Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
r CITY OF TIGARD MASTER PERMIT a PERMIT #: MST2009 -00001 ° COMMUNITY DEVELOPMENT DATE ISSUED: 2/4/2009 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S109AC - 05300 SITE ADDRESS: 13245 SW NICOLE LN ZONING: R - SUBDIVISION: WILSON RIDGE NO. 2 LOT: 021 JURISDICTION: TIG PROJECT: WILSON RIDGE NO 2 Project Description: New SF. BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 28 FIRST: 1440 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,848 it GARAGE: 583 sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: 311 876.60 OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 3,288 of REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 4 CATCH BASINS: TUB/SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: - OTHER FIXTURES: MECHANICAL FUEL TYPES FURN c 100K: BOIL/CMP < 3HP: VENT FANS: 4 CLOTHES DRYER: 1 NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 3 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FOR: PUMP/IRRIGATION: PER INSPECTION: EA ADDL 500SF: 6 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 1 401 • 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC/FDR: 601 - 1000 amp: 601•amps- 1000v: MINOR LABEL: 1000. amp/volt : PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS: SVC/FDR> =225 A.: > 600 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL . AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable STONE BRIDGE HOMES NW LLC STONE BRIDGE HOMES NW LLC laws. All work will be done in accordance with approved plans. This 16869 SW 65TH AVE #505 16869 SW 65TH AVE # 505 permit will expire if work is not started within 180 days of issuance, or LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952- 001 -0010 through 952- 001 -0080. You may obtain copies of these rules or direct Phone: 503 387 - 7577 Contact #: PRI 503 387 - 7577 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503- 387 -7615 Reg #: LIC 173318 TOTAL FEES: $ 16,944.02 REQUIRED ITEMS AND REPORTS EeP 2 n.)i72n - Iss d By : i /(>' Permittee Signature : �C (/ Call 503.639.4175 by 7:00 a.m. for an inspection that business day. 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. . . f ti ' Building Permit Application RECEIVED FOR OFFICE USE ONLY Received c /•�� City of Tigard • nate/ay: 1 . q . 4 PermitNo.: C` l .O 13125 SW Hall Blvd., Tigard, OR 97223 JAN 0 9 2009 Plan Review 11111 12 Q �t ' p Phone: 503.639.4171 Fax: 503.598.1960 Date/By: ! �/ 'O / � Jy Other Permit LL(( I JG �V T I G A It D Inspection Line: 503.639 D ate Ready /By: q tom: RI See Attached Checklist for Internet: www.tigard or.gov CITY OFTIGARD Notified/Method: i • I V • 0 9 r T 1 ` Supplemental Information BUILDING DIVISIO L m or A n. oli^L 6o stct G 45Z TYPE OF WORK REQUIRED DATA: .1 -AND FAMILY DWELLING O 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 CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ �72� q 1�� • 06 0 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑ Multi- family Number of bedrooms: a ❑ Master builder ❑ Other. Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION ' . Total number of floors: 2 Job site address: 157 634 . ict),. re LA4e. New dwelling area: 3 1 5 square feet City/State/ZIP: Tigard, OR 97223 Garage/carport area: 5a3 square feet Suite/bldg. /apt. no.: Project name: Wilson Ridge II Covered porch area: 80 square feet Cross street/directions to job site: SW Bull Mountain Rd. & SW 133 Ave. Deck area: pr square feet Other structure area: F square feet REQUIRED"DATA: COMMERCIAL4)SE CHECKLIST Subdivision: Wilson Ridge II I Lot no.: 21 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. . Valuation: $ Existing building area: square feet New building area: square feet 0 PROPERTY OWNER a TENANT Number of stories: Name: Stone Bridge Homes NW, LLC Type of construction: Address: 16869 SW 65 Ave., #505 Occupancy groups: City/ State/ZIP: Lake Oswego, OR 97035 Existing: Phone: (503)387 -7577 Fax: (503)387 -7615 New: 0 'APPLICANT ,® CONTACT PERSON NOTICE Business name: Stone Bridge Homes NW, LLC All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 16869 SW 65 Ave., #505 jurisdiction in which work is being performed. If the City/State/ZIP: Lake Oswego, OR 97035 applicant is exempt from licensing, the following reasons apply: Phone: (503) 387 -7577 Fax: : (503) 387 -7615 E -mail: vicki@dmhholdingsco.com dmhholdingsco.com CONTRACTOR Business name: Stone Bridge Homes NW, LLC "BUILDING. PERMIT FEES* Address: 16869 SW 65 Ave., #505 (Please' refer to fee schedule) City/ State/ZIP: Lake Oswego, OR 97035 Structural plan review fee (or deposit): 750 . co Phone: (503) 387 -7577 Fax: (503) 387 -7615 FLS plan review fee (if applicable): . v . co e CCB lic.: Total fees due upon application: 750. 00 i - Amount received: - 7,50 .00 Authorized signature: m L ti r This permit application expires If a permit is not obtained C y I C _ = J p within 180 days after It has been accepted as complete. Print name: r Date: 1 ei * Fee methodology set by Tri- County Building Industry Service Board. L :\ Building \Permits\BUP- PermitApp.doc 0321/06 440-4613TO1/02/COM/WEB) Me Permit Application .: FOR OFFICE USE ONLY City of Tigard RDefreJtBed Permit No 144 * C, —4710V0 I ° 1 3125 SW Hall Blvd., Tigard, OR 97223 y Plan Review Other Permit: • 2 Phone: 503.639.4171 Fax: 503.598.1960 Date/By: TI GARD Inspection Line: 503.639.4175 Date Ready /By: Juris: ® See Page 2 for Internet: www.tigard - or.gov Notified /Method: Supplemental information -,,.: .., _ :: ,. ..,,_ :r.'T >7C1'E.OF WORK..:• _* °'' " i �r;0O44010AL; 'FEE 6R00E'` �DSEI4AECKL El New construction Addition /alteration /r lacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rouncifd to the nearest dollar) of all ❑ Demolition in Other: mechanical materials, equipment, labor, overhead, and profit. r:',,:,: <: ,..,. CATEGORY :iOF , CONSTR;llC'CIUN.:';„::.r '; ESIDE�UA'Jf, _.AL' Q r . R .E - UIP- 1V&E: % ?SYSTEMSTTEES *;V'' r '. ® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family 0 Master builder ❑ Other: Description I Qty. I Ea. I Total �<; ,, :- t':._:,_, - ;dOB;.SITEyINFORIGIATIQN`, AND` .;LQCApUNr;: '�:,- r ' - HeatinWcooling Job site address: 15 G (_,fig 45 5.1 • 1 ' - A _ Air conditioning or heat pump (requires site plan showing placement) 1 14.00 City/ State/ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts/vents) I 14.00 Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: Wilson Ridge II Gas heat pump 14.00 Cross street/directions to job site: SW Bull Mountain Rd. & SW 133 Ave. • Duct work 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: Wilson Ridge II Lot no.: el Flue/vent for any of above / 10.00 Other 10.00 Tax map /parcel no.: Other fuel appliances I -. -.. .._ _ : .. s; ;: f . -. ;� - : .,F, `� Water heater 1 10.00 ;,n� , ' . _ ::v? ` �'�_ ' D) E� .���Z�Ol��r-���Q>���- : " • r '�:� ct � ! c „ ,: g .x g - ' _- Gas fireplace 10.00 • Flue vent for water heater or gas fireplace 2 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 _ ti b „,.,; _, _. -- Chimney/liner /flue/vent 10,00 tx •erg. ®: `I'Rt)PjHiY tER 10.00 Name: Stone Bridge Home NW, LLC Environmental exhaust and ventilation . Address: 16869 SW 65 Ave., #505 Range hood/other kitchen equipment I 10.00 City/ State/ZIP: Lake Oswego, OR 97035 Clothes dryer exhaust 1 10.00 Single -duct exhaust (bathrooms, Phone: (503)387 -7577 Fax: (503)387 -7615 toilet compartments, utility moms) 6 6.80 c w ce fans A tt i s a 10 00 , .. „ ®.4P , :� CONT�►C�; �PERSUN .; ;; ,= Other. 10.00 Business name: Stone Bridge Home NW, LLC Fuel piping Contact name: Vicki Elix $5.40 for first four; $1.00 for each additional Furnace, etc. I Address: 16869 SW 65th Ave., #505 Gas heat pump City/ State/ZIP: Lake Oswego, OR 97035 Wall/suspended/unit heater Phone: (503) 387 -7577 Fax: : (503) 387 -7615 Water heater / Fireplace / E -mail: vicki ®dmhholdingsco.com Range 1 - :: ' ::. e ; - NTrRAET,OR: _ T , Barbecue dryer ryer (gas) Business name: Comfort Zone Clothes ' Other, Address: 1032 NW Corporate Dr. "° :: `� �MECHANICAE ;;PERIVIITk'EES *�Y.�, `'>; ' ', City /State/ZIP: Troutdale, OR 97060 Subtotal , Phone: (503) 667 -5595 Fax: (503) 491 -8253 Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB lic.: 110091 State surcharge (12% of permit fee) . TOTAL PERMIT FEE Authorized signature: T his permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: David Heldstab Date: • Fee methodology set by Tri -County Building Industry Service Board i:\ BuildingWermits \MEC- PermitApp.doe 12/03 440.4617T(II /02/COM/WEB) Electrical Permit Application FOR OFFICE USE ONLY City of Tigard oa«ie a � �� P1Jj — O ' �1 74 Permit No.: 1 3125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Date/B : Other Permit: f I GARD Inspection Line: 503.639.4175 Date Ready/By: Juris: El See Page 2 for Internet: www.tigard- or.gov Notified/Method: Supplemental Information ' i ,::::,,,74'!,.Tick QF - -- _ - .t `' `` >ELAN�;REVIEW 'i� � .; ' ;= _ - . . Please check all that apply (submit 2 sets of plans w /items checked below): 13 New construction 1:1 Addition/alteration/replacement ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. buildings. : . ...CATEGORY _y.QF - -- tjT "`z' > " > :: "- .....,., , exceeds amps at volts ;;.:.. . : ;- .:.. CA ,,.,: less to ground. or exceeds 14,000 Commercial-use agricultural 0 ❑ reia ® 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ID Fire pump. CI installation of 75 KVA or ., _ �� - ,.; .. -; ';'.:"'1.2. Emergency system. larger system. ; ,�, r . m em separately derived s s � :' - .JQB 3 Si'PF�`�INFQR'1�IdiTION AND. � LQCA7iIUP1�. •; - t ,,� •. ,_.... ;,.. -,.. ..... _,.,__.....,_.. „_. _._ .:.:......:.... - .....:..- ,. _. motor load of , ... . . , •.,. ,... : ❑ Addition of new "A" "E" "1 2" •• -3" Job no.: 001 Job site address: 13245 S J j \ . 1 J IcoLz �� 100HP or more. occupancy. • ❑ Six or more residential units. ❑Recreational vehicle parks. City / State/ZIP: Tigard, OR 97223 ❑ Healthcare facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Project name: W ilson Ridge II ❑ Service or feeder 600 amps or more. Suite/bldg./apt. no.: _ _. ..,:;,;, ;_a:. = - <: i E'iltib$CHEDULE ? ";rz t,.;:: ::; R Cross street/directions to job site: SW Bull Mountain Rd. & SW 133 Ave. Description I Qty- I Fee. I Total I New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Wilson Ridge II Lot no.: 21 1,000 sq. ft. or less I 145.15 4 Ea. add'l 500 sq. ft. or portion Z 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 - a,; ,r :•wN „:;� . - �• : > (with above s ;,:s :�� ;� ;-° t� , �S, CR� �iL41! T, �QIi;' : Vf1��7C: ;`'�:- r� '`: ";::•::r�.�'.. -, .:i ( 9• ft.) Limited energy, multi- family 75.00 2 residential (with above sq. ft.) • Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 ? f D5 O1'VLNEIt` ....4;-:, r "; -;- ; N = - `r 201 amps to 400 alliPs 106.85 2 Name: Stone Bridge Homes NW, LLC 401 amps to 600 amps 160.60 , 2 601 amps to 1,000 amps 240.60 2 Address: 16869 SW 65 Ave., #505 Over 1,000 amps or volts 454.65 2 City/State/ZIP: Lake Oswego, OR 97035 Temporary services or feeders installation, alteration, and/or relocation • Phone: (503)387 -7577 Fax: (503)387 -7615 200 amps or less / 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Owner signature: Date: Branch circuits – new, alteration, or extension, per panel > q' ' A. Fee for branch circuits with ;r { : . ;_ L : y, : C T PEER above s erv ice or feeder fee, ®: °AP:EI� ".� � a..... b 6.65 2 each branch circuit Business name: Stone Bridge Homes NW, LLC B. Fee for branch circuits Contact name: Vicki Elix without service or feeder fee, 46.85 2 first branch circuit . Address: 16869 SW 65th Ave., #505 Each add'I branch circuit 6.65 2 Miscellaneous (service or feeder not included) City/ State/ZIP: Lake Oswego, OR 97035 Each manufactured or modular 90.90 2 dwelling, service and/or feeder , Phone: (503) 387 -7577 Fax: : (503) 387 -7615 Reconnect only 66.85 2 E -mail: vicki @dmhholdingsco.com Pump or irrigation circle 53.40 2 , ,.,, _,,,.... _. = 53 40 2 ti: CUNTR'ACTQR:' ��':.. :� ` Sign or outline Business name: City Electric Signal circuit(s) or limited - energy panel, alteration, or Address: 8900 SW Burnham St. F -27 extension. Describe: Page 2 2 City/State/ZIP: Tigard, OR 97223 Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: (503) 443 -1092 Fax: ( ) Investigation per hour (1 hr min) 62.50 CCB Lic.: 42422 Electrical Lic.: 26 - 289C Suprv. Lic.: 35925 Industrial plant per hour 73.75 ,;; . e L kPECTRIGALIPERNIIT"FEES ';T': .. Suprv. Electrician signature, required: Subtotal: Print name: I Date: Plan review (25% of pernvt fee): State surcharge (12% of permit fee): Authorized signature: TOTAL PERMIT FEE: • Print name: , Date: This permit application expires if a permit is not obtained within 180 Ce l t l' i �' days after It has been accepted as complete. • Number of inspections allowed per permit. i:\ Building \Permits\ELC- PennitApp.doc 12/03 440- 461ST(10 /02/COM/WEB . + • . - Plumbing Permit Application FOR OFFICE USE ONLY C i t y of Tigard Date /By Permit Nome T -OlJ 6 i-c - enp0 . a 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit No.: T1 GNRD Inspection Line: 503.639.4175 Date Ready /By: Juris: H See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information -. p ULE : i ..,.,,�. -.,: .. TL'P,E - E +WORK .. ��. , ,.: ... .._ : ;i ® New construction ❑ Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) - r;j: SCATECORY�� .OF}CONSTRIJGPIUN ° :._: ` � ' y �'i= `. SFR (1) bath 24920 .,_ _ ... ...,.,. ..., ...,., ` .:.; - ® I - and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi- family SFR(3) bath 1 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: ;-' :. ,::_;:: , :_:,_:::::::.:. - T ire 9 ) g 2 F' sprinkler s . R Page '=_ "S :' 'SfTE:.' INPORMATC10N° : :AND'`.L OCAI TOP7r'" '_ :` = ' "< ' ' x':' 'w , F ; , . _: ..1 - Site utilities , _ . ... .... :... ....:�;, -:�. - ::.... - :.: ,. , •:: __:..., „ ,. :,,.._ . , .....,. . .: �, .�..., S Job site address: 1324.5 G. L _ N l Cd L.E. C v Catch basin or area drain 16.60 City / State/ZIP: Tigard, OR 97223 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: Wilson Ridge II Footing drain (no. linear ft.: _ ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: SW Bull Mountain Rd. & SW 133 Ave. Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: Wilson Ridge II I Lot no.: 21 Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: I I I I 16.60 ,:. . Z' 7 1. RII I'I U1±I_P ©1 W,,, L .:: _t;.. _ .. "" ` Absorption valve .. ..,.”: ��c� `�.'i ":�.- �;ir�.c.,dF��;. ^n' ..��,'�r? _..,�, ,_� ,. 1 ,._...,..,.... •:�i > -_-. � ..�:r.'�<v�,l: ,.. . .:; _ r.; Backflow preventer Paget Backwater valve 16.60 Clothes washer I 16.60 Dishwasher i 16.60 -t.__ „�f = -- .. ,.. a ; �a �,r: ?':,;;R _.. ... ... ,� ; Drinking fountain TiEl�i1\IV'I” -' .:.�. -.... - _ _ , :, , ,;w Ejectors /sump 16.60 Name: Stone Bridge Homes NW, LLC Expansion tank 16.60 Address: 16869 SW 65 Ave., #505 Fixture/sewer cap 16.60 City /State/ZIP: Lake Oswego, OR 97035 Floor drain/floor sink/hub 16.60 Phone: (503) 387 -7577 Fax: (503) 387 -7615 Garbage disposal 1 16.60 _ ose t 1 ,, . , ® .IE�r4:0A ... y �, C01�1TACT YERS©N _ , .. . , . ; � .. � : I maker f 16.60 Business name: Stone Bridge Homes NW, LLC Interceptor /grease trap 16.60 Contact name: Vicki Elix Medical gas (value: $ ) Page 2 Address: 16869 SW 65th Ave., #505 Primer 16.60 - City/ State/ZIP: Lake Oswego, OR 97035 Roof drain (commercial) 16.60 Phone: (503) 387 -7577 Fax: : (503) 387 -7615 Slnk/basln / lavatory (, 16.60 Tub /shower /shower pan 7- 16.60 E -mail: vicki®dmhholdingsco.com Urinal .16.60 GO CROR 3 16.60 NT,1� Water closet Business name: Legacy Plumbing Water heater I 16.60 Address: 8985 SW Hazelwern Way Other. City/State/ZIP: Portland, OR 97223 Subtotal Minimum permit fee: $72.50 Phone: (503) 816 -8887 Fax: (503) 297 -4587 Residential backflow minimum permit fee: $36.25 CCB Lic.: 159281 Plumbing Lic. no.: 26 -517PB Plan review (25% of permit fee) State surcharge (12% of permit fee) Authorized signature: '7V,e, }� �.„____— TOTAL PERMIT FEE - Print name: Matt Nelson Date: 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:\Buildimg \Permits \PLM- PermitApp.doe 06/26/06 440-46 I 6T( 10/02/COM/WEB) I N 0 Building Division One & Two - Family Dwelling r c n K Fees Checklist PERMIT INFORMATION: .... , : .. Permit #: 775, Zao9 - 6004 l .. Plan #: Date: I ""/9'-0? Site Address: . 132(6' 57%) ICJ /GpLC LJ{N t� Parcel #: Subdivision: (N / t-S o ni All9G &�Z Lot #: L / Zoning: Jurisdiction: 7 /(r Setbacks: Front: 2 0 Rear: /S Left: s Right: T Class of Work: /VG (� Stories: Z. First Floor:, / 9VO $ Type of Use: f j3 Height: 28 Second Floor: 1 9145 Construction: V.6 Floor Load: ,SY) Third Floor: Occupancy Group: R3 Dwelling Units: Room: Valuation: 3 y I a (0 Bedrooms: 6 Total Floors: 3 2-g g Bathrooms: 3 Basement: Decks: , f - ‘ Garage: S-93 Porches: 2 / Other: FEES:.. , De _ . `Fee'Amount Amount Paid: " Balance :Due: Plan Check: Building: / / S8,17 ? SO 4' 3 8. /7 Extra Set: a XII- Permit: Building: / g Q 8 Tax: 24/,30 Metro CET: 4 1 10 A.4 School CET: 3 Z 9 $ " Mechanical i / O 4 !SO Tax: /I- s Y. Plumbing: 9 Tax: * 8 Electrical: 3 7f $ , Tax: // Low Voltage: .7 S Tax: q — CDC: CDC Ping. Rev.: G.` CDC LRP Fee: ` --- SDC: Parks: 53 70 TIF Res.: J, e 0 — TIF MT: 4.5-0 Erosion Permit: I / Z Erosion CWS: 3 c Y Erosion COT: 3 I V— ' Water Quality: N 4 • Water Quantity: R SUB - TOTAL: tf- 02$ _ 6 Sewer: Permit: / Inspection: SUB - TOTAL: TOTAL MST & SWR: 1: \Building \Forms \ResPlanCheckFees.doc 01/19/07 Page 1 PLUMBING FEES (for special information use checklist) MECHANICAL FEES (residential equipment/systems) Description I Qty. I Fee(ea.) I Total Description I Qty I Fee(ea.) 1 Total . ' 'New 1- & 2- family dwellings • Heating/Cooling (includes `100 ft. for each utility connection) Air conditioning or heat pump* / 14.00 SFR (1) bath 249.20 Furnace 100,000 BTU (ducts /vents) 14:00 SFR (2) bath 350.00 Furnace 100,000+ BTU (ducts /vents) / 17.90 SFR (3) bath ! 399.00 3 p7 Gas heat pump 14.00 Each additional bath/kitchen 45.00 Duct work 10.00 Rain Drain, single family dwelling . 65.25 Hydronic hot water system 14.00 Fire sprinkler - sq. ft. 0 to 2,000 115.00 Residential boiler Fire sprinkler - sq. ft. 2,001 to 3,600 160.00 (for radiator or hydronic system) 14.00 Fire sprinkler - sq. ft. 3,601 to 7,200 220.00 Unit heaters (fuel, not electric) Fire sprinkler - sq. ft. 7,200 and greater 309.00 (in wall, in -duct, suspended, etc.) 14.00 Site Utilities Flue /vent (for any of above) . 6.80 • Catch basin/area drain 16.60 Repair units 12.15 Drywell /leach line /trench drain 16.60 Other Fuel Appliances Footing drain - 1' 100' 55.00 Water heater 1 10.00 Footing drain - each additional 100' 46.40 Gas fireplace / 10.00 Manufactured home utilities 110.00 Flue vent (water heater /gas fireplace) 10.00 Manholes 16.60 Log lighter (gas) 10.00 Rain drain connector It. 16.60 Wood/Pellet stove 10.00 Sanitary sewer - 1 100' ( 55.00 Wood fireplace /insert 10.00 Chimney /liner /flue /vent 10.00 Sanitary sewer - each additional 100' 46.40 Other: 10.00 Storm sewer - 1 100' / 55.00 Environmental Exhaust & Ventilation _ Storm sewer - each additional 100' 46.40 Range hood /other kitchen equipment / 10.00 Water service 1 100' / 55.00 Clothes dryer exhaust / 10.00 Water service - each additional 100' 46.40 • Fixture or Item Single duct exhaus N Absorption valve 16.60 • (bathrooms, toilet compartments, , f0 Backflow preventer • 27.55 utility rooms) 6.80 Backwater valve 16.60 Attic /crawl space fans 10.00 Clothes washer / 16.60 Other: 10.00 Dishwasher / 16.60 Fuel Piping Drinking fountain 16.60 **($5.40 for first 4, $1.00 each additional) Furnace, etc. / ** Ejectors /sump 16.60 Gas heat pump ** Expansion tank 16.60 Wall/suspended /unit heater ** Fixture /sewer cap 16.60 Water heater / ** Floor drain/floor sink/hub 16.60 Fireplace / ** Garbage disposal 16.60 Range ** Hose bib 2. 16.60 BBQ ** Ice maker / 16.60 Clothes dryer (gas) ** Interceptor /grease trap 16.60 Other: * * Primer 16.60 Total: • Roof drain (commercial) 16.60 Mechanical Permit Fees Sink/basin/lavatory 2/0/'f 16.60 Subtotal: $/01-74:9-10 Tub /shower /shower pan 16.60 . Minimum Permit Fee $72.50 $ Urinal • 16.60 Plan Review Fee (25% of Permit Fee) $ . Water closet 3 16.60 State Surcharge (12% of Permit Fee) $ Water heater / 16.60 TOTAL PERMIT FEE $ Other: Other: Plumbing Permit Fees ELECTRICAL FEES (residential single- or multi - family) • Subtotal $ Description Qty. Fee Total Insp Minimum Permit Fee $72.50 $ 1,000 sq. ft. or less / 145.15 /4 4 o Ea. add'l 500 sq. ft. or portion 4 33.40 2.0 0. "0 I Plan Review (25% of Permit Fee) $ o Limited energy, residential 75.00 7s 2 State Surcharge (12% of Permit Fee) $ Each manufactured or modular TOTAL PERMIT FEE $ dwelling, service and /or feeder 90.90 2 Electrical Permit Fees Subtotal: $ Plan review (25% of permit fee) $ • . State surcharge (12% of permit fee) $ TOTAL PERMIT FEE $ _ I: \Building \Forms \ResPlanCheckFees.doc 01/19/07 Page 2 A 5r;2. 9- / ,:: STREET .., { O (D al I el,,,,k, ,9_,/,__ i ��" ` W , Owner /A -ent-for : . eve • i�e / 0' NAJ !1 . (PLEAS& RINT) _ p xArrHOLDER) co S' A Do hereby -certify that the following location meets . City of Tigard and ' Tfashington - County land use and development stand ds : for - str tree installation. r I ADDRESS: SUBDIVISION: ; /5:9,,, /(; % 1 LOT: zi . . ,, SIGNATURE: — - �r.., �.::: DATE: `./- g.- owl :XjMY&R/AGENT) m I ECEIVED BY: DATE: m (02Y TT OF - al T_ \RinldinAFocroskSueuTteeCcnificu . 01/19/O7 OBE: 100'7 S HOMES NW LLG'� '' ' ! - 1 • . a T 21 ` f ATE. 12/12/2008 16069 SIw 6 AYE., 44 606 , L•sE OSWEGo, oEEGoN 9 PROPERTY :1PILSON – RIDGE –II (4503)307 -74577 . JAN- 0 9'2019 '' CITY: TIGARD ,. S SCALE: 1" =20' A. C TY OF TIGARD PLAN No.: 51 LOT COVERAGE r . . 582 9 ' 11` I:. DIVISION STANDARD ELEVATION '4 . LOT AREA: 4,956 SQ. FT BUILDING AREA: 2,145.SQ. FT. , . Ai. . . , PERCENTAGE: . 433% • • • . (r FILE COPY 582 :0 , . - ' . '. . 4 I IC 1 /4, 1 ‘ 11 40 % 581' r� I 440 h h s ...1.,4a 0. barn It B 578 a 9 bath 989 sq. ft e• PPE 8828' t 'F'-'.' `/ FFE. 882' S . fi ..:':;:::.::::::--7. '' 4 / i _rti ✓ 9 • 11 . . i 449 s. • 4 - - ::-.: . ::: r .� \` `fir/ , 582 e,,- .• . 3� 580 \ le . . 8 4/ — - ---. t, ! \ • - STREET TREE LEGEND , ., 5,8 \� Fir_ ' �.. a - �� Q � � SHADEMASTER HONEYLOGUST iv/ y� / i - GLEDITSIA TRIACANTHOS INER 1I5- ,.,44:,,/4,, �P/ A PYRUS CALLERYANA l , - GALLERY PEAR - 1 _q NOTES: ALL GRADE AND PROPERTY LINES ARE ESTIMATES OF CURRENT LOCATIONS. ALL DIMENSIONS AND SQUARE FOOTAGE ARE APPROXIMATE FIGURES. ALL RETAINING WALL HEIGHTS AND LOCATIONS ARE ESTIMATES. THEY MAY VARY AND BE SUBJECT TO CHANGE. LOT 4 11 DRIVEWAY MAY DIFFER DUE TO LOCATION OF UTILITY BOXES, 4,956 eq. ft„ STREETLIGHTS, AND OTHER SITE CONDITIONS. CITY OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO.: • 0000 PLANNING DIVISION: Required Setbacks: O''Approved CI Not Approved •=•ide: -+� Street Side: ld . i ,•:Int. .1�... Garage: Rear: L— g I , .. i,: $ Clearance: grApproved ❑ Not Approved : :w chin: Building Height .A.-_ feet :i*•' ice Provider Letter Required: ❑ Yes ❑ No Ye + 3‘.111 ; ❑ Received i i. dich Date: 1 /Qlo1 -._ i .hING DE ARTMENT: ...tual Slo e: 8 % Approved ❑ Not Approved Site Plan: T ec___ 'Approved ❑ o� Approved 1 B / /0 T t Not::s. eze ,et., gwetc.„/ CITY OF TIGARD - SITE PLAN REVIEW • BUILDING PERMIT NO: Street Trees: Approved ❑ Not Approved Protected Trees: ' Approved ❑ Not Approved l BY: °i Prole" Date: v r ,2o0 Notes : / I CITY OF TIGARD 'D BUILDING DIVISION PERMIT #: MST2009 -00001 13125 SW Hall Blvd., Tigard, OR 97223 / DATE I 2 4/2009 Phone: (503) 639 -4171 4 �'�I Inspection Requests (24 Hrs.): (503) 639 -4175 7 INSPECTION WORKSHEET FOR DATE: 2/24/2009 yIME: 7 :00AM PAGE: i8 SITE ADDRESS: 13245 SW NICOLE LN CLASS OF WORK: SUBDIVISION: WILSON RIDGE NO.2 LOT #: 021 TYPE OF USE: PROJECT NAME: WILSON RIDGE NO 2 DESCRIPTION: New SF. • OWNER: STONE (BRIDGE HOMES NW LLC, PHONE #: 503 387 - 7577 CONTRACTOR: STONE BRIDGE HOMES NW LLC PHONE #: 50:?. Inspection Request Scheduled For: Date: 2124/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post /beam structural 080777 -03 503.2014837 N Corrections /Comments /Instructions: 4 1.16..) S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: a /V Phone #: (503) 718 - D-9/4.7 CITY OF TIGARD `' BUILDING DIVISION 1 D PERMIT #: M T20O o00fl1 13125 SW Hall Blvd., Tigard, OR 97223 D E ISSU 2/�/ 0ttg Phone: (503) 639 -4171 �' 1 Inspection Requests (24 Hrs.): (503) 639-4175 0_ c 'v % 2 INSPECTION WORKSHEET FOR DATE: 2J24/2009 TIME: 7:0 PAGE: 19 SITE ADDRESS: 13245 SW NICOLE LN CLASS OF WORK: SUBDIVISION: WII )N RIDGE NO. 2 LOT #: 021 TYPE OF USE: PROJECT NAME: WILSON RIDGE NO 2 DESCRIPTION: New SF OWNER: STONE BRIDGE: HOMES NW LLC, PHONE #: &)3- 387 -7577 CONTRACTOR: STONE BRIDGE HOMES NW LLC PHONE #: 503387 -7577 Inspection Request Scheduled For: Date: 2/24/0009 Pour Time: Code # Inspection Description Confirm # Contact # Message Goa Post /beam mechanical 080777 -02 501209-4837 N Corrections /Comments/ Instructions: \; PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \t(m. V Date: al) ( Al Phone #: (503) 718- -W62#1 CITY OF TIGARD 0 BUILDING DIVISION (,r PERMIT #: iVf`,71Ut)��1()C�01 440 13125 SW Hall Blvd., Tigard, OR 97223 � DATE ISSUED: 2 -)009 Phone: (503) 639 -4171 r l�l I l Inspection Requests (24 Hrs.): (503) 639 -4175 ... -.� --- 1 //b6 INSPECTION WORKSHEET FOR DATE: 2/6/7009 TIME: 7 :00AM PAGE: 26 SITE ADDRESS: 13245 SW NICOLE LN CLASS OF WORK: SUBDIVISION: WILSON RIDGE. NO. 2 LOT #: 021 TYPE OF USE: PROJECT NAME: WILSON RIDGE NO 2 DESCRIPTION: New SF. OWNER: STONE BRIDGE HOMES NW LLC, PHONE #: 503 - 387 - 75T / CONTRACTOR: STONE BRIDGE HOMES NW LLC PHONE #: 503 Inspection Request Scheduled For: Date: 2/6/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 06 Footing 080360 -01 503 -209 -4837 N Corrections /Comm nts /Instructions: LI6J — ?4 5J - A.P.Rr i -- \ - 5k Vxf/lK 4, A 1 0k c — (c b,.;� A El PARTIAL APPROVAL I] CANCEL / NO AdCESS i ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Vi) Date: V `e lo Phone #: (503) 718- �i.-- CITY OF TIGARD 0 B 0 UILDING DIVISION a PERMIT #: MST2009.00001 13125 SW Hall Blvd., Tigard, OR 97223 l ,, DATE ISSUED: 214 2009 Phone: (503) 639 -4171 . /0 . 40.1, . i ll I 1 J Inspection Requests (24 Hrs.): (503) 639 -4175 .�� (/ l ) INSPECTION WORKSHEET FOR DATE: 2/6/2Q09 TIME: 7 :O0AM PAGE: 251 SITE ADDRESS: 13215 SW NICOLE LN CLASS OF WORK: SUBDIVISION: VWiLS ON RIDGE NO. 2 LOT #: 021 TYPE OF USE: PROJECT NAME: WILSON RIDGE NO 2 DESCRIPTION: New SF OWNER: STONE I3RIDGE HOMES NW LLC, PHONE #: 503 -367- 7677 CONTRACTOR: STONE I3RIDGE HOMES NW LLC PHONE #: 503 -387 -7577 Inspection Request Scheduled For: Date: 21612009 Pour Time: 11:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 0130360-02 603 - 209.4831 N Corrections /Comments /Instructions: a 5 _ _ ,e_ ,cl s . clu-J2k-Q.-C e__. /, - 7 4- 2 w, s ,---eA--1--t: 0-7/t■A' (4c-XL; ,--, — .. A ❑ PARTIAL APPROVAL ❑ CANCEL I 1 NO ACCESS n FAIL 111 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED p VI e d q Phone #: (503 71 8 y J Ins ector: Date: CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2009- 00001 13125 SW Hall Blvd., Tigard, OR 97223 f DAT - - •: 2/4/2009 Phone: (503) 639-4171 / p� + 1 Inspection Requests (24 Hrs.): (503) 639 -4175 "/ �7 INSPECTION WORKSHEET FOR DATE: 2/24/2009 TIME: 7 :00AM PAGE: 20 SITE ADDRESS: 13245 SW NICOLE LN CLASS OF WORK: SUBDIVISION: WILSON RIDGE. NO, 2 LOT #: 021 TYPE OF USE: PROJECT NAME: WILSON RIDGE NO 2 DESCRIPTION: New SF. OWNER: STONE BRIDGE HOMES NW LLC, PHONE #: 503 -3137 -7577 CONTRACTOR: STONE BRIDGE HOMES NW LLC PHONE #: 503367 -7577 Inspection Request Scheduled For: Date: 2124/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Post/bcam plumbing 080777 -01 503-209-41337 N Corrections /Comments /Instructions: Ig_PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: / v Date: Phone #: 503 (::X11 ?ti nsp JI ( ) 718 - • 4 CITY OF TIGARD BUILDING DIVISION 111.1 $ Ab q PERMIT #: WIST2009•00001 13125 SW Hall Blvd., Tigard, OR 97223 I Lk r e IDAT SS ED: 214/2009 Phone: (503) 639-4171 r „t ,..,44 I 1 , 1 i" (,0 Inspection Requests (24 Hrs.): (503) 639-4175 : L. is INSPECTION WORKSHEET FOR DATE: 2j9/2009 TIME: 7:00AM PAGE: 6 SITE ADDRESS: 13246 SW NICOLE LN CLASS OF WORK: SUBDIVISION: WILSON RIDGE NO. 2 LOT #: 021 TYPE OF USE: PROJECT NAME: WILSON RIDGE NO 2 DESCRIPTION: New SF. OWNER: STONE BRIDGE HOMES NW LLC, PHONE #. 5f33-387-7577 CONTRACTOR: STONE BRIDGE HOMES NW LLC PHONE #: 603-387-7677 Inspection Request Scheduled For: Date: 2/9/2009 Pour Time:.' Code # Inspection Description Confirm # Contact # Message 335 Rain drain 080419-02 603-209-4831 N Corrections/Comments/Instructions: * -, • 3 Prc ehAlb -- /Irt-- . 4 1 (■1", ) Tht —1 / 4 --," 4 Th ,9- V■re; (-r b ) 0 ) Vtr• e\f ( C' ''` ( '-.---.:-- — . 4v...a 1 • SS 0 PARTIAL APPROVAL E] CANCEL n NO ACCESS — i IL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED \■. Cle--- Inspector: . Date: --//° 1 Phone #: (503) 718a i s , . .. CITY OF TIGARD _ s. -0 -1 . 1(-- BUILDING DIVISION l PERMIT #: MST7009.00001 13125 SW Hall Blvd., Tigard, OR 97223 n (41 r DA —.SUED: 2/4/2009 Phone: (503) 639 -4171 I r! Inspection Requests (24 Hrs.): (503) 639 -4175 Ail. 0 ' 1 Op INSPECTION WORKSHEET FOR DATE: 2/9/7009 TIME: J;00AM PAGE: 5 SITE ADDRESS: 13745 SW NICOLE LW CLASS OF WORK: SUBDIVISION: WILSON RIDGE NO. 2 LOT #: 021 TYPE OF USE: PROJECT NAME: WILSON RIDGE NO 2 DESCRIPTION: New SF. OWNER: STONE BRIDGE HOMES NW LLC, PHONE #: 503 -387 -7577 CONTRACTOR: STONE BRIDGE. HOMES NW LLC PHONE #: 503- 387 -7577 Inspection Request Scheduled For: Date: 7/9/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 080419 -03 503 - 209.41337 N Corrections /Comments /Instructions: Y 1 5 -6-N r PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS L ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: / Phone #: (503) 718 - / p ( (I CITY OF TIGARD .--, _; �l� BUILDING DIVISION E,...)***.e.-- PERMIT #: MST2009.00:.IO1 13125 SW Hall Blvd., Tigard, OR 97223 U° DATE ISSUED: ;1412009 Phone: (503) 639 -4171 � \ \ \�� Inspection Requests (24 Hrs.): (503) 639 -4175 4? /I INSPECTION WORKSHEET FOR DATE: 2/9/ ?009 TIME: 7:0OAM PAGE: 7 SITE ADDRESS: 13245 SW NICOLE LN CLASS OF WORK: SUBDIVISION: WILSON RIDGE NO. 2 LOT #: 021 TYPE OF USE: PROJECT NAME: WILSON RIDGE NO 2 DESCRIPTION: New SF. OWNER: STONE BRIDGE HOMES NW LLC, PHONE #: 503-387-7577 CONTRACTOR: STONE BRIDGE HOMES NW LLC PHONE #: 503- 387 -7577 Inspection Request Scheduled For: Date: 2/9/2009 Pour Time: - Code # Inspection Description Confirm # Contact # Message 330 Water servico 08041901 503 - 209.4837 N Corrections/Comments/Instruction : I/ '1A--e.3 - k) " a `-- '--.- C V'( — w■-- , ( -- \9 ) -,..e_e.(z_, -\-2z *1-6,1 W- ovJ tv\< , 1 (P. ❑ PASS ii PARTIAL PPROVAL ❑ CANCEL ❑ NO ACCESS _ FAIL " ' L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: VZ/; Z Date: or/� /e Phone #: (503) 71 8 - ° T rl p ) f 1 CITY OF TIGARD `Y� �' 3A BUILDING DIVISIO PERMIT #: h4Srt109 a;rual 13125 SW Hall Blvd., Tigard, OR 97223 �i DATE ISSUED: 2/412009 Phone: (503) 639 -4171 . ,�,� ��� i 1 ( LI Inspection Requests (24 Hrs.): (503) 639 -4175 �':� eT'_I 41■AP 9 INSPECTION WORKSHEET FOR DATE: 7/9/2009 TIME: 7 :00AM PAGE: ' 4 SITE ADDRESS: 13246 SW NICOLE Lid CLASS OF WORK: SUBDIVISION: WILSON RIDGE NO. 2 LOT #: 021 TYPE OF USE: PROJECT NAME: WILSON RIDGE NO 2 DESCRIPTION: New SF. OWNER: STONE I3RIDCE HOMES NW LLC, PHONE #: 603- 387 -7577 CONTRACTOR: STONE I3RIDGE HOMES NW LLC PHONE #: 503-387-7577 Inspection Request Scheduled For: Date: 7/9/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 606 Sanitary sewer O8041g.04 503-209-48:37 N Corrections /Comments /Instructions: Q__,..v i\-e__c__A - .) c)-4--es2-,,L. - S d 1 (4 7 - _ _ S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: It P Date /4/ rPhone #: (503) 718 c>1. c>1.