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Permit CITY OF TIGARD MASTER PERMIT ■ - COMMUNITY DEVELOPMENT Permit#: MST2020-00079 T f GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/25/2020 Parcel: 2S112BD13200 Jurisdiction: Tigard Site address: 7749 SW HANSEN LN Subdivision: ELDERBERRY RIDGE Lot: 28 Project: Elderberry Ridge, Lot 28 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 967 sf Basement: 0 sf Left 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1255 sf Garage: 370 sf Front:. 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2222 sf Value: $290,136.22 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 1 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel TYPOS Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furns=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 addi 500 sf: 4 201-400 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 2222 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: $35,926.51 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Yru may obta' rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: ittee Signature: I r a1F 03.639.4175 by 7:00 a.m.for the next available Inspection date. This permit card shall be kept in a conspicuous place on the Job site until completion of the project. Approved plans are required on the Job site at the time of each inspection. Building Permit Application Residential FOR OFFICE USE ONLY City of Tigard 411 Received s Bed_ C .2 -1 J106 al0—g25�T • 13125 SW Hall Blvd.,Tigard,OR 97223 y 8a an Review 3 I Phone: 503.718.2439 Fax: 50359R 1960 Date/By: �.�livv� � .� (/ T I c A R D Inspection Line: 503.639.4175 Dale Ready/By: �� ads ® See Page 2 for Internet www.tigard-or.gov N�ed/Mel /. . 14 `, �% Supplemental Information TYPE OF WORK ///REQUIRED DATA:I-AND 2-FAMILY DWELLING ElNew construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alleration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 0 I-and 2-family dwelling ElCommercial/industrial Valuation: $ 2I 0/ U3t 0 Accessory building 0 Multi-family Number of bedrooms: ❑Master builder ❑Other. Number of bathrooms q JOB SITE INFORMATION AND LOCATION Total number of floors: 2 '2S 91 Job site address: 7749 SW HANSEN LN New dwelling area: 2222 square feet 12555 City/State/ZIP: Tigard, OR 97224 Garage/carport area: 370 square feet ti 1,7 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: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Elderberry Ridge I Lot no.: 28 Permit tees*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 llir`' work indicated on this application. Construction of SFR Valuation: $ Existing building area: square feet New building area: square feet ❑✓ PROPERTY OWNER 0 TENANT Number of stories: Name: Riverside Homes, LLC Type of construction: Address: 17933 NW Evergreen PI., Ste 370 Occupancy groups: City/State/ZIP: Beaverton, OR 97007 Existing: Phone:( 503)645-0986 Fax:I I New: 0 APPLICANT i 0 CONTACT PERSON - '7177 "` BUILDING PERMIT FEES* (Please refer Wee sehedak Business name: Riverside Homes, LLC Structural plan review fee(or deposit): Contact name: AmaAvgi FLS plan review fee(if applicable): Address: 17933 NW Evergreen Pl., Ste 370 City/State/ZIP: Beaverton, OR 97007 Total fees due upon application: Phone:(503)645-0986 Fax: :( ) Amount received: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: aavgi@riversidehome.com 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 PI., 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 / �/ LZ_ Total fee due upon application: $201.60 .—� Authorized signature: This permit application expires if a permit is not obtained l/ / - within 180 days after it has been accepted as complete. Print name: Nikki Pruett Date: 03/02/20 *Fee methodology set by Tri-County Building Industry Service Board. I:1Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB) Mechanical Permit Application FOR OFFICE I.:SE ONI.Y City of Tigard Received Permit No.: 13125 SW Hall Blvd.,Ti ard,OR 97223 e P> re Plan Review IN 11. Phone: 503.718.2439 Fax: 503.598:1960'' / , , ,i Date/By: Other Permit: T I GA R[1 Inspection Line: 503.639.4175 Date Ready/By: !Leis: ® See Page 2 fur Internet www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work 0 New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition D Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY ON' CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ I-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: 7749 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 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 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 Lot no.: 28 Other: 23 32 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 ``0 PROPERTY OWNER A TENANT Other: 23.32 Environmental exhaust and ventilation: Name: Riverside Homes, LLC Range ehood/other kitchenequipm nt 1 33.39 33.39 Address: 17933 NW Evergreen PI., Ste 370 Clothes dryer exhaust 1 33.39 33.39 City/State/ZIP! Beaverton, OR 97007 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 5 23.32 116.60 Phone:(503 )645-0986 Fax:( ) Attic/crawlspace fans 23.32 ' 116.PPLICANT 0 CONTACT PERSON Other: 23.32 Fuel piping: Business name: Riverside Homes, LLC $14.15 for first four;$4.03 for each additional Contact name: Amo Avgi 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 B45-0986 Fax: :( ) Fireplace 1 14.15 Range 1 14.15 E-mail: aavgi@riversidehome.com Barbecue CONTRACTOR Clothes dryer(gas) Business name: Pro Heating &Cooling Other 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 Be.: 209001 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within ISO 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: 03/02/20 1''Building'PemtitslbffiC_PermitApp_040113.doc 440-46171'(l1/02/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:1BuildinglPermits\MEC_PermitApp_040113.doc 2 Electrical Permit Application FOR OFFICE USE ONLY City of Tigard n " Received Permit Nc • 13125 SW Hall Blvd.,Tigard,OR 97223111114 .i e/B Plan Review • Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit t: Inspection Line: 503.639.4175 - Ready Date/By: Juris: El See Page 2 for T I(.A Ii.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).. ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION . exceeds 10,000 amps at 150 volts or 0 Floating buildings. Q l-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural snips for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived ❑Addition of new motor load of system. Job It: Job site address: 7749 SW HANSEN LN IOOHP or more. ❑"A","E",'l-2","I-3", ID or more residential units. occupancy. City/State/ZIP: Tigard, OR 97224 ❑Health-care facilities 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: Elderberry Ridge ❑Hazardous locations. 0 Supply voltage for more than g ❑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. 1 Each j Total I ,, New residential single-or multi-family dwelling unit. Subdivision: Elderberry Ridge Lot#: 28 Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.fl.or portion 33.92 I DESCRIPTION OF WORK Limited energy,residential (with above sq.ft.) 75.00 2 Construction of SFR Limited energy,multi-family 75 00 2 residential(with above sq.ft.) 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 Pl., Ste 370 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: Beaverton, OR 97007 601 amps to 1,000 amps 301.04 2 Phone:(503)645-0986 Fax:( ) Over 1,000 amps or volts 552 26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation: This installation is being made on property that I own which is not 200 amps or less 59.36 I 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 II , , 51 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: Arno Avgi B.Fee for branch circuits without service or feeder fee,first 56.18 2 Address: 17933 NW Evergreen PI., Ste 370 branch circuit City/State/ZIP: Beaverton, OR 97007 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503)645-0986 I Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: aavgi@riversidehome.com Reconnect only 67.84 2 .di,. ,,_ ,t.,x,zy;. . t- 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 El See Page 2 2 Address: 2804 NE 65th Ave. St. D panel,alteration,or extension. WA 98661 Each additional inspection over allowable in any of the above City/State/ZIP: Vancouver, Additional inspection(1 hr min) 66.25/hr Phone:(360)518-7589 Fax:( ) Investigation(I hr min) 90.00/hr Email: /0 /` 6 7 Industrial plant(1 hr min) 78.18/hr f f( f" Inspections for which no fee is 90.00/hr CCB Lic.: 172549 Electrical Lic.: C230 Suprv.Lie.:)71; S s cifically listed('/hr min) , ELECTRICAL PERMIT FEES p4 Suprv.Electrician signature,required: /n444, ,174 Subtotal: Print name: Chester Garrett Date: 03/02/20 ❑Plan Review Required(25%of permit fee): Q� State surcharge(12%TAL of permit fee): Authorized signature:( 4( *. TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Nikki Pruett Date: 03/02/20 days after it has been accepted as complete. ' Number of inspections allowed per permit. I:'Building\Permhs\ELC_PermitApp ELR ERE.doc Rev 06/172015 440-4615T(11/0S/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 I * Fee for all residential systems combined: $75.00 Renew Qn. I Each Total Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 ❑ Garage Door Opener* 50.01 to too kva 552.26 2 • >100 kva(fee in accordance 552.26 2 with OAR 918-309-0040) ® Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is 66.25/hr charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed(%n hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Subtotal(Enter on Page 1): Fee for each commercial system: S75.00 * Number of inspections allowed per perm[. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC n Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical n Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling El Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building'Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/172015 Plumbing Permit Application Building Fixtures - FOR OFFICE USE ONLY Cityof Tigard Received g Date/By: Permit No.'. • 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 Plan Review D Other Permit No.: Date/By: Inspection Line: 503.639 4175 - T I G A R D ov Internet www ti and-or. Date Ready/By: raris: HI See Paget Co, g g Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE M 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 . 0 Commercial/industrial SFR(2)bath 43778 ❑Accessory building El Multi-familySFR(3)bath 1 500.32 500.32 Each additional bath/kitchen 25.02 ❑Master builder ❑Other. Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 7749 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.: I Project name: Elderberry Ridge Manufactured home utilities 50.03 Cross street/directions to job site: SW Bonita Rd &SW 76th Ave Manholes 18.76 Rain drain connector 1 18.76 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.: 28 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 25.02 Dishwasher 1 25.02 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER 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 25.02 City/State/ZIP: Beaverton, OR 97007 Hose bib 2 25.02 50.04 Phone:(503)645-0986 Fax:( ) Ice maker 1 12.51 12.51 MILEl APPLICANT Q CONTACT PERSON Interceptor/grease trap 25.02 Business name: Riverside Homes, LLC Medical gas(value:$_) Page 2 Primer 12.51 Contact name: Amo Avgi Roof drain(commercial) 12.51 Address: 17933 NW Evergreen Pl., Ste 370 Sink/basin/lavatory 6 25.02 150.12 City/State/ZIP: Beaverton, OR 97007 Solar units(potable water) 62.54 Phone:(503)645-0986 Fax: :( ) Tub/shower/shower pan 2 12.51 25.02 E-mail: aavgi@riversidehome.com Urinal 25.02 Water closet 3 25.02 75.06 CONTRACTOR Water heater 1 37.52 37.52 Business name: H & H Mecanical Water P !� iP m WV 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 Plan review (25%of permit fee) CCB Lic.: 178122 Plumbing Lic.no.: PB414 State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: Nikki Pruett Date: 03/02/20 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.1Building\Pemtits\PLMU-PermitApp.doc 10/01/09 4404616T(10i02/COM/WF,B) 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- I"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 tee 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 9 & Baptistry/Font Please check all that apply. Bath Tub/Shower El 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 ❑ 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/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:\Userslnpruett\Downloads\PLMF_PermitApp.doc 2 Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY City of Tigard Received Date/By: Permit No.: 114 i • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review II Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.: T I GAR D Inspection Line: 503.639.4175 Date Ready/By: Cara: HI See Pa e 2 for Internet: www.tigard-or.gov e Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE m New construction ❑Demolition For special information use checklist Description I Qty. I Ea_ I Total ❑Addition/alteration/replacement ❑Other: New l-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 m I-and 2-family dwelling 0 Commerciallindustrial SFR(2)bath 437.78 ElAccessory building 0 Multi-family SFR(3)bath 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: 7749 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 Mo.linear ft. ) Page 2 Suite/bldg./apt.no.: I Project name: Elderberry Ridge Manufactured home utilities 50.03 Cross street/directions to job site: SW Bonita Rd &SW 76th Ave Manholes 18.76 Rain drain connector 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.: 28 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Construction of SFR Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER ❑ 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 25.02 City/State/ZIP: Beaverton, OR 97007 Hose bib 25.02 Phone: (503)645-0986 Fax: ( ) Ice maker 12.51 APPLICANT Q CONTACT PERSON Interceptor/grease trap 25.02 Business name: Riverside Homes, LLC Medical gas(value:$_) Paget Primer 12.51 Contact name: Amo Avgi Roof drain(commercial) 12.51 Address: 17933 NW Evergreen Pl., Ste 370 Sink/basin/lavatory 25.02 City/State/ZIP: Beaverton, OR 97007 Solar units(potable water) 62.54 Phone:(503)645-0986 Fax: :( ) Tub/shower/shower pan 12.51 E-mail: aavgi@riversidehome.com Urinal 2502 CONTRACTOR Water closet 25.02 Business name: Water heater 37.52 TruScapes Water piping/DW V 56.29 Address: 21600 NW Amberwood Dr. Other: 25.02 City/State/ZIP: Hillsboro, OR 97124 subtotal 31.27 Phone:( 503 531-8216 Fax:( ) Minimum permit fee: $72.50 CCB Lic.: LCB#7962 Plumbing Lic.no.: Plan review (25%of permit fee) l'� State surcharge(12%of permit fee) Authorized signature: • i i Get`G i74- TOTAL PERMIT FEE 31.27 Print name: Nikki Pruett Date: 03/02/20 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-Counly Building Industry Service Board. 1-.\Budding1Permits\PLMU-PennitApp.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- I'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-I st 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 fix 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 rcvic‘r 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 Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive'('hm ❑ 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 El 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 g Garbage -Domestic-non-food CIIsometric 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 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:\Userslnpruett\Downloads\PLMF_PermitApp.doc 2 . City of Tigard lig 'I COMMUNITY DEVELOPMENT DEPARTMENT T[G AR D Building Permit Review — Residential Building Permit #: /1jls`j- )—C(-C-?i 99 Site Address: 91L/C ;) /`r/1 _ Project Name: rJebrJay f-ij Lot #: c 2 j Planning Review Pro sal: GU-ek) 0e_- Verify address/suite# active in Accela. 1305 River Ters e: 2I No D Yes,River Terrace Review Addendum Sit Plan Elements: NJ Er.sion Control 611E3 opies of site plan on 8-1/2"x 11"or 11 x 17"paper Illy:etained trees with drip line and tree protection measures awn to scale(standard architect or engineer scale) u F otprint of new structure(including decks)and FFE �� rth arrow �ytility locations&easements(required for new and additions) S e address,project or subdivision name and lot number Sidewalk/driveway approach V.Moplicant information(name and phone number) cation of wells/septic systems II. t dimensions and building setback dimensions �'Stet tree size,type and location IA.uare footage of buildings to be demolished I S eet names 'IAl sting structures on site IdComer elevations (2'contours if more than 4'diff ntial)� iTi Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? VJy,e'd❑>)ao impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown?'`" es No 10, lean Water Services-Service Provider Lettt(lot platted prior to 9/10/1995): quired: ❑ Yes,applicant was notified NJ No Received: ❑ Yes El No Water Meter Fixture Unit Worksheet-Additj6ns,Remodels and ADUs Required: ❑ Yes,applicant was notified � No Received: ❑ Yes D No 0, DC Exemption for ADU applied for: ❑ Yes No Received: ❑ Yes 0 No I/ Public Fac lit' s Improvement (PFI)Permit: 4:11d.Use ired: �� Yes,applicant was notified ❑ No A lied For: Yes No,l stop intake Case#: i)��-2c�lLv- DCbU Zoning: E �bJ0 equred Setbacks: Front: /S Rear. Side: Street Side: Garage: �� wilding Height: Max. Height:_ Actual Height: J t Z Landscape Area: �0 % Lot Coverage Max: g7D Entrance t back no more than 8'from street-facing wall ❑ Parallel to street set 45 degrees or less Windows ❑ Minim 2%of area of all street-facing facades Garage ❑ Garage door is ' d widest street-facing wall 0" es ❑ No,one of the following is met: O Door extends no m an 5'from wall and is a covered porch extending beyond garage. ❑ Door extends no more than o and there is a 12 sq ft.window above garage on 2°d floor. ❑ Garage door width is 0 12' ess %or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered pore Recessed entrance all offset ❑ 1'Roof eave 0 Roof offset O Fire es ❑ Lap Siding ❑ Roof pitch Gable,hip,or gambrel roof 0 Dormer ccent siding 2 Window trim ❑ Window recess Window projection ❑ Balcony. 1A isual Clearance !A Urban Forestry n '41 Sensitive Lands: ❑ Yes 4G No Type: ❑ Condition et Ppior to issuance of buil g permit Not sr .MCP'17 /tA Ina q� 1"h 0 /9 9i/A /-S(.//axn C�J I Approved By Planning: -� — Date: 5/�/`2-C) Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: ❑ Approved ❑ Not Approved 1:\Building\Forms\BldgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: ' /_/)_G Site Plans: # Building Plans: # Building Permit#: ,- Enter building permit# above. Workflow Routing: Planninggineering Permit Coordinator /Building Workflow Sign-off: �-off for Planning(include notes from planning review) Route Application Documents: gineering: (1) copy of permit application, (1) site plan, (1) building plan and al plan review routing form. Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if a plicable, etc. Notes: By Permit Technician: // Date: Engineering Review Slope at building pad: t"Conditions "Met"prior to issuance of building permit I? asements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: ,�,� Assess Water Quality Fee in-lieu: ❑ Yes /2 NNo Assess Water Quantity Fee in-lieu: ❑ Yes 25 No LIDA Facility on lot: 0 Yes fNo Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: te L� Approved by Engineering: c Date: 3 2 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review 0 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: ❑ S C Exemption: 0 Received 0 Does not apply PVSDC Fees Entered: Wash Co Trans Dev Tax: E,,,___,,,...,,,////// 'es 0 N/A Tigard Trans SDC: Yes 0 N/A Parks SDC: Yes 0 N/A LIDA ❑ Yes 0,'N/A OK to Issue Permit Approved by Permit Coordinator: `/VI' Date: l�l� I:\Building\Forms\ idgPermitRvw_RES_1224I 9.docx Sc "i r'1 (7- o_2o -aao 7 9 Dianna Ornelas 77'19 5' J /ff}T/S€7'/ From: Dianna Ornelas Sent: Monday, March 9, 2020 2:29 PM To: Jennifer Doty Cc: Amilian Avgi; #Building Permit Technicians Subject: RE: Elderberry Ridge Lot 28 -Voided Permits Hi Jennifer, I have confirmed with our building official that he will accept reversed plans as a replacement to an existing permit that has not been issued, if the plans are the exact dimensions, etc., but just reversed, and we will assess an additional (hourly) plan review fee on the existing permit. Because we have already voided the existing permits MST2019-00427/SWR2019-00325, and completed plan review on 3lipptkhe replacement permits MST2020-00079/SWR2020-00050, here is what we will do: Dorf • Transfer the original deposit of$750.00 to the new permit. • Void all remaining fees due in the original permit. Dorf • Add an additional plan review fee of$45.00 to cover plan review of both plan sets. The new plans are in post-review waiting to be invoiced and permit made ready to issue. A permit technician will contact you when the permit is ready to issue and the balance due. Thank you and my apologies for the confusion. Dianna L. Ornelas (Howse) Building Division Services Supervisor City of Tigard I Community Development 13125 SW Hall Blvd I Tigard, OR 97223 503-718-2430 Direct 1503-718-2439 Permits From:Jennifer Doty<JDoty@riversidehome.com> Sent: Monday, March 9, 2020 11:00 AM To: Dianna Ornelas <Dianna@tigard-or.gov> Cc:Amilian Avgi<AAvgi@riversidehome.com> Subject: FW: Elderberry Ridge Lot 28-Voided Permits Caution!This message was sent from outside your organization. Allow sender I Block sender Hi Dianna, This was the lot we were hoping to submit a revision for rather than having to void the permit since nothing changed on the plans,they were just a mirror image. I heard from Allyson in the attached email that the revision would only be a $45.00 fee, was there something wrong with our revision paperwork that turned it into a void and resubmit instead? Thank you for your help! Jennifer Doty Marketing &Sales Manager R Riverside Homes t 17933 NW Evergreen Place, #370 Beaverton, OR 97006 Office: 503.645.0986 From:Amilian Avgi<AAvgi@riversidehome.com> Sent: Monday, March 9, 2020 10:32 AM To:Jennifer Doty<JDoty@riversidehome.com> Subject: FW: Elderberry Ridge Lot 28 -Voided Permits Lot 28 From: Dianna Ornelas<Dianna@tigard-or.gov> Sent: Saturday, March 7, 2020 4:25 PM To:Amilian Avgi <AAvgi@riversidehome.com> Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: Elderberry Ridge Lot 28-Voided Permits t F . Hi Amo, Per your request the original permit and plans have been voided for lot 28 at Elderberry Ridge. Because plan review had already been completed, there are fees due for plan review and archiving fees due in the amount of$507.64 (see attached invoice). Please remit payment in person or online at https://aca.accela.com/TIGARD/Welcome.aspx by searching for the permit record number MST2019-00427 under the Building tab. These fees must be paid before we can issue the new plans on this lot. Thank you and please let me know if you have any questions. Dianna L. Ornelas(Howse) Building Division Services Supervisor City of Tigard I Community Development 13125 SW Hall Blvd I Tigard, OR 97223 503-718-2430 Direct 1503-718-2439 Permits DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule." 2