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Permit (18)
CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2018-00307 13125 SW Hall Blvd.,Ti Date Issued: 01/07/2019 T l C „,„1,!.,[ and OR 97223 503.718.2439� 9 Parcel: 2S112BD00600 Jurisdiction: Tigard Site address: 7643 SW CORNUTT ST Subdivision: ELDERBERRY RIDGE Lot: Project: Elderberry Ridge, Lot 36 Project Description: New SF. DEMO CREDITS FOR TRANSPORTATION AND PARKS APPLIED FROM BUP2018-00115. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1352 sf Basement 0 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 4 Second: 1533 sf Garage: 491 sf Front: 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: 0 Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2885 Owner: Contractor: RIVERSIDE HOMES LLC RIVERSIDE HOMES LLC Required Items and Reports(Conditions) 17933 NW EVERGREEN PL STE 17933 NW EVERGREEN PKWY 370 1 Ersn Cntrl 503-639-4175 370 BEAVERTON,OR 97006 BEAVERTON,OR 97006 PHONE: PHONE: 503-645-0986 FAX: 503-690-2942 Total Fees: $9,830.40 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 -001 090. Y may obtain copy of the rules or direct questions to OUNC by calling 5003.232.1987 or 1.800.332.2344. Issued By: re4 .—efii�"q Permittee Signature: 4&1 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 i" FOR OFFICE I SE ONEN City of Tigard L1 eceived IN Date/By: 13125 SW Hall Blvd.,Tigard,OR 97223 y / Permit No. �� 11'G -'`,'y Plan Revie �7 �/ Phone: 503.718.2439 Fax: 503.598.1960 :, l i 1` "1 i,, Date/By: ��5 it Ot n Inspection Line: 503.639.4175 S�� I l C,A I:U Date Ready/By: Jur s: ® See Page or Internet: www.tigard-or.gov ,; s s' 01 N. ' ed/Method: C, 11 ` , o ir ;e,- Supplemental Information _, 1 ' y/., - % �Rt 7. 5 " 3.�. " 7. Q 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 N .;,i •-v ► .w .t�3 y g r j ', work indicated on this application. 91-and 2-family dwelling ❑Commercial/industrial Valuation: $ ElAccessory building 0 Multi-family Number of bedrooms: 5 ❑Master builder 0 Other: Number of bathrooms: 4. Total number of floor : 2 _." , : Ids a f `'t �`" �- Job site address: 7643 SW Cornutt Ln New dwelling area: 2885 square feet 1533 City/State/ZIP: Tigard, OR 97224 Garage/carport area: 491 square feet '3 Tp,.... Suite/bldg./apt.no.: Project name: Elderberry Ridge Covered porch area:` square feet Cross street/directions to job site: SW Bonita Rd &SW 76th Ave Deck area: l square feet Other structure area: square feet t'i 4.4.11i1;"' i t'' Sr.• p t.�. Subdivision: `., _.. .w: Elderberry Ridge Lot no.: 036 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 Twork indicated on this application. Construction of SFR Valuation: $ Existing building area: square feet New building area: square feet • , ;' • .xi.-,-;0.14.-4.< ._ Number of stories: Name: Riverside Homes, LLC Type of construction: Address: 17933 NW Evergreen PI., Ste 370 Occupancy groups: City/State/ZIP: Beaverton, OR 97007 Existing: Phone:(503)645-0986 Fax ( ) New: .,� . v. I t '. - ? alr Business name: Riverside Homes, LLC / -- Structural plan review fee(or deposit): Contact name: Wes Boisvert Address: 17933 NW Evergreen PI., Ste 370 FLS plan review fee(if applicable): City/State/ZIP: Beaverton, OR 97007 Total fees due upon application: Phone:(503)645-0986 Fax::( ) Amount received: Ia ter� �"r- -U Y� .� 'v # E-mail: wboisvert@riversidehome.com : ' .x.. . .,, .%,-,,,„,.-,-,,,,:,---,,t3 ' :J* ' - Commercial and residential prescriptive installation of 14`; -• ;'' 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 PI., Ste 370 Solar Installation Specialty Code checklist. City/State/ZIP: Beaverton, OR 97007 Permit Fee(includes plan review and administrative fees): $ Phone:(503)645-0986 Fax:( ) t State surcharge(12%of permit fee): CCB lie.: 189148 Total fee due upon application: Authorized signature: This permit application expires if a permit is within 180 days after it has been accepted r *Fee methodology set by Tri-County Building' Print name: Nikki Pruett Date: 11/14/18 Service Board. I:\Building\Pennits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB) , Mechanical Permit Application FOR OFF ICE ( SF OyI.) City of Ti and _ Received g -Aa l; Permit No.: II 41 13125 SW Hall Blvd.,Tigard,OR 97223 n " y' 4 1 �` > ' C Phone: 503.718.2439 Fax: 503.598.1960 7. # s _ ' lit eview IDate/f3y: Other Permit: 1 I G A R D Inspection Line: 503.639.4175 Date Read/B .luris: Internet: www.tigard-or.gov Ready/By: Supplemental See Page 2Int t-;� Notified/Method: Information '.\"Ll c' 4 ,s{i � ' • . f • P K ' i''''-'147:M„ , m:,4, x ' , . " t .' Mechanica1 permit fees*are basedon the value of the work New construction 0 Addition/alteratt /rplaett performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. M ', Value:$ .,s _S'Al l` ,, .,-- � ► ,- r :..''. . ,w...<:,� ,s. =.su .� '�"n4S ti. �.li+ " Y I �„-� .� •,,.. ,ax•.�` 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist a ❑✓ ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total , .. .r JO .E. , ,tai t 4 aR Heating/cooling: ,o,.",,-.;-‘,:,. , 7 ,,,. - .":`' `" Air conditionin1 Job site address: 7643 SW Cornutt Ln 46.75 46.75 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 Suite/bldg./apt.no.: Project name: Elderberry Ridge Heat pump 61.06 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 Other: 23.32 Subdivision: Elderberry Ridge I Lot no.: 036 Other fuel appliances: Tax map/parcel no.: Water heater 1 23.32 23.32 r Gas fireplace/insert 1 ° . ,,. `"" ' " 'Irl , cc ., ,.? t 'm `a,..°, ' '._ .., . p 33.39 33.39 Flue vent for water heater or gas Construction of SFR fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 (( 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 4 S% . x Jrtryf : ', ". y'" ,,k.-.:2,,. :• i' d T.,-.4,-e-`7., ,,�. Other: 23.32 Business name: Riverside Homes, LLC 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 Pl., 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.com Barbecue p. .: -r"--"'--- �F e N I 4 �, ,- ' . , 'VP'''. s•` ' `; Clothes dryer(gas) Other: Business name: Pro Heating & Cooling P $F. y Address: 2095 NW Alocleck Rd.#1103 Subtotal City/State/ZIP: Hillsboro, OR 97124 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( 971)205-4989 s 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 days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name: Nikki Pruett Date: 11/14/18 I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(I I/02/COM/WEB) • Electrical Permit Application FOR OFFICE, lSF OvI.v Cl O Tiand S - } i e t i ::Received `J f g Date/ F IMIIMMEMEI - 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#: Inspection Line: 503.639.4175 ' g- + "+ Ready Date/By: Jure ® See Page 2 far T I G AR D Internet: www.tigard-or.gov Notified Method: Supplemental Information . m:. t ®r L I i&iAi 1, ) I' , ❑✓ New construction 0 Addition/alterapon/rerlacerpent Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more ❑Building over three stories. 0 Demolition ❑Other: where the available fault current ❑Marinas and boatyards. 541 g0 1 et % ,. d" 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 ❑Commercial-use agricultual amps for all other installations. buildings. 0 Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or . "'JOB . ``T4Li 1 a' ''*, ..',.. `.',,.5 ee*i*, ❑Emergency system. larger sepaately derived ❑Addition of new motor load of system. Job#: 1 Job site address: 7643 SW Cornutt Ln 10011P 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.#: 1 Project name: Elderberry Ridge ❑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 I''1,' a > ' � ! SEs, .. . ... . �.�. k �... .. ,..,. Description Qty. Esch Total New residential single-or multi-family dwelling unit. Subdivision: Elderberry Ridge I Lot#: 036 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 t :,.:;i:, 0.0i i0 . , « �' Limited energy,residential Construction (with above sq.ft.) of SFR 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) ' ✓ ` *e1� `,1 E :.Ea t t fil4.�,s .�V., Il. 4 .r� a. :_ Rveiweasboer Eneedregrys installation,al❑ SteieonP,aged2/ or relocation Name: Riverside Homes, LLC 200 amps or less 100.70 2 Address: 17933 NW Evergreen PI., 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 I 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 ` , o Branch circuits—new,alteration,or extension,per panel a s .: ' °� 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 Address: 17933 NW Evergreen PI., branch circuit Ste 370 ece or fueder fee,first 56.18 2 City/State/ZIP: Beaverton, OR 97007 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503)645-0986 I Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: wboisvert@riversidehome.com Reconnect only 67.84 2 ., v ;;;Ii;-..A:'..:; ,,, R ,,-c ,. "x a Pump or irrigation circle 67.84 2 Business name: Sunlight Electric Inc Sign or outline lighting 67.84 2 Signal n Address: anellalte alteration,or xt 2804 NE 65th Ave. St. D pextension. 0 See Page 2 2 City/State/ZIP: Each additional inspection over allowable in any of the above y Vancouver, WA 98661 Additional inspection(1 hr min) 66.25/hr Phone:(360)518-7589 Fax:( ) Investigation(1 hr min) 90.00/hr Email: j il f(/11 Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 172549 Electrical Lic.: C230 Suprv.Lie.')�3 S specificall listed(%2 hr mm) ( ELECTRICAL"/RAND". , .t�.. . a-; Suprv.Electrician signature,required: 7246.4 � v Subtotal: Print name: Cm r Garre I Date: 11/14/18 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Nikki Pruett Date: 11/14/18 days after it has been accepted as complete. * Number of inspections allowed per permit. 1:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/21115 440-0615T(11/115/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: F ;SID WORK 'k n . "' gin. HEIWLE' 'O ' ... . `4;Description I Qty. I Each I TotalI * 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 ❑ Garage Door Opener* >100 lcva(fee in accordance 552.26 2 with OAR 918-309-0040) ✓❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 111 Vacuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: 11] 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 C'/2 hr min) '41 44 e!,;(;„§ X81( e Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): * 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 1\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015 • ' Plumbing Permit Application Building FixturesFOR OFFICE 1SE ONE)" z i a rt«. City of Tigard £ s ' ' �t ateBy: Permit Nos: .,.,S j 9°1 7�.�ti,... ic.j• NI 13125 SW Hall Blvd.,Tigard,OR 97223 I Phone: 503.718.2439 Fax: 503.598.1960 Plan Review IIIII - DatDate/By: Other Permit No.: l I C;A R D Inspection Line: 503.639.4175 sl;,' -s x„ ' ..r', Date Ready/By: Junin: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information ,y„e gtst,u ss-g s = :k -1. .-4-`-„," ,-,... 1 SI `11YOF T, O New construction El Deiriotii�on '''` ,,. �'+ 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) EGoRY (illp',go- N, .RUC IoN y ,. SFR(1)bath 312.70 I l 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 1 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 1 25.02 ❑Master builder 0 Other: Fire sprinkler(_sq.ft.) Page 2 ' -; 3�'!! i "t e 1V:t4tNA 1-: , ` ''s Site utilities: 45�` - . - ,. ,ms`s.-',1 Job site address: 7643 SW Cornutt Ln Catch basin or area drain 18.76 City/State/ZIP: Drywell,leach line,or trench drain 18.76 ty Tigard, OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I 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.: 036 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 .r .. Backwater valve 12.51 .., •1'1 Clothes washer 1 25.02 Construction of SFR Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 sx` :, 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 1 25.02 City/State/ZIP: Beaverton, OR 97007 Hose bib 2 25.02 Phone:(503)645-0986 Fax:( ) Ice maker 1 12.51 ft/ ' `X,,,'-',1"1-vp' -7-1-`,, .. � . f V Interceptor/grease trap 25.02 Business name: Riverside Homes,VLLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: Wes Boisvert Roof drain(commercial) 12.51 Address: 17933 NW Evergreen Pl., 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 E-mail: wboisvert@riversidehome.com Urinal 25.02 Water closet 4 25.02 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 ( 503 975-9787 ( ) Minimum permit fee: $72.50 Phone: Fax: CCB Lic.: 178122LIZ/ 1 Bing Lic.no: B414 Plan review (25%of permit fee) L//bat- gLiccState surcharge(12%of permit fee) Authorized signature: a� TOTAL PERMIT FEE Print name: Nikki Pruett Date: 11/14/18 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) ` • Plumbing Permit Application Building Fixtures FOR OFFICE t SF ONIA Cityof Tigard Received gane r i i t /By: Permit No.:ir' s*-1-(4., .)-7 "C a�1 `? RI 13125 SW Hall Blvd.,Tigard,OR 97223 . 1 I r Al Phone: 503.718.2439 Fax: 503.598.19601. map Review Other Permit No.: NI B '`11afeBy: Inspection Line: 503.639.4175 T 1 G A R l) Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov }`i}a t i x Notified/Method: Supplemental Information "TYPE O) 14IC_ ''''''';'%'''' A*y; ' ,; -",";;*"."1 4" '''.. s.-'1)'UI.E `i Q New construction lQ Demblitlon For special information use checklist. Description I Qty. I Ea. I Total ❑Addition/alteration/replacement CI t3thet`:s New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY+l v CO$ RUCTION ; '•" SFR(1)bath 312.70 El1-and 2-familydwellingSFR(2)bath 437.78 0 Commercial/industrial buildingSFR(3)bath 500.32 ❑Accessory 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler(_sq.ft.) Page 2 y JOB SI 'E,IN11ORMATION 4 . ATION ",,,,-',11".4',-'14r,,,=' .„ Site utilities: Job site address: 7643 SW Cornutt Ln 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 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.: 036 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 31.27 ' Backwater valve 12.51 �w , _ xw� ;'1DESCRI 'ii0N •.`'.'t k ,, Clothes washer 25.02 Construction of SFR Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ..�. r y a i it a Expansion tank 12.51 Fixture/sewer cap 25.02 Name: Riverside Homes, LLC 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 " '''-:"'"';:- 0-'-';'''''''''-: . 1`. ti.'!;;'` ✓ i t i ,. '', Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name: Riverside Homes, LLC Contact name: Primer 12.51 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 CONTRACTOR 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 ' Minimum( ) Plan review (25%of permit fee) CCB Lic.: LCB#7962g 'lu •ing Lic. / State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: Nikki Pru- t Date: 11/14/18 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(10/02/COM/WEB) Julie Drinkwater From: Dianna Howse Sent: Tuesday, November 27, 2018 10:47 AM To: Nikki Pruett Cc: #Building Permit Technicians; David Young Subject: Elderberry Ridge - Demo Credits Hello Nikki, We have completed plan review on lots 36, 37 and 38,and they are ready for post-review, however there are three outstanding demo permits that need to pass a final building inspection so that we can apply the SDC credits to these three lots before we complete post-review and invoicing of fees. The last inspection on the demo permits was performed on 5/11/2018 and they were failed by the inspector, David Young,for the following: • Provide approved initial and final erosion control inspections prior to scheduling demo final inspection. Done and PASS 5/14/2018. • Provide pump receipt for tank removed. Please provide. • Tank hole inspection and structural backfill if required to be done by site engineer. Please provide. • Inspection codes listed on green sheet issued with permits. Applicant did not follow the order of inspection codes required when permit was issued. The demolition of these buildings was done without initial erosion control measures inspected and approved by Clean Water Services in advance of demolition work and soil disturbance. Technically,these permits should be expired as they are now over 180 days passed the last activity,and therefore no credits should be applied towards new construction. And,as a standard practice,SDC credits are to be applied towards the first lots submitted for new construction. Please provide the outstanding items listed above to David Young at davidy@tigard-or.gov and schedule a final building inspection (code 299)on all three of the demo permits listed below at your earliest convenience. We will hold the release of any further permits until these demo permits pass final inspection and are closed. Please let the building permit technicians know at TigardBuildingPermits@tigard-or.gov as soon as these final inspections have passed so that we can resume processing permits for this subdivision. We need these demo permits closed as soon as possible so that all of the proper agencies can be notified to remove these existing addresses and structures from utility billing, emergency services,county tax assessor, etc. The process for demolition of existing structures and applying of SDC credits was something that we discussed in our meeting prior to beginning the development of this subdivision. Thank you and please let me know if you have any questions. Dianna L. Howse Building Division Services Supervisor City of Tigard I Community Development 13125 SW Hall Blvd I Tigard, OR 97223 503-718-2430 Direct 1503-718-2439 Permits From:Julie Drinkwater Sent: Monday, November 26, 2018 10:53 AM To: Nikki Pruett<NPruett@riversidehome.com> 1 Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: RE: Permit MST2018-00278 Good morning Nikki In order to apply demo credits to the new single family permits,the demolition permits must pass the final building inspection. Please schedule the final building inspection for the demo permits listed below. Willow Brook Demo Permits Address Permit# 14775 SW 76 BUP2018-00114 14825 SW 76 BUP2018-00115 14830 SW 76 BUP2018-00116 I have post reviewed Lot 21, of Elderberry Ridge, and I have attached the invoices for the building and sewer permits for your review. If you wish to apply demo credits for parks and transportation SDC fees to this permit,you will have to final one of the demo permits listed above. Thank you and please let us know if you have any question. Julie Drinkwater Permit Technician City of Tigard I Building Department 13125 SW Hall Blvd Tigard, OR 97223 503-718-2804 From: Nikki Pruett [mailto:NPruett@riversidehome.com] Sent: Monday, November 26, 2018 6:03 AM To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>;#CD PoD<CDPoD@tigard-or.gov> Subject: Permit MST2018-00278 Good morning! Would it be possible to get the building permit fees for MST2018-00278 today? Thanks, Nikki Pruett DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule." 2 City of Tigard ® COMMUNITY DEVELOPMENT DEPARTMENT IIi r 1 c A uD Building Permit Review — Residential Building Permit #: ,r TY)5/ .`At' t -y 3c7 Site Address: .;&'z71'S ,CA) 04t/707/71- V71— Project Name: Etch,` A4 _e Lot #: g(e (New dwelling=subVision name;tkdd4tion or Alteration=last name of owner) Planning Review ✓/ Proposal: /U?-eA ) 9/, lA V rift'site address/suite#exists and active permit system. 11ver Terrace Neighborhood: Lvf No ❑ Yes,See River Terrace Review Addendum Attached ran Elements: ee(3)copies of siteplan P 0:e:sting structures on site itie plan must be on 8-1/2"x 11"or 11 x 17"paper D, ootprint of new structure(including decks)with finished Dawn to scale(standard architect or engineer scale) Qaor elevations litaii.rth arrow U: 'ty locations&easements (required for new and additions) iUSit=address,project or subdivision name and lot number V idewalk/driveway approach 1>I ,plicant information(name and phone number) e1 to cation of wells/septic systems IK it dimensions and building setback dimensions tfigsting trees to be retained with drip line,and tree %1.4 uare footage of buildings to be demolished p ection measures Yi Lot area,building coverage area,percentage of coverage and S eet tree size,type and location )zipervious area(applicable if R-7,R-12,R-25&R-40) Street names Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replace ? LvJYes ❑�N� 4 foot differential) If yes,is a storm water quality facility shown? ❑Yes Ulf -.n Water Services—Service Provider Lett (lot platted prior to 9/10/1995): equired: ❑ Ye pplicant was notified V[J No Received: ❑ Yes E No YA Public Faciliti Improvement(PFI)Permit: � PP)2( j O7C-�) Ijequired: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake / �47/ nd Use Case#: P_'�2d/LP —\000091 S'ur1�O7le— �©o ming: /2_-- - (P2 ) U equired Setbacks: Front /� ' Rear /� g Side S" Street Side ara e ra nd ape Requirement: ,.2e)of Coverage Maximum: on Building Height: Maximum Height ,S--- Actual Height SGP �' !1 %isual Clearance 1 nsitive Lands: VY:es ❑ No Type ,Gfi7 �C�„„.. // e 14 „ii,..i.,Ati ____ Urban Forestry Plan m- c.77, , ❑ Conditions "Met”_ nor to issuancepf buil g permit C Notes: � /hb rL-Q Jk2// n41 ❑ Approved By Planning: ....=----------=7- Date: 04-4 ) Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: 0 Approved ❑ Not Approved I:\Building\Forms\BldgPeimitRvw RES 061417.docx Building Permit Submittal Original Submittal Date: '1 f Site Plans: # Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: PlanningEngineering L 'ermit Coordinator Building 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: / 1 � i By Permit Technician: `// / /A , � � � Date: �n _, _ . .. .._ . . .. . ,� .. �.. , Engineering Review O Slope at building pad: 22 O Conditions "Met"prior to issuance of building permit O Easements (encroachments)per engineering conditions of approval and plat O Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes gNo Assess Water Quantity Fee in-lieu: 0 Yes o LIDA Facility on lot: 0 Yes er Or 'inal Plat Recorded: 0 NOT Approved by Engineering: Date: Notes:te CP'Approved by Engineering: A17r-y 'S ,r,- ' Date: //�' //q 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 binding 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: Rev' ion Notice 3: vDate Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: es 0 N/A Tigard Trans SDC: Yes 0 N/A Parks SDC: '? Yes 0 N/A LIDA 0 Yes 75N/A OK to Issue Permit Approved by Permit Coordinator: Date: / 2 1 ) I:\Building\Forms\BldgPemmitRvw_RES 010118.docx City of Tigard Tel: 503.718.2439 Location: Inspection Date: 7643 SW CORNUTT ST, TIGARD, OR, 97224 April 22, 2019 at 10:52:47 AM Record Type: Record ID: Residential - Master Permit MST2018-00307 Inspection Type: Inspector: 199 Electrical final Jeremy Burrows Result: PASS Comments: Note: no A/C Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 7643 SW CORNUTT ST, TIGARD, OR, 97224 April 22, 2019 at 10:52:19 AM Record Type: Record ID: Residential - Master Permit MST2018-00307 Inspection Type: Inspector: 399 Plumbing final Jeremy Burrows Result: PASS Comments: Note: water pressure 56 psi Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 7643 SW CORNUTT ST, TIGARD, OR, 97224 April 22, 2019 at 10:53:15 AM Record Type: Record ID: Residential - Master Permit MST2018-00307 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: Note: no A/C Violation Summary: Inspector Contractor