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Permit (134) ligCITY OF TIGARD MASTER PERMIT E . COMMUNITY DEVELOPMENT Permit#: MST2018-00278 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/05/2018 T f C.A I D9 Parcel: 2S112BD00300 Jurisdiction: Tigard Site address: 14814 SW 76TH AVE Subdivision: Lot: Project: Elderberry Ridge, Lot 21 Project Description: New SF. Model home and sales office. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1352 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 22 Bathrooms: 4 Second: 1533 sf Garage: 491 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2885 sf Value: $365,198.05 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2885 Owner: Contractor: RIVERSIDE HOMES LLC RIVERSIDE HOMES LLC Required Items and Reports(Conditions) 17933 NW EVERGREEN PL 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: $32,957.42 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 o follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OA -001-009 You m obtain a copy• the rules or dir questions to OUNC by calling 503.232.198798or 1.800.332.2344. Issued By: / /-ermittee Signature: G .1C 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. r Building Permit Application r_ Residential U012 OFF►(1 1 SE Oy►.l Receiv City of Tigard ()CI , . Date/By l0 /( i r "Aax-uo 7r • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review %� P ' 'II s Phone: 503.718.2439 Fax: 503.598.196(b i-,a : l Date/By: `11 1C3 1 Ca 4(4A:0(1'0.107,30 '0.107,30 I t< ,�t I> Inspection Line: 503.639.4175 SD�l.:sl i y t:,4'' Date Ready/By: 1 ® See Page 2 for Internet: www.tigard-or.gov otified/Meth., F J6 kris: Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING 9 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 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ .J� 1 l ❑✓ 1-and 2-family dwelling ElCommercial/industrial �1 ElAccessory building 0 Multi-family Number of bedrooms: .S. ❑Master builder 0 Other: Number of bathrooms: 3.5 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 33 Job site address: 14814 SW 76TH AVE New dwelling area: 2885 square feet 1533 City/State/ZIP: Tigard, OR 97224 Garage/carport area: 491 square feet { Suite/bldg./apt.no.: Project name: Elderberry Ridge Covered porch area:)( square feet i Cross street/directions to job site: SW Bonita Rd &SW 76th Ave Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Elderberry Ridge I Lot no.: 021 Permit fees*are based on the value of the work performed. Tax map/parcel no.: 25112BDO0300 Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Construction of SFR Valuation: $ Existing building area: square feet New building area: square feet 9 PROPERTY OWNER Q TENANT Number of stories: Name: Riverside Homes, LLC Type of construction: Address: 17933 NW Evergreen Pl., Ste 370 Occupancy groups: City/State/ZIP: Beaverton, OR 97007 Existing: Phone:(503)645-0986 Fax:( ) New: 0 APPLICANT ❑✓ CONTACT PERSON BUILDING PERMIT FEES* (?lease veer to fee schedule) Business name: Riverside Homes, LLC Structural plan review fee(or deposit): Contact name: Wes Boisvert FLS plan review fee(if applicable): Address: 17933 NW Evergreen Pl., Ste 370 Total fees due upon application: City/State/ZIP: Beaverton, OR 97007 Phone:(503)645-0986 Fax::( ) Amount received: E-mail: wboisvert@riversidehome.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: Riverside Homes, LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 17933 NW Evergreen Pl., Ste 370 Solar Installation Specialty Code checklist. City/State/ZIP: Beaverton, OR 97007 Permit Fee(includes plan review $180.00 and administrative fees): Phone:( 503)645-0986 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: 189148a7,t.—._ 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 Prue Date: 10/11/18 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPemiitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY Cityof Tl and Received - g Date/By: Permit No.: , mlIII 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical Ilt.;NRI) Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW )'cs No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. gJ 0 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ 0 3 Verification of approved plat/lot. 00 4 Fire district approval required. Name of district: . ® 0 0 5 Septic system permit or authorization for remodel. Existing system capacity . ® 0 0 6 Sewer permit. ® 0 0 7 Water district approval. ® 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 0 0 basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 13 ''j 0 0 building 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 copyright violations exist. trilSite/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if X' 0 0 there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size 1g 0 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, lig 0 0 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- V 0 0 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. $j 0 0 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- NI 0 0 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 XI 0 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 IRC systems,see item 22,"Engineer's calculations." 9 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists izi 0 0 over 10 feet long and/or any beam/joist carrying a non-uniform load. t Manufactured floor/roof truss design details. 14 0 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 0 for four or more appliances. v(i v ,../ 0 Y}Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑ 0 fop de architect licensed in Ore on and shall be shown to be a licable to the ro'ect under review. ��"� 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 0 0 24 Two(2)sets each are required for Items 16,19,20 and 22 above. 0 0 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 1 0 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ® 0 0 27 "Drawn to scale"indicates standard architect or engineer scale. ® 0 0 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard V 0 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, '® 0 0 and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, 0 ❑ . 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\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application FOR OFFICE: CSE ONLv` Received City of Tigard Permit No.: Date/By:II 111 13125 SW Hall Blvd.,Tigard,OR 97223 ■ Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: T I U A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information tu 'z �w' r. -n E -- _„ _, Mechanical permit fees*are based on the value of the work ❑✓ New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ ` �*-*" t. t a l Ri'd ,:? i .... ❑✓ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist ❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total c `e"` ,. : inartrifilMt a t i _. Heating/cooling: � Air conditioning 1 46.75 46.75 Job site address: 14814 SW 76TH AVE Furnace 100,000 BTU(ducts/vents) 1 46.75 46.75 City/State/ZIP: Tigard, OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: J Project name: Elderberry Ridge Duct work 23.32 Cross street/directions to job site: SW Bonita Rd &SW 76th Ave Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: Elderberry Ridge I Lot no.: 021 Other: 23.32 Other fuel appliances: Tax map/parcel no.: 2S1 12BD00300 Water heater 1 23.32 23.32 - " Gas fireplace/insert 1 33.39 33.39 " " 44' % Flue vent for water heater or gas Construction of SFR fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 p t z r y Other: 23.32 ;,' a.0 i 34` a q t`' m� - s • 4 Environmental exhaust and ventilation: Name: Riverside Homes, LLC Range hood/other kitchen equipment 1 33.39 33.39 Address: 17933 NW Evergreen PI., Ste 370 Clothes dryer exhaust 1 33.39 33.39 City/State/ZIP: Beaverton, OR 97007 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 6 23.32 139.92 Phone:(503)645-0986 Fax:( ) Attic/crawlspace fans 23.32 it . `' " ',.45;';','3'It;;: t l f Other: 23.32 Business name: Riverside Homes, LLC F Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: Wes Boisvert Furnace,etc. 1 14.15 Address: 17933 NW Evergreen PI., Ste 370 Gas heat pump Wall/suspended/unit heater City/State/ZIP: Beaverton, OR 97007 Water heater 1 14.15 Phone:(503 )645-0986 I Fax::( ) Fireplace 1 14.15 Range 1 14.15 E-mail: wboisvert@riversidehome.comBarbecue ,F\1 i',":,,,77 c3'Q v Clothes dryer(gas) Business name: Pro Heating &Cooling Other: Address: 2095 NW Alocleck Rd.#1103 Subtotal City/State/ZIP: Hillsboro, OR 97124 _ Minimum permit fee($90.00) P _ Plan review(25%of permit fee) Phone:( 971)205-4989 Fax:( ) State surcharge(12%of permit fee) CCB lic.: 209001 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 c)//i/bi eth("41- days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name: Nikki Prue Date: 10/11/18 1:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 -Supplemental Information Commercial&Multi-Famil Fee Schedule: ! ..e .oI ..,. '« r „� z':.,�. $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:\Building\Permits\MEC_PermitApp_040113.doc 2 Electrical Permit Application FOR OFFICE 1 SI.Oyl.v .1City of Tigard Received • 13125 SW Hall Blvd.,Tigard,OR 97223 Permit#: DateB : 111‘ Phone: 503.718.2439 Fax: 503.598.1960 DatePlanBReview: Related Permit#: Inspection Line: 503.639.4175 Ready Date/By: Curb: ® See Page 2 for 1 I C A k I Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ❑✓ New construction ❑Addition/alteration/replacement Please check all that apply(submit/sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. Q✓ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: 14814 SW 76TH AVE IOOHP or more. ❑"A","E","1-2","1-3", City/State/ZIP: Tigard, OR 97224 ❑Six or more residential units. occupancy. ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: Elderberry Ridge 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 Bonita Rd &SW 76th Ave FEE SCHEDULE Description I Qty. I Each I Total I New residential single-or multi-family dwelling unit. Subdivision: Elderberry Ridge Lot#: 021 Includes attached garage. 1,0Tax map/parcel#: 2S112BD00300 Ea..add'l50 sq. or less 168.54 4 E500 sq.ft.or portion 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.) ElPROPERTY OWNER 0 TENANT Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation Name: Riverside Homes, LLC 200 amps or less 100.70 2 Address: 17933 NW Evergreen Pl., Ste 370 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: Beaverton, OR 97007 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: 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 0 APPLICANT 8 CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name: Riverside Homes, LLC above service or feeder fee, 7.42 2 each branch circuit Contact name: Wes Boisvert B.Fee for branch circuits without service or feeder fee,first Address: 17933 NW Evergreen Pl., Ste 370 branch circuit 56.18 2 City/State/ZIP: Beaverton, OR 97007 Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503)645-0986 Fax::( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder 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 Address: Signal circuit(s)or limited-energy ❑ See Page 2 2 2804 NE 65th Ave. St. D panel,alteration,or extension. Each additional inspection over allowable in any of the above Cityistate/zIP: Vancouver, WA 98661 Additional inspection(1 hr min) 66.25/hr Phone:(360)518-7589 Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email: l0 (/l-/G Inspections for which no fee is 3 specifically listed(%z hr min) 90.00/hr CCB Lic.: 172549 Electrical Lic.: C230 Suprv.Lic./ 3 v l ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: 4. ..dire_s Subtotal: Print name: CheS r Garrett Date: 10/11/18 0 Plan Review Required(25%of permit fee): Authorized signature: ���'_ State surcharge(12%of permit fee): TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Nikki Pruett Date: 10/11/18 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: ORK ! ,.• ..ri". . t .r 1 tY t IJLE ' ,,_ +{'♦ Fee for all residential systems combined: $75.00 � ®�� �' Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 _© 5.01 to 15 kva 133.56 _© ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 _© Wind •eneration s stems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva - 301.04 _© 50.01 to 100 kva 552.26 _© ❑ Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040 ■ 552.26 —© ✓❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 MI 7.42 _© CI Vacuum Systems* >100 kva-no additional charge 0.0 _© Each additional ins ection over allowable in an of the above: ❑ Other: Each additional inspection is ■ 66.25/hr char•ed at an hourl 1 hr min Inspections for which no fee is ■ 90.00/hr -. s.ecificall listed %hr min " .k �_ A fry X x mss+.xz``* � d ,.. .� • s Subtotal(Enter on Pagel): Fee for each commercial system: $75.00 * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitApp_ELR ERE.doc Rev 06/17/2015 Plumbing Permit Application Building Fixtures FOR OFFICE CSI. Oyl.l Received City of Tigard Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Re: _ Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Other Permit No.: Date/By: T I G A K D Inspection Line: 503.639.4175 Date Ready/By: ]oris: See Page 2 for Internet: www.tigard-or.gov Notifed/Method: Supplemental Information � '4 oaf " i . , • OY t .k � ©New construction ❑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) �' s °," s a 'r ;` ms's SFR(1)bath l l 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 1 500.32 0 Accessory building 0 Multi-family Each additional bath/kitchen 1 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 Site utilities: Job site address: 14814 SW 76TH AVE Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: Tigard, OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name: Elderberry Ridge Manufactured home utilities 50.03 Cross street/directions to job site: SW Bonita Rd &SW 76th Ave Manholes 18.76 Rain drain connector 1 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: Elderberry Ridge I Lot no.: 021 Fixture or item: Tax map/parcel no.: 2S 1128 D00300 Backflow preventer 31.27 s 1 ` t e Backwater valve 12.51 Clothes washer 1 25.02 Construction of SFR Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 = •• i 12.51 w Expansion tank 48 xuresewercap 25.02 Name: Riverside Homes, LLC Floor drain/floor sink/hub 25.02 Address: 17933 NW Evergreen PI., Ste 370 Garbage disposal 1 25.02 City/State/ZIP: Beaverton, OR 97007 Hose bib 2 25.02 Phone:(503)645-0986 Fax:( ) Ice maker 1 12.51 t Interceptor/grease trap 25.02 Business name: Riverside Homes, LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: Wes Boisvert Roof drain(commercial) 12.51 Address: 17933 NW Evergreen PI., Ste 370 Sink/basin/lavatory 8 25.02 City/State/ZIP: Beaverton, OR 97007 Solar units(potable water) 62.54 Phone:(503)645-0986 Fax::( ) Tub/shower/shower pan 5 12.51 Urinal 25.02 E-mail: wboisvert@nversidehome corn Water closet 4 25.02 t ! tan Water heater 1 37.52 Business name: H & H Mecanical Waterpiping/DWV 56.29 Address: 5757 SE Willow Ln Other: 25.02 City/State/ZIP: Milwaukie, OR 97267 Subtotal Phone:( 503 975-9787 _ ( ) Minimum permit fee: $72.50 Fax: CCB Lie.: 178122 ing Lic. .: PB414 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: t TOTAL PERMIT FEE Print name: Nikki Pruett Date: 10/11/18 This permit application expires if a permit i not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Su' s ression S stems: Footing drain-1'100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas S stems: Water Service-each additional 100' 37.52 r >r. x .i,V; O` . -r i i : I , Plumbing Permit Application Building Fixtures FOR OFFICE L'sh. Oyl.l City of Tigard ReceivedDatePermit No.: IN 41 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Re: SPlan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.: Inspection Line: 503.639.4175 Date Read/B Janis: ® See Page 2 for TI G A K D Internet: www.tigard-or.gov ov g Notified/Method: Supplemental Information ' TYPE OF WORK ' 1 r` -170..7-''',''''''.'2-i ,'FEE* C!1) .:4:�; c {#' Q New construction Demolition For special information use checklist Description I Qty. I Ea. I Total 0 Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) ),.' V irAllf?OF CON$TR[t a F SFR(1)bath 312.70 0 1-and 2-family dwelling 0 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 ''',Y!‘::: .ay v.- ®n Ir d 1,' O B I, i y%'".'- Site utilities: . f Job site address: 14814 SW 76TH AVE Catch basin or area drain 18.76 City/State/ZIP: Tigard, OR 97224 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name: Elderberry Ridge Manufactured home utilities 50.03 Cross street/directions to job site: SW Bonita Rd &SW 76th 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: Elderberry Ridge I Lot no.: 021 Fixture or item: Tax map/parcel no.: 2S 112BD00300 Backflow preventer 1 31.27 31.27 e4 ti w a Backwater valve 12.51 Construction of SFR Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 I �0 - t jg ` q`. `. Expansion tank 12.51 Name: Riverside Homes, LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 17933 NW Evergreen Pl., Ste 370 Garbage disposal 25.02 City/State/ZIP: Beaverton, OR 97007 Hose bib 25.02 Phone:(503)645-0986 Fax:( ) Ice maker 12.51 r '''''.:1'.;',7:: ;, x • i.:, ' 4; tv �ri` ei , i� t� Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name: Riverside Homes, LLC Primer 12.51 Contact name: Wes Boisvert Roof drain(commercial) 12.51 Address: 17933 NW Evergreen Pl., Ste 370 Sink/basin/lavatory 25.02 City/State/ZIP: Beaverton, OR 97007 Solar units(potable water) 62.54 Phone:(503)645-0986 Fax::( ) Tub/shower/shower pan 12.51 Urinal 25.02 E-mail wboisvert@riversidehome.com _; Water closet 25.02 Water heater 37.52 Business name: TruScapes, LLC Water piping/DWV 56.29 Address: 21600 SW Amberwood Dr. Other: 25.02 City/State/ZIP: Hillsboro, OR 97124 Subtotal Minimum permit fee: $72.50 Phone:(503)531-9216 Fax:( ) CCB Lic.: LCB#7962 • L•p:ng Lic.no.: Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: Nikki Pruett Date: 10/11/18 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(t0/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Su. •ression S stems: its �111hes s P )' Total a FOO ; ' Footing drain-161 100' 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 " 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 each additional$100.00 or fraction thereof,to ectlons '4 �'4 ' 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 r e (minimum cha -1/2 hour and including$25,000.00. Inspections outside of normal business - 90.00/hr - $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours minimum char:e-2 hours each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions - 90.00/hr - $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for minimum charle 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*. Quantity byro! . " Ty Ook Plan w revieis u re ired for an of the followin Work Perfor'med: r peed 9 Y g• Baptistry/Font Please check all that apply. 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 ❑ 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 e 0° !' i a Garbage Domestic-non-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 thisermit results in an Washer-Clothes p 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.doc 2 Agnes Lindor From: Agnes Lindor Sent: Monday, October 22, 2018 9:13 AM To: wboisvert@riversidehomes.com Cc: Albert Shields; Gary Pagenstecher;#Building Permit Technicians; Boris Piatski Subject: Elderberry Lots 21 and 35 Attachments: Conditions - 10-22-2018.pdf Good morning- Your permits have been approved by planning and engineering pending conditions of approval and a recorded plat. These permits have been placed on hold until conditions are met and the plat is recorded.See attached list of conditions.Thanks, MST2018-00278—Lot 21 MST2018-00279—Lot 35 Agnes Lindor I Associate Planner City of Tigard I Community Development 13125 SW Hall Boulevard Tigard, Oregon 97223 Phone: 503.718.2429 Email: AgnesL@tigard-or.gov 1 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT ,• TIGARD Building Permit Review — Residential 6. tom_ _ ___ _, .w- - - Building Permit #: .�_.___ .�_ .�_.. _,.-_ _.�_722.74172-_,-72—`—_,:_.__.., __ _.._a._ �. �..__ -..,.:_z_. Site Address: I ' W lit% , Project Name: t.1, tr _ , . , e ►,�1 /i —)YY'e/ Lot #: Z( (New dwelling=s 'division .me;Addition or Alteration=last name of owner) Planning Review Proposal: ' w S Ftk Vyerify site address/suite#exists and active ' permit system. I River Terrace Neighborhood: No 11711, Yes,See River Terrace Review Addendum Attached SityPlan Elements: ee(3)copies of site plan de plan must be on 8-1/2"x 11"or 11 x 17" aer �Esting structures on site p P �(/'t ootprint of new structure(including decks)with finished wn to scale(standard architect or engineer scale) floor elevations ro*•rth arrow ^// at ''ty locations&easements (required for new and additions) 0 ite address,project or subdivision name and lot number p ►s pplicant information(name and phone number) idewalk/driveway approach /� •t dimensions and building setback dimensionsaiion of wells/septic systems xisting trees to be retained with drip line,and tree A.fq uare footage of buildings to be demolished • •tection measures rCGt area,building coverage area,percentage of coverage and tr.S -ettreet tree size names ,_ in3pervious area(applicable if R-7,R-12,R-25&R-40) type and location property corner elevations(2 foot contour lines if more than >1 000 sf of impervious [ 4 foot differential) area created or replaced? L(des ❑ If es,is a storm water •uali , facili shown? ❑Yes L To Lel Clean Water Services-Service Provider Letter of platted prior to 9/10/1995): 1.44f�yy,c,t Required: ❑ Yes,applicant was notified ('"" No Received: ❑ Yes ❑ No Public Facilitie Improvement(PFI)Permit: l Required: Yes,applicant was notified El No Applied pplied For: Yes ❑ No,stop intake Neland Use Case#: PDRLo16_ 0000 G� ' Tudiotie - QUOj 2' oning: 4 CFO f b I°r-ZZoI� 00071 Required Setbacks: Front 5 Rear I 5 Side andscape Requirement: 0�o Street Side4 Garage Zo 7 3 t Coverage Maximum: p0 % V Building Height: MaximumOHeight q n; Visual ClearanceGI4J� Actual Height z Sensitive Lands: 114s ❑ NoI, L3' rban Forestry Plan Type 5�� �� �'��P`�' t G,,,� lJ Conditions "Met"prior to is uance of building permit Notes: ` ,..i f ■ ,...1,,...1, p n v1 , , n,i 1"21s,r,"., ❑ Approved By Planning: ; 1/1 ,t -`,N-:� V-N--- Date: i0/ 1 , Revisions (after Building Submittal only) Revision 1: 0 A rovedReviewer Date Pp 0 Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\BuildingTorrns\BldgPerinitRvw RES_061417.docx Building Permit Submittal Original Submittal Date: 0 khr Site Plans: # Building Plans: # Building Permit#: nter buildin permit#above. Building Engineering Permit Coordinator Workflow Routing: Planning � g Workflow Sign-off: 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. Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: � Dateet DiNv / By Permit Technician: Air En ' eering Review 2 ,� Slope at building pad: ✓►� �_.______/VS, S Conditions"Met"prior to issuance of building permit Easements (encroachments)per engineering conditions of approval and plat .w a 1 GMK- c4-.. p Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes No Assess Water Quantity Fee in-lieu: 0 Yes WNo LIDA Facility on lot: 0 YesKro CO Final Plat Recorded:N 0-I recce,Q. Date: /,e2NOT Approved by Enginee 1: A00111.111111". i / i� -rev V �" Notes: '!' Date: �A proved by Engineering: Date Revisions (after Building Submittal only) Reviewer Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review onditions"Met"prior to issuance 01 building permit 0 QQ Vf Approved,NOT Released: Date: 1Z1pExna i P tilt 1 i_'., tad / • I Notes: k /AA /. _ • / 1l-'. 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: i SDC Fees Entered: Wash Co Trans Dev Tax: IA Yes 0 N/A Tigard Trans SDC: Yes 0 N/A Parks SDC: g-Yes 0 N/A LIDA ❑ Yes $ N/A OK to Issue Permit 3 S7 Approved by Permit Coordinator: 4J Date: S I:1BuildineForms\BldgPermitRvw-RES-010118.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 14814 SW 76TH AVE, TIGARD, OR, 97224 February 5, 2019 at 1 :41 :30 PM Record Type: Record ID: Residential - Master Permit MST2018-00278 Inspection Type: Inspector: 399 Plumbing final Jeremy Burrows Result: PASS Comments: Correction complete Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 14814 SW 76TH AVE, TIGARD, OR, 97224 February 5, 2019 at 1 :41 :14 PM Record Type: Record ID: Residential - Master Permit MST2018-00278 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: PASS - CofO Comments: Final erosion control passed Moisture content form received Moisture barrier acknowledgement 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 CITY OF TIGARD �� , ; MASTER PERMIT COMMUNITY DEVELOPMENT /02 '0 /".- �!' Permit#: MST2018-00278 a 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/05/2018 Tt G r1 1,[. g Parcel: 2S112BD00300 Jurisdiction: Tigard Site address: 14814 SW 76TH AVE Subdivision: Lot: Project: Elderberry Ridge, Lot 21 Project Description: New SF. Model home and sales office. 1.2/10/2018: REPRINT permit to add irrigation backflow. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1352 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 22 Bathrooms: 4 Second: 1533 sf Garage: 491 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2885 sf Value: $365,198.05 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 1 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'l 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2885 Owner: Contractor: RIVERSIDE HOMES LLC RIVERSIDE HOMES LLC Required Items and Reports(Conditions) 17933 NW EVERGREEN PL 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: $32,992.45 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 thro OAR 9 -001-#090. You �may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987470,4_./e/9-7-, or 1.800.332.2344. Issued By: , `.d�--- Permittee Si nature: O1' 9 OP�/C r,E�� 9 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.