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Permit City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 1111 Request for Permit Action A R I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 •www.tigard-or.gov TO: CITY OF TIGARD Building Division 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov FROM: ❑ Owner ❑ Applicant ❑ Contractor City Staff Check(✓)one REFUND OR Name: INVOICE TO: (Business or Individual) / k e "61/` I o l/f 76v ewi-j Mailing Address: ��j�j`�/f/�I��' ,fuik /Oo� City/State/Zip: egret ytaiq CR 7OO Phone No.: ( ) 9 i Per �1 PLEASE TAKE ACTION FOR THE ITEM (1): � �f ITEM(S) CHECKED iol�rlat> ❑ C VOID PERMIT APPLICATION. 8' EFUND P RMIT FEES (attach copy of original receipt and provide explanation below). FOR FEES DUE (attach case fee schedule and provide explanation below). Permit #: /v/5 J�,74._U0 s--J Site Address or Parcel#: JQ/2 / - (en / Project Name: j�v ` e,4 Geri- 7 Subdivision Name: ETr,i C f- Lot #: 1 EXPLANATION: _View, �- � kriaLs - p ✓ j- tA C-fr Cn'1 cxi Lea /r) //v/ C✓mod✓: q rx.„. 7 CMS Pko Lam//ce 6 eA/ j 7L7,,e 1 7C-n^'\ s 7--G9.6d.t)—c,c,, -74 _ 77^e- eit4-eic / S 7 tX ;7 /) L.(op /1'70,-e. 7/.e �� /avc-e ��t�►�. Swer200—(4.10G Signature: —� > Date: ©%/51 Print Name: ,'?.vvi( "/ / 7,4, Refund Policy 1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of: • Any fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80%of the application or permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 3-4 weeks for processing refund requests. FOR OFFICE USE ONLY Route to Sys Admin: Date By � Route to Records: Date 9/,c 2, B Refund Processed: Date 774, 2,/ By d Invoice Processed: Date / By Permit Canceled: Date 'V ,9-- By Parcel Tag Added: Date By L\Building\Forms\RegPcrmitAction_120 18.doc 1111 TIGARD City of Tigard September 10, 2021 The Weekley Group of Companies 1905 NW 169th Pl, Ste 102 Beaverton, OR 97006 Re: Permit No. MST2020-00251 Dear Applicant: The City of Tigard has processed a refund for overpayment of permit fees on the above referenced permit for the following: Site Address: 10129 SW Copperleaf Ln Project Name: Erika Court,Lot 7 Job No.: N/A Refund: ® Check#240521 in the amount of$122.60. ❑ Credit card"return"receipt in the amount of$ ❑ Trust account"deposit"receipt in the amount of$ Notes: Refund overpayment of check amount submitted. If you have any questions please contact me at 503.718.2430. Sincerely, Dianna Ornelas Building Division Services Coordinator Enc. \Building\Refunds4AZAd' tiflil ilrf AerpayLg4A6Pregon 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tigard-or.gov ili . = City of Tigard 7 1 G A R D Accela Refund Request This form is used for refund requests of land use, development engineering and building permit application fees. Receipts, documentation and the Request for Permit Action form (if applicable) must be attached to this request form. Refund requests are due to Accela System Administrator by each Wednesday at 5:00 PM. Please allow up to 3 weeks for processing of refunds. Accounts Payable will route refund checks to Accela System Administrator for distribution to applicant. PAYABLE TO: The Weekley Group of Companies DATE: 9/6/2021 1905 NW 169th P1, Suite 102 Beaverton, OR 97006 REQUESTED BY: Dianna Ornelas TRANSACTION INFORMATION: Receipt#: 431416 Case#: MST2020-00251 Date: 10/15/2020 Address/Parcel: 10129 SW Copperleaf Ln Pay Method: Check Project Name: Erika Court,Lot 7 EXPLANATION: Refund overpayment of check amount submitted. REFUND INFORMATIONc Fee Description From Receipt Revenue Account No. Refund Example: Building Permit Fee Example: 2300000-43104 $Amount Cash over 100-0000-48001 $122.60 TOTAL REFUND: $122.60 APPROVALS: SIGNATURES/DATE: If under$5,000 Professional Staff If under$12,500 Division Manager C . �%L-e-f" ai ..J If under$25,000 Department Manager If under$100,000 City Manager If over$50,000 Local Contract Review Board FOR ACCELA SYSTEM ADMINISTRATION USE ONLY Case Refund Processed: Date: ,tit 1:\Building\Refunds\RefundRequest.doc x 09/01/2010 CITY OF TIGARD RECEIPT 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD Project Name: Erika Court, Lot 7 Site Address: 10129 SW COPPERLEAF LN ' FLU 2 , Receipt Number: 436379 - 09/10/2021 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2020-00251 $-122.60 Total: $-122.60 PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 240521 DHOWSE 09/10/2021 $-122.60 Payor: The Weekley Group of Companies Total Payments: $-122.60 Balance Due: $122.60 Page 1 of 1 CITY OF TIGARD RECEIPT w. ■ . 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TtL A.Ft C) Project Name: Erika Court, Lot 7 Site Address: 10129 SW COPPERLEAF LN4! t Receipt Number: 431416 - 10/15/2020 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2020-00251 Building Permit-New Construction 230-0000-43104 $2,264.26 MST2020-00251 12% State Surcharge-Building 100-0000-24001 $271.71 MST2020-00251 Tigard Trans SDC Improvement-SF 415-0000-43300 $6,335.00 Detached Dwelling MST2020-00251 Tigard Trans SDC Reimbursement-SF 415-0000-43301 $365.00 Detached Dwelling MST2020-00251 Parks SDC Improvement-SF Detached 425-0000-43300 $5,523.00 Dwelling MST2020-00251 Parks SDC Reimbursement-SF 425-0000-43301 $1,530.00 Detached Dwelling MST2020-00251 Parks SDC Neighborhood-SF Detached 425-0000-43300 $2,048.00 Dwelling MST2020-00251 Wash Co Trans Dev Tax 405-0000-43320 $8,968.00 MST2020-00251 DC Provision Review, SF-Ping 100-0000-43112 $102.00 MST2020-00251 Info Process/Archiving-Lg$2.00 (over 230-0000-43135 $50.00 11x17) MST2020-00251 Info Process/Archiving-Sm$0.50(up to 230-0000-43135 $23.00 11x17) MST2020-00251 Metro CET 230-0000-24010 $499.15 MST2020-00251 Tig-Tual School CET-Residential 230-0000-24102 $4,191.75 MST2020-00251 Tigard CET-Residential-Admin 230-0000-44506 $166.38 MST2020-00251 Tigard CET-Residential-ODHCS 212-0000-24103 $598.98 MST2020-00251 Tigard CET-Residential-AH 212-0000-44504 $3,394.22 MST2020-00251 Permit Fee-Elect(SF or 1st MF 220-0000-43103 $372.06 dwelling unit) MST2020-00251 Limited Energy 220-0000-43103 $75.00 MST2020-00251 12% State Surcharge-Electrical 100-0000-24001 $53.65 MST2020-00251 Furnaces < 100K BTU 230-0000-43102 $46.75 MST2020-00251 Water Heater 230-0000-43102 $23.32 MST2020-00251 Gas Fireplace 230-0000-43102 $33.39 MST2020-00251 Range Hood/Other Kitchen 230-0000-43102 $33.39 MST2020-00251 Clothes Dryer Exhaust 230-0000-43102 $33.39 MST2020-00251 Single Duct Exhaust(Bathrooms, Toilet, 230-0000-43102 $93.28 Utility Rooms) MST2020-00251 Fuel Piping 230-0000-43102 $14.15 MST2020-00251 12%State Surcharge-Mechanical 100-0000-24001 $38.93 MST2020-00251 SFR-Baths 230-0000-43101 $500.32 MST2020-00251 Backflow Preventer 230-0000-43101 $31.27 MST2020-00251 Laundry Tray 230-0000-43101 $50.04 MST2020-00251 12%State Surcharge-Plumbing 100-0000-24001 $69.80 MST2020-00251 Erosion Control w/Development 640-0000-43134 $461.40 MST2020-00251 Plan Review 230-0000-43106 $720.43 MST2020-00251 Air Conditioning 230-0000-43102 $46.75 MST2020-00251 Cash Over 100-0000-48001 $122.60 — Page 1 of 2 Receipt Number: 431416 - 10/15/2020 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID Total: $39,150.37 PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 2932153 HVANDEWEGE 10/15/2020 $39,150.37 Payor: The Weekley Group of Companies Total Payments: $39,150.37 Balance Due: $0.00 Page 2 of 2 CITY OF TIGARD MASTER PERMIT I • • ' COMMUNITY DEVELOPMENT Permit#: MST2020-00251 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/15/2D20 T[G AAD Parcel: 2S111BB03400 Jurisdiction: Tigard Site address: 10129 SW COPPERLEAF LN Subdivision: ERIKA SUBDIVISION Lot: 7 Project: Erika Court, Lot 7 Project Description: New residential dwelling with a 188 sq.ft.deck, and a 74 sq.ft.deck cover. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 1388 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1717 sf Garage: 602 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3105 sf Value: $415,958.70 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: 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: 3 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 1 Other Fixture Units: Utility Sink-Garage MECHANICAL Fuel TYPOS Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heal Pump: N Floods: 1 Other Units: 0 Fum<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: 6 201-400 amp: 0 201-400 amp: 0 W/O SvdFdr: 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 Securly 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 3105 Owner: Contractor: WEEKLEY HOMES Required Items and Reports(Conditions) 1905 NW 169TH PLACE SUITE 102 1 Ersn Cntrl 503-639-4175 BEAVERTON,OR 97006 PHONE: PHONE: 503-213-4415 FAX: Total Fees: $39,901.71 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: 1�`'J/ Permittee Signature: e. k71;Ca��� 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. 9(1812o B Building Permit Application Residential rp� )�1p ,� i^� FOR OFFICE USE ONLY City of Tigard RFC;x 6 9 Ra eived ��Q�� h yh /y7 DateBy: t/p Zv ZO Permit No.:Ms roa,-WZSf 13125 SW Hall Blvd.,Tigard,OR 97223 AU G 1 8 ?O20117 Plan Review p �M M�jJ Phone: 503.718.2439 Fax: 503.598.1960 Date/By: il �� OtherPermi�w'\2(�LV WFj•6 Inspection Line: 503.639.4175 -,t s-i Date Ready/By: Ands. l See Page 2 for TIGARD C1 i; -I RD .` �I r��7 Internet: www.tigard-or.gov ,_:';; Notified:Method: �V 27` l/ ncr Supplemental Information it)Ii. ' in,avie 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. ® 1 and 2-family dwelling ElCommercial/industrial Valuation: r$9Str660� l I �� ❑Accessory building El Multi-familyNumber of bedrooms: 3 ❑Master builder ❑Other: Number of bathrooms: *3 JOB SITE INFORMATION AND LOCATION Total number of floors:x2 37 07 Job site address: 10129 SW COPPERLEAF LANE New dwelling area: 3105 square feet I"I '7 City/State/ZIP:Tigard/OR/97224 Garage/carport area: 602 square feet l 32) Suite/bldg./apt.no.: Project name:RIDGECREST/ --0.:‘,,, di Lit-'7 Covered porch area: square feet Cross street/directions to job site:SW 103ao AVE AND COPPERLEAF LANE` Deckecp area: (� `16 square feet ( �cf^auV square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:ERIKA COURT Lot no.:7 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 2 work indicated on this application. New Single Family Home to be built-3105 SQFT 3 Bedroom, 7 bath with 602 SQ Valuation: $ FT 3 car garage with a 437.o.erFd rest put vh l 4, ay "7 ysF- Existing building area: square feet T ,-L �-Cc New building area: square feet "Da -El 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* Business name:David Weekley Homes (Please refer ro fee schedule Structural plan review fee(or deposit): 76(. L Contact name:Michele Schiedler Address:1905 NW 169th Place,Suite 102 FLS plan review fee(if applicable): City/State/ZIP:Beaverton/OR/97006 Total fees due upon application: Phone:(503)213-4415 Fax::( ) Amount received: E-mail:mschiedler(ridwhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of 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 169th Place,Suite 102 Solar Installation Specialty Code checklist. City/State/ZIP: Beav• to/OR/97006 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(503)213-4415 Fax:( ) State surcharge(12°ru of permit fee): $21.60 CCB lie.:213653 Total fee due upon application: $201.60 Authorized sigma[fr, r . This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Mich ed r Date:8/20/20 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Pennits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY 14 City of Tigard ReceivedDate;By: Permit No.: • 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permit i Phone: 503.718.2439 Fax: 503.598.1960 El Electrical .i Plumbing ® Mechanical FR,ARll 24-Hour Inspection Line: 503.639.4175 Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A I Land use actions completed. See jurisdiction criteria for concurrent reviews. ►�1 0 ❑ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ® 0 0 3 Verification of approved plat/lot. ® 0 0 4 Fire district approval required. Name of district: • 0 0 0 5 Septic system permit or authorization for remodel. Existing system capacity ❑ 0 0 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 9 Erosion control ®plan 0 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 ® ❑ ❑ 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 ® ❑ ❑ 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, ® ❑ ❑ 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- El 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. ® 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- ® ❑ ❑ 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 ® 0 ❑ 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. 0 0 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ® ❑ ❑ for four or snore appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or r ❑ ❑ 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". ® ❑ ❑ 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. ® 0 ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. El 0 ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. ® 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, 0 ❑ IZI 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, ❑ ❑ El 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. I/Building\Permits\BUP-RESPem»tApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB) 43113120 Mechanical Permit Application E ;1 ,T D FOR OFFICE USE ONLY of Tigard Received mezzo' i 2 i City g Date By': permit No.: Illi In 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.7187439 Fax: 503.598.1960 AUG 1 8 7020 plan Review Date.By: Other Permit: Inspection Line: 503.639.4175 I , Date Read B Ellis. 0 See Page 2 for TIGARD (;m �,r ,(, ri y-` y Internet: www.tigat'd-or.gov , NohfiediMethod; Supplemental Information Bu. !l , l-„ , I�1, TIC-, TYPE OF WORK COMMERCIAL FEE*.SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑ Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:S CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES* ® 1-and 2-family dwelling 0 Commercial/industrial ❑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: 10129 SW COPPERLEAF LANE Furnace 100,000 BTU(duetss:vents) I 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 Drier wotk 23.32 Cross street/directions to job site:SW 1O3RD 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 Other: 23.32 Subdivision:ERIKA COURT Lot no.:7 Other fuel appliances: Tax map/parcel no.:2S111 B8006O0 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-3105 sqft,3 bedroom 2.5 bath home with fireplace 23.32 602 sqft 3 car garage and a 139 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 ® PROPERTY OWNER 0 TENANT Other. 23.32 Environmental exhaust and ventilation: Name:David Weekley Homes Range hoodiother kitchen 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 moms) 5 23.32 Phone:(503)213-4415 Fax:( ) Attic/crawlspace fans 23.32 WI APPLICANT i4 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/97OO6 Water heater Phone:(503)213-4415 Fax::( ) Fireplace Range E-mail: roschiedler@:,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/97OO6 Minimum pennit fee(590.00) Plan review(25%of permit fee) Phone:(503)213-4415 Fax:( ) State surcharge(12%of pennit 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 Tn-County Building Industry Service Board Print name:Ken Puttman Date:8/20/20 P\BuildingiPennits,MEC PermitApp 0401 13.doc 410461711(11:021COM,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 S69.06 $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. C\Building\Pemuts\MEC_PennitApp_040I I 3.doe 2 8(1812a g Electrical Permit ApplicationR E IV 1ED FOR OFFICE USE ONLY 1 [ r.,,1 City of Tigard Received Permit#: Date/By: MST2oZo,-002 I • 13125 SW Hall Blvd.,Tigard,OR 97223 AUG 1 8 2QZQ plan Review 9 Phone: 503.718.2439 Fax: 503.598.1960 Daec/By: Related Permit t: TIGARD Inspection Line: 503.639.4175 CITYr .: ..I JlD Ready Date/By: Inns. ® See Page 2 for a Internet www.tigard-or.gov B , r'1 , . p1 1 `1f iN Notified/Method: Tier Supplemental Information TYPE OF WORK PLAN REVIEW ® New construction ❑ Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): Demolition ['Service or feeder 400 amps or more 0 Building over three stories. 0 ❑ Other: where the available fault cement 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling ElCommercial/industrial ❑Accessory building less to ground,or exceeds 14.000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑ Multi-family 0 Master builder ❑Other: 0 Fin pump. 0 Installation of 150 KVA or JOB SiTE INFORMATION AND LOCATION 0 Emergency system. larger separately derived ❑Addition of new motor load of Syslem. Job#:681300(17 Job site address: 10129 SW COPPERLEAF LANE 10011P or more. ❑"A". 'F","1 "1-3 City/State/ZIP:Tigard/OR/97224 ❑Six or more residential units. occupancy. ❑health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: RIDGECREAST ❑Hazardous locations. 0 Supply voltage for more than 0 Service or feeder 600 snips or more. 600 volts nominal. Cross street/directions to job site:SW 103RD AVE AND COPPERLEAF LANE FEE SCHEDULE Description 1 Qty. I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision: ERIKA COURT Lot#:7 includes attached garage. Tax map/parcel#:25111BB1106UU 1,000 sq.t3.or less I 168.54 168.54 4 Ea.add'1500 sq.ft.orporlion 5 33.92 169.6 1 DESCRIPTION OF WORK Liniitedenergy,residential 75.00 2 New single family home to be build-3105 sqft,3 bedroom 2.5 bath home with (with above sq.ft.) Limited energy,multi-family 75.00 2 602 sgft 3 car garage with a 139 covered rear porch residential(with above sq.ft.) ri PROPERTY OWNER I 0 TENANT Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation Name:David Weekley Homes 200 amps or less 100.70 2 Address: 1905 NW 169'h 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 leas 59.36 I 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 ahove service or feeder fee, 7 42 each branch circuit Contact name: Michele Schiedler B.Fee for branch circuits without e Address:1905 NW 169t1'Place Suite 102 rach cicircuitorfueder£ee,first brannch 56.18 2 b City/State/ZIP:Beaverton/OR/97006 Each addl.branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503)213-4415 Fax: :( ) Each manufactured or modular 67.84 2 Email:mschiedler@dwhomes.com dwelling,service an L'or feeder 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. pi (s)orliSienergy pannnaleircuiiel,alteratioon,or exxtenensii on. 0 See Paget 2 City/State/ZIP:Hillsboro, OR 97123 Each additional inspection over allowable in any of the above Additional inspection(l hr min) 66.251 hr Phone:503-648-4552 Fax:( ) Investigation(I hr min) 90.00/hr Email: ermits^^ arnerelectric.com Inspectionsl fwhictno 78.18/hr p h;g Inspections for which no fee is CCB Lic.: 121159 Electrical Lic.: 4-305C Suprv.Lie.:3707-S specifically listed( lir min) 90.001 hr ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: C Subtotal: Print name:Charles Garner Date:8/13/2020 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: cF2i( L5a4..GCI-/1i TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name:Brittany Burian Date:8/13/2020 days after it has been accepted as complete. Number of inspections allowed per permit. 1:Building Pennits£t.C_ ermitArp_ELR ERE.doc Rev06.17:2015 4411-4b15T(11.05,COM-WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Description I Qty. I Each I Total Fee for all residential systems combined: $75.00 Renewable electrical energy systems: 70 Check Type of Work Involved: 5 kva or less Too 56 2 5.01 to 15 kva 133 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 El Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance 552.26 2 with OAR 918-309-0040) ® Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is 66.25/hi- charged at an hourly(I hr min) Inspections for which no fee is 00.00'hr specifically listed(K hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): + Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: n Audio and Stereo Systems n Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical n Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: _ *No licenses are required. Licenses are required for all other installations (:`Building.PermitsBIr_PerniitApp_ELR_EREdoe Rev 06,172015 9l1 t20g Plumbing Permit Application _ Building Fixtures b"'a �.0 ��s�, i� roR orr►cI: rsl: oN►.v City of Tigard q U G 1 8 ?020 Received Date/By Permit No.:V4 T 2020 '�LS1 Il 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review U Phone: 503.718.2439 Fax: 503.598.I9601.r t Date/B Other Permit No.: Inspection Line: 503.639.4175 tC ��� y T I G t1 R D pi,; i , / s,r- Date ReadyBy: Juris: El See Page 2 for Internet: www.tigard-or.gov - Notified/Method: "Wee Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 ® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath I 437.78 437.78 SFR(3)bath 500.32 ❑Accessory building El Multi-family Each additional bath/kitchen I 25.02 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:10129 SW COPPERLEAF LANE Catch basin or area drain 18.76 City/State/ZIP:Tigard/OR/97224 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.:230) Page 2 87.55 Suite/bldg./apt.no.: I Project name:RIDGECREST Manufactured home utilities 50.03 • Cross street/directions to job site: SW 1031m 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.:7 Fixture or item: Tax map/parcel no.: 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 3105 sqft 3 bedroom,2.5 bath with 602 sqft 3 car Dishwasher I 25.02 25.02 garage and with a 139 covered rear porch Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I Cl TENANT Expansion tank 12.51 Name:David Weekley Homes Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 1905 NW 1691h 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 ® 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 169th Place,Suite 102 Sink/basin/lavatory 4 25.02 100.08 City/State/ZIP:Beaverton/OR/97006 Solar units(potable water) 62.54 Phone:(503)213-4415 Fax::( ) Tub/shower/shower pan 2 12.51 25.02 E-mail:mschied►er@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: $72.50 Plan review (25%of permit fee) CCB Lic.: 102535 Plumbing Lic.no.:34-276PB State surcharge(12%of permit fee) Authorized signature: Carolina Malmedal ,--_,,,s"- -""-- TOTAL PERMIT FEE Print name: Date: Thus permit application expires if a permit is not obtained within 180 days Carolina Malmedal 08/18/2020 after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. L1Building\Permits\PLMU-PermitApp.dec 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard 114 COMMUNITY DEVELOPMENT DEPARTMENT C TIGARD Building Permit Review — Residential Building Permit #: 4$T 2020-00Z S Site Address: 10129 SW Copperleaf Ln Project Name: Erika Court Lot #: 7 Planning Review Proposal: New single detached house ❑r Verify address/suite# active in Accela. ❑r In River Terrace: El No ❑ Yes, River Terrace Review Addendum Site Plan Elements: ' stun Control Ilk copies of site plan on 8-1/2"x 11"or 11 x 17"paper a ained trees with drip line and tree protection measures ODrawn to scale(standard architect or engineer scale) :'.Footprint of new structure(including decks)and FFE O orth arrow 'LJtility locations&easements(required for new and additions) rite address,project or subdivision name and lot number ''Is alk/driveway approach 13-1.pplicant information(name and phone number) rtscation of wells/septic systems O .t dimensions and building setback dimensions street tree size,type and location v !Lquare footage of buildings to be demolished itreet names II xisting structures on site °Corner elevations (2'contours if more than 4'differential II .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? 11 es o impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown II es ° o ❑ Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑r No Received: ❑ Yes ❑ No ❑ 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 ❑o No Received: ❑ Yes 0 No ❑r Public Facilities Improvement (PFI) Permit: Required: ❑r Yes,applicant was notified ❑ No Applied For: ❑✓ Yes ❑ No,stop intake El Land Use Case#: SUB2017-00003 Q Zoning: R-3.5 ❑r Required Setbacks: Front: 20 Rear: 15 Side: 5 Street Side: NSA Garage: 20 ❑r i .ding Height: Max. Height: 30 Actual Height: 28 V' andscape Area: % Lot Coverage Max: Entrance I Set back no more than 8'from street-facing wall ❑r Parallel to street or offset 45 degrees or less Windows v Minimum 12%of area of all street-facing facades Garage ° Gara e door is behind widest street-facing wall ❑r Yes CI No,one of the following is met: gDoor extends no more than 5'from wall and there is a covered porch extending beyond garage. uuDoor extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor. ❑r Gard door width is 12'or less ❑r 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 itch ❑ Gable,Alp,or gambrel roof Dormer _ Accent siding Window trim U Window recess U Window projection ❑ Balcony ' II Visual Clearance ❑r Urban Forestry Plan II Sensitive Lands: ❑ Yes ILI No Type: 0 Conditions met prior to issuance of building permit Notes: -r 0 Approved By Planning: , _ Date: 8/20/20 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\Bu ild ing\Forms\BldgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: 08(8 02-0 Site Plans: # 0 Building Plans: # 3 Building Permit#: R-Enter building}permit# above. n Workflow Routing: �lanning L�J Engineering [PermitL�Coordinator Building Workflow Sign-off: Si,gn-off for Planning(include notes from planning review) Route Application Documents: B t�ngineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. 111 1- Building: original permit application, site plans,building plans,engineer and beam calculations and etails,if applicable,etc. Notes: By Permit Technician: ,,,,i/�i�/ Date: QV•25ZQZ0 E n ineering Review Mn Slope at building pad: RI/Conditions "Met"prior to issuance of building permit sements (encroachments) per engineering conditions of approval and plat Ka ater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes No ILIDA Facility on lot: ❑ Yes No nal Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes:�te UA roved byEngineering: Date: PP t'g'� g� �/2 77.Qe, Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Pe it Coordinator Review bliConditions "Met"prior to issuance of building permit Approved, NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant Revision Notice 2: Date Sent to Applicant: OP(DC Exemption: ❑ Received J 11oes not arady ❑ SDC Fees Entered: Wash Co Trans Dev Tax: rA `es N/A Tigard Trans SDC: J es ❑ N/A Parks SDC: J Yes ❑A/A LIDA ❑ Yes N/A OK to Issue Permit Approved by Permit Coordinator: - Date: /2940 I:\B uil ding 1 Forms 1BldgPerm itRvw_RES_122419.docx Branden Taggart From: Branden Taggart Sent: Thursday, October 15, 2020 11:39 AM To: Schiedler, Michele Subject: FW: Erika Court, Lot 7 Permits: MST2020-00251 & SWR2020-00146 - 10129 SW Copperleaf Ln. Attachments: Invoices.pdf Hi Michele, When I notified you of the fees due for lot 7 of Erika Court, it turns out that I did not update the permit numbers or fees in my template to your permits in the body of my email below. The permit numbers in the subject line were correct in addition to the invoices, but I did not change the permit fees from my template. As a result,we received a check for $122.60 over the actual permit fees for lot 7. We will be issuing a refund for$122.60, and it will be mailed in approximately 6-8 weeks to the address below: The Weekley Group of Companies 1111 North Post Oak Road Houston,Texas 77055 I apologize for the inconvenience. Let me know if we should send the refund elsewhere. Thank you, Branden Taggart q City of Tigard a Seruor Permit Technician Community Development 13125 SW Flail Blvd Tigard,OR 97223 (503)718-2449 brandent@tigard-or.gov From: Branden Taggart Sent: Friday, October 2, 2020 7:03 PM To: 'Schiedler, Michele'<MSchiedler@dwhomes.com> Subject: Erika Court, Lot 7 Permits: MST2020-00251 & SWR2020-00146- 10129 SW Copperleaf Ln. Hi Michele, The permits for lot 7 of Erika Court are ready to issue now. I have attached invoices above for you to reference, and the fees due are as follows: Erika Court, Lot 7 Permit# Fees Due MST2020-00174 $ 39,150.37 i SWR2020-00063 $ 5,835.00 Total: $ 44,985.37 The above permit fees can be paid online through our website: https://aca.accela.com/tigard/Default.aspx. From there, click on the Building tab, enter the permit numbers in the Record Number field,and click Search. Once paid, please notify us at TigardBuildingPermits@tigard-or.gov, and we will place these permits and plans in the open conference room adjacent to the outer Permit Center lobby for pickup between the hours of 8:00 a.m. and 5:00 p.m., Monday through Thursday. We are closed on Fridays. Thank you, Branden Taggart IIIa City of Tigard ® ` Senior Permit Technician Community Development 13125 SW Hall Blvd Tigard,OR 97223 (503)718-2449 bra nde nt@tigard-o r;gov 2 Plan# 73(3( .4 Floors 2 Large 76 Bed rooms 3 Small GU j we 3 LAV M Tub 3 Basement Vent y 1st Floor 13SQ Water Heater 2nd Floor 11 (, AC 3rd Floor School �t`cfv—, R-3 Total 31 Ds L1(t_ 1 V6 Garage (QDZ Total 37 07 1 I,11 SIB _/ SL-#for Elec La,t/►j1\1 y ly 18 -- q