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Permit (3) ipq �� CITY OF TIGARD7. MASTER PERMIT COMMUNITY DEVELOPMENT � � Permit#: MST2020-00190 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 /(,/� 0 Date Issued: Jul 29 2020 12:00AM Parcel: 2S111 BB00600 Jurisdiction: Tigard Site address: 10194 SW COPPERLEAF LN Subdivision: ERIKA SUBDIVISION Lot: Project: Erika Court, Lot 2 Project Description: New detached dwelling. 8/15/2020: REPRINT to add irrigation backflow. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 2109 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 16 Bathrooms: 2 Second: 0 sf Garage: 577 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2109 sf Value: $291,698.01 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 Rain Storm Sewer: 100 Tubs/Showers: 2 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: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srve/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: 4 201-400 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 2109 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 PHONE: PHONE: 503-213-4415 FAX: Total Fees: $35,815.96 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 0 952-000111--00 90. 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: (y' get-4 Permittee Signature: ©N /bPG �4.L / i'd�/ 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 c.:1',7-:IV 3-. Building Fixtures MAY8 ?CI FOR OFFICE ESE ONLY' 2City of Tigard R ceived c� C ry.�rf ,�y1 Pc''""N 13125 SW Hall Blvd..Tigard,OR 97221 I (�s nate'By: 6 j / o l'/ °P15't 20 e '-DQ 1 /Q °, a Phone 503718.2439 Fax: 503.598.1960 I ;i,,.., i Plan Review Other Permit No.: Inspection Line: 503.639 4175 i% DateiRy T I G A R D h Date ReadylBy: Ann: ® See Page 2 for Internet. wtis w,tigard-orgov Notitied'Mcthod: Supplemental Informal lion TYPE OF WORK FEE* SCHEDIILE ®New construction ❑Demolition For special information usechecklist Description ] Qty. I Ea. i Total ❑Addition/alteration/replacement ❑Other: New 1-2-familydwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ® I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 437.78 SFR(3)bath 500.32 0 Accessory building ❑Multi-family Each additional bath/kitchen 1 25.02 25.02 ❑ Master builder ❑Outer: Fire sprinkler(_sq.ft) Page 2 JOB SITE INFORMATION AND"LOCH' !ON. S.-.. ,'1 1 Site utilities: Job site address:10194 SW COPPERLEAF LANE Catch basin orates drain 18.76 Drywell,leach line,or trench drain 18.76 City/Stale/ZIP:Tigard/OR/97224 - IV' Footing drain(no.linear ft.:22 ) Page 2 87.55 Suitebldg/apt.no.: I Project name:RIDGECREST r - GAR rr��//((�� [7 Manufadtaredhotneutilities 50.03 Cross street/directions to job site:SW 103ao AVE AND COl' llCE�(�- ,611-1S'ON Manholes 18.76 BUILD �+ Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.: Page 2 -JYaterservice4nn linear ft•�-Page 7 Subdivision: ERIKA COI IRT Lot no.:2 _ Fixture or item: Tax map/parcel no.:2511161100600 Backflow preventer 1 31.27 \�"L27^ DESCRIPTION OF •WORK Backwater valve 12.51 Clothes washer 1 25.02 25.02 New Single Family Home 2109 sqft 3 bedroom,2.5 bath with 577 sqft 3 ear Dishwasher 1 25.02 25.02 garage and with a 218 sq ft covered rear patio. Drinking fountain 25.02 Ejcetors/smnp 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name:David Weekley Homes FixtureJsewercap 25.02 Floor drain/floor sink/hub 25.02 Address: 1905 NW 169a Place Suite 102 Garbage disposal I 25.02 25 02 City/State/ZIP:Beaverton,OR 97006 Hose bib 2 25 02 50 04 Phone:(503)213-441.5 Fax:( 1 Ice maker I 12.51 12.51 ® APPLICANT ® CONTACT PERSON Interceptor/grease trap 25.02 Medical gas(value:$_) Page 2 Business name:David Weekley Homes ' Primer 12.51 Contact name:Michele Schiedler Roof drain(commercial) 12.51 Address: 1905 NW 16911'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 E-mail:m !ayd srhiedlerwhomrs.com Urinal 25.02 Water closet 3 25.02 75.06 CONTRACTOR '. Water heater I 3752 37.52 Business name:Nalmedal Plumbing Water Pp I m WV 56.29 Address PO Box 207 Other: 25.02 City/State/ZIP:Banks/OR/97106 Subtotal i, Z Phone:(503)324-0759 I Fax:( ) Minimum permit fee: $72.50 CCB Lie.: 102535 Plumbing Tic.no.:34-276PB Plan review (25%of permit fee) State sot charge 112%of permit fee) 3 , 2S Authorized signature. Carolina Malmedal -.... ----• TOTAL PERMIT FEE t$-, 0'y 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 alceepM as complete. "Fee methodology set by TO-County Building Industry Service Board I\Bmlding`.Pe,,,itc.Pl.MI!-PermilApp doe IC401N9 440461611 1O'01COMI WEB) CITY OF TIGARD W 'pr: MASTER PERMIT f ' in a , , • COMMUNITY DEVELOPMENT P z 2.0 v Permit#: MST2020-00190 Date Issued: 07/29/2020 Ti C-,p 12 D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S111 BB00600 Jurisdiction: Tigard Site address: 10194 SW COPPERLEAF LN Subdivision: ERIKA SUBDIVISION Lot: Project: Erika Court, Lot 2 Project Description: New detached dwelling. 8/15/2020: REPRINT to add irrigation backflow. 9/11/2020: REPRINT to add A/C. BUILDING Floor Areas Required Setbacks Required Stones: 1 Bedrooms: 3 First: 2109 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 16 Bathrooms: 2 Second: 0 sf Garage: 577 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2109 sf Value: $291,698.01 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 Rain Storm Sewer: 100 Tubs/Showers: 2 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 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 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 addl 500 sf: 4 201-400 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 2109 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 WODOBURN,OR 97071 BEAVERTON,OR 97006 PHONE: PHONE: 503-213-4415 FAX: Total Fees: $35,868.32 This permit is issued subject to the regulations contained in the Tigard Municipal Code, Slate of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 9 k 090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: - ��'Yn-Le Lr d....„) Permittee Signature: O 1 e87 7""/4 L—1 /0 A Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the Job site until completion of the project. Approved plans are required on the Job site at the time of each inspection. Mechanical Permit AnnlicatioREC IVEf FOR OFFICE USE ONI.S Cityof Tigard Received g Date/By: 9 ii 20 t'n ,'unitNo.:/y1TZcI26t....00feiI 13125 SW Hall Blvd.,Tigard,OR 97223 A U G 31 2020 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Orlin Penna. I i, \II i., Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: kris' El See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE— USE CHECKLIST Mechanical permit fees"are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑ Other: mechanical materials,equipment labor,overhead,and profit, Value:$ CATEGORY OF CONSTRUCTION. RESIDENTIAL EQUIPMENT/SYSTEMS.FEES* ® 1-and 2-family dwelling D Commercial/industrial .❑Accessory building For special Information use checklist ❑Multi-family 0 Master builder ❑Other: Description Qty. En. Total JOB SITE INBORMATlON AND LOCATION'. Heatinglcooling: Air conditioning 1 46.75 46.75_ Job site address:10194 SW COPPERLEAF LANE Furnace 100.000 BTU(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 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.:2 Other: 23.32 Other fuel appliances: Tax map/paroel no.:2S111BB00600 Water heater 1 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-2109 sgft,3 bedroom 2.5 bath home with fireplace 23.32 577 sgft 3 car garage and a 218 sq ft covered rear porch Log lighter(gas) 23.32 A j/n Wood/pellet stove 33.39 ( ...-- Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23,32 ® PROPERTY OWNER - ❑ TENANT - Other•. 23.32 Environmental exhaust and ventilation: Name:David Weekley Homes Range hood/other kitchen Address:1905 NW 169'h Place,Suite 102 equipment 1 33.39 Clothes dryer exhaust 1 33,39 City/State/ZIP:.Beaverton/OR/97006 Single-duct exhaust(bathrooms, toilet compartments,utility moms) 5 23.32 Phone:(503)213-4415 Fax:( ) Attic/crawlspace fans 23.32 0 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's 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 169"Place Suite 102 Subtotal N(e 7 l 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. (O/ CCB lie.:213653 TOTAL PERMIT FEE Si. 1 is This permit application expires If a permit Is not obtained within 180 days alter It has been accepted as complete. Authorized signature; * Fee methodology set by Td-County Building Industry Service Board Print name:Ken Putt an Date:5/26/20 [:MMullding1Permits0AF.0 PermiIApp_040113,doe 440-4617T111/02/COM/WEB) CITY OF TIGARD MASTER PERMIT I - '• COMMUNITY DEVELOPMENT Permit#: MST2020-00190 II TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: Jul 29 2020 12:00AM Parcel: 2S111BB00600 Jurisdiction: Tigard Site address: 10194 SW COPPERLEAF LN Subdivision: ERIKA SUBDIVISION Lot: Project: Erika Court, Lot 2 Project Description: New detached dwelling. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 2109 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 16 Bathrooms: 2 Second: 0 sf Garage: 577 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2109 sf Value: $291,698.01 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 Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 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: 5 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: 4 201-400 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 Ecompasing: Y Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2109 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 PHONE: PHONE: 503-213-4415 FAX: Total Fees: $35,780.94 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 503.232.1998._�7or 1.800.332.2344. Issued By: �n/f^ /f✓ 2--` G�—� Permittee Signature: /// /Q L I:. Cff�/Q1 // 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 _ 372F/� Residential j i rt ��,-r ni t ; i :.,'. FOR OFFICE USE ONLY Cityof Tigard Received ,n/` /� Permit No g MAY 2 S 2020 Date.By: ( I /Z4 f.V Q ti SizeZD rao r90 111 • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review /I(( // '` _ , d"y 1` '' '"","` Date/B l 2 !��!� Other Pe Phone: 503.718.2439 Fax: 503.598.1960 �/27 f-v /IJ7470%0(�/� .� T I GA R D Inspection Line: 503.639.4175 -- pate Ready/By: ` Juts: ® See Page 2 for Internet: www.tigard-or.gov . thed/QjM/e�t�hod: 71.z f0 .l Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ® New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑ Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: 00 ` (1 S ® I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building ❑Multi-family Number of bedrooms: 3 ❑Master builder ❑Other: Number of bathrooms:...i•3 JOB SITE INFORMATION AND LOCATION Total number of floors: 1 24 Job site address:10194 SW COPPERLEAF LANE • New dwelling area: 2109 square feet log City/State/ZIP:Tigard/OR/97224 Garage/carporta a' _ 577 square feet Suite/bldg./apt.no.: Project name:IttB€EC �d 1 COwz� . eveted�area: 218 square feet Cross street/directions to job site:SW 103"AVE AND COPPERLEAF LANE Deck area: square feet Other structure area: Xsquare feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:ERIKA COURT I Lot no.:2 Permit fees*are based on the value of the work performed. Tax map/parcel no.:2S111BB00600 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-2109 SQFT 3 Bedroom,2.5 bath with 577 SQ Valuation: $ FT 3 car garage with a 218 SQFT covered rear porch 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 169th Place Suite 102 Occupancy groups: City/State/ZIP:Beaverton,OR 97006 Existing: Phone:(503)213-4415 Fax:( ) New: ❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES* (Please refer ro fee schedule Business name:David Weekley Homes Structural plan review fee(or deposit): 75i, el Contact name:Michele Schiedler FLS plan review fee(if applicable): Address:1905 NW 169th 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: mschiedler@dwhomes.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 Solar Installation 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 Schiedler Date:5/26/20 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Penults\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY Cityof Tigard Received gan Date/By: Penult No III • 13125 SW Hall Blvd.,Tigard,OR 97223 11 Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: T I GARU 24-Hour Inspection Line: 503.639.4175 El Electrical El Plumbing la Mechanical Internet: www.tigaat-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW ves No N/A I Land use actions completed. See jurisdiction criteria for concurrent reviews. ® ❑ ❑ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ® ❑ El 3 Verification of approved plat/lot. ® ❑ ❑ 4 Fire district approval required. Name of district: El ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ 0 0 7 Water district approval. 0 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0 9 Erosion control Ej plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ® 0 0 basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ® ❑ 0 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 0 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ® ❑ ❑ 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 0 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. ® ❑ ❑ 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 ❑ 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 ® El ❑ 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 ® ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ® ❑ El 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ® 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 ® ❑ 0 architect licensed in Ore.on and shall be shown to be a y.licable to the .ro'ect under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 1 I above. Site plans must be 8-1/2"x 11"or 11"x 17". ® 0 0 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ® ❑ ❑ 25 Building plans shall not contain red lines or tape-ons. `Mirrored"building plans will not be accepted. ❑ ❑ 26 "Reversed"building plans must meet criteria outlined in the Pennit&System Development Fees document. ® 0 ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. ® 0 0 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ® ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ 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 ❑ IZI 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. l:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1l/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY i City of Tigard -P 'r— �, Recepate;Byved : Permit No.:Ms 74,00(9 n III * 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 my 2 8 2020 Date/By: Other Permit: T I G A R D Inspection Line: 503.639.4175 Date Ready/By: raria: H See Page 2 for Internet: www.tigard-or.gov ,-. ..,, `.,- �•. ,, Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE —USE CHECKLIST Mechanical permit fees*are based on the value of the work ® New construction ❑ Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES* ® I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address:10194 SW COPPERLEAF LANE Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP:Tigard/OR/97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:RIDGECREST Duet 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 Intel-type,not elechic), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision:ERIKA COURT Lot no.:2 Other: 23.32 Other fuel appliances: __ Tax map/parcel no.:2SIl1BB00600 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-2109 sqft,3 bedroom 2.5 bath home with fireplace 23.32 577 sqft 3 car garage and a 218 sq ft covered rear porch Log lighter(gas) 23.32 Wood/pellet stove 33:39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ElPROPERTY OWNER 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name:David Weekley Homes Range hood/other kitchen equipment 1 33.39 Address: 1905 NW 169th Place,Suite 102 Clothes dryer exhaust 1 33.39 City/State/ZIP:Beaverton/OR197006 Single-duct exhaust(bathrooms, toilet compartments,utility moms) 5 23.32 Phone:(503)213-4415 Fax:( ) Attic/crawlspace fans 23.32 "54 APPLICANT ® CONTACT PERSON Other. 23.32 Business name:David Weekley Homes Fuel piping: $14.15 for first four;$4.03 for each additional t Contact name:Michele Schiedler Furnace,etc. Address: 1905 NW 169'h 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 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) 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 Pu tman Date:5/26/20 L,Building`Permits`.MEC_PermitApp 040 1 13.doc 440.4617T(1 l/0'JCOM/WEB) 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 $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:\BuildingPertnits\MEC_PennitApp_040113.doc 2 Electrical Permit Application 5 FOR OFFICE USF,ONLY City o Tigard - Received ?�1 ` Cy f l g 2 Q f- - Date/By: Permit=:' 1.5 T4(J i-Lj 00 l r 0 111 13125 SW Hall Blvd.,Tigard,OR 97223 'j AY O 2 Plan Review 1 Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit#: Inspection Line: 503.639.4175 1 n+ 'Y t-=' Ready Date/By: luns: El See Page 2 for 1 I(,AR D Internet. w'.vw tigard-or.gov Notified/Method- Supplemental Information TYPE OF`'WORK.— PLAN REVIEW E New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more ❑Building over three stones. ❑ Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10000 amps at 150 volts or 0 Floating buildings. El 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14.000 0 Commercial use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ['Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION Ikli,WINtikV.'.; y 0 Emergency system larger separately den%ed 0 Addition of new motor load of system. Job#:68130002 Job site address: 10194 SW COPPERLEAF LANE 100HP or more. ❑"A"."E"."I-2","l-3", City/State/ZIP:Tigard/OR/97224 ❑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 sobs nominal. Cross street/directions to job site: SW 103ao AVE AND COPPERLEAF LANE FEE SCHEDULE Description I Qty. I Each I Total I ' , New residential single-or multi-family dwelling unit. Subdivision:ERIKA COURT Lot#:2 Includes attached garage. 1,000 sq.ft or less I 168.54 168.54 4 Tax map/parcel#:2S111 BB00600 Ea.add'1500 sq ft.or portion 3 33.92 101 76 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 New single family home to be build-2109 sqft,3 bedroom 2.5 bath home with (with above sq.ft.) Limited energy,multi-family 75 00 2 577 sqft 3 car garage with a 218 sq ft covered rear patio. residential(with above sq.ft.) Renewable Energy 0 See Page 2 El PROPERTY OWNER - 0 TENANT -4,.'‘'''`°°" Services or feeders installation,alteration,and/or relocation Name: David Weekley Flumes 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/LIP:Beaverton/OR/97006 601 amps to 1,000amps 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 ® APPLICANT ® C.ONTACT 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 service or feeder fee,first Address: 1905 NW 169'h Place Suite 102 56.18 2 branch circuit City/State/ZIP:Beaverton/OR/97006 Each add']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: mschiedlerOa dwhomes.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 Business name:Garner Electric Sign or outline lighting 67 84 2 Signal circuit(s)or limited-energy ❑ See Page 2 3 Address:2890 SE Brookwood Ave. panel,alteration,or extension. City/State/ZIP:Hillsboro OR 97123 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 6625/hr Phone:(503)523-9060503-648-4552 Fax:(503)642-7925 Investigation(I hr min) 90.00;hr Email: ermits/� arnerelectric.com Industrialplant(1 hr min) 78.18i hr p s@garnerelectric.com for which no fee is CCB Lie.:121159 Electric 34-3 C Sum,.P Tic.:3707-S specifically listed C=a hr min) 90.00'hr ELECTRICAL PERMIT FEES Suprv.Electrician signature,requir : Subtotal: Print name:Charles Garner Date:5/27/2020 0 Plan Review Required(25%of permit fee): ..iiec//��,,���� State surcharge(12%of pennit fee): _ Authorized signature: e'?ic,c. e ry 3G!lLLCLKi TOTAL PERMIT FEE: (v,,/ff This permit application expires if a permit is not obtained within ISO Print name:Brittany Burian Date:5/27/2020 days after it has been accepted as complete. Number of inspections allowed per permit. I.lauitding\Perinits\ELC_PerrnilApp_ELR_ERE.dac Rev 06/17/2015 440-4615T1I IIOS/COM/WEB Plumbing Permit Application °Z r- C 1\/F i tow -7 Building Fixtures FOR OFFICE USE ONLY MAY 2 8 2021,) Received �5�� ^�^ ��0 qO City of Tigard Date/By: Pennit No. L'V Wl 1 1 illh • 13125 SW Hall Blvd.,Tigard,OR 9722],: 4 l' plan Review U Phone: 503.718.2439 Fax: 503.59 a 96tl r - Uatcisy: Other Permit No.: Inspection Line: 503.639.4175 L.-` Date Read !g 7uris: ® See Page 2 for TIGARD y Y Internet: www.tigard-or.gov Nolified'Method. Supplemental Information TYPE OF WORK FEE* SCHEDULE ® New construction. 0 Demolition For special it formation use checklist Description I Qty. I Ea. I Total E Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 ® I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 437.78 SFR(3)bath 500.32 0 Accessory building 0 Multi-family Each additional bath/kitchen 1 25.02 25.02 ❑Master builder 0 Other: Fire sprinkler(_sq.ft.) Page 2 JOII SUE INFORMATION AND LOCATION Site utilities: Job site address: 10194 SW COPPERLEAF LANE 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.:all Page 2 87.55 Suite/bldg./apt.no.: I Project name:RIDGECREST Manufactured home utilities 50.03 Cross street/directions to job site:SW 103"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 se.rvice(no linear i1• ) Paoa • Subdivision:ERIKA COURT I Lot no.:2 Fixture or item: Tax map/parcel no.:2S1 I I 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 2109 sgft 3 bedroom,2.5 bath with 577 sqft 3 car Dishwasher 1 25.02 25.02 garage and with a 218 sq ft covered rear patio. Drinkine fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: David Weekley Homes Fixture/sewer cap 25.02 Floor drain/floorsink/hub 25.02 Address:1905 NW 169a Place Suite 102 Garbage disposal I 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 ® APPLICANT ® CONTACT PERSON 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 1691h 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 E-mail:mschiedlera!dwhomes.cool Urinal 25.02 Water closet 3 25.02 75.06 CONTRACTOR Water heater I 37.52 37.52 Business name: Malmedal Plumbing Water Pmo tP �WV 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 CCB Lie.:102535 Plumbing Lic.no.:34-276PB Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: Carolina Malmedal ,.,.,-,."":-.--"'-'u..-w""' 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:\Building\Permits\PLMII-PermilApp.don 10/01 i09 440-4616T110/02/COM/WEB) City of Tigard 71 C o COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: H51-74 26 '" 00( 7 (�'j Site Address: tOriti SW COptKir ,A4 Le ei Project Name: -Fri `Cq Co th- Lot #: 2_ Planning Review Proposal: New Hous-e xi, Verify address/suite# active in Accela. A In River Terrace: IK No ❑ Yes,River Terrace Review Addendum Site Plan Elements: ] rosion Control 3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper FA'etained trees with drip line and tree protection measures Drawn to scale (standard architect or engineer scale) =4 Footprint of new structure(including decks)and FFE orth arrow Utility locations&easements(required for new and additions) Site address,project or subdivision name and lot number Sidewalk/driveway approach X.Applicant information(name and phone number) V'= a cation of wells/septic systems of dimensions and building setback dimensions treet tree size,type and location hilASquare footage of buildings to be demolished Street names Existing structures on site scorner 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? AI No impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? salFlo Clean Water Services —Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified K No Received: ❑ Yes ❑ No V. Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑ Yes,applicant was notified ,'No Received: ❑ Yes ❑ No .SDC Exemption for ADU applied for: ❑ Yes 'S� No Received: ❑ Yes D No a Public Facilities Improvement (PFI)Permit: Required: ❑ Yes,applicant was notified ,� No Applied For: ❑ Yes ❑ No,stop intake N., Land Use Case#: ai(32.Ol"'1- D )003 I`A Zoning: R-3•S it Required Setbacks: Front: 20 Rear: I G.- Side: S Street Side: 20 Garage:2O Building Height: Max. Height: 30 Actual Height L(P P-Landscape Area: % Vot Coverage Max: % Entrance Xi 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 1 .C'p Garage ,k'Garage door is behind widest street-facing wall Xi Yes ❑ No,one of the following is met: ❑ 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. ,Nc Garage door width is ❑ 12'or less ')K50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance ❑ Wall offset 0 1'Roof eave 0 Roof offset ❑ Fire shingles 0 Lap Siding 0 Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer . O Accent siding 0 Window trim 0 Window recess 0 Window projection 0 Balcony Visual Clearance 0 Urban Forestry Plan Mi Sensitive Lands: ❑ Yes ,K No Type: 0 onditions met prior to issuance of building permit "ores: a Approved By Planning: Date: (-0 a 24) Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved 1:\Building\Fonns\BldgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: .5/2,if e1 Site Plans: # 3 Building Plans: # 2 Building Permit#: ❑'Enter building permit#above. Workflow Routing: .O'Planning [1—"Engineering .1;1--Ife-rtnit Coordinator P'�uildin g 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. 1 -4uilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: ��yu,1r� _ Date: g)0.4 En neering Review —' J1 4. 6 YJ Slope at building pad: � / ��/ (Q Conditions "Met"prior to issuance of building permit t " sements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: ,�/ Assess Water Quality Fee in-lieu: ❑ Yes L(d'No Assess Water Quantity Fee in-lieu: ❑ Yes Z./No LIDA Facility on lot: ❑ Yes INo IIY Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: ���`/2b Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved 0 Not Approved Permit Coordinator Review Conditions "Met"prior to issuance of building permit Approved,NOT Released: oP' " f jpu - A-t..., (011(4-40 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 Fi Does not apply 0 SDC Fees Entered: Wash Co Trans Dev Tax: r Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes X N/A '-OK to Issue Permit Approved by Permit Coordinator: _ Date: COI('l* I:\Building\Forms\BIdgPermitRvw_RES_122419.docx FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Iiiii 3 Transmittal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: r _ DATE RECEIVED: '' DEPT: BUILNGDIVISION RECE 'JED FROM: M 56ki,eA Lou, JUL 1 3 2020 COMPANY: �in) 11 _ BUILDING TIGARD DIVISION PHONE: J 3 — ," LH t S By. /5) RE: 01 Cl 4 cW b O,t7iA t"` O _ L' U (Site Address) (Permit u er 5-1 Of-- I/ 01 z (Protect name or su dimsio name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: 1/A,1Skct Vl..t„1S Cross section(s)and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: (215(, it- ,[,`S FOR OF�ICE USE ONLY Routed to Per it Techni ' : Date: 7 i k, 2oZ6 Initials: 4_ Fees Due: Ye No Fee Descr ption. Amount Due: 2 fan rev� - $LiS 6� c $ $ Special Instructions: Reprint Permit(per PE): C Yes No I 1 Done 1 Applicant Notified: Gate: 7 7L,Z71--4 Initials:/ i\Building\Forms\Transmittal Letter-Revisions.doc 05/25/2012