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Permit Plumbing Permit Applic ECEwED Building Fixtures FOR OFFICE USE O\l.l l3l of Tigard Received q/20121 riTr2r12(-Dot( 2 g Permit No.: 14 . 13125 SW Hall Blvd.,Tigard,OR �i�OF TIGARD Datc/By Plan Review V e�� Phone: 503.718.2439 Fax: 503.5 8.1 6 Date/By: I . (.(/, Other Permit No.: Inspection Line: 503.639.4175 IUILLI�IG DIVISION Date Read/B / TI(iAKt7 Y y' / /�< P7 _ h,;(1 ) ® See age 2 for __ Interact: www.tigard-or.gov Voufied/Method' f.j Supplemental Information TYPE OF WORK /'./'7 /t. 1.'Y) -., FEE* SCHEDULE Q New construction El 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(1)bath 312.70 © I-and 2-family dwelling CICommercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 0 Accessory building El Multi-family Each additional bath/kitchen 25.02 ❑Master builder El Other: Fire sprinkler(1,771 sq.ft.) Page 2 JOB SITE INFORMATION AND LO('4'TION Site utilities: Job site address:17033 SW Friendly Ln Catch basin or area drain 18.76 - Drywell,leach line,or trench drain 18.76 City/State/Z1P: Tigard, OR Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name: River Terrace NE No.4 Bldg 7 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: Lot no.:29 Fixture or item: Tax map/parcel no.: Backtlow preventer 31.27 Backwater valve 12.51 DESCRIPTION OF WORK Clothes washer 25.02 MULTIPURPOSE FIRE SPRINKLER SYSTEM Dishwasher 25.02 PERMIT# MST2021-00162 Drinking fountain 25.02 UNIT PLAN# F20 Ejectors/sump 25.02 d 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.( 1 Ice maker 12.51 ❑ APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: Alliance Plumbing, LLC Medical gas(value:$ ) Page 2 Primer I 2.51 Contact name: Gavin Thomes Roof drain(commercial) 12.51 Address: 146 W Historic Columbia River Hwy sink/basin/lavatory 25.02 City/State/ZIP: Troutdale, OR 97060 Solar units(potable water) 62.54 Phone:( 503) 577-6535 Fax::( ) Tub/shower/shower pan 12.51 E-mail: gavin@allianceplumbing.net Urinal 25.02 Water closet 25.02 CONTRACTOR -- --- Water heater 37.52 Business name: Alliance Plumbing, LLC Water piping/DWV 56.29 Address:146 W Historic Columbia River Hwy Other: 25.02 City/State/ZIP: Troutdale,OR 97060 subtotal Phone:( 503)492-3490 Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lie.:184601 Plumbing Lic.no.:PB732 State surcharge(12%of permit fee) Authorized signature: /' - ,_ _ TOTAL PERMIT FEE ist.53 Print name:Gavin Thomes Dat0:6.14.2021 This permit application expires if a permit is not obtained withi 80 days after it has been accepted as complete. *Fee methodology set by TO-County Building Industry Service Board. I:ABuildingVPermitsVPLMU-PermiiApp.doc 10/01/09 440-4616T(I 0/112/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Q'ty (ea) Total Square Footage: Permit Fee: Footing drain l'100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer- I st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-Ist 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Valuation: Peri€uit Fee: Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Stone&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Other inspections or Fees QtY Fee(ea) Total each additional$100.00 or fraction thereof,to and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Plan Review for Plumbing Installations Quantiy by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped Added Relocate Baptistry/Font ❑ Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed Bath: -Tub/Shower -Jacuzzi/Whirlpool engineer. Car Wash: -Each Stall ❑ New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. -Drive Tam CICuspidor/Water Aspirator Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial El Any multipurpose fire sprinkler system. Domestic CI 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 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/Sere/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: l:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 a. CITY OF TIGARD MASTER PERMIT • R~�n COMMUNITY DEVELOPMENT Permit*: MST2021-00162 Date issued: 06/08/2021 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S 106AC05700 Jurisdiction: Tigard Site address: 17033 SW FRIENDLY LN Subdivision: RIVER TERRACE EAST 3 Lot: 29 Project: River Terrace Northeast, Lot 29 Project Description: New attached dwelling BUILDING Floor Areas Reauired Setbacks Reauired Stories: 3 Bedrooms: 3 First: 68 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 38 Bathrooms: 3 Second: 670 sf Garage: 530 sf Front: 5 Smoke Yes Dwelling Units: 1 Third: 1033 sf Right: 0 Detectors: Total: 1771 sf Value: $243,154.94 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 0 Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Other Fixtures: 0 Drywall-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 2 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temo 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 WIG SvclFdr: 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 Y Ecompasing: Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1771 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 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 Fire Rated Conditions PHONE: PHONE: 360-695-7700 FAX: Total Fees: $28,527.28 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. a-EouyVcu',De Wee 0ivAppl%catIOi1- Issued By: Permittee Signature: 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 Residential RECEIVED /' rFOR OFFICE USE ONLY / J City g RDate/B y O7 Z J `l 1 Permit No.: �SrZOw�QI IO - of Tigard 13125 S W Hall Blvd.,Tigard,OR 97223 1? J/. Plan Review C/3 2) /1 J/�- Other Permit:S�J Z O/D lv Phone: 503.718.2439 Fax: 503.598.1960 Date/By: LI TT� a. Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By. mn ® See Page 2 for TIGARD Internet: www.tigard-or.gov 100ed/Method: �i� Supplemental lnformafion BUILDING DIVISIDN� i TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. f Y Valuation: $ (-t ® 1-and 2-family dwelling ❑Commercial/industrial Number of bedrooms: D Multi-family r ❑Accessory building 0 Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: 3 1 Job site address: 17033 SW FRIENDLY LN New dwelling area: /? f square feet I o 33 City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 53 a square feet (e7 C• Ll Suite/bldg./apt.no.: Project name:River Terrace 1.B7136 NIRTICKI Covered porch area: square feet (la)Cross street/directions to job site: Deck area: l� square feet Ot truct rear i L square feet REQ ED DATAc COMMERCIAL-USE CHECKLIST Subdivision:River Terrace Area 3 Lot no. 29 ri 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 NDESCRIPTION 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 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:(360 895-7700 Fax:(360 )693-4442 New: ® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer w 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. Permit Fee(includes plan review $180.00 city/state/ZIP:vancouver, WA 98660 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: $201.60 Authorized signature: Omar Alami Abouhafs This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 02/10/21 *Fee methodology set by Tri-County Building Industry Print name:Omar Alami Abouhafs Date: Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB) Mechanical Permit AppligticilECEIVE , FOR OFFICE USE ONLY City of Tigard Received Ilii ) DaleB : Permit No.: :� R 1 9 'f I y _ _ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Da• te/By: Other Perm t: l D, 1, Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Doris: ® See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISIO Notified/Method: Supplemental Information I TYPE OF WORK COMMERC AI,.FEE* St_.Jdl,DULE- USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑ Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY_OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES* j 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist i j Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling,: Air conditioning I 46.75 Job site address: 17033 SW FRIENDLY 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 18f9E Heat pump 61.06 Duct work , 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or bydrnie) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: Lot no.: 29 Other. 23.32 Roshak Ridge 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/iinsert 23.32 Chimney/liner/flue/vent 23.32 ElPROPERTY OWNER Ej,TENANT � 23.32 Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen equipment 33.39 Address:703 Broadway St.,Ste.510 Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32 ® APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name:Polygon WLH,LLC Fuel piping: 514.15 for first four;$4.03 for each additional Contact name:Tonja Morris Furnace,etc. Address:703 Broadway St.,Ste 510 Gas heat pump W all/suspended/mit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax:: (360)6934442 Fireplace Range E-mail:permitsubmittals@[ ®r❑Orris0U7Th❑ Barbecue CONTRACTOR Clothes dryer(gas) Business name:Pro Heating&Cooling firer. MECHANICAL PERMIT FEES* Address: NW Alociek Dr,Ste. 1104 Subtotal City/State/GIP: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 P�� days after it has been accepted as complete. Authorized signature: *a u ( * Fee methodology set by Tri-County Building Industry Service Board Print name:Elia Duran Date: 10/30/20 Electrical Permit Application RECEIVE FOR OFFICE USE oNl,l '1 City of Tigard �7R ] 2'412' Received Perrot": • 13125 SW Hall Blvd.,Tigard,OR 97223 Pan Review ■ Phone: 503.718.2439 Fax: 503.598.1960CI�OF TIGARD Date/B Related Permit k: Inspection Line: 503.639.4175. BUILDING DIVISIO Ready Date/By: Saris: ® See Page 2 for I I t, RI) Internet: www.tigard-or.gov BUILDING DIVISIO Notified/Method: Supplemental Information TYPE OF WORK PLAN.REVIEW ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 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. less to ground,or exceeds 14,000 0 Commercial-use agricultural ® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building amps for all other installations. buildings. ❑Multi-family 0 Master builder ❑Other: 0 Fire pomp. 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:17033 SW FRIENDLY LN I00HP or more. ❑"A","E","1-2","l.3", 0 Six or more residential units. occupancy. City/State/ZIP: Tigard OR 97224 ❑Health-care facilities. 0 Recreational vehicle parks. Suitelbldg./apt.#: Project name: River TerraceC ❑Hazardous locations. 0 Supply voltage for more than ID Service or feeder 600 amps or more. 600 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#:29 Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy ❑ See Page 2 10 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 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 Branch circuits—new,alteration,or extension,per panel Ea APPLICANT ❑ CONTACT PERSON 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'l branch circuit 7.42 2 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 ❑ 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, WA 98661 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:paul@portlandelectrie.biz Inspections for which no fee is 90.00/hr CCB Lie.: 194066 Electrical Lie.: C760 Suprv.Lie.: 49205 specifically listed(V,hr min) �0� -� ��� " ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: ',, ,,A p, Subtotal: Print name: Alex Shalya Da ee:10/30/20 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Q ,, { TOTAL PERMIT FEE: Authorized signature: rw►wrt�ne. This permit application 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:1Building1Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/VEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESH)ENTIAL WORK ONLY: FEE SCHEDULE Description I Dry. I Each Total * Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: s kva or leer 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 so 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) n 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: D Other: Each additional inspection is 66.25/hr 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed('G hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES '' Fee for each commercial system: $75.00 Subtotal• permon Page 1): Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: n Audio and Stereo Systems n Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation n HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical n Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\PermitslELCPermitApp_ELR_ERE.doc Rev 06/17/2015 Plumbing Permit Application�CG�EI RECEIVE Building Fixtures FOR OFFICE USE ONLY 'i 2 °i Received City of Tigard !AN RDeceived Perm;t No.: w 13125 SW Hall Blvd.,Tigard,OR 97223 plan Review Phone: 503.718.2439 Fax: 503.598.196cCITY OF TIGARD PlanReDate/By: Other Permit No.: TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: iuri 0 See Page 2for Internet: www.tigard-or.gov Notified/Method. Supplemental Information T TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I 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 lip l-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 /` SFR(3)bath 500.32 ❑Accessory building %Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinlder( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 17033 SW FRIENDLY 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-Bi3C 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.: 29 Fixture or item: Tax map/parcel no.: Bacldlow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I ❑ 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) 6934442 Tub/shower/shower pan 12.51 E-mail: permitsubmittals@taylormorrison.com Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name:G&B Plumbing&Sons Inc Water P tPinF/D WV 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: �;, }�i TOTAL PERMIT FEE Print name:Steve Fowler Date: OI3OI2O 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. ttRuildi,.e\Pmnns\PLMU-PermitAoo.doc 10/01/09 490-4616T(10/02/COM/WEB) y City of Tigard ' COMMUNITY DEVELOPMENT DEPARTMENT _ Building Permit Review — Residential TIGARD Building Permit #: M7202/-00 16z Site Address: / SW Friendly Lane Project Name: River Terrace Northeast Lot #: �2' Planning Review Pro osa1: New rowhome Verify address/suite#active in Accela. In River Terr e: ❑ No 0 Yes, River Terrace Review Addendum Site lan Elements: ro 'on Control Ki copies of site plan on 8-1/2"x 11"or 11 x 17"paper ained trees with drip line and tree protection measures Errawn to scale(standard architect or engineer scale) otprint of new structure(including decks) and FFE X►"orth arrow ty locations&easements (required for new and additions) �;,.. e address,project or subdivision name and lot number ide Ik/driveway approach Mr .plicant information(name and phone number) ation of wells/septic systems .ot dimensions and building setback dimensions e t tree size,type and location Pil..uare footage of buildings to be demolished eet names lU r xisting structures on site orner 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 lk. impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? es Ed o Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: 0 Yes,applicant was notified ElNo Received: 0 Yes ❑ No \pi Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑Yes,applicant was notified ❑ No Received: ❑Yes ❑ No DC Exemptio for ADU applied for: ❑ Yes ❑ No Received: ❑Y ❑ No pp Public FaciltImprovement (PFI) Permit: equired: Yes,applicant was notified LI No pplied For: Yes El No,stop intake Wand Use Case#: PDR2016-00013, MMD2020-00030 oning: R-25 equired Setbacks: Front: 5 Rear: 0 Side: Street Side: Garage: 3 uilding Height: Max. Height: N/A / Actual He hht: 36 Landscape Area: 20 % Lot Coverage Max: 0 Entrance t back no more than 8'from street-facing wall Parallel to et or offset 45 degrees or less Windows Minim 2%of area of all street-facing facades Garage Gara e door is ' d widest street-facing wall Yes 11No,one of the following is met: ❑gDoor extends no m an 5' from w there is a covered porch extending beyond garage. uuDoor extends no more than n wall and there is a 12 sq ft.window above garage on 2nd floor. ❑ Gara e door width is or less °u or less of facade 60%or less and includes 7 of following: Covered Recessed entrance 1 offset 1'Roof eave Roof offset F' gles Lap Siding ❑Roof itch able,hi ,or gambrel roof Dormer Accent siding Window trim U Window recess Window projection ❑Balcony ii Visual Clearance Urban Forest lan II Sensitive Lands: ❑ Yes No Type: Co ditions met prior to issuance of building permit N o s: Outstanding conditions under PDR20166-000 Co /Approved By Planning: Date: 1, /2 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\Building\Forms\B1dgPermitRvw_RES_122419.do cx Building Permit Submittal Original Submittal Date: QV/2/2•02/ '1 Site Plans: # 3 Building Plans: # 3 Building Permit#: ErEnter buildingl permit# above. � Workflow Routing: Planning nn Engineering [ Permit Coordinator la--B uilding Workflow Sign-off: 1❑'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 original plan review routing form. Building: original permit application, site plans,building plans,engineer and beam calculations a': trust details,if applicable,etc. Notes: By Permit Technician: =/ 777,• / Date: Ded27/2aSJ En. -neering Review 3 Slope at building pad: 2% Conditions "Met"prior to issuance of building permit 1//�- laEasements (encroachments) per engineering conditions of<`approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No �y Assess Water Quantity Fee in-lieu: ❑ Yes CJ pC�1.No LIDA Facility on lot: ❑ Yes No �y LI Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: tApproved by Engineering: Date: 4672/ 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: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: .SDC Exemption: ❑ Received L�yI Does not a ly . 2[ SDC Fees Entered: Wash Co Trans Dev Tax: Yes LI N/A Tigard Trans SDC: 'Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes ON/A WOK to Issue Permit Approved by Permit Coordinator: /e4( Date: 4 121 I`1O2i I:\Building\Forms\BI dgPerm itRvw_RE S_l 224I9.docx City of Tigard 11 NI COMMUNITY DEVELOPMENT DEPARTMENT I River Terrace Building Permit Review Addendum TIGARD Building Permit #: MS 24-Q fl i 6 2-- Site Address: / 03 SW Friendly Lane Project Name: River Terrace Northeast Lot #: `2 (New dwelling=subdivision name;Addi n or Alteration=last name of owner) Planning Review of River Terrace Plan Dist Cr Design Standards (18.640.070.I.): Is the project subject to the plan district design standards? Yes ❑No 1.Articulation: a minimum of 1 element per each street-facing façade 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 Wallpffset a Gabled dormer Porch min. ft. deep ft. deep min. 2ft.,5 ft.wide min. 2 ft., .wide ❑ ❑ ❑ 2. Eyes o t e street: a minimum of 12%of each street facing facade must include or entrance doors. Percentage Shown: >!-7 BJo 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 lost street-facing wall or o en onto porch ince opens to a porch: Yes ❑No ,all the following apply: sq.ft.mi . ne street facing entry ft 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 façades: ❑Covered porch min. 5 ft.wide x 5 ft. deep 0 Recessed entry area min. 5 ft.wide x 2 ft deep ❑ all offset min. 16 inches El Gormer min. 4 ft.wide 4A Roof cave min. 12 inch projectiot oof offset min. of 2 ft ❑Roof shingles either tile or wood l]Q able,hip or gambrel roof design CI Roof pitch oriented south min. 500 sq. ft. able, lap siding min. 3-7 inches wid4 Cl /Z Accent siding min.40% of street facade Ltd Window trim min. 2 wide by 5/8" deep' ❑Window recess min. 3 inches for all street facing ❑Bay window min. 5 ft.wide by 2 ft.deep ❑Balcony min. 5 ft.wide x 3 ft. deep with inside access 0 Attached garage is 35%or less of street façade 5. es and Carports: May face the front or sid of ) e on a cor ot. Setbacks: No closer to front or si One,than longest str et-f g wall. ❑Yes 0 No. If No (Check one): 0 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 min. area o .ft. Width: (Check one ❑12-f de garage door ❑40%max. of street e 0%max. of street façade with 7 detailed design elements Notes: Approved By Planning: — —, Date: MBui Idmg1Form s\B ldeetmitRvw_REg_RT_121417,doox