Permit Plumbing Permit ApplicaElVED
Building Fixtures o(9 P., , FOR OFFICE USE ()NI:'
City of Tigard Receive
Date/By: IPemtit No.:
1114 • 13125 SW Hall Blvd.,Tigard,OR 9(72
S Y 0F 71GARD y 7 2(Q� - Kr2021'���0
I Plan Review
Phone: 503.718.2439 Fax: 50 Date/By: f Q A Other Permit No.:
Inspection Lme: 503.639.4175 �I�-LNG DIVISION 81
I I Ci A R D Date Ready/By. n J Ia See Page 2 for
Internet www tigard-or.gov Noti ied/Method:a/L .47 � r Supplemental Information
''TYPE OF WORK ► rt_.- d FEE* S DOLE
❑■ New construction ❑Demolition For special information use checklist
Description I Qty. 1 Ea. I Total
❑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
■ 1-and 2-familydwelling SFR(2)bath 437.78
❑ g ❑Commercial/industrial
buildingSFR(3)bath 500.32
0 Accessory 0Multi-family
Each additio /kitche 25.02
0 Master builder ❑Other:
Fire spri .le (t413 sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:17025 SW Friendly Ln Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP: Tigard, OR Footing drain(no.linear ft.._) Page 2
Suite/bldg./apt.no.: I Project name: River Terrace NE No. 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.. ) t Page 2
Subdivision: 1 Lot no.:28 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# MST2021-00160 Drinking fountain 25.02
UNIT PLAN# F15 Ejectors/sump 25.02
11 PROPERTY OWNER I ❑ 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 N 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
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 Lie.:184601 Plumbing Lie.no.:PB732
State surcharge(12%of permit fee)
Authorized signature: _�✓ / TOTAL PERMIT FEE II('.55
Print name:Gavin Thomes Date:6.14.2021 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1:ABuildingVPermitsVPLMU-PermitApp-doc I0/01/09 440-4616T(10/02/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities 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:
Storm&Rain Drain-1st 100' 62.54
$1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
Other Inspections or Fees Qty F etea) 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 ❑ Any new commercial building with water service 2"and
Baptistry/Font 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
Drive as defined in OAR918-780-0040.
Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system.
Domestic El Any complex structure as defined in OAR918-780-0040.
Drinking Fountain
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2"
3" Isometric or Riser Diagram
4„ ❑ Isometric or riser diagram is required for new buildings
-Car Wash Drain
Garbage Domestic non-food that meet the qualifications above.
Disposal: -Domestic food related
-Commercial food related
-Industrial food related
Ice Mach./Refrig.Drains Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -Lay/Bar non-food related
-Bradley
-Com/Serv/Util food related
-Service *Note: If the fixture work under this permit results in an
Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and
Washer-Clothes
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:\Building\Permits\PLMF_PertnitApp.doc 08/04/2011 2
CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2021-00160
Date Issued: 06/08/2021
T I 1 A r 1-t 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106AC05600
Jurisdiction: Tigard
Site address: 17025 SW FRIENDLY LN
Subdivision: RIVER TERRACE EAST 3 Lot 28
Project: River Terrace Northeast, Lot 28
Project Description: New attached dwelling
BUILDING
Floor Areas Reauired Setbacks Required
Stories: 3 Bedrooms'. 2 First: 235 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 36 Bathrooms: 4 Second: 594 sf Garage: 298 sf Front: 5 Smoke Yes
Right: 0 Detectors:"
Dwelling Units: 1 Third: 584 sf R r9
Total: 1413 sf Value: $188,496.82 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: 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 Tvnes 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
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
•
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Y
Other: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SFA VB R-3 1413
Owner: Contractor: Required Items and Reports(Conditions)
POLYGON WLH LLC WILLIAM LYON HOMES INC
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: $26,952.49
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.
1foilyVa.wDe'Wee OiiiftpplCCLa n
Issued By: Permittee Signature:
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
Received AWu e`� Permit No.:i.�.ST2py1 —Obi 0
�11111
City of Tigard 1 Vp 1 �,� 9�T5 Date/By: ���
• 13125 SW Hall Blvd.,Tigard,OR 97223 1 dA 9 C Plan Review 5 13 �/ w O
0 Phone: 503.718.2439 Fax: 503.598.1960 Date,By: other Permit 01 0 5
Inspection Line: 503.639.4175 CITY OF TIGARD Date eadyBy. / S See Page 2 for
TIGARD Internet: www.tigard-or. ov led/Method: �./ !'/ Supplemental Information
g BUILDING DIVISION ,.4-04-t
TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLLNG
❑Demolition Permit fees*are based on the value of the work performed.
®New construction 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. �a
Valuation: $ QQQ , t
® 1-and 2-family dwelling ❑Commercial/industrial ^
0 Multi-family Number of bedrooms: „P..IDAccessory building ) f
❑Other: Number of bathrooms: `"1
❑Master builder + `� '
JOB SITE INFORMATION AND LOCATION Total number of floors: 3 l 7
Job site address: 17025 SW FRIENDLY LN New dwelling area: i 43 square feet 5gy
City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 9( square feet 51
Ll Suite/bldg./apt.no.: Project name:River T2IT8Ce C aerifiti Covered porch area: square feet
Cross street/directions to job site: Deck area: a,9, square feet
O stru ureprea: o/ square feet
REQ ED DATA:COMMERCIAL-USE
CHECKLIST
I- Subdivision:River Terrace Area 3 Lot no. 28 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
/S7 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:
t2 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 lie.: 207247 Total fee due upon application: $201.60
Authorized signature: Omar Alami Abouhafs This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Date: 02/10/21 *Fee methodology set by Tri-County Building Industry
Print name:Omar Alami Abouhafs Service Board.
C\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440.4613T(l1/02/COM/WEB)
Mechanical Permit ApplicaRECEIVED FOR OFFICE USE ONLY �1'1
City of Tigard Received Permit No.: M.S r[�Z(—( o
119 II r. olnrys Date/By:
13125 SW Hall Blvd.,Tigard,OR 97223 :.(�R 1. k E76. Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
F TIGA
71 if,v.I j ReInspection Line: 503.639.4175 CITY O RD Date Ready/By: kris: B See Page 2 for
Internet www.tigard-or-gov 3UILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORKCOMMERCIAL FEE* SCHEDULE.— USE CHECKLIST
Mechanical permit fees*are based on the value of the work
►�4 New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit
Value:$
CATEGORY.OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
1I' 1-and 2-family dwelling ❑ Commercial/industrial ❑Accessory building For special information use checklist
1 j Multi-family 0 Master builder ❑ Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning _ I 46.75
Job site address: 17025 SW FRIENDLY LN Furnace 100,000 BTU(ducts/vents) 46.75 ,
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) , 54.91
Heat pump 61.06
Suite/bldg./apt no.: Project name: River Terrace 1Bt9e 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.: 28 Other fuel appliances:
Tax map/parcel no.: Water heater , 23.32
DESCRIPTION OF WORK Gas fireplace/Olsen 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
Other: 23.32
. PROPERTY OWNER • 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
S14.15 for first four;$4.03 for each additional
Contact name:Tortola Morris Furnace,etc.
Address:703 Broadway St.,Ste 510 Gas heat pump
Wall/suspended/unit beater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace
Range
E-mail:permitsubmittals(aQ$r0 orriSoO[IIb0 Barbecue
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
Z�'l 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 Applicatio> ECEIVE , FOR OFFICE USE O\1.1
Rcecived Permit ti: 1+l 5{ [-1-001(42 0
City ojTigard ry Date/B :
it, •• 13125 SW Hall Blvd.,Tigard,OR 97223 '} — `�' c Plan Review
I ll Phone: 503.718.2439 Fax: 503.598.1960 DateB : Related Permit#:
Inspection Line: 503.639.4175 CITY OF TIGARD Ready Date/By: Juris. El See Page 2 for
I IG'' RLI AMONG !VISION 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 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.
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 ❑Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address:17025 SW FRIENDLY LN I00HP or more. ❑"A"•`E","l-2"•"t-3"•
O Six or more residential units. occupancy.
City/State/ZIP: Tigard OR 97224 ❑Health-care facilities. 0 Recreational vehicle parks.
0 Hazardous locations. El Supply voltage for more than
suite/bldg./apt.#: Project name: River Terrace 1613G600 volts nominal.
O Service or feeder 600 amps or more.
Cross street/directions to job site: FEE SCHEDULE
Description I Q11. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision: Roshak Ridge Lot#:28 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 0 See Page 2
1❑ 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
.;g Branch circuits—new,alteration,or extension,per panel
® 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 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.
Each additional inspection over allowable in any of the above
City/State/ZIP: Vancouver,WA 98661 Additional inspection(1 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@portlandelectric.biz Inspections for which no fee is
90.00/hr
CCB Lic.: 194066 Electrical Lic.: C760 Suprv.Lic.: 49205 specifically listed('/hr min)
n �- ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: cut,. J�IQ1 G_1^Cq�J G,_L Subtotal:
Print name: Alex Shalya Late I l0/30/20 0 Plan Review Required(25%of permit fee):
p State surcharge(12%of permit fee):
Jte ` ^e ,- �i Q a i k, TOTAL PERMIT FEE:
Authorized signature: XJC/I�yQ raRV �wrwn rat
This permit application expires if a permit is not obtained within 180
Print name: Sere Mishchuk Date:10/30/20 days after it has been accepted as complete.
Q y * Number of inspections allowed per permit.
I:\BuildingTermiistELC_PermitA1P_ELR ERE.doc Rev 06/17/2015 440-4615T(I1/05/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 I (39. I Each I Total I "
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
Burglar Alarm 25.01 to so kva 301.04 2
El50.01 to 100 kva 552.26 2
Garage Door Opener* >100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
❑ Heating, Ventilation and Air Conditioning
Solar generation systems in excess of 25 kva:
System*
Each additional kva over 25 7.42 3
ri 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 I
• charged at an hourly(1 hr min)
Inspections for which no fee is 90 00/hr
specifically listed('/,hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Subtotal(Enter on Paget):
Fee for each commercial system: $75.00
Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
n Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
n Nurse Calls
I I Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I:1Duilding\Permits\ELC_PermitApp E,LR ERE.doe Rev 06/17/2015
Plumbing Permit ApplicatiO1 ECEIVE
Building Fixtures CC��✓'/ FOR OFFICE USE ONLY ''rr
'--iOR i. 2 1)-lj Received U5r.�f-t-t�V(��City of TigardPermit No.
't 13125 SW Hall Blvd.,Tigard,OR 97223 Plan lReDatev
ill 503.718.2439 Fax: 503.598.196011I OF TIGARD Plan Review Date/By: Other Permit No.:
TI(I1R l7 Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: nail: h7 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
E..New construction ❑Demolition For special information use checklist
Description t Qty. I Ea. I Total
0 Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
L 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
/` SFR(3)bath 500.32
❑Accessory building %-Multi-family
Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 17025 SW FRIENDLY LN Catch basin or area drain 18.76
- - --- Drywell,teach 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 12/3C Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain.connector 18.76
Sanitary sewer(no.linear ft.:_) Page 2
Storm sewer(no.linear ft.:_) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: - I Lot no.: 28 Fixture or item:
Tax map/parcel no.: Backtmow 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
0.1 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 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon WLH,LLC Medical gas(value:$_) Page 2
Primer 12.51
Contact name:Tonja Morris
Roof drain(commercial) 12.51
Address:703 Broadway St.,Ste 510 Sink/basin/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/DW V 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: S72.50
CCB Lie.: 184372 Plumbing Lic.no.:pb634 Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: 1Z`e"- TOTAL PERM IT FEE
Print name:Steve Fowler Date: 10/30/20 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 auildinelPermits\PLMIJ-Penn A°n.doe 10,01/09 440-4616T(I 0/02/COMIWEBI
m.
fi t City of Tigard
II 2
v COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review — Residential
TIGARD
Building Permit #: M S T 20 74-O O (lo O
Site Address: /70..2C- SW Friendly Lane
Project Name: River Terrace Northeast Lot #:
Planning Review
Pro osa1: New rowhome
Verify address/suite #active in Accela. In River Terre: ❑ No Yes, River Terrace Review Addendum
Sit- lan Elements: V r ion Control
1p opies of site plan on 8-1/2"x 11"or 11 x 17" paper �taained trees with drip line and tree protection measures
It I rawn to scale(standard architect or engineer scale) 4otprint of new structure(including decks)and FFE
�' . h arrow �J:i ty locations&easements(required for new and additions)
P.- e address,project or subdivision name and lot number Add- alk/driveway approach
War .plicant information(name and phone number) ;•-o cation of wells/septic systems
1 .t dimensions and building setback dimensions reet tree size,type and location
,.`(yl.quare footage of buildings to be demolished _tt names
�K` -sting structures on site orner elevations(2'contours if more than 4'diffe ntial
WA .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? es
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? es o
0 Clean Water Services-Service Provider Letter (lot platted prior to 9/10/1995):
Required: ❑Yes,applicant was notified ❑ No Received: ❑ Yes 0 No
Water Meter Fixture Unit Worksheet-Additions,Remodels and ADUs
Required: ❑ Yes,applicant was notified ❑No Received: ❑Yes ❑ No
❑�DC Exemptio or ADU applied for: ❑Yes ❑No Received: ❑ Yes ❑ No
Ed
P blic Faciliti Improvement(PFI)Permit: �
equired: Yes,applicant was notified ❑ No plied For: 1[J Yes ❑ No,stop intake
LI✓ and Use Case#: P DR201 6-0001 3, MMD2020-00030ong: R 25
Uquired Setbacks: Front: 5 Rear: 0 Side: Street Side: "Garage: 3
uilding Height: Max. Height: N/A Actual Hei•ht: 36
Landsca.e Area: -20 °'° t Coverage Max: rill
Entrance S - sack no more than 8' from street-facing wall ❑ Para -. . street or offset 45 degrees or less
Windows II Minimum '° . of area of all street-facing facades iik1
Garage Gara e door is behm. :•est street-facing wall .)l ' 1 Yes El No,one of the following is met:
gDoor extends no more . from .nd there is a covered porch extending beyond garage.
❑u Door extends no more than om ••:. . d there is a 12 sq ft.window above garage on 2"d floor.
❑ Gara•e door width is I - or less CI or .f facade e
❑ 60°/u or less and includes 7 of following:
ICovered po Recessed entrance Wall 0 1'Roof eave ❑ Roof offset
II Fir ; _les 1 Lap Siding ElRoof itch ElGable, : .r gambrel roof Dormer
Accent siding aWindow trim U Window recess I Windo : • ection 0 Balcony
I Visual Clearance FA Urban Forestry, Ian
II Sensitive Lands: ❑ Yes 1] No Type:
Co lions met prior to issuance of building permit
NorOutstanding conditions under PDR2 1 ��
114'Approved By Planning: Date:
11b---/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPerm itRvw_RE S_1224I9.docx
Building Permit Submittal
Original Submittal Date: 6'I/2/2_02./
Site Plans: # 5
Building Plans: # 3
Building Permit#: aEnter buildin• permit#above. �IJy
Workflow Routing: la Planning Engineering I] Permit Coordinator Building
Workflow Sign-off: Et Sign-off for Planning(include notes from planning review)
Route Application Documents: ErEngineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
�y
C7 Building: original permit application, site plans,building plans,engineer and
beam calculations a trust details,if applicable,etc.
Notes:
By Permit Technician: Date: N//02/
Engineering R evi ew
77
[ Slope at building pad: 2 j
eConditions "Met"prior to issuance of building permit
Easements (encroachments)per engineering conditions of approval and plat
[n/
Water Quality/Quantity Facility: /�
Assess Water Quality Fee in-lieu: 0 Yes l/�No
Assess Water Quantity Fee in-lieu: ❑ Yes 12 No
pJ
LIDA Facility on lot: 0 Yes No
Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
E Approved by Engineering: Date: Z 2
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: 0 Approved ❑ Not Approved
Permit Coordinator Review
1Conditions "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:
ZSDC Exemption: ❑ Received ,Does not a4 ly
ZSDC Fees Entered: Wash Co Trans Dev Tax: JZYes N/A
Tigard Trans SDC: 0-Yes ❑ N/A
Parks SDC: ZYes ❑ N/A
LIDA ❑ Yes ❑ N/A
J'OK to Issue Permit
Approved by Permit Coordinator: Date: 4121/ ?AM
1:1Building\Forms\BIdgPermitRvw RES 122419.docx
1 a
City of Tigard
v COMMUNITY DEVELOPMENT DEPARTMENT
:NI M
River Terrace Building Permit Review Addendum
TIGARD
Building Permit #: N(ST2Ol1-00( (oO
Site Address: / "— SW Friendly Lane
Project Name: River Terrace Northeast Lot #: --Q�
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan DisIct 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 facade that has 30-60 ft. of frontage.An additional
element requ' 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 a Gabled dormer
Porch min. ft. deep ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6 .wide
❑ ❑ ❑
2. Eyes o t e street: a minimum of 12')/0of each street facing facade must include or entrance doors.
Percentage Shown: >l.2 t/o
3. ntrances:At least one entrance must meet both of the folio . g 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
inte opens to a porch: Yes ❑No
,all the following apply: sq.ft. min.
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 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
alii
Roof cave min. 12 inch projection � oof offset min.of 2 ft.
❑Roof shingles either tile or wood able,hip or gambrel roof design/
❑Roof pitch oriented south min. 500 sq. ft. able,
lap siding min. 3-7 inches wide
❑Accent siding min. 40%of street facade l]G Wrndow trim min. 2 1'wide by 5/8" deepf
❑Window recess min. 3 inches for all street facing ❑Bay window min. 5 ft.wide by 2 ft. deep
❑Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑Attached garage is 35% or less of street facade
5. r. - . -s and Carports:May face the front or sid of . e on a cor - ot.
Setbacks:
No closer to front or sr.- : ' e,than longest str et-f. .. g wall. ❑Yes ❑No. If No (Check one):
0 May extend up to 5 ft. if there is . - ered f e porch and garage does not extend beyond the front porch.
❑May extend up to 5 ft. where the -:- is p.S • 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 0 40%max. of street . .•e
11.1 0%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: - Date: 2--
I:\Buil ding1Forrns\BldgPermitRvw_RES_RT_121417.door