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Permit (57) CITY OF TIGARD MASTER PERMIT IA, - : ,. il , . COMMUNITY DEVELOPMENT Permit#: MST2019-00005 TR£ ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/25/2019 Parcel: 2S112BD12800 Jurisdiction: Tigard Site address: 7659 SW HANSEN LN Subdivision: ELDERBERRY RIDGE Lot: 24 Project: Elderberry Ridge, Lot 24 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 982 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1190 sf Garage: 397 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes 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 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 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 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 2172 Owner: Contractor: RIVERSIDE HOMES LLC RIVERSIDE HOMES LLC Required Items and Reports(Conditions) 17933 NW EVERGREEN PL STE 17933 NW EVERGREEN PKWY 370 1 Ersn Cntrl 503-639-4175 370 BEAVERTON,OR 97006 2 1 Hour Fire Rated Eaves BEAVERTON,OR 97006 PHONE: 503-645-0986 PHONE: 503-645-0986 FAX: 503-690-2942 Total Fees: $31,012.85 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Co•-s a • all other appl able 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- ce, o if work is sus ended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Cent- . Those rula,. are set forth in OAR 952-001-0010 through e.; 952-001-0090. You ma obtain a copy of the r -s or direct questions to OUNC by calling 503..32.19-,- or 1.800.332.2-44. Issued By: t%%... _ ____ ._ Permittee Signature: e Cal,401 .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. , U°1 cd-Lf ��CFtt, Q 1 2-zd-I� Building Permit Application Resldentlal FOR OFFICH: USI:OyLl' City of Tigard Received _ I DateB Ri �� �� PermitNo.M�� �._ � 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review, q � Phone: 503.718.2439 Fax: 503.598.1960 DEC 2 0 2018 Plan Re: 1(, I l or Other Perini & 'kq- ^�S TIG,1 R i) Inspection Line: 503.639.4175 T Date Ready/By: auris: ®�^S�eee Page 2 for Internet: www.ti and-or. ov CITY Y OP. . ied/Method: g g i� �: 4.11/ / I Supplemental Information BUILD/NG P! # k ."4' Q 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 the work indicated on this application. 01-and 2-family dwelling 0 Commercial/industrial Valuation: $ (776v f j50 ❑Accessory building 0 Multi-family Number of bedrooms: ID builder ❑Other: Number of bathrooms: 3 q 1 ''. Total number of floors: 2 1-5$S, .2 � " e�..�_ «.."amu le Job site address: 7659 SW HANSEN LN New dwelling area: 2172 square feet t 11 a City/State/ZIP: Tigard, OR 97224 Garage/carport area: 397 square feet a t$t Z Suite/bldg./apt.no.: Project name: Elderberry Ridge Covered porch area: square feet 1 Cross street/directions to job site: SW Bonita Rd & SW 76th Ave Deck area: square feet Other structure area: square feet r .,4 ...... x ry.1'-••;;;:;';-.1'. �� art.;e24 Subdivision: Elderberry Ridge Lot no.: 024 Permit fees*are based on the value of the work performed. - Tax map/parcel no.: 2S 112 B DO03OO Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the ''',4-: ry• ,v i'* t- 'dr work indicated on this application. Construction of SFR — 2112. i1' I... Valuation: $ Existing building area: square feet New building area: square feet 0 Number 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: 1 Phone:(503)645-0986 Fax:( ) New: Business name: Riverside Homes, LLC Structural plan review fee(or deposit): Contact name: Wes Boisvert Address: 17933 NW Evergreen PI., Ste 370 FLS plan review fee(if applicable): City/State/ZIP: Beaverton, OR 97007 Total fees due upon application: Phone:(503)645-0986 Fax::( ) Amount received: E-mail: wboisvert@riversidehome.comt @` Commercial and residential prescriptive installation of . A. ° _ ,,,` . r ,: x -4: 1 " roof-top mounted PhotoVoltaic Solar Panel System. Submit two(2)sets of roof plan with connection details Business name: Riverside Homes, LLC and fire department access,along with the 2010 Oregon Address: 17933 NW Evergreen PI., 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 k CCB lac.: 189148 `k 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. *Fee methodology set by Tri-County Building Industry Print name: Nikki Pruett Date: 12/18/18 Service Board. I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613 T(11/02/COM/WEB) , Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE Om,), City of Tigard Received IN13125 SW Hall Blvd.,Tigard,OR 97223 Date/By:. Permit No. �T 1\�_ 1. Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: T 1 C;A R D 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical Internet: www.tigard-or.gov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW >"es So N/, 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 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 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 0 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 ❑ 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 0 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 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••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 Applicata , FOR OFFICE I SE ON 1.1 City of TigardReceived Date/By: Permit No.".N(y.,3-c ,_, C �1' `' 111 III 13125 SW Hall Blvd.,Tigard,OR 97223 DECt Plan Review - = Phone: 503.718.2439 Fax: 503.598.1960 C 2 0 2018 Other Permit: DateBy: t (.. It t) Inspection Line: 503.639.4175 Date Ready/By: Jugs: ® See Page 2 for Internet: www.tigard-or.gov CITY Ut" I I AtiU Notified/Method: Supplemental Information BUILDING DIVISION ern <�a n' .... �... ,p .�. A�.. �.�� . ,� .- i . a` h �' ,�'.. qui 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 0 Demolition D Other: mechanical materials,equipment,labor,overhead,and profit. Value: ,r a :t a n ,_ . t l ❑✓ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total ," v, at: . . 1 Heating/cooling: ' .'-; `0'` " Air conditioning 1 46.75 46.75 Job site address: 7659 SW HANSEN LN 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.: 1 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 1 Lot no.: 024 Other: 23.32 Other fuel appliances: Tax map/parcel no.: 2S 112BD00300 Water heater 1 23.32 23.32 ..i r : `} Gas fire lace/insert 1 33.39 33.39 � r., �r.. �:, p 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 23.32 t ' r e Other: - . ` ! '-. : • Environmental exhaust and ventilation: Name: Riverside Homes, LLC Range hood/other kitchen equipment 1 33.39 33.39 Address: 17933 NW Evergreen Pl., Ste 370 Clothes dryer exhaust 1 33.39 33.39 City/State/ZIP: Beaverton, OR 97007 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 5 23.32 116.60 Phone:(503 )645-0986 Fax:( ) Attic/crawlspace fans 23.32 '.;-,'"77745,11:..44...411 a A '.. 1 A i I' 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 Gas heat pump Address: 17933 NW Evergreen Pl., Ste 370 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 4*;...a s N t •.: ,, €,72 "'1 Clothes dryer(gas) Business name: Other: Pro Heating & Cooling ,- x 4,, . ° r { ....;: w-a2. a.+nti%»'Aum ...,-o la,+i Address: 2095 NW Alocleck Rd.#1103 Subtotal City/State/ZIP: Hillsboro, OR 97124 Minimum permit fee($90.00) ( 971)205-4989 ( ) Plan review(25%of permit fee) Phone: Fax: State surcharge(12%of permit fee) CCB lac.: 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: ()( (7r * Fee methodology set by Tri-County Building Industry Service Board Print name: Nikki Pruett Date: 12/18/18 I:\Building\Permits\MEC_PernitApp_040113.doc 440-4617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Family Fee Schedule: Total,*`t, f st=!;, 6: e#} + S L aat 'AHI; 4.; ' $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 Application RECEIVED FOR OFFICE I_SE O11.v City of Tigard 2 Received C Permit#: 1 — . DEC 0 2018 Plan R : 1 Iii II 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review _ Phone: 503.718.2439 Fax: 503.598.196Q �4Date/13 : Related Permit#: T l G A R H Inspection Line: 503.639.4175 Ul Y 1.,)I'- I I bfAi:D Ready Date/By: 7uris: ® See Page 2 for Internet: www.tigard-or.gov BUILDING UIV Si Notified/Method: Supplemental Information ElNew construction 0 Addition/alteration/replacement v Please check all that apply(submit 2 sets of plans w/items checked): 0 Demolition El Other: ❑Service or feeder 400 amps or more ❑Building over three stories. where the available fault current 0 Marinas and boatyards. n ?1 ,, a s or 2. 6 _ tt a;, ., - 6 # 44,140,:'11'.! exceeds 10,000 amps at 150 volts or 0 Floating buildings. ✓ 1-and 2-familydwellingCommercial/industrialless to ground,or exceeds 14,000 0 Commercial-use agricultural ❑ 0 0Accessory building ❑Multi-family 0 Master builderOther: Fire uor all other installations. Instaings. 0 0Fire pump. 0 Installation of 150 KVA or i>t" ,t . K64� :'fi 4r r.. 3a.h # � et ‘;''`'4:!4.4.'''.1' fi: U, .zv, 0Emergency system. larger separately derived Job#: Job site address: 7659 SW HANSEN LN ❑A 0HP o of orw motor load of system. 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. ❑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 _ �' '7 t i � Description Qty. Each Total * New residential single-or multi-family dwelling unit. Subdivision: Elderberry Ridge I Lot#: 024 Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: 2S112BD00300 Ea.add'1500 sq.ft.orp onion 33.92 1 ` `°" ,• - _" .._ . leu ;CL. : s : ! ; `f` i4 " ^�, 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 0 s r _- I !.4 , V, rit C ' - Pa `- Services or feeders installation,alteration,and/or relocation Name: Riverside Homes, LLC 200 amps or less 100.70 2 Address: 17933 NW Evergreen Pl., 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 Temporary services or feeders installation,alteration,and/or Email: 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 s ,it '. 12 Pv ranc circuits—new,alteration,or extension,per panel t �° = � - A.Fee for branch circuits with Business name: Riverside Homes, LLC above service or feeder fee, 7.42 2 each branch circuit Contact name: Wes Boisvert B.Fee for branch circuits without service or feeder fee,first Address: 17933 NW Evergreen Pl., Ste 370 branchcircuit 56.18 2 City/State/ZIP: Beaverton, OR 97007 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503)645-0986 I Fax: :( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: wboisvert@riversidehome.com Reconnect only 67.84 2 ;,+t ,>'t,: L' 7., `< '"h.;=,.W;. .,xy`, s ' -> A= Pump or irrigation circle 67.84 2 Business name: Sunlight Electric Inc Sign or outline lighting 67.84 2 Address: Signal circuit(s)or limited-energy 0 See Page 2 2 2804 N E 65th Ave. St. D 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/In Email: Industrial plant(1 hr min) 78.18/hr F/ e 7(/ Inspections for which no fee is CCB Lie.: 172549 Electrical Lic.: C280 Suprv.Lie: s.eciftcall listed '/2 hr min 90.00/hr l 75 3 S' � � � „ ,t Suprv.Electrician signature,required: .04....___e# Subtotal: Print name: Che ter Garrett I Date: 12/18/18 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: 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_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: Description 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 ❑ Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ✓❑ 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 66.25/hr charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr ' V _ S,di4. d ® l 4 listed: �tll 18 ±1{ s,ec1 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 I:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015 Plumbing Permit Application Building Fixtures IRECEI FOR OFFICE USE ONLY' Received �'y' City of Tigard DEC 2 0 201 Date/By: PermitNo. '` ,�_ �,�� 11114 ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review II Phone: 503.718.2439 Fax: 503.598.19 I l�zHi^l8 Date/By: Other Permit No.: Inspection Line: 503.639.4175 BUILDING D!V Sl I�tDpte Read/B Suns: ® See Pae 2 for TIC;AItD iV �? E� y y� g Internet: www.tigard-or.gov tified/Method: Supplemental Information 15' 0. • ay • o .s •/t.•''''u : t41: t :' . 2 New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) ., ,,;, ',v. 4 f . 1.' s rs ttY; SFR(1)bath 312.70 2 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 1 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler(_sq.ft.) Page 2 '," t +` --, )= ' s ia jai i i ` r Site utilities: R. - a Job site address: 7659 SW HANSEN LN Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: Tigard, OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: J 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 1 Lot no.: 024 Fixture or item: Tax map/parcel no.: 2S1 12BD00300 Backflow preventer no backflow for this home. 31.27 i +i .. • :i. t kBackwater valve 12.51 y Clothes washer 1 25.02 Construction of SFR Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 Q •' ;�' s, m h �F Expansion tank 12.51 Fixture/sewer cap 25.02 Name: Riverside Homes, LLC Floor drain floor sink/hub 25.02 Address: 17933 NW Evergreen Pl., Ste 370 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 u'. ,' , ,:.„3::-.‘,41,0,,N., ' s ' Interceptor/grease trap 25.02 Business name: RiversiidekHomes, LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: 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 4 12.51 Urinal 25.02 E-mail: wboisvert@riversidehome.com au 4, , a , Water closet 3 25.02 l.nuF. s . _ _,v; .:3'.: " Water heater 1 37.52 Business name: H & H Mecanical 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 bing Lic.no.: PB414 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: Nikki Pruett Date: 12/18/18 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 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 Sus I ression S stems: Footingdrain-1 s`100' Z •••:.'01-:''.3 ; y 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 1! rv�,r,,. Storm&Rain Drain-1st 100' 62.54 b " $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' t'� ! fl ! 44 �_ a a 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*. 6iSiirwr, r13! ; t }• 5 Fixture fol rk fi k r_ ` 1Plan 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 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 � $ !tAt Garbage Domestic-non-food ❑ Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the •ualifications 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.doc 2 11111 City of Tigard E 4 COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Residential Building Permit #: _ �_. --.�..._ . _.....�:-..__�,.._. Site Address: 0 7 _ Project Name: Ene;division _ it (New dwellinge Lot #: = n e•Addition or Alteration=last name of owner) Planning Review Proposal: A.eit AFL Verify site address/suite#exists and active ija permit system. il`! River Terrace Neighborhood: [L� No 0 Yes,See River Terrace Review Addendum Attached Si" lan Elements: Jee(3)copies of site plan Di Si.' sting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper V Footprint of new structure(including decks)with finished awn to scale(standard architect or engineer scale) 90or elevations all rth arrow tepttlity locations&easements(required for new and additions) VgiSite address,project or subdivision name and lot number plicant information(name and phone number) Sidewalk/driveway approach 0-Lot dimensions and buildingsetback dimensions ����• anon of wells/septic systems `V :sting trees to be retained with drip line,and tree att.•uare footage of buildings to be demolished �tection measures 04 Lot area,building coverage area,percentage of coverage and S eet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) VStreet names Property comer elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replac ? i es 1=1Te 4 foot differential) If yes,is a storm water quality facility shown?0 ❑Yes al No Clean Water Services—Service Provider Le�tt of platted prior to 9/10/1995): squired: D Yes,applicant was notified VNo Received: Public Facil • Im ❑ Yes 0 No Improvement(PF])Permit Yes -1...20 j ] Required: Yes,applicant was notified 0 No Applied For. 0 No,stop intake ` e cliand Use Case#: P -Q CAD D- p be)9 i27:4rang: P l °: -quired Setbacks: Front s Rear Side 1� _ 15 �� Street Side t J�'Garage _i dscape Requirement: .t Coverage Maximum: it •ding Height 0 isual Clearance Maximum Height Actual Height W° -ensitive Lands: 0 Yes N ,2� Id o Type 7 Urban Forestry Plan 0 Conditions "M t"prior to issuance o building permit Notes: �� d/Ai'l S' tis�?zlli nue-/- u�'J Approved By Planning: • . 4, Date: / 6 I d Revisions (after Building Submittal only) Revision 1: 0 Approved 0 Not Approved Reviewer Date Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved 1:\Building\Forms\BldgPeimitRvw_RES_061417.docx Building Permit Submittal Original Submittal Date: kik.\CS Site Plans: # Building Plans: #—z Building Permit#: [3Enter building permit#above. ^�B Workflow Routing: L' Planning [Si/Engineering C3Permit Coordinator LV g Workflow Sign-off: Q(Sign-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. [] Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By \ \ \ ` �� \ c1 Permit Technician: a Date: En; 'neering Review P. S pe at building pad2� Conditions"Met"prior to issuance of building permit ❑ Easements (encroachments)pet 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: e4proved by Engineering: Date2©G Revisions(after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: ❑ Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review —0—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 C Fees Entered: Wash Co Trans Dev Tax: es 0 N/A Y Tigard Trans SDC: e ❑ N/A Parks SDC: es ❑ N� LIDA 0 Yes /A OK to Issue Permit G 9 Approved by Permit Coordinator: Date: 2 � I:\Building\Forms\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. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 111 1 Transmittal Letter T l i,A k ll 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: kb,/ 50P •� �r19 DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Mai P e 4 2019 CITY OF I 1GARD COMPANY: A Vej cue Hume s BUILDING DIVISION PHONE: Spa /v j r D q ?c I By: 41-7) RE: 1 (F s SIN nsea t, 1 Cj4S11,Wt - bt)5 (Site Address) (Permit Number) ' -1,cteti-10eAteti 72-14-4 e_ (Project name or subdivision time and lot number) ATTACHED ARE THE FOLLOWING ITEMS: I Copies: I Description: I Copies: I Description: I 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. x Engineer's calculations. Other(explain): RE Te-u ss l Guy 5 4 [in ee nn 9 - Oe SC OieLe It &telex a'l FOR OF ICE USE ONLY Routed to Permit Techniciany mate: Z ti ( 9 Initials: s Fees Due: ❑Yes C, . . Fee Desc ptio : Amount Due: ............ t) c......... (::......„-- ‘....../ $$ f2 ..._______ Special $ Instructions: I Reprint Permit(per PE): []Yes o ❑ Done Applicant Notified: Date: Zi/ �j I Initials: I:\BuildineForms\TransmittalLetter-Revisions_061316.doc City of Tigard Tel: 503.718.2439 Location: Inspection Date: 7659 SW HANSEN LN, TIGARD, OR, 97224 June 27, 2019 at 10:59:17 AM Record Type: Record ID: Residential - Master Permit MST2019-00005 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 65 psi Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 7659 SW HANSEN LN, TIGARD, OR, 97224 July 3, 2019 at 11 :25:22 AM Record Type: Record ID: Residential - Master Permit MST2019-00005 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final erosion control approved. Moisture content form received. Moisture barrier form received. High efficiency lighting form received. Insulation certification verified. Duct seal test report received/verified. C of 0 left on counter. Violation Summary: Inspector Contractor