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Permit CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2023-00127 Date Issued: 05/01/2023 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108DC15200 Jurisdiction: Tigard Site address: 15574 SW VANDERWOOD AVE Subdivision: RIVER TERRACE CROSSING Lot: 17 Project: River Terrace Crossing, Lot 17 Project Description: New detached dwelling. NO FINAL UNTIL DEFERRED SDC FEES ARE PAID. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1542 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 27 Bathrooms: 3 Second: 1647 sf Garage: 634 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 3189 sf Value: $525,218.77 Rear: 10 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 Drains: 0 Storm Sewer: 100 Tubs/:,howers: 3 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 Types Air Conditioning: Y 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: 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 3189 Owner: Contractor: STONE BRIDGE HOMES NW LLC STONE BRIDGE HOMES NW LLC Required Items and Reports(Conditions) 4230 GALEWOOD ST#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: $27,557.06 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 yo to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR ac9..nnl-nnln thrn,inh OAR o n1_nnon ii n, , n rnm of a/lilac nr Hircrt niiactinne to fli i�ir by raiiinn FQ1 919 7 nr 1 AM 9Z44 1 Issued By: //is Permittee Signature: ii ,(775. --4‘ 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 Resid ltial E r FOR of FI(E l SE o\I.l IL City of Tigard Received `1//„/L3 /1 411151 �22! 'OOig, 4Ph r )', Date/By: (/� J' 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review /1-7 2 /�� J�/�9 7/Phone: 503.718.2439 Fax: 503.598.1�, Date/By: i 7 i6c r `mod J VP El See Page 2 or Inspection Line: 503.639.4175 > (- Date Ready/By' /litJuris: rtc,AltD p�t \p� Internet: www.tigard-or.gov 8ll ii l; ' l i Notified/Method: I Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ro 7 Valuation: f 61 $ 5� 2.,i0 I r © 1-and 2-family dwelling 0 Commercial/industrial / ❑Accessory building ❑Multi-family Number of bedrooms:4 ❑Master builder 0 Other: Number of bathrooms 3 JOB SITE INFORMATION AND LOCATION Total number of floors:2 3 ((-- Job site address:155'1 SW Vanderwood Ave. New dwelling area:3,189 square feet t( L l City/State/ZIP: Tigard, OR 97224 Garage/carport area: 634 square feet tSLiZ Suite/bldg./apt.no.: Project name: River Terrace Crossing Front Covered porch area:103 square feet Cross street/directions to job site: Back Patio: 104 square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: River Terrace Crossing I Lot no.: 17 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 fee': 17.4 PROPERTY OWNER 0 TENANT Number of stories: Name: Stone Bridge Homes NW, LLC Type of construction: Address: 423-Galewood St. Suite#100 Occupancy groups: city/state/ZIP: Lake Oswego, OR 97035 Existing: Phone:(503)387-7577 Fax:( ) New: ® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name: Stone Bridge Homes NW, LLC (Pteaserejerto fee sckedute) Structural plan review fee(or deposit): Contact name: Permit Tech FLS plan review fee(if applicable): Address: 4230 Galewood St. Suite#100 Total fees due upon application: City/State/ZIP: Lake Oswego, OR 97035 Amount received: Phone:( 503) 387-7577 Fax::( ) E-mail: portlandpermits©stonebridgehomesnw.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name: Stone Bridge Homes NW, LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 4230 Galewood St. Suite#100 Solar Installation Specialty Code checklist. city/State/Z1P: Lake Oswego, OR 97035 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(503)387-7577 Fax:( ) State surcharge(I 2%of permit fee): $21.60 CCB lie.: 173318 Total fee due upon application: S201.60 Authorized signature: % This permit application expires if a permit is not obtained t�� uz ���" within 180 days after it has been accepted as complete. Print name: Tiana Rudolf Date: 3-29-2023 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440.4613T(11/02/COMIWEB) • Building Permit Application Checklist One- and Two-Family Dwelling [oR OFF`IC L I SL ONLv City Re of Tigard Receved Permit No.: e ve r 13125 SW Hall Blvd.,Tigard,OR 97223 permits: its: ' i s Phone: 503.718.2439 Fax: 503.598.1960 TIGARD 24-Hour Inspection Line: 503.639.4175 CI Electrical 0 Plumbing 0 Mechanical Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW les No NI 1. 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ■ ii 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 0 0 5 Septic system permit or authorization for remodel. Existing system capacity . 0 0 0 6 Sewer permit. 0 0 0 7 Water district approval. 0 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 0 0 basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ® 0 0 building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ® 0 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 ® 0 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, Q ❑ 0 furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- g 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. © 0 0 Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ® 0 0 prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing X❑ 0 0 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 Q ❑ 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 ❑ for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑X 0 0 architect licensed in Ore on and shall be shown to be licable to the ro'ect under review. 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 0 0 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 0 0 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 0 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 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 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 APPlica FOR OF EWE I SE O LN r I ` Received City of Tigard Permit No.: Date/By: 13125 SW Hall Blvd.,Tigard,OR 97223 , ri,. Plan Review S Phone: 503.718.2439 Fax: 503.598.1960 41 Other Permit: Inspection Line: 503.639.4175 Date/By: l I G A R D v Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov i Rom"` x+ f Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work 0 New construction 0 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 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: 155H9 SW Vanderwood Ave. (requires site plan showing placement) 46.75 City/State/ZIP: Tigard, OR 97224 Furnace 100,000 BTU(ducts/vents) 1 46.75 Furnace 100,000+BTU(ducts/vents) 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: Lot no.: Flue/vent for any of above 1 23.32 River Terrace Crossing �7 Other: 23.32 Tax map/parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater 1 23.32 New, single family residence Gas fireplace 1 33.39 Flue vent for water heater or gas 2 fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 ad PROPERTY OWNER El TENANT Chimney/liner/flue/vent 23.32 Other: 23.32 Name: Stone Bridge Homes NW, LLC Environmental exhaust and ventilation: Address: 4230 Galewood St. Suite#100 Range hood/other kitchen 1 equipment 33.39 City/state/ZIP: Lake Oswego, OR 97035 Clothes dryer exhaust 1 33.39 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 6 Phone:( )387-7577 Fax:( ) 23.32 ® APPLICANT 0 CONTACT PERSON Attic/crawlspace fans 23.32 Other: 23.32 Business name: Stone Bridge Homes NW, LLC Fuel P t ►n P g: 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 Phone:( 503)667-5595 Fax:( ) Minimum permit fee($90.00) Plan review(25%of permit tee) CCB lic.: 110091 State surcharge(12%of permit fee) TOTAL PERMIT FEE 1 �'�y .�.tti� // .,� / ;j This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. Print name: David Heldstab Date: 3-29-2023 * Fee methodology set by Tri-County Building Industry Service Board 1:\Building\Permits\MEC-PermitApp.doc 09/09/10 440.4617T(I 1/02/COM/WEB) Electrical Permit Application FOR OFFICE USE ONLN City of Tigard +" - " y* ReDaceived Permit#: II r 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review S Phone: 503.718.2439 Fax: 503.598.19601N y,(9b Date/B : Related Permit#: Inspection Line: 503.639.4175 t Ready Date/By: Juris: 0 See Page 2 for I IGARU Internet: www.tigard-or.gov i- ' -,It.-- 1-1 ,'1ij ;i, Notified/Method: Supplemental Information TYPE OF VAMMak OtV$tON PLAN REVIEW ❑x New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition 0 Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Hosting buildings. Q 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder 0 Other: 0 Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: Job site address: ❑Addition of new motor load of system. 3245 155�N SW Vanderwood Ave. 10014P or more. ❑ `A°°, `E "1-2'°,°`1-3" City/State/ZIP: Tigard, OR 97224 ❑Six or more residential units. occupancy. 0 Health-care facilities. 0 Recreational vehicle parks. 0 Hazardous locations. 0 Supply voltage for more than Suite/bldg./apt #: Project name: River Terrace Crossing600 volts nominal. ❑Service or feeder 600 amps or more. 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:River Terrace Crossing Lot#:17 Includes attached garage. 1,000 sq.ft.or less 3 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 1 33.92 1 DESCRIPTION OF WORK Limited energy,residential New, single family residence (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) ® PROPERTY OWNER ❑ TENANT Renewable Energy 0 See Page 2 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 El 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 seabranchfirst circuit City/State/ZIP:Lake Oswego, OR 97035 Each add'1 branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( 503)387-7577 Fax::( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: portlandpermits@stonebridgehomesnw.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Garner Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy 0 See Page 2 2 Address: 2920 SE Brookwood Ave. Suite A panel,alteration,or extension. City/State/ZIP: Hillsboro, OR 97123 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( 503)648-4552 Fax:( ) Investigation(1 hr min) 90.00/hr � a : heisea@garnerelectric.com 7t/1lj tot(/LC-- Innspectionsal f fort(I whichhr no) 78.18/hr � Inspections no fee is 90 00/hr CCB Lic.: 2,J'v Electrical Lie.:34-305C Suprv.Lic.3 7C)2 S specifically listed(Y2 hr min) �p ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: ay.& go.vt1R4 Subtotal: Print name: Charles Garner Date: 3-29-2023 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): �/ // TOTAL PERMIT FEE: Authorized signature: , jar. , tiKYei1/ This permit application expires if a permit is not obtained within 180 Print name: Tiana Rudolf Date: 3-29-2023 days after it has been accepted as complete. * Number of inspections allowed per permit. I`\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(I 1/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—,Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Fee for all residential systems combined: $75.00 Description Qty. Each Total yRenewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 Q Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 Q 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: E 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(%z hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): (SEE OAR 918-309-0000) * Number of inspections allowed per permit. Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls n Clock Systems n Data Telecommunication Installation ❑ Fire Alarm Installation n H• VAC n Instrumentation n Intercom and Paging Systems n Landscape Irrigation Control* n M• edical ❑ N• urse Calls ❑ O• utdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitApp ELR_ERE.doc Rev 06/17/2015 Pluniting Permit Applicati qff ----FVR- $uilding Fixtures FOR OFFICE. t SE O L1 City of Tigard ;APt Y "i ^' Received Date/By: Permit No.: _ ' 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.t9 'a. ' 2` '1 Date/By: Other Permit No.: Inspection Line: 503.639.4175 Bul l UUU ? SIO Date Ready/By: Juris• ® See Page 2 for I l(ARD IR Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special information use checklist Description Qty. Ea. Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 j 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3) 500.32 bath ❑Accessory building ❑Multi-family 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:155 SW Vanderwood Ave. 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: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.:17 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 I 0 TENANT Expansion tank 12.51 Name: Stone Bridge Homes NW, LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 4230 Galewood St. Suite#100 Garbage disposal 1 25.02 city/state/ZIP: Lake Oswego, OR 97035 Hose bib 2 25.02 Phone:(503)387-7577 I Fax:( ) Ice maker 12.51 ® APPLICANT 0 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 3 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 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: Jeremy Crace Date: 3-29-2023 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. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard II COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review - Residential TIGARD Building Permit #: • Site Address: nnt 557 4 SW V a42'wcx) A-WZAV-9,_• EVVerified in Accela Project Name: 1 ' CroSS ' 'R dip Unit #: Proposal: JJ 2 W (ETC S P K Zone: ` 5 '"C 1 Housing Type: f,/1 SFR(/Single Detached ❑ Duplex❑Triplex❑ADU)0 Rowhouse ❑Cottage Cluster 0 CYU ❑Quad 0 Other Req�ired Site Plan Elements: B'3 c9pies of site plan on max 11x17" Drawn to standard scale North arrow /Street and site trees shown / labeled Site address, project name, lot # • ViStreet names (N7*1ur SFR) g pplicant name and phone # i app ica er Lot and setback dimensions "Utility locations &easements djootprint of new structure and FFE roperty corner elevations VI Sidewalk/driveway dimensioned LIDA (>1,000 sf disturbance) Lot area and lot coverage percentage /Erosion control Required Elevation Plan Elements: (For S R: calcs needed only on street-facing) S mmary table with calculations for: Drawn to standard scale otal façade area ,"Building height dimensioned V Total window and door area 21Fasade dimensioned Windows and doors dimensioned /Garage doors dimensioned Required Floor Plan Elements: (Not yequired for SFR) 'Summary table that includes giEach story dimensioned /Total floor area !I Each story floor area calculated p Floor area per story Planning Review The following standards ha�vfe been met: Setbacks Front: 11 Rear: )) I 0 Side: Min/Max Street Side: g / A//a Garage: a Height 19/Max. Height: N / Proposed Height: 2--Ce7 < <?ll, Yes 0 N/A Landscape r ❑ Yes No Qualifying pre-existing unit exempt from standards (Cottage unit only) Ilona! standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads: ❑ Yes ❑ Unit Co • ❑ Yes ❑ o nd Size es ❑ N/A Pathway A • ' nal standards for Co rd Units and Cottage Clusters only: ❑ Yes ❑ Unit Ar ❑ Yes ❑ N/A Area (per story) ❑ Yes Courtya es ❑ N/A Fence ❑ Yes ❑ No IN/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995) IStrYes ❑ No ❑N/A Public Facili ies Improvement (PFI) Permit: Required: s 0 No / V Yes ❑ No Applied For: No, stopintake , <S } 641i-4k. APO& El Sensitive Lands: - S' 44A ❑plain Land Use Case #s: PDR')-d 16- 0O°1 b / P Dit1-Ota. OOOo S ❑ Conditions met Applicant notified of land usA expiration date: Approved By Planning: J S / & 7 Date: t'/(p /2-3 Notes Revision 1: ❑ Approved 0 Not Approved Date: Revision 2: 0 Approved 0 Not Approved Date: Building Permit Submittal Original Submittal Date: V` Z)-- Site Plans #: 3 Building Plans #: 3 Building Permit #: .eBuilding permit # entered on page 1 Workflow Routing: '��'i nning ngineering ermit Coordinator Building Workflow Sign-off: ❑ Sign-off for Planning (include notes from planning review) Route Documents: 0 Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. uilding: original permit application, site plans, building plans, engineer and beam cal lations an trust detail if applicable, etc. Permit Technician: Date: z../(1-67(2_3 Notes: Engineering Review DF � I Permit: Slope at building pad: .L % Conditions met prior to issuance of permit ''Easements (encroachments) per engineering conditions of approval and plat b-Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes KNo Assess Water Quantity Fee in-lieu: ❑ Yes P No LIDA Facility on lot: ❑ Yes O'No Add Fee: 0 Yes 0 No Final Plat Recorded ❑ NOT Approved: Date: Notes: Approved By Engineering: Date: '0/2-3 Revision 1: 0 Approved 0 N 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: _ Date notified applicant: 4SDC Exemption: ❑ Applied for 0 Received 0 Does not apply CR SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A t Deferred Parks SDC: Yes 0 N/A Deferred LIDA Yes CrN/A ( -7 Z,, ��.,, i �,� 'N Date: - \CJ �)5 i OK to Issue/Approved by Permit Coordinator: LA . A Revision 1: ❑ Approved 0 Not Approved Date: Revision 2: 0 Approved 0 Not Approved Date: