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Permit CITY OF TIGARD MASTER PERMIT �. COMMUNITY DEVELOPMENT Permit a: MST2019-00089 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/14/2020 Parcel: 2S112BD13100 Jurisdiction: Tigard Site address: 7731 SW HANSEN LN Subdivision: ELDERBERRY RIDGE Lot: 27 Project: Elderberry Ridge, Lot 27 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First 1063 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1290 sf Garage: 378 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 ' sf Right: 3 Detectors: Yes Total: 2353 sf Value: $296,781.25 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 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: o Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 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 Fum<10oK: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum>=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: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2353 Owner: Contractor: RIVERSIDE HOMES LLC RIVERSIDE HOMES LLC Required Items and Reports(Conditions) 17933 NW EVERGREEN PL STE 17933 NW EVERGREEN PKWY 370 1 Ersn Cntrl 503-639-4175 370 BEAVERTON,OR 97006 BEAVERTON,OR 97006 PHONE: 503-645-0986 PHONE: 503-645-0986 FAX: 503-690-2942 Total Fees: $31,432.25 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and 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, 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 0 952-001-0090. u may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.80 • Issued By: '��%e'' .t Permittee Signature: cer' / �t4 IIIJJJv Call 503.539.4175 by 7:00 a.m.for the next available inspection date. �////(�/�Ai� 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 �� Residential RECEIVED FOR OFFICE USE ONLI' �y� City of Tigard DateBy:Received 31�11G S,� Permit No.wS'pttq._o l�l[lat I I. • 13125 SW Hall Blvd.,Tigard,OR 97223 M A R 19 2019 Plan Rev ew yr / JA Phone: 503.718.2439 Fax: 503.598.1960 DatemR; `i * Other Permit w� �— TIGAKU Inspection Line: 503.639.4175 CITY OF TIGARD Date ReadyBy: ill(,/ u: ® See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION N,pirried/Method: / l l /+ , Supplemental Information .Ali �i AO TYPE OF WORK L. 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 0 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. CATEGORY OF COVIRCIT,s-' ❑✓ 1-and 2-family dwelling ElCommercial/industrial Valuation: $ (J7 t -7 S ElAccessory building 0 Multi-family Number of bedrooms: 4 CI builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION; Total number of floors: 2 D7 1 lob site address: 7731 SW Hansen Ln New dwelling area: 2353 square feet 'Zq Q City/State/ZIP: Tigard, OR 97224 Garage/carport area: 878 square feet to n 6 Suite/bldg./apt.no.: Project name: Elderberry Ridge Covered porch area:X 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 2 353 VA - Lot no.: 027 Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map parcel no.: equipment,materials,labor,overhead,and the profit for the r DESCRIPTION OF WORK work indicated on this application. Construction of SFR Valuation: $ Existing building area: square feet New building area: square feet iib ❑✓ PROPERTY OWNER ❑ TENANT .. 71 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 ❑✓ CO !"! `s BUILDING PERMIT FEES* Business name: Riverside Homes, LLC (PleasereferMfeeschedule Structural plan review fee(or deposit): Contact name: Nikki Pruett FLS plan review fee(if applicable): Address: 17933 NW Evergreen Pl., Ste 370 Total fees due upon application: City/State/ZIP: Beaverton, OR 97007 - Phone:(503)645-0986 Fax::( ) � Amount received: E-mail: npruett@riversidehome.com C: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR ;. =1111.1111111 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 PI., Ste 370 Solar Installation Specialty Code checklist. City/State/ZIP: Beaverton, OR 97007 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(503)645-0986 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: 189148 Total fee due upon application: $201.60 Thispermit application expires if a permit is not obtained Authorized signature: /- --,- - PP P L' within 180 days after it has been accepted as complete. Print name: Nikki Pruett Date: 3/18/19 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building'Permits\BUP-RESPemiitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLI' City of Tigard Received Permit No.: Hare a t ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: /, _ Phone: 503.718.2439 Fax: 503.598.1960 I Ili 1RU 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing El Mechanical Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW lreJ No N/A 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 0 3 Verification of approved plat/lot. 0 0 0 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . 0 0 0 6 Sewer permit. ❑ 0 0 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 ❑ 9 Erosion control 0 plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑ basin protection,etc. lii 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. XSite/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if 0 0 ❑ there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ ❑ 0 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 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. 'i6 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- 0 0 0 t C ) 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 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." VI Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ 0 ❑ `� over 10 feet long and/or any beam/joist carrying a non-uniform load. 2lb Manufactured floor/roof truss design details. 0 ❑ 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 ❑ for four or more appliances. , _1 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or 0 ❑ ❑ ik-k architect licensed in Ore Ion and shall be shown to be a r r licable to the .ro'ect under review. JURISDICTIONAL. SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ❑ ❑ ❑ (24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 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. ❑ ❑ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ ❑ 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 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. L\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit ApphcapErcEIVED FOR OFFICE USE ONLY Received City of Tigard Date Date/By: PermitNo.tt --r 3t.. ,k ' •j` II • 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 1 9 2019 Plan Review _ Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Jura: ® See Page 2 for Internet: www.tigardor.gov BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL PEE* SCHEDULE -USE CHECKLIST Mechanical permit fees*are based on the value of the work El New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ . CATEGORY OF CONSTRUCTION - ., RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑✓ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑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: 7731 SW Hansen Ln Furnace 100,000 BTU(duets/vents) 1 46.75 46.75 _ City/State/Z1P: 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.: 027 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 1 23.32 23.32 DESCRIPTION OF WORK MIIII 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 ElPROPERTY 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) 5 23.32 116.60 Phone:(503 )645-0986 Fax:( ) Attic/crawlspace fans . 23.32 ❑ APPLICANT ❑✓ CONTACT PERSON Other: 23.32 Fuel piping: Business name: Riverside Homes, LLC $14.15 for first four;$4.03 for each additional Contact name: Nikki Pruett Furnace,etc. 1 14.15 Address: 17933 NW Evergreen PI., Ste 370 Gas heat pump Wall/suspended/unit heater City/State/ZIP: Beaverton, OR 97007 Water heater 1 14.15 Phone:(503 )645-0986 Fax::( ) Fireplace 1 14.15 Range 1 14.15 E-mail: npruett@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: Plan review(25%of permit fee) ( 971)205 4989 Fax:( ) 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,`(��( ? * Fee methodology set by Tri-County Building Industry Service Board Print name: Nikki Pruett V Date: 3/18/19 I:tBuilding\Permits\MEC_PermsApp_040113.doc 440-4617T(I 1/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: Total Valuation: Permit Fee: MEM $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\Pemuts\MEC_PermitApp_040113.doc 2 Electrical Permit ApplicationRECEIVED . . ..,.R.,. l s,(()NIA • _ City of Tigard MAR y 9 Received .• NI 13125 SW Hall Blvd.,Tigard,OR 97223 1 2019 DateB ���- '1 t�� � Plan Review Phone: 503.718.2439 Fax: 503.598.196p, Related Permit 4: I,ITY OF TIGARD Inspection Line: 503.639.4175 ReadyDateB orris: TIGARD Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental See Paget for Supplemental Information a. .,„_, , TYPE OF WORK ,..., ..,„, _ PLAN REVIEW 0 New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked} 0 Service or feeder 400 amps or more 0 Building over three stories. El Demolition El Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION , 11W:: exceeds 10,000 amps at 150 volts or 0 Floating buildings. J 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder 0 Other: ❑Fire pump. 0 Installation of 150 KVA or Mow JOB SITE INFORMATION AND LOCATION All111.11111 0 Emergency system. larger separately derived Job#: Job site address: 7731 SW Hansen Ln ❑Addition of new motor load of system. 100Hp or more. ❑"A" "E" "l-2" "1-3" City/State/ZIP: Tigard, OR 97224 ❑Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: Elderberry Ridge ❑Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: SW Bonita Rd &SW 76th Ave FEE SCHEDULE Description I Qty. I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision: Elderberry Ridge Lot#: 027 Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 Mr• Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WO' 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.) Q PROPERTY OWNEtt El 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 ampsamps to 1,000 am s 301.04 2 Phone:(503)645-0986 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 PLICANT „ ElCONTACT PERSON Branch circuits—new,alteration,or extension, r r 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: Nikki Pruett 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 Miscellaneous(service or feeder not included) Phone:(503)645-0986 Fax: :( ) Each manufactured or modular Email: npruett@riversidehome.com dwelling,service and/or feeder 67.84 2 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 Signal circuit(s)or limited-energy Address: 2804 NE 65th Ave. St. D panel,alteration,or extension. 0 See Page 2 2 Each additional inspection over allowable in any of the shove City/State/ZIP: Vancouver, WA 98661 Additional inspection(1 hr min) 66.25/hr Phone:(360) 518-7589 Fax:( ) /// Investigation(I hr min) 90.00/hr Email: In /� /j� Industrial plant(I hr min) 78.18/hr ( `[ Inspections for which no fee is CCB Lic.: 172549 Electrical Lie.: specificallylisted 7a hr min) 90.00/hr C.230 Suprv.Lic.( 3 ( n/� 2 ELECTRICAL PERMIT FEES / . Suprv.Electrician signature,required: + Subtotal: Print name: Chester Garrett Date: 3/18/19 ❑Plan Review Required(25%of permit fee): /2 State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires If a permit is not obtained within 19O Print name: Nikki Pruett Date: 3/18/1 9 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits1ELC PerntitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(I 1/05/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 QR. I Each I Total I * Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 El Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: Burglar Alarm 25.01 to 50 kva 301.04 2 El Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance 552.26 2 with OAR 918-309-0040) n Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 El Vacuum Systems* >100kva-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: n Other: Each additional inspection is 66.25/hr 1 charged at an hourly(I hr min) Inspections for which no fee is 90.00/hr srecitically listed(Y hr min) COMMERCIAL WORK ONLY: « 1,n�, ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 subtotal(Enter on Page 1): (SEE OAR 918-309-0000) Number of mspechons allowed per permit. Check Type of Work Involved: ❑ Audio and Stereo Systems El Boiler Controls El Clock Systems El Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC n Instrumentation ❑ Intercom and Paging Systems El Landscape Irrigation Control* El Medical El Nurse Calls n Outdoor Landscape Lighting* ❑ Protective Signaling El Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\ern.ts'ELC PermitApp_ELR_ERE.doc Rev 06/17/2015 Plumbing Permit Application E C E IVE D Building Fixtures 1 FOR OFFICE USE ONLY City of Tigard MAR9 2019 Received �,,\,/� 11 r 13125 SW Hall Blvd.,Tigard,OR 9722}}�II Date BY: Permit No.:m„-� Oct.nits _ Phone: 503.718.2439 Fax: 503.59819CtOTY OF TIGARD P1anReview ��A ttif llllll111JJ1���lll LLLLL Date/By: Other Permit No.: TIGARD Inspection Line: 503.639.4175 DING DIVISION Date ReadyBy: ua: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE P. 2 New construction 0 Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)_ CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 RI 1-and 2-family dwelling ElCommerciallindustrial SFR(2)bath 437.78 ElAccessory building El Multi-familySFR(3)bath 1 500.32 Each additional bath/kitchen 25.02 ❑Master builder ID Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 7731 SW Hansen Ln Catch basin or area drain 18.76 City/State/ZIP: Tigard, OR 97224 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: 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 1 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: Elderberry Ridge Lot no.: 027 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Construction of SFR Clothes washer 1 25.02 Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump - 25.02 ❑r PROPERTY OWNER I ❑ TENANT, Expansion tank 12.51 Name: Riverside Homes, LLC Fixture/sewer cap 25.02 Address: 17933 NW Evergreen PI., Ste 370 Floor drain/floor sinkhub 25.02 Garbage disposal 1 25.02 City/State/ZIP: Beaverton, OR 97007 Hose bib 2 25.02 Phone:(503)645-0986 Fax:( ) Ice maker 1 12.51 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: Riverside Homes, LLC Medical gas(value:$_) Page 2 Contact name: Nikki Pruett Primer 12.51 Roof drain(commercial) 12.51 Address: 17933 NW Evergreen Pl., Ste 370 Sink/basin/lavatory 6 25.02 City/State/ZIP: Beaverton, OR 97007 Solar units(potable water) 62.54 Phone:(503)645-0986 Fax: :( ) Tub/shower/shower pan 4 12.51 E-mail: npruett@riversidehome.com Urinal 25.02 CONTRACTOR Water closet 3 25.02 Water heater 1 37.52 Business name: H & H Mecanical Water piping/DWV 56.29 Address: 5757 SE Willow Ln Other: 25.02 City/State/ZIP: Milwaukie, OR 97267 Subtotal Phone:( 503 975-9787 Fax:( ) Minimum permit fee: $72.50 CCB Lic.: 178122 Plumbing Lic.no.: PB414 Plan review (25%of permit fee) ��� State surcharge(12%of permit fee) Authorized signature: G TOTAL PERMIT FEE (;✓ This permit application expires if a permit is not obtained within 180 days Print name: Nikki Pruett Date: 3/1$/1 g after It has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-pemitApp.doc 10/01/09 440.4616T(10/112/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-I"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 additional100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Storm&Rain Drain-1st 100' 62.54 Valuation: Permit Fee: $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 PlumbingInstallations 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 Jacuzz Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thm 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 ❑ 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 ❑ 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./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:1Userslnpruett\Downloads\PLMF_PetmitApp.doe 2 City of Tigard i II COMMUNITY DEVELOPMENT DEPARTMENT ■ T I G A R D Building Permit Review — Residential Building Permit #: 't`(\S`T2 ,kok- I`; g.q Site Address: 7/-3I St„1 il-Ntn Lane- Project Name: Ntrbt/s,y g of Lot #: 2J (New dwelling 1 subdivision name;Addition or Alteration=last name of owner) Planning Review Pr/gposal: tUfCw SF LB Verify address/suite#active in Accela. P6n River Terra : [KO ❑ Yes, River Terrace Review Addendum Site lan Elements: oston Control opies of site plan on 8-1/2"x 11"or 11 x 17"paper �etained trees with drip line and tree protection measures �rawn to scale(standard architect or engineer scale) i^�print of new structure(including decks) and FFE rth arrow locations&easements(required for new and additions) Ld ite address,project or subdivision name and lot number �W' dewalk/driveway approach r plicant information(name and phone number) Phi •cation of wells/septic systems j Lot dimensions and building setback dimensions IL S et tree size,type and location �t10b are footage of buildings to be demolished et names sting structures on site [ Comer elevations(2'contours if more than 4'diffffere tiai) t IB7 area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? Yes ❑No pervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑t❑No 'I of Clean Water Services-Service Provider Letttte of platted prior to 9/10/1995): L4199-)., ,„A quired: ❑ Yes,applicant was notified L�1 No Received: 0 Yes 0 No l Q4,J� DV/Public Facilirie mprovement(PF1)Permit: � Required: Yes,applicant was notified El No Applie For: El'Yes ❑ No,stop intake / L� "and Use Case#: 190MI 6 -0000a WJ Zoning: R-7- f i 'equired Setbacks: Front: I Rear: I Side: 3 Street Side: J Garage: 2.1) G Building Height: r Max. Height: Actual H ' ht: Z 3 S L Landscape;Arta: it) % ISd Lot Coverage Max - v Entrance ■' et back no more than 8'from street-facing wall f , LE'Parallel to street or offset 45 degrees or less Windows um 12%of area of all street-facing facades U J, Garage AV.-Garage door is behind widest street-facing wall ❑ Yes No,one of the following is met: G Door extends no more than 5'from wall and there is a covered porch extending beyond garage. ❑ Door extends no more than 5'from wall and there is a 12 sq ft.win)ow above garage on 2°d floor.7Gaxagadoox width is or less ❑ 50%or 15,ss of facade rUr V/0 or less and includes 7 of following. roc Covered porch Eecessed entrance Vii Wall offsseet/ 1'Roof eave 0 Roof offset ❑ Fire shingles iv CIlid G �ap Siding Roof pitch 'Gable,hip,or gambrel roof ❑ Dormer / ❑ Accent siding lyy Window trim El Window recess ❑ Window projection CI Balcony Dc sual Clearance ©/Urban Forestry Pjan Sensitive Lands: ❑ Yes LK No Type: Conditions met prior to issuance of building permit t. (tin/ItTr,, 1, (, prn- b-all,l (W f[js,AAAct Liy Approved By Planning: ,1Lyi' Date: 3-2.1 11 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3:_ ❑ Approved Cl Not Approved I:1Bui lding\Forms\B ldgP emutRvw_RES_022819.docx Building Permit Submittal Original Submittal Date: 3 Site Plans: # Building Plans: # Building Permit#: L , nter building permit#above. Workflow Routing: g Planning 1 Engineering C 'Pernut Coordinator Building Workflow Sign-off: ��/Sign-off for Planning(include notes from planning review) Route Application Documents: <y Engineering. (1) copy of permit application, (1) site plan, (1) building plan and —/original plan review routing form. L" Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: LA—A_A,� Date: 3 16( w -, Engineering Review [SJope at building pad: Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes 0 No ❑ Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: 9/Zf/, Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 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: 7rDC Fees Entered: Wash Co Trans Dev Tax: kes 0 N/A Tigard Trans SDC: [[i'Y 0 N/A Parks SDC: Yes ❑ A � / LTDA ❑ Yes E N/A L/d' OK to Issue Permit WD:te: Approved by Permit Coordinator: /1 /1 I:\Building\Forms\BldgPermitRvw_RES_o22819.docx FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT !PI :. Transmittal Letter TIGARD, 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: ALLYSON ARMSTRONG DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED APR 0 3 2019 FROM: NIKKI PRUETT CITY OF TIGARD COMPANY: RIVERSIDE HOMES BUILDING DIVISION PHONE: 503-645-0986 By S)�— RE: 7731 SW Hansen Ln MST2019-00089 (Site Address) (Permit Number) ELDERBERRY RIDGE LOT 27 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. 2 Engineer's calculations. Other(explain): REMARKS: ENERGY EFFICIENCY CHANGES TO TRUSSES FOR O FICE USE ONLY Routed to Permit Techni ian: Date: Lt4 //i Initials: Fees Due: Ill No Fee Des pion: Amount Due: n $ �J� $$ .75 Special .N) L/ Instructions: Reprint Permit (per PE): ❑ Yes � �— ❑ No ❑ Done Applicant Notified: _ Date: r—/ l t l l el Initials) I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012