Permit (3) CITY OF TIGARD MASTER PERMIT
III
I COMMUNITY DEVELOPMENT Permit#: MST2023-00532
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/09/2024
T t O 9 Parcel: 2S 108DC29300
Jurisdiction: Tigard
Site address: 15459 SW MISSOURI AVE
Subdivision: CROSSING AT BULL MOUNTAIN Lot: 148
Project: River Terrace Crossing, Lot 148
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: 1241 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 25.5 Bathrooms: 3 Second: 1895 sf Garage: 613
g sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes
Total: 3136 sf Value: $571,408.32 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 Types 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
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!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 3136
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: $18,745.92
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
oc9..nn1-nnln thrni inh nAR ac9-M1-nnon vnii may nhtain iirart ni iactinnc to CM!Mr by Tallinn cin4 949 1QA7 nr 1 Ann 4 44
Issued By: `/ -t c . 0.--
�- Permittee Signature: ' 'AAA ��
Call ,or 75 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
Residential RE C ty7cD
11111 City of Tigard O C T 2 WTgt2i8 Received J Per ��pp iX��
13125 SW Hall Blvd.,Tigard,OR 97223 Date/By:`� "'J�{9°4' l ��i �J� 3-�
= Plan Review
Phone: 503.718.2439 Fax: 503.598.196ClTy OF TIGARD Dale/By: ttso ,2., Other Permit:%\AVAtl .1 0�'W w1
TIGARD Inspection Line: 503.639.4175 PLANNING/ENGINEERING Date Ready/By: uris H See Page 2 or
Internet: www.tigard-or.gov Notified/Method nit
� �, Supplemental Information
£s f ,l �,' �rf i%/f� F�rS, .#r� r I f .,^,n�.r� ,� �.'U./s''�`r �_ � +f�, '' ar ,� r �`f': . of .r
a. �f� ',.,�,.:r 's I is 2 is91 I :2 i �
r � fi .
®New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
'4 .r f .w ' ' f ` ;"�'�' 7 work indicated on this application.
v ;�,....,: „ `I F 4 ..�,'` i f,.� 1t'F, ! t>3 ,iit ;o abos i�"t/'r''.,. pp .3� !V ��
Valuation: $
CI1-and 2-family dwelling ❑Commercial/industrial 2
❑Accessory building ❑Multi-family Number of bedrooms: 5
III Master builder El Other:
Number of bathrooms: 3 9
�� � T � � � � rnnn i f;�"%%��i� f�Z` '� � Total number of floors: 2 1, �` ..:ar'''`;~�•.� :x ' '` A ` ' t f �`5i q
Job site address: 15459 SW Missouri Ave. New dwelling area: 3,136 square feet ISIS
City/State/ZIP: Tigard, OR 97224 Garage/carport area: 613 square feet l VI
Suite/bldg./apt.no.: Project name: River Terrace Crossing Covered porch area: 174 square feet
Cross street/directions to job site: Back Patio: square feet
Other structure area: square feet
Is rl 11 ,. .� t� 9 ' . �` i. , + . ;
Subdivision: River Terrace Crossing Lot no.: 148 Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.:
equipment,materials,labor,overhead,and the profit for the
r t?i l i t> f� K ;' work indicated on this application.
New, single family residence Valuation: $
Existing building area: square feet
New building area: square feet
' ' �� + ! % C4Z: r 1s *.e " `�%�` Number of stories:
.��✓ ,...�,�.�,,,.l.,5 ,, .ter.: �%�,,.. ., ,�,. „u-%f,sm,`;� t, „r,.. rr �;�,,,,., ~r
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:
a r., ,,,, 4 t� s, F „t ra,,(i;,„�, : <„ ..,. '�W/ 0,.. ., , .P 1F,', 2.,:,,,,,.;': '` /r '�.r �,, 6 I4t z eal w ��f1`�f'� ;:,
Business name: Stone Bridge Homes NW, LLC
�ti � �t... .. %rt . ,
Structural plan review fee(or deposit):
Contact name: Permit Tech
FLS plan review fee(if applicable):
Address: 4230 Galewood St. Suite#100
City/State/ZIP: Lake Oswego, OR 97035 Total fees due upon application:
Phone:( 503) 387-7577 Fax::( ) Amount received:
E-mail: portlandpermits@stonebridgehomesnw.com
Commercial and residential prescriptive installation of
,W - ,.. - , ,..,; 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)3$7-7577 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB tic.: 173318
_ Total fee due upon application: $201.60
Authorized signature: ./iiJ»f, l t(f �'y This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Tiana Rudolf Date: 10-23-2023 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
•
Mechanical Permit Applicat' CEI /E o FOR FFICF I ()NIA
•
SE
Cl of Tigard Received
Permit No.: 1 ^,CJ % Ai
13125 SW Hall Blvd.,Tigard,OR 97223 r Plan Review
• i Phone: 503.718.2439 Fax: 503.598.1960 OCT ° Date/By:
���3 Date/By: Other Permit:
T I G A R D Inspection Line: 503.639.4175 r n�y y Date Ready/By: Juris H See Page 2 for
Internet: www.tigard-or.gov CITY OF i IGARD Notified/Method: Supplemental Information
BUILDING DIVISION
s a ' r r r !` � ,' , '� rr i ;,f i.9 / ?�:+ ri dg.f , � 1 4 rr ; c t � v / } —.
Mechanical permit fees*are based on the value of the work
❑X New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
7 Value:$
r . , vr,,v„. <; , : . ..rO "�, ,. ....��!, h v yttl' , f t s,.. d 1 n ''.4Fx
❑X 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
r r . i t " tr i Oa 4,,,,i.-r : r f _. Heating/cooling:
a : _ ar,:;:F... rr. . E, „: d, Air conditioning
Job site address: 15459SW Missouri Ave. (requires site plan showing placement) 1 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.: I 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.: 148 Flue/vent for any of above 1 23.32
Other: 23.32
Tax map/parcel no.: Other fuel appliances:
d lr)1.? �l' tls tt 1 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
r ' , �a# , rr 'A a r I r Chimney/liner/flue/vent 23.32,.sr. r.<<:u,, � lis ::U �l „te _1A',' ,,,rs3 4f , . Other: 23.32
Name: Stone Bridge Homes NW, LLC Environmental exhaust and ventilation:
Address: 4230 Galewood St. Suite#100 Range hood/other kitchen 1
equipment 33.39
City/State/ZIP: Lake Oswego, OR 97035 Clothes dryer exhaust 1 33.39
Single-duct exhaust(bathrooms,
Phone:( 503)387 7577 Fax:( ) toilet compartments,utilityrooms) 6 23.32
f P
r, „ ,' � rAttic/crawlspace fans
t,.. � ., . �. . �., ,,,,,,,,,.:Ay.";'.., ,,,,,-.':',: P 23.32
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: portlandpermits@stonebridgehomesnw.com
Range 1
e , ,, t7., a t t) , . ., ,,, . ,, Barbecue
Business name: Comfort Zone Clothes dryer(gas)
Other:
Address: 1032 NW Corportate Dr. , tSjl
City/State/ZIP: Troutdale, OR 97060 Subtotal
Minimum permit fee($90.00)
Phone:( 503)667-5595 Fax:( ) Plan review(25%of permit fee)
CCB lic.: 110091 State surcharge(12%of permit fee)
TOTAL PERMIT FEE
Authorized signature: f .` t 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: 10-23-2023 * Fee methodology set by Tri-County Building Industry Service Board
I\Building\Permits\MEC-PermitApp.doc 09/09/10 440-4617T(11/02/COM/WEB)
Electrical Permit ApplicationRECEI� E f FOR OFFICE LSE()NIA
II City of Tigard Received
g 13125 SW Hall Blvd.,Tigard,OR 97223 ' 2023OCT Date/B : 11 `+ ,
111 Plan Review
Phone: 503.718.2439 Fax: 503.598.l96 Date/B : CEIMMIIII
Related Permit#:
Inspection Line: 503.639.4175 CITY OF %IGARD Ready Date/By: luris: FZI See Page 2 for
1IGARD Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
S5 .AM ,r .,, itSPt fr,r. „.- zteM« r, V �� ifs. �' b gi f�:�� � �„u,o C, ,.:,, r„�„�:x/ f .,.� r
ID New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition 0 Other: where the available fault current ❑Marinas and boatyards.
,. „ F ,. ;' :, 1 „l ,�.,. ' ,.lam,, . exceeds 10,000 amps at 150 volts or ❑Floating buildings.
X❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds la,00o ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi family 0 Master builder 0 Other: ❑Fire pump. ❑Installation of 150 KVA or
OilEekiti ,. ,, ; it f ,' a? r ❑Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: 3273 Job site address: 15459 SW Missouri Ave. l00HP or more. ❑°`A", `E", °1-z `1-3",
❑Six or more residential units. occupancy.
City/State/ZIP: Tigard, OR 97224 ❑Recreational vehicle❑Health-care facilities. parks.
Suite/bldg./apt.#: I Project name: River Terrace Crossing ❑Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more 600 volts nominal
Cross street/directions to job site: -r .r" 7'rr.F'PCf ;,
03124.
Description •.nQty. I Each 1 Total
New residential single-or multi-family dwelling unit.
Subdivision:River Terrace Crossing 1 Lot#: 148 Includes attached garage.
Tax map/parcel#:
1,000 sq.ft.or less 3 168.54 4
Ea.add'l 500 sq.ft.or portion 1 33.92 1
iVia
�f.x, , ,.,. ntr „,„ „,.,, ..,r ,r :34:NOM:gtitteging11, Limited energy,residential
75.00 2
New, single family residence (with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
'` , '" ` ' '' .• „''i, t: :far:,,, .) • & -_°�. 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 Sol.oa 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
f Branch circuits—new alteration or extension,per panel
.� *' .��,•. a ,��-r,. ,._..., iF �.:Gx t,x� ,;.. � `;.� .. �•+•.�:.r„ r �.
�' •� � �f, A.Fee for branch circuit 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 fee,first 56.18 2
branch circuit
City/State/ZIP: Lake Oswego, OR 97035 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( 503)387-7577 Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: portlandpermits@stonebridgehomesnw coin Reconnect only 67.84 2
- ••• v, s• . Vi „. Pump or irrigation circle 67.84 2
Business name: Garner Electric Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy
Address: 2920 SE Brookwood Ave. Suite A panel,alteration,or extension. ❑ See Page 2 2
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
Email: chelsea@garnerelectric.com Industrialplant(1 hr min) 78.18/hr
inspections for which no fee is
CCB Lic.: '�2 ` Electrical Lic.: 3"( b"'a S s� cificall hsted %2 hrmin 90 00/hr
�� � iZ� / 34-305C Suprv. Lic.: ( )
� p C' t.x. 1°I'I2.5 r'' ,. .E z ,
Suprv. Electrici sign re,requ red: hLnia GerJ� �f a2rteit Subtotal
Print name: Charles Garner Date: 10-23-2023 ❑Plan Review Required(25%of permit fee):
_ State surcharge(12%of permit fee):
Authorized signature: /i�ry2a • �" TOTAL PERMIT FEE:
J • ��✓r/1
This permit application expires if a permit is not obtained within 180
Print name: Tiana Rudolf Date: 10-23-2023 days after it has been accepted as complete.
` Number of inspections allowed per permit.
I\Building\Permns\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-46 15T(11/05/COM/WEB
Plumbing Permit Applicat•
CEIVBuilding Fixtures VCC FOR OFFICE 1'SE ONLY
City of Tigard OCT '; 2023 Received
Date/By: Permit No.: ivi J (���
, 13125 SW Hall Blvd.,Tigard,OR 97223
_ ' Phone: 503.718.2439 Fax: 503.59 / p Plan Review
�' OF i'IGARD Date/By: Other Permit No.:
Inspection Line: 503.639.4175 Date Read/B lures ® See Page 2 for
Trc 111� BUILDINGDIVISION]
Internet www.tigard-or.gov y y g
Notified/Method Supplemental Information
."" /.a �,f '�5 >� ; �i j ` f `^ :yF.a j' M o� ,, 1 r f.t / 5 5171f4?' I
AZA
F �: ,; ,.-; . ,. 4:F -;` rrr / '; „,.,...0f,.�-'`g . A sF.a
For special information use checklist
al New construction 0 Demolition
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
s
i� 1, t s s#p ,, ,,r� f 4 SFR(1)bath 312.70
01-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory building 0 Multi-family SFR(3)bath 1 500.32
❑Master builderEach additional bath/kitchen 25.02
0 Other: Fire sprinkler( sq.ft.) Page 2
,` f it r f r _✓px�,fir .
.,. �3 ti ff r, 4� „�V ,, .� ,:,^ �F„r, � o 4 ' , '`sr f Site utilities:
Job site address: 15459 SW Missouri 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.: I 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 Lot no.: 148 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
11 ' f Backwater valve 12.51
a . x....d x �,�U _ ', �,� �r Clothes washer 1 25.02
New, single family residence Dishwasher 1 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
it a,.,r � + � ` „,,, ✓ _ f �t - Expansion tank 12.51
T
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
% I
r�v r � Interceptor/grease� � , trap 25.02
Business name: Stone Bridge Homes NW, LLC Medical gas(value:$ ) Page 2
Contact name: Permit Tech
Primer 12.51
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
Phone:(503 )387-7577 Fax::( ) Tub/shower/shower pan 4 12.51
E-mail: portlandpermits@stonebridgehomesnw.com Urinal 25.02
Water oset3 25.02
.. . w. .,. ,H . ,,f r., , , . Water heater 1 37.52
Business name: Edward Mullen Plumbing Water piping/DWV 56.29
Address: S. E. River Road Other 25.02
City/State/ZIP: Hillsboro, OR 97113 Subtotal
Phone:( 503) 640-0113 Fax:( ) Minimum permit fee: $72.50
CCB Lic.: 92689 Plumbing Lie,no.: 34-260PB
Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180 days
Print name: Jeremy Crace Date: 10-23-2023
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1.\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB)
s RI Building Division
One & Two-Family Dwelling
T i cnRa Fees Checklist
PERMIT INFORMATION: Application Date - FEE VERSION ... ... 1 C ZL21
Permit#: ty^3. Tzbz3—bD 5„5Z Plan #: 4 30 r r/� Floors:
Valuation: 5-1 i1�4$ 3L Covered Porch: , -. Li Basement
Bedrooms: Deck: 1st Floor ! ( ` (
WC (toilets) 3 Deck Cover: .. 2"d Floor i ((S6I
Lavatories S' Patio Cover _ 3'd Floor
Tub/shower (A Accessory Struct. R-3 Total 3
15(
Laundry Tray \I Water Heater l as Elec Garage I , 13
Exhaust Vents r 2 Gas Flue Vents --- Total for Elec. '3 c
Backflow Prey. �� , Heat Pump�� ) # for Electrical
BBQ -------- Gas Fireplace s)-� #Fuel Lines 9
\/
FEES: Description: Fee Appli : Fee Entered:
DC Prov Revw: Planning
Info Proc/Arch: Lg$2.00 (over 11x17)
Info Proc/Arch: Sm $.50 (up to 11x17) '!7
Metro CET: ResidentialJ,Jse ( le'.
School CET: District: \1. (
Tigard CET: Admin t .
Tigard CET: ODHCS
17
Tigard CET: AH
Electrical Permit: Permit Fee: V
Limited Energy:
12% State Surcharge
Mech. Permit: Permit Fee:
12% State Surcharge
Plumbing Permit: Permit Fee:
12% State Surcharge
Erosion Control: w/Permit-Ping
I:\Building\Forms\ResPlanCheckFees_Dec2022_AA.doc 12/21/22
Page 1
FOR OFFICE USE ONLY—SITE ADDRESS: 15A Sk) '\% 0v 1\ IA •
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
J3273
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT RTC148
Transmittal Letter
1 ;(:;A is I i 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Boris Piatski DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
FROM: Tiana Rudolf NOV 14 2023
COMPANY: Stone Bridge Homes NW, LLC CITY OF TIGARD
PHONE: 503-707-9340 BUILDING DIVISION BY: 0
EMAIL: portlandpermits@stonebridghomesnw.com
RE: 15459 SW Missouri Ave. MST2023-00532
(Site Address) (Permit Number)
River Terrace Crossing Lot 148
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
AtiNT:00* ! , �•'`'10 rL 3Vv V V Oliilii fi M ...h,w.,..-cn.����s,:` ,ks fl,c.,ffl
Additional set(s)of plans. 4 Revisions: Site/Erosion Control Plans
Cross section(s)and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: Boris requested darker topography lines on the site/erosion control plans. Darker lines
have been added.
. �i:;Y h i r a� CE,USE O , . ..,,, Y ,s 5 �C k f, kf`�
br,
Routed to Permit Techn�i-c,,s�: Date: \l[l$\'lf7 Initials:
Fees Due: ❑ Yes [ No Fee Description: Amount Due:
q W S
75'
Special
Instructions:
Reprint Permit (per P ): ❑ Yes No ❑ Done
Applicant Notified: Date: \d\ \\VLO'L • iVil(ii [11 AVi)n. • Initials: M
City of Tigard
11 " COMMUNITY DEVELOPMENT DEPARTMENT
III
Building Permit Review - Residential
TIGARD
Building Permit #: MS1101S'qO SI, .
Site Address: i 5 15" 7w M i C S o v r; /-"-e__ LRrc erifi din Accela
Project Name: R`lvt. 1-'Nk Ce_ C-roSci A ?J 5' VP Lot/Unit #: 1 C
Proposal: N- beivtd4 5 F .. Zone: K.?S
Housing Type: ZFR(11 Ingle Detached ❑ Duplex❑Triplex 0 ADU)0 Rowhouse❑Cottage Cluster 0 CYU ❑Quad 0 Other
Rerired Site Plan Elements:
® 3 copies of site plan on max 11x17"
E7 Drawn to standard scale • ,
1p orth arrow Street and site trees shown / labeled
'Site address, project name, lot # g trcc canopy at FM eturity-
k2cStreet names
plicant name and phone #
Mil Lot and setback dimensions 0 Vision clearance triangle
Kfl tility locations &easements
Footprint of new structure and FFE ®'Clearly visible topo lines and property corner elevations
Sidewalk/driveway dimensioned fi 'LIDA (>1,000 sf disturbance)
/Lot area and lot coverage percentage l 'Erosion control
Required Elevation Plan Elements:
(For SFR: talcs needed only on street-facing) Summary table with calculations for:
and scale 0 Total facade area
O Building height dimensione 0 Total window and door area
❑ Façade dimensioned
❑ Windows and doors dimensioned
❑Garage doors dimensioned
Re aired Floor Plan Elements:
(Not require 0 Summary table that includes
❑ Each story dimensioned rea
O Each story floor area calculated 0 Floor area per stor
Planning Review
The following standards have been met:
Setbacks d Front:, .' gob1 r: ( , Side: 3' Min/Max Street Side: g ' / Garage: Da/
if
Height dMax. Height: 35 Proposed Height: p5' . '4
O Yes N/A Landscape Garst } wa�o� S davd.S �d'}- cri;cabl'.
❑ Yes N/A Screening (Quad only) sec • 35-36 , PDR2ole-•dea IS 660.070.;
0 Yes N/A % Window Coverage ;� 4,h cdi 'cY was no} •pje l;"or.
O Yes N/A Garage (SFR Only) Parking (Other Res)
O Yes N/A Entrance (SFR, Rowhouse, Quad only)
O 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:
O Yes N/A Unit Count:
❑ Yes 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 0 N/A Floor Area (per story)
❑ Yes 0 N/A Courtyard
0 Yes 0 N/A Fence
❑ Yes 0 No 1 /A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes 0 No N/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes 0 No
Applied For: 0 Yes ❑ .Jo, stop intake
Sensitive Lands: ❑ Yes No
D1 Main Land Use Case #s: PpP-2`'01b - doolb i P AR0-61i' 00005 0 Conditions met
vg.Applicant notified of land see irat'o date: 3/7-2•/'?•oa•b
Approved By Planning: I,"( Date: 10 /a ) l a c).3
Notes
Revision 1: y,Approved 0 Not Approved Jco p 6 c;nog -Date: I t 11'-i (Z0Z3
Revision 2: 0 Approved 0 Not Approved 0 Date:
Building Permit Submittal
Original Submittal Date: 16 tti3I'w1/3
Site Plans #: -.
Building Plans #: 9
Building Permit #: ErBuilding permit # entered on page 1
Workflow Routing: e Planning eEngineering 'ermit Coordinator '"uilding
Workflow Sign-off: JCf ign-off for Planning (include notes from planning review)
Route Documents: i Engineering: (1) copy of permit application, (1) site plan, (1) building plan
and original plan review routing form.
0/Building: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.
Permit echnician: 0 i(\4i Date: l(1110I2ot2
Notes: On t\ I IS 1i% •-fln
Engineering Review
0 PFI Permit:
CF5S,,lope at building pad: "TA
R'Conditions met prior to issuance of permit
Ellasements (encroachments) per engineering conditions of approval and plat
'Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes t'No
Assess Water Quantity Fee in-lieu: 0 Yes 'No
LIDA Facility on lot: 0 Yes A'No Add Fee: 0 Yes 0 No
anal Plat Recorded
Iii4)T Approved: Date: le�372.S
Notes: P/790' e .
Approved By Engineering: Date: 1/7/ /2 3
Revision 1: 0 Approved 0 No pproved Date:
Revision 2: 0 Approved 0 Not Approved Date:
Permit Coordinator Review
,tonditions met prior to permit issuance
0 Approved, NOT Released: Date notified applicant:
fNG Revisions Required: Date notified applicant: ( ' \ • 7.3
Oh-DC Exemption: 0 Applied for 0 Received oes not apply
?DC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A
Tigard Trans SDC: Yes 0 N/A C�Deferred
Parks SDC: Yes 0 N/A ❑ Deferred
LIDA ❑ Yes N/A
•,0'3K to Issue/Approved by Permit Coordinator: Date: (t(2012A2:3
Revision 1: 0 Approved 0 Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date: