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07-July (4) CITY OF TIGARD MASTER PERMIT 1111 ■ COMMUNITY DEVELOPMENT Permit#: MST2018-00092 Date Issued: 07/11/2018 T t( A 1Z..f) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S104AB00100 Jurisdiction: Tigard Site address: 12043 SW REDBERRY CT Subdivision: PROGRESS LANDING Lot: Project: Progress Landing, Lot 12 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1352 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 22.5 Bathrooms: 4 Second: 1533 sf Garage: 491 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 2885 sf Value: $350,596.44 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 Drywell-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 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF 2885 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: $31,950.68 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through O/ 952-y1-0090. You may ob n a cop .f the rules or direct questions to OUNC by calling 503 32.1987 or 1.800.332.2344. �JfIssued By: I ��'� Permittee Signature: '� Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Applicationrt) s A- 'Tr r, Residential x. Holz 014icr l,sr.()NIA City of Tigard y Received 7712. MAR 2 A 111 Date/By: J /1-1 Permit Nt7 S�Jf1�i2 S'1 w1,4 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review a Phone: 503.718.2439 Fax: 503.598.1 Q w Date/By: I� Other Permit:��61ft r T 7 T 1(.;1 FZ D Inspection Line: 503.639.4175 C� ( a Date Ready/By: 4/ Jnr s: ® See IP`agge 2/ffor d n i Internet: www.tigard-or.gov , + 3,,n, tified Method: �`` !// / 4 Supplemental Information �K�$ i,a�a + .. 44: ` k ': °' °g W t 4� „', h; lu' � ` Stia ... -eta Fa; ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other equipment,materials,labor,overhead,and the profit for the�� of, �Nwork indicated on this application. cl, ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ ❑Accessory building 0 Multi-family Number of bedrooms: 5 (49 ❑Master builder 0 Other: Number of bathrooms: %-} Total number of floors: 2 ` �� Job site address:12043 SW REDBERRY CT. New dwelling area: 2885 square feet 'S 3 City/State/ZIP:TIGARD.OR Garage/carport area: 42298815 91 square feet l 1 Suite/bldg./apt.no.:97223 I Project name:PROGRESS LANDING Covered porch area: square feet Cross street/directions to job site:SW WALNUT ST.&SW 135TH AVE Deck area: 0 square feet Other structure area: 0 square feet +, I t i 9 ! is 8 '" ,.'s=:. Asa`: .. :�'��°5 �` �Q..; � n4t�.�,ti� t", Subdivision:PROGRESS LANDING I Lot no.:12 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 fli r �� equipment,materials,labor,overhead,and the profit for the ` � work indicated on this application. Construction of SFR Home Valuation: $ Existing building area: square feet New building area: square feet ��1 w ta Number of stories: Name:Riverside Homes,LLC Type of construction: Address:17933 NW Evergreen Parkway,Suite 370 Occupancy groups: City/State/ZIP:Beaverton,OR 97006 Existing: Phone:(503)645-0986 Fax:( ) New: Business name:Same as Above Structural plan review fee(or deposit): Contact name:Nikki Pruett FLS plan review fee(if applicable): Address: City/State/ZIP: Total fees due upon application: Phone: 0. Amount received: ( ) Fax::( ) }4T I t I `l�" , i E-mail:npruett@riversidehome.com ,..�<.., ,�.,�-.� fit ..� . F: I Commercial and residential prescriptive installation of x ett .�. e`` + . _.fes .,r ..x„ ., roof-top mounted Photovoltaic Solar Panel System. Busine's's—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: $201.60 This ermit a hcation ex ires if a ermit is not obtained Authorized signature: / P PP� P P within 180 days after it has been accepted as complete. Date:3/14/18 *Fee methodology set by Tri-County Building Industry Print name:Nikki Pruett Service Board. I:\Building\Permits\BUP-RESPernutApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) L-A ,, _,,. 'Mechanical Permit Annlicatiod - - I OR 01 1 R 1 I sl 0\1.1 City of Tigard ,iyz'- ?, 1 "); , ) Date/By: Permit No.: - II a w 13125 SW Hall Blvd.,Tigard,OR 97223 t' ' ' Received Plan Review ' Phone: 503.718.2439 Fax: 503.598.1960 - fiuteig„, OtherPermit: - Inspection Line: 503.639A175 ( 1 ,., .' 1! -. '-,, .,7,'- „ . ' ' / te Ready/By: hair 0 See Page 2 for Internet: www.tigard-or.gov '' - 'Notified/Method: Supplemental Information ifi IN -, ::,i ' ti TYPE OF WORK COMMERCIAL FEE* SCHEDULE-- USE CHECKLIST Mechanical permit fees*are based on the value of the work g]New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* gJ 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 \ 46.75 Job site address: 12043 SW REDBERRY CT. Furnace 100,000 BTU(ducts/vents) k 46.75 LI kv:15 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 k 23.32 --2.-1.32- 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 -2_ 23.32 Ittp.4'4 Subdivision: PROGRESS LANDING Lot no.: 12 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater ( 23.32 2 . 2- DESCRIPTION OF WORK Gas fireplace/insert I 33.39 93.11 Flue vent for water heater or gas , Construction of SFR fireplace 23.32 LVIelik Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 RI PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation: Name: Riverside Homes, LLC Range hood/other kitchen equipment \ 33.39 S5 37 Address: 17933 NW Evergreen Parkway, Suite 370 Clothes dryer exhaust k 33.39 City/State/ZIP: Beaverton, OR 97006 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 1. 41.2,.. Phone:( 503) 645-0986 Fax:( ) Attic/crawlspace fans 23.32 51 APPLICANT 0 CONTACT PERSON Other: 23.32 Fuel piping: Business name: Same as above 514.15 for first four;$4.03 for each additional Contact name: NI K...t_t19 V.,A.4,...e..t t. Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater 1 14,..6' Phone:( ) Fax::( ) Fireplace tik-IC Range k 14-t5 E-mail: fifkletV@riversidehome.com Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name: Pro Heating&Cooling MECHANICAL PERMIT FEES* Address: 2095 NW Alocleck Rd.#1103 Subtotal 50D.k‘ 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 • 7, , TOTAL PERMIT FEE 1, _ /(A1.1fre This permit application expires Ifs permit is not obtained within 180 days after it has been accepted as complete. Authorized signa - * Fee methodology set by Tri-County Building Industry Service Board Print name: Nj[ 34 ("'t .1 (1- Date: 11/30/2017 I'lliluildingTermits\MEC_PermitApp_040113 doc 440-46171(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 -Supplemental Information Commercial& Multi-Family Fee Schedule: Total Valuation: _ ._.Permit Fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. 1:\Building\Permits\MEC_PermitApp_040113.doc 2 Electrical Permit Applicati i !. " POR OFP1( 1 1 ',1 Oy►.1 City of Tigard Received a 13125 SW Hall Blvd.,Tigard,OR 9722 F� "� j (_!`!t PlaDan Review/B L� •_ ;' ' Plan Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit a: Inspection Line: 503.639.4175 r (;; r : Ready Date/By: ions: H See Page 2 for T I G A R I) Internet: www.tigard-or.gov s ' 1 '"" Notified/Method: Supplemental Information TYPE biW 1 to lit T I Sial v. PLAN REVIEW ®New construction ❑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. CATEGORY OF CONSTRUCTION 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. Multi-family 0 Master builder 0 Other: 0 pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system larger separately derived ❑Addition of new motor load of system. Job#: Job site address: 12043 SW REDBERRY CT. 10OHP or more. ❑"A","E","1-z',"1-3', City/State/ZIP Tial d, OR 97223 ❑Six or more residential units. occupancy. g ❑Healthcare facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: PROGRESS LANDING ❑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 AVE FEE SCHEDULE Description I Qty. I Each I Total I a. New residential single-or multi-family dwelling unit. Subdivision: PROGRESS LANDING Lot#: 12 Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential Construction of SFR (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) IN PROPERTY OWNER ❑ TENANT Renewable Energy 0 See Page 2 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 Email: bgroves�riversidehome.com Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 0 APPLICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name: Same as above above service or feeder fee, 3Veach branch circuit 7.42 2 Contact name: 1 l IAF',-( P {t t B.Fee for branch circuits without service or feeder fee,first 56.18 2 Address: branch circuit City/State/ZIP: Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) Fax::( ) Each manufactured or modular y� dwelling,service and/or feeder 67.84 2 Email:tl`r� (l✓t�t 3)riversidehome.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Gamer Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy ❑ See Page 2 2 Address: 2920 SE Brookwood Ave#1 panel,alteration,or extension. City/State/ZIP: Hillsboro,OR 97123 Each additional Inspection over allowable in any of the above Additional inspection(I hr min) 66.25/hr Phone:( 503) 648-4552 Fax:( 503)642-7925 Investigation(1 hr min) 90.00/hr 3 ilg V/l Industrial plant(1 hr min) 78.18/hr Email: ge�gamerelectric.com [ s e-- 7/� Inspections for which no fee is CCB Lic.: 121159 Electrical Lic.: 3�8�,a-�. Suprv.Lic.: ���7 S specifically listed(4 hr min) 90.00/hr Suprv.Electrician signature,required: �� ELECTRICAL PERMIT FEES p e9 Subtotal: Print name: Chuck Gamer ,--- Date. 11/30/20 17 ❑Plan Review Required(25%of permit fee): State surcharge(12°/a of permit fee): Authorized signature: A-10-/- Air TOTAL PERMIT FEE: This permit application expires If a permit is not obtained within 180 Print name: N( ,.j.,{ (AAL e Date: 11/30/2017 days after it has been accepted as complete. • Number of inspections allowed per permit. I:\Building\Permits1ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440.4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information E , Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: r->EE stnui.E Description I Qty. I Each I Total Fee for all residential systems combined: $75.00 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 ❑X 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: El Other: Each additional inspection is 66,25/hr 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed('.4 hr min) COMMERCIAL WORK ONLY: ELECTRICAL tucaL PERMIT > Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 • Number of ins (SEE OAR 918-309-0000) pections allowed per permit. Check Type of Work Involved: ❑ A• udio 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 ❑ O• utdoor Landscape Lighting* ❑ P• rotective Signaling ❑ 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 FixturesI OR 01 1 1( 1 I ‘,1 0vl"1 City of Tigard Received i `'f g DateBy: Permit N c 7( t yt�t Q^� 13125 SW Hall Blvd.,Tigard,OR 9722,! 1 ' e W V / C ■ Phone: 503.718.2439 Fax: 503.598 1961) " Plan Review Other Permit No.: Inspection Line: 503.639.4175 _ } ! to Re k i I(.;A R U s t bate Ready/By: loris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®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) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 12Accessory 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 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 12043 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.: 12 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Construction of SFR Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 l PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name: Riverside Homes, LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 17933 NW Evergreen 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 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: Same as above Medical gas(value:$ ) Page 2 Contact name: NI k 4 1 ir'r.I l?.f t 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: Opa,/e-611©riversidehome.com Urinal 25.02 Water closet 25.02 CONTRACTOR 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 Plan review (25%of permit fee) CCB Lic.: 178122 i • -17.timbing L'c.no.: PB414 'ry^� State surcharge(12%of permit fee) Authorized signature: wwJlV TOTAL PERMIT FEE Print name: 1 V j KI-I nal t_( -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. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440.4616T(l0/02/COMMBB) • 'Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(e•) Total Square Footage: Permit Fee: 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 Valuation: Permit Fee: Storm 8c Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no 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-112 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantity by Fixture The Plan Review for Plumbing Installations Fbdure'Iype for Replace/ Work Performed: capped Added Relocate Plan review is required for any of the following. 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 ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" Isometric or Riser Diagram Car Wash Drain Garbage Domestic-non-food 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:\Users\npruett\Downloads\PLMF_PermitApp(1).doc 2 Plumbing Permit Application milii=111 /L �-n Building Fixtures V. City of Tigard C Received �j// ,q p'_a�cP�,, 1 O � `` t Permit Ny..IJ /�G' ea'- IN el 13125 SW Hall Blvd.,Tigard,OR 9Vta21 L' 4' 1-'1' DateBy: 5 �� �� Plan Review • Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.: 1 t AIM Inspection Line: 503.639.4175 C'.7 3 Date Ready/By: Juris: H See Page 2 for Internet: www.tigard-or.gov E t,.-,, ' ' Notified/Method: Supplemental Information vl F" ®New construction ❑Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New1-2-family dwellings(includes 100 ft.for each utility connection) :: . ,r .;4:' t ,7 Pt; t r xt` .�. .< „�:.,, 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: Firesprinkler(_sq.ft.) Page 2 t ,, ,s 3 M ' # *I`. 1"i t 6 „st r_{ € ,,I, Site utilities: Job site address: 12043 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 l Lot no.: 12 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 31.27 „ ,l �` • • 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 - G. t i , Expansion tank 12.51g 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 '-?M44t;:- ( ,/ t Interceptor/grease trap 25.02 „t Business name: Same as above Medical gas(value:$ ) Page 2 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 -4,-,'".62. Water closet 25.02 a a '8, t „(."_fir i'4. . .. ,, Water heater 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 Plan review (25%of permit fee) CCB Lie.: LCB#7962 Plumbing Lic.no.: State surcharge(12%of permit fee) 3.7, Authorized signature: TOTAL PERMIT FEE 35.0x'3 CZ Print name: Wes Boisvert /6( .t5� Date: 5/17/18 This permit application expires if a permit is not obtained within 18 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) ' Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Su' 1 ression S stems: Footing drain-1"100' 50.03 0 to 2,000 $121.90 a< W ~ 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 $327.5454 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas S stems Water Service-each additional 100' 37.52 o, Storm&Rain Drain-1st 100' 62.54 " $1.00 to$5,000.00 Minimum fee$72.50 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for EtStorm&Rain Dram' -each additional 100' 37:52E M s e lr �" sfi r 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 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 thereof. char•e-1/2 hour each additional$100.00 or fraction 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*. a y by Fi a T9Pe Fiatype for place! Plan review is required for any of the following. � ,F ..,Work Performed P.��C' - ,d _' ' Please check all that apply. Baptistry/Font pp y Bath -Tub/Shower ❑ Any new commercial building with water service 2"and -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial 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 t. Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" t.. ,.w a rt gg .n: 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 • City of Tigard 111 N COMMUNITY DEVELOPMENT DEPARTMENT 1 T 1 c A x o Building Permit Review — Residential Building Permit #: , S7 j/ WP 7 2 Site Address: 'LOLL? S\.✓ KtigKr7 Cl, Project Name: P lAitli 49 Lot #: (Z (New"dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N44/ S F g "Verify site address/suite# exists and active . permit system. [ River Terrace Neighborhood: ("No ❑ Yes,See River Terrace Review Addendum Attached Sit Ian Elements: ree(3)copies of site plan sting structures on site to plan must be on 8-1/2"x 11"or 11 x 17"paper LyFootprint of new structure(including decks)with finished to scale(standard architect or engineer scale) �fl ox elevations LIU rth arrow ity locations&easements(required for new and additions) S. e address,project or subdivision name and lot number idewalk/driveway approach l! -,..licant information(name and phone number) ,_�_,,/oocation of wells/septic systems �ii� .t dimensions and building setback dimensions [ Existing trees to be retained with drip line,and tree lir.uare footage of buildings to be demolished protection measures if •t area,building coverage area,percentage of coverage and [ I9 eet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) Vtreet names —/ l operty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? fD x'es ❑No 4 oot differential) If yes,is a storm water quality facility shown? ❑Y34 INo Clean Water Services-Service Provider Lette (lot platted prior to 9/10/1995): 1-4 ri equired: ❑ Yes,applicant was notified g No Received: CI Yes ❑ No LJ Public Faciliti Improvement(PFI)Permit: 1 La aft quired: l Yes,applicant was notified El No Applied For: Lad yes ❑ No,stop intake Zand Use Case#: U��3-�/[0 �( � PI L 2i (q---O003`l oning. R-4,g lid Required Setbacks: Front 1,0 Rear 5Side 5 Street Side )7 Garage a gm Landscape Requirement: J'4 %4- of Coverage Maximum: i4 % re tuilding Height: Maximum Height 30 Actual Height ZZA3 tsual Clearance [^ //Sensitive Lands: CILtd Yes ' No Type [ rban Forestry Plan LVG Conditions "Met"prior to issuance of building permit Notes: LV' Approved By Planning: LDate: _ .i-(i Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_061417.docx Building Permit Submittal // Original Submittal Date: 3/L._( /(,f' Site Plans: # Building Plans: # Building Permit#: Enter building permit#above. Workflow Routing: Planning Engineering Permit Coordinator Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: p. 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: A.4' / E Date: 3/L(//I' Engineering Review ❑ : ope at building pad: 0 Londitions"Met"prior to issuance of building permit 21)2rbasements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No SLIDA Facility on lot: 0 Yes ❑ No Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes:� n Approved by Engineering: ....40 Date: Z/022/4? Revisions (after BuildingSubmittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: cSDC Fees Entered: Wash Co Trans Dev Tax: ,(Yes ❑ N/A Tigard Trans SDC: , Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes N/A OK to Issue Permit Approved by Permit Coordinator: Date: -1122 I 1 I:\Building\Forms\BldgPermitRvw_RES 010118.docx