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Permit . W Plumbing Permit ApplicatiptECEIVED Building Fixtures y g i' 6 ZLi Received �f 13125 Of Tigard I Date/By. Permit No.:P`"'�'2.O 1'�I o _/ v SW Hall Blvd.,Tigard,OR 972 3 } U� (J•/(�1 x.{J�J�(J� _; Plan Review�y Phone: 503.718.2439 Fax: 503.598( Ty OF TIGARD Date,By: e j/Iola! A 1j(n Other Permit No.: Inspection Line: 503.639.4175 03 63�4175 BUILDING DIVISIONReady/By: y } d/p, / QC S See Page 2 for C I G A R D Date Read /B Internet wwwtt and-Or. ov Notified/Method v Supplemental Information TYPE OF WORK 1-11.-- 011 1 .., FEE* S ED'CTJ.E 0 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 CONSTRUCTION SFR(I)bath 312.70 ❑ y I-and 2-family dwelling SFR(2)bath 437.78 g ❑Commercial/industrial ❑Accessory building El Multi-family SFR(3)bath 500.32 ❑Master builder ❑Other: Each additional bath/kitchen 25.02 Fire sprinkler(1,771 sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:17034 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: I Lot no.:24 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# MST2021-00061 Drinking fountain 25.02 UNIT PLAN# F20 Ejectors/sump 25.02 pie PROPERTY OWNER ❑ 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 0 APPLICANT NI CONTACT PERSON Interceptor/grease trap 25.02 Business name: Alliance Plumbing, LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: Gavin Thomes Root 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 CONTRACTOR i Water closet 25.02 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 Lic.:184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: �✓',/_, TOTAL PERMIT FEE /�4, r f 73 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 Tri-County Building Industry Service Board. i A Building V Permits VPLMU-PermitApp.doc I0/01/09 440-4616T(10/02/COM/WEB) f Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Q�r'> fee c ►1 Total Square Footage: Permit Fee: Footing drain-I''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 S10,001.00 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 ❑ 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 0 New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. -Drive Thru ❑ Medical gas and vacuum systems for health care facilities. Cuspidor/Water Aspirator Dishwasher. Commercial El Any multipurpose fire sprinkler system. Domestic ID Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 3" Isometric or Riser Diagram -4" ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain that meet the qualifications above. Garbage -Domestic non-food Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -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: 1:\Building\Permits\PLMF_PermitApp.doc 08/04/201I 2 CITY OF TIGARD MASTER PERMIT 111 111 COMMUNITY DEVELOPMENT Permit#: MST2021-00061 Date Issued: 05/25/2021 T I G A R P 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S106AC05200 Jurisdiction: Tigard Site address: 17034 SW LEMONGRASS LN Subdivision: RIVER TERRACE EAST 3 Lot: 248 Project: River Terrace Northeast No. 3, Lot 24 Project Description: New attached dwelling BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 68 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 36 Bathrooms: 3 Second: 670 sf Garage: 530 sf Front: 10 Smoke Dwelling Units: 1 Third: 1033 sf Right: 0 Detectors: Yes Total: 1771 sf Value: $243,834.22 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 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'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-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecornpasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1771 Owner: Contractor: WILLIAM 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: $28,508.77 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. Holly Vra vvDe,Wege Issued By: Permittee Signature: (7VLAr1pU�r�i;n�L Call 503.939A175 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 she at the time of each Inspection. Budding Permit Application ' Residential HECEIVED FOR OFFICE LSE ONLY City of Tigard FEB 10 2021 DReceived •g_ %'1 PennitNom&r202/-000(7/ • 13125 SW Hail Blvd.,Tigard,OR 97223 Plan Review LI IN II Phone: 503.718.2439 Fax: 503.598.19�01�/OF IGARD Date/By: jet ZMcOther perziN0 202.1 ' 0050 Inspection Line: 503.639.4175 Date Read Br. / rur ® See Page 2 for TIGARD Internet: www.tigard-or.gov BUILDING DIVISION Notifi-.'ethod� ! �I /4.� Supplemental Information TYPE OF WORK REQUIRED DAT. :I-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 i CATEGORY OF CONSTRUCTION work indicated on this application.Valuation: $ '� ® 1-and 2-family dwelling 0 Commerciallindustrial /16344 r 3❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: )3 ,23o Job site address: 17034 SW LEMONGRASS LN New dwelling area: /7?l square feet t e, City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 530 square feet 1070 Suite/bldg./apt.no.: Project name:River Terrace 1.13 Novtiet, Covered porch area: square square feet Ia c Cross street/directions to job site: Ale , 3 Deck area: (1-r� square feet Otheer�struc[ttr�apgq;,r, as square feet REQUIRED D))�(ATA::COMMERCIAL-USE CHECKLIST Subdivision•River Terraro Ar ea 3 I Lot no.70- 74, Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Single Family Attached Building#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 ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name:Polygon Homes WLH, LLC (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name:Omar Alami Abouhafs FLS plan review fee(if applicable): Address:703 Broadway St., Ste 510 City/State/ZIP:Vancouver, WA 98660 Total fees due upon application: Phone:( Fax: :( 360) 693-4442 Amount received: 360-�95 7700PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail:permitsubmittals@taylormorrison.com Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name:Polygon Homes WLH, LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:703 Broadway St., Ste 510 Solar Installation Specialty Code checklist. 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 Total fee due upon application: $201.60 Authorized signature: Omar Alami Abouhafs This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Omar Alami Abouhafs Date: 02/10/21 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY ::" n ', _.. • City of Tigard RECEIVED Received Date/By: No.t,A_,ST2021-000 to i " 13125 SW Hall Blvd.,Tigard,OR 97223 'L Plao Review Phone: 503.718.2439 Fax: 503.598.1960IIII FEB 10 2021 Date/By. Other Permit: Inspection Line: 503.639.4175 I1iiA ; Date Ready/By: ton y: s: RI See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD RD Notified/Method: Supplemental Information BUILDING DIVISION TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USECHECIG,IST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® I-and 2-family dwelling ❑ Commercial/industrial ❑Accessory building For special information use checklist- I J Multi-family El Master builder ❑ Other. Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning I 46.75 Job site address: 17034 SW LEMONGRASS LN Furnace 100.000 BTU(duets/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.: 24 - Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 — Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ® PROPERTY OWNER ElTENANT 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: 2332 Business name:Polygon WLH,LLC Fuel piping: $14.15 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 heater City/State/ZIP:Vancouver,WA 98660 Water beater Phone:(360)695-7700 Fax: :(360)693-4442 Fireplace — Range E-mail:permitsubmittalser A Ottr0orrisoDOM0 Barbecue '011. CONTRACTOR Clothes dryer(gas) Business name:Pro Heating&Cooling Other: MECHANICAL PERMIT PEES* 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 lie.:209001 TOTAL PERMIT FEE [' {(� This permit application expires if a permit is not obtained within 180 Q; , 1 Jul. . days after it has been accepted as complete. Authorized signature: C..�w�� ..JJ * Fee methodology set by Tri-County Building Industry Service Board ............. Print name: Elia Duran Date: 1 0/30/20 RECEIVE Electrical Permit Application FOR OFFICE IISE ONLY City of Tigard FEB 10 Zan Received C ^I^^W^O Dateiv : Permit# J L 6 IIII • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review • Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGARD DateB': Related Permit#: - Inspection Line: 503.639.4175 •eady Date.B tuns: l See Page 2 for I lt'11s 1J Internet: www.tigard-orgoV BUILDING DIVISIO otified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF.CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling ❑Commerciallindustrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. 0 Multi-family ❑Master builder ❑Other: ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address:17034 SW LEMONGRASS LN 100HP or more. ❑"A","E","1.2","I-3", City/State/ZIP: Tigard OR 97224 ❑Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: River Terrace 1 B/3C 0 Hazardous locations. 0 Supply voltage for more than O Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE _ Description 1 Qty. I Each I Total -I-.• New residential single-or multi-family dwelling unit. Subdivision: Roshak Ridge Lot#:24 Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 Ea.add'I 500 sq.ft.or portion 33.92 L DESCRIPTION OF WORK Limited energy,residential (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 _ residential(with above sq.ft.) Renewable Energy ❑ See Page 2 CI PROPERTY OWNER ❑ 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 Emaihpermitsubmittals@taylormorrison.com relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 t 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 El APPLICANT ❑ CONTACT PERSON .4 Branch circuits—new,alteration,or extension,per panel II 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'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360 )816-7800 Fax::( ) Each manufactured or modular 67.84 2 Email: permitsubmittals@taylormorrison.com dwelling,service and or feeder Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Portland Electric Sign or outline lighting 67.84 2 • Address: 1915 E 5th St. Ste D Signaln lteraion(s)orlextension. ❑ See Paget 2 panel,alteration,or extension. City/State/ZIP: Vancouver, WA 98661 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66.25/hr Phone:( 360)314-4915 Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email:pawl@portlandelectric.biz - Inspections for which no fee is 90.00/hr CCB Lic.: 194066 Electrical Lic.: C760 Suprv.Lie.: 49205 specifically listed(s2 hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: ak„t,. AI Subtotal: Print name: Alex Shalya Da e:10/30/20 0 Plan Review Required(25%of permit fee): ']�� Q L State surcharge(12%of permit fee): Authorized signature: �titir fa- / 1 LL�/L.C.//l.f./�4. TOTAL PERMIT FEE: (/ This permit appticadon expires if a permit is not obtained within 180 Print name: Sergey Mishchuk Date:10/30/20 days after it has been accepted as complete. • Number of inspections allowed per permit. I:1BuildinePermits\ELC_PermitApp ELR_ERE.doc Rev 06/ID2015 440-4615TQ1/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: MIL FEE SCHEDULE DescrFee for all residential systems combined: $75.00 0° Qrv. I each Total 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 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 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >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: ❑ Other: Each additional inspection is 66.25/hr charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed(%hr min) ELECTRICAL PERMITS COMMERCIAL WORK ONLY: Subtotal(Enter on Page If Fee for each commercial system: $75.00 . Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems • ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation HVAC ❑ Instrumentation n Intercom and Paging Systems ❑ Landscape Irrigation Control* • ❑ Medical n Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling • n Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations [\Building\Permits'ELC_PermitAppELR_ERE.doc Rev 06/17/2015 .Plumbing Permit Application RECEIVE Building Fixtures FOR OFFICE USE ONLY City of Tigard FEB 10 2021 Received Permit No.:MST2OZF Date/By: _ Del) 1111 II 13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF TIGARD Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No.: TIGARD Inspection lane: 503.639.4175 BUILDING DIVISIOI%ate Ready/By: Jae s: H See Page 2 for Internet: www.tigard-or.gov Notified/Method: _ Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist. Description Qty. Ea. 1 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 ,I-and 2-family dwelling ❑CommerciaVindustrial SFR(2)bath 437.78 0 Accessory building VA-Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 0 Master builder ❑Other: Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 17034 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.: 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.: 24 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwatervalve 12.51 Clothes washer 25.02 . Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® 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 ❑ 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 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:G&B Plumbing&Sons Inc Water piping%DWV 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 review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name: Steve Fowler Date: 1 0/30/20 after it has been accepted as complete. *Fee methodology set by TO-County Building Industry Service Board. L\Build-me\Pmnits\PLMU-PermitAon.doc 10/01/09 440-4616T(10/02/COM/WEB) Plan # F"Z( � Floors 3 2 Large / Bed rooms J Small / ✓ WC -3 ✓ 1 LAV t-' LOTS 2Z 3 2Li Tub 2- Basement �� Vent 1st Floor Water Heater ( 2nd Floor -7C) AC .,,---S 3rd Floor I D 3.-- School ,Pllxv-✓.4-011-\ R-3 Total 17-7 T L_�,L/2(v Garage 53b bL C__D ijr 7it3 Total 2:3o I \D \0: b #for Elec 3 City of Tigard ligq COMMUNITY DEVELOPMENT DEPARTMENT TlG 4RD Building Permit Review — Residential Building Permit #: U. T24"00061 Site Address: �jz/ SW Lemongrass Lane Project Name: River Terrace Northeast ^9, 3 Lot #: Planning Review / Proposal: New rowhome Q Verify address/suite #active in Accela. 0 In River Terrace: ❑ No ❑. Yes, River Terrace Review Addendum Site Plan Elements: ' rr ton Control 0: copies of site plan on 8-1/2"x 11"or 11 x 17"paper � �`6tained trees with drip line and tree protection measures CIIII yawn to scale(standard architect or engineer scale) Footprint of new structure (including decks) and FFE O orth arrow _,Jtility locations&easements(required for new and additions) Mite address,project or subdivision name and lot number 'is,k alk/driveway approach O pplicant information(name and phone number) ..Pi.cation of wells/septic systems 0 .t dimensions and building setback dimensions ,::Street tree size,type and location 1tquaxe footage of buildings to be demolished ,Street names • II xisting structures on site Corner elevations(2'contours if more than 4'differential_ O .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? tP 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): ��jj Required: 0 Yes,applicant was notified ❑r No Received: ❑Yes No LI Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑Yes,applicant was notified ° No Received: 0 Yes ❑o No ❑ SDC Exemption for ADU applied for: Yes ElNo Received: ❑Yes ❑No ❑r Public Facilities Improvement(PFI) Permit: Required: ElYes,applicant was notified 0 No Applied For: ❑r Yes ❑No,stop intake ElLand Use Case#: PDR2016-00013, MMD2020-00030 ElZoning: R-25 El Required Setbacks: Front: 5/10 Rear: 0 Side: 0/3 Street Side: N/A Garage: 3 El Building Height: Max.Height: N/A Actual Height: 36 ❑r Landsca e Area: 20 % CI 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 door is behind • treet-facing wall es 0 No,one of the following is met: Door extends no more than 5 ll 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"d floor. ❑ Gara 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 0 Gable, ,or gambrel ro Dormer IAccent siding Window trim U Window recess U Window projection Visual Clearance ❑° Urban Forestry Plan Sensitive Lands: ❑ 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 Q Approved By Planning: O� _ Date: 2/19/21 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved 1\Building\Forms\BldgPermitRvw_RES_122419.docx Building Permit Submittal r Original Submittal Date: t%2/ 72/ Site Plans: # 3 Building Plans: # -3 Building Permit#: Enter building ermit#above. �y �y� Workflow Routing: Planning Engineering L'I Permit Coordinator 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 �yoriginal plan review routing form. CJ Building: original permit application, site plans,building plans, engineer and beam calculations ands st details,if applicable,etc. Notes: / �/�� By Permit Technician: - liii" Date: G�i"— 1P12-i Engyrieering Review �ope at building pad: .2/g Ar conditions "Met"prior to issuance of building permit //A Easements (encroachments)per engineering conditions of approval and plat Er Water Quality/Quantity Facility: l Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes IyJ�No alloFacility on lot: ❑ Yes No ❑ Final Plat Recorded: ❑ NOT Approved by Engineering: Date: ,N,,ot/es: LI Approved by Engineering: Date: ,Z/„x_c72/ Revisions (after Building Submittal only) Reviewer ` Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit Approved, NOT Released: PF1 kAanS no-►--ei-A, pL k , /fit.. Date: 3'2I2ZZ( Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: yRevision Notice 2: Date Sent to Applicant: mil,SDC Exemption: ❑ Received Does not a� ly SDC Fees Entered: Wash Co Trans Dev Tax: 2'Yes N/A Tigard Trans SDC: ,Z Yes ❑ N/A Parks SDC: .'Yes ❑ N/A LIDA ❑ Yes 0 N/A J2/0K to Issue Permit Approved by Permit Coordinator: P4,t ,. Date: 4I2,)(26 2.4 l:\Building\Forms\BldgPermitRvw_RES_122419.docx r . City of Tigard 71 . . u COMMUNITY DEVELOPMENT DEPARTMENT TIGARD River Terrace Building Permit Review Addendum Building Permit #: MSTZ021-40Xe I Site Address: 3i/ SW Lemongrass Lane Project Name: River Terrace Northeast Lot #: (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? 11 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 nii ft. dee 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 LI 2. Eyes o t�t: a minimum of 12°/ of each street facing facade must include windows or entrance doors. Percentage Shown: >,/2 �V 3. trances:n At least one entrance must meet both of the fo g standards: 1pL1 Max. 8 ft. setback from ion t street- Parallel to street,angle no more than 45' from street, g t facing wall or ope onto porch Entr nce opens to a porch: Yes ❑No If s,all the following apply: sq.ft. min. bne 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: ❑ vered porch min. 5 ft.wide x 5 ft. deep V ❑Recessed entry area min. 5 ft.wide x 2 ft. deep all offset min. 16 inches ❑ orrner nun. 4 ft.wide Roof eave min. 12 inch projection' We' offset min. of 2 ft. Roof shingles either tile or wood Vable,hip or gambrel roof desigrr ElRoof pitch oriented south min. 500 sq. ft. srizontal lap siding min. 3-7 inches wider/ El Accentsiding min. 40%of street facade t)Q Window trim min. 2 1/2"wide by 5/8"deep fe> "'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 lgt line on a corner 1. . Setb. `�J� No closer to fron : ide lot line, than longest street-fa ' I .•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 . . -a of 12 sq.ft. Width: (Check one) ❑12-foo - ':e garage door ❑40%ma.. • street facade 111 i'/o max. of street facade with 7 detailed design elements Notes: Approved By Planning: ,_ Date: 2/19/21 1\BuildinglForms OldgPertnitRvw_RES_RT_:21417.docx ` City of Tigard 71 v COMMUNITY DEVELOPMENT DEPARTMENT 1 5 TIGA n Building Permit Review — Residential Building Permit #: M9-2I-6006 I Site Address: L/ SW Lemongrass Lane Project Name: River Terrace Northeast n111, 3 Lot #: Planning Review Proposal: New rowhome QVerify address/suite #active in Accela. Q In River Terrace: ❑ No El Yes,River Terrace Review Addendum _ Site Plan Elements: �gi Sion Control Ilk copies of site plan on 8-1/2"x 11"or 11 x 17"paper es`[tained trees with drip line and tree protection measures Dprawn to scale(standard architect or engineer scale) •ootprint of new structure(including decks)and FH 11 orth arrow 'Litany locations&easements(required for new and additions) °bite address,project or subdivision name and lot number '"i alk/driveway approach IS applicant information(name and phone number) cation of wells/septic systems 1.ot dimensions and building setback dimensions ,'„,Street tree size,type and location i.quare footage of buildings to be demolished ,L,,3treet names sting structures on site ' omer elevations(2'contours if more than 4'differen .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? L"R es impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? es ' o ❑ Clean Water Services —Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑Yes,applicant was notified 0 No Received: 0 Yes Q No Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑Yes,applicant was notified El No Received: ❑Yes ❑No ❑ SDC Exemption for ADU applied for: 0 Yes Q No Received: ❑Yes El No QPublic Facilities Improvement (PFI)Permit: Required: Q Yes,applicant was notified 0 No Applied For: ❑r Yes ❑No,stop intake Q Land Use Case#: PDR2016-00013, MMD2020-00030 Q zoning: R-25 QRequired 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 0 Landscape Area: 20 ,y. 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 Gan e door is behind ' treet-facing wall es ❑ No,one of the following is met: ❑gDoor extends no more than 5 ll an re is a covered porch extending beyond garage. uuDoor extends no more than 5'fr an s a 12 sq ft.window above garage on 2nd floor. ❑ Gar 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' les Lap Siding ❑Roof itch ❑ Gable,h i ,or gambrel ro Dormer Accent siding Window trim U Window recess U Window projection aa� I Visual Clearance 0 Urban Forestry Plan Sensitive Lands: 0 Yes ❑ No Type: Conditions met prior to issuance of building permit Notes:Outstanding conditions under PDDR201y6-00013; do not issue until re-plat recorded under MMD2020-00030 El Approved By Planning: t �{—. _- Date: 2/13/21 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved 0 Not Approved IA Building Building Permit Submittal ' Original Submittal Date: /O f2/ Site Plans: # Building Plans: # Building Permit#: BEnter buildin ermit#above. ry L�I Workflow Routing: Planning Engineering LI Permit Coordinator — n Buildig 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 �yoriginal plan review routing form. L7 Building: original permit application,site plans,building plans,engineer and beam calculations and .yI st details,if applicable,etc. Notes: By Permit Technician: ii�/. Date: Z% 1l12-1 Engineering Review lope2 at building pad: onditions "Met"prior to issuance of building permit LI Easements (encroachments) per engineering conditions of approval and plat Er Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes IAKo Assess Water Quantity Fee in-lieu: ❑ Yes 'No LIDA Facility on lot: 0 Yes ErNo ElFinal Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: LI Approved by Engineering: Date: 2/g,S7-2 f Revisions(after Building Submittal only) Reviewer ` Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved El Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ,Approved,NOT Released: ?Ft tkryIS nui—Crn-t , /{i.. Date: 3'212p 2I Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: �yRevision Notice 2: Date Sent to Applicant: ..a-SDC Exemption: 0 Received Does not a inly , SDC Fees Entered: Wash Co Trans Dev Tax: ErYes U N/A Tigard Trans SDC: ,0 Yes El N/A Parks SDC: O Yes ❑ N/A LIDA ❑ Yes /Er N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building1Fonns\BldgPenn itRvw_RES_122419.docx City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT TIGARD River Terrace Building Permit Review Addendum Building Permit #: Ms` 2L)2/-Q00(Q I Site Address: 3L/ SW Lemongrass Lane Project Name: River Terrace Northeast Lot #: (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? Il 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. dee Balcony w/access 2 Window Projection Vertical Wall Offset a p ft. d❑eep min. 2ft., 5❑ft.wide nun. 2 ft., .wide Gabled dormer 65 2. Eyes o e street: a minimum of 12°/ of each street facing facade must include windows or entrance doors. Percentage Shown: >A2 �a 3. ntrances:At least one entrance must meet both of the follq�ving standards: d Max. 8 ft. setback from long t street- facing wall ��Parallel to street, angle no more than 45° from street, or ope onto porch dnce opens to a porch: Yes ❑No ,all the following apply: sq.ft.min. ne 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: vered 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 projectiort� V 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. l I�erizontal lap siding min. 3-7 inches wide/'' ❑Accent siding min. 40%of street facade endow trim min. 2 Ih"wide by 5/8"deep f iA> ❑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 corner I. Setba No closer to fron : ide lot line,than longest street-fa . : . . I 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 :.i.-•• 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%in. . • street facade III i/o max. of street facade with 7 detailed design elements Notes: Approved By Planning: Date: 2/19/21 1:1Bui1 di ngWorm s1BldgPerminRvw_RES_Rr_121417.docz