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Permit
Iii lEVIS1 Plumbing Permit Application 1p a U215Lt Building Fixtures J3002 l OR 0FFI( I: l st: mil FH6 Received INtSr 2021-01y City of Tigard Permit No.: Date/By: ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review I Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.: T I i A R D Inspection Line: 503.639.4175 Date Ready/By: Juns ® See Page 2 for Internet: www.tigard-or.gov Notified/Method. gg Supplemental Information TYPE OF WORK. ,.r . . �. .4 A'slA.�.� ) �, ; ®New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) g... , '. 'iti'I'.° *OgY t Rt A itch AI:: t it SFR(1)bath 312.70 ❑x 1-and 2-family dwelling 0 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: jg` Fire sprinkler( sq.ft.) Page 2, lj�' s:e g,E .ltl,r ¢ ci:"01^*stt8 t din Site utilities: Job site address: 13051 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 Lot no.: 6 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 Change contractor on existing permit Drinking fountain 25.02 Permit#: MST2021-0017S1 Ejectors/sump 25.02 NI PROPERTY OWNER 0 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 l APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: Stone Bridge Homes NW, LLC Medical gas(value:$ ) Page 2 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 3 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 Water piping/DWV 56.29 Address: PO Box 186 Other: 25.02 City/State/ZIP: Estacada, OR 97023 Subtotal Phone:( ) Fax:( ) IJ�v_320M Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.: 108747 Plumbing Lic.no.: 93-t347 State surcharge(12%of permit fee) Authorized signature:jay jairvw, ,e TOTAL PERMIT FEE Print name: Jay Jardine Date: 6-9-2021 This permit application expires if a permit is not obtained within 180 days Y after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board, I.\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(I0/02/COM/WEB) Electrical Permit Application FOR OFFICE USE ONLY City of Tigard Received permit#: • 13125 SW Hall Blvd.,Tigard,OR 97223 DateB : Plan Review v Phone: 503.718.2439 Fax: 503.59: Vv., Date/B Related Permit# Inspection Line: 503.639.4175 1 I G A R I4 j3 s v7 ^ Ready Date/By 7uris. ® See Page 2 for Internet: www.l igard-or.gov FH: •\ Notified/Method: Supplemental Information X New �t -y.. f _ .,, TYl"$"off" ` r e` � . .� —"LAN RE�W ❑ construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): O Service or feeder 400 amps or more 0 Building over three stories. 0 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❑ I-and 2-family dwelling ElCommercial/industrial ❑ Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑ Multi-family E Master builder ❑Other: 0 Fire pump. ❑Installation of 150 KVA or ,OB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived n 0 Addition of new motor load of system. Job#: 3002 Job site address: 13051 SW Foran Hills Ct. loolmormore. ❑"A", s"."1-z",'l-3", City/State/ZIP: Tigard, OR 97224 ❑Six or more residential units. occupancy. ❑Healthcare facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: Foran Hills ❑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 1111111 Description I Qty. I Each Total New residential single-or multi-family dwelling unit. Subdivision: Foran Hills Lot#: 6 Includes attached garage. 1,000 sq.ft.or less 2 168.54 4 Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 1 33.92 1 ip II MN tl1II MOM sa IIi'l 1 .« Limited energy,residential 75.00 2 New, single family residence (with above sq.ft.) Limited energy,multi-family Permit#: MST2021-00174 residential(with above sq.ft.) 75.00 2 Renewable Energy ❑ See Page 2 ® PROPERTY OWNER ❑ 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 30104 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.corn 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 MEW® APPLICANT Branch circuits—new,alteration,or extension,per panel MP CONTACT PERSON A.Fee for branch circuits with Business name: Stone Bridge Homes NW, LLC above service or feeder fee, each branch circuit 7.42 2 Contact name: Permit Tech B.Fee for branch circuits without Address: 4230 Galewood St. Suite#100 service or feeder fee,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 67 84 2 dwelling,service and/or feeder 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 Address: 22235 SW Schaltenbrand Ln. panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP: Sherwood, OR 97140 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( 971) 404-1714 Fax:( ) Investigation(1 hr min) 90.00/hr Email: Industrial plant(Ihrmin) 78.18/hr cmefriesen@gmail.com Inspections for which no fee is CCB Lie.: 42422 Electrical Lie.: 26-289C Suprv.Lie.: 3592S specifically listed(V,hr min) 90.00/hr /J ELECTRICAL PERMIT FEES Suprv. Electrician signature,required: cput k, `c Subtotal: Print name: Chuck Friesen Date: 7-22-2021 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): J'- �� c0 TOTAL PERMIT FEE: Authorized signature: This permit application expires if a permit is not obtained within 180 Print name: Tiana Rudolf Date: 7-22-2021 days after it has been accepted as complete. Number of inspections allowed per permit. i\Building\Permits\Fle_PermitApp_ELR_ERE.doe Rev 06/17/2015 440-4615T(II/05/COM/WFB CITY OF TIGARD MASTER PERMIT ' * COMMUNITY DEVELOPMENT Permit#: MST2021-00174 TIGARO 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/02/2021 Parcel: 2S109AC08500 Jurisdiction: Tigard Site address: 13051 SW FORAN HILLS CT Subdivision: None Lot: None Project: Foran Hills, Lot 6 Project Description: New detached dwelling BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 1762 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 17 Bathrooms: 3 Second: 828 sf Garage: 616 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right 5 Detectors: Yes Total: 2590 sf Value: $352,849.31 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: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckfw 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 sf: 5 201-400 amp: 0 201-400 amp: 0 W/0 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-ramp/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 V B R-3 2590 Owner: Contractor: STONE BRIDGE HOMES NW LLC STONE BRIDGE HOMES NW LLC Required Items and Reports(Conditions) 4230 GALEWOOD ST STE 100 4230 GALEWOOD STREET#100 1 Ersn Cntrl 503-639-4175 LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 PHONE: PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $38,930.49 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�7� or 1.800.332.2344. Issued By: }{p{,{v VM'vDe,We. a Permittee Signature: OVVAppUCXtIIA1rt 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. Jul,' H6 x Building Permit Application I Residential RECEIVED FOR OFFICE USE ONLY City of Tigard Received D5� ZOZ/ Permit No.: MSTZO2/1M e 714 13125 SW Hall Blvd.,Tigard,OR 97223 APR 2 8 2D7I Plan Rev ew �� AA. Phone: 503.718.2439 Fax: 503.598.1960 DateByPlan Revi: Other Per'"ie502202 I-CO I I S TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: 1 ® See Page 2 for Internet: WWw.[tgard-Or.gov D' fILDI^fG nIUI^IO` Nolif e[hod, /�{J{y/�� Supplemental Information eh fedi 1/4- TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction ❑Demolition Permit fees*arc based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement El Other: equipment,materials,labor,overhead,and the priNt4 the work indicated on this application. �^ Le. 31 CATEGORY OF CONSTRUCTION �j"2�1 Valuation: $ 2 El1-and 2-family dwelling ❑Commercial/indusVial i 7 ❑Accessory building 0 Multi-family Number of bedrooms: 3 ❑Master builder ❑Other: Number of bathrooms:'3 JOB SITE INFORMATION AND LOCATION Total number of floors:2 3a,o 6 Job site address: 13051 SW Foran Hills Ct. New dwelling area: 2,590 square feet g�gj City/State/ZIP: Tigard, OR 97224 Garage/carport area: 616 square feet V71,Z, Suite/bldg./apt.no.: Project name: Foran Hills Covered porch area: square feet Cross street/directions to job site: �y y //�� ^ Deck area: 11-7 Q square feet �e, /LUf I. $4(L oe 1 7 2ff 4( fr f"(✓ 'P'te*S Y s✓' OtheYsf—cfure`giea: 3v square feet M45T).0,,&k^ele,.Y03 J4*vE. hre, f/CAtGd.. Ire ililwitce,' REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Foran Hills Lot no.: 6 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. New, single family residence Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER 0 TENANT Number of stories: Name: Stone Bridge Homes NW, LLC Type of construction: Address: 423-Galewood St. Suite#100 Occupancy groups: City/State/ZIP: Lake Oswego, OR 97035 Existing: Phone:(503)387-7577 Fax:( ) New: ® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer ro fee schedule) Business name: Stone Bridge Homes NW, LLC Structural plan review fee(or deposit): 761.34 Contact name: Permit Tech FLS plan review fee(if applicable): Address:4230 Galewood St. Suite#100 Total fees due upon application: City/State/ZIP: Lake Oswego, OR 97035 Phone:( 503) 387-7577 Fax: :( ) Amount received: E-mail: portlandpermits@stonebridgehomesnw.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted Photovoltaic Solar Panel System. Business name: Stone Bridge Homes NW, LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 4230 Galewood St. Suite#100 Solar Installation Specialty Code checklist. City/State/ZIP: Lake Oswego, OR 97035 Permit Fee(includes plan review $180.00 and administrative fees): Phone:( 503)387-7577 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB tic.: 173318 Total fee due upon application: $201.60 Authorized signature: _ e( /( /4 This permit application expires if a permit is not obtained "Q'�LCY 'u within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name: Tiana Rudolf Date:4-2$-2021 Service Board. :\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received = 2 g Ashy. Permit No: • r 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits. Phone: 503.718.2439 Fax: 503.598.1960 TIGARD 24-Hour Inspection Line: 503.639.4175 ❑ Electrical El Plumbing ❑ Mechanical Internet: www.tigard-or.gov ❑ Other. THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ 0 3 Verification of approved plat/lot. 0 0 ❑ 4 Fire district approval required. Name of district: . 0 ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity 0 0 0 6 Sewer permit. ❑ 0 0 7 Water district approval. 0 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0 9 Erosion control 0 plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- El 0 0 basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state E 0 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. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if E 0 0 there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks); location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage; impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size E ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, X❑ 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- ❑X 0 0 floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑X ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ® ❑ 0 prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing I ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 0 systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists 0 ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. © 0 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ® 0 0 for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑x 0 0 architect licensed in Ore•on and shall be shown to be applicable to the •rdect under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 0 0 0 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 0 0 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ 0 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 0 27 "Drawn to scale"indicates standard architect or engineer scale. 0 0 El 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 El ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, 0 ❑ 0 including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application C FOR OFFICE USE ONLY City of Tigard R EC I V ® ReceiveDate/By:d Permit No.: M ST202(--pb(14 . u 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 APR 2 8 20V, Date/By: Other Permit: l) Inspection Line: 503.639.4175 Date Ready/By: orris: ® See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information TYPE OF WO lityjLDING DIVISION COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work X❑New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑X 1-and 2-family dwelling ❑ Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family D Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating cooling: Air conditioning Job site address: 13051 SW Foran Hills Ct. (requires site plan showing placement) 46.75 Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP: Tigard, OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name: Foran Hills Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: Duct work 23.32 Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Subdivision: Foran Hills Lot no.: Flue/vent for any of above 23.32 Other: 23.32 Tax map/parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater 1 23.32 New, single family residence Gas fireplace 1 33.39 Flue vent for water heater or gas fireplace l 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 El PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 23.32 Other: 23.32 Name: Stone Bridge Homes NW, LLC Environmental exhaust and ventilation: Address: 4230 Galewood St. Suite#100 Range hood/other kitchen equipment 1 33.39 City/State/ZIP: Lake Oswego, OR 97035 Clothes dryer exhaust 1 33.39 Phone:( 387 7577 Fax:( ) Single-duct exhaust(bathrooms, 5 toilet compartments,utility rooms) 23.32 ® APPLICANT 0 CONTACT PERSON Attic/crawlspace fans 23.32 Other: 23.32 Business name: Stone Bridge Homes NW, LLC Fuel P t m P g: Contact name: Permit Tech $14.15 for first four;$4.03 for each additional Address: 4230 Galewood St. Suite#100 Furnace,etc. 1 Gas heat pump City/State/ZIP: Lake Oswego, OR 97035 Wall/suspended/unit heater Phone:(503) 387-7577 Fax::( ) Water heater 1 Fireplace 1 E-mail: portlandpermits@stonebridgehomesnw.com Rage 1 CONTRACTOR Barbecue Business name: Comfort Zone Clothes dryer(gas) Other: Address: 1032 NW Corportate Dr. MECHANICAL PERMIT FEES* City/State/ZIP: Troutdale, OR 97060 Subtotal Phone:( 503)667-5595 Fax:( ) Minimum permit fee($90.00) Plan review(25%of permit fee) CCB lic.: 110091 State surcharge(12%of permit fee) TOTAL PERMIT FEE Authorized signature: t' ``I " This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: David Heldstab Date: 4-28-2021 • Fee methodology set by Tri-County Building Industry Service Board I:\Euilding\Permits\MEC-PermitApp.doc 09/09/10 440-4617T(11/O2/COM/WEB) Electrical Permit Application RECEIVE . FOR OFFICE USE ONLY City of Tigard Received �7 -CO -f f�, Date/By. Permit#: NI S12OGtW( { -1 - • 13125 SW Hall Blvd.,Tigard,OR 97223 APR 2 8 7O71 Plan Review III Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit#: TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Ready Date/By: Juris. ® See Page 2 for ,, Internet: www.tigard-or.gov Notified/Method. Supplemental Information TYPE OF WORK PLANDIVISION PLAN REVIEW ❑X New construction ❑ Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked). 0 Service or feeder 400 amps or more 0 Building over three stories ❑ 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❑ l-and 2-family dwelling ❑Commercial/industrial ❑ Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑ Multi-family ❑ Master builder ❑ Other: 0 Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: 13051 SW Foran Hills Ct. 100HPormore. ❑"A", e', '1-2", '1a", City/State/ZIP: Tigard, OR 97224 ❑Six or more residential units. occupancy. ❑Healthcare facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: Foran Hills ❑Hazardous locations. 0 Supply voltage for more than - ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: ?" Description I Qty. I Each . Total I ' New residential single-or multi-family dwelling unit. Subdivision: Foran Hills Lot#: Includes attached garage. 1,000 sq.ft.or less 2 168.54 4 Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 2 33.92 I DESCRIPTION OF WORK Limited energy,residential (with above sq.ft.) 75.00 2 New, single family residence Limited energy,multi-family residential(with above sq.ft.) 75.00 2 Renewable Energy ❑ See Page 2 ll PROPER.*LOWNER 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 la APPLICANT 0 CONTACT PERSON Branch circuits-new,alteration,or extension,per panel 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 Address: 4230 Galewood St. Suite#100 service or feeder fee,first branch circuit 56.18 2 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 67.84 2 dwelling,service and/or feeder Email: portlandpermits@stonebridgehomesnw.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Electrical innovations Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy ❑ Page 2 2 Address: 16453 S.E. 232nd Dr. panel,alteration,or extension. See a g City/State/ZIP: Damascus, OR 97089 ' Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( 503)358-6989 Fax:( ) Investigation(I hr min) 90.00/hr J Industrial plant(1 hr min) 78.18/hr Email: (o// LZ, Inspections for which no fee is 90.00/hr CCB Lie.: 66412 Electrical Lic.: 26699L Suprv.Lie.302 j S specifically listed(A hr min) - ELECTRICAL PERMIT FEES Suprv.Electrician signature,required:/ 7/_/ee Th//(4tf Subtotal: Print name: Terry Thomas Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: j'P,e(„0 TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Tiana Rudolf Date: 4-28-2021 days after it has been accepted as complete. " Number of inspections allowed per permit. 1:1Building1Permits\ELC_PermitApp_ELR ERE.doc Rev 06/17/2015 440-4615T(I 1/05/COM/WF.B , Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Fee for all residential systems combined: $75.00 RenewDescrable1 electrical energy systems: Check Type of Work Involved: 5kvaorless 100.70 2 5.01 to 15 kva 133.56 2 n Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 x❑ Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ❑x 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: ❑ Other: Each additional inspection is 66.25/hr 1 charged at an hourly(1 hr min) --- Inspections for which no fee is 90.00/hr specifically listed(/ hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: S75.00 Subtotal(Enter on Page I): (SEE OAR 918 309 0000) * Number of inspections allowed per permit. Check Type of Work Involved: ❑ Audio and Stereo Systems U Boiler Controls ❑ Clock Systems n Data Telecommunication Installation n Fire Alarm Installation ❑ HVAC ❑ Instrumentation n Intercom and Paging Systems ❑ Landscape Irrigation Control* ri Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling n Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations IABuilding\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17,2015 Plumbing Permit Application Building Fixtures RECEIVE I FOR OFFICE USE ONLY City of Tigard Received . z Permit No.: • 13125 SW Hall Blvd.,Tigard,OR 97223 APR 2 8 irjr Date/By: i3Tz021< ) t?L Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.: T I GARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Juris RI See Page 2 for Internet: www.tigard-or.gov 3UILDING DIVISIOfv NotitiedlMethod: pp Su lemental Information TYPE OF WORK FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist Description Qty. I Ea. Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑X 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 El Accessory buildingSFR(3)bath 1 500.32 ❑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: 13051 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.: 6 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 ® PROPERTY OWNER f ❑ 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 ® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: Stone Bridge Homes NW, LLC Medical gas(value:$_) Page 2 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 3 12.51 E-mail: portlandpermits@stonebridgehomesnw.com Urinal 25.02 CONTRACTOR Water closet 3 25.02 Water heater 1 37.52 Business name: Edward Mullen Plumbing Water piping/DWV 56.29 Address: S. E. River Road Other: 25.02 City/State/ZIP: Hillsboro, OR 97113 Subtotal Phone:( 503) 640-0113 Fax:( ) Minimum permit fee: $72.50 CCB Lie.:92689 Plumbing Lie,no.: 34-260PB Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: This permit application expires if a permit is not obtained within 180 days Jeremy Crale Date: 4-28 2021 after it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. 1.1BuildinglPermits1PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard IINI COMMUNITY DEVELOPMENT DEPARTMENT C T l c A R D Building Permit Review — Residential Building Permit #: IL(ST202! 700174 Site Address: 130S- I ) 1Qpl\ 1-VI LLS ex/ -r-i(pARD OR Project Name: r�01:2•P N 4-kl t,L, Lot #: Ce Planning Review Proposal: Ntv,3 gerT-Ao Es:::, SiN(cl.E T-AywiLy R2.4OeX)Ct- Verify address/suite#active in Accela. ❑ L.Rive1Terrace: �No ❑ Yes,River Terrace Review Addendum Site Plan Elements: Erosion Control 2:13 copies of site plan on 8-1/2"x 11"or 11 x 17"paper 6/1% [ `etained trees with drip line and tree protection measures 26rawn to scale(standard architect or engineer scale) IAF otprint of new structure(including decks)and FFE [forth arrow tility locations&easements(required for new and additions) Site address,project or subdivision name and lot number Sidewalk/driveway approach ZiApplicant information(name and phone number) la [ J cation of wells/septic systems I t dimensions and building setback dimensions M 4Strreet tree size,type and location a) a Square footage of buildings to be demolished names sting structures on site Comer elevations(2'contours if more than 4'diffe ntial) Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? JCJYes ❑No jpervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? 2es ❑No �LJ Clean Wa 1 ,:rvices—Service Provider Letter (lot platted prior to 9/10/1995): Required: '1i�'''s,applicant was notified ,No F.rseiT do ,❑ Ye, ❑ t1„ Water Me et ixture Unit Worksheet—Additions,Remodels and ADUs Required:; . es,applicant was notified , No AelsoWee!-.—E— s---E—Nlia 14 j [1] $DC Exemption for ADU applied for: ❑ Yes ❑ No Received: 0 Yes 0 No Public Facilities Improvement(PFI) Permit: Required: i Yes,applicant was notified 'Sro `t=z li" c'G-• B- , _._ ,--,////Land Use Case#: . )13 aO11- COCOS Zoning: R-1} la )tequired Setbacks: Front: IS-I Rear f T Side: 51 Jam Street Side: /t7 Garage: ZO r / ding Height: Max. Height: 3S' Actual Height: J? r br Landscape Area: 3S� % Lot Coverage Max: t t % Entrance Of et back no more than 8'from street-facing wall Q Parallel to street or offset 45 degrees or less Windows Minimum 12%of area of all street-facing facades Garage Garage door is behind widest street-facing wall 12 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 2°d floor. ❑ Garage door width is ❑ 12'or less ❑ 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 0 Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony Visual Clearance [J�� 0 Urban Forestry Plan sensitive Lands: ❑ Yes "No Type: w�/Conditions met prior to issuance of building pe 't No Approved By Planning: Date: SA/2/ Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved I:1Building\Forms\B1dgPennitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: DV22/202/ Site Plans: # 3 Building Plans: # 3 Building Permit#: ICJ Enter building permit#above. Workflow Routing: 2-Planning a--Engineering ermit Coordinator C 3uilding Workflow Sign-off: Er Sign-off for Planning(include notes from planning review) Route Application Documents: Er-Engineering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing form. IR-Building: original permit application,site plans,building plans,engineer and beam calculations a,. trust details,if applicable, etc. Notes: By Permit Technician: iAlf/ Date: d 5,DI/ 2ON Engineering Review lope at building pad: f' % Itonditions "Met"prior to issuance of building permit 2"-Easements (encroachments)per engineering conditions of approval and plat 2 Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ENo Assess Water Quantity Fee in-lieu: 0 Yes �D�N LIDA Facility on lot: 0 Yes Id"No Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: [? proved by Engineering: / . F�S�f f(L Date: 5 '/-2Z7Z1 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved 0 Not Approved Permit Coordinator Review Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: SDC Exemption: ❑ Received /Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: / Yes ❑ N/A Tigard Trans SDC: /Yes 0 N/A Parks SDC: /Yes 0 N/A LIDA ❑ Yes / N/A OK to Issue Permit Approved by Permit Coordinator: A Date: 5114 1202.A I:\Building\Forms\BldgPermitRvw_RES_122419.docx FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT li I. Transmittal Letter T1GAR11 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Allyson Armstrong DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Permit Tech MAY 17 2021 COMPANY: Stone Bridge Homes NW, LLC CITY OF TIGARD PHONE: 5033877577 BUILDING [?IVISIO�',: EMAIL: portlandpermits@stonebridgehomesnw.com RE: 13051 SW Foran Hills Ct MST2021— 601-7L{ (Site Address) (Permit Number) Foran Hills lot 6 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: 1 Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. 2 Engineer's calculations. Other(explain): REMARKS: added footing calcs for 9,000+point loads FO OFF CE USE ONLY n Routed to Permit Techni75 an: ate: S 2/ Initials: /�'/1 Fees Due: ❑ Yes Not-"" Fee Des ripti : Amount Due: 1\..JO 1\-1 6r 'V-- $ : 7,E37- Special Instructions: �� Reprint Permit(per PE): Yes No ❑ Done frit Applicant Notified: Q, y�L Date: S1:2,f• Initials: Nikki Tuason From: Nikki Tuason Sent: Monday, May 3, 2021 2:41 PM To: tianar@stonebridge-realty.com; portlandpermits@stonebridgehomesnw.com Cc: Agnes Lindor; Lina Smith; #Building Permit Technicians Subject: 13051 SW Foran Hills, Foran Hills Lot 6 Hi Tiana, I finished the planning/zoning check for the proposed new single detached residence at 13051 SW Foran Hills Ct (Foran Hills Lot 6) in Tigard, OR. Please expect an email shortly from the building department with your new permit number and requesting permit fee payment. In looking at our permit records it looks like there's an existing permit for this address submitted on 2/22/2021 under -7 MST2021-00063, and you were wanting to submit new plans for the same site/address and cancel out the old permit. Please fill out this form to cancel MST2021-00063 and submit the form directly to tigardbuildingpermits@tgard-or.gov Additional items—these don't need to be submitted immediately, but the Building Division will need them before they can issue the permit.When you receive these items, please send them to tigardbuildingpermits@tigard-or.gov: • Service provider letter from Clean Water Services (CWS)—please fill out this form and upload your site plan here: https://www.cleanwaterservices.org/documents-forms/pre-screen-form/ o When you receive a response from CWS, please submit a copy to the Building Division • Water meter worksheet (since it looks like you're adding bathrooms): o Please fill out this worksheet: https://www.tigard- or.gov/document center/UtilityBilling/Water MeterWorksheet-Additions Remodels ADUs.pdf o Submit the completed worksheet to UBOnlinePay@tgard-or.gov o Utility Billing will then respond to let you know if the current water meter size is sufficient for additional plumbing fixtures to be added, or if the water meter size needs to be upsized o Submit Utility Billing's response to the Building Division Thank you, Nikki Nikki Tuason Assistant Planner p C City of Tigard Community Development L t 1 1 W t ��`� NH S t�L 13125 SW Hall Blvd. puw foi2, 'Coe v OL,"tr, Tigard, OR 97223 nikkitatigard-or.ciov 1 CITY OF TIGARD MASTER PERMIT 11 a COMMUNITY DEVELOPMENT t IS i Permit#: MST2021-00174 T I GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 11 ‘ ZI , Date Issued: 06/02/2021 Parcel: 2S109AC08500 Jurisdiction: Tigard Site address: 13051 SW FORAN HILLS CT Subdivision: None Lot: None Project: Foran Hills, Lot 6 Project Description: New detached dwelling. 6/17/2021: REPRINT to add NC. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 1762 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 17 Bathrooms: 3 Second: 828 sf Garage: 616 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2590 sf Value: $352,849.31 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: 3 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: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<10OK: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc(Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio 8 Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Ecompasing: Y Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2590 Owner: Contractor: ,---- STONE BRIDGE HOMES NW LLC STONE BRIDGE HOMES NW LLC Required Items and Reports(Conditions) 4230 GALEWOOD ST STE 100 4230 GALEWOOD STREET 8100 1 Ersn Cntrl 503-639-4175 LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 PHONE: PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $38,982.85 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. I�,,. Issued By: Permittee Signature: (1 G �lCA\ \ 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. Mechanical Permit Applic t CEIVEL - ( / -1 Received City of Tigard �u1�py I" 4 Permit No • 13125 SW Hall Blvd.,Tigard,OR 97223 J J3�( �� Date/By: 17/ 2/ .Q c 1`1 Sf 2c 1( DO►7 f Plan Review / Phone: 503.718.2439 Fax: 503.598.1�6f�e TIGARi J Date By: Other Per n t: I'I G A R I) Inspection Line: 503.639,4175 Date Ready/By: guns. 0 See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISIO" Notified/Method. Supplemental Information .l'QF WORK - COMMERCIAL PEE* SCHEDULE — USE CIIECKMST 8 Mechanical permit fees*are based on the value of the work ❑X New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit. Value.S CATEGORY OF CONSTRUCTION --- -- RESIDENTIAL EQUIPMENT/SYSTEMS FEES" ❑X I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Desc [ion Qty. Ea. Total JOB SITE INFORMATION AND LOCATION eating/cooling: 'l,, Air conditioning Job site address: 13051 SW Foran Hills Ct. (requires site plan showing placement) 1 46.75 Furnace 100,000 BTU(duets/vents) 1 46.75 City/State/ZIP: Tigard, OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name: Foran Hills Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: Duct work 23.32 Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 - Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent Foran Hills Lot no.: 6 for any of above 1 23.32 Other: 23.32 Fax map/parcel no.: Other fuel appliances: DESCRIPTION OF WORK ,, j( Water heater 1 23.32 New, single family residence Gas fireplace 1 33.39 Flue vent for water heater or gas 2 Adding AC to existing permit MSV2D2I-ODt14 fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 ® PROPERTY OWNER .,LI TENANT Chimney/liner/flue/vent 23.32 Other: 23.32 Name: Stone Bridge Homes NW, LLC Environmental exhaust and ventilation: Address: 4230 Galewood St. Suite#100 Range hood/other kitchen 1 equipment 33.39 City/State/ZIP: Lake Oswego, OR 97035 Clothes dryer exhaust 1 33.39 Phone:( 503)387-7577 Fax-( Single-duct exhaust(bathrooms, 5 toilet compartments,utility rooms) 23.32 ® APPLICANT ❑ CONTACT.PERSON Attic/crawlspace fans 23.32 Other: 23.32 Business name. Stone Bridge Homes NW, LLC Fuel p i m p g: Contact name: Permit Tech $14.15 for first four;$4.03 for each additional Address: 4230 Galewood St. Suite#100 Furnace,etc 1 Gas heat pump City/State/ZIP: Lake Oswego, OR 97035 Wall/suspended/unit heater Phone:( 503) 387-7577 Fax: :( ) Water heater 1 Fireplace 1 E-mail: portlandpermits@stonebridgehomesnw.com Range 1 NFFRACTOR Barbecue Business name: Comfort Zone Clothes dryer(gas) Other. Address: 1032 NW Corportate Dr. MECHANICAL PERMIT FEES* City/State/ZIP: Troutdale, OR 97060 Subtotal _ Minimum permit fee($90.00) Phone:( 503)667-5595 Fax:( ) Plan review(25%of permit fee) cat lie.: 110091 State surcharge(12%of permit fee) TOTAL PERMIT FEE ry 4., �� This permit application expires if a permit is not obtained within 0 Authorized signature: days after it has been accepted as complete. Print name: David Heldstab Date: 6-1 1-2021 " Fee methodology set by Tri-County Building Industry Service Board I:\Building\Permits\MFC-ParmitApp.doc 09/09/10 440-4617T(11102/COM/WEB) Dianna Ornelas From: #Building Permit Technicians Sent: Thursday, June 17, 2021 3:04 PM To: portlandpermits@stonebridgehomesnw.com Subject: MST2021-00174 - Foran Hills, Lot 6 - 13051 SW Foran Hills Ct Attachments: MST2021-00174.pdf Hello, Per your request, we have added A/C to this permit and the balance due is$52.36 (see attached invoice). The fees can be paid online at https://aca-prod.accela.com/TIGARD/Welcome.aspx by searching for the permit record number MST2021-00174 under the Building tab. Please email the permit technicians at TigardBuildingPermits@tigard-or.gov as soon as the permit fees are paid so that we can reprint the revised permit and email a copy. Thank you. Dianna L. Ornelas Building Division Services Supervisor City of Tigard I Community Development 13125 SW Hall Blvd I Tigard, OR 97223 503-718-2430 Direct 1503-718-2439 Permits 1