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Permit (182) ,s CITY OF TIGARD MASTER PERMIT }zi ft , r I' COMMUNITY DEVELOPMENT Offfirf4 Permit#: MST2019-00108 Date Issued: 08/12/2019 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112BD11600 Jurisdiction: Tigard Site address: 7730 SW HANSEN LN Subdivision: ELDERBERRY RIDGE Lot: 12 Project: Elderberry Ridge, Lot 12 Project Description: New SF. 9/25/19: REPRINTED permit to include (1)bar sink and (1)gas line for barbecue. 10/10/19: REPRINT to add 160 sf to deck for a total of 280 sf. 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 Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 2885 sf Value: $371,890.05 Rear: 15 PLUMBING Sinks: 2 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 RainStorm Sewer: 100 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 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: 5 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: $33,064.88 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes aall 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, if, work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Cen Those rules are set forth in OAR 952-001-0010 th, •A: •52-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1•: or 1.800.332.2344. 4, ....- .•-• Issued :yam rip Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. IF This permit card shall be kept in a conspicuous place on the job site until completion of the • oject. Approved plans are required on the job site at the time of each inspection. City of Tigard 114: r COMMUNITY DEVELOPMENT DEPARTMENT 111 r 1 RBuilding Permit Review — Residential Building Permit #: '(\(1\-V 2;\CC- ;kC Site Address: 7 730 30 )10/K0,--) Ln Project Name: g tkrioerry Q-d e Lot #: (New dwelling=subdivision name/Addition or Alteration=last name of owner) Planning Review ��°,.�Yr Proposal: /)4.4) S R Ch ,,,?- 4au ri - �4 c/z ... c1cs•11 I2).!d lb •Z}•?/y f. .Verify address/suite# active in Accela. ❑ In River Terrace: ErNo 0 Yes,River Thrace Review Addendum ,Site Plan Elements: ' :rosion Control ,�copies of site plan on 8-1/2"x 11"or 11 x 17"paper -Cr - am. trees with drip line and tree protection measures -l�llrawn to scale(standard architect or engineer scale) P "ootprint of new structure(including decks)and PPE orth arrow %•utility locations&easements(required for new and additions) Site address,project or subdivision name and lot number a Sidewalk/driveway approach .0 pplicant information(name and phone number) on wells/septic systems � ',ot dimensions and building setback dimensions treet tree size,type and location --1C4quareirAotage of buildings to be demolished , 'Str.--eet names '9-Existing structures on site -tel omer elevations (2'contours if more than 4'differential) -11t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ..2Tes ❑No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes 121C7-o &. -/ Clean Water Services-Service Provider Letter platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No ,blic Facilities I provement(PFI)Permit: Required: Yes,applicant was notified ❑ No Applied For: 0-Yes ❑ No,stop intake Land Use Case#: p goo/(v--000 -a Zoning. R-7 /IT Required Setbacks: "'front: 15 Rear: 15 Side: 5 Street Side: Garage: '20 2--tuilding Height: Max. Height 3 S Actual Height 12--Landscape Area: AO % fin- Lot Coverage Max: F'0 -• . • ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less Windows ❑ Minim.. _°. . area of all street-facing facades Garage ❑ Garage door is behind widest s. - • '.. wall ❑ Yes ❑ No,one of the followin:is - - ID Door extends no more than 5'from wall an. i , . covered .. • : - ..I : •-gond garage. pp ❑ Door extends no more than 5'from wall a . •- ' a sq •. ....-••w above garage on 2nd floor. ❑ Garage door width is ❑ 1 ' • ■ 50%or less of facade ❑ 60%or ess .• : '•cludes 7 of following: ❑ Cove -• :. w• ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave 111 • •• offset -;:---.-i.- ---.---z-.. . ... •: F .-iv, .A . ._. a 1l::C, "t.,ofgam.retizior II IIoiYrier __ ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony -Visual Clearance .0'Urban Forestry Plan �/� . gensitive Lands: --Yes ❑ No Type: 4A /1.4,ffP�- '❑ Conditions m t rior to issuanc of buildin permit Notes: & I� 01,S , e5p �e ,'�a/ /SSaa-r)e-e ,2' Approved By Planning: / Date: 3 ted" Revisions (after Building Submittal only) 54,1_, C(1,124 Reviewer pate Revision 1: ❑ Approved ❑ Not Approved 1-30-P1 Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_022819.docx Building Permit Submittal Original Submittal Date: 3 1C Site Plans: # j Building Plans: # Building Permit#: Enter building p9r t#above. Workflow Routing 12/Planning L`�J Engineering Er Permit Coordinator Ind' Building Workflow Sign-off: d ign-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. 12/Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: I By Permit Technician: L.�. Date: IAI1ci Enneering Review LE/Slope at building pad: I(d'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 ❑ No LIDA Facility on lot: ❑ Yes ❑ No Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes:te 1 Approved by Engineering: Date: 4/e '/7 Revisions (after Building Submittal only) =,,= ,•er Date Revision 1: ❑ Approved 0 Not Approved �� 4177/4- Revision 2: 0 Approved ❑ Not Approved Revision 3: 0 Approved ❑ Not Approved Permit Coordinator Review El_Conditions "Met"prior to issuance of building permit _ 4.617Date:•31"4/)4? Ilel'Approved,NOT Released: 4xt�.c/sv yo ti ���zve,c. Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revisio otice 2: Date Sent to Applicant: Re • ion Notice 3: Date Sent to Applicant SDC Fees Entered: Wash Co Trans Dev Tax: Et Yes ❑ N/A Tigard Trans SDC: [YIYe ❑ N/A Parks SDC: ❑ N LIDA ❑ Yes /A d�717/1 el OK to Issue Permit Approved by Permit Coordinator: 4 Date:/4/)-q 1l y I:\Building\Forms\B1dgPermitRvw_RES 022819.docx CITY OF TIGARD MASTER PERMIT Ph COMMUNITY DEVELOPMENT Permit#: MST2019 00108 t ' :• i Date Issued: 08/12/2019 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 WEINParcel: 2S112BD11600 Jurisdiction: Tigard Site address: 7730 SW HANSEN LN Subdivision: ELDERBERRY RIDGE Lot: 12 Project: Elderberry Ridge, Lot 12 Project Description: New SF. 9/25/19: REPRINTED permit to include(1) bar sink and (1)gas line for barbecue. 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 Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 2885 sf Value: $368,066.05 Rear: 15 PLUMBING Sinks: 2 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 RainStorm Sewer: 100 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 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: 5 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 Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2885 Owner: Contractor: ' RIVERSIDE MOME3ttC--- RfVERSI€D€SOME&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: $32,958.81 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 Notifcati .. enter. Tho-- • -s are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a c s or direct questions to OUNC by calling 503.•4, 987 or 1.8'•. • 44. .1 . Permittee Signature: i i I Issued By: /�. F — r .639.4175 by 7:00 a.m.for the next available inspec-•n •- 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. I Plumbing Permit Application Building Fixtures 1 +a :" FOR OFFICE USE ()NIA Cityof Tigard Received germit No.: L_ 1111 IR 13125 SW Hall Blvd.,Tigard,OR 97223 SEP P 2 e2015 Date/By:Dt/BSi�J! �(3 g c Plan Review Phone: 503.718.2439 Fax: 503.598.1960��'+9-y 'i%'i Date/By: other Permit No.: Inspection Line: 503.639.4175 CITY Y of Il. A .1 I 1(;ARI) yry Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov • , •I k y'y`` ` SIr.Jotified/Method: Supplemental Information ''',12, . a .. ,; . rfgrit*abstnla ;�, '. ..-.: ._ 0 New construction 0 Demolit i x,. 4 For s s ecial in ormation use checklist.�± T ��� � Descriptionw1tQty. Ea. Total 121 Addition/alteration/replacement 0 Other: ^1 ` New 1-2-family dwellings(includes 100 ft.for each utility connection) CIT t Rt a e Tt SFR(1)bath 312.70 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 AccessorybuildingSFR(3)bath 500.32 ❑ 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler(_sq.ft.) Page 2 tQB 3'E'I e t 'fJO. AIND R,( A'R'`o-i Site •utilities: Job site address: 7730 SW • • � n� 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.: 012 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 ..;;;:;Lr, +- Backwater valve 12.51 Add bar sink. Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 , '''. t , V t -' # 4 Expansion tank 12.51s J 4-1 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 _M ;,,t 0 a tk -'4.,4t, Interceptor/grease trap 25.02 Business name: Riverside Homes, LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: Nikki Pruett Roof drain(commercial) 12.51 Address: 17933 NW Evergreen Pl., Ste 370 Sink/basin/lavatory 25.02 25.02 City/State/ZIP: Beaverton, OR 97007 Solar units(potable water) 62.54 hh )641i 43086T- ._' 4 Tubl >veE/ahnwer-Hart Urinal 25.02 E-mail: npruett@riversidehome.com tr +� Water closet 25.02 4F' ','. �t e .. Water heater 37.52 Business name: H & H Mecanical Water piping/DWV 56.29 Address: 5757 SE Willow Ln Other: 25.02 City/State/ZIP: Milwaukie, OR 97267 Subtotal Phone:( 503 975-9787 Fax:( ) Minimum permit fee: $72.50 CCB Lic.: 178122 Plumbing Lic.no.: PB414 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: 1 , /,e,e, ��‘, 2 TOTAL PERMIT FEE Print name: Nikki Pruett Date: 9/25/19 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(l0/02/COM/WEB) Mechanical Permit Application FOR OFFICE: USE Oyl.l° Received City of Tigard y DateB Permit No.: , l N13125 SW Hall Blvd.,Tigard,OR 97223 '. ¢¢��,", +' "�'" yiv- t /� I Phone: 503.718.2439 Fax: 503.598.196001 L.i,s, f �� s, Other Permit: T I G A R D Inspection Line: 503.639.4175 Date ReadyBy: Juris: ® See Page 2 for Internet: www.tigard-or.gov v E F' 2 5 2019 Notified/Method: Supplemental Information . �r 1 i t l"9 e f{ 6 re-1 Mechanical permit fees*are based on the value of the work ❑New construction ©Addition/altera`ti s t'e aC rAl!vr,_= n performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ ❑✓ 1-and 2-family dwelling 0 Commercial/industri:1 ❑ -p ss i bu •'ng For special information use checklist ❑Multi-family 0 Master builder • •'i'a•. ) ' Description Qty. Ea. Total �'a Heating/cooling:. 3tpB Si`>► '`t � ' '1l'IOI AND I.f}C�'1O'1!1 = ., it Air conditioning 46.75 Job site address: 7730 SW :� Ln Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Tigard, OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: I 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 1 Lot no.: 012 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 x r � ��� k �y �„ t 41N'' ? s,"� Gas fireplace/insert 33.39 # +- iso 11-111-1111' ...:x °' +. _ ' • <-'-'• „t' Flue vent for water heater or gas Add BBQ gas line. fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 _ ' 1 .> , >` Other: 23.32 f 4, - Environmental exhaust and ventilation: Name: Riverside Homes, LLC Range hood/other kitchen equipment 33.39 Address: 17933 NW Evergreen Pl., Ste 370 Clothes dryer exhaust 33.39 City/State/ZIP: Beaverton, OR 97007 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(503)645-0986 Fax:( ) Attic/crawlspace fans 23.32 e . r ,, ' '..:,;,,;;,„„,,;•••,,,45,7,,,,,,,;. ..i„t ,,,g; Other: 23.32 _ .�< .. r Fuel piping: Business name: Riverside Homes, LLC $14.15 for first four;$4.03 for each additional Contact name: Nikki Pruett Furnace,etc. Address: 17933 NW Evergreen PLSte 370 Gas heat pump, Wall/suspended/unit heater City/State/ZIP: Beaverton, OR 97007_ Water heater _ Phone:(503 )645-0986 Fax::( ) Fireplace Range E-mail: npruett@riversidehome.com Barbecue 1 14.15 "11'41‘1-1"-- r „1,: -- 1 , . F . Clothes dryer(gas) Other: Business name: Pro Heating &Cooling ',rf Vii- r -CALPERAMIT > * 1, 17 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: ( -/"� �d�%G * Fee methodology set by Tri-County Building Industry Service Board Print name: Nikki Pruett 11 Date: 9/25/19 1:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) CITY OF TIGARD MASTER PERMIT 1 i ,f- . , COMMUNITY DEVELOPMENT Permit#: MST2019-00108 Date Issued: /2019 08/12 T i C,A R.f) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 812/2019 600 Jurisdiction: Tigard Site address: 7730 SW HANSEN LN Subdivision: ELDERBERRY RIDGE Lot: 12 Project: Elderberry Ridge, Lot 12 Project Description: New SF. 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 Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 2885 sf Value: $368,066.05 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 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 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: RIVERSInF HOMES LLC_ -RIVERSIDEHOMES 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: $32,958.81 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty C.des 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 iss =nce, or f work is suspended for more the 180 days. ATTENTION: Oregon law requires you o follow the rules adopted by the Oregon Utility Notificatio Cente. Those rules are set forth in OAR 952-001-0010 through OA -001-0090.You ..obtain a••'%y of the r or direct questions to OUNC by calling 503.'32.19' or 1.800.332.2344. Issued B �� Permittee Signature: By: 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 • e project. Approved plans are required on the job site at the time of each inspection. ' Building Permit Application Checklist One- and Two-Family Dwelling RECEIVED FOR OFFICE U SE oyLV City of Tigard Received CEMEEMIEW al 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 2 2019 Date/By: IN ■ Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: I-� 24-Hour Inspection Line: 503.639.4175 CITY ily F 'G 0 Electrical 0 Plumbing 0 Mechanical it ' [` Internet: www.tigard-or.gov BUILDING DIVISION 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW l es No :VA 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 0 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0 3 Verification of approved plat/lot. 0 0 0 4 Fire district approval required. Name of district: . 0 0 0 5 Septic system permit or authorization for remodel. Existing system capacity 0 0 0 6 Sewer permit. 0 0 0 7 Water district approval. 0 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 0 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. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if 0 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 0 0 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 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. 0 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- 0 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 0 0 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 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 truss design details. 0 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. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or 0 0 0 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 0 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 0 0 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 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 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 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 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 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) City of Tigard C 'I COMMUNITY DEVELOPMENT DEPARTMENT III T 1 c A R D Building Permit Review — Residential Building Permit #: '(\(\�-T 2)-(1)A ( ,�V Site Address: '7 730 30 O/74-ei Lr) Project Name: gf tk4 r-y Q-c{ P Lot #: (New dwelling=subdivision name/Addition or Alteration=last name of owner) Planning Review Proposal: /V.N 3 —g--Verify address/suite# active in Accela. ❑ In River Terrace: INo E Yes,River Terrace RevieavAddendum Site Plan Elements: - FTrosion Control copies of site plan on 8-1/2"x 11"or 11 x 17"paper trees with drip line and tree protection measures An Drawn to scale(standard architect or engineer scale) Footprint of new structure(including decks)and FFr, -E North arrow 211tility locations&easements(required for new and additions) ei Site address,project or subdivision name and lot number Sidewalk/driveway approach .O"Applicant information(name and phone number) _Chocatton of wells/septic systems .I it dimensions and building setback dimensions .L'7Street tree size,type and location ' uare_friotage of buildings to be demolished et names 'B£tting structures on site t ier elevations (2'contours if more than 4'differential) -Et area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? .O'Ves ❑No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes 2 -o Clean Water Services—Service Provider Letter platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No Public Facilities improvement(PFI) Permit: Required: Yes,applicant was notified ❑ No Applied For: ❑—Ys ❑ No,stop intake —Land Use Case#: 1) 2 '/�p--QOOcx? .0'Zoning: R-7 kr Required Setbacks: Front: 15 Rear: ),5 Side: Street Side: Garage: '20 Building Height: Max. Height: 3 S Actual Height: 12'Landscape Area: o2, % tffr Lot Coverage Max: F d ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less Windows ❑ Minim„ ..°. • area of all street-facing facades Garage ❑ Garage door is behind widest s t .! wall ❑ Yes ❑ No,one of the followin.ism• • ❑ Door extends no more than 5'from wall an. i , • _ covered .or . - - ... g .-yond garage. AQP ❑ Door extends no more than 5'from wall an. - ' a sq . •.w above garage on 2nd floor. (✓ ❑ Garage door width is ❑ 1 '_• • 50%or less of facade ❑ 60%or less.• : -•eludes 7 of following: ❑ Cove -• . ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ii • •. offset w�-r_ _-T — e r. 115;61-tam —._ ... ,. .�� -..� � .. ii, a. e; �p;'or gam.xe'f>roo� 111,..Dormer ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony -2'Visual Clearance .-2 UYban Forestry Plan _ ensitive Lands: --2--Yes ❑ No Type: 4:,-/(0,1e4,1,19--- ,2—Approved � �, P� Conditions m-t .rior to issuanc; of building permit Notes: & ♦i� `� .� 4. .. �.• i1i� v 'Approved By Planning: / _ _ Date: 3 '8' r Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fortns\BldgPermitRvw RES 022819.docx Building Permit Submittal I Original Submittal Date: 31 ‘Ci Site Plans: # 3 Building Plans: # Building Permit#: Hili Enter building pEle mit#above. Workflow Routing: d Planning Engineering Permit Coordinator R Building Workflow Sign-off: ign-off for Planning(include notes from planning review) Route Application Documents: L' Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. R/Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: .._% l:4--. Date: "2j("At\c''t En neering Review Slope at building pad: 01, l(d'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 ❑ No A Facility lot: 1E1 Yes ❑ No LVJ" Final PLIDlat Recordedon: ❑ NOT Approved by Engineering: Date: Notes:te � L� Approved by Engineering: Date: Ole/l9 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review LConditions"Met"prior to issuance of building permit 2proved,NOT Released: ext".1Sv Z ki tktill44 e-- /114Aate:'4`V )q Notes: Revisions (after Building Submittal only) Revision N lice 1: Date Sent to Applicant: Revisio otice 2: Date Sent to Applicant: Re ' ion Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: [l/lYe ❑ N/A Parks SDC: IYes ❑ N LIDA ❑ Yes /A OK to Issue Permit Approved by Permit Coordinator: Date: Zq Ji / I:\Building\Forms\BldgPermitRvw_RES 022819.docx