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Permit
Plumbing Permit ApplicablECEIVED Building Fixtures FOR OFFICE t'si:: ONLY Cityof Tigard jUL 6 Z071 Received /'�(� g Date:By. ( 7Is Permit No.. �� 1 M1 , '1 • 13125 SW Nall Blvd.,Tigard,OR 972 ` 1JL{�"�/ O�Til'aAfiU Plan Review�/•15 A Phone: 503.718.2439 Fax: 503.5A$. 0 Date/By: j `/d t Other Permit No.. Inspection Line: 503 639.4175 aUILDING DIVISION Date Read /B ® See Pa e 2 for TICiARD Y Y Internet www.tigard-or.gov Notified/Method:r� a-s��/ /// Supplementol Information TYPE OF WORK .64-Al © 9'� FEE* SC DICE El New • • ■ Demolition For special information use checklist. Description I Qty. I Ea. I Total ■ Addition/alteration/replacement ■ New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORYOF,CONSTRUCTIONSFR(1)bath 312.70 ■ SFR(2)bath 437.78 I-and 2-family dwelling SFR(3)bath 500.32 ■ Accessory building 1:1 Each additional bath/kitchen 25.02 ■ Master builder ■1 Other: Fire sprinkler(1.991 sq.ft.) Page 2 6 SITE INIFORMATION1 LOCATION Site utilities: • ; FriendlyCatch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: Tigard,OR Footing drain(no.linear ft.:_) Page 2 Suite/bldr NE No. •• 7 Manufactured home utilities 50.03 street/directionsCross • Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: I Lot no.:30 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF:WORK Backwater valve 12.51 Clothes washer 25.02 MULTIPURPOSE FIRE SPRINKLER SYSTEM Dishwasher 25.02 PERMIT# MST2021-00163 Drinking fountain 25.02 UNIT PLAN# G20 Ejectors/sump 25.02 ® PROPERTY OWNER 'I 0 TENANT Expansion tank 12.51 Fixture/sewer cap 25.02 Name: Taylor Morrison Floor drain/floor sink/hub 25.02 Address: 703 Broadway Street Suite 710 Garbage disposal 25.02 City/State/ZIP: Vancouver,WA 98660 Bose bib 25.02 Phone:( 360)816-7788 Fax:( ) Ice maker 12.51 ■ PERSON Interceptor/grease trap 25.02 • • Medical gas(value:$ ) Page 2 Business name: Alliance Plum , LLC Primer 12.51 ThomesContact name: Gavin Roof drain(commercial) 12.51 Address: ' Historic River Hwy sink/basin/lavatory 25.02 Troutdale,O97060 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 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 Plan review (25%of permit fee) CCB Lic.:184601 Plumbing Lic.no.:PB732 State surcharge(12%of permit fee) Authorized signature: r�---------7/___, TOTAL PERMIT FEE 13(r. 5 This permit application expires if a permit is not obtained within 180 days Print name:Gavin Thomes F)ate:6.14.2021 after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. toBuildingV Permits VPLMU-PermilApp.doe 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Fee teal Total Square Footage:. Permit Fee: Footing drain-1'100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3.601 to 7,200 $233.20 Sewer-1st 100' 62.54 7.201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 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 Inspections or Fees Q 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 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 IDAny 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 -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./Being.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lav/Bar non-food related -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes Water Extractor fees assessed for the sewer increase must be paid before the Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: L\Building\Permits\PLMF PermitApp.doc 08/04/2011 2 CITY OF TIGARD MASTER PERMIT • ' COMMUNITY DEVELOPMENT Permittk: MST2021-00163 Date Issued: 06/08/2021 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106AC05800 Jurisdiction: Tigard Site address: 17041 SW FRIENDLY LN Subdivision: RIVER TERRACE EAST 3 Lot: 30 Project: River Terrace Northeast, Lot 30 Project Description: New attached dwelling BUILDING Floor Areas Required 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: 5 Smoke Yes Dwelling Units: 1 Third: 998 sf Right: 0 Detectors: Total: 1991 sf Value: $257,058.22 Rear. 0 PLUMBING Sinks: 2 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain 0 Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 2 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp 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 SvcJFdr: 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 8 Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing. Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1991 Owner: Contractor: POLYGON WLH LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 703 BROADWAY ST STE 510 703 BROADWAY STREET,SUITE 510 1 Fire Rated Conditions VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 Ersn Cntrl 503-639-4175 • PHONE: PHONE: 360-695-7700 FAX: Total Fees: $29,180.92 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 clone 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: Holly VafvDe.Wege Permittee Signature: DwAppkcat�Lo,1 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. • • Building Permit Application DECEIVE Residential il FOR OFFICE USE ONLY v�h Received , y : MSiLI 00(C�3 I.. 1 r "�I!' 'f � Pe mit No_ ipli - City of Tigard Date By 4� Z Ll � ',1 J�e�1 -7 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Rev ew.'('� � Other Permit'9 t�*�2A"Org O / Phone: 503.718.2439. Fax: 503.598.1960 CITY OF TIGARD Date By '7 2 /fir t Inspection Line: 503.639.4175 BUILDING DIVISION Date Reeadty BhoA �/ /1t lu* � Supplemental See Paget for T I G A RI) Internet: gard-o[.gov Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction 0 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. eY Valuation: s 261, o5S 7 ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms:.L{ JOB SITE INFORMATION AND LOCATION Total number of floors:3 O� 7 3 Job site address: 17041 SW FRIENDLY LN New dwelling area: / if square feet Crt v City/State/ZIP:Sherwood, OR 97140 Garage/carport area: ,24 6 square feet ti.58 Suite/bldg./apt.no.: Project name:River Terrace 1$t8C 141Zen ik Covered porch area: square feet 335 Cross street/directions to job site: Deck area: 28 square feet r s t turuv - it square feet O REQUIRED DATA:COMMERCIAL-USE CHECKLIST U.L. Subdivision:River Terrace Area 3 I Lot no. 30 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#7 lots 26-30 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* (Please refer to fee schedule) Business name:Polygon Homes WLH, LLC Structural plan review fee(or deposit): Contact name:Omar Alami Abouhafs FLS plan review fee(if applicable): Address:703 Broadway St., Ste 510 Total fees due upon application: City/State/ZIP:Vancouver, WA 98660 Amount received: Phone:(360-695-7700 Fax::( 360) 693-4442 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail:permitsubmittals©taylormorrison.com Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:Polygon Homes WLH, LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:703 Broadway St., Ste 510 Solar Installation Specialty Code checklist. Ci /State/ZIP Permit Fee(includes plan review $180.00 ty :Vancouver, WA 98660 and administrative fees): Phone:(360 695-7700 Fax:(360 )693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.: 207247 Total fee due upon application: $201.60 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. Date: *Fee methodology set by Tri-County Building Industry Print name:Omar Alami Abouhafs 02/10/21 Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(l l/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Received Permit No.: t4 STZO2J-col 63 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 DateBy: Ocher Permit: Y i.t '.i,11 Inspection Line: 503.639.4175 Date Ready/By: Joni: Lee Page 2 for Internet www.tigard-or.gov Noti5ed/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit Value:S CATEGORY,OF CONSTRUCTION • RES1DENTLAL EQUIPMENT/SYSTEMS FATS* ®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: 17041 SW FRIENDLY LN Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducis/venrs) 54.91 , Heat pump 61.06 Suite/bldg./apt.no.: Project name: River Terrace-I-Bee 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.: 30 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 fireplaceJinsert 23.32 Chimney/liner/flue/vent 23.32 Other. 23.32 ® PROPERTY OWNER • 0 TENANT Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen equipment 33.39 Address:703 Broadway St.,Ste.510 Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans , 23.32 ® APPLICANT 0 CONTACT.PERSON Other 23.32 Fuel piping: Business name:Polygon WLH,LLC 314.15 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 heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Ranee E-mail:permitsubmittals@ a®r❑orriso om❑ Barbecue°Ot CONTRACTOR Clothes dryer(gas) Business name:Pro Heating&Cooling Other. MECHANICAL PERMIT FEES* Address: NW Alociek Dr,Ste.1104 Subtotal City/State/ZIP:Hillsboro,OR Minimum permit fee($90,00) Plan review(25%of permit fee) Phone:(360)270-1590 Fax:( ) State surcharge(12%of permit fee) CCB lie.:209001 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 i ea b , days after it has been accepted as complete. Authorized signature: ' Fee methodology set by Tri-County Building Industry Service Board Print name:Elia Duran Date: 10/30/20 • Electrical Permit Application FOR OFFICE l st:O\1.\ City of Tigard Received Permit#: MS'("ZOZI-OO I fts 3 Date,B ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review m Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Per t S: Inspection Line: 503.639.4175 Ready Date/By: tuns: ® See Page 2 for I I t.i AR U Internet www.tigard-or.gov Notified/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 COMM ❑Marinas and boatyards. il CATEGORY OF CONSTRUCTION .' exceeds 10,000 amps at 150 volts or 0 Floating buildings. less to ground,or exceeds 14,000 0 Commercial-use agricultural ® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building amps for all other installations. buildings. ❑Multi-family 0 Master builder ❑Other: 0 Fire 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:17041 SW FRIENDLY LN IOOHPormore. ❑"A'."E',"l-2 "1-3", 0 Six or more residential units. occupancy. City/State/ZIP: Tigard OR 97224 ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: River Terrace 4Bf9C ❑Hazardous locations. 0 Supply voltage for more than 0 Service or feeder 600 amps or more600 volts nominal. Cross street/directions to job site: - FEE SCHEDULE Description I Qty. I Each I Total I ' New residential single-or multi-family dwelling unit. Subdivision: Roshak Ridge Lot#:30 Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK 11 Limited energy,residential 75.00 2 (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 CI 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 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 CONTACT PERSON Branch circuits—new,alteration,or extension,per panel ® APPLICANT ❑ �41 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 Each add'l branch circuit 7.42 2 City/State/ZIP: Vancouver WA 98660 Miscellaneous(service or feeder not included) Phone:(360 )816-7800 Fax::( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: permitsubmittals@taylormorrison.com Reconnect only 67.84 , 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Portland Electric Signor outline lighting 67.84 2 Signal circuit(s)or limited-energy 0 See Page 2 2 Address: 1915 E 5th St., Ste D panel,alteration,or extension. Each additional inspection over allowable in any of the above City/State/ZIP: Vancouver, WA98661 Additional inspection(1 hr min) 66.25/hr Phone:( 360)314 4915 Fax:( ) Investigation(I 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 listed(1/2 hr min)ificall CCB Lic.: 194066 Electrical Lic.: C760 Suprv.Lic.: 49205 specifically ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: al.L., JG_! Subtotal: Print name: Alex Shalya Da e:10/30/20 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): _ 71 : - Q_ Q „ J, TOTAL PERMIT FEE: Authorized signature: J� , + �W�ILi/IIANfli This permit application expires if a permit is not obtained within 180 Print name: Date:10/30/20 days after it has been accepted as complete. Sergey Mishchuk ' Number of inspections allowed per permit. I./Bslding'Permits/Ei.C_PermitApp_ELR_ERE.doe Rev 06/172015 440-4615T(11/05/EOM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Fee for all residential systems combined: $75.00 Description I Rh. I Earn I Total I * Renewable electrical energy systems: Check Type of Work Involved: s kva orless 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 ❑ Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance 552.26 2 with OAR 918-309-0040) ❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is 66.25/hr 1 charged at an hourly(I hr min) Inspections for which no fee is 90.00/hr specifically listed('/hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page I) * 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 ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ 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 1IBuildinglPermits\ELC_PormitApp ELR_ERE.doc Rev 06/17/2015 Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY City of Tigard • C0103 • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review S Phone: 503.7182439 Fax: 503.598.1960 a, Other TIGAR'D Inspection Line: 503.639.4175 Date• Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORKSCHEDULE CATEGORYEl New construction 0 Demolition For special information use checklist Description 1 Qty. Ea. 1 Total El Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) / CONSTRUCTION SFR(1)bath 312.70 and 2-family dwelling 0 Commercial/industrial 500.32 Each additional bath/kitchen 25.02Accessory building 41-Multi-family 0 Master builder 0 Other: Fire sprinlder(_____sq.ft) Page 2 JOB STTE INFORMATION AND LOCATION Site utilities: Job site address: 17041 SW FRIENDLY LN Catch basin or area drain 18.76 Dtywell,leach line,or trench drain 18.76 City/StateJZ 1' OR 97224 Footing chain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: 1 Project name: River Terrace 4-EAC Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.rumar ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 • • 1 Fixture or item: Subdivision: Backwater valve 12.51 DESCRIPTION OF WORK Clothes 1 Dishwasher 25.1 Drinldng fountain 25 1 Ejectors/sump1 Fixture/sewer cap El PROPERTY OWNER 1 0 TENANT Expansion tank 12.51 FloorName:Polygon WLI:1,LLC drain/floor sinldhub 25.02 •..ress:703 Broadway St.,Ste 510 Phone: Garbage disposal 25.02 City/State/Z1P:Vancouver,WA 98660 Hose bib 25.02 .J .' 11 El APPLICANT ID CONTACT PERSON Interceptor/grease trap 25b2 Medical gas(value:$ ) Page 2 Business name:Polygon WLH,LLC Primer Contact name: Roof drain(commercial) 12.51 Address:703 Broadway St.,Ste 510 Sink/basin/lavatory 25.02 1• Vancouver, " .I Solar units(potaNe •...- rl 11 .I .. Tub/shower/showerpan 12.51 Water closet E-mail: permitsubmittals@taylormorrison.com Urinal 25.02 CONTRACTOR Water heater 37.52 Business name:G&B Plumbing&Sons Inc Water piping/DWV 56.29 City/State/Z1P:St.Paul,OR 97137 Subtotal Plan review (25%of permit fee) Plumbing . pb634 State surcharge(12%of permit fee) 1 ( Authorized signature: �G7- �- TOTAL Date:Print name:Steve Fowler , , , 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. 7:\Buildine\Permits\PLMU-PermitAmm-doc 10/01/09 440-4616Tt10/02/COM/WEBI ., City of Tigard 14 . COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Residential TIGARD Building Permit #: � 4 /STZOZI-00[Co3j • Site Address: f /Y7V SW Friendly Lane Project Name: River Terrace Northeast Lot #: SO Planning Review 4osal: New rowhome dVerify address/suite # active in Accela. In River Tern e: ❑ No L✓J Yes,River Terrace Review Addendum Sit Ian Elements: ZEr on Control copies of site plan on 8-1/2"x 11"or 11 x 17"paper atned trees with drip line and tree protection measures raven to scale(standard architect or engineer scale) idotprint of new structure (including decks)and FFE orth arrow > ty locations&easements(required for new and additions) to address,project or subdivision name and lot number idewalk/driveway approach pplicant information(name and phone number) ation of wells/septic systems t dimensions and building setback dimensionst tree size,type and location are footage of buildings to be demolished _et names isting structures on site omer elevations(2'contours if more than 4'diffe ntial t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? 'es IL' ID impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? es V o 0 Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑No Received: ❑ Yes ❑ No \. ❑ Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑Yes,applicant was notified ❑No Received: ❑ Yes ❑ No ❑ C Exemption for ADU applied for: ElYes ❑ No Received: III Yes 11 No Public Facilities Improvement(PFI) Permit: equired: LVJ Yes,applicant was notified ❑ No plied For: ®Yes 11 No,stop intake and Use Case#: PDR2016 00013, MMD2020-00030 o�g: R-25 e.uired Setbacks: Front: 5 Rear: 0 Side: era Street Side: Garage: 3 b(1 :wilding Height: Max. Height: N/A Actual Height: 36 Landscape Area: -20 % Lot Coverage Max: 00 Entrance back no more than 8' from street-facing wall ❑ P e to street or offset 45 degrees or less Windows Minim °/u of area of all street-facing facades Garage Gar e door is widest street-facing wall ❑ Yes CI No,one of the following is met: Door extends no mo an 5'from and there is a covered porch extending beyond garage. Door extends no more than wall and there is a 12 sq ft.window above garage on 2°d floor. ❑ Gara e door width is or less ° or less of facade 60%or less and includes 7 of following: Covered po Recessed entrance offset 1'Roof eave Roof offset Fire gles Lap Siding ❑ Roof itch ble,hi ,or gambrel roof Dormer ccent siding Window trim U Window recess Window projection ❑ Balcony 7I Visual Clearance Urban Forest.. Ian II Sensitive Lands: ❑ Yes No Type: ❑ conditions met prior to issuance of building permit 1v es: Outstanding conditions under PDR2016-00013 if� Approved By Planning: _ Date: / Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:1Build ing\Forms\BldgPermitRvw_RES_I22419.docx Building Permit Submittal • Original Submittal Date: 04/12/202.1 Site Plans: # j Building Plans: # 3 Building Permit#: �ntex buildingeerrmit# above. �/ Workflow Routing: L�7 Planning l� Engineering Permit Coordinator L J Building Workflow Sign-off: t�•,�>ign-off for Planning (include notes from planning review) Route Application Documents: I� t ngineering: (1) copy of permit application, (1) site plan, (1) building plan and 2—Building: plan review routing form. LI Building: original permit application, site plans,building plans,engineer and beam calculations a.. trust details,if applicable,etc. Notes: By Permit Technician: . , //» / Date: fj(1/2z/202/ Engineering Review gi at building pad: 2 �/ Conditions "Met"prior to issuance of building permit �/�j•�- asements (encroachments)per engineering conditions ofGapproval and plat ltliP Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes �trNo u Assess Water Quantity Fee in-lieu: ❑ Yes No Er-Final � LIDA Facility on lot: ❑ Yes No L'J Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes:,te LB Approved by Engineering: Date: `ZTz/4j Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review .LEI Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: SDC Exemption: 0 Received Does not a7 ly SDC Fees Entered: Wash Co Trans Dev Tax: 'Yes 1 N/A Tigard Trans SDC: EqYes 0 N/A Parks SDC: •CJ.yes ❑ N/A LIDA ❑ Yes N/A .ErOK to Issue Permit Approved by Permit Coordinator: Date: 4I 2 1s0 24 1:1Building\Forms\BldgPennitRvw RES 122419.docx City of Tigard lig g . . v COMMUNITY DEVELOPMENT DEPARTMENT River Terrace Building Permit Review Addendum TIGARD Building Permit #: M ST Z0l V-0Ot 6 3 Site Address: /77)`fl SW Friendly Lane Project Name: River Terrace Northeast Lot #: , J (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Distict Design Standards (18.640.070.1.): Is the project subject to the plan district design standards?��JJ Yes ❑No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element req •• d for lots with over 60 ft. of street frontage shall be provided every 30 ft. Balcony w/ access 2 Window Projection Vertical Wall Offset a0 Gabled dormer Porch min. ft. deep ft. deep min. 2ft.,5 ft.wide min. 2 ft, wide 2. Eyes o e street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: >/-2 6l o 3. ntrances:At least one entrance must meet both of the folio ing standards: arallel to street,angle no more than 45° from street, Max. 8 ft. setback from long�st street- facing wall or o en onto porch ince opens to a porch: Yes ❑No ,all the following apply: sq.ft. min. ne street facing entryft.max. roof above floor of porch 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: ❑❑Covered 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 o o f offset min. of 2 ft. ❑Roof shingles either tile or wood I!Q able,hip or gambrel roof design'/ ❑Roof pitch oriented south min. 500 sq. ft. rizontal lap siding min. 3-7 inches wid h ❑Accent siding min. 40%of street facade lldWindow trim min. 2 wide by 5/8"deepfe> ❑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%or less of street facade 5. es and Carports:May face the front or sid of ' e on a co ot. Setbacks: No closer to front or si •ne, than longest str et-f • g wall. ❑Yes ❑No. If No (Check one): ❑May extend up to 5 ft. if there is ered f porch and garage does not extend beyond the front porch. ❑May extend up to 5 ft.where the is p a two-story building and there is a window at the second story above the garage that faces the et with a mire. area o .ft. Width: (Check one ❑12-f de garage door ❑40%max. of street e 0%max. of street facade with 7 detailed design elements Notes: Approved By Planning: Date: 23 1:1Building\Fortes\BldgPermitRvw_RES_RT_121417.docz