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Permit
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 1111 Transmittal Letter Ti cI A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Allyson Armstrong DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Tiana Rudolf OCT 2 0 2021 COMPANY: Stone Bridge Homes NW, LLC CITY OF TIGARD PLANNING/ENGINEERING/ENGINEERING PHONE: 503-707-9340 By: Try EMAIL: tianar@stonebridge-realty.com RE: 13097 SW Foran Hills Ct. MST2021-00178 (Site Address) (Permit Number) Foran Hills (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: 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. Engineer's calculations. Other(explain): REMARKS: As-Built desk details FOR OFFICE USE ONLY Routed to Permit Technician: Date: I,.._ l - i j Initials: ,,,/,, Fees Due: ❑ Yes ❑ No Fee Description: ? 'i_ �'t -� ti,010„> Yok.x.- Amount Due:tys $ Special Instructions: Reprint Permit(per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2021-00178 T I G A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/02/2021 Parcel: 2S109AC08200 Jurisdiction: Tigard Site address: 13097 SW FORAN HILLS CT Subdivision: None Lot: None Project: Foran Hills, Lot 3 Project Description: New detached dwelling and 258sf patio cover. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1075 sf Basement 0 sf Left: 5 Parking Spaces. 0 Height: 23.5 Bathrooms: 3 Second: 1230 sf Garage: 705 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2305 sf Value: $322,552,50 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: 2 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 Drywell-Trench Drain: 0 Other Fixtures: 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 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/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener N All Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2305 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: $37,951.81 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 throughug OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344, Issued By: "U V t4 JDeiwee Permittee Signature: On/AppUc J l 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. N, 12999 H3 P:.Iilding Permit Application 5_Je Residential RECEIVED FOR OFFICE USE oNLI City of Tigard Received /� �/ I 6 g .x DateBy: D Z Permit No.: M Sr20� 70 13125 SW Hall Blvd.,Tigard,OR 97223 NAY 0 3 Q/? Plan Review /� i Phone: 503.718.2439 Fax: 503.598.1960 DateBy: S 7 a Other PermitSlU R ZUZ!^Cap (/ Co TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: ii.e....2urie-ti H See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Supplemental Information TYPE OF WORK IJ �7 lJ REQUIRED D TA:1-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 for the .." CATEGORY OF CONSTRUCTION work indicated on this application. a 55�.7" 01-and 2-family dwelling ❑Commercial/industrial Valuation: $ / ❑Accessory building ❑Multi-family Number of bedrooms: 4 ❑ Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 I.b Job site address: 13097 SW Foran Hills Ct. New dwelling area: 2,305 square feet I a„36 City/State/ZIP: Tigard, OR 97224 Garage/carport area: 705 square feet tb7S`" Suite/bldg./apt.no.: Project name: Foran Hills Covered porch area: N19<aquare 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.: 3 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: $ a 1 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: I Phone:(503)387-7577 Fax:( ) New: ® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: Stone Bridge Homes NW, LLC Structural plan review fee(or deposit): 1$1 311 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* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic 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 lic.: 173318 Total fee due upon application: $201.60 Authorized signature: . l*i/, . wcl � This permit application expires if a permit is not obtained z/i t� within 180 days after it has been accepted as complete. Print name: Tiana Rudolf Date:5-3-2021 *Fee methodology set by Tri-County Building Industry Service Board. I`\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist One- add Two-Family Dwelling FOR OFFICE USE ONL1 City of Tigard Received Permit No.: a 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Associated permits: I Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 0 Electrical ❑ Plumbing ❑ Mechanical Ti( ARD Internet: www.tigard-or.gov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1 es No N/...1 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: _ El ❑ El1 5 Septic system permit or authorization for remodel. Existing system capacity _ ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 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 ® ❑ ❑ 3 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❑ ❑ ❑ 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. ❑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- ® ❑ ❑ 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 ❑ ❑ 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 ❑X ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ❑X ❑ 0 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 al p 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". ❑ ❑ ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 ❑ ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 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:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) , Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard ` EC E IVE , Received Date/By: Permit No.: W161 021-00 1 S II u 13125 SW Hall Blvd.,Tigard,OR 97223 7 IIPhone: 503.718.2439 Fax: 503.598.1960 MAY a 3 20 e' Plan Review Date/By: other Permit: T I GA RI) Inspection Line: 503.639.4175 Date Ready/By: Juris ® See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information BUILDING DIVISION TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST 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 0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑X 1-and 2-family dwelling 0 Commercial/industrial 0 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: 13097 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.: 3 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 / Gas fireplace 1 33.39 New, single family residence 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, Phone:( 503)387-7577 Fax:( ) toilet compartments,utility rooms) 5 23.32 ® APPLICANT 0 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 Wall/suspended/unit heater 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 This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. Print name: David Heldstab Date: 5-3-2021 * Fee methodology set by Tri-County Building Industry Service Board I:\Building\Permits\MEC-PermitApp.doe 09/09/10 440-4617T(11/02/COM/WEB) Electrical Permit Application RECEIVE I hoi OFFICE: 1 SE O\l.\ City of Tigard and Received J Mn 2 T201 1 7 t7 Q g Date/By: #: 13125 SW Hall Blvd.,Tigard,OR 97223 MAY Q02� Plan Review ■ Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit#: Inspection Line: 503.639.4175 CITY OF TIGARD Ready Date/By: Juris: ® See Page 2 for TIGARD B Internet: www.tigard-or.gov Notified/Method: Supplemental Information RUIL�JING n1VISIO i TYPE OF WORK PLAN REVIEW Q 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 ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. X❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑ Multi-family ❑Master builder ❑Other: ❑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#:2999 Job site address: 13097 SW Foran Hills Ct. 100HP or more. ❑"A",°E","I-2","1-3", City/State/ZIP: Tigard, OR 97224 0 Six or more residential units. occupancy. ❑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#: 3 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 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 ® 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 ® 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 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't 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 Address: 16453 S.E. 232nd Dr. Signal circuit(s)or limited-energy El See Page 2 2 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 /p Industrial plant(1 hr min) 78.18/hr Email: 1,/ !l��' /0/1 /2-2 Inspections for which no fee is 36�) Q specifically listed %hr min) 90.00/hr CCB Lic.: 66412 Electrical Lic.: 26699E Suprv.Lic.: u >� y ( ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: c/c, Thus Subtotal: Print name: Terry Thomas Date: ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): (-- / TOTAL PERMIT FEE: Authorized signature: %r.`ier . teK&/ / This permit application expires if a permit is not obtained within 180 Print name: Tiana Rudolf Date: 5-3-2021 days after it has been accepted as complete. * Number of inspections allowed per permit. 1\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 100.70 2 5.01 to 15 kva 133.56 2 n A• udio 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 n 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: ❑ 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 $75.00 Subtotal(Enter on Page 1): Fee for each commercial system: = Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: n Audio and Stereo Systems n B• oiler Controls n Clock Systems n D• ata Telecommunication Installation n Fire Alarm Installation n HVAC Instrumentation n Intercom and Paging Systems n Landscape Irrigation Control* ❑ Medical n N• urse Calls El Outdoor Landscape Lighting* n P• rotective Signaling n O• ther: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations l.\Building\Permits\ELC_PermitApp_ELR_EREdoc Rev 06/17/2015 Plumbing Permit Application Building Fixtures RECEIVEFOR OFFICE USE ONLY e! City of Tigard MAY! tl 0 r•.- Received Date/By: Permit No.:HS 21-00 173 11 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review - Phone: 503.718.2439 Fax: 503.598.196 CITY OF TIGARD Other Permit No.: DateBy: TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris: RI See Page 2 for Internet: www.tigard-or.gov R1J!L.f�NIG Dl\!!SlfN1 Notified/Method +.. ♦. Supplemental Information TYPE OF WORK FEE* SCHEDULE ® New construction ❑ Demolition For special information use checklist Description Qty. Ea. 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 1-and 2-familydwellingSFR(2)bath 437.78 ❑ ❑Commercial/industrial 0 Accessory building ❑Multi-family SFR(3)bath 1 500.32 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: 13097 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.: 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.: 3 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 ❑ 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 2 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 Crace Date: 5-3-2021 after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\BuildingNermits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard IllCOMMUNITY DEVELOPMENT DEPARTMENT , TIGARD Building Permit Review — Residential fi:' Building Permit #: 3T2021-0017e Site Address: 13097 SW Foran Hills Ct Project Name: Foran Hills Lot #: 3 Planning Review P posal: New single detached house Verify address/suite#active in Accela. ; I 1 •n River Terr e: No ❑ Yes, River Terrace Review Addendum Si Plan Elements: ion Control copies of site plan on 8-1/2"x 11"or 11 x 17"paper tained trees with drip line and tree protection measures raven to scale(standard architect or engineer scale)4 o rint of new structure(including decks)and FFEorth arrow V 'ty locations&easements(required for new and additions) address,project or subdivision name and lot number de 1k/driveway approach pplicant information(name and phone number) anon of wells/septic systems • dimensions and building setback dimensions eet tree size,type and location IN, .re footage of buildings to be demolished eet names '.!..sting structures on site orner elevations(2'contours if more than 4'diffe ential .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replace.? Ji es I,, impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ' es 7 o ❑ Clean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): Required: ❑Yes,applicant was notified Received: ❑ Yes ❑No ❑ Water Meter Fixture Unit Worksheet—Addi • ns,Rem els and ADUs R aired: ❑Yes,applicant was notified No Received: ❑Yes ❑No ❑ DC Exemptio for ADU applied for: ❑Yes No Received: ❑ Y ❑No Public Faciliti s Improvement(PFI) Permit: equired: Yes,applicant was notified ❑ No plied For: Yes 0 No,stop intake lift a . Use Case#: SUB2017-00005 Zonin R-7 g 'equired Setbacks: Front: 15 Rear: 15 Side: 5 Street Side: NSA Garage: 20 uilding Heig.t: Max. 'Height: 35 Actual Height: +2gs. g � Landscape 'rea: 20 % Lot Coverage Ma • 0 Entrance 1RI :et back no more than 8'from street-facing wall Par el to street or offset 45 degrees or less Windows r . ' um 12%of area of all street-facing facades Garage a Gara:e door is behind widest street-facing wall Yes ❑ No,one of the following is met: I Door extends no more than 5'from walla there is a covered porch extending beyond garage. O Door extends no more than 5'from w and there is a 12 sq ft.window above garage on 2nd floor. FA Gara e door width is 12'or less 50%or less of facade 60%or less and includes 7 of following: Covered porch Recessed entrance o ❑ Wall offset 1'Roof eave Roof offset Fire shingles Lap Siding ❑ Roof itch ❑ Gable,hi ,or gambrel roof ❑ Dormer Accent siding Window trim U Window recess U Window projection ❑Balcony `�`, II Vsual Clearance Urban Fores�an N �� ensi ' e Lands: ❑ Yes NJ No Type: C ditions met prior to issuance of building permit No es: Approved By Planning: '—"- Date: /-hi Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: .513/202./ Site Plans: # 3 Building Plans: # 3 Building Permit#: Q'Enter building ermit# above. �y �L!� Workflow Routing: Planning Engineering L�J Permit Coordinator Building Workflow Sign-off: ©'Sign-off for Planning(include notes from planning review) Route Application Documents: 'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application, site plans,building plans,engineer and beam calculations a st details,if applicable,etc. Notes: By Permit Technician: Date: 6vr/4hbZ/ Engineering Review �e at building pad: e:20 Conditions "Met"prior to issuance of building permit pEa ments (encroachments) per engineering conditions of approval and plat ater Quality/Quantity Facility: �/ Assess Water Quality Fee in-lieu: ❑ Yes U No Assess Water Quantity Fee in-lieu: ❑ Yes rNo E IDA Facility on lot: ❑ Yes lv o Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: e'Approved by Engineering: '. Ks Date: ,S:•/v-J0.a. 1 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review PConditions "Met"prior to issuance of building permit El 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: CI Received Does not a ly SDC Fees Entered: Wash Co Trans Dev Tax: g Yes N/A Tigard Trans SDC: 4Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA Yes kr N/A 0 OK to Issue Permit Approved by Permit Coordinator: Date: 5I I012021 1:\Building\Forms\BI dgPermitRvw_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 ligiv Transmittal Letter r i G n It n 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 2 0 2021 COMPANY: Stone Bridge Homes NW, LLC CITY OF TIGARD PHONE: 503-387-7577 BUILDING DIVISItI EMAIL: portlandpermits@stonebridgehomesnw.com RE: 13097 SW Foran Hills Ct MST2021-00178 (Site Address) (Permit Number) Foran Hills (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. 3 Revisions: Sheet 1 Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. 3 Engineer's calculations. Other(explain): REMARKS: added knee bracing to covered patio&added supplemental caic packet FO OFFjICE USE ONLY Routed to Permit Technic.an: ate: 6 7 —/� Initials: Alt Fees Due: ❑ Yes A1Fee Des ription: Amount Due: p - $ Special Instructions: Reprint Permit(per PE): ❑ Yes yi No ❑ Done A licant Notified: - Date: 6. ,,,2_ Initials: