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Permit Plumbing Permit Applicig EIVED Building Fixtures , , .R FOR OFFICE: ESE: ()NIA_ill,: /.', -_' City of Tigard Received -j/,�/^r� ' Ta0.- CD�Q ll UatelB ! Permit No.: �l CS.x WC�mi 13125 SW Hall Blvd.,Tigard,oFi3 Q�TIGARD y Plan Review _ Phone: 503.718.2439 Fax: 5 8 I Date/By 8/i Q i �tGUi Other Permit No.: Inspection Line: 503.639.4175 1UIL..U1�G DIVISIOr. y y ® See Page 2 for fICiARD Date edad th a 1G III •) Internet wWW.tlgard-OrgOv Notified/Method:o Q//// �/ Supplemental Information TYPE OF WORK �� en4re..._ FEE*`SCHEDULE ❑■ New construction ❑Demolition For special information use checklist Description I Qty. I Ea. 1 Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEExORY OF CONSTRUCTION S FR(I)bath 312.70 ❑Q 1-and 2-family dwelling 0 Commercial/industrial SPR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler(1.771 sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:17054 SW Lemongrass Ln Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: Tigard,OR Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: River Terrace NE No. 3 Bldg 5 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 Stonn sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: Lot no.:22 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 MULTIPURPOSE FIRE SPRINKLER SYSTEM Dishwasher 25.02 PERMIT# MST2021-00058 Drinking fountain 25.02 UNIT PLAN# F20 Ejectors/sump 25.02 X PROPERTY OWNER 1 0 TENANT Expansion tank 12.51 Name: Taylor Morrison Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 703 Broadway Street Suite 710 Garbage disposal 25.02 City/State/ZIP: Vancouver,WA 98660 Bose bib 25.02 Phone:( 360)816-7788 Fax:( ) Ice maker 12.51 0 APPLICANT CAI 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 tee: $72.50 Plan review (25%of permit fee) CCB Lic.:184601 Plumbing Lic.no.:PB732 State surcharge(12%of permit fee) Authorized signature: / �_J� > TOTAL PERMIT FEE /'; ,..5'., Print name:Gavin This permit application expires if a permit is not obtained within 180 days Gavin Thomes Date:6.14.2021 after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I ABuildingVPermitsVPLMU-PermiiApp_doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty Fee(ea) Total Square Footage: Permit Fee: Footing drain-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 Valuation: Permit Fee: Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001 00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Qty. Fee(ea) Total each additional$100.00 or fraction thereof;to Other inspections or Fees 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 Quautit 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 engineer. -Jacuzzi/Whirlpool Car Wash: -Each Stall ❑ New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. -Drive Thru Cuspidor Water Aspirator IDMedical gas and vacuum systems for health care facilities. Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system. Domestic El Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 3" Isometric or Riser Diagram ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain that meet the qualifications above. Garbage -Domestic non-food 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 08/04/201I 2 CITY OF TIGARD MASTER PERMIT fii s ' COMMUNITY DEVELOPMENT Permit#: MST2021-00058 Date Issued: 05/25/2021 T1 G AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106AC05000 Jurisdiction: Tigard Site address: 17054 SW LEMONGRASS LN Subdivision: RIVER TERRACE EAST 3 Lot: 246 Project: River Terrace Northeast No. 3, Lot 22 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: 10 Smoke Yes Dwelling Units: 1 Third: 1033 sf Right: 0 Detectors: Total: 1771 sf Value: $243,834.22 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 Types Air Conditioning: Y Vent Fans: 4 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 SrvciFeeders 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 Mid Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1771 Owner: Contractor: WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 2 Fire Rated Conditions PHONE: PHONE: 360-695-7700 FAX: Total Fees: $28,508.77 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: Roily De,Wege Permlttee Signature: O► Appkt 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 ' ResidentialR FOR FOR OFFICE USE ONLY / (y O /J Permit No.: � Z��OOO�Q City of Tigard Receivede 42 �/ • 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 10 ZOZI Plan Review / �� ujuT 7 . I Other Perms. Phone: 503.718.2439 Fax: 503.598.1960 Date By: El See Page 2 for Inspection Line: 503.639.4175 Date Ready/By: / TIGARD Internet www.tigard-or.gov CITY OF TIGARD N• ed/Method: /b! k/i Supplemental information • 1 ► it ►' f[ `. TYPE OF WORK REQUIRED DA A: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 work indicated on this application. ��r CATEGORY OF CONSTRUCTION Valuation: $ )y 3143 , ® 1-and 2-family dwelling 0 Commercial/industrial Number of bedrooms: ❑Accessory building ❑Multi-family 0 Other: Number of bathrooms: , ❑Master builder3 23 0 l JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 17054 SW LEMONGRASS LN New dwelling area: MI Z square feet (0�3 City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 53 square feet `Q-76 Suite/bldg./apt.no.: Project name:River Terrace 1.13A3elstatOrsc Covered porch area: square feet (p Cross street/directions to job site: Np , 3 Deck area: '2,46 square feet 015 tr rcI- arebtms-Ze,square feet REQUIRED DATA:COMMERCIAL-USEJ CHECKLIST Subdivision. I Lot no. 22 Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Single Family Attached Building #5 lots 21-25 Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name:Polygon Homes WLH, LLC Type of construction: Address:703 Broadway St., Ste 510 Occupancy groups: City/State/ZIP:Vancouver, WA 98660 Existing: Phone:(360 695-7700 Fax:(360)693-4442 New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name:Polygon Homes WLH, LLC Structural plan review fee(or deposit): Contact name:Omar Alami Abouhafs FLS plan review fee(if applicable): Address:703 Broadway St., Ste 510 Total fees due upon application: City/State/ZIP:Vancouver, WA 98660 Amount received: Phone:(360495-7700 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. Permit Fee(includes plan review $180.00 CiTy/State/ZIP:Var1COUVer, WA 98660 and administrative fees): Phone:(360 595-7700 Fax:(360 )693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.: 207247 Total fee due upon application: $201.60 Omar Alami Abouhafs This permit application expires if a permit is not obtained Authorized signature: within 180 days after it has been accepted as complete. Print name:Omar Alami Abouhafs Date: 02/10/21 *Fee methodology set by Tri-County Building Industry Service Board. I:Building\Pcrmits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit ApplicatituaC(''C ` rC FOR OFFICE USE ONLY • City of Tigard EC E I V E CG DReceived: Date/By: Permit No.:M ST2021,..ajo SS 0 13125 SW Hall Blvd.,Tigard,OR 97223 t Plan Review Phone: 503.718.2439 Fax: 503.598.1960 FEB 10 2021 Date/By: Other Permit: Y I ai; 1,I Inspection Line: 503.639.4175 Date Ready/By: rvris. Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental See Page 2 for Supplemental Information BUILDING DIVISIONi TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit. _ Value:$ CATEGORY OF CONSTRUCTION RESIDENNTLAL 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 1 46.75 Job site address: 17054 SW LEMONGRASS 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.B13C Heat pimp 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.: 22 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 23.32 ® PROPERTY OWNER • ❑. TENANT Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen equipment 33.39 Address:703 Broadway St.,Ste.510 Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32 ® APPLICANT ❑ 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 Ranee E-mail:permitsubmittals@ CR Lloru orriso 0011ID 0 Barbecue iNt CONTRACTOR Clothes dryer(gas) Business name:Pro Heating&Cooling Other. MECHANICAL PERMIT FEES' Address: NW Alociek Dr,Ste.1104 Subtotal City/State/ZIP:Hillsboro,OR Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)270-1590 Fax:( ) State surcharge(12%of permit fee) CCB lie.:209001 TOTAL PERMIT FEE [� This permit application expires if a permit is not obtained within 180 J A' a bu days after It has been accepted as complete. Authorized signature: L�W • Fee methodology set by Tri-County Building Industry Service Board Print name:Elia Duran Date: 10/30/20 Electrical Permit A licati0 ECEI\EED ',O'tol''(,'; i si.:O".' Received Permit a: a A e'r20��Q,l/15Q ' City of Tigard 13125 SW Hall Blvd.,Tigard,OR 97 Date/B : PA u W v 223 FEB 1 0 Z021 Plan Review Related Permit N: = Phone: 503.718.2439 Fax: 503.598.1960 Date/B Inspection Line: 503.639 4175 CITY OF TIGARD Ready Date/By: loos. El See Page 2 for T I GAR D Internet www.tigard-or.gov Notified/Method: Supplemental Information 3)VILD!NG DIVISION TYPE OF W PLAN REVIEW Please check all that apply(submit 2 sets of plans w/items checked): ®New construction ElOther:ontalteration replacement 0 Service or feeder 400 amps or more 0 Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. less to ground.or exceeds 14,000 0 Commercial-use agricultural El1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION El Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address:17054 SW LEMONGRASS 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. ❑Recreational vehicle parks. River Terrace 1- 3€ 0 Hazardous locations. 0 Supply voltage for more than Suite/bldg./apt #: Project name: ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: x FEE SCHEDULE Description I Qtr. I Each I Total I " New residential single-or multi-family dwelling unit. Subdivision: Roshak Ridge Lot#:22 Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'1500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK .3 Limited energy,residential 75.00 2 (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy ❑ See Page 2 1D PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation Name: Polygon Homes WLH, LLC 200 amps or less 100.70 2 70 2 703 Broadway St., Ste 510 201 amps to 400 amps Address: 401 amps to 600 amps 200.34 2 City/State/ZIP: Vancouver, WA 98660 601 amps to 1,000 amps 301.04 2 Phone:(360 )695-7700 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email:permitsubmittals@taylormorrison.com relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 Branch circuits—new,alteration,or extension,per panel ® APPLICANT ❑ CONTACT PERSON A.Fee for branch circuits with Business name: Polygon Homes WLH, LLC above service or feeder fee, 7.42 2 each branch circuit Contact name: Omar Alami Abouhafs B.Fee for branch circuits without service or feeder fee,first 56.18 2 Address: 703 Broadway St., Ste 510 branch circuit Each add'l branch circuit 7.42 2 City/State/ZIP: Vancouver WA 98660 Miscellaneous(service or feeder not included) Phone:(360 )816-7800 Fax::( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: permitsubmittals@taylormorrison.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Portland Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy 0 see Page 2 2 Address: 1915 E 5th St., Ste D panel,alteration,or extension. Each additional inspection over allowable in any of the above City/State/ZIP: Vancouver, WA 98661 Additional inspection(1 hr min) 66.25/hr Phone:( 360)314-4915 Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email:paul@portlandelectrie.biz Inspections for which no fee is 90.00/hr CCB Lic.: 194066 Electrical Lic.: C760 Suprv.Lic.: Q920X.5 specifically listed(%hr min)ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: 111.1 fix, Subtotal: Print name: Alex Shalya pale:10/30/20 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): _Q - Q _ ,, ! TOTAL PERMIT FEE: Authorized signature: JU II�rLC/I1 G�Ki This permit application expires if a permit is not obtained'within 180 Print name: Date:10/30/20 days after it has been accepted as complete. Sergev Mishchuk • Number of inspections allowed per permit. I:\BuildinMPermits\ELC_PernutApp_ELR_ERE.doe Rev 06/17/2015 440-4615T(11/05/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 Fee for all residential systems combined: $75.00 Description I Qty. I Each I Total I Renewable electrical energy systems: Check Type of Work Involved: s kva orless 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to so kva 301.04 2 ❑ Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 n 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: n Other: Each additional inspection is 66.25!hr 1 charged at an hourly(I hr min) Inspections for which no fee is 90 Op/hr specifically listed(Y hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES . Fee for each commercial system: $75.00 Subtotal(Enter on Paget). * 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* n Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits1ELC_PemtitApp_ELR ERE.doc Rev 067I7/2015 Plumbing Permit ApplicatiOIRECEIVE 10 ' . Building Fixtures FOR OFFICE USE ONLY 4 FEB 10 ZOZI Received 7�, �yrt Q City of Tigard Permit14o.: N STZ021-O0O5B II `I 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: III Phone: 503.718.2439 Fax: 5o3.598,19>;'eITi uF TIGARD Date/By: Plan Review Other Permit No.: TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: imis: H Sec Paget for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE For special information use checklist ►�� New construction ❑Demolition 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(I)bath 312.70 Xl-and 2-family dwelling a Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building %®-Multi-family Each additional bath/Idtchen 25.02 ❑Master builder 0 Other: Fire sprinkler( -sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 17054 SW LEMONGRASS LN Catch basin or area 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.: I Project name: River Terrace 11,3E 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&.:_) Page 2 Subdivision: I Lot no.: 22 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name:Polygon WLH,LLC Fixture sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:703 Broadway St.,Ste 510 Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 Phone:(360)695-7700 Fax:( ) Ice maker 12.51 ® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:Polygon WLH,LLC Medical gas(value $_) Page 2 Primer 12.51 Contact name:Tonja Morris Roof drain(commercial) 12.51 Address:703 Broadway St.,Ste 510 Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail: permitsubmittals@taylormorrison.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:G Sr B Plumbing&Sons Inc Water piping/DWV 56.29 Address:P.O.Box 92 Other. 25.02 City/State/ZIP:St.Paul,OR 97137 Subtotal Phone:(503)868-1417 Fax:(971)727-8170 Minimum permit fee: $72.50 CCB Lic.:184372 Plumbing Lic.no.:pb634 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: W. 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. I:lBuildine\Pe-mitslPLMt1-PermitAoo.doc 10/0I09 440-4616T(I 0i02/COM/WEB) City of Tigard ° COMMUNITY DEVELOPMENT DEPARTMENT >= Building Permit Review — Residential TIGARD Building Permit #: Mg---,/r2-02. "60658 Site Address: /7-0 SW Lemongrass Lane Project Name: River Terrace Northeast N . 3 Lot #: Planning Review Proposal: New rowhome 0 Verify address/suite #active in Accela. 0 In River Terrace: ❑ No ❑r Yes, River Terrace Review Addendum Site Plan Elements ° r ion Control It copies of site plan on 8-1/2"x 11"or 11 x 17"paper tained trees with drip line and tree protection measures 0•rawn to scale(standard architect or engineer scale) ,°Footprint of new structure(including decks) and FFE Q orth arrow ::Jtility locations&easements(required for new and additions) 01 ite address,project or subdivision name and lot number °Si alk/driveway approach 01.lpplicant information(name and phone number) cation of wells/septic systems 12 •t dimensions and building setback dimensions ,treet tree size,type and location 0.quare footage of buildings to be demolished ,itreet names II xisting structures on site 'Comer elevations(2'contours if more than 4'differential O .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ' es o 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): o .,6 Required: 0 Yes,applicant was notified 0No Received: ❑Yes No Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: 0 Yes,applicant was notified ❑r No Received: 0 Yes ❑No ❑ SDC Exemption for ADU applied for: ❑Yes 0 No Received: ❑Yes 0 No El Public Facilities Improvement (PFI) Permit: Required: ❑Yes,applicant was notified 0 No Applied For: 0 Yes 0 No,stop intake Q Land Use Case#: PDR2016-00013, MMD2020-00030 El zoning: R-25 ❑ Required Setbacks: Front: 5/10 Rear: 0 Side: 0/3 Street Side: N/A Garage: 3 ❑r Building Height: Max. Height: N/A Actual Height: 36 QLandscape Area: 20 % 0 Lot Coverage Max: 80 Entrance - sack no more than 8'from street-facing wall Parallel to street • . set 45 degrees or less Windows Minimum -' , • area of all street-facing facades Garage Gara e door is behind -•--. treet-facing wall • 'es ❑ No,one of the following is met. ❑gDoor extends no more than 5 .. - .all an. -re is a covered porch extending beyond garage. uuDoor extends no more than 5' fr.• .. an• .I - s a 12 sq ft.window above garage on 2nd floor. ❑ Garat- door width is 0 ' • ess ❑ 50%or less of faca•- 60%or less and includes 7 of following: Covered po • / Recessed entrance ❑Wall offset 1' 'o. : e — Roof offset F. _ gles 0 Lap Siding 0 Roof itch 0 Gable,,p,or gambrel ro. Dormer Accent siding 1 Wmdow trim U Window recess U Window projection I :- IVisual Clearance 0Urban Forestry Plan Sensitive Lands: ❑ Yes ° No Type: Conditions met prior to issuance of building permit Notes:Outstanding conditions under PDR2016-00013; do not issue until re-plat recorded under MMD2020-00030 C -y' Date: 2/19/21 Q Approved By Planning: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved 0 Not Approved 1:\Building\Forms\BIdgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: 0240/202 Site Plans: # 3 Building Plans: # 3 Building Permit#: Enter building ermit#above. Workflow Routing: Planning In Engineering Q'ermit Coordinator EfTuilding Workflow Sign-off: Sign-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. la-Building: original permit application, site plans,building plans,engineer and beam calculations and st details,if applicable,etc. Notes: By Permit Technician: Date: d 22 2O2 f En: 'neering Review �I!//Slope at building pad: IA', I ,/ I(d"CC'nditions "Met"prior to issuance of building permit /(/(/1 rn''tasements (encroachments)per engineering conditions of approval and plat L7 Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 3/No Assess Water Quantity Fee in-lieu: ❑ Yes LNo �/ LIDA Facility on lot ❑ Yes �j/No I Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: [pproved by Engineering: AO.P.F- Date: a Z/ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved 0 Not Approved Revision 2: 0 Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit W Approved, NOT Released: .(en(iriot PR vvon . �� i.� ./ f"{�"'" Date: `7� /�/I7� Notes: -`Y-'�-1-'-� `7 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 a7 ly SDC Fees Entered: Wash Co Trans Dev Tax: Yes 1 N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes 2 N/A OK to Issue Permit Approved by Permit Coordinator: R ""' Date: 412p/2021 1:1Building\Forms\BldgpermitRvw RES 122419.docx City of Tigard 71 a 0 COMMUNITY DEVELOPMENT DEPARTMENT TIGARD River Terrace Building Permit Review Addendum e Building Permit #: M ST202.1-0035 Site Address: ) S / SW Lemongrass 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 (18.640.070.1..): 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. Porch min. 5�ft. dee Balcony w/ access 2 Window Projection Vertical Wall Offset a �J( P ft. deep❑ min. 2ft., 5 t.wide min. 2 ft., 6 .wide Gabled dormer 2. Eyes o t e street: a minimum of 12°/ of each street facing facade must include windows or entrance doors. Percentage Shown: >f ?a d3. ntrances: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 ope onto porch Entr nce opens to a porch: Yes ❑No If s,all the following apply: sq.ft. min. ne street facing entry ft.max. roof above floor of porch Pa 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: ackvered porch min. 5 ft.wideid} x 5 ft. deep El Recessed entry area min. 5 ft. wide x 2 ft. deep B)K7 all offset min. 16 inches qp4.rmer min. 4 ft.wide Roof eave min. 12 inch projection'( yeoof offset min.of 2 ft.Roof shingles either tile or wood ble,hip or gambrel roof design illRoof pitch oriented south min. 500 sq. ft. rizontal lap siding min. 3-7 inches wider/) ❑Accent siding min.40% of street facade VWindow trim min. 21/2"wide by 5/8"deep'' ❑Window recess min. 3 inches for all street facing ❑Bay window min. 5 ft.wide by 2 ft. deep 0 Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑Attached garage is 35% o - of street facade Garages and Carports: May face the front or�s�{ 1 t line on a corner 1. . Setba i�1`~'\�'\1(X� No closer to fron : ide lot line, than longest street-faci : .'a . Yes ❑No. If No (Check one): ❑May extend up to 5 ft. i . - - is a covered fro, - .orch and garage does not extend beyond the front porch. ❑May extend up to 5 ft.where the :. .-•- is part of a two-story building and there is a window at the second story above the garage that faces the .---t with a m1 . . -a of 12 sq.ft. Width: (Check one) ❑12-foo - .':e garage door ❑40%ma-. street facade II i/o max.of street facade with 7 detailed des-:, elements Notes: 7 Approved By Planning: Date: 2/19/21 1:1Bui1 di ng1F orm s1B1 dgPerm i tRvw_RES_RT_121417,docx a City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT s TiGARD Building Permit Review — Residential Building Permit#: MS1-2021 -OO()58 Site Address: / SW Lemongrass Lane Project Name: River Terrace Northeast Ar0, 3 Lot #: —2-2- Planning Review Proposal: New rowhome QVerify address/suite#active in Accela. El In River Terrace: ❑ No ❑r Yes,River Terrace Review Addendum Site Plan Elements: 'ter. ion Control O; copies of site plan on 8-1/2"x 11"or 11 x 17"paper ►J'i<tained trees with drip line and tree protection measures 0 Prawn to scale(standard architect or engineer scale) Footprint of new structure(including decks)and FFE 0 orth arrow 1.',;:Jtility locations&easements(required for new and additions) 21.ite address,project or subdivision name and lot number r i.,,alk/driveway approach 0 pplicant information(name and phone number) Pi,cation of wells/septic systems 0 .t dimensions and building setback dimensions ,treet tree size,type and location al.quare footage of buildings to be demolished jtreet names I'xisting structures on site °"Corner elevations(2'contours if more than 4'differential 12 •t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? es o r 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): ��tt�jj Required: ❑Yes,applicant was notified El No Received: 0 Yes El No LI Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: 0 Yes,applicant was notified El No Received: 0 Yes r No HReceSDC Exemption for ADU applied for: ❑Yes El No ived: ❑Yes ° No Public Facilities Improvement(PF1) Permit: Required: ElYes,applicant was notified ❑ No Applied For: 0 Yes 0 No,stop intake El Land Use Case#: PDR2016-00013, MMD2020-00030 0 zo rg: R-25 El Required Setbacks: Front: 5/10 Rear: 0 Side: 0/3 Street Side: N/A Garage: 3 El Building Height: Max.Height: N/A Actual Height: 36 ElLandscape Area: 20 % Q Lot Coverage Max: 80 Entrance - .ack no more than 8'from street-facing wall Parallel to street . . set 45 degrees or less Windows Minimum -' . • area of all street-facing facades Garage Gara e door is behind •-: treet-facing wall P -es 0 No,one of the following is met: Door extends no more than 5 . - . an. - -re is a covered porch extending beyond garage. Door extends no more than 5' fr.- .I an. . - 's a 12 sq ft.window above garage on 2"d floor. 0 Gara•e door width is ' . ess ❑ 50%or less of faca. - 60%or less and includes.iof following: Covered po - Recessed entrance ❑Wall offset 1' ' .. _ e - Roof offset F. gles Lap Siding 0 Roof itch 0 Gable,hi ,or gambrel ro. Dormer Accent siding Window trim U Window recess U Window projection r : .• I Visual Clearance ElUrban Forestrg Plan Sensitive Lands: ❑ Yes ILI No Type: Conditions met prior to issuance of building permit Notes:Outstanding conditions under PDR201�13; d o not until re-plat recorded under MMD2020-00030 El Approved By Planning: C� pro. Date: 2/19/21 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved I: docx Building Permit Submittal - % Original Submittal Date: 02/l b/20y Site Plans: #$ Building Plans: ## Building Permit#: Enter buildin ermit#above. Workflow Routing: Et-Planning LiEngineering IIKerrnit Coordinator Buildin Workflow Sign-off: g �"- Sign-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. Building. original permit application,site plans,building plans,engineer and beam calculations and st details,if applicable,etc. Notes: By Permit Technician: - /Afigz/71! Date: Q 20. Engineering Review Slope at building pad: i ' U. Co nditions "Met"prior to issuance of building permit /�// rnL sements (encroachments)per engineering conditions of approval and plat L 7 Water Quality/Quantity Facility: �7� Assess Water Quality Fee in-lieu: ❑ Yes Ili/No Assess Water Quantity Fee in-lieu: ❑ Yes pNloo LIDA Facility on lot. ❑ Yes IP/Final Plat Recorded: 0 NOT Approved by Engineering: Date: Notes: , [1,1Approved by Engineering: Date: Zi2.5'—XZ/ Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved ❑ Not Approved Permit Coordinator Review 0 Conditions "Met"prior to issuance of building permit 14 Approved, NOT Released: 4 n4st 1 pp,vyofic no+ ,Crn-1,�d , Date: At,T 12,I�21 Notes: �"" Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: SDC Exemption: 0 Received Does not a ly SDC Fees Entered: Wash Co Trans Dev Tax: g Yes11 N/A Tigard Trans SDC: ,4Yes 0 N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes 2 N/A 0 OK to Issue Permit Approved by Permit Coordinator: Date: 1:1Buildinff ortnslBldgPermitRvw_RES_122419.docx ` -. City of Tigard v COMMUNITY DEVELOPMENT DEPARTMENT I I G A R D River Terrace Building Permit Review Addendum Building Permit #: 'MST2o7._(-000% Site Address: ,9c //� SW Lemongrass Lane Project Name: River Terrace Northeast Lot #: - 22 (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? ['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 Offset a Porch min. ft. deep ft d❑eep min. 2ft.,50 ft.wide min. 2 ft., 6 .wide Gabled dormer 2. Eyes o t e street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: >12 7v 3. ntrances:At least one entrance must meet both of the foll ing standards: Max. 8 ft. setback from longe��t street-facing wall Parallel to street,angle no more than 45° from street, ��/f or ope onto porch Entr nce opens to a porch: Yes ❑No If s,all the following apply: sq.ft. min. bne 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: U.❑ vered porch min. 5 ft.wide x 5 ft. deep ❑Recessed entry area min. 5 ft.wide x 2 ft. deep all offset min. 16 inches ❑ ormer min. 4 ft.wideRoof cave min. 12 inch projection w�°of offset min.of 2 ft. LJ Roof shingles either tile or wood L�J ble,hip or gambrel roof desigrrr g ❑Roof pitch oriented south min. 500 sq. ft. ��°nzontal lap siding min. 3-7 inches wide e, El Accent siding min.40%of street facade bQWrndow trim min. 2 1/2"wide by 5/8"deep. -4 ['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%o - of street facade Garages and Carports:May face the front or„s 1, t line on a corner 1. -. Setbac • C'1`�J� No closer to fron : ide lot line,than longest street-fa ' : ... . II Yes ❑No. If No (Check one): 0 May extend up to 5 ft.r I - - is a covered fr. • .orch and garage does not extend beyond the front porch. ❑May extend up to 5 ft.where the :,A is part of a two-story building and there is a window at the second story above the garage that faces the -t with a . . -a of 12 sq.ft. Width: (Check one) ❑12-foo -• '.e garage door ❑40%ma . • street facade I i Ye max. of street facade with 7 detailed design elements Notes: Approved By Planning: 4 Date: 2/19/21 I\Building\Forms\BldgPermitRvw RES_RT_121417.docx