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Permit Plumbing Permit Application Building Fixtures , FOR OFFICE USE ONLY t Received Date By: �M 1 - City of Tigard Permit No. /y('�W Ll_ 003/4 III 13125 SW Hall Blvd.,Tigard,OR 97 tylt] I'Phone: 503.718.2439 Fax: 503.59:R'7':1 Plan Review Date/By: Other Permit No.: TI G A RU Inspection Line: 503.639.4175 Date ReadyiRv: Juris. ® See Page 2 for Internet www.tigard-or.gov Notified Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist Description I Qty. Ea. I Total O Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑X 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 1 500.32 ❑Accessory building ❑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: 13111 SW Foran Hills Ct. Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: Tigard, OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: Foran Hills 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 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: Foran Hills I Lot no.: 1 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 Backwater valve 12.51 DESCRIPTION OF WORK ... Clothes washer 1 25.02 New, single family residence Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name: Stone Bridge Homes NW, LLC Fixture/sewer cap 25.02 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 IX-I 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 6 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 25.02 CONTRACTOR Water closet 3 25.02 Water heater 1 37.52 Business name:Jardine Plumbing Waterpiping/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:JGey,Jc(.4/ d m e TOTAL PERMIT FEE Print name: Date: 5-1 3-2021 This permit application expires if a permit is not obtained within 180 days Jay Jardine after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board- I1Building\Permlts\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) LElectrical Permit Applicat C E I y E FOR OFFICE c SE ONLY City of Tigard JULJ ;f121 Received ' ' • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review �, , • • Phone: 503.718.2439 Fax: 503.592O (wriGAR[) Date,B Related Permit 4: Inspection Line: 503.639.4175 Ready Date/By: runs ® See Page 2 for TIGARD Internet wwwtigard-or_goy -3�JILDI NG DIVISION Notified/Method: Supplemental information TYPE OF Walik",.--L- ..t',!'•. -Itr,,i.a: . :;. ' .r'./, : >,;.t - Y W ❑X New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked). ❑Service or feeder 400 amps or more 0 Building over three stories ❑Demolition ❑Other: . where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION ,.'-,..,,- ': ;„ exceeds 10,000 amps at 150 volts or 0 Floating buildings. X❑ 1-and 2-famil y dwellingless to ground,or exceeds 14,000 ❑Commercial-use agricultural ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings. ❑Multi-family D Master builder ❑Other: ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LlaIIIIIIMMIM 0 Emergency system larger separately derived O 100 Addition more.motor load of system. Job#: 2997 Job site address: 13111 SW Foran Hills Ct. 00HPorore ❑"A","E'•,•'I-2","1-3", CI /S /ZIP: Tigard, OR 97224 ❑Six or more residential units. occupancy. City/State/ZIP: g ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt#: Project name: Foran Hills ❑Ilazardous locations. 0 Supply voltage for more than O Service or feeder 600 amps or more. 600 volts nominal Cross street/directions to job site: ' FEE SCHEDULE Description I On. I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision: Foran Hills Lot#: 1 Includes attached garage. 1,000 sq.ft.or less 3 168.54 4 Tax map/parcel#: Ea.add'I 500 sq ft.or portion 1 33.92 1 DESCRIPTION OF WORK Limited energy,residential (with above sq.ft.) 75.00 2 New, single family residence Limited energ y,multi-family 75.00 2 Changing electrician to: City Electric. Permit#: MST2021-00034 residential(with above sq ft) Renewable Energy 0 See Page 2 l l PROPERTY OWNER 1., 0 TENANT ,,,,,,. Services or feeders installation,alteration,and/or relocation Name: Stone Bridge Homes NW, LLC 200 amps or less 100.70 2 Address: 4230 Galewood St. Suite#100 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: Lake Oswego,OR 97035 601 amps to 1,000 amps 301.04 2 Phone:( 503)387-7577 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: portlandpermits@stonebridgehomesnw.com 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 IIW Branch circuits—new,alteration,or extension,per panel ® APPLICANT ❑ CONTACT PERSON A.Fee for branch circuits with Business name: Stone Bridge Homes NW, LLC above service or feeder fee, 742 2 each branch circuit Contact name: Permit Tech B.Fee for branch circuits without serAddress: 4230 Galewood St. Suite#100 branchce it feederitfee,first 56.18 2 branch circuit City/State/ZIP:Lake Oswego, OR 97035 Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( 503)387-7577 Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: portlandpermits@stonebridgehomesnw.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 ID See Page 2 2 Address: 22235 SW Schaltenbrand Ln. panel,alteration,or extension. City/State/ZIP: 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:( ) Investigation(1 hr min) 90.00/hr Email: cmefriesen@gmail.com Industrial plant(l hr min) 78.18/hr rig Inspections for which no fee is 90.00/hr cce Lic.:42422 Electrical Lic.: 26-289C Suprv.Lie.: 3592S specifically listed(v hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: CK i.j `�ry,t;,,,,,n, Subtotal' Print name: Chuck Friesen Date:7-13-2021 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: , firm , /( TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Tiana Rudolf Date: 7-13-2021 days after it has been accepted as complete. * Number of inspections allowed per permit. 1\Building\Permits1ELC_PermitApp_ELR_ERE.dec Rev OW17/2015 440-4615Ti 11/05/COM/WEB CITY OF TIGARD MASTER PERMIT ii COMMUNITY DEVELOPMENT Permit#: MST2021-00034 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/26/2021 Parcel: 2S 109ACO2200 Jurisdiction: Tigard Site address: 13111 SW FORAN HILLS CT Subdivision: 1992-057 PARTITION PLAT Lot: 1 Project: Foran Hills, Lot 1 Project Description: New detached dwelling with 156 sf deck and 130 sf deck cover BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1363 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1647 sf Garage: 556 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3010 sf Value: $402,468.14 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 4 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 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 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'I 500 at: 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 3010 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: $40,573.18 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: }fatly Vc i,De We0e Permittee Signature: OviAppUCCA.t.Cn Call 503.639.4175 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. 1 Sz.aa-i Building Permit Application 21B121 RECEIVE Residential p FOR OF I IC I Y' City V IISE ONLY of Ti FEB 0 20Z1 Received Tigard Date/By: 2I1"ikZ\ NV Permit N'il\AST"2CSU`OCID31 ., 0_.9. 13125 SW Hall Blvd.,Tigard,OR 97223 , vlaa Review Inspection Line: 503.639.4175 �'��II OF TIGARD nalcRm 313 2( Ms' otnerPermitS 3 1'°'-or 000a3 Phone: 503.7182439 Fax: 503.598.196 TII,,ARD PI Date RcadylB T PS See Page 2 for Internet: www.ngard-nr.gov '��-DING Dl\IlS{ON s otifiedfMclhad: !S / "` Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING 11CPNew construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other equipment,materials,labor,overheadC.a/nd the profit for t CATEGORY OF CONSTRUCTION work indicated on this application y! 0,!D/ YG t r � y dwelliI-and 2-famil n Valuation $ g ❑Commercial/industrial ❑Accessory building ❑Multi-family Number of bedrooms: 5 ❑Master builder 0 Other: Number of bathrooms: 3 ' 11i Total number of faors: 5 Q JOB SITE INFORMATION AND L`i?CA3SION �°' l"�:�-� 2. Job site address: New dwelling area: square feet lt 13ut SW Fovaan +1111s ct. g 3�p10 �q ll,o`-f 1 City/State/ZIP: l lt?Y12.,Di tbR Garage/carport area:. .. 551SI square feet 13(p3 Suite/bldgJapt.no Project name: Covered porch La square feet `e Cross street/directions to job site: Deck area: 1 square feet Gt>e` ` r`cA�� \��square feet rL t REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: 4-1us" Lot no.: 7„ Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the � DESCRIPTION_r OF WORK work indicated on this application.. trtt y I1 1 ttivl 11.tI V._ec OENCC Valuation: $ Existing building area: square feet New building area: square feet MI PROPERTY OWNER f>TENANT Number of stories: Name: S-rOiste b9.-Ar>bE HOMLS NLUtt1_L Type of construction: Address: zt2.-3) (2 v,)00c) Sit cOat is Occupancy groups: City/State/ZIP: L"t OS►,d bC, 11 a3 S Existing: Phone:( b3)3 il.1511 Fax:(J 3) 39511[17t5 New: ❑ CONTACT PERSON �APPLICANT BUILDING PERMIT FEES1 (Pkosr refer to fee schedule) Business name: S7rNe BiLtribe HOME.S vsl'iIL)l,L� Structural plan review fee(or deposit): Contact name: 1,4(a4-)2e- -43/2Atr -- - FLS plan review fee(if applicable): Address:. - - Total fees due upon application: City/State/ZIP: Phone:( ) Fax::( ) Amount received: E-mail: P''3V2.}-[- es--rol,,(EFj►u(7�e4 t—i'` Nw (:&,1 PHOTOVOLTAIC SOLAR PANELSYSIrMFEES" Commercial and residential prescriptive installation of CONTRACTOR:. _ roof-top mounted PhotoVoltuic Solar Panel System. Business name: S-CC;(.le Ii3R-1 pbE R.ic)M v j t 4. _ Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 40-30 LA-1 S(1 S�UITe- 10 Solar Installation Specialty Code checklist. City/State/ZIP: (- W it OR -(I t( 35 Permit Fee(includes plan review $180.00 5)3% 115-j"( Fax: age administrative fees)- Phone:( (�� -2vl,�)5 State surcharge(12%of permit fee): $21.60 CCB tic.: 4-7 331`�'y Total fee due upon application: $201.60 Authorized signature. t:s This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 1�,r�,� Date: *Fee methodology set by Tri-County Building Industry �"~�T �� Z-1 Service Board. I:\Building\Permits\BIJP-RESPermitApp.doc 02/24/2011 440-4613T(l I/02/COM/WEB) . a Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE t NF ONLY City of Tigard Received 2111 Z‘ 1/4v Permit xo.:(MScZOZ .CC()39 'a. 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: W Phone: 503.7182439 Fax: 503.598.1960 T}[;A t&F? 24-Hour Inspection Line: 503.639.4175 Electrical 0 Plumbing ❑ Mechanical interne: www.tigard-or.gov 0 0thcr. THE FC)I,I.OW INC ITEMS ARE REQI IRE ) FOR PL:'t\ REV'II'\ I Land nse actions completed.See jurisdiction criteria for concurrent reviews. 01 2 Zonh g Flood plain,solar balance points,seismic soils designation historic district,etc. 3 Verification of approved platllot. Cl 0 0 4 Fire district approval required. Name of district: 0 ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity I ❑ 0 6 Sewer permit ❑ 0 ❑ 7 Water district approval a ❑ a 8 Soils report. Must carry original applicable stamp and signature on file or with apptieation ❑ ❑ 0 9 Erosion control ❑plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ 0 basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state i'n 0 building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. I 1 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property comer elevations(if p ❑ ❑ there is more than a 4-(1.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 reinforting pads,connection details;vent size lid ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors;water heater, &a 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 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. ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet eddendunts showing foundation elevations with cross references,are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ❑ 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 g3) locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement ofrebar.For engineered ❑ 0 ❑ systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists r 0 0 over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ❑ 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required p ❑ for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or p ❑ ❑ architect licensed in Oregon and shall be shown to be • p licablc to the aroieet under review, •JURISDICTIO\AL. SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 0 0 f♦ 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-ens, "Mirrored"building plans will not be accepted. 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. 0 0 0 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ 0 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approvaL Tree locations,driplines, ❑ ❑ 0 and protection measures must be drawn to scale and must include the project arborist's signature of approval: 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, 0 0 ❑ including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9,1995. 1:1Building'Permith\BtJP-RESPemutApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 1 Mechanical Permit AnnlieRFCEIVED FOR OFFICE USE ONLY City of Tigard Fircei3cd I t"1'2 i311 tYy 2 tot 33 7 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 0 8 2021 4�v Mom ,-e 3� l ... Phone: 503.718.2439 Fax. 503.598.196(} oho Itcricw to .,e is - TIO.,tREl Inspection lane. 503.639.4175 CITY OF TIGARD Datc Read)T1,' kmo: 10 See Page 2 for _ Internet. mww.tigard-or.gov Not,Sed-idethod Supplemental Information BUILDING DIVISIORi ...TYPE OF WORK - COMMERCIAL FEE' SCHEDULE-USE CHECKLIST - - Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all El Demolition ❑Other: mechanical materials.equipment.labor.overhead.and profit, Value:S 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 ❑Other: Description Qty. [ Ea. 1 Total JOB SITE INFORMATION AM) LOCATION Heating/cooling: • Air conditioning 46.75 Job site address: (3 t 11 S W TDYa1.Vl -�\\�6 et, I--orate..100,000 BTU mutts/vines) 1 46,75 City/State/ZIP:Tigard,OR Junta..(00.0001 1ST 1,Nu(i(^,Y.nn 54.91 Heat pump fit 01; Suitelbldg,/apt.no.: Project name Duct wort 23-32 __....- - ...mm,® Cross street/directions to job site:; Hydronie 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 Fkic,vent for any of above - 1 23.32 Subdivision i ra2A14 H I14S Lot no.: 1 Other. 23.32.. Other fuel appliances: Tax map/panel no_: Water heats 1 23.:32 DESCRIPTION OF WORK Gns fireplace/insert 1 33.39 . _... Flue vent for water heater or gas new,single rantily residence fireplace 2 23.32 Log lighter(gas) 23.32 - - —" -. Wood/pellet stove 33.39 Wood Gteplace(itisert 23.32 Chuuney;hoer/fluelvent 23.32� , ® PROPERTY OWNER ❑ TENANT Other. 23.32 Environmental exhaust anti ventilation:. Name:Stone Bridge Homes NW,LLC Range hood/other kitchen - equipment 1 33,39 Address:4230 Calewood St,Suite 100 Clothes dryer exhaust I 33.39 CRV/StatelLlP:Lake Oswego,OR 97035 Single-duct exhaust(bathrooms. -- "--- toilet compartments.milts rooms) 5 23.32 Phone:(503)387.7577 Fax:(503)357.7615 Attic'crawispace fans 23.32 El APPLICANT 0 CONTACT PERSON Other. ~. 23.32 Fuel piping;, Business name:same as above - _ - _ - .. - . „ 514.15 for first four;$4.03 for each additional _..:... Contact name:Deirdre Britt Furnace.etc. 1 Address: Gas heal pump - - -.Wall/suspcnded/unit heater City/Slate/ZIP: wales healer i Phone:( ) Fax: . ... . .{ ) Fireplace—.. I ....,._.. ____.._ -- Range Range I E-mail:dbrittlustonebridgehomesnw.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:Comfort Zone Other: — - MECHANICAL PERMIT FEES' ..__ Address:1032 NW Corporate Dr. - - Sublotal CityiStateIZIP:Troutdale,OR 97060 Iviinimunr permit fee(S90.00)� _. _.. .....�.-�.__-_..,... ... Plan review(25%of permit Ice) i Phone:(503)667.5595 Fax:(503)491.8252 State surcharge(12°o of permit fee) CCB lie.:110091 TOTAL PERMIT FEE . ,. "� """-' -- - """�""""-"" This permit application expires if is permit is not obtained within ISO t,l ��'_.. days after it has been accepted as complete. Atithnrized signetin'e M1 - * Fee mctho/nlagy set by Tri-County Building Industry Seiviot Board Print name:David Hcldstah Date:2-M to 2.‘ l:etilehilT<nmt iC V.riniill ,a IC! 3tioe do lei t it iY c 'tiUWEiii Electrical Permit Appl e atiRECEIVED FOR OFFICE l of tr\l.li ,. City of Tigard FEBggttt1gqy near 2111\Zt 1.V p t,t. ZS�Z1-Cc �1 f a 13125 SW Hall Blvd.,Tigard,OR 97273 U O 8 LUL 1 plan Rcvicw i I Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit#: Inspection Lino: 503.639.4I75 Ready Date/fiy: Jar la See Page 2 for TIGARD Internet: www,tigard-or.gov CITY��yyE�' '""'p�� Notified/Method: Supplemental Information 3 • �N .VI rR _t TYPE.OF VVO .4v I ,. `--. .PLAN nviEw: V)New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets ofplans w/items checked): 0 Serer=or feeder 400 amps or more 0 Building over three stones. El Demolition ❑Other; where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTIONS exceeds 10,000 amps tit 150 volts or ❑Floating buildings. h 1-and 2-family dwelling ElCommercialindustrial El Accessory building less to ground,or exceeds 14,000 El Commercial-use agricultural amps for all other installations. buildings. 0 Multi-family ❑Master builder 0 Other: ❑Firc pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND-LOCATION .' 1. ❑Enurgency system. larger separately derived Job#:2Ckgl lob site address: 131a\ 5VJ rp,( t ._ ❑Addition r f new motor loud of system. �1�1�y� �.'� IOOHP or mote. ❑`•A•°6.•,•'1_2,••y 3,• City/State/ZIP; ';I(2 t>!>D� - - .- 0 Six or mare residential units. occupancy, 0 Health-care facilities. 0 Recreational vehicle perks. Suite/bldg./apt.#: Project name: 0 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: 1, —,_ tSCmoE Destripaaq 1.Qty. I Faeh- I Total I t�3 New residential single-or multi-family dwelling unit.Subdivision: F(�1,1 H}U.S I Lot#: 1 includes attached garage.. 1,000 sq.ft.or less 3 168.54 4 Tax map/parcel#: Ea.add'1500 sq.ft,or on I 33.92 1 DESCRIPTION OF WORK !. P � {{ C ��}7 i Limited eneryry,residential • .m 14 3 it-Al-At .E ILI F.c i ,N ` (with above sq.ft.) 75.00 2 . Limited energy,multi-family - 7500 2 residential(with above sq.fl.) , 4 Renewable Enema , 0 See Page 2 1 PROPERTY OWNER - ❑ TENANT Services or feeders Instal' laden,alteralmn..and/or relocation Name: SI 12A1)( HOIV1 'e 1-k1v1 CLL. 200 amps or less 100.70 2 Address: c (, c..N al..Tt Jul-rit 0,).z 201 amps to 400 amps 133.56 2 City/State/ZIP: 401 amps to 600 amps 200.34 2 1 1 i t3i2 17035 6m amps to 1,000 amps 301.04 2 Phone: 3(8)-'11 i5'i-1 Fax:(503)3251/it 15 Over 1,000 amps or volts 552.26 2 - - - Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 ' 2 Owner signature: Date: 401 amps to 599amps 168.54 2 I:1 Pit APPLICANT I CI CONTACT PERSON Branch circuits.-.new,alteration,or extension,,•r panel A.Fee for branch circuits with Business name: S'[cM F512,„\ObE H ph/I 1..,t W i l Lk.> above service or feeder fee, � "` each branch circuit 7A2 2 Contact name: q,�--�et )j 12,94-C-r B.Fee for branch circuits without Address: service or feeder fee,first Sb.is 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 67.84 2 dwelling,service and/or feeder Email: ei\-241-t e 5-roi.iE$RiDt .NowiEstslul,e_cm Reconnect only 67.84 2 CONTRACTOR - Pump or irrigation circle 67.84 2 Business name: EAtZ.-(12-,1 CAeL i P11-S 0V A-1-1 c7NS Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address: i Ii:). Sis �1:j .4.40 bp._ panel,alteration,Of extension. ❑ Seer age 4 2 {/KID/rr-�S('l.)Sa -.- �-I W I Each additional inspection over allowable in any of the above City/State/ZIP: Addaitmal iospeoti°n{l}n min) 66.25/br Phone:( 31 c 7( CIc s Fax:( ) Investigation(I hrmin B ) 90A0/hr Email: industrial plant(1 tar min) 78.18/br Inspections for which no fee is 90.00/hr CCB Lie.: Io1.04i2, Electrical Lic.: 2101.0iViC Suprv.Lie.: specifically tilted(Y1 he mill) ..--- ELECTRICAL PERMIT..FEES Suprv.Electrician signature,required: '..0--4. Subtotal: C. Print name:" � A S Date: i7�'�� ❑Plan Review Required{25%of permit fee). State surcharge(12%of permit fee): Authorizedsignature � A TOTAL PERMITFEE: -' This permit application expires if a permit is sot obtained within Ia0 Print nanic:�aVV 1♦ Date: 2- -�Z4 days after it has been accepted as complete. 1 {,aa'O ` " Number of inspections allowed per permit. I:1BaildinglPermilt6ELC PermitApp_nLR_jRr.doc Rev 06/10R0i5 440.46151(11/OS/COM/wfn Electrical Permit Application-City of Tigard Page 2-Supplemental information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Description Qty. -$sett I rota] { ' Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: s orless 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to25 kva 200.34 2 Wind generation systems in excess of 251cva: Burglar Alarm 25.01to50kva 301.04 2 50.01 to 100 kva 552 26 2 O Garage Door Opener* >100 kva(Re iu accordance with OAR 918-309-00407 552.26 2 (0 Heating,Ventilation and Air Conditioning solar generation systems in excess of 25 kva: System* Each additional kva over25 7.42 3 ❑, Vacuum Systems* L>100 kva-no additional charge 0.0 3 Each additional inspection over allowable in an_of the above: n Other: Each additional inspection is 6b.25/hr charged at an hourly(I hr min) Inspections for which no fee is 90.00/hr specifical listed(Vs hr min) COMMERCIAIa WORICONLY: i -1 ELECTRICAL PEItivi m+ltEES- Subtotal(Enter on Page 1). Fee for each commercial system: $75.00 . Ngmber oftnspcctmas allowed par permit (SEE OAR 918-309-0000) Check Type of Work Involved: • Audio and Stereo Systems ❑ B• oiler Controls ❑ Clock Systems n D• ata Telecommunication Installation ❑ Fire Alarm Installation • HVAC Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* n Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 19nu11d1ng\Permftali2Ic Pcrrnitdpp_f2artRr doe Rev 06/172015 Plumbing Permit Apullca' 'EC E I V E Building Fixtures FOR OFFICE. d'i 11\1 \ City of Tigard FEB 0 8 2021 Received ''``,,'' Permit III r 13125 SW Hall Blvd,Tigard OR 9 Date/gy; ZiIi 7..\ m Nf-1 .02A-cob3 j OF GARD Plan Review Phone: 503.718.2439 Fax: 503.59V[I �y�TIGARD Date/By: Other Permit No.: T 1 G h R D Inspection Line: 503 6394175 BUILDING ILDING DI y lQ1 C J Daze Ready/By Ins: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF! ��R��. .. `u,.ak=ite,, - `` x =-„ PEE* SCHEDULE eNew construction 0 Demolition For apeciut information use checklist. Deshriplihh dwellings includes 100 Qty. for I Ea ] Total. ❑Addition/alteration/replacement 0 Other: New I_ y ng (� each utility connection) CATEGORY OF.CONSTRUCTION .c ` SFR(I)bath 312.70 I-and 2-tamily dwelling ❑Commercial industrial SFR(2)bath 437.78 El Accessory building 0 Multi-family SFR(3)bath 500.32 -- - Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.R.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: -- Job site address: \7\\,\\.. k pY l �1\\5 _Cti. Catch basin oraxeadrain 18.76 City/State/ZIP: ""'I"t j ,.t) Vlt� Drywell,leach line,or trench drain 18.76 ---- Fooling drain(no.linear ft.:_) Page 2 Suite Bldg./apt.no.: 11 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 Storm scorer(no.linear ft.: ) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: yoppisiHI LtS Lot no.: ' . moire orKim Tax map/parcel no.: Backilow preventer 31.27 DESCRIPTION OF WORK Backwater valve 1251 q� Clothes washer i 25.02 1AW StNIME fl\-1\1111-' V SIn � Dishwasher i 25.02 Drinking fountain 25.02 Ejectotslsuinp 25.02 ram PROPERTY OWNER ! 0 TENANT T Expansion tank 12.51 Name: _Nat �4W)L,..a 1,1W,t.-C. Fixture/sewercap 25.02 Address: q 13 0MD , t a Sore Ids Moor g disposal sink/hub 25.02 Garbage disposal 9 25 02 City/State/ZIP: UAW OSvjEt.,01 Oat 11c6cHose bib .1 25.02 Phone:(,5)3)3Rj11 t11 Fax:tic,)3Qj-1-1lD 15 lee maker 1 12.51 It APPLICANT 1 0 CONTACT PERSON �' Interceplorlgreasetrap 25.02 Business name:Sircj),IG lacLtDLDE Ho• NWJ(,I.L T Mm1calgas{value:$.... ) Paget Primer 12.51 Contact name: ] " Q 1'j-( Roof drain(commercial) 12.51 Address: Sink/basin/lavatory W 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan l 12.51 E-mail: '.2t3(2dT'feS-LC>NE 3 =1DLi€IIAcrAt�v,t (1..C1M1 Urinal 25.02 -" - Water closet 3 25.02 CONTRACTOR Water heater I 37.52 Business name: ki jkti_ ) MOL&61.4 TpiA3Mk.I't15 Waterpiping/DWV 56.29 Address: '✓ , Other: 25.02 City/State/ZIP: \u 5 7j ti,11)1 012-C11 12;j Subtotal Phone:( )))il`.CO113. Fax:( ) Minimum permit fee: $72.50 CCB Lie.: 12(0t,1 Plumbing Lie.Lie.no.:34-?Apo P6 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: �! TOTAL PERMIT FEE Print name: J� Date: 2.- ze -1; 6 permit fppBcedbn eapirea if a permit is sot obtained within 180 days -'�`n 1aver it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. t:Wvildi. 'Permiti\PLMU-PermilApp.dm:10/01N9 4i046167(10/uiCOMIWI:B) Plan # 341 g S Floors Large Bed rooms S Small 5c9 we 3 I I � c, b LAV 9,3 — 127i -RPX3D1b= 3vflQo`T. (O Tub Basement 2 Vent 1st Floor 13(43 — 31 x rj�j�; Z�Q $q l J Water Heater 2nd Floor L(p ( t AC b 3rd Floor J = 3 �(7 ,�3-- SchoolSchool S R-3 Total 3 b 1 b Dn �ic ^ ( Li'37 x AD Garage SS (p I b ��k ISM Total 35'CeCp p,e.C,\2- C —ail, 3-7 X 13D= 31 I t�(b \-:::i aC_ p #for Elec -\--1) i p 2--1 (Q$ , �(49.+(30` t sze City of Tigard ?,�4� 1 Z, IIIICOMMUNITY DEVELOPMENT DEPARTMENT ■ TIGARD Building Permit Review — Residential Building Permit #: MST 2OZ1- OOb 31-k Site Address: 1 /// Ck) 21r-? MA UrT- Project Name: jr /27/j J/g Lot #: j Planning Review ® lie Pro sal: g-e . ..2/g/Z1 te.wLCIC/S ei _ • 1d Verify address/suite#active in Accela. i River Te e: U'No El Yes,River Terrace Review Addendum Sit Plan Elements: S osion Control Ad7copies of site plan on 8-1/2"x 11"or 11 x 17"paper IGlljetained trees with drip line and tree protection measures p rawn to scale(standard architect or engineer scale) Sa' .otprint of new structure(including decks)and FFE Vilyorth arrow h '-ty locations&easements(required for new and additions) e address,project or subdivision name and lot number Sid- alk/driveway approach plicant information(name and phone number) lI'�.cation of wells/septic systems t dimensions and building setback dimensions ►.S et tree size,type and location OA. . e footage of buildings to be demolished et names vl. .sting structures on site A4 Comer elevations(2'contours if more than 4'diffe ntial) ►A Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replace ? Yes 01�i6 impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? If 1❑Yes UNo II Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): IIRequired: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes CINo I Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs VI Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes 0 No II :D C Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No 15 Public Faciliti Improvement(PFI) Permit: Zequired: Yes,applicant was notified ❑ No A lied For: (7J Yes ❑ No,stop intake fd Use Case#: / C7� 6d" Zoning: uired Setbacks: Front: Rear: /S Side: Street Side: ^J Garage:2Qi din Max.Height: Actual Heig : g May Height: 04 Landscape e : �� % Lot Coverage Ma�• �ls Entrance et back no more than 8'from street-facing wall I e Parallel to street or offset 45 degrees or less Windows um 12%of area of all street-facing facades 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 a d there is a covered porch extending beyond garage. O Door extends no more than 5'from w and there is a 12 sq ft.window above garage on 2m1 floor. Garage door width is ❑ 12'or less 50%or less of facade ❑ 60%or less and includes 7 of following: O Covered porch ❑ Recessed entrance El Wall offset 0 1'Roof eave 0 Roof offset ❑ Fire shingles ❑ Lap Siding 0 Roof pitch ❑ Gable,hip,or gambrel roof 0 Dormer ❑ Accent siding Window trim ❑ Wmdow recess ❑ Window projection ❑ Balcony OK•sual Clearance Urban Forestry an P]1 sensitive Lands: ❑ Yes ' 1 No Type: Co ditions met prior to issuance of building permit No s: Approved By Planning: _ Date: —2- Revisions (after B ding Submittal only) Reviewer ateP • Revision 1: Approved ❑ Not Approved -� 10 Revision 2: ❑ Approved 0 Not Approved I:\Building\Fonns\B1dgPemiltRvw_RES_I22419.docx Building Permit Submittal Original Submittal Date: 24 41il Zi Site Plans: # Building Plans: # 3 Building Permit#: Q Enter building permit#above. Workflow Routing: g Planning GY,Engineering L' Permit Coordinator 1;1'Building Workflow Sign-off: 2 Sign-off for Planning(include notes from planning review) Route Application Documents: Kt' Engineering (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Er Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: t'lrA\-3 V oy\V c.1_--J(L Date: 2A l'1l Z( k Engineering Review [lope at building pad: onditions "Met"prior to issuance of building permit 12---Easements (encroachments)per engineering conditions of approval and plat [2"1/ater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes Ei" No Assess Water Quantity Fee in-lieu: 0 Yes 0'No �LIDA Facility on lot: 0 Yes .-.No I7 Final Plat Recorded: El—NOT Approved by Engineering: (4 , K 514 44_, Date: „2.-/g-20 1 Notes: 3ft' t l ( p,}T S7-u2,.... IA-'rt2..4 I ❑ Approved by Engineering: Date: Revisions (after Bui.lding Submittal only) Reviewer Date Revision 1: ,lam Approved ❑ Not Approved V. , (tst.}#4...._ pZ- 01 t. Revision 2: 0 Approved ❑ Not Approved Permit Coordinator Review .Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: ReV1Siw c tti VISitro{ M - etAilik_e8( AW\can4 . itt, Z/l$I2Q2.1 Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: 3I'L/A Revision Notice 2: Date Sent to Applicant: ' SDC Exemption: 0 Received 0 Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: l . Yes ❑ N/A LIDA ❑ Yes Id N/A 1 OK to Issue Permit Q� Approved by Permit Coordinator: A.10-Vx-7Date: 2/ 23 kZ) I:\B u i I d ing\Forms\B I dgPerm it R vw_RES_122419.docx Agnes Lindor From: Agnes Lindor Sent: Thursday, February 18, 2021 9:17 AM To: Deirdre Britt Cc: Lina Smith; #Building Permit Technicians Subject: Foran Hills Lot 1 MST2021-000034 Good morning- Engineering is requesting a revision to the site plan to show the storm lateral. Please email the revised site plans. Thanks, Agnes Lindor I Associate Planner City of Tigard I Community Development 13125 SW Hall Boulevard Tigard, Oregon 97223 Phone: 503.718.2429 Email: AgnesLPtigard-or.gov 1