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Permit (77)
FOR OFFICE USE ONLY—SITE ADDRESS: 15 5 ( 3 4 "k E v e-v-3 1 ,1 d e 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. J3282 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT i _ + Transmittal Letter RTC190 T I CI A R 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: Tiana Rudolf AUG 0 1. 2023 COMPANY: Stone Bridge Homes NW, LLC CITY OF TIGAHL 3UILDING DIVISION ,14 PHONE: 503-707-9340 EMAIL: portlandpermits@stonebridgehomesnw.com RE: 15543 SW Everglade Ave. MST2023-00332 (Site Address) (Permit Number) River Terrace Crossing Lot 190 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: . Copies: Description: . Additional set(s) of plans. 4 Revisions: Site Plan & Erosion Control Plan 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: Moved house 1' North to provide 5' side setback on Southern property boundary. F012 F CE USE ONLY . Routed to Permit Technic' . Date: ? 'L"2j Initials: Fees Due: YesNo Fee Descriptio Amount Due: El $ N) b ( \ 6-, $ 2 - Special Instructions: Reprint Permit(per PE): [ Yes ❑No ❑ Done Applicant Notified: Date: Initials: CITY OF TIGARD MASTER PERMIT 11 I ' ' COMMUNITY DEVELOPMENT Permit#: MST2023-00332 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/24/2023 Parcel: 2S108DC33500 Jurisdiction: Tigard Site address: 15543 SW EVERGLADE AVE Subdivision: CROSSING AT BULL MOUNTAIN Lot: Project: River Terrace Crossing, Lot 190 Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES HAVE BEEN PAID. BUILDING Floor Areas Required Setbacks Required Stones: 2 Bedrooms: 4 First: 1385 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1812 sf Garage: 631 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 3197 sf Value: $585,506.97 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel TYPOS Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump; N Hoods: 1 Other Units: 0 Furn<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'l 500 sf: 6 201-400 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 3197 Owner: Contractor: STONE BRIDGE HOMES NW LLC STONE BRIDGE HOMES NW LLC Required Items and Reports(Conditions) 4230 GALEWOOD ST STE 10D 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: $29,702.09 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 gF9_nM 11Mn fhrn, P gF9_nn 1-neon Vn_m htain—a nnnv of the n do u e nr dirort noetinne to ell IN( by n Minn a Fn4 719 10A7 nr 1 Ann 709 944A _I Issued By: �J2/� j// Z Permittee Signature: Cr �p j a r t del 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 f Residential t'J3282 FOR OFFICE USE ONLY City of Tigard � �R� 190 Reeeivy 1I�0 ,� � �,��,� Qo2 DaterB Permit No.: �{ U?� E • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review J J Phone: 503.718.2439 Fax: 503.598.1960�i-nt OF TIGARD DateiBy: � � Other Permit:110...240g`.06163 TIGARD Inspection Line: 503.639.4175 BUILDING DiViSiON Date Ready/By: ` Jeri H See Paage-2"(oh Internet: www.tigard-or.gov Nolified'Metlad:g �ii,�7 (��.J� Supplemental Information rr'r`Lited ra°'1441. TYPE OF WORK REQUIRED DATA: I-AND 2-FAMILY DWELLING ® New construction ❑ Demolition Permit fees*arc based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and work the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. � �� 97 X❑ I-and 2-family dwellin Valuation: 3,33E,�3g, g ❑Commercial/industrial ❑Accessory building El Multi-familyNumber of bedrooms: 5 El Master builder El Other: Number of bathrooms:3 1 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 382A3 I Job site address:15543 SW Everglade Ave. New dwelling area: 3,197 square feet!g I D.— City/State/ZIP: Tigard, OR 97224 Garage/carport area: 631 square feet I' ) Suite/bldg./apt.no.: Project name: River Terrace Crossing Front Covered porch area: 123 square feet Cross street/directions to job site: Back Patio:132 square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: River Terrace Crossing Lot no.: 190 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: $ Would like to request SCD deferral Existing building area: square feet New building area: square feet ❑X PROPERTY OWNER ❑ 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 ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: Stone Bridge Homes NW, LLC (Please refer ro fee schedule) Structural plan review fee(or deposit): Contact name: Permit Tech FLS plan review fee(if applicable): Address: 4230 Galewood St. Suite#100 Total fees due upon application: City/State/ZIP: Lake Oswego, OR 97035 Phone:( 503) 387-7577 Fax: :( ) Amount received: E-mail: portlandpermits@stonebridgehomesnw.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: Stone Bridge Homes NW, LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 4230 Galewood St. Suite#100 Solar Installation Specialty Code checklist. City/State/ZIP: Lake Oswego, OR 97035 Permit Fee(includes plan review $180 00 and administrative fees): Phone:(503)387-7577 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: 173318 Total fee due upon application: $201.60 Authorized signature: A.;,,,,,,,,,,,, / ,,(4/1 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry 7 18-2023 Print name: Tiana Rudolf Date: Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46I3T(I I/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY 1. City of Tigard Received Permit No,: 13125 SW Hall Blvd.,Tigard,OR 97223 RecDateive Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing 0 Mechanical TIGARD Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1es No N/.A l 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 4 Fire district approval required. Name of district: . 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 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 E 0 0 there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft. intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage; impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size E ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, x❑ ❑ ❑ furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ❑X 0 0 floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑x 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- E ❑ 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 x❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 0 systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists 0 ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ❑X 0 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑X 0 0 for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or E 0 0 architect licensed in Ore•on and shall be shown to be.••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. ❑ ❑ ❑ 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 0 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 0 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ 0 ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ 0 0 including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) • Mechanical Permit Application R LL.,t i V r FOR OFFICE USE ONLY City of Tigard Received ,z III Permit 044#. +?,'' a 03/:�_ 13125 SW Hall Blvd.,Tigard,OR 97223 JUL 18 2023 _ Plan Review _ Phone: 503.718.2439 Fax: 503.598.1960 atoBy: Other Permit: t ,,g Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: loos: g Internet: www.tigard-or.gov See Pa a 2nr BUILDING D1VISi0l�otifiedNlethod: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE,- USE C>JECk ., Mechanical permit fees*are based on the value of the work 0 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* 0 I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑ Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total JOB SIZE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: 15543 SW Everglade Ave. (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(ductsrvents) 54.91 Suite/bldg./apt.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 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: River Terrace Crossing Lot no.:190 Flue/vent for any of above 1 23.32 Other: 23.32 Tax map/parcel no.: I 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 al PROPERTY OWNER 0 TENANT Ch mneyilineriflue/vent 23.32 _Other: 23.32 Name: Stone Bridge Homes NW, LLC Environmental exhaust and ventilation: Address: 4230 Galewood St. Suite#100 Range hood/other kitchen 1 equipment 33.39 City/State/ZIP: Lake Oswego, OR 97035 Clothes dryer exhaust 1 33.39 Phone:( 503)387-7577 Fax: ) Single-duct exhaust(bathrooms, 6 ( toilet compartments,utility rooms) 23.32 I1 APPLICANT 0 CONTACT PERSON Atticicrawlspace fans 23.32 Other: 23.32 Business name: Stone Bridge Homes NW, LLC Fuel m P P g: 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 lie.: 110091 State surcharge(12%of permit fee) TOTAL PERMIT FEE Authorized signature: f 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: 7-18-2023 ' Fee methodology set by Tri-County Building Industry Service Board tiBailding/PermitsAMEC-PermitApp doc 09/09110 440-46 17T(11,02'COM/V/EB) Electrical Permit Application FOR OFFICE USE ONLY City of Tigard �, u Date/By:Re Permit#*l D,4 . -a 0 3 �— • 13125 SW Hall Blvd.,Tigard,OR 97223 JJUL8 2023 Plan Received / Related Permit#: Phone: 503.718.2439 Fax: 503.598.1960 DateB : orris: ® See Page 2 for - Inspection Line: 503.639.4175 .� ,„1 Ready Date/By: "CIC�ARD Internet: www.tigard-or.gov CITY OFNotified Method: Supplemental Information TYPE OF WORK -+,••- PLAN REVIEW ❑X New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w terns checked)'. 0 Service or feeder 400 amps or more 0 Building over three stories. ❑ Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. less to ground,or exceeds 14,000 0 Commercial-use agricultural © I-and 2-family dwelling ❑Commercial/industrial ❑ Accessory huilding amps for all other installations. buildings. ❑Multi-family 0 Master builder ❑ Other: 0 Fire pump. 0 Installation of 150 KVA or ❑Emergency system. larger separately derived JOB SITE INFORMATION AND LOCATION ❑Addition of new motor load of system. Job#:3282 Job site address:15543 SW Everglade Ave. 10011P or more. ❑`A "E","'-z","I-3 cupancy. 0 Six or more residential units. oc ❑oc Recreational vehicle parks. City/State/ZIP: Tigard, OR 97224 ❑Health-care facilities. 0 Hazardous locations. 0 Supply voltage for more than Suite/bldg./apt.#: Project name: River Terrace Crossing ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description 1 Qty. I Each I Total I * New residential single-or multi-family dwelling unit. Includes attached garage. Lot#: 190 Subdivision:River Terrace Crossing 1,000 sq.ft.or less 3 168.54 4 Tax map/parcel#: Ea.add'I 500 sq ft or portion 1 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 (with above sq.ft.) New, single family residence Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 lX1t PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation Name: Stone Bridge Homes NW, LLC 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Address: 4230 Galewood St. Suite#100 401 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 s or less 59.36 1 Owner installation:This installation is being made on property that I own which is not 200 amps intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 Branch circuits—new,alteration,or extension, er panel 0 APPLICANT 0 CONTACT PERSON 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 56.18 2 Address: 4230 Galewood St. Suite#100 branch circuit Each add'l branch circuit 7.42 2 City/State/ZIP:Lake Oswego, OR 97035 Miscellaneous(service or feeder not included) Phone:( 503)387-7577 Fax: : ( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: portlandpermits@stonebridgehomesnw.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Garner Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy ❑ See Page 2 2 Address: 2920 SE Brookwood Ave. Suite A panel,alteration,or extension. Each additional inspection over allowable in any of the above City/State/ZIP: Hillsboro, OR 97123 Additional inspection(1 hr min) 66.25/hr Phone:( 503)648-4552 Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email: Chelsea@garnerelectriacom Inspections for which no fee is 90.00/hr CCB Lie 2322 e �11j'Electrical Lie.:34-305C Suprv. Lic.: 37b75 specifically listed(/hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: actndaa &vutvit, Subtotal: Print name: Charles Garner Date: 7-18-2023 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): TOTAL PERMIT FEE: Authorized signature: . firfiez . Ae-eq This permit application expires if a permit is not obtained within 180 Print name: Tiana Rudolf / Date: 7 18 2023 days after It has been accepted as complete. ' Number of inspections allowed per permit. h`BuildingA Permits\ELC_PermitApp_ELR_ERE doc Rev 06.17/2015 440-46 UT(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 Qty. I Each I Total I Fee for all residential systems combined: $75.00 Renewable electrical energy systems: 5 kva or less 100.70 2 Check Type of Work Involved: 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Mann 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 552.26 2 with OAR 918-309-0040) ❑x Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 n Vacuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: n Other: Each additional inspection is 66.25/hr 1 charged at an hourly(I hr min) Inspections for which no fee is 90.00/hr specifically listed(Y hr min) FLFCTRICAL PERMIT FEES COMMERCIAL WORK ONLY: Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 ' Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: n A• udio and Stereo Systems n Boiler Controls n C• lock Systems n Data Telecommunication Installation ❑ Fire Alarm Installation E HVAC n Instrumentation n Intercom and Paging Systems n Landscape Irrigation Control* n Medical n Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations - 1^Building.Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015 • Plumbing Permit Application 4 Building Fixtures RECEIVED FOR OFFICE USE ONLY ` City Of Tigard Received Perm ...*;2.(,1�5-- 0Og jig 1 • 13125 SW Hall Blvd.,Tigard,OR 97223 JUL 1 8 2023 Date/By: I, • Phone: 503.718.2439 Fax: 503.598.1960 Plan Review By: Other Permit No.: CITY(4 Inspection Line: 503.639.4175 C g:.. Da e T I G A R D C!„ .0 Date Re Juris: 64 See Page 2 for Internet: www.tigard-or.gov r -7.1 Notified Method. Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction ❑ Demolition For special information use checklist. Description I Qty. Ea. Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 l-and 2-familydwellingSFR(2)bath 437.78 ❑ 0 Commercial/industrial ❑Accessory building ❑Multi-family SFR(3)bath 1 500.32 Each additional bath/kitchen 25.02 ❑ Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:15543 SW Everglade Ave. -Catch basin or area drain 18.76 City/State/ZIP: Tigard, OR 97224 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: 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 ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: River Terrace Crossing I Lot no.:190 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 IN PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Fixture/sewer cap 25.02 Name: Stone Bridge Homes NW, LLC 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 J APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Medical gas(value:$_) Page 2 Business name: Stone Bridge Homes NW, LLC Primer 12.51 Contact name: Permit Tech Roof drain(commercial) 12.51 Address: 4230 Galewood St. Suite#100 Sink/basin/lavatory 7 25.02 City/State/ZIP: Lake Oswego, OR 97035 Solar units(potable water) 62.54 H Phone:(503 )387-7577 Fax::( ) Tub/shower/shower pan 4 12.51 E-mail: portlandpermits@stonebridgehomesnw.com Urinal 2s.o2 _II _1I 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 Lic.no.: 34-260PB -- State surcharge(12%of permit fee) Authorized signature: -e. TOTAL PERMIT FEE Print name: Jeremy Crace Date: 7-18-2023 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1.Buildi°g\Permits\PLMU-PermiIApp.d°c 10/01N9 440-4616T(I 0:0lCOM/WEB) N _ ' Building Division One & Two-Family Dwelling TIGARD Fees Checklist PERMIT INFORMATION: Application Date - FEE VERSION J1 l ZO L Permit#: 5 j 7�?)_(�.j 37 Plan #: ��p Floors: c -, Valuation: '�j� ,q1 Covered Porch: l23 Basement Bedrooms: Deck: 1'Floor I 355 WC (toilets) Deck Cover: 2nd Floor t 51 p- Lavatories S Patio Cover `jam 3`d Floor Tub/shower y Accessory Struct. R-3 Total 3 Laundry Tray I,,l� as Water Heater [ G lec Garage (.&31 Exhaust Vents ((.I2 G e Vents — Total for Elec. Z� Backflow Prey. _— (. / Heat Pump AC # for Electrical BBQ , — Gas Fireplace #Fuel Linesti FEES: Description: Fee Applies: Fee Entered: DC Prov Revw: Planning Info Proc/Arch: Lg$2.00 (over 11x17) (5 Info Proc/Arch: Sm$.50 (up to 11x17) gy, Metro CET: Residential Use p School CET: District: l tV.r--' Tigard CET: Admin t✓ Tigard CET: ODHCS ✓ Tigard CET: AH t✓ Electrical Permit: Permit Fee: ✓ Limited Energy: / 12%State Surcharge ✓/ Mech. Permit: Permit Fee: l✓ 12% State Surcharge 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 City of Tigard 1111 II ' COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review - Residential -116ARr) Building Permit #: tn/c V 1/ 00331/ Site Address: I�5 1 5V'J eve€Kri-12AO, C /erified in Accela Project Name: River Terrace Crossing(CirlO S cdL l."1 i Ri i) Lot/Unit #: II 0 Proposal: New Detached SFR Zone: RES-C Housing Type: 0 SFR (0 Single Detached ❑ Duplex❑Triplex ❑ ADU) ❑ Rowhouse ❑Cottage Cluster❑ CYU EQuad ❑ Other Required Site Plan Elements: {zE-V icto /J I \ ie.i�. ;,,i.,re.�/ ( I - M l '✓ f-o AI d '4e "0 a4. 3 copies of site plan on max 11x17" awn to standard scale ❑ Retained flees, drip line / flee pivlcLlioii Forth arrow a-greet and site trees shown / labeled ■' its address, project name, lot # ❑ Table calculating trcc canopy at maturity 5Yreet names (N/A for SFR) B'Applicant name and phone # ❑ Courtyard rectangle dimensioned (if applicable) rot and setback dimensions C;/' ion clearance triangle ❑ Existing structures & square footagc Y6ility locations & easements G/Footprint of new structure and FFE GYProperty corner elevations q.,Silewalk/driveway dimensioned ❑ LIDA (>1,000 sf disturbance) PP-Cot area and lot coverage percentage ❑ Erosion control Required Elevation Plan Elements: (For SFycalcs needed only on street-facing) SuZnr ayr table with calcul • r: teDyawwn to standard scale Cl Total faSa 5/building height dimensioned window and door are de dimensioned ❑ Windows dimensioned ai age doors dimensione oor Plan Elements: (Not required for y a le that includes ❑ Each story dimensions loor area oor area calculated ❑ Floor area per s Planning Review The followingg��andards have been met: Setbacks Co'Front:; 8' porch 10' Side: 3' Min/Max Street Side•8' publi Garage: 20' QQ l� 3' pnvat� Height G�Max. Height: N/A Proposed Height: ?V CJ efYes ❑ N/A Landscape Garage and window standards (garage width, ❑ A Screening (Quad only) etc.) do not apply. These standards were ❑ Yes ❑ N/A • ow Coverage optional at the time of approval. ❑ Yes ❑ N/A Garage (SF a Other Res) See pg. 35-36 of PDR2016-00016 ❑ Yes ❑ N/A Entrance (SF whouse, nly) ❑ Yes ❑ N/A Ot i ding design standards (Row section 18.660.070.E.2 in which 'd', "high- ❑ Yes ❑ Accessory Structure Standards ' architectural features" was not opted foi s ❑ No Qualifying pre-existing unit exempt from standards (Cottage unit itional standards for Courtyard Units, Cottage Clusters, Rowhouses, a ads: ❑ Yes Unit Count: ❑ Yes ❑ N/A Lo th and Size ❑ Yes ❑ N/A Pathway Additional standards for Courtyar Cottage Clusters only: ❑ Yes ❑ N/A Unit Area: ❑ Yes ❑ N/A Floor per story) ❑ Yes ❑ N ourtyard N/A Fence ❑ Yes ❑ No ON/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995) O Yes ❑ No ❑N/A Public Facilities Improvement (PFI) Permit: Required: 0 Yes ❑ No Applied For: 0 Yes ❑ No, stop intake O Sensitive Lands: ❑ Yes 0 No O Main Land Use Case #s: PDR2016-00016; PDR2018-00005 ❑ Conditions met 0 Applicant notified of land usecexpiration date: 3(?212 0/ Approved By Planning: 3- r GI 0 vh S Date: 7119175 Notes Revision 1: Approved ❑ Not Approved Date: V/a/Xoa-3 Revision 2: ❑ Approved ❑ Not Approved Date: Building Permit Submittal 4 Original Submittal Date: 1 o Z Site Plans #: Building Plans #: Building Permit #: "Building permit # entered on page 1 Workflow Routing: Planning "Engineering 2/Permit Coordinator is uilding Workflow Sign-off: 2/Sign-off for Planning (include notes from planning review) Route Documents: dEngineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. WBuilding: original permit application, site plans, building plans, engineer and beam calculations and trust details, if applicable, etc. Permit Technician: P (/V\ . Date: 1I24 f Z6Z3 Notes: Engineering Review ❑ P I Permit: Slope at building pad: 41,11 % LI-Conditions met prior to issuance of permit L Easements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes [I1--fOo Assess Water Quantity Fee in-lieu: ❑ Yes liVtlo LIDA Facility on lot: ❑ Yes io Add Fee: ❑ Yes ❑ No s-Final Plat Recorded ❑ NOT Approved: Date: Notes: Approved By Engineering: -------- Date: •?��Z?Revision 1: ❑ Approved ❑ Not Appr edv d� _ Date: Revision 2: ❑ Approved 0 Not Approved Date: Permit Coordinator Review Conditions met prior to permit issuance ❑ Approved, NOT Released: Date notified applicant: ❑ ENG Revisions Required: Date notified applicant: OrSDCExemption: ❑ Applied for ❑ Received ,oes not apply DC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A 11 Tigard Trans SDC: Yes ❑ N/A 0 Deferred Parks SDC: Yes ❑ N/A 0 Deferred LIDA ❑ Yes ?O/A rK to Issue/Approved by Permit Coordinator: t\--c:-.1)1VQV6 Date: ')- /--c' 7/D.73 Revision 1: ❑ Approved ❑ Not Approved Date: Revision 2: 0 Approved 0 Not Approved Date: J3282 '7 City of Tigard RTC 190 III ■ Deferral Until. Occupancy Request ,J` ' ' `"' CITY OF TGARD T l G A R D Washington County Transportation Development Tax (TD1),Transp {taifinl lla'iiiAystem µ' 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: J. 25: L3 Site Address: 15543 SW Everglade Ave. Project River Terrace Crossing Land Use Case or q Name: (Stone Bridge Homes) Building Permit#: �j�f(i{:51-'3-40 j2 Tax Lot 2 43 t OZ p C JSCO Total Parks a #: Lot 190 Amount*: ' 1 4 �/i 0 -0 . DO TDT ' Total TSDC /� Amount: N1 is Amount*: i 1 2] 2 4 7. DO *The total TSDC amount shown above is the sum of$ - 101 t, for TSDC-Improvement,$ 115-7 for TSDC- Reimbursement,and$ 421 tl77 for TSDC-River Terrace,if applicable.. *The total Parks SDC amount shown above is the sum of$ 7I-5iLf for Parks-Improvement, $'t1 Dint) for Parks- Reimbursement,and either$ N k for Parks-Neighborhood or$.42I 1 I F 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: Ke Uy R.t1-5r Date: 6-22-2023 Developer: self D:A662,1TX8... Date: 06/28/2023 Permit Coordinator: _._•c:: fq Date: J U(J L--S