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Permit Plumbing Permit ApplicRFC1VED Building Fixtures i, .. FOR orrlcF I`SI. OyI.I City of Tigard Received 2120iII 4� y �-yy PermitNo13125SWHall Blvd. Tigard,OR t�` FI IGARD Plan Revi Phone: 503.718.2439 Fax: 503.�.196� Other Permit No.: p BUILDING DIVISION! Date/By: g^ U;� 4G� Inspection Line: 503 639.4175 Date Read/s 1 16 A R I) y Y' ® See Page 2 for Internet' www.tigard-or.gov Notified/Method 0/ 7/.7-� C Supplemental Information TYPE OF WORK T�._ff 1eftti J[* SCIIEDIFLE ❑■ New construction ❑Demolition For special information use checklist. I)escoption I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New I-2-family dwellings(includes I00 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 ■ 1-and 2-family dwelling SFR(2)bath 437.78 ❑ y g ❑Commercial/industrial SFR(3)bath 500.32 ❑Accessory building ❑Multi-family Each additional bath kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler(1,971 sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:12949 SW Meadowbrook 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.: Project name: River Terrace NE No. 2 Bldg 4 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.:20 Fixture or item: Pax 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# MST2021-00051 Drinking fountain 25.02 UNIT PLAN# E20 Ejectors/sump 25.02 IN 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 ill 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 CONTRACT, 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 I Other: 25.02 City/State/ZIP: Troutdale,OR 97060 Subtotal Minimum permit fee: $72.50 Phone:( 503)492-3490 Fax:( ) Plan review (25%of permit fee) CCB Lic.:184601 Plumbing Lie.no.:PB732 State surcharge(12%of permit fee) Authorized signature: ,/�_L�--�� TOTAL PERMIT FEE ilk,5 3 V 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. 11BuddingVPermitsVPLMU-PerrniiApp.doe 10/01/09 440-4616T110/02/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-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: Stone&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'ins ections or FeesFee each additional$100.00 or fraction thereof,to Qty.', (ea) Total , and including$I0,000.00. 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 PP Y• ❑ Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool Car Wash: Each Stall ❑ New exterior plumbing site utilities for any complex structure Drive tallThr as defined in OAR918-780-0040. Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: -Commercial ElAny multipurpose fire sprinkler system. Domestic ❑ Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 3» Isometric or Riser Diagram ❑ 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 MachJRefrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lap/Bar non-food related -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes Water Extractor fees assessed for the sewer increase must be paid before the Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:ABuilding\Permits\PLMF PermitApp.doc 08/04/2011 2 CITY OF TIGARD MASTER PERMIT II tt •„ COMMUNITY DEVELOPMENT Permit 0: MST2021-00051 Date Issued: 06/08/2021 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S106ACO2300 Jurisdiction: Tigard Site address: 12949 SW MEADBROOK LN Subdivision: RIVER TERRACE EAST 3 Lot: 264 Project: River Terrace Northeast No.2, Lot 20 Project Description: New attached dwelling . BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 300 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 36 Bathrooms: 4 Second: 673 sf Garage: 242 sf Front: 10 Smoke Yes Dwelling Units: 1 Third: 998 sf Right: 3 Detectors: Total: 1971 sf Value: $255,890.76 Rear: 5 PLUMBING Sinks: 2 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain 0 Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Tvoes 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-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio S Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Y Other: N Other Description: Ecornpasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1971 Owner: Contractor: POLYGON WLH LLC WLLIAM LYON HOMES INC Required Items and Reports(Conditions) 703 BROADWAY ST STE 510 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $29,098.28 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: NallyVGLfviVP'We,ae Permittee Signature: OYVApplicali.on Call 503.639A175 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 RECEIVED FOR OFFICE USE ONLY Cl of Tigard e 7 d Received .,� 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 1 20%1 Date sy. w � �� I Permit No. ` W.J a�'� I g Q i DPlate/By. Review .`' 2 A,/L C�Wk2, 07/ � Phone: 503.718.2439 Fax: 503.598.1960 ar !K�(, Other Perr@➢W G.(J(� Y T I G A R U Inspection Line: 503.639.4175 CITY OFF Pi..i Li Date Ready/By': �� / i y�,� la See Paget for Internet: www.tigard-or.gov BUILDING DIl/i,'r'ys C ethod: /l�l/� /� l l� Supplemental Information TYPE OF WORK REQUIRED DATA: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 CATEGORY OF CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ '2_6 5, S I O El Accessory building El Multi-family Number of bedrooms: `�3 El builder El Other: Number of bathrooms / � t JOB SITE INFORMATION AND LOCATION Total number of floors: �('3 2_2(3 Job site address: 12949 SW MEADBROOK LN New dwelling area: 'f09�-I square feet 99 C6 City/State/ZIP:Sherwood, OR 97140 Garage/carport area: .24 G-. square feet kt13 Suite/bldg./apt.no.: Project name:River Terrace 1 Bt3'E104ktg Covered porch area: square feet 3D0 Cross street/directions to job site: Deck area: square feet Othclr.Struct4;e ar o: 5L square feet REQUIRED LDATA:iCOMMERCIAL-USE CHECKLIST Subdivision:River Terrace Ar-ea-3—/ vt7 I Lot no. 20 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#4 lots 15-20 Valuation: $ Existing building area: square feet New building area: square feet :4 PROPERTY OWNER 0 TENANT Number of stories: Name:Polygon Homes WLH, LLC Type of construction: Address:703 Broadway St., Ste 510 Occupancy groups: City/State/ZIP:Vancouver, WA 98660 Existing: Phone:(360-695-7700 Fax:(360)693-4442 New: IN APPLICANT ❑ 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 Fax::( 360) 693-4442 Amount received: Phone: (360�95-7700 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail:permitsubmittals@taylormorrison.com Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:Polygon Homes WLH, LLC Submit two(2)sets of roof plan with connection details 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: $201.60 Authorized signature: Omar Alami Abouhafs This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name:Omar Alami Abouhafs Date: 02/10/21 Service Board. I:1Building\Permits\BUP-RFSPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB) Mechanical Permit Application r FOR OFFICE USE ONLY City g of Tigard RECE9++1! 'eived may. M I �I ` y. Permit No. I t 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 FEB 1 0 2021 Date/By: Other Permit: ti 1,I� inspection Line: SD3.639.4175 , Date Ready/By: saris: RI See Page 2 for Internet: www.tigard-or.gov CITY Tr OF TIGA_Ls NotifiedMlethod: Supplemental Information BUILDING D1V1s!0+ t TYPE OF WORK COMMERCIAL FEE* SCFIFDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION REsmENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling ❑ Commercial/industrial ❑Accessory building For special information use checklist. 1 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: 12949 SW MEADBROOK LN Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/veaa) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: River Terrace 1 B/3C 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 Subdi rision: Other: 23.32 Roshak Rid9e Lot no.: 20 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 El 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/crawlapace fans 23.32 APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name:Polygon WEB,LLC Fuel piping: S14.15 for first four;$4.03 for each additional Contact name:Tonja Morris Furnace,etc. Address:703 Broadway St.,Ste 510 Gas heat pump Wall/suspended/unit heater, City/State/ZZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax: :(360)693-4442 Fireplace Range E-mail:permitsubmittals( Ebro orriso Dom❑ Barbecue CONTRACTOR Clothes dryer(gas) Business name:Pro Healing AtCooling 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 �a, a hi r 0 „ days after it has been accepted as complete. Authorized signature: c v w na i t ' Fee methodology set by Tri-Comfy Building Industry Service Board Print name:Elia Duran Date: 10/30/20 Electrical Permit Application Ire FOR OFFICE IISL 0N1.1 City of Tigard ������^° , Ua Permit#: I� ZO2.'-00�../( • 13125 SW Hall Blvd.,Tigard,OR 97223 0 2021 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 r E s 1Date/By: Related Permit it: Inspection Line: 503.639.4175 Ready Date/By: orris. El See Page 2 for I I( 4lI U Internet: www.tigard-orgov CITY („ Y' Notified/Method: Supplemental Information TYPE OF W tt.����1{4J vr-' 1MVi'31UN 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. 0 Demolition 0 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 ❑Commercialindustrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural Fires for ❑Multi-family ❑Master builder 0 Other: other installations. ns 0 Fire pump. 0 Installation tallation 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:12949 SW M EADBROO K LN 100HP or more. ❑"A"."E","1-2","1-3", 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 ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qtr. I Each I Total I " New residential single-or multi-family dwelling unit. Subdivision: Roshak Ridge Lot#:20 Includes attached garage. Tax map/parcel#: 1,000 sq.ft.orless 168.54 4 Ea.add'I 500 sq.ft.or portion 33.92 1 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 0 See Page 2 Z] PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name: Polygon Homes WLH, LLC 200 amps or less 100.70 2 Address: 703 Broadway St., Ste 510 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: Vancouver, WA 98660 601 amps to 1,000 amps 301.04 2 Phone:(360 )695-7700 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email:permitsubmittals©taylormorrison.com relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 ® APPLICANIT' ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name: Polygon Homes WLH, LLC above service or feeder fee, 7.42 2 each branch circuit Contact name: Omar Alami Abouhafs B.Fee for branch circuits without service or feeder fee,first Address: 703 Broadway St., Ste 510 branch circuit 56.18 2 City/State/ZIP: Vancouver WA 98660 Each add'I branch circuit 7.42 2 Phone: 360 816-7800 Fax: : Miscellaneous(service or feeder not included) ( ) ( ) 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 ❑ 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 plant(I hr min) 78.18/hr Email:paul@portlandelectric.biz Inspections for which no fee is 90 00/hr CCB Lic.: 194066 Electrical Lic.: C760 Suprv.Lic.: 49205 specifically listed(''A hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: c,,, f n jt-a, Subtotal: Print name: Alex Shalya Date:10/30/20 0 Plan Review Required(25%of permit fee): p p State surcharge(12%of permit fee): Authorized signature: AeJ1.�e l� L ttaza TOTAL.PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: SergeV MlshChuk Date:10/30/20 days after it has been accepted as complete. Number of inspections allowed per permit. I.1Building\Permits\ELC PermilApp F.I.F ERE.doe Rev 06/17✓2015 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Description Qty. Each I Total Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or 100.70 2 5.01 to 15 kva 133.56 2 n Audio and Stereo Systems* 15.01 to25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 n Garage Door Opener* 50.01 to too 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 an_of the above: n 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(9a hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 allowed Subtotal(Enter on Page 1): y * Number of inspections allowe 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 n Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls n Outdoor Landscape Lighting* n Protective Signaling ❑ Other: Total number of commercial systems: _ *No licenses are required. Licenses are required for all other installations 11BuildingiPermits6ELC_PermitApp_ELR_ERE.doc Rev 06/172015 Plumbing Permit Application ' Building Fixtures RECEIVED FOR OFFICE USE ONLY City of Tigard FEB 1 2021 Received � / fi er,C V Date/By: Permit No.:Y" TZV�p 71 11111 q 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review = Phone: 503.718.2439 Fax: 503.598.11[ TY OF TIGARD Date/By: Other Permit No.: TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: Suns: H See Page2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special information use checklist. Description Qty. Ea. I Total _ ❑Addition/alterationlreplacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ,l-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ID Accessory buildingSFR(3)bath 500.32 -Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site Catch basin or area drain address: 12949 SW MEADBROOK LN18.76 _-- --"--__ 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: l Lot no.: 20 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 �4 PROPERTY OWNER ❑ 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 El APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:Polygon WLH,LLC Medical gas(value:$ ) Paget Contact name:Tonja Morris Primer 12.51 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 Lie.: 184372 Plumbing Lic.no.:pb634 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name:Steve Fowler Date: 1 0/30/20 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:lauildinelPsrmiu'3LMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard si COMMUNITY DEVELOPMENT DEPARTMENT Is ' TIGARD Building Permit Review — Residential Building Permit #: Pt sr2D 21 ( )O; 1 Site Address: /29 -,1g SW Meadowbrook Lane Project Name: River Terrace Northeast Lot #: .,..2Q Planning Review Proposal: New rowhome ❑' Verify address/suite # active in Accela. ❑' In River Terrace: ❑ No ❑ Yes, River Terrace Review Addendum Site Plan Elements: ° sion Control 0i copies of site plan on 8-1/2"x 11"or 11 x 17"paper rained trees with drip line and tree protection measures O•rawn 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 addition's) Mite address,project or subdivision name and lot number ° ewalk/driveway approach O pplicant information(name and phone number) rt.cation of wells/septic systems O .t dimensions and building setback dimensions Street tree size,type and location t H.quare footage of buildings to be demolished Street names II xisting structures on site 1 omer elevations(2'contours if more than 4'differential O .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ° es o impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Lh'es ' o ❑ Clean Water Services -Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑Yes,applicant was notified ❑r No Received: ❑Yes ❑r No IA Water Meter Fixture Unit Worksheet-Additions,Remodels and ADUs Required: ❑Yes,applicant was notified ❑r No Received: ❑Yes ❑r No 0 SDC Exemption for ADU applied for: ❑Yes ❑r No Received: ❑Yes ❑r No El Public Facilities Improvement(PFI) Permit. Required: ❑r Yes,applicant was notified ❑No Applied For: a Yes ❑No, stop intake ❑r Land Use Case#: PDR2016-00013, MMD2020-00030 Q Zoning: R-25 QRequired Setbacks: Front: 5/10 Rear: 5 Side: (9/S Street Side: & J9. Garage: 20 0 Building Height Max. Height: N/A Actual Height: 36 ❑r Landsca e Area: 20 % Q Lot Coverage Max: 80 Entrance ack no more than 8' from street-facing wall ❑ Parallel to street o et 45 degrees or less Windows Minimum ° of area of all street-facing facades Garage Gara door is behin . st street-facing wall \ s No,one of the following is met: Door extends no more tha ' om wall and 's a covered porch extending beyond garage. Door extends no ore than 5' from d there is a 12 sq ft.window above garage on 2°d floor. ❑ Gara door width is 12'o 50%or e acade 60%or less and includes 7 of following: Covered porch ecessed entrance ❑Wall offset 1'Roof eave Roof offset Fire s • s Lap Siding ❑ Ro f itch ❑ Gable,hi , brel roof Dormer ccent siding Window trim LI Window recess U Window pr • • n ❑Balcony ( Visual Clearance ❑ Urban Forest Plan `LC'i.ensitive Lands: CIYes ILI No Type: II Co 'bons met prior to issuance of building permit No s:Outstanding conditions under PDR2016-00013; d su unti re plat recorded under MMD 120 00030 Approved By Plannin , Date: —9 �(,P -/ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved 0 Not Approved Revision 2: ❑ Approved 0 Not Approved 1:\Building\Forms\Bl dgPermitRvw_RES_122419.docx f Building Permit Submittal * Original Submittal Date: 0.24 0 Z 0Z/ Site Plans: # ‘aj Building Plans: # Building Permit#: Inter building}.pe� nrmit# above. Workflow Routing: Q Planning L� Engineering [ i ermit Coordinator 92Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: Eftngineering. (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. [n/ Building: original permit application,site plans,building plans,engineer and beam calculations an. , st details,if applicable,etc. Notes: By Permit Technician: i j r/ / Date: U 4 20 Engineering Review p Slope at building pad: i ❑ Conditions "Met"prior to issuance of building permit /4-7741- asements (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 L No Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: [�Approved by Engineering: ��.r_� Date: 2z/?2/Z/ Revisions(after Building Submittal only) Reviewer Date Revision 1: ❑ Approved 0 Not Approved Revision 2: 0 Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ,Approved,NOT Released: Wol-hvw' on 0 k irvn.) e.r6. Ph- Date: 2-(23 1202,1 Notes: Revisions(after Building Submittal only) Revision Notice 1: Date Sent to Applicant: R Revision Notice 2: Date Sent to Applicant: SDC Exemption: ❑ Received D not apply SDC Fees Entered: Wash Co Trans Dev Tax: Yesoes 1L'"JI N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: g Yes ❑ N/A LIDA ❑ Yes a N/A OK to Issue Permit Approved by Permit Coordinator: At5r Date: '1(26(UM/ 1:\Buil ding\Forms\B1dgPermitRvw_RES_122419.docx 1 • City of Tigard Y COMMUNITY DEVELOPMENT DEPARTMENT e River Terrace Building Permit Review Addendum TIGARD Building Permit #: I"tcS ( 2_021-000G ( Site Address: /292 SW Meadowbrook Lane Project Name: River Terrace Northeast Lot #: .20 (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? El 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 dormeeeyyp ft. deep min. 2ft.,5 ft.wide min. 2 ft.,6 .wide 21I 5 O#Jr 7'/2€79k- 2. Eyes on the street: a minimum o 1% f each street facing facade must include windows or entrance doors. Percentage Shown: T .2 D 3. trances:At least one entrance must meet both of the folio g standards: j Max. 8 ft. setback from long t street- facing wall Parallel to street,angle no more than 45° from street, or op onto porch Entr nce opens to a porch: Yes 0 No If es all the following apply: sq.ft. min. ne street facing entry ift. 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: ❑ overed porch min. 5 ft.wide x 5 ft. deep d ❑Recessed entry area min. 5 ft.wide x 2 ft. deep Etall offset min. 16 inches . ❑ ormer min. 4 ft.wide a eave min. 12 inch projectionf}Q, oof offset min. of 2 ft K ❑Roof shingles either tile or wood G able,hip or gambrel roof design - ❑Roof pitch oriented south min. 500 sq. ft. 11Wrizontal lap siding min. 3-7 inches wide ❑Accent siding min.40% of street facade Window trim min. 2'/"wide by 5/8"deep p ❑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 cor r lot. Setbacks: No closer to front or side lot line, than longest street-facing wall. 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. W h: (Check one) 12-foot-wide garage door ❑40%max. of street facade ❑50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: _: 7 Date: _ I'tBui Iding\FormaldgPennitRvw_RES_RT_121417.docx