Permit (74) III CITY OF TIGARD MASTER PERMIT
�.' COMMUNITY DEVELOPMENT Permit#: MST2023-00311
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/24/2023
Parcel: 2S108DC15900
Jurisdiction: Tigard
Site address: 15557 SW PEACE AVE
Subdivision: RIVER TERRACE CROSSING Lot: 24
Project: River Terrace Crossing, Lot 24
Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES HAVE BEEN
PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First: 1708 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 20 Bathrooms: 4 Second: 1345 sf Garage: 461 sf Front: 12 Smoke
Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 3053 sf Value: $548,342.37 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 6 Dishwashers: 1 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
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Drywall-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 7 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Fum>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add!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 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 3053
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: $28,590.81
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 regUir a you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
OS911n1-An1 n/hrn, AR o50-ftnl-nnon u v nhtain n rnn,of the n Jac nr riirarl nnacfinnc to Ill INr.hl,rallinn 5A1 919 10A7 nr 1 AAA 1'29,AAA
Issued By: Permittee Signature: Stet' 7P 1.1 eq+`b V)
Call 503. 39.4175 by 7:00 a.m.for the next available Inspection date.
This permit card shall a kept In a conspicuous place on the Job site until completion of the project.
Approved plans are required on the lob site at the time of each inspection.
Building Permit Application J3246
Residential RTC24 FOR OFFICE ISF (1s1,1
City of Tigard ReceivedDate/By: �p/A( Permit No: dC-31
23
I'• 1h1ne SW50 .711.2 39 Tigard,t 3 98.19 tRECEIVE I 'tan fly: . ilf5
A �,�,�,,,,..yy,, —Do
1/11
Phone: 503.718.2439 Fax: 503.598.19E atelBy7 '(SYT"
I I c I A IL n Inspection Line: 503.639.4175 Date Ready/By. JeriSPale2forInternet www.tigard-or.gov JUL 0 b 2b23 Notitcdrbfethed'.g J 7 I Supplemental tnformotion
Rat f-d T: 41
'TYPE OF WORK CITY OF TIGARD 1 REQUIRED DATA:1-AND 2-FAMILY DWELLING t
®New construction ❑'BOLDING DIVISION Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition`alteration/replacement ❑Other: equipment,materials.labor,overhead,and the profit Ihr tf
CATEGORY OF CONSTRUCTION
IO` work indicated on this application. r5(�Qlr�
® 1-and 2-family dwelling 0 Commercial,industnal Valuation: $ 72.00 1 v J
❑Accessory building ❑Multi-family Number of bedrooms. 5
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: 2 3 STD
Job site address: 15557 SW PEACE AVE New dwelling area: 3,053 square feet v
13 c
Cityi �_1Cj
State'7.IP: Tigard, OR 97224 Garage/carport area: ,It LG`square feet E1+ 8
Suite/bldg./apt.no.: Project name: River Terrace Crossing Front Covered porch area: 153 square feet
Cross street/directions to job site: Back Patio/Deck area: 49 square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:River Terrace Crossing Lot no.: 24 Permit fees*are based on the value of the wor erformed.
Tax ma arcel no. Indicate the value(rounded to the nearest dollar)o• ll
P p` equipment,materials,labor,overhead,and the profit the
DESCRIPTION OF WORK work indicated on this application.
New,single family residence Valuation: S
Would like to request SCD deferral Existing building area: square feet
New building area: square feet
IBI PROPERTY OWNER ❑ TENANT Number of stories:
Name: Stone Bridge Homes NW, LLC Type of construction:
A,,idres Ali f`ere:onrwt St. Quite#100 Occupancy
grou groups:
City/State'ZLP: Lake Oswego, OR 97035 Existing:
Phone:(503)387-7577 Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON RULE DING PERMIT FF,FS*
Business name: Stone Bridge Homes NW, LLC (Please refer to fee schedule)
Structural plan review tee(or deposit):
Contact name: Permit Tech
Address: 4230 Galewood St.Suite#100 FLS plan review fee(if applicable):
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 SolarInstallation Specialty Code checklist.
Permit Fee(includes plan review I
City/StatvZlP: Lake Oswego,OR 97035
and administrative fees): SI80.00
Phone:(503)387-7577 Fax:( ) State surcharge(12%of permit fee): S21.60
CCB lie.: 173318 Total fee due upon application: S201.60
Authorized signature: U 7 This permit application expires if a permit is not obtained
fCIfLLY '�'� within 180 days after it has been accepted as complete.
Print name: Tiana Rudolf Date: 7;6/2023 *Fee methodology set by Tri-Canty Building Industry
Service Board.
I:'Building\Permits\BIJP-RF.SPermitApp.doc 02/24/2011 440-46I3T(l l/02/COM/WEB)
•
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
IMO City of Tigard eceivedDatelBy: 4441' -'06: I/
13125 SW Hall Blvd.,Tigard,DR 97223 Associated permits:
01,14 Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection line: 503.639.4175 0 Electrical El Plumbing 0 Mechanical
T I G A R D
- - - Internet: wtivw.tigard-or.gov ❑ Other.
THE FOLLOWING ITEMS ARE REQUIRED FORPLAN4U,Y.1E ` __ 1es No NIA
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 ❑ ■
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 ❑
3 Verification of approved plat/lot. 0 0 0
4 Fire district approval required. Name of district: 0 ❑ 0
5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑
6 Sewer permit. ❑ 0 0
7 Water district approval. 0 ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 ❑ ❑
9 Erosion contra:1 ❑ plan a 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 desil,n 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 he 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 stnucture(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 rein forcing 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 ❑
fusee,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ❑X ❑ 0
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 Mr new construction: minimum of two elevations for additions and remodels. 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- ® ❑ ❑
prescriptive path analysis provide specifications and calculations to engineers standards.
17 Floor/roof framing. Provide plans Mr all floors/roof assemblies,.indicating member sizing,spacing,and bearing X❑ ❑ ❑
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 ❑ ❑
over 10 feet long and/or any beamljoist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. 0 ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required IN 0 0
for four or more appliances.
22 Engineer's calculations. When required or provided,(i.e..shear wall,root truss)shall be stamped by an engineer or LI LJ ❑
architect licensed in Ore.on and shall be shown to be al licable to the .ro'ect under review.
JURISDICTIONAL SPECIFICS
23 Three(3)site plans are required for Item 1.1 above. Site plans must be 8-112"x 11"or 11"x 17". ■ ■ ■
1 (2) J It 16 11 2 n n
2 t i_)sea each arc required o for Items ),..0 and 22 above. u u
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. ❑ ❑ 0
27 "Drawn to scale"indicates standard architect or engineer scale. 0 0 ❑
28 Site plan to include tree size,type and location per approved,project street tree plan(if applicable),and City of"Tigard ❑ ❑ ❑
Street Tree 1.ist.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines. ❑ ❑ 0
and protection measures must be drawn to scale and must include the project arborist's signature of approval.
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, 0 0 ❑
including decks,patio covers(over non-impervious surface)and accessoty sin(eta res to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
I:ABuilding\Pemsits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Application FOR OFFICE USE ONLY
Received
City of Tigard DateBy P. 1' , Oe -3— otr; l
,e. 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
: Phone: 503.718.2439 Fax: 503.598.1960 Date/By, utter Permit
TIGARD Inspection Line: 503.639.4175 Date Ready/Fly: Ira MI See Page 2 for
Internet: www.tigard-or.gov Notified/ISlethod: Supplemental Information
'TYPE OF WORK COMMERCIAL FEE* SCHEDULE- L'SE CHECKLIST
Mechanical permit fees*are based on the value oldie work
0 New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 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 Vim special information use checklist.
❑Multi-family ❑Master builder 0 Other: Description I Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating muting:
Air conditioning
Job site address: 15557 SW PEACE AVE (requires stir plan showing placement) 1 46.75
City/Stater/JP: Tigard OR 97224 Furnace 100,000 BTU(ducts/vents) 1 46.75
' Furnace 100,000+Bill(duets/vents) 54.91
Suite bldg.iapt.no.: Project name: River Terrace Crossing Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
I lydronic hot water system , 23.32
Residential boiler(radiator or
hydronie) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Subdivision: River Terrace Crossing Lot no.: 24 Fluz vent for any of above 1 23.32
Other: 23.32
Tax mapiparcel 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 gaff
2
fireplace 23.32
I erg lighter(gas) 23.32
Wood pellet stove 33.39
Wood fireplace/insert 23.32
EllPROPERTY OWNER 0 TENANT Chimney/liner/floe/vent 23.32
Other: 23.32
Name: Stone Bridge Homes NW, LLC Envimnmental 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) 8 23.32
® APPLICANT 0 CONTACT PERSON Attic/erawlspace thus 73.37
Business name: Stone Bridge Homes NW, LLC Other: 23.32
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: portlandpermitsistonebridgehomesnw.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
Phone:( 503)667-5595 Fax:( ) Minimum permit fee($90.00)
Plan review(25°loof permit fee)
CCB lie.: 110091 State surcharge(12%of permit fee)
I
TOTAL PERMIT FEE
�x�i r This permit application expires if a permit is not obtained within 180
Authorized signature: days:tiler it has been accepted as complete.
Print name: David Heldstab Dale: 7/6/2023 * Fee methodology set by Tri-County Building industry Service Board
LinaiidwgtPermits\MEC-PermitApp.doe 094)9/10 440-4517r(11/02'COM/WEn)
Electrical Permit Application
1 STaor33 -o 0 3 l l
City of Tigard Date/Hy Perm
rt
• .Received 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date'By: Related Permit P.
dimaInspection Line: 503.639 4175 Ready Date/By: orris: I ■See Page 2 for
filligfilagl Internet: www.tigard-or.gov NolifediMethod: I I Supplemental Information
TYPE -OF WORK PLAN REVIEW
X❑New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wiilems checked)_
❑Service or feeder 400 amps or nwre ❑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 in Floating buildings.
® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14.100 0 Commercial-use agricultural
amps for all other installations_ buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
ID Addition of new motor load of system.
Job tt: 3246 Job site address: 15557 SW PEACE AVE 1(tJHP or more. ❑ A" "E' `1-S' "t 3"_
City/State/ZIP: Tigard, OR 97224 ❑six or more residential units. occupancy.
g ' ❑Health-care facilities. ❑Recreational vehicle parks_
Suite/bld a t.#: ( Project name: Crossing ❑llsmrdous locations. ❑Supply voltage for store than
g./ pRiverTel7aCen� _: Fnn volts nominal
Va. ,Ue,or hvd,-.r 60^ampsormore_
Cross street/directions to job site: FEE SCHEDULE
Description I Qtv. I Each I Total I
New residential single-or multi-fandly dwelling unit.
Subdivision:River Terrace Crossing Lot S: 24 Includes attached garage.
1,000sq.ft.or less t 3 1 168.544 1 4
Tax mapiparcel fr:
Ea.add'l 500 sq.ft.or portion 1 33.92 I
DESCRIPTION OF WORK Limited energy,residential
New,single family residence
(with above sq.ft.) 75.0(1 2
Limited energy,multi-family 75.00 2
residential(with above sq.It.)
Renewable Energy I ❑ See Page 2 I I
® PROPERTY OWNER 0 TENANT Senlces or feeders installation,alteration,and/or relocation
Name: Stone Bridge Homes NW, LLC 200 amps or leas 100.70 2
Address: 4230 Galewood St. Suite#100 201 amps to 400 amps 13356 2
401 amps to 600 amps 200.34 2
City/Stale/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
Entail: 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 ❑ 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
Address: 4230 Galewood St. Suite#100 service or feeder tee'lust 56.18 2
branch circuit
City/State/ZIP:Lake Oswego, OR 97035 Each add'l branch circuit 7.42 1 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: ortlandPermits stonebrid ehomesnw.com Reconnect only
67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: Gamer Electric Sign or outline lighting 67.84 2
Signal circuit(s)or limited-ewergv
Address: 2920 SE Brookwood Ave. Suite A panel,alteration,or extension. 0 See Page 2 2
City/StateiZlP. 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(1 hr min) 78.18'hr
t Inspections for which no fee is 90.00/hr
CC 13 L b1U1-Plllectrical Lie.:34-305C I Suprv.Lie.: 17075 specifically listtxi(`- hr min) 1 1
p ELECTRICAL PERMIT FEES
�p
Suprv.Electrician signature,required: 0, ga�efl.eR, Subtotal:
Print name: Charles Garner Date: 0 Plan Review Required(25%u of penult fee):
State surcharge(12°-0 of permit fee):
Authorized signature: r_ TOTAL,PERMIT FEE:
f.CJ//'/(.7i J
This permit application expires if a permit is not obtained within 180
Print name: Tiana Rudolf Date: 7/6/2023 days after it has been accepted as complete.
* Number of inspections allowed per permit.
lu➢uiidinz`Petmita`ELC Pemitnnp ELR ERE.doc Rev06/17/2015 440-46I5T(1l/051COMMEB
.. 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 OD. I Each I Total
Fee for all residential systems combined: $75.00 Renewable elcch;cad energy systems:
Check Type of Work Involved: 5 kva or l 133. ' 2
5.01 to 15 kva 133.5656 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
LJ Burglar Alarm 25.01 to 50 kva 31)1.04 2
50.01 to 100 kva 552.26 2
Garage Door Opener* >100 kva(fee in accordance 552.26 2
with OAR 918-309-0040)
X 1 Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System*
Each additional kva over 25 7.42
Vacuum Systems* >100 Eva-no additional charge 0.0 3
Each additional inspection over anima Mr in any or the allover
C Other: Each additional inspection is 66.25i hr
- - charged at an hourly(1 hr min)
Inspections for which no Ice is 90,00!hr
speed-calls listed('' hr min)
COMMERCIAL WORK ONLY: l ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Paget):
(SEE OAR 918-309-0000) * Number on in
spections pecons allowed per permit
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
U Data Telecommunication Installation
Fire Alarm Installation
HVAC
n Instrumentation
❑ Intercom and Paging Systems
I I Landscape Irrigation Control*
n Medical
j Nurse Calls
n Outdoor Landscape Lighting*
7 Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I:t➢tilding'.PerrnitsiELC.PetmitApta ELR ERE.doe Rev06l17/2015
Plumbing Permit Application
Building Fixtures FOR OFFICE USE ONLY
City of Tigard Receive
• 13125 SW Hallg Blvd.,Tigard,OR 97223 Dat By: p ��7] 00 I
Plan Review
G - Phone:Phone: 503.718.2439 Fax: 503.598.1960 Date/By: tither Permit No.:
-T I G A it t> Inspection Line: 503.639.4175 Date Ready/By: tuna U See Page 2 for
Internet: wvvw.tigard-ocgov Notified/Method. Supplemental Information
TYPE OF WORK FEE* SCHEDLI.E
Ga New construction 0 Demolition Far special information rise checklist.
Description I Qty. 1 Ea. I Total
❑Addition'alteration/replacement ❑Other: New 1-2-family dwellings(includes 10011.Ibreach utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
2
FYI 1-and 2-family dwelling ❑Cammcrcial!industri:il SFR(2)bath 437.78
❑Accessory buildingSFR(3)bath I 500.32
0 Multi-family
Each additional bativkitchen 1 i 25.02
❑Master builder 0 Other
Fire sprinkler( sq.ft) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 15557 SW PEACE AVE Catch basin or area drain 18.76
Drvwell,leach line,or trench drain 18.76
City/State/ZIP: Tigard, OR 97224
Footing drain(no.linear ft.:_) Page 2
Suitc/hldg./apt.no.: Project name:River Terrace Crossing Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear II.: ) Page 2
Storm sewer(no.linear ft-: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: River Terrace Crossing Lot no.: 24 Fixture or Item:
Tax map/parcel no.: Baektlow 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 i 25.02
City/State/ZIP: Lake Oswego, OR 97035 Hose bib 2 25.02
Phone:( 503)387-7577 Fax:( ) Ice maker 12.51
l APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name: Stone Bridge Homes NW, LLC vledieal gas(value:S ) Page 2
Primer 12.51
Contact name: Permit Tech
Roof drain(commercial) 12.51
Address: 4230 Galewood St. Suite#100 Sinkbasin/lavatory 8 25.02
City%Slate%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 4 25.02
CONTRACTOR
Water heater _ 1 37.52
Business name: Edward Mullen Plumbing Water piping/DW V 56.29
Address: S. E. River Road Other: 25.02
Cily"Statc'7IP: Hillsboro, OR 97113 Subtotal
Phone:( 503) 640-0113 Fax:( ) Minimum permit tee: $72.50
Plan review (25%of permit fee)
CCU U 34 260P8e.:92689 Plumbing Lie.no.: State surcharge(1290 or permit fee)
Authorized signature:r... . "TOTAL PERMIT FEE
Print name: Jeremy Crace Date: 7/6/2023 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
"Fee methodology set by In-County Building Industry Sery ice Board.
I.lBuildineAPermitsiPLMO-PemutApp.doe 10/01/09 440-4616T(10102/COM/WEB)
" Building Division
One & Two-Family Dwelling
TIGARD Fees Checklist
1.1 I PERMIT INFORMATION: Application Date - FEE VERSION
'0 O
Permit#: f 51 Z 3--X'S I t Plan #: 3LI S 1 b Floors: 2
Valuation: Covered Porch: 163 Basement
Bedrooms: 5 Deck: 1"Floor / 70B
WC (toilets) Hi Deck Cover: 2"d Floor ' -W�"
Lavatories Patio Cover IN 3`d Floor _____,
Tub/shower 3 Accessory Struct. R-3 Total 30 3
Laundry Tray y�� Water Heater I Gas Elec Garage Lite/
Exhaust Vents l -7 Gas Fl. • Vents _`� Total for Elec. 3g1(1
Backflow Prey. ---- 11ANISIP Heat Pump MEP # for Electrical
BBQ ----- Gas Fireplace a' #Fuel LinesII
FEES: Description: Fee Applies: Fee Entered:
DC Prov Revw: Planning u
Info Proc/Arch: Lg$2.00 (over 11)(17) I c—
Info Proc/Arch: Sm $.50 (up to 11x17)
Metro CET: Residential Use
School CET: District•. (%a
Tigard CET: Admin
Tigard CET: ODHCS
Tigard CET: AH t/
Electrical Permit: Permit Fee:
Limited Energy: L..'
12% State Surcharge
Mech. Permit: Permit Fee: C.,---
12% State Surcharge L.....----
Plumbing Permit: Permit Fee:
12% State Surcharge
Erosion Control: w/Permit-Ping
Notes:
I:\Building\Forms\ResPlanCheckFees_Dec2022_AA.doc 12/21/22
Page 1
rCity of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT iI
Building Permit Review - Residential
.. ..¢34 , - v:a R% a; n..�tte✓ �a^r.4wC. trYaia.arzs'."nos^x'tr .. .._d.- _#w:tss.K+ .-nx wS"=et
Building Permit #: t1 Jl ,-)- 3-7, '(_ C 3 I I
Site Address: i 5557 S w kac-R-_ A.A.___ tx Verified in Accela
Project Name: River Terrace Crossing Lot/Unit #: 1 LI
Proposal: New Single Detached SFR Zone: (des-L
Housing Type: X SFR(X Single Detached ❑ Duplex❑Triplex❑ADU) ❑ Rowhouse DCottage Cluster❑ CYU OQuad ❑ Other
Required Site Plan Elements:
X 3 copies of site plan on max 11x17"
Wn 'n
X Drawn to standard scale t.i„cd t,ee,, el.' .c/ t,cc protection i+� P,,,� e nvek imIstiv
Q North arrow Street and site trees shown a e e y t� h 'p� �;g-ppDo��
X Site address, project name, lot # - :. " __I_ y-A-a� a•r't roil LP
X Street names (N/A for SFR)
Xi Applicant name and phone # El Ce„,lru,d ..,la"h, Ji„llwlIDi„I1..d (Y uppii.,able)
X Lot and setback dimensions ❑ Vision cicNarance triangle
❑ c,t;" .,L,.,..L...,. Q "....,.. 1.,.,1_u7„ X Utility locations & easements
X Footprint of new structure and FFE X Property corner elevations
X Sidewalk/driveway dimensioned ❑ LIPP (- 1,000 cf dicturbanco)
X Lot area and lot coverage percentage X Erosion control
Required Elevation Plan Elements:
(For SFR: calcs needed only on street-facing) u able with calculations for:
X Drawn to standard scale ❑ Total facade a
X Building height dimensioned ❑ Total window and door area
C] Facade dimcn5ioncd
❑ Windows and d.,u„ din,ehsioned
❑ Caragc doors dimensioned
Requir n Elements:
(Not required for SFR) ❑ Summary table that includes
❑ Each story dimensioned loor area
❑ Each story floor area calculated ❑ Floor area per
Planning Review ,e. borektf�b �5 ,�`� CS,
S'k ` �S� 9 . dll�lka�{,
The following standards have been met: •1�' moo} Sisal
K►
,l ,8'front porch 3, 8,
Setbacks l Front: 2 Rear: 10, Side: _ Min/Max Street Side: / Garage: 20
Height IZ Max. Height: 35' Proposed Height: V ,tan
❑ Yes ❑ N/A Landscape
❑ Yes ❑ N/A Screening (Quad only)
❑ Yes ❑ N/A % Window Coverage
❑ Yes ❑ N/A Garage (SFR Only) Parking (Other Res)
❑ Yes ❑ N/A Entrance (SFR, Rowhouse, Quad only)
❑ Yes ❑ N/A Other building design standards (Rowhouse only)
❑ Yes ❑ N/A Accessory Structure Standards
❑ Yes ❑ No Qualifying pre-existing unit exempt from standards (Cottage unit only)
Additional standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
❑ Yes N/A Unit Count:
❑ Yes E N/A Lot Width and Size
❑ Yes N/A Pathway
Additional standards for Courtyard Units and Cottage Clusters only:
❑ Yes ❑ N/A Unit Area:
❑ Yes ❑ N/A Floor Area (per story)
❑ Yes El N/A Courtyard
❑ Yes 0 N/A Fence
El Yes ❑ No XN/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes ❑ NoXIN/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes ❑ No
Applied For: ❑ Yes ❑ No, stop intake
X Sensitive Lands: ❑ Yes Xi No
l Main Land Use Case #s: PDR2016-00016/PDR2018-00005 ❑ Conditions met
CA Applicant notified of land evn1�-t;,,^ e: 3/22/2026
Approved By Planning: Date: 7/6/2-0 .3
Notes RT PD design standards not plicab .146Window%,entrance standards,garage standards apply,requirements were aaae36the residential
ldr i6drjls untcil dllel 0 6 when Pp p ruved
Revision is a �pproved f iot approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
Building Permit Submittal
Original Submittal Date: 3
Site Plans #:
Building Plans #:
Building Permit #: Building permit # entered on page 1
Workflow Routing: Planning k Engineering K Permit Coordinator Ail Building
Workflow Sign-off: 4 Sign-off for Planning (include notes from planning review)
Route Documents: IN Engineering: (1) copy of permit application, (1) site plan, (1) building plan
a d original plan review routing form.
Building: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.
Permit Technician: .._. -T. Date: 7ii Z 7?-
Notes:
Engineering Review
❑ P I Permit:
Slope at building pad: `1r�
Pr-Conditions met prior to issuance of permit
Easements (encroachments) per engineering conditions of approval and plat
SWater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 1:2''lo
Assess Water Quantity Fee in-lieu: ❑ Yes Who
LIDA Facility on lot: ❑ Yes t•No Add Fee: 0 Yes ❑ No
final Plat Recorded
0 NOT Approved: Date:
Notes: -
Approved By Engineering: Date: 712 /Z n
Revision 1: ❑ Approve 0 Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date:
Permit Coordinator Review
--,Conditions met prior to permit issuance
❑ Approved, NOT Released: Date notified applicant:
ENG Revisions Required:4.....
Date notified applicant:
SDC Exemption: ❑ Applied for El Received �B'Boes not apply
DC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: Yes ❑ N/A 0 Deferred
Parks SDC: Yes ❑ N/A ❑ Deferred
LIDA 0 r3 Yes .PcfA7g3 �f
K to Issue/Approved by Permit Coordinator: .\k ft\ka�0 Date: 1-2' - )
Revision 1: 0 Approved ❑ Not Approved ` Date:
Revision 2: 0 Approved 0 Not Approved Date:
I.
RECEIVED J3246
City of Tigard JUL 0 6 2023 RTC24
Deferral Until Occupancy Request-lam`of TIGAHD
BUILDING DIVISION
T I G A R D Washington County Transportation Development Tax (TDT),Transportation and Parks System
Development Charges (SDCs)
This form is to be signed and submitted prior building permit issuance or,if no building permit is required,then
upon land use approval(TMC 3.24, as amended by Ordinance No.21-09).
Date: 6-22-2023 Site Address: 15557 SW Peace Ave.
Project River Terrace Crossing Land Use Case or
Name: (Stone Bridge Homes) Building Permit#: 03I f
Tax Lot 2S( b� ''Q) Total Parks Q I{
#: Lot 24 Amount*: ` � 1 U �y - DC)
TDT Total TSDC
Amount: Amount*: I �. `/Q0
*The total TSDC amount shown above is the sum of$ - I'7 for TSDC-Improvement,$ 'T 17 for TSDC-
Reimbursement,and$ 31%1 2$for TSDC-River Terrace,if applicable.. ,�/�
*The total Parks SDC amount sho above is the sum of$ 1 i 15� for Parks-Improvement,$ �,v'7 (D for Parks-
Reimbursement,and either$ for Parks-Neighborhood or$ for Parks-Neighborhood River Terrace.
This constitutes my request to defer payment of the TDT,TSDC, and Parks SDCs, as provided above, to
prior to final inspection.
Payment of the TDT,TSDC,and Parks SDCs may be deferred until issuance of the occupancy permit. In
requesting this option,I understand that any deferred TDT,TSDC,and Parks SDCs must be paid prior to final
inspection.
TDT may only be deferred if the TDT is greater than the amount for a single-family residence. I further
understand that the amount of TDT due on deferred obligations shall be the amount in effect at the time of
issuance of the building permit.
For a deferral request to be accepted both the Property Owner and the Developer must sign this request.
Property Owner: Ka by / LtJ Date: 6-22-2023
Developer: �p ran--Al 58., Date:cieZ 06/28/2023
Permit Coordinator: Date: / 2 ,