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Permit (152) CITY OF TIGARD MASTER PERMIT .�"IN Permit#: MST2019 00006 '' COMMUNITY DEVELOPMENT Date Issued: 03/11/2019 TtGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112BD13700 Jurisdiction: Tigard Site address: 14797 SW 76TH AVE Subdivision: ELDERBERRY RIDGE Lot: 33 Project: Elderberry Ridge, Lot 33 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 982 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1190 sf Garage: 397 sf Front: 15 Smoke Yes Right: 5 Detectors: Dwelling Units: 2 Third: 0 sf Ri g Total: 2172 sf Value: $276,250.00 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All 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 2172 Owner: Contractor: Required Items and Reports(Conditions) RIVERSIDE HOMES LLC RIVERSIDE HOMES LLC 17933 NW EVERGREEN PL 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: $31,012.35 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty C••es and all oth-r applicab- law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issu+nc', or if work is suspen•-d for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificatio •-nter. Th•-e rules - e set forth in OAR 952-001-0010 through O'R 952-001-0090. You may obtain a les or direct questions to OUNC by calling 503 r .1987 or 1.811.332.2344 i Issued By: /Per- - lc eF�rmittee Signature: , .11 0 .•.9.4175 by 7:00 a.m.for the next available inspection da -. This permit card shall be kept in a conspicuous place on the job site until complet on of the project Approved plans are required on the job site at the time of each inspe•ion. Building Permit Application (.1:31- _--� Rice:' r2- 4 Residential RECEIVE') FOR oi.Fic 1, GSE O\1,1 City of Tigard 2 Received T Permit No. — {*LA CfS1- S III al Pan Rev w C( \,fesy�3 Jif 13125 SW Hall Blvd.,Tigard,OR 97223 D E C ® 2018 Plan Review � " Phone: 503.718.2439 Fax: 503.598.1960 Date/By: I it 6 1 g Other Perini '' `q....00....A.1 Inspection Line: 503.639.4175 7 r� Date Read/B : Juris: T[G �RD �,� �l � td Y ® SeePage2for Internet: www.tigard-or.gov ied/Metho BUILDING DIVISION. i Z� l�,/ Supplemental Information �X kj €6Vl �.,. , �? 1" i / ,tai ?!',11 ;, Y 4� 6 i d4 $ i . > #%.x.. E . „_., .:' s.,... # .+ i,t U�"�.'. ,#.fir" ❑✓ New construction ❑Demolition Permit fees*are based on the value of the work performed._y Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the `tk :� a t; work indicated on this application. ✓ 1-and 2-familydwellingValuation: $ ❑ 0 Commercial/industrial ❑Accessory building 0 Multi-family Number of bedrooms: 3 ❑Master builder ❑Other: Number of bathrooms: 3 //� �/^'� e �.� � �,: --'4,.''' ; F � �� t" �� Total number of floors: 2 199 Job site address: 14797 Shy"�t jj}h Q��te New dwelling area: 2172 square feet l c=i,b, City/State/ZIP: Tigard, OR 97224 Garage/carport area: 397 square feet i O Z Suite/bldg./apt.no.: Project name: Elderberry Ridge Covered porch area: square feet Cross street/directions to job site: SW Bonita Rd &SW 76th Ave Deck area: square feet Other structure area: square feet Subdivision: Elderberry Ridge Lot no.: 033 Permit fees*are based on the value of the work performed. 2S112BD00300 Indicate the value(rounded to the nearest dollar)of all Tax map/parcel 24::414.4;41 .4'r*:;. .. no.: l2 equipment,materials,labor,overhead,and the profit for the work indicated on this application.s '' ,r Construction of SFR — 2-112 15•12. Valuation: $ Existing building area: square feet New building area: square feet i 0 aNumber of stories: Name: Riverside Homes, LLC Type of construction: Address: 17933 NW Evergreen Pl., Ste 370 Occupancy groups: City/State/ZIP: Beaverton, OR 97007 Existing: Phone:( 503)■6�45-0986 Fax:s( ) New: rZI or j Business name: Riverside Homes, LLC ` ' Structural plan review fee(or deposit): Contact name: Wes Boisvert FLS plan review fee(if applicable): Address: 17933 NW Evergreen Pl., Ste 370 City/State/ZIP: Beaverton, OR 97007 Total fees due upon application: Phone:(503)645-0986 Fax: :( ) Amount received: � , ''''''''‘"'"c''''''' � ,�.��,. �� ^^. �: .ate E-mail: wboisvert@riversidehome.com ` t # .> t Commercial and residential prescriptive installation of 6' :7 , % �r : si 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 Pl., Ste 370 Solar Installation Specialty Code checklist. City/State/ZIP: Beaverton, OR 97007 Permit Fee(includes plan review $180.00 and administrative fees): Phone:( 503)645-0986 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: 189148LAA21 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 12/18/18 *Fee methodology set by Tri-County Building Industry Nikki Pr ett Date: 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 USE ONLY City of Tigard Received 13125 SW Hall Blvd.,Tigard,OR 97223 •ii . Date/By: Permit No.:�"r i- , t ■ Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical T I c;A R D Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW v es No Vi.k 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 01 0 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 1Si 0 0 3 Verification of approved plat/lot. Ts 0 0 4 Fire district approval required. Name of district: • 0 0 5 Septic system permit or authorization for remodel. Existing system capacity . SI 0 0 6 Sewer permit. 0 0 7 Water district approval. . 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. `f;i 0 0 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- T, 0 0 basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state `,Z 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 !Xi 0 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. 3-Set , 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size CjQ 0 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, "'g ❑ 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- K. 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 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. bWall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- j 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. 9 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 for four or more appliances. 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 Ion and shall be shown to be a•.licable 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 0 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-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) ' Mechanical Permit Applicatiog�p�(p� • roll OFFICE: 1 SL 011.1' 1! Y -.0 Received �`- 1,11114 II City of Tigard Date/By: Permit No.: `` w (� p 13125 SW Hall Blvd.,Tigard,OR 97223 �)E C 2 0 2018 Plan Review ` � Phone: 503.718.2439 Fax: 503.598.1960Date/By: Other Permit: T I(7 A IL I) Inspection Line: 503.639.4175 t'�`f 4 f 6� Date Ready/By: Juris: 0 See Page 2 for Internet: www.tigard-or.gov CITY O i!Iti "D Notified/Method: Supplemental Information 3UIt_D!NG UIVISIO . 'Ik ^' wars+44i > { t.4 ,t , gg . t.., t..Q # _ j;^, '. al,.t2:::" t: .s S 4r,`' Mechanical permit fees*are based on the value of the work El 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. s r -: Value:$ r k,y:.;. " ss. !` :g,x ,..„,„, :"4a n '#^sem.-,..0. • ❑✓ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: DescriptionQty. I Ea. I Total '``-t ' tr ' t •• y _ ' s .". ., Heating/cooling: ' 10 Air conditioning 1 46.75 46.75 Job site address: 14797 Furnace 100,000 BTU(ducts/vents) 1 46.75 46.75 City/State/ZIP: Tigard, OR 97224 Furnace 100,000+BTU(ducts/vents) , 54.91 Heat pump 61.06 Suite/bldg./apt.no.: I Project name: Elderberry Ridge Duct work 23.32 Cross street/directions to job site: SW Bonita Rd & SW 76th 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: Elderberry Ridge I Lot no.: 033 Other: 23.32 Other fuel appliances: Tax map/parcel no.: 2S112 B D00300 Water heater 1 23.32 23.32 ,t • ";..' ' a Wi` ¢ = ": Gas fireplace/insert 1 33.39 33.39 t"' '`� "`" `' ` " '" `'°" 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 1►J , sp i - i, sa . + f:' ' :111,® ' Other: 23.32 R Environmental exhaust and ventilation: Name: Riverside Homes, LLC Range hood/other kitchen equipment 1 33.39 33.39 Address: 17933 NW Evergreen PI., Ste 370 Clothes dryer exhaust 1 33.39 33.39 City/State/ZIP: Beaverton, OR 97007 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 4 23.32 93.28 Phone:(503 )645-0986 Fax:( ) Attic/crawlspace fans 23.32 M �V" � 0'-;{ t lig ,M :',.-:,:f t v`1`r.c.. Other: 23.32 Business name: Riverside Homes, LLC Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: Wes Boisvert Furnace,etc. 1 14.15 Address: 17933 NW Evergreen PI., Ste 370 Gas heat pump Wall/suspended/unit heater City/State/ZIP: Beaverton, OR 97007 Water heater 1 14.15 Phone:(503 645-0986 I Fax::( ) Fireplace 1 14.15 Range 1 14.15 E-mail: wboisvert@riversidehome.com Barbecue t t 7 Clothes dryer(gas) Business name: Other: Pro Heating & Cooling x v '-t , 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 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 * Fee methodology set by Tri-County Building Industry Service Board Print name: Nikki Pruett Date: 12/18/18 I:\Building\Permits\MEC_PernritApp_040113.doc 440-4617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Famil Fee Schedule: $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$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building\Permits\.MEC_PermitApp_040113.doc 2 Electrical Permit ApplicationI , t OR OFFICE CST.()NIA' City ) Received �' ity of Tigard IJ LIC 2 0 2 018 Date/B : 'ermit#: ii \k III `t 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Fi _ Phone: 503.718.2439 Fax: 503.598.1966 pRelated Permit#: 1 �0 N' �5i'"' I ici �.' Date/B : TIG R D Inspection Line: 503.639.4175 Li L ' !VLSI Ready Date/By: kris: ® See Page 2 for Internet: www.tigard-or.govNotified/method: Supplemental Information ❑✓ New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Demolition 0 Other: ❑Service or feeder 400 amps or more ❑Building over three stories. where the available fault current 0 Marinas and boatyards. 1' e.y s'‘:a' R ''4 '',f;--4:t ": exceeds 10,000 amps at 150 volts or ❑Floating buildings. ❑✓ 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural ❑Multi-family amps for all other installations. buildings. y 0 Master builder 0 Other 0 Fire pump. ,� _ P P 0 Installation of 150 KVA or .< � �$ �, `r »�. R< a ;.9 ,..., '','''''$'-'49i: E . Q1-, a -.-L';',,,-'1".7.—"'-'''''''' ❑ ndv,:cy system. larger separately derived Job#: 14797 ❑Addition of new motor load of system. Job site address: 100HP or more. ❑"A","E","1-2","1-3", City/State/ZIP: Tigard, OR 97224 ❑Six or more residential units. occupancy. 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: I Project name: Elderberry Ridge ❑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 Bonita Rd & SW 76th Ave At.:_ w y ",, Description I Qty. Each i Total * New residential single-or multi-family dwelling unit. Subdivision: Elderberry Ridge I Lot#: 033 Includes attached garage. Tax map/parcel#: 2S1126 D00300 1,000 sq.ft.or less 168.54 4 Ea.add'l 500 sq.ft.or portion 33.92 1 { ::-,, Limited energy,residential with above s 75.00 2 Construction of SFR ( q.ft.> Limited energy,multi-family 75.00 2 residential(with above sq.ft.) . � ' > 1 - Renewable Energy ❑ See Page 2 " 1 ,� r t .:- '',,,,i1,`Th, ` _, ,i• Y , Services or feeders installation,alteration,and/or relocation Name: Riverside Homes, LLC 200 amps or less 100.70 2 Address: 17933 NW Evergreen PI., Ste 370 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: Beaverton, OR 97007 601 amps to 1,000 amps 301.04 2 Phone:(503)645-0986 I Fax:( ) Over 1,000 amps or volts 552.26 2 Email: 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 " ;t k 1 • :r," I y; _ Branch circuits—new,alteration,or extension,per panel -: "" k" A.Fee for branch circuits with Business name: Riverside Homes, LLC above service or feeder fee, each branch circuit 7.42 2 Contact name: Wes Boisvert B.Fee for branch circuits without Address: 17933 NW Evergreen PI., Ste 370 service or feeder fee,first 56.18 2 branch circuit City/State/ZIP: Beaverton, OR 97007 Eachadd'lbranchcircuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503)645-0986 I Fax: :( ) Each manufactured or modular Email: wboisvert@riversidehome.com dwelling,service and/or feeder 67.84 2 Reconnect only 67.84 2 4 WW4 Pump or irrigation circle 67.84 2 Business name: Sunlight Electric Inc Sign or outline lighting 67.84 2 Address: 2804 NE 65th Ave. St. D Signal circuit(s)or limited-energy 0 See Page 2 2 panel,alteration,or extension. Each additional inspection over allowable in any of the above City/State/ZIP: Vancouver, WA 98661 Additional inspection(1 hr min) 66.25/hr Phone:(360) 518-7589 Fax:( ) Investigation(1 hr min) 90.00/hr Email: /7 7 Industrial plant(1 hr min) 78.18/hr ( Inspections for which no fee is CCB Lie.: 172549 Electrical Liffe./�C{2.30 �J� Suprv.Lic.'7rl c� ecificall listed /�hr min 90.00/hr Suprv.Electrician signature,required: Subtotal: Print name: Chester Qarrett I Date: 12/18/18 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: (.00666/60,' 61 TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Nikki Pruett Date: 12/18/18 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PemtitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: .M . E���© Fee for all residential systems combined: $75.00 Renewable woo Renwable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 _© 5.01 to 15 kva IM 133.56 _© ❑ Audio and Stereo Systems* 15.01 to 25 kva - 200.34 _© Wind l eneration s stems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 _© El Garage Door Opener* 50.01 to 100 kva 552.26 _© >100 kva(fee in accordance with OAR 918-309-0040III 552.26 -© ✓❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 111 7.42 _© ❑ Vacuum Systems* >100 kva-no additional charge - 0.0 _© Each additional ins.ection over allowable in an of the above: ❑ Other: Each additional inspection is ■ 66.25/hr -� hourl 1 hr min c ar:ed atan inspections for which no fee is MI 90.00/hr ficall s.eci listed '/2 hr min Ao a Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): (SEE OAR 918-309-0000) * Number of inspections allowed per permit. Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015 ' Plumbing Permit Application BuildingFixtures RECEIVEr FOR OFFICE L.sr. ()NEN City of Tigard r„ 2 Received _ UPI 1,1 0 E L. 0 2018 Date/B Permit No.. CC C(�A �'y1�]1 13125 SW Hall Blvd.,Tigard,OR 97223 y' l� �l-C Plan Review �� l l t f.) Date/By: Permit No.: Phone: 503.718.2439 Fax: 503.598.19 TI ci AR n Inspection Line: 503.639.4175 3U LD!NG DIVISI tofiReda/dMy Bb Yo' Juris: See Page for Supplementallnf ormationInternet www.tigard-or.gov r! � z p, 2 New construction ❑Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) ` 4/ ;.n SFR(1)bath 312.70 lEI 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 1 500.32 ❑Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler( sq.ft.) Page 2 ,, „ ^. : _ ,, „ Site utilities: Job site address: 14797 Catch basin or area drain 18.76 City/State/ZIP: Drywell,leach line,or trench drain 18.76 ty Tigard, OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name: Elderberry Ridge Manufactured home utilities 50.03 Cross street/directions to job site: SW Bonita Rd & SW 76th Ave Manholes 18.76 Rain drain connector 1 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: Elderberry Ridge I Lot no.: 033 Fixture or item: Backflow preventer no backflow for this home. 31.27 Tax map/parcel no.: 2S 1126 D00300 � ;1 •,1,1,- , . . Backwater valve 12.51 r `I3;.,4x,.ilt.ttic_ a r Construction of SFR M Clothes washer 1 25.02 Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 '151:1 I t iy; 'Ej'i' Expansion tank 12.51 Name: Riverside Homes, LLC Fixture/sewer cap 25.02 Address: 17933 NW Evergreen Pl., Ste 370 Floor drain/floor sink/hub 25.02 Garbage disposal 1 25.02 City/State/ZIP: Beaverton, OR 97007 Hose bib 2 25.02 Phone:(503)645-0986 Fax:( ) Ice maker 1 12.51 . - �'' '. -:rsg Intercept a Tb't ' Y;} or/grease trap 25.02,�_ ,4.' Business name: Riverside Homes, LLC Medical gas(value:$ ) Page 2 Contact name: Primer 12.51 Wes Boisvert Roof drain(commercial) 12.51 Address: 17933 NW Evergreen Pl., Ste 370 Sink/basin/lavatory 6 25.02 City/State/ZIP: Beaverton, OR 97007 Solar units(potable water) 62.54 Phone:(503)645-0986 Fax::( ) Tub/shower/shower pan 3 12.51 E-mail: wboisvert@riversidehome.com Urinal 25.02 c, Water closet 3 25.02 :17' '',4:4:]-:- :-: " ', „., -w Water heater 1 37.52 Business name: H & H McCaniCal Water piping/DWv 56.29 Address: 5757 SE Willow Ln Other: 25.02 City/State/ZIP: Milwaukie, OR 97267 Subtotal Phone:( 503 975-9787 Fax:( ) Minimum permit fee: $72.50 CCB Lic.: 178122 a Plumbing Lic.no.: PB414 Plan review (25%of permit fee) �IIL.' a /4Q- /A/t7ti State surcharge(1T %L Ef RM T fee)EAuthorized signature: TOTAL PERMIT FEEPrint name: Nikki Pruett Date: 12/18/18 I 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(I0/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule Residential Fire Suss ression S stems: Footing drain'-1St 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' 37.52 €j>t` Storm&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 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 char_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*. a � fixture Type for x h .. .� ...� ,. ..- .,. �t. ._ . �. . ��;t Wo, erf „. 4 4 • AIt a Plan review is required for any of the following. '_ ..1,111",t, Please check all that apply. Baptistry/Font pp 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/Lay -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.doc 2 V ®f` 4 !ItCOMMUNITY 11 CityTigard DEVELOPMENT DEPARTMENT TIG A , Building Permit Review — Residential Permit cl t • _ v Building Site Address: /2-1 ' Qk ) 9-641i /9v Project Name: " r. ` _ Ei (New dwellingLot #: c = division naz�Addition or Alteration=last name of owner) Planning Review ✓ Proposal: A))4,4J \gre riA Verify site address/suite#exists and acts ve�'' permit system. ill River Terrace Neighborhood: PVNo 0 Yes,See River Terrace Review Addendum Attached Si Plan Elements: )ee(3)copies of site plan rl D. 'sting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper I ootprint of new structure(including decks)with finished awn to scale(standard architect or engineer scale) i.or elevations lop d,rth arrow U tility locations&easements(required for new and additions) kite address,project or subdivision name and lot number � �� plicant information(name and phone number) Sidewalk/driveway approach 1�i1.ot dimensions and building setback dimensions ��' anon of wells/septic systems IV t:sting trees to be retained with drip line,and tree lle •uare footage of buildings to be demolished �tection measures a Lot area,building coverage area,percentage of coverage and S eet tree size,type and location jiripervious 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 replac ? 'Yes ❑ 4 foot differential) eci If yes,is a storm water quality facility shown?P ((��//❑Yes riZ No Clean Water Services–Service Provider Lett of platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified Public Facilt • improvement(PFI) Permit: No Received: ❑ YeS ❑ No ] Required: Yes,applicant was notified 0 No Applied For ,20/e - `� �� ` QYes 0 No,stop intake c:itandUseCase#: '2O (0•r �CQ9 °oning: aired Setbacks: 1 - �7 �� � q Front / Rear 1 4 Side 4— Street Side Iw ds cape Requirement .Q 0 % ]� Garage .t Coverage Maximum: It Building Height: Maximum Height ill'P isual Clearance Actual Height `I° --nsitive Lands: 0 Yes I,/ Id No Type 7 Urban Forestry Plan 0 Conditions "M t"prior to issuance o building permit Notes: c1lc/ b ' , I�/, Q Yt r��� �nA rm�- J<��jr��e,(___t Approved By Planni • s • Al,.; Date: / 6 i • Revisions (after Building Submittal only) Revision 1: 0 ApprovedRevewer Date PP 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:\Building\Forms\gldgPermitRvw RES_061417.docx • Building Permit Submittal Original Submittal Date: P. \ C11 Site Plans: # Building Plans: # a Building Permit#: Entex building permit#above. Workflow Routing: ["Planning EYEngineering [Permit Coordinator NY Building Workflow Sign-off: Ea'Sign-off for Planning(include notes from planning review) Route Application Documents: D/Engineering: (1) copy of permit application, (1)site plan, (1)building plan and original plan review routing form. 2/Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: Date: ► cc, 1 lc, By Permit Technician: ;`-�._ . .., En: neering Review O S pe at building pad: Z� Conditions"Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes 0 No Assess Water Quantity Fee in-lieu: 0 Yes 0 No LIDA Facility on lot 0 Yes 0 No ❑ Final Plat Recorded Date: ❑ NOT Approved by Engineering: Notes: --- �-- Date: Z 4. l Approved by Engineering: Revisions(after Building Submittal only) / Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review ❑ Conditionset"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 R ion Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: s ❑ N/A Tigard Trans SDC: Ies 0 N/A Parks SDC: U Yes ❑ A LIDA 0 Yes N/A OK to Issue Permit /I/Approved by Permit Coordinator: Date: L\Building\F'orms\BldgPermitRvw_RES 010118.docx 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. 1111 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT r Transmittal Letter 1 i c A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: h'il(t Soni tri-Dr1 9 DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED yy�� �j ir 4 2010 FROM: �1k j ! eAte �l CITY OF IGAHC; COMPANY: 11 Vej GCS untie 5 BUILDING '� €' PHONE: S}3 10 °t ��r I By RE: 114 'i - l ve lit- ct-2L)1'- 660 (Site Address) (Permit Number) (Project name or subdivisibn name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: J Description: I Copies: I 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): nTr-Liss Lew( Oui5 eri9irieeizin9 - Die SC ( ti &ei2ay FO7 OFFICE USE ONLY 4,4 Routed to Permit Techni 'an: e: a ( Initials: Fees Due: ❑Yes N,� Fee Descnpt on: Amount Due: $ / )Z $ Special Instructions: I Reprint Permit(per PE): ❑Yes PA o )' /j�� j ❑Done x.Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter_Revisions 061316.doc City of Tigard Tel: 503.718.2439 Location: Inspection Date: 14797 SW 76TH AVE, TIGARD, OR, 97224 June 14, 2019 at 10:57:29 AM Record Type: Record ID: Residential - Master Permit MST2019-00006 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final paperwork received. Violation Summary: Inspector Contractor