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Permit (168) CITY OF TIGARD MASTER PERMIT ii ! : " COMMUNITY DEVELOPMENT Permit#: MST2019-00085 T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: Parcel: 2S112BD13600 Jurisdiction: Tigard Site address: 7674 SW CORNUTT ST Subdivision: ELDERBERRY RIDGE Lot: 32 Project: Elderberry Ridge, Lot 32 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: 25 Bathrooms: 3 Second: 1533 sf Garage: 0 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right 5 Detectors: Yes Total: 2885 sf Value: $365,198.05 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: 3 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!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 VB R-3 2885 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 BEAVERTON,OR 97006 PHONE: 503-645-0986 PHONE: 503-645-0986 FAX: 503-690-2942 i Total Fees: $32,920.26 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and -I 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 Ce ter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You ma in a cop o he . or direct questions to OUNC by calling 503.232.1 187• 1.800.332.2 44. Issued By: ' ee Signature: „-- C. C. 03.; `.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 Application- R+ %iMenittal FOR OFFICE 1 S O\Ll" MAR) City of Tigard Receive P o wt:1#F o Received 3 r g d 0111.7"'I (,—,—.--6K_)015S's 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review `D �0�(1 /,1 /C� /y ' = Phone: 503.718.2439 Fax: 503.598r 0¢0 DateBy Z IAA' ,LC5 / C 27�f , t \,,l Inspection Line: 503.639.4175 .l Date Ready/By: , , ,,i is: ® See Page 2 for Internet: www.tigard-or.gov N. ' ed/Method: ' Supplemental Information /. iv. '. 6`,w 2 9, k Ft i •" ' i_ '' sc 1 �' . I7- , :P: t £,3s F F r a _ e , Kk s.." ^ �� cx.. fr. a J - .h.„ ❑✓ 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 0 Other: equipment,materials,labor,overhead,and the profit for the s 1.4.., ; .,, 1„, v , , ::;,t, work indicated on this application. 91-and 2-family dwelling ' 0 Commercial/industrial Valuation: $ ✓1 ❑Accessory building 0 Multi-family Number of bedrooms: 5 ❑Master builder 0 Other: Number of bathrooms: 3 ...I e•; : :.4, % , ,, ! ' Total number of floors: 2 —7 Job site address: 7674 SW Cornutt Ln New dwelling area: 2885 square feet 153'2 City/State/ZIP: Tigard, OR 97224 Garage/carport area: 491 square feet 1 35z- 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 t t 6° n'4.6 t n...:. 4;. G Subdivision: Elderberry Ridge 2 685 A e Lot no.: 032 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 equipment,materials,labor,overhead,and the profit for the M a,; t work indicated on this application. Construction of SFR Valuation: $ Existing building area: square feet New building area: square feet t 0 f . 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: Phone:( 503)645-0986 Fax:( ) New: ru "' a ti t i x'E' ^'. 'x ;. Business name: Riverside Homes, LLC Structural plan review fee(or deposit): Contact name: Nikki Pruett 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 I Fax::( ) Amount received: E-mail: npruett@riversidehome.com ..:..:,:'0;r4:4“11;t10 't I'V,•44.,v,iX r ry F. Commercial and residential prescriptive installation of : 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 lic.: 189148 . • Total fee due upon application: $201.60 Authorizedsignature: /'' / This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Nikki Pruet Date: 3/18/2019 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I1/02/COM/WEB) ' Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY Cityof Tigard Received g Date/By: Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Associated' • Phone: 503.718.2439 Fax: 503.598.1960 P 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical I I' \LI) Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW )es No Ni.a 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 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 ❑ 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 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. JURISDICi IONAL 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 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 Applicaa}in,"w FOR OFFI( i. usl:Oil.," C a City of Tigard Received Date/By: Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 ,t,,-1 1 9c,r.t n Plan Review e Phone: 503.718.2439 Fax: 503.598.1960idi.�ic �.I '' Date/By: Other Permit: l 1 u A R 17 Inspection Line: 503.639.4175 Date ReadyBy: Jure See Page 2 for Internet: www.tigard-or.gov :. , ' Notified/Method: Supplemental Information BUIL?- , ... .F _.i'4 ° °" Mechanical permit fees*are based on the value of the work ✓0 New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition D Other: mechanical materials,equipment,labor,overhead,and profit. 1-5-Wil" x > :1. sr �, Value:$ `�+,;#21.*,*:.' °k'v'^«x:::,. x "- :.;s,�ya.:,:m'3e. ".41.:4', V 14a A;, ve i,..�. „.r:4�. J!:: E 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. Ea. I Total *'WW Heating/cooling: Air conditioning 1 46.75 46.75 Job site address: 7674 SW Cornutt 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.: 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 hydropic) 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.: 032 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 1 23.32 23.32 l' 1 1 f� , t ' Gas fireplace/insert 1 33.39 33.39 v:s; 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 - _ _ °r. Other: 23.32 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) 5 23.32 139.92 Phone:(503)645-0986 Fax:( ) Attic/crawlspace fans 23.32 ::'*--!:'-'41.:-,;:i;:,!-.11,11': t . o , "~ � Q} # ' �� Other: 23.32 'C4' ,.,., ," ...3k' � - Fuel piping: Business name: Riverside Homes, LLC $14.15 for first four;$4.03 for each additional Contact name: Nikki Pruett 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 E-mail: _Range 1 14.15 npruett@riversidehome.com Barbecue s:, : t c Clothes dryer(gas) Other: Business name: Pro Heating & Cooling 7,:::.k:"- -.4.--: i ' Address: 2095 NW Alocleck Rd.#1103 Subtotal City/State/ZIP: Hillsboro, OR 97124 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( 971)205-4989 Fax:( State surcharge(12%of permit fee) CCB lic.: 209001 s TOTAL PERMIT FEE y 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- 3/18/2019 - :\Building\Permits\MEC_PemiltApp_040113.doc 440.46171(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Famil Fee Schedule: . . .. t.K ,,, pari $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\Pennits\MEC_PennitApp_040113.doc 2 a e *-- • Electrical Permit Application ,i--: FOR OFFICE l SF ON Ll City of TigardIII Received - o/1 7 o n Date/13 : Permit#: al 13125 SW Hall Blvd.,Tigard,OR 97223 'v,•'l+t 1 L. i"1 Plan Review Phone: 503.718.2439 Fax: 503.598.1960., Date/B : Related Permit#: T t G A RD Inspection Line: 503.639.4175 Ready Date/By: Juris: El See Page 2 for Internet: www.tigard-or.gov .,. ,-,1 Notified/Method: Supplemental Information 9 New construction 0 Addition/alteration/replacement Please check all that apply(submit z sets of plans w/items checked): ❑Service or feeder 400 amps or more ❑Building over three stories. 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards. e ;,, i, k° 07. I s, 4 4, _ > : t, .;' ,i N exceeds 10,000 amps at 150 volts or 0 Floating buildings. 1-and 2-family dwelling 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural 90 Commercial/industrial ❑Multi-family ❑Master builderOther: amps for all other installations. buildings. e, 0 0 Fire pump. 0 Installation of 150 KVA or ";,r:'',„'','4:2,''-'V' i _ ::ii" l':::" t. �.k 1: ..y %;.;i'''-7-2":;-7!:::',, ❑Emergency system. larger separately derived Job#: Job site address: 7674 SW Cornutt Ln ❑A 0HP o of oew motor load of system. 100HP or more. ❑"A","E","1-2","1-3", ❑Six or more residential units. occupancy. City/State/ZIP: Tigard, OR 97224 ❑Recreational vehicle arks. 0 Health-care facilities. P 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 AveE Y„. Description Qty. Each Total * New residential single-or multi-family dwelling unit. Subdivision: Elderberry Ridge I Lot#: 032 Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel# ;, Ea.add'1500 sq.ft.or portion 33.92 1 - , `§3. J � •• . , 4 • ;` 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.) r., ;: .: . r--• �ga ;8- Renewable Energy 0 See Page 2 ”'SEA - 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 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 '" t"' a r'.,,,74;,.: } , :r.: Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name: Riverside Homes, LLC above service or feeder fee, 7.42 2 each branch circuit Contact name: Nikki Pruett B.Fee for branch circuits without Address: 17933 NW Evergreen PI., Ste 370service or feeder fee,first 56.18 2 branch circuit 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: npruett@riversidehome.com Reconnect only 67.84 2 "47• . "* # >i 4 ar 7 Pump or irrigation circle 67.84 2 Business name: Sunlight Electric Inc Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address: 2804 NE 65th Ave. St. D panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP: Each additional inspection over allowable in any of the above Vancouver, WA 98661 Additional inspection(1 hr min) 66.25/hr Phone:(360) 518-7589 Fax:( ) Investigation(1 hr min) 90.00/hr Email: Industrial plant(1 hr min) 78.18/hr !v k i Inspections for which no fee is 90.00/hr CCB Lie.: 172549 Electrical Lie.: C230 Suprv.Lie.:i."-- 7,S 9 specifically listed('/..hr mm) Suprv.Electrician signature,required: Subtotal: Print name: Chester :r e• Date: 3/18/2019 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: 3/18/2019 days after it has been accepted as complete. * Number of inspections allowed per permit. LnsuaatngIrermrtstELC_PermrtApp_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: IMM Fee for all residential systems combined: $75.00 0MTEM© Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 _© 5.01 to 15 kva MI 133.56 _© ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 _© Wind•eneration s stems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 _© 50.01 to 100 kva 552.26 _© Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040 ■ 552.26 _© i✓❑ 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 -© char•ed at an hourl 1 hr min Inspections for which no fee is ■ 90.00/hr _. s cificall listed V2 hr min }� •� ,r Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ 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:Buldmg\Permits\ELC_PetmitApp_ELR_ERE.d°c Rev 06/17/2015 Plumbing Permit Application Fr>' ;, Building Fixtures FOR OFFICE USE OyI.I City of Tigard ' ` ,-, '� ;, P g Received Permit No.: II 41 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By:_, ,-' u. - Plan Review Phone: 503.718.2439 Fax: 503.598.1960-, . Other Permit No.: 1-lJ. DateBy: r 1 G n K n Inspection Line: 503.639.4175 "° riate Ready/By: Janis: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental information 2 New construction ❑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) ` t t s t .,....,q,,,:„4 SFR(1)bath ll 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory buildingSFR(3)bath 1 500.32 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler(_sq.ft.) Page 2 ..", # ail>tt it � .,.Hu Site utilities: Job site address: 7674 SW Cornutt Ln Catch basin or area drain 18.76 City/State/ZIP: Tigard, OR 97224 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: 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.: 032 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 4# }, t, t `r i. r i 1 i� tY, Backwater valve 12.51 '''""'" '}k" v Clothes washer 1 25.02 Construction of SFR Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0''''. '' t o ;a Expansion tank 12.51 Name: Riverside Homes, LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 17933 NW Evergreen PI., 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 i ,7 is a..b Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name: Riverside Homes, LLC Contact name: Primer 12.51 Nikki Pruett Roof drain(commercial) 12.51 Address: 17933 NW Evergreen PI., 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 Urinal 25.02 E-mail: npruett@riversidehome.com s"'aTM't't. • e .,; r 7 :, s rk Water closet 3 25.02 `' 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 '`Pax:( Minimum permit fee: $72.50 CCB Lic.: 178122 ( mbi7 c.tr.: PB414 Plan review (25%of permit fee) , ' State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: Nikki Pruett Date: 3/18/2019 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\Pennits\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 Suppression S stems: t:Laraz Footing drain-1"100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas S stems: Water Service-each additional 100' 37.52 avrIff 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 ctia # t' each additional$100.00 or fraction thereof,to and including$10,000.00. Inspeon 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 charte-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_`a-1/2 hour each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. ,w.•� .. uta � i x �$"' �G'r`7 "_ .,. . uW. -_ ,. " .::��: .,.�..... �...-,..,..,...... Work >tined: Cape'" Addeii iielati Plan review is required for any of the following. Ba.tist /Font =-= Please check all that apply. Bath -Tub/Shower --- 0 Any new commercial building with water service 2"and -Jacuzzi/Whirl.00l --- 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 Cus.idor/Water As.irator --- as defined in OAR918-780-0040. Dishwasher -Commercial --- ❑ Medical gas and vacuum systems for health care facilities. -Domestic --- 0 Any multipurpose fire sprinkler system. Drinkin Fountain - 0 Any complex structure as defined in OAR918-780-0040. E e Wash Floor Drain/sink -2" === Submit 2 sets of plans with any of the above. Car Wash Drain --- 71771iS«F 7)24 e �` m l7/71.-11:::,*. 4 Garbage -Domestic-non-food --- 0 Isometrle 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./Refri`.Drains --- Oil Se.arator Gas Station === Comments regarding fixture work: Rec.Vehicle Dum.Station Shower -Gang --- -Stall --- Sink/Lav -Non-food related --- -Bradley --- -Commercial-food related --- -Service ---_ Swimmin:Pool Filter *Note: If the fixture work underthispermit results in an Washer-Clothes --- P 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 Urinalher === plumbing permit can be issued. Other Fixtures: C.\Uacrs\npructt\Duwnloads\PLMF_PermitApp.doc 2 City of Tigard Ita COMMUNITY DEVELOPMENT DEPARTMENT I T i c a R D Building Permit Review — Residential Building Permit #: / 7C Site Address: 16-71 s w Co rr)0 4+ Ln Project Name: E I citx b.e. 2i d 9 e Lot #: 3 2 (New dwelling=subdivisi name;Addition or Alteration=last name of owner) Planning Review y 1 ' / ✓ ,5 e�fi _. ,-1-C c I ems-: ill ;,;v Proposal: Neu•) S (Z -/ / l'ei.4 ) -H- -frz .v.{, rt.1. ;--c ,,i;, 7 Verify address/suite# active in Accela. ❑ In River Terrace: 7 No ❑ Yes,River Terrace Review Addendum Site Plan Elements: 2Erosion Control 7 copies of site plan on 8-1/2"x 11"or 11 x 17"paper 2rRetained trees with drip line and tree protection measures )ZiDrawn to scale(standard architect or engineer scale) /Footprint of new structure(including decks)and FFE North arrow Utility locations&easements(required for new and additions) ASite address,project or subdivision name and lot number ASidewalk/driveway approach ,ZApplicant information(name and phone number) ❑Location of wells/septic systems Lot dimensions and building setback dimensions Street tree size,type and location g g /Squarefoota e of buildings to be demolished Street names •IFErtgting structures on site yf Corner elevations(2'contours if more than 4'differential) -1;1-bot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? EYes ❑No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? AYes ❑No SV Z Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified JZ No Received: ❑ Yes ❑ No Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: gr Yes ❑ No,stop intake 0. Land Use Case#: P 0 X 2016 ^0 00001 X Zoning: n— y•S ARequired Setbacks: Front: l S Rear: L S Side: S Street Side: Garage: rk^0 Building Height: Max. Height: 70 Actual Hei ht: 2-S JZI Landscape Area: 14/� % . Lot Coverage Max: NiiC' Entrance "1 Set back no more than 8'from street-facing wall V Parallel to street or offset 45 degrees or less Windows ❑ Minimum 12%of area of all street-facing facades Garage 12"Garage door is behind widest street-facing wall Yes No,one of the following is met i 'f A El Door extends no more than 5'from wall and there is a covered porch extending beyond garage. I ❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor. Vi Garage door width is ❑ 12'or less 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset 1 ❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony 71Visual Clearance Urban Forestry Plan ylSensitiveLands: ❑ Yes ilZi No Type: iZ Conditions met prior to issuance of building permit Notes: AApproved By Planning: e' (..----...'---, Date: 3 / I g i I c Revisions (after Building Submittal only) Reviewer Datie CI 1: Approved Not Approved i et 1I q Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonns\BldgPermitRvw_RES_022819.docx Building Permit Submittal Original Submittal Date: L P-1 Site Plans: # Building Plans: # i;r Building Permit#: aie building permit#above. � // , � Workflow Routing: lanning C ngineering L Permit Coordinator 11-building Workflow Sign-off: -off for Planning(include notes from planning review) Route Application Documents: Cr-"Engineering: (1) copy of permit application, (1) site plan, (1) building plan and ojri nal plan review routing form. D"Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: fre4.44e-04/ S ; 'd ek...,,, By Permit Technician: Date: 1A4y Engineering Review ❑ Slope at building pad: 2/o ❑ 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: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No _, LIDA Facility on lot: ❑ Yes ❑ No LJd" Final Plat Recorded: ❑ NOT Approved by Engineering: Date: NoVApproved es: by Engineering: -4011.". Date: 3 l Revisions (after�Buuilding Submittal only) " eviewer / Date Revision 1: Ifs Approved ❑ Not Approved /� `�l� Revision 2: ❑ Approved ❑ Not Approved �l �l / Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of brilditing 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: vision Notice 3: Date Sent to Applicant: RDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: zXes ❑ N/A Parks SDC: Yes /N/A /A LIDA CI Yes iK to Issue Permit 4/2-9/f/ / 1 Z.9 l!9 Approved by Permit Coordinator: A , Date: 3/2 c/; I:\Building\Forms\BldgPermitRvw_RES_022819.docx City of Tigard Tel: 503.718.2439 Location: Inspection Date: 7674 SW CORNUTT ST, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2019-00085 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Ac installed. Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 7674 SW CORNUTT ST, TIGARD, OR, 97224 August 22, 2019 at 8:46:51 AM Record Type: Record ID: Residential - Master Permit MST2019-00085 Inspection Type: Inspector: 399 Plumbing final Jeremy Burrows Result: PASS Comments: Note: water pressure 56 psi Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 7674 SW CORNUTT ST, TIGARD, OR, 97224 August 26, 2019 at 9:29:00 AM Record Type: Record ID: Residential - Master Permit MST2019-00085 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 Lat-J