Permit (7) CITY OF TIGARD MASTER PERMIT
N.. . COMMUNITY DEVELOPMENT #,... ..r. ger " ; Permit#: MST2017-00508
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 /� Date Issued: 05/29/2018
TfC;�11=.C7 9
{ / 4 Parcel: 2S104AB00100
Jurisdiction: Tigard
Site address: 12032 SW REDBERRY CT
Subdivision: PROGRESS LANDING Lot:
Project: Progress Landing, Lot 7
Project Description: New SF. 8/15/18: REPRINT to add A/C unit.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First 1659 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: Bathrooms: 4 Second: 1723 sf Garage: 532 sf Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 3382 sf Value: $409,028.58 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Drains: 0
Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 1
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywall-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 6 201-400 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 3382
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: $33,363.38
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-009 . You may obtain a copy of the ules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. -y�
Issued By: z.:..
` ��f!/���2 ��I Yg Permittee Signature: a77
/Permittee /i fi--Z_
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applihon 101201 I It ( SI OyI
Cityof Tigard Received
114 131SW Hall Blvd.,Tigard,OR 97223 �� ° Date/By: �/ Per,nit N43 — —ougi,
g Phone: 503.718.2439 Fax: 503.598,1960 Plan Review Other Permit:
/By:
Inspection Line: 503.639.4175 Date
1 1 C�,1 R i) Date Ready/By: Juris: Ql See Page 2 for
Internet: www.tigard-or.gov - _ Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE —USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 1 46.75 46.75
Job site address: 12032 SW Redberry Court Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Tigard, OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: PROGRESS LANDING Duct work 23.32
Cross street/directions to job site: SW WALNUT ST. &SW 135 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: PROGRESS LANDING Lot no.: 07 cher 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Add NC to permit MST2017-00508 fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
lia PROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Riverside Homes, LLC Range hood/other kitchen
eqAddress: 17933 NW Evergreen Parkway, Suite 370 Clothes nt 33.39
g Y Clothes dryer exhaust 33.39
City/State/ZIP: Beaverton, OR 97006 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( 503) 645-0986 Fax:( ) Attic/crawlspace fans 23.32
ta APPLICANT 0 CONTACT PERSON Other: 23.32
Fuel piping:
Business name: Same as above $14.15 for first four;$4.03 for each additional
Contact name: Wes Boisvert Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail: wboisvert@riversidehome.com Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name: Pro Heating&Cooling MECHANICAL PERMIT FEES*
Address: 2095 NW Alocleck Rd.#1103 Subtotal
City/State/ZIP: Hillsboro, OR 97124 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(971 )205-4989 Fax:( ) State surcharge(12%of permit fee)
CCB lic.: 209001 TOTAL PERMIT FEE 5"4...1°G
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name: Wes Boisvert e6/e, Date: 8/13/18
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(I1/02/COM/WEB)
CITY OF TIGARD MASTER PERMIT
.111 1 COMMUNITY DEVELOPMENT Permit#: MST2017-00508
Date Issued: 05/29/2018
T f r A r f7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S104AB00100
Jurisdiction: Tigard
Site address: 12032 SW REDBERRY CT
Subdivision: PROGRESS LANDING Lot:
Project: Progress Landing, Lot 7
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First: 1659 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: Bathrooms: 4 Second: 1723 sf Garage: 532 sf Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 3382 sf Value: $409,028.58 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 6 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: 6 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add]500 sf: 6 201-400 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 3382
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: $33,210.22
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, .r if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Celt Those .ru/- - - set forth ' OAR
952-001-0010 through 'R 952-001-00scan'. You may obtain a copy of the rules or direct questions to OUNC by c503.232. ;7,-r 1.800.332f 44.
Issued By: ,��/ i�l ��Ii_- ermittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspectio .
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 Application7
Residential FOR OFFICE USE oM.V
City Of Tigard DEC 1 3 2 01- Received /,4, I(? Permit No.;4(7? �u/2 a�
13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: /vi vw
Plan Review r
Phone: 503.718.2439 Fax: 503.598.1960 Cy t By:III
Other Permit:�!��/LK/1 G/J UU�/
i 1 C;��R D Inspection Line: 503.639.4175 , i i r v' Read/B : J,u;s: ��
Internet: www.tigard-or.gov �j �y`t'�/ ethod: ' S See Page l2 Ifnformation
BUMPING PI �I,, 6l.I'.t� i , 1/4 Supplemental Information
.w >, 1 ,.
'''''1""r:;2
New construction ❑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 t
� work indicated on this application.
� : ' � � .. . �. � � �
.� �,� ,�, .._ PIS � --,',,,„. work PP
® 1-and 2-family dwelling 0 Commercial/industrial
Valuation: $ (it �/f77i�
❑Accessory building 0 Multi-family Number of bedrooms: 5 J
El Master builder ❑Other:� T �� 'I(?
� `� � Number of bathrooms: 5
�� � r b► �f � 1f
�.��% Total number of floors: 2 L
.x. �,.. ..r
Job site address:12032 SW REDBERRY CT. New dwelling area: 3382 square feet
'
City/State/ZIP:TIGARD.OR Garage/carport area: 532 square feet 11),,!3
Suite/bldg./apt.no.:97223 Project name:PROGRESS LANDING Covered porch area: square feet O
Cross street/directions to job site:SW WALNUT ST.&SW 135TH AVE Deck area: 0 square feet
4 R 4 mrd— t t6cr 4014-q( Other structure area: 0 square feet
t,,4*
'.ir C ' ,. ®,.
Subdivision:PROGRESS LANDING
Lot no.:07 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
41 equipment,materials,labor,overhead,and the profit for the
b ;tr, _ .-DE 1 ® c s ' ., y:, ''=' work indicated on this application.
Construction of SFR Home Valuation: $
Existing building area: square feet
New building area: square feet
0�
u,t§ 1 ,a i r .ri , Number of stories:
Name:Riverside Homes,LLC Type of construction:
Address:17933 NW Evergreen Parkway,Suite 370
Occupancy p y groups:
City/State/ZIP:Beaverton,OR 97006
Existing:
Phone:(503)645-0986 Fax
"
11 i 1 a 1W
Business name:Same as Above _. �., ,,:" , �, , i..
Contact name:Brett Groves
Structural plan review fee(or deposit):
Address: FLS plan review fee(if applicable):
City/State/ZIP: Total fees due upon application:
Phone:( ) Fax::( ) Amount received:
E-mail:bgroves@riversidehome.com 15) PHOT6VdETSOLARAICF S 5 '
. a.
,� ,. _ .1 Commercial and residential prescriptive installation of
I� � CT� �." ', r, „. , � , i., 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 Specially 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: '+ a
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
Print name:Brett Groves Date: 11/30/2017
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
•
One- and Two-Family Dwelling FOR OFFICE LSI: 011.1
City of Tigard Received
Date/By:
III
, h Permit No.:
4113125 SW Hall Blvd.,Tigard,OR 97223 � O Associated permits:
0 Phone: 503.718.2439 Fax: 503.598.1960
I'I G,�R p 24-Hour Inspection Line: 503.639.4175 W ❑ Electrical 0 Plumbing 0 Mechanical
Internet: www.tigard-or.gov 0 Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW les No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ 0 0
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0
3 Verification of approved plat/lot. 0 0 0
4 Fire district approval required. Name of district: 0 0 0
5 Septic system permit or authorization for remodel. Existing system capacity . 0 0 0
6 Sewer permit. 0 0 0
7 Water district approval. 0 0 0
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0
9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ 0
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 0 0
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ❑ ❑ 0
there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements
and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction
indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and
surface drainage.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ ❑ 0
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 0
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- 0 0 0
floor,wall construction,roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings
and foundation,stairs,fireplace construction,thermal insulation,etc.
15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. 0 0 0
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ❑ 0 0
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing 0 0 0
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 0
systems,see item 22,"Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists 0 0 0
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. 0 0 0
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 0
for four or more appliances.
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or 0 0 0
architect licensed in Ore.on and shall be shown to be a.9licable to the .ro'ect under review.
JURISDICTIONAL SPECIFICS
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 0 0 0
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 0 0
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 0 0
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 0
27 "Drawn to scale"indicates standard architect or engineer scale. 0 0 0
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 0 0
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ 0
and protection measures must be drawn to scale and must include the project arborist's signature of approval.
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, 0 0 0
including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
I:\Building\Permits\BUP-RESPetmitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
VT:CLIVE .;_
,Mechanical Permit Applicatio FOR OFFI( II l SI.ON1.1
Received
City of Tigard c� Permit No.:
u 13125 SW Hall Blvd.,Tigard,OR 97223 DEC `) 2017 1 7 Re
Date/By: �,S T j��—(�(,�Q
Plan Review
Phone: 503.718.2439 Fax: 503.598.19 ti p Date/By: Other Permit:
i i(i A i i) Inspection Line: 503.639.4175 t I \ O F T�k3 A R Date Read!B Jur s:
Internet: www.tigard-or.gov i ¢G otified Method: ®See
lemental Information
B&TIL INiq,isi �l• PP
a ,
` ,: RK `. " COM1131 d' L . .. . ` i !ISE 1Eri Sa', =7:','";; , :,� it. '? ..«'F. 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
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
}4 /Y�} {�/w��/y yyy p* Value:$
c M5 vim #.+V ViiflO n `'' (":::1:::::ill - k#„} AGS M',. G.
,44,141417411;e;® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
p='' E 1VFORMATIO eHeating/cooling:
. .:4,,,. c” , ,.
_.
Air conditioning 46.75
Job site address: 12032 SW REDBERRY CT. Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Tigard, OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name: PROGRESS LANDING Heat pump 61.06 Duct work 23.32
Cross street/directions to job site: SW WALNUT ST. &SW 135 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: PROGRESS LANDING I Lot no.: 07 Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
*1"'„."•'',:,"*. ' '.i'4.;',1 t r1 Gas fireplace/insert 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
t, Other: 23.32
�f ROPLI$ OER a 1`- Environmental exhaust and ventilation:
Name: Riverside Homes, LLC Range hood/other kitchen
equipment 33.39
Address:17933 NW Evergreen Parkway, Suite 370 Clothes dryer exhaust 33.39
City/State/ZIP: Beaverton, OR 97006 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) _ 23.32
Phone:( 503) 645-0986 Fax:( ) Attic/crawlspace fans _ 23.32
'41 ' ' AJCANT 1.,%,14,./." ( H4`:ip111Af1 a Other: 23.32
t' s >e ram , ar
Fuel piping:
Business name: Same as above $14.15 for first four;$4.03 for each additional
Contact name: BRETT GROVES Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail: bgroves@riversidehome.com Barbecue
" CONTRACTOR . . Clothes dryer(gas)
Other:
Business name: Pro Heating&Cooling ` MECHM'JICAL PERMIT FEE
rta
Address: 2095 NW Alocleck Rd.#1103 Subtotal
Ci /State/ZIP: Minimum permit fee($90.00)
Hillsboro, OR 97124 Plan review(25%of permit fee)
Phone:(971 )205-4989 Fax:( ) State surcharge(12%of permit fee)
CCB lie.: 209001 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: lam— * Fee methodology set by Tri-County Building Industry Service Board
Print name: Brett Groves Date: 11/30/2017
1:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial&Multi-Family Fee Schedule:
Total Vs a k o ,„e rlfllt Fee:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:\Building\Permits\ MEC_PermitApp_0401I3.doc 2
RECEIVED
, Electrical Permit Application roR owlet. l SL0yl.1
City of Tigard DEC 13 20'17 Received
u 13125 SW Hall Blvd.,Tigard,OR 97223 Date/BWEI LIII�� 1 i�
Plan Review
' • Phone: 503.718.2439 Fax: 503.598.l ( / i i«y A R'r Date/B : Related Permit#:
Inspection Line: 503.639.4175 ..,, S -Ready Date/By: Anis: ® See Page 2 for
1'1 C;;1 iL L) Internet: www.tigard-or.gov B1111,1/1'1.00. )t 1/ t j otified/Method: Supplemental Information
K ..: 4.1
7 ,,.r. -x" . :..yTYPE. W,1 a cs" �.,,��.> :1` *': T < ''.1::'`^';+.PLAN E; ;,t .r.
®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Demolition 0 Other:
0 Service or feeder 400 amps or more 0 Building over three stories.
where the available fault current 0 Marinas and boatyards.
a, . � CATE 'OF' ON IoN � n- � exceeds 10,000 amps at 150 volts or
0 Floating buildings.
® I-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
<; .., r._ J(ftti7tWFUlt [ 11,UNAND lAVAllok, ': .. `"' ❑Emergencysystem. larger separatelyderived
dd
Job#: Job site address: 12032 SW REDBERRY CT. ❑A 100HPHP o of new motor load of system.
or more. ❑"A" "E" '•t-2" '•1-3"
❑Six or more residential units. occupancy.
City/State/ZIP: Tigard, OR 972230Recreational vehicle parks.Health-care facilities.
Suite/bldg./apt.#: Project name: PROGRESS LANDING 0 Hazardous locations. 0 Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: SW WALNUT ST. &SW 135 AVE 1E "i..�,
Description I Qty. Each j J Total l.
New residential single-or multi-family dwelling unit.
Subdivision: PROGRESS LANDING Lot#: 07 Includes attached garage.
Tax map/parcel#:
1,000 sq.ft.or less 168.54 4
�.• 0,,�' Ea.add'I 500 sq.ft.or portion 33.92 I
, a ':.D 14i;' f, fF , s `;. .; - ;. ' x. Limited ener
gy,residential 75.00 2
Construction of SFR (with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
c t. +! - Renen2
J RO -. W ' R ,-, ,,4 ; : . Services orwable feedersEergy 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 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: bgroves@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
v' '7 r Branch circuits new alteration or extension,per panel
x 1E'LI .L � +NT ~P>tiiL ?�1 <� A.Fee for branch-e circuits with P
Business name: Same as above above service or feeder fee,
7.42 2
each branch circuit
Contact name: Brett Groves 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:( ) Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: bgroves@riversidehome.com Reconnect only 67.84 2
2.4 4 _ • � ,41'- ,atPump 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@gamerelectric.com 3 L/'V s 7///� Industrial plant(I hr min) 78.18/hr
'V I( Inspections for which no fee is 90.00/hr
CCB Lie.: 121159 Electrical Lic.: — Suprv.Lie.: specifically listed(%2 hr min)
3,G, ELECTRICAL, PERMIT FEES
Suprv.Electrician signature,required: atz..iie
Subtotal:
Print name: Chuck Garner n Date: 11/30/2017 ❑Plan Review Required(25%of permit fee):
1/ State surcharge(12%of permit fee):
Authorized signature: � TOTAL PERMIT FEE:
w' This permit application expires ifs permit is not obtained within 180
Print name: Brett Groves Date: 11/30/2017 days after It has been accepted as complete.
* Number of inspections allowed per permit.
I:1Building\Permits/ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440A615T(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 Deco Qty. Enet, Total
y 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
50.01 to 100 kva 552.26 2
❑X Garage Door Opener* >100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
E 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
charged at an hourly(1 hr min) 66.25/hr 1
Inspections for which no fee is 90.00/hr
specifically listed(V.hr min)
' rifft1WAL PE;
Subtotal(Enter on Page 1):
Fee for each commercial system: $75.00 * Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
C 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
El Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
1:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015
RE CF Iv F D
• Plumbin;? Permit Application
Building Fixtures DEC 1 3 101 1012 01 1 1( I. 1 SI, t)yl.v
Cl of Tigard eceived A_
`J g / �`t d 1y t ate/By: Permit No. •�S Tl t�)�'.- Q
4 ill 13125 SW Hall Blvd.,Tigard,OR 97223• F
' • Phone: 503.718.2439 Fax: 503 598M1 �'y�,','T(� ¢t q 1 Review Other Permit No.:
Inspection Line: 503.639.4175 k111 h T# "' 6BReay.
I I u A l:U Internet: www.ti and-or. ov Date ed/MeBy: kris: See Page 2 for
g g Notified/Method: Supplemental Information
:i ',.1. d ,,,. s , WQ ",".;f*xs 3x` ;,. .¢£�«', ..IlT+V, I i 1MEft P a
E New constructionDemolition For special information use checklist
Description I Qty. I Ea. I Total
Addition/alteration/replacement New 1-2-family dwellings(includes 100 ft.for each utility connection)
GORY ! t$3i CUQ` " SFR(1)bath 312.70
►/_1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory building 0 Multi-family SFR(3)bath !!.32
Each additional bath/kitchen 1 25.02
❑Master builder 0 Other:
Fire sprinkler sq.ft.) Page 2
O$ RMATION;*,NI) tr e " e 4 � Site utilities:
l
Job site address: 12032 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: ' ' 07 Fixture or item:
map/parcelTax , Backflow preventer 31.27
t ; ,x , , D y`ON s_ I rt, ,4. Backwater valve 12.51
.341f 4
Clothes washer 25.02
Construction of SFR
Dishwasher
Drinking fountain !
Ejectors/sump 25.02
•''...1":
1, • t I Expansion tank12.51
,• �oLLCFixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: • • 1
Garbage disposal 25.02
City/State/ZIP: Beaverton, OR 97006
Hose bib 25.02
Phone: / 645-0986 Ice maker 12.51
PLI „..1,-,,,;;2r.'t.t" u 1 m , Interceptor/grease trap 25.02
Business name: Same as -•• Medical gas(value:$ ) Page 2
Primer 12.51
Contact name: BRETT GROVES
Roof drain(commercial) 12.51
Sink/basin/lavatory 25.02
Solar units(potable water) 62.54
Phone:( ) Fax::( ) Tub/shower/shower pan 12.51
E-mail: bgroveS@riversidehome.com Urinal 25.02
b , Water closet 25.02
_ " ` ' CONTRACTQ .
.1- ''' 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
fee)
CCB Lic.: 178122 Plumbing Lic.no.: PB414 Plan review (25%of permit .111111111111State surcharge(12%of permit fee)
Authorized signature: s TOTAL PERMIT FEE -
Print name: Brett Groves/ t. Date: 11/30/2017 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.
(:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/07JCOM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
y 1 d-#f �.: ti �' +!)- Total. . . ^? ,.
site,�.. - ��!��' Pe>�i�nit Fed.
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 Systems
Water Service-each additional 100' 37.52 - .,. ,' • � , *max 3't
Storm&Rain Drain-1st 100' 62.54 `l"�'� �
$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
- Asgst S Fee feat Total
each additional$100.00 or fraction thereof,to
Other l�t$p011B � , , and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to
(minimum charge-1/2 hour) and including$25,000.00.
Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to
Reinspection Fees 90.00/hr and including$50,000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
(minimum charge-1/2 hour) each additional$100.00 or fraction thereof.
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*.
quantlt�r by S ` '� =Plan Review for Plumbing,kixhire Type for ` Plan review is required for anyof the following.
Work Performed: Capped Added to 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 Thm 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 ❑ 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 C.
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 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
Washer-Clothes *Note: If the fixture work under this permit results in an
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.1Users\npruett\Downloads\PLMF_PermitApp(1).doc 2
. Plumbing Permit Application ,,,_,,,,, itr-c4;- fJsit
Building Fixtures FI m t., .. FOR OFFICE (SF ONE I"
ity of Tigard �y O 2013
Received )� fj
- i 2 2 Date/B .2 /� Permit N�j X y--CV
/�
Cl114 13125 SW Hall Blvd.,Tigard,OR 972`23 y' / �'�'' " r-fTi (Jle/ -CV-C)?
Phone: 503.7182439 Fax: 503.59 1 Plan Review
�`�Q c I �' °': Date/By: Other Permit No.:
I I c A K D Inspection Line: 503.639.4175 �';
Internet: www.tigazd-or.gov BU: -_.. .a `, Date Ready/By: Juris: ® See Page 2 for
Nottfied/Method Supplemental
.P: Information
.', tymip �AvA , 1x� � °
,t `. s .�f ; � 9P t.
®New construction 0 Demolition For special information use checklist
Description I Qty. I Ea. I Total
0 Addition/alteration/replacement 0 Other New 1-2-family dwellings(includes 100 ft.for each utility connection)
€ . , _, . = �w tt .. *y ,rti 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
❑Master builder - Each additional bath/kitchen 25.02
0 Other: Fire sprinkler(_sq.ft.) Page 2
k. !•-',.`",,‘,Y,,,, a „,:,,.„2,-1;t. `.k ‘ ,. If; Site utilities:
Job site address: 12032 SW REDBERRY CT Catch basin or area drain 18.76
City/State/ZIP: TIGARD, OR 97223 Drywell,leach line,or trench drain 18.76
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.: 07 Fixture or item:
Tax map/parcel no.: Backflow preventer 1 31.27 31.27
, - s f 1 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
e :,S7,":104,,,:** •_, ,-,,c°' r•1. "` r,^Expansion tank 12.51
ik- 41
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
?#' � '�. Interceptor/grease trap 25.02
.t* }�� � c�4 Y
Business name: Same as above Medical gas(value:$ ) Page 2
Contact name: WES 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
a ,,,,,,,: ...,:„...,.....01.„ Water closet 25.02
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) ,"7!>
State surcharge(12%of permit fee) v^.Z)1'
Authorized signature:
TOTAL PERMIT FEE _,.35, '
Print name: Wes Boisvert 1,71--- Date: 5/17/18 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete. '3 l
*Fee methodology set by Tri-County Building Industry Service hoard.
I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(l0/02/COM/WEB) V
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Sup i ression S stems:
2.
Footing dram-1"100' 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69
Sewer-1st 100' 62.54 3,601 to 7,200 $233.20
7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 62s4 Medical Gas Systems
Water Service-each additional 100' 37.52 i r
Storm&Rain Drain-1st 100' 62.54 g. ! ! i !!,•°.
g}`.
$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
} i ! • i !'} ! 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 char:e-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 charle-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*.
> t ea i j4by ture,` ie CCz .•' ! a ! iE i i �'"r�4 i i ��
ork Perfogrted ' Plan review is required for any of the following.
'" �` Please check all that apply.
Baptistry/FontPP Y•
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 Mach./Refrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall
Sink/Lav -Non-food related
-Bradley
-Commercial-food related
-Service
Swimming Pool Filter *Note: If the fixture work under this permit results in an
Washer-Clothes
Water Extractor increase of sewer EDUs,a sewer permit will be issued and
Water Closet-Toilet fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures:
C:\Users\npruett\Downloads\PLMF PermitApp(1).doc 2
City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
11111I
T 1 A k D Building Permit Review — Residential
Building Permit #: /1 S 7-, ;"2c?
Site Address: _±.0 -S-"k„) I7 ( Ur-
Project
Name: es' c); , Lot #:
(New we if
subdivision name;Additionor 'era i on=last name of owner)
Planning Review
Proposal: mit, Q rja
LTJ Verify site address/suite#exists and activ, permit system.
14er Terrace Neighborhood: No 0 Yes,See River Terrace Review Addendum Attached
Sit Plan Elements:
lei
ee(3)copies of site plan V�p�:sting structures on site
bite plan must be on 8-1/2"x 11"or 11 x 17"paper 1t ootprint of new structure(including decks)with finished
V/ awn to scale(standard architect or engineer scale) oor elevations
Irf orth arrow I tility locations&easements(required for new and additions)
Yte address,project or subdivision name and lot number Ad Sidewalk/driveway approach
44 .plicant information(name and phone number) tD;:cation of wells/septic systems
Mt •t dimensions and building setback dimensions t` xisting trees to be retained with drip line,and tree
a t are footage of buildings to be demolished Irotection measures
� ^ area,building coverage area,percentage of coverage and treet tree size,type and location
pervious area(applicable if R-7,R-12,R-25&R-40)
Street names
Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? NJ Yes,❑�,�o
em
4 foot differential) If es,is a storm water .uali facili shown? CI es VJNo
11 can Water Services—Service Provider Lett; (lot platted prior to 9/10/1995): irpi?J✓-e e 7 It, r+ c 1 Gi--'-
equired: ❑ Yes,applicant was notified II No Received: ❑ Yes ❑ No
Public Facilt Improvement(PFI) Permit: v� 71- T-72-0/r-+
F/ o _000 j
equired. Yes,applicant was notified CI No Applied For: V Yes Cl No,stop intake `7`
Pe/Land Use Case#: a o
oning: ie- 2-
Required Setbacks: Front 0 Rear 1c— Side ,� Street Side 0 ti Garage ,2Q
itikandscape Requirement: 0/0
ill of Coverage Maximum:
Building Height:
Maximum Height �'
eight 0 Actual Height C
,5.Msual Clearance
to nsitive Lands: ❑ Yes /No Type
1P Urban Forestry Plan
❑ Conditions "Met"prior to issuance of building permit
Notes: / d ' x. __ =_„I / i i f -A ,s7A., .�--�-C
' .,_,//7/ - - ( /_ Lim ; '
Approved By Planning: -,i . Date: A2F71-9..._
Revisions (after B lding Submittal only) Reviewer Date_
Revision 1: Approved CI Not Approved
lelm‘altr ,� �,p I-1 '�/
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPennitRvw RES 061417.docx
Building Permit Submittal
Original Submittal Date: (1_/f3/(7
Site Plans: #
Building Plans: #
Building Permit#: Enter building permit#above.
Workflow Routing: Planning >0 Engineering Permit Coordinator /Building
Workflow Sign-off: ign-off for Planning(include notes from planning review)
Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
7 Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: ABy Permit Technician: / / % Date:
Engineering Review
L�/�lope at building pad: A
1^2 SCLConditions"Met"prior to issuance of building permit
L1�Yt�; sements (encroachments)per engineering conditions of approval and plat
M'Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: 0 Yes 0 No
Final Plat Recorded:
[ T-OT Approved by Engineering: Date:
Notes: slaw.) Cor.loi.i, Z.Me / '7/f /4IC Cao Nine' ma* hA- ccfroiLesi
Le
Approved by Engineering: Date:
Revisions (after�Bui ding Submittal only) 411111'ewer Date
Revision 1: LTJ'Approved 0 Not Approved 7 /74r 31131 i
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
0 Approved,NOT Released: Date:
Notes: Cp i-da
(evisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant: /� 2/ `4' /j%K
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
eg'SDC Fees Entered: Wash Co TransDev Tax: IYYes
0 N/A
Tigard Trans SDC: Yes 0 N/A
Parks SDC: Yes 0 N/A
LIDA 0 Yes N/A
OK to Issue Permit
Approved by Permit Coordinator:
� � Date. 3))14 ll/
I:\Building\Forms\BldgPernutRvw_RES_111617.docx
Albert Shields
From: Albert Shields
Sent: Thursday, December 21, 2017 5:44 PM
To: 'Brett Groves'
Subject: Progress Landing, MST2017-00503, -00504, -00505, -00506, -00507, -00508, -00509,
-00510,
Brett, all 8 of these applications need revision to show contour lines. Further, various conditions of approval under
SUB2016-00006 need to be met and the plat recorded before we can issue these permits. Accordingly, they will all be
on hold as Revisions Needed. Plan Review will continue.-Please let me know if you have any questions.
Albert Shields
Permit Coordinator
City of Tigard
Albert a,tigard-or.gov
503-718-2426
1
Albert Shields
From: Albert Shields
Sent: Thursday,January 25, 2018 10:49 AM
To: 'Brett Groves'
Subject: RE: Progress Landing revised site plans
Brett, we're still waiting on the recorded plat. But we still need revised plot plans for lots 1 &3 re contour lines.
Albert.
From: Brett Groves [mailto:BGroves@riversidehome.com]
Sent:Thursday,January 18, 2018 12:25 PM
To:Albert Shields<albert@tigard-or.gov>
Subject: Progress Landing revised site plans
Importance: High
Albert,
Here are the revised site plans with continuous topo lines across the lots as you requested. Let me know if you need
anything else.
Thanks,
Brett Groves
Production Manager
503-481-3138
111 Riverside Homes
17933 NW Evergreen Parkway,Suite 370
Beaverton, OR 97006
503-645-0986 office 1503-690-2942 fax
1
-v--,
cl—
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
i ill 11
III Transmittal Letter
r I c,A 1<n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: ?\,/vv \'2 -A "(A.,-- DATE RECEIVED:
DEPT: BUILDING DIVISION
RECEIVED
FROM: v-t - \' t.,i.`., MAR 7 201B
COMPANY: i \j t v c, 1,t\u \-\--p1'"\, `' CITY OF TIGARD
PHONE: LA-S •- \-1 k) 1 --- '1.)r(A) BUILDING G IV!LI . 87;
RE: A�L 7, e21,„ �a :i"t-vY) C, L" 0,...Y'• .2 O ) ) - OUs 08'
Site Address) (Permit Number)
(Projee>!name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s)of plans. Revisions:
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:
FOR OFFICE USE ONLY
Routed to f
Pe Tec cian: Date: Initials: Af}
Fees Due: Yes V L j No Fee Description: Amount Due:
t[2 \Dt/N( l 1...e".v‘;4.,J $ Li 5`� 1/---A. a O ---S $
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes 116.No ❑ Done
Applicant Notified: Date: 3/k//5 Initials: ;/I--
AC
AC f a frirere-1 Soo '&c .
I:\Building\Forms\TransmittalLetter-Revisions 061316.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12032 SW REDBERRY CT, TIGARD, OR, 97223 September 14, 2018 at
10:08:33 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00508
Inspection Type: Inspector:
199 Electrical final Jeremy Burrows
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12032 SW REDBERRY CT, TIGARD, OR, 97223 September 20, 2018 at
1 :50:14 PM
Record Type: Record ID:
Residential - Master Permit MST2017-00508
Inspection Type: Inspector:
699 Mechanical final Jeremy Burrows
Result:
PASS
Comments:
Corrections completed
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12032 SW REDBERRY CT, TIGARD, OR, 97223 September 20, 2018 at
2:16:27 PM
Record Type: Record ID:
Residential - Master Permit MST2017-00508
Inspection Type: Inspector:
299 Final inspection Jeremy Burrows
Result:
PASS - CofO
Comments:
Final erosion control passed
Street tree certificate received
Moisture content form received
Moisture barrier acknowledgement form received
High efficiency lighting form received
Insulation certification received
Blower door and/or duct seal test certificate received
C of 0 left on counter.
Violation Summary:
Inspector Contractor
Electrical Permit Application7s FOR OFFICE USE ONLY
T
City of TigardReceived //,,.. Permi rrqq
r."-i1
) i n n DateB : !J L/ / ".eye.2 •.--oor-
.
• 13125 SW Hall Blvd.,Tigard,OR 97223 iµI . :'. °% Plan Review
I Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit#:
Inspection Line: 503.639.4175 Ready Date/By: Juris: I la See Page 2 for
11 G A R D Internet: www.tigard-or.gov y, • • '1 Notified/Method: Supplemental Information
. T%'P: t ,OR `, '. ' 1% ? A LAN"REVIEW
®New construction ` ‘� ' 1rase check all that apply(submit 2 sets of plans w/items checked):
❑Addition/alteration/replacement � " .,
u% /4./:'. ice or feeder 400 amps or more 0 Building over three stories.
❑Demolition 0 Other: t . where the available fault current 0 Marinas and boatyards.
'" C/A1'ECOR �+ i* " " 10u, exceeds 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
amps for all other installations. buildings.
0 Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
400:1411,411, O • ftr aiig-te-,!;thatioN 0 Emergency system. larger separately derived
Job#: Job site address: 12032 SW REDBERRY CT. ❑Add100HPHP o of new motor load of system.
or more. ❑"A","E","1-2","1-3",
City/State/ZIP: Tigard, OR 97223 o Six or more residential units. occupancy.
g ❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: PROGRESS LANDING 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 ST. &SW 135 AVEE .;"", FEE SCHEDULE 4:""
Description I Qty. 1 Each I Total I'
New residential single-or multi-family dwelling unit.
Subdivision: PROGRESS LANDING Lot#: 07 Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1
DESCRIP'TIoN'OF.WORK ', "
Limited energy,residential 75.00 2
Construction of SFR (with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy 0 See Page 2
51 PROPERTY,OWNER ..T O'TENANT 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 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
Branch w ation or extension,per panel
[ APS�eT ° ' TAS sFERSON A.Fee for branchcircuits—circuneits with
Business name: Same as above above service or feeder fee,
each branch circuit 7.42 2
Contact name: Wes Boisvert B.Fee for branch circuits without
Address: service or feeder fee,first 56.18 2
branch circuit
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.comReconnect only 67.84 2
': CONTRA }R ''.
�,ii,,n.:.:f,'.� ,.m ` � 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 0 See Page 2 2
Address: 2804 NE 65th Ave. St. D panel,alteration,or extension.
City/State/ZIP: Vancouver, WA 98661 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( 360)518-7589 I Fax:( ) Investigation(1 hr min) 90.00/hr
Email: „ego / Industrial plant(1 hr min) 78.18/hr
c. eo( f er e ?`64 O (zib �5 Inspections for which no fee is 90.00/hr
CCB Lic.: 1'r2� i4.
Electrical Lic.: G 30 Suprv.Lic.: -- s.ecificall listed Yshrmin
ELE a (';tom:ttitllvlli'T"FEES._
s ,,.. ?
Suprv.Electrician signature,required: ( _„q# Subtotal:
Print name: Chester Garrett Date: 9/11/2018 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: ,060
TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Wes Boisvert Date: 9/11/2018 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Permits\ELC_PernitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
A
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Request for Permit Action
11111
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.tiga r: .•" •
TO: CITY OF TIGARD
SEP 1 2 r7,.O13
Building Division
13125 SW Hall Blvd.,Tigard,OR 97223 _
Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov
FROM: ❑ Owner C❑ Applicant ❑ Contractor ❑ City Staff
Check(✓)one
REFUND OR Name:
INVOICE TO: (Business or Individual) Riverside Homes, LLC-Wes Boisvert
Mailing Address: 17933 NW Evergreen Place, Suite 370
City/State/Zip: Beaverton, OR 97006
Phone No.: 503-645-0986
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓):
❑ CANCEL/VOID PERMIT APPLICATION.
❑ REFUND PERMIT FEES (attach copy of original receipt and provide explanation below).
❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below).
❑X REMOVE/REPLACE CONTRACTOR ON PERMIT (do not cancel permit).
Permit#: MST2017-00508
Site Address or Parcel#: 12032 SW REDBERRY COURT
Project Name: PROGRESS LANDING
Subdivision Name: PROGRESS LANDING Lot#: 07
EXPLANATION: CHANGED ELECTRICAL SUBCONTRACTOR-SEE ELECTRICAL PERMIT
Signature: 41141/1111/4— Date: 9/11/18
Print Name: Wes Boi ert
Refund Policy
1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of:
• Any fee which was erroneously paid or collected.
• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort
has been expended.
• Not more than 80%of the application or permit fee for issued permits prior to any inspection requests.
2. All refunds will be returned to the original payer in the form of a check via US postal service.
3. Please allow 3-4 weeks for processing refund requests.
FOR OFFICE USE ONLY
Route to Sys Admin: Date By Route to Records: Date By
Refund Processed: Date By Invoice Processed: Date By
Permit Canceled: Date By Parcel Tag Added: Date By
I:\Building\Forms\RegPeunitAction_092314.doc