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Permit CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2021-00308 Date Issued: 08/31/2021 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110DA10200 Jurisdiction: Tigard Site address: 10841 SW LADY MARION DR Subdivision: TRILLIUM HILL Lot: 2 Project: Trillium Hill, Lot 2 Project Description: New detached dwelling. DEMO CREDITS APPLIED FOR ALL TRANSPORTATION & PARKS SDCS from BUP2012-00086. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 454 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1959 sf Garage: 567 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 2413 sf Value: $350,165.06 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 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Y 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 2413 Owner: Contractor: WEEKLEY HOMES LLC WEEKLEY HOMES Required Items and Reports(Conditions) 1111 N POST OAK RD 1905 NW 169TH PLACE SUITE 102 1 Ersn Cntrl 503-639-4175 HOUSTON,TX 77055 BEAVERTON,OR 97006 PHONE: PHONE: 503-213-4415 FAX: Total Fees: $22,441.39 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 ac9-nn1-nn1n thrni,nh nedzr oc9-nnl-neon vnu maw nhta' 2 rnnw of tho rndoe nr riirort ni ioctinnc to CV ii i(`hw raliinn cnZ 919 1 QR7 nr 1 Ann'Y 9 9124 Issued By: .-t. ...—. Permittee Signature: V II 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 —7 2t. 2. Residential R I E hOK 01 11( F. I I (1N1.1 Received / Permit No.' City of Tigard Date/By: 08 03 .ZQ2/ '�' ST.262/cege? 1,,, al 13125 SW Hall Blvd.,Tigard,OR 97223 J U L 2 0 2021 o Plan y� her Pen Phone: 503.718.2439 Fax: 503.593.1960 z� Date/By:Reviews/ �i� �i� �02/ -Od208) Inspection Line: 503.639.4175 �CITY OF I� �r Date Ready/By. 0 See Page 2 for TICARI) a BUILDING DIVISION Notifie Method: Supplemental Information Internet: www.tigard-ocaov _+ l PF; OF WORK REQUIRED DATA: -AND 2-FAMILY DWELLING ®New construction ❑ Demolition Permit lines* 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. E ® I-and 2-family dwelling Valuation: �$3a9;(1i6 3� 1 61 a4 ❑Commercialdndustiial q ❑Accessory building ❑Multi-family Number of bedrooms: 4 ❑ Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AM) LOCATION Total number of floors: 2 c 61 S° Job site address: \OCSq 1 +26(.)1V' 11 i on DO ve New dwelling area: 2413 square feet 19501 City/State/ZIP:Tigard/OR/97224 Garage/carport area: .695' 6,7quare feet 45(f Suite/bldg./apt.no.: Project name:Trillium Hill Covered porch area: square feet Cross street/directions to job site:SW 109"'AVE AND SW Lady Marion Dr Deck area: k ( 1 square feet 'f Oth noel afts.a: 117 square feet REQUIRED DATA:COMMERCIAL-USE SE CHECKLIST Subdivision:Trillium hill I Lot no.: 2 Permit fees* are based on the value of the work performed. 'h Indicate the value(rounded to the nearest dollar)of all t Tax map/parcel no.:2S1101).111400 equipment,materials,labor,overhead,and the profit for the rtwork indicated on this application. J, DESCRIPTION OF WORK pP New Single Family Home to be built-2413 SOFT 4 Bedroom,3 bath with 603 SQ Valuation: $ ri FT 3 car garage with a 117 SQFT covered balcony and 108 SQFT covered back porch Existing building area: square feet New building area: square feet is f ® PROPERTY OWNER 0 7 ENANT Number of stories: Name:David Weekley Homes Type of construction: Address: 1905 NW 169"Place Suite 102 Occupancy groups: City/State/ZIP:Beaverton,OR 97006 Existing: Phone:(503)213-4415 I a'.:( ) New: ❑ APPLICANT ® CONTACT PERSON f BUILDING PERMIT FEES* (Please refer ta,Jee schedule) Business name:David Weekley Homes Structural plan review fee(or deposit): 7/.'7' Contact name:Meghan Ticknor FLS plan review fee(if applicable): Address:1905 NW 169'h Place,Suite 102 — Total fees due upon application: City/State/ZIP:Beaverton/ORJ97006 ---- Amount received: Phone:(503)213-4409 Far: :( ) PHOTOVOLTAIC SOLAR P ,'EL SYSTEM FEES'" l -ntaiI. mticknor'a dw homes.com Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name:David Weekley Homes Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:1905 NW 169'Place,Suite 102 Solar Installation Specialty Code checklist. City/State/ZIP:Beaverton/OR/97006 Permit Fee(includes plan review $180 00 and administrative fees): Phone:(503)213-4415 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.:213653 Total fee due upon application: $201.60 Authorized signature: n / This permit application expires if a permit is not obtained c' within 180 days after it has been accepted as complete. Print name:Meghan Ticknor Date:412 / .) Service Board. 1:\Building\Permits\BUP-RESPernutApp.doc 02/24/2011 440-4613T(1 /02/COM/WEB) . Mechanical Permit Applicaticri FOR OFFICE USE ONLY CI of Tigard � I Received `T Q g Date/By: Permit No.: MJ/2O2-1 UO3Q0 11111 13125 SW Hall Blvd.,Tigard.OR 97223 JUL 2 8 ?0?1 Plan Review 1 Phone: 503.718.2439 Fax: 503.598.1960 Other Permit: Date,By: 1 1 CARD Inspection Line: 503.639.4175 CITY I�� 1'u��� Date Ready/By: luris: 0 See Page 2 for Internet: www.tigard-or.gov V Notified.vietlwd: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE- USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTL&L EQUIPMENT I SYSTEMS FEES* ® I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist ❑ Multi-family ❑ Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating cooling: Air conditioning 1 46.75 46.75 Job site address:10841 Lady Marion Drive Furnace 100,000 BTU(ducts/vents) 1 46.75 46.75 City/State/ZIP:Tigard/OR/97223 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:Trillium Hill Ductwork 23.32 Cross street/directions to job site:SW 109t'Ave and SW Lady Marion Dr Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision:Trillium Hill Lot no.:2 Other 23.32 Other fuel appliances: Tax map/parcel no.:2S110DA11400 Water heater 1 23.32 23.32 DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 33.39 Flue vent for water heater or gas New Single Family Home to be built-2413 SQFT Home with 4 bedrooms,3 bathrooms fireplace 23.32 a 603 SQFT garage,117 SQFT covered Balcony and 108 SQFT Covered back Porch. Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/tlue/vent 23.32 Other: 23.32 ® PROPERTY OWNER ❑ TENANT Environmental exhaust and ventilation: Name: David Weekley Homes Range hood/other kitchen equipment 1 33.39 33.39 Address:1905 NW 169'Place,Suite 102 Clothes dryer exhaust 1 33.39 33.39 City/State/ZIP: Beaverton/OR/97006 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 3 23.32 Phone:(503)213-4415 Fax:( ) Attic/crawlspace fans 23.32 ® APPLICANT ® CONTACT PERSON Other: 23.32 Business name: David Weekley Homes Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Meghan Ticknor Furnace,etc. Address: 1905 NW 169'Place,Suite 102 Gas heat pump Wall/suspended/unit heater City/State/ZIP: Beaverton/OR/97006 Water heater Phone:(503)213-4409 Fax: :( ) Fireplace Range E-mail: mticknora?dwhomcs.com Barbecue CONTRACTOR Clothes dryer(gas) Business name: David Weekley Homes Other MECHANICAL PERMIT FEES* Address: 1905 NW 169t1i Place Suite 102 Subtotal City/State/ZIP:Beaverton/OR/97006 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)213-4415 Fax:I ) State surcharge(12%of permit fee) CCB lie.:2136.53 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: .4 Aleyl 4, * Fee methodology set by Tri-County Building Industry Service Board Print name:Ken Puttman Date:7/28/21 I.':Building\Permits\MEC_PermitApp_040113.doe 440-46I7T(11/02/COM,WEB) 'Electrical Permit ApplicationRECEIVED FOR OFFICE USE ONLY City of Tigard JUL 2 8 2O`i DateReceive Permit d �dSTZo2/-t�XJ�?o8 ^t 13125 SW Hall Blvd.,Tigard,OR 97223 plan Review. Phone: 503.7182439 Fax: 503.598.I9 , Date%Bv. Related Permit#: SIT Y Ur i IUARB Ready Date B . Juds: I B( See Page 2 for Inspection Line: 503.639.4175 ^+^ r� y Tl(ARU Internet: www.tigard-or.gov BUIi_i)INCi�✓islc��v Notified Method: Supplemental Information TYPE OF WORK PLAN REVIEW' El New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stones. ❑ Demolition ❑Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF coxsTRtftrioN exceeds 10.000 amps at 150 volts or 0 Floating buildings. Z 1-and family d+4ellinr� ❑Connnercialiindustrial ❑ 1ccessory buildin�� less to grotmd,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. 0 Multi-Liar i I ❑ Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SrFF INFORMATION AND LOCATION 0 Emergency system. larger separately derived 68160002 10841 LadyMarion Drive ❑Addition of new motor load of system. Job#: Job site address: l00HP or more. ❑'a" 'E" "l-'" "t-3" City/State/ZIP:/State/ZIP:'Fi and/OR/97224 ❑Six or more residential units. occupancy. y g' 0Recreational vehicle parks. ❑Health-care facilities. Suite/bldg./apt.#: Project name:Trillium Hill 0 Hazardous locations. 0 Supply'voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site:SW 109°i AVE AND Ski'Lady Marion dr FEE S('IIEDL`I..l, Description I Qty. I Each 1 Total l New residential single-or multi-family dwelling unit. Subdivision:Trillium Hill Lol`':2 Includes attached garage. 1,000 sq.ft.or less 1 168.54 16854 4 Fax map/parcel'i:251 101)11 1401 Ea.add'I 500 sq.ft.or portion 4 33.92 107.76 1 DESCRIPTION OF WORK Limited energy,residential 0 75.00 New single family home to be build-2413 sgft,3 bedroom 3 bath home with 603 see 3 car garage 117 soft covered balcony and 108 soft covered (with above sq.ft.) Limited energy,multi-family 75.00 2 back patio residential(with above sq.ft.) Renewable Energy ❑ See Page 2 ® PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation Name: On'id WW.eekley Homes 200 amps or less 100.70 2 Address: 1905 NW 169th Place Suite 102 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Beaverton/OR/97006 601 amps to 1,000 amps 301.04 2 Phone:(503)213-4415 Fax:( ) Over 1,000 amps or volts 552.26 2 ii 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 O,,uner signature: Date: 401 amps to 599 amps 168.54 2 2 APPLK:AN"f ® CONTACT PERSON RSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name:David Weekley Homes above service or feeder fee, 7.42 each branch circuit Contact name:Meghan Ticknor B.Fee for branch circuits without Address: 1905 NW 16911 Place Suite 102 service or feeder fee,first 56.18 2 branch circuit City/State/ZIP:Beaverton/OR/97006 Each addl branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503)213-4409 Fax: :( ) Each manufactured or modular 67.84 2 dwelline,service and/or feeder Email: m tic knoradw horn es.com 2 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 ermits arnerelectric.com Industrial plant(1 hr min) 78.18'hr Email: p @g Inspections for which no fee is CCB Lie.:121159 Electrical Lic.' 4-305C Suprv.Lic.:3707S specifcally listed(r.•_hr min) 90.00i hr ELECTRICAL PERMIT FITS Suprv.Electrician signature,require Subtotal. i/ Print name:Charles Garner / / Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): �2e�!L�,yr�� 5�/2 ad TOTAL PERMIT FEE: Authorized signature: —(/�J� ¢ This permit application expires if a permit is not obtained within 180 ,r Print name:Brittany Burian Date:7/28/21 days after it has been accepted as complete. , ° Number of inspections allowed pet'permit. I'rBuilding\Permits`:ELC_PermitApp_ELR_ERE.doc Res 061 440-4615Tt I i"05/CONI/WEB • • Electrical Permit Application —City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCREDULE Description I Qty. I Each I total Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 n A• udio and Stereo Systems* 1501 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: n Burglar Alarm 25.01 to 50 kva 301 04 2 50.01 to 100 kva 552.26 2 ® Garage Door Opener* %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 El Vacuum Systems* -100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ O• ther: Each additional inspection is 66.25 hr I charged at an hourly(I hr min) Inspections for which no fee is 90 00!hr { [��} 7i specifically listed .:hr min) i l'{ .. ., ., •.Ag80l�,,�,e , ., i .. rriri z rY'a, V, ..r. .. .3 ` �`' Subtotal(Enter on Page 1). Fee for each commercial system: $75.00 Number of in pectionsauowedperpennit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ B• oiler Controls ❑ Clock Systems ❑ D• ata Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC El Instrumentation ❑ Intercom and Paging Systems n Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls El O• utdoor Landscape Lighting* ❑ Protective Signaling n O• ther: Total number of commercial systems: _ *No licenses are required. Licenses are required for all other installations L.ABwlding'Pe rnits El( PerrnilApp FIR ERE doc Ray Os 17;2015 Plumbing Permit Application En�I�� Building Fixtures VV I oi: ()II I( I 1 ,1 (1v1 1 �1 City of Tigard JUL 2 8 2021 Recote tly: ceivad PennitNo.,HSr202a-OO?cJ$ 111 13125 SW hall Blvd.,Tigard,OR 97223 R Phone: 503.718.2439 Fax: 503.598,1`L,t TIGARD Plmr av iow Other Permit No.: II,, ;;; Inspection Line 503.639.4175 BUILDINGoIVIJ�' 1DateRendy/By; airs: til See Page 2for Internet wvvw tigard or.gov Notlfted/Method Supplemental Information fr . ; a xr 10`, ip a,: i ,�t�.`�, n a b y 4' t y�,Ay ritike ciP -wt "0114i,i v is 6% _. �' ,.� 4c fir. 4 h¶"�,`' �'Ati (9P. 1,, - I l' SS 3F?Y .,J7k i ^'Y' ur -,,n., 14`tVQ G( So-.--;Ifni rr .T a�r�'>h;;:.h= .,v��iu t?t r�...7 Y.:. Sa �,,, ,j(��5'I.{�st) srj"•..�H ?,.;r:4'3J rrr'�';: ��ti�; �3 ;,:-.'-e,� Y: !' �-" _,�9 roe. e .,t ®New construction ❑Demolition For special ln/orrnarion use checklist. Description I Qty, I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(inoludes 100 It.for each utility connection) ,,y i r ev ' A =L 3 }�..�(� h[J 4 111 d a ai i SFR(1)bath 312.70 I:{F�3e F+� i M..t�ti..!f'.l,�i: M�R �� ,F ��: .,t r!,}�P e�'��.'F�'it�hR� 1 ��. .f ElI-and 2-family dwelling 0 Commercial/industrial SIR(2)bath 437.78 ❑Accessory buildingSFR(3)bath I SU0.32 50032. - 0 Multi-family Each additional bath/kitchen 25,02 0 Master builder 0 Other: Fire sprinkler( sy.ft.) Page 2 .1'46-7i4fign 00-K 14.4 >1011 "Y 1 i A '�M Site utilities: Job site address: 10841 Lady Marion Drive Catch basin or area drain 18,76 City/State/7..IP:9'igardlOR/97224 Drywoll,leach line,or trench drain 18,76 Footing drain(no.linear tt,:2,31 Page 2 87,55 Suite/bldg./apt.no.: Project name:Trillium Hill Manufactured home utilities _ 50.03 Cross street/directions to job site:SW 1090'AVE AND SW Lady Marion Dr Manholes 18.76 Rain drain connector 18,76 Sanitary sewer(no.linear ft,: ) - Page 2 Stone sewer(no.Linea R,:_„_) Page 2 Water service(no.linear ft,:,__) _ Page 2 Subdivision:Trillium Hill Lot no,: 2 Future or item: Tax map/parcel so.:25110DA 11400 Baoktlow preventer 1 - 31,27 31.27 !+3V�yyyic a � -r.' Wy��rov�n {�r2��.YW rr ��-. e� + s-� , �j? Aaokwatdr valve 12,51 '' `'t e ` °' -.' C(almswasher 1 25.02 25.0_2 New single family home to be build-2413 sqft,3 bedroom 3 bath home with 603 sqft 3 car garage,117 sqft Dishwasher I 25.02, 25.02 overad balcony and 108 sqft covered back patio. Drinking fountain 25.02 Ejectors/sutnp 25.02 .x e tr 60T $�"t A ity , J F aExpansion tank 12.51 y Name:David Weekley Homes Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 1905 NW 169'Place Suite 102 Garbage disposal 1 25.02 23.02 City/Statc/ZIP:Beaverton,OR 97006 Hose bib 1 25.02 Phone:(503)213-4415 Fax:( ) Ice maker 1 12.51 12.51 f L` tr�'"�k"� t 7u tA� ri n r t6 ,14t `� y1 sy�yj6gt ^t interceptor/grease trap 25.02 Business name: David Weekley}tomes Medical gas(value:$`) Page 2 - Primer 12.51 Contact name: Meghan'Tick nor Roof drain(commercial) 12.51 Address: 1905 NW 169's Place,Suite 102 ' Sink/basirllevatory ___..5 25.02 City/State/ZIP:Beaverton/OR/97006 Solar units(potable water) 62,54 Phone:(503)213-4409 Fax::( ) Tub/shower/shower pan 3 12,51 25.02 F,-mall:ntsehiedierra)dwhomes,com Urinal _ 25.02 _ � �<<� 1 �r� c ��� g , ,,.� Water closet � 25.02 2..'t , „ e' '', ,' ° "rh+ ' •''-' . ` " 'K 'G" 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 Minimum permit fee: $72.50 Phone:(503)324-0759 Fax:( ) CCB Lic.: 102535 Plumbing Lie.no,:34-276PB Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: Carolina Malmedal `ESm ---. _--- - TOTAL PERMIT FEE 7/2 /ZI Thisapplication permit a r lication expired If a permit Is not obtained vvithla I80 days Print name:CarolinaMulmedal Date: I after ithos been pceptedascomplete, y 'Fee methodology son by Tri.Counly F3uildMg Industry Service Bomd, t:t8uildin)p ur(nits dPLMIJ•pw'nutApp.doc I0/01'04 4'It1.4616T(10,e2/COM/WEB) , lY 'M 4iAE$aa•t1iiak43ii4Art>tt44.JFttWH a.,,ta:.*WM44ei+iuf+NLetxiuNNauxtMatlsuxtAlluuri•twuuesuaww_... City of Tigard :114 COMMUNITY DEVELOPMENT DEPARTMENT T 1 e A RD Building Permit Review — Residential Building Permit #: PI ST2OZI-d O3d Site Address: 10841 SW Lady Marion Dr Project Name: Trillium Hill Lot #: 2 Planning Review Proposal: New House E Verify address/suite#active in Accela. In River Terrace: gi No 0 Yes, River Terrace Review Addendum Site Plan Elements: *1Erosion Control ®3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper n®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 ®Utility locations&easements(required for new and additions) ®Site address,project or subdivision name and lot number ®Sidewalk/driveway approach ®Applicant information(name and phone number) n®Location of wells/septic systems ®Lot dimensions and building setback dimensions ®Street tree size,type and location !lSquare footage of buildings to be demolished EStreet names rqExisting structures on site ®Corner elevations(2'contours if more than 4'differential) I@Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? EtiyAs ❑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: 0 Yes,applicant was notified ICI No Received: 0 Yes 0 No KJ 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 ❑ No Received: ❑ Yes ❑ No ® Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified g No Applied For: ❑ Yes ❑ No,stop intake ElLand Use Case#: ZON2018-00002 0Zoning: R-4.5 ® Required Setbacks: Front: 20 Rear: 15 Side: 5 Street Side: N/A Garage: 20 X❑ Building Height Max.Height: 30 Actual Height: 25 Landscape Area: % 01 Lot Coverage Max: cyo Entrance $] Set back no more than 8'from street-facing wall E Parallel to street or offset 45 degrees or less Windows ® Minimum 12%of area of all street-facing facades 18% Garage ® Garage door is behind widest street-facing wall 1 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 eave ❑ Roof offset ❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony El Visual Clearance ® Urban Forestry Plan ® Sensitive Lands: ® Yes ❑ No Type: Significant tree groves $7 Conditions met prior to issuance of building permit Notes: ® Approved By Planning: 4A4etrb Date: 7/29/2021 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved 0 Not Approved Revision 2: ❑ Approved ❑ Not Approved 1:\Building\Forms\BI dgPerm itRvw_RES_122419.docx Building Permit Submittal/ Original Submittal Date: e6/Z�1.Oz/ Site Plans: #<!! Building Plans: # Building Permit#: Enter building permit#above. �/ Workflow Routing: Planning L L Engineering Permit Coordinator Building Workflow Sign-off: [Sign-off for Planning(include notes from planning review) Route Application Documents: @Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application,site plans,building plans, engineer and beam calculations .,. st details,if applicable, etc. Notes: By Permit Technician: Date: 0876?/ZOZ/ Engineering Review lope at building pad: < 6 I Conditions"Met"prior to issuance of building permit asements (encroachments) per engineering conditions of approval and plat L—W ater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes �No Assess Water Quantity Fee in-lieu: ❑ Yes [No �,� LIDA Facility on lot: ❑ Yes L�'No L7 rinal Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: L pproved by Engineering: ��- r'St+Et(Z_ Date: 02_I Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit 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: Revision Notice 2: Date Sent to Applicant: SDC Exemption: ❑ Received /Does not apply "SDC Fees Entered: Wash Co Trans Dev Tax: "Yes ❑ N/A Tigard Trans SDC: / Yes ❑ N/A Parks SDC: / Yes ❑ N/A LIDA ❑ Yes R N/A XOK to Issue Permit Approved by Permit Coordinator: Date: 0151202r I:\Bui Id ing\Forms\B1dgPermitRvw_RES_122419.docx • Dianna Ornelas From: Schiedler, Michele <MSchiedler@dwhomes.com> Sent: Thursday, August 26, 2021 10:55 AM To: #Building Permit Technicians Subject: RE: SDC Credits - Previous Home on Site -Trillium Hill Warning!This message was sent from outside your organization and we are unable to verify the sender. Thank you! Let's go ahead and apply to this one! t_p Thank you again Michele Michele Schiedler I Division Coordinator I Portland Oregon Principal Broker—Weekley Homes,LLC Washington Managing Broker—David Weekley Homes New Home Realty D 503.213.4415 I M 503.349.0291 I mschiedler@dwhomes.com 1905 NW 169th PI,#102 I Beaverton, OR 97006 David C ey Homes 0 © 0 From:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Sent:Thursday,August 26, 2021 10:46 AM To:Schiedler, Michele<MSchiedler@dwhomes.com> Subject: RE: SDC Credits- Previous Home on Site -Trillium Hill Hi Michele, Attached is a preliminary invoice r Iot 2. I of the fees for Washington County TDT,Tigard Transportation and Tigard Parks would be credited. Thank you. Dianna L. Ornelas Building Division Services Supervisor City of Tigard I Community Development 13125 SW Hall Blvd I Tigard, OR 97223 503-718-2430 Direct 1503-718-2439 Permits From:Schiedler, Michele<MSchiedler@dwhomes.com> Sent:Thursday,August 26, 2021 10:41 AM To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: RE: SDC Credits- Previous Home on Site-Trillium Hill 1 Hi Dianna! Thank you so much for reaching out! Question before we apply, might you know the amount of the credit? Michele Schiedler I Division Coordinator I Portland Oregon Principal Broker—Weekley Homes,LLC Washington Managing Broker—David Weekley Homes New Home Realty D 503.213.4415 I M 503.349.0291 I mschiedler@dwhomes.com 1905 NW 169th PI,#102 I Beaverton, OR 97006 David NWeldey Homes From:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Sent: Wednesday,August 25, 2021 4:57 PM To:Schiedler, Michele<MSchiedler@dwhomes.com> Subject: RE:SDC Credits- Previous Home on Site-Trillium Hill Hi Michele, Julie is ready to post-review/invoice lot 2 right now. Do you want the demo credits applied on this permit? Thank you. Dianna L. Ornelas Building Division Services Supervisor City of Tigard I Community Development 13125 SW Hall Blvd I Tigard, OR 97223 503-718-2430 Direct 1503-718-2439 Permits From:Schiedler, Michele<MSchiedler@dwhomes.com> Sent:Tuesday, August 24, 2021 10:15 AM To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: RE: SDC Credits- Previous Home on Site-Trillium Hill Good morning Dianna, Thank you for the quick response! Great news! Just double-checking which lot to apply to,to be continued. Q I will have an answer shortly! Thank you again, Michele Michele Schiedler I Division Coordinator I Portland Oregon Principal Broker—Weekley Homes,LLC Washington Managing Broker—David Weekley Homes New Home Realty D 503.213.4415 I M 503.349.0291 I mschiedler@dwhomes.com 1905 NW 169th PI,#102 I Beaverton,OR 97006 David Aieldey Homes 0006 From:#Building Permit Technicians<TigardBuildingPermits@tgard-or.gov> Sent:Tuesday,August 24, 2021 10:01 AM To:Schiedler, Michele<MSchiedler@dwhomes.com> Subject: RE: SDC Credits- Previous Home on Site -Trillium Hill Good morning Michele, I have checked our records and I found one demo permit for the address of 15100 SW 109th Ave that was issued on 4/26/2012. I confirmed with our Utility Billing(UB) division that the property was not billed for public sewer and it was on septic, and the water service is Tualatin Valley Water District but our UB notes that the property was on a well. The demo permit was never inspected to confirm that all debris was removed and septic properly decommissioned so we have expired the permit. Since construction of the subdivision has commenced, we cannot confirm this, and fortunately,the demo permit is not over 10 years old so we will allow demo credits for transportation and parks for(1) dwelling unit. Please let us know which lot you want these credits applied to so that we can make notes on the demo permit and the new construction permit (that has not yet been issued) in our system. I see three lots in pending status that the credits can be applied towards: lots 6&9 under review, and lot 9 in post review and waiting to be invoiced. Also, if you want the credits applied to a lot that has not yet been submitted, please indicate the 'demo credits apply from BUP2012-00086 apply towards this permit' in the description of work. Thank you and please let me know if you have any questions. Dianna L. Ornelas Building Division Services Supervisor City of Tigard I Community Development 13125 SW Hall Blvd I Tigard, OR 97223 503-718-2430 Direct 1503-718-2439 Permits From:Schiedler, Michele<MSchiedler@dwhomes.com> Sent: Monday,August 23, 2021 4:51 PM To:#Building Permit Technicians<TigardBuildingPermits@tgard-or.gov> Subject:SDC Credits- Previous Home on Site Good afternoon, Wondering if someone might be able to assist with a question or point me in the right direction. Might there be any SDC credits available to us; base on the previous home that was on site for Trillium Hill? Thank you in advance, Michele Schiedler Michele Schiedler I Division Coordinator I Portland 3 Oregon Principal Broker—Weekley Homes, LLC Washington Managing Broker—David Weekley Homes New Home Realty D 503.213.4415 I M 503.349.0291 I mschiedler@dwhomes.com 1905 NW 169th PI,#102 I Beaverton, OR 97006 David Weekley Homes 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." ***This email originated from a non David Weekley Homes email address*** 4 tf / 1 -k ?0 C '- / % W a - ddo6'6 ( /sue Dianna Ornelas tut,q—r r,.J - /--7z.., Co Al 7 4-G-.7 e P - 7Z) From: UB Online Sent: Monday, August 23, 2021 5:48 PM To: #Building Permit Technicians Subject: RE: 15050 & 15100 SW 109th Ave Hi, We don't show the address of 15050 SW 109th Ave in our UB Springbrook system. 15100 SW 109th Ave shows that we closed that address out as of April 2019 because it sold to become Trillium Hills Subdivision. At the time, we were not billing the address sewer. As for water, the address is in the Tualatin Valley Water District jurisdiction and we have notes that it was on a well. Kind Regards, Jill (she/her/hers) A Wis,, Jill ,AVE yp11 LAW BE4 yrin. a City of Tigard-Utility Billing '- Senior Accounting Asst . (888)826-7211 Payments (503)718-2460 UB Main jiflb@tigard-or.gov (503)718-2494 KIL 13125 SW Hall Blvd. Tigard, OR 97223 From:#Building Permit Technicians <TigardBuildingPermits@tigard-or.gov> Sent: Monday, August 23, 2021 5:07 PM To: UB Online<UBOnlinepay@tigard-or.gov> Subject: 15050& 15100 SW 109th Ave Hi UB Team! Can you please tell me if you have any water and sanitary sewer billing records for either address 15050 and 15100 SW 109th Ave? I show a demolition permit in 2012 for 15100 SW 109th, but can't find anything for 15050. Thanks! Dianna L. Ornelas Building Division Services Supervisor City of Tigard I Community Development 13125 SW Hall Blvd I Tigard, OR 97223 503-718-2430 Direct 1503-718-2439 Permits 1 CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT • Permit#: BUP2012-00086 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/26l2012 Parcel: 2S110DA00400 Jurisdiction: Tigard • Site address: 15100 SW 109TH AVE Project: Hagel Subdivision: WILLOW-BROOK-FARM Lot: 6 Project Description: Demo 1,800 sq ft residence and 800 sq ft shed. Septic must be removed or pumped and filled. DEMO CREDITS for TDT,PARKS and WATER may apply for new construction. Contractor: SCOTT DAHME CONSTRUCTION INC Owner: HAGEL, MICHAEL&SHAWN PO BOX 1389 14979 SW JULIET TER SHERWOOD, OR 97140 TIGARD, OR 97224 PHONE: 503-784-4909 PHONE: FAX: 503-628-0858 . FEES Specifics: Description Date Amount Type of Use: SF Permit Fee-Additions,Alterations, 04/26/2012 $210.59 Class of Work: DEM Demolition Dwelling Units: 0 12%State Surcharge-Building 04/26/2012 $25.27 Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 04/26/2012 $64.00 Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-LRP 04/26/2012 $9.00 Value: $8,500 Erosion Control 04/26/2012 $26.00 Erosion Plan Review CWS 04/26/2012 $8.45 Erosion Plan Review COT 04/26/2012 $8.45 Floor Areas: Total Area: 0 • Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 • Deck: 0 • Garage: 0 Mezzanine: 0 Total S351.76 Required: Required Items and Reports(Conditions) / Fire Sprinkler: Parapet: Ef2OS/Ofl 0N7Z0C� /A/SP£tT/ON Fire Alarm: Protected Corridors: Smoke Detectors: Manual Pull Stations: Accessible Parking: 0 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 i suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Th e 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 0 Issued By: � Permittee Signature: Call 603.639.4176 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. want to... 1 9 . „, ii,•,i - ..i.:-‘,-;: „,tigir,,t,,,,. , - 1t , s ,n it re ' 4. 7, (4iil, Si V.e . , 113 s ir„.• . a '1 ti liiNvii twiK�"7i 051 I t II 4WYA5D IA $ . 4 # r 1940 2020 Leaf-off ,c, 5 i; 4 r fl 0 30 60ft ,e. . 111.Fr i.}. 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City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT ili Transmittal Letter T 1 G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: - q /A7\ NY C r ►O i r U y L DATE RECEIVED: DEP T. BUILDING DIVIISIION RECEIVE® FROM: VA-(0Y LN 1 l C J VIVI/ AUG 19 2021 COMPANY: David Weekley Homes CITY OF TIGA PHONE: (503)213-4409 BUILDING DIVIS C . EMAIL: mticknor@dwhomes.com RE: 1 )SL4 ( )2(AL5 IA r i uY) ( • M5T-2612-1 - DO (Site Address) (Permit Number) YI 1uw \ fh \ L' + 2. (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: , f"1 1 �- Cross section(s)and details. Wall bracing and/or lateral analys Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: ‘ '\ i V\ \KcveU (a L F 1 Qorr 1 a kAo u+- \Ai�S a mi Apr i t -\- - PIsn 6(ci vAu+-fi- ci-- fi-o p . V2-ev st&N mae t? CTxYveCi- 1 d -rtfil - pDc\e, . FO OFFI E USE ONLY Routed to Permit Technician: Da • Co Z 21 Initials: 1144— Fees Due: ❑ Yes o ee Descr ption: Amount Due: $ t--- (° ° 6--------- $ ;:,--------- Special Instructions: Reprint Permit(per E): ❑ Yes No '�� ElDone Applicant Notified: ate: �� ,2-( Initials: 4