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Permit TIGARD City of Tigard August 13, 2021 Bella Terra Homes PO Box 25571 Portland, OR 97298 Re: Permit No. MST2019-00417 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: 14059 SW Walnut Ln Project Name: Fern Ridge,Lot 1 Job No.: N/A Refund: ® Check#240205 in the amount of$28.02. ❑ Credit card "return" receipt in the amount of$ ❑ Trust account"deposit"receipt in the amount of$ Notes: Reduced plumbing fixtures resulted in overpayment of permit fees;refund difference. If you have any questions please contact me at 503.718.2430. Sincerely, Dianna Ornelas Building Division Services Coordinator Enc. I:\Building\Refunds4142daWntlailix4erityTag• 41-4 regon 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tieard-or.Qov 11,1 City of Tigard 1 A 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: Bella Terra Homes DATE: 8/10/2021 PO Box 25571 Portland, OR 97298 REQUESTED BY: Dianna Ornelas TRANSACTION INFORMATION: Receipt#: 427458 Case#: MST2019-00417 Date: 12/19/2019 Address/Parcel: 14059 SW Walnut Ln Pay Method: Check Project Name: Fern Ridge,Lot 1 EXPLANATION: Reduced plumbing fixtures resulted in an overpayment of fees and refund. R E FUI ILIFORMATION: j Fee Description From Receipt Revenue Account No. Refund Example: Building Permit Fee Example: 2300000-43104 $Amount Cash Over 100-0000-48001 $28.02 TOTAL REFUND: $28.02 APPROVALS: SIGNATURES/DATE: If under$5,000 Professional Staff If under$12,500 Division Manager VO, /I't„q.LR�If under$25,000 Department Manager If under$100,000 City Manager If over$50,000 Local Contract Review Board . Case Refund Processed: Date: // :3 2-/ By: O I:\Building\Refunds\RefundRequest.doc x 09/01/2010 INCITY OF TIGARD RECEIPT q le 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD Project Name: Fern Ridge, Lot 1 Site Address: 14059 SW WALNUT LN r Receipt Number: 435811 - 08/13/2021 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2019-00417 $-28.02 Total: $-28.02 PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 240205 DHOWSE 08/13/2021 $-28.02 Payor: Bella Terra Homes Total Payments: $-28.02 Balance Due: $28.02 Page 1 of 1 II CITY OF TIGARD RECEIPT 13125 SW Hat Blvd.,Tigard OR 97223 t3 503.639.4171 TIGARD Project Name: Fern Ridge, Lot 1 Site Address: 14059 SW WALNUT LN IVC Li Receipt Number: 427458 - 12/19/2019 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2019-00417 Building Permit-New Construction 230-0000-43104 $2,396.86 MST2019-00417 Plan Review 230-0000-43106 $1.34 MST2019-00417 12% State Surcharge-Building 100-0000-24001 $287.62 MST2019-00417 DC Provision Review, SF-Ping 1 00-0000-431 1 2 $102.00 MST2019-00417 Info Process/Archiving-Lg $2.00 (over 230-0000-43135 $22.00 11x17) MST2019-00417 Info Process/Archiving-Sm$0.50(up to 230-0000-43135 $45.00 11x17) MST2019-00417 Metro Const. Excise Tax 230-0000-24010 $534.10 MST2019-00417 Beaverton School CET-Residential 230-0000-24101 $4,924.80 MST2019-00417 Permit Fee- Elect(SF or 1st MF 220-0000-43103 $405.98 i dwelling unit) MST2019-00417 Limited Energy 220-0000-43103 $75.00 MST2019-00417 12% State Surcharge-Electrical 100-0000-24001 $57.72 MST2019-00417 Air Conditioning 230-0000-43102 $46.75 MST2019-00417 Furnaces< 100K BTU 230-0000-43102 $46.75 MST2019-00417 Water Heater 230-0000-43102 $23.32 MST2019-00417 Gas Fireplace 230-0000-43102 $33.39 MST2019-00417 Range Hood/Other Kitchen 230-0000-43102 $33.39 MST2019-00417 Clothes Dryer Exhaust 230-0000-43102 $33.39 MST2019-00417 Single Duct Exhaust(Bathrooms, Toilet, 230-0000-43102 $139.92 Utility Rooms) MST2019-00417 Fuel Piping 230-0000-43102 $18.18 MST2019-00417 12% State Surcharge-Mechanical 100-0000-24001 $45.01 MST2019-00417 SFR- Baths 230-0000-43101 $525.34 MST2019-00417 Laundry Tray 230-0000-43101 $25.02 MST2019-00417 Erosion Control w/Development 640-0000-43134 $461.40 MST2019-00417 Plan Review 230-0000-43106 $806.62 MST2019-00417 Wash Co Trans Dev Tax-SF Detached 405-0000-43320 $8,968.00 MST2019-00417 Tigard Trans SDC Improvement-SF 415-0000-43300 $6,335.00 Detached Dwelling MST2019-00417 Tigard Trans SDC Reimbursement-SF 415-0000-43301 $365.00 Detached Dwelling MST2019-00417 Parks SDC Improvement-SF Detached 425-0000-43300 $5,523.00 Dwelling MST2019-00417 Parks SDC Reimbursement-SF 425-0000-43301 $1,530.00 Detached Dwelling MST2019-00417 Parks SDC Neighborhood-SF 425-0000-43300 $2,048.00 Detached Dwelling MST2019-00417 12% State Surcharge-Plumbing 100-0000-24001 $66.05 MST2019-00417 Cash Over 100-0000-48001 $28.02 - -" Total: $35,953.97 Page 1 of 2 Receipt Number: 427458 - 12/19/2019 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 21689 JDRINKWATER 12/19/2019 $35,953.97 Payor: Bella Terra Homes Total Payments: $35,953.97 Balance Due: $0.00 Page 2 of 2 CITY OF TIGARD RECEIPT it 13125 SW Hall Blvd.,Tigard OR 97223 t3 503.639.4171 TIGARD Project Name: Fern Ridge, Lot 1 Site Address: 14059 SW WALNUT LN p K2-i 6-) n►fi-t, Receipt Number: 427458 - 12/19/2019 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2019-00417 Building Permit-New Construction 230-0000-43104 $2,396.86 MST2019-00417 Plan Review 230-0000-43106 $1.34 MST2019-00417 12% State Surcharge-Building 100-0000-24001 $287.62 MST2019-00417 DC Provision Review, SF-Ping 100-0000-43112 $102.00 MST2019-00417 Info Process/Archiving-Lg $2.00(over 230-0000-43135 $22.00 11x17) MST2019-00417 Info Process/Archiving-Sm$0.50 (up to 230-0000-43135 $45.00 11x17) MST2019-00417 Metro Const. Excise Tax 230-0000-24010 $534.10 MST2019-00417 Beaverton School CET-Residential 230-0000-24101 $4,924.80 MST2019-00417 Permit Fee-Elect(SF or 1st MF 220-0000-43103 $405.98 dwelling unit) MST2019-00417 Limited Energy 220-0000-43103 $75.00 MST2019-00417 12% State Surcharge-Electrical 100-0000-24001 $57.72 MST2019-00417 Air Conditioning 230-0000-43102 $46.75 MST2019-00417 Furnaces < 100K BTU 230-0000-43102 $46.75 MST2019-00417 Water Heater 230-0000-43102 $23.32 MST2019-00417 Gas Fireplace 230-0000-43102 $33.39 MST2019-00417 Range Hood/Other Kitchen 230-0000-43102 $33.39 MST2019-00417 Clothes Dryer Exhaust 230-0000-43102 $33.39 MST2019-00417 Single Duct Exhaust(Bathrooms, Toilet, 230-0000-43102 $139.92 Utility Rooms) MST2019-00417 Fuel Piping 230-0000-43102 $18.18 MST2019-00417 12% State Surcharge-Mechanical 100-0000-24001 $45.01 M5T2019-00417 SFR- Baths 230-0000-43101 $525.34 MST2019-00417 Sink 230-0000-43101 $25.02 MST2019-00417 Laundry Tray 230-0000-43101 $25.02 MST2019-00417 12% State Surcharge-Plumbing 100-0000-24001 $69.05 MST2019-00417 Erosion Control w/Development 640-0000-43134 $461.40 MST2019-00417 Plan Review 230-0000-43106 $806.62 MST2019-00417 Wash Co Trans Dev Tax-SF Detached 405-0000-43320 $8,968.00 MST2019-00417 Tigard Trans SDC Improvement-SF 415-0000-43300 $6,335.00 Detached Dwelling MST2019-00417 Tigard Trans SDC Reimbursement-SF 415-0000-43301 $365.00 Detached Dwelling MST2019-00417 Parks SDC Improvement-SF Detached 425-0000-43300 $5,523.00 Dwelling MST2019-00417 Parks SDC Reimbursement-SF 425-0000-43301 $1,530.00 Detached Dwelling MST2019-00417 Parks SDC Neighborhood-SF 425-0000-43300 $2,048.00 Detached Dwelling Total: $35,953.97 Page 1 of 2 Receipt Number: 427458 - 12/19/2019 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 21689 JDRINKWATER 12/19/2019 $35,953.97 Payor: Bella Terra Homes Total Payments: $35,953.97 Balance Due: $0.00 Page 2 of 2 Dianna Ornelas From: Felipe Perez <felipe@bellaterrahomes.net> Sent: Wednesday, May 27, 2020 11:05 AM To: #Building Permit Technicians Subject: Re: MST2019-00417 - Fern Ridge, Lot 1 - 14059 SW Walnut Ln Warning!This message was sent from outside your organization and we are unable to verify the sender. _______ _. — _________: Hi Diane yes that is correct thank you. Felipe Perez 971-678-3101 Director of Construction Bella Terra Homes felipe@bellaterrahomes.net On May 27, 2020, at 11:01 AM, #Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> wrote: Hello Felipe, Please confirm that you would like us to amend the existing permit MST2019-00417 plumbing fixtures to the following: • Replace (1)tub/shower combo with (1) shower stall ,/ Remove (1) island sink • Remove (1) lay from Bath 2 on second floor • Remove (1) lay from Bath 3 on second floor(first floor bathroom is labeled 'Ba 3'on plans). Please confirm and I will markup the plans, change the fixtures on the permit and email you a revised copy of the permit. Thank you. Dianna L. Ornelas(Howse) Building Division Services Supervisor (2) S 1^!147S CO Si ile- City of Tigard I Community Development ` 13125 SW Hall Blvd I Tigard, OR 97223 (7i ) Ls (>) LA-VS 503-718-2430 Direct 1503-718-2439 Permits /' 1\ - /5yi ;enz-�S (q) /JO C Z/4/-1Tir r (3) sJ6 From: Felipe Perez<felipe@bellaterrahomes.net> Sent:Tuesday, May 26, 2020 12:36 PM /�GFvt/\/z� C,d7- • .lam- Q-7.'z✓-72--1 1 � /et-6-(A_Cc-7S Ft k Tz rt.c--s Plumbing Permit Applicating ._: i, -_ Building Fixtures � «elted City of Tigard ��IAY `ri 202 Penult N th _ r t,>,ten,,.: _� T. y4f.sc /9z,e9/7 „ ►i I,S Si W Hull ilh•d:Ttaard.OR 97221 y ,fi° , , i. ('la(t Review PhoiK: 503.7I B 2439 Fa\: 503.59060 10! (°� t; , rueisv. Other Permit No lnspeetian 1 inc. 503 619.4175 s f'�, ) 4 1, .,t' - .� _ ., � �`��,y,-,i�� pats 32�k1v/D 1„ri+ 6r7 Sec Pagel far Y b)n ,Eels' 1rWnrt)r. w wv to a.oi (Dr 2ov E�� ° ,r I'+ him Nletrl.(nr tat l(r4+(nt t,�r .1.,:. ,,. ....,. .i y e t i`,f, tiF' 4 at' t!it.MCD(fl.V. 1 New constr uctiOn 1 0 Demolition /tor is n iai in urinrrrkra/eV th!'cittnt _ 4 _... I bevy t ern l 4M3 I I or Ural Additiort/altcre.t(or pa:r'u ui n! 0 Other E New I-2.fratits dwell tr +(ink tuJca i00 it for each nub*comneett(itt) 'r 'r . . <,'As.17 `.Yt[t1 or t<:f"/;')*1fiLiC130' SFR(1)bath 312.70 ell-and 2-family dwelling 0 Commercial/industrial w - TSFR(2)bath 437.78 SFR(3)bath 500.32 Q Accessory building 0 Multi-family �-- - R - �_.._.____-____- Eachaddilional bath/kitchen 25.02 ❑Mester builder 0 Other: __ .. . Fire t prink ler t ,. ft.) Page 2 s. ,.gtsk .,. „. r, SOprtlit4e+t» ,�_r,... •Job site address: s Avtt �h Catch basin a area drain 1E.76 Lk well,leach liar,or trench drain . 11.76 City/Slate/ZIP: t _._., .,.. e •-.- 1 Milt*drain(no.linear fl.: , ) Page 2 o. Suite/bldg./opt.no.: 01 Projeel name: ticks A Manufactured home utilities __.._. ( 50.03 Cross street/directions to job site Sw_loM1 , 4 i Manholes 18.76 Rain drain connector 18.76 • r � r-' Namur,.sewer(no.near A.:._ 1 4 Pqc 2 --- ..-r _ Y.v. __ Storm sewer(no.liner ft.: ) Pap 2 Water service(no.linear it _ ) Page 2 Subdivision: n � rw ! Lot no.: fxti rt ar Items Tax map/parcel no., Bock p ctester 3127 w , I Backwater valve . .. 12.51 ._ _.. _. - i ' ._.__ _.---,-----------/ ? Clothes washer 25.02 a g?tok Cl�.. 1 c+i, s svi-UTA aa. a, Welt, ,a. Swt '- . ' Dishwasher 25.02 ..�.- 1 �G VhoV"�- t is s'^'� �*4"iiC 1 r'tiswmVt / /� king foumain 23.02 ..0% (p L.rOs`^r! 3 4 r 1*twVL. - 1jeAlorshuntp 20.02 (.s..s tr x ."� x,+c'�W ;,,i, .* *pys'1 ExpanalOn lank 12.51 Fixture/sewer Cup 25.02 Name: .s�V . n fy,.p j . �5 �Q"1+( 1.,- Floor drairJAoor sink/hub ��u 25.024 Address: (no-bap disposal 25.02*a City/Stele/ZIP: cX) t. .t C f. --1 aotl _.. Hose bib 25.02 ! Phone:45O ) p_cis,-- -1,4 L Fax:( ) lee maker 12.51 . r aatp� ;,jl0f Interceptudgresse trap 25.02 Business name: ' c 1. Fe r.C -.___ t-. Medial gax(value:f__ �) Prue 2 {. _ _ Primer 12.31 Contact name: it\ri S i` ;C (-1{'V\t " .. , --W-- Roof drain(commercial) � 12.31 Address ea le):). N< .) y5 1 Sinkrbasinilavautry j 25.02 ' i Cily/State21 P: L ►( ci-4•`�� Solar units(potable water) 1 62.34 I Phone (q)21) `" v{3. - t-1 31 !I I Fax: :( ) Tub/shower/shower pan y 12.51 (1 E-mere C V\f k 5(.' VI 4f 1 lr(r 000\e..y• l\t Urinal 25.02 1 3.,-,.__---,, -....._. . _ - - •• a. water closet 24 of ',n" 1iG'T, a ,; ,- i. •..W........__.., s...._..... _ ,. , .._-... Water heater 37.32 1. Business name: G & B P rnbin, & Sons, Inc. - ___ Water piptogitA`V 56.29~ ( Address: P x 9 .. �..., Other: 1 25.02 , it City/Stote/ZIP: St, Paul OR 97137 Subtobl Phone:(503) 8$-1417 Fax:( ) .. Minimum pennil fee: $72.50 ' Plan review (25%•of pernnt fee) 1 CCB t.ie.: 184372 • . limit is no. PB834 _, - -- Stale turebrig c(12%of permit fce) Authorized signature: ,, // , f ,!I TOTAL PERMIT FEE IPrint name 1 a1C / i Ibis permit epplir sows spirts,if a lnecrsil Is mat ahtalrsvt.tithin In days :_,,,...,......,..., .Kelly FoWler _ --- ��G � G. ale,it Ms been accepted as complete. !{ ^Fee methodology set by TA-County Building Industry Service Board 1'11u.ldir c'i'nm101.1 ttl'•r.131.1•tt r t'..: 1, ,I. , 440-It,I*T1 10'474(OSI'Wfn) CITY OF TIGARD MASTER PERMIT III COMMUNITY DEVELOPMENT , , Date IssPermued: 2/19/2099 0417 •T 1 c.;A Ix.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 .3 IO -(00 Parcel: 28104BC10400 Jurisdiction: Tigard Site address: 14059 SW WALNUT LN Subdivision: FERN STREET SUBDIVISION Lot: 1 Project: Fern Ridge, Lot 1 Project Description: New SF. 6/3/2020: REPRINT permit to reduce plumbing fixtures: replace(1)tub/shower with (1) shower stall, remove(1) island sink, remove(2) lays from two bathrooms on second floor. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1525 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 4 Second: 2123 sf Garage: 660 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors. Yes Total: 3648 sf Value: $445,084.20 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 4 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: 1 Drywell-Trench Drain: 0 Other Fixture Units: Residential fire sprinkiler system. 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: 5 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: 7 201-400 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 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 3648 Owner: Contractor: K5 URBAN PROPERTIES&MANAGEMEIBELLA TERRA HOMES Required Items and Reports(Conditions) PO BOX 25571 PO BOX 25571 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97239 PORTLAND,OR 97298 PHONE: PHONE: 503-2929344 FAX: 503-297-7524 Total Fees: $36,965.15 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 throug AR 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: w"' Permittee Signature: (/1/ 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. PlumbingPermit APPJicati -r-*.-, 1'�&1,�_ Building Fixtures I t 11< 111 11( 11 " t 1\1.1 2 i 2020 Received 9.f/S i /9 9 I7... ci orTi urd Mg PemritN br 8 ._ uxtt/R�1: 13125 SW l lull 13tvd..Tigard.OR 97223 -•- y", ; Ba �/ ( nlaa Revises' Phone: 503.718.2439 Fn\: 503.59 ..^1 p F I- i �', c Other Permit No: �+ y�� ('* : DatelBy Inspection Line: 503.639.4175 t i 1 l t, ( 11 - °' c Date Reedyta 121 See Pagel far ' Interne) n tvn Ngard o gov �- NMtfied/SttahW Sa VkrowasMt takeout • �3z; 4'S +� � '`P: '��' " .a .... a+3.#x>u�ekS New eonstvueiion 0 Demolition t'ar special d rwa oo or tkokilit . lout I .. 0 Additiondalteretion/ttplacement 0 Other: New 1-2ft* dwelhaga(Wades 100 8,for each utll(y eontwat ut) t - as ,'-tii , *At SFRti)bath 312.70 I-and 2-2-family commly dwelling 0 com ercial/industrial SFR(2)bath 437.78, SFR(3)both 500.32 ❑Accessory building 0 Multi-family --- Each addiliooel bathrkitchen 25.02 ❑Master builder 0 Other: ��+� Fire sprinkkrt�,,,,,�s4.ft.) Page 2 e nihilism Job site address: 41 C ,) ALA:t. y) Cinch Gain a area drain w 18.76 `�[ i)ryw el( leach Marx or stanch drain - 18.76 Cdy/State2lP: t ce F.MM*.drain(no.linear fl.: ) Past 2 , Suite/bldg./apt.no.: UU Project name: edo,� ✓( ,[ , Manufactured home utilities 50.03 Cross street/directions to job site. S W ,t,,e2.,..y W t4 "(�t Manholes 16,76 t'TAX.e% Rain drain connector y 18.76 Seeger)"sewer(no.Itiar ft.:• _) Page 2 Storm sewer(no.linear ft.:R�,► Page 2 w W Water service(no.linear fl.:_ ) _ Pro 2 Subdivision: 4 . Lot no.: Flitter*or Items Tax ntmm/parcel no. t3ackflow pimento: 312T -.--f. �: : Backwater valve 12.51 .... w . .q '... ' . *__ 4 , __ Clothes washer 23.02 t _ <elaysCg. 1. - tin $ 601-'0'01^'s :a Wrt� . SGow)Cr Dishwasher 25.02 S 4. t i i^G v.S off- *i t - y C V•%S' 1 '14.4 Drinking fountain 25.02 ti ' ftpretorshomp 23.02 " ezet11 Expansion tank 12.51 , Name: i< Of )ar\ 7Y' +j` "t'{ L g �'V1 '�- Fixture/sewer cep 23.02 r� Floor drain/loor sink/hub 25.0.2 Address: 'p(.) (? ›f.,, ",._c�5 R ' t (Whije disposal 25A2~ .�.. CCity/Stale/ZIP: 4.�``` / r\ `- � a-a(cD Hose bib 25,02 Phone:456s) ` ,. `a.- 'x•{Li Fax:( ) ice maker 12.51 .: t It ry µ µ. )r3taTce(tlorlgreasettdp 25.02 Business name: ttt1 CA_ t f f C� Doles Medial has(value:f ) Page 2 Primer 1251 Contact name: eyviei rj (..i[(„he V\�-e. Roof drain(commercial) 12.51 Address: 1?)c S 7 ( SinklbssinAavatoty 25.02 City/Stete2lP: rtdl Solar units(potable water) 1 62:34 Phone:( ) C{Q. - 3 yy JJ Fax: :( ) Tub/shower/shower fan 12.51 }� T Urinal 25.02 E-mail: C/nr15 a ,Iwle't („A, pme • At-1' . Water closet 25.02 t.i.„ , 7 ' 'rm 1# rtq�.r y r .. -- . Water heale a - 37.52 Business name. Q & B Pl$,i nbnfig 81 Sons, Inc. Water ptping/DWV 56.29 ' Address: tp Box 92 Other: 25.02 city/Stme/21P: St. Paul, OR97137 swots,-1-- Minimum permit fee: $72.50 503) Phone:( 17 Fax:1 1 PB634 Plan review (25%of feel CCB Lic.: 184372 i Piuntbi ie.no.: Sate.surcharge(12°Jx of permit fa) Authorized si�g/natuure:C 1,., q TOTAl.PERMIT FEE jelly r ir`rt �___ , �, LOZ,' Tiispernp hest$wexpiresifageradritsotNsaAMdwiklalacedays Prim nano, t)sde. after It has teen scanted as nla eta. 'ter methrdotapy stl by Tn-County Building Industry Service Board I utudm s-ntnol'l SP.eronist r r4v lit.1:-r 40.0-ln n.T11GrutIlNVWCfI Dianna Ornelas From: Felipe Perez <felipe@bellaterrahomes.net> Sent: Wednesday, May 27, 2020 11:05 AM To: #Building Permit Technicians Subject: Re: MST2019-00417 - Fern Ridge, Lot 1 - 14059 SW Walnut Ln g Warning!This message was sent from outside your organization and we are unable to verify the sender. Hi Diane yes that is correct thank you. Felipe Perez 971-678-3101 Director of Construction Bella Terra Homes felipe(a@bellaterrahomes.net On May 27, 2020, at 11:01 AM, #Building Permit Technicians<TigardBuildingPermits(a tgard-or.gov> wrote: Hello Felipe, Please confirm that you would like us to amend the existing permit MST2019-00417 plumbing fixtures to the following: c/• Replace (1) tub/shower combo with (1) shower stall ,/• Remove (1) island sink • Remove (1) lay from Bath 2 on second floor V. Remove (1) lay from Bath 3 on second floor(first floor bathroom is labeled 'Ba 3' on plans). Please confirm and I will markup the plans, change the fixtures on the permit and email you a revised copy of the permit. Thank you. Dianna L. Ornelas (Howse) Building Division Services Supervisor Z) 5 I^t Co Si Ntc- City of Tigard I Community Development C�) +/S �` Ley 13125 SW Hall Blvd I Tigard, OR 97223 ) 503-718-2430 Direct 1503-718-2439 Permits / 1 S y1d end ( ) /!D C, ) 1 (3) SJ�s From: Felipe Perez<felipeftbellaterrahomes.net> Sent:Tuesday, May 26, 2020 12:36 PM 1 To:#Building Permit Technicians <TigardBuildingPermits@tigard-or.gov> Subject: MST2019-00417 Hi I need to change existing permit MST2019-00417 to the description below, thanks. Felipe Perez 971-678-3101 Director of Construction Bella Terra Homes felipe@bellaterrahomes.net Begin forwarded message: From: copier@bellaterrahomes.net Subject:Attached Image Date: May 26, 2020 at 12:36:44 PM PDT To: "felipe" <felipe@bellaterrahomes.net> DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule." 2 CITY OF TIGARD MASTER PERMIT III I. ' COMMUNITY DEVELOPMENT Permit#: MST2019-00417 T I G A R(-j 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/19/2019 Parcel: 2S104BC10400 Jurisdiction: Tigard Site address: 14059 SW WALNUT LN Subdivision: FERN STREET SUBDIVISION Lot: 1 Project: Fern Ridge, Lot 1 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1525 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 4 Second: 2123 sf Garage: 660 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3648 sf Value: $445,084.20 Rear: 15 PLUMBING Sinks: 2 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 7 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 4 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: 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: 5 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: 7 201-400 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 3648 Owner: Contractor: K5 URBAN PROPERTIES&MANAGEMEIBELLA TERRA HOMES Required Items and Reports(Conditions) PO BOX 25571 PO BOX 25571 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97239 PORTLAND,OR 97298 PHONE: PHONE: 503-2929344 FAX: 503-297-7524 Total Fees: $36,703.97 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Cods and all other pplicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issua a or if work is uspend for more the 180 days. ATTENTION: Oregon law requires y to follow the rules adopted by the Oregon Utility Notification, = er. Those ules set forth in OAR 952-001-0010 through 0 =52-001-0 j90. Yo ay obtain a opy o he rules or direct questions to OUNC by calling 572 2. "87 or 1.800.3, .234 Issued By: • Permittee Signature: r Call 503.639.4175 by 7:00 a.m.for the next available inspection datO. ' 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 inspfction. P ''i. 'ng Permit Application rail tr 1=011 OFl iC'E [`SE O\Ll City of Tigard Received iI , Permit No well _ - 1,(1,-- 13125 SW Hall Blvd.,Tigard,OR 972240V 6 2019 / Ity� 1 id Plan Review Other Permit /� �, ',� Phone: 503-718.2439 Fax: 503.598 t�' _ r„'.. Date/By: II I. 11 �3� q—L°0,2t�r , 7 lc,1,I;1)- Inspection Line: 503.639.4175 , 4. TVI-,,VA';` 4 Date Ready/By. ,// tuns• RI SeeYage 2 for Internet: wwvv-tigard-or.gov tr s q..iViz,10 g otified/Met w . I Supplemental Information • ,'; ,.:414':4“.'''I'''''', 4 ea„-'t' .44?^�' sr k I''- ' " .s. ,sa_" ,: w *% ,K..� a,.. , .." ,a ", {" r3..�: s ®New construction Demolition Permit fees*are based on the value of theFwork performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profi for the tn �" F 1. ,. �` r work indicated on this application. Lei- , - Valuation: $ ® I-and 2-family dwelling 0 Commercial/industrial ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder ❑Other; Number of bathrooms: ;` 7 vw� 4` Total number of floors: '� l g Job site address: ) r 1 k,,,,<.„,` 1, 1, New dwelling area: (is square feet 212 City/State/ZIP:Tigard OR 97223 Garage/carport area: 60 square feet 15—Z Suite/bldg./apt.no.: . Project name: " „,r Covered porch area: square feet Cross street/directions to job site:SW Fern Ridge Terrace ;1 Deck area: " square feet _ Other structure area: square feet Subdivision:Fern Ridge I Lot no.• 1 Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no equipment,materials,labor,overhead,and the profit for the " �5�. F' ,, sad. T work indicated on this application. rt) s i w c1� R\k3 �"-t Valuation: $ t- 1 Existing building area: square feet New building area: square feet M '-.R,'''-'1`'r r..t*s..; pi.“-----',"--,.... * itl . a'K =,, eT t' c" " k ''" : r `A r'" . itn4,-`, Number of stories: L. „ate.,,A1c f_.� � fsas$, tt Name:K5 Urban properties&mgmt Type of construction: Address:PO NBOX 25332 Occupancy groups: City/State/ZIP:Portland OR 97298 Existing: Phone:(503)292 9344 Fax:( ) New: •N+ s t r •,`,-.;•!-;-",` ,k t y k 't'-,,s:. m pie r:k .6 c - " * r� ,t,;-,'.:f s _:--1'''!",.A3",---",--;,'":/- •. Business name:Bella Terra Homes Structural plan review fee(or deposit): Contact name:Chris McGehee - FLS plan review fee(if applicable): Address:PO BOX 25571 Total fees due upon application: City/State/ZIP:Portland OR 97298 Amount received: Phone:(503)292 9344 Fax: :( ) A - C..t`�'�Aesa ^' 4''.1,4C4'1!;47:4'1.%."° 3 fi fs em • v s s E-mailchris@bellaterrahomes.net f C �i .- , Cr,-o/-�` . = sry -T , - Commercial and residential prescriptive installation of .'r �, t � "tC' " ,, ,., , -_ t ,, , : roof-top mounted Photovoltaic Solar Panel System. Business name:Bella Terra Homes Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:PO Box 25571 Solar Installation Specialty Code checklist. City/State/ZIP:Portland,OR 97298 Permit Fee(includes plan review $180:00 and administrative fees): Phone:(503)292 9344 / Fax:(503)297 7524 State surcharge(12%of permit fee): $21.60 CCB lic.: 1543 30i /fig./21 Total fee due upon application: $201.60 Authorized signature: ` r, f'� This permit application expires if a permit is not obtained V V ` within 180 days after it has been accepted as complete. Print name:Chris McGehee Date: It *Fee methodology set by Tri-County Building Industry i Service Board. 1:\Bui!ding\Pemiits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/0 /COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard 4,Et_ _„. ,1, . . PReceived Permit No.: 13125SWHallBvd.,Tigard,OR 97223 Plan Review : II. Phone: 503.718.2439.Fax 503.598.1960 t't ''''' Date/By: Other Permit: Inspection Line: 503.639.4175 TIGARD No v a 2014 Date Ready/By: Juris PI Sec Page 2 for Internet: www.tigard-or.gov '' Notified/Method: Supplemental Information ''''r-PGAR' , . OF ,,, P . P ' ''.- CONSIFItelAl NT* SCHEDULE USE CHECKLIST TYPI, IVORr. ! ' ' ' ' '' - ' Mechanical permit fees*are based on the value of the work New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ . - CATEG0111' OF CONSTRUCTION' . 'RESIDENTIAL EQ1.11PMENT/SYSI•EIVIS FEES* SI-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist, 0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION ' ' S Heating/cooling: Air conditioning I 46.75 Job site address: --fv‘t 1.4 ..to (1c 1,n1" i.- Furnace 100,000 BTU(ducts/vents) f 46.75 City/State/ZIP: T1 c,„5,AL.N., z IQ .73 Furnace 100,000+BTU(ducts/vents) 54.91 i Heat pump 61.06 Suite/bldg./apt.no.: Project name: f g.q_b_5 v., Duct work 23.32 Cross street/directions to job site: S'kj.,3 - -V.ILt...1 9.106E ...V.vxbra„5,cc 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: Subdivision: NIE R-1-) Q-kV(.1 c Lot no.: le,_ Other fuel appliances: . . 23.32 Tax map/parcel no.: Water heater 0 23.32 DESCRIPTION - - ' ' Gas fire lace/insert OF WORK . . • P i 33.39 Flue vent for water heater or gas HVAC fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 23.32 ' . 0.PROPERTY OWNER .. ,, ' -„: . 0 TENANT .. Environmental exhaust and ventilation: Name: . S k..) 2 loh t.i ill fbas)E4,2241-‘Cs ..)) t16 va-Ci Range hood/other kitchen equipment i 33.39 Address: V C) ta,-1,,,, .2 s'ys 2- Clothes dryer exhaust 33.39 City/State/ZIP: N)c)(2.78-k A s_.1 r> 0 VI_ el-4-2-el 8 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:6o3) ej --.zi )1 15- Fax:( ) Attic/crawlspace fans 23.32 • 0 .APPLICANT -EJ CONTACT rtlig.pix Other: 23.32 Fuel piping: Business name: 13, 11,4_ 4 pa‘1_4_, 4%. ii o5 $14.15 for first four;$4.03 for each additional Contact name: C IA ru 5 ri, G,....tlice Furnace etc. I Address: lis f:3 15'0 X 2 5.5 I--I Gas heat pump . WalVsuspended/unit heater City/State/ZIP: -Pei-LA-1 A-I-1 10 0 t2_ 9-2 8 Water heater i - Phone:603) ae-I2_ 934 q Fax::( ) Fireplace Range i E-mail: C. Ytk inAs& bc..%\cit,,,r„.....1 ,,, ,vv,cs .1/N c_i Barbecue I CONTRACTOR - - Clothes dryer(gas) Other: Business name:CENTRAL AIR INC. - ,MECHANICAl.PERMIT FEES' Address:PO BOX 433 Subtotal City/State/ZIP:CLACKAMAS OR 97015 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)656-1908 Fax:(503)650-3898 State surcharge(12%of permit fee) CCB lie.:178624 rYle_firo 46 b 7TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: -00-1/- -12 - U.)COIA.- . Fee methodology set by Tri-County Building Industry Service Board Print name: part I..e,I t-e, Ift,j flu I S Date: 11 I 14 1 1 et 7ABuilding TermilANIEC_PennilApp_040113.doc 440-4617T(l 1/02/COMAVEB) 1 , ' Electrical Permit Application FOR OFFICE USE ONLY Received City of Tigard -(:).L.,vii,, y . t. Re Date/By: Permit No.: 13125 SW Hall Blvd.,Tigard,OR W7 Plan Review m • Phone: 503.718.2439 Fax: 503.598.1960 +t, Date/By: Other Permit: Inspection Line: 503.639.4175 V 62- ► Date Ready/By: Juris: H See Page 2 for T1liAKC3 � �� Internet: www.tigard-or.gov t Notified/Method: Supplemental Information ,..,t,-.,-;,,,K +w # � wr a W � i - +x,+ 'S #`r ao `r4 i+1s 1• xl 0 l' & .°1r,<�E ', ,` g "" t:#�` i Sy. *, .. <•R.Ev7E\V, .h � $, 1„ I...a.,:v at -�sx - �+. '`�� itg � �.�: b� 1�.2., x.e e�` �':';��,.a'� � �� l .. Please check all that apply(submit 2 sets of plans w/items checked below): liC New construction ❑Addition/a t }tits. ,1cement Q Service or feeder 400 amps or more 0 Building over three stories. ❑ Demolition 0 Other: where the available fault current 0 Marinas and boatyards. ^r ` 5:4 ° 4 O'��'p"' eMit,J `:40, iTiii,A; exceeds 10,000 amps at 150 volts or ❑Floating buildings. less to ground,or exceeds 14,000 Q Commercial-use agricultural tgi 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations. buildings. ❑Multi family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 75 KVA or r .t ,a :fir r ., t y `4 t lt- Q Emergency system. larger separately derived system. .,w. �'" ,ala r ® �tt4fy.w v_ :014kw�k 6V1,7 ❑Addition of new motor load of 0..A„..E„..1-2,>-1-3", 100HP or more. occupancy. Job no.: Job site address: '>E�%J 'c2-1,0(.1.E_ 11:7t 1- 0 Six or more residential units. 0 Recreational vehicle parks. ��y ti-. 0 Health-care facilities. 0 Supply voltage for more than City/State/ZIP: Ti 2 , 1 Q Hazardous locations. 600 volts nominal. �rg� �`10`E Q Service or feeder 600 amps or more Suite bldg./apt.no.: Project name: 9 0: P% M r,�.�� S�R�Di��,E� Cross street/directions to job site: S t,.) � Z N� VA 0 6f 4- 4( -c Description I Qty I Fee. i Total I ' New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: cm...v.1 12 1 17 4 6 Lot no.: , 1,000 sq.ft.or less 168.54 4 Ea.add'I 500 sq.ft.or portion 33.92 1 Tax map/parcel no.: Limited energy,residential 75.00 2 n7 } b it r,t x t$ e v+ 7 ind 9A E5, zM'A;WI s . (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.1t.) Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 ' 2 ` t ° "' .� `t r : 'v} Sx... rdAT 201 amps to 400 amps 133.56 2' ;'Wcirtt rnx ,NV. aN. , - ^!, /1 , C �t 401 amps to 600 amps '200.34 2 Name: K5 ' y r can Qvo peT- .e J t ° yli- 601 amps to 1,000 amps 301.04 2 I Address:'a tb a_593 " . �t Over 1,000 amps or volts 552.26 2 O Temporary services or feeders installation,alteration,and/or City/State/ZIP: �(-A-VAnd t Q, G-7a_o( relocation Phone: ) c,GjL/. S �5 Fax:( ) 200 amps or less 59.36 I 201 amps to 400 amps 125.08 2 Owner installation:This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. Branch circuits-new,alteration,or extension,per panel Owner signature: Date: A.Fee for branch circuits with I I fr , �is fatt V4 w ap .RSN above service or feeder fee, 7.42 � 2 each branch circuit j Business name: �pr ' B.Fee for branch circuits without r ,� 7 t �- � � service or feeder fee,first 56.18 2 Contact name:' a,/nl 4 h 5 _f - branch circuit .-c, Each add'I branch circuit 7.42 2 Address: t z5 Jt2X Q65'` Miscellaneous(service or feeder not included) City/State/ZIP: `�brq t a Q' Each manufactured service and/or or modular Y avid t.J K-" �� ((�� dwelling,service feeder 67.84 2 Phone:60] )Aga_ 41'3 L` Fax: :( ) Reconnect only ' 67.84 2 Pump or irrigation circle 67.84 2 E-mail:0)11/ 5e. be i(4tFPt1-e,t_ho , YZk Sign or outline lighting 67.84 2 ' ' CO,T ``�`'OR: , . Signal circuit(s)or limited-energy panel,alteration,or extension. Page 2 I 1 2 Business name: DreamHouse Electric,LLC Each additional inspection over allowable in any ofithe above Address: 221 SW Moonridge Place Additional inspection(1 hr min) 66.25/hr I City/State/ZIP: Portland,OR 97225 Investigation(I hr min) 66.25/hr ' Phone:(503) 519-6711 Fax:(503)648-9723 industrial plant(1 hr min) 78.18/hr CCB Lic.: 196726 Electrical Lic.: C-848 Suprv. Lic.: 45605 Inspections for which no fee is 90.00/hr �,� specifically listed(V2 hr min) Suprv.Electrician signature,required: ' .f--VZ.--)/ ELECTRICAL PERMIT FE"ES Print name: Chris Mahoney Date: l s c Subtotal: / / I Plan review(25%of permit fee): Authorized signature: State surcharge(12%of permit fee): TOTAL PERMIT FEE: Print name: Date: - IaBuilding\Permits1El.C•PermitApp.dor 07/01/10 440-4615T(11/05/COM/WEB Butting Fixtureslint i r1 I tc i ! y, r r'* .,4 Cif of Tigard i-4 st y.Re+t Received Soma No,. Date/13 13125 SW I lull Blvd., Tigard.OR 97223 Pian atVie44 -~i Phew: 503,718,2439 Fat: 503,598.196f\..i 6 2019 oarcls.. Cr;trerPcrootNo: lnspet:lion Line: 51)3.539.4175 Date Ready/By. ----- =Ill 0 See Fiat 2 ter Internet: w-wvii tigard-or.gok i--,a 14eufiedfkledhcxi. u, total hrfoiwt+slo ; .. t " "$#i' #Sri' ,,.: s? a '!10 t#'�Qo , F.i e .. 4, t�' a� '5';',::::.,::,;.,, x,Y'F:r `s , „ry,ky.di,ix`c`.�t . 4 Iry,s 't 4 *3+ �°' ,.y z Ji , • k ;s..,. �" .,.,.ia.• �:�.kh � �a."�. -, �{+a+u�+ t , � � ^' .� ?'.:: < �,�i ' � .�'� i�'�. �`' k y� It New constructionDemolition For .did •`•. arse ekeekli Itz....44 on IIMAIIIIMIN Total Q Addition/alteration/replacement -0 Other: New 1-2.fiiter r dwell .• (includes 100 It.for melt ui,.4- is ketiOtl); 13 ' �c„ . .: S #',* , • �f. .x � 12.70,. IS, r gl I-and 2-family dwelling 0 Commercial/int/Istria' SFR(2)bath MN [)Accessary building l Multi-family SFR(3)bath . 504.3? • F..aeh additional bath/kitchen Mg 25,02, SIM 0 Master builder 0 Other. ECEMECONESEMIIIIIIIIMMI Job site address: tZ . 'Ql 0 le 4 • 1.. Caleb basin or area drain 11111011111.1111.1 . Gity/StatePZlP: 16 Arlo Yl Z3 Dryweli,teach litre,or*Hench drain - 1111131111.1111 Foaitias drain(rn:linear fl.: Suite/bldg./apt,no.: f Project name:-fe.24, ti to 6F 50,03 Cross street/directions to job site: 0.) . rt i..l Q%0(=.V_ Manholes an 1$ 6 T `E vLt2.dc Cs Rain drain connector IL% - Senitary sewer(no.linear ft.;_ ) P*Se 2 Storm sewer(no.linear ft.: ) 11111111110001111111 Water'service(no.linear it.: ) Pais 2. Subdivision: - Rio tz\t0(1E_ 7,_._^._._] [At no.: F, . or item: Tax map/parcel no Backflow.preventer Maas' tea' �4 ,4i1k Backwater valve Clothes washer 202 Dishwasher •25 S2 Drinking fountain NM 2x.02:. Ejectors/sump 111111 2.t)2 1 •• m r F �' Expansion tank IIMIIIIIEaMlallMl Irmo: Vr til Yl Ell !.' ` r YY FTxturelscwer cap ME 25.02 'Floor drain/floor sink/hub 23.02 Address: PC) t O-i. a_3 �`�`''' Garbage ditipasal 25,42111.101 CityJState/Zlr: cbDR q `.0( Nose bib 33.02 .MINN Phone:(yds) a_ora.- 24 Liriitilee maker ` _' ' e t V :inter�rtor/gresse trap 2502 MIMI hit medical gas(value:S__„1 Btrsitress name: rt t A r ret •etas PS Primer 12.51 Contact name: Lt1Y"I C eVkt'�. Roof drain(commercial) 32.51 Address: Po rbbac o--,'.�5._•_,�,�-,•,�„y,-._,�•_ Sink/basin/lavatory 1.3.02 ' City/State/ZIP: '7'i- (cam__i__01 mat'T TM-- Solar units(potable water) 62:54 Phone:1553 i o_.aa- t 11-- Fax::( ) Tut/shower/shower pan - 1 12.51 c mail C.1/1(i • [kNY b e5-Y1 ek Urinal 25.02 k.+do- • ::,"'4J.1,:?,/,'L",? 1 y,•, a$ .`�•.'k""r'r r, Water closet INN 2542 -. id` , . :a ,, I..4 M •., water heater37;52 Business name: („.r & B Plumbing & Sons, Inc. Water piping/DWV 1_ 5629' Address: PO Box 92 Other: 25.0 1111111111 city/State/ZIP: St, Paul, OR 97137 subtotal I11110110:(503) 888-14 Fax:( ) Minimum permit fee: S7230 CCB 1.ie.` 184372 Plumb; : ic.no,: PB634 Plan review (25%of permit fee) �� + f' State surcharge(12%of permit feu) Authorized signature: ory�► TOTAL PERMIT FET: ( I Print name: �( 1 owe: [/ TM,permit apatite lion expires if a permit Is not obtained rr ithM IP days K 11Y FOWIer ' /��r` _ after it has beer,accepted as complete- V - - .Fee rnriltodoloity set by Tri-County t0t•ilding industry Service Board (:nurtdiplPe;mit.V'c M!.PC.;vil arr e..c. '(1J 44(;-art(MA 44,04.1.011,14 ri- - - City of Tigard IIICOMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Residential Building Permit #: 7►-257vq_wq/ 7 Site Address: 14O5ci Sv/ Wa►IhU+ Lade. Project Name: Fern ER tcQo( Lot #: (New dwelling=subohvision name;Addition or Alteration=last name of owner) Planning Review Proposal: (veVV ttazie IX Verify address/suite#active in Accela. IZt In River Terrace: Sgt No ❑ Yes,River Terrace Review Addendum Site Plan Elements: %Erosion Control '43 copies of site plan on 8-1/2"x 11"or 11 x 17"paper Retained trees with drip line and tree protection measures . "Drawn to scale(standard architect or engineer scale) Footprint of new structure(including decks)and FFE North arrow laUtility locations&easements(required for new and additions) ,Site address,project or subdivision name and lot number .5Sidewalk/driveway approach Applicant information(name and phone number) 144Location of wells/septic systems I.Lot dimensions and building setback dimensions lErStreet tree size,type and location IVlSquare footage of buildings to be demolished E0treet names fillisting structures on site Xkomer elevations(2'contours if more than 4'differential) :.ot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Y s No .r Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified .'Lt No Received: ❑ Yes ❑ No -Public Facilities Improvement(PFI)Permit: Required: ❑ Yes,applicant was notified No Applied For: 1=1Yes ❑ No,stop intake M.Land Use Case#: Std B2.015^COO 11 n0 it Zoning: 1--7 ,EC Required Setbacks: Front: I5 Rear: I S Side: ,5 Street Side:iJ /Pc- Garage: 24EJ' Building Height: Max. Height: 3S Actual Height: t 25 Landscape Area: 2-0 % 16 Lot Coverage Max: Entrance g'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 Garage ,Garage door is behind widest street-facing wall EYes ❑ 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 2nd floor. Garage door width is ❑ 12'or less 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance ❑ Wall offset Cl 1'Roof eave ❑ Roof offset ❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding ❑ Window trim ❑ Window recess El Window projection ❑ Balcony MAI-Visual Clearance Urban Forestry Plan )Sensitive Lands: Nt—Yes ❑ No Type: lb/N./ V'A.11-4C. ittalOttati— Xdonditions met prior to issuance of building permit Notes: Approved By Planning: Date: I 1 I In 1I q Revisions (after Building Submittal only Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES_022819.docx Building Permit Submittal Original Submittal Date: /10 I Site Plans: # Building Plans: # 3 Building Permit#: ter building permit#above. Workflow Routing: fanninggineering [ -Pr'rmit Coordinator wilding Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: RI 'ngineering: (1) copy of permit application, (1) site plan, (1) building plan and ,�� original plan review routing form. 7.3. ilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: li/7 L' Engineering Review 0�S ope at building pad: b 2 (:onditions"Met"prior to issuances of building permit 2rEEaasements (encroachments)per engineering conditions of approval and plat l!f'Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes LS No Assess Water Quantity Fee in-lieu: 0 Yes _ / LIDA Facility on lot: 0 Yes IQ No IQ Final Plat Recorded: O NOT Approved by Engineering: Date: Notes: [ Approved by Engineering: 4.444 6s 14-(10--- Date: J I —(1 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review O Conditions "Met"prior to issuance of building permit O Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: R,:aion Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: ' s 0 N/A Tigard Trans SDC: ❑ N/A Parks SDC: Yes ❑ A LIDA 0 Yes Ifo N/A OK to Issue Permit 4/////i Approved byPermit Coordinator: I IVf(J Date: I:\Building\Forms\BldgPennitRvw_RES 022819.docx 1/ EXISTING TREES TO PROTECT EROSION FERN RIDGE - LOT 1 270.2 7 l 2' 410�f S>�9'29'37"W 65.01 CONTROL EL 269.6 14059 SW WALNUT LANE EROSION \t-1 \ R D TREE: �- -, 7-7 CITY OF TIGARD • PACIFIC DOGWOOD OR WASHINGTON COUNTY, OREGON CONTROL ___...--40 RAYMOND ASH 18.6' j PARCEL # 25104BC10400 FENCE 121.8' 1-1/2" CALIPER EG:270.7 ..-- EG:268.7 --- OWNER: BELLA TERRA HOMES '1M. 6.0' CONTACT: CHRIS MCGEHEE 5.0' I PHONE: 503-789-0215 1 I o MAIN FFE: 271.8 COV'D o in I LAND USE DISTRICT AND SETBACKS m FFE.O o LAND USE DISTRICT: R-7 o� 271.3 IN I o a N FFE: 270.8 FRONT YARD TO BUILDING 15' 4i AT GARAGE 6.0' 1 DOOR COV'D • FRONT YARD TO GARAGE 20' PORCH FFE: 271.3 EG:27t.5 SIDE YARD 5' , 5.0' EG:271.4 STREET SIDE YARD 10' III I o . ° F\270.8 , FG:270.6 • 10.5' -•- REAR YARD ELEC. N o . ''-1 , 4 . N 1 S SERVICE I o A. °`cii r° FIRE ACCESS i 4" SANITARY 8.0' TURNAROUND�� FG:269_61 LATEJALi .yRI PUE /i W,-! • LOT COVERAGE EL:269.4 ' 'S89'16b5"E 65.00' , `j FG:27O.3 a ® ' • SIDEWALK , EL.271.7 TOTAL LOT AREA 5,551 SF is Ir REMOVE I.1 WA kis_ PLANTER STRP • . : 1 TA IMPERVIOUS AREAS EG:269.0 EG:269.7 _1.11".__ CURB DRIVEWAY 683 SF -W W 30.0 DRIVEWAY W W W-W-W- HOUSE FOOTPRINT 2,361 SF WATER._s>M s. mita__ TREE: SERVICE �(u) S"�MERRILL MAGNOLIA OTHER CONCRETE 26 SF STORM WEEPHOLE TO CURB \.. I t-1/2" CALIPER TOTAL IMPERVIOUS 3,070 SF SW WALNUT LANE .x BUILDING COVERAGE % 42.5% ABBREVIATIONS NOV 6 2019 IMPERVIOUS AREA % 55.3% EG EXISTING GRADE '1Y, ; k� ALt EL ELEVATION (EG AT PROPE CD NERJN FG FINISH GRADE FFE FINISHED FLOOR ELEVATION N OSS , % p.. 7 PUE PUBLIC UTILITY EASEMENT '�.� G T `#. NOTES: t*11FtJ'• 14�",I,r'��!'', 1. BULKING FOOTPRINT PROVIDED BY CLIENT, NOT !:11.1;iiii;;:kb. ‘F (/ r r FIRM �� f L EQ TO PLANS. 11111, °REG`'' 2. PLOT PLAN SUBJECT TO APPROVAL BY ZONING SA„Pr. 14. 4 / BUILDING AUTHORITY PRIOR TO STAKEOUT. N C. 3. GRADE AWAY FROM BUILDING PER BUILDING CODE. SCALE: 1". 20 FEET RENEWAL DATE; 12/30/20 DATE: 10/31/2019 FERN RIDGE LOT 1 EXHIBIT 20 0R1GKAp a .1 *ig IPl2anninc AKS ENGINEERING & FORESTRY, LLC DRWN:ijSRL Date: 1141(0 1 1q 12965 SW HERMAN RD, STE 100 AK CHKD: SCR TUALATIN, OR 97062 AKS JOB: Initials: .., .. __ 503.563.6151 WWW.AKS-ENG.COM 7249 DIAL RDSDDI-AA-CDRASF -PI DT PI ANS I I nT I 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 7 I44 Transmittal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439• www.tigard-or.go TO: DATE RECEI ' D: DEPT: BUILDING DIVISION RE-, J V E D UN 2 2020 FROM: 1 1 E �E Z CITY L.F. T GARD COMPANY: E`\°,. �f 12 t4 A-'or $ BUILDING DIVISIONPHONE: cra' I o-le 3t-o By: RE: (1tt4oS C' uJ w \h-st- (Permite Address) h ST,>) uk `i -- 004 I+ er) ff. cY 2to G E. L ,,'t" • (Project n• or su,•divistMt name • d lot numb- ATTACHED ARE THE F 10. 10 I�' , ' _• Copies: Description: i\ ��Copies: Description: Additional set(s)of plan' \ Revisions: Cross section(s)and d=l. \ Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): t REMARKS: t•C AV' �f\.4cr't" \£ cwOr tie it•i. 4\Zc eh w. " -b lil ►% AS cA\ c..A.6..-hamr-s b 4a,P4 b 4k\t L, FOR OFFICE USE ONLY Routed to Permi echnician: Date: Initials: Fees Due: n 'es o Fee Description: Amount Due: r � $ NO S r /I/ l�/u1" &hity 7 $ g---(9-- Sp=. al Ins t ctions: Reprint Permit(per PE): ❑ Yes T No ❑ Done Applicant Notified: f l2 Date: �(0 /k-) Initials:// I:\Building\Forms 1ransminalLetter-R evisions.doc 05/25/2012 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 2. Transmittal Letter rlt,AR1)- 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • yoiyi t iled,or_giy TO: ,J/U DATE RECEI\' D: DEPT: BUILDING DIVISION RE . IZIVED MAY 14 2020 FROM: £ e-? `r'F-Z 'CITY OF 1 1GAIR ! COMPANY: \1Q Z ct1ES �4�(_ 4' ( f.1Eilt 1 .` PHONE: G t C`Thc- RE: ( 40 5 C\ SC.W C),.) `'NJt -Pr' h S c 2 O t1 00413 (Site Address) (Permit Number) (Project name or subdivision e and lot ATTACHED ARE THE FOLLOW S: Copies: Description: Copies: Description: Additional set(s)of plans. Revisions: Cross section(s) and details. ! Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's talc latio s. ✓ Other(explain): p•+ ��te 5t �.-.4 S J "� �2_ �- t� REMARKS: I- SLtzL `I� \ 3/4' v',c t r �s �zz ttl o' FOR OFFICE USE ONLY Routed to Permit Tee• ician: Date: S_ /_ 2GXC, Initials: Fees Due: ❑Yes ! 10 Fee Description: ,/ Amount Due: �0/ / $ (-9. on Special L�i j Instructions: Reprint Permit(per PE): ❑ Yes j No Done Applicant Notified: Date: Initials: IABuilding\Forms1TransmittalLetter-Revisions_061316.doc Y ` • From: Steve Fowler gbplbg@gmail.com Subject: Fwd:Bella Terra Date: May 14,2020 at 6:08 AM To: Felipe Beta Terra Perez felipe@bellaterrahomes.net Sent from my iPhone Begin forwarded message: From: Bill LeFave<billlefave@gmail.com> Date:May 14,2020 at 5:41:50 AM PDT To:Steve Fowler<GBPLBG@GMAIL.COM> Subject: Bella Terra Good morning Steve I do not have a great deal of information on the two projects with regards to the street addresses. I was not given that information when the drawings were done. I did provide the dates that the drawings were made. Please utilize the information below to satisfy the City of Tigard. The Bella Terra Homes plan drawn on 1-20-20 has a safety margin of 15.815 PSI. I 1" water meter has a frictional loss of 3 PSI and a 3/" water meter has a frictional loss of 8 PSI. The difference between the two water meters is 5 PSI. The new safety margin is 15.815-5= 10.815 and is acceptable for the pressure requirements to operate the system. The Bella Terra Homes plan drawn on 4-12-20 has a safety margin of 8.941 PSI. I 1" water meter has a frictional loss of 3 PSI and a 3/" water meter has a frictional loss of 8 PSI. The difference between the two water meters is 5 PSI. The new safety margin is 8.941-5= 3.941 and is acceptable for the pressure requirements to operate the system. 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 I _ ill Transmittal Letter T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439• www.tigard-or.gov TO: 7974jr- DATE RECEIVED: DEPT: BUILDING DIVISION RECEIV b FROM:. e '(?._�2 FEB 1 020 COMPANY: 1 11,a 1 -\2Q.fi -�.--- n__S CI 4 F TIGARD ±) 6+� 3 )�' BU SING DIVI$10N PHONE: I By: /117 ' RE: ly a 51 S L.)-3 W t6'-\1.S & )— N S 12 01 - b96 411 (Site Address) (Permit Number) - 2L 24O ( //. �i I (Project name or subdivision name an lot nu�nuer , ATTACHED ARE THE FOLLOWING ITEMS: / Copies: Description: ,I 'opies: Description: Additional set(s)of plans. Revisions: Cross section(s)and detail Wall bracing and/or lateral analysis. Floor/roof framing. �i I Basement and retaining walls. Beam calculations. l Engineer's calculations. ?„-- Other(explain):REMARKS: a — kS 1 NI aJ 4-S A-0 '0 6&\ Cv1A 1 i F OFFICE USE ONLY Routed to Permit •chnicia D 1`a�/?,p`Ld Initials: AA"— Fees Due: ❑ s [ ee De ripf on: Amount Due: )s\N.-- -6 C $ (Ze_____.-------" $ S•,•ial r tructions: •eprint Permit(per PE): ❑ Yes No ❑ Done /Applicant Notified: `-1 ate: (,2 / (3 Initials: i i I:1Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012