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Permit (14) City of Tigard 114, COMMUNITY DEVELOPMENT DEPARTMENT T 1 c n1114 •n Building Permit Review — Residential Building Permit #: 71,-(s�dt()/ j ' 4177 Site Address: 1,2 Q1() ,gtfi 1.0i..40 Project Name: eiderh t r •./ Lot #: / (New welling=suion name;Arr on or Alteration=last name of owner) Planning Review l(((((IJJJJJ Pro1• /.ae4 ) � iO vk_ f biOti Pe-Verify address/suite#active in Accela. River T.. bd No ❑ Yes,River Terrace Review Addendum SityPlan Elements: ,► rosion Control copies of site plan on 8-1/2"x 11"or 11 x 17"paper Mt;• tamed trees with drip line and tree protection measures awn to scale(standard architect or engineer scale) ►, •..tprint of new structure(including decks)and FFE ItiNorth arrow r4 '' locations&easements(required for new and additions) ti ife address,project or subdivision name and lot number ra Sidewalk/driveway approach (ZOplicant information(name and phone number) 1Nk.: lion of wells/septic systems 1 z Lot dimensions and building setback dimensions ?fie tree size,type and location 1I` rate footage of buildings to be demolished VJ�tfeet names \ 'sting structures on site Comer elevations(2'contours if more than 4'cliff tial) •Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced 30Yes 0I)6 impervious area(applicable if R-7,R-12,R-25&R-40) If•es,is a storm water•uali facili . shown? L.;t Yes o a% can Water Services—Service Provider Lett of platted prior to 9/10/1993): 'equired: 0 Y ,applicant was notified No Received: 0 Yes 0 No td Public Fadli •• s(Improvement(PFI)Permit quired: '�%ZI Yes,applicant was notified 0 No Applied�ed For: nj Yes 0 y�No,stop intake d Use Case#: SAP 2 D/L, -Ol � a2 Zoning: 1`� kb) quired Setbacks: Front /6— Rear: /C— Side: S Street Siidye:, Garage: t) 0/36 :padding Height Max.Height �� Actual H 'IVLandscape Area: ...-2(..) °/a VLot Coverage Max: aiVC.) % Entrance t back no more than 8'from street-facing wall 0 Parallel to s r offset 45 degrees or less Windows 0 12%of area of all street-facing facades Garage 0 Garage door is widest street-facing wall es 0 No,one of the following is met: ❑ Door extends no than 5'from wall is a covered porch extending beyond garage. ❑ Door extends no more th 'f and there is a 12 sq ft.window above garage on Zee floor. 0 Garage door width is 0 1 ' ess /°or less of facade 0 60%or less and includes 7 of following: O Covered pore Recessed entrance Wall offset ❑ 1'Roof cave 0 Roof offset O Fire es ❑ lap Siding 0 Roof pitc Gable,hip,or gambrel roof ❑ Dormer ccent siding Window trim 0 Window rec 0 Window projection 0 Balcony II:‘4 isual Clearance an Forestry Plan S y 7 Sensitive Lands: Yes 0 No Type: / 0 Conditions sn ri r to iss nce of building e 't No (J 1z G�/h' n1�71 i17 d7l. l` G Io Approved By P 'ng:s" 1' — Date: _ZI2aq- Revisions(after B 'ding Submittal only) R 'ewer Y fDate Revision 1: Approved ❑ Not Approved# �! I t (l:(1' i ci Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 Approved 0 Not Approved 1:1Bui(ding\Forms\BIdgPamitRvw_RES_0221119.docx Building Permit Submittal Original Submittal Date: Site Plans: # Building Plans: # Building Permit#: nter building permit#above. Workflow Routing. Planning engineering p1fermit Coordinator '"Building Workflow Sign-off: Sign-off for tang(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. I uilding. original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: ` By Permit Technician: Date: (d2'44k Engjneering Review [lope at building pad: 3 it Conditions"Met"prior to issuance of building permit Easements(encroachments)per engineering conditions of approval and plat tr"Water Quality/Quantity Facility: �/ Assess Water Quality Fee in-lieu: 0 Yes L,�!fr-No Assess Water Quantity Fee in-lieu: 0 Yes ICJ No LIDA Facility on lot 0 Yes t& No Fri/Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: [�" Approved by Engineering: Date: /O/1577/9 Revisions(after BuiMing Submittal only) Reviewer Date Revision 1: I Approved ❑ Not Approved /2//,g//, Revision 2: 0 Approved ❑ Not Approved < Revision 3: 0 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: Ron Notice 3: Date Sent to Applicant , Ild"SDC Fees Entered: Wash Co Trans Dev Tax: t7 yes 0 N/A Tigard Trans SDC: [.}/Y 0 N/A Parks SDC: IOPYes �❑ /A LIDA ❑ Yes l N/A 1i2 g/) OK to Issue Permit 4e Approved by Permit Coordinator. Date: 1:1Buildvig\Fomis'BldgPemtitRvw_RES 022819.docx CITY OF TIGARD MASTER PERMIT •11111 • N1 COMMUNITY DEVELOPMENT Permit#: MST2019-00411 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/25/2019 Parcel: 2S112BD11700 Jurisdiction: Tigard Site address: 7702 SW HANSEN LN Subdivision: ELDERBERRY RIDGE Lot: 13 Project: Elderberry Ridge, Lot 13 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 Dwelling Units: 1 Third: 0 sf Right: 5 Detectors. Yes Total: 2885 sf Value: $378,320.18 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: 503-645-0986 PHONE: 503-645-0986 FAX: 503-690-2942 Total Fees: $34,848.10 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and a I •ther 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 o k is suspend d for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. •sq\rules a set forth in OAR 952-001-0010 through OAR 952-001-0090.,you may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1#40.3143)2,.-264 . Issued By: , 7/-4-;'°r---- i Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application y Residential !� FOR OFFICE USE ONLY City of Tigard OCT 2 A 019 Received ` / 1. • III13125 SW Hall Blvd.,Tigard,OR 97223 DateBy: `�! H / �� �" /^—!f��� S ,', `„.x Plan Review Phone: 503.718.2439 Fax: 503.598.1960 �pateBy: 10 Vis ii 4 r P Gy'i62zs Inspection Line: 503.639.4175 Bl t! �'�°" D T I G A R D p ate Ready/By: /' Jur': ® See Page 2 for Internet: www.tigard-or.gov otified/Metho.: , 71 / Supplemental Information TYPE 'OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING 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 CATEGORY OF CONSTRUCTION work indicated on this application. ID1-and 2-family dwelling 0 Commercial/industrialValuation: $ 37(8, ElAccessory building 0 Multi-family Number of bedrooms: 5 ❑Master builder 0 Other: Number of bathrooms C.( JOB SITE INFORMATION AND LOCATION Total number of floors: 2 ( 3251`-r Job site address: 7 i r,;__. L its 0 '..”...1 , 1 New dwelling area: 2885 square feet k 5'23 City/State/ZIP: Tigard, OR 97224 Garage/carport area: 491 square feet l5S-3._ Suite/bldg./apt.no.: Project name: Elderberry Ridge Covered porch area: 45 square feet Cross street/directions to job site: SW Bonita Rd & SW 76th Ave Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Elderberry Ridge I Lot no.: 013 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 ❑✓ PROPERTY OWNER ❑ TENANT Number of stories: Name: Riverside Homes, LLC Type of construction: Address: 17933 NW Evergreen Pl., Ste 370 Occupancy groups: City/State/ZIP: Beaverton, OR 97007 Existing: Phone:(503)645-0986 Fax:( ) New: 0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name: Riverside Homes, LLC (Plegser5jertofee schedule) Structural plan review fee(or deposit): Contact name: Nikki Pruett FLS plan review fee(if applicable): Address: 17933 NW Evergreen Pl., Ste 370 Total fees due upon application: City/State/ZIP: Beaverton, OR 97007 Amount received: Phone:(503)645-0986 Fax::( ) E-mail: npruett@riversidehome.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: Riverside Homes, LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 17933 NW Evergreen Pl., Ste 370 Solar Installation Specialty Code checklist. City/State/ZIP: Beaverton, OR 97007 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(503)645-0986 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: 189148Total fee due upon application: $201.60 Authorized signature:( .,,,--- 1026(1,rfr This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Nikki Pruett Date: 10/21/19 *Fee methodology set by Tri-County Building Industry Service Board. I:Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application 7 CFR/ FOR OFFICE USE 01 Ll" City of Tigard Received OCT 2 qa1 O f^ Date/By:Received Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 'f3 [[ 1`� _ Plan Review Phone: 503.718.2439 Fax: 503.598.1960 ' Date/By: Other Permit:C3z ( ;rrTIGARD Inspection Line: 503.639.4175 ": B Date Ready/By: turn: 2 Internet: www.tiand-or. ov BUILDING: �)''.,/s ;:--,R, ® See Page l nt g g � ; ,_„� Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ✓❑New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* O 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist. 0 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: 7702 SWI ritia t5c,_t'I Furnace 100,000 BTU(ducts/vents) 1 46.75 46.75 City/State/ZIP: Tigard, OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: Elderberry Ridge Duct work 23.32 Cross street/directions to job site: SW Bonita Rd & SW 76th Ave Hydropic 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.: 013 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 Other: 23.32 ❑✓ PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation: Name: Riverside Homes, LLC Rangehood/otherkitchen equipment 1 33.39 33.39 Address: 17933 NW Evergreen Pl., Ste 370 g 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 0 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.com Barbecue CONTRACTOR Clothes dryer(gas) Pro Heating & Cooling Other: Business name: MECHANICAL PERMIT FEES* 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 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 . /gap/ 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: 10/21/19 I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(I I/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_PennitApp_040113.doc 2 pForivr-i:70 Electrical Permit Application N FOR OFFICE USE ONLY City of Tigard O C T 2 *2019 Received DaPermit#: 114 " 13125 SW Hall Blvd.,Tigard,OR 97223 Plann Review s Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#: Inspection Line: 503.639.4175 Ready Date/By: Juris: El See Page 2 for "1 I G A R D Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ❑✓ New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition El Other: where the available fault cun-ent 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. D1-and 2-familydwellingCommercial/industrialless to ground,or exceeds 14,000 0 Commercial-use agricultural ❑ 0 ❑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 Job#: Job site address: 7702 S Wa,n ❑Addition of new motor load of system. flail�l� f 100HP or more. ❑"A","E 0 Six or more residential units. occupancy. City/State/ZIP: Tigard, OR 972240 Recreational vehicle parks. facilities. P ks• Suite/bldg./apt.#: Project name: Elderberry Ridge 0 Hazardous locations. 0 Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: SW Bonita Rd &SW 76th Ave FEE SCHEDULE Description I Qty. Each I Total New residential single-or multi-family dwelling unit. • Subdivision: Elderberry Ridge Lot#: 013 Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'1500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential (with above sq.ft.) 75.00 2 Construction of SFR Limited energy,multi-family residential(with above sq.ft.) 75.00 2 Renewable Energy 0 See Page 2 0 PROPERTY OWNER El 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 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: Beaverton, OR 97007 601 amps to 1,000 amps 301.04 2 Phone:(503)645-0986 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 Branch circuits—new,alteration,or extension,per panel 0 APPLICANT ❑✓ CONTACT PERSON 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'l 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 Address: 2804 N E 65th Ave. St. D Signal circuit(s)or limited-energy ❑ See Page 2 2 panel,alteration,or extension. 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: /Oil /2 -- Inspections for which no fee is 90.00/hr CCB Lic.: 172549 Electrical Lic.: C230 Suprv.Lic.{ 2 5, s specifically listed C/2hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: � sH. Subtotal: Print name: Che ter Garrett Date: 10/21/19 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: .i)'(/(6°7 TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Nikki Pruett Date: 10/21/19 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doe 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 Fee for all residential systems combined: $75.00 DescriptioQty. Ewen I z°ta, " Renewaa ble 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: n 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 n Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 n 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 charged at an hourly(1 In min) Inspections for which no fee is 90.00/hr specifically listed(A hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES 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 Li B• oiler Controls ❑ Clock Systems n Data Telecommunication Installation n Fire Alarm Installation n HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* n Medical Li N• urse Calls ❑ O• utdoor Landscape Lighting* ❑ Protective Signaling n Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations L\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 Plumbing Permit Application Building Fixtures Elit FOR OFFICE USE ONLY City of Tigard OCT 2 a"2019 019 Received Permit No.: - ' 13125 SW Hall Blvd.,Tigard,OR 97223 PlanRe Date/By: Phone: 503.718.2439 Fax: 503.598.1960 Y 0 `i' D Plan Review Other Permit No.: Date/By: -, ;-JING OIVISICNTIGARD Inspection Line: 503.639.4175 Date Ready/BY furls: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE El New construction ❑Demolition For special information use checklist. Description I Qty. I Ea. I Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 El 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 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 7702 SW tvi 5elei Catch basin or area drain 18.76 City/State/ZIP: Tigard, OR 97224 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: 1 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.: 013 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 Q PROPERTY OWNER J ❑ TENANT Expansion tank 12.51 Fixture/sewer cap 25.02 Name: Riverside Homes, LLC Floor drain/floor sink/hub 25.02 Address: 17933 NW Evergreen PI., Ste 370 Garbage disposal 1 25.02 City/State/ZIP: Beaverton, OR 97007 Hose bib 2 25.02 Phone:(503)645-0986 Fax:( ) Ice maker 1 12.51 0 APPLICANT ❑✓ CONTACT PERSON 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 PI., Ste 370 Sink/basin/lavatory 7 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 4 25.02 Water heater 1 37.52 Business name: H & H Mecanical WaterP�P� g/1 in 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.: Plan review (25%of permit fee) 178122 Plumbing Lic.no.: P6414 • State surcharge(12%of permit fee) Authorized signatur : l4..' RoaAA1 TOTAL PERMIT FEE Print name: Nikki Pruett Date: 10/21/19 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. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire 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 Sewer-1st 100' 3,601 to 7,200 $233.20 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 each additional$100.00 or fraction thereof,to Other Inspections or Fees Qty. Fee(ea) Total 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/ Plan review is required for anyof the following. Work Performed: Capped Added Relocate q g Baptistry/Font Please check all that apply. Bath -Tub/Shower ❑ Any new commercial building with water service 2"and -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru El New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ 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" -4„ Car Wash Drain Isometric or Riser Diagram 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/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: C:\Users\npruett\Downloads\PLMF_PermitApp.doc 2 City of Tigard .. .11,4 COMMUNITY DEVELOPMENT DEPARTMENT ■ TIGARD Building Permit Review — Residential Building Permit #: Z CS�/1V/ - 6, 41/7 Site Address: ZQ Q0 �e1 _ h.47 Project Name: �ig,Z� 44. • Lot #: (New dwelling=su? sion name;A.i•.on or Alteration=last name of owner) Planning Review ((((//// Pro• . al: Afe <",) JE Verify address/suite#active in Accela. � n River T e: No ❑ Yes,River Terrace Review Addendum Sityr Plan Elements: rosion Control ?copies of site plan on 8-1/2"x 11"or 11 x 17"paper I11, tamed trees with drip line and tree protection measures rawn to scale(standard architect or engineer scale) % .•otprint of new structure(including decks)and FFE Zrth arrow fA ' 'ty locations&easements(required for new and additions) e address,project or subdivision name and lot number Sidewalk/driveway approach l plicant information(name and phone number) ‘h. cation of wells/septic systems VLot dimensions and building setback dimensions •. eet tree size,type and location gW",uare footage of buildings to be demolished eet names IN sting structures on site Id Corner elevations(2'contours if more than 4'diffee ntial) V•Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ,I/Yes ❑ impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? %Jj J Yes o lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): 'equired: ❑ y ,applicant was notified No Received: ❑ Yes ❑ No J Public Facili ' s Improvement(PH) Permit: quired: Yes,applicant was notified ❑ No Applied For: Yes CINo,stop intake wnd Use Case#: ,b�2 of Le — [Hing: �--7— , P_b� ired Setbacks: Front: 1� Rear: 6— Side: S--- 91.A. Street Side: Garage: �- 1Ll B 'din Height: Max.Height: Actual Hei • g g g Landscape Area: % VLot Coverage Max: 0/0 Entrance 1i: -t back no more than 8'from street-facing wall ❑ Parallel to str-. •r offset 45 degrees or less Windows ❑ Minim..-• 12%of area of all street-facing facades Garage ❑ Garage door is .-•' d widest street-facing wall V\ ri Yes ❑ No,one of the following is met: ❑ Door extends no , e than 5'from wall a • . ere is a covered porch extending beyond garage. ❑ Door extends no more tha 'fro , . and there is a 12 sq ft.window above garage on 2nd floor. ❑ Garage door width is ❑ 1 ' . ess 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porc II Recessed entrance 5 Wall offset ❑ 1'Roof eave ❑ Roof offset ❑ Fire g es ❑ Lap Siding ❑ Roof pit • Gable,hip,or gambrel roof ❑ Dormer iel ccent siding ! Window trim ❑ Window rece ❑ Window projection ❑ Balcony I1' ' isual Clearance ` ran Forestry Plan 7 Sensitive Lands: Yes ❑ No Type:__.g1 S/ P ❑ Conditions m . .ri.r to issu nce of building .e• 't Not 6. SC .iit i . :! aide) 71 ' Approved By Planning: Date: Dig 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\BldgPennitRvw RES 022819.docx Building Permit Submittal Original Submittal Date: l0 d q Site Plans: # Building Plans: # Building Permit#: ► - nter building permit#above. Workflow Routing: i' Planning e1ngineering ' rmit Coordinator —Building Workflow Sign-off: R Sign-off for Inning(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. 13uilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: c / By Permit Technician: , A' Date: lGz GG/ ........ E.nJneering Review lope at building pad: 3 1 LV Conditions"Met"prior to issuance of building permit Easements (encroachments)per engineering conditions of approval and plat ,�.�,/ { Water Quality/Quantity Facility: l( Assess Water Quality Fee in-lieu: ❑ Yes LK No Assess Water Quantity Fee in-lieu: ❑ Yes (No LIDA Facility on lot: D Yes &No �/ [ l Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes:�te [Td" Approved by Engineering: � - Date: / 7/�9' /7 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 ❑ 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: �� Revjsion Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: ❑ N/A Tigard Trans SDC: jes ❑ N/A Parks SDC: Yes 0 .1-/A LIDA ❑ Yes LS N/A LI OK to Issue Permit t 0/2A )) Approved by Permit Coordinator: Date: l:\Building\Forms\BldgPermitRvw_RES_0228 19.docx FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT III . Transmittal Letter T I G A R o 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: NIKKI PRUETT DEC 1 7 2019 CITY OF TIGAR s COMPANY: RIVERSIDE HOMES BUILDING DIVI •N PHONE: 503-645-0986 By. RE: 7702 SW HANSEN LN MST20 •-00411 (Site Address) / (Permi 'umber) ELDERBERRY RIDGE OT 13 L (Project name or subdivision n d l er) I ATTACHED ARE THE FOLLOWING ITEMS: 1 Copies: Description: Copie. Description: Additional set(s)of plans. Revisions: Cross section(s) and details. V V, Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. 2 Engineer's calculations. 3 Other(exxpplain)::44 Man Floor P : , Deck S Sheet t REMARKS: '. .. .••-- -, ___- -- ___ =-: x 1 '. Included is a revision to A4 Main Floor plan showing the correct deck si •, Deck S Sheet and Engineering. a96 yfj FOR FFICF USE ONLY ��� Routed to Permit�Tec : Date: \'L ['�l/(9 Initials: Fees Due: We' ► No Fee Descrip on: Amount Due: �`' $ per, ' I` t 6..LcJ et,' l b`(\ $ �.e_�n $ 6 rf (c 1L $ lD?, c7 Special Instru ons: =•rint Permit(per PE): Yes El No / ❑ Done Applicant Notified: Date: i j„Z / a,.// ? Initials: I.\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012