Permit Plumbing Permit Applic ECEl V ED
Building Fixtures
CityOf Tigard Received ^� /21 x y�q/1 I^/�hI
. g �+�, TIGARD
L Permit No.: IMN\' L/UL//�1 /W�1
il 13125 SW Hall Blvd.,Tigard,OR d2 OF t IGARU Date/By:
Plan Review 4,y
Phone: 503.718.2439 Fax: 50 ,I 1 Date/By: 0/IG/�f 1 Other Permit No.:
Inspection Line: 503.639.4175 �G U�VISIGr j
f I G A R D Date Ready/By ® See Page 2 for
Internet. www.tigard-or.gov Notified/Method� -S/�'ly Supplemental Information
TYPE'OF WORK ( .,. 1._.. io- FEE* SCHEDULE
❑■ New construction ❑Demolition For special information use checklist.
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
■ I-and 2-familydwellingSFR(2)bath 437.78
❑Commercial/industrial
El Accessory buildingSFR(3)bath 500.32
❑Multi-family
Each additional bath/kitchen 25.02
❑Master builder 0 Other:
Fire sprinkler(t,nt sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:17017 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.: 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: I Lot no.:27 Fixture or item:
Tax map/parcel no.: Backtlow preventer 31.27
DESCRIPTION OF WORK
valve 12.51
Clothes washer 25.02
MULTIPURPOSE FIRE SPRINKLER SYSTEM Dishwasher 25.02
PERMIT# MST2021-00159 Drinking fountain 25.02
UNIT PLAN# F20 Ejectors/sump 25.02
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
'❑ APPLICANT 111] CONTACT PERSON Interceptor/grease trap 25.02
Business name: Alliance Plumbing, LLC Medical gas(value:$ ) Page 2
Primer 12.51
Contact name: Gavin Thomas 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 Lic.:184601 Plumbing Lic.no.:PB732
State surcharge(12%of permit fee)
Authorized signature: /`"- TOTAL PERMIT FEE i/tY 153
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.
1.1BuildingV Permits VPLMU-PermitApp.doe 10/(11/09 440-4616T(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-1"100' 50.03 O 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 Ins ections or Fees Qty` Fe (ea) Total each additional$100.00 or fraction thereof,to
p 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.
1 tT tfur Replace/ Please check all that apply.
Work Pettormed: Capped Added Relocate
Baptistry/Font ❑ Any new commercial building with water service 2"and
p greater,except systems designed and stamped by licensed
Bath: -Tub/Shower
engineer.
Jacuzzi/Whirlpool
Car Wash: Stall ❑ New exterior plumbing site utilities for any complex structure
-Each StallThr as defined in OAR918-780-0040.
-DrivCuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher: Commercial El Any multipurpose fire sprinkler system.
Domestic ❑ Any complex structure as defined in OAR918-780-0040.
Drinking Fountain
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2"
3 Isometric or Riser Diagram
❑ Isometric or riser diagram is required for new buildings
-Car Wash Drain
Garbage Domestic non-food that meet the qualifications above.
Disposal: -Domestic food related
-Commercial food related
-Industrial food related
Ice Mach./Refrig.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:
I:A Building\Permits\PLMF_PermitApp.doc 08/04/2011 2
CITY OF TIGARD MASTER PERMIT
III s r
o COMMUNITY DEVELOPMENT Permit#: MST2021-00159
Date Issued: 06/08/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106AC05500
Jurisdiction: Tigard
Site address: 17017 SW FRIENDLY LN
Subdivision: RIVER TERRACE EAST 3 Lot: 27
Project: River Terrace Northeast, Lot 27
Project Description: New attached dwelling
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 3 First: 68 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 36 Bathrooms: 3 Second: 670 sf Garage: 530 sf Front: 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 Storm Sewer: 100
Drains: 0
Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckew 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'Noes Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 2
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea addl 500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener N All
Ecompasing. Y
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:
Required
WLH LLC WILLIAM LYON HOMES INC 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 96660 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.
Issued By: Holly VavvDe/Wege Permittee Signature: 0 rt.Appl;,catt.o-v1.
Call 603.039.4175 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.
m.
Building Permit Application
+ Residential RECEIVE , FOR OFFICE USE ONLY City of Tigard
t r �/� (]
2 r Received .v/ 77 ZOZI �y Permit No.:MSI ZQN^W I59
;� .1 (iJl* DatePlanBRevy:
1111‘ ■ 13125 SW Hall Blvd.,Tigard,OR 97223Review ethe Pe mit:s����-�IO
• = Phone: 503.718.2439 Fax 503.598.1960 CITY OF TIGARI� DDate/By ✓L f 3 1f
Inspection Line: 503.639.4175
Date Ready/By ) ® See Page 2 for
TIGARD Internet: www.tigard-or.gov BUILDING DIVISION i£ed/ iethod: / , Supplemental 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 0 Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application. Q N
CATEGORY OF CONSTRUCTION ( YL` `�' 1
Valuation: $ "rJ 7
® 1-and 2-family dwelling ❑Commercial/industrial
Number of bedrooms:
❑Accessory building 0 Multi-family Number of bathrooms �1
: �.J
❑Master builder ❑Other: ��^ ���
JOB SITE INFORMATION AND LOCATION
Total number of floors: ]
area:dwell
ing Job site address: 17017 SW FRIENDLY LN New /771, square feet 1633
City/StateiZIP:Shervvood, OR 97140
Garage/carport area: 5`3 0 square feet u'7 a
' wQ
Suite Bldg./apt.no.: Project name:River Terrace 1 D/3O Covered porch area: square feet lY i�
Cross street/directions to job site: Deck area: ,U square feet
tru turefnl'&ate ./ 1� square feet
Q RE UIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:River Terrace Area 3 Lot no. 27 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:( 3607695-7700 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.eom 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
yg 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:(360-595-7700 I Fax (360 )693-4442 State surcharge(12%of permit fee):
$21.60
CCB lic.: 207247 Total fee due upon application: $201.60
Omar Alami Abouhafs This permit application expires if a permit is not obtained
Authorized signature: within 1S0 days after it has been accepted as complete.
02/10/21 *Fee methodology set by Tri-County Building Industry
Print name:Omar Alami Abouhafs Date: Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Applicatigua RECEIVED- FOROFFICE USE ONLY
Received
City of Tigard Daffy Permit No.: M ST2021-00(G9
,i 13125 SW Hall Blvd.,Tigard,OR 97223 t a Rev
Phone: 503.718.2439 Fax: 503.598.1960 �� �12. e By:
D
Date Ocher Perruit:
IMAM Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: saris: Page _
Internet: www.t and-or. ov See Supplementalfor
g g Notified/Method: Information
BUILDING DIVISIOI`
TYPE OF WORK COMMERCIAL FEE- SCHEDULE USE CHECKLIST
• Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition ❑Other: mechanical materials,equipment labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
1 j Multi-family ❑Master builder ❑Other: Description Qty. j Ea- Total
JOB SITE INFORMATION AND LOCATION Heating,/cooling:
Air conditioning ( 46.75
Sob site address: 17017 SW FRIENDLY LN Furnace 100,000BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt tine
Project name: River Terrace tC uc Dt pump 61.06
Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Lot no.: 27 Other. 23.32
Roshak Ridge Other fuel appliances:
Tax reap/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplacernsert 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER 0 TENANT Other 23.32
- • Environmental exhaust and ventilation:
Name:Polygon WLH,LLC Range hood/other kitchen
Address:703 Broadway St.,Ste.510 eqm I 33.39
Clotheess 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
r APPLICANT 0 CONTACT PERSON Other. 23.32
Business name:Polygon WLH,LLC Fuel piping:
814.15 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
Range
E-mail:permitsubmittalsl Ti®f l7 ornSO C Lb E Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Pro Heating Se 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
days after it has been accepted as complete.
Authorized signature: �Q'' 'CUL ' Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Duran Date: 1 0/30/20
RECEIVE '-
Electrical Permit Application 1 j FOROFF►CE I. 0\11
City of Tigard 'APR " 711�1 Received �tsT zozl-00 i s 9
Date/By: Permit#:
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
CITY OF TIGARDRelated Permit ii:
O Phone: 503.718.2439 Fax: 503.598.1960p Date/By:
Inspection Line: 503.639.4175 BUILDINGDIVISIO Ready Date/By: ions. El See Page 2 for
IIGARD Internet www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK PLAN REyI.EW
®New construction E Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wfitems checked):
['Service or feeder 400 amps or more ['Building over three stories.
O Demolition ❑Other: where the available fault current ['Marinas and boatyards.
CATIEGORY O! 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 ❑Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION n' 0 Emergency system. larger separately derived
k
❑Addition of new motor load of system.
Job#: Job site address:17017 SW FRIENDLY LN 100HP or more. ❑"A","E","1-2","1.3",
0 Six or more residential units. occupancy.
City/State/ZIP: Tigard OR 97224 ❑Health-care facilities. 0 Recreational vehicle parks.
River Terrace 113136 ❑Hazardous locations. 0 Supply voltage for more than
Suite/bldg./apt.#: Project name: 0 Service or feeder 600 amps or more. 600 volts nominal.
—
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. I Earh I Total I '
New residential single-or multi-family dwelling unit.
Subdivision: Roshak Ridge Lot#:27 Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Fa.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
El 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
Branch circuits—new,alteration,or extension, i er panel
PI] APPLICANT 0 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 0 See Page 2 2
Address: 1915 E 5th St., Ste D panel,alteration,or extension.
City/State/ZIP: Vancouver, WA 98661 Each additional inspection over allowable in any of the above
ty 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: L.A.GL,x xS Subtotal:
Print name: Alex Shalya Dae:10/30/20 ❑Plan Review Required(25%of permit fee):
(� State surcharge(12%of permit fee):
_Jl Q „ .Q TOTAL PERMIT FEE:
Authorized signature: J��UUU tiv�rwr
This permit application expires if a permit is not obtained within 180
Print name: Serdey Mishchuk Date:10/30/20 days after it has been accepted as complete.
* Number of inspections allowed per permit.
IdBuilding\Permits/EL.0_Permit App_EIR_ERE.doc Rev 06/17/2015 440-4615T(I l/oS/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
cripliFee for all residential systems combined: $75.00 °e Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 Icva 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 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
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00,t hr
specifically listed(Y hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FE
Fee for each commercial system: $75.00 alloweSubtod 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
El Intercom and Paging Systems
n Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
n Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I:tBuilding/PermitsdELC_PermitApp_ELa ERE.doe Rev 06/17/2015
+ Plumbing Permit Application
g RECEIVEr
Suildln Fixtures FOR OFFICE USE ONLY
City of Tigard APR 1 % 70 i Received Permit No.: MST2D2.i-onlsq
�t 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.7182439 Fax: 503.598.196�'ITYOFTIGARIJ Date/By Other Permit No.:
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: lurk: 0 See Page 2 for
Internet: www.ugard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction ❑Demolition For special information use checklist.
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
X1-and 2-family dwelling ❑Commercial/industrial
SFR(2)bath 437.78
IDAccessory building 41-Multi-famil SFR(3)bath 500.32
y Each additional batlt/ldtchen 25.02
❑Master builder 0 Other:
Fire sprinkler(_sq.ft) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 17017 SW FRIENDLY LN Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: I Project name: River Terrace "B/31✓
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.: 27 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® 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 Med cal 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/showedshowerpan 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 PiP t in 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)
Authorized signature:
~ lv State surcharge(12%of permit fee)
TOTAL PERMIT 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.
1-\n°ildine\PermialPLMU-PermitAoo.doc 10/01/09 440-4616T(10,02/COMM1 EB)
City of Tigard
i 71_ C
• ■ COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Residential
6
Building Permit #: MSI 2021 'OD S9
Site Address: / i v SW Friendly Lane
Project Name: River Terrace Northeast Lot #:
Planning Review
Pr oral: New rowhome
gi Verify address/suite #active in Accela. In River Terr ce: ❑ No Yes,River Terrace Review Addendum
Si Plan Elements: ro ' n Control
i copies of site plan on 8-1/2"x 11"or 11 x 17"paper ained trees with drip line and tree protection measures
;raven to scale(standard architect or engineer scale) otprint of new structure(including decks)and FFE
�• orth arrow 'ty locations&easements(required for new and additions)
KI. to address,project or subdivision name and lot number `de a1k/driveway approach
T4. pplicant information(name and phone number) ation of wells/septic systems
J .t dimensions and building setback dimensions eet tree size,type and location
fi..uare footage of buildings to be demolished eet names
II xisting 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 -
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? es o
❑ Clean Water Services —Service Provider Letter (lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No
❑ Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
Required: ❑Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No
B/DC Exemptio for ADU applied for: ❑Yes 0 No Received: 11Y s El No
Public Facili • s Improvement (PFI) Permit: �
e uired: Yes,applicantpplied For: U Yes El No,stopi intake
q was notified ❑ No
:
and Use Case#: PDR2016-00013, MMD2020-00030 Zoning: R-25
R-•uired Setbacks: Front: 5 Rear: 0 Side: Streetht: Side: 'Garage: 3
uilding Height: Max. Height: N/A / Actual Heig 36
7 Landscape Area: _2 0 % Lot Coverage Max: �_
Entrance — ack no more than 8'from street-facing wall ❑ Parallel to street set 45 degrees or less
Windows _ Minimum arca of all street-facing facades
Garage _ Gara door is behind treet-facing wall � X' es 0 No,one of the following is met:
Door extends no more than 5 all and e is a covered porch extending beyond garage.
Door extends no more than 5' fro an is a 12 sq ft.window above garage on 2nd floor.
❑ Gara e door width is 12' ess ❑ 50%or less of faca 60%or less and includes 7 of following:
Covered port Recessed entrance ❑ Wall offset 1' ve Roof offset
Fire • g es Lap Siding 0 Roof itch ❑ Gable,hi ,or gambre r Dormer
Accent siding Window trim UWmdow recess U Window projection cony
0 Visual Clearance Urban Fores Ian
❑ Sensitive Lands: ❑ Yes No Type:
❑ C ditions met prior to issuance of building permit
No s: Outstanding conditions under PDR2016-0001
v
rn
Approved By Planning: r Date: 2
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: ❑ Approved ❑ Not Approved
l:\Building\Forms\BldgPerm itRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: D02,/20 2/ a
Site Plans: # .3
Building Plans: # 3
Building Permit#: Q Enter buildin ermit# above. ,
Workflow Routing: Planning engineering R Permit Coordinator Building
Workflow Sign-off: 'gn-off for Planning (include notes from planning review)
Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
griginal plan review routing form.
Building: original permit application, site plans, building plans,engineer and
beam calculations and 1 st details,if applicable,etc.
Notes:
By Permit Technician: i;i/4707-, Date: Do/7/2172/
Engeering Review
�7 SlSope at building pad: 2 „1I Conditions "Met"prior to issuance of building permit,/
...
asements (encroachments) per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes RNo
Assess Water Quantity Fee in-lieu: ❑ Yes po
LIDA Facility on lot: ElYes o
LI Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
EApproved by Engineering: Date: L� 2
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Permit Coordinator Review
-f_I 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:
,2�"�" SDC Exemption: aReceived Does not ao ly
�[„J SDC Fees Entered: Wash Co Trans Dev Tax: gYes N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: Yes ❑ N/A
�y LIDA ❑ Yes �N/A
,L31 OK to Issue Permit
Approved by Permit Coordinator: Date: 4{vi ,o/4
ttt
I:\Building\Forms\BldgPermitRvw_RES_122419.docx
- ,l . .it City of Tigard
u COMMUNITY DEVELOPMENT DEPARTMENT
c River Terrace Building Permit Review Addendum
TIGARD
o
Building Permit #: MSrZ02l Oct 99
Site Address: l0/9- SW Friendly Lane
Project Name: River Terrace Northeast Lot #: 29--
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan Dis ct Design Standards (18.640.070.1.):
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
Porch min. ft. deep Gabled dormer
ft. d❑eep min. 2ft., 50
ft. wide min. 2 ft.,6.wide
2. Eyes o t e street: a minimum of 12% of each street facing facade must include windows or entrance doors.
Percentage Shown: >/.e/p
ntrances: At least one entrance must meet both of the folio ing standards:
3. Max. 8 ft. setback from to st street- facing wall arallel to street,angle no more than 45° from street,
or o en onto porch
En ante opens to a porch: Yes ❑No
If s,all the following apply: sq.ft.min.
ne street facing entryft.max. roof above floor of porch
5 ft. depth min. 30%min.porch roof coverage
4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
❑Covered porch min. 5 ft.wide x 5 ft. deep 0 Recessed entry area min. 5 ft.wide x 2 ft. deep
❑ ll offset min. 16 inches ❑ ►ormer min. 4 ft.wide
Raoof eave min. 12 inch projectoxi PI oof offset min. of 2 ft.
❑Roof shingles either tile or wood I!Q able,hip or gambrel roof desigie
❑Roof pitch oriented south min. 500 sq. ft. rizontal lap siding nun. 3-7 inches wide
❑Accent siding min.40%of street facade L]G Window trim min. 2 1/21 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 facade
5. es and Carports:May face the front or sid of ' e on a co ot.
Setbacks:
No closer to front or si e, 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 min. area o .ft.
Width: (Check one
❑12-f de garage door 0 40%max. of street e
0%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: Date: 1/03/0-1
I VimIcing\Forms'BIdgPermitRvw_REg RT_I 21417.doex