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Permit CITY OF TIGARD MASTER PERMIT 1111111 COMMUNITY DEVELOPMENT Permit#: MST2021-00220 TI GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/15/2021 Parcel: 2S110DA11000 Jurisdiction: Tigard Site address: 15199 SW TIERRA TER Subdivision: TRILLIUM HILL Lot: 10 Project: Trillium Hill, Lot 10 Project Description: New detached dwelling with 169 sq ft covered deck. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 4 First: 2153 sf Basement 0 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 0 sf Garage: 360 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 2153 sf Value: $290,210.26 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 1 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr. 0 Ea add'500 sf: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/vclC 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: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2153 Owner: Contractor: WEEKLEY HOMES LLC WEEKLEY HOMES Required Items and Reports(Conditions) 1111 NORTH POST OAK RD 1905 NW 169TH PLACE SUITE 102 1 Geo Tech Report Required HOUSTON,TX 77055 BEAVERTON,OR 97006 Prior To Pour 2 Ersn Cntrl 503-639-4175 PHONE: PHONE: 503-213-4415 FAX: Total Fees: $37,093.31 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 os9-nM-nnln trni.nh(-Iwo a50.nM-nnon Vnu mvi nhfain a mna of fha rula<nr dirarf nua<finn<M nl INC by raainn Ana 919 1QAT nr 1 Ann 119 MIA }folly Van,DerWege o w tton Applica Issued By: Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application _5 (?I 7ml Residential RECEIVE I FOR OFFICE USE ONLY Received 7 A n City of Tigard Q(Q (4 2021 Permit No Ms(�i-N-QO�v �1� ( ���1 Plato Rev s Phone SW Hall .2439 Tigard,OR 97223 Plan Review�/ Z( [��r p'�(^©O)�jZ ih Phone: �0 718.2439 Pax: 503.598.1960 UatuHy: Other Pcnm I` I J CITY OF TIGARD Jun5 El See Page 2 for TIGARD Inspection Line: ?03.639.417. Date I ady;�8y: g Intemei www.11eard-or.gov BUILDING DIVISION N •t1./Method: �f �� Supplemental Information TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING ® ,New construction D Demolition Permit Lest' arc based on the value of the work pertixmed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑ Other: equipment,materials.labor,overhead,p and the profit for the CATEGORY OF CONSTRI CT ION work indicated on this application !0 /0.2 Co Valuation: 2 ® 1-and 2-family dwelling ❑Commercial/industrial r r ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: 3 JOB SITE LNFORMVIK N AND LOCATION Total number of floors 'L 2533 Job site address: 15199 Tierra Terrace New dwelling�a 2153 square feet 2 6' City/State/ZIP:Tigard/OR/97224 Garage/carport are .il square feet Cu Suite/bldg./apt.no.: Project name:Trillium Hill .oC vc ( orch area: 169 square feet Cross street/directions to job site:SW 109°AVE AND SW' Lady Marion Dr Deck area: . K AI square feet Other structure area: square feet . s�� o a p f�.r. f�a a� �p� v,a'��i� �!c`w:aa:.`rl�"- Subdivision:Trillium hill Lot no.: 10 Permit fens*are based on the value of the work performed. Lax map/parcel no. 2S l 102A 11400 Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead.and the profit for the DESCRIPTION OF WORK work indicated on this application. New Single Family Home to be built-2153 SOH f 3 Bedroom.3 bath with 400 SQ Valuation: S FT 2 car garage with a 169 SOFT covered rear porch. Existing building area: square feet New building area: square feet ® PROPERTY OWNER E TENANT Number of stories: Name: David Wccicicy Ilomes Type of construction: Address: 1905 NW 169th Place Suite 102 Occupancy groups: Citr"State/ZIP:Beaverton,OR 97006 Existing: ('hone:15(13)213-4415 Iav: ( New: 0 APPLICANT ® ('.ONE CI PERSON HITH.DING PERMIT FEES* (Please refer to fee schedule) Business name:David Weekley Homes Structural plan review fee(or deposit): 76/34' Contact name: Meghan'I icknor FLS plan review fee(if applicable): Address: 1905 NW 169'h Place,Suite 102 City/State/ZIP:Beaverton/OR/97006 Total fees due upon application: Amount received: Phone:(503)213-4409 Fax: :( ) E-mail: mticknorS;dwhornes.cum PHOTOVOLTAIC SOLAR PANES,SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business Hume:David Weeklev I lomes Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:1905 NW 169°'Place,Suite 102 Solar Installation Specialty Code checklist. Permit Fee(includes plan review City/State/ZIP:Beaverton/OR/97006 S180.00 and administrative fees): Phone:(503)213-4415 Fax:( ) State surcharge(12%of permit tee): $21.60 CCB lie.:213653 Total fee due upon application: $201.60 Authorized signature: _/� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Meghan Ticknor Date:S/tl/21 *Fee methodology set by'Fri-County Building Industry Service Board. I:\Building\Permits\BHP-RESPermitApp.doc 02/24/2011 440-4613T(l 1/02/COM/WEB) Building Permit Application Checklist • One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received - ll msociat Penny No. • 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits_ Phone: 503.718.2439 Fax: 503598.1960 TIGARD 24-Hour Inspection line: 503.639.4175 ® Electrical ElPlumbing ® Mechanical 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. 11 0 ❑ 2 Zoning. Fl<wd plain,solar balance points,seismic soils designation,historic district,etc. ® ❑ ❑ 3 Verification of approved plat/lot. ® ❑ ❑ 4 Fire district approval required. Name of district: ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . 0 ❑ 0 6 Sewer permit. 0 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 ❑ 9 Erosion control ® plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ® 0 0 basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ® 0 0 building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if _ copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions:property corner elevations(if ® ❑ ❑ there is more than a 4-ft. elevation differential,plan must show contour lines at 2-ft. intervals):location of easements • and driveway: footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator: lot area;building coverage area:percentage of coverage:impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ® 0 ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size, location of smoke detectors,water heater, ® ❑ 0 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- ® ❑ ❑ floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing. roofing,roof slope,ceiling height.siding material, footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ® ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references arc acceptable, • 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations: for non- ® ❑ 0 prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all tloors/roof assemblies, indicating member sizing, spacing,and bearing I ❑ 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ 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 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ® ❑ 0 for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,.shear wall,roof truss)shall be stamped by an engineer or 0 0 architect licensed in Ore on and shall be shown to be a..lieable to the .roject under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must he 8-1/2"x II"or I I"x 17". .. 0 ❑ 24 Two(2)sets each are required for Items 16, 19.20 and 22 above. ►1 0 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. ® 0 0 27 "Drawn to scale" indicates standard architect or engineer scale. ® ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 5 ❑ ❑ Sheet Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines; ❑ ❑ El and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ 0 11 including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. 1:vBuilding\Permitsl6ItP-RPSPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WF.B) • Mechanical Permit Application FOR OFFICE ESE ONLY , City of TigardRECEIVE .,Rneactee,inveyd lamlir No.:MST2,02 OOZZO 1111 ° 13125 SW I tall Blvd.,Tigard,OR 97223 Plan Review ('hone: 503.718.2439 Fax: 503.598,1960 Mg 1ry A 2 qq ry L0�i 1 Date/By: Other Permit: TIGARD Inspection Line: 503.639.4175 Date Ready/By: Jero See Page 2 for Internet: wwtvtigard-or_gov CITY OF TIGARD Notified/Method.. Supplemental Information - BUILDING DIVISION TYPE OF IVORK COMMERCIALCOMMERCIAL FEE* H SCEDULE - USE.CHECKL,IST Mechanical permit fees*are based on the value of the Work ® New construction ❑ Addition-alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit. Value:S CATEGORY OF C(.1NS"IRLC`TION RESIDENTIAL EQUIPMENT/SYSTEMSFEES* ® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building Fur special information use checklist. ❑Multi-family ❑ Master builder ❑Other: Description Qty. Ea. Total .IOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning I 46.75 46.75 Job site address: 15199 Tierra Terrace Furnace 100,000 BTU(ducts/vents) I 46.75 City/State/ZIP:Tigard/OR/97223 Furnace 100,000+BTU(ducts/veins) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:Trillium Hill Duct work 23.32 Cross street/directions to job site:SW 109fh Ave and SW Lady Marion Dr Hydronic hot water system 23.32 Residential boiler(radiator or hvdronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of ahoye 23.32 Other: 23.31 Subdivision:Trillium Frill Lot no.: 10 Other fuel appliances: lax map parcel no.:2SI10DA11400 Water heater I 23.32 DESCRIPTION OF WORK Gas fireplace/insert I 33.39 Flue vent for water heater or gas Ness Single family home to he built-2153 sqft.3 bedroom 3 bath home With fireplace 23,32 400 sgft 2 car garage and a 169 sq ft covered rear patio. Lou lighter(gas) 2332 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 ® PROPERTY OWNER ❑ TENANT Environmental exhaust and ventilation: Name: David Weeklev Homes Range hood/other kitchen • equipment 1 33.39 Address:1905 NW 169'h Place,Suite 102 Clothes dryer exhaust 1 33.39 City/State/ZIP:Beaverton/OR/97006 Single-duct exhaust(bathrooms, toilet compartments,utility moms) 3 23.32 Phone:(503)213-4415 Fax:( ) Attic/crawispace fans 23.32 • ® APPLICANT ® CONTACT PERSON Other: 23.32 Fuel piping: Business name:David Weelaey Homes S14.15 for first four;54.03 for each additional Contact name:Meghan Ticknor Furnace,etc. Address: 1905 NW 169'h Place,Suite 11)2 Gas heat pump Wall/suspended/unit heater City/State/ZIP: Beaverton/OR/97006 Water heater Phone:(503)213-4409 Fax: :( ) Fireplace Range li-nat:I mtieknor'adwhoanes•cortm Barbecue CONTRACTOR Clothes dryer(gas) Business name:David Weeklev homes Other: vlECHANICAI.PERMIT FEES* Address: 1905 NW 169'h Place Suite 102 Subtotal City/State/ZIP: Beaverton/OR/97006 . Minimum permit tee($90.00) Plan review(25%of permit fee) Phone:(503)213-4415 Fax:( ) State surcharge(12%ofpermit fee) CCB lie.:213653 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within IRO / days after it has been accepted as complete. Authorized signature: / ` Fee methodology set by To-county Building Industry Service Board Print name:Ken Puttman Date:5/11/21 19$uildirid'erroiis:h1EC_PeimitApp 04011i doc 140-1617T t11r02/COMrWEBi • A Electrical Permit ApplicationRECEIVE l FOR OFFICE USE ONLY Cityo Tigard gd Receed Permit Y.: M.a{STZ02t,00 2_2_0 • Daten By • 13125 SW Mall Blvd.,Tigard,OR 97223 ii1A' 'f r� �� Plan Review _ Phone. 503 718.2439 Fax: 503.598.1960 Datefv Related Pennit6r Inspection Line' 503 639 4175 CITY OF TIGARD Ready Date/By'. lads: H See Paget for TIGARD. Internet. 5R5ls.t1ga al-or.,oV Nonhed'Nled,ud. Supplemental Information BUILDING DIVISION TYPE OF WORK PLAN REVIEW El New construction ❑ ,ldllilion/alteration/replacement Ple::s.e rac:A all that apply(subma 2 sets elplaos,. items checkedl. ❑Sen as:or feet&r 400 amps or more ❑Building or three sturies ❑ Demolition ❑ Other: where the available fault emaent 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or 0 Floating buildings. - ® 1-and 2-family dhc ell ing ❑Commercial/industrial ❑ Accessory building less to ground,or exceeds 14.000 0 Commercial-use agricultural amps for all other installations. buildings. 0 Alul(i-femil) ❑ Master builder ❑ Other: El Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergeney system. lamer separately derived 0 Addition of new motor load of system. Job#:68160010 Job site address: 15199 Tierra Terrace 10OHPor more. ❑"A'."E"-"t- "l d'- C1 /State/ZIP:Ti ard/OR/97224 0 Six or more residential units. occupancy Ty g ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:Trillium Hill ❑Itaaardous locations. ❑Supply voltage for more than 0 Sery ice or Feder 600 amps or more 600>olts nominal Cross street/directions to job site:SW 109'AVE AND SW Lady Marion dr FEE SCHEDULE Description I Qty. I Each I Total 1 ` Ncw residential single-or multi-family dwelling unit. Subdivision: Lot k:10 Includes attached garage. 1,000 sq_fi or less 1 168 34 168.54 4 Tax map/parcel 6:2S1 IODAI 1400 Ea.add'I 500 sq ft.or portion 4 33.92 1(17.76 I DESCRIPTION OF WORK Limited energy,residential above sq.ft.l 75.110 New Single Family Home to be built-2153SQET 3 Bedroom,3 bath with 400SQFT (With Limited energy,multi-fancily 75 00 2 2 car garage with a 169SQFT covered rear porch. residential(with above sq.ft.) Renewable Energy ❑ See Page 2 C4 PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation Name: David Weekley Homes Zoo Strips or less l00 70 Address: 1905 NW 169ah Place Suite 102 201 amps to 400 amps 3356 401 amps to 600 amps 200.34 2 City/State/ZIP: Beaverton/OR/97006 601 amps to 1,000 amps 301.04 - Phone:(503)213-4415 Fax:( ) Over 1,000 amps or volts 552 26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 I APPLICANT 5X4 CONTACT PERSON Branch circuits-new,alteration,or extension,Per panel A.Fee for branch circuits with Business name:David Weekley I tomes above service or feeder fee, 742 2 each branch circuit Contact name:Meghan Ticknor 13.Fee for branch circuits wirhuur service or feeder fee,first 2 Address: 1905 NW 169th Place Suite 102 branch circuit 56.18 City/State/ZIP:Beaverton/OR/97006 Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503)213-4409 Fax: :I ) Each manufactured or modular _._.._... dwelling,service and'or feeder 67.84 2 Email: mticknora.dwhnmes.com - Reconnect only 67.84 CONTRACTOR _ Pump or irrigation circle - 67.84 2 Business name:Garner Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy ❑ See Page 2 2 Address: 2890 SE Brookwood Ave panel,alteration,or extension City/State/ZIP: Hillsboro,OR.97123 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66 25.•hr Phone:(503)648-4552 Fax:( ) Investigation(1 hr min) 90.00 hr Email:permits@garnerelectric.com LtdusMal plant(I hnnin) 78.18r'hr Inspections for nhieh no fee is 90 pq hr CCB Lie.:121159 Electrical Lie.' 4-305C Suprv. I.ic.:3707S specificalr, listed i I:lir mini ELECTRIC_AL. PERMI1 FEES Suprv.Electrician signature.require Subtotal Print name:Charles Garner Date: ❑Plan Review Required(25%of permit fee)'. ram, �-f�—�._-. r� State surcharge(12%of permit fee): Authorized signature: v lit&i7 45 TOTAL PERMIT FEE. UiT This permit application expires if a permit is not obtained within 180 Print name:Brittany Burian Date: days after it has been accepted as complete. " Number of inspections allowed per petmil. I,teuildlnWnernis,YJ.0 Pereitvpp ELK ERE due Rev 06;17;2015 440=1615TI II Us;COIWWEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCaEnt<t,E „1 Fee for all residential systems combined: $75.00 RenewableEach electrical energy systems: Check Type of Work Involved: 5 kva or less 00.70 2 5.01 to 15 kva 13.56 n A• udio 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 3 50.01 to 100 kva 55 26 2 ® Garage Door Opener* `100 kva(fee in accordance 35226 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 charged at an hourly(I hr min) 66.25 hr Inspections for which no fee is 90OOr hr specilicalle listed( Iu min) COMMERCIAL WORK ONLY: ELECTRICAL, PERMIT FEES SAnotal(Enter on Page 1). Fee for each commercial system: $75.00 * Number of Inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls C Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation HVAC Instrumentation I Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ri N• urse Calls ❑ O• utdoor Landscape Lighting* n Protective Signaling Ti O• ther: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I',Biuldmy,Po,mns..ELC_PemiiiApp_ELR_ERE.doe Rea OieI7'2015 r Plumbing Permit Applicati ECEL IED Building Fixtures con orcuta: I SI: O\il Cityof Tigard iii 1 2 IA7.l Received q-r ll Permit Na.; Date/By: l i siZ2I' K 0Q 0 13125 SW Hall Blvd.,Tigard.OR 97223 Man Review 1`'1 Phone: 503.718.2439 Fax: 503.598.0Ii��OF TIGARD Dote/13y: Other Permit No.: l I f Inspection Line: 503.639.4175 Date Rendyi6y: lurkr 2 fir Internet: wway.tigard-or,gov BUILDING DIVISION Notified/Method.Notified/Method. I IN See Pa. a SupplementalInforntation 6�1 hA•4: ^�" €' �k,ig€ t s�� t . r F :,F'L 4 .,t a t: .r.�dltt.'2 �. �V�1g QF'W�N�a:.' ;,.t`�v „'-`` t'�ox. ,��.'t ' �' ..F',` P,v �'y1�B� .4,(r',11EQ ILA, �.,, � -`�ijt ¢*�,. ®New construction 0 Demolition I For special inforn anon use checklist. I Description I Qty. I Ea, I Total 0 Addition/alteration/replacement �❑Other: I New 1-2-family dwellings(includes 100 ft.for each utility connection) �2 =& ,K OI4i,f p1r .147l'RLJCZ�,'1. ..„ > iv. I SFR(1)bath 312.70 ®i-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 El Accessory buildingSFR(3)bath I 500.32 500.32 ❑Multi-family Each additionalbath/kitchen I 25.02 25.02 ❑Master builder 0 Other: Fire sprinkler( s .ft.) Paget -; lu, '•�3.° - t>0-0*Y l, ; ��5' r'1 Site utilities: b Catch basin or area drain I 18.76 Job site address.15199 Tierra Terrace City/State/ZIP:Tigard/OR/97224 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear It:230) Page 2 87.55 Suite/bldg./apt.no.: I Project name:Trillium Hill Manufactured home utilities 50.03 Cross street/directions to job site:SW 109'AVE AND SW Lady Marion Dr Manholes 18.76 Rain drain connector I 18.76 Sanitary sewer(no.linear R.:_) Page 2 Storm sewer(no.linear B.: ) I Page 2 I Subdivision:Trillium Hill Lot no.: 10 Water service(no.linear It.:_) I Page 2 I Future or item: Taxmap/parcel no.:2S110DA11400 Backtlow preventer I 31.27 3127 405 "n'' . trz + +° ow u -, cant)! Backwater valve 12.51. Clothes washer 1 25.02 25.02 New Single Family Rome to be built-2153SQFf 3 Bedroom,3 bath with 400SQFT 2 Car Dishwasher 1 25.02 25.02 Garage with a 169SQFT covered rear porch. Drinking fountain 25.02 ,�{, Ejectors/sump 25.02 t om,: 1 , xa1 "` ' it r _ RF' ,," z',''r:f t P' Expansion tank 12.51 Name:David Weekley Homes Fixture/sewer cap 25.02 i Floor drain/floor sink/hub 25.02 I Address:1905 NW 169th Place Suite 1.02 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 ' 1 r" interceptor/grease trap 25.02 I Business name: David Weekley Homes Medical gas(value:$`) Page 2 I Contact name:Meghan Ticknor Primer 12.51 Root'drain(commercial) 12.51 Address:1905 NW 169th Place.Suite 102 Sink/basin/lavatory 5 25.02 City/State/Z1P:Beaverton/OR/97006 Solar units(potable water) 62.54 Phone:(503)213-4409 I Fax::( ) Tub/shower/shower pan 3 I 12.51 E-mail:mechiedler e@dwhomes.com Urinal I 25.02 - b 0 a u p 1~ ya Water closet 3 25.02 Water beater 1 31.52 Business name:Malmedal Plumbing Waterpipirg/DWV 56.29 I Address:PO Box 207 Other: I 25.02 I City/State/ZIP:Banks/OR/97106 I Subtotal Phone:(503)324-0759 Fax:( ) Minimum permit fee: $72.50 Cat Lie,: 102535 Plumbing Lic.no.:34-276PB Plan review (25%of permit fee) State surcharge(12%of permit tee) I Authorized signature: Carolina Malmedal TOTAL PERMIT FEE I Print name:Carolina Malmedal I Date:45/115/21121 This permit application expires If a permit Is not obtained within 180 days after it has been accepted as complete. "Fee methodology set by Tri.Couay Building Industry Service Board. LmuildmilPermitstPLMU-PernutApp.doc I 0/01.'09 440.461GT(10t02K'OM/vEB) City of Tigard IIq COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Residential Building Permit #: M. T2OZ1-00 22D Site Address: 15(Gtei cvJ -r1Gvre". Tar Project Name: -1((tUrr% Hill Lot #: ( 0 Planning Review / Proposal: New hark-• ref/we/ £toyer ASerD/ id 11 s!1[ /P k" t47/I7J2.I I Verify address/suite # active in Accela. X In River Terrace: X No ❑ Yes,River Terrace Review Addendum Site Plan Elements: XErosion Control %3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper Miatetained 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 Utility locations&easements(required for new and additions) Site address,project or subdivision name and lot number Sidewalk/driveway approach ZApplicant information(name and phone number) ocation of wells/septic systems %Lot dimensions and building setback dimensions l7 treet tree size,type and location IWASquare footage of buildings to be demolished f Street names NAExisting structures on site /Comer elevations (2'contours if more than 4'differential) I NALot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? 1 js No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Yes No / Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No xfWater Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑ Yes,applicant was notified %No Received: ❑ Yes E No INASDC Exemption for ADU applied for: E Yes ❑ No Received: ❑ Yes ❑ No 0 Public Facilities Improvement(PFI) Permit: Required: E Yes,applicant was notified % No Applied For: ❑ Yes ❑ No,stop intake E Land Use Case #: 7 DN S V '00002- 0 Zoning: R"•4•S ,2(Required Setbacks: Front: ?0 Rear: IS Side: 5 Street Side: 15 Garage: 20 .el Building Height: Max. Height: 30 Actual Height: 23 PlikLandscape Area: hf/A- °A° V.. -Lot Coverage Max: Entrance .d"Set back no more than 8'from street-facing wall 1'Parallel to street or offset 45 degrees or less Windows /Minimum 12%of area of all street-facing facades F•• Vb 'Io S: i .4'/o Garage f2' Garage door is behind widest street-facing wall ile Yes ❑ No,one of the following is met: ❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage. ❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 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 ❑ 1'Roof cave ❑ Roof offset ❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony ,% Visual Clearance CI Urban Forestry Plan ,c� Sensitive Lands: /Yes to Type: tee 9 % Conditions met prior to issuance of building permit Notes: %Approved By P1a ing: L-~• Date: (Q I g 21 A Revisions (after B •• ing Submittal only) Revie Revision 1: Approved ❑ Not Approved -- 44 �fi?-J.'i_/t Revision 2: ❑ Approved ❑ Not Approved C\Building\Forms\BldgPermitRvw_RES_122419.docx Building Permit Submittal i Original Submittal Date: o5'/2:2a2J Site Plans: # 3 Building Plans: Building Permit#: 4 Enter building permit#above. Workflow Routing: L l�Planning Engineering Lrmit Coordinator [ Building Workflow Sign-off: LY Sign-off for Planning(include notes from planning review) Route Application Documents: engineering: (1) copy of permit application, (1)site plan, (1) building plan and original plan review routing form. kli Building: original permit application, site plans,building plans,engineer and beam calculations and tru dbtails,if applicable,etc. Notes: By Permit Technician: ' //! / / Date: £6/4/202/ Engineering Review F'Sfope at building pad: e2 f p 2"-Conditions "Met"prior to issuance of building permit CST asements (encroachments)per engineering conditions of approval and plat [ater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes . @"-No Assess Water Quantity Fee in-lieu: ❑ Yes I3'1Qo LIDA Facility on lot: ❑ Yes L;I"N o E final Plat Recorded: CI—NOT Approved by Engineering: (Z . jI 514 efz,, . Date: G .. /4 -2a,p2,I Notes: $fi-e+tit i t. -re,t_S %elf:C.9 B, 14 OF. Sw iv 4 +4 Je,zZ 'Aim Sr+-f -1 to• 1 . iZtn.q/e_ r,3A k(t__ StRv/c_E. (A44- I AT' INIZ% litt ❑ Approved by Engineering: Date: Revisions (after Building Submittal only) Reviewer Date u Revision 1: t� approved ❑ Not Approved 14..cvsvic'e/L . 'i-i.ZOZi Revision 2: ❑ Approved ❑ Not Approved ermit Coordinator Review Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) �� //�� / Revision Notice 1: Date Sent to Applicant: ,2.- R-vision Notice 2: Date Sent to Applicant: 11 1.DC Exemption: ❑ Received ',Does not apply \V SDC Fees Entered: Wash Co Trans Dev Tax: U Yes ❑ N/A . Tigard Trans SDC: ❑ N/A Parks SDC: ® Yes ❑//A LIDA 0 Yes 4l N/A J`J OK to Issue Permit Approved by Permit Coordinator: Ary-0Rel.— Date: 1 l'' I/al I:\Building\Forms\B1dgPermitRvw_RES_122419.docx