Permit Support Document (12) t,r,.,A. .r„A,r
CITY �F T�C7+AR� � : MASTER PERMIT
t'IN1-11 ''` � i Permit#: MST2017-00505
COMMUNITY DEVELOPMENT
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/16/2018
T[ j' Parcel: 2S 104AB00100
Jurisdiction: Tigard
Site address: 12062 SW REDBERRY CT
Subdivision: PROGRESS LANDING Lot:
Project: Progress Landing, Lot 5
Project Description: New Sf. DEMO CREDITS FROM BUP2017-00212 FOR TRANSPORTATION AND PARKS
APPLIED TOWARDS THIS PERMIT. 5/29/2018: REPRINT to add irrigation backflow.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1179 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 23 Bathrooms: 3 Second: 1447 sf Garage: 563 sf Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2626 sf Value: $324,355.77 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0
Bckflw Prevntr: 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 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 2626
Owner: Contractor:
RIVERSIDE HOMES LLC RIVERSIDE HOMES LLC Required Items and Reports(Conditions)
17933 NW EVERGREEN PKWY 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: $9,000.43
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 through1/OAR 952-001-0090. Youmayobtain a copy of the rules or direct questions to OUNC by calling 503.232.19872. 87or 1.800.332.2344.
�. �� I /7 �._ Permittee Signature: (OPV /T� 4/("71-7-70/0
Issued By ✓✓
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Plumbing Permit Applica ' l m R
Building Fixtures �� �1
FOR OFFICE L'SE O L\
Cityof Tigard MAY 2 2 2018Received ��
• 131SW Hall Blvd.,Tigard,OR 9 Date/By: �l {.'� - Permit No j /7e7a�'t'.`
Plan Review
Phone: 503.718.2439 Fax: 503.5 8 r91i0 ) DateB Other Permit No.:
Y
Inspection Line: 503.639.4175 E' y y.
t C,A K U �' Date Read/B hail: ® See Page 2 for
Internet: wwne: 503 www.ligard-or.gov Supplemental
Notified/Method Information
I New construction 0 Demolition For speciel information use checklist
Description I Qty. I Ea. I Total
0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
t t t t v SFR(1)bath 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
Each additional bath/kitchen 25.02
❑Master builder 0 Other:
;, Fire sprinkler(_sq.ft.) Page 2
L 4 a t ; Site utilities:
Job site address: 12062 SW REDBERRY CT 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: PROGRESS LANDING Manufactured home utilities 50.03
Cross street/directions to job site: SW WALNUT ST. &SW 135TH 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: PROGRESS LANDING I Lot no.: 05 Fixture or item:
Tax map/parcel no.: Backflow preventer 1 31.27 31.27
Backwater valve 12.51
" Clothes washer 25.02
Adding backflow preventer to lot for irrigation Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
' " Expansion tank 12.51
Name: Riverside Homes, LLC Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 17933 NW Evergreen Parkway, Suite 370
Garbage disposal 25.02
City/State/ZIP: Beaverton, OR 97006 Hose bib 25.02
Phone:(503) 645-0986 Fax:( ) Ice maker 12.51
l 4 (. Ia as r, Interceptor/grease trap 25.02
Medical gas(value:$ ) Page 2
Business name: Same as above
Primer 12.51
Contact name: WES 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
Water clo25.02
�� Water heaterset 37.52
Business name: TruScapes Water piping/DWV 56.29
Address: 21600 SW 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)
State surcharge(12%of permit fee) 3.75
TOTAL PERMIT FEE 35.02
Authorized signature:
Print name: Wes Boisvert `� Date: 5/17/18 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.
440-4616T(10/02/COM/WEB)
I:\Building\Permits\PLMU-PermitApp.doc 10/01/09
Plumbing Permit Application - City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Su s 'ression Systems:
Footing drain-1'100' 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69
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 S stems:
Water Service-each additional 100' 37.52TXX.
,l 1 t£8 �' ani.a *' 4:
Storm&Rain Drain-1st 100' 62.54 4 ° '
$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
t ' ' • �• ;' 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 fee is specifically indicated 90.00/hr ■ each additional$100.00 or fraction thereof,to
(minimum charle-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 char.e-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 char_l e-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*.
)FiatureTypefo �, :; rssg
Replacx7 Plan review is required for anyof the following.
, t '.e forme ;,, x : Addei4 ;'.'Reloc 9
Baptistry/Font Please check all that apply.
Bath -Tub/Shower 0 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 0 New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918-780-0040.
Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities.
Domestic 0 Any multipurpose fire sprinkler system.
Drinking Fountain 0 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"
Car Wash Drain
Garbage Domestic-non-food
0 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 MachiRefrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall
Sink/Lav -Non-food related
-Bradley
-Commercial-food related
-Service
Swimming Pool Filter *Note: If the fixture work under this permit results in an
Washer-Clothes
Water Extractor increase of sewer EDUs,a sewer permit will be issued and
Water Closet-Toilet fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures:
C:\Users\npruett\Downloads\PLMF PermitApp(1).doc 2