Permit CITY OF TIGARD � MASTER PERMIT
1 COMMUNITY DEVELOPMENT e/six, 0 Permit#: MST2020-00192
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: Jul 14 2020 12:DDAM
T l Cl It T) g Parcel: 2S111 BBDO600
Jurisdiction: Tigard
Site address: 10149 SW COPPERLEAF LN
Subdivision: ERIKA SUBDIVISION Lot:
Project: Erika Court, Lot 8
Project Description: New detached dwelling. 8/15/2020: REPRINT to add irrigation backflow.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 3 First: 2430 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 17 Bathrooms: 3 Second: 0 sf Garage: 629 sf Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2430 sf Value: $345,580.41 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0
Bckflw Prevntr: 1
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywall-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N 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: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 5 201-400 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 SF VB R-3 2430
Owner: Contractor:
CASCADE CIVIL DEVELOPMENT INC WEEKLEY HOMES Required Items and Reports(Conditions)
395 SHENANDOAH LANE NE 1905 NW 169TH PLACE SUITE 102 1 Ersn Cntrl 503-639-4175
WOODBURN,OR 97071 BEAVERTON,OR 97006 2 Geo Tech Required Prior To
Pour
PHONE: PHONE: 503-213-4415
FAX:
Total Fees: $37,361.34
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 OAA 2-001-0090. Youo mayl obtainob a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: �-- , /!i�te--- �. Permiftee Signature: v �� �,G'�l�O�
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.
' Plumbing Permit Application
Building Fixtures _ - E 1
FOR OFFICE USE ONLY
- City of Tigard Received (� Permit N
13125 SW Hall Blvd.,Tigard,OR 97223 Q D.:By: (( /f 4. ofisr 20 2a-)0 r9 z-
a Phone: 503.718.2439 Fax: 503.598.1960"I"' 2 8 ZOZO P3te1Blau y Review Other Permit No.:
Date By:
T I G AR❑ Inspection Line: 503 639.4175 ,. �` y j bale RcodyBy: Laic ® See Page 2 for
Imemet sv.rwtt erdoraus l-.t_'..�t,. �3�Y�G
- g i- p� Woti 6edablethod', Supplemental See
Information
TYPE OF WItiId1LUING D1Y4`ai(Jt4 FEE` SCHEDULE
❑ New con..traction ❑Demolition For special information use checklist
---- - Description I Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 fl.for each utility connection)
CATEGORY OF CONSTRUCTION SIR(I)bath 312.70
®1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath I 500.32 500.32
❑Accessory building ❑Multi-family
------ - Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler( sq.fl.) Page 2
JOB SITE INFORMATION AND LOC (' Site utilities:
Job site address: 10149 SWCOPPERLEAF LANE Catch basin or area drain 18.76
City/State/ZIP:TigartVO W97224 Drywell,leach line,or trench drain 18.76
GVt'( Qt N Footing drain(no.linear ft.:) Page 2 87.55
Suite/bldglapk no.: ( Project name:RIDGECRESTeU1L11IN(. !I J(U Manufactured home utilities 50.03
Cross street/directions to job site:SW ID31°r AVE AND COPPERLEAF LANE Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:) Page 2
Storm sewer(no linear if: ) Page 2
-- .--_ -Water service(no..Iincar tt.:_)- _Page2-
Subdivision. ERIKA COURT Lot no.:8
Fixture or item: �-�--
Tax map/parcel no.:25111 BB00600 Backtlow preventer I 31.27 j 31.27
DESCRIPTION OF WORK Backwater valve 12 31
Clothes washer 1 25.0225.02
New Single Family Home 2430 agft 3 bedroom,3 bath with 629 sqft 3 car Dishwasher 1 25 02 25.02
garage and with a 255 sq ft covered rear patio and a 168 rear deck. Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER f ❑ TENANT Expansion tank 12.51
Name:David Weekley Homes Fixturc.'sewercap 25.02
Floor drain/floor sink/hub 25.02
Address: 1905 NW 169h Place Suite 102
Garbage disposal I 25.02 25.02
City/State/ZIP:Beaverton,OR 97006 Hose bib 2 25.02 50.04
Phone:i503)2I3-44I5 Fax: I I Ice maker I 12.51 12.51
• ® APPLICANT ® CONTACT PERSON Interceptor/grease trap 25.02
-
Business name: David W'eeklev Homes Medical gas(value:$_) Page 2
Primer 12.51
Contact name:Michele Schledler
Roof drain(commercial) 12.51
Address:1905 NW 169th Place,Suite 102 Sink/basin/lavatory 5 25.02 125.10
City/State/"ZIP: Beaverton/OR/97006 Solar units(potable water) 62.54
Phone:(503)213-4415 Fax: :( ) Tub/shower/showerpan 3 12.51 25.02
F-mail:mschiedlerla'dwhomes.com Urinal 25.02
Water closet 3 25.02 75.06
CONTRACTOR
Water heater 1 37.52 37.52
Business name:Malmedal Plumbing Water piping/DWV 56.29
Address:PO Box 207 Other 25.02
City/Slate/ZIP: Banks/OR/97106 Subtotal 31,2,7
Phone:(503)324-0759 Fax ( ) Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB I.ie: 102535 Plumbing Lie,no.:34-276PB �, 75
State surcharge(12%of permit fee)
Authorized signakae: Carolina Malmedal _ ,-„ ,_, - TOTAL PERMIT FEE `35: to 2...-
Print name:Carolina Malmedal Date:05/27/2020 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
"Pee methodology set by Tri-Cuunty Building[Mushy Service Board.
11Building enrusPLMI.'-PamiiApp.doc lout 55 440d616Tt Io,Oac'ow1'WEBI
CITY OF TIGARD i,4 tlf
', MASTER PERMIT
• 1 ' COMMUNITY DEVELOPMENT /�y/asa ct7 Permit#: MST202000192
Date Issued: 07/14/2020
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S111 BB00600
Jurisdiction: Tigard
Site address: 10149 SW COPPERLEAF LN
Subdivision: ERIKA SUBDIVISION Lot:
Project: Erika Court, Lot 8
Project Description: New detached dwelling. 8/15/2020: REPRINT to add irrigation backflow. 9/11/2020: REPRINT
to add NC.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 3 First: 2430 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 17 Bathrooms: 3 Second: 0 sf Garage: 629 at Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2430 sf Value: $345,580.41 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0
Bckflw Prevntr: 1
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types 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: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvcfFeeders 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: 5 201-400 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 SF V B R-3 2430
Owner: Contractor:
CASCADE CIVIL DEVELOPMENT INC WEEKLEY HOMES Required Items and Reports(Conditions)
395 SHENANDOAH LANE NE 1905 NW 169TH PLACE SUITE 102 1 Ersn Cntrl 503-639-4175
WOODBURN,OR 97071 BEAVERTON,OR 97006 2 Geo Tech Required Prior To
Pour
PHONE: PHONE: 503-213-4415
FAX:
Total Fees: $37,413.70
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OA 952-001- 90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.,�.2 Al
Issued By: G'—'�-- Permittee Signature: 4147 �'���l 7 "
0
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept In a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit ApplicatiRECElVLt, FOR OFFICE USE ON1.\
City of Tigard Received
b • ll Bd, , 2
74
AUG 31 2020 Date/By: 1,,, 2- �2O Penult No.:/"$ ��f 9
Phone:13125 50SW3Ha.71%.24 lv39 Fax:Tigard 501.598.19G0OR97 23 Plan Review
Ins ection Line: 503.639.4175 CITY OF TIGARD Date/By: Other Permit.
I U f,I) P Dote Read Rl . JuristSI See Page 2 Internet; www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental i�ormarbn
TYPE OE WORK COMMERCIAL FEE* SCHEDULE USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment.labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special Information are rheekfist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOly SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 1 46.75 46.75
Job site address:10149 SW COPPERLEAF LANE Furnace 100,000 BTII(ducts/vents) I 46.75
City/State/ZIP:Tigard/OR/97224 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name:RIDGECREST Heat pump 61.06
Duct work 23.32
Cross street/directions to job site:SW 103"AVE and SW COPPERLEAF LANE Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision:ERIKA COURT Lot no.:S Other: 23.32
Other fuel appliances:
Tax map/parcel no.:2Sl IIBB00600 Water heater I 23.32 _
DESCRIPTION OF WORK Gas fireplace/insert I 33.39
Flue vent for water heater or gas
New single family home to be built-2430 sqft,3 bedroom 23 bath home with fireplace 23.32
629 sqft 3 car garage and a 255 sq ft covered rear porch and a 168 rear deck Log lighter(gas) 2332
Q.� Wood/pellet stove 33.39
( r isA 9/e_, Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER, 1 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:David Weeldey Homes Range hood/other kitchen
en equipment 1 33.39
Address:1905 NW 169 Place,Suite 102 Clothes dryer exhaust 1 33.39
City/State/ZIP:Beaverton/OR/97006 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 5 23.32
Phone:(503)213-4415 Fax:( ) Attic/crawlspace fans 23.32
t ckPILiCANT ® CUNTACTPERSON Other: 23.32
Business name:David Weekley Homes Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Michele Schiedler Furnace,etc.
Address:1905 NW 169'a Place,Suite 102 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Beaverton/OR/97006 Water heater
Phone:(503)213-4415 Fax::( ) Fireplace
Range
E-mail:mschiedler@dwhomes.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:David Weekley Homes
Other:
MECHANICAL,PERMIT FEES*
Address:1905 NW 169th Place Suite 102 Subtotal t/((,7s
City/State/ZIP:Beaverton/OR/97006 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)213-4415 Fax:( ) State surcharge(12%of permit fee) S.w
CCB lie.:213653 TOTAL PERMIT FEE SZ. 3 b
This permit application aert has bs ina permitcepteIs,not mpl obtained. within ISO
days after it has been accepted as complete.
Authorized signature: • Fee methodology set by Tn-County Building industry Service Board
Print name:Ken Puttman Date:5/26/20
t:lauridingll'ennliAMEC_PennilApp_0401 I3.doe 440-4617T(I1/02/COM/WE13)
CITY OF TIGARD MASTER PERMIT
'''7 g7 COMMUNITY DEVELOPMENT ► V1SPermit#: MST2020-00192
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 $ , Date Issued: 07/14/2020
TIGARD ') ' , Parcel: 2S111BB00600
Jurisdiction: Tigard
Site address: 10149 SW COPPERLEAF LN
Subdivision: ERIKA SUBDIVISION Lot:
Project: Erika Court, Lot 8
Project Description: New detached dwelling. 8/15/2020: REPRINT to add irrigation backflow. 9111/2020: REPRINT
to add NC. 10/7/20: REPRINTED permit to include laundry tray.
BUILDING
Floor Areas Reauired Setbacks Reauired
Stories: 1 Bedrooms: 3 First: 2430 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 17 Bathrooms: 3 Second: 0 sf Garage: 629 sf Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right; 5
Detectors: Yes
Total: 2430 sf Value: $345,580.41 Rear. 15
PLUMBING
Sinks. 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 '
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain0 Storm Sewer: 100
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0
Bckfw Prevntr: 1
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Tvnes 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: 4
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'I 500 sf: 5 201-400 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 SF VB R-3 2430
Owner: Contractor:
CASCADE CIVIL DEVELOPMENT INC WEEKLEY HOMES Required Items and Reports(Conditions)
395 SHENANDOAH LANE NE 1905 NW 169TH PLACE SUITE 102 1 Ersn Cntrl 503-639-4175
WOODBURN,OR 97071 BEAVERTON,OR 97006 2 Geo Tech Required Prior To
Pour
PHONE: PHONE: 503-213-4415
FAX;
Total Fees: $37,441.72
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 n- •• i r ... • e r -- •r direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344
/' ^
Issued By: ; n��/ �J Permittee Siyuamre: ii _
CL�
9.4175 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.
Plumbing Permit Application -q 8
Building Fixtures r r ^> FOR OFFICE USE ONLY
° Itectived
City of Tigard •
DateBy: 4t/1 f ib "T Permit No.: S73��.1Y)L L�
114
.- • 13125 SW Hall Bl d.,Tigard,OR 97223 t. C ., ,0 r1qrt Plan Review -
_ Phone: 503.718.2439 Fax: 503.598.1960 711 C.`I Date/By: Other Permit No.:
Inspection Line: 503.639.4175 Date Read/B ® See Page 2 for
TIG-\I:I1Ready/By: -
Internet: www.tigard-or.gov `(Nottifieid/Method: Supplemental Information
TYPE OF WOIt'rf u'�__. :'.C;2 U V:DIQ1J._. I FEE* SCHEDULE immil
111`4 w construction ❑Demolition For special information use checklist.
Description I Qty I Ea. I Total
0 Addition/alteration/replacement ❑Other: I New 1-2-family dwellings(includes 100 ft.for each utility connection)
OF CONSTR..rrset a 1, 7. . SFR(I)bath 312.70
® 1-and 2-family dwelling ❑Commercial/in ,1\ 11- 00 a.' I SFR(2)bath 437.78
_ SFR(3)bath 1 500.32 500 32
0
❑Accessory building 0 Multi-family )'
- /171) i Each additional bath kitchen 25.02
0 Master builder E Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCA I Site utilities:
Job site address:10149 SW COPPERLEAF LANE Catch basin or area drain 18 76
Drywell,leach Ime,or trench drain 18.76
City/State/ZIP:Tigard/OR/97224
Footing drain(no.linear ft.:230) Page 2 87.55
Suite/bldg./apt.no.: I Project name:RIDGECREST Manufactured hone utilities 50.03
Cross street/directions to job site:SW 103RD AVE AND COPPERLEAF LANE 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:ERIKA COURT I Lot no.:8 I Fixture or item:
Tax map/parcel no.:2SI11BB00600 Backflow preventer 1 31.27 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 1 25.02 25.02
add laundry sink to existing permit MST2020-00192
Dishwasher I 25.02 25.02
Drinking fountain 25.02
IEjectors/sump 25.02
® PROPERTY OWNER 0 TENANT Expansion tank 12.51
Name:David Weekley Homes Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 1905 NW 169th Place Suite 102
Garbage disposal 1 25.02 25.02
City/State/ZIP:Beaverton,OR 97006 Hose bib 2 25.02 50.04
Phone:(503)213-4415 Fax:( ) Ice maker 1 12.51 12 51
Interceptor/grease trap 25.02
Business name:David Weekley Homes Medical gas(value:$_) Page 2
Primer 12 51
Contact name:Michele Schiedler
Roof drain(commercial) 12.51
Address:1905 NW 169th Place,Suite 102 I Sink/basin/lavatory 6 25 02 125 10
City/State/ZIP:Beaverton/OR/97006 Solar units(potable water) 62.54
Phone:(503)213-4415 I Fax: :( ) Tub/shower/shower pan 3 12.51 25 02
I
E-nail:mschiedler(ddwhomes.com Urinal 25 02
Water closet 3 25 02 75.06_1
CONTRACTOR
Water heater 1 37.52 37.52
Business name:Malmedal Plumbing Waterpiping/DWV 56.29
Address:PO Box 207 Other: 25 02
City/State/ZIP:Banks/OR/97106 Subtotal
Minimum permit fee: $72.50
Phone.(503)324-0759 Fax:( )
CCB Lic.:102535 Plumbing Lic.no.:34-276PB Plan review (25%of permit fee)
State surcharge(12%of permit fee) r
Authorized signature: Carolina Malmedal TOTAL PERMIT FEE i/
ti..,.n „ 09/25/2020 This permit application expires if a permit is not obtained wltll�t in Jays
Print name: Carolina Malmedal ` " �-'"""-'=7�"" Date: after it has been accepted as complete.
°Fee methodology set by Tri-Counly Building Industry Service Board.
1'\Building\Perm,rs1PLMr1-PermnApp.doc 10/01/09 440-46167(10/02/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2- Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
iritC V tllitles Qty. Fee(ea) Total SEMITIBMINE
Footing drain-I'100' 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 I 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 I Medical Gas Systems:
Water Service-each additional 100' 37.52 I �y
Storm&Rain Drain-1st 100' 62.54 "Permit Fee:
I $1.00 to$5,000.00 Minimum fcc$72.50
Storm&Rain Drain-each additional 100' 37 52 I $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
Other Inspections or Feel' 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 includibg$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) I each additional$100.00 or fraction thereof.
Subtotal:
I Other Fixtures: I I I
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*.
Quantity by Fixture Type I
Fixture Type for Replace/ I Plan Review for Plumbing Installations
Work Performed: Capped Added Relocate
Ba tistryffont Plan review is required for any of the following.
Bath Tub/Shower Please check all that apply.
-Jacuzzi/Whirlpool I ❑ Any new commercial building with water service 2"and
Car Wash -Each Stall I greater,except systems designed and stamped by licensed
-Drive Thm engineer.
Cuspidor/Water Aspirator 0 New exterior plumbing site utilities for any complex structure
Dishwasher -Commercial as defined in OAR918-780-0040.
-Domestic ❑ Medical gas and vacuum systems for health care facilities.
Drinking Fountain ❑ Any multipurpose fire sprinkler system.
Eye Wash ❑ Any complex stricture as defined in OAR918-780-0040.
Floor Drain/sink -2"
3" Submit 2 sets of plans with any of the above.
_4„ I
Car Wash Drain EEL Isometric or Riser Diagram
Garbage -Domestic—non-food
Disposal -Domestic—food related ❑ Isometric or riser diagram is required for new buildings
-Commercial—food related I that meet the qualifications above.
-Industrial-food related
Ice Mach./Refrig,Drains
Oil Separator(Gas Station)
Rec.Vehicle Dump Station Comments regarding fixture work:
Shower -Gang
-Stall
Sink/Lav -Non-food related
-Bradley I
-Commercial-food related I
-Service
Swimming Pool Filter
Washer-Clothes
Water Extractor Note: If the fixture work under this permit results in an
I
Water Closet-Toilet increase of sewer EDUs,a sewer permit will be issued and
I Unnal ' fees assessed for the sewer increase must be paid before the
C:1Users\Malmedal\AppData\Local\Microsoft\Windows\Temporary Intent Files\Content.Outlook\6XKYAOWA\68130008 Plumbing Permit REV
Add laundry sink.doc
CITY OF TIGARD MASTER PERMIT
1e ' ' COMMUNITY DEVELOPMENT Permit#: MST2020-00192
RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: Jul 14 2020 12:00AM
T[� ''" 9 Parcel: 2S 111 BB00600
Jurisdiction: Tigard
Site address: 10149 SW COPPERLEAF LN
Subdivision: ERIKA SUBDIVISION Lot:
Project: Erika Court, Lot 8
Project Description: New detached dwelling.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 3 First: 2430 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 17 Bathrooms: 3 Second: 0 sf Garage: 629 sf Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2430 sf Value: $345,580.41 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N 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: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add 500 sf: 5 201-400 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 SF VB R-3 2430
Owner: Contractor:
CASCADE CIVIL DEVELOPMENT INC WEEKLEY HOMES Required Items and Reports(Conditions)
395 SHENANDOAH LANE NE 1905 NW 169TH PLACE SUITE 102 1 Ersn Cntrl 503-639-4175
WOODBURN,OR 97071 BEAVERTON,OR 97006 2 Geo Tech Required Prior To
Pour
PHONE: PHONE: 503-213-4415
FAX:
Total Fees: $37,326.32
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: j#gPermittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection ate.
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.
,Suilding Permit Application RECEIVE.. ., _5, 2d' '�`-c-/
Residential FOR OFFICE USE ONLY
Cityof Tigard MAY 2 8 2020 Received / 7 �/� Penult No
g Dare;By: ���Z I W hV 1'1 JT"ze 7.0-00( /
13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review / �7�)� q 7-� �i� zou OtherPermJttlg 70�—fin L..S
III
Phone: 503.718.2439 Fax: 503.598.1 I T ���,��E1� DatelBy: v---
P BUILDING DIVISIC� y y' 0 See Paget for
TI GARD Inspection Line: 503.639.4175 4Date Read iB g/,
Internet: www.tigard-or.gov °Notified%Method: b y Supplemental Information
2_./Lir,o4 -T-
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
® New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® I-and 2-family dwelling ElCommercial/industrial Valuation: 00 3` s� sg 0
0 Accessory building 0 Multi-family Number of bedrooms: 3
❑Master builder El Other:
Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: 1 --C16
Job site address:10149 SW COPPERLEAF LANE New dwelling area: 2430 square feet2L_Jt
City/State/ZIP:Tigard/OR/97224 Garage/carport area: 629 square feet
Suite/bldg./apt.no.: Project name:RYBGEEREST 6/2.1 Kr{' CZ)(C(li..� Covered porch area: square feet
Cross street/directions to job site:SW 103R°AVE AND COPPERLEAF LANE Deck area: 4 1 square feet
t. }tejr nctture area square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:ERIKA COURT I Lot no.:8 Permit fees*are based on the value of the work performed.
Tax map/parcel no.:25111 BB00600 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.
New Single Family Home to be built-2430 SQFT 3 Bedroom,3 bath with 629 SQ Valuation: $
FT 3 car garage with a 255 sq ft covered rear porch and a 168 sq ft rear deck Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:David Weekley Homes Type of construction:
Address: 1905 NW 169"Place Suite 102 Occupancy groups:
City/State/ZIP:Beaverton,OR 97006 Existing:
Phone:(503)213-4415 Fax:( ) New:
❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:David Weekley Homes (Please refer ro fee schedule
Structural plan review fee(or deposit): 75-t, 3 Y
Contact name:Michele Schiedler
FLS plan review fee(if applicable):
Address:1905 NW 169'Place,Suite 102
Total fees due upon application:
City/State/ZIP:Beaverton/OR/97006
Amount received:
Phone:(503)213-4415 Fax: :( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:mschicdlerPidwhomes.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:David Weekley Homes Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:1905 NW 169'Place,Suite 102 SolarInstallation Specialty Code checklist.
City/State/ZIP:Beaverton/OR/97006 Permit Fee(includes plan review $180.00
/// and administrative fees):
Phone:(503)213-4415 / Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:213653 / Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Michele Schie er Date:5/26/20 *Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB)
iopc......
Building Permit Application Checklist VIOL ,
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received
- g Associated13125 permit
Phone: 503.718.2439 Fax: 503:598.1960
TIGARD 24-Hour Inspection Line: 503.639.4175 ® Electrical I Plumbing El Mechanical
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW \c., No N/A
I Land use actions completed. See jurisdiction criteria for concurrent reviews. El ❑ ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. El ❑ 0
3 Verification of approved plat/lot. ® 0 ❑
4 Fire district approval required. Name of district: • 0 0 0
5 Septic system permit or authorization for tcmodel. Existing system capacity . 0 0 ❑
6 Sewer permit. ❑ 0 ❑
7 Water district approval. 0 0 0
8 Soils report. Must carry original applicable stamp and signature on file or with application. El 0 0
9 Erosion control ®plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ® ❑ ❑
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ® ❑ ❑
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if 0 0 0
there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements
and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction
indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and
surface drainage.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ® ❑ 0
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ® 0 0
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ® 0 ❑ 41
floor,wall construction,roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings
and foundation,stairs,fireplace construction,thermal insulation,etc.
15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ® 0 0
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- El 0 0
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing ® ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 ❑ El
systems,see item 22,"Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ® 0 0
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. 0 El ❑ -
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ® 0 0
for four or more appliances.
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or El 0 0
architect licensed in Ore_on and shall be shown to be applicable to the •ro'ect under review.
JURISDICTIONAL SPECIFICS
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ® ❑ 0
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ® 0 ❑
25 Building plans shall not contain red lines or tape-ons. `Mirrored"building plans will not be accepted. El 0 El
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ® 0 ❑
27 "Drawn to scale"indicates standard architect or engineer scale. ® ❑ ❑
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ® 0 0
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 0
and protection measures must be drawn to scale and must include the project arborist's signature of approval.
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, 0 0
including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
1:\Building'Petmits1BUP-RESPerrmmitApp.doc 02/24/2011 440-46I3T(I 1/02/COM/WEB)
Mechanical Permit Application FOR OFFICE USE ONLY
i Received&
- CityTigard9 M of NE PermitNo.M
Datc;By: f (ST Z(�� _00
qv__13125 SW Hall Blvd.,Tigard,OR 97j
Plan Review Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 � Q 20�(� patetBy:
T I G A R D Inspection Line: 503.639.4175 MAY O Date Ready/By: Juris: 0 See Page 2 for
Internet: www.tigard-or.gov Tl{o v ,Notified:Method: Supplemental Information
TYPE OF4ORK-'" COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
® New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition ❑Othcr: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES* ..
® 1-and 2-family dwelling ❑ Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:10149 SW COPPERLEAF LANE Furnace 100,000 BTU(ducts/vents) 1 46.75
City/State/Z1P:Tigard/OR/97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:RIDGECREST Duct work 23.32
Cross street/directions to job site:SW 103RD AVE and SW COPPERLEAF LANE Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision:ERIKA COURT Lot no.:8 Other: 23.32
Other fuel appliances:
Tax map/parcel no.:2SIIIBB00600 Water heater 1 23.32
- DESCRIPTION OF WORK Gas fireplace/insert 1 33.39
Flue vent for water heater or gas
New single family home to be built-2430 sqft,3 bedroom 23 bath home with fireplace 23.32
629 sqft 3 car garage and a 255 sq ft covered rear porch and a 168 rear deck Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other. 23.32
Li PROPERTY OWNER ID TENANT Environmental exhaust and ventilation:
Name:David Weekley Homes Range hood/other kitchen
equipment 1 33.39
Address: 1905 NW 169t"Place,Suite 102 Clothes dryer exhaust 1 33.39
City/State/ZIP:Beaverton/OR/97006 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 5 23.32
Phone:(503)213-4415 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT ® CONTACT PERSON Other. 23.32
Business name:David Weekley Homes Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Michele Schiedler Furnace,etc.
Address: 1905 NW 169" Place,Suite 102 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Beaverton/OR/97006 Water heater
Phone:(503)213-4415 Fax: :( ) Fireplace
Range .
E-mail:mschiedler@dwhomes.com Barbecue
CONTRACTOR Clothes diyer(gas)
Business name:David Weekley Homes Other:
MECHANICAL PERMIT FEES*
Address: 1905 NW 169th Place Suite 102 Subtotal
City/State/ZIP:Beaverton/0R/97006
Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)213-4415 Fax:( ) State surcharge(12%of permit fee)
CCB lie.:213653 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after It has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name:Ken Putt an Date:5/26/20
GABuildingVPermits\MEC_PermitApp_0401I3.doc 440-4617T(11/02'COM.WEB)
r i
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information •
Commercial& Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
S 10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:1Building\Permits\MEC_PemutApp_040113.doc 2
it
Electrical Permit ApplieatiopE
��� FOROFFICI: USE ONLY
City of Tigard Q �Q .0 Received Permit#:M s' rOB /G� 1
"I 13125i`�A� O Dale/Rv: I ,G
Phone:
SW Hall Blvd.,Tigard,OR 972238.19 Plan Review
III
Phone: 503.718.2439 Fax: 503.598.1960 ^ llatclBv: Related Permit k
Inspection line: 503.639.4175 ° Y OF T1G~ ReadyInds:
T1G!1Rp „r, i'gti(, : Date/By: fa See Page 2 for
Internet: www.tigard-OLgoy Notified/Method Supplemental Information
TYPE OF WORK PLAN REVIEW
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wiitems checked):
❑Service or feeder 400 amps or more ❑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.
1-and 2-family dwellingCommercial/industrial less to ground,m exceeds 14,000 0 Commercial-use agricultural
® y ❑ ❑ Accessory building amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑ Other: ❑Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORNLATION AND LOCATION 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#:68130008 Job site address: 10149 SW COPPERLEAF LANE 100HP or more. ❑"A","F.","I-2","I-3",
City/State/ZIP:Tigard/OR/97224 0 Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name:RIDGECREAST ['Hazardous locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site:SW 103RD AVE AND COPPERLEAF LANE FEE SCHEDULE
Description I 00. I Each I Total I '
New residential single-or multi-family dwelling unit.
Subdivision: ERiKA COURT Lot#:8 Includes attached garage.
1,000 sq.ft.or less 1 168.54 168.54 4
Tax map/parcel#:2S111BB00600 Ea.add'l 500 sq.ft.or portion 3 33.92 101.76
DESCRIPTION OF WORK Limited energy,residential
75.00 2
New single family home to be build-2430 sqft,3 bedroom 3 bath home with (with above sq ft.)
Limited energy,multi-family 75.00 2
629 sqft 3 car garage with a 255 covered rear porch and 168 sq ft deck residential(with above sq.fl.I
Renewable Energy 0 See Page 2
• ® PROPERTY--'OWNER D TENANT Services or feeders installation,alteration,and/or relocation
Name: David Weekley Homes 200 amps or less 100.70 2
Address: 1905 NW 169th Place Suite 102 201 amps to 400 amps 133 56 2
--- 401 amps to 600 amps 200.34 2
City/State/ZIP:Beaverton/OR/97006 601 amps to 1,000 amps 301.04 2
Phone:(503)213-4415 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:
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
[El APPLICANT ® CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:David Weekley Homes above service or feeder fee, 7.42
each branch circuit _
Contact name: Michele Schiedler B.Fee for branch circuits without
Address:1905 NAY 169th Place Suite 102 service or feeder fee,first 56.18 2
branch circuit
•
City/State/ZIP:Beaverton/OR/97006 Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503)213-4415 Fax:: ( ) Each manufactured or modular 67,84 2
dwelling,service and/or feeder
Email: mschiedler@dwhomes.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Garner Electric Sign or outline lighting 67.84 2
Address:2890 SE Brookwood Ave. Signal circuit(s)or limited-energy 0 See Page 2
panel,alteration,or extension. 2
City/State/ZIP:Hillsboro, OR 97123 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)523-9060 503-648-4552 Fax:(503)642-7925 Investigation(1 hr min) 90.00/hr
Email: Industrial plant(1 hr min) 78.1&'hr
permits@garnerelectric.co inspections for which no fee is
CCB Lie.:121159 Elect ' c.:34- 05C Suprv.Lie.:3707-S specifically listed(bz hr min) 9000,hr
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,req Subtotal:
Print name:Charles Garner Date:5/27/2020 ❑Plan Review Required(25%of permit fee):
�""�" rr�� State surcharge(12%of permit fee):
Authorized signature: lJ4s� C/l.GLLsZdt TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name:Brittany Burian Date:5/27/2020 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:18uilding\Permirs',ELC PernrtApp ELR_ERE.doc Rev 06/I 72015 440-4615T(II r05/COM.WEB
' Plumbing Permit Application
Building FixturesREC r[ t � FOR OFFICE USE ONIX
ved
City of Tigard i Re e/By Permit Not -ZD 24 -0019 a-
U 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 2 8 2020
DateiBy:
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No.:
Inspection Line: 503.639.4175 s' r Y �} Date R Imis: ® See Page 2 for
[I c i n K ly Internet: www ti and-or.gov - _../, i I G A
g }�i� 5�11 '' '' „ttlote Ready/By:
ead ethod: Supplemental Information
TYPE OF Wt3KK�1LUING 011 '°` J(1 FEE* SCHEDULE
®New construction ❑Demolition For special it jormatiou use checklist
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 It.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
[3 I-and 2-family dwellingSFR(2)bath 437.78
❑Commercial/industrial
SFR(3)bath I 500.32 500.32
❑Accessory building ❑Multi-family
Each additional bath/kitchen 25.02
❑Master builder Li Other: Fire sprinkler(_sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:10149 SW COPPERLEAF LANE Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard/0R/97224
Footing drain(no.linear It.:2h Page 2 87.55
Suite/bldg./apt.no.: I Project name:RIDGECREST Manufactured home utilities 50.03
Cross street/directions to job site:SW 103Ro AVE AND COPPERLEAF LANE 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_i ear n' a -Page 2
Subdivision:ERIKA COURT I Lot no.:8 Fixture or item:
Tax map/parcel no.:2 S111 BB00600 Backflow preventer 1 31.27 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 1 25.02 25.02
New Single Family Home 2430 sqft 3 bedroom,3 bath with 629 sqft 3 car Dishwasher I 25.02 25.02
garage and with a 255 sq ft covered rear patio and a 168 rear deck. Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER I 0 TENANT Expansion tank 12.51
Name:David Weeklev Homes Fixturelsewercap 25.02
Floor drain/floor sink/hub 25.02
Address:1905 NW 169th Place Suite 102
Garbage disposal l 25 02 25.02
City/State/ZIP:Beaverton,OR 97006 Hose bib 2 25.02 50.04
Phone:(503)213-A415 Fax: ( ) Ice maker I 12.51 12.51
® APPLICANT ® CONTACT PERSON Interceptor/grease trap 25.02
Business name: David Weeklev Homes Medical gas(value:$_) Page 2
Primer 12.51
Contact name:Michele Schiedler
Roof drain(commercial) 12.51
Address:1905 NW 169th Place,Suite 102 Sink/basin/lavatory 5 25.02 125.10
City/State/ZIP: Beaverton/OR/97006 Solar units(potable water) 62.54
Phone:(503)213-4415 Fax: :( ) Tub/shower/shower pan 3 12.51 25.02
F-mail: mschiedlerr}dwhomes.com Urinal 25.02
Water closet 3 25.02 75.06
• CONTRACTOR
Water heater 1 37.52 37.52
Business name: Malmedal Plumbing Water piping/DWV 56.29
Address: PO Box 207 Other. 25.02
City/State/ZIP:Banks/OR/97106 Subtotal
Phone:(503)324-0759 Fax:( ) Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lie.: 102535 Plumbing Lie.no.:34-276PB
State surcharge(12%of permit fee)
Authorized signature: Carolina Malmedal ,.„r -,.�y TOTAL PERMIT FEE
Print name:Carolina Malmedal Date:05/27/2020 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:ABuildingAPermitsVPLMO-PernitApp.doc 10/01/09 40-4616T(10102/COM/WBB)
i City of Tigard
C
o COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Residential
Building Permit #: M 5 7"2-o 2-0 r- DD i `f 2___
SiteAddress: 10149 SW Lane--
Project Name: -Fri ka CCJ_,Y-t- Lot #: c3
Planning Review
Proposal: New .1ouse.
T. Verify address/suite# active in Accela. g In River Terrace: K No D Yes,River Terrace Review Addendum
Site Plan Elements: (g'rosion Control
3 copies of site plan on S-1/2"x 11"or 11 x 17"paper
etained trees with drip line and tree protection measures
Drawn to scale(standard architect or engineer scale) ootprint of new structure(including decks)and FFE
orth arrow tility locations&easements (required for new and additions)
ite address,project or subdivision name and lot number Sidewalk/driveway approach
Applicant information(name and phone number) V •cation of wells/septic systems
$Lot dimensions and building setback dimensions Jttreet tree size,type and location
quare footage of buildings to be demolished trees names
l xisting structures on site XrComer elevations (2'contours if more than 4'differential)
N*Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? hp No
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? s No
Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified .k. No Received: ❑ Yes ❑ No
)4 Water Meter Fixture Unit Worksheet-Additions,Remodels and ADUs
Required: ❑ Yes,applicant was notified 0 No Received: ❑ Yes ❑ No
SDC Exemption for ADU applied for: ❑ Yes 'Rf No Received: ❑ Yes ❑ No
ta Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified X No Applied Fox: ❑ Yes ❑ No,stop intake
tg. Land Use Case#: 3 b2al-1^ C0003 tg Zoning: R_3.S
Required Setbacks: Front: 20 Rear: (S Side: S Street Side: 20 Garage: 2O
Building Height: Max. Height: 30 Actual Height: E(.1
Or-Landscape Area: % -Lot Coverage Max:
Entrance Set back no more than 8'from street-facing wall Parallel to street or offset 45 degrees or less
Windows Minimum 12%of area of all street-facing facades I,-31e
Garage ,Garage door is behind widest street-facing wall ❑ Yes ,X'No,one of the following is met:
Nr Door extends no more than 5'from wall and there is a covered porch extending beyond garage.
❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2°d floor.
Ar Garage door width is ❑ 12'or less Ar 50%or less of facade ❑ 60%or less and includes 7 of following:
❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset
❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony
.Visual Clearance Urban Forestry Plan
Sensitive Lands: 0 Yes Tgi, No Type:
Conditions met prior to issuance of building permit
otes: I
PS Approved By Planning: PJyvq, pe15`-t Date: CO LI 1�
Revisions (after Building Submittal only) I�JJ Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
t:lBuilding\Fomzs\BldgPermitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: s171C49
Site Plans: # 3
Building Plans: #
Building Permit#: i3'Enter building permit#above. �
Workflow Routing: ,D'15lanning �rfgmeering D- re---t Coordinator ding
Workflow Sign-off: [Z.-Sign-off for Planning(include notes from planning review)
Route Application Documents: —ngineering: (1) copy of permit application, (1) site plan, (1) building plan and
on ' plan review routing form.
wilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: 3d —ciCtes-- Date: //-L�ZD
Epgineering Review
Y2 Slope at building pad: P��t
er Conditions "Met"prior to issuance of building permit[ / asements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes IkNo
Assess Water Quantity Fee in-lieu: 0 Yes ,.tfr yNo
LIDA Facility on lot: 0 Yes t J No
VFinal Plat Recorded:
0 NOT Approved by Engineering: Date:
Notes:
f/Approved by Engineering: Date: ` /4l. O
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: ❑ Approved 0 Not Approved
Permit Coordinator Review
Conditions "Met"prior to issuance of building permit
El Approved,NOT Released: 2 ,Q a pijc ({f teL2D Date:
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 apply
SDC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A
Tigard Trans SDC: k" Yes 0 N/A
Parks SDC: Sir Yes 0 N/A
LIDA O Yes f N/A
VI OK to Issue Permit
Approved by Permit Coordinator: Date: (o 111 (Z(�
I:\Building\Forms\BIdgPermitRvw_RES_122419.docx