" r":d 4 an Review By: Other Permit: Inspection 503.639.4175 r �'` r � an Re I I C ��IL t) P r.� Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov r[3 f 1" i 1 t; )`4,, g i.);,,, 2.6 , C [ ed Method: Supplemental Information ( mit AL n t a OI T 4 9 ; �tI. v r '' ' Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all mechanical materials,equipment,labor,overhead,and profit. ❑Demolition ❑Other: Value:$ .. -� =: GORY:OF CO I t a ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total ,... , ,101I INFC2 VTI �Ar4D LOCATION ,-, Heating/cooling: Air conditioning I 46.75 I{(p.lS Job site address: 12100 SW REDBERRY CT. Furnace 100,000 BTU(ducts/vents) 46.75 (-410•'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 k 23.32 ,s2... 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 4 23.32 2$.732- Subdivision: PROGRESS LANDING Lot no.: 01 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater t 23.32 23.32. ,f r�t • � t'••ply O , s ;�� � b33.39315,,V1315,,V1ra Gasfireplacelinsert 1 � , � ,` Flue vent for water heater or gas Construction of SFR fireplace t 23.32 2-3.52" Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 „ Other: 23.32��1' � PROEITY O z t Environmental exhaust and ventilation: Name: Riverside Homes, LLC Range hood/other kitchen Address: 17933 NW Evergreen Parkway, Suite 370 equipmentesdryer exhaust I 33.39 3?,91 City/State/ZIP: Beaverton, OR 97006 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) S 23.32 4440 1/0 Phone:( 503) 645-0986 Fax:( ) Attic/crawlspace fans 23.32 wA r ., _ . jp;+CONTACT p „tom`` Jit Other: 23.32 Fuel piping: Business name: Same as above $14.15 for first four;$4.03 for each additional Contact name: BRETT GROVES Furnace,etc. 4 4.15 Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater 4 L.03 Phone:( ) Fax::( ) Fireplace 4 4,0 Range I 4-0S E-mail: bgroves@riversidehome.com Barbecue " ''''''r,:;<1..„,,�� � �� cox cT � � '?7,::,:i. .�. �,:. . � Clothes dryer(gas) Business name: Other. Pro Heating&Coolingw. Address: 2095 NW Alocleck Rd.#1103 1 _ is Gfi IutiHr subtotal .= � � City/State/ZIP: Hillsboro, OR 97124 Minimum permit fee($90.00) Phone:(971 )205-4989 Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lie.: 209001 11 TOTAL PERMIT FEE t This permit application expires if a permit is not obtained within 180 r days after it has been accepted as complete. Authorized signature: 74 i-" * Fee methodology set by Tri-County Building Industry Service Board Print name: Brett Groves fr Date: 11/30/2017 1 .. I:\Building'Permits\MEC_PermitApp_040113.doc 440-46171(I 1/02/COM/WEB) • • Mechanical Permit Application - City of Tigard Page 2 -Supplemental Information Commercial&Multi-Family Fee Schedule: taw N*1 +.4> ttss to r $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$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. 1:1BuildingWennits\MEC_PermitApp_040113.doc 2 '1'41$ 4 i I l'' le t ': i 4 B-:‘32,t,,, .i.,_ c 1,61,./, • . Electrical Permit Application FOR 01•I•1( L. I SE 0\1,1 DEC I 3 2017 City of Tigard Received Date/B ::. rifil 11 II 13125 SW Hall Blvd.,Tigard,OR 97223 f.-2.,3,41,r,r.-r-,, I Phone: 503.718.2439 Fax: 503.598.1960 t......'It i i (J!..' CA'''',..t A'121,41neview C112511 Inspection Line: 503.639.4175 1 1( AR 1) 3 fi I L DING D TIT' gnieteetod: IIM 0 See Page 2 for Internet: www.tigard-or.gov Supplemental Information , ' ''-, •Mifil.11.CIA': ,,,,';L.:111::444,21:44111I4t :' - , '',A .*?..,:-, ', _,,,, -> 11"„_:;-.!-:',A , ,L"':,..... ..,P2•:-., '' '-••g, Eg]New construction 0 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. 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards. • - , -,I,ICATEGO' :,.:1,:i'.°ICC( k10;t.11:!: e N,:e'..>;:‘,;:%'1; .,;:ct,! , exceeds 10,000 amps at 150 volts or 0 Floating buildings. IR] 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. 0 Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or ,,, ,--s„,i.e.MV. • JOB SITE INFic)::4E::-.. toN,AtsgoOcA:,vs,,;;01,:ite ,.z.,:;;:,..A • 0 Emergency system. larger separately derived Job#: Job site address: 12100 SW REDBERRY CT. 0 AlooddHpition of new motor load of syst,em or more. 0"A',"E, ", 1-2,,,"1.3", 0 Six or more residential units. occupancy. City/State/ZIP: Tigard, OR 97223 0 facilities. 0 Recreational vehicle parks. Health-care 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 ' ' ' ' iii'414—i1 _bul , Description I Qty. I Each I Total I_ * New residential single-or multi-family dwelling unit. Subdivision: PROGRESS LANDING Lot#: 01 Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1 W '.:,ic?..1,414; ,T.,-4..:3'175,... ' .PRIO:119P1,OF WO* iiA Limited energy,residential 75.00 2 Construction of SFR (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable0 See Page 2 ,4k":7 I '.'..:*`:."(-..''''''':...A1'4'0,.'''' ' 5)01:17"f7'' ..,',71.3 TN,-,-: '.1'.:'' 1' Services E or feedersinstallation,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 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 ':1K.::*11':`,. ' 0.*1*,:,LIC:Aeft*:;1 '" 1,:f„:,- tiViiilittior,ft,..,,,i•.,: . ..titsti Branefor hcrircults-new,alteration,or extension,per panel AFe branch circuits with Business name: Same as above above service or feeder fee, 7.42 2 each branch circuit Contact name: Brett Groves B.Fee for branch circuits without service or feeder fee,first Address: 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 67.84 2 dwelling,service and/or feeder Email: bgroves• riversidehome.com Reconnect only 67.84 2 ,' •t,t, ,''..4..,`,,,,M -:.;,te:41,,- ', Pump or irrigation circle 67.84 2 Business name: Garner Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy ,--, see Page 2 2 Address: 2920 SE Brookwood Ave#1 panel,alteration,or extension. ' City/State/ZIP: Hillsboro, OR 97123 Each additional inspection over allowable in any of the above Additional inspection(1 hr mm ) 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@gamerelectric.com /e..t.jos— 7 /2.0 Inspections for which no fee is 90.00/hr CCB Lic.: 121 159 Electrical Lic.: 3,70-7-5. Suprv.Lic.:3 707s specifically listed CA hr min) ..' ELECTRICAL MIT FEES Suprv.Electrician signature,required: a/1,dt_ Subtotal: Print name: Chuck Garner A - Date: 1 1/30/2017 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Al' 0 , ' TOTAL PERMIT FEE: Authorized signature: ' re, i,' (- This permit application expires If a permit Is not obtained within 180 Print name: Brett Groves Date: 11/30/2017 days after it has been accepted as complete. * Number of inspections allowed per permit. 1:113uildingTermits\ELC_PermeApp_ELR_ERE.doc Rev 06/17/2015 440-46157(11/05/COMWEB A Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: >.e� li J Irk%VT 4`7 `s a..rr< .a y ,• tit t, 4 - �. „ Description Qty. Each 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 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 90.00/hr specificall listed( y'� % hr mint Subtotal(Enter on Page 1): ' Fee for each commercial system:e $75.00 Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls C Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation n Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical C Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:1Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 , ti . Plumbing Permit Application '";- �,- - ' '-' Building Fixtures DEC 1 3 2017 rOR Of I 1( 11 1 Si: ON I.) City of Tigard Received Permit N 13125 SW Hall Blvd.,Tigard,OR 97223 1l'-'1 II iqiTta$`a any: v( 572 r�/7 >s03 ,11114 . � ,t x Review II Phone: 503.718.2439 Fax: 503.59$1960 Other Permit No.: Inspection Line: 503.639.4175 t'' t t `� a .1 cl y: !�i A R t) Internet: www.tiand or. ov F..-w- t i...\\: i t ri .0 eady/By: Juos: See Page 2 for g B Notified/Method: Supplemental Information o-lc 4 a v, f 4, ° :-:,.1'. 4 ; I6++M, � r. ,4r T , ' , ,,,,.c ®New construction 0 Demolition For special information use checklist. Description ( Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) •„,i . _Ste' '. k + 2:".,' , f.. a t i w, t f J 1 SFR(1)bath 312.70 ® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath j 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFO11'1,00 LOCATIII!aT ,,,,,,,, ,,40:1,,,., Site utilities: Job site address: 12100 SW REDBERRY CT Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: TIGARD, OR 97223 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: l Project name: PROGRESS LANDING Manufactured home utilities 50.03 Cross street/directions to job site: SW WALNUT ST. &SW 135TH AVE. Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:__) Page 2 1 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: PROGRESS LANDING I Lot no.: 01 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 'i, r , ',„,,,,,op,p4;•',.` . .. gin a „x„ i s Backwater valve 12.51 Clothes washer 25.02 Construction of SFR Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ' tl ® ; t of '0 - Expansion tank 12.51 Name: Riverside Homes, LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 17933 NW Evergreen Parkway, Suite 370 Garbage disposal 25.02 City/State/ZIP: Beaverton, OR 97006 Hose bib 25.02 Phone:(503) 645-0986 Fax:( ) Ice maker 12.51 '" , pipsoo 4Interceptor/grease trap 25.02 Business name: Same as above Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: BRETT GROVES 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: bgroves@riversidehome.com Urinal 25.02 �L'r0 4,-r Water closet 25.02 <. . . . .� .0.- .P, 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 rl Plumbing Lic.no.: PB414 Plan review (25%of permit fee) / State surcharge(12%of permit fee) Authorized signature: / TOTAL PERMIT FEE Print name: Brett Grove t'' 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. I:\Building\Permits\PLMU-PermitApp.doc 10/01109 440-4616T(10/02ICOM/WEB) • 'Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Ite 4Ut itles` g114,-, uT� pear Footage: ° r`.mit 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' 37.52s 7mtez. �' " Storm&Rain Drain-1st 100' 62.54 >alpation' h t ' � $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 each additional$100.00 or fraction thereof,to Other i is , �: Pee� � Iotak 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-112 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*. 1 v Quantity 1by FiXtureTYPe i)4;1;::-TZ: a '. O r Fizturc T `°r ace Plan review is required for anyof the following. Work Perfo �. ry• Capped Added" Relocate q Baptistry/Font Please check all that apply. Bath TublShower 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" Car Wash Drain Isometric:or r"Di ram Garbage Domesticnon-food 0 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 *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:1Users\npruett\Downloads\PLMF_PermitApp(1).doc 2 • Plumbing Permit Applicati CE VE Building Fixtures FOR OFFICE USE ONi.l" City of Tigard JUL /I. 2�� Received Date/By: 7/r ? C` ", e"nit N f, / eve4 1111 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Other Permit No.:l6 Phone: 503.718.2439 Fax: 503.5k814464+;1xY "TIGARD Date/By: Inspection 503.639.4175 TIGARD Date Ready/By: Juris. BI See Page 2 for Internet: www.tigard-or.gov BU gy /IS„ Nottfied/Method: Supplemental Information nice li {Ii+(v°� �i��'�"iitli �,r�ii1 IiN 0 71 i",' R�1W 3k�� ��„{�,f�iy".. pi iii h� �ii w � p liii� � i i hi ii'hid' i�0 41P (I Clid 1 �9i 1 iii OF.WORK �r Ali a 'a9 " r �„gi�s�.j I�Irt° qGh FEEL SCREE! l il�� � pp ®New construction ❑Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) i "." *11, " 'I��i;iHDINI hr�i{. Hilial 4 ) �� '. i II�©N tNe "i"ads .. SFR II) 312.70 ® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: � Fire sprinkler( sq.ft.) Page 2 = S[?13�SPI'E IllFF4'�.R141A�'IC31sI �+� � ISite utilities: Job site address: 12100 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 1 Lot no.: 01 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 31.27 III," I'hl tlIi"Wd4 s M ���'ik�"li"�i ¢yk "''''''''''"1""4":"11' "* "" Backwater valve 12.51 a. I''W ,i, * "a�"ii N .N�id u� r ?TION OF,WORK =` , Ad /V Al i, A,. Clothes washer 25.02 Add backflow for irrigation e Ey/S-T/nf -- /- jt9/r Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ,, 1?P 11 t2' " CIT)1ISNTidlo° t( 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 I Fax ( ) Ice maker 12.51 .e o-, i� i„.moi " uu amssu ii":w w,c� SP:Wliiv iw� -ET APPLICANT 7"kP, 0VAIU.O l Interceptor/grease trap 25.02 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 I, T� io1 * Water closet 25.02 CMIl *,2at,t137.52 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 Lie.: 178122 Plumbing Lic.no.: PB414 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature / , 1 JY, i, ,/ ,,`P' TOTAL PERMIT FEE ✓ This permit application expires if a permit is not obtained within 180 days Print name: Nikki Pruett Date: 7/17/2018 after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\PLMU-Permi1App.doc 10/01/09 440-4616T(10/02/COM/WEB) Albert Shields From: Albert Shields Sent: Thursday,January 25, 2018 10:49 AM To: 'Brett Groves' Subject: RE: Progress Landing revised site plans Brett,we're still waiting on the recorded plat. But we still need revised plot plans for lots 1&3 re contour lines. Albert. From: Brett Groves [mailto:BGroves@riversidehome.com] Sent:Thursday,January 18, 2018 12:25 PM To:Albert Shields<albert@tigard-or.gov> Subject: Progress Landing revised site plans Importance: High Albert, Here are the revised site plans with continuous topo lines across the lots as you requested. Let me know if you need anything else. Thanks, Brett Groves Production Manager 503-481-3138 ell Riverside Homes 17933 NW Evergreen Parkway,Suite 370 Beaverton, OR 97006 503-645-0986 office 1503-690-2942 fax 1 Albert Shields From: Albert Shields Sent: Thursday, December 21, 2017 5:44 PM To: 'Brett Groves' Subject: Progress Landing, MST2017-00503, -00504, -00505, -00506, -00507, -00508, -00509, -00510, Brett, all 8 of these applications need revision to show contour lines. Further,various conditions of approval under SUB2016-00006 need to be met and the plat recorded before we can issue these permits. Accordingly, they will all be on hold as Revisions Needed. Plan Review will continue.-Please let me know if you have any questions. Albert Shields Permit Coordinator City of Tigard A lbert@tigard-or.gov 503-718-2426 1 City of Tigard 11111 ■ COMMUNITY DEVELOPMENT DEPARTMENT ■ T 1 A x D Building Permit Review — Residential Building Permit #: M 5 p U " 00 r Site Address: ii D O k) F, /L.7_ aour÷- Project Name: ,? _e-r..' ��.cjf' , Lot #: I (New dwe if subdivision name;Addition or 'a era i on=last name of owner) Planning Review Proposal: GUe,i ) Q-2 V.Verify site address/suite#exists and activ permit system. $3144iVer Terrace Neighborhood: Of No 0 Yes,See River Terrace Review Addendum Attached Sit Plan Elements: �ree(3)copies of site plan tO l*:sting structures on site 1 L(LJ e plan must be on 8-1/2"x 11"or 11 x 17"paper lr ootprint of new structure(including decks)with finished awn to scale(standard architect or engineer scale) oor elevations Ve orth arrow yfility locations&easements(required for new and additions) Vt1/ o address,project or subdivision name and lot number V Sidewalk/driveway approach .plicant information(name and phone number) hD'..e.cation of wells/septic systems iLI •t dimensions and building setback dimensions )A Existing trees to be retained with drip line,and tree I.i are footage of buildings to be demolishedprotection measures 'Olt', area,building coverage area,percentage of coverage and treet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) L14 Street names IIIProperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? NJYes 0 4 foot differential) If es,is a storm water .uali facili shown? ❑ es VJ No II can Water Services—Service Provider Lett (lot platted prior to 9/10/1995): '.-1440-014€1'/ /2iV✓ �/ PO �t / ti equired: ❑ Yes,applicant was notified r4 No Received: ❑ Yes ❑ No • Public Facili Improvement(PFI)Permit: P7 20 f9- -000/Required: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake Of/Land Use Case#: Qt./A 201(a e oce.)o(e oning: le-- . Required Setbacks: Front ,2 0 Rear lc-- Side ,, Street Side )c Garage ,2Cy Ofrandscape Requirement: 10 i of Coverage Maximum: oda 7 Building Height: Maximum Height 370 Actual Height 12-3 T'/ Visual Clearance f -nsitive Lands: ❑ Yes No Type I! Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit Notes: 0 e ` "I / _ ,....d ' i i :I '/ /_, / _- 'RiIG! i1 , M-- Approved By Planning: � _ Date: . 7 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved 0 Not Approved I:\Building\Forms\BldgPermitRvw_RES_061417.docx Building Permit Submittal Original Submittal Date: //3 Site Plans: # 3 Building Plans: # J Building Permit#: Enter building permit#above. Workflow Routing: Planning p• Engineering Permit Coordinator Building Workflow Sign-off: Pr 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 original plan review routing form. 5 Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: Engineering Review ❑ Slope at building pad: 'Y7 0/Conditions"Met"prior to issuance of building permit 11111cEasements asements (encroachments)per engineering conditions of approval and plat IV 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 Of Final Plat Recorded: [NOT Approved by Engineering: Date: 12�a2'�i Notes: ba& Coti. ✓ t. � Insa/:,de CoA tAt1s-w4� Pi IIAvecowkof Approved by Engineering: Autiet e -i i /44,(/ Date: __,974/ Revisions(after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review O Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: evasions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: (.2 1t i ) P-- Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: rSDC Fees Entered: Wash Co TransDev Tax: ` ' Yes 0 N/A Tigard Trans SDC: Yes 0 N/A Parks SDC: 7EtnIes 0 N/A LIDA 0 Yes N/A OK to Issue Permit Approved by Permit Coordinator: /0/11 : 31/4 / I:\Building\Forms\BldgPermitRvw RES_111617.docx t-0 1 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 _ Transmittal Letter I t,A tt n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: P\ iyv-v t. Lk;'.K v DATE itEkkiVED DEPT: BUILDING DIVISION MAR 7 2018 FROM: V2 int (2) v`c(-) BUILDING Vl l i"V COMPANY: CI- kV t v(;t1;{c t %v^-Y&-c7 PHONE: 0 1-, 1-110 -5/-", By: -j RE: VirM 50 c-k/A1-411,1 C1.- n-) 1- Z 00 - 00 S')3 (Site Address) (Permit Number) ‘r—v vt)s LAI-v\0,15 L-.-D iI (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. X Beam calculations. Engineer's calculations. Other(explain): REMARKS: FOR OFFICE USE ONLY Routed to P ' ec clan: Date: Initials: Fees Due: Yes ❑No Fee Description: Amount Due: $ 1 Z k1vi lOtn � 7 r�A.✓1� W $ it c.va $ $ Special Instructions: Reprint Permit(per PE): ❑ Yes No ❑ Done Applicant Notified: Date: j/f Initials: fiA I:\Building\Forms\TransmittalLetter-Revisions_061316.doc Electrical Permit Application g FOR OFFICE USE()NEN City of Tigard Da e/B d 7 /2- r"4 5% U l • c]] SEP 99 Y ( /I L l (�� 1111 r 13125 SW Hall Blvd.,Tigard,OR 97223 rj L P .1 , 2.0i 6 Plan Review ■ Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit#: Inspection Line: 503.639.4175 t Ready Date/By: Juris: 1 ® See Page 2 for 116 A R I) Internet: www.tigard-or.gov r-1 s .g Notified/Method: Supplemental Information s ° t '- ?, i ,, PLAIT.:.2EVIE ,,,:;„: a a Y ile ®New construction 0 Addition/alteration/replacement lease check all that apply(submit 2 sets of plans w/items checked): r Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition 0 Other: op where the available fault current 0 Marinas and boatyards. rti ,; 0# RY i ) a ,g 4, -_,: 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. O Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or .JOB SITE INIlO A i1 N ko LOCATION' ❑Emergency system. larger separately derived Job#: Job site address: 12100 SW REDBERRY CT. ❑Add100HPitP000forwmotorloadof system. or more. ❑"A","E","1-2","1-3", City/State/ZIP: Tigard, ❑Six or more residential units. occupancy. gd, 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 FEE'SCHEDULE. ?. Description I Qty. 1 Each I Total I * New residential single-or multi-family dwelling unit. Subdivision: PROGRESS LANDING Lot#: 01 Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 Ea.add'l 500 sq.ft.or portion 33.92 1 DESGRI' Y$bRI1 s 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.) 51 PROPERTY OWNER ,: 0 TENANT Renewable Energy 0 See Page 2 vServices 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 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 I 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 v_ Branch circuits—new,alteration,or extension per panel Q APPLICANT ;in CO TALI' PERSON A.Fee for branch circuits with 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:( ) I Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: wboisvert@riversidehome.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Sunlight Electric, Inc Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy 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 I Fax:( ) Investigation(1 hr min) 90.00/hr Email: Industrial plant(1 hr min) 78.18/hr 1 ��/ 10116,4i- v 1��i� /� (c)///if Inspections for which no fee is ■ 90.00/ CCB Lic.: *2'r Electrical Lic.:X39 Su rv.Lic.: s.ecificall listed 'hr min L°`t y p crit �+ECTI�ICAL PERMIT FEES ��x` 44,,,,,,,,,r„, � 2 Suprv.Electrician signature,required: � 4..-..t Subtotal: Print name: Chester Garrett Date: 9/11/2018 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: /kfr TOTAL PERMIT FEE: 1r 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_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-46151(11/05/COM/WEB JcJ?t • City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT IN a Request for Permit Action TI c A R n 13125 SW Hall Blvd. •Tigard, Oregon 97223 • 503-718-2439 •www.tigard-or.gov TO: CITY OF TIGARD Building Division u L r 1. 2 MI 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermitsard-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 (✓): ❑ 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#: MST2017-00503 Site Address or Parcel#: 12100 SW REDBERRY COURT Project Name: PROGRESS LANDING Subdivision Name: PROGRESS LANDING Lot#: 01 EXPLANATION: CHANGED ELECTRICAL SUBCONTRACTOR-SEE ELECTRICAL PERMIT Signature: �� Date: 9/11/18 Print Name: Wes isvert 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 I:\Building\Forms\RegPermitAction_092314.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12100 SW REDBERRY CT, TIGARD, OR, 97223 November 7, 2018 at 2:46:54 PM Record Type: Record ID: Residential - Master Permit MST2017-00503 Inspection Type: Inspector: 199 Electrical final Jeremy Burrows Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12100 SW REDBERRY CT, TIGARD, OR, 97223 November 14, 2018 at 12:40:15 PM Record Type: Record ID: Residential - Master Permit MST2017-00503 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: Corrections completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12100 SW REDBERRY CT, TIGARD, OR, 97223 November 15, 2018 at 10:17:10 AM Record Type: Record ID: Residential - Master Permit MST2017-00503 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 verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor