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Permit Plumbing Permit ApplicCEIVEC Building Fixtures JUL 6 7Ot FOR OFFICE: I SF. OINI.Y Received i . City of Tigard Pennit No.',�,/�(���J ^� • 13125 SW Hall Blvd.,Tigard,OR OF TIGARD Date/By: ��`�' I'+�1 C.OG�- Plan Review f Phone: 503.718.2439 Fax: 503JIU ING DIVISION Date/By: Fj f 06/,0 1 Ae..6, Other Permit No. T WARD Inspection Line. 503.639.4175 Date Ready : ' � ® See Page f Internet: www.tigard-or.gov' NDotified/Meth/Byod. �� v �j / Supplemental2 In orformation TYPE OF WORK 171.1 t,,.- t f . '',4- FEE* SCHEDULE Q 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 IMI I-and 2-family dwelling ❑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:17049 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 ft.:_) Page 2 Subdivision: Lot no.:31 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORT Backwater valve 12.51 Clothes washer 25.02 MULTIPURPOSE FIRE SPRINKLER SYSTEM Dishwasher 25.02 PERMIT# MST2021-00164 Drinking fountain 25.02 UNIT PLAN# G20 Ejectors/sump 25.02 E 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 © CONTACT PERSON Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name: Alliance Plumbing, LLC 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: :( 1 Tub/shower/shower pan 12.51 • Urinal 25.02 E-mail: gavin@allianceplumbing.net 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 L.ic.:184601 Plumbing Lic.no.:PB732 State surcharge(12%of permit fee) Authorized signature: / ,v��Z..-) TOTAL PERMIT FEE 3(,, e5 This permit application expires if a permit is not obtained within 180 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. ,' 1:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) is 1 _ ... . . a .. 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 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 tea) 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 El Any new commercial building with water service 2"and greater.except systems designed and stamped by licensed Bath: -Tub/Shower -Jacuzzi/Whirlpool engineer. Car wash: -Each Stall ❑ New exterior plumbing site utilities for any complex structure "tall as defined in 0AR918-780-0040. -DrivCuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial ❑ 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" 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:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 IN CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2021-00164 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/08/2021 Parcel: 2S 106AC05900 Jurisdiction: Tigard Site address: 17049 SW FRIENDLY LN Subdivision: RIVER TERRACE EAST 3 Lot: 31 Project: River Terrace Northeast, Lot 31 Project Description: New attached dwelling BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 335 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 36 Bathrooms: 4 Second: 658 sf Garage: 246 sf Front: 5 Smoke Dwelling Units: 1 Third: 998 sf Right: 3 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: 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 TVDBs Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 2 Fum>=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!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: NI 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 1991 Owner: Contractor: POLYGON WLH LLC WLLIAM 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: $29,329.42 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 it 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: eft? VLzt1 �e k/PgE Permittee Signature: O Ili AppUCart.01vt Call 503.639.4176 by 7:00 a.m.for the next available Inspection date. This permit card shall be kept In a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential RECEIVED FOR OFFICE USE ONLY Received Permit No. City of Tigard Date/By: ' t212021 l`(Si2O2..i'OD l(''4 =• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review N Z/ Apt, bWIZZQu,-00Mg Phone: 503.718.2439 Fax: 503.598.1960 Date/By. f�/1 Other Pe mit: Inspection Line: 503.639.4175 CITE OF TIGARD Date Ready/ 1 s�- ® See Page 2 for TIGARD Internet: www.tigard-or.gov BUILDING DIVISION N -led/Method. /��� 4'4 11 Supplemental Information TYPE OF WORK REQ�/UUIIREJ D 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. ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $� .I t 0��,.2Z D Accessory building ❑Multi-family Number of bedrooms: 3 0 Master builder 0 Other: Number of bathrooms: l JOB SITE INFORMATION AND LOCATION Total number of floors: X 3 7,..23-7 Job site address: 17049 SW FRIENDLY LN New dwelling area: /9."i square feet qCi$ City/State/ZIP:Sherwood, OR 97140 Garage/carport area: „.Q446 square feet (6$ Suite/bldg./apt.no.: Project name:River Terrace 1$/66 NOR(I ja Covered porch area: square feet "bSj Cross street/directions to job site: Deck area: 2jS square feet r s ea �qA J square feet RE ED DATA:COMMERCIAL-USE CHECKLIST Subdivision:River Terrace Area 3 Lot no. 31 Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all eZ 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 #6 lots 31-34 _ Valuation: $ fS Existing building area: square feet - — - - New building area: square feet ® PROPERTY OWNER D 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* (Please refer to fee schedakJ Business name:Polygon Homes WLH, LLC Structural plan review fee(or deposit): Contact name:Omar Alami Abouhafs FLS plan review fee(if applicable): Address:703 Broadway St., Ste 510 Total fees due upon application: City/State/ZIP:Vancouver, WA 98660 Amount received: Phone:(360-695 7700 Fax: :( 360) 693-4442 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail:permitsubmittals@taylormorrison.com Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:Polygon Homes WLH, LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:703 Broadway St., Ste 510 Solar Installation Specialty Code checklist. 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: $201.60 Authorized signature: Omar Alami Abouhafs This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Omar Alami Abouhafs Date: 02/10/21 *Fee methodology set by Tri-County Building Industry Service Board. I.\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit ApplicationFOR OFFICE USE ONLY City of Tigard DECEIVE® Received f-is &-f- DateBy. Pemfit No.: ��QZI „W� lig ! 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review • Phone: 503.718.2439 Fax: 503.598.1960 Date By Other Permit: y I1r, 1.�� Inspection Line: 503.639.4175 turfs:Date Ready/By: 0 Page 2 for See Internet www.tigard-or.gov Girl of TIGAR� NotifiedlMethod: Supplemental Information BUILDING DIVISION TYPE OF WORK COMMERCIAL FEE* SCHFDULE'- USECIIIECKLIST Mechanical permit fees*are based on the value of the work N New construction ❑ Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition D Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CON37IrUCTION 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. Ea. Total _ JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning I 46.75 Job site address: 17049 SW FRIENDLY LN Furnace 100,000 BTU(ducts/vents), 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(duets/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: River Terrace 1 B/3C 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 i Flue/vent for any of above 23.32 1 Other. 23.32 Subdivision: Roshak Ridge Lot no.: 31 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 . Other N PROPERTY OWNER ❑ TENANT 23.32 • Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range bood/other kitchen equipment Address: 703 Broadway St.,Ste.510 Clotheess33.39 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 N APPLICANT ❑ CONTACT PERSON Other 23.32 Business name:Polygon WLH,LLC Fuel piping: S14.15 for first four;S4.03 for each additional Contact name:Tonja Morris Furnace,etc. Address:703 Broadway St.,Ste 510 Gas heat pump Wall/suspended/unit heater City/State/L1P:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range E-mail:permitsubmittals@A r❑orrlsoOBO❑ Barbecue C 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) Phone:(360)270-1590 Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lie.:209001 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Q+�'� h days after it has been accepted as complete. Authorized signature: "r� 'J 'Q4IL * Fee methodology set by Tri-County Building industry Service Board Print name:Elia Duran Date: 10/30/20 Electrical Permit ApplicatioI EC E VE Fuld Ull u,. I sl 0S1.1 Received permit#: l, City of Tigard Date/B f4sf �� -OO��v�} UPI • 13125 SW Hall Blvd.,Tigard,OR 97223 • Plan Review 0 Phone: 503.718.2439 Fax: 503.598.1960 DateB Related Permit#: Inspection Line: 503.639.4175 CITY OF TIGARD Ready Date/By: lens: ® See Page 2 for 1 I G AR". Internet. www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF W ►LR1NG DIVISIO PLAN REVIEW ®New construction ❑ Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. El 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 0 Commercial-use agricultural amps for all other installations. buildings. ❑ Multi-family 0 Master builder ❑Other: ['Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AM) LOCATION AMEN 0 Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address:1704S SW FRIENDLY LN 100HP or more. ❑"A "E"•"1-2","1-3", ❑Six or more residential units. occupancy. City/State/ZIP: Tigard OR 97224 ❑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: • FEE SCHEDULE Descripdoa I Oh'. I Each I Total I " New residential single-or multi-family dwelling unit. Subdivision: Roshak Ridge Lot#:31 Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1 F 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 $] 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 r_ APPLICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel It! 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'I 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 andlor 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. Each additional inspection over allowable in any of the above City/State/ZIP: Vancouver,WA 98661 Additional inspection(1 hr min) 66.25/hr Phone:( 360)314-4915 ems:( ) Investigation(1 hr min) 90.00/hr aul ortlandelectric.biz Industrial plant(1 hr min) 78.18/hr Email: P @P Inspections for which no fee is 90.00/hr CCB Lie.: 194066 Eleetr t Lie.: C760 Suprv.Lie.: 49205 specifically listed(1/2hr min) /� ��lt ELECTRICAL PERMIT FEES Suprv.Electrician signature,rF,,tired: I.A ,,,, Subtotal: Print name: Alex She's Da e:10/30/20 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized sign',ure: ...KS . baz.l+[ -k, TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name. Sere Mishchuk Date:10130/20 days after it has been accepted as complete. Sergey ' Number of inspections allowed per permit. 1:1Building`'.'ermits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(I l/05/COMIYEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCIHEntn .Fgf„, „ Total Description • Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 • Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 n Garage Door Opener* 50.01 to too 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 I charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed(Y hr min) COMMERCIAL WORK ONLY: " ELECTRICAL I' Fee for each commercial system: $75.00 Subtotal(Enter on Page I): (SEE OAR 918-309-0000) Number or inspections allowed per permit Check Type of Work Involved: n Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC n Instrumentation n 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.\Building\Permas\ELC PermitApp_ELR_ERE.doc Rev 06/17/2015 4 PlumbinE Permit Application �+�', Building Fixtures REGE G City of Tigard Received. , v 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598dri— OFTIGARD / Other Permit TIGARD Inspection Line: 503.639.4175 IRION '' r' See Page 2 for Internet: www.tigard-or.gov BUILDING n TYPE OF WORK FEE* SCLIEDIJLE New construction El Demolition For special information use checklist. Description Qty. I Ea I Total ■ Addition/alteration/replacement ■ •ther. New 1-2-family dwellings(includes 100 ft.for each utility connection) • ' OF CONSTRUCTION1 and 2-family dwelling Commercial/industrial .. . 500.32 Each additional bath/lcitchen 25.02Accessory building Vi.Multi-family D Master builder 0 Other: Fire . 1 ' SITE INFORMATION1 LOCATION Job site address: 17049 SW FRIENDLY LN Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 1' 1 ' 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: River Terrace 16/3C Manufactured home utilities11 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer • linear Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: Page 2 Subdivision: - I Lot no.: 31 Fixture or item: Tax map/parcel no.: i. Backwater valve 12.51 DESCRIPTION OF WORK Clothes1 Dishwasher 25.1 Drinking fountain1 Ejectors/sump 21 E PROPERTYOWNER ■ TENANT Expansion tank 12.51 Fixture/sewer cap 1 Name:Polygon WLI1,LLC Floor drain/floor sink/hub 25.02 • ••ress:703 Broadway St.,Ste 510 Garbage disposal P .I Hose bib 25.02 Phone: .I .` II Ice maker ContactEl APPLICANT 1:1 CONTACT PERSON Interceptor/grease trap 25.02 Medical gas(value:S ) Page 2 Business name:Polygon WLII,LLC Primer 12.51 Roof drain(conimercial) 12.51 City/State/ZT:Vancouver,WA 98660 Solar units(potable water) 62.54 '••. 61 .' it .I •• .• - .• pan 12.51 closetWater 1 CONTRACTOR Water heater 37.52 Plumbing Address:P.O.Box 92 Other. City/State/ZIP:St.Paul,OR 97137 Subtotal Plan review (25%of permit fee) State surcharge(12%of• u it fee) Authorized signature: C+7 Print name:Steve Fowler TOTAL PEWIT FEE Date: , ' ' This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Buildine\Permirs\PLMU-PermitAoodoc 10/01/09 440-4616Tl IDN2/COMUWEBI Plan# GZ / Z(j e- / - ( ® Floors "j f{ 97 LO _Bed rooms 3 Small ' I ( ( L WC L LAV S Tub 3 Basement Vent 1st Floor 335 Water Heater 1 2nd Floor UcjB AC -Nt.Q� 3rd Floor 91 B School 5,6k0 01-1 R-3 Total I 9, I E Garage aL{� 2 D r LAC Total 22.3-7 #for Elec 3 K i�ciit2p -e. S,h 1 r I-OSP * \o o Plan# — _ Floors -j Large Bed rooms rj Small we [3� LAV Tub 2- Basement Vent 5 1st Floor Water Heater l 2nd Floor t170 AC \(if5 3rd Floor 1�33 School R-3 Total 1 —77 Nb Garage 53D Z Total 231s 1 �1 iI #forElec 1 hbsr4- 61 b b City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Residential e Building Permit #: 14€, ZOi( -00 L'&+ Site Address: j/7)T 9 SW Friendly Lane Project Name: River Terrace Northeast Lot #: 6/ Planning Review Pro osal: New rowhome 2 Verify address/suite # active in Accela. In River Terralte: No ElYes, River Terrace RevietvAddendum S�it= lan Elements: V :r ion Control 1�ii copies of site plan on 8-1/2"x 11"or 11 x 17"paper •' tained trees with drip line and tree protection measures p awn to scale(standard architect or engineer scale) otprint of new structure(including decks)and FFE �4 orth arrow tility locations&easements(required for new and additions) lg.. e address,project or subdivision name and lot number y/ d alk/driveway approach 7 .plicant information(name and phone number) ��' �r, on of wells/septic systems 7 .t dimensions and building setback dimensions Te tree size,type and location d.quare footage of buildings to be demolished eet names Ilr 'sting structures on site , 'orner elevations (2'contours if more than 4'diffe ntial It 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: El Yes,applicant was notified 0 No Received: El Yes ❑ No - ❑ Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs �J Required: El Yes,applicant was notified El No Received: ❑Yes El No ❑ C Exemption for ADU applied for: ❑ Yes ❑ No Received: El Ye El No NJ P blic Faciliti Improvement (PFI) Permit: equired: Yes,applicant was notified ❑ No plied For: Yes ❑ No,stop intake d'and Use Case#: PDR2016 00013, MMD2020-00030ning: R-25 EliSetbacks: Front: 5 Rear: 0 Side: O/3 Street Side: / -- Garage: 3 Ly .wilding Height: Max. Height: N/A Actual Height: 36 E Landsc.se Area: 20 % Lot Coverage Max: 80 Entrance 1 ` ..ck no more than 8'from street-facing wall ' : a el to street or offset 45 degrees or less Windows I Minimum " . .f area of all street-facing facades • Garage I Gam e door is behin. •=.-st street-facing wall CIYes ❑ No,one of the following is met: ❑gDoor extends no more tha -' 01. • a and there is a covered porch extending beyond garage. ❑u Door extends no more th, • from '.. . d there is a 12 sq ft.window above garage on 2nd floor. ❑ Gara_•e door width is / 2'or less ❑ 50%or - . facade 11160%or less and indudes 7 of following: Covered .• I Recessed entrance El Wall offse 11'Roof eave Roof offset I F - gles I Lap Siding ❑ Roof itch ❑ Gable, ., , tambrel roof Dormer PIP di Accent siding 3 Window trim U Window recess I Window . z.- tion ❑ Balcony Visual Clearance V Urban Foxes try an Sensitive Lands: El Yes No Type: Conditions met prior to issuance of buildingpermit Not Outstandin conditions under IDR2016-0001 Id Approved By Planning: Date: 2' .Z/ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\Building\Forms\B1dgPermitRvw_RES_122419.docx 4 Building Permit Submittal Original Submittal Date: a///O ea/ f Site Plans: # Building Plans: # Building Permit#: Inter building nit Er-Permit #above. �/ �IJ1/ Workflow Routing: Planning Engineering Permit Coordinator Building Workflow Sign-off: ign-off for Planning (include notes from planning review) Route Application Documents: engineering: (1) copy of permit application, (1) site plan, (1) building plan and �� original plan review routing form. L'7 Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: 011 By Permit Technician: j/,/�70 Date: G"/27/2424 Engineering Review LE Slope at building pad: "--es 17 RI/Conditions "Met"prior to issuance of building permit/t// ilrE .asements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes Assess Water Quantity Fee in-lieu: ❑ Yes i.I.:slo No �/ LIDA Facility on lot: ❑ Yes No 1 Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: t Approved by Engineering: Date: .0 /X 9l2( 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: �yRevision Notice 2: Date Sent to Applicant: .C�y1 SDC Exemption: ❑ Received ,Does not a- ly ,U SDC Fees Entered: Wash Co"Trans Dev Tax: yes N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes ZN/A 0 OK to Issue Permit Approved by Permit Coordinator: Date: sl 3/ZOZ/ I:\Building\Forms\BldgPermitRvw—RES 122419.docx I — City of Tigard 7 ' COMMUNITY DEVELOPMENT DEPARTMENT River Terrace Building Permit Review Addendum TIGARD Building Permit #: M$ ZOZl- oo i — Site Address: 1 9 9 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.I.): Is the project subject to the plan district design standards? ❑r 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 Wall ffset a Porch min. ft. deep ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6f wide Gabled dormer 0 2. Eyes n the street: a minimum 2f 12 o each street facing facade must include windows or entrance doors. Percentage Shown: /2 D0 o 3. trances:At least one entrance must meet both of the follcy itig 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 all the following apply: _2 sq.ft. min. ne street facing entry V 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 DiVall offset min. 16 inches Op6rtrier min. 4 ft.wide LVI Roof eave min. 12 inch projectionf14, 1141jdof offset min. of 2 ft. f ❑Roof shingles either tile or wood Vable,hip or gambrel roof design ❑Roof pitch oriented south min. 500 sq. ft. nzontal lap siding min. 3-7 inches wide ❑Accent siding min.40%of street facade Window trim min. 2 '/2"wide by 5/8" deep ❑Window recess min. 3 inches for all street facing ❑Bay window min. 5 ft.wide by 2 ft. deep ❑Balcony min. 5 ft. wide x 3 ft. deep with inside access ❑Attached garage is 35%or less of street façade rages and Carports:May face the front or side lot line on a corner lot. Setbacks: No closer to front or ' lot line, than longest street- acing wall. es No. If No (Check one): 0 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 ' of a two-story building and there is a window at the second story above the garage that faces the str ith a min. are 2 sq.ft. Width: (Check one) ❑12-fo t e garage door ❑40%max. o façade 0%max. of street facade with 7 detailed design elements Notes: Approved By Planning: _ Date: /25/2-/ _ I:\BuildingWorms\BldeermitRvw_RES RT_121417.doex