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Permit
Plumbing Permit Applicat CEIVED Building Fixtures CityOf Tigard Received - g C p Date/By: 1 2( Permit No.: II • 13125 SW Hall Blvd.,Tigard,OR 97C1TY Of TIGARD O�" Plan Review Phone: 503.7I 8.2439 Fax: 503.5 (� //0/,1 AL_ Other Permit No.: DIVISI01`! Date/By Inspection Line: _503 639 4175 /��/z/ l 1 I G A R D Date Ready/By: `J 1 -I ® See Page 2 for Internet. www ngard-or gov Notified Med,od. `el. Supplemental Information TYPE OF WORK 6 1 /,L.» Olf FEE* SCHEDULE ❑■ New construction ❑Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft for each utility connection) CATEGORY OF CONSTRITCTION SFR(I)bath 312.70 ❑ 1-and 2-family dwelling SFR(2)bath 437.78 y g ❑Commercial/industrial CI Accessory buildingSFR(3)bath 500.32 ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler(1.413 sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:17040 SW Lemongrass Ln Catch basin or area drain 18.76 Drywell,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 No. 3 Bldg 5 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 Stone sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: 1 Lot no.:23 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 MULTIPURPOSE FIRE SPRINKLER SYSTEM Dishwasher 25.02 PERMIT# MST2021-00059 Drinking fountain 25.02 UNIT PLAN# F15 Ejectors/sump 25.02 IN PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: Taylor Morrison Fixture/sewer cap 25.02 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 Q APPLICANT IN CONTACT PERSON Interceptor/grease trap 25.02 Business name: Alliance Plumbing, LLC Medical gas(value:$ ) Page 2 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//1P: Troutdale,OR 97060 Solar units(potable water) 62.54 Phone:( 503) 577-6535 Fax: :( ) Tub/shower/shower pan 12.51 E-mail: gavin@allianceplumbing.net Urinal 25.02 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 Plan review (25%of permit fee) CCB Lie.:184601 Plumbing Lic.no.:PB732 State surcharge(12%of permit fee) Authorized signature. TOTAL.PERMIT FEE /36,53 Print name:Gavin Thomes Date:6.14.2021 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by'Fri-County Building Industry Service Board. IABuildingVPermits\PLMU-PermilApp.doc 10/01/09 440-46I 6T)I 0102/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total 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 Valuation: Permit Fee: Storm&Rain Drain-1st 100' 62.54 $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 Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to Other Inspections or Fees 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$145 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-I/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 aeloeare ❑ Any new commercial building with water service 2"and Baptistry/Font greater.except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool Car Wash: -Each Stall ❑ New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. -Drive'Fhru Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher. Commercial El Any multipurpose fire sprinkler system. Domestic CI 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 0 Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage Domestic non-food that meet the qualifications above. 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. -Lay/Bar 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 Water Extractor fees assessed for the sewer increase must be paid before the Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: L:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 • lig CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2021-00059 Date Issued: 05/25/2021 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106AC05100 Jurisdiction: Tigard Site address: 17040 SW LEMONGRASS LN Subdivision: RIVER TERRACE EAST 3 Lot: 247 Project: River Terrace Northeast No. 3, Lot 23 Project Description: New attached dwelling BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 235 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 38 Bathrooms: 4 Second: 594 at Garage: 298 sf Front: 10 Smoke Yes Dwelling Units: 1 Third: 584 sf Right: 0 Detectors: Total: 1413 sf Value: $188,448.30 Rear: 0 PLUMBING Sinks: 2 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 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: 1 Backwater Value: 1 Other Fixtures: 0 Drywall-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 2 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders 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: 2 201-400 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: NI HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Y Ecompasing: Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1413 Owner: Contractor: WLLIAM LYON HOMES INC Required Items and Reports(Conditions) 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 2 Fire Rated Conditions PHONE: PHONE: 360-695-7700 FAX: Total Fees: $26,925.83 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: }folly Va4111)e'We4ge Permittee Signature: 0►tiAppLi l-O-'t 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. Buildin2 Permit Application Residential RECEIVEDFOR OFFICE USE ONLY 202/ved �� Permit No.P15r2o2/O(k) City of Tigard FEB 10 2021 Rece Datemive o .114 • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review L 2`, 20u 0 0 CITY OF TIGARD l anerPerm Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Z� Inspection Line: 503.639.4175 r± Date Ready/By: ElSee Page 2 for TIGARD Internet: www.tigard-or.gov BUILDING DIVISION .fied/Method. d "I Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING Demolition Permit fees*are based on the value of the work performed. ®New construction 0 Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. Q p CATEGORY OF CONSTRUCTION 1 �� '4y v Valuation: $ CJ ® 1-and 2-family dwelling 0 Commercial/industrial 0 Multi-family Number of bedrooms: ❑Accessory building1-�17I ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 17040 SW LEMONGRASS LN New dwelling area: 14 /3 square feet 58 ti City/State/ZIP:Sherwood, OR 97140 Garage/carport area: .„Z 0 square feet ! Y Suite/bldg./apt.no.: Project name:River Terrace-1$f3@' jWa Covered porch area: square feet Z'.� /- Cross street/directions to job site: No, 3 Deck area: 2( square feet Otlitsaltie ati°a_V �2 u1 square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no. 23 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. Single Family Attached Building #5 lots 21-25 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* (Please refer to fee schedule) Business name:Polygon Homes WLH, LLC 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 Amount received: Phone:(360-695-7700 Fax: :( 360) 693-4442 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail:permitsubmittals@taylormorrison.com 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 Y9 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 $180.00 City/State/ZIP:Vancouver, WA 98660 and administrative fees): , Phone:(360-695-7700 Fax:(360 )693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.: 207247 Total fee due upon application: $201.60 Omar Alami Abouhafs This permit application expires if a permit is not obtained Authorized signature: within 180 days after it has been accepted as complete. Print name:Omar Alami Abouhafs Date: 02/10/21 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Applicati ECEIVED FOR OFFICE USE ONLY City of Tigard Received Permit No.: pT2O 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 10 2021 Date/By: I 71 W� (�QD� '� Plan Review IIIIIPhone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: YICiAIt I; Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: kris' Internet: www.tigard-or.gov Notified/Method: Supplemental plemental Information BUILDING DIVISION - TYPE OF WORK COMMERCIAL FEE*. SCHEDULE USE CHECKLIST. Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed,Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead;and profit. Value:$ CATEGORY,OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES' cg 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist ( j Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: • : Air conditioning 1 46.75 Job site address: 17040 SW LEMONGRASS LN Furnace 100,000 BTU(ducts/yeas) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) .54.91 Suite/bldg./apL no.: Project name: River Terrace 1 B/3C uc Dt pump 61.06 Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or bydronic) 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: Roshak Ridge Lot no.. 23 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 23PROPERTY OWNER ❑ TENANT Other: 23.32 • Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen Address:703 Broadway St.,Ste.510 equipment 33.39 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. Address: 703 Broadway St.,Ste 510 Gas heat pump Wall/suspended/unit beater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax:: (360)693-4442 Fireplace Range E-mail:permitsubmittalsq.CH[rD orriso om❑ Barbecue •C CONTRACTOR Clothes dryer(gas) Business name:Pro Heating&Cooling MECHANICAL PERMIT FEES* Address: NW Alociek Dr,Ste.1104 Subtotal City/State/LIP: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 ira permit is not obtained within 180 0A,�- {',l days after it has been accepted as complete. Authorized signature: C�t/a 'J�' "n' ' Fee methodology set by Tri-County Building Industry Service Board Print name:Elia Duran Date: 10/30/20 • • Electrical Permit Application FOR OFFICE USE O(N�l..t')�r /r p City of Tigard ECEIVE 1 Dat tied PermitN MJI/�/Z+�VUS 7 III • 13125 SW Hall Blvd.,Tigard,OR 972 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/B Related Permit ti. Inspection Line: 503.639.4175 FEB 10 2021 Ready Date/By: hiris: ® See Page 2 for I IG A R D. Internet: www.tigard-or.gov f Notified/Method: Supplemental Information TYPE OF WORIi✓�lY OF T IGARD PLAN REVIEW ®New construction ❑Addition/alteratial*D ' 3r�I�/�.C,L(5 Please check all that apply(submit 2 sets of plans w/items checked): 1 h 0 Service or feeder 400 amps or more ❑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. less to ground,or exceeds 14,000 0 Commercial-use agricultural ® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: ❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address:17040 SW LEMONGRASS LN 10014P or more. ❑"K',"E","1-2","1-3", 0 Six or more residential wits. occupancy. City/State/ZIP: Tigard OR 97224 ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt#: Pro Project name: River Terrace 1 B/3C 0 Hazardous locations. 0 Supply voltage for more than J 600 volts nominal. ❑Service or feeder 600 amps or more. Cross street/directions to job site: i FEE SCHEDULE Description I Qty. I Each I Total I " New residential single-or multi-family dwelling unit. Subdivision: Roshak Ridge Lot#:23 Includes attached garage. 1,000 sq.fl.or less 168.54 4 1 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 1❑ 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 510 201 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 )695-7700 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email:permitsubmittals@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 ® APPLICANT 0 CONTACT PERSON Branch circuits—new,alteration,or extension,Qer 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 56.18 2 Address: 703 Broadway St., Ste 510 branch circuit City/State/ZIP: Vancouver WA 98660 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360 )816-7800 Fax::( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: permitsubmittals@taylormorrison.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Portland Electric Signor outline lighting 67.84 2 Signal circuit(s)or limited-energy ❑ See Page 2 2 Address: 1915 E 5th St., Ste D panel,alteration,or extension. Each additional inspection over allowable in any of the above City/State/ZIP: Vancouver, WA 98661 Additional inspection(I hr min) 66.25/hr Phone:( 360)314-4915 Fax:( ) Investigation(1 hr min) 90.00/hr Email:paul@portlandelectric.biz Industrial plant(1 hr min) 78.18/hr P @P Inspections for which no fee is 90.00/hr CCB Lic.: 194066 Electrical Lie.: C760 Suprv.Lie.: 49205 specifically listed('Is hr min) /� �� _Q ELECTRICAL_PERMIT FEES Suprv.Electrician signature,required: li1.tt,X, �J Subtotal: Print name: Alex Shalya Daee:10/30/20 0 Plan Review Required(25%of permit fee): 1 Q State surcharge(12%of permit fee): Authorized signature: A , / ii.,,, TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Ser ev Mishchuk Date:10/30/20 days after it has been accepted as complete. g ' Number of inspections allowed per permit. 11EuildinglPernitstELC_Perntit App ELR_ERE.doe Rev 06/17/2015 440"4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Fee for all residential systems combined: $75.00Description Qty. 7 �.<n Total Renewable y electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to15kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 n Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance 552.26 2 with OAR 918-309-0040) ❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 n 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 66.25/hr 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00,'hr specifically listed(7i hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Subtotal(Enter on Page 1). Fee for each commercial system: $75.00 Number of inspections allowed pet penult (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* n Medical ❑ Nurse Calls n Outdoor Landscape Lighting* n Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1:1Building'Permits'ELC PermitApp_ELR_ERE.doc Rev 06/17/2015 Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY 7/, e City of Tigard RECEIVED Received PermitNo.: MST2b2►-OQOS$ III w 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review m Phone: 503.7182439 Fax: 503.598.196(fEB 1 0 2021 Date/By: Other Permit No.: T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Jaris: H See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information TYPE OF WOIJILDING DIVISION FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist. Description Qty. Ea. 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: 17040 SW LEMONGRASS LN Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name: River Terrace 1 BI3C Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Raul 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.: 23 Fixture or item: Tax map/parcel no.: Bacldlow 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 Cr PROPERTY OWNER I ❑ 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 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:Polygon 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 E-mail: permitsubmittals@taylormorrison.com Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name:G&B Plumbing&Sons Inc Water P tPing/D WV 56.29 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 Lic.:184372 Plumbing Lic.no.:pb634 Plan rev ew (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name:Steve Fowler Date: 1 0/30/20 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. L\Ruildine\P rmitsmPLMILPecmitAno.doc 10/01/09 440-4616TI 1 0/02/COMNJEBI Plan # rfs r I S Floors `3 Large X (, Bed rooms Small WC w I 23 LAV Tub '. Basement Vent j II 1st Floor 2-3 S Water Heater i 2nd Floor 591H AC .1,.e-S 3rd Floor 5c61-{ School (jtp,Ap.9.- R-3 Total 11 13 Garage 2.1S D Total ( 1 ( 1 — �J Afor Elec 2 ` }-b - - ,61 b m. City of Tigard ,r _ I" COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Residential TIGARD Building Permit #: kST2-02.t-00059 Site Address: 1 7p271v SW Lemongrass Lane Project Name: River Terrace Northeast A/o, .3 Lot #: e2.j Planning Review Proposal: New rowhome 0 Verify address/suite # active in Accela. CI In River Terrace: ❑ No 0 Yes,River Terrace Review Addendum Site Plan Elements: ° r ion Control II. copies of site plan on 8-1/2"x 11"or 11 x 17"paper tained trees with drip line and tree protection measures 0Irawn to scale(standard architect or engineer scale) ° ootprint of new structure(including decks)and FFE II orth arrow ° tility locations&easements (required for new and additions) D.ite address,project or subdivision name and lot number ° i /driveway approach Applicant information(name and phone number) cation of wells/septic systems 112 .t dimensions and building setback dimensions ° treet tree size,type and location 1l.quare footage of buildings to be demolished ° treet names II xisting structures on site omen elevations(2'contours if more than 4'differential IS .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? r 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 Q No Received: 0 Yes ❑ No 4--) Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑Yes,applicant was notified ❑No Received: ❑Yes ❑ No HReceSDC Exemption for ADU applied for: ❑Yes ❑No ived: CI Yes 0 No Public Facilities Improvement (PFI) Permit: Required: ❑Yes,applicant was notified 0 No Applied For: 0 Yes ❑ No,stop intake ❑ Land Use Case#: PDR2016-00013, MMD2020-00030 ❑ Zoning: R-25 ❑. Required Setbacks: Front: 5/10 Rear: 0 Side: 0/3 Street Side: N/A Garage: 3 CI Building Height Max. Height: N/A Actual Height: 36 CILandscape Area: 20 % 0 Lot Coverage Max: 80 Entrance - back no more than 8'from street-facing wall Parallel to street . .- set 45 degrees or less Windows Minimum -' . • area of all street-facing facades Garage Gar a door is behin. .-- treet-facing wall II 'es ❑ No,one of the following is met: Door extends no more than 5 . - all an. - -re is a covered porch extending beyond garage. Door extends no more than 5' fr..- . an. . - - s a 12 sq ft.window above garage on 2"floor. ❑ Gara•e door width is I ' . ess ❑ 50%or less of faca.- 60%or less and includes 7 of following: Covered po • aRecessed entrance ❑Wall offset 1' 'o. : e _ Roof offset F. gles II Lap Siding ❑Roof itch 0 Gable,hi ,or gambrel ro. _Dormer Accent siding I Window trim U Window recess 1 Window projection 6.. s IVisual Clearance ❑ Urban Forestry Plan Sensitive Lands: El ° No Type: Conditions met prior to issuance of building permit Notes:Outstanding conditions under PDR2016-00013; do not issue until re-plat recorded under MMD2020-00030 0 Approved By Planning: Date: 2/19/21 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved I:\Buildin g\Forms\BldgPermitRvw_RE S_122419.docx Building Permit Submittal r Original Submittal Date: e2/10/202/# Site Plans: 3 Building Plans: #i Building Permit#: l!7 Enter buildingR er'mit#above. �y Workflow Routing: Planning I'�Engineering LJ Permit Coordinator wilding Workflow Sign-off: ign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and riginal plan review routing form. ha Building: original permit application,site plans,building plans,engineer and beam calculations an. st details,if applicable,etc. Notes: By Permit Technician: —wr;o /i W/j Date: 10/p2/ Engineering Review �g/-�'Slope at building pad: .2, conditions "Met"prior to issuance of building permit M ? asements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility:Assess Water Quality Fee in-lieu: ❑ Yes L�J�y No Assess Water Quantity Fee in-lieu: 0 Yes [No / LIDA Facility on lot: 0 Yes ErNo gFinal Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: [ Approved by Engineering: Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit Approved, NOT Released: Ppt tictivic hcr(- C'1w1 _ AL Date: 31212024 Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: �^ SDC Exemption: 0 Received IJ Does not a7 ly SDC Fees Entered: Wash Co Trans Dev Tax: Yes N/A Tigard Trans SDC: ,2 Yes 0 N/A Parks SDC: ,❑ Yes 0 N/A LIDA 0 Yes Z N/A OK to Issue Permit Approved by Permit Coordinator: Aveyr4sr 1/,-� Date: 4 '22/ s1 4 I:\BuildingFonns\BldgPennitRvw RES 122419.docx City of Tigard lIl I COMMUNITY DEVELOPMENT DEPARTMENT TIGARD River Terrace Building Permit Review Addendum Building Permit #: MST2©2i-OdO59 Site Address: J9-p '/0 SW Lemongrass Lane Project Name: River Terrace Northeast Lot #: �.j (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. Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch min. ft. deep ft. d❑eep min. 2ft., 5❑ft. wide man. 2 ft., . wide Gabled dormer 2. Eyes o t e street: a minimum of 12°/ of each street facing facade must include windows or entrance doors. Percentage Shown: >12 7a 3. ntrances:At least one entrance must meet both of the foiling standards: Max. 8 ft. setback from long t street- facing wall ��// Parallel to street,angle no more than 45° from street, or ope onto porch Entr nce opens to a porch: Yes ❑No If s,all the following apply: sq.ft. min. dine street facing entry ft.max. roof above floor of porch LTI 5 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 facades: pikvered porch min. 5 ft. wide x 5 ft. deep ❑Recessed entry area min. 5 ft.wide x 2 ft. deep all offset nun. 16 inches ❑ ormer min. 4 ft.wide of eave min. 12 inch projection Ro P hoof offset min. of 2 ft. ❑❑Roof shingles either tile or wood .4 ble,hip or gambrel roof design y� ❑Roof pitch oriented south min. 500 sq. ft. rizontal lap siding min. 3-7 inches widefl , ❑Accent siding min.40% of street facade grindow trim min. 21/2"wide by 5/8" deep'~^/ ❑Window recess min. 3 inches for all street facing ❑Bay window min. 5 ft.wide by 2 ft. deep 0 Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑Attached garage is 35% o • of street facade Garages and Carports:May face the front or line on a corner 1. . Setbac • No closer to fron : ide lot line,than longest street-fa '.• ••a . I Yes ❑No. If No (Check one): ❑May extend up to 5 ft. i . - - is a covered fr.• .orch and garage does not extend beyond the front porch. ❑May extend up to 5 ft.where the g. .-•- is part of a two-story building and there is a window at the second story above the garage that faces the .- -t with a . + -a of 12 sq.ft. Width: (Check one) ❑12-foo - •':e garage door ❑40%m. • street facade I i Y max.of street facade with 7 detailed design elements Notes: Approved By Planning: Date: 2/19/21 I1BuildingForms113ldgPermitRvw_RE$RT_121417.docx 116. ` :.l ig City of Tigard , 1 r COMMUNITY DEVF T OPMENT DEPARTMENT ■ u T, A1ZD Building Permit Review — Residential Building Permit #: I4ST2.O21-00059 Site Address: /70410 SW Lemongrass Lane Project Name: River Terrace Northeast n/o. 3 Lot #: 25 Planning Review Proposal: New rowhome 0 Verify address/suite #active in Accela. 0 In River Terrace: 0 No 0 Yes, River Terrace Review Addendum Site Plan Elements: ' r ion Control Cll copies of site plan on 8-1/2"x 11"or 11 x 17"paper tamed trees with drip line and tree protection measures 0I rawn to scale(standard architect or engineer scale) ::footprint of new structure(including decks)and FFE 11 orth arrow ;L.7tility locations&easements(required for new and additions) 12.ite address,project or subdivision name and lot number ''i alk/driveway approach 0 pplicant information(name and phone number) cation of wells/septic systems 0 .t dimensions and building setback dimensions street tree size,type and location ilquare footage of buildings to be demolished ;.Street names II 'sting structures on site ,�orner elevations(2'contours if more than 4'differential 12 a 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 0 Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): �jj Required: ❑Yes,applicant was notified 0 No oReceived: ❑Yes El No LI Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑Yes,applicant was notified 0No Received: 0 Yes H No ❑ SDC Exemption for ADU applied for: ❑Yes El No Received: ❑Yes No 0 Public Facilities Improvement(PFI)Permit: Required: 0 Yes,applicant was notified 0 No Applied For: 0 Yes ❑No,stop intake 0 Land Use Case#: PDR2016-00013, MMD2020-00030 0 Zoning: R-25 0 Required Setbacks: Front: 5/10 Rear: 0 Side: 0/3 Street Side: N/A Garage: 3 0 Building Height: Max.Height N/A Actual Height: 36 ElLandscape Area: 20 % 0 Lot Coverage Max: 80 Entrance ack no more than 8'from street-facing wall Parallel to street set 45 degrees or less Windows Minimum area of all street-facing facades Garage Ga a door is behind w treet-facing wall es ❑ No,one of the following is met: Door extends no more than 5 all an re is a covered porch extending beyond garage. Door extends no more than 5'fr a an 's a 12 sq ft.window above garage on 2"floor. ❑ Ga door width is ' ess ❑ 50%or less of faca 60%or less and includes 7 of following: Covered po Recessed entrance ❑ Wall offset _ 1' o e — Roof offset F gles Lap Siding 0 Roof itch ❑ Gable,hi ,or gambrel ro Dormer Accent siding Window trim U Window recess U Window projection N Visual Clearance 0 Urban Forestry Plan Sensitive Lands: 0 Yes ❑° No Type: Conditions met prior to issuance of building permit Notes:Outstanding conditions under PDR2016-00013; do not issue until re-plat recorded under MMD2020-00030 0 Approved By Planning: c -- Date: 2/19/21 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved 1:1Building\Forms\BldgPermitRvw_RES_122419.docx Building Permit Submittal M i Original Submittal Date: 0-/►0/202/ Site Plans: # 3 Building Plans: ## Building Permit#: Enter building. L permit# above. ry Workflow Routing: Ila�g l hgineering U Yermit Coordinator IA-Building Workflow Sign-off: ign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application,(1) site plan, (1) building plan and riginal plan review routing form. BIC Building: original permit application, site plans,building plans,engineer and beam calculations an. st details,if applicable,etc. Notes: By Permit Technician: i%/7e%///!/ Date: 43/2 Q2J Engineering Review Slope at building pad: 0, g�// Lf'J onditions "Met"prior to issuance of building permit /r/7/e L! asements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes l� No yy Assess Water Quantity Fee in-lieu: 0 Yes L'I No / LIDA Facility on lot El Yes ErNo gFinal Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: LI Approved by Engineering: — Date: 2'//2„..c/, Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved 0 Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit Approved,NOT Released: AIR k nt- had- ertn AL- Date: 312 I Zv24 Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: �^ SDC Exemption: ❑ Received �1 Does not a ly SDC Fees Entered: Wash Co Trans Dev Tax: yesU N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: ,❑ Yes ❑ N/A LIDA ❑ Yes Z N/A 0 OK to Issue Permit Approved by Permit Coordinator. Date: 1:1B uildingWorms1B1 dgPermitRvw_RES_122419.docx City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT TIG D River Terrace Building Permit Review Addendum Building Permit #: MST292,-00059 Site Address: PE) Z710 SW Lemongrass Lane Project Name: River Terrace Northeast Lot #: .25 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.640.070.1..): Is the project subject to the plan district design standards? ❑o 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 min. ft. deep Balcony w/access 2 Window Projection Vertical Wall Offset a Gabled dormer ft. deep min. 2ft., 5❑ft wide min. 2 ft.,6 .wide ❑ 2. Eyes o t e street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: >12 7v 3. ntrances:At least one entrance must meet both of the following standards: Max. 8 ft. setback from long t street- facing wall Parallel to street, angle no more than 45° from street, or ope onto porch Entr nce opens to a porch: Yes ❑No If s,all the following apply: sq.ft. min. One street facing entry ft.max.roof above floor of porch Al 5 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 facades: PSAvered 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 ❑ ormer min. 4 ft.wide Roof cave min. 12 inch projection' 47 hL/1 of offset min. of 2 ft. LJ Roof shingles either tile or wood able,hip or gambrel roof design ❑Roof pitch oriented south min. 500 sq. ft. rizontal lap siding min. 3-7 inches wider/'' ❑Accent siding min.40%of street facade Window trim min. 21/2"wide by 5/8"deepf44 ❑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%o • of street facade Garages and Carports:May face the front or line on a comer 1. Setbac • ``'y(\ No closer to fron = ide lot line, than longest street-fa : •t. . II Yes ❑No. If No (Check one): ❑May extend up to 5 ft i . - - is a covered fr.• .orch and garage does not extend beyond the front porch. ❑May extend up to 5 ft. where the g. is part of a two-story building and there is a window at the second story above the garage that faces the . -t with a . a of 12 sq.ft. Width: (Check one) ❑12-foo e garage door ❑40%ma . street facade III i/o max.of street facade with 7 detailed design elements Notes: Approved By Planning: Date: 2/19/21 1.1Building\Forms\BId5PennitRvw_RES RT_]21417.docx