Loading...
Permit Electrical Permit Application t �r FOR OFFICE LSE ONLI E� J CD Received City of Tigard NN ✓✓✓ r,.. Ill • 13125 SW Hall Blvd.,Tigard,OR 9-2...RECEIVED Date/B : /� if 2% ',P :/gr—rti y_ • ' Phone: 503.718.2439. Fax: 503.598.1960 Lc+ MillIENIIII Related Permit#: Inspection Line: 503.639.4175 J3005 AUG 2 o. Ready Date/By: Jens: ® See Page 2 for TIG-IRD Internet' www.tigard-or.gov FH9 ` a -KJ Notified/Method: Supplemental information TYPE OF WOR �'`'. PLAN REVIEW ,,a= t b .lease check all that apply p ) ❑X New construction ❑Addition/alteratib�� r� C 'bent pp y(submit 2 sets of Inns whtems checked ervice or feeder 400 amps or more CI Building over three stories. ❑ Demolition ❑Other: �;�� ♦ �'P where the available fault current 0 Marinas and boaTyards. .,,; ,,.y,w CATEGORY OF CONSTRUCTION ,r ;� :.ae. exceeds 10,000 amps at 150 volts or 0 Floating buildings. 0 I-and 2-family dwelling ❑Commercial/industrial 0 Accessory if A� less to ground,or exceeds 14,000 0 Commercial-use agricultural ♦♦ amps for all other installations. buildings. El Multi-family ❑Master builder El Other: ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived ❑Addition of new motor load of system Job#: 3005 Job site address: 13058 SW Foran Hills Ct. 100HPormore. ❑ A",'E","I-2',"I-a", City/State/ZIP: Tigard, OR 97224 ❑Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. ❑Hazardous locations. El Supply voltage for more than Suite/bldg./apt.#: Project name: Foran Hills ❑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: Foran Hills I Lot#: 9 Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 3 168.54 4 Ea.add'!500 sq ft.or portion 1 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 New, single family residence (with above sq.ft.) Limited energy,multi-family 75.00 2 Change Electrician to Garner Electric. Permit#: MST2021-00251 residential(with above sq.ft.) Renewable Energy ❑ See Page 2 „,,, ® PROPERTY OWNER IJ 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 Branch circuits—new,alteration,or extension, lei panel tEl APPLICANT ` I 0 CONTACT PERSON A.Fee for branch circuits wan 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 service or feeder fee,first Address: 4230 Galewood St. Suite#100 branch circuit 56.18 2 City/State/ZIP: Lake Oswego, OR 97035 Each add'l 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 andbor feeder Email: portlandpermits@stonebridgehomesnw.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Garner Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address: 2920 SE Brookwood Ave. Suite#A panel,alteration,or extension. ❑ See Page 2 2 City/State/ZIP: Hillsboro,OR 97123 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( 503) 648-4552 Fax:( ) Investigation(1 hr min) 90.00/hr Email: Chelsea@garnerelectric.com Industrial plant(I hr min) 78.18/hr 711(2 Inspections for which no fee is CCB Tic.: 1211591 Electrical Lic.:,2q-305C Suprv.Lic.: 3707S specifically listed(92 hr min) 90,00/hr ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: ppp.l4p Subtotal: Print name: Charles Garner Date: 8-26-2021 ❑Plan Review Required(25%of permit fee): �y� State surcharge(12%of permit fee): Authorized signature: s YiJ2� L� � / TOTAL PERMIT FEE: /i This permit application expires if a permit is not obtained within 180 Print name: Tiana Rudolf Date: 8-26-2021 days after it has been accepted as complete. * Number of inspections allowed per permit. C'BuildingAPermits\ELC_PermiiApp_ELR_ERE.doe Rea 06/17/2015 440-4615T(I I/05/COM/WEB 11114 CITY OF TIGARD MASTER PERMIT ■ COMMUNITY DEVELOPMENT Permit#: MST2021-00251 T I i.;.,' I.I7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/19/2021 Parcel: 2S109AC08800 Jurisdiction: Tigard Site address: 13058 SW FORAN HILLS CT Subdivision: None Lot: None Project: Foran Hills, Lot 9 Project Description: New detached dwelling unit BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1494 sf Basement 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1577 sf Garage: 427 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3071 sf Value: $396,698.76 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 Drains: 0 Storm Sewer: 100 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 Furn>=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!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: 0 801-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System. N Garage Opener: N All Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3071 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: $40,394.80 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 Q59_nMJlnf n fhrnnnh OCR ec,nn1-neon Vnn mau nhrain a ream,M Iha ring nr rlirarf nuaefinne In rll inlet h.,rallinn gill 7fl 111R9 nr 1 ROn 119 Olaa Issued By: ifoiy Vow/ne/Wegfe Permittee Signature: 00./Appl a..t'WYL 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. Building Permit Application I „ 1 21 ' Regidential RECEIVE . FOR OFFICE USE ONLY �f w Received ���� ?J` t � MSTZOZ2 .,OO�S`_ City of Tigard not 7 Date/By iK pemitNo.: • 13125 SW Hall Blvd.,Tigard,OR 97223 iIIIQ9 r 2021 plan Rev ew s Phone: 503.718.2439 Fax: 503.598.1960 Date By: /�(�2) other fin"�W Q�Z`— �, Inspection Line: 503.639.4175 CITY OF I I(1ARD Date Ready/By: i Juts ® See Page 2 for TI(i��Rt) N � � /` Internet: www.tigard-or.gov BUILDING DIVISION I, 1 I, Supplemental Information TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING ®New 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,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 7� 0 1-and 2-family dwelling ❑ Commercial/industrial Valuation: $ 1 3/(/ 066I ❑Accessory building 0 Multi-family Number of bedrooms: 5 ❑Master builder ❑ Other: Number of bathrooms(3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 34t8 Job site address: 13058 SW Foran Hills Ct. New dwelling area: 3,071 square feet 6 City/State/ZIP: Tigard, OR 97224 Garage/carport area: 427 square feet'Li �l Suite/bldg./apt.no.: Project name: Foran Hills Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Foran Hills Lot no.: 9 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 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: lJ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: Stone Bridge Homes NW, LLC (Please refaro fee schedule) Structural plan review fee(or deposit): 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 Amount received: Phone:( 503) 387-7577 Fax::( ) E-mail: portlandpermits@stonebridgehomesnw.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR 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 lie.: 173318 Total fee due upon application: $201.60 Authorized signature: (/ This permit application expires if a permit is not obtained �« �� �' within 180 days after it has been accepted as complete. Print name: Tiana Rudolf Date:6-17-2021 *Fee methodology set by Tri-County Building Industry Service Board. " 1:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440.4613T(l1/02/COM/WEB) Building Permit Application Checklist One= and Two-Family Dwelling FOR OFFICE USE ONLY - City of Tigard Received Permit No. Ipq13125 SW Hall Blvd.,Tigard OR 97223 Associat Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical TIGARD Internet: www.tigard-ar.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. Sec jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 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 0 5 Septic system permit or authorization for remodel. Existing system capacity 0 0 ❑ 6 Sewer permit. 0 0 0 7 Water district approval. 0 ❑ 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0 9 Erosion control ❑plan ❑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 ® 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 ® ❑ 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 ® ❑ ❑ 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 ❑ ❑ floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. 0 0 0 Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ® 0 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 0 0 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 ❑ systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑X ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ❑X ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ® 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 architect licensed in Ore•on and shall be shown to be a..licable to the .ro ect under review. JURISDICTIONAL SPECIFICS . 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 0 0 0 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ 0 ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 0 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ 0 0 27 "Drawn to scale"indicates standard architect or engineer scale. 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 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 ❑ ❑ 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:1Building\Permits1BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Applicatigviisinia °mains FOR OFFICE USE ONLY Q1 VOII�Q A11O Received Permit No . City of Tigard II 01 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By. Phone: 503.718.2439 Fax: 503.598.1960 IZOZ L j Nfir Plan ReviewDate By: Other Permit: TIGARD Inspection Line: 503.639.4175 p ) y•d Date Ready/By: Juan, tZ See Page 2 for Internet: www.tigard-or.gov ®A/�12 Notified/Method: Supplemental Information TYPE OF WORK / � 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 I-and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi-family ❑ Master builder ❑ Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: 13058 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 Cleat 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.: 9 Flue/vent for any of above 1 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 2 fireplace 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 1 equipment 33.39 City/State/ZIP: Lake Oswego, OR 97035 Clothes dryer exhaust 1 33.39 32 Phone:( 503)387-7577 Fax:( ) Single-duct exhaust(bathrooms, 5 1 toilet compartments,utility rooms) 23. IV 11 APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32 Other: 23.32 Business name: Stone Bridge Homes NW, LLC Fuel piping: 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 Wallsuspended/unitheater Phone:(503) 387-7577 Fax::( ) Water heater 1 Fireplace 1 E-mail: portlandpermits@stonebridgehomesnw.com Range 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 Minimum permit fee($90.00) Phone:( 503)667-5595 Fax:( ) Plan review(25%of permit fee) CCB lie.: 110091 State surcharge(12%of permit fee) TOTAL PERMIT FEE Authorized signature: - 7 1 `•/- r t�.'/f//f This permit application expires if a permit is not obtained within I80 days after it has been accepted as complete. Print name: David Heldstab Date: 6-17-2021 . Fee methodology set by Tri-County Building Industry Service Board I:18uidingWermits\MEC-PermitApp.doc 09/09/10 440-4617T(11/02/COM/WEB) Electrical Permit Application RECEIVE I FOR OFFICE USE ONLY REC • EIVE City of Tigard ReceivedDateB : Permit 4: ,1111 • 13125 SW Hall Blvd.,Tigard,OR 97223 J U N 1 7 2021 Plan Review • Phone: 503.718.2439 Fax: 503.598.1960 / , Date/B : Related Permit d: li TIGARD Inspection Line: 503.639.4175 C!TY OF-0( i'R D Ready Date/By: lad RIs_ See Page 2 for Internet: www.tigard-or.gov - Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ❑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 ❑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-familydwelling ❑Commercial/industrial Accessory building less to ground,or exceeds 14,000 El Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑ Master builder D Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived ['Addition of new motor load of system. Job#: Job site address: 13058 SW Foran Hills Ct. looHPormore. ❑"A","E","I-2","I-3", City/State/ZIP: Tigard, OR 97224 ❑Six or more residential units. occupancy. Ty g 0 Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: Foran Hills 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: Foran Hills Lot#: 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 New, single family residence (with above sq.ft.) 75.00 2 • Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 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 ampsto400 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 II 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, 7.42 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'l 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 ❑ See Page 2 2 Address: 16453 S.E. 232nd Dr. panel,alteration,or extension. City/State/ZIP: Damascus, OR 97089 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66.25/hr Phone:( 503)358-6989 Fax:( ) Investigation(1 hr min) 90.00/hr Email: Industrial plant(I hr min) 78.18/hr • Inspections for which no fee is 90.00/hr CCB Lie.: 66412 Electrical Lic.: 26699L Suprv.Lief/ specifically listed(v hr min) � ELECTRICAL PERMIT FEES j Suprv.Electrician signature,required:/ ;9y / / 0#626, Subtotal: Print name: Terry Thomas �f Date: ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): :i/ !% // TOTAL PERMIT FEE: Authorized signature: i,,cyaa, z eoX This permit application expires if a permit is not obtained within 180 Print name: Tiana Rudolf Date: 6-17-2021 days after it has been accepted as complete. • Number of inspections allowed per permit. I.\Building\Permits\ELC_PermitApp ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard ' Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Description I Qty. I Each I Total Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 00.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: n 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: n 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(Y4 hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 • Number of inspections allowed per permit. (SEE OAR 9 1 8-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls n Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls n Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:1BuildingU'ermits\ELC_PermitApp_ELR_ERE.don Rev 06/17/2015 Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY RECEIVE _ City of Tigard Received Perm No.: II ol13125 SW Hall Blvd.,Tigard,OR 97223 J U N 1 7 2021 Dan Re Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Other Permit No: Date/By: Inspection Line: 503.639.4175CITY Date Read/B Jurls ® See Pa TIGARD OF I(,;'�r,� Y Y ge 2 for Internet www.ttgard-or.gov - r.j Notified/Methed: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction ❑ Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 0 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 El Accessory building ❑Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft J Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 13058 SW Foran Hills Ct. Catch basin or area drain 18.76 City/State/ZIP: Tigard, OR 97224 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: Page 2 Suite/bldg./apt.no.: I Project name: 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 IL: ) Page 2 Storm sewer(no linear ft.: Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: Foran Hills I Lot no.: 9 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 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 Id 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 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 25.02 ,,, ozv,wx ep,,,, . .. - 1, Water closet 3 25.02 CO ''" 'Gti i-:'�,' +f &, tA *`; t 't ..''''''- Water heater 1 37.52 Business name: Edward Mullen Plumbing W ater 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: $72.50 CCB Lie.:92689 Plumbing Lic.no.: 34-260PB Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: Jeremy Crace Date:6-17-2021 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. C\BuildinglPermits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard i II COMMUNITY DEVELOPMENT DEPARTMENT T1cA>;® Building Permit Review — Residential e. Building Permit #: MSN 2021- 0c 2. S\ Site Address: 1 S(7$"S Stk.) f o2Ar\ f U.S OA'. Project Name: p l(AS Lot #: q Planning Review Proposal: N ) l}-p-UW z Verify address/suite #active in Accela. ❑ In River Terrace: ..Lf No ❑ Yes,River Terrace Review Addendum SiyPlan Elements: 12Csion Control ,n13j4pies of site plan on 8-1/2"x 11"or 11 x 17"paper l` tained trees with drip line and tree protection measures [ZDrawn to scale(standard architect or engineer scale) 1�CJF tprint of new structure (including decks)and FFE 2Iyrth arrow nit 'ity locations&easements (required for new and additions) -�S�ite address,project or subdivision name and lot number h Sidewalk/driveway approach I,�'Applicant information(name and phone number) lv h ENcation of wells/septic systems Ci7Lot dimensions and building setback dimensions et tree size,type and location 0I1 t Square footage of buildings to be demolished et names Existing structures on site Corner elevations(2'contours if more than 4'differential) ?I-Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? L�JYes ❑N impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes r vo p3rClean Water Services—Service Provider Letter of platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No Water Meter Fixture Unit Worksheet—Addit�i ns,Remodels and ADUs ``�1 Required: El Yes,applicant was notified L/J No Received: ❑ Yes ❑ No N l ft go SDC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No ❑ Public Facilities Improvement(PH) Permit: Required: 0 Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake ej,and Use Case#: S U8 2O ll - 0000 Zoning: ‘2"--1' Required Setbacks: Front: IS' Rear: 15 Side: Street Side: Garage: ZV' ❑ Building Height: Max. Height: yi Actual Height: ❑ Landscape ea: 2.7 % 0 Lot Coverage Marx: VD Entrance et back no more than 8'from street-facing wall . -PParallel to street or offset 45 degrees or less Windows 12%of area of all street-facing facades / Garage Garagrdoor is behind widest street-facing wall la/Yes ❑ No,one of the following is met: Ail Door extends no more than 5'from wall and there is a covered porch extending beyond garage. ❑ Door extends no more than 5'from w and there is a 12 sq ft.window above garage on 2nd floor. Garage door width is 0 12'or less 50%or less of facade El60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance ❑ Wall offset 0 1'Roof eave ❑ Roof offset ❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony Visual Clearance ❑ Urban Forestry Plan nsitive Lands: ❑ Yes 2 o Type: .CJ Conditions met prior to issuance of buildin p rmit Not : PNE Approved By Planning: ----) Date: Z3 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: (a\\1121 Site Plans: # Building Plans: # 3 Building Permit#: EYEnter building permit# above. Workflow Routing: [Planning l "Engineering Permit Coordinator ©Building Workflow Sign-off: [Sign-off for Planning(nnclude notes from planning review) Route Application Documents: Q'Enginecring: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. 9/Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: \j o\n v a` �� �'�Q� Date: Co `2-61\2-1 Engineering�� 51 Review ��JJ L ope at building pad: �60 Conditions "Met" prior to issuance of building permit [ Basements (encroachments)per engineering conditions of approval and plat er-15----Vater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes g—No Assess Water Quantity Fee in-lieu: ❑ Yes 2—No LIDA Facility on lot: E Yes El'r o a -Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes:�� 1 ��proved by Engineering: )4 Date: p — 20 2J Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ 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 ❑ N/A Parks SDC: dYes ❑ N/A LIDA ❑ Yes , N/A yr OK to Issue Permit Approved by Permit Coordinator: j� Date: (e(3Z)6 2024 1:\Building\Forms\BldgPemdtRvw_RES_122419.docx Plan# SIC) —ST0 IL{ ,- Large Bed rooms Small 53 we 3 LAV S Tub Basement Vent 1st Floor l914 Water Heat r I 2nd Floor 577 AC IvC7 3rd Floor School y R-3 Total 3O7 l a li Garage ya-7 'may _Garage 39 I _ ^ #for Elec `t'