Permit Plumbing Permit Application - - S 'Ll 21
Building Fixtures RECEIVE I FOR OFFICE USE ONLY
City of Tigard , a r,,,,,. Date/BReceivyd'. , 252oz1 Va Permit No..µ$ 2O o Wd✓�-
Ill ■ 13125 SW Hall Blvd.,Tigard,OR 97223 IOW r. I
Plan Review
■ Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No.:
Inspection Line: 503.639.4175 CITY OF TIGARD Date Re: ll • sal �}G��
1 I G A R D Date Reads Y 7, /mil (/ .tuns: ® See Page 2 for
Internet: www.tigard-or.gov 8I III D1NG DIVISION Notified/ t d: �1],aA04 ' Supplemental Information
TYPE OF WORK V1LV 1 N J V (((//�)))'I� Flr SCHEDULE
0 New construction ❑ Demolition For special information use checklist.
Description Qty. Ea. Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(I)bath 312.70
0 1-and 2-family dwelling ❑Commercial/industrial 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.zoneft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:13024 SW Larkwood PI Catch basin or area drain 18.76
Dtywell,leach line,or trench drain 18.76
City/State/ZIP: Tigard, OR
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name: River Terrace NE(1 B)Towns 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: Lot no.:10 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
Backwater valve 12.51
DESCRIPTION OF WORK
Clothes washer 25.02
MULTIPURPOSE FIRE SPRINKLER SYSTEM Dishwasher 25.02
PERMIT# MST2020-00334 Drinking fountain 25.02
UNIT PLAN# D20 Ejectors/sump 25.02
❑ PROPERTY OWNER ❑ TENANT Expansion tank 12.51
Fixture/sewer cap 25.02
Name: Taylor Morrison Floor drain/floor sink/hub 25.02
Address: 703 Broadway Street Suite 710 Garbage disposal 25.02
City/State/ZIP: Vancouver,WA 98660 Hose bib 25.02
Phone:( 360) 816-7788 Fax:( ) Ice maker 12.51
❑ APPLICANT ❑� CONTACT PERSON Interceptor/grease trap 25.02
Medical gas(value:$_) Page 2
Business name: Alliance Plumbing, LLC
Primer 12.51
Contact name: Gavin Thomes Roof drain(commercial) 12.51
Address: 146 W Historic Columbia River Hwy Sink/basin/lavatory 25.02
City/State/ZIP: Troutdale, OR 97060 Solar units(potable water) 62.54
Phone:( 503) 577-6535 Fax: :( ) Tub/shower/shower pan 12.51
Urinal 25.02
E-mail: gavin@allianceplumbing.net
Water closet 25.02
CONTRACTOR
- - Water heater 37.52
Business name: Alliance Plumbing, LLC Water piping/DWV 56.29
Address:146 W Historic Columbia River Hwy Other: 25.02
City/State/ZIP: Troutdale, OR 97060 Subtotal
Phone:( 503 )492-3490 Fax:( ) Minimum permit fee: $72.50
CCB Lie.:184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: /`��� TOTAL PERMIT FEE
Print name:Gavin Thomes Date:5.20.2021 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.
1:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-46161(10/02/COMiWEB)
Plumbing Permit Application - City of Tigard
• Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Qty. Fee(ea) Total
Site Utilities Square Footage: Permit Fee:
Footing drain-1 100' 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69
3,601 to 7,200 $233.20
Sewer-1st 100' 62.54 7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52
Storm&Rain Drain-1st 100' 62.54 Valuation: Permit Fee:
$1.00 to$5.000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
Other ec Ins tions or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to
p and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to
(minimum charge-1/2 hour) and including$25,000.00.
Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to
Reinspection Fees 90.00/hr and including$50,000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
(minimum charge-1/2 hour) each additional$100.00 or fraction thereof.
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*. Plan Review for Plumbing Installations
Quantity by Fixture Type Plan review is required for any of the following.
Fixture Type for Replace/ Please check all that apply.
Work Performed: Capped Added Relocate
Baptistry/Font ❑ Any new commercial building with water service 2"and
greater,except systems designed and stamped by licensed
Bath: -Tub/Shower
-Iacuzzi/Whirlpool engineer.
Car Wash: Each Stall ❑ New exterior plumbing site utilities for any complex structure
Drive tall as defined in OAR918-780-0040.
Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system.
Domestic ❑ Any complex structure as defined in OAR918-780-0040.
Drinking Fountain
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2"
-3" Isometric or Riser Diagram
4 ❑ isometric or riser diagram is required for new buildings
-Car Wash Drain that meet the qualifications above.
Garbage -Domestic non-food
Disposal: -Domestic food related
-Commercial food related
-Industrial food related
Ice Mach./Refrig.Drains Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -LavBar non-food related
-Bradley
-Com/Serv/Util food related
-Service *Note: If the fixture work under this permit results in an
Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and
Washer-Clothes fees assessed for the sewer increase must be paid before the
Water Extractor
Water Closet-Toilet plumbing permit can be issued.
Urinal
Other Fixtures:
I:\Building\Permits\PLMF_PennitApp.doc 08/04/2011 2
rt CITY OF TIGARD MASTER PERMIT
Is COMMUNITY DEVELOPMENT Permit0: MST2020-00334
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/23/2021
Parcel: 2S106DB25300
Jurisdiction: Tigard
Site address: 13024 SW LARKWOOD PL
Subdivision: RIVER TERRACE EAST 3 Lot: 274
Project: River Terrace Northeast, Lot 10
Project Description: New attached dwelling.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 3 First: 352 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 37 Bathrooms: 4 Second: 884 sf Garage: 231 sf Front: 12 Smoke
Dwelling Units: 1 Third: 1033 sf Right: 0
Detectors: Yes
Total: 2069 sf Value: $267,355.81 Rear: 5
PLUMBING
Sinks: 1 Water Closets: 4 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
Drywall-Trench Drain: 0 Other Fixtures: 1
Other Fixture Units: Kitchenette sink
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: 2
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 addl 500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-800 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 SFA VB R-3 2069
Owner: Contractor:
WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175
VANCOUVER,WA 96660
PHONE: PHONE: 360-695-7700
FAX: •
Total Fees: $28,798.78
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 503.232.198777 or_1.800.332.2344._.-
Issued By: Holly Vauv De,Wec e Permittee Signature: Ow'4ppLf ca t.ovt
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.
IR
Buildin Permit A lica ' �/', �_
Residential """ FOR OFFICE USE ONLY
Received MST -Ob3
City of Tigard DEC 10 2020 �Z 1'I oZ0 Pe mtNo.: RAJ L
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Rev
g Plan Review 7� IJ �40
Er
Phone: 503.718.2439 Fax: 503T9�0 Q F TIGARDDate/By: �✓ /A Other Permir:' RZ
TIGARD Inspection Line: 503.639.417 ,1 DIN
{�I rt 11 ;�`y.� i Date Ready/By: fiis: 0 See Page 2 for
Internet: www.tigard-or.gov r f�. I!V 1. !J J i 1�.l Y� No led/Method. 4/ak( ' �Q Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
®New cons tt action ❑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.
® 1_and2-family dwelling ❑Commercial/industrial Valuation: $ 2.� 1 , 35S,�'
❑Accessory building ❑Multi-family Number of bedrooms: 3
❑Master builder El Other:
Number of bathrooms: �-
JOB SITE INFORMATION AND LOCATION Total number of floors 3 ''2-3o'D
Job site address: 13024 Larkwood P1 New dwelling area: 2069 square feet `'033
City/State/ZIP:Sherwood, OR 97140 Aft12Tie€-&(--'7-'" Garage/carport area: 231 square feet p$t-t
Suite/bldg./apt.no.: 2 Project name:River Terrace Casi 1$ Covered porch area: square feet 35'2_
Cross street/directions to job site: Deck area: Skz, square feet
Other tayreto v44140 square feet
III REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: River Terrace E t Pe-- I Lot no.: 10 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.
Single Family Attached Building#2 Lots 6-11 Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 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 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Polygon Homes WLH LLC (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Omar Alami Abouhafs
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::( )360 693-4442 Amount received:
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic 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.
City/State/ZIP:Vancouver, WA 98660 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( )360 695-7700 Fax:( )360 693-4442
State surcharge(12%of permit fee): $21.60
CCB lie.:207247 - Total fee due upon application: $201.60
Authorized signature: Ohu 2,/�1�/axi,e�1 t rizioL_ This permit application expires if a permit is not obtained
(/_ within 180 days after it has been accepted as complete.
Print name:Omar Alami Abouhafs Date:12/09/2020 `Fee methodology set by Td-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 l/02/COM/WEB)
E[i
D
Mechanical Permit Appli 1`J FOR OFFICE USE ONLY
City of Tigard DEC 10 2020 Received
Date/By:
Permit No.:
III
't 13125 SW Hall Blvd.,Tigard,OR 97223 --3 t }� Plan Review
Phone: 503.718.2439 Fax: 5037l
OF l i 1lY h i� Date/By. Other Permit:
ir I{i,t IL 1, Inspection Line: 503.639.417 i�7{ �! y J f�1 t�i �+i ! Date Ready/By: farts: H See Page 2 for
Internet www.tigard-or.gov U V!�Lf 1 6 V L!`U'J I`-"` Notified/Metbod: �p„ Supplemental Ioformaton
_ TYPE OF WORK .: . .COMMERCIAL FEE*.�S1r'1FDULE, USE CHECKLIST'
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
• ' CATEGORY_OF CONSTRUCTION RESTENTIAL EQUIPMENT./SYSTEMS.FEES* ..
® 1-and 2-family dwelling ❑Commercial/industrial E 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: 13024 Larkwood PI Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt no.: 2 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 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
q � Other. 23.32
Subdivision: River Terrace E t J✓5- Lot no.:10
Other fuel appliances:
—
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/iinsert 33.39
_-- _ - Fhie 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
IS PROPERTY OWNER D TENANT
Environmental exhaust and ventilation:
Name:Polygon WLH,LLC Range hood/other kitchen
Address:703 Broadway St.,Ste.510 equipment 33.39
Clothes dryerexhaust 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
0 APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name:Polygon WLH,LLC $14.15 for first four;S4.03 for each additional
Contact name:Tonja Morris Furnace,etc.
Address:703 Broadway St.,Ste 510 Gas heat pump_
Wall/suspended/unit heater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace
E-mail:permitsubmittals@taylOrmOfrnSOf1.COm Range
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
rlt� a days after it has been accepted as complete.
Authorized signature: '' Fee methodology set by Tn-County Building industry Service Board
Print name:Elia Duran Date: 9/29/20
•en“1.4,rr,„.,,e.,..,.,en,
Electrical Permit ApplicationRECEIVEL
FOR OFFICE USE ONLY
City of Tigard MAR 0 ND Received 3 Pemtit M.
13125 SW Hall Blvd.,Tigard,OR 97223 PlaDan Review 13 Z, w �S�Zd�'t3�
I Phone: 503.718.2439 Fax: 503.598.196 Related Permit N:
°CITY OF TIGARD Ready :
Inspection Line: 503.639 4175 Ready Date/By: runs: ® See Page 2 for
TIGA RI) Internet: www.tigard-or.gov AI " niM,l(; r)Ii r9 Q!fk,; Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
®New construction D Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition ❑Other:
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION • exceeds 10,000 amps at 150 volts or 0 Floating buildings.
ElI-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less toground or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION - 0 Emergency system. larger separately derived
AddJob#: Job site address: 13024 SW LARKWOOD PL 0 1001w o of new motor load of system.
OOHP or more. ❑"A","E",••1-2" ••I-3"
City/State/ZIP: TIGARD OR 97224 0 Six or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Building 2 Project name: River Terrace Northeast 0 Hazardous locations_ 0 Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description i Qty. I Each I Total i *
New residential single-or multi-family dwelling unit.
Subdivision: River Terrace Northeast Lot#: 10 Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 I
DESCRIPTION OF WORK Limited energy,residential 75.00 2
New attached townhome-Electrical- (with above sq.ft.) •
Limited energy,multi-family 75.00 2
residential(with above aq.ft)
Renewable Energy 0 See Page 2 i
❑ PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name: Polygon Homes WLH,LLC 200 amps or less 100.70 2
Address: 703 Broadway St.,Ste 710 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: Vancouver,WA 98660 601 amps to 1,000 amps 301.04 2
Phone:( 360 )816-7800 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:permitsubmittals@taylormorrison.com OAlamiAbouhafs@taylormorrison.com relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I
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
0 APPLICANT El CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: Polygon Homes WLH,LLC above service or feeder fee, 7.42 2
each branch circuit _
Contact name: Omar Alami Abouhafs B.Fee for branch circuits without
service or feeder fee,first Address: 703 Broadway St.,Ste 710 branch circuit 56.18 2
City/State/ZIP: Vancouver WA 98660 Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( 360)946 8674 Fax::( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
EmailflAlamiAbouhafs@taylormomson.com(CC:permitsubmittals@taylormorrison.com) Reconnect only •
67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: Three Phase Electric Sign or outline lighting 67.84 2
Address: 11490 SE Jennifer Street Signalcircuit(s)l firn or limited-energy
0 See Page 2 2
panel,alteration,or extension.
City/State/ZIP: Clackamas, OR 97015 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503 ) 908-8058 Fax:(503 ) 762-1823 Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email: permits@ThreePhaseElectric.com Inspections for which no fee is
90.00/hr
CCB Lic.: 162368 Electrical Lie.: 3-332C Suprv.Lie.: 6379S specifically listed(%hrmin)
ELECTRICAL PERMIT FEES
---2,Suprv.Electrician signature,required: ,t, '�, �,
Subtotal:
Print name: Robert Lane Date: ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature:
OAA TOTAL PERMIT FEE:
Omar Alami Abouhafs This permit application expires if a permit is not obtained within 180
Print name: Date: 03/05/2021 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:IBuilding\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 4404615T(I 1/05/COMMrEB
Electrical Permit Application —City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: F, FEE SCHEDULE
Description I Qty. I Each I Total
Fee for all residential systems combined: $75.00 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:
n Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
❑ Garage Door Opener* >100 kva(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:
❑ Other: Each additional inspection is
charged at an hourly(1 hr min) 66.25/hr 1
•
Inspections for which no fee is 90.00/hr
specifically listed(Y,hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
$75.00 Subtotal(Enter on Page I):
Fee for each commercial system: Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
IaBuildingrPermitscELC_PerrnilApp ELR_ERE.doc Rev 0 611 7/2 0 1 5
Plumbing Permit Application
BuildingFixtures _PAi�J
___, � rust fmrlrf I tir. m1 1
City of Tigard f'� Received Pemtit No.:
1111 • 13125SW Hall Blvd.,Tigard,OR97223EC 10 2020 DDaae/:
iew
Phone: 503.718.2439 Fax: 503,5�$..�9�0 �^, A Plan
nRev Other Permit No.:
Dte/By:
Inspection Line: 503.639.4175 ., I Y QF T GAF'
T1GARD Interact. www.ti d-or. ov 1 j `� �t!-+ Dt Date Ready/13y: lm 0 See Page2 for
Bra' g I Gl t'1;I NoriSed/Method: 6 Supplemental Information
TYPE OF WORK FEE* SCHEDULE
IN New construction ❑Demolition For special information use checklist
Description I Qty. I En, i Total
❑Addition/alteration/replacement ❑Other: New 1-2-famil y dwellings(includes 100 R.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
VI1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
❑Accessory building El Multi-familSFR(3)bath 500.32
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: 13024 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/bldg./apt.no.: 2 I Project name. River Terrace East 1 B 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 E/� Lot no.: 10 Fixture or item:
Tax map/parcel.no.: Backflowpreventer 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 I 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:( 380 693-4442 Ice maker 12.51
la 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/StaterZIP:Vancouver,WA 98660 Solar units(potable water) 62.54
Phone:(360 )695-7700 Fax: (360e93-4442 Tub/shower/shower pan 12.51
E-mail:permitsubmittals@taylormorrison.com urinal zs.oz
CONTRACTOR Water closet 25.02
Wolcott 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-$67-1781 Fax:(503-)667-9891 Minimum permit fee: $72.50
GCB Lie.: 112220ifc Plumbing Lie.no.: 26-824PB Plan review(25%of permit fee)
State surcharge(12%ofpermit fee)
Authorized signature: ___
/J . _ TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180 days
Print name:Cliff Bowman Date:7/28/20
after it has been accepted as complete. '..
"Fee methodology set by Tri-County Building Industry Service Board.
IN3uiiding\PmMs\PLMU-Permi[App.doe 10/01/09 40-4616T(IQ/02/COM/WSS)
1
City of Tigard
IIIM COMMUNITY DEVELOPMENT DEPARTMENT
T 1 c a H D Building Permit Review - Residential
Building Permit #: N\5 7ZU — Ob 3-S ti
Site Address: /. 0-21/ -Sit) L .Ji)/),) Pt
Project Name: River Terrace Northeast (Formerly River Terrace East No. 3) Lot #: f[)
Planning Review
Proposal: New rowhome /4.94/ M/)- BZtr<,
❑r Verify address/suite # active in Accela. ❑ In River Terrace: ❑ No ❑. Yes,River Terrace Review Addendum
Site Plan Elements: ° sion Control
DI copies of site plan on 8-1/2"x 11" or 11 x 17"paper etained trees with drip line and tree protection measures
OPrawn to scale(standard architect or engineer scale) Footprint of new structure(including decks)and FFE
O orth arrow ::,,.Jtility locations&easements(required for new and additions)
!Lite address,project or subdivision name and lot number °" ewalk/driveway approach
O pplicant information(name and phone number) cation of wells/septic systems
O .t dimensions and building setback dimensions ,,jtreet tree size,type and location
0..uare footage of buildings to be demolished •5treet names
\`I`I. 'sting structures on site 11,Comer elevations (2'contours if more than 4'differential-��-
O .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? 'es o
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? es ° o
❑ Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995):
Required: ❑Yes,applicant was notified 0 No Received: ❑Yes ❑° No
Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
Required: ❑Yes,applicant was notified ❑° No Received: ❑Yes ❑ No
0 SDC Exemption for ADU applied for: ❑Yes CI No Received: CI Yes No
❑° Public Facilities Improvement (PFI) Permit:
Required: ❑Yes,applicant was notified ❑ No Applied For: Q Yes ❑No,stop intake
❑ Land Use Case #: PDR2016-00013, MMD2020-00030 Q zoning, R-12
r❑ Required Setbacks: Front: 12 Rear: 5 Side: 0/3 Street Side: N/A Garage: 20
r❑ Building Height: Max. Height: N/A Actual Height: 37
❑r Landsca e Area: 20 % ❑r Lot Coverage Max: 80
Entrance ack no more than 8'from street-facing wall ❑ Parallel to street set 45 degrees or less
Windows Minimum ° of area of all street-facing facades
Garage Garage door is be 'dest street-facing wall es ❑ No,one of the following is met:
Door extends no more 'from wall and is a covered porch extending beyond garage.
_ Door extends no more than 5'fro and there is a 12 sq ft.window above garage on 2nd floor.
❑ Gara e door width is 12' ss 50°(I. s of facade — 60%or less and includes 7 of following:
Covered porch Recessed entrance ❑ Wa 1'Roof eave 8 Roof offset
Fire ' es Lap Siding CIRoof itch Ga , ' or gambrel roof Dormer
l ccent siding Window trim Window recess Win rojection CI Balcony
*isual Clearance ❑ Urban Forestry Plan
ensitive Lands: ❑ Yes ILI No Type:
❑ Conditions met prior to issuance of building permit
Notes:Do not issue until conditions have ee�n sa�tis led 2016-00013) and re-plat has been recorded (MMD2020-00030)
CI Approved By Planning: C_ �f--._ �ze _ Date: 12/14/20
Revisions (after B mg Submittal only) Reviewerate
Revision 1: Approved 0 Not Approved �. •'
Revision 2: 0 Approved ❑ Not Approved
I:1BuildinglForms\BldgPennitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: ,Z-I III ZOZO
Site Plans: # '5
Building Plans: # 3
Building Permit#: Ca'Enter buildin permit#above.
Workflow Routing: 0 Planning Engineering 2 Permit Coordinator CIBuilding
Workflow Sign-off: g Sign-off for Planning(include notes from planning review)
Route Application Documents: Q Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
EBuilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: (,� 3 an WC, Date: \Z,A t`i( 7-0
Engineering Review
611- Slope at building pad: 2/v //
ElConditions "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 No
Assess Water Quantity Fee in-lieu: El Yes No
LIDA Facility on lot: ❑ Yes No
lid Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
LEI Approved by Engineering: -----------4 Date: / /pp .
Revisions (after Building Submittal only) eviewer Date
Revision 1: ®/Approved El Not Approved ?/!i/�
Revision 2: 0 Approved El Not Approved '�`��
Permit Coordinator Review
0 Conditions "Met"prior to issuance of building permit
❑ Approved, NOT Released: eMGt 1(id, At ( im/Z, 2.0 Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant: -2 u I Wp21 - WA 1+ I/>\p la-r$CA-4t')r, S
Revision Notice 2: Date Sent to Applicant:
SDC Exemption: ❑ Received Does not a7 ly
SDC Fees Entered: Wash Co Trans Dev Tax: KYes1 N/A
Tigard Trans SDC: Yes El N/A
Parks SDC: Yes ❑ N/A
LIDA 0 Yes EN/A
OK to Issue Permit
Approved by Permit Coordinator: A76vvvl Date: 123 (7,7
IllBuilding\Fonns\BldgPermitRvw_RES_122419.doex
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
C
T I c A RD River Terrace Building Permit Review Addendum
Building Permit #: MS-1-7.-0-2-0—U(3311
Site Address: jam' -17/ a&) L-L,I P/
Project Name: River Terrace Northeast (Formerly River Terrace East No. 3) Lot #: /(D
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.640.070.L):
Is the project subject to the plan district design standards? 0 Yes ❑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 mint. deep
Balcony w/ 2 Window Projection Vertical Wall Offset a
ft. de p min. 2Et., 5 ft.wide❑ min. 2 ft., Eft.wide
0 Gabled dormer
' 'i� 0
2. Eyes bnthe street: a minimu of 12%/ of each street facing facade must include windows or entrance doors.
P enrage Shown: !
3. ntrances:At least one entrap e must meet both of the folio ing standards:
Max. 8 ft.setback from lop st street- facing wall Parallel to street,angle no more than 45' from street,
or o n onto porch
En ance opens to a porch: Yes ❑No
If ,all the following apply: ..ft. min.
One street facing entry ft. max.roof above floor of porch
5 ft. depth min. 30%min. porch roof coverage
4. etailed Design:All buildings shall include min. of five of the following elements on all street-facing facades:
Eik
Covered porch min. 5 ft.wide x 5 ft. deep`\ ['Recessed entry area min. 5 ft. wide x 2 ft. deep
all offset min. 16 inches ❑ rmer min. 4 ft.wide
Roof eave min. 12 inch projection P .of offset min. of 2 ft.f/ �7
❑Roof shingles either tile or wood �7 able,hip or gambrel roof design f 41.-
❑Roof pitch oriented south min. 500 sq. ft. LvJ orizontal lap siding min. 3-7 inches widef
❑Accent siding min. 40%of street facade ®Window trim min. 21/2"wide by 5/8"deep f -
❑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 co er lot.
Setbacks:
No closer to front or side lot line,than longest street-facing wall. Yes 0 No. If No (Check one):
0 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 • garage that faces the street with a min. area of 12 sq.ft.
Wi. . : (Check one)
M 12-foot-wide garage door ❑40%max. of street facade
0 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: — iO4 Date: / J
l\BuildinglForms\BldgPermilRvw RES_RT_121417.docx
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most 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.
IN
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
■ Transmittal Letter
r k 1 1.I 1 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: DATE RECEIVED:
DEPT: BUILDING DIVISION EC IVE ,
FROM: Omar Alami Abouhafs JAN 2 h 2021
COMPANY: Taylor Morrison ;ITY OF TIGAHG
PHONE: (360)695 7700 BUILDING DIVISION BY:
EMAIL: permitsubmittals@taylormorrison.com
00 334
RE: -1304ASWAeborgino 1303C 13032 1302ti 13024 S Larkwood MST2020-O0330 3S6
(Site Address)
L ,T- /0 (Permit Number)
River Terrace Northeast Leta-644- Building 2
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. 3 Revisions: Whole set of arch plans.
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: 3 copies of a whole new set of plans.
FO OFFICE USE ONLY
Routed to Permit Technici : Date: ZA Initials:
Fees Due: ❑ Yes No Fee Desc i iptio Amount Due:
.Nji $ g
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes ), No ❑Done
Applicant Notified: G Date: 3/ / I Initials: A