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Permit CITY OF TIGARD MASTER PERMIT lig I q I. COMMUNITY DEVELOPMENT • �� Permit#: MST2020-00011 �� Date Issued: 01/27/2020 TIC;A R.C) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ��� Parcel: 1 S134DB13200 Jurisdiction: Tigard Site address: 11124 SW 114TH PL Subdivision: BRIGHTWOOD SUBDIVISION Lot: 4 Project: Brightwood, Lot 4 Project Description: New SF. 2/18/20: REPRINT to add A/C unit. Placement of NC unit must comply with manufacturers requirements. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1444 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1580 sf Garage: 1107 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors. Yes Total: 3024 sf Value: $429,088.41 Rear: 15 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 0 Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 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: 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 Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3024 Owner: Contractor: STONE BRIDGE HOMES NW,LLC STONE BRIDGE HOMES NW LLC Required Items and Reports(Conditions) 4230 GALEWOOD ST SUITE 100 4230 GALEWOOD STREET#100 1 Ersn Cntrl 503-639-4175 LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 PHONE: 503-387-7577 PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $39,911.92 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 95 01-0090. You y obtain a copy the rules direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: 'lee; Permittee Signature: /;/f�'`p 7 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Receives Er 13125 SW Hall Blvd.,Tigard,OR 977223. Date/By: AB' / `— /Ufj / f�I,� Phone: 503.718.2439 Fax: 503.598.1960 Planjill Review Date/By: Other Permit: D T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: la See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition E Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total t^ } 9 ' Heating/cooling: Air conditioning I 46.75 Job site address:I li Zi"f SU/ �/t th pi_ Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: 1r 9.,1,t1 o Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: / Project name: 4 YTa Heat pump 61.06 Duct work 23.32 Cross street/directions to job site: 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 Other: 23.32 Subdivision: Lot no.: Li Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 f Flue vent for water heater or gas /4 U A C e'YI41;:--: I�15 r -o ,,,,,, 1 ( fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 0Oth PROPERTY OWNER ❑ TENANTS' 23.32 .: /J Environmental exhaust and ventilation: Name: 5 YlM..� /i71/6 G� /iYYI�- Range hood/other kitchen Address: equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 iPPLICANT NTACT PERSON Other: 23.32 Fuel piping: Business name: 5 i.,_ h eierty $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace Range E-mail: Barbecue CONTRACTOR Clothes dryer(gas) Business name: C Other: MECHANICAL PERMIT FEES* Address: 103-Z N V (rpck-a.3e V. Subtotal City/State/ZIP: fr 04 I7Q( Q Minimum permit fee($90.00) Phone:( )5) 10(07 kq t. Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lie.: Ii or,i ( 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: , Alf * Fee methodology set by Tri-County Building Industry Service Board Print name: 3 v f ��"""jj Date: Z/j r 7Zc) I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof Note: All new commercial buildings require 2 sets of plans. I:\Building\Permits\MEC_PermitApp_040113.doc 2 IICITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT COMMUNITY MST2020 00011 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/27/2020 Parcel: 1S134DB13200 Jurisdiction: Tigard Site address: 11124 SW 114TH PL Subdivision: BRIGHTWOOD SUBDIVISION Lot: 4 Project: Brightwood, Lot 4 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1444 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1580 sf Garage: 1107 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3024 sf Value: $429,088.41 Rear: 15 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 Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N 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: 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 Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3024 Owner: Contractor: STONE BRIDGE HOMES NW,LLC STONE BRIDGE HOMES NW LLC Required Items and Reports(Conditions) 4230 GALEWOOD ST SUITE 100 4230 GALEWOOD STREET#100 1 Ersn Cntrl 503-639-4175 LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 PHONE: 503-387-7577 PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $39,859.56 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 952-001-0010 through OAR 952-001-0090. You ma btairre s of the rules or direct questions to OUNC by calling�50033.232.11998877�or 1. .332.2344. Issued By: Permittee Signature: �%�` "" Call 503.639.4175 by : r 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. * T-7 ?) s. Building Permit Application Residential RECEIVED FOR OFFICE USE ONLY City Tigard Tipand Received _ - � �/ -�- Permit No.: iq; 13125 SW Hall Blvd.,Tigard,OR 97223 JAN 6 2020 Dale/By: , "`- t7Sr o....6r21., i w�- g Plan Review n,` 'L Phone: 503.718.2439 Fax: 503.598.1960 Date/By: t/11 LA, Other Pennit:.5'W „,`��'��j� T 1(i A tt 1) Inspection Line: 503.639,4175 up(OF TIGARD Date Ready/3 l t turfs: riI See Pape 2 for 1"� Internet: www.tigard-or,gov BUILDING DNISION Notified/Method: V -1r-' SuppteinentaiInformation L_— i, C1/2—� TYPE OF WORKM s REQUIRED DATA 1x D ILY A LLING ®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 a the rofitf.tie work indicated on this application. CATEGORY OF CONSTRUCTION f D • • ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $-1317r '„f /lt,, 0 Accessory building ❑Multi-family Number of bedrooms: rij ❑Master builder ❑Other: Number of 3 JOB SITE INFOR.M A7It?N AliIl LOCATION Total numbetoffloo s: 2. < Job site address: 1112.4 S10 rw.h r , New dwelling area: 330 t14 square feet 15(60 City/State/ZIP:Tigard,OR Garage/carport area: 1107 square feet ly 4 4 g• PProject8�_ 42.4401J_�'tiif Covered porch area: square feet Suite/bid !a t.no.: name: lea f y Cross street/directions to job site:SW North Dakota&SW'1141h P1. f Deck area i I square feet Ot r sriu ar "! C15 square feet tl REQUIRED DATA.C ERECKLIST Subdivision:Brightwood Lot no.: Permit fees*are based on the value of the work performed—. i Indicate the value(rounded to the nearest dollar)of all fax map/parcel no.: equipment,materials,labor,overhead,and the profit for the r.. ._ r B' QFWORK work indicated on this application. Valuation: $ new,single family residence Existing building area: square feet New building area: square feet la PROPERTY OWNER Q T ; iT v_ Number of stories: I Name:Stone Bridge Homes NW,LLC Type of construction: Address:4230 Galewood St,Suite 100 Occupancy groups: City/State/ZIP:Lake Oswego,OR 97035 Existing: Phone:(503)387.7577 Fax:(503)387.7615 New: i_• APPI,CANT 0=CONTACT PERSON BUILiM3 GPERIVIIT EE&*`"` -lTtoarereJertrz Business name:Stone Bridge Homes NW,LLC eelseAute,j Structural plan review fee(or deposit): Contact name:Deirdre Britt FLS plan review fee(if applicable): Address:same as above City/State/ZIP: Total fees due upon application: Amount received: Phone:( ) Fax::( ) E-mail:dbritt@stonebridgehomesnw.com PHOTOVOLTAIC SOLAR PANEL SYSTEM PEES* Commercial and residential prescriptive installation of CONTRACTOR 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 Solarinstallaiion Specialty Code checklist. City/State/ZIP:Lake Oswego,OR 97035 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(503)387.7577 Fax:(503)387.7615 State surcharge(12%of permit fee): $21,60 CCB lie.:173318 Total fee due upon application: $201.60 Authorized signature71 This permit application expires if a permit is not obtained within 180(lays after it has been accepted as complete. Print name:Deirdre Britt Date; 12411 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits 1BLUP-RESPermitApp;doc 02/24/2011 440-4613'f(11/02/COM/WEB) - Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Received Permit Vo.; EIVED Date/By.neM 11 ql 13125 SW Hall Blvd.,Tigard,OR 97 �� Plan Review ` v�` �t� Phone: 503.718.2439. Fax: 503,598. Date/By. Other Permit: TIGARD Inspection Line: 503,639.4175 DateReadyBy. Sus: H See Page 2 for 2020 Internet: www.tigard-or.gov JAN 6Notified/Method Supplemental Information ,..; TYPE OE ',Q, + OMMEltai°AL ?EE' Seim fi7L 1Jut I p � i.'; , Mechanical permit fees*are based on the value of the work ®New construction ❑ Addition/alteration/replacement performed,Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit, .. - Value: CATEGORY OF CONSTRUCTION $ ',- RESII)EN SAL �li ItEEs" ® I-and 2-family dwelling ❑ Conunercial/industrial 0 Accessory building For special information use checklist. ❑Multi-fancily ❑ Master builder ❑Other: Description Qty. Ea. Total t f ' . n"..JOB SITE Il(IPt7RMATION AND LOCATION Heatiaig(cool ng ' Air conditioning 46.75 Job site address: ill94 SN) 11440 Pl. Furnace 100,000"BTU(ducts/vents) 1 46.75 City/State/ZIP:Tigard,OR Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldgJapt.no,: Project name; Duct work 23.32 Cross street/directions to job site:SW North Dakota&SW 114'PI Hydronic hot water system 2132 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 1 23.32 Other Subdivision:Brightwood Lot no.: 4 Other fuel appliances: 23.32:Tax map/parcel no,; Water heater 1 23,32 - rA€y .a , "DESCRIPTION OF,WORD ' Gas fireplace/insert 1 33.39 Flue vent for water heater or gas new,single family residence fireplace 2 23,32 Log,highter(gas) 23,32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney liner/flue/vent 23.32 _„ Other: 23.32 PROPERTY OWNER ❑ TENANTS x r., Environmental exhaust and ventilation: Name:Stone Bridge Homes NW,LLC Range hood/other kitchen equipment 1 33,39 Address:4230 Galewood St,Suite 100 Clothes dryer exhaust 1 33.39 City/State/ZIP:Lake Oswego,OR 97035 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) '7 23.32 Phone:(503)387.7577 Fax:(503)387.7615 Attic/crawlspace fans 23.32 a ,ram II AN a _ ❑ CON O Other: - 7 � . TACT PERSN , 23,32 " Fuel piping: t ing: Business name:same as above _. $14.15 for first four;$4.03 for each additional Contact name:Deirdre Britt Furnace,etc. 1 Address:: Gas heat pump • Wall/suspended/unit heater City/State/ZIP: Water heater 1 Phone:( ) Fax::( ) Fireplace I - • Range I E-mail:dbritt@stonebridgehomesnw'Cona Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name:Comfort Zone , MECHANICAL PERMIT TEES" Address:1032 NW'Corporate Dr. Subtotal City/State/ZIP:Troutdale,OR 97060 Minimum permit fee(S90.00) Phone:(503)667.5595 Fax:(503)491.8252 Plan review(25°:0 of permit fee) State surcharge(12%of permit fee) CCB lie.:110091 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: ,_ .,. -..ro-- " g Fee methodology set by Tri-County Building industry Service Board Print name:David Heltlstab Date: 121. ri ClBuildiug/Pem»is\MEC_PennitApp_OAO t l3.dee ,I40-lui 71(11/02-%[OM/WEB) - ?electrical Permit Application FOR OFFICE USE ONLY City of Tigard Received Permit h- Date/By /^151—hk-cID6 if '� 13125 SW Hall Blvd.,Tigard,OR 9722 ` ' Plan Review ■ Phone: 503.718.2439 Fax: 503,598EC E I V E D Date/Bv Related Permit# ' Inspection Line: 503.639.4175 Ready Date/By: Buis El See Page 2 for TIGARD Internet www.tigard-or.gov Notified/Method: Supplemental Information TYPE O F Q JAN - 6 2020 .a aVtit ., , ®New constriction El Addition/alteratierry1119F0T4GARD Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition ❑ l� Other: ILDINC- nitrt 1t�.If ❑Serviceorfeeder400ampsormore ❑Buildingoverthreestones.- .._.... where the available fault current 0 Marinas and boatyards; re " C�TR'C� IClF..�41�TS'I'R[IC'1"IO1V exceeds 10,000 amps at 150 volts or,_,�,„ ,__, p 0 Floating buildings, g L❑ ❑Accessory building tens to ground,or exceeds 14,000 ❑Commercial-use ag icultural ® 1-and 2-familydwelling ConmierciaUindustrial amps for all other installations, buildings. ❑Multi-family ❑ Master builder ❑ Other: 0 Fire pom p..p- El Installation of 150 KVA or JOB'SITE INFORMATION-AND LQCATION ElEmergency system, larger separately derived �3' 0 Addition of new motor load of system, Job#: 2,155 Job site address: 1H SsJ 1(44h t't^ 1o01IP or more. ❑"A', E~,'t-2","1.3", City/State/ZIP:Tigard,OR ❑Six or more residential units, occupancy ❑Health-care facilities, ❑Recreational vehicle parks. Suite/bldg:/apt.#: Project name: ❑Hazardous locations, ❑Supply voltage for more than -- - - 600volts nominal. • - -- ❑Sernce or feeder 600 amps or more Cross street/directions to job site:SW North Dakota&SW 114'h PI. Description Each I Total l New residential single-or multi-family dwelling unit. Subdivision:Brightwood Lot#:4 Includes attached garage. 1,000 sq.ft or less 2 168.54 4 Tax map/parcel# Ea.add'I 500 sq ft.or portion A 33.92 1 £\ ; '''it'',,,j,DESCRIPTION OF WORK 4.Z , , , .- -, Limited energy,residential ' new,single family residence (with above sq.ft.) 75A0 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 PRUPERTV O.-i�#NEIt... 0 TENANT / " ' ''"'� Services or feeders hlstallato - n,alteration,and/or relocation Name:Stone Bridge Homes NW,LLC 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Address:4230 Galewood St,Suite 100 401 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:(503)387.7615 Over 1,000 amps or volts 552.26 2 ' Temporary services or feeders installation,alteration,and/or Email; 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 a GA . Branch circuits-new,alteration,or extension,per panel ACT PERSON,„,,,,_.„ F`I�I�kT, _ © C�ONT - A,a:ee for branch circuits with Bossiness name:same as above above service or feeder fee, 7,42 2. each branch circuit Contact name:Deirdre Britt B.Fee for branch circuits without Address: service or feeder fee,first 56.18 2 branch circuit City/State/ZIP: Each add'I branch circuit 7.42 2 . Miscellaneous(service or feeder•not included) Phone:( ) Fax::( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: dbritt@stonebridgehomesnw.com ---- Reconnect only 67.84 2 t✓OT TRACTOR �- ,. .-. ;- Pump or irrigation circle 67.84 2 Business name:City Electric Sign or outline lighting 67,84 2 Signal circuit(s)or limited-energy 0see Pa Address:55568 SW Schaltenbrand Ln. ge 2 2 panel,alteralion,.or extension. City/State/ZIP:Sherwood,OR 97140 Each additional inspection over allowable inany of the above Additional inspection(1 hr min) 66.25/hr Phone:(971)404.1714 Fax:(503)625.3052 Investigation(1 hr min) 90,00/hr Email: Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is specifically listed(%hr min) 90 00;Iv s CCB Lie,: 42422 Electrical Lic,: 26-289C Suprv.Lic.: 35925 p y Et 'R1CAI. PS-Of TEES Suprv.Electrician signature,required: Subtotal: Print name: Chuck Friesen Date: %2.9.PI 0 Plan Review Required(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 Print name: Date: days after it has been accepted as complete. -- - L -- - _' * Numberof inspections allowed per permit 1:\Diiilditig`Permits;ELC_PnrnsiApp_ELR ERE,disc Rev 06't7/2015 440-4615011'05ICOM/WE6 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 Re "" I Qty.. ( Each [ To i; 3' Renewable 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 301,94 2 50.01 to 190 kva 552.26 2 ® Garage Door Opener* ,look (fee in accordance with OAR 918-309-0040) 552,26 2 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: Each additional inspection is • Other: charged at an hourly(1 hr mint: 66.25/hr 1 Inspections for which no fee is 90,00/hr specifically listed r%z hr min) COMMERCIAL WORK ONLY: 1...; ... Fr.FCTRIC E °9 s Fee for each commercial system: $75.00 aSllowe al(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 ❑ Clock Systems E Data Telecommunication Installation ❑: Fire Alarm Installation Ej HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑' Landscape Irrigation Control* Medical ❑ Nurse Calls .0 Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1.'•.Eui;ding':Pennits\ELC_PermitApp_ELR ER E:dec Ree 0t117/2015 Plumbing Permit Application Building Fixtures ,AECEIVEFOR OFFICE USE ONLY Cl of Tigard ® Received p _ g Date/By: Permit No..1l �.w,�,) l }ali Itii *t 13125 SW Hall Blvd.,Tigard,OR 97� 2020 JJ (U/1�/ff//VV fir/ 6 Plan Review Phone: 503,718.2439 Fax: 503.59 9 Date/By: Other Permit No. Inspection Line: 503,634,4175 TIGARD CITY OF TIGARD Date Read iB Rids. la See Page 2 for Internet: www,tigard-or.gov Not died/\feth d Supplementallnformahon i iN_(a DIVISION TYPE OF vV R FEE* SCHEDULE ' a" \� . ®New construction ❑Demolition For*pee:al inJormtrtiiott use checklist. Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 t;for each utility tonne e n) CATEGORY OF-CONSTRUCTJOpr tom, , r. SFR(I)bath 312.70 ® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437,78 ., SFR(3)bath 500,32 ❑Multi-family[�Accessory building .. Each additional bath/kitchen 25.02 El Other: I ❑Master builder JOB SITE I 'OR ATION AND sprinkler(LOCATION Site utilities: sq,ft.) Page 2 Job site address: 1 l i 24 SW 114147 � Catch basin or area drain 18.76 n Drywelt,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR Footing drain(no.linear ft.:_) Page 2 Suite/bldgJapt,no.: Project name: Manufactured home utilities 50.03 Cross street/directions to job site:SW North Dakota&SW 1140i PI Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no,linear ft.:_) Page 2 Storm sewer(Ito.linear tt.:_) Page 2 Water service(no.linear ; ) Page 2 Subdivision:Brightwood Lot no.: 4 ft Fixture ow Backfl preventer i 31.27 Tax map/parcel no.: DESCRIPTION OF WORK4- '.." Backwater valve 12.51 ' - Clothes washer I 25,02 new,single family residence Dishwasher I 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ra PROPERTY OWNER " .. ❑ TENANT cf Expansion tank 12,51 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 I 25.02 City/State/ZIP:Lake Oswego,OR 97035 Hose bib 2 25,02 Phone:(503)387.7577 Fax:(503)387.7615 Ice maker 12.51 ® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25„02 Business name:same as above Medical gas(value:$ }. Page 2 ----- ' Primer 12.51 Contact name:Deirdre Britt Roof drain(commercial) 12,51 Address: Sink/basin/lavatory -,1 a6 Oil (p 25.02 Y Solar units(potable water) 62.54 City/State/ZIP:/State/ZIP: Phone:{ ) Fax: :( ) Tub/shower/shower pan a 12.51 E-mail:dbritt(a�stonehriclgehontesnw.com Urinal 25.02 CONTRACTOR Water closet 3 25,02 Water heater I 37.52 Business name:Jardine Plumbing Water piping/D W V 56,29,- Address:PO Box 186 Other: 25.02 City/State/ZIP: Estacada,OR 97023 Subtotal Phone:(503)351.8532 Fax:(503)630.2882 Minimum permit fee: $72.50 347 Plan review (25%of permit fee) CCB Lie,:108747 Plumbing Lic.no,:c13-1( State surcharge(12%of permit fee) 3 Authorized signature: { >K TOTAL PERMIT FEE Print name:Jay Jardine Date: 12.9 4C4 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:'•Bni iduigTennits\PLM1tU-Peen itApp,dee 10,01/09 4,10.461 oil 10/02/COM/WEB) City of Tigard 111 A COMMUNITY DEVELOPMENT DEPARTMENT C T1cnRD Building Permit Review — Residential e Building Permit #: /►is7-,/0.0 _ o, Site Address: 11121 S\i/ Nth f l• Project Name: (iqk}-wf-nl ,()tvIOA Lot #: (New Twelling=subdivision name;Addition or Alteration=last name of owner) Planning Review � Proposal: ��.,,,/ S-� pun 4�t 15 [ 1 Verify address/suite#active in Accela. I 'IIn River Terrace: No ❑ Yes,River Terrace Review Addendum Sine ' an Elements: :pion Control ties of site plan on 8-1/2"x 11"or 11 x 17"paper aired trees with drip line and tree protection measures ra Pwn to scale (standard architect or engineer scale) Ll 1 . .tint of new structure(including decks)and FFE L�`N th arrow L Il tility locations&easements(required for new and additions) L e address,project or subdivision name and lot number 1dewalk/driveway approach V .plicant information(name and phone number) N' .cation of wells/septic systems I •t dimensions and building setback dimensions �L t t tree size,type and location are footage of buildings to be demolished Let names CJExisting structures on site ['Corner elevations(2'contours if more than 4'differential) lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? 2 r'es ❑No D pervious area(applicable if R-7,R-12,R-25&R-40) shown? ' ( PP� If yes,is a storm water quality facility EYes �No El Clean Water Services—Service Provider Lette of platted prior to 9/10/1995): pquired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No 3/Public Facilities provement(PF1)Permit: R quired: applicant was notified ElNo Applied For: EL Zoning: 11t1 Yes ❑ No,stop intake I_,/Land Use Case#: ;�va��� ����� —4•S /, a Required Setbacks: Front: �O Rear: /S Side: 5 Street Side: 1 Garage: ,C .E:_etuilding Height: Max.Height: 3 O Actual Height: f o?4 '❑ Lanehcape.Area: % fKrAiLot Coverage Max: 0/0 Entrance [ 1 back no more than 8'from street-facing wall Parallel to street or offset 45 degrees or less Windows i Minimum 12%of area of all street-facing facades Garage ) Gara e door is behind widest street-facing wall ❑ Yes Lfd"No,one of the following is met: Z Door extends no more than 5'from walrand there is a covered porch extending beyond garage. ❑.Door extends no more than 5'from w and there is a 12 sq ft.window above garage on 2nd floor. Garage door width is ❑ 12'or less 50%or less of facade ❑ 60%or less and includes 7 of following: Li Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset ❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer 1 Ld ❑ Accent siding 'Window trim El Window recess El Window projection ❑ Balcony ,LJ 'sual Clearance 'Urban Forestry P)an L�'Sensitive Lands: ❑ Yes D' No Type: e❑ Condition met prior to issuance of building permit otes: Meet CwlClW.s ?riff i.0 i cska, e • WApproved By Planning: AT\AO f 2CL Date: 0 I IO(o (2O Revisions (after Building Submittal only)lJ Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved 0 Not Approved i:\Building\Forms\BldgPennitRvw—RES—022819.docx 1 Building Permit Submittal Original Submittal Date: Site Plans: # Building Plans: # Building Permit#: ❑ Enter building permit#above. Workflow Routing: ❑ Planning ❑ Engineering ❑ Permit Coordinator ❑ Building Workflow Sign-off: ❑ Sign-off for Planning(include notes from planning review) Route Application Documents: ❑ Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. ❑ Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: Enf. neering Review S op e at building pad: 3/e Conditions "Met"prior to issuance of building permit Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes [1\lo Assess Water Quantity Fee in-lieu: ❑ Yes IlrNo LIDA Facility on lot: ❑ Yes gl N o L7 Final Plat Recorded: CINOT Approved by Engineering: Date: I, Notes: fI Approved by Engineering: Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: El Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit El Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: on Notice 3: Date Sent to Applicant: 21?e4- SDC Fees Entered: Wash Co Trans Dev Tax: Er El N/A Tigard Trans SDC: [)V ❑ N/A Parks SDC: Yes ❑ A . LIDA N A ,_,, � CI / L " OK to Issue Permit Approved byPermit Coordinator: Date: V 5/ k2 PP l:\Building\Forms\BldgPennitRvw_RES 022819.docx _ I Water Meter Fixture Unit Worksheet Please complete the following information: Contractor Name: 4-rows Z D L H()M e_5 N W j LA., . Billing Address: Street/Suite#: 9'23O (AtVVVODP ST., 42UITTtou City: LA-KE OrINE470 State: OR. Zip: 17035 Phone Number: 15D3-3€7.7577 New Meter Address: 11(.24 Siv 114lit,_PL. Subdivision Name: 13124&HTWDOD Lot#: 4 Building Permit#: Please fill in the number of each fixture as detailed on the plans. Multiply the quantity by the point value to arrive at the point total. Add all point totals together for total fixture unit points. Fixture Unit Quantity Point Value Point Total Bar sink —. x 1 = WS Bidet x 1 _ _. Clothes washer I x 4 = 4 Dishwasher 1 x 1.5 = 1.5 Hose bib I x 2.5 = 2.5 Hose bib, each additional I x 1 = I Kitchen sink I x 1.5 Laundry sink 1 x 1.5 = 1.9 Lavatory 4 x 1 = _._4 Water closet, 1.6 GPF 3 x 2.5 = "74 Bathtub/whirlpool — x 4 = Shower stall 2 x 2 = el. Bath/shower combo I x 4 = 4 Irrigation (#of heads in largest zone) 3 x l = 3 Total Fixture Unit Points: 34 S Fixture Unit Points: Up to30=5/8" Over 37= 1" Up to 37=3/4" Meter Size: 3/1 Meter Cost: $ *:************************************************************************************ FOR OFFICE USE ONLY Fixture Units Points verified with Building(Master)Permit or Plumbing n Yes n No ❑ Other: Meter#: Sale Date: Receipt#: Meter Cost: Employee Name: 1:/Building/Forms/WaterMeters_070119.doCx Page 2