Permit Plumbing Permit AppliC Vv CE'\QED
Building Fixtures ri FOR OFFI('F. USE ()Nil
City of Tigard Ali k+ 6 Li Received...7 y� `''''}�' Pet,»it No: ^�� I„I^
Date,By: 1 (012.1 1` 7o21 O0' ) )Date/By:
• 13125 SW Hall Blvd.,Tigard,OR 97223 ry
I Phone: 503.718.2439 Fax: 503. y' ,{{�� 1 IGABU Plan Re:8// ^//
1�`\J� Date/By: Other Permit No.:
Inspection Line: 503.639.4175 I Date Ready/By. 1 �, /�lJ7 See Page 2 for
71(;ARD } g
Internet: www.tigard-or.gov 3UILDING DIVISI Notitied/Method 4//'�/ Cl Supplemental Information
TYPE OF WORK ;+ -j1.. iyal FEE* SCHEDULE E
❑■ New construction ❑Demolition For special information use checklist.
Description I Qty. 1 Ea. I Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)_
CATEGOR`I 1 cr Nt SFR(1)bath 312.70
■ l-and 2 ❑❑ family dwelling Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building ❑Multi-family
Each additional bath/kitchen 25.02
0 Master builder 0 Other: Fire sprinkler(1.771 sq.ft.) Page 2
JOB SITE INFORMATION AND,LOCATION Site utilities:
Job site address:17059 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 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 It.:_) Page 2
Subdivision: I Lot no.:33 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
RESCRIPTION OF-
WORD Backwater valve 12.51
Clothes washer 25.02
MULTIPURPOSE FIRE SPRINKLER SYSTEM Dishwasher 25.02
PERMIT# MST2021-00166 Drinking fountain 25.02
UNIT PLAN# F20 Ejectors/sump 25.02
® PROPERTY.OWNER '❑ 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 M 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
Urinal 25.02
E-mail: gavin@allianceplumbing.net
CONTRACTOIti 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: i`��;---7,Z___, TOTAL PERMIT FEE (3(0<Sri
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.doc IO/01/09 440-4616T(I 0/02/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
y
Site Utilities - Qt ° 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-I st 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 ❑ 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 Thru as defined in OAR918-780-0040.
Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher Commercial CI 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
❑ 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 fees assessed for the sewer increase must be paid before the
Water Extractor
Water Closet-Toilet plumbing permit can be issued.
Urinal
Other Fixtures:
1:ABuilding\Permits\PLMF_PermitApp.doc 08/04/2011 2
CITY OF TIGARD MASTER PERMIT
a COMMUNITY DEVELOPMENT Permit#: MST2021-00166
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/08/2021
Parcel: 2S106AC06100
Jurisdiction: Tigard
Site address: 17059 SW FRIENDLY LN
Subdivision: RIVER TERRACE EAST 3 Lot: 33
Project: River Terrace Northeast, Lot 33
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
Dwelling Units: 1 Third: 1033 sf Right: 0
Detectors: Yes
Total: 1771 sf Value: $243,154,94 Rear: 0
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain 0 Storm Sewer: 100
Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 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 Twee Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 2
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add!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 VS R-3 1771
Owner: Contractor:
POLYGON WLH LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
703 BROADWAY ST STE 510 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175
VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 Fire Rated Conditions
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $28,527.28
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: TinnyVa.vAlp.Ulvga Permittee Signature: 0Y17/ipplicatton
Call 603.639.4175 by 7:00 a.m.for the next available inspection date. Op
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.
1
t Building Permit Application RECEIVED
Residential FOR OFFICE USE ONLY
t? 1 t` ` ` Received /r' 7nryl���//
City of Tigard DateBy:pit 2 /� Permit No:/ Ip/z(J fOCO
1 h1ne SW Hall Blvd.,Tigard,: OR 98.19 CITY OF TIGARD J`J t f ZI A"!l other permitSW1220,21-X0//D
- Plan Review ff l
Phone: 503.718.2439 Fax: 503.598.1960 Date/By:
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION' Date Ready/By / ` // url. ® See Page 2 for
Internet: www.tigard-or.gov Ng�ed/Method. Z l/)-/// Supplemental Information
TYPE OF WORK REQUIRED D TA: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. [ QQ1 1
® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ �� J l 15-I I 1
❑Accessory building 0 Multi-family Number of bedrooms: 3
❑Master builder ❑Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: 3 a 301
Job site address: 17059 SW FRIENDLY LN New dwelling area: 7Z7 square feet l033
City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 5 327 square feet U-10
Suite/bldg./apt.no.: Project name:River Terrace 1-Bf9e 1110Z(}l &I Covered porch area: square feet IA
Cross street/directions to job site: Deck area: 14 square feet
s cttova OA square feet
- R QUIRED DATA:COMMERCIAL-USE CHECKLIST
��� Subdivision:River Terrace Area 3 Lot no. 33 Permit fees*are based on the value of the work performed.
�.3 Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
k Single Family Attached Building#6 lots 31-34 Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:Polygon Homes WLH, LLC Type of construction:
Address:703 Broadway St., Ste 510 Occupancy groups:
City/State/ZIP:Vancouver, WA 98660 Existing:
Phone:(360 695-7700 Fax: (360 )693-4442 New:
_. APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Polygon Homes WLH, LLC (Please refer to fee schedule
)
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
Phone:(360-695-7700 Fax: :( 360) 693-4442 Amount received:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:permitsubmittals@taylormorrison.com
CONTRACTOR Commercial and residential prescriptive installation of
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.
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 lic.: 207247 Total fee due upon application: $201.60
Authorized signature: Omar Alami Abouhafs This permit application expires if a permit is not obtained 1
within 180 days after it has been accepted as complete.
Print name:Omar Alami Abouhafs Date: 02/10/21 *Fee methodology set by Tri-County Building Industry
Service Board.
1:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
I
Mechanical Permit Application FOR OFFICE USE ONLY 1 /
r I�ECE I VE �ateeBryd 14ST2O2I -GO City of Tigard Permit No.:
'I 13125 SW Hall Blvd.,Tigard,OR. 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 t G j7. Date/By: Other Permit:
1.Writ i,17, Inspection Line: 503.639.4175 Date Ready/By: teris H See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK - COMMERCIAL FEE' SCHEDULE - USE CHECKLIST
•
Mechanical permit fees*are based on the value of the work
®New construction 0 Addition/alteration/rep1acement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
. Value:$
CATEGORY OF CONSTRUCTION RESIDENTLAL EQUIPMENT/SYSTEMS FEES'
IS 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist
1 j Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 1 46.75
Job site address: 17059 SW FRIENDLY LN Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/veins) 54.91
Suite/bldg./apt.no.: Project name: River Terrace 18/3C 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
Other. 23.32
Subdivision: Roshak Ridge Lot no.: 33
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
i PROPERTY OWNER ❑ r Other 23.32
Environmental exhaust and ventilation:
Name:Polygon WLH,LLC Range hood/other kitchen
eAddress:703 Broadway St.,Ste.510 Clothes
drntyer
33.39
Clothes dryer exhaust 33.39
City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(360)695-7700 Fax( ) Attic/crawlspace fans_ 23.32
® APPLICANT ❑ CONTACT PERSON Other 2332
Business name:Polygon WLH,LLC Fuel piping:
$14.15 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/mit heater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax: :(360)693-4442 Fireplace
- Range i
E-mail:permitsubmittals(CA ElDr0 or riso 0lib❑ 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 lic.:209001 TOTAL PERMIT FEE
This permit application expires if a permit Is not obtained within ISO
days after it has been accepted as complete.
Authorized signature: �a ' Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Duran Dote: 10/30/20
Electrical Permit Applicati 1'In CC FOR OFFICE tISE ONI.1
City of Tigard CEIVED RDate vved Permit#. 1.-{ 2 STZOLI ODf� C0
llii • 13125 SW Hall Blvd.,Tigard,OR 97223 ref 1 r7 1 Plan Review
g Phone: 503.718.2439 Fax: 503.598.19601 - °" � Date/B : Related Permit#:
Inspection Line: 503.639.4175 Ready Date/By: Avis 0 See Page 2 for
TIGARO Internet: WWW.tigard-Or.gov WILDING
pO�F TIGARD1r' Notified/Method: Supplemental Information
TYPE OF WILDING DIVISION PLAN REVIEW .
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑ Demolition ❑Other: 0 Service or feeder 400 amps or more 0 Building over three stories.
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
® 1-and 2-family dwelling 0 CommerciaLindustrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
0 Multi-family ❑Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
o Addition of new motor load of system.
Job#: Job site address:17059 SW FRIENDLY LN
100HP or more. ❑"A" "E" "1.2" "1-3"
CI /State/ZIP: Ti and OR 97224 0 Six or more residential units. occupancy.
ty g ❑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
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site:
-. ESCHEDULE
Description . I QtY. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision: Roshak Ridge Lot#:33 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 Mill Limited energy,residential
(with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy 0 See Page 2
CI PROPERTY OWNER 0 TENANT . .,- Services or feeders installation,alteration,and/or relocation
Name: Polygon Homes WLH, LLC 200 amps or less 100.70 2
Address: 703 Broadway St., Ste 510 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: Vancouver, WA 98660 601 amps to 1,000 amps 301.04 2
Phone:(360 )695-7700 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:permitsubmittals@taylormorrison.com relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
I: ® APPLICANT 0 CONTACT PERSON `. 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: 56.18 2
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
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 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
Additional inspection(1 hr min) 66.25/hr
Phone:( 360)314-4915 H:( ) Investigation(I hr min) 90.00/hr
Email:paul@portlandelectric.biz Industralplant(Ihrmin) 75.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: 194066 Elects ,r Lie.: C760 Suprv.Lie.: 49205 specifically listed('A hr min)
n �- ELECTRICAL PERMIT FEES
Suprv.Electrician signature,re- .rred: l��l iLt.. Subtotal:
Print name: Alex Shalt' Da 10/30/20 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signatur. A:J tafl./►U�[n¢�( TOTAL PERMIT FEE:
(J This permit application expires ita permit is not obtained within 180
Print name: „rgev Mishchuk Date:10/30/20 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:1Building\Permits\ELC_PerniitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(1 I/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 Qty. 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 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
n 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(I hr min)
•
Inspections for which no fee is 90_00/hr
specifically listed('/i hr min)
COMMERCIAL WORK ONLY: ELECPiocIt PERMIT FEES ', 11
Fee for each commercial system: $75.00 Subtotal(Enter on Page I):
y ' 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
n 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
I:1Buildig Permits1ELC_PermitApp_ELRERE.doe Rev 06/17/2015
f
Plumbing Permit Application
Building Fixtures RECEIVE I FOR OFFICE USE ONLY
City of Tigard Received O2(_ / 6
Dete Permit No.:�s,2 QI110
71 a 13125 SW Hall Blvd.,Tigard,OR 97223 iR 1 w. ?OZt PlanReview
lil Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.:
TIGARD, Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Avis: 0 See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction 0 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
Xl-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building -Multi-family
Each additional bath/Idtchen 25.02
❑Master builder ❑Other: Fire sprinkler(_sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 17059 SW FRIENDLY LN Catch basin or aina drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: 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.: 33 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
ri 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 Cl 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/DWV
rPn W 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: litTOTAL 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.
t auudine\Permits\PLMU-PermitAo°.doc 10/01/09 440-4616Tl 10/IVCOM/WEBt
1 City of Tigard
✓ r COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review — Residential
TIGARD
Building Permit #: l.ASTZO2 -00Uob
Site Address: Ppr, g SW Friendly Lane
Project Name: River Terrace Northeast Lot #: g3
Planning Review
Pro osa1: New rowhome
Verify address/suite# active in Accela. In River Ten. e: ❑ No Yes, River Terrace Review Addendum
Site Ian Elements: Afro on Control
�: copies of site plan on 8-1/2"x 11"or 11 x 17"paper it ained trees with drip line and tree protection measures
!A t r.wn to scale (standard architect or engineer scale) 'oeVotprint of new structure(including decks)and FFE
Ul orth arrow '14tility locations&easements(required for new and additions)
FA'to ddress,project or subdivision name and lot number ide alk/driveway approach
LI, plicant information(name and phone number) . ation of wells/septic systems
U .t dimensions and building setback dimensions ....,,,tteet tree size,type and location
Nlilsqu•re footage of buildings to be demolished et names
III • sting structures on site V I"orner elevations(2'contours if more than 4'diffe ntial
eii .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
AWater Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
Required: ❑Yes,applicant was notified ❑ No Received: ❑Yes ❑ No
priDC Exemptio or ADU applied for: ❑Yes 0 No Received: ❑ Yes ❑ No
Public Facili • s Improvement (PFI) Permit:
equired: Yes,applicant was notified ❑ NodIf
plied For: Yes El No,stop intake
d Use Case #: PDR2016 00013, MMD2020-00030 L✓I Zoning: R-25
LI equ
ired Setbacks: Front: 5 Rear: 0 Side: 67 Street Side:: ��Garage: 3
:uilding Height: Max. Height: N/A Actual Height: 36
YA Landsca e Area: 20 % Lot Coverage Max: 80
Entrance ck no more than 8'from street-facing wall Par to street or offset 45 degrees or less
Windows Minimum ° of area of all street-facing facades
Garage Gara e door is behin dest street-facing wall ElYes ElNo,one of the following is met:
❑gDoor extends no more t ' from w d there is a covered porch extending beyond garage.
❑u Door extends no more than 5' and there is a 12 sq ft.window above garage on 2nd floor.
❑ Gara e door width is ' r less ❑ 50%o of facade 60%or less and includes 7 of following:
Covered pore Recessed entrance ❑ Wall o 1'Roof eave ❑ Roof offset
Fire s es Lap Siding ❑ Roof itch ❑ Gab , ' or gambrel roof Dormer
ccent siding Window trim LJ Window recess Win rojection ❑ Balcony
I11 Visual Clearance Urban Fores lan
) III Sensitive Lands: ❑ Yes No Type:
❑ Con 'dons met prior to issuance of buildingpermit
Not : Outstandin conditions under DR2016-0 3
Approved By Planning: Date: -2-
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved 0 Not Approved
I:\B uilding\Forms\BI dgPermitRvw_RE S_122419.docx
Building Permit Submittal 9
Original Submittal Date: p V2 jo2I
Site Plans: #
Building Plans: # 3
Building Permit#: lirEnter buildingermit# above. n� y
Workflow Routing: Planning Engineering LY Permit Coordinator u Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: R tngineering: (1) copy of permit application, (1) site plan, (1) building plan and
R original plan review routing form.
Building: original permit application, site plans,building plans,engineer and
beam calculations . . trust details,if applicable,etc.
Notes:
By Permit Technician: -A/. / .. Date: D q/Z�ZI
NOMML
Engineering Review p
Slope at building pad: �� �/
EConditions "Met"prior to issuance of building permit R�2�
ErEasements (encroachments) per engineering conditions of approval and plat
ryE
l Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes o
Assess Water Quantity Fee in-lieu: ❑ Yes o
LIDA Facility on lot: ElYes No
Kly Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
t 1 Approved by Engineering: '---� -----'� Date: /e`ZP)��
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Permit Coordinator Review
Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
offf SDC Exemption: ❑ Received Does not a ly
, SDC Fees Entered: Wash Co Trans Dev Tax: ,ZYes 11 N/A
Tigard Trans SDC: taYes ❑ N/A
Parks SDC: gYes ❑ N/A
LIDA ❑ Yes 2(N/A
gOK to Issue Permit
Approved by Permit Coordinator: +pvgleztv___, Date: 613/2674
I:1Building\Forms\BldgPerm itRvw_RES_122419.docx
City of Tigard
III v COMMUNITY DEVELOPMENT DEPARTMENT
p
TIGARD River Terrace Building Permit Review Addendum
c
Building Permit #: 1`1, 7402-/-00G4¢CO
Site Address: C7SW Friendly Lane
Project Name: River Terrace Northeast Lot #: 33
(New dwelling=subdivision name;Addition or Alteration= last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.640.070.1.):
Is the project subject to the plan district design standards? El 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.,6f wide Gabled dormer
El
El
2. Eyes bn the street: a minimum pf I o peach street facing facade must include windows or entrance doors.
PercentageShown: D0
3. trances: At least one entrance must meet both of the foll ing standards:
Max. 8 ft. setback from lon 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 all the following apply: sq.ft.min.
ne street facing entryV, 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
❑,.Wall offset min. 16 inches ❑ P.rmer min. 4 ft.wide
Roof eave min. 12 inch projection 7of offset min.of 2 ft. '
❑Roof shingles either tile or wood ILA able, hip or gambrel roof design
❑Roof pitch oriented south min. 500 sq. ft. 0 orizontal lap siding min. 3-7 inches wide
❑Accent siding min.40%of street facade L✓I Window trim min. 2 1/2"wide by 5/8"deep flc
❑Window recess min. 3 inches for all street facing ❑Bay window min. 5 ft wide by 2 ft. deep
ElBalcony min. 5 ft wide x 3 ft. deep with inside access El 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 stt'e�et'facing wall. es No. If No (Check one):
❑May extend up to 5 ft.if ther . covered front nd 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-f e garage door ❑40%max. o s facade
0%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: ..__ ____=-
Date: Q/ _
I:1 Building\Forms\BldgPermitRvw REg RT 121417.docx