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Permit Plumbing Permit Applicat CEIVED Building Fixtures JUL w), $ 702: FOR OFFI('E Fsi•: ()SLY Received • . City of Tigard Ap Pennit No. � 13125 SW Hall Blvd.,Tigard,OR 97Q�I�OF TIGr111D Date/By: � �/�I � ��ij��1���l"Q� Plan Review Phone: 503.718.2439 Fax: 503. 6 �+ t� / Other Permit No.: Inspection Line: 503.639.4175 LIL ING DIUIx7IOIN pate Ready/By:8 !�l?` � 7 I C;A R I) ,.*'�J' �y ® See Page 2 for Internet: www.tigard-or.gov Notitied/Method`/ i' --`40 8. Supplemental Information TYPE OF WORK -t / 6,�Y - FEE*i SCHEDULE ❑■ New construction ❑Demolition For special information use checklist. Description I Qty. I 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 I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 • SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder ❑Other: Fire sprinkler(1.991 sq.ft.) Page 2 JOB SITE''INFORMATION AND LOCATION Site utilities: Job site address:17071 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.: l Project name: River Terrace NE No.4 Bldg 6 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.:34 Fixture or item: Tax map/parcel no.: Backtlow preventer 31.27 DESCRIPTION OF'MORK Backwater valve 12.51 Clothes washer 25.02 MULTIPURPOSE FIRE SPRINKLER SYSTEM Dishwasher 25.02 PERMIT# MST2021-00167 Drinking fountain 25.02 UNIT PLAN# G20 Ejectors/sump 25.02 ® PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Fixture/sewer cap 25.02 Name: Taylor Morrison Floor drain/floor sink/hub 25.02 Address: 703 Broadway Street Suite 710 Garbage disposal 25.02 City/State/ZIP: Vancouver,WA 98660 [lose bib 25.02 Phone:( 360)816-7788 Fax:( ) Ice maker 12.51 © APPLICANT ® 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 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 Lic.:184601 Plumbing Lic.no.:PB732 State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE 11�This permit application expires if a permit is not obtained withi 8 days Print name:Gavin Thomes Date:6.14.2021 after it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. I A Budding V Permits VPLMU-PermitApp.doe 10/01/09 440-4616T(I0/o2/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Fee(ea) Total .Square Footage: Permit Fee: Footing drain-1'100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer- 1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Storm&Rain Drain-1st 100' 62.54 Valuation: Permit Fee: $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for other Inspections or Fees 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 Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: CaPPed Added Relocate Baptistry/Font ❑ Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed Bathi -Tub/Shower engineer. -Jacuzzi/Whirlpool ElCar Wash: Each Stall New exterior plumbing site utilities for any complex structure Drive Thru as defined in OAR918-780-0040. IDCuspidor/Water Aspirator Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial El 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" 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:ABuilding\Permits\PLMF_PermitApp.doc 08/04/2011 2 CITY OF TIGARD MASTER PERMIT INNIT COMMUNITY DEVELOPMENT Permit#: MST2021-00167 T i i,A h.i-7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/08/2021 Parcel: 2S106AC06200 Jurisdiction: Tigard Site address: 17071 SW FRIENDLY LN Subdivision: RIVER TERRACE EAST 3 Lot: 34 Project: River Terrace Northeast, Lot 34 Project Description: New attached dwelling BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 335 sf Basement: 0 sf Left: 8 Parking Spaces: 0 Height: 36 Bathrooms: 4 Second: 658 sf Garage: 246 sf Front: 5 Smoke Dwelling Units: 1 Third: 998 sf Right: 0 Detectors: Yes Total: 1991 sf Value: $257,058.22 Rear: 0 PLUMBING Sinks: 2 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain 0 Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: i Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Tvoes Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 FurnelOOK: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 2 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc!Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL•RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing. Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet NEW SFA VB R-3 1991 Owner: Contractor: POLYGON WLH LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 703 BROADWAY ST STE 510 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98680 VANCOUVER,WA 98660 2 Fire Rated Conditions PHONE: PHONE: 360-695-7700 FAX: Total Fees: $29,180.92 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be 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. HollyVtavLD O wP Ayrlicti.ao-n Issued By: Prk1 Permittee Signature: p 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 4 RECEIVED _ Residential FOR OFFICE USE ONLY /Received yr, 27 zo Permit No S7OZI_co /67:� - City of Tigard t;R 1 n 121 Date/By- vT ll 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review n Phone: 503.718.2439 Fax: 503.598.1960 Date/By v a A Other PermitSWR202 OOilI Inspection Line: 503.639.4175 CITY OF TIGARD Date Read iB Apr, Juris El See Page 2 for TIGARD Internet: www.tigard-or.gov Nolifi } iod: // '11 Supplemental Information BUILDING DIVISION �' �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 ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: S a-6.41 ® 1-and 2-family dwelling ❑Commercial/industrial /05b, ElAccessory building 0 Multi-family Number of bedrooms: 3 ❑Master builder 0 Other: Number of bathrooms:` '' 9. JOB SITE INFORMATION AND LOCATION Total number of floors:y�3 22-37 Job site address: 17071 SW FRIENDLY LN New dwelling area: /997 square feet qj City/State/ZIP:Sherwood, OR 97140 Garage/carport area: oQ 46 square feet I „s$ Suite/bldg./apt.no.: Project name:River Terrace 1 D/3C Nl>t1t11ft1 Covered porch area: square feet -.5JS-- Cross street/directions to job site: Deck area: 2$ square feet r strtictitr � 2� square feet REQUIIREDD DATA:COMMERCIAL-USE CHECKLIST Subdivision:River Terrace Area 3 I Lot no. 34 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. V Valuation: $ v Single Family Attached Building #6 lots 31-34 Existing building area: square feet i 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:(360-695-7700 Fax: (360 )693-4442 New: ® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer wfee 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$95-7700 Fax::( 360) 693-4442 E-mail:permltsubmittals@taylormorrlSOn.COm PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* 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 Specially Code checklist. City/State/ZIP:Vancouver, WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360-695-7700 Fax:(360 )693-4442 State surcharge(12%of permit fee): $21.60 CCB lie.: 207247 Total fee due upon application: $201.60 Authorized signature: Omar Alami Abouhafs This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete,. Print name:Omar Alami Abouhafs Date: 02/10/21 *Fee methodology set by Tri-County Building Industry Service Board. L•\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) • Mechanical Permit Application FOR OFFICE USE ONLY RECEIVE Received �A City of Tigard Date/By: PermitNo.: sr�,r��I 1_l 20 —0011`7 14 ! 13125 SW Hall Blvd.,Tigard,OR 97223 • Phone: 503.718.2439 Fax: 503.598.1960 1ae/BRy: w -:(�� 2 ��3` DateBy: Other Permit: Y 1 ii 1�, Inspection Line: 503.639.4175 Date Ready/By: Juris: H See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information BUILDING DIVISION'TYPE OF WORK COMMERCIAL.FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit. Value:S CATEGORY OF CONSTRUCTION • RESIDENTIAL EQUIPMENT/SYSTEMS FEES' ®1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. j Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 1 46.75 Job site address: 17071 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 Suite/bldg./apt.no.: Project name: River Terrace 1 B/3C Heat 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: Roshak Ridge Lot no.: 34 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplacefinsert 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 Address:703 Broadway St.,Ste.510 equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet compartments,utility moms) 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: S14.15 for first four,$4.03 for each additional Contact name:Tonja Morris Furnace,etc. Address:703 Broadway St.,Ste 510 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range E-mail:permitsnbmittalsC A Llr❑offs so 0EIM❑ Barbecue • CONTRACTOR Clothes dryer(gas) Business name:•Pra Heating&Cooling Other: MECHANICAL PERMIT FEES• Address: NW Alociek Dr,Ste.1104 Subtotal City/State/ZIP:Hillsboro,OR Minimum permit fee(S90.00) 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 days after it has been accepted as complete. Authorized signature: Wa � 'Q''n' • Fee methodology set by Tri-County Building Industry Service Board Print name:Elia Duran Date: 10/30/20 ® � / Electrical Permit Applicatior1ZECEI V E folz OFFICE I sl oNl.i City of Tigard 1 aR Received MSTZ02l-IXJ (07 IIIi.i°�t r f� DateB _ Permit 4' - • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.196 Related Permit#: Ready- lTY OF TIGARD Inspection Line: 503.639.4175 u Date/By: kris: ® See Page 2 for 1 I t,'''I`•U Internet: www.tigard-or.gov BUILDIN( nl\iginiv 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 ❑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. ® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder 0 Other: �r;� 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION A 0 Emergency system. larger auger separately derived ❑Addition of new motor load of system. Job#: Job site address:17071 SW FRIENDLY LN 100HPormore. ❑"A","E","I-2","1-3", City/State/ZIP: Tigard OR 97224 0 Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: River Terrace 1 B/3C ❑Hazardous locations. 0 Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: - FEE SCHEDULE Description I Qty. I Each 1 Total I • New residential single-or multi-family dwelling unit. Subdivision: Roshak Ridge Lot#:34 Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less .. 168.54 4 Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 (with above sq.fl.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 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 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 r APPLICANT 0 CONTACT PERSON 31 Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name: Polygon Homes WLH, LLC above service or feeder fee, 7.42 2 each branch circuit Contact name: Omar Alami Abouhafs B.Fee for branch circuits without service or feeder fee,first Address: 703 Broadway St., Ste 510 branch circuit 56.18 2 City/State/ZIP: Vancouver WA 98660 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360 )816-7800 Fax::( ) Each manufactured or modular 67.84 2 Email: permitsubmittals@taylormorrison.com dwelling,service and/or feeder 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 Pagt 2 2 Address: 1915 E 5th St., Ste D panel,alteration,or extension. City/State/ZIP: Vancouver, WA 98661 Each additional inspection over allowable in any of the above Additional inspection(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@portlandelectric.biz Inspections for which no fee is 90.00/hr CCB Lic.: 194066 Electrical Lic.: C760 Suprv.Lic.: 49205 specifically listed(Vs hr min) Suprv.Electrician signature,required: at,,,,, �R n®r,�f ELECTRICAL PERMIT FEES .....�`}'f Subtotal: Print name: Alex Shalya Da e:1 D/30/20 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: m, 441,, TOTAL PERMIT FEE: Thu permit application expires if a permit is not obtained within l80 Print name: Serqey Mishchuk Date:10/30/20 days after it has been accepted as complete. * Number of inspections allowed per permit. 21Building\Pern.its\ELC_PormitApp_ELR_ERE.doc Rev 06/17/2015 440-0615TO 1/05/COM/WEB Y Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE combined: $75.00 Description wa I Qly. I Each j To1TotalFee for all residential systemsk Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to15kva 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 50.01 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 ❑ 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'hr specifically listed('/z hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): y ' Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I93uilding\Permits\ELC_PermilApp ELR_ERE.doe Rev 06/17/2015 I Plumbing Permit Application �ECEIVE Building Fixtures FOR OFFICE USE ONLY Cityof Tigard `" .7 p �J g :tb+� 1 4:: `�,0�. Received Pe nit No.: MS�L0Z'_W t� / v 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Phone: 503.718.2439 Fax: 503.598.196 Plan Review t;ITY OF TIGARD Date/gy. Other Permit No.: Inspection Line: 503.639.4175 Date Read/B Ja s: ® See Page 2 for TIGARD Internet: www.tigard-or.gov BUILDING DNISION Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special information use checklist Description 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(I)bath 312.70 ,1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 buildingSFR(3)bath 500.32 0 Accessory 411-Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 17071 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 1B/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.: 34 Fixture or item: Tax map/parcel no.: Backtflow 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 l ❑ 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 Medical gas(value:$ ) Page 2 Business name:Polygon WLH,LLC g Contact name:Tonja Morris Primer 12.51 Roof drain(commercial) 12.51 Address:703 Broadway St.,Ste 510 Sink/basin lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail: permitsubmittals@taylormorrison.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:G&B Plumbing&Sons Inc Water piping 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: $72.50 Plan review (25%of permit fee) CCB Lic.:184372 Plumbing Lic.no.:pb634 State surcharge(12%of permit fee) Authorized signature: 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. RBoildine\Permits\PLMU-PermitAuo.dot 10/01/09 440-4616T(t0/02/COM/WEBI City of Tigard L IS I " COMMUNITY DEVELOPMENT DEPARTMENT T 1 c n R D Building Permit Review — Residential Building Permit #: fri ST21321— 00 i1(07 Site Address: f �-f SW Friendly Lane Project Name: River Terrace Northeast Lot #: S Planning Review Pro oral: New rowhome n/ UVerify address/suite#active in Accela. P/I In River Terr e: ❑ No "Yes, River Terrace Review Addendum Site 'Ian Elements: r 'on Control It copiesof site plan on 8-1/2"x 11"or 11 x 17"paper tained trees with drip line and tree protection measures it 11 brawn to scale(standard architect or engineer scale) .,d6otprint of new structure(including decks) and FFE 7►orth arrow ,��Blity locations&easements (required fox new and additions) IP%.'e address,project or subdivision name and lot number �`'id walk/driveway approach �t .plicant information(name and phone number) cation of wells/septic systems 3 .t dimensions and building setback dimensions 14t,Ceet tree size,type and location + 1 IL••uare footage of buildings to be demolished t names N I I sling structures on site ]homer elevations(2'contours if more than 4'di fe ntial r .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 II Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: 0 Yes,applicant was notified 0 No Received: ❑Yes ❑No r 'I Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs cRequired: ❑Yes,applicant was notified ❑ No Received: ❑Yes ❑No II .DC Exemptio for ADU applied for: 0 Yes ❑ No Received: ❑Yes ElNo PIA Public Facilitt Improvement(PFI) Permit: equired: Yes,applicant was notified CI No plied For: Yes ElNo,stop intake and Use Case #: PDR2016 00013, MMD2020-00030 Zonin : R 25 g 4equired Setbacks: Front: 5 Rear: 0 Side: 0 Street Side: l Garage: 3 uilding Height: Max. Height: N/A Actual Height: 36 pa Landscape Area: 20 % Lot Coverage Max: 80 Entrance back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less Windows - Minimum ° of area of all street-facing facades , Garage _ Gara door is behind t street-facing wall 1 N es ❑ No,one of the following is met: Door extends no more than wall an e is a covered porch extending beyond garage. Door extends no more than 5'fro ere is a 12 sq ft.window above garage on 2na floor. 0 Gara e door width is 12' ess ❑ 50%or less o e 60%or less and includes 7 of following: Covered porc Recessed entrance ❑Wall off et ' of eave _ Roof offset / Fire es Lap Siding ❑ Roof itch Gable, ,or gam oof Dormer ccent siding Window trim Window recess hi —Window projection Balcony Visual Clearance Urban Fores an P.ensitive Lands: ❑ Yes No Type: 11 C. ditions met prior to issuance of buildingpermit No -s: Outstanding conditions under PDR2016- 3 1 Approved By Planning: Date: _,4_72-c5/_/__.2- Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: ❑ Approved ❑ Not Approved I:1BuildinglForms\BldgPermitRvw_RES_122419.docx Building Permit Submittal l/ Original Submittal Date: Q4/1 20.3 Site Plans: # Building Plans: # �J Building Permit#: �y r[��Enter building4errnnut#above. �� Workflow Routing: lanning L✓1 Engineering Permit Coordinator Ly Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: 1❑ 'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and ,original plan review routing form. Building: original p- 't application, site plans,building plans,engineer and beam calculation . trust details,if applicable,etc. Notes: , By Permit Technician: -"VP" , / Date: dooz/ En y'neering Review '/ �3Slope at building pad: [WConditions "Met"prior to issuance of building permit /V7/¢ U Easements (encroachments)per engineering conditions of approval and plat VA/Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes �/ LIDA Facility on lot ❑ Yes L`�J No I1 Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: Z? . Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Permit Coordinator Review eaConditions "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: El Received "Does not a- ly SDC Fees Entered: Wash Co Trans Dev Tax: Yes N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑yN/A LIDA ❑ Yes N/A )2/0K to Issue Permit Approved by Permit Coordinator: V rYL-- Date: 5 f31Zb2 I 1:1Building\Forms\BldgPermitRvw_RES_122419.docx w • City of Tigard e COMMUNITY DEVELOPMENT DEPARTMENT p TIGARD River Terrace Building Permit Review Addendum 0. Building Permit #: I-A S f2OZ/—001(a? Site Address: /70 -/ SW Friendly Lane Project Name: River Terrace Northeast Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.640.070.11): Is the project subject to the plan district design standards? ❑s Yes ❑No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Balcony w/ access 2 Window Projection Vertical WallOffset a Porch min. ft. deep ft. deep❑ min. 2ft., 5 ft.wide min. 2 ft.,of wide Gabled dormer " Q,� _! ❑ 1 El2. Eyesb I the3sstreet: a minimum of 1' o D ch street facing facade must include windows or entrance doors. Percentage Shown: O0 3. trances:At least one entrance must meet both of the foll ing standards: Max. 8 ft. setback from long t street- facing wall Parallel to street,angle no more than 45° from street, or o en onto porch Entrance opens to a porch: Yes ❑No If s all the following apply: g L]sq.ft. min. ne street facing entry ft.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 ❑Recessed entry area min. 5 ft.wide x 2 ft. deep ❑ all offset min. 16 inches Elpdormer min. 4 ft.wide 8.41 Roof eave min. 12 inch projectionfj'Lj i41jdof offset min.of 2 ft. ' ❑Roof shingles either tile or wood Wable,hip or gambrel roof design ❑Roof pitch oriented south min. 500 sq. ft. orizontal lap siding min. 3-7 inches wide ❑Accent siding min.40%of street façade IVJ Window trim min. 2 1'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 ❑Attached garage is 35%or less of street facade . ages and Carports: May face the front or side lot line on a corner lot. Setbacks: No closer to front or " lot line, than longest stiseet-Yatirtg wall. es No. If No (Check one): 0 May extend up to 5 ft.if ther " covered front d garage does not extend beyond the front porch. ❑May extend up to 5 ft.where the gara e " t of a two-story building and there is a window at the second story above the garage that faces the str rth a min. are 2 sq.ft. Width: (Check one) ❑12-fo e garage door ❑40% max. o s facade 0%max. of street facade with 7 detailed design elements Notes: Approved By Planning: �� Date: / / / 1-1Building1Fmm s1BldgPermilRvw_RES_RT_121417.docx