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Permit
Plumbing Permit Application Building Fixtures J3010 FOR OFFICE USE ONLY FH14 1 Received �Y City of Tigard Date/By: Permit No.: MST?_021t.-� C I ■ 13125 SW Hall Blvd.,Tigard,OR 971. Plan Review ■ Phone: 503.718.2439 Fax: 503.598. 0Other Permit No: DateBy: Inspection Line: 503.639.4175 Dale Ready/By. orris ® See Page 2 for iIGARU Internet: www.ti and-or. ov g g' g Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction ❑ Demolition For special information use checklist. Description i Qty. I Ea. 1 Total O Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) IIIIIMLCATEGORY OF CONSTRUCTION SFR(I)bath 312.70 [XI1-and 2-family dwelling ElCommercial/industrial SFR(2)bath 437.78 SFR(3)bath 1 500.32 ['Accessory building ❑Multi-family 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: 13108 SW Foran Hills Ct. Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/Slate/ZIP: Tigard, OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name: Foran Hills Manufactured home utilities 50.03 Cross streeddirections to job site: 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: Foran Hills Lot no.: 14 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 New, single family residence Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 M PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Fixture/sewer cap 25.02 Name: Stone Bridge Homes NW, LLC Floor drain/floor sink/hub 25.02 Address: 4230 Galewood St. Suite#100 Garbage disposal 1 25.02 City/State/ZIP: Lake Oswego, OR 97035 Hose bib 2 25.02 Phone:(503)387-7577 Fax:( ) Ice maker 12.51 ® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name: Stone Bridge Homes NW, LLC Primer 12.51 Contact name: Permit Tech Roof drain(commercial) 12.51 Address: 4230 Galewood St. Suite#100 Sink/basin/lavatory 7 25.02 City/State/ZIP: Lake Oswego, OR 97035 Solar units(potable water) 62.54 Phone:(503 )387-7577 Fax::( ) Tub/shower/shower pan 4 12.51 E-mail: portlandpermits@stonebridgehomesnw.com urinal 25.oz Water closet 3 25.02 CONTRACTOR Water heater 1 37.52 Business name:Jardine Plumbing Water piping/DWV 56.29 Address: PO Box 186 Other: 25.02 City/State/ZIP: Estacada, OR 97023 Subtotal Phone:( ) Fax:( ) Minimum permit fee: $72.50 CCB Lie.: 108747 Plumbing Lic.no.: 3-320PB Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature:Jay j-ctr e TOTAL PERMIT FEE Print name: JayJardine Date: 5-13-2021 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10,02/COM/WEB) CITY OF TIGARD MASTER PERMIT illil ■ COMMUNITY DEVELOPMENT Permit#: MST2021-00009 TIGARD13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/05/2021 Parcel: 2S109ACO2200 Jurisdiction: Tigard Site address: 13108 SW FORAN HILLS CT Subdivision: Lot: Project: Foran Hills, Lot 14 Project Description: New detached dwelling BUILDING Floor Areas Reauired Setbacks Reauired Stories: 2 Bedrooms: 5 First: 1146 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1787 sf Garage: 741 sf Front: 15 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors. Total: 2933 sf Value: $395,284.11 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N 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 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 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 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 2933 Owner: Contractor: BULL MOUNTAIN LLC STONE BRIDGE HOMES NW LLC Required Items and Reports(Conditions) 3115 SW STEPHENSON ST 4230 GALEWOOD STREET#100 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97219 LAKE OSWEGO,OR 97035 PHONE: PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $40,248.42 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 may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: HollyVart/De'Wege Permittee Signature: On/ 4ppL6ca I' 1�t° Call 603.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. r • '3D`C Building Permit Application / " ' Residential RECEIVED Fon OJ t 1CP USE ONLY ipig Received Ms12D2!-0Oil' City ofTigard DateiBy: V I� Permit „ 97223JAN i) 4 2021 R�� BoneS50 Hall Tigard, 03 98.19 Plan Review ( OtherP :' Phone: 503.718.2439 Fax: 503:598.196QQ., Irateley: � 2 "Y' lnspection Line: 503.639.4175 t.ATYOFTIGARD Date Ready/ey / "r ® See Page 2for TIGARD Internet: wvw.tigardor.gov BUILDING DIVISION �loefied/Metlxx3' ,le. / Supplemental Information imp / �' TYPE OF WORK _ REQUIRED DATA:1-AND 2-FAMILY DWELLING Permit fees*are based on the value of the work performed. 1�New construction 0 Demolition Permit the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhea dtlig rofit orrt o work indicated on this application. ej( 9 ,I I CATEGORY OF CONSTRUCTION — 3 t9 t 9 g pi-and2-family dwelling Commercial/industrial Valuation: $ I 1 Number of bedrooms: 5 ❑Accessory building ❑Multi-family 3 ❑Master builder ❑Other: Number of bathrooms: JOE SITE INFORMATION AND LOCATION Total number of floors: 2 34r1`t Job site address: 13102, Syl f Fctuto4 Hi t l4 LT. New dwelling area: 'Z9"3 square feet I,?i, City/State/ZIP: 810I84'-'Ql bp. Garage/carport area: -141 square feet 11 y W Suite/bldg./apt.no.: Project name: Covered porch area: square feet Cross street/directions to job site: Deck area: — square feet Other structure area: square feet F'/ 1It? REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: . 111AS' f Lot no.: 1 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 DESCRIPTION OF WORK work indicated on this application. S 4bL �1L,1 g• '‹1061\10-ie Valuation $ Existing building arca: square feet New building area: square feet L!jPROPERTY OWNER 0 TENANT Number of stories: Name: ST-Lsk.lE bit2.1 n 1{toi� 1,..k}J,s,,',-L, Type of construction: Address: .42,7D L-AN...t\IOQQr.i) -.Tl ct t 1`C Occupancy groups: City/Statn/Zrn: L C)Si40.C i (a..- 41 C'' C Exisr:na- Phone:0-b3) "1-1 511 Fax:( )3 '11l,.013, New: pj APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: STo rb H°( INN,to, Structural plan review fee(or deposit): 1sf, Contact name: "17 t1zArJ'l 'CjoI' FLS plan review fee(if applicable): Address: Total fees due upon application: City/State/ZIP: Amount received: Phone:( ) Fax::( ) _ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* t?elt:74`[`I' E-mail: e S'-( :Nvil✓S9-'1I✓L�I-I u-3I` i 11AJ,(..L:'''A Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Submit two(2)sets of roof plan with connection details Business name: S U1�L f2L 11.viUl atom. and fire department access,along with the 2010 Oregon Address: 42-1 LAttitk ST, 11 leu Solar Installation Specialty Code checklist. �y, Permit Fee(includes plan review $180.00 City/State/ZIP: }„ �S F �, (,},Q, `9�1.C,-yia3 and administrative fees): Phone:((5..)' j ".1_1J11 Fax:(` 3C0-1"IICI5 State surcharge(12%of permit fee): $21.60 CCB lie.: 1-13t.sice, Total fee due upon application: $201.60 Authorized signature:-- d + This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. _ *Fee methodology set by Tri-County Building Industry Print name: ���„ ; 7�{'(- Date: 11 'Z-1 service Board. 1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46131(11/02/COM/WEB) . • Mechanical Permit Application FOR OFFICE USE ONLY : City of Tigard Received F''''"''''' NI5T2-02.( '-04961Cet I irlis 4 :-.-t 11125 SW Hall 13Ivd.,Tigard,OR 97223 ' Plan Regius,. I i . Phone: 503.718.2439 Fax. 503.598.1960 Dateffly errhet Ivrout 1 TicAjt6. btspeetion Line: 503,639.4175 Dart Rgador;By. Masi II Sri-Page 2 Er 1 Internet: unvwdigard-or.gov Notified2rilethrid Supplemental Information i TYPE OF WORK — COMMERCIAL FEE, SCHEDULE-USE CHECKLIST Mechanical permit fees*are based on the value tithe work -"1 New construction D Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials.equipmenk labor.overhead.and troth. Value:S CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES^ 0 I-and 2-family dwelling EI Commercial/industrial El Accessory building For special information use cheek Est 0 mull-family 0 Master builder El Other: Description 1 Qty. L Ea. I Total 3011 SITE INFORMATION AND LOCATION Ileafint/encall i r.-- Air conditioninn 1 46.75 -1 Job site address: I 3 I cf, SW Fen-n-14 Hi Lt. CT rumuce 100.000 BTU 6.1uctslvent I 46.75 . — City/State/ZIP:Tigard,OR Furnace 100.000+BTU Nu,rt,n.,..ntn .., 54.91 I Heat pump _ 61-06 Suite bldgfant.no. --1 Project name: Duct work - 23.32 —. Cross street/directions to job site:: Hydronie hot water system 23 32 --* ' —-a"-----*-1 ------1 'Residential boiler(radiator or 1 hydronic) , 23.32 I Unit heaters(fitel-type,not electric), in-wall.in-duet.suspended_etc, 46.75 i Flue:vent for any of above 1 23.32 Subdivision:1 fiDgprit4 H MS Lot no.: 14 Other: : 23.32 _ - Other fuel nppl,aneee: I TAX mapIpaccel no.: Water heater I 23.32 ----__ — ,. _r.— DESCRIPTION OF WORK [53as fireplace/insert 1 33.39 ' Flue vent for water heater or gas new,single family residence fireplace 2 23.32 - ---- lo lighter(aas) J32 - . . Wootypspet stove _ _ I 33.39 Weed lire.placetinsert 1. I -43..4- -- --, _Clthamathner/flueivent 1 23.32 --- , ----- - Other: _ F 1 23-32- PROPERTY OWNER 1 El TENANT Environmental eNbaust and ventilation: _ Name:Stone Bridge Homes NW,LLC Range hued/caller kitchen f — et inment 1 1 1 33 39 Address:4230 Oakwood St,Suite 100 , Clothes dryer exhaust { 1 33.39 CilyiStateZIP-Luke Oserrsono,OR 97035 i S innte-duct exhaust(bathrooms. 5 [inirra ananianilinaniii,away voonin) 23_32 Phone:(51)3)387.7577 I Far.(503)387.7615 Atticicrawlsratco fans 1 23.32 IN APPLICANT -.1-1 El CONTACT PERSON Caber: • I 1,23.32 .__ -,-----.— ----. Fuel piping: I Business name:sante as above ---------- - : • $14.15 for first four;S4.03 for each additional _ 1 Contact name:Deirdre Britt Furnace.ate, I— _ -- —Address: __-- Gas heat numP --- Wallisurneudedninit heater City/StatelZIP: " I Water heater --1- --- I Phone.( ) I Fa's::( ) Litenlace ) 1 Range 1,,. I 1 i 1-- E-mail;dbritt@stonehridgehomesnw.com 1 1 1 i Barbecue 1 _ CONTRACTOR I_Clothes dryer 1,1st _ I i 1 _ I _ -- i 1 I Business name:ComfortOther:Zone MECHANICAL PERMIT FEES' — --- Address:1032 NW Corporate Dr. Subtotal City/State/71P:Troutdale,OR 97060 Minimum permit Fee(S90.00) . — Plan review(25%of permit fee) Phone:(503)667.5595 I Fax (503)491.82$2 I - ___ Sta CCI3 itc:110091 -----' ------ ' ---— " te surcharge(12%.elpermit fee) TOTAL PERMIT FEE 2 -'..- days after it has been accepted as complete Authorized signature (r-tl ° ..----e-.----SZ-*-2- ' * Pee methudology set by I meirredy Building Industry Service Bistird - r _ Print naomI David Hddstab Ionic: j /117_4 t— 1:,13wkluvg oat!WI)Eiae "es-tot 7 i IIIC.CCAWC',-t; Electrical Permit Application FOR OFFICE USE(1y(.v' City of Tigard c� r ermi Pt#: �Jt$T W 0 2[-OUO [� " 13125 SW Hall Blvd,Tigard,OR 97223 Plan Review Pettit#. • . c Phone: 503.718.2439 Fax 503.598.1960 nstetllyc Inspection Line: 503.639.4175 Ready Datigy: hair I H See Page 2 for ,TIGlsRD NotifiedlMethod: Su lemental information a Internet: www.tigard-orgov PP TYPE OF WORK PLAN REVIEW El.lNewconstruntion 0Addition/alteration/replacement Please check all that apply{ubmit sets ofphan whitens checked): ❑Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition 0 Other where the available Eault entreat 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Flouting buildings. 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building doss to mound.or exceeds 14,000 0 Commercial-use a8r ether a amps for an other installations. buildings ❑Multi-family 0 Master builder 0 Other; 0 Errre pump. 0 Inshellation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergencysystem. larger separately derived t1 ❑Addition of new motor load of system. Job#: 3o i0 Job site address: i 3 iO'b SW f -i-i M U/ c.T 100HP ormore. ❑"A,"E"'I.2'11 3" City/State/ZIP: -Ti(2 MVO DV ❑six or more residential units. occupancy. 11vnt`t/7tJt`;`• ❑Heekhcare facilities. ❑Recrea¢onat vehicleparks. Suite/bldg./apt#: Project name: 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Each I Total I • New residential single-or multi-family dwelling unit. Subdivision: fQi2.4p't1 H E us' Lot#: i4 Includes attached garage. Tax map/parcel : 1,000 sq.it or less 2- 168.54 4 Ea.add'l 500 sq.ft.or portion 'L 33.92 1 DESCRIPTIONS OF WORK ORK Limited energy,residential s Imo,}o:3 illt-K: �^�;..�,v1i p ,�-�' ) NNE (with above sq_ft.) 75.00 2 N✓W l f�a v l g'6+ Limited energy,multi-family 75.00 2 residential(with above sq.ft) �t PROPERTY OWNER 1....1 TENANT Renewable Energy 0 See Page 2 `' ,p� Services or feeders installation,alteration,and/or relocation Name: +� \✓;24 9 R o Rai.(.LC•... 200 amps or less 100.70 2 Address: 4 0 V kA+'t.A �t r '�' 201.amps to 400 amps 13356 2 ��y 401 amps to 600 amps 200.34 2 City/State/ZIP: t/ W�f t,M o 1 Vtc C7 5rj 601 amps to 1,000 amps 301.04 2 Phone:($T$, 3w— cj T7 Fax:(503)y -i—i(p t G Over 1,000 amps or volts 55226. 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 I intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to400amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 a APPLICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch cireuils with Business name: (;11)1.4e. j.3 2.1iDviC l eAvies, i ,UL above service or feeder fee, 7.42 2 ca.,.brsnci,cim,it Contact name:1 fz,MG 'j4'-r B.Fee for branch circuits without Address: service or feeder fee,first S6.I8 2 branch circuit City/State/ZIP: Each add'l breach circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) Fax::( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: i751 e lCiett j1-2dix*,14 Ot i-s,u.),0..`�i t Rccomtect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: El- (-7(2-1C:Jd- 11,41.40\162.71-1`1`1S Sign or outline lighting 67.84 2 Ea JG Signal circuits)odlmitcd-energy Address: 1(t?� 3 2 3 .+40 D(L',q panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP: �j C} (vs S `j 5 ©(z, -1 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( -?)3c ?Vw°� ( Fax:( ) Investigation(I hr min) 90.00/hr Industrial plant(lhrmin) 78.18/br Email: 10 /2-L Inspections for which no fee is CCB Lie.: 10.04i2, Electrical Lie.: ) S / ff specifically listed(1 hr Mini) 90.00/hr y"tj(iP`t`i Suprv.Lic.: G�G! J �^ ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: y--- _ Subtotal: Print name:1'Print name:"Tesiwilil'it;MAS I Date: 1 1412/1 ❑Plan 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: Date: days after it has been accepted as complete. • Number of inspections allowed per p ermiL t\Buildig\Pemmil t.C_PermilApp_r.LR T;RP..dos Rev 06/t7/20t5 4104615T0 l/05/COM/Wl!B Electrical Permit Application—City of Tigard Page 2—Supplemental Tnformation Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Description 1 Qty. l Each L. Td:a...1..'. 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 13356 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 20034 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 lrva 301.04 2 in50 [ Garage Door Opener* >10 t to 100 552.26 2 g p >io0lcva(fee accordance 552.26 2 with OAR 91&309-0040) Heating,Ventilation and Air Conditioning Solar generation systems In excess of 25 kva: System* Each additional kea 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: " OtheI: Each additional inspection is 662511u 1 charged at an hourly(1 hr min) Inspections for which no fee is 90,001 hr specifically listed(h hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES SubtotFee for each commercial system: $75.0p al(Enter Page 1}: y ' Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: Ej Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation -1 Fire Alarm installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical -1 Nurse Calls ❑ Outdoor Landscape Lighting* Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations InBeildingwermilsFEC PermilApp T:LR PRB.doe Rev 0 6/1 72 0 15 • Plumbing Permit Application Building Fixtures FOR OFFICE L'SE ONLY 74 - City of Tigard PemutNo.: NI St2 I'0000 et e 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.7182439 Fax: 503.598.1960 Plan Date/Br Other Pemet No.: .TIG ARD. Inspection Line: 503.639.4175 Date Ready/Br furls: ® See Page 2 for Internet www.tigani-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCt8EDULE Al• New construction 0 Demolition For special jnformadon use checklist. Description I Qty. I Ea. I Total 0 Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 I-and 2-family dwellingSFR(2)bath 437.78 RI 0Cornmercialliadustrial SFR.(3)bath. i 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE.INFORMATION AND LOCATION Site utilities: Job site address: i 3 i®cb Sur -MY-/a-14 i-ti Lt f C..-1. Catch basin or area drain 18.76 City/State/ZIP: -'II i ,t) op_ Drywell,leach line,or trench drain 18.76 l Fooling drain(no.linear ft.: ) Page 2 Suite/bldgapt.no.: I Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18,76 Sanitary sewer(no.linear ft: ). Page 2 Stomt sewer(no.linear ft.: ) Page 2 Water service(no.linear f.: ) Page 2 Subdivision: FiDiamq (-if as I Lot no.: 14 Fixture or item: Tax map/parcel no,: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 , Stt PIL.`� 5(t3 Dihwasasher I 25.02 Dishwasher i 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 SP PROPERTY OWNER i 0 TENANT Expansion tank 12.51 Fixture/sewer cap 25.02 Name: STV . P2.II (F firiivel ES 1.41.l1)4 (_� e�rr�,��.!/;�,�T� - - Floor drain/floor sink/hub 25.02 Address: 4t 23 t1 VPrietAW) C7 t $(..)C- 1+ Garbage disposal i 25.02 City/State/ZIP: Ul-L_Z OSVLLGisatOfl. ct1 33 a.�hib a. 2502 Phone:(3)3)3-0.115 f Fax: - _ __ Phone: Q'fla1)�g7�R{te9i'� Ice maker 12-51 APPLICANT 0 CONTACT PERSON Interceptor/grease trap. 25.02 Business name:Sic-Ms 1 pbff i-it Fa(o! Medical�s(value:S ) Page 2 Contact name:",) - , -.(y 7,_„7-7 Primer 12.51 Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 'j 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 4 12.51 E-mail: ''�0 'i7-T Q c tc E Bi2.4 D&'E f'i t l'c lN1}p-J, ,SJr Urinal 25.02 CONTRACTOR Water closet 3 25.02 i Water heater i 37.52 S Business name: LJISCja nr 7 L +so 1AEi i`i ,Vorrnele 4 t3(9 Water pipiag/DWV 56.29 Address: se cA'J - , Other: 25.02 City/State/ZIP: 1...111A S i3 i� i 012,q1 2,3 Subtotal Phone:(5173)t,OCFG(?li 3 Fax:( ) Minimum permit fee: $72.50 Cal Lic: 1.2kj�� - Plumbing Lic.no.:34-s.Wor lJ Plan rcvicw (25%of permit fcc) State surcharge(12%ofpermit fee) Authorized signature: TOTAL PERMIT FEE Print name: J-en,,,r 4-:, :,'„,,,A Date: 1/' i 24 This permit application expires if permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tn-Candy Building industry Service Board. 1:\BuilaingWertnrts'PCMU-PermsAep.doe 100ta9 9141616T(i0/02,COM/WFB) City of Tigard , .71 * COMMUNITY DEVELOPMENT"DEPARTMENT TIGARD Building Permit Review — Residential Building Permit #: M ST202f-00009 11 Site Address: 13108 SW Foran Hills Ct Project Name: Foran Hills Lot #: 14 Planning Review Proposal: New House ® Verify address/suite# active in Accela. R In River Terrace: El No ❑ Yes, River Terrace Review Addendum Site Plan Elements: XiErosion Control ®3 copies of site plan on 8-1/2"x 11" or 11 x 17"paper XRetained trees with drip line and tree protection measures ®Drawn to scale(standard architect or engineer scale) ®Footprint of new structure(including decks)and FFE ]North arrow EUtility locations&easements (required for new and additions) ®Site address,project or subdivision name and lot number ]Sidewalk/driveway approach [Applicant information(name and phone number) rl,ocation of wells/septic systems I]Lot dimensions and building setback dimensions Street tree size,type and location r17quare footage of buildings to be demolished [Street names nklExisting structures on site ®Comer elevations(2'contours if more than 4'differential) 7�ry CL Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? EYes ❑No impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? [Yes ❑No ® Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified Xr. No Received: 0 Yes E No ® Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: 0 Yes,applicant was notified '6- No Received: 0 Yes 0 No ® SDC Exemption for ADU applied for: ❑ Yes Ll No Received: 0 Yes 0 No ® Public Facilities Improvement (PFI) Permit Required: 0 Yes,applicant was notified ® No Applied For: 0 Yes ❑ No,stop intake ® Land Use Case #: SUB2017-00005 6r7 Zoning: R-7 ® Required Setbacks: Front: 15 Rear: 15 Side: 5 Street Side: 15 Garage: 20 ® Building Height: Max. Height: 35 Actual Height: 25 PS] Landscape Area: 20 % ® Lot Coverage Max: 80 % Entrance gil Set back no more than 8' from street-facing wall 6d Parallel to street or offset 45 degrees or less Windows El Minimum 12%of area of all street-facing facades 24% Garage $] Garage door is behind widest street-facing wall ❑ Yes ® 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. Xl Garage door width is 0 12'or less ® 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch 0 Recessed entrance ❑ Wall offset ❑ 1'Roof cave ❑ Roof offset ❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony ® Visual Clearance '0_Urban Forestry Plan ® Sensitive Lands: 0 Yes J No Type: ] Conditions met prior to issuance of building permit Notes: X, Approved By Planning: Date: I V 1 —I202-1 Revisions (after B ding Submittal only) Reviewer Date Revision 1: Approved ❑ Not Approved 4L l/NAi Revision 2: 0 Approved ❑ Not Approved 1:1B uildi ng\Forms\Bl dgPerm itRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: o//tit// 2/ Site Plans: # ,3 Building Plans: # Building Permit#: I Enter building permit#above. Workflow Routing: I Planning [ Engineering P-Permit Coordinator [Building Workflow Sign-off: P-Sign-off for Planning(include notes from planning review) Route Application Documents: IP-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. ®'Building: original permit application,site plans,building plans,engineer and beam calculations . .d trust details,if applicable,etc. Notes: By Permit Technician: Date: ///2/2p2/ Engineeringng Review 2 Slope at building pad: 5�D IG Conditions "Met"prior to issuance of building permit GYEasements (encroachments)per engineering conditions of approval and plat 2"....-Water Quality/Quantity Facility Assess Water Quality Fee in-lieu: ❑ Yes R No Assess Water Quantity Fee in-lieu: ❑ Yes C�No �LIDA Facility on lot: Yes I,d'No 2 Final Plat Recorded: IQ NOT Approved by f Engineering: y , Date: [_/g-u,zJ Notes: 51i7.4„ a (Aft*r STAB.., 1,41-w. Approved by Engineering: 4 t,,,i 1 .•l,}{ Date: j-Z S'•20 z/ Revisions (after Building Submittal only) Reviewer Date Revision 1: ()E.Approved 0 Not Approved K,par 14./4 [- zS 2-e24 Revision 2: 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: //3/.2 Revision Notice 2: Date Sent to Applicant: 10 111. SDC Exemption: ❑ Received 4oes, not apply !1 SDC Fees Entered: Wash Co Trans Dev Tax: VJ Yes ❑ N/A Tigard Trans SDC: t es ❑ N/A Parks SDC: es 0 N/A lACA LIDA ILYYes j7g. N/A voi- xr OK to Issue Permit Approved by Permit Coordinator: Alfr R() \- Date: 1 124 -ZI I:\Building\F o nns\BI dgPerm i tRv wRE S_122419.d o cx