Permit '
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FIRE SAFETY SYSTEMS
3;, . " AQUASAFETm FLOW TEST
VERIFICATION
b
FORM
AquaSAFETM Flow Test Verification Form
Alliance Important Installing contractor must submit this
Member ID: ��6' completed form. Failure to do so nullifies the
It'
+ �� . p/�m�(L Q system warranty.E-mail or fax completed form
Company Name: I'J�►•, °�:J to the Uponor Fire Safety Design Department
Contact: at technical.services@uoonor.com or 952.997.1731.
For questions,contact Uponor Technical Services at
Phone. _ �C/�j— 5 Z -GS�>S 888.594.7726 or technical.servicess@uponor.com.
Fax: Color of test orifice used: f. (
d
Job Name: 41/ter 72-r fr.(,,t, Static.pressure(not flowing)reading at incoming
Project Number: 7)$go 16 F wry water supply into home or at main shutoff: 7(7
Job Address: j�di� //y / .,A_ o4 f/
1 Residual pressure(flowing)reading at incoming water
City: V in .•r u% supply into home or at main shutoff: f cZ
State,ZIP: ti9 _ ,
What time of day was the flow test taken? `C7/Jtn
For designs not provided by Uponor,complete the
Flow test method-.used' ¢I Bucket CI Flow Meter
following informat
Designers Name: Flow test gpm: j
How many gallons of water did the design predict
Company: as required? i7
Phone: . Did the test meet or exceed design flow? U Yes ❑No
Fax: Which sprinkler did you flow?Number:
Is the warningsign permanently close to the c( )6 O J--
attachedLocation of head: LGr
Yes ❑No❑0
main shutoff valve.
Date left in service with all valves open:
Was this system required by code?9 Yes ❑No
'a
Test Witnessed and Verified
V . Name Signature Occupation Date
'V `�T � 1 ('`,ter etlf/2Z—
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Additional Explanations and Notes F 2.12 , Le r -
s
1. Uponor,Inc. Tel:800.321.4739
5925 148th Street West Fax:952.997.1731
i Apple Valley,MN 55124 USA Web:www.uponor-usa.com ,
• Plumbing Permit Applicatio�ECEIVED
Building Fixtures
M>,.,. - Received �y
- City of Tigard Date/By: 05 Z �M Permit No441 ST 2020' 4p
• 13125 SW Hall Blvd.,Tigard,OR 97223�Ir(OF TIGARD Plan Review
Phone: 503.718.2439 Fax: 503.598. 9 Date.By: 6�ISfg QG(�1 Other Permit No.:
TIGARD Inspection Line: 503.639.4175 �I�LDING DIVISION Date Ready/By: 7/�/.L/ _lulls: ® See Page 2 for
Internet: aMw.tigard-or.gov Noti /Metho Supplemental Information
TYPE OF WORK (ifEE* SCHEDULE
O New construction 0 Demolition For special information use checklist
Description I Qly. I Ea. I Total
O Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
O 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 budder ❑Other: Fire sprinkler ' sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:13004 SW Larkwood PI 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(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: I Lot no.:14 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# MST2020-00341 Drinking fountain 25.02
UNIT PLAN# E20 Ejectors/sump 25.02
❑� PROPERTY OWNER 0 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 I Fax:( ) Ice maker 12.51
❑ APPLICANT ®.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/ZIP: 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
CCB Lie.:184601 Plumbing Lie.no.:PB732 Plan review (25%of permit fee)
,��/ State surcharge(12%of permit fee)
l Authorized signature: F/i J7., TOTAL PERMIT FEE
Print name:Gavin Thomesv Date:5.20.2021 This permit application expires if a permit is not obtained within 1S0 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\Permits\PLMt1-PermitApp.doc 10/01/09 440-4616T(10/02/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-l'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
Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to
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
-Jacuzzi/Whirlpool engineer.
Car Wash: Each Stall ❑ New exterior plumbing site utilities for any complex structure
Drive as defined in OAR918-780-0040.
Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher Commercial El Any multipurpose fire sprinkler system.
Domestic El 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
❑ 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: -Lav/Bar non-food related
-Bradley
-Com/Serv/Util food related
-Service *Note: lithe 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_PermitApp.doc 08/04/2011 2
INCITY OF TIGARD MASTER PERMIT
' ' COMMUNITY DEVELOPMENT Permit#: MST2020-00343
Date Issued: 06/08/2021
t f i A R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S106ACO2700
Jurisdiction: Tigard
Site address: 13004 SW LARKWOOD PL
Subdivision: RIVER TERRACE EAST 3 Lot: 278
Project: River Terrace Northeast, Lot 14
Project Description: New attached dwelling
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 3 First: 300 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 42 Bathrooms: 4 Second: 673 sf Garage: 242 sf Front 8 Smoke
Yes
Dwelling Units: 1 Third: 998 st Right: 0
Detectors:
Total: 1971 sf Value: $256,183.20 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
Other Fixtures: 1
Drywell-Trench Drain: 0
Other Fixture Units: Kitchenette sink
MECHANICAL
Fuel Tvoes 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
Fum>=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: 3 201-400 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
Ecampasing: Y
Other: N Other Description:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SFA VB R-3 1971
Owner: Contractor:
WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
703 BROADWAY STREET,SUITE 510 1 Ersn Cntd 503-639-4175
VANCOUVER,WA 98660
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $28,463.36
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 11..8800.332.2344.
Issued By: HoUyVan/DeiWeg-e Permittee Signature: OwAppL%cat'Lort
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.
'r0
ti ' Building Permit Application 'f - 12 ( p
Residential RECEIVE] FOR OFFICE USE ONLY
Received 0 � Permit No.:
City of Tigard By: I f�28/2 6 J(jJ J Msr2o2b oo343
III • 13125 SW Hall Blvd.,Tigard,OR 97223 DEC 17 2020 Plan Review �.t,/,/���9,.
Other Permit: %IJR 2O
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 7i7/ 7// /7f1 2o 5
Inspection Line: 503.639.4175 - 1" Date Ready/By: Jars: 65 See Page 2 for
'l iciARD P CITY Or,�rF� i; a:Ach�_J
Internet: www.tigard-or.gov BUILDING �I`IIL!O.Notified/Method: '3/r7/if ,TQ T1e' Supplemental Information
TYPE OF WORK i 4 V J ',J 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.
® 1-and 2-family dwelling ElCommercial/industrial Valuation: $ ' '$3
Number of bedrooms' 3
ElAccessory building El Multi-family❑Master builder ❑Other: Number of bathroomslr L
JOB SITE INFORMATION AND LOCATION Total number of floors:g, 22) 3
Job site address: 13004 SW Larkwood Pl. New dwelling area: 1971 square feet 19,12)
City/State/ZIP:Sherwood,OR 97140 Garage/carport area: 242 square feet .73
Suite/bldg./apt.no.: Building 1 Project name: River Terrace Northeast Covered porch area: square feet 7nD
Cross street/directions to job site: Deck area: Z square feet
Otrastrrxtur�area;/ (j2 square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: River Terrace E$t ivfr Lot no.: 14 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#1 _Lots 12-14 valuation: S
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*
Business name:Polygon Homes WLH LLC (Please refer to feeselleduk
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
E-mail: �(m1•tSi orn11,5^'W c l�'MCTfl Ss \• (&Y�(N 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 lic.:207247 �1�/ �J` / /" Total fee due upon application: $201.60
Authorized signature: nhte2' .rY eC. u-.cY C�6Ll /r, This permit application expires if a permit is not obtained
(l within 180 days after it has been accepted as complete.
Print name:Omar Alami Abouhafs Date: 12/14/2020 *Fee methodology set by Tr County Building Industry
Service Board.
I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440.46I3T(I1/02/COM/WEB)
Mechanical Permit Application FOR OFFICE USE ONLY
• C1 of Tigard R E V yRecel,ed
{-�� Permit No.: 7��, m e3
`J gi ^'Date/B MST�L�✓'W 3—p
'i 13125 SW Hall Blvd.,Tigard,OR 97223 PlauReview
Phone: 503.718.2439. Fax: 503.598.1960 r,Li: ?t Date/By: Other Permit:
Inspection Line: 503.639.4175 L Y �� � Date Ready/By: lures_
71{rA It la Internet: www.ti rd-or. ov /, . , y o' 6Seessege2for
g CITY Car- Notified/Method: Supplemental Information
BUILDING DIVr3IO
TYPE OF WORK COMMERCIAL FEE*.SCHEDULE'-- USE CHECIILIST
Mechanical permit fees*are based on the value of the work
®New construction El Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead.and profit.
Value:$
CATEGORY OF CONSTRUCTION
- - RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
®I-and 2-family dwelling ❑Commercial/industrial ❑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: 13004 SW Larkwood PI. Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR97224 Furnace 100,000+BTU(anctslvents) 54.91
Suite/bldg./apt.no.:Building 1 Project name: River Terrace Northeast Heat pump 61.06
_ Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
ydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision: River Terrace East Lot no.: 14 Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplacennsert 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
1E PROPERTY OWNER ❑ TENANT . Other. 23.32
Environmental exhaust and ventilation:
Name:Polygon WLH,LLC Range hood/other kitchen
equipment 33-39
Address:703 Broadway St.,Ste.510 Clothes dryer exhaust 33.39
City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32
®APPLICANT 0 CONTACT.PERSON Other: 23.32
Business name:Polygon WLH,LLC Fuel piping:
S14.15 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
Range
E-mail:permitsubmittals@taylOrmOrriSOf.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: Wa ' ' Fee methodology set by Tri•County Building Industry Service Board
Print name:Elia Duran Date: 9/29/20
r.w,,tlAinnlpmnire\MFC P..mh Ann❑a❑11:r0nr Ann nc,,.,i„n„m,tm,eo,
EIVE
Electrical Permit Application V FOR orru I I ,,i 1 0..i
City of Tigard i (01 \IA HWJ Per' l h lY\STZIDZO-0a3L4 3 i
13125 SW Ball Blvd.,Tigard,OR 97223 Plea Review
1 1 Plume; 503.718.2439 Fax: 5o3.598.i9�ITY OF TIGARL'1 r _ _ MetedPermit+'.
T(c,�x� I, Line-.g03.6..44117s �IIILDIN Ready Date/By.G DIVISIO leis
a SeePage2f r
interact: www.ti ard-or r NoaSedraiemod: SapplemmW Information
TYPE OF WORK PLAN REVWW _
®New construction ❑Additiodalteralion/replacement Please aback all that apply(solemn a sots ofplopsedgedumbed):
❑Salim or feeder 400 amps as more CI eurhdiagMa tee roses.
El Demolition 0 Other:
wham the esalabk fault camera ❑Maium and boatyards
CATEGORY OF CONSTRUCTION neesda 10,000 amps at 150 volts or ❑flaring buildings
Eli-and 2-family dwelling 0 Commercialrmdustrial 0 Accessory building km w around.or exceeds 14.000 ❑Cemrrtial-tse agricultural
❑Multi-faraily 0 Master builderarea far as other imhllaoms buildings.
0Othel: Once pomp ❑Installation orlhT KVAa
JOB SHE INFORMATION AND LOCATION I]raaeraeney system. laws separately delved
of new
lob#: Job she address:13004 SW Larkwood PI ❑Additioo IpOIiPa more aeMr load of wawa_❑"A","E-."1-2"."L-3",
City/StaterZW: Nerd,OR 97140 ❑Six or Mary reselental nits
❑rlmuhQefacihties ❑aea®aoatl vehicle parks
Suite/bldg./apt.#: Project name: River Terrace Northeast a Haardous loosines ❑Supply voltage for more thus
Cross street/directions eet/dilections to job site: ❑> a feeler e0o amps se wive 6°0 FFF,Sf 71FLr f g wla no.m.t.
0eruy4 I on, I raw I raw I
New residential single.or multi-family dwduog unit.
Subdivision: River Terrace Northeast Lot#: 14 lidedes attached garage.
Tax mapfpanxl#: 1,000 sq.It or teas 168.54 4
Ea.soil 503 at it or potion 33.92 1
DESCRtrIION OF WORK . . Kited energy,mridemi.l
New construction. Type: Townhotnes(3 attached) (with aboveaq.It) 7s.00 2
Lwtted energy,multi-family 75.00 2
residential(with above a4.R) _
Ramorable Energy Q See Page 2
®-PROPERTY O►4LR 0 TENANT services or Bedew at/eratioo,and/or relocation
Name: Polygon Homes WLH LLC 200 ems es lam 100.70 2
--
Address: 703 Broadway St.,Ste 710 201 amps to 40o amps 131.56 2
,
City/State/ZIP: Vancouver,WA 98660 401 amps to 0 ads 30 04 2
601 amps to 1 1,000 amps 301 04 2
Phonic:( 360 )946 8674 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders laotallation,alteration,and/or
Erna OAIamiAboubafs@taylurmarrison.com-PermitSubmittels(ajtaylormorrlson.com rekKanm
Owner installation:This installation is being made on property that I own which is not 200 imps or less 59.36 I
intended for sale,(ease,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 amp. 168.51 2
1 Branch drains-new,alteration, kW or exon, panel
❑API f t]'t70N'FAC['.PERSON A.Fee for Numb aromas with
Busmen name: Polygon Homes WI.H LLC above service or feeder fee,
odt branch circuit 7.42 2
Contact name: Omar Aloud Abouhafs B.Fee for branch circuits withoe
service or feeder fee,first
Address: 703 Broadway St.,Ste 710 bran h carom 56./s 2
City/State/ZIP: Vancouver,WA 98660 Each.dd'1 branch Prank 7.42 2
Phone: 360 )946 8674M(>�aneoas(service or feeder sot indoded)
( Fax::( ) Each manufactured or modular
Email:OAlamiAbouhafs lotmmrison.com-Peamit5 dw,taiitoonsoo service savor feeder
67.1A 2
r�tay libmittals�taylmmorrison.cam
CONTRACTOR Pump °et only
67.84 2
Pump or vriprrian circle 67.84 2
Business name: Wallace Electric Sign or outline b&diog 67.84 2
Address: 105 Dresden St Signal caoril(s)a limited-energySec Page 2 2
prowl,aasratio4 or=Minim.
CilY eiZa': Astoria OR 97103 Each additional Inspection over allowable is say el the above
Additional inspection(I hr min) 66.251 hr
Phone:(503 3i18 0563 Fax:( ) Investigation(1 bra min) 90.00/tar
Email:David@wnllacewirescom Ira bnirial plant(1 in min) 78.181hr
-
Inspections for which m fee is90.m
hr
CCB Lk:224868 Electrical LipC 1441 6363S specifically listed(x M min)
- F.GF.CI'R[CAL PER11II'r FEES
Suprv_Electrician signature,required: a/`_f Subtotal-
Print name:DAwoDate: i 1/4 z f ❑Plm Review Required mac of game fee).
State surcharge(12%of permit fee):
Authorized signature TOTAL PERMIT FEE
II Tthis pawl marinade&expire.r.port 4.a abtaa.d within 110
Print name: r I Date: [f / t 1 amadk It mewled km bean as esapl.tw
111 .
of vrspxaions allowed per pewit.
F&otait rmaa611.14:_Pmullae g1g gEdOc Rev B,'170015 4 ' 615-011105/Cl & 2
1
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
combined: $75.00 Description . Each Total
Fee for all residential systems
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
n 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
El 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
❑ Vacuum Systems* >100 kva-no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
El Other: Each additional inspection is 66.25/hr 1
charged at an hourly(I hr min)
Inspections for which no fee is 90.00,'hr
s cifically listed('i hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Pagel):
(SEE OAR 918-309-0000) ' Number of inspections allowed per permit.
Check Type of Work Involved:
❑ Audio and Stereo Systems
El Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
El Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
n Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
n Outdoor Landscape Lighting*
El Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
L.\Building,Permits\ELC_PernutApp_ELR ERE.doc Rev 06/17/2015
•
. Plumbing Permit Application
Is
Building Fixtures REC •eceived I t,a I FOR 0,,,,(,.., Fsit (1v1.1
•
City of Tigard "'!7 (l Permit No. ldi6r2 s
;IN - • 13125 SW Hall Blvd.,Tigard,OR 97223 DEC L 7 2020 Dan Review
4 Q� µ.3
Phone: 503.718.2439 Fax: 503.598.1960 DatelBy:iew Other Permit No.:
T 1 c;A.It t) Inspection Line: 503.639.4175 Date Ready/By: )ems: El See Page 2 for
Internet: www.ti rd-or. v CITY(Jr i sL i 7
Sa go {� NotifReadY shod: See PageSupplemental2 rormatioa
TYPE OF WORIC'UILDINC DIVISION FEE' SCHEDULE
Cil New construction 0 Demolition For special information use checklist
Description I Qty. J Ea. I Total
❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
® I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory buildingy SFR(3)bath 500.32
0 Minh Tamil Each additional bath/kitchen 25.02
❑Master builder ❑Off: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:13004 SW Larkwood Pl. Catch basin or area drain 18.76
city/stare�zlP: Sherwood , OR 97140 Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.: 1 Page 2
Suite/bldg./apt.no.:Building 11 Project name: River Terrace Northeast 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 Lot no.: 14 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 I 0 TENANT Expansion tank 12.51
Name:Polygon Homes WLH LLC Fixture/sewer cap 25.02
Floor drainffloor 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:(380 )695-7700 Fax:( 360 693-4442 Ice maker 12.51
® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon Homes WLH LLC Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Tonja Morris Roof drain(commercial) 12.51
Address:703 Broadway St., Ste 510 Sink/basin/lavatory 25.02
City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54
Phone:(360 )695-7700 Fax::(360 693-4442 Tub/shower/shower pan 12.51
E-mail:perm Urinal 25,02itsubmittals@taylormorrison.com Water closet 25.02
Wolcott CONTRACTOR
Water heater 37.52
Business name:Walcott Plumbing Water piping DWV 56.29
I Address: 1075 W Historic Columbia River Hwy Other: 25.02
City/State/ZIP: Troutdale, OR 97060 Subtotal
Phone: 503- 67-1781 Fax: 503 67-9891 Minimum permit fee: $72.50
CCB Lie.: 112220 Plumbing Lic.no.: 26-824PB Plan review (25%of permit fee)
� State surcharge(12%of permit fee)
Authorized signature: r,'' 7.__, TOTAL PERMIT FEE
Print name: Cliff Bowman Date: 7/28/20 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. ,
riauitdimg\Permits\PL.lsltl-PeemitApp.doe 10101n9 4404616T(10/02/COtd/WEB)
/Z/-7/7-0
71
City of Tigard
ill COMMUNITY DEVFT OPMENT DEPART T
Building Permit Review — Residential
TIGARD
Building Permit #: M.Si ZbzO - 00 3(43
Site Address: J,(2d71 SW Larkwood PI
Project Name: River Ter ace Northeast (Formerly River Terrace East No. 3) Lot #: //
Planning Review /�
iv /
Proposal: New rowhome /�294 bowe
l wel fr /L 4 S(Ai
❑. Verify address/suite #active in Accela. ❑° In River Terrace: T No Yes, River Terrace Review Addendum
Site Plan Elements: v, ion Control
01' copies of site plan on 8-1/2"x 11"or 11 x 17"paper tamed trees with drip line and tree protection measures
12•rawn to scale (standard architect or engineer scale) Footprint of new structure(including decks)and FFE
0 orth arrow _,itility locations&easements(required for new and additions)
elite 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
�\b ll.quare footage of buildings to be demolished street names
II xisting structures on site °:.omer elevations(2'contours if more than 4'differential
0 .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? l es o
Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995):
Required: ❑Yes,applicant was notified 11 No Received: 0 Yes ❑ No
�� Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
Required: ❑ Yes,applicant was notified ❑r No Received: ❑ Yes El No
SDC Exemption for ADU applied for: ❑ Yes ElNo Received: ElYes El No
❑r Public Facilities Improvement (PFI) Permit:
Required: ElYes,applicant was notified ❑No Applied For: ❑ Yes ❑ No,stop intake
❑r Land Use Case#: PDR2016-00013, MMD2020-00030 ❑s Zoning: R-12
❑r Required Setbacks: Front: 8 Rear: 5 Side: 0/3 Street Side: N/A Garage: 20
0 Building Height: Max. Height: N/A Actual Height: 42
ElLandsca e Area: 20 % El Lot Coverage Max: 80 °6
Entrance ack no more than 8'from street-facing wall ❑ Parallel to s or offset 45 degrees or less
Windows Minimum ° of area of all street-facing facades i
Garage Gar e door is behin ' st street-facing wall 9`�� Yes ❑ No,one of the following is met:
Door extends no more th ' om wall a ere is a covered porch extending beyond garage.
Door extends no more than 5' fr d there is a 12 sq ft.window above garage on 2"floor.
❑ Gara door width is 1 ' ess ❑ 50%or e facade 60%or less and includes 7 of following:
Covered port Recessed entrance El Wall offset 1'Roof cave Roof offset
Fire es Lap Siding Roof itch ❑ Gable,hi , brel roof Dormer
ccent siding Window trim LI Window recess U Window pr ' on ❑ Balcony
‘3�� II Visual Clearance ❑r Urban Forestry Plan
II Sensitive Lands: ❑ Yes LI No Type:
❑ Conditions met prior to issuance of building permit
Notes:Outstanding conditions under PDR 016-00013; d no'issue until re-plat recorded under MMD2020-00030
0 Approved By Planning: Date: 12/21/20
Revisions (after B mg Submittal only) Review ate
Revision 1: Approved ❑ Not Approved l" r-__ /�
Revision 2: ❑ Approved ❑ Not Approved
I:1Bu ilding\Forms\BldgPennitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: /.07/202 o
Site Plans: # 3
Building Plans: #�y 3
Building Permit#: Enter buildingermit# above. Building
Workflow Sign-off: Qn-S�ign-off for Planning (include notes from planning review)
Route Application Documents: Ilk ,ngineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
Building: original permit application, site plans,building plans,engineer and
beam calculations and .s st details,if applicable,etc.
Notes:
By Permit Technician: 4971A1 Date: 13/2 626
Engineering Review
If Slope at building pad: ..2 to
�❑ on d itions "Met"prior to issuance of building permit �l
hJdy'Easements (encroachments)per engineering conditions of approval and plat
l!7 Water Quality/Quantity Facility: �y�/
Assess Water Quality Fee in-lieu: El Yes it
o
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes No
Final Plat Recorded:
❑ NOT Approved/� by Engineerin Date:
////.4*/
Notes: /4f ? (702V e, Vz9 Ozo L raeast, G f//L-le ��! /S CE3Aeterp rid,-
Approved by Engineering: Date:
Revisions (after Bu tng Submittal only) eviewer Date
Revision 1: Approved ❑ Not Approved //2*/'
Revision 2: ❑ Approved ❑ Not Approved C >
Permit Coordinator Review
(]Conditions "Met" prior to issuance of building permit
Approved, NOT Released: [}o no-jccuc UI-t►i I .PE1 vvo/l- dory 1 Date: 119 (202I
Notes: ?lot-f rGtOr oe #' cm,,pt t'F't••-v Vva . ih--
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant: 2M2,02,l —V'J 011 pLaf A CWtd l - e — f
Revision Notice 2: Date Sent to Applicant:
SDC Exemption: ❑ Received IStDoes not apply
SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: Yes ❑ N/A
LIDA ❑ Yes N/A
qOK to Issue Permit
Approved by Permit Coordinator: / y.-. Date: 2J J 2 3 17,4 Z)
1:1Building\Forms\BldgPerm itRvw_RES_122419.docx
, . "
Plii City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
River Terrace Building Permit Review Addendum
TIGARD
Building Permit #: MST Z0 -b 0 3 y 3
Site Address: 4'06 SW Larkwood PI
Project Name: River Terrace Northeast (Formerly River Terrace East No. 3) Lot #: /
(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 min. 5 ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a Gabled dormer
ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide
0 ❑r ❑ Q ❑
2. Eyes on e street: a minimum of each street facing facade must include wind ws or entrance doors.
Percentage Shown: >12%
3. Entrances: At least one entrance must meet both of the following standards:
❑Parallel to street,angle no more than 45° from street,
0 Max. 8 ft. setback from longest street- facing wall or open onto porch
Entrance opens to a porch: El Yes ❑No
If es,all the following apply: 025 sq.ft. min.
El One street facing entry 012 ft. max. roof above floor of porch
0 5 ft. depth min. 0 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:
0 Covered porch min. 5 ft.wide x 5 ft. deep F ❑Recessed entry area min. 5 ft.wide x 2 ft. deep
0 Wall offset min. 16 inches g 0 Dormer min. 4 ft.wide
0 Roof eave min. 12 inch projection Ftitr, ❑Roof offset min. of 2 ft.
❑Roof shingles either tile or wood El Gable,hip or gambrel roof design F .
❑Roof pitch oriented south min. 500 sq. ft. 0 Horizontal lap siding min. 3-7 inches wide
❑Accent siding min. 40%of street facade 0 Window 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
❑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 ❑No. If No (Check one):
❑May extend up to 5 ft. if there is a covered front porch and garage does not extend beyond the front porch.
❑May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story
above the garage that faces the street with a min. area of 12 sq.ft.
Width: (Check one)
012-foot-wide garage door ❑40% max. of street facade
❑50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: ` ' r.�. Date: 12/21/20
I-\Building\Forms\BI dgPermi tRvw_RES_RT_121417.docz
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.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
■ Transmittal Letter
r ,, ,,c i 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
FROM: Omar Alami Abouhafs JAN 2 6 zozi
COMPANY: Taylor Morrison CITY OF TIGARD
PHONE: (360)695 7700 BUILDING DIVISION By:
EMAIL: permitsubmittals@taylormorrison.com
RE: 13014- 1301 - 13004 SW arwook PL M\f'202D -C0343
(Site Addres (Permit Number)
Lo�/Y
River Terrace Northeast kats-17-14 -Building 1
(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 OFICE USE ONLY
Routed to Permit Technici n: Date: Z 27� ?il Initials:
Fees Due: ❑Yes No Fee Descnption. Amount Due:
$
p-A.--
ss
Special
Instructions:
Reprint Permit (per PE): ❑Yes No ❑ Done
Applicant Notified: Date: S 3/3 / Initials: