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Permit (67) N - CITY OF TIGARD . /. :.: J-. MASTER PERMIT a COMMUNITY DEVELOPMENT �aIL�M11 Permit#: MST2016-00280 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/07/2016 T I t"�R D9 Parcel: 2S104AC10900 Jurisdiction: Tigard Site address: 13310 SW DOE LN Subdivision: Lot: Project: Walnut Ridge, Lot 7 Project Description: New SF. DEMO CREDITS FROM BUP2015-00324 APPLIED TO THIS PERMIT. 10/24/16 REPRINT to convert den to bedroom, add shower&fireplace. ---.----, BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1219 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 4 Second: 1447 sf Garage: 379 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2666 sf Value: $315,209.08 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 Drains: 0 Tubs/Showers: 5 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: 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: 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 2666 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 Geotechnical Inspection BEAVERTON,OR 97006 Required before foundation 3 Fire Sprinklers are Required PHONE: PHONE: 503-645-0986 FAX: 503-690-2942 Total Fees: $8,994.19 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 952-001-00 OAR 9 -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 Permittee Signature: 7 , �ct-- 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. City of Tigard IIICOMMUNITY DEVELOPMENT DEPARTMENT I rl(,ARI) Building Permit Review — Residential • Building Permit #: /`7S. 2e,' — CSG, ce.0 Site Address: 1 33 1 0 Sy./ Doe. Ln Project Name: Walnut gide. Lot #: "7 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Novi SFR. tial Verify site address/suite#exists and active in permit system. in River Terrace Neighborhood: 94.10 0 Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan ericisting structures on site N Site plan must Jag on 8-1/2"x 11"or 11 x 17"paper 4 ootprint of new structure(including decks)with finished ,ZIDrawn to scale(standard architect or engineer scale) floor elevations l 'forth arrow °Utility locations(required for new,may apply for additions) lZiSite address,project or subdivision name and lot number Bocation of wells/septic systems f )Applicant information(name and phone number) ptxisting trees to be retained with drip line,and tree X1Lot dimensions and building setback dimensions protection measures ElLot area,building coverage area,percentage of coverage and SdStreet tree size,type and location ,t impervious area(applicable if R-7,R42,R-25&R-40) Street names ' f CJProperty corner elevations(2 foot contour lines if more than 4 foot differential) VClean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: 0 Yes,applicant was notified 0 No Received: 0 Yes 0 No gi Public Facilities Improvement(PFI)Permit: Required: 0 Yes,applicant was notified o Applied For. 0 Yes 0 No,stop intake gi Land Use Case#: 5 U 13 20 I- 0011 Zoning. 2 4. S pr Setbacks: Front (S Rear 1 S Side 3 Street Side / 0 Garage 2< Landscape Requirement: 'r' % Lot Coverage Maximum: % Building Height: Maximum Height 3 O Actual Height 24 2T Visual Clearance /$Easements if'Sensitive Lands: 0 Yes 0 No Type $ Urban Forestry Plan t 'Conditions"Met"prior to issuance of building permit Notes: (/l)nioIvpd Con GI;fil,t)d + be Me f p,-rbr Ft, /SSvgr2CI- O6 bvi)461 c, Oerf l f Approved By Planning. 0.)O✓I rr.. 4110 ice- Date: 4 /22// (, Revisions(after Ry.ilding Submittal only) ReviewerD to Revision 1: Approved 0 Not Approved `- —� " _ 0 3 Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:\Building\Fonns\BldgPermitRvw_RES 060116.docx Building Permit Submittal Original Submittal Date: 4%/i t Site Plans: # 3 Building Plans: # 3 Building Permit#: ErEnter building permit#above. Workflow Routing ET Planning G4—Engineering 0.--Permit Coordinator .0•11uilding Workflow Sign-off: erSign-off for Planning(include notes from planning review) Route Application Documents: Engineering (1)copy of permit application,(1)site plan,(1)building plan and riginal plan review routing form. Building. original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: 7/7// J Engineering Review Slope at building pad: a Conditions"Met"prior to issuance of building permit Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 0 No Assess Water Quantity Fee in-lieu: 0 Yes 0 No LIDA Facility on lot 0 Yes 0 No 0 NOT Approve b Engine ' Date: AI Notes: ifs!, (70r- fern,04- i Approved by Engineering: .p Date: 7.12-11:7/131,—/n Revisions(after Building Submittal only) Reviewer Da Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved '� Permit Coordinator Review 1` ❑ Conditions"Met"prior to issuance of building permit � pproved,NOT Released: /a +'ate: 1 1-1/10 1 Notes: �'-Gti..� 4.,,, ��� � 4 Revisions(after Building Submittal only) Revision Notice 1: Date Sent to Applicant: V Revision Notice 2: Date Sent to Applicant Revision Notice 3: Date Sent to Applicant SDC Fees Entered: Wash Co Trans Dev Tax: XgPf es 0 N/A Tigard Trans SDC: tb►Yes 0 N/A Parks SDC: Yes 0 N/A OK to Issue Permit / r/ ////f App ed by Permit Coordinator: _ / i Date: // RES 060116.docx I Iz; r Ti I:\Building\Fonns\BldgPermitRvw_ _ Building Permit Application ,, 2$ Residential R C 1 6f E FOR OFFICI': 1.,SI:OVLI of Tigard Received 77 w,/s�v�d�� Q City g N 2 $ 2 016 Date/By: / l(a Permit No.y QQ 13125 SW Hall Blvd.,Tigard,OR 97212Y Plan Review . 11 Phone: 503.718.2439 Fax: 503 gip�i - 7 Date/By: 7 /9 4 c Other Penn %fJ� j/�j.p�J„?y5' 1 l! EE t //yy r4 i I t i-�R l) Inspection Line: 503.639.417 1 �^, � 3p��%�"t�1� Date Ready/By /y, J�s: ® See Page 2 for Internet: www.tigard-or.gov f.i1�.. ?!t�;r.-1 .' l . . Notified/Method, S( loo 6, �,'✓ I Supplemental Information -4/ ' 1 uh "N'" d - v .,. ,vr*'?i t *�,t'i! 1 '44'1'... ''.,-;1:,',-, r a „,e, ry • . i#:A� ,�., �� F, r4 fYiG..L."+ �; "ter., : � 96�4W+W!. . ®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 (b 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the AVr r $ ', g , 5,p A +e ,. i!riwork indicated on this application. _0 Valuation: $ ® 1-and 2-family dwelling ❑Commercial/industrial 1•� ) 6. .' 0 Accessory building 0 Multi-family Number of bedrooms: 4 EI Master builder 0 Other: Number of bathrooms: 3 NJ P -e. ,,s o`t ,q• .:.;g. 't qv''-'7P, y yP + p a,�, p c"\-A, �.."- x", ,•® 0 1 :i-;0". ,, , t ,3 Total number of floors: 2 3 � om. ..n: s � F��, „a<. , ,,• ,. ,�€°,. � � � � Job site address:13310 SW Doe Ln New dwelling area: 2626 square feet A. City/State/ZIP:Tigard,OR 97223 Garage/carport area: 379 square feet Suite/bldg./apt.no.: Project name:Walnut Ridge Covered porch area: 33 square feet j 4) I. ) Cross street/directions to job site:SW Walnut and SW 133rd Ave Deck area: square feet 1.-) CA Other structure area: square feet ',v a vi,� �ra ra'ra moo, s Y.Ya '��'. a !a>•a,.Y.i ,`uk .'i� $°Yi S ¢..... .` iV i::t . .t•”' Subdivision:Walnut Ridge Lot no.:007 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 „.;.;,,,44,,,,, equipment,materials,labor,overhead,and the profit for the „\ 7' x, Ilt1. z,'- :, '-qrs.. , 4 work indicat• ed on this application. Construction of SFR Home Valuation: $ Existing building area: square feet New building area: square feet ii 1 6 Number of stories: Name:Riverside Homes,LLC Type of construction: J pV Address:17933 NW Evergreen Parkway,Suite 370 Occup y anc groups: N City/State/ZIP:Beaverton,OR 97006 Existing: Phone:(503)645-0986 Fax:( ) New: ,.,tF - y.tti:+• ..1 i y r;t `"te Ms Business name:Same as Above ° Structural plan review fee(or deposit): Contact name:Wes Bolsvert FLS plan review fee(if applicable): Address: Total fees due upon application: City/State/ZIP: Phone:( ) Fax::( ) Amount received: E-mail:wbolsvert@riversidehome.com `; tts S,,";,' fr i Commercial and residential prescriptive installation of "' --'.Z,-.',1 r rt3 sus"I ..„ : \'',.-• 'r:;. i ; {<. roof-top mounted PhotoVoltaic Solar Panel System. Business name:Riverside Homes,LLC Submit two(2)sets of roof plan with connection details Address:17933 NW Evergreen Parkway,Suite 370 and fire department access,along with the 2010 Oregon 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 lie.: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) 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 Letter l a 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: "7-6 vti. DATE It DEPT: BUILDING DIVISION Uc 4 2016 FROM: .?) Cl W,S C ri OSA"I!GARD COMPANY: ‘v cv s"t At. -v y1-4J3 II,D1NG DIVISION PHONE: '510.2) '4 1 i-A By:4<,. RE: l'5 ttot. 9.pilc �Z b (Site Address) (Permit Number) t,1 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: 5 Additional set(s) of plans. Revisions: A at\ ( A f i rt petc 51,17N/4-- Cross section(s)and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. V.eit Beam calculations. Engineer's calculations. itofi Other(explain): Co Li % �l,�s ( .rr .. `` %� REMARKS: "" ,\--g 1.9 UL�y T' b l�' �-� r A k tt S L� Pte**44''''t.4444' 441-14€4*Criet'" —444°"vte c:)1 c, - Routed to Permit Technician: Date: • . J EMEEM— Fees Due: El Yes ■ No Fee Descri stion: Amount Du-: V I - : $ S-- t 1 D3 Gam_ $ ys — ��� $ l3 " rteo be d- -• $ /. Special Pt.� AtJg • •z Instructions: :;t kid •i M ' •- ' • Yes • No • Done A• .licant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions 061316.doc INCITY OF TIGARD MASTER PERMIT 11 r, COMMUNITY DEVELOPMENT Permit#: MST2016-00280 TIGA.RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/07/2016 Parcel: 2S 104AC10900 Jurisdiction: Tigard Site address: 13310 SW DOE LN Subdivision: Lot: Project: Walnut Ridge, Lot 7 Project Description: New SF. DEMO CREDITS FROM BUP2015-00324 APPLIED TO THIS PERMIT. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1179 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1447 sf Garage: 379 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2626 sf Value: $312,956.08 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 Drains: 0 Tubs/Showers: 3 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: 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 add9 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 2626 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 Geotechnical Inspection BEAVERTON,OR 97006 Required before foundation 3 Fire Sprinklers are Required PHONE: PHONE: 503-645-0986 FAX: 503-690-2942 Total Fees: $8,880.72 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Cen- Those rules are forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain the rules or direct questions to OUNC by calling 503.232.1.8 or 1.800.332. Issued By: Permittee Signature: , ice, �1 503.639.4175 by 7:00 a.m.for the next available inspection dat�l ' " This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. • Building Permit Application 2$ Residential RCEIVED FOR OFFI(F CSF:ONL1 Cl of Tigard Received �7 j/ M r ` �j g 2 016 Date/By: / 7 /6, _ Permit No.i/.J/,�0/4 Od vZc7 O 1" 13125 SW Hall Blvd.,Tigard,OR 9722y Plan Review . ( Phone: 503.718.2439 Fax: 5030 Q v= Date/By: / 1 ,.1�+ ,rt Other Perm (,tf , /�j-OL/,95 Inspection Line: 503.639.4175 "°` `"r I. �w�rt Date Read/B au,�: I IG�IKD _Ji3i1 1 's i.iyT/I�,P Y y 0 See Supplementalior Internet: www.tigard-or.gov ?3<. l Y e ,,gr �� Notified/Method: �0 f��p QJ Information �. .�- .�,�,.:.' ., , z sa,. �t�;... L'4 v+'44 ,�4� ,.,:.°� ys'y ;. � 1 s 1�. ° ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all (gyp ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the �' - t t 41` 7 •• work indicated on this application. 0 A s ae $i ,� pP Valuation: $ / �_ ® 1 and 2-family dwelling ❑Commercial/industrial •� ❑Accessory building ❑Multi-family Number of bedrooms: 4 ❑Master builder 0 Other: Number of bathrooms: 3 v �'� Total number of floors: 2 Job site address:13310 SW Doe Ln New dwelling area: 2626 square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: 379 square feet 0 Suite/bldg./apt.no.: Project name:Walnut Ridge Covered porch area: 33 square feet j G) 9 J Cross street/directions to job site:SW Walnut and SW 133rd Ave Deck area: square feet j 1.-) cl a Other structure area: square feet p $ i n 9 s I a „' Subdivision:Walnut Ridge Lot no.:007 Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the ` ,Y �` ' •o f s a. �` work indicated on this application. Construction of SFR Home Valuation: $ N. Existing building area: square feet New building area: square feet U " O � ° 1 ' � 714 Y7s; Number of stories: Name:Riverside Homes,LLC Type of construction: •p kl Address:17933 NW Evergreen Parkway,Suite 370 Occupancy groups: N City/State/ZIP:Beaverton,OR 97006 Existing: Phone:(503)645-0986 Fax New:e a' '.'.'*' '+';'-' � a Y. Business name:Same as Above ' _• Structural plan review fee(or deposit): Contact name:Wes Boisvert FLS plan review fee(if applicable): Address: Total fees due upon application: City/State/ZIP: Phone:( ) Fax: :( ) Amount received: E-mail:wboisvert@riversidehome.com4., t3Commercial and residential prescriptive installation of a :, „,;.-7,;',.%%.` _' roof-top mounted Photo Voltaic Solar Panel System. Business name:Riverside Homes,LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:17933 NW Evergreen 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: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Wes Boisvert Date:06/10/2016 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Ai ,F$Mechanical Permit FOR OFFICE 1'SI.OM.)' City of Tigard Received : P 2 8 2 n 1 C y: Permit No.: a 13125 SW Hall Blvd.,Tigard,OR 9 U U Date/By: fr��2/6°`e,(f ni ■ Plan Review Other Permit: Phone: 503.718.2439 Fax: 50 Date/By: I I(,,\R D Inspection Line: 503.639.417r�5 ki� s §!1.....,r1,!. L.: Date Read /B Juris: Internet: www.ti and-or. ov t� E{ r� Ready/By: See Page Supplemental2 nr g g tJt.+��l�� �.� ���t �-�rv^w; Notified/Method: Information .wvA ' ...` ., �: � 8 � +� t r _ �.� €4x�ya"� ��y �:t 5 r , m .�"'�,.. ;z .. � x �, ,.. _ .r..= au'., ,ter, .-.�,r M. s< ,k .. =ti- .. .".. 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. 0 Demolition ❑Other: . � 4p 4.'i,',:',,s �t>°ib� ;- w Value: ® 1-and 2-family dwelling 0 Commercial/industrial } � r i 0Accessory building For special information use checklist ❑Multi-family 0 Master builder 0 Other: DescriptionIQty' I Ea. I Total 4. 'ii l` >14,,,::,kFI oa to � Heating/cooling:34- , � � . . kms, e k . 3,' d v x , � ��M._�„.: Air conditioning 46.75 Job site address: 13310 SW Doe Ln Furnace 100,000 BTU(ducts/vents) 1 46.75 46 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 73 37 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 I Lot no.: 007 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 1 23.32 23 39 w , `t bt € t) {ti 3 ` u` Gas fireplace/insert 1 33.39 33 39 . b '"�� Flue vent for water heater or gas ConRtrljctinn 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 g » Other: 23.32 Environmental exhaust and ventilation: Name: Riverside Homes, LLC Range hood/other kitchen Address: 17933 NW Evergreen Parkway, Suite 370 equipment 1 33.39 33.39 Clothes dryer exhaust 1 33.39 33.39 City/State/ZIP: Beaverton, OR 97006 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 4 23.32 93.28 Phone:( 503) 645-0986 Fax ( ) Attic/crawlspace fans 23.32 � , i' , 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:( ) Fes::( ) Fireplace 1 14 15 Range 1 14 15 E-mail: wboisvert@riversidehome.comBarbecue , I , t " '. . ,,;.4.2 t m.,ii.. ..„4,-"0: , , ,sem. ,,„,. :� Clothes dryer(gas) Business name: Pyramid Heating &CoolingOt her: Address: 9409 NE St. is '". i , '4, ...1 .„x.< , Colfax Subtotal 375 93 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 lic.: 59382 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 ett1p},�„J 3 days after it has been accepted as complete. Authorized signature: * 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— �' D Received FOR orrice t SE O' 1 \ City of Tigard Date/BPermit#jfJ7; O/ _00 wee) :N ii 13125 SW Hall Blvd.,Tigard,OR 972 h I q Plan Review II Phone: 503.718.2439 Fax: 503.598. 0`l 4 8 2016 Date/B : Related Permit#: Inspection Line: 503.639.4175 _ Ready Date/By: kris: ® See Page 2 for I I G A R I) Internet: www.ti and-or. ov CITYi D Notified/Method:hod: g gl.i;,y-fit 3 Supplemental Information ' — IY 1*wet t81.t.i .: ' "a 1'7717 , 114 ::..!''i.„ ";' '^#jh r ®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. ; a ' 7:1""'` .-°" • *Ittexceeds 10,000 amps at 150 volts or 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 ElMulh family ❑Master builderamps for all other installations. buildings. 0 Other: ❑Fire pump. 0 Installation of 150 KVA or ' b. . - } S• I 1 t°" fit[a '4 77'''' '!'" , ?' :';:t4.:' ( ❑Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: 13310 SW Doe Ln 1ooHP or more. ❑"A","E",`1-2","1-3", City/State/ZIP: Tigard, OR 97223 ❑six or more residential units. occupancy. 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: j 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. Description I Qty."I Each .�.I Total I •. New residential single-or multi-family dwelling unit. Subdivision: Walnut Ridge I Lot#: 007 Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less t 168.54 4 s Ea.add'1500 sq.ft.or portion 33.92 1 6' ;� t 4 -t '''� � "r ,N« :�' Limited energy,residential sq. 75.00 2 Construction of SFR (with aboveft.) j Limited energy,multi-family 75.00 2 residential(with above sq.ft.) o a o: l ttRenewable Energy ❑ 2 t'" ) Services or feeders installation,alteration,SeePage 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 J Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: wboisvert@riversidehome.com 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 "` �x; - Branch circuits—new,alteration,or extension,per panel e " `' 4.!,,..;', 1 F 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 Reconnect only 67.84 2 ..-4.'Nc. ,w o ,' `1 -,. ..;xia".. t^'. ; . Pump or irrigation circle 67.84 2 Business name: Garner Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address: 2920 SE Brookwood Ave#1 panel,alteration,or extension. 0 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(I hr min) 78.18/hr Inspections for which no fee is CCB Lie.: %hr min 90.00/hr 121159 Electrical Lic.: 37075 Suprv.Lic.: s.- ificall listed a � „�: i s Suprv.Electrician signature,required: Subtotal: Print name: Chuck Garner I Date: 06/20/2016 0 Plan Review Required(25%of permit fee): Q,),� State surcharge(12%of permit fee): Authorized signature: `?'A`;- &N'`'1° TOTAL PERMIT FEE: 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: Fee for all residential systems combined: $75.00 Desc"'a0° KirA ®="231© Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 1111 100.70 _© 5.01 to 15 kva 133.56 _© ❑ Audio and Stereo Systems* 15.01 to 25 kva - 200.34 _© Wind l eneration s stems in excess of 25 kva: Burglar Alarm 25.01 to 50 kva - 301.04 _© 0 Garage Door Opener* 50.01 to 100 kva 1.11 552.26 _© >100 kva(fee in accordance ■ with OAR 918-309-0040 552.26 -© ❑X Heating, Ventilation and Air Conditioning generationsystems s stems in excess of 25 kva: System* Each additional kva over 25 111 7.42 =© ❑ Vacuum Systems* >100 kva-no additional charge - 0.0 Each additional ins•ection over allowable in an of the above: ❑ Other: Each additional inspection is ■ 66.25/hr -� char l ed at an hourl 1 hr min Inspections for which fee is 1111 �`�Y g m741: 00/ s.- ificall listed %hrr min90hr Fee for each comercial system: $7S OO 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 El Fire Alarm Installation ❑ HVAC El Instrumentation El Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* El 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 06/17/2015 • Plumbing Permit Application Building Fixtures RECEIVED Folz OFFICE ISI. ()\L\ City of Tigard 2 8 Receive 2016Permit No57f�,�0a , 13125 SW Hall Blvd.,Tigard,OR 97223PlU� Date/B Phone: 503.718.2439 Fax: 503.59f1 fq Date/By:an Review Other Permit No.: Inspection Line: 503.639.4175 1+6 i 1' k.1I -I j1 el/t..' ? T I( A R f� r- P r Date Ready/By: Juris: See Page 2 for Internet: www.tigard-or.gov d ti I L D I N� + DVIS;,E o g -1:*‘:' � _ a � : Supplemental Information . v �. t r s1 ; �; Notified/Method:a� t �� tified/Method ®New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) .: . ..h i s s .. t t -x t l .n. r : SFR 1 bath .t ., • O 312.70 ® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 ❑Master builderEach additional bath/Icitchen 25.02 0 Other: tea. Fire sprinkler ( sq.ft.) Page 2 - Site uri i ies: Job site address: 13310 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.: I 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.: 007 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 47/,, '' z i a; 1 .. t t v' Backwater valve 12.51 ' , . Clothes washer Construction of SFR 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 e ._. . r r ,..r a t •.-4•4..,. .. ���. �•_�,'-; 'A., 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 x �. t Interceptor/grease trap 25.02 Business name: Same as above Medical gas(value:$ ) Page 2 Contact name: Primer 12.51 Wesley Boisvert 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 ...� . , 1`'9 ''° - ,' ' N "' t Water closet 25.02 r '' ,..sa ; ' `` ' 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 Fax:( ) Minimum permit fee: $72.50 CCB Lic.: 178122 Plumbing Lic.no.: PB414 Plan review (25%of permit fee) - State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: Wesley Boisvert Date: 6/20/2016 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Pem»ts\PLMU-PennitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT 111 q T 1 G A R D Building Permit Review - Residential Building Permit #: /-7,5-7—c,47/6, CC (PO Site Address: I 33 I 0 S w Doe_ L h Project Name: wu 1 n ut i2 d ye Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: (Vow SEt Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: clrNo ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan HExisting 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 7)Drawn to scale(standard architect or engineer scale) floor elevations CI''North arrow Utility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number C ocation of wells/septic systems JZiApplicant information(name and phone number) ?Listing trees to be retained with drip line,and tree Lot dimensions and building setback dimensions protection measures Lot area,building coverage area,percentage of coverage and ZStreet 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) VClean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No 71 Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified o Applied For: ❑ Yes Cl No,stop intake Land Use Case#: S V(3 ZQ I et-Vo-ort Zoning: 2 41. S jt Setbacks: Front ( S Rear j S Side S Street Side / 0 Garage Tip Landscape Requirement: Lot Coverage Maximum: Building Height: Maximum Height 3 0 Actual Height 24 Visual Clearance $Easements t" Sensitive Lands: ❑ Yes ❑ No Type Er Urban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: (/(1(1°! 01 ift-0( C.011 c 4 f )n J be M e fro /Ss `'G r2 Approved By Planning: 0'7 0 6,10,1"-c4". Date: 6/28 l/ L Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonns\BldgPermitRvw RES 060116.docx Building Permit Submittal Original Submittal Date: ‘V2/././.(,) Site Plans: # 3 Building Plans: # 3 Building Permit#: ErEnter building permit#above. Workflow Routing: E-Planning EI—Engineering C7-hermit Coordinator Building Workflow Sign-off: [ -Sign-off for Planning(include notes from planning review) Route Application Documents: 12'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: 4C -`- - Date: 7/7//x, Engineering Review 4 Slope at building pad: 3d Conditions "Met"prior to issuance of building permit Easements (encroachments)per engineering conditions of approval and plat XWater 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 Approve b Engineeri : Date: Al Notes: 4 • �y gam, Al�. 170c-- r'N4't� Approved by Engineering: jet .„.00 Date: xa k, Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved El Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit / �PP roved,NOT Released: /l/ Late: 1 2-1//‘' C Notes: C.-ON,' 4'€ Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A Tigard Trans SDC: (h Yes El N/A Parks SDC: Yes ❑ N/A i 'sOK to Issue Permit /0/I 87////(e Approved by Permit Coordinator: Date: I:\Building\Forms\B1dgPermitRvw_RES_060116.docx 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13310 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 8:57:58 AM Record ID: MST2016-00280 Inspector: David Young Inspection cancelled by contractor, no access due to ice. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13310 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 9:00:17 AM Record ID: MST2016-00280 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: 13310 SW DOE LN, TIGARD, OR, 97223 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: PASS -CofO Comments: Street tree Moisture content Lighting efficiency Blower door test All forms received Violation Summary: Tel: 503.718.2439 Inspection Date: Record ID: MST2016-00280 Inspector: Jeff Grove Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13310 SW DOE LN, TIGARD, OR, 97223 Record Type: Residential - Master Permit Inspection Type: 699 Mechanical final Result: PASS Comments: Correction from previous inspection complete. Violation Summary: Tel: 503.718.2439 Inspection Date: February 13, 2017 at 9:02:42 AM Record ID: MST2016-00280 Inspector: David Young Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13310 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 9:23:11 AM Record ID: MST2016-00280 Inspector: David Young Inspector Contractor