Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2021-00202
T I(;A I rj 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/19/2021
Parcel: 2S109AC08300
Jurisdiction: Tigard
Site address: 13075 SW FORAN HILLS CT
Subdivision: None Lot: None
Project: Foran Hills, Lot4
Project Description: New detached dwelling
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First: 1153 sir Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1674 sf Garage: 475 sf Front: 15 Smoke
Yes
Dwelling Units: 1 Third: 0 sf Right: 5 Detectors:
Total: 2827 sf Value: $369,136.92 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: I Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckllw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Drywell-Trench Drain: 0 Other Fixtures: 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
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: I 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'l 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+ampNolt: 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:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 2827
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 Cnlrl 503-639-4175
LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035
PHONE: PHONE: 503-387-7577
FAX: 503-387-7615
Total Fees: $39,622.19
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work
will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
OF9_nn1_nnin Ihrnun6 f1CR O59-nn1-0non Vnu ma,,nhbin n rnn,,of fha n,lae nr rlirorf nnaefinne fn nit INC by Tallinn cO'S 9'S9 101:E7 nr 1 Ann'119
Issued By: t(c'U 'VI 4'Ve'Weg'e Permittee Signature: OwAppl Cat On
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application ri_ 2
Residential FOR OFFICE I SF.O,NI.I
City of Tigard p J3000 RDaeceivedtes p$ 20 ,pv Permit No. s 2/-OO2D_
. II11
13125 SW Hall Blvd.,Tigard,OR 97223 FH4 "" plan Rev r n I _ r
Phone: 503.718.2439 Fax: 503.598.1960 DaneByew: (..e I - A Other PeriniS�e2�r , 00/3I
7I c n a n Inspection Line: 503.639.4175 4 Date ReadyBy. /, mr� ® sre page 1 for
Internet: www.tigard-or.gov Not, ethod . /�� G Supplemental Information
('ITN! CO-: ,- I; `
TYPE OF woialiiLEDING DIVISION REQUIRED DATA:I-AND 2-FAMILY DWELLING
®New construction ❑ 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 f r the•
CATEGORY OF CONSTRUCTION work indicated on this application. o�
X❑ 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ J8
ElAccessory building El Multi-family Number of bedrooms: 5
❑Master builder ❑Other: Number of bathrooms: ' , `S
JOB SITE INFORMATION AND LOCATION Total number of floors: 2 33o D.
Job site address: 13075 SW Foran Hills Ct. New dwelling area: 2,827 square feet lt4 74
City/State/ZIP: Tigard, OR 97224 Garage/carport area: 475 square feet l t5s
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.: 4 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
RI 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*
Business name: Stone Bridge Homes NW, LLC (Please refer wJeeschedsleJ ✓ ,
Contact name: Permit Tech Structural plan review fee(or deposit): 76i 3r
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: This permit application expires if a permit is not obtained
f/z07CG A� �r within 180 days after it has been accepted as complete.
Print name: Tiana Rudolf Date:
5-18-2021 *Fee methodology set by Tri-County Building Industry
Service Board.
1:1Building\Permits1BIJP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
'
r
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFI( EE USE ONLY
City of Tigard Received Permit No.:
III ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Date/Bat
= Phone: 503.718.2439 Fax: 503.598.1960 Associazed permits.
24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing ❑ Mechanical
TIGARD Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW ties No v,1
I Land use actions completed. See 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. ❑ ❑ ❑
4 Fire district approval required. Name of district: . 0 0 0
5 Septic system permit or authorization for remodel. Existing system capacity _ ❑ 0 El
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ 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 ® ❑ ❑
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, 0 ❑ 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- N 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. 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 I] 0 0
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
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. ❑X ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required I El ❑
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 pro 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
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
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ ❑
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, ❑ ❑ ❑
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\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit ApplicatifECEIVED FOR OFFICE USE ONLY qq,,���]7
DRate/By: :H'&�OZ/—OOWf-.
City of Tigard Permit No..
IIII13125 SW Hall Blvd.,Tigard,OR 97223 f�:,` Plan Review
■ Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit,
Inspection Line: 503.639.4175 CITY OF TIGARD
T I ti A R r) Date Ready/By: 7uris. H See Page 2 for
Internet: www.tigard-or.gov Notified/Method' Supplemental Information
''I !iI_DII`lr nl,rlION
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: 13075 SW Foran Hills Ct. (requires site plan showing placement) 1 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.: 4.
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
® PROPERTY OWNER 0 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
Single-duct exhaust(bathrooms,
toilet compartments,utility moms) 5 Phone:( )387-7577 Fax:( ) 23.32
® APPLICANT 0 CONTACT PERSON Attic/crawlspace fans 23.32
Business name: Stone Bridge Homes NW, LLC Other: 23.32
Fuel piping:
Contact name: Permit Tech $14.15 for first four;S4.03 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
E-mail: portlandpermits@stonebridgehomesnw.com Fireplace 1
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 tic.: 110091 State surcharge(12%of permit fee)
TOTAL PERMIT FEE
Authorized signature: '-"`�Y- t,!� .�,r 7`" 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: 5-18-2021 * Fee methodology set by Tri-County Building Industry Service Board
1.\Building1Permits\MEC-PermiIApp.doc 09/09/10 440-4617T(11/02/COMIWEB)
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard RECEIVE , ReD e/Bed Permit#. ,t,./Sr22I O2O2_
III • 13125 SW Hall Blvd.,Tigard,OR 97223 . Plan Review
3 Phone: 503.718.2439 Fax: 503.598.1960 Date/B Related Permit#:
Inspection Line: 503.639.4175 Ready Date/By: Rids: la See Page 2 for
I I t AR 11 Internet: www.tigard-or.gov �LCITY OF TIGARD Notified/Method: Supplemental Information
TYPE OF WO>kILONG DIVISION PLAN REVIEW
['New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans whtems checked).
O Service or feeder 400 amps or more ❑Building over three stories.
El Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
O I-and 2-family dwelling Cl Commercial/industrial ❑ Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family El Master builder ❑ Other: 0 Fire pump. 0 Installation of 150 KVA or
;17:,1,V.*VeiIirl:111. 113INFORMATION AND LOCATION "{ ❑Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: 3000 Job site address: 13075 SW Foran Hills Ct. looHPor more. ❑"A "E","1-2","la",
City/State/ZIP: Tigard, OR 97224 0 Six or more residential units. occupancy.
g ❑Health-care 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
Description I Oh. I Each I Total i
New residential single-or multi-family dwelling unit.
Subdivision: Foran Hills Lot#: 4 Includes attached garage.
1,000 sq.ft.or less 2 168.54 4
Tax map/parcel#:
Ea.add'l 500 sq.ft.or portion 2 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 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
ll APPI:[CANT 0 CON ACT.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
Address: 4230 Galewood St. Suite#100 eace or ueder fee,first
brannch circcuit 56.18 2
b
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
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: 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(1 hr min) 66.25/hr
Phone:( 503)358-6989 Fax:( ) Investigation(1 hr min) 90.00/hr
/ Industrial plant(I hr min) 78.18/hr
Email: 7/i 12- IOtt b 1-'Z Inspections for which no fee is 90 00!hr
CCB Lie.: 66412 Electrical Lie.: 26699k'C' Suprv. Lic. 40,ag specifically listed('/hr min)
Suprv.Electrician signature,required: �n ELECTRICAL PERMIT FEES
P gn 9 re".„,,.., / / 00(Qtr Subtotal:
Print name: Terry Thomas Date: 0 Plan Review Required(25%of permit fee).
State surcharge(12%of permit fee):
TOTAL PERMIT FEE:
Authorized signature: , uy r
This permit application expires if a permit is not obtained within 180
Print name: Tiana Rudolf Date: 55-18-2021 days after it has been accepted as complete.
" Number of inspections allowed per permit.
I:\Building\Permits1ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015 440-4615T(1 l/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
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 to25 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
n 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:
I I 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: $75.00 Subtotal(Enter on Page 1)
* Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
Ti Clock Systems
El Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
n Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
n Outdoor Landscape Lighting*
n Protective Signaling
n Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
1:'Building\Pennits0ELC_PermitApp ELR_ERE.doe Rev 06/17/2015
Plumbing Permit Application
Building Fixtures RECEIVE ' FOR OFFICE USE ONLY
City of Tigard (' v' Received
g Date By: Permit No.:MS77 2I-OO7)Z
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
I Phone: 503.718.2439 Fax: 503.598.196���OF T`GARL) Date/By. Other Permit No..
T 1 C;A R D Inspection Line: 503.639.4175 - Dale Ready/By: Jeris: 2. See Page 2 for
Internet: www.tigard-orgov Notified/Method.
Supplemental Information
TYPE OF WORK FEE" SCHEDULE
®New construction ['Demolition For special information use checklist
Description 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(I)bath 312.70
III I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
ID Accessory building El Multi-family
SFR(3)bath 500.32
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: 13075 SW ForanHills 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/bldgJapt.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.: 4 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 l 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
'fa APPLICANT El 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 j
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
Water closet 3 25.02
CONTRACTOR 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
Plan review (25%of permit fee)
CCB Lie.:92689 Plumbing Lie,no.: 34-260PB State surcharge(12%of permit fee)
Authorized signattre:4e_, TOTAL PERMIT FEE
Print name: Jeremy Crace Date:5-18-2021 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
"Fee methodology set by'fri-County Building Industry Service Board.
I:1BuildingTemits\PLMU-PermitApp doe 10/01/09 440-4616T(10/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
T 1 c n u D Building Permit Review — Residential
Building Permit #: H Sr7OZ./-CC2OZ
Site Address: 13075 SW Foran Hills Court
Project Name: Foran Hills Lot #: 4
Planning Review
Proposal: New house
$I Verify address/suite #active in Accela. ® In River Terrace: ® No ❑ Yes, River Terrace Review Addendum
Site Plan Elements: (]Erosion Control
23 copies of site plan on 8-1/2"x 11"or 11 x 17"paper fiaRetained trees with drip line and tree protection measures
]Drawn to scale(standard architect or engineer scale) gyootprint of new structure(including decks)and FFL
�I(North arrow $]Utility locations&easements(required for new and additions)
XJSite address,project or subdivision name and lot number DISidewalk/driveway approach
glApplicant information(name and phone number) notation of wells/septic systems
®Lot dimensions and building setback dimensions IRI Street tree size,type and location
•
rfa Square footage of buildings to be demolished �I(Street names
f aExisting structures on site [ Comer elevations(2'contours if more than 4'differential)
®Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? Ej❑No
&impervious area (applicable if R-7,R-12,R-25 R-40) If yes,is a storm water quality facility shown? Yes ❑No
2 Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified E No Received: ❑ Yes ❑ No
>t] Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
Required: ❑ Yes,applicant was notified X No Received: ❑ Yes El No
l SDC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No
® Public Facilities Improvement (PFI) Permit
Required: ❑ Yes,applicant was notified NI No Applied For: ❑ Yes ❑ No,stop intake
IE Land Use Case#: SUB2017-00005 AI Zoning: R-7
PS] Required Setbacks: Front: 15 Rear: 15 Side: 5 Street Side: na Garage: 20
IX] Building Height: Max.Height: 35 Actual Height: 24
® Landscape Area: 20 % $7 Lot Coverage Max: 80
Entrance IX Set back no more than 8' from street-facing wall Xl Parallel to street or offset 45 degrees or less
Windows X] Minimum 12%of area of all street-facing facades 18%
Garage X Garage door is behind widest street-facing wall X Yes ❑ No,one of the following is met:
❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage.
❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2"d floor.
X Garage door width is ❑ 12'or less X 50%or less of facade Cl 60%or less and includes 7 of following:
❑ Covered porch ❑ Recessed entrance El Wall offset El 1'Roof eave ❑ Roof offset
❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony
g] Visual Clearance 2 Urban Forestry Plan
12 Sensitive Lands: ® Yes ❑ No Type: Steep slopes
Xl Conditions met prior to issuance of building permit
Notes: fitfrIek
E Approved By Planning: ,) A Date: 5/20/2021
Revisions (after Building Submittal only ((JJ Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
1:1Building\Forms\BldgPermitkvw_RES_1224I9.docx
Building Permit Submittal
Original Submittal Date: D$//9/2d2./
Site Plans: # 3
Building Plans: # 3
Building Permit#: lEnter building permit# above. ,,., �
Workflow Routing: [ Planning 12'Engineering L!S-Permit Coordinator Building
Workflow Sign-off: leSign-off for Planning(include notes from planning review)
Route Application Documents: VrEngineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
IV Building: original permit application,site plans,building plans,engineer and
beam calculations . . trust details,if applicable, etc.
Notes:
i
By Permit Technician: AO/7r Date: 05 2
Engineering Review
'lope at building pad: 11%
onditions "Met"prior to issuance of building permit
,� Ea�s rents (encroachments) per engineering conditions of approval and plat
L�Vater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 2"-No
Assess Water Quantity Fee in-lieu: ❑ Yes 12(No
LIDA Facility on lot: ❑ Yes EiNo
Final Plat Recorded:
El NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: 1.4, iC,5 t,.}ea_ Date: 5- 214 -213 2
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Prmit Coordinator Review
C. ditions "Met"prior to issuance of building permit
111. pproved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
0114 Exemption: ❑ Received hoes not apply
❑ SDC Fees Entered: Wash Co Trans Dev Tax: /es CI N/A
Tigard Trans SDC: es ❑ /A
7 Parks SDC: Yes ❑ /A
LIDA ❑ Yes N/A
'''ti OK to Issue Permit
Approved by Permit Coordinator: =_- ` y Date: /Zy�,Z!
I:\Building\Forms\Bl dgPerm itRvw_RES_122419.docx
Plan# 3-D4 yykoa [
Floors ? Large Ir'l
Bed rooms rJ Small 5
we 3
LAV
Tub Basement
Vent 5 1st Floor ‘1.53
Water Heater ! 2nd Floor i Q07 y
AC .L-9 3rd Floor —7
School R-3 Total 22,3
1. zs
r,` f 1 Garage tic—
Total 330
1 1
f�2V/ #for Elec 5
.CGS a