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Permit (128) 14 .., CITY OF TIGARD MASTER PERMIT `x :''- COMMUNITY DEVELOPMENT Permit#: MST2019-00250 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/25/2019 Parcel: 2S 112 B D 10900 Jurisdiction: Tigard Site address: 14974 SW BELVOIR CT Subdivision: ELDERBERRY RIDGE Lot: 5 Project: Elderberry Ridge, Lot 5 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: 3 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: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 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'l 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/LC 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 Total Fees: $32,909.28 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes a d all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,' if work is sus.,- d,d for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notific tion Ce r. hose ru,. e set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a -= • - es or direct questions to OUNC by calling 03.232. 7 1.800.332. .44 ir Issued By: f_ `.-- Per • Signature: , P - .639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application L CT - Residential RECEIVED 11, I,( , 1 S l: City Of Tigard Received ;t . 13125 SW Hall Blvd.,Tigard,OR 97223)U N 1 3 2019 Date/By: �^ �1G \T Permit No. \(...,--,: A�_ j Plan Review i ,� Phone: 503.718.2439 Fax: 503.598.1960 Date/By: t ` Other Permit"Xjct L td I �. RI) Inspection Line: 503.639.4175 ;IFY OF I-IGARD DateReadyBy. r' 7- kris' Vi See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION . d/Method:(.-l/4 `� 4 I Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING El 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 ( 41$ ❑ 0 Commercial/industrial IDAccessory building 0 Multi-family Number of bedrooms: 5 ❑Master builder 0 Other: Number of bathrooms'rgir;", 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 33760 Job site address: 14974 SW Belvoir Ct. New dwelling area: 2885 square feet 1533 City/State/ZIP: Tigard, OR 97224 Garage/carport area: 491 square feet 1-js'mZ 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.: 05 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 ❑✓ PROPERTY OWNER 0 TENANT' 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: 0 APPLICANT p CONTACT PERSON BUILDING PERMIT FEES* Business name: (l'feeserefer tafeeesehedak) Riverside Homes, LLC Structural plan review fee(or deposit): Contact name: Amo Avg' FLS plan review fee(if applicable): Address: 17933 NW Evergreen Pl., Ste 370 City/State/ZIP: Beaverton OR 97007 Total fees due upon application: Phone:(503)645-0986 Fax::( ) Amount received: E-mail: aavgi@riversidehome.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic 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: / )72 This permit application expires if a permit is not obtained t ` ,cti / �""'� 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\Permits\BUP-RESPem»tApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist • One= and Two-Family Dwelling RECEIVED ,:thz OFFICE USE o lA City of Tigard JUN 13 2019 Received 111 ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Permit No.: • Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGARD Associated permits: 1 IC„A1:11 24-HourinspectionLine: 503.639.4175 BUILDING DIVISION 0 Electrical 0 Plumbing 0 Mechanical Internet: www.tigard-or.gov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW ves No N/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 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 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 Application FOR Orr►cl,: I si ON 1.1 City of Tigard K E C E I V E D Received • :I • 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Permit No -r _ Plan Review Phone: 503.718.2439 Fax: 503.598.1960 JUN 13 2019 Date/By: Other Permit: I I. A R n Inspection Line: 503.639.4175 Date Ready/By: Jurtr ® See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information BUILDING DIVISION TSE W ItK - ' ' ' - COMERCIALIEV E NA CICLIs'!`'.:.a_ Mechanical permit fees*are based on the value of dme work E2 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. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 13 1-and 2-family dwelling ❑Commercial/industrial ❑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: 14974 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.: 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.: 05 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 C"PROPERTY OWNER ❑ TENANT 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 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) 6 23.32 139.92 Phone:(503)645-0986 Fax:( ) Attic/crawlspace fans 23.32 0 APPLICANT 0CONTACT PERSON Other: 23.32 Fuel piping: Business name: Riverside Homes, LLC $14.15 for first four;54.03 for each additional Contact name: Amo Avgi Furnace,etc. 1 14.15 Address: 17933 NW Evergreen Pl., Ste 370 Gas heat pump Wall/suspended/unit heater - Phone:(503 )645-0986 Fax::( ) Fireplace 1 14.15 Range 1 14.15 E-mail: aavgi@riversidehome.com Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name: Pro Heating & Cooling 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 r days after it has been accepted as complete. Authorized signature: i � .iC z,t e * Fee methodology set by Tri-County Building Industry Service Board Print name: Nikki Pruett Date: 6/11/2019 L•\Building\Permits\MEC_PermitApp_040113.doc 440-46171(11/02/COM/WEB) Mechanical Permit Application - City of Tigard • Page.2 - Supplemental Information Commercial& Multi-Famil Fee Schedule: l Y $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 E LVE D 1 o►z of 1 R. 1 l ►:oy 1.1 • City of Tigard JUN 1 3 2019 Received DateB : Permit#'( Y ir..--- 10 13125 SW Hall Blvd.,Tigard,OR 97224TY OF TIGARD Plan Review Phone: 503.718.2439 Fax: 503.598.1 Related Permit#: Inspection 503.639.4175 BUILDING DIVISION Ra : y T IC,A It D p Reeaddyy Date/By:: 1urs: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK htV1Yt<.,' , 0 New construction 0 Addition/alteration/replacement Please check all that apply(submit g sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY"OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ❑✓ 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builderOther: ❑ 0 Fire pump. 0 Installation of 150 KVA or .10B SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: 14974 SW Belvoir Ct. 100HP or more. ❑"A","E","1-2","l-3", City/State/ZIP: Tigard, OR 97224 ❑Six or more residential units. occupancy. ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: Elderberry Ridge 0 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 FEE SCHEDULE Description I Qty. I ..::Each I Total I • New residential single-or multi-family dwelling unit. Subdivision: Elderberry Ridge Lot#: 05 Includes attached garage. Tax map/parcel# 1,000 sq.ft.or less 168.54 4 Ea.add'1500 sq.R.or portion 33.92 1 � .• .". , ,. •, ,,.,..., . .t . 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.) 0 PROPERTY OWNER ❑ TENANT Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation Name: Riverside Homes, LLC 200 amps or less 100.70 2 Address: 17933 NW Evergreen 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 APPLICANT a CONTACT 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, 7A2 2 each branch circuit Contact name: Amo Avgi g B.Fee for branch circuits without servAddress: 17933 NW Evergreen PI., Ste 370 branch irfeederfee,tirst 56.18 2 g 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: aavgi@riversidehome.com Reconnect only 67.84 2 CQ Pum or irrigation circle 67.84 2 '-$u IIvss name: SLIri f EfetTrWlit tga or out a png 67.84 2 Address: 2804 NE 65th Ave. St. D Signal circuit(s)or limited energy ❑ See Page 2 2 panel,alteration,or extension. City/State/ZIP: Vancouver, WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 6625/hr Phone:(360) 518-7589 Fax:( ) Investigation(1 hr min) 90.00/hr Email: 7/t 7.10 Inspections plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 172549 Electrical Lic.: C230 Suprv.Lic.: C7 g 3 S specifically listed(1z hr min) /, ELECTRICAL PERMIT`FEES Suprv.Electrician signature,required: .,q�'" Subtotal: Print name: Chester Garrett I Date: 6/11/2019 0 Plan Review Required(25%of permit fee): // - State surcharge(12%of permit fee): Authorized signature:, r ;, ;fie /4,1,,,,,(e1 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. t:\Building\Pemd \E tsLC_PermitApp_ELR_ERE.doc Rev 06/I7/2015 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: irot # ,. .;. IrTnr 1 t, Dexri tion WAN X 10 Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less I. 100.70 _© 5.01 to 15 kva 111. 133.56 _© ❑ Audio and Stereo Systems* 15.01 to 25 kva I. 200.34 _© Wind "eneration s stems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 _© [1] Garage Door Opener* 50.01 to 100 kva ME 552.26 _© >100 kva(fee in accordance ■ 552.26 —© with OAR 918-309-0040 ✓❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 III 7.42 _© ❑ Vacuum Systems* >100kva—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 nomm fee is s ecificall listed '/2 hr ■ 90.00/hr —. �ry X5 .,.� zl Fee for each commercial system: $75,00 Subtotal(Enter on Page 1): * 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 L•\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015 Plumbing Permit Application Building Fixtures RECEIVED r<,lz 01 , 1( I E ()Nl.l City of TigardReceived Date/By: Permit No.: , _ � 13125 SW Hall Blvd.,Tigard,OR 97223 JUN 1 2 9CC ( i�C .114 Plan Review Phone: 503.718.2439 Fax: 503.598.1940Other Permit No.: Inspection Line: 503.639.4175 CITY OF TIGARD Date/By:I(i n R I) BUILDING DIVISION Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplementallnformadon ,---......-4,---7-7 12 New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 RI 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 12 Master builder Each additional bath/kitchen 25.02 ❑O��' Fire sprinkler(___sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 14974 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.: 05 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 0 PROPERTY OWNER 1 0 TENANT Expansion tank 12.51 Name: Riverside Homes, LLC Fixture/sewer cap 25.02 Address: 17933 NW Evergreen Pl., Ste 370 Floordrain/floorsink/hub 25.02 Garbage disposal 25.02 City/State/ZIP: Beaverton, OR 97007 Hose bib 25.02 Phone:(503)645-0986 Fax:( ) Ice maker 12.51 ❑APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: Riverside Homes, LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: Amo Avgi Roof drain(commercial) 12.51 Address: 17933 NW Evergreen Pl., Ste 370 Sink/basin/lavatory 25.02 City/State/ZIP: Beaverton, OR 97007 Solar units(potable water) 62.54 _ ~ Phone:(503)645-0986 I Fax ( ) Tub/shower/shower pan 12.51 E-mail: aavgi@riversidehome.com Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name: H & H Mechanical WaterP�tPing/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) '7 State surcharge(12%of permit fee) Authorized signature:I ,�� / . 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\Pemtits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application Building FixturesIVE ....z 0rr►cl, til: 0,►., City of Tigard 2 019 Received �y'_-� JUN 1 3 Plan Re: Permit No.:M -C \G..,.(..1..."i d J� 13125 SW Hall Blvd.,Tigard,OR 97223 • Phone: 503.718.2439 Fax: 503.598. Plan Review �4�'Y O F TI GAR D Date/By: Other Permit No.: Tic A it I Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: luris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information 2 New construction 0 Demolition - 6 For special informarfon 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) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 11 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 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 14974 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.: 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 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.: 05 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 a PROPERTY OWNER l 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 Garbage disposal 25.02 City/State/ZIP: Beaverton, OR 97007 Hose bib 25.02 Phone:(503)645-0986 Fax:( ) Ice maker 12.51 0 APPLICANT ' �]✓ CONTACT PERSON Interceptor/grease trap 25.02 Business name: Riverside Homes, LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: Amo Avgi Roof drain(commercial) 12.51 Address: 17933 NW Evergreen Pl., Ste 370 Sink/basin/lavatory 25.02 City/State/ZIP: Beaverton, OR 97007 Solar units(potable water) 62.54 Phone:x'503)64g-0986 Fax::( ) Tub/shower/shower pan 12.51 E-mail: aavgi@riversidehome.com Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name: TruScapes Water8/i m DWV 56.29 P P 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) / . 7 State surcharge(12%of permit fee) Authorized signature:L i - ,l /_ e 77TOTAL PERMIT FEE i Print name: Nikki Pruett Date: 6/11/201 9 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-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. s ression S stems: Footing drain-131 100' 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 7,201 aao g e $233.20 ndd 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 Kt 11X, Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for each additional$100.00 or fraction thereof,to and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated ■ 90.00/hr ■ each additional$100.00 or fraction thereof,to minimum char:e-1/2 hour and including$25,000.00. Inspections outside of normal business - 90.00/hr - $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours minimum char_e-2 hours each additional$100.00 or fraction thereof,to Reinspection Fees _ 90.00/hr and including$50,000.00. Additional plan review for revisions - 90.00/hr - $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for minimum char'e-1/2 hour each additional$100.00 or fraction thereof. Subtotal: ___ Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. 1- gA, ora -::. .. `r Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath -Tub/Shower 0 Any new commercial building with water service 2"and -Jacn77i/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Than 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" -4" Car Wash Drain Garbage -Domestic-non-food 0 Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the •ualifications above. -Industrial-food related w � _ 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 " COMMUNITY DEVELOPMENT DEPARTMENT T l c A R D Building Permit Review — Residential Building Permit #: `M�-` lg.- C3C) C0 Site Address: Hi 7-`I Si.,/ PA\i i r" c 4. Project Name: 01(riw,- gaga Lot #:C ) (New dwelling-subdivision name;Addition or Alteration=last name of owner) Planning Review Pro osal: kJ{,,,) c nc lUf Verify address/suite# active in Accela. In River Terrace: Ltd No CI Yes,River Terrace Review Addendum Sit Ian Elements: Sit Sion Control I n Rivof site plan on 8-1/2"x 11"or 11 x 17"paper aired trees with drip line and tree protection measures awn to scale(standard architect or engineer scale) F .tprint of new structure(including decks) and FFE rth arrow fI4,!•ty locations&easements(required for new and additions) Ate address,project or subdivision name and lot number %;•,dewalk/driveway approach .licant information(name and phone number) MI ',e ation of wells/septic systems IR .t dimensions and building setback dimensions I S eet tree size,type and location 1ltra re footage of buildings to be demolished IV eet names xisting structures on site L�Comer elevations (2'contours if more than 4'differ tial) Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? l Yes ❑No • Pervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑ ❑No lean Water Services-Service Provider Letter ofplattedprior to 9/10/1995): R aired: 'p„r.t." u-, ❑ Yes,applicant was notified Lid No Received: ❑ Yes ❑ No �� I Lid" Public Facili�t,i�e mprovement (PFI) Permit: 4 t/st LLequired: Ad Yes,applicant was notified ❑ No Applied For: _. Yes ❑ No,stop intake and Use Case#: POZ iG -0 WI ❑ g Zonin : t'-ti�C �ro) ,Required Setbacks: Front: 20 Rear: (' Side: c Street Side: ] Garage: 20, [ZBuilding Height: Max.Height: 0 Actual Height: Z.$ 0 Landscape Area: % / a[�-Lot Coverage Max: • Entrance ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less ��J Windows ❑ Minimum 12%of area of all street-facing facades V'()\, Garage ❑ Garage door is behind widest street-facing wall ❑ Yes El No,one of the following is met: V ❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage. ty( 4 ❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor. ❑ Garage door width is ❑ 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following: Jar ❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset 0{ _ -EI aY f oR of pir th --llGable,h[1,or gat-Aid-roof 171 Dormer ❑ Accent siding Window trim ❑ Window recess ❑ Window projection ❑ Balcony 'sual Clearance A_,/Urban Forestry Plan Sensitive Lands: U Yes ❑ No Type: 1/t���" Gr �or PConditions met prir to issuance of building permit q)oi*s: C•Nol'' '-J V1tE �� �7 �� ()✓1a�i�h F it t1iU'a1tt. 111 Approved By Planning: J _ t Date: (� HI 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\BldgPermitRvw RES 022819.docx Building Permit Submittal Original Submittal Date: l" t tcj Site Plans: # 3 Building Plans: # 3 Building Permit#: Er-Enter building permit#above. Workflow Routing RI/Planning C4Engineering I'Permit Coordinator g".Building Workflow Sign-off: CVSign-off for Planning(include notes from planning review) Route Application Documents: 12'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: Date: lx ; En ineering Review Sipe at building pad: IV Conditions "Met"prior to issuance of building permit l---Easements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: , Assess Water Quality Fee in-lieu: ❑ Yes LTJ" No Assess Water Quantity Fee in-lieu: ❑ Yes LIDA Facility on lot: ❑ Yes ❑ Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: [ 'Aespproved by Engineering: Date: Revisions (after Building Submittal only) / Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: I8DC Fees Entered: Wash Co Trans Dev Tax: L7 Yes ❑ N/A Tigard Trans SDC: ❑ N/A Parks SDC: es ❑ •/A LIDA CIYes VN/A OK to Issue Permit pproved by Permit Coordinator: elfDate:6/2'01 I:\Building\Forms\B1dgPermitRvw_RES_022819.docx