Permit d
Plumbing Permit Applicatio
Building Fixtures FOR OFFICE. USE ONEY
FEB 2 4 202 i ed
City of Tigard Received
a lj-��� /.I *can't N STa,7G d.�2.s5_
III 2 y 13125 SW Hall 503.718.2439Blvd,Tigard,OR 97223 rY OF TIGARD Plan Review /
Phone: Fax: 503.59$. Other Permit No..
Date/By:
1 1 i i-,a 1a Inspection Line: 503.639.4175 1 U I LD I N G D IVI S I O fly' Date Ready/By: Iu ia: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental information
TYPE OF WORK FEE* SCHEDULE
❑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
,1-and 2-family dwelling 0 Commercialindustrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building }Multi-family
Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 13029 SW LAR KWOOD P L Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 'D -� Drywell,leach line,or trench drain 18.76
--L�.-�- .7-'v e'c AliS f - Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: Project name '61yyurr-allrral"k46ge 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
K4 yr d Trrl<f('< .e S'f's Water service(no.linear ft.: ) Page 2
Subdivision:Re+ka -Midge Lot no.: 280 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 202
Dishwasher 255..02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER r ❑ 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
® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon WLH,LLC Medical gas(value:S ) Page 2
Primer 12.51
Contact name:Tonja Morris
Roof drain(commercial) 12.51
Address:703 Broadway St.,Ste 510 Si k y to lavat�/ ._.I 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
E-mail:permitsubmittals@polygonhomes.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:G&B Plumbing&Sons Inc Water tPin 'DWV 56.29
P�
Address:P.O.Box 92 Other. 25.02
City/State/ZIP:St.Paul,OR 97137 Subtotal
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)
tt State surcharge(12%of permit fee)
Authorized signature: 7y� _ TOTAL PERMIT FEE
Print name:Steve Fowler Date: 10/30/20 This permit application expires Ka permit is not obtained within 180 days
after it has been accepted as complete.
"Fcc methodology set by Tri-County Building Industry Service hoard
I YAuildmclPermm\PLMU-PermitAnn.d°c 10f0UH19 440-4616Tt 10,02ICOMMEBI
CITY OF TIGARD ,! + MASTER PERMIT
.111
2 COMMUNITY DEVELOPMENT Zs Permit#: MST2020-00293
T i c A R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/26/2021
Parcel: 2S106DB25400
Jurisdiction: Tigard
Site address: 13029 SW LARKWOOD PL
Subdivision: RIVER TERRACE EAST 3 Lot: 280
Project: River Terrace East No.3, Lot 280
Project Description: New detached dwelling. 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: 26 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
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 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'I 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:
POLYGON HOMES WLH,LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
703 BROADWAY ST.,STE 510 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175
VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 One Hour Fire Rated Eaves
PHONE: 360-695-7700 PHONE: 360-695-7700
FAX:
Total Fees: $39,439.25
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 may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: <I)ill, - Permittee Signature: 6'4,l 7 'AL/ 7.70 Ail
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.
,t CITY OF TIGARD MASTER PERMIT
2 COMMUNITY DEVELOPMENT Permit#: MST2020-00293
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/26/2021
T[GhRL3 Parcel: 2S106DB25400
Jurisdiction: Tigard
Site address: 13029 SW LARKWOOD PL
Subdivision: RIVER TERRACE EAST 3 Lot: 280
Project: River Terrace East No. 3, Lot 280
Project Description: New detached dwelling
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 948 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 26 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: 5279,689.42 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: 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
Bcktlw 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'I 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:
POLYGON HOMES WLH,LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
703 BROADWAY ST.,STE 510 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175
VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 One Hour Fire Rated Eaves
PHONE: 360-695-7700 PHONE: 360-695-7700
FAX:
Total Fees: $39,411.23
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 may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 46116 st) Permittee Signature: On tvca-1 1 dr.s-
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.
L c r ,2 PO
Buildini Permit Application B- trI till()
Residential FOR OFFICE USE ONLY
IiiiCity of Tigard RECEIVE �l�eees d �2913
Y:�% ZQXOi Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Ask-
��r�..�
ti Phone: 503.718.2439 Fax: 503.598.1960 O C T 0 6 2020 Date/By:
i 1 �IZa7� h n other Perm i�r'"•2.Z 2 �r1(p5
Page 2 for
TIGARD Internet: www.tigard-or.gospection Line: v 5 Date Ready/Sy: kris:CITY OF TIGARD Notified/Method: i I/ �/2 L �(� I Supplemental Information
BUILDING DIVISION �rhi-' ' a Tfl"
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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application. ' A
® 1-and 2-family dwelling ElCommercial/industrial Valuation: $ a I I.�R14
Cl Accessory building El Multi-familyNumber of bedrooms:3 "`��� ���+ 111
❑Master builder 0 Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors:2 25-346
Job site address:13029 Larkwood PI New dwelling area: 2116 square feet `((lb
City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 422 square feet 9 1 8
Suite/bldg.lapt.no.: Project name:River Terrace Area 3 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
_ REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:River Terrace Area 3 Lot no.:280 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
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:Polygon Homes 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:(360 )693-4442 New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule
Business name:Polygon Homes WLH, LLC Structural plan review fee(or deposit): go*
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
Phone:(360-695-7700 Fax::( 36 693-4442 Amount received:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:permitsubmittals@taylormorrison.com —
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Polygon Homes WLH, LLC 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.
Permit Fee(includes plan review
City/State/LIP:Vancouver, WA 98660 and administrative fees): $180.00
Phone:(360-695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60
CCB hc.: 207247 Total fee due upon application: $201.60
Authorized signature: ratyit/M.crrii - This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Ton a Morris Date: *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Application ` � FOR OFFICE USE ONLY
City of Tigard Re eived �s
ECEIVE , Da remiitNo:NlsT2ozv-oV �g3
� 't 13125 SW Hall Blvd.,Tigard,OR 9722, Plan Review i
�'r'1 Phone: 503.718.2439. Fax: 503.598.1960 OCTe q Date/By:
Other Permit:
R I{.�a h l7 Inspection Line: 503.639.4175 I 0 6 2020 Date Read/B
Internet www.tigard-or.gov Notified/Method: 'lifter
Supplemental See Page for
BUILDING
OF TIGARD Information
TYPE OF WORK COMMERCIAL DIVISION COMMERCIAL FEE* SCHEDULE- USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit
CATEGORY OF CONSTRUCTION Value:$
- - RESIDENTIAL EQUIPMENT/SYSTEMS FEES*:.
® I-and 2-family dwelling 0 Commercial/industrial El Accessory building For special information use checklist
I j Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
— Air conditioning I 46.75
Job site address: 13029 LafkwOOd PI Furnace 100.000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(duets/vents) 54.91
Suite/bldg./apt.no.: Project name: River Terrace East Heat pump 61.06
Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential bailer(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: River Terrace East Lot no.:280 Other fuel appliances:
Tax map/parcel no.: Water heater
23.32
DESCRIPTION OF WORK Gas fireplace insert 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
® PROPERTY OWNER IDTENANT Other 23.32
- Environmental exhaust and ventilation:
Name:Polygon WLH,LLC Range hood/other kitchen
equipment I 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
® APPLICANT ❑ CONTACT PERSON Other. 23.32
Fuel piping:
Business name:Polygon WLH,LLC S14.15 for first four;$4.03 for each additional
Contact name:Tonja Morris Furnace,etc.
GaAddress 703 Broadway St,Ste 510 heat pump
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@taylOrmOrriSOrl.cOm
Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Pro Heating&Cooling Other
MECHANICAL PERMIT FEES*
Address: NW Alociek Dr,Ste.1104
Subtotal
City/State/ZIP:Hillsboro,OR Minimum permit fee($90.00)
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
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
r,11,1:.;Idk,\Pnrmi,aurr P,.m'u,Ann adnt 11 rine Ann♦cr rm t„m,,rnt rm,eo,
Electrical Permit Application
city ofTigard RECEIVE Received Pennell MST202t '<VZ93
1 R"Plan 13125 VA Hall Blvd,Tigard.OR 97223 p g
OCT0 6 2020 Pliew
Phone 503 718 2439 Fax 503.598 I9tS0 [)ate:Bv Related Permit a
I nspttnon 1 ine 503 639.4175 Ready Dater % Juries g see Page 2 Oar
Internet taww.tigard-or goy CITY OF TIGARD NafiedMethod 1'1 di 5.0..staf Information
e-- : 'E OF WOi i "'','' t,
®N.ew constn.i tion ID .tlteraliort.'replacernent Please check all that apply(submit 7 sets of plans wlmma checked).
0 Service or feeder 400 amps or more ❑Budding over three stones
El ()cntolitiort ID Other
rr— where the available fault current 0 Mannar and boatyards
;,'CATEGORY OF CONSTRUCTION ,: exceeds 10,000 amps at 150 volts or 0 Floating bmldmgs
® 1-and 2-trimly) dwelling ❑C'onimercial industrial 0 Acce,sory building less to ground,Of exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations buildings.
❑ Multi-famil) 0 Master builder ❑Other. 0 Fire pump ❑Installation of l 50 KVA or
r' JOB derived
INFORMATION AND LOCATION 0 Emergency system larger separately dved
Job is: Job site address.13029 Larkwood Pi ❑Addtuon I OOHP o orr mof morene motor load of syslvm
ore ❑"A" "E""1.2" "1 3"
City/State ZIP: Sherwood, OR 97140 ❑sn or more residential units ❑R un atotvehlcic pails
❑Health-care facilities
❑Hazardous locations ❑Supply voltage for more than
Suitebldg.;apt.#: Project nam : River Terrace East 3C o Serocc or feeder 600 amps or 600 volts nominal
Cross street:directions to joh site: ," FEF; {E) „„,-- ; .''' '.Li
Dire,piing 1 Qw. I Earh I Total I
New residential single-or multi-family dwelling unit.
Subdivision: River Terrace East Lot#: 280 Includes attached garage.
Tax map/parcel k: 1,000 sq.Fl or less 168 54 4
• . sE 'S'101:0/*QRIC iv ;att9+ ;, ,, i)r :A Ea.add'I 500 sq ft or portion 33.92 1
Limited energy,residential 75 00 2
(with above sq.ft.)
Limited energy,multi-family 75 00 2
.
.e n FRQ PERTrifg ' . -`'mi , .
-`'mil , ,, '. ®.A I.) ssw.`:. ?e4 -w. ; residential(with above sq.9.)
'
Name: Polygon WLH LLC Renewable Energy 0 See Page 2
Address: 703 Broadway St, Ste 510 Services or feeders installation,alteration,and/or relocation
City/State/ZIP: Vancouver, WA 98660 200 amps or less loo to 2
201 amps to 400 amps 133.56 2
Phone: 360-695-7700 Fax:( )
Email. permitsubmittals@taylormorrison.com 401 amps to 600 amps 20034 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:
,_,. Temporary services or feeders installation,alteration,and/or
rta, µ�-'a_, FA PPI:1CAKf ", ;,, I`. n COI!1T'ACT•RSON -'� relocation
Business name: Polygon WLH LLC 200 amps or less 5936 1
Contact name: Tonia Morris 201ampsto400amps 125.08 2
Address: 703 Broadway St, Ste 510
401 amps to 599 amps 168 54 2
City/Stater/AP:Vancouver,WA 98660 Branch circuits-new,alteration,or extension,per panel
Phone:(360)695-7700 Fax: :(360)693-4442 A Fee for branch circuits with
above sere ice or feeder fee, 74� 2
Email: permitsubmittals@taylormorrison.com each branch circuit
t` ':-.4,< J54 , ,co a0 .' iie " . t. IS Fee for branch circuits s,,hour
�--'s i _ - service or redder fee,❑rst 56 18 2
Business name:alameda electric branch circuit
Address:3415 ne 44th Each add'I branch circuit 742
> Miscellaneous(service or feeder not included)
City/State/ZIP.MS f JQ�/o1Z / 7 a2- i 3 Each manufactured or modular 67 84
Phone'(503)3192192 Fax:( dwelling service and or feeder 2
Reconnect only 67.84 2
Email:solarpdx@me.com
Pump or irrigation circle 67 84 2
CCB Lic.: 199188 Electrical Lie.: c923 Suprv.Lic.: y 87/S ••
Sign or outline lighting 67 84 2
Suprv.Electrician signature.required:
I Signal circuits)or limited-energy 0 See Page
2 '-
Print name: /G r I[ /2,e,p� J Date: panel,alteration,or extension g
Each additional inspection over allowable in any of the above
Authorized signature
Additional inspection I I hr min) 66 25 hr
hiPrint name: .L.—. :„.----.- Date: Investig�tion(Ihrmm) 9000hr i
t'Lu{durlNmmmt1C PamMpp E,LRERE doe Rev 06/17/22016 H0.4e15T1I I'O iCOM-wEB
Plumbing Permit Application
Building Fixtures RECEIVE 1 rok t)PFI( E I Sf. O\I.\
City of Tigard Received �t i C' 7,2 p
R g c q Date/B Permit No.:r yr�'I'wL-� '(9O�i 3
A 13125 SW Hall Blvd.,Tigard,OR 97223 C T ® V Z�L� Plan Review
Phone: 503.7182439 Fax: 503.598.1960 Other Permit No.:
Date/By:
TIGAKD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: 1yt� HSee Page2Por
Internet: www.tigard-or.gov BUILDINGDIvISION Notified/Method: Itt� Supplemental Information
TYPE OF WORK FEE* SCHEDULE
IX New construction ❑Demolition For special infurmafion use checklist
Description I Qty. I Ea. I Total
0 Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(I)bath 312.70
® I-and 2-famil3 dwellin SFR(2)bath 437.78
g ❑Commercial/industrial
❑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: 13029 Larkwood PI Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP: Sherwood , OR 97140
Footing drain(no.linear ft.:_) Page 2
Suite 61dg./apt.no.: I Project name: River Terrace East 3C 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.: 280 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
® PROPERTY OWNER ( 0 TENANT Expansion tank 12.51
Name:Polygon Homes 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:( 360 693-4442 lee maker 12.51
to 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 Sinklbasin/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
E-mail:permitsubmittals@taylormorrison.com Urinal 25.02
Water closet 25.02
Wolcott CONTRACTOR
Water heater 37.52
Business name:Walcott Plumbing
Water piping/DWV 56.29
Address: 1075 W Historic Columbia River Hwy Other: 25.02
City/State/ZIP: Troutdale, OR 97060 Subtotal
Phone:(503-567-1781 Fax:( 503 67-9891 Minimum permit fee: $72.50
CCB Lie.: 112220 Plan review (25%of permit fee)
Plumbing Lic.no.: 26-824PB
State surcharge(12%of permit fee)
Authorized signature: / TOTAL PERMIT FEE
Print name: Cliff Bowman Date: 7/28/20 This permit application expires if a permit is not obtained within Igo days
after it has been accepted as complete.
*Fee methodology set by TO-County Building Industry Service Board.
I\Building\Psrmita'PLMU-PermitApp.doc tom 1109 4464616T(0l02COM/WEB)
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. /e/ /
City of Tigard
r 7 COMMUNITY DEVELOPMENT DEPARTMENT
T i G AR D Building Permit Review — Residential
Building Permit #: M STz-Za'O0293
Site Address: 3D29 SW L(((1.4W P L
Project Name: 124cr Terrace eA$'4" �l.?j Lot #: 'LgO
Planning Review
Proposal: NGVV gowrry
Verify address/suite# active in Accela. 124In River Terrace: ❑ No f� Yes, River Terrace Review Addendum
Site Plan Elements: Xtrosion Control
copies of site plan on 8-1/2"x 11"or 11 x 17"paper NRetained trees with drip line and tree protection measures
]rawn to scale(standard architect or engineer scale) footprint of new structure(including decks) and FFE
)Qorth arrow tility locations&easements(required for new and additions)
Xite address,project or subdivision name and lot number Sidewalk/driveway approach
,kpplicant information(name and phone number) ocation of wells/septic systems
❑Lot dimensions and building setback dimensions treet tree size,type and location
IV Square footage of buildings to be demolished Street names
Q/ xisting structures on site 'Corner elevations(2'contours if more than 4'differential)
bCIT of area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? glNo
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? e Ll}No
Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No
gWater Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
Required: ❑ Yes,applicant was notified X No Received: ❑ Yes ❑ No
SDC Exemption for ADU applied for: ❑ Yes yr No Received: ❑ Yes ❑ No
Public Facilities Improvement (PH) Permit:
Required: ❑ Yes,applicant was notified tg-No Applied For: ❑ Yes CINo,stop intake
I. Land Use Case#: P D 122OI(0.W 1'-
DI 3 Zoning: — I Z
Jiir Required Setbacks: Front: 1'2- Rear: ID Side: 3 Street Side:v4A Garage:1D
g Building Height: Max. Height: I A Actual Height: t.Z(p
Landscape Area: 2-0 % ❑ Lot Coverage Max:
Entrance II Set back o m e than 8' from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows ■I Minim 12° of area of all street-facing facades
Garage ■I ♦.rage.oo s behind widest street-facing wall ❑ Yes ❑ No,one of the following is met:
1.4 4 oo extends no more than 5'from wall and there is a covered porch extending beyond garage.
❑ )o exten•s no more than 5'fro`}4�wall and a 1 q f dow abo e ra e 2"d floor.
Ili Garage or wi. LI is CI12'or less c.eQY%o .4 of fa.A. �If "i o cl des 7 of following:
❑ C vexed r ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset
❑ ire s ' :es ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
❑ ccent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony
iVisual Clearance Urban Forestry Plan
Sensitive Lands: ❑ Yes No Type:
❑ Conditions met prior to issuance of building permit
otes: MCet condtttl,ns ?nor -to .s d koun t_
J'Approved By Planning: 1 Date: (o t 1'20
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: 1e0y.262IJ t
Site Plans: #
Building Plans: # 3
Building Permit#: L7 Enter building permit#above.
Workflow Routing: B' Planning III-Engineering 8-'Permit Coordinator Q_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.
8'Building: original permit application, site plans,building plans,engineer and
beam calculations and .0 iCt details,if applicable,etc.
Notes:
17
By Permit Technician: ,�ii�: Date: /0/19/02.0
Engineering Review
if Slope at building pad: --5-77
A"-Conditions "Met"prior to issuance of building permit
L�1 asements (encroachments) per engineering conditions of approval and plat
Water Quality/Quantity Facility: �/
Assess Water Quality Fee in-lieu: El Yes lfd" No
Assess Water Quantity Fee in-lieu: ❑ Yes 4/No
LIDA Facility on lot: ❑ Yes C No
Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
f Approved by Engineering: r Date: /GVZZ/Ld
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved, NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
SDC Exemption: ❑ Received A Does not apply
hSDC Fees Entered: Wash Co Trans Dev Tax: 'Yes ❑ N/A
Tigard Trans SDC: . 1'Yes ❑ N/A
Parks SDC: ' Yes El N/A
LIDA ❑ Yes g N/A
A.OK to Issue Permit 016. -p wAtvtEr., _
Approved by Permit Coordinator: A'` Date: ID 121 (io
I:\Building\Forms\BldgPermi tRvw_RES_122419.docx
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City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A RD River Terrace Building Permit Review Addendum
Building Permit #: 2e ) - 02g3
Site Address: t3Q2i s/ WU(k-v.10C 4 Pt_
Project Name: R1VPX Ttxret No. 3 Lot #: 'Z.. 1.:
(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?%Yes ❑ No
1.Articulation: a minimum of 1 element per each street-facing façade 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.
Balcony w/ access 2 Window Projection Vertical Wall Offset a
Porch min. 5 ft. deep ft. deep min.2ft.,5 ft.wide min. 2 ft., Eft.wide Gabled dormer
I�. ❑ ❑ 0 0
2. Eyes on the street: a minimum off 12%of each street facing façade must include windows or entrance doors.
Percentage Shown: 13.(r fd
3. Entrances:At least one entrance must meet both of the following standards:
Max. 8 ft. setback from longest street- facing wall Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: V,Yes ❑ No
If yes,all the following apply: 25 sq.ft. min.
l One street facing entry 12 ft. max. roof above floor of porch
g5 ft. depth min. 30% min. porch roof coverage
4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing façades:
.Covered porch min. 5 ft.wide x 5 ft. deep .Recessed entry area min. 5 ft.wide x 2 ft. deep
Wall offset min. 16 inches 0 Dormer min. 4 ft.wide
XRoof eave min. 12 inch projection ❑ Roof offset min. of 2 ft.
❑ Roof shingles either tile or wood 1(Gable,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. Horizontal lap siding min. 3-7 inches wide
❑ Accent siding min. 40%of street facade Window trim min. 2 1/2"wide by 5/8"deep
❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep
❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ 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:
No closer to front or side lot line,than longest street-facing wall. 0 Yes,KNo. 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)
❑ 12-foot-wide garage door ❑ 40%max. of street façade
Ik50%max. of street façade with 7 detailed design elements
Notes:
Approved By Planning: ReA-_ Date: 10 g (2o
I:\Building\Forms\BldgPenoitRvw_RES_RT_121417.docx