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Permit (2) CITY OF TIGARD MASTER PERMIT IIrf g Permit#: MST2019-00248 COMMUNITY DEVELOPMENT Date Issued: 11/04/2019 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112BD10600 Jurisdiction: Tigard Site address: 14904 SW BELVOIR CT Subdivision: ELDERBERRY RIDGE Lot: 2 Project: Elderberry Ridge, Lot 2 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1179 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1447 sf Garage: 379 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2626 sf Value: $393,698.23 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 Drains: 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100Catch 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 2626 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: 503-645-0988 FAX: 503-690-2942 ---1 Total Fees: $32,779.31 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other pplicable 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 Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Y o the rules or direct questions to OUNC by calling 503.232.198 or 1.800. 32.2344. Issued By. Permittee Signature: 03.639.4175 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 he project. Approved plans are required on the job site at the time of each inspection. Building Permit Application l__ ( r Residential RECEIVED FOR OFFICE: [SF: ONLY City of Tigard J U N 1 3 2019 D� T.114 S� Permit No.:. • 13125 SW Hall Blvd.,Tigard,OR 97223 pia Review l + T � � Phone: 503.718.2439 Fax: 503.598.1 Y OF TI GAR D DateBy 4 tcI(01) Mk' Other PermitW�.... - 1t Jl 1 i( ,r n Inspection : 503.639.4175 BUILDING DIVISION C'DateReadyBy: we...2, 'r orris RI See age 2 for Internet: www.tigard-or.gov otifted/M Supplemental information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING 0 New construction , ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ✓ 1-and 2-familydwellingValuation: $ 3�3 ,t A Y) ❑ ❑Commercial/industrial .,e t ElAccessory building 0 Multi-family Number of bedrooms: 4 ❑Master builder 0 Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 30 6S- Job site address: 14904 SW Belvoir Ct. New dwelling area: 2626 square feet klit{-7 City/State/ZIP: Tigard, OR 97224 Garage/carport area: 379 square feet `(171 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.: 02 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 PI., Ste 370 Occupancy groups: City/State/ZIP: Beaverton, OR 97007 Existing: Phone:( 503)645-0986 Fax:( ) New: ❑ APPLICANT ❑✓ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: Riverside Homes, LLC Structural plan review fee(or deposit): Contact name: Amo Avg' FLS plan review fee(if applicable): Address: 17933 NW Evergreen PI., Ste 370 Total fees due upon application: City/State/ZIP: Beaverton, OR 97007 Phone:(503)645-0986 Fax: : ( ) Amount received: E-mail: aav 9i@I nversidehome.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: Riverside Homes, LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 17933 NW Evergreen Pl., Ste 370 Solar Installation Specialty Code checklist. City/State/ZIP: Beaverton, OR 97007 Permit Fee(includes plan review $180 00 and administrative fees): Phone:( 503)645-0986 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: 189148 Total fee due upon application: $201.60 Authorized signature: f This permit application expires if a permit is not obtained p °‘ within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name: Nikki Pruett Date: 6/11/19 Service Board. I:1Building\Permits\BUP-RESPevnitApp.doc 02/24/2011 440-4613T(1 l/02/COM/WEB) Building Permit Application Checklist[� One- and Two-Family Dwelling RECEIVED FOR OFFICE USE ONLY Cityof Tigard JUN 1 3 Received g 2 U 9 Date/By: Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: t e Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGARD TIGARD 24-Hour Inspection Line: 503.639.4175 0 Electrical ❑ Plumbing 0 Mechanical Internet: www.tigard-or.gov BUILDING DIVISION ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Ye% No VA 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ 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. ❑ ❑ ❑ 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 ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- 0 ❑ 0 basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ ❑ ❑ 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 ❑ ❑ 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 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 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 ❑ 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 ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ 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. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ 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 applicable to the .ro'ect under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 0 0 ❑ 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 ❑ 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 ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 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 ❑ 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 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-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Auplicati��*�{y �' �� -`V E® FOR OFFICE, USE o.l , ° Received � City of Tigard Date/By: Permit h o.:m�-00 Wj� 13125 SW Hall Blvd.,Tigard,OR 97223 nRev a ul JUN N 1 3 Z p 19 IIII ■ Phone: 503.718.2439 Fax: 503.598.1960 Pion Review Date/By: Other Permit: T I G A R D Inspection Line: 503.639.4175 CITY OF T I GAR D Date Ready/By: Inns: ® See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION NotifxNMethod: Sup plemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees`are based on the value of the work ✓❑New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 0 1-and 2-family dwelling ❑ Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑ Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 1 46.75 46.75 Job site address: 14904 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: Elderberry Ridge Lot no.: 02 Other: 23.32 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 0 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 PI., Ste 370 Clothes dryer exhaust 1 33.39 33.39 City/State/ZIP: Beaverton, OR 97007 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 4 23.32 93.28 Phone:(503 )645-0986 Fax:( ) Attic/crawlspace fans 23.32 0 APPLICANT 0 CONTACT 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: Ste 370 Gas heat pump 17933 NW Evergreen PI., Wall/suspended/unit heater City/State/ZIP: Beaverton, OR 97007 Water heater 1 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 pennit fee) State surcharge(12%of pennit fee) CCB lie.: 209001 TOTAL PERMIT FEE / This permit application expires if a permit Is not obtained within 180 days after It has been accepted as complete. Authorized signature: I I 'pi,/ / 4 tiz * Fee methodology set by Tri-County Building Industry Service Board Print name: Nikki Pruett Date: 6/11/19 I:lnuildmg\PemdtslMEC_PetmitApp_040113.doc 440-4617T(I I/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: Total Valuation: Permit Fee: $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:\BuildinglPermits\MEC_PermitApp_040113.doc 2 Electrical Permit Application RECEIVED Fol2 oFFlcr. rFl OBI l • City of Tigard Received , 13125 SW Hall Blvd.,Tigard,OR 97223 J U N 1 3 2019 Plan Review ' g Phone: 503.718.2439 Fax: 503.598.1960, Date.B : Related Permit#: Inspection Line: 503.639.4175 IITY OF TIGARD Ready Date/By h s ® See Page 2 for TIGARD Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW El New construction ❑Addition/alteration/replacement Please check all that apply(submit b sets of plans wiitems checked): O Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition El Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. El1-and 2-family dwelling ❑Commerciallindustrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder 0 Other: 0 Fire pump. 0 installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: 14904 SW Belvoir Ct. 1oo11P or more. ❑ A ,"E , l-z', t-3', City/State/ZIP: Tigard, OR 97224 o Six or more residential units. occupancy. g ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: Elderberry Ridge ❑Hazardous locations. 0 Supply voltage for more than O 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#: 02 Includes attached garage. - 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential Construction of SFR (wthabovesq.ft.) -75.00 2 --_ .. Limited energy,multi-family 75.00 2 residential(with above sq.ft.) ❑ 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 to1,000amps . 301.04 . 2 Phone:(503)645-0986 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 CIAPPLICANT 0 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, 7.42 2 _ each branch circuit Contact name: Amo Avg i B.Fee for branch circuits without service or feeder fee,first Address: 17933 NW Evergreen Pl., Ste 370 branch circuit 56.18 2 City/State/ZIP: Beaverton, OR 97007 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503)645-0986 Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: aavgi@riversidehome.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Sunlight Electric Inc Sign or outline lighting 67.84 2 Address: 2804 NE 65th Ave. St. D Signal alteration,cmuti )or limited-energy Page or extension. 0 See Pa e 2 2 City/State/ZIP: Each additional inspection over allowable in any of the above ty Vancouver, WA 98661 Additional inspection(1 hr min) 66.25/hr Phone:(360) 518-7589 Fax:( ) Investigation(1 hr min) 90.00/hr Email: 7 // / _Industrial plant(l hr min) _ 78.18/hr Inspections for which no fee is 90.00./hr CCB Lie.: 172549 Electrical Lic.: C230 Suprv.Lic.:)7 !,S specifically listed('in hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Chester Garrett Date: 6/11/19 IDPlan 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: 6/11/19 days after it has been accepted as complete. * Number of inspections allowed per permit. ClBuilding'Pemuts\ELC_PermitApp_ELR_ERE.doc Rev 06,1712015 440-4615Ta11/OS/COM/WEB , Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Description I Qty. I Each Total Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: s kva or less 100.70 2 5.01 to 15 kva 133.56 2 n Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems In excess of 25 kva: n Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 © Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in an of the above: ❑ Other: Each additional inspection is 66.25/hr charged at an hourly(1 hr ntin) _ Inspections for which no fee is 90.00/hr specifically listed('/,hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 Number of inspec en 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 n Instrumentation n Intercom and Paging Systems Landscape Irrigation Control* n 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 LaBalldiog\Perinits\ELC_PemutApp_ELR_ERE.doc Rev 06/17/2015 Plumbing Permit Application ^c \ �p�'yy] Building Fixtures RECEIVED FOR OFFICE USE ONLY City of Tigard J U N 1 3 Received Pen nit No i ■ 13125 SW Hall Blvd.,Tigard,OR 97223 2 9 DateBy: \� " tl_�`1 y 1111 Phone: 503.718.2439 Fax: 503.598.1 pin Revt°W Other Permit No.: MY OF TIGARD DatcBy: T I G A R U Inspection Line: 503.639.4175 BUILDING DIVISION] Date Ready/By: luri: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE' SCHEDULE la' New construction El Demolition For special information use checklist Description I Qty. f 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 I l 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ElAccessory building El M ulti-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 14904 SW B e l vo i r Ct. 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.: 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.: 02 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 ❑✓ PROPERTY OWNER LI TENANT Expansion tank 12.51 Name: Riverside Homes, LLC FixttrreJsewercap 25.02 Floor drain/floor sink/hub 25.02 Address: 17933 NW Evergreen Pl., Ste 370 Garbage disposal 25.02 City/State/ZIP: Beaverton, OR 97007 Hose bib 25.02 Phone:(503)645-0986 Fax:( ) Ice maker 12.51 ❑ 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:(503)645-0986 Fax::( ) Tub/shower/showerpan 12.51 E-mail: aavgi@riversidehome.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name: H & H Mechanical Water P�Pi f✓D 1 m WV 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 Lie,no.: PB41 4 Plan review (25%of permit fee) I - / ; State surcharge(12%of permit fee) Authorized signature:i,,/iaFC .o TOTAL PERMIT FEE Print name: Nikki Pruett Date: 6/11/19 This permit application expires if a permit is not obtained within INdays after it has been accepted as complete. *Fee methodology set by Tel-County Building Industry Service Board. I:1BuildirgWmnits\PLMU-PermitApp.doc 10/01/09 440-4616f(10/02/COM/WEB) Plumbing Permit Application ' Building Fixtures RECEIVED FOR OFFICE USE ONLY Cityof Tigard JUN 1 3 Received �, [Z • 131 SW Hall Blvd.,Tigard,OR. 97223 2 0�9 Date/By: Permit No...f.�1 t ck, j1.t� ;� Plan Review O V "' 111 Phone: 503.718.2439 Fax: so3.59g.19eITY OF TIGARD Date,By: Other Permit No.: T 1(„1 1:L) Inspection Line: 503.639.4175 BUILDING D IVI S I O C''•. Date Ready/By: Zonis: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE IE1 New construction CI Demolition For special information use checklist. Description 1 Qty. 1 Ea. I Total 0 Addition/alteration/replacement El Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 0 1-and 2-family dwelling 0 Commerciallindustrial SFR(2)bath 437.78 ElAccessory building ❑Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 14904 SW Belvoir Ct. Catch basin or area drain 18.76 City/State/ZIP: Tigard, OR 97224 Drywall leach line,or trench drain 18.76 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 Lot no.: 02 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 ❑✓ PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name: Riverside Homes, LLC Fixttue/sewercap 25.02 Floor drain/floor sink/hub 25.02 Address: 17933 NW Evergreen PI., Ste 370 Garbage disposal 25.02 City/State/ZIP: Beaverton, OR 97007 Hose bib 25.02 Phone:(503 )645-0986 Fax:( ) Ice maker 12.51 El APPLICANT ❑✓ CONTACT PERSON Interceptor/grease trap 25.02 Business name: Riverside Homes, LLC Medical gas(value:$_) Page 2 Primer 12.51 Contact name: Arno Avgi Roof drain(commercial) 12.51 Address: 17933 NW Evergreen PI., Ste 370 Sink/basin/lavatory 25.02 City/State/ZIP: Beaverton, OR 97007 Solar units(potable water) 62.54 Phone:(503)645-0986 Fax: :( ) Tub/shower/shower pan 12.51 E-mail: aavgi@riversidehome.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water beater 37.52 Business name: TruScapes Water P tP� P>�m WV 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 Lie.: LCB#7962 Plumbing Lie.no.: Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature:; i �/- / TOTAL PERMIT FEE i, t w�� �LccL Print name: Nikki Pruett Date: 6/11/19 This permit application expires if a permit is not obtained within 1.80 days aver it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1•1Buildng\PermitstPLMU-PennitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard ' Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee: 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 Systems: Water Service-each additional 100' 37.52 Valuation: Permit Fee;‘;; Storm Se,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 Other Inspections or Fees Qty. Fee(ea) Total 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 charge-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 charge-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 charge-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*. Quantity by Fixture Type Plan Review for Plumbing Installations Fixture Type for Replace/ Work Performed: Capped Added Relocate 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 ❑ 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 ❑ Any multipurpose fire sprinkler system. Drinking Fountain ❑ 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,. Isometric or Riser Diagram Car Wash Drain Garbage Domestic-non-food 0 Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach.JRefrig.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 wilt 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:1Users1npmett\Downloads\PLMF_PermitApp.doc 2 . _ . City of Tigard IliCOMMUNITY DEVELOPMENT DEPARTMENT T1cnRo Building Permit Review — Residential Building Permit #: '(\c\S-"\ D-u,\CO_ Site Address: /2.1 9D -VLL "Se VD,r (? - Project Name: 1C6rhp ft t r Lot #: <? (New dwelling_ division name A.."lion or Alteration_last name of owner) Planning Review Pro P II sal: j.P Srk 1 I/. Verify address/suite#active in Accela. 11.SKI.I.River Teri. e: KI No 0 Yes,River Terrace Review Addendum SityPlan Elements: i►Erosion Control yr opies of site plan on 8-1/2"x 11"or 11 x 17"paper f, e.tained trees with drip line and tree protection measures yawn to scale(standard architect or engineer scale) FF otprint of new structure(including decks)and FFE "Nbrth arrow VJ U ty locations&easements(required for new and additions) • address,project or subdivision name and lot number Sid• alk/driveway approach f plicant information(name and phone number) U P'. ation of wells/septic systems t dimensions and building setback dimensions r, reet tree size,type and location re footage of buildings to be demolishedeet names Ling structures on site g.Comer elevations(2'contours if more than 4'diff ntial) area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replace.? VJYes ❑I�o impervious area(applicable if R-7,R-12,R-25&R-40) If es,is a storm water .uali facili shown? 'd Yes o Itr \ li 4 can Water Services—Service Provider Lett (lot platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified L�J No Received: ❑ Yes ❑ No VJ Public FacihImprovement(PFI) Permit quired: Yes,applicant was notified 0 No Applie or: /Yes 0 ,stopintake and Use Case#: P2 '2 Oil,— 6010� honing: 0C— ,�t Rid equired Setbacks: Front C20 Rear: /� / Side: Street Side: / Garage: 2O I A Building Height: Max. Height: £C 1 Actual Height: 0 22 I(r P I' 01 ° ands cape Area: °/u Naktot Coverage Max: Entrance �t back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less Windows 0 Minimum q,3° of area of all street-facing facades Garage 0 Garage door is behin street-facing wall OW 0 Yes ❑ No,one o owing is met: O Door extends no more than wall and there is a covered ending beyond garage. O Door extends no more than 5'from wall an sq ft.window above garage on 21d floor. 0 Garage door width is 0 12'or less o or less of ac 0 60%or less and includes 7 of following. O Covered porch cessed entrance 0 Wall offset 0 1 ve 0 Roof offset O F' • g es 0 Lap Siding 0 Roof pitch 0 Gable,hip,or gambre 0 Dormer Accent siding Z Wmdow trim 0 Window recess ❑ Window projection alcizny tsual Clearance rban Forestry Plan Vi Sensitive Lands: VeYes ❑ No Type: 1/-e4 eOrrI'ip r 0 Co dition et p 'sr to issuance of b • din: permit Approved By Planning: /// Date: ea/ Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:\Building\Forms\BldgPermitRvw_RES_022819.docx Building Permit Submittal Original Submittal Date: k-41 81 1g Site Plans: # Building Plans: # Building Permit#: Enter building permit#above. _ Workflow Routing: Eil/Planning Er-Engineering W.-Permit Coordinator Building Workflow Sign-off: 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. El/Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: , Date: i \ o 1\O Engineering Review elope at building pad: Z nditions "Met"prior to issuance of building permit Easements (encroachments)per engineering conditions of approval and plat 0 Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes �y'!l�lo Assess Water Quantity Fee in-lieu: ❑ Yes E 1 o LIDA Facility on lot: ❑ Yes Co ❑ Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: [frte� pproved by Engineering: Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: 0 Approved 0 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: ASDC Fees Entered: Wash Co Trans Dev Tax: CrTYes 0 N/A Tigard Trans SDC: [ y�s 0 N/A Parks SDC: Yes ❑ �YJA LIDA ❑ Yes N/A OR to Issue Permit Approved by Permit Coordinator: Date: 47 9 I:1Bui(ding\Forms\B1dgPermitRvw_RES_022819.docx