Permit CITY OF TIGARD MASTER PERMIT
a COMMUNITY DEVELOPMENT Permit#: MST2023-00273
T[C..;A 11 D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/07/2023
Parcel: 2S108DC18300
Jurisdiction: Tigard
Site address: 15224 SW COOLWATER LN
Subdivision: RIVER TERRACE CROSSING Lot: 48
Project: River Terrace Crossing, Lot 48
Project Description: New detached dwelling. NO FINAL UNTIL DEFERRED SDC FES HAVE BEEN PAID. REPRINT to
add (1)heat pump.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 6 First: 1393 sf Basement: 574 sf Left: 3 Parking Spaces: 0
Height: 27 Bathrooms: 4 Second: 1804 sf Garage: 553 sf Front: 8 Smoke Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 3771 sf Value: $616,153.32 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 4 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: 5 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: 7 Clothes Dryers: 1
Natural Gas Heat Pump: Y 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: 7 201-400 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 3771
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 2 Geo Tech Required
PHONE: PHONE: 503-387-7577
FAX: 503-387-7615
Total Fees: $30,389.05
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work
will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
the 180 days. ATTENTION: Oregon law uires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
oc ..nn1-nnin thrni AP oc9-nni_nrio6 V maNi nhtain a rnnv of the rniac nr rlirert ni lactinnc to(ll nu.h,Tallinn cn'3 939 10M7 nr 1 Ann 339 94dd
Issued By: `� � 11 Permittee Signature: 3 e e ct pr I t `- I ` t��
/ Call 50 . 39.4175 by 7:00 a.m.for the next available inspection date. ((
This permit card shall be ept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the lob site at the time of each inspection.
I
Mechanical Permit Application I I 8
City of Tigard I` . 2 Received Permit N
3
II 13125 SW Hall Blvd.,Tigard,OR 97223E Date/By: ( �j ''� �� "`v7
i Phone: Plan Review
503.718.2439 Fax: 503.598.1960 Date/By: —..-....—" Other Permit:
1 10 A R D Inspection Line: 503.639.4175 Date Ready/By: l,,uttris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method:Notified/Method: f !1, Supplemental Information
JAN � 01 �� B(�('
, OF
�� �� � '� .. '� l�s � the t I,
iND Mechanical permit fees*arc based on the value ofwork
X,New construction 0 Addition/alteration4niac t wlS�a performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition III Other: k'r' V(� mechanical materials,equipment,labor,overhead,and profit.
Value:$
+, . ,,.-; ,� n„ ,, :, _ , ,.. .. ,.:;, ..; ;, < . r':.. .> F �sl•�" a �����`�� 1� ^'��,
1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
1'1..::, 'tl Heating/cooling:
46.75
Job site address:15221.1 SW Cod 1 ...• Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tb4 ,aim OZ. g122� I..., Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump I61.06
Suite/bldg./apt.no.: Project name Tom- G T V6sI ry"VVM'1;t Duct work 23.32
Cross street/directions to job site: 1 �- 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
Flue/vent for any of above 23.32
T ^.��,�,,, Other: 23.32
Subdivision: eNYYGe 1.tlErslrie Lot no.:4E0
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
it it ON"OF' '/ Gas fireplace/insert 33.39
` Flue vent for water heater or gas
Add, intat pump fireplace 23.32
2:7`3 CO2— 3 Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
, Other: 23.32
�---' ` .,. 'u �`a= Environmental exhaust and ventilation:
Name: tIvi .,w.s N7�, �� Range hood/other kitchen
"1W equipment 33.39
Address: ��LL� �`,,� M
�2� S1 .S*t tt. . W Clothes dryer exhaust 33.39
City/State/ZIP: takt„ Ciff O OIL 91035 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(1505 403. .--*Nix 9340 Fax:( ) Attic/crawlspace fans 23.32
!i T ❑coIM T. :.4 Other: 23.32
4
�L��� r Fuel piping:
Business name:Skint , t'iorries LLV
� $14.15 for first four;$4.03 for each additional
Contact name:T(63• �V a ` �►1 Furnace,etc.
Address: Li 2 jO Gal ewood (7�,• s 4 i Gas heat pump
' +VA Wall/suspended/unit heater
LTC.
City/State/ZIP: , at 0b5 Water heater
Phone:( )14. cf3o Fax::( ) v Fireplace
Range
E-mail:•f•,iana sio RfIO t�,+' OR,e11.rntn�.O� Barbecue
/ ��1I ` ' Clothes dryer(gas)
Business name: Coyncoet Za ! , Other:
Address: tO2 1t V 1 I C piratt, �• . , . . v ,...,
Subtotal
City/State/ZIP: ,Tirout date, � �KJ 99.0 wA Minimum permit fee($90.00)
�l V Plan review(25%of permit fee)
Phone:(503)WWI-.. 5S95 Fax:( ) State surcharge(12%of permit fee)
CCB lie.: 'tOdq 1 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name: l 1pX Nis, 143651 Date: t--b+ n(�2f
B I:\ uilding\Permits\MEC PcrmitAnn 040113.doc 440-46I7T(I1//0022/•C+O`M/WE`B)