Permit (8) CITY OF TIGARD ; 1 4 i ( MASTER PERMIT
14 ' . COMMUNITY DEVELOPMENT I InAI Permit#: MST2023-00354
T l( A R f) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Date Issued: 08/22/2023
Parcel: 2S 108DC30800
Jurisdiction: Tigard
Site address: 15670 SW EVERGLADE AVE
Subdivision: CROSSING AT BULL MOUNTAIN Lot: 163
Project: River Terrace Crossing, Lot 163
Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES HAVE BEEN
PAID. REVISED: 12/19/2023:Added(1)utility sink and(1)lavatory.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1901 sf Basement: 0
Height: 23 Bathrooms: 3 Second: 970 sf Left: 3 Parking Spaces: 0
9 sf Garage: 807 sf Front: 12
Smoke
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes
Total: 2871 sf Value: $547,730.55 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: 1
Other Fixture Units: Utility sink
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Fum<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 add9 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 2871
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 2 Geo Tech Required
PHONE: PHONE: 503-387-7577
FAX: 503-387-7615
Total Fees: $42,296.68
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. ATTENTI' . Or•_•on law re. ou to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
ac _nn1-nnl n thrni i flAR Q n1-nn•• nhtain a rnn,of tha n ilnc nr rlirart ni iactinne to(ii iM(:by rallinn cn4 949 10A7 nr 1 Ann 449 94AA
Issued By: ' Permittee Signature: See APO 1(4)tt ` " .
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.
Plumbing Permit Application
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Building Fixtures RECE
'r"-- FOIZ OFFICE I SF_. 0N1.1
Cityof Tigard Received �tv��^,�n �� Ms1la3.Ob3&4
g DateBy: � S Permit No.:
13125 SW Hall Blvd.,Tigard,OR 977rW c 9 2023
'(%tf Plan Review
Phone: 503.718.2439 Fax: 503.598. DateBy: Other Permit No.:
Inspection Line: 503.639.4175 CITY OF TIGARD n
T 1 G A R DDate Ready/By: f J ris ® See Page 2 for
Internet: www.tigard-or.gov J J Notified/Method l�lVa 11/Iv �p Supplemental Information
TYPE OF. C�ING 4:
®New construction 0 Demolition For special information use checklist.
Description I Qty. 1 Ea. Total
❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CoNs Ift J►i117 4ll ry N "Y 4 , t V, SFR(1)bath 312.70
V❑X 1-and 2-family dwelling ElCommercial/industrial SFR(2)bath 437.78
❑Accessory building 0 Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder ❑Other
Fire sprinkler( sq.ft.) Page 2
r< JOB SITE..m11Tr'ORAIAA.TJoI `AF11 loN;, rc,A, :i- Site utilities:
L.Job site address: 15670 SW Everglade 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 I Lot no.: 163 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
s . .< ', . , to rite N*. ` ' y:t.y' t°'.,�,,,rOC, ,r Backwater valve 12.51
"'. _= a.„,.. n ' ''e . ..4.v �' Clothes washer 25.02
New, single family residence Dishwasher 25.02
Additional lavatory and laundry tray for MST2023-00354 Drinking fountain 25.02
Ejectors/sump 25.02
`, ..:" 0 4***.1x 4 ` ., �W ,3- � � 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 25.02
City/State/ZIP: Lake Oswego, OR 97035 Hose bib 25.02
Phone:(503)387-7577 Fax:( ) Ice maker 12.51
r1 pLICAN1 i r i?M :'7 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 1 25.02
City/State/ZIP: Lake Oswego, OR 97035 Solar units(potable water) 62.54
Phone:(503)387-7577 Fax: :( ) Tub/shower/shower pan 12.51
E-mail: portlandpermits@stonebridgehomesnw.com Urinal 25.02
Water closet 25.02
COONTRACrOR-"
Water heater 37.52
Business name: Edward Mullen Plumbing Water tin
P p g/DWV 56.29
Address: S. E. River Road Other:Utility Sink 1 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:12-19-2023 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.doe 10/01/09 4404616T(10/02/COM/WEB)