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Permit Plumbing Permit ApplicaI CEIVED Building Fixtures JUL 6 idL roil orrlci t si. oyLv City of Tigard CITY OF TIGARD Received Date/By: //2 o/21 Permit No-��"`TY]0"")(,r 000f 1111 II.-II 13125 SW Hall Blvd.,Tigard,O �7�j 3,� Plan Review `"`��1111 �+� G h/G WV�(/L Phone: 503.7182439 Fax: 50` 1ING DIVISION 8/ Other Permit No.: Date/By: 10 a 1 4G� Inspection Line: 503.639.4175 7 1 G A R D Date Ready/By El See Page 2 for /6 .", dG� g Internet: www.tlgard-or.gov Notified Metho : Supplemental Information TYPE OF WORK` ay 4rf L.._ 69,1/f -..:FEE* SCHEDULE ❑Q New construction ❑Demolition For special information use checklist. Description I Qty. I Ea. 1 Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 01-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory buildingSFR(3)bath 500.32 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler(1,991 sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:17022 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 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.._) Page 2 Subdivision: Lot no,:25 Fixture or item: Tax map/parcel no.: Backtlow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 MULTIPURPOSE FIRE SPRINKLER SYSTEM Dishwasher 25.02 PERMIT# MST2021-00062 Drinking fountain 25.02 UNIT PLAN# G20 Ejectors/sump 25.02 DR PROPERTY OWNER 1 ❑ 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 0 APPLICANT> WI 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 Plan review (25%of permit fee) CCB Lic.:184601 Plumbing Lic.no.:PB732 State surcharge(12%of permit fee) Authorized signature: l ---�Li�� TOTAL PERMIT FEE /��y r SS This permit application expires if a permit is not obtained within 180 days Print name:Gavin Thomes Date:6.14.2021 after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1.ABuildingA Permits VPLMU-PermitApp.doc to/01/09 440-4616T(l0/02/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 dram-I'100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.522,001 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 Ins ections 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 engineer. Jacuzzi/Whirlpool Car lCar Wash: -Each Stall New exterior plumbing site utilities for any complex structure Drive Thru 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 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 4., ❑ 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 fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: L:\Building\Permits\PLMF_PennitApp.doc 08/04/2011 2 CITY OF TIGARD MASTER PERMIT s COMMUNITY DEVELOPMENT Permit: MST2021-00062 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/25/2021 Parcel: 2S106AC05300 Jurisdiction: Tigard Site address: 17022 SW LEMONGRASS LN Subdivision: RIVER TERRACE EAST 3 Lot: 249 Project: River Terrace Northeast No.3, Lot 25 Project Description: New attached dwelling BUILDING Floor Areas Reauired Setbacks Required Stories: 3 Bedrooms: 3 First: 335 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 36 Bathrooms: 4 Second: 658 sf Garage: 246 sf Front: 10 Smoke Dwelling Units: 1 Third: 998 sf Right: 0 Detectors: Yes Total: 1991 sf Value: $257,203.78 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 Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 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 Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 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-10o0v: 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 Yasin : Other: N Other Description: Ecom P 9� BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1991 Owner: Contractor: Required Items and Reports(Conditions) 1 Ersn Cntrl 503-639-4175 2 Fire Rated Conditions PHONE: PHONE: FAX: Total Fees: $29,156.42 • This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: }{ply V(m/De'We.*e Permittee signature: O►t'AppUCatwn Call 503.639.4176 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the Job site until completion of the project. Approved plans are required on the job site at the time of each Inspection. Building Permit Application ` , Residential FOR OFFICE USE ONLY �/� �/�/�,�� Cityof Tigard RECEIVE:, Date/By:f 22 .� PemitNo.:�g2O2 Q li Received q 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie �1 f ��,.``�/', Phone: 503.718.2439 Fax: 503.598.1960 FEB 10 2i�ii DateBy: 1l7/N 74 other Permt j � C��Z T 1 GARD Inspection Line: 503.639.4175 / Date Ready/By. 1 ass: PI See Page 2 for Internet: www.tigard-or.gov CITY OF IGARLr Notifie ethod: 2 Alf Supplemental Information TYPE OF WO REQUIRED DATA:I- D 2-FAMILY DWELLING ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. CATEGORY OF CONSTRUCTION �� '1$ Valuation: $ ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: '3 1,237 Job site address: 17022 SW LEMONGRASS LN New dwelling area: /9<7'�, square feet 9/g City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 04 f0 square feet Suite/bldg./apt.no.: Project name:River Terrace 1$f3C�(�',> iskst(' Covered porch area: square feet s Cross street/directions to job site: /VO ,2 Deck area: 'j 1 2 square feet Ot Afel tyi.gf JI square feet REQ IRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I Lot no. 25 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 ❑ 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 Phone:(360-695-7700 Fax: :( 360) 693-4442 Amount received: E-mail:permltSUbmlttalS@taylOrmorrlSOn.COm 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: $201.60 Authorized signature: Omar Alami Abouhafs This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Omar Alami Abouhafs Date: 02/10/21 *Fee methodology set by Tri-County Building Industry Service Board. 1:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) • Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard RECEIVE a� Permit No.:M57202/-cote '1 13125 SW Hall Blvd.,Tigard,OR 97223 Plao Review Phone: 503.718.2439 Fax: 503.598.1960nsp FEB 1 0 2021 Dale By: Othe Per s t: Y I f i?.it I i Inspection Line: 503.639.4175 Date Read /B bids: Internet: www.tigard-or.gov CITY OF TIGAR , Supplemental See Page 2 for Information TYPE OF WORKBUILDING DIVISION' COMMERCIAL i FEE* SCHEDULE.:— USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all Demolition ❑Other: mech,anical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RES DENTiAL EQUIPMENT/SYSTEMS FEES* ®1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. I j Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total JOB LN SITE FORMATION AND LOCATION Heafinglconlin„: - Air conditioning I 46.75 Job site address: 17022 SW LEMONGRASS LN 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.: Project name: River Terrace 1 B/3C 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 _ Other: 23.32 Subdivision: Roshak Ridge Lot no.: 25 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water beater 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 El OWNER ❑ TENANTOthS 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 Business name:Polygon WLH,LLC Fuel piping: $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 Rance E-mail:permitsubmittals(®UOr❑orriso ODD 0 Barbecue CONTRACTOR Clothes dryer(gas) Business name:Pro Heating&Cooling Ocher MECHANICAL PERMIT FEES' Address: NW Alociek Dr,Ste.1104 Subtotal City/State/ZIP:Hillsboro,OR Minimum permit fee(S90.00) 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 C.i A' a days after it has bees accepted as complete. Authorized signature: (�W u'�'a"n' • Fee methodology set by Tri-Cornty Building Indu stry Service Board Print name:Elia Duran • Date: 10/30/20 Electrical Permit Application FOR OFFICE LSE ONL'i CityTigard Permit#: /K 72'W veto,Z • 13125 o S Hall Blvd.,Tigard,OR 97223 •R EC Ely • ,Review Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#: Inspection Line: 503.639.4175 FEB 1 0 2021 Ready Date/By: lugs 66 See Page 2 for 716 AR 1) Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK CITY OF TIGARD PLAN REVIEW .. ®New construction ❑Addition/alteration/tII)1&Uern I'v I1!I OIt'1 P, Please check all that apply(submit 2 sets of plans wntems checked): UU I l_V U V tJ 1. ❑Senice or feeder 400 amps or more ❑Building over three stories. 0 Demolition D Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® I-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use ag cultural F ❑Multi-family ❑Master builder ❑Other: 0 Fire all other installations. buildings. u pump. 0 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:17022 SW LEMONGRASS LN I00HP or more. ❑"A","E","1.2","1.3", City/State/ZIP: Tigard OR 97224 ❑Six or more residential units. occupancy. 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: River Terrace 1 B/3C ❑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 Qtp. I Each I Total I New residential single-or multi-family dwelling unit. Subdivision: Roshak Ridge Lot#:25 Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 r Ea.add'1500 sq.ft.or portion 33.92 I 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.) 10 PROPERTY OWNER ❑ TENANT Renewable Energy 0 See Page 2 ";.a 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 to400 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 1 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 I El APPLICANT ❑ 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 Address: 703 Broadway St., Ste 510 branchcircuit r fee,fast 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 )816-7800 Fax::( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: permitsubmittals@taylormorrison.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Portland Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy 0 See Page 2 2 Address: 1915 E 5th St., Ste D panel,alteration,or extension. City/State/ZIP: Vancouver, WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( 360)314-4915 Fax:( ) Investigation(I hr min) 90.00/hr Industrial planthr m(1 in) 78.18/hr Email:paul@portlandelectric.biz Inspections for which no fee is CCB Lie.: 194066 Electrical Lie.: C760 Suprv.Lic.: 49205 specifically listed('G hr min) 90.00/hr Suprv.Electrician signature,required: //}} �� QQ � �� ELECTRICAL PERMIT FEES l/1.[.t,*_, R.Gf.Cece, Subtotal. Print name: Alex Shalya Date:10/30/20 ❑Plan Review Required(25%of permit fee): D - 0/II ,.4hKL State surcharge(12%of permit fee): Authorized signature: A eILQQ iniAd , TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: SergeyMishchuk Date:10/30/20 days after it has been accepted as complete. • Number of inspections allowed per permit. I:\BolldingWermits\ELC PernstApp_ELR_ERE.doc Rev 06/17/2015 44046157(11/05/CAd9WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE DescriptFee for all residential systems combined: $75.00 I Qn I Each Total I y 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: ❑ 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 66.25/hr 1 charged at an hourly(1 hr min) _ Inspections for which no fee is 90.00/hr specifically listed('G hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Paget): y * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems • n Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* n Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PerrnitApp_ELR_ERE.doc Rev 06/17/2015 • Plumbing Permit Application • 'Building Fixtures RECEIVE I FOR OFFICE USE ONLY City of Tigard RateBed f 57,4221 cdC If 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 10 2021 Date/By: Permit No.: lill 0 Plan Review Phone: 503.718.2439 Fax: 503.598.196� Other Permit No.; Inspection Line: 503.639.4175 ulTY OF TIGARD Date/By: T 1 GA RD Date Ready/By: lads: H See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special information use checklist Description 1 Qty. I Ea. j Total ❑Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 100$for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 ,X1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 17022 SW LEMONGRASS LN Catch basin or area drain 1 R.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.: I Project name: River Terrace 1 B/3C Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:-) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft: ) Page 2 Subdivision: I Lot no.: 25 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 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/Iavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail: permitsubmittals@taylormorrison.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:G&B Plumbing&Sons Inc Water g/D t n WV 56.29 Pip 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: $7250 CCB Lie.:184372 Plumbing Lic.no.:pb634 Plan review (25%of permit fee) � �� State surcharge(12%of permit fee) Authorized signature: UP'L, 'i V ISTOTAL 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. I.\Boildine\Permits\PLMO-PermitAno.doc 10/01/09 440-4616T(I a/02/COM/WEB) Plan # (j20 Floors _3 Large X (3) /\2 V Bed rooms 3 Small LAV Tub 3 Basement Vent S 1st Floor 335 Water Heater I 2nd Floor LE S Z. AC YES 3rd Floor 9V) School 6.,2AJ� n R-3 Total 19 D,u � I Garage Z4 4 �'K1 3 1 Total Z237 #for Elect t 1403-EL_ b City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT T t G A K D Building Permit Review — Residential Building Permit #: IAST2()21-COOP Site Address: J 2) SW Lemongrass Lane Project Name: River Terrace Northeast nio , 3 Lot #: 2 Planning Review Proposal: New rowhome ElVerify address/suite #active in Accela. Q In River Terrace: ❑ No ❑ Yes,River Terrace Review Addendum Site Plan Elements: ' r. ion Control DI copies of site plan on 8-1/2"x 11"or 11 x 17"paper J. stained trees with drip line and tree protection measures elorawn to scale (standard architect or engineer scale) ' ootprint of new structure(including decks)and FFE 12 orth arrow ° tility locations&easements(required for new and additions) 12.ite address,project or subdivision name and lot number °.i.,• alk dri Y approachvewa / ril pplicant information(name and phone number) ....'h cation of wells/septic systems 0 .t dimensions and building setback dimensions street tree size,type and location 11.quare footage of buildings to be demolished ,jtreet names . II xisting structures on site =Corner elevations(2'contours if more than 4'differential 111 .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? Wes o impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? es r o ❑ Clean Water Services-Service Provider Letter (lot platted prior to 9/10/1995): �JRequired: ❑Yes,applicant was notified 11 No Received: El Yes El No Water Meter Fixture Unit Worksheet-Additions,Remodels and ADUs Required: ❑Yes,applicant was notified ° No Received: Yes ❑s No ❑ SDC Exemption for ADU applied for: Yes El No Received: Yes El No ❑e Public Facilities Improvement (PFI) Permit: Required: El Yes,applicant was notified ❑ No Applied For: El Yes ❑ No,stop intake ❑. Land Use Case#: PDR2016-00013, MMD2020-00030 ❑o Zoning: R-25 El Required Setbacks: Front: 5/10 Rear: 0 Side: 0/3 Street Side: N/A Garage: 3 ❑s Building Height: Max. Height: N/A Actual Height: 36 ❑r Landscape Area: 20 % ❑s Lot Coverage Max: 80 Entrance '1Ser 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 _ Gara e door is behind ' treet-facing wall es ElNo,one of the following is met: ❑gDoor extends no more than 5 all an re is a covered porch extending beyond garage. ❑u Door extends no more than 5' fr an s a 12 sq ft.window above garage on 2nd floor. ❑ Gara e 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 ❑ Roof itch ❑ Gable,hi ,or gambrel ro Dormer Accent siding Wmdow trim U Window recess Ll Window projection N Visual Clearance ❑ Urban Forestry Plan Sensitive Lands: 0 Yes ILI No Type: Conditions met prior to issuance of building permit Notes:Outstanding conditions under PDDR2016y-00013; do not issue until re-plat recorded under MMD2020-00030 El Approved By Planning: C.�" Date: 2/19/21 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_122419.docx Building Permit Submittal , Original Submittal Date: 0-202/ Site Plans: # c3 Building Plans: #y 3 I Building Permit#: Enter building4ermit#above.Workflow Routing: (Planning Lt3'Engineering [ Permit Coordinator L.I Buildin g Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and :..:•„tig,inal plan review routing form. Building: original permit application,site plans,building plans,engineer and beam calculations and .4.t details,if applicable,etc. Notes: By Permit Technician: //,1JJ)l-� Date: 254121 Engineering Review �Et/slope at building pad: 22 11`Conditions "Met"prior to issuance of building permit /trAr r "Easements (encroachments) per engineering conditions of approval and plat E Water Quality/Quantity Facility: p-�/ Assess Water Quality Fee in-lieu: ❑ Yes LI"No Assess Water Quantity Fee in-lieu: ❑ Yes 4 o LIDA Facility on lot: ❑ Yes No No Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: 2�g��,/ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit Ef Approved, NOT Released: WI ijems not &rh . & Date: 3/Z 1 Z,o 2.. Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: ry SDC Exemption: ❑ Received YJ Does not a ly SDC Fees Entered: Wash Co Trans Dev Tax: gYes 11 N/A Tigard Trans SDC: 1CJ Yes 0 N/A Parks SDC: ,Yes ❑ N/A �7, LIDA ❑ Yes 1� N/A ,*OK to Issue Permit Approved by Permit Coordinator: A,y,M .,/1 ` Date: '2.4(&Zf 1:1B ui I di ng\Form s\BldgPermi tRvw_RE S_122419.do cx City of Tigard II IN COMMUNITY DEVELOPMENT DEPARTMENT C T I G A RD River Terrace Building Permit Review Addendum - IN::_:: • Building Permit #: M STEJ21—Q06 &2- Site Address: /*,2:2_ SW Lemongrass Lane Project Name: River Terrace Northeast Lot #: ,2 c— (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.640.O7O.1): 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.i rft dee Balcony w/ access 2 Window Projection Vertical Wall Offset a ( p ru,J ft. d❑eep min. 2ft., 5❑ft. wide min. 2 ft., fd.w5ide 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: >A2 7v 3. ntrances:At least one entrance must meet both of the foll ing 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 Entrance opens to a porch: Yes ❑No If s,all the following apply: d sq.ft. min. pine street facing entry ft. max. roof above floor of porch 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: Urvered 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 eave min. 12 inch projection OS offset min. of 2 ft. Roof shingles either tile or wood Lvryl Cyable,hip or gambrel roof design ❑Roof pitch oriented south min. 500 sq. ft. hYJ rizontal° lap siding min. 3-7 inches wide ❑Accent siding min. 40%of street facade L4\Vindow trim min. 21/2"wide by 5/8"deepf/ ❑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 s line on a corner I. . Setbac--• �k`\11 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 :. . 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 nit . : -a of 12 sq.ft. Width: (Check one) ❑12-foo - .e garage door ❑40% ma . • street facade 0 +Ye max. of street facade with 7 detailed design elements Notes: Approved By Planning: -z_ Date: 2/19/21 1'.IBuilding\FormslBldgPermitRvw_RES_RT_121417.docx City of Tigard . . _ : " :III a ~ COMMUNITY DEVET OPMENT DEPARTMENT 's i, ,� TIGARD Building Permit Review — Residential Building Permit#: Ik4&r1021-i '7 Site Address: /5'7', SW Lemongrass Lane Project Name: River Terrace Northeast hie , 3 Lot #: 2S-- Planning Review Proposal: New rowhome ElVerify address/suite #active in Accela. 0 In River Terrace: ❑ No El Yes, River Terrace Review Addendum Site Plan Elements: ° •a. ion Control I: copies of site plan on 8-1/2"x 11"or 11 x 17"paper ..'Gained trees with drip line and tree protection measures CD rawn to scale(standard architect or engineer scale) •ootprint of new structure (including decks)and FN 0 orth arrow Jtility locations&easements(required for new and additions) 21.ite address,project or subdivision name and lot number o'i.-, alk/driveway approach IN .pplicant information(name and phone number) ,Ye. ation of wells/septic systems oI� .t dimensions and building setback dimensions •treet tree size,type and location a..uare footage of buildings to be demolished ,,,Street names II-xisting structures on site L,omer elevations (2'contours if more than 4'differential 12 .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? l' 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): Required: ❑Yes,applicant was notified CI No Received: 0 Yes No . ) Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑Yes,applicant was notified ❑r No Received: Yes ❑r No SDC Exemption for ADU applied for: ❑Yes ❑s No HReceived: Yes ❑No L"J Public Facilities Improvement(PFI) Permit: Required: ❑Yes,applicant was notified ❑ No Applied For: Q Yes 0 No,stop intake El Land Use Case#: PDR2016-00013, MMD2020-00030 El Zoning: R-25 ElRequired Setbacks: Front: 5/10 Rear: 0 Side: 0/3 Street Side: N/A Garage: 3 ❑r Building Height: Max.Height: N/A Actual Height: 36 0 Landsca e Area: 20 % Q 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 Gara e door is behind ' 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 an 's a 12 sq ft.window above garage on 2°d floor. ❑ Gara e door width is ' ess ❑ 50%or less of faca 60%or less and includes 7 of following: Covered po Recessed entrance 0 Wall offset 1' o e — Roof offset F. gles Lap Siding ❑Ro f itch ❑ Gable,hi ,or gambrel ro Dormer Accent siding Window trim U Window recess U Window projection IVisual Clearance 0Urban 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 ❑ Approved By Planning: __ Date: 2/19/21 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved ❑ Not Approved I:\Building\Forms\BldgPemutRvw_RES_122419.docx Building Permit Submittal . Original Submittal Date: p'QOZ/ Site Plans: # t5 Building Plans: #�y 3 Permit#: L�yI.Enter building errmmit# above. �y Workflow Routing: u Planning W' ngineering Permit Coordinator Ll Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy Of permit application, (1) site plan, (1)building plan and R oyiginal plan review routing form. Budding: original permit application,site plans,building plans,engineer and beam calculations and .11-t details,if applicable,etc. Notes: By Permit Technician: %I/4f)7Ni Date: Z Q21 Engineering Review EErSlope at building pad: 24 d ['Conditions "Met"prior to issuance of building permit /Vl/i I[ "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: ❑ Yes o LIDA Facility on lot: ❑ Yes E No I Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: 14 Approved by Engineering: Date: t Revisions(after Building Submittal only) Reviewer Date Revision 1: El Approved 0 Not Approved Revision 2: El Approved 0 Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit gf Approved, NOT Released: W l, l '1s np-f am., -e. Al_ Date: 3 bZ I Zo L I Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: ry SDC Exemption: El a. Received Ury Does not a� ly SDC Fees Entered: Wash Co Trans Dev Tax: �I Yes N/A Tigard Trans SDC: Yes 0 N/A Parks SDC: Yes 0 7, LIDA ❑ Yes l� N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: 1:1Building\Forms\BldgPerm itRvw_RES_122419.docx City of Tigard 71 ' COMMUNITY DEVELOPMENT DEPARTMENT T 1 c n lz D River Terrace Building Permit Review Addendum Building Permit #: MYT2_011-000&&- Site Address: /^ SW Lemongrass Lane Project Name: River Terrace Northeast Lot #: _2S— (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? Q 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 midft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a p ft. d❑eep min. 2ft., 5❑ft.wide min. 2 ft., .wide Gabled dormer i ve 2. Eyes o e street: a minimum of 12°/ of each street facing facade must inclu a windows or entrance doors. Percentage Shown: >J.2 7a 3. ntrances:At least one entrance must meet both of the folly ing standards: 1cA Max. 8 ft. setback from long t street-facing u Parallel to street,angle no more than 45"from street, g acing wall or ope onto porch Entr ce 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 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: arkvered 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 ruin. 4 ft.wide E177 Roof eave min. 12 inch projection of offset min. of 2 ft. Roof shingles either tile or wood ble,hip or gambrel roof design ['Roof pitch oriented south min. 500 sq. ft. frizontal lap siding min. 3-7 inches wide}% ['Accent siding min.40%of street facade Fillindow trim min. 2 'A"wide by 5/8"deep / ['Window recess min. 3 inches for all street facing 0 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, rt line on a corner 1. . Setba 1�J� No closer to fron : ide lot line, than longest street-fa. . . II Yes 0 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 :,...• 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 - •'.a garage door ❑40%m.. . • street facade II i'A max. of street facade with 7 detailed design elements Notes: Approved By Planning: C Date: 2/19/21 1:\BuildinglForms181dgPmnitJvw_RES_RT_]21417 do x