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Permit
CITY OF TIGARD MASTER PERMIT •""!! 2 '7 COMMUNITY DEVELOPMENT Permit#: MST2020-00209 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: Aug 12 2020 12:00AM TIGARD Parcel: 1S134DB13300 Jurisdiction: Tigard Site address: 11134 SW 114TH PL Subdivision: BRIGHTWOOD SUBDIVISION Lot: 5 Project: Brightwood, Lot 5 Project Description: New detached dwelling. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 6 First: 1495 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1650 sf Garage: 433 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 3145 sf Value: $406,236.79 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain 0 Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckfiw 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: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 1 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 of or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 6 201-400 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 Y Ecompasing: Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF V8 R-3 3145 Owner: Contractor: STONE BRIDGE HOMES NW LLC Required Items and Reports(Conditions) 4230 GALEWOOD STREET#100 1 Ersn Cntrl 503-639-4175 LAKE OSWEGO,OR 97035 PHONE: PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $39,555.52 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 OAR 952-001-0090. You ma obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: �f.e....... , C 9.4175 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. H19 r ' Building Permit Apt'llicatior—e z Residential i.t..�t», -i ---` J FOR OFFICE USE ONLY t City W t Blvd Received I Perrot No JUN 1 2020 Darr/Av 7 Z 0 MST2o2o-00240 II I 25 SW Hall Blvd.,Tigard,OR 97223 / I 0. I/1 i ieinyvww 7 o 2470A.A. I/ + �LI7C. 0 VV LIO Phone: 503.718.2439 Fax. 503.598. -. _: ,.,;=, Other Perm .. T I G A R I) Inspection Line: 503.639.4175 US I i i'- ' - Dale Ready/By y JUUiv5 See Pile 2 for Internet www.tigard-or.gov iyt_�f9 1 , �:�. .y�otifiedivtelhod.of /'�'V J Ch Suppkmratat Information • If/4'v.:'-ram . ,'rd.- TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING , 0 New construction ❑Demolition Permit ices*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�'a/pd t e profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 7t� � 0 I-and 2-family dwelling IDCommercial/industrial Valuation: S IDAccessory building ID Multi-familyNumber of bedrooms: IDMaster builder Number of bathrooms: 3 ❑Other: JOB SITE INFORMATION AND LOCATION Total number of floors: 2 i -)S Job site address: (l I Jt' SW' i%l f4' FL. New dwelling arc a. 314 ' ,.tare feet II1S15 City/State/ZIP:Tigard,OR Garage/carport area: 4'1 � square feet l 1S t Suite/bldg./apt.no.: Project name: Covered porch area: square feet Cross street/directions to job site:SW North Dakota&SW 114'Pl. Deck area: square feet Other structure area: square feet REQUIRED DATA:COM L-USE CHECKLIST rliC Subdivision:Rrightwood Lot no. rs 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.c equipment,materials,labor,overhead,and tire profit for the DESCRIPTION OF WORK work indicated on this application. new,single family residence Valuation: $ Existing bung area: square feet New building ildi area: square feet 0 PROPERTY OWNER ❑ TENANT Number of stories: Nacre:Stone Bridge[Tomes NW,LLC Type of construction: Address:4230 Calewond St,Suite 100 Occupancy groups: City/StateiZIP:Lake Oswego,OR 97035 Existing: Phone:(503)387.7577 Fax:(503)387.7615 New: El APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES" _._ (Please refer•to fee schedule) Business name:Stone Bridge Homes NW,LLC ----- Structural plan review fee(or deposit): Contact name:Deirdre Britt Address:same as above FLS plan review fee(if applicable): City/State/ZIP: Total fees due upon application: Phone:( ) - Fax:( ) Amount received: t E-mail dbritt`tstonebridgchomesmv,arm PHOTOVOLTAIC SOLAR PANEL SYSTEM EELS' Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name:Stone Bridge Honics NW,LLC Submit two(2)sets of roof plan with connection details -- ----- - - and fire department access,along with the 2010 Oregon Address:4230 Cdewuod St,Suite 100 Solar Installation Specialty Code checklist. City/State/ZIP: Lake Oswego,OR 97035 Permit Fee(includes plan review $180.00 and administrative lees): Phone:(503)387.7577 Fax:(503)387.7615 State surcharge(12%of permit feej: $21.60 CCB lie,:173318 ^�.�,� f''� "Petal fee due upon application: $201.60 Authorized signature: I '1 This permit application expires if a permit is not obtained .i�"x, within 180 days after it has been accepted as complete. Print name:Deirdre Britt Date: b,1i,7,0 *Fee methodology set by'fri-County_ Building Industry Service Board. 1:\Building\PermltslBLIP-RESPerntitApp:doc 02/24/201 I 440-4613T(I I'02/COM/WEB) 1 A ' Mechanical Permit Application # -s — .e FOR OFFICE USE ONLY CityOf Tigard ' Received b 'II V Z 20 DatelBy. Permit Ntiol l.7. K)4[J'-� Za ! .11 4 13125 SW Hall Blvd„Tigard,OR 9722'3' Plan Review r 1? Phone; 503.718.2439 Fax: 503.598.1960 t -s1 Dat/By: Other Permit. TIGARD Inspection Lute: 503639.4175 ) i Bite ReadsBy: !tuts- El See Page 2 for Internet www.tigard-or.gov www.ti and or, ov [ w.,' k„J l 4 Notified. i `Method' Supplemental Information TYPE OF,-WORK COMMERCIAL FEE• SCHEDULE UBE;CFI'`ttteili TII�` -.. Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑Other: mechanical materials.eauipment labor_overhead,and profit, Value.$ CATEGORY OF CONSTRUCITON. RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling ❑ Commercial/industrial ❑Accessory building For special information use checklist. ❑ Multi-family ❑ Master builder ❑ Other: Description Qty. Ea. I Total JOB.SITE INFORMATION AND LOCATION Heatingicoolinpg, Job site address YV � 1139 J �� TI Air conditioning 46.75 Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/Z1P:Tigard,OR Furnace 100,0001 BTU(ducts/vents) 5491 Heat pump 61.06 . Suite/bldg.'apt.no.: Project name:. Duel work 23.32 Cross street'directions to job site:SW North Dakota&SW 114th PI Hydrouic hot water system 21,32 - - -- - 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 1 23.32 Other: ^-23.32 Subdivision:Brightwood DA no.: ,Other fuel appliances: Tax map/parcel no.: Water heater 1 2332 DESCRIPTION OF WORK r;_- Gas fireplace/insert I 33.39 Flue vent for water heater or gas new,single family residence fireplace 2 23.32 - - Log lighter(gas) 23,32 Wood/pellet stove 33.39 Woodfireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ___-- Other' 23.32 ® PROPERTY OWNER ❑ TENANT —l - - - • Envinvironntenlal exhaust and ventilation: Name:Stone Bridge Homes NW,LLC Range hood/other kitchen - equipment 1 33:39 Address:4230 Galewood St,Suite 100 Clothes dryer exhaust 1 33.39 City/State/ZIP:Lake Oswego,OR 97035 Single-duet exhaust(bathrooms, C toilet compartments,utility rooms) J 23.32 Phone:(503)387.7577 , Fax:(503)387.7615 Attie'crawlspace fans 23.32 _ ® APPLICANT S PI CONTACVVERSON *- _ (slier: 2332 Business name:same as above Fuel piping: ----- - S14.15 for first four;$4.03 for each additional Contact name:Deirdre Britt Furnace,etc, 1 Address; Gas heat pump __.. Wall/suspended/unit heater City/State/ZIP: Water heater 1 Phone:( ) Fax. :( ) Fireplace 1 Range 1 s-utail:dbritt(Zustonebridgehomesnw.coro Barbecue • _. _.. CONTRACTOR Clothes dryer(gas) Business name. Comfort Zone Oilier: ------ MECHANICAL PERMIT FEES' °a Address:1032 NW Corporate Dr, Subtotal City/State/ZIP.Troutdale,OR 97060 Minimum permit fee(S90.00) Phone:(503)667.5595 Fax:(503)491.8252 Plan review(2590 of pet nil fee) - State surcharge(12°%u of permit fee) CCB lie.:110091 TOTAL PERMIT FEE - - - This permit application expires if a permit is not obtained within 180 t'-1� a days after it has been accepted us complete. Authorized signature: \'l . -..- - * Fee methodology set by Tri-County Building Industry Service Board Print onion:David lieltlstab [ate: 4241*7 1:launduig PenntsV61EC_PemmtApp_010 t 13.dos .1J0-4617 t(1 Vs1 cu iqv E3) "' .. yma F<+u y� s wwr�amRa Electrical Permit Applict # - y;S FOR OFFICE USE ONLY Received City W Ball Date,`ay I'erm:t n 1195 y? 2-0 -DO Z )9 l �- 'e 13125 SW hall Blvd,llgard,OR 972'23�wri '' FJ 2020 l inn}teviem W I' Phone: 503.718.2439- Fits: 503.598.1960 1 Rotated Permit t: 1Jane,'}3y Inspection Late. 503.639.4175 -- q, - — Ready DaterPy ions. PI See Paget for TIGARD e. Internet. wwn.ti`aril-or. ov Neil i mdaNlcthorl. Supplemental Information TYPE'OFW©Rls (''fiy' r_ PLAN REVIEW ® New construction ❑ Add;tioitlalteration/rcplucclnerl( Please check all that apply(submit 2 sets of plans m/items checked): ❑Service or feeder 400 amps or more 0 Pentium over three stories, ❑ Demolition E Other: where the available fault current ❑Marinas and boatyards, :CATEGORY OF CONSTRUCTION exceeds 10,01/0 amps at 150 volts or 0 Floating buildings. ElCommercial/industriali-and 2-family dwelling ❑ Commercial/industrial ❑Accessory building less to ground,or exceeds 14.000 ❑commercial-use agricultural amps for all other installations. buildings, ❑ 1Vluhl-family ❑ Master builder ❑ Otller. ❑Fire pump., ❑Installation of 1501:VA or ,: JOB SUE INFORMATION.AND.'LOCATION 0 Emergency system, larger separately derived a _ Cl Addition of new motor load of system, Job#i .11G9 Job site address: I I I +'1 SW (Il 1 10011112 or more„ ❑"A' "E" City/State/ZIP: Tigard,OR ❑Nix nr more residential units, occupancy, --- -- ❑Health-care facilities. ❑Recreational vehicle parks, Suite/bldg./apt#: Project name: ❑Hazardous locations. 0 Supply voltage for more than -- ..-- - 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site:SW North Dakota& SW 114'h P1 ` FEE_SC REDCiLE` eon Desrn on (prl Qty. 1 Each 1 _ Total In New residential single-or multi-family dwelling unit, Subdivision:Brightwood Lot#: 5 Includes attached garage. .. 1,000 sq.11 or less 168.54 4 lax map/parcel#: Ea-midi500 sgft f or Portion X 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 new,single family residence (With shove sq.ft.) _____ Limited energy,multi-family 75,00 2 residential(with above sq.ft.) R_ —---- Renewable Energy Q See Page 2 PROPERTY OWNE . ❑. TENANT Services or feeders installation,alteration,and/or relocation Name: Stone Bridge Homes NW,LLC 200 amps or less 10o,70 2 Address.4230 Galewood St,Suite 100 201 amps to 400 amps 33 56 2 -- --- - - 401 amps to 600 amps 20034 2 City/State/ZIP Lake Oswego,OR 97035 601 amps to 1,000 amps 301.04 2 Phone:(503)387.7577 Fax:(503)387.7615 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 5936 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: Dale: 401 amps to 599 amps 168.54 2 APPLICANT ❑ CONTACT PERSON ' Branch circuits—new,alteration,or extension,Lner panel A,Pee for branch circuits with Business name:same as above above service or feeder fee, 7.42 2 each branch circuit Contact name:Deirdre Britt B.Fce for branch circuits without Address: service or feeder fee,first 56.18 2 branch circuit City/State/ZIP: Each add I branch circuit 7,42 2 --- Miscellaneous(service or feeder not included) Phone:( ) Fax::( ) Each manufactured or modular dwelling.service and/or feeder 67.84 2 Entail: dbrittl/stoncbridgehmnesnw.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:City Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address:55568 SW Schaltenbrand Ln. panel.alteration,or extension. D See Page 2 2 City/State/"LIP:Sherwood,OR 97140 Each additional inspection over allowable in any of the above -.--. ----. - Additional inspection(I hr min) 66.25/hr Phone:(971)404.1714 Fax:(503)625.3052 Investigation(1 hr min) 90,00/hr . Industrial plant(1 hr min) 78,18/hr 1'.11talh — Inspections for which no fee is 90.00%Iv CCB Lie,: 42422 Electrical Lie,: 26-289C Suprv,Lie.: 35925 specifically listed(4,hrmin) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Ft Subtotal Print name: Chuck Friesen i Date: `,'I,'ja ID Plan Review Required(25%of permit fee): """"" State surcharge(12%of permit fee): Authorized signature: '-��y r�� 'TOTAL_PERMIT FEE: . This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted ns complete. ' Number of inspections allowed per permit i+.nuarlingtl'tmiiis'EI.C.PennitApp 1:1 R,ER @slot Rev 06'17[2015 JJO-5615T(t I10SCOMAV E S Electrical Permit Application— City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL'WORK ONLY: FEE SCHEDDLE . . Description I Qrs. I Each I Total. 1 Fee for all residential systems combined: S75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5,01 to 15 kva 133.56 2 0 Audio and Stereo Systems* ism'to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: 0 Burglar Alarm 25,01 to 50 kva 301,04 2 50.01 Io 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 any of the above: n Other: Each additional inspection is 66 25/hr t -- - --- charged al an hourly.(1.hrmint Inspections for which no fee is 90.00:/hr specifically listed(%lu min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES - Fee for each commercial system: $75.00 Subtotal(i:meron vase 1): (SEE OAR 918-309-0000) * Number of inspections allowed per permit Check Type of Work Involved: I , Audio and Stereo Systems Boiler Controls n Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation • HVAC ❑ Instrumentation n Intercom and Paging Systems n Landscape Irrigation Control* C Medical n Nurse Calls I Outdoor Landscape Lighting* n Protective Signaling n Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations r'.Bai'du;h:P.nnilslEaC_ProsiiApp EI.R ERE.Aoc Rev 05%I557015 'Plumbing Permit Application Building Fixtures _g` i,Nf ._I... FOR OFFICE USE ONLY City of Tigard -- �'1 *» Received y Tigard,OR 97223 JateJB,r. Pemvt N '1.Sr20 /. 13125 SW Hall Blvd„ g:r go'ZO 20.-00'`�'-F LL Plan Review Other Permit No;t i. - Phone: 503,718.2439 Fax 503.59�� 1 -., Date/By Inspection Line. 503.639.4175 TIGARD - U�te Rcadv�73y: !aids I El See Page for hurt let: uwsv.ugard-or.gov f 1. Not t ci,\tcth�rd\. Supplemental Information TYPE OF Wig r - ..,z FEE° SCHEDULE ® New construction ❑Demolition For special information use checklist. -�-- - Description j Dry. [ Ea t Total ❑ Addit]omalteratioulreplacement ❑Other: New 1-2-famtty dwelling);(includes 100 ft.for each tilitityConnection) CATEGORY OF CONSI'RUCTTON SFR(1)bath 312.70 2 SFR 2 bath 437.78 ® I-ands-famdyd.velhng ❑ Commercial/industrial O ID Accessory building SFR(3)bath ( 500,32 g '❑ Multi-fancily -- - - - Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler( sq.fl.) Page 2 JOB SITE INFORMATION AND LOCATION 1'I ( lire, Siteufilitles: Job site address: 11134 c'N f 111441 X. Catch basin or area drain 18.76 -- - - _ Drywell,leach line,or trench drain 18.76 City/State/LIP:Tigard,OR !3 -- Footing drain(no.linear ft.: ) Page 2 Suite/bldg./aptno.: J Project name: Manufactured home utilities 50.03 Cross street/directions to job site:SW North Dakota&SW 114a'PI Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Stone sewer(no.linear It: ) Page 2 --- Water service(no.linear B. ) Page 2 Subdivision:Brightwood I Lot no.: 5 Fixture or item: Tax map/parcel❑o.. Baekflow preventer I 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer I 25,02 new,single family residence Dishwasher 1 25.02 Drinking fountain 25,02 .Ejectors/sump 25,02 IA PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name:Stone Bridge Homes NW,LTC Fixture/sewer cap 25.02 r Floor drain/floor sink/hub 25.02 Address:4230 Galewood St,Suite 100 Garbagg disposal ( 25.02 City/State/ZIP: Lake Oswego,OR 97035 Hose bib 2 25,02 Phone.(503)387.7577 Fax:(503)387.7615 Ice maker 12.51 El APPLICANT.. ` LI CONTACT PERSON Interceptor/grease trap 25.02 Business name:saute as above Medical%gas(value:$ ) Page 2 Contact name:Deirdre Britt Primer 12.51 Roof drain(commercial) 12.51 Address: Stnk/basinilavatory 25.02 . City/State/ZIP. Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/showcrlshowcr purr 9 12.51 E-mail dbritt('s tone hridgehomesnw.com Chiral 25.02 - -. Water closet 7 25.02 CONTRACTOR Water heater I 37.52 Business name:Jardine Plumbing , ----- Water piping/UW V 56.29 Address:PO Box 186 Other: 25.02 City/State/ZIP: Estacada,OR 97023 Subtotal Phone:(503)353.8532 Fax:(503)630.2882 Minimum permit fee: $72.50 3¢.7 Plan review (25"u of permit fee) CCB Lie.:108747 Plumbing Lie,no.:cf3-f1 - - _ 'gyp" 1. '-- State surcharge(12%of permit fee) Authorized signature: "'.~ �t,„ x '' ^-. Tins permit application expires if a permit is not obtained FEE TOTAL PERMIT within 180 days Print malice:Jay Jardine Date: (�, 1, after it has been accepted as complete. a "Pee meihodologv set by Tri-County Building industry Service Board. Iidimlillne:Pemnts'PLAnJ-PennlrAytdoc tnral.Ou 'HO.1G I DT(Ie/021CO5trWEB) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT III ■ T 1 G A R D Building Permit Review — Residential Building Permit #: M 5 1-2-0 210 -- 00 2-0 Site Address: 1 1134 SW 11411'1 Pl_ Project Name: 13r 11h-}-W oUd Lot #: 5 Planning Review Proposal: NeW h17Jlli Verify address/suite# active in Accela. In River Terrace: '{4 No 0 Yes,River Terrace Review Addendum Site Plan Elements: AFrosion Control 133 copies of site plan on 8-1/2"x 11"or 11 x 17"paper I' etained trees with drip line and tree protection measures brawn to scale (standard architect or engineer scale) Footprint of new structure(including decks)and FFE l North arrow j .1Jtility locations&easements(required for new and additions) Site address,project or subdivision name and lot number ►: idewalk/driveway approach Egapplicant information(name and phone number) 'Ai ,,cation of wells/septic systems 10Lot dimensions and building setback dimensions treet tree size,type and location Pa5'quare footage of buildings to be demolished i treet names, Arxisting structures on site 0.Corner elevations(2'contours if more than 4'differential) of area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? C KNo impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Y sr No lg.Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified �,No Received: ❑ Yes ❑ No '[ Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑ Yes,applicant was notified lil No Received: ❑ Yes ❑ No la—SDC Exemption for ADU applied for: ❑ Yes V No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI)Permit: Required: 0 Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: SV d 2018-P0004 A Zoning. R- S Ste'- Required Setbacks: Front: 2-0 Rear: 1.5 Side: 5 Street Side:IJ lA- Garage: 217 IR-Building Height: Max. Height 30 Actual Height: t 2.4' N&Landsca.- Area: % (*Lot Coverage Max: 0/0 Entrance 4 et back no more than 8'from street-facing wall %Parallel to street or offset 45 degrees or less Windows ►n Minimum 12%of area of all street-facing facades 1190 Garage ►. Garage door is behind widest street-facing wall ❑ Yes -4.No,one of the following is met: 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.window above garage on 2nd floor. ,i Garage door width is ❑ 12'or less )4. 50%or less of facade 0 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance ❑ Wall offset 0 1'Roof eave ❑ Roof offset ❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding ❑ Wmdow trim ❑ Window recess 0 Window projection ❑ Balcony NUJ/Visual Clearance XUrban Forestry Plan Sensitive Lands: 0 Yes No Type: Conditions met prior to issuance of building permit Notes:Approved By Planning: 7187 --lelL- Date: /(D Z(? Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: It//,S J Zp Site Plans: # .3 Building Plans: # Building Permit#: Enter building permit#above. Workflow Routing: I9Planning .Engineering t Coordinator ��Building Workflow Sign-off: I —Sign-off for Planning(include notes from planning review) Route Application Documents: D.-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and Br—Building: o dal plan review routing form. Cf Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: C,, By Permit Technician: �-In7 �._- Date: 7/7/ 2-0 Engineering Review "`"` ))J Slope at building pad: Aga /" Fa/Conditions "Met"prior to issuance of building permit ®'basements (encroachments)per engineering conditions of approval and plat I�Water Quality/Quantity Facility le 7/�`" Assess Water Quality Fee in-lieu: ❑ Yes L'1 No Assess Water Quantity Fee in-lieu: Yes I�No LIDA Facility on lot: 5--' CINo e s mia",7 e LIJ' Final Plat Recorded: "NOT Approved by Engineering: Date: 7/`3/2,, Notes: C proved by Engineering: Date: T/� ��p Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: ❑ Approved 0 Not Approved Permit Coordinator Review v151A� Io 1 eV�.�1j71`� t5 ht , Conditions "Met"prior to issuance of building permit Er Approved, NOT Released: ernAlLee( uppLlcar14-. Al- 1114170 Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: s�,�Revision Notice 2: Date Sent to Applicant *x SDC Exemption: 0 Received iztDoes not apply 0 SDC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A Tigard Trans SDC: gz Yes 0 N/A Parks SDC: "g Yes 0 N/A �,0 LIDA *Yes I'K N/A - OK to Issue Permit Approved by Permit Coordinator: /ef Date: "71I (/4 L I:\Building\Forms\BldgPennitRvw_RES_122419.docx Branden Taggart From: Branden Taggart Sent: Friday, August 7, 2020 4:22 PM To: 'dbritt@stonebridgehomesnw.com' Subject: Permits for Brightwood, Lot 5: MST2020-00209 &SWR2020-00130 - 1134 SW 114th PI. Attachments: Permit Invoice.pdf Hi Deirdre, The permits for lot 5 of Brightwood Subdivision are ready to issue. I have attached invoices above for you to reference, and the fees due are as follows: Brightwood Subdivision Lot# Permit# Fees Due 5 MST2020-00209 $ 38,804.18 5 SWR2020-00130 $ 5,835.00 Total: $ 44,639.18 The above permit fees can be paid online through our website: https://aca.accela.com/tigard/Default.aspx. From there, click on the Building tab, enter the permit numbers in the Record Number field, and click Search. Once paid, please notify us at TigardBuildingPermits@tigard-or.gov,and we will place the permit and plans in the open conference room adjacent to the outer Permit Center lobby for pickup between the hours of 8:00 a.m. and 5:00 p.m., Monday through Thursday. We are closed on Fridays. Thanks, Branden Taggart INCity of Tigard R: Senior Permit Technician Community Development TI0R 1) 13125 SW Hail Blvd Tigard,OR 97223 (5031718-2449 brandent@tigard-or.gov 1 Branden Taggart From: Branden Taggart Sent: Wednesday,July 29, 2020 4:30 PM To: Agnes Lindor Subject: Routing Sheet for MST2020-00209 - 11134 SW 114th PI. Hey Agnes, One more thing regarding the routing sheet for MST2020-00209. It looks like Engineering made a mistake and required LIDA for this permit, but then this changed. You noted that LIDA was not required on the routing sheet, but your workflow notes show that LIDA is still required. Would you mind revising your notes to omit the LIDA requirement? Thanks, Branden Taggart q City of Tigard Senior Permit Technician Community Development 13125 SW Hall Blvd Tigard,OR 97223 (543}71B-2449 brandent@tigard-or.gov 1 §� as1- STONE BRIDGE L"n1 "4� BUILDING Q B E • 2 7 5 9 ' HOMES FT NW FRONT SE BACKK: 0'-0' UPPER51,65 5 SSQ. FT. LOT: 5 4230 GALEWOOD ST.SUITE 100 GARAGE SETBACK: 20'-0" GARAGE: 433 SQ. FT. DATE: R:6/29/20 LAKE OSWEGO,OR 97035 REAR SETBACK: 15'-0" GOV. PORCH: 154 SQ, FT, PROPERTY: BRIGHTWOOD (503)387-7577 SIDE SETBACK: 5'-0' COV. PATIO: ISO SQ. FT. STREET SIDE SETBACK: 15'-0' CITY: TIGARD LOT COVERAGE: no max. LEGEND SCALE: 1"=20' LOT AREA: 1,105 SQ. FT. PLAN No.: 404A BUILDING AREA: 2,261 SQ. FT. 0 STREET TREE: ELEVATION: STANDARD PERCENTAGE: 29.4% YELLOWWOOD 4.,;1 R It yr- TIGARD 3k_ EXISTING TREE: ;.a pravedt by Ianning CONIFER Date: >XJ/(P/2-0 DECIDUOUS EE. Initials: L LOT 4 12'_2' I '1'4•1 0 '1- 41 ,lq '1. 1* p 12 \ 1- tiry s-ro 40 60 0117 _ 4921' L 22'. �224 5 r •5' 224 5'SIDE SETBACK 5TOq`1 I I 44'• ZI I 1 m �•.0. ,; ' i ) , I I V 1v- SEWE-1 ..• OQ I a 1 ^1 I11111111111110 F `,' C' R a /3,14E SGL FT. -(I 1 e' 0'IO a S DORM.3 BA 6 0 _ ., A T. II: .. 3'4 F.FE.221' i (�, IV a F1 ... •• 433 SQ.FT. a ( a 1u .:. 1 . e 2 CAR fp�2 k: FFE•2265' . b-I �L,O • I1 al 1 CAL I '- io 22'2' r...•:.! 22" ' WORM26'10• �� WATER I. I 2245 5'SIDE SETBACK 7 I,I 0 LP ; •2l' I tll \ a . 23 0' in 22' �`' 1'a4PJ0' F 1 EL■223.5'u a LOT 6' 82.-2' m A NOTES: Z ALL GRADE AND PROPERTY LINES ARE ESTIMATES OF CURRENT LOCATIONS. ALL DIMENSIONS AND SQUARE FOOTAGE ARE APPROXIMATE FIGURES. LOT *5 ALL RETAINING WALL HEIGHTS AND LOCATIONS ARE ESTIMATES. 1,105 SG2 , THEY MAY VARY AND BE SUBJECT TO CHANGE. MOSTONE BRIDGE AUNI xs: K-4.. BUILDING OBE : 2 7 5j 9 "Al n�j r(` \ A MAX. HEIGHT: 30'-0" MAIN: I,500 SQ. FT. HOMES I \ �/ �/ FRONT SETBACK: 2Q'-Q' UPPER: I,655 SQ. FT. LOT: 5 4230GALEWOODST.SUITEtoo GARAGE SETBACK: 20'-0" GARAGE: 433 SQ. FT. DATE: R:8/19/20 LAKE OSWEGO,OR 97035 REAR SETBACK: 15'-0' COV. PORCH: 154 SQ. FT. (503)387-7577 SIDE SETBACK: 5'-0' Coy. PATIO: ISO SQ. FT. PROPERTY: BRIGHTWOOD STREET SIDE SETBACK: I5'-0' CITY: TIGARD LOT COVERAGE: no max. LEGEND EROSION SCALE: 1"=20' LOT AREA: 1,105 SQ. FT. CONTROL PLAN No.: 404A BUILDING AREA: 2,26� SQ. FT. '\ STREET TREE: LEGEND ELEVATION: STANDARD PERCENTAGE: 29.4% YELLOWWOOD EXISTING TREE: NOTE: 0 Direction of drainage CONIFER ALL WET WEATHER STANDARDS 0 Euliding area footprint APPLY, INCLUDING: \ EXISTING TREE: - COVER ALL STOCKPILES Construction Entrance: aggregate DECIDUOUS - ADDITIONAL SEDIMENT CONTROL/ PREVENTATIVE MEASURES 0 Excavation stockpile - KFILLING (OR 10 DAYS) ER EXPOSED SOILS A BA W Soil coverage practice: straw - TEMP. COVER ALL EXPOSED SOIL y sanitary sewer location 0 Control measures: sediment fence Z, Daily Inspection point 28-0' .y LOT Limits of disturbance ikiW 12 2' 1 /'li^ @ 1�'b,qy '41'k '9 'L ♦ 74 • ti 11 21\ � EL.2 1' \ 103100' 49.21' -11 �` m ' Ni)N, ` �EL.222p A �226 5 ■■ I �11.�.'�A.���, • 5 \ ]24 9'91DE SETBACK 7 M_1 STOAT �•A4�J�� 44' 10.. `. FT. p 2'7-0' I seuE ♦ O 0 — a`a y iP o .— FT. : .... g BDQ1 ,_ 3 BATN FF.E..221' 0 '-.yti3 l . i . in I • ; '14.I fore l'.'..it Mannbb' a ;_duo , t' / • mI C11I O I I 222' \ 26'1®' ss r 1 �sums4 WATER I 2265 I 2245 5•SIDE SEnsai C -- J J J ` LP L•241' n A ryry 2g' 0" in ry1� \�ryh 154.00' ryry� Q EL•223. fPT G LOT y NOTES: er-z' L Z ALL GRADE AND PROPERTY LINES ARE ESTIMATES OF CURRENT LOCATIONS. 9 ALL DIMENSIONS AND SQUARE FOOTAGE ARE APPROXIMATE FIGURES. LOT °S ALL RETAINING WALL HEIGHTS AND LOCATIONS ARE ESTIMATES. 1,105 SQ. PT. , THEY MAY VARY AND BE SUBJECT TO CHANGE.