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Permit Support Document (32) City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT RECEIVED Request for Permit Action AUG 6 2019 1111 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.ti and-or. CITY TIGARD ���'��� g � g g gmll_DING DIVISION TO: CITY OF TIGARD Building Division V 0 I - 13125 SW Hall Blvd.,Tigard,OR 97223 CP/'7/1 .414T Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov FROM: Owner [ Applicant ❑ Contractor El City Staff Check(✓)one REFUND OR Name: INVOICE TO: (Business or Individual) Riverside Homes, LLC Mailing Address: 17933 NW Evergreen Place City/State/Zip: Beaverton, OR 97006 Phone No.: 503-645-0986 PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓): ( R CANCEL/VOID PERMIT APPLICATION. , J` REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). J�i) Ii INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). (0-5 " r Permit#: MST2019-00097 / SWR2019-00080 Site Address or Parcel #: 7620 SW Hansen Ln Project Name: Subdivision Name: Elderberry Ridge Lot#: 016 EXPLANATION: Due to the easments on this lot please void this permit application and all documents associated with the application. Signature: '" Date: � �`� - <� � ' 08/06/2019 Print Name: Nikki Pruett 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 • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended.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 I; 7/I r B,,,, '. - Refund Processed: Date A4/49- By Invoice Processed: Date By Permit Canceled: Date t7 By Parcel Tag Added: Date By I:\Building\Forms\RegPermitAction_1205 8.doc CITY OF TIGARD71 FEE AND PAYMENT HISTORY It 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD MST2019-00097 - 7620 SW HANSEN LN, TIGARD, OR 97224 Elderberry Ridge, Lot 16 Revenue Payment Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt# Due DC Provision Review,SF-Ping1, 100-0000-43112 $98.00 $98.00 $98.00 Info Process/Archiving-Lg$2.00(over 230-0000-43135 $28.00 $28.00 $28.00 11x17) Info Process/Archiving-Sm$0.50(up to 230-0000-43135 $24.50 $24.50 $24.50 11x17) Plan Review 230-0000-43106 $751.34 $751.34 $750.00 3/28/2019 Check 422337 $1.34 Plan Review 230-0000-43106 $481.97 $481.97 $481.97 Totals for Fees $1,383.81 $1,383.81 $750.00 $633.81 Receipt# Payment Method Check# Payor: Receipt Date Receipt Amount 422337 Check 38652 Riverside Homes LLC 03/28/2019 $750.00 Total Payments: $750.00 Balance Due: $633.81 ----.\. 3tkcr[kq VQ,,I) L 'Building Permit Application /1‘ Residential RECEIVE FOR OFFICE USE O\I 1 City of Tigard Received p s 1- MST Ov\q Date/By: `,'1 Permit No. Ill 13125 SW Hall Blvd.,Tigard'503.5981960_OR 97223 MAR 1 9 2019 g Plan Review i j if = Phone: 503.718.2439 Fax: 503.598. Date/By: I Other Permit� l� C V OF FIGARD -C_ c �,n�,_, Inspection Line: 503.639.4175 I�+ Date Ready/By: 1�� See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION ified/Method: ( C � Supplemental Information TYPE OF WORK A REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑✓ New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ 77 2�21) t. )/- 3 � ❑✓ 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building 0 Multi-family Number of bedrooms: 4 0 Master builder 0 Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 -600S Job site address: 7620 SW Hansen Ln New dwelling area: 2626 square feet 1 to/L7 City/State/ZIP: Tigard, OR 97224 Garage/carport area: 379 square feet /179 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: (7 square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Elderberry Ridge j l__ 1 Lot no.: 016 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 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 0 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: ❑ APPLICANT 9 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule h Business name: Riverside Homes, LLC Structural plan review fee(or deposit): Contact name: Nikki Pruett FLS plan review fee(if applicable): Address: 17933 NW Evergreen Pi., Ste 370 Total fees due upon application: City/State/ZIP: Beaverton, OR 97007 Phone:(503)645-0986 Fax::( ) Amount received: E-mail: npruett@riversidehome.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic 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 lie.: 189148 Total fee due upon application: $201.60 j Authorized signature:� " lL .0' This permit application expires if a permit is not obtained l/ / within 180 days after it has been accepted as complete. Print name: Nikki Pruett Date: 3/12/19 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling RECEIVED FOR OFFICE USE ONLY City of Tigard MAR 1 9 2019 Received City Date/By: Permit No.: al 13125 SW Hall Blvd.,Tigard,OR 97223= y Associated permits: Phone: 503.718.2439 Fax: 503.598.1960 CITY OF I I(iAHD 0 Electrical ❑ Plumbing ❑ Mechanical TIGARI) 24-Hour Inspection Line: 503.639.4175 BUILDING DIVISION Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ 0 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity_ . El El 0 6 Sewer permit. ❑ ❑ 0 7 Water district approval. ❑ 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ 0 ❑ 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- ❑ 0 ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ❑ ❑ ❑ 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 0 0 ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 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- 0 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. ❑ ❑ ❑ 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- ❑ ❑ ❑ 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 ❑ 0 ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 ❑ 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 0 0 0 over 10 feet long and/or any beam/joist carrying a non-uniform load. - 20 Manufactured floor/roof trussdesign details. Q ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ 0 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 ❑ ❑ ❑ architect licensed in Ore:on and shall be shown to be a..licable to the .ro'ect under review. .I I i RISDICTIt)NAL 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". 0 0 0 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 ❑ 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 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 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 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(I 1/02/COM/WEB) VOJr Mechanical 0 Permit Application~ �r� FOR OFFICE USE ONLY tL�..��G ED Received �. City of Tigard Permit No. II I • 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 2019 i 5 '>1 l 't-L� Phone: 503.718.2439 Fax: 503.598.1960 MAR 19 2019 Plan Review Date/By: Other Permit: TI G A R D Inspection Line: 503.639.4175 V ( p[� Date Ready/By: Saris: 0 See Page 2 for Internet: www.tigard-or.gov UPI I UF- I IGARD Notified/Method: Supplemental Information 3UILDING NVISInN TYPE O - COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work El 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:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 1 46.75 46.75 Job site address: 7620 SW Hansen Ln 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 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 Lot no.: 016 Other fuel appliances: Tax map/parcel no.: Water heater 1 23.32 23.32 DESCRIPTION OF WORK Gas fireplace/insert 1 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 ❑✓ PROPERTY OWNER 0 TENANT 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 Pl., Ste 370 Clothes dryer exhaust 1 33.39 33.39 City/State/ZIP: Beaverton, OR 97007 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 5 23.32 116.60 Phone:(503 )645-0986 Fax:( ) Attic/crawlspace fans 23.32 ❑ APPLICANT ❑✓ CONTACT PERSON Other: 23.32 Business name: Riverside Homes, LLC Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: Nikki Pruett 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 Fax::( ) Fireplace 1 14.15 Range 1 14.15 E-mail: npruett@riversidehome.corn Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name: Pro Heating &Cooling MECHANICAL PERMIT FEES* Address: 2095 NW Alocleck Rd.#1103 Subtotal City/State/ZIP: Hillsboro, OR 97124 Minimum permit fee($90.00) Phone: Plan review(25%of permit fee) ( 971)205-4989 Fax:( ) State surcharge(12%of permit fee) CCB lie.: 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: ��1(,�?(,. * Fee methodology set by Tri-County Building Industry Service Board Print name: Nikki Pruett Date: 3/12/19 I:\Building\Permits\MEC PermitApp_040113.doe 440-4617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Family Fee Schedule: Total Valuation: Permit Fee: $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 , w Electrical Permit ApocatioRECEIVED FOR OFFICE USE ONLY City of Tigard Received - IN 's 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 1 9 2019Date : Permit#���� ,T �...�,_ ` .1� g Plan Review Related Permit#: Phone: 503.718.2439 Fax: 503.598.1960 �y Date/B I I G A R D Inspection Line: 503.639.4175 tdet Y U I" i l(2AH f�L/ Ready Date/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov 3UILD NG DIVISION Notified/Method: Supplemental Information TYPE OF WORK PL ❑✓ New construction ❑Addition/alteration/replacement Please check all that apply(submit j sets of plans w/items checked): ❑Service or feeder 400 amps or more 0 Building over three stories. CI 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. ✓ 1-and 2-familydwellingCommercial/industrial less to ground,or exceeds 14,000 0 Commercial-use agricultural ❑ ❑ ❑Accessory building amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived 0 Addition of new motor load of system. Job#: Job site address: 7620 SW Hansen Ln 100HP or more. ❑"A","E","1-2","1-3", City/State/ZIP: Tigard, OR 97224 0 Six or more residential units. occupancy. Recreational vehicle parks. ❑Health-care facilities. 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 j Total I * New residential single-or multi-family dwelling unit. Subdivision: Elderberry Ridge Lot#: 016 Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 Ea.add'I 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 Construction of SFR (with above sq.ft.) Limited energy,multi-family residential(with above sq.ft.) 75.00 2 Renewable Energy 0 See Page 2 Q PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation Name: Riverside Homes, LLC 200 amps or less 100.70 2 Address: 17933 NW Evergreen PI., Ste 370 201 ampsto400amps 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 1 552.26 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 CI APPLICANT 3 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: Nikki Pruett B.Fee for branch circuits without service or feeder fee,first Address: 17933 NW Evergreen PI., 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: npruett@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 Address: 2804 NE 65th Ave. St. D panel,alteration,or extension. ❑ See Page 2 2 Each additional inspection over allowable in any of the above City/State/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: [ �[ Inspections for which no fee is 172549 0230 p specifically listed(Y2 hr min) 90.00/hr CCB Lic.: Electrical Lic.: Su rv.Lic.��e�,;s .y�,,, ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: 4. ,�,,� Subtotal: Print name: Chester Garrett Date: 3/12/19 0 Plan Review Required(25%of permit fee): ge--r€L State surchazge(12%of permit fee): Authorized signature:,/1 f. TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Nikki Pruett Date: 3/12/19 days after it has been accepted as complete. * Number of inspections allowed per permit. 1:\Building\Permits\ELC_PemiltApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Description I Qty. I Each I Total Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 n 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 n Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 0 Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: n 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(A hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: n Audio and Stereo Systems n Boiler Controls ❑ Clock Systems n Data Telecommunication Installation n Fire Alarm Installation ❑ HVAC n Instrumentation n Intercom and Paging Systems ❑ Landscape Irrigation Control* n Medical n Nurse Calls n Outdoor Landscape Lighting* ❑ Protective Signaling n Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 Plumbing Permit ApplicatioR EC I V D .. Building Fixtures 1✓ t FOR OFFICE USE ONLY City of Tigard MAR 1 9 2019 ReceivedDatePermit No.- :1 .4 13125 SW Hall Blvd.,Tigard,OR 97223 Review: X71 �Q- �- Phone: 503.718.2439 Fax: 503.590140'x" 'WARD Plan Date/By: Other Permit No.: Inspection Line: 503.639.4175 -y ry p r- ! p nReady/By: 0 See Page 2 for TIGARD Internet: WWW.ti and-or. ov �..�ILDN''`1' ' n't,o l' 1N DateJuris: g g Notified/Method: I Supplemental Information TYPE OF WORK FEE* SCHEDULE 2 New construction ❑Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 0 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 0 Accessory building 0 Multi-family SFR(3)bath 1 500.32 Each additional bath/kitchen 25.02 0 Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 7620 SW Hansen 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 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 Lot no.: 016 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Construction of SFR clothes washer 1 25.02 Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ID PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name: Riverside Homes, LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 17933 NW Evergreen 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 ❑ APPLICANT p✓ CONTACT PERSON Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name: Riverside Homes, LLC Contact name: Primer 12.51 Nikki Pruett Roof drain(commercial) 12.51 Address: 17933 NW Evergreen Pl., Ste 370 Sink/basin/lavatory 6 25.02 City/State/ZIP: Beaverton, OR 97007 Solar units(potable water) 62.54 Phone:(503)645-0986 Fax::( ) Tub/shower/shower pan 4 12.51 Urinal 25.02 E-mail: npruett@riversidehome.com CONTRACTOR Water closet 3 25.02 Water heater 1 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 Lie.: 178122 Plumbing Lie,no.: PB414 Plan review (25%of permit fee) a � State surcharge(12%of permit fee) Authorized signature: 'GE & / 7 TOTAL PERMIT FEE Print name: Nikki Pruett Date: 3/12/19 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. I1Building\Permits\PLMU-PernutApp.doc 10/01/09 440-4616T(i0/02/COM/WEB) • Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee: Footing drain-1"100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Valuation: Permit Fee: Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantity by Fixture Type Plan Review for Plumbing Installations Fixture Type for Replace/ Work Performed: Capped Added Relocate Plan review is required for any of the following. 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 ❑ 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 ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" Isometric or Riser Diagram Car Wash Drain Garbage -Domestic-non-food ❑ Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lay -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 Lina Smith From: Lina Smith Sent: Thursday, June 27, 2019 8:54 AM To: #Building Permit Technicians Cc: Khoi Le; Mark VanDomelen Subject: MST2019-00097 Elderberry Ridge Lot 16 Please do not issue this MST. I just talked to Engineering, and this plan is riot approvable because there's a rear deck located in. a storm and sanitary easement. If you have any questions, please talk to Khoi.. Thank you, Lina Lina Smith Assistant Planner City of Tigard I Community Development 13125 SW Hall Blvd.Tigard,OR 97223 E mail: LinaCS(i tigard-or.gov From: Lina Smith Sent:Thursday,June 27, 2019 8:52 AM To: Nikki Pruett<NPruett@riversidehome.com> Cc: Khoi Le<khoi@tigard-or.gov> Subject: Elderberry Ridge Lot 16 Hi Nikki, I just spoke to Engineering, and the proposed deck in the rear of this lot is not approvable because it's located within a storm and sanitary easement. The original MST permit for this lot will also be put on hold. If you have any questions, please contact Khoi at (503) 718-2440. I've also copied him on this e-mail. Please let me know if you'd like me to process paperwork to get you a refund for your minor modification. Thank you, Lina Smith Assistant Planner City of Tigard I Community Development 13125 SW Hall Blvd.Tigard,OR 97223 E-mail: I.,inaC;5(utigard-or.gov 1 City of Tigard ■ 'I COMMUNITY DEVELOPMENT DEPARTMENT T l c A R o Building Permit Review — Residential ,, Building Permit #: QST ,IiQ-00ct-t-* Site Address: -7 6 20 SW H G I')Se r1 L n . Project Name: I ol 2 r b e.re-‘j ( . I d g �, Lot #: {f (New dwelling=subdivision name;Addition or Alteration=last name of owner) I""' Planning Review Proposal: N/PAAJ S F IZ 4 Verify address/suite#active in Accela. ,] In River Terrace: ji' No ❑ Yes,River Terrace Review Addendum Site Plan Elements: 7Erosion Control A3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper fRetained trees with drip line and tree protection measures rawn to scale(standard architect or engineer scale) Aootprint of new structure(including decks)and FFE ICNorth arrow ?Utility locations&easements(required for new and additions) / ite address,project or subdivision name and lot number Sidewalk/driveway approach Applicant information(name and phone number) ❑Location of wells/septic systems Lot dimensions and building setback dimensions /Street tree size,type and location /Square footage of buildings to be demolished ZrStreet names )Z]Existing structures on site Corner elevations(2'contours if more than 4'differential) ) Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ZYes ❑No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? est JN'o fv/P' Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified 21 No Received: ❑ Yes ❑ No 7 Public Facilities Improvement(PFI)Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: zr Yes ❑ No,stop intake PI Land Use Case#: P D 12. 2 o I - 0000 9 Zoning: 12 7 7 Required Setbacks: Front: I S Rear: I S Side: 5 Street Side: IV/$i Garage: Z0 p Building Height: Max.Height: 3 5 Actual Height: Zci Landscape Area:_ 2-0 _ % 0 Lot Coverage Max: S 0 % E, i ance ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less indows ❑ Minimum 12%of area of all street-facing facades I arage ❑ Garage door is behind widest street-facing wall ❑ Yes ❑ No,one of the following is met: ❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage. ❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2' floor. Y V/ ❑ Garage door width is ❑ 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset -- ❑ Fire shingles ❑ Lap Siding ❑ Roof pitch El Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony Visual Clearance Forestry Plan Sensitive Lands: ❑ Yes ,Kr No Type: Conditions met prior to issuance of building permit Notes: (A)Il at trn 0 S 'I-0 b e.- (n e lk- V r17 r fib 1 SS°Q1 r)(12--- 1=1 )CSL❑ Approved By Planning: (V, ( Imo^- Date: 3/ 2- / I c l Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES_022819.docx Building Permit Submittal Original Submittal Date: 3 t 10t I ICI Site Plans: # Building Plans: # Building Permit#: Er Enter building permit#above. Workflow Routing: R Planning Engineering Et/Permit Coordinator 2/Building Workflow Sign-off: 2/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. E/Building original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: \----‘ Date: ?.. t 1c( Enflineering Review re)lope at building pad: fj Uri Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes El No LIDA Facility on lot: ❑ Yes 0 No Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: d43proved by Engineering: Date: fl/ l e Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved El Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved, NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Rev' ' n Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: LYes ❑ N/A Tigard Trans SDC: 4y ❑ N/A Parks SDC: es ❑ N LIDA ❑ Yes G��N/A OK to Issue Permit -47 qpproved by Permit Coordinator: Date f / I:\Building\Forms\BldgPemutRvw RES_022819.docx TREE PLANTING NOTES 1.NEW TREES THAT ARE PLANTED TO MEET THE EFFECTIVE CANOPY REQUIREMENTS SHALL CONFORM TO THE APPLICABLE STANDARDS IN THE TIGARD iii,j(ip . ? URBAN FORESTRY MANUAL.THEY SHALL BE PLANTED IN ACCORDANCE WITH THE AMERICAN NATIONAL STANDARDS INSTITUTE(ANSI)STANDARDS FOR TREE W PLANTING(A300,PART 6)AND ADDITIONAL STANDARDS ADOPTED BY THE OREGON LANDSCAPE CONTRACTORS BOARD.NURSERY STOCK SHALL MEET THE REQUIREMENTS OF THE AMERICAN ASSOCIATION OF NURSERYMEN FOR NURSERY STOCK(ANSI Z60.1)FOR GRADE NO.1 OR BETTER.DOUBLE STAKE TREES IF k vd, NEEDED FOR STABILITY DURING THE ESTABLISHMENT PERIOD. 2.ROOT BARRIERS SHALL BE INSTALLED ACCORDING TO THE MANUFACTURER'S SPECIFICATIONS WHEN A STREET TREE IS PLANTED WITHIN 5'OF ANY HARD SURFACE,PAVING,OR UTILITY BOX. 3.IF NEEDED,IRRIGATION TO BE DESIGN/BUILD BY THE LANDSCAPE CONTRACTOR. 0 1 0' 20 4.IF NEEDED,SPECIES SUBSITUTIONS SHALL BE COORDINATED WITH THE PROJECT ARBORIST TO ENSURE EQUIVALENT CANOPY COVER IN ORDER TO AVOID I MODIFICATION OF THE PREVIOUSLY APPROVED URBAN FORESTRY PLAN. SCALE' 1"=2 0' The project arborist has reviewed this plan and certifies that the trees and tree protection are accurately represented in accordance with the previously approved Urban Forestry Plan. Lot Area: 5670 SF Morgan Nolen,ISA Board Certified Master Arborist(PN-6145B),ISA Tree Risk Assessor Qualified ��/ +p Bldg Coverage: 1613 SF Date:March 17,2019 Phone Number:971.409.9354 V l Total Impervious: 2189 SF 1 Coverage: 28% / 38% Total - 16.5' PRIVATE WALL - _-- - - 10' PRIVATE WALL - EASEMENT- - ----- - EASEMENT _ _ _ 142 - - - - _ - - - - - - I 0- A► - - 145 _ .. I _ - 62.00' __ - =' — - - r__r �. - 143 - -J Q .. —� -e_' ....... - - - - I ' N ti. Water Service Csi Drainage (/��� _ — — — — — Grade lines ' - �'r - _-- "� I 147 FIREPLACE r ' 1 CANTILEVER 20 UTI�T E'TEME�Nr."-- �� -H- 149 LOT 17 __ Ii -___154FFE .., r� i1" 1- 2626 -- r©) EAStERN REOBUO/CERCIS CAN/DENDS (MATER SPREAD 267 `22 __--- 11 o L 0 T 15 r ■ Co ( KATSURA/CERCIOIPHYLLUS JAPONICUM ■ I 0) l ) (DIAMETER SPREAD 40') ,......4, U U rr^,1 15' 153GFE ■ En ( 0 ) OREGON'ATE OW QUERCUS GARRVANA I ■ ( V ) (DIAMETER SPREAD 70') -- k._ I 1 m■ 11 � :I _ Id 5• •o T ® I Ca \ �` / - I � . _4__ _ l " t� — -/ 43-4 - ,:.-77' M �r, L'. '''''/A ' ' : I Il IF -/ •92 23.8; ,_ 15. E-, r SW HANSEN, LANE , Apppioved by - r. Hing x Date. 3/ LC / I tY§SEN L DATE 0$'15'2018 ELDERBERRY RIDGE 11 WESTLAKE REVISION TIGARD, OREGON CONSULTANTS INC. 7 DRAWN BY DAB 1(020 SWh CHECKED BY SGl') l I'1' ENGINEERING • SURVEYING • PLANNING JAB LOT SETBACKS PACIFIC N SEOQU IA PARKWAY, SUITE 150 503 684-0652 JOB ND. LOT 16, 5670 SF TIGARD, OREGON 97224 FAX 5O3) 624-0157 1306-006