Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
CITY OF TIGARD MASTER PERMIT III COMMUNITY DEVELOPMENT _. ` .q '• Permit#: MST2016-00281 ' ma Date Issued: 09/07/2016 T I I.A R.I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.'44 3(0 OilParcel: 2S104AC10900 Jurisdiction: Tigard Site address: 13320 SW DOE LN Subdivision: Lot: Project: Walnut Ridge, Lot 8 Project Description: New SF. 10/24/16, REPRINT to convert den to bedroom, add guest suite bath&fireplace. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1392 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 4 Second: 1533 sf Garage: 491 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2925 sf Value: $349,498.43 Rear: 20 PLUMBING Sinks: 1 Water Closets: 4 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 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 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N 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 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 Ecompasing: Y Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2925 Owner: Contractor: RIVERSIDE HOMES LLC RIVERSIDE HOMES LLC Required Items and Reports(Conditions) 17933 NW EVERGREEN PKWY 17933 NW EVERGREEN PKWY 370 1 Ersn Cntrl 503-639-4175 #370 BEAVERTON,OR 97006 2 Fire Sprinklers are Required BEAVERTON,OR 97006 3 Geotechnical Inspection Required before foundation PHONE: PHONE: 503-645-0986 FAX: 503-690-2942 Total Fees: $30,100.19 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 952-001-001 ro h OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: •`�'—� Permittee Signature: i ,e0-1-"--- Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. I City of Tigard 1111 COMMUNITY DEVELOPMENT DEPARTMENT ■ T «D Building Permit Review — Residential GA Building Permit #: /VS 720/6 — 0002,/ Site Address: 13320 Sy" Doe Lel Project Name: W a l In u t g-, d 9e_ Lot #: € (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Nem/ SF-R. Verify site address/suite#exists and active in permit system. Pi River Terrace Neighborhood: X No 0 Yes,See River Terrace Review Addendum Attached Site Plan Elements: VIhree(3)copies of site plan Bf xisting structures on site /(Site plan must ha on 8-1/2"x 11"or 11 x 17"paper ,ZFootprint of new structure(including decks)with finished 1 %Drawn to scale(standard architect or engineer scale) floor elevations North arrow 'Utility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number r5tocation of wells/septic systems ,IApplicant information(name and phone number) yiExisting trees to be retained with drip line,and tree Lot dimensions and building setback dimensions protection measures Biot area,building coverage area,percentage of coverage and ,]Street tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) ] Street names , Property corner elevations(2 foot contour lines if more than 4 foot differential) L?' Clean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): Required: 0 Yes,applicant was notified No Received: D Yes ❑ No g Public Facilities Improvement(PFI)Permit: p;.u: to i 1_ 00/02 Required: 0 Yes,applicant was notified ❑ No Applied For: 0 Yes 0 No,stop intake 7 Land Use Case#: Sv62.014-000,, jZI Zoning: 1e 4, S Setbacks: Front I S Rear I S Side .. Street Side / o Garage a.° ! 0 Landscape Requirement -- ALot Coverage Maximum: % Building Height Maximum Height 30 Actual Height 24 Visual Clearance —B—Easements --Sensitive Lands: 0 Yes 0 No Type -g—Urban Forestry Plan "1 Conditions "Met"prior to issuance of building permit Notes: tf el re 3O 1 t e-a Go r),dijilb a S tv Joe The + prior -ro i Ss u qnIL oc cif cGvu ' eer'rnit. I Approved By Planning: ,4'7 o " res,. 640 Date: 6/ 223// A. Revisions(after B ding Submittal only) Re -ew /0D//e Revision 1: VJ Approved El Approved ,0// oL T Revision 2: 0 Approved 0 Not Approved ` Revision 3: 0 Approved ❑ Not Approved I:\Building\Form.0$1dgPennitRvw_RES_060116.docx Building Permit Submittal Original Submittal Date: 4/Z,fr// Site Plans: # 3 Building Plans: # 3 Building Permit#: 12—Enter building permit#above. Workflow Routing: C-Planning 12"--Engineeringin-Permit Coordinator B'Bnilding Workflow Sign-off a--Sign-off for Planning(include notes from planning review) Route Application Documents: Q-Engineering: (1)copy of permit application,(1)site plan,(1)building plan and _„original plan review routing form. dillBuilding. original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: r1e___ Date: 7//4 Engineering Review Ki Slope at building pad: I, donditions"Met"prior to issuance of building permit Easements(encroachments)per engineering conditions of approval and plat ,,, Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes 0 No Assess Water Quantity Fee in-lieu: 0 Yes go No LIDA Facility on lot 0 Yes IC No 0 NOT Approv d Engine ' 4 Date: Notes: de..� p 6/ ' JøT /1f__�� C. Approved by Engineering. 2Date: �—f �d' �b q Revisions(after Building Submittal only) Reviewer Date Z Revision 1: 0 Approved ❑ Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review 0 Conditions"Met"prior to issuance of building permit proved,NOT Released:(S:itp Date: 3,// C Notes: G!-)-1��LO'Yl-n I Revisions(after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: p� ��6 Revision Notice 3: Date Sent to Applicant: S i 7i c\s: DC Fees Entered Wash Co Trans Dev Tax: es 0 N/A u, G ill�l 0 p Tigard Trans SDC: Yes 0 N/A /� !/� J Parks SDC: Yes 0 N/A / f'� \i,...) .. K to Issue Permit Approv y Permit Coordinator: /7,74Date: /i/' r /o�i 9/Li I:\Building\Forms\BldgPermitRvw_RES 060116.docx Building Permit Application , L$ Residential � FOR 01 Fll 1: 1 SF 011.1 Received Permit No City of Tigard 7/ y. ,y 7 P 1111 ill 13125 SW Hall Blvd.,Tigard,OR 97223,JUN N 2 1 16 Date/By: / 7 f/f� �6 pQtnd� � Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/BY 7' 9- � b Other Permi5 1p /Y 'OO /G � ° ` r - l < ,t it i., Inspection Line: 503.639.4175 ci y () x` 3" Date Ready/By: / 7uris: ® See Page 2 for Internet: www.tigard-or.gov t,_i L w L-r.)t;..l e.,t}"y l4 j S j i' Notified/Method '/5 '' ' �" I Supplemental Information 13., i i e.4) Ai//G.. 7 . y e/ .,fi »" •,, S *t dr �3iii . ,s,- ''_r:9' �ai R X ,.0:*,. s:l.."ra ;.,zap arc a ;`t 9 si`-s 1 ®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 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the , ;' >a " t'' , °a ` '.. `` : r ",kr"e,,,,-;*,t s work indicated on this application. .ikiiii ® 1-and 2-family dwelling 0 Commercial/industrial �¢^¢ Valuation: $ ❑Accessory building 0 Multi-family Number of bedrooms: 5 •Ly 7 '9 C ` il SS' ❑Master builder 0 Other: Number of bathrooms: 3.5 i 7 / .„;','`:41``, ,,,.1-,,+ , 4-4,,.,----1-4f' , �`, "r '° Total number of floors: 2 3 3 7 Job site address:13320 SW Doe Ln New dwelling area: 2885 square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: 491 square feet Suite/bldgJapt.no.: I Project name:Walnut Ridge Covered porch area: 45 square feet )c .V3 Cross street/directions to job site:SW Walnut and SW 133rd Ave Deck area: square feet ) '.1 Other structure area: square feet kk, , Subdivision:Walnut Ridge I Lot no.:008 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 ''''',W `_6 , a z i , ;t''''''''' : fi •,:>,.,,71,,k."--/ ,1 work indicated on this application. . t Construction of SFR Home Valuation: $ Existing building area: square feet New building area: square feet , * , ` .. ..:'�., . . _ i --,-,..-1, Number of stories: Name:Riverside Homes,LLC Type of construction: Address:17933 NW Evergreen Parkway,Suite 370 Occupancy groups: City/State/ZIP:Beaverton,OR 97006 Existing: Phone:(503)645-0986 Fax:( ) New: y . 5 C , `' i S4 f :t1...,,- 3 M f %.4,,..' ,'<. t. , �, t.,.' :;..14.- +'Y'. , ''' 6X %,,, v r p " .� , 4 .1, �N 4.--' "` 't: " r ' Business name:Same as Above Structural plan review fee(or deposit): Contact name:Wes Boisvert FLS plan review fee(if applicable): Address: • City/State/ZIP: Total fees due upon application: ' Phone:( ) I Fax::( ) Amount received: $ Y' to t r � "x d ? �q 1R E-mail:wboisvert@riversidebome.com '.:Ards.-, t .,uz ssa , ... e_ s7 + , t;-3 , Commercial and residential prescriptive installation of i , , „Avail' ' "t,a .x '' :".,T7 - ; :4,',,;=-,- 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 Parkway,Suite 370 Solar Installation Specialty Code checklist. City/State/ZIP:Beaverton,OR 97006 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.:189148 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Wes Boisvert Date:06/10/2016 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) t 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 Transmittal Letter 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: \ t w--- DA , >I is DEPT: BUILDING DIVISION OC1. 4 2016 -� FROM: \ C r _Y 0!, 1 R 0 0'0 IG IL IVi5 {COMPANY: - \V(x', \Gs'c, in IL"' PHONE: 6V y \ '1> ‘-'-3 Qv By: RE: \'-'i.- L0 sL..) \ u, L v, 0,1,;("2 0114 00--/...ib I (Site Address) (Permit Number) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Additional set(s)of plans. Revisions: (\;,),t\ Ci vzu-w( (i z. p lct4- H 41'Li4 is Cross section(s)and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: , , . ' -irk- lis ..t'PP` Routed to Permit Technician: Date: i • -S -) EIBM' Fees Due:J Yes ■ No Fee Descri•tion: Amount Due: O.-C „ r • - tri $ S $ $ $ Special Instructions: 'e sent 'ermit owls= ■ Yes ■ No ■ Done A A. •licant Notified: Date: Initials: i . ° I:\Building\Forms\TransmittalLetter-Revisions_061316.doc ( 55 CITY OF TIGA71RD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016-00281 T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/07/2016 Parcel: 2S104AC10900 Jurisdiction: Tigard Site address: 13320 SW DOE LN Subdivision: Lot: Project: Walnut Ridge, Lot 8 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: 25 Bathrooms: 3 Second: 1533 sf Garage: 491 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right 5 Detectors: Yes Total: 2885 sf Value: $347,245.43 Rear: 20 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Bckflw Prevntr: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N 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 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 PKWY 17933 NW EVERGREEN PKWY 370 1 Ersn Cntrl 503-639-4175 #370 BEAVERTON,OR 97006 2 Fire Sprinklers are Required BEAVERTON,OR 97006 3 Geotechnical Inspection Required before foundation PHONE: PHONE: 503-645-0986 FAX: 503-690-2942 Total Fees: $29,966.53 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and -II other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance •r if ork is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow she rules adopted by the Oregon Utility Notification •-nte Those rule are --t forth in OAR 952-001-0010 through OAR 952-001-0090. • .. •I n a copy of ice' les or direct questions to OUNC by calling 503.23 . =:7 or 1.800.3 -4. Issued By: Permittee Signature: ,,,� i/�ij'�, /�I 503.639.4175 by 7:00 a.m.for the next available inspection. 011P. This permit card shall be kept in a conspicuous place on the job site until completion of the proj- t. Approved plans are required on the job site at the time of each inspection. Building Permit Application ; Z$ Residential i'� 7 a ._ FOR OFFICE USF: ONE) City of Tigard `G g 016 Received �Date/By: / 'will( Permit NoyT )� .-�Q�, G/,111114 II 13125 SW Hall Blvd.,Tigard,OR 972233 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 s rt Date/By: Other Permit: f T t G A R D Inspection Line: 503.639.4175 ray 01,:",'I ,k:-...1::;-1,;;-,;:„;,, Date Ready/By: ���0 e Juris: See Page 2 for Internet: www.tigard-or.gov _ i 7I r t,y . �°t t , ,`a. Notified/Metho ��� Supplemental Information �� A) AiltIG 4,;' ',...171'' 1 t t °' ti s 1'C ®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 F, . ‘1::,,' "" , �� . t•� s �-'' %, „ E *1.A work indicated on this application. ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ i 1 —5- ❑Accessory building 0 Multi-family Number of bedrooms: 5 a. jr ' S El Master builder Number of bathrooms: 3.5 ❑Other: j t . '9 @ i a e c "f I Q; Total number of floors: 2 3 l ( Job site address:13320 SW Doe Ln New dwelling area: 2885 square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: 491 square feet Suite/bldg./apt.no.: I Project name:Walnut Ridge Covered porch area: 45 square feet 15 .3 Cross street/directions to job site:SW Walnut and SW 133rd Ave Deck area: square feet ) .s- Other structure area: square feet Subdivision:Walnut Ridge I Lot no.:008 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 . �;rialiff i., f ,:i:,44:116!!'":*+ p ` work indicated on this application. Construction of SFR Home Valuation: $ Existing building area: square feet New building area: square feet `� } 'w" a �•" - Number of stories: Name:Riverside Homes,LLC Type of construction: Address:17933 NW Evergreen Parkway,Suite 370 Occupancy groups: City/State/ZIP:Beaverton,OR 97006 Existing: Phone:(503)645-0986 Fax ( ) New:P 'g. :*" . :ted `:x",„ „-.4,.,.. is .u� ., , 1 t a :: x {, "+ r '+ ' ' ma '3`1 .,.� , 4 za Business name:Same as Above � Structural plan review fee(or deposit): Contact name:Wes Boisvert FLS plan review fee(if applicable): Address: City/State/ZIP: Total fees due upon application: Phone:( ) I Fax: :( ) Amount received: v ;s s t ¢ : s ' E-mail:wboisvert@riversidehome.com F: . 6 4 Commercial and residential prescriptive installation of u, A, .,„„ . -.?a , , . 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 Parkway,Suite 370 Solar Installation Specialty Code checklist. City/State/ZIP:Beaverton,OR 97006 Permit Fee(includes plan review and administrative fees): $180.00 Phone:(503)645-0986 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.:189148 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Wes Boisvert Date:06/10/2016 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Appdict- ,lE FOR OFFICE LSE()NEN City of Tigard �' Received g i(� 2 16 Date/By: Permit No.: -..C4720/.. / / ,.00 (i lig 11 13125 SW Hall Blvd.,Tigard,OR 9`/Z2f3� vso Phone: 503.718.2439 Fax: 5( }96©, Plan Review € Date/By: Other Permit: r 1 G A R U Inspection Line: 503.639 41c7 :#t ' `' z e Page 2 for Internet: www.tigard-or.goV ,,I.;.,-.,....',�" ",` r 3/s S.(:''N Date Rd/ echo rut s: Supplemental 63 Information Notified/Method: � fi. ' s a t� � ' kF , ::;*,.;;;-°,.1'1. q,�se'-r� 't4";.!';';' �-atw a' :i st''r�� 1 � I474''1: , Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all mechanical materials,equipment,labor,overhead,and profit. ❑ Demolition ❑Other: Value:$ ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description Ea. Total 7. I Qty l ` , ,.„ s1 " ' '4`,e • s ,F, t� Heating/cooling: g:. .. ''''....:..•11 r�E . --W , , I Air conditioning 46.75 Job site address: 13320 SW Doe Ln Furnace 100,000 BTU(ducts/vents) 1 46.75 4f 75 City/State/ZIP: Tigard, OR 97223 Furnace 100,000+BTU(ducts vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: 1 Project name: Walnut Ridge Duct work 1 23.32 23 32 Cross street/directions to job site: SW Walnut&SW 133rd 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 1 23.32 23.32 Subdivision: Walnut Ridge 1 Lot no.: 008 Other: 23.32 Tax map/parcel no.: Other fuel appliances: Water heater 1 23.32 23 32 ," . t` s ra . t > • ti z.i; Gas fireplace/insert 1 33.39 33 39 ` ' Flue vent for water heater or gas Construction of SFR fireplace 1 23.32 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 4123.32 r a ' - a is - Other: 23.32 " a Environmental exhaust and ventilation: Name: Riverside Homes, LLC Range hood/other kitchen equipment 1 33.39 33.39 Address: 17933 NW Evergreen Parkway, Suite 370 Clothes dryer exhaust 1 33.39 33.39 City/State/ZIP: Beaverton, OR 97006 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 5 23.32 116.60 Phone:( 503) 645-0986 Fax:( ) Attic/crawlspace fans 23.32 f} , ':--;::;,:,:-,1711i c t' Other: 23.32 Business name: Fuel piping: Same as above $14.15 for first four;$4.03 for each additional Contact name: Wesley Boisvert Furnace,etc. 1 14 15 Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) I Fax::( ) Fireplace 1 14 15 Rae E-mail: wboisvert@riversidehome.com rb 1 1415 Barbecue , `° . + '\'Ir '' Clothes dryer(gas) I. �.._. Business name: Pyramid Heating &CoolingreT` Address: 9409 NE Colfax St. ,` ' �`'` �' Subtotal 399 25 City/State/ZIP: Portland, OR 97220 Minimum permit fee($90.00) Phone:( 503) 786-9522 Fax: Plan review(25%of permit fee) (503)786-3432 State surcharge(12%of permit fee) CCB lie.: 59382 TOTAL PERMIT FEE Q This permit application expires if a permit is not obtained within 180 W, 3e,Stim4 days after it has been accepted as complete. Authorized signature: 1 d * Fee methodology set by Tri-County Building Industry Service Board Print name: Wesley Boisvert Date: 6/20/2016 I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) Electrical Permit Application roz OFFICE t sloNla CityofTigard VI d2 8 ?p Received , © // •0 0- ir ,11111 11 13125 SW Hall Blvd.,Tigard,OR 9773 E., Plan Review Phone: 503.718.2439 Fax: 503.59 i0' ..t 1 a (.-21,11‘R i Date/B : Related Permit#: Inspection Line: 503.639.4175 t j 9 4 ("'1 f N. 1 ;,,r"' a abs Read Date/By: Juris: T I G A R I� „a s y Y ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information ail l ' ,,, . w%,-, ®New construction 0 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. 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards. r a 'a v _ exceeds 10,000 amps 150 volts or p 0 Floating buildings. ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: ❑Fire pump. 0 Installation of 150 KVA or :-; '''''i''''' x '''.:*:.:L:':: ' i '''° ':4. a i '' 1v•`. ": ❑AdditiEmergencyonof system. larger separately derived ❑ new motor load of system. Job#: Job site address: 13320 SW Doe Ln 10oHP or more. ❑"A","E","I-2","1-3^, City/State/ZIP: Tigard, OR 97223 ❑Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: I Project name: Walnut Ridge 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal Cross street/directions to job site: SW Walnut&SW 133rd Ave. i a '- , W g Description Qty. Each Total * New residential single-or multi-family dwelling unit. Subdivision: Walnut Ridge I Lot#: 008 Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less ) 168.54 4 Ea.add'1500 ft.orportion •:a r y, 33.92 1 t ' s,c "� ` rs Limited energy,residential with above s ft. 75.00 2 Construction of SFR ( q ) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) �; 4 745 °t -v - Renewable Energy ❑ See Page 2 g Piie Services or feeders installation,alteration,and/or relocation Name: Riverside Homes, LLC 200 amps or less 100.70 2 Address: 17933 NW Evergreen Parkway, Suite 370 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: Tigard, OR 97223 601 amps to 1,000 amps 301.04 2 Phone:( 503) 645-0986 I Fax:( ) Over 1,000 amps or volts 552.26 2 Email: wboisvert@riversidehome.com Temporary services or feeders installation,alteration,and/or 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 Mat ,.. t' ° ar# ^ r ;, Branch circuits- new,alteration,or extension,per panel A.Fee for branch circuits with Business name: Same as above above service or feeder fee, 7.42 2 each branch circuit Contact name: Wesley Boisvert B.Fee for branch circuits without service or feeder fee,first Address: branch circuit 56.18 2 City/State/ZIP: Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) I Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: wboisvert • riversidehome.com •v Reconnect only 67.84 2 43a ' s � �€ "L.e s: � s 'sem, a,, � � ..I Pump or irrigation circle 67.84 2 Business name: Garner Electric Sign or outline lighting 67.84 2 Address: 2920 SE Brookwood Ave#1 Signal circuit(s)or limited-energy panel,alteration,or extension. ❑ See Page 2 2 City/State/ZIP: Hillsboro, OR 97123 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( 503) 648-4552 Fax:( 503)642-7925 Investigation(1 hr min) 90.00/hr Email: ge@garnerelectric.com Industrial plant(lhrmin) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 121159 Electrical Lic.: 37075 Suprv.Lic.: s ificall listed '/z hr min Suprv.Electrician signature,required: aithk Subtotal: Print name: Chuck Garner I Date: 06/20/2016 0 Plan Review Required(25%of permit fee): ' State surcharge(12%of permit fee): Authorized signature: )� B AAL TOTAL PERMIT FEE: , t This permit application expires if a permit is not obtained within 180 Print name: Wesley Boisvert Date: 6/20/2016 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: "RIt b. 9 4 �,� „.'i ...i.e.'ftR 1 :i j„ likartir Ei}bsomri Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less MI 100.70 _© 5.01 to 15 kva 133.56 _© ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 _© Wind•eneration s stems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva - 301.04 _© E Garage Door Opener* 50.01 to 100 kva 552.26 _© >100 kva(fee in accordance III with OAR 918-309-0040 552.26 —© ❑X Heating, Ventilation and Air Conditioning solarY eneration systems in excess of 25 kva: System* g Each additional kva over 25 1.11 7.42 _© ❑ Vacuum Systems* >100 kva—no additional charge I. 0.0 _© Each additional ins ection over allowable in an of the above: ❑ Other: Each additional inspection is ■ 66.25/hr —� charted at an hourl 1 hr min Inspections for which no fee is III 90.00/min fitil '� r ' e s 4-ificall listed 'A hr Fee for each commercial system: $75,00 Subtotal(Enter on Page 1): (SEE OAR 918-309-0000) * Number of inspections allowed per permit. Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PeniutApp_ELR_ERE.doc Rev 06/17/2015 Plumbing Permit Application Building Fixtures �1, ct 9 FOR OFFICE ISE ONE.) City of Tigard r-7.1, ; :l L. , Received /� _ g Date/By: Permit No.:' ! j /6�6/9,j 1111 I 13125 SW Hall Blvd.,Tigard,OR 97223 ii II !! Phone: 503.718.2439 Fax: 503.598.1968N 2 8 2016 Plan Review Other Permit No.: Inspection Line: 503.639.4175 Date/By: 1 1 G A R 1) amu,---$, Intemet: www.ti and-or. ov )11.;,,:,9�t e°""a Date Ready/By: Juris: ® See Page 2 for g g ° 1 I 1° t i, Notified/Method 4 Supplemental Information For special information use checklist ®New construction ❑Demolition Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) 5' 4 7i'''', kt: ' SFR(1)bath a r, � '� � �a. s 312.70 ® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ❑Multi-family SFR(3)bath 500.32 ❑Master builderEach additional bath/kitchen 25.02 Y 0 Other: Fire sprinlder( sq.ft.) Page g ' s , rk • Site utilities: Job site address: 13320 SW Doe Ln Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: Tigard, OR 97223 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: 1 Project name: Walnut Ridge Manufactured home utilities 50.03 Cross street/directions to job site: SW Walnut&SW 133rd 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: walnut Ridge I Lot no.: 008 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 q' ge` Backwater valve 12.51 Clothes washer 25.02 Construction of SFR Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 sd. t��/ Expansion tank 12.51 Name: Riverside Homes, LLC Fixture/sewer cap 25.02 Address: 17933 NW Evergreen Parkway, Suite 370 Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP: Beaverton, OR 97006 Hose bib 25.02 Phone:(503) 645-0986 Fax ( ) Ice maker 12.51 . 1" , �: Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name: Same as above Contact name: Wesley Boisvert Primer 12.51 Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: wboisvert@riversidehome.com Urinal 25.02 Water closet ' 3 , t .. s „4°' ,,x isa . 25.02 (� Water heater 37.52 Business name: H & H Mechanical Water piping/DWV 56.29 Address: 5757 SE Willow Ln Other: 25.02 City/State/ZIP: Milwaukie, OR 97267 Subtotal Phone:(503) 975-9787 j Fax:( ) Minimum permit fee: $72.50 CCB Lic.: 178122 Plumbing Lic.no.: PB414 Plan review (25%of permit fee) Authorized signature: alla. Qoun.�nensl' State surcharge(12%of permit fee) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name: Wesley Boisvert Date: 6/20/2016 after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Budding\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard IIIp COMMUNITY DEVELOPMENT DEPARTMENT II T I G A R D Building Permit Review — Residential Building Permit #: /1- 7.2o/6 — 00,,26P/ Site Address: 13320 S w Doe L.n Project Name: W(4 1 In u t 2 i o{ 9 e. Lot #: g (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: NeAN SF(Z- Verify site address/suite# exists and active in permit system. Zi River Terrace Neighborhood: X No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: ?three(3)copies of site plan RExisting structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper /Footprint of new structure(including decks)with finished ,ZiDrawn to scale(standard architect or engineer scale) floor elevations North arrow /Utility locations(required for new,may apply for additions) /Site address,project or subdivision name and lot number Tocation of wells/septic systems /Applicant information(name and phone number) Existing trees to be retained with drip line,and tree /17fLot dimensions and building setback dimensions protection measures Tot area,building coverage area,percentage of coverage and AnStreet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) 'Street names ,eProperty corner elevations(2 foot contour lines if more than 4 foot differential) ? Clean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified No Received: ❑ Yes E No Public Facilities Improvement(PFI) Permit: ,F.c told — oo/O' Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake Z Land Use Case#: SU&Wi4-00o/ / /7 Zoning: k 4, S gSetbacks: Front /S Rear I S Side S Street Side / a Garage Landscape Requirement: /itLot Coverage Maximum: ] Building Height: Maximum Height 30 Actual Height 2q Visual Clearance —B--Easements -u--Sensitive Lands: ❑ Yes ❑ No Type - -Urban Forestry Plan iZi Conditions "Met"prior to issuance of building permit Notes: J 6 /' J o (v-e_CA Go rZ c6fib a S td be of e, f prior iv 1 S$ V '1nc 0t. boil cL+V7j ' /Oe+'erii-. Approved By Planning: ,'V2 O /l re-e.•_ 13g ,,X.Lat,�� Date: 6/ 28/1 k 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\8ldgPermitRvw RES_060116.docx Building Permit Submittal Original Submittal Date: 4/21;-//a) Site Plans: # 3 Building Plans: # .3 Building Permit#: 0-Enter building permit#above. Workflow Routing: H--Planning 2-Engineering Permit Coordinator Erluilding Workflow Sign-off: l Sign-off for Planning(include notes from planning review) Route Application Documents: Eh-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and priginal plan review routing form. Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: / lift By Permit Technician: /i` A. .L!-leDate: 7///Se, Engineering Review Slope at building pad: A� ELOonditions "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 ❑ NOT Approv•d b Engineeri :• Date: Notes: .r _t r"-.0" .i Ii !Jrde:5 ' �� �� Approved by Engineering: --PDate: 71-12--j4 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: El Approved El Not Approved Permit Coordinator Review El Conditions "Met"prior to issuance of building permit ( PProved,NOT Released: Date: '-'/3// C Notes.. C P7-7 iti(744.)4,1 Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: qq r L Revision Notice 3: Date Sent to Applicant: ,7t 5 Ut DC Fees Entered: Wash Co Trans Dev Tax: es El N/A J �" // ' IA t ori ' Tigard Trans SDC: Yes El N/A P Parks SDC: Yes 111 N/A OK to Issue Permit Approved by Permit Coordinator: Date: 6.--////4=' I:\Building\Forms\BldgPermitRvw_RES_060116.docx Albert Shields From: Albert Shields Sent: Wednesday,July 13, 2016 9:43 AM To: 'wboisvert@riversidehome.com' Subject: FW: MST2016-00281, 285, &286, Attachments: Conditions - 07-12-2016.pdf Wes, same story for these 3 permit applications. Albert. From:Albert Shields Sent:Tuesday,July 12, 2016 6:37 PM To: 'wboisvert@riversidehome.com' <wboisvert@riversidehome.com> Subject: MST2016-00280, 13310 SW Doe Lane Wes, as you know and as is shown on the attached list of conditions of approval for SUB2014-00011, numerous of the conditions have still to be met and must be met before we can issue building permits. Accordingly, I have marked this application as Approved but Not Released. Plan Review will proceed but the permit will not be issued until the requisite conditions have been met. Albert Shields 1 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13320 SW DOE LN, TIGARD, OR, 97223 Record Type: Residential - Master Permit Inspection Type: 199 Electrical final Result: CNCL Comments: Tel: 503.718.2439 Inspection Date: February 3, 2017 at 9:01:57 AM Record ID: MST2016-00281 Inspector: David Young Inspection canceled by contractor, no access due to ice. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13320 SW DOE LN, TIGARD, OR, 97223 Record Type: Residential - Master Permit Inspection Type: 699 Mechanical final Result: CNCL Comments: Tel: 503.718.2439 Inspection Date: February 3, 2017 at 9:03:47 AM Record ID: MST2016-00281 Inspector: David Young Inspection canceled by contractor, no access due to ice. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13320 SW DOE LN, TIGARD, OR, 97223 Record Type: Residential - Master Permit Inspection Type: 399 Plumbing final Result: PASS Comments: Corrections from previous inspection complete. Violation Summary: Tel: 503.718.2439 Inspection Date: February 13, 2017 at 9:34:21 AM Record ID: MST2016-00281 Inspector: David Young Inspector Contractor