Permit CITY OF TIGARD IS MASTER PERMIT
11/11 117 7 COMMUNITY DEVELOPMENT Ff2,5124 96 Permit#: MST2020-00002
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/22/2020
Parcel: 2S106DB25500
Jurisdiction: Tigard
Site address: 13041 SW LARKWOOD PL
Subdivision: RIVER TERRACE EAST 3 Lot: 281
Project: River Terrace East No. 3, Lot 281
Project Description: New SF. 2/25/21: REPRINT to add (1)lay to primary bathroom.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 948 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 28 Bathrooms: 3 Second: 1168 sf Garage: 422 sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 2116 sf Value: $279,689.42 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 5 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: Y Vent Fans: 4 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
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: 4 201-400 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 2116
Owner: Contractor:
WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175
VANCOUVER,WA 98660
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $36,343.35
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 thr g O�01-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
�• J
Issued by�---' Permittee Signature: 0� 4--/ �Lt C 41-7tV,
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: ,...
Building Fixtures FOR OFF1C1•. USE ONLY
FEB2S2'
City of Tigard ' `B 2 """ Received -�-
iplIyate/By: p. /���/ ermit Nrr,1.�� t,
• 13125 SW Hall Blvd.,Tigard,OR 9 � � Plan Review Permit
+e-QsG
s Phone: 503.718.2439 Fax: 503.59� t Date/By: Other Permit No.:
T l t i n t:n Inspection Line: 503.639,4175 c / !I I n l +C D!VI SI( i Date Ready/By: �.T 0 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental information
TYPE OF WORK FEE* SCHEDULE
D New construction 0 Demolition For special information use checklist
Description I Qty. I Ea. i Total
0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
X1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building ]-Multi-family
- Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities: _
Job site address: 13041 SW LAR KWO O D PL Catch basin or area drain 18.76
Dtywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224 to vrtr frec(c 6 s7( Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: Project name ' e Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector MO E
Sanitary sewer(no.linear ft.: ) MII Page 2 y
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision:Rvstraic- irekikvL°t no.: 281 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
5th lavatory added after plan review Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER 0 TENANT Expansion tank 12.51
Name:Polygon WLH,LLC Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25,02
Address:703 Broadway St.,Ste 510
Garbage disposal 25.02
City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02
Phone:(360)695-7700 Fax:( ) Ice maker 12.51
® APP jIIIIIIIIIIIIIILICANT a Interceptor/grease trap 25.02
Business name:Polygon WLH,LLC Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Tonja Morris
Roof drain(co ial) 12.51
Address:703 Broadway St.,Ste 510 Sittk/ba . avato' I 25.02
City/State/ZIP:Vancouver,WA 98660 Solar urn table water) 62.54
Phone:(360)695-7700 Fax: :(360)693-4442 Tub/shower/shower pan 12.51
E-mail:permitsubmittals@polygonbomes.com Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name:G&B Plumbing&Sons Inc Water P tPing/DWV 56.29
Address:P.O.Box 92 Other. 25.02
City/State/ZIP:St.Paul,OR 97137 Subtotal
I Phone:(503)868-1417 Fax:(971)727-8170 Minimum permit fee: $72.50
CCB Lie.: 184372 Plumbing Lic.no.:pb634 Plan review (25%of permit fee)
.. . --._ State surcharge(12%of permit fee)
Authorized signature:
Y```,� TOTAL PERMIT FEE
Print name:Steve Fowler Date:
10/30/20 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
I1nvitclme4Premits1PLMU-PcrmaAm.doe 10/010 440-4616TIIO+U2/COM>wEB1
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by mnost 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.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
111111
RI
Transmittal Letter
T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov'
TO: Az/ sv7v ArimSTRoAJG DATE RECEIVED:
DEPT: BUILDING DIVISION
RF EIVED
FROM: /)1oE,,,S SEP 2 2020
COMPANY: l.Ui2 F a2P—LS071/ CITY OF TIGARD
�9 �1 BUILDING rISI
PHONE: 9 7 Li v.
RE: 1304) t412I 14)OvD Pi- /V572620 - OOooZ.
(Site Address) (Permit Number)
Rt vc 'EA sr 14)-r 2Z1
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. 3 Revisions: 141, R 3, ALI,R5,AGr ni fiBt
Cross section(s)and details. Wall bracing and/or lateral analysis. R4
2• Floor/roof framing. Basement and retaining walls.
7, Beam calculations. P.rit3F Z Engineer's calculations.
Other(explain):
REMARKS: Vti,a,ORe.0 rnoVE -To ATTIC. W1Nsod . 1Z6lLoCAT,onJ
CA-WsnCn ,
FO SE ONLY
Routed to Permit Techni Ian: Date: ‘� /ZDj7_D Initials: ,44--
Fees Due: ❑ Yes o Fee Des pti(TICEn: Amount Due:
Special
Instructions:
Reprint Permit(per PE): ❑ Yes No ❑ Done
Applicant Notified: Date: Initials:
1:11uilding\Forms\TransmittalLetter-Revisions_061316.doc
Agnes Lindor
From: Agnes Lindor
Sent: Thursday, October 22, 2020 10:04 AM
To: Tonja Morris
Cc: #Building Permit Technicians; Boris Piatski;Albert Shields; Joe Wisniewski
Subject: MST2020-000002 and MST2020-00003
Attachments: Conditions 10-22-20.pdf
Good morning-
These permits are on hold until conditions of approval are met. Please contact Boris to coordinate meeting conditions of
approval. Attached are the conditions. Thanks,
Agnes Lindor Associate Planner
City of Tigard Community Development
13125 SW Hall Boulevard
Tigard, Oregon 97223
Phone: 503.718.2429
Email: AgnesL(atigard-or.gov
1
Albert Shields
From: Albert Shields
Sent: Monday, January 13, 2020 6:01 PM
To: PermitSubmittals
Cc: Monica Bilodeau; Boris Piatski;Allyson Armstrong
Subject: MST2020-00002 & -00003
Attachments: River Terrace East No. 3 - 01-13-2020.pdf
Happy New Year,Tonja.
I've attached a copy of the Conditions of Approval for River Terrace East No. 3. According to our records, 18 of the
conditions remain Not Met and 2 more show as Partially Met. At the same time, we've received the above permit
applications. They were to be met before we could issue site or building permits or before final plat so I can't release
either of these permits at this time.
Unfortunately,the Engineering Technician who was working on this project has left the city and I can't check with him to
verify that the record is correct and that all of these conditions remain Not Met.
Would you please review this list and let me know if any of the subject items have actually been met and, if so,when
documentation was sent to us?
Meanwhile, I will code these two permits as"Approved (for Plan Review) but Not Released." Plan Review will proceed
but the permits will otherwise be on Hold until it becomes clear that all of the Conditions of Approval have been met.
Please let me know if you have any questions.
Albert Shields.
1,1
NI CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2020-00002
Date Issued: 12/22/2020
T f G A go 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S106DB25500
Jurisdiction: Tigard
Site address: 13041 SW LARKWOOD PL
Subdivision: RIVER TERRACE EAST 3 Lot: 281
Project: River Terrace East No. 3, Lot 281
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 948 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 28 Bathrooms: 3 Second: 1168 sf Garage: 422 sf Front: 12 Smoke
Yes
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors:
Total: 2116 sf Value: $279,689.42 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: D 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: 4 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
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'l 500 sf: 4 201-400 amp: 0 201-400 amp: 0 W/0 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: Ecompasi Y
ng:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 2116
Owner: Contractor:
WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175
VANCOUVER,WA 98660
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $36,315.33
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
952-001-00101through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
•
r -
Issued By: '\ 1v c n e\.Ai e45.€ Permittee Signature: Or\ t,i1 k t crAV.V'
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.
r
L
Building Permit Application 0 .2_S I
Residential RECEIVED FOR OFFICE USE ONLY
- City of Tigard DEC 1 9 2019 Rate/By: p/_ Z_2JZo �n'^
° 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By:
lan R hew ll Pe m t No.:My�s� G�W,��Z
Phone: 503.718.2439 Fax: 503.598.196lrITY OF TIGARD HanRev I\' 'e,zj kr �erPermu�ryQ(y2I/ b:21O2
T1GARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: Jill/ ryas: El See Page 2for
Internet: www.tigard-or.gov Notified/Method: / ' Supplemental Information
EMt 1 L 7 J t774
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
®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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El1-and 2-family dwelling CICommercial/industrial Valuation: s 1'(An
❑Accessory building 0 Multi-family Number of bedrooms: 3
❑Master builder 0 Other. Number of bathrooms: .5
JOB SITE INFORMATION AND LOCATION Total number of floors: 2 2538
Job site address: 13py t.
k L K.I�.DOao PL Ir New dwelling area: .I'"squaefeet10(B
City/State/ZIP:Tigard,OR 97224 Garage/carport area: ' . 1 square feet lit g
Suite/bldgJapt.no.: Project name:River Terrace East.44 3 .. c... Covered porch area. square feet 1
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:River Terrace East ik7S.. 3C, Lot no.: 2$/ 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
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER ` ❑ TENANT Number of stories:
Name:Polygon WLH,LLC Type of construction:
Address:703 Broadway St,Ste.510 Occupancy groups:
City/State/ZIP:Vancouver WA 98660 Existing:
Phone:(360)695-7700 Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Polygon WLH,LLC (P1v�sesefer to schedule)
Structural plan review fee(or deposit):
Contact name:Tonja Morris
FLS plan review fee(if applicable):
Address:703 Broadway St,Ste.510
Total fees due upon application:
City/State/ZIP:Vancouver WA 98660
Amount received:
Phone:(360)695-7700 Fax::( )
E-mail:permitsubmittals@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:703 Broadway St.,Ste.510 Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver WA 98660 • Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(360)695-7700 Fax (360)6934442 State surcharge(12%of permit fee): $21.60
CCB lic.:207247 Total fee due upon application: $201.60
i
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Tonja Morris Date:t2 j 'ft? *Fee methodology set by Tri-County Building Industry
I' Service Board. 3 3 f S
I:\Building\Permits\BUP-RESPermitAnn.doc 02/24/2011 440-4613T(11/02/COM/WPTF0 3c�',
Mechanical Permit Applica1Permit ApplicatilECFIVED FOR OFFICE USE ONLY
Cityof TigardReceived PermitNo.:
D C 0 8 2020 Date/By:
IIIt 13125 SW Hall Blvd,Tigard OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.L96�1T1'CJ F I GAH u Date/By: Other Permit:
Inspection Line: 503.639.4175 i 'l r�!"�i nIVISION DateReadyBy: hurls: la See Page 2for
Y I f.i;.I;I' J
w Internet: ww.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 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit
Value:5
CATEGORY,OF CONSTRUC FIOI RESIbENtIAL EQ1iTPh1 J SYSTEMS FEES*
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building Far special information use checklist.
I f Multi-family ❑Master builder ❑Other. Description Qty. Ea. _ Total
JOB SITE INFORMATION Arai LOCATION Heating/cooling.
. . .- .. Air conditioning ( 46.75
Job site address: 13041 Larkwood PI Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldgJapL no.: Project name: River Terrace East 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
Fluelvent for any of above 23.32
Other. 23.32
Subdivision: River Terrace East I Lot no.:281
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK , tins 5replacefinsert 33.39
Flue vent for water heater or gas
fireplace 23.32
— Log lighter(gas) , 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
$I PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation:
Name:Polygon WLH,LLC Range hood/other kitchen
equipment 33.39
Address:703 Broadway St.,Ste.510 Clothes dryer exhaust 33.39
City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32 ,
1� APPLICANT- ❑ CONTACT PERSON Other 23.32
— - Fuel piping:
Business name:Polygon WLH,LLC 514.15 for first four;S4.03 for each additional
Contact name:Tonja Morris Furnace,etc.
Gas heat pump
Address:703 Broadway St.,Ste 510 Wall/suspended/unit heater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace
Range
E-mail:permitsubmittals(xtaylOrrl'mOrriSOf1.COm Barbecue
CONTRACTOR Clothes dryer(gas)
Other.
Business name:Pro Heating&Cooling
MECHANICAL PERMIT FEES*
Address: NW Ajociek Dr,Ste.1104 Subtotal
City/State/ZIP:Hillsboro,OR Minimum permit fee(590.00)
Plan review(25%of permit fee)
Phone:(360)270-1590 Fax:( ) State surcharge(12%of permit fee) _
CCB lic.:209001 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
(.i lea h ,r1, days after it has been accepted as complete.
Authorized signature: • Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Duran Date: 9/29/20
raru,ita:,a\pr,„ni,.s}$Pr p.nnn*n,,n/nit:Are AAA.It„r,,,„,IMs.m,co,
Electrical Permit A lication �° 1� I :il: i n I ;41 1 .I r i.l
City of Tigard Rome Toms it
13125 SW Hail Blvd,Tigard,OR 97223 Plan Review
Phone: 503718.2439 Fax 503.598.1960 Date/B Relined Ponta
Inspection Line: 503.639A 175 Rawly Date/By sale
Internet: wwxv.ngardor.gov Noufled/M trod EfagElli
.i New construction ❑Addition/alteration/replacement Please check' aft that apply(whine 2 sets o plain whams checked):
❑Service or feeder 400 amps or more 0 Building over throe stones
❑Demolition ❑Other: where du evadat4e fault current ❑Mariam tad Weirs*.
t M :: • ,. �� e ,5 ,r..7 ..., , ."+,r exaede 10,000 amps at 150 volts or ❑Floaiw builchaV
a e 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to runty or exceeds 14,000 ❑Common-id-we agtculanal
amps for ell other inrWlanans building
❑Multi-family 0 Master builder 0 Other: ❑Fire pump. ❑lastellatioe of 150 KVA or
,.tr.�':u;; ° . .- 1<'�ai _ -fir '"... ❑Fieageocy system Im er smarm*derived
• ❑Addition of new motor toed of system
Job01: lob siteaddress:13041 Larkwood PI 100HPor more
. ❑"A","E ,"I-2","1-3^.
❑Six or more rmdeatial units occupancy
City/State/ZIP: Sherwood, OR 97140 Cl Health-care r,ciheies ❑Recreational vehicle perks
Suite/bld /a t.#: Projectname: River Terrace East3 ❑Hamrdous locations. ❑Supplyvolageformore�i
g• P I600 votes nominal.
❑Service or feeder 600 amps or more.
yp -pw'. .y o :, ,x
Cross street/directions to job site: ';�„ ��, <„; �j�,,+, y.R`;�a• ;a:. :
anrrlpn.. Orr. Lad Total ,
New residential single-or multi-family dwelling unit.
Subdivision: River Terrace East I Lotto: 281 Includes attached garage.
Tax map/parcel#: 1,000 sq.R.or Tess 169.54 4
-!! - E add'1 500 eq.ft.or prxtion 33.92 I
Limited energy,residential 75.00 2
(with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Name: Polygon WLH LLC Renewable Energy 0 See Page 2
Services or feeders installation,alteration,and/or relocation'
Address: 703 Broadway St, Ste 510 200 amps or less 100.70 2
City/State/ZIP: Vancouver, WA 98660
Phone: 360-695-7700 I Fax:( ) mps
zot amps to 400 amps 133.56 2
Email: permitsubmittalsataylormorrison.com 401 artipsto600a 200.34 2
Owner installation:This installation is being made on property that I own which is not 601 amps to 1,000 amps 301.04 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701.
Over 1,000 amps or volts 552.26 2
Owner signature; Date:
♦,+, r ,,,. .,v-.,,,,,,_ r,- .,_ Temporary services or feeders installation,alteration,and/or
•. X1-, .. ." tt.r.r„ -' r ��.6i __ . .. -1 relocation
Business name: Polygon WLH LLC 200 amps orless 59.36 I
Contact name: Tonja Morris 201 amps to 400 amps 125.08 2
Address: 703 Broadway St, Ste 510 401 amps to 599 amps 168.51 2
City/State/ZIP:Vancouver,WA 98660 Branch circuits-new,alteration,or extension,per panel
Phone:(360)695-7700 Fax: :(360)6934442 A Fee for branch circuits with
above service or feeder fee, 7 42 2
Email: permitsubmittals@taylormorrison.com each branch circuit
B.Fee for branch circuits without
CONTRACTOR service or feeder fee,first
Business name:alameda electric
branch circuit 56.18 2
Each aderl branch circuit 7.42 2
Address:3415 ne 44th
Miscellaneous(service or feeder not Included)
City/State/ZIP: ,ejr-.flay �g/2. /07 7.7.- /3 Each manufactured or modulo 67.84 2
dwelling.service andr'or feeder
Phone:(503)3192192 Fax:( )
Reconnect only 67.84 2
Email:sole rpds@a me.com
Pump or irrigation circle 67 84 2
CCB Lie.: 199188 Electrical Lic.: c923 Suprv.Lic.: y r7/S
Sign or outline lighting 67.84 2
Suprv.Electrician signature,required: signal circuigs)or limited-energy
• ' • 0 See Page 2 2
Print name: k r lG 2,p p. -( Date: panel,alteration,or extension
— _Each additional inspection over allowable in any of the above
Authorized signature: Additional inspection(I hr min) 66 25'ter
Authorized s7
Print name: • , I investigation(I hr min) 90 00''hr
���-Z � Date: J
t' a`>4mietEt.C_ tanFRE doe am Ob✓tiRU15 HO-4t lii IIx15K'OM�w'®
•
Plumbing Permit Application
Building Fixtures IJOR (111 It I I 'NI (1\1.1
City of Tigard Received Pe mi No.:
:� • 13125 SW Hall Blvd.,Tigard,OR 97223 PlDan
Review
R Phone: 503.718.2439 Fax: 503.598.1960 Plan Renew Date By: Other Permit No.:
i i(..11+11 Inspection Line: 503.639.4175 Date Ready/By: lure: 0 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
IA New construction ❑Demolition For special information use checklist
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
® I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory building 0 Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler(_sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 13041 Larkwood PI Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
Ciry/statercLP: Sherwood , OR 97140
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: I Project name: River Terrace East 3 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 East I Lot no.: 281 Fixture or item: •
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
la PROPERTY OWNER I 0 TENANT Expansion tank 12.51
Name:Polygon Homes WLH LLC Fixturelsewercap 25.02
Floor drain/floor sink/hub 25.02
Address:703 Broadway St., Ste 510 Garbage disposal 25.02
•
City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02
Phone:(360 )695-7700 Fax:( 360 693-4442 Ice maker 12.51
® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon Homes WLH LLC Medical gas(value:$_) Page 2
Primer 12.51
Contact name:TOnja Morris Roof drain(commercial) 12.51
Address:703 Broadway St., Ste 510 Sink/basin/lavatory 25.02
City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54
Phone:(360 )695-7700 Fax::(360 693-4442 Tub/shower/shower pan 12.51 •
Urinal 25.02
E-mail:permitsubmittals@taylormorrison.com Water closet 25.02
Wolcott CONTRACTOR Water heater 37.52
Business name:Waleett Plumbing Water piping/DW V 56.29
Address: 1075 W Historic Columbia River Hwy Other: 25.02
City/State/ZIP: Troutdale, OR 97060 subtotal
Phone:(503-867-1781 Fax:(503- 67-9891 Minimum permit fee: $72.50
CCB Lic.: 112220 Plumbing Lk.no.: 26-824PB Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: /►ii _ TOTAL PERMIT FEE •
Print name:Cliff Bowman Date: 7/28/20 This permit application expires if a permits not obtained within 180 days
after it has bee.accepted as complete. I
*Fee methodology set by Tri-Coumy Building Industry Service Board.
I.1Buildis1Pmnus/PLMl1-PsrmtApp.doc 10/01/09 440.46I6T(10/021C0M/WEa)
• City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
a
T 1 cA R D Building Permit Review — Residential
Building Permit #: M sTZOZo-DZz
Site Address: 1309 1 &Id Lar-Lwa. ;I y'L .
Project Name: ‘K11,v- ltrra.t W---#3 Lot #: Zf I
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review f q-)
I2'� � GInF Wl�rlo�vPr osal: � S� . t l� 3��b 11'17'2�G/ sVi)-- 5 c.Es(�t4i.j f�0f'�-
U4 Verify address/suite#active in Accela. Terrace: PE/Yes,,Rt 1 �G� ��aa e �Cld'In River / ❑ No Yes,River errata AeviewAdden m
Site flan Elements: Li Sion Control
L�f3 opies of site plan on 8-1/2"x 11"or 11 x 17"papertamed trees with drip line and tree protection measures
awn to scale(standard architect or engineer scale) L�F otprint of new structure(including decks) and FFErth arrow ��. _ty locations&easements(required for new and additions)
re^�address,project or subdivision name and lot number E idewalk/driveway approach
�ti1 licant information(name and phone number) yly. ation of wells/septic systems
Ild'L,ot dimensions and building setback dimensions I� ° et tree size,type and location
/1 1• are footage of buildings to be demolished lect.reet names
l." :.sting structures on site atomer elevations(2'contours if more than 4'differratial)
03 of area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? niV.es ❑No
,9pervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑l ❑No
L"J Clean Water Services—Service Provider Letttterr of platted prior to 9/10/1995): LriAre 1/4 j,
__ Required: ❑ Yes,applicant was notified t�'No Received: ❑ Yes ❑ No 1
�4ublic Facilities Improvement(PFI) Permit: « Ju
quixed: ❑ Yes,applicant was notified Ly'No Applied For: ❑ Yes ❑ No,stop intake
1:5/4yeand Use Case#: 19DL2elG-000I3 Zoning. 12-11 PO
tL f Required Setbacks: Front: I1/ Rear: ��SC �0///��� Side: 3 Street Side: - Garage: 10
❑ $uilding Height: Max. Height: Actual Height 14
Landscape Area: 'Li % Lot Coverage Max: SO
nuance ❑ Set back no more than 8'from street-facing wall D Parallel to street or offset 45 degrees or less
h Windows CI Minimum 12')/0of area of all street-facing facades
��^' Garage ❑ Garage door is behind widest street-facing wall ❑ Yes ❑ No,one of the following is met:
cti-
❑ Door extends no more than 5' from wall and there is a covered porch extending beyond garage.
❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor.
{, ❑ Garage door width is ❑ 12'or less ❑ 50%ox less of facade ❑ 60%or less and includes 7 of following:
W ElCovered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset
❑ Fire shingles ❑ Lap Siding CI Roof pitch ❑ Gable,hip,or gambrel roof CI Dormer
CI Accent siding Window trim nor
Window recess ❑ Window projection CI Balcony
[U' Visual Clearance t'J Urban Forestry P) n
CQ/ nsitive Lands: "Yes L'7 No Type:
onditions et or to issuance of b .din ermit
ys: C.,,,,UWfsS 1 tit �.- rr- i' `UK, ,,, . ig
[ Approved By Planning: C Date: I L [ -u1
Revisions (after Buildi Submittal only) eview rr D to
Revision 1: & pproved ID Not Approvedeeet— -/
Revision 2: Approved ❑ Not Approved �c-......, ll
Revision 3: ❑ Approved ❑ Not Approved
I:\Bui lding\Forms\BldgPermitRvw_RES_022819.docx
Building Permit Submittal
Original Submittal Date: /2 )9 4 9
Site Plans: # 3�
Building Plans: # `3
Building Permit#: R-Enter building permit#above.
Workflow Routing: Et-Planning IEr Engineering El"Permit Coordinator [ Building
Workflow Sign-off: Er 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.
CST Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: Date: 0/42-2020
Engineering Review
I /Slope at building pad: �/
IA/Conditions"Met"prior to issuance of building permit
,,,i/// asements (encroachments) per engineering conditions of approval and plat
Water Quality/Quantity Facility: �/
Assess Water Quality Fee in-lieu: El Yes LJ/No
Assess Water Quantity Fee in-lieu: CI Yes ItsjD
�� LIDA Facility on lot: CI Yes LW-No
1T2'FF 'al Plat Recorded:
[ NOT Approved by Engineering: Date: 2� �
Notes: /t 4 7( 4C7 :
v-Tsr! c_,- ./ r- 1At3 7 r Q 4e74 /
�1j rove y gt eefing: Date: /4� 2
Revisions (after Bu' ing Submittal only) Reviewer Date
Revision 1: Approved ❑ Not Approved r! l� a ,7
Revision 2: E"Approved ❑ Not Approved LZl TI-pLzJ
Revision 3: 0 Approved ❑ Not Approved
i
Permit Coordinator Review
,R'Conditions "Met"prior to issuance of building permit
,pproved, NOT Released: Date: 1/A/ c2
Notes: (AO NI SSa2. uYll O t t `S ai rC CYV* — AL IO/ 7 i —014-- 1 6
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant: (p(0 2 2Q
Revision Notice 2: Date Sent to Applicant: Al-- ‘I $
Re Sion Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: ("es ❑ N/A
Tigard Trans SDC: es 0 N/A
Parks SDC: 2 Yes 0 N/A
LIDA ❑ Yes CAN/A
0 K to Issue Permit
Approved by Permit Coordinator: I Z ('l '1,0 Date:
I:\Building\Forms\BldgPennitRvw_RES_022819.docx
City of Tigard
IIq COMMUNITY DEVELOPMENT DEPARTMENT
■
T I G A R D River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: 130ii ,CV Lv- Placc
Project Name: IZ' 4-3 Lot #: 2 '(
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.640.070.I.):
Is the project subject to the plan district design standards? VYes El No
1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft of frontage.An additional
element required for lots with over 60 ft. of street frontage shall be provided every 30 ft.
Porch min. 5 ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a Gabled do e
ft. deep min. 2ft., 5 ft wide min. 2 ft, 6ft.wide
❑ ❑ ❑ 0 SJ r-
2. Eyes on the street: a minimum of 12% of each 7itct ..
eet facing facade must include windows or entrance doors.
Percentage Shown: 131J 217. . •- (a.°fin S: 1r}°lo
3. Entrances:At least one entrance must meet both of the follo g standards:
i iax. 8 ft. setback from to t street- facing wall ®/Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: Yes ❑ No
If yes,all the following apply: ��,'�25 sq.ft.min.
DLOne street facing entry Ld 11 ft.max.roof above floor of porch
1=1/5 ft. depth min. 3 30%min. porch roof coverage
4. Depiled Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
D--Co red porch min. 5 ft.wide x 5 ft. deepF
❑ Recessed entry area min. 5 ft.wide x 2 ft. deep
Tall offset min. 16 inches f ❑ Dormer min. 4 ft.wide
Roof eave min. 12 inch projection VS �9❑ R�offset min.of 2 ft. s
El Roof shingles either tile or wood '/ [ le,hip or gambrel roof design '�
❑ Rpe-f pitch oriented south min. 500 sq. ft. r ['Ho ontal lap siding min. 3-7 inches wide f-,.1
Accent siding min. 40%of street facade �,> L4'Window trim min. 2'/2"wide by 5/8"deep r
❑ Window recess min. 3 inches for all street facing D BayBa window min. 5 ft.wide by 2 ft. deep
❑ Balcony min. 5 ft. wide x 3 ft. deep with inside access L'7 Attached garage is 35%or less of street facade'
5. Garages and Carports: May face the front Or side lot line on a corner lot.
Setbacks: ��
Nofzloser to front or side lot line, than longest street-facing wall. ❑ Yes Lid'No. If No (Check one):
May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch.
❑ May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story
above the garage that faces the street with a min. area of 12 sq.ft.
Width: (Check one)
❑32-foot-wide garage door ❑ 40%max. of street facade
50%max. of street facade with 7 detailed design elements
Notes: /
Approved By Planning: S (1j'' *- Date: iLlq.t t
1:1BuildinglForms\BldgPmnitRvw RES RT 121417.docx