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Permit (211)
Electrical Permit Aaulicati I ,;z(,1:1:1� ,. i H ,>,, City of Tigard EC E iVE Da y: /01/ 7 f 7 111 i' 13125 SW Hall Blvd.,Tigard,OR 97Pp'v`'C! /Y / 't�Q ! g Phone: 503.718.2439 Fax: 503.598.1960 T 1 7 2 9 DDateteBeyvrew Other Permit: l f c: t it ; Inspection Line: 503.639.4175 Date Ready/By: H See Page 2 for Internet: www.tigard-ocgov 'ITY:OF TIGARD Notified/Method: Supplemental Information BU.ILDDNG DIVISION, . TYPE OF WO ,'7PI;iitihi-'REVIEW New construction ElAddition/alteration/replacement , Please check all that apply(submit 1 sets of plans wiitems checked below): ❑Demolition s. 'cc or feeder 400 amps or more 13 Building over three stories. ❑Other: 1 ,) where the available fault current 0 Marinas and boatyards. . CATEGORY OF CONSTR�iJCTION �� exceeds 10,000 amps at 150 volts or 0 Floating buildings. less to ground,or exceeds 14,000 ❑Commercial-use agricultural ❑1-and 2-family dwelling 0 Commercial/industrial L 0 Accessory .r r .ing amps for all other installations. buildings. ❑Multi-family 0 Master builder ' 0 Other: ❑Fire pump. ❑Installation of 75 or JOB OTTE INFORMATION ANI) LOCATION O Emergency system. "A",larger'separately derived system. 0 Addition of new motor load of 0 "E","1-2","1-3", yl?.� 5 \�\f c_.4., toollP ormore. occupancy. Job no.: Job site address: t ❑Six or more residential units. 0 Recreational vehicle parks. City/State/ZIP: ,-1--'C,c..08,. O� 0 Health-care facilities. ❑Supply voltage for more than / ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: Project name: ` 13 Service or feeder 600 amps or more. t� l�7</'f)! FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I Teal I • • New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no,: O Li 1,000 sq.ft.or less 168.54 4 J Ea.add'l 500 sq.ft.or portion 33.92 1 Tax map/parcel no.: Limited energy,residential ' 75.00 2 D) TION OF WORK.. . . • (with above sq.ft.) Limited energy,multi-family 75.00 2r Z- l U `V e_\ "rc Cvc,)., residential(with above sq.ft.) _ Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 ❑ PROPERTY OWNER i0 TENANT 201 amps to 400 amps 133.56 2 Name: V. 401 amps to 600 amps 200.34 2 �� `�� `r-\In '`4S 601 amps to 1,000 amps 301.04 2 Address: Z?? A)S` fJ,� p ,(^`I` 5-1-c, Over 1,000 amps or volts 552.26 2 City/State/ZIP: R �J�� -7-- L C Temporary services or feeders installation,alteration,and/or 6/� 9 C O 6 relocation Phone:( )) to!V —Z.5c7Z Fax ( ) 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation:This installation is being made on property that 1 own which is not intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 Branch circuits-new,alteration,or extension,per panel Owner signature: Date: A.Fee for branch circuits with (APPLICANT I 0 CONTACT PERSON above service or feeder fee, _. - each branch circuit 7.42 2 Business name: B.Fee for branch circuits without service or feeder fee,first 56.18 2 Contact name: \` i\ � t/ branch circuit t 4 Each add'i branch circuit 7.42 • 2 Address: 9-71 - 2-01: 3 '5-L_ Miscellaneous(service or feeder not included City/State/ZIP: 7 Each manufactured or modular 67.84 2 dwelling,service and/or feeder Phone:( ) Fax::( ) r Reconnect only 67.84 2 E-mail' - Pump or irrigation circle 67.84 2 • Signor outline lighting 67.84 2 CONTRACTOR . i' Signal circuit(s)or limited-energy Business name: c4 14 t t,./- <0c:...4-1,,;C ""-�` tC'' panel,alteration,or extension. Page 2 2 tit?'- rt Each additional inspection over allowable in any of the above Address: 2 Ro Ll/ ��' 6[". /t - if ? Additional inspection(1 hr min) 66.25/hr City/State/ZIP: , a-k7 C®1 v e civ.. /4. ,91‘1 b l Investigation a(1t l rain) 78.18/hr v I Industrial plain p hr min) 78.18/hr Phone:(33a) 5-/f_ 7--3-,..9 Fax:(� e.�u v Ca 3�f- 96C 0 Inspections for which no fee is 90z� hr _specifically listed(%a hr min) �/ CCB Lic.:/12 6-1.7,9 Electrical Lic.:- Z 3 O Suprv.Lic.: /7 9S s ELECTRICAL PERMIT FEES Suprv.Electrician signature,required:2 �btif Subtotal: f Plan review(25%of permit fee): Print name:f' 4`S.f A 6/�," � .azf , Date: !0/i 7/i r State surcharge(12%of permit fee): T Authorized signature: 7:, `�i�" _ / TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Date: / / days after it has been accepted as complete. (( /` /J s Number of inspections allowed per permit. I:1BuildinglPermits\ELC-PermitApp 490-4615T(l i J105/COM/WEB CITY OF TIGARD MASTER PERMIT 'II 2 . COMMUNITY DEVELOPMENT Permit#: MST2019-00249 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/26/2019 Parcel: 2S112BD10800 Jurisdiction: Tigard Site address: 14984 SW BELVOIR CT Subdivision: ELDERBERRY RIDGE Lot: 4 Project: Elderberry Ridge, Lot 4 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: 23 Bathrooms: 4 Second: 1533 sf Garage: 491 sf Front: 20 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: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0ains: Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 DrCatch 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: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 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: RI ERS.IDE- OMES--LLQ o��,�,,ERS,c�r,E 1.10.,-Sc A I r_ Required Items and ReportsjConditionsl 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: $32,935.40 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all ther 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 k is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. ose rules are set forth in OAR 952-001-0010 through OAR 952-001-0090 .. - obt-'. - --•. - •-rules or direct questions to OUNC by calling 503.232.1987 .800.332.2344. Issued By: ' ,2, _ Permittee Signature: i /1 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 1---\-- Building Permit Application LoT Residential3 CEI\f ED i O►z O,,R.,: t ►: Oy►.l City of Tigard 20�9 Received +, JUN 1 3 DateBy: U(.\i‘ .,' C, (`� Permit No.:� ; �( 13125 SW Hall Blvd.,Tigard,OR 97223 T �� Plan Review Phone: 503.718.2439 Fax: 503.598.1960. - Z Older Perini tti Inspection Line: 503.639.4175 �,I l Y OF TIGARD Date/By: g \J� -C ��t I I t;A K I) Da Ready/By: ions. ® See Page 2 for ..r...as^- �..,... BUILDING DIVISION . .ifed/Method / GInternet: www.tigard-or.gov Supplemental Information s�L�(L f �A.A. TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING I9 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 CATEGORY OF CONSTRUCTION work indicated on this application. 1-and 2-familydwellingValuation: $ 3(115/❑ 0 Commercial/industrial 13Accessory building 0 Multi-family Number of bedrooms: 5 ❑Master builder 0 Other: Number of bathrooms 4 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 3'S1 Job site address: 14984 SW Belvoir Ct. New dwelling area: 2885 square feet 1 3 City/State/ZIP: Tigard, OR 97224 Garage/carport area: 491 square feet i 352 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 REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Elderberry Ridge I Lot no.: 04 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 DESCRIPTION OF WORK work indicated on this application. Construction of SFR Valuation: $ Existing building area: square feet New building area: square feet Q PROPERTY OWNER- 0 TENANT Number of stories: Name: Riverside Homes, LLC Type of construction: Address: 17933 NW Evergreen PI., Ste 370 Occupancy p y groups: City/State/ZIP: Beaverton, OR 97007 Existing: Phone:(503)645-0986 Fax:( ) New: 0 APPLICANT a✓ CONTACT PERSON . BUILDING PERMIT FEES* Business name: Riverside Homes, LLC !PleaaJehraharrcAJ Structural plan review fee(or deposit): Contact name: Amo Avgi Address: 17933 NW Evergreen Pl., Ste 370 FLS plan review fee(if applicable): City/State/ZIP: Beaverton, OR 97007 Total fees due upon application: - _ Phone:(5033)645-0986 Fax::( ) Amount received: E-mail: aavgi@riversidehome.com PHOTOVOLTAIC SOLAR`PANEL SYSTEM FEES* t'ONTRAC 1'OR 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 Authorized signature / y,� This permit application expires if a permit is not obtained ` �� " within 180 days after it has been accepted as complete. Print name: Nikki Pruett Date: 6/11/2019 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Pern its\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Chec 1' t One- and Two-FamilyDwellingE I VE FOR OFT lcr_ csE o\l.l City of Tigard JUN 1 3 2019 Received 13125 SW Hall Blvd.,Tigard,OR 97223 _ Date/By: No.: IN 41 Phone: 503.718.2439 Fax: 503.598.1960 CITY Y OF TIGARD Associated permits: 24-Hour Inspection Line: 503.639.4175 BUILDING DIVISION 0 Electrical 0 Plumbing 0 Mechanical I WARD Internet: www.tigard-or.gov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW' les y O y iA 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 0 0 2 Zoning. Flood plain,solar balancejtoints,seismic soils designation,historic district,etc. 0 0 0 3 Verification of approved plat/lot. 0 0 0 4 Fire district approval required. Name of district: 0 0 0 5 Septic system permit or authorization for remodel. Existing system capacity 0 0 0 6 Sewer permit. 0 0 0 7 Water district approval. 0 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 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 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 lice sed• 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 buildingadditions, 0 including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings 0 0 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 Application I'()I( OH I( I ( SI ON►.1 City of Tigard �/E C E I t/ E • Received g Date/fly: :�Permit No. - �,' S 13125 SW Hall Blvd.,Tigard,OR 97223 2019 +i �'� ' e Phone: 503.718.2439 Fax: 503.598.1960 JUN 1 3 Plan Review Date/By: Other Permit: 1 i(.A k n Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information BUILDING DIVISION IyiROP WO*v v .. -ate ' ,:::14:4),',,,,i,,': *1„...._,.....' ?...0 'w.i:ili..0,� 'ifs,'At a_ a;<ilr Mechanical permit fees*are based on the value of the work ©New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT!SYSTEMS FEES* I7 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 1 46.75 46.75 Job site address: 14984 SW Belvoir Ct. 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: Other: 23.32 Elderberry Ridge Lot no.: 04 Other fuel appliances: Tax map/parcel no.: Water heater 1 23.32 23.32 DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 33.39 Flue vent for water heater or gas Construction of SFR fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ✓] PROPERTY OWNER Other: 23.32 �"'TENANT Environmental exhaust and ventilation: Name: Riverside Homes, LLC Range hood/other kitchen Address: 17933 NW Evergreen Pl., Ste 370 - Clothr 1 33.39 33.39 Clotheess dryexhaust 1 33.39 33.39 City/State/ZIP: Beaverton, OR 97007 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 6 23.32 139.92 Phone:(503 )645-0986 Fax:( ) Attic/crawlspace fans 23.32 APPLICANT 9'CONTACT PERSON Other: 23.32 Business name: Riverside Homes, LLC Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: Amo Avgi Furnace,etc. 1 14.15 Address: 17933 NW Evergreen Pl., Ste 370 Gas heat pump WalUsuspended/unit heater -.,.,.;r II !_se.°_ 'Water heater . .. _4 -T-- 14.15 Phone:(503 )645-0986 Fax::( ) Fireplace 1 14.15 Range 1 14.15 E-mail: aavgi@riversidehome.com Barbecue CONTRACTOR Clothes dryer(gas) Business name: Pro Heating & Cooling Other: MECHANICAL PERMIT FEES* Address: 2095 NW Alocleck Rd.#1103 Subtotal City/State/ZIP: Hillsboro, OR 97124 Minimum permit fee($90.00) Phone:( 971)205-4989 Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lic.: 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:Imo.j I . ( s * Fee methodology set by Tri-County Building Industry Service Board Print name: Nikki Pruett Date: 6/11/2019 I:\Building\PermitsVMEC_PermitApp_040113.doc 440-4617r(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Famil Fee Schedule: ,,.,F„- *yam tsar„ d _. :LILA- g ti! -..f. . r $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 - ECEIVED r<)►z 0► 1,c r. s 1.<)N I.1 City of Tigard Received ;� 2 01 p DateB : Permit• `� _ 13125 SW Hall Blvd.,Tigard,OR 97223 JUN 1 3 J Plan Review _ Phone: 503.718.2439 Fax: 503.598.1960DateB Related Permit#: l lcA�,p Inspection Line: 503.639.4175 CITY OF TIGARD Ready Date/By: turn: ® See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORK _ T, lX, Y, ':,...�, _, ,,,,µ ...w, fi,,,.. ❑✓ New construction 0 Addition/alteration/replacement Please check Hit that apply ep appy(submit j,sets of plans w/items checked): ❑Service or feeder 400 amps or more ❑Building over three stories. El Demolition 13 Other; where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. E2 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural ❑Multi-famil amps for all other installations. buildings. Y ❑Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: I Job site address: 14984 SW Belvoir Ct. ❑Addition of new 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. ❑Healthcare facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: I Project name: Elderberry Ridge 0 Hazardous locations. 0 Supply voltage for more than Cross street/directions to job site: SW Bonita Rd & SW 76th Ave ❑Service or feeder 600 amps or more. 600 volts nominal. FEE SCHEDULE; Description I Qty. I .Each 1 Total I I New residential single-or multi-family dwelling unit. Subdivision: Elderberry Ridge Lot#: 04 Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 Ea.add'1800 ft.or portion 33.92 1 �° l i ft1 ,' :. „1 y, ° � ` Limited energy,residential Construction of SFR (with above sq.ft.) 7s.00 2 Limited energy,multi-family residential(with above sq.ft.) 75.00 2 ElPROPERTY OWNER © TENANT Renewable Energy ❑ See Page 2 Services or feeders installation,alteration,and/or relocation Name: Riverside Homes, LLC 200 amps or less 100.70 2 Address: 17933 NW Evergreen PI., Ste 370 201 amps to 400 amps 133.56 2 City/State/ZIP: Beaverton, OR 97007 401 amps to 600 amps 200.34 2 601 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 0 APPLICANT I ElCONTACT PERSON ' Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with Business name: Riverside Homes, LLC above service or feeder fee, each branch circuit 7.42 2 Contact name: Amo Avgi g B.Fee for branch circuits without Address: 17933 NW Evergreen Pl., Ste 370 service or feeder fee,first 56.18 2 branch circuit City/State/ZIP: Beaverton, OR 97007 Each add'l branch circuit 7.42 2 Phone: Miscellaneous(service or feeder not included) (503)645-0986 I Fax: :( ) Each manufactured or modular Email: aavgi@riversidehome.com dwelling,service and/or feeder 67.84 2 Reconnect only 67.84 2 CONTRACTOR Pump or itnjation circle67.84 2 -z-B inn c InG-- - gn or outline lighting 67.84 2 Address: 2804 NE 65th Ave. St. D Signal circuit(s)or limited-energy ❑ See Page 2 2 panel,alteration,or extension. g 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 lir min) 90.00/hr Email: /t // Industrial plant(1 hr min) 78.18/br CCB Lic.: 172549 tJ ifIndustrial for which no fee is 90.00/hr Electrical Lic.: 0230 Suprv.Lic.: 177SS specifically listed(V2 hr min) Suprv.Electrician signature,required: ELECTRICAL PERMIT-FEES t2 -.-. Subtotal: Print name: Chester Garrett Date: 6/11/2019 0 Plan Review Required(25%of permit fee): /�) State surcharge(12%of permit fee): Authorized signature I ;,�.Y{. /,esti- TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Nikki Pruett Date: 6/11/2019 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 440-46151(11/05/COM/WEB • Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: ..,r.�. Fee for all residential systems combined: $75.00 ®o Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less III 100.70 _© 5.01 to 15 kva 1.1 133.56 _© ❑ 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 _© ❑ Garage Door Opener* 50.01 to 100 kva 1111 552.26 _© >100 kva(fee in accordance ■ with OAR 918-309-0040 552.26 © ✓❑ Heating,Ventilation and Air Conditioning System* Solar generation systems in excess of 25 kva: Each additional kva over 25 MI 7,42 =© ❑ Vacuum Systems* >100kva—no additional charge - 0.0 ElOther: 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 mm Inspections for which no fee is 90.00/hr s ecificall listed 1/2 hr min 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:\BuildingTennits\ELC_Perm itApp_ELRERE.doc Rev 06/17/2015 Plumbing Permit Application , ,.,.., Building Fixtures 1( -J u i1 City of Tigard JUN 1 3 2019 Received .111 4 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Permit No.MI i ,�{ Plan Revi • Phone: 503.718.2439 Fax: 503.598.196Q TY OF T I G AR D Date/ ew Other Permit No.: T i<,n it n Inspection Line: 503.639.4175 BUILDING DIVISION Internet: www.tigard-or.gov Date Ready/By: Jugs: ® See Page 2 for Notified/Method: Su.piemental Information New construction 0 Demolition For special information use checklist. DescriptionI Total ❑Addition/alteration/replacement 0 Other: QIY• Ea. New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 11 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ElAccessory building 0 Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 14984 SW Belvoir Ct. 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.: 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 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.: 04 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 DESCRIPTION OF WORK` Backwater valve 12.51 Construction of SFR Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sunrp 25.02 D PROPERTY OWNER J 0 TENANT 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 City/State/ZIP: Beaverton, OR 97007 Garbage disposal 25.02 Hose bib 25.02 Phone:(503)645-0986 Fax:( ) Ice maker 12.51 0 APPLICANT 9 CONTACT PERSON Interceptor/grease trap 25.02 Business name: Riverside Homes, LLC Medical gas(value:$ ) Page 2 Contact name: Amo Avgi Primer 12.51 Roof drain(commercial) 12.51 Address: 17933 NW Evergreen Pl., Ste 370 Sink/basin/lavatory 25.02 City/State/ZIP: Beaverton, OR 97007S units(potable water) .4a 62.x_ Fax::( ) Tub/shower/shower pan 12.51 E-mail: aavgi@riversidehome.com Urinal 25.02 CONTRACTOR Water closet 25.02 Business name: Water heater 37.52 H & H Mechanical Waterpiping/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 Plumbing Lic.no.: PB41 4 Plan review (25%of permit fee) , / J State surcharge(12%of permit fee) Authorized signature: � � i1�"� TOTAL PERMIT FEE Print name: Nikki Pruett Date: 6/11/2019 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. l:\Building\Permits\PLMU-PerautApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application, , -- Building Fixtures '- OR on ICI, CSI: 0\1.1 JUN of Tigard U N 1 3 2019 Received Neftipt ill Date/By: Permit No.:M --�,\ lig13125 SW Hall Blvd.,Tigard,OR 972 \\�1 V �W ■ Y OF TIGARD Plan Review Phone: 503.718.2439 Fax: 503.598. Inspection Line: 503.6394175 B U I DING DIVISION Date/By: Other Permit No.: TIG It 1) Date Ready/By: )uris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Su.,kmentalInformation 0 New construction 0 Demolition For special information use checklist ❑Addition/alteration/replacement ❑Other: - Description Qty. Ea. .1 Total New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 El 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 ❑Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler( sq.ft.) Page 2 Site utilities: JOB SITE INFORMATION AND LOCATION Job site address: 14984 SW Belvoir Ct. 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.: 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 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.: 04 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Construction of SFR Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 J PROPERTY OWNER . I a TENANT 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 City/State/ZIP: Beaverton, OR 97007 Garbage disposal 25.02 Hose bib 25.02 Phone:(503)645-0986 Fax:( ) Ice maker 12.51 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: Riverside Homes, LLC Medical gas(value:$ ) Page 2 Contact name: Amo Avgi Primer 12.51 Roof drain(commercial) 12.51 Address: 17933 NW Evergreen Pl., Ste 370 Sink/basin/lavatory 25.02 City/State/ZIP: Beaverton, OR 97007 Solar unite ,ogle water Fax::( ) Tub/shower/shower pan 12.51 E-mail: aavgi@riversidehome.com Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater Business name: TruScapes 37.52 Water piping/DWv 56.29 Address: 21600 NW Amberwood Dr. other: 25.02 City/State/ZIP: Hillsboro, OR 97124 Subtotal Phone:( 503 531-8216 Fax:( ) Minimum permit fee: $72.50 CCB Lic.: LCB#7962/ Plumbing Lic.no.: Plan review (25%of permit fee) Authorized signature:) , State surcharge(12%of permit fee) / TOTAL PERMIT FEE Print name: Nikki Pruett Date: 6/11/2019 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\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Su' 'ression S stems: 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 Sewer-1st 100' 62.54 3,601 to 7,200 $233.20 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas S stems: Water Service-each additional 100' 37.52 Storm&Rain Drain-1st 100' 62.54 M = g' � �.�,.:� _ $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for s: s : t each additional$100.00 or fraction thereof,to Inspection of existing plumbing or for and including$10,000.00. which no fee is specifically indicated ■ 90.00/hr ■ $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for minimum char:e-1/2 hour each additional$100.00 or fraction thereof,to $25,0Inspections outside of normal business 90.00/hr to$50,000.00 and including the first 250. $25,001.00 $379.50 for 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$100.00 or fraction thereof. Subtotal: ___ Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. : `•� ,.' ,".''itxm,:. , � Ikdi,=�� . l ? • sv s3''$tevm`."4.. • .. .xi'}'t f.3 .,. kms._ Tr 'eXC � - . = c :� Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath -Tub/Shower ❑ Any new commercial building with water service 2"and Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru 0 New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ 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" -4" Car Wash Drain v. ,,s-� .• „�,x, ' ',�. r, x�' ' r,�y'a�� �. Garbage Domestic-non-food 0 Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the •ualifications above. -Commercial-food relax R Tiidustral-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter Washer-Clothes *Note: If the fixture work under this permit results in an Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: C:\Users\npruett\Downloads\PLMF PermitApp.doc 2 City of Tigard q COMMUNITY DEVELOPMENT DEPARTMENT IN ■ T I G A R D Building Permit Review — Residential Building Permit #: M\-•t- \q- alT4t4Clk Site Address: Ai 904 .,(1&) ,660,,,, ry- Project Name: -E-I t>T aoi , ' Lot #: (New dwelling=sub/ision name;A,a'.on or Alteration=last name of owner) Planning Review Proposal: /V...6e ,gFie,_ OVerify address/suite#active in Accela. IISIW River Terr.ce: No ❑ Yes,River Terrace Review Addendum Sit�'Plan Elements: Y4 Ero ion Control 171Acopies of site plan on 8-1/2"x 11"or 11 x 17"paper ' .�f ained trees with drip line and tree protection measures S/J►raven to scale(standard architect or engineer scale) Jotprint of new structure(including decks)and FFE rA>Forth arrow L✓I .ty locations&easements(required for new and additions) e address,project or subdivision name and lot number 7 Sid- alk/driveway approach splicant information(name and phone number) fi Sr,.cation of wells/septic systems a •t dimensions and building setback dimensions In eet tree size,type and location I%..• are footage of buildings to be demolished 2;Stleet names e • ting structures on site SLI Comer elevations(2'contours if more than 4'diffe tial) lb Iii area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced Yes ❑ impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? t Yes o AVlean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): 'equired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No ffi Public Facilit Improvement(PFI) Permit: 4equired: Yes,applicant was notified ❑ No Appli For: ® Yes ❑ N} ,stop intake Land Use Case#: J`'".� Q (, trt'— t/ YJ Zoning: £--� c— P� 0 equired Setbacks: Front: Rear: Side: Street Side: � IGarage: `• -)0Building Height: Max.Height: (') Actual Height: . 0andscape Area: % of Coverage Max: cyo ntrance iirs -t back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less Windows ❑ Minim , - 2%of area of all street-facing facades Garage ❑ Garage door is a• :-•• widest street-facing wall ❑ Yes ❑ No,one of the followint -- - - . ❑ Door extends no mo ,an 5'from wall and there is a covered porch exten.',• : ..n. garage. ❑ Door extends no more than :,, wall and there is a 12 s. •-•. •ow above garage on 2nd floor. ❑ Garage door width is ❑ 12'or less ❑ i'.: e - s of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ R- --_-. entrance ❑ 'c.,. • fset ❑ 1'Roof eave ❑ Roof offset aj3 :Or:try a _-oo pifc i__ ■ s:tie hip,orgam-breTroof T Dormer Accent siding Winm ❑ Windowrecess ■ •'-..ow projection ❑ Balcony V isual Clearance Urban Plan_,( +/ Sensitive Lands: VJ Yes ❑ No Type: V-a , I ( 87`, •rs. ❑ C nditi••. met prior to issuance o buil. g permit LI N es: t �1 //' • ' I _' J i��2a �i S'o. Approved By Planning: Date: # 8 • Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\B1dgPermitRvw REs 022819.docx Building Permit Submittal Original Submittal Date: l.2.. \c?-)\'C\Site Plans: # Building Plans: # Building Permit#: "Enter building permit#above. Workflow Routing: [° lanning 12/Engineering Permit Coordinator Building Workflow Sign-off: d 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 Permit Technician: A-.`� Date: U..lC\\\c, Engineering Review "Slope at building pad: Z 4 f conditions "Met"prior to issuance of building permit /Easements (encroachments)per engineering conditions of approval and plat El Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: El Yes [ No Assess Water Quantity Fee in-lieu: ❑ Yes [ No LIDA Facility on lot: ❑ Yes VNo aFinal Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: 12 Approved by Engineering: Date: .‘' ZO Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved El Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: El Approved El Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: VDC Fees Entered: Wash Co Trans Dev Tax: [+' es El N/A Tigard Trans SDC: E/ e El N/A Parks SDC: Yes 1:114/A LIDA El YesICJ N/A OK to Issue Permit Approved by Permit Coordinator: ate: b/•2 4/i/ I:\Building\Forms\B1dgPennitRvw_RES_022819.docx