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Permit
CITY OF TIGARD MASTER PERMIT II 14 • COMMUNITY DEVELOPMENT Permit#: MST2021-00339 Date Issued: 10/07/2021 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110DA10900 Jurisdiction: Tigard Site address: 10894 SW LADY MARION DR Subdivision: TRILLIUM HILL Lot: 9 Project: Trillium Hill, Lot 9 Project Description: New detached dwelling BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 4 First: 2153 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 18 Bathrooms: 2 Second: 0 sf Garage: 400 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 2153 sf Value: $312,188.78 Rear: 15 PLUMBING Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Footing Drain: 0 Ice Maker 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 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!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 2153 Owner: Contractor: WEEKLEY HOMES LLC WEEKLEY HOMES Required Items and Reports(Conditions) 1111 NORTH POST OAK RD 1905 NW 169TH PLACE SUITE 102 HOUSTON,TX 77055 BEAVERTON,OR 97006 PHONE' PHONE: 503-213-4415 FAX: Total Fees: $38,657.00 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 oc9-nnl-nnin fhrnunh nSA Q99-nn1-nnon vnu mmi nht in a rnnv of fho ndoc nr riironf ni,eminne to ni iMC by naiiinn 4n1 919 1027 nr 1 grin 119 91114 Issued By: t•-lo((el Vain.Pe 1n/ede Permittee Signature: Okv Appticcoli3O-0, 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. .. W. _ _ _ . .. . . w . Building Permit Application _ �, (3 17 Z Residential ..A - / FOR OFFICE USE ONLY Received City of Tigard AUG 17 20?1 $ f 2021 � Permii No.MSTZOZI'4O339 4 13125DatelBy: Phone: SW Hall Blvd.,Tigard,OR 97223 Plan Review 1 1 ) ^ nt / � C Phone: 503.718.2439 Fax: 503.598.1960 ' Date/By: 4 ' /T r' Other Peer€ CITY��_�,iu�,�17 y TtGARD Inspection Line: 503.639.4175 BUILDING DIVI ICrr, DateReady/By: ( ions [,�. El See Page 2for Internet: www.tigard-or.gov Nopied/Method: '�{-1- Supplement al Information TYPE: OF WORK REQUIRED DAI'A:I-AND 2-FAMIILYDWELLING ®Nev‘ construction ❑ I)emolilion — Permit lees* are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all rt ❑Addition/alteration/replacement El Other: equipment,materials,labor,overhead,and the profit for the 't this work indicatedon application. 1 CATEGORY OF CONS"1RUCTION4D ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $3 31 ail% , ❑Accessory building 0 Multi-family Number of bedrooms: 4 ❑ Master builder ❑Other: Number of bathrooms: 2 JOB SITE INFORMATION ,AND LOCATION Total number of floors: 1 S6.53 Job site address: 10894 Lady Marion Drive New dwelling area: 2153 square feet f Js3 , �I City/State/ZIP:Tigard/OR/97224 Garage/carport area: 400 square feet 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 `( ,q area:'(2. square feet '��Atu :oy'C ,,t(f ! square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:Trillium hill Lot no.:9 Pernut ices' are based on the‘aloe of the work performed. Tax map/parcel no.:2S110DA11400 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 SOLI 4 Bedroom,Study,2 full bathrooms Valuation: $ 400 SQFT 2 car garage with a 169 SQFT covered rear deck. Existing building area: square feet New building area: square feet ® PROPERTY OWNER 0 TENANT Number of stories: Name: David\%cekley Homes Type of construction: Address: 1905 NW 169th Place Suite 102 Occupancy groups: City/State/ZIP:Beaverton,OR 97006 Existing: Phone:(503)213-4415 Fax:( ) New: 0 APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES" (Please refer to fee sehedu49 Business name: David\\eekley Home, �� Structural plan review fee(or deposit): Contact name:Meghan Ticknor Address:1905 NW 169"'Place,Suite 102 FLS plan review fee(if applicable): City/State/ZIP:Beaverton/OR/97006 Total fees due upon application: Amount received: Phone:(503)213-4409 Fax: :( ) E-mail: mticknorrw�dwhomes.com PHOTOVOLI AIC SOLAR PANEL.SYSTEM EM FEES" Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: David Weelaev 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 i Authorized signature: r This permit application expires if a permit is not obtained within l80 days after it has been accepted as complete. Fee methodology set by'Fri-County Building Industry Print name:Meghan tcknor Date: s t1 * I Service Board. C\Building\Permits\BUP-RESPermitA .doc 02/24/2011 440-461 T I l/� b pp ( 2/COM/WEB) Building Permit Application Checklist • One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received g Data/By: Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: Phone: 503.718.2439 Fax: 503.598.1960 TIGARD 24-Hour Inspection Line: 503.639.4175 El Electrical ® Plumbing it 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. ® ❑ ❑ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ® ❑ ❑ 3 Verification of approved plat/lot. E ❑ ❑ 4 Fire district approval required. Name of district: • ❑ ❑ 0 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ 0 6 Sewer permit. ❑ 0 ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. E ❑ ❑ 9 Erosion control E plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- E ❑ ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state E ❑ ❑ 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 E ❑ ❑ 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 E ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, E ❑ ❑ 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- E 0 ❑ floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height.siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. /1 ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ® ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing E ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ 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. ® ❑ ❑ 21 Energy Code compliance. Identity the prescriptive path or provide calculations. A gas-piping schematic is required ® ❑ ❑ 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 ® ❑ ❑ architect licensed in Ore•on and shall be shown to be a',licable to the ,ro'ect under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ® ❑ ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. E ❑ ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. E ❑ ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ® ❑ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. E ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard E ❑ 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations.driplines. ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ ❑ including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit ApPlicatio 5,--rL FOR OFFICE USE ONLY City of Tigard '�� Received Q .�^�( /� Date/By: PennitNo M�7�L��"l•tJ"�/�� • 13125 SW Hall Blvd.,Tigard,OR 97223 AUG1 7 2 ,, 44 b G 2071 Plan Review Phone 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: T I G A R D Inspection Line 503.639.4175 CITY OF 1 IGARD Date Ready/By: Jens: 0 See Page 2 for Internet: wwtiv tigard-or.gov 9UII-DING DIVISION Notified Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CIIECKL.IST Mechanical permit fees*are based on the value(-tithe work ® New construction ❑ .Additiomalteration replacenient performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESTDF,N'ITAI,EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling ❑Commercial/indusu i,il ❑ \ccesorc building For special in/ormafiort use checklist. ❑ Multi-family 0 Master builder ❑ Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning I 46.75 46.75 Job site address: 10894 Lady Marion Drive _ Furnace 100,000 BTU(ducts/vents) 1 46.75 46.75 City/State/ZIP:Tigard/OR/97223 Fumace 100,000+BTU(ducts/vents) 54.91 Heat pinup 61.06 Suite/bldg./apt.no.: Project name:Trillium Hill Duct work 23.32 Cross street/directions to job site:SW 109°i 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 h Lot no.:9 Other: 23.32 UM Other fuel appliances: Tax map/parcel no.:2S1 10DA 11400 Water heater I 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-2153 sqft,4 bedroom,Study,2 full baths fireplace 23.32 400 SOFT 2 car garage with a 169 SQFT covered rear deck. Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 ►:1 :PROPERTY OWNER 0 'TENANT Environmental exhaust and ventilation: Name: David Weekley Homes Range hood/other kitchen equipment 1 33.39 33.39 Address: 1905 NW 169°i 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 0 CONTACT PERSON Other: 23.32 Fuel piping: Business name: David Weel.ley Homes $14.15 for first four;$4.03 for each additional Contact name::M1leghan 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)213-4408 Fax: :( ) Fireplace Range E-mail: mticknor'a'tlwhomcs.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:David 1V'eckley Homes Other ---- MECTIANICAI.PERMIT FEES* Address: 1905 N%% 169t6 Place Suite 102 Subtotal City/State/ZIP: Beaverton/OR/97006 Minimum permit fee($90.00) Plan review(25%ofpermit fee) Phone:(503)213-4415 Pax:( ) State surcharge(12%ofpermit fee) CCB lie.:213653 TOTA.I..PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tn-County Building Industry Service Board Print name:Ken Putt n Date:2 11/2, 1 r\Building\Permits\MEC_PermitApp_040113_doe 440-4617T((II I/02/COM/WEB1 Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building\Permits\MEC_PermitApp_040113.doc 2 Electrical Permit Applicatio1RECEIVED FOR OFFICE USE ONLY City o Tigard Received Permit i:148T 2 _0,53 gcii f g AUG 1 7 2021 Date By 1 3125 SW Hall Blvd.,Tigard,OR 97223 Plan Res new ' 9 Phone: 503 718.2439 Fax: 503.598.1960 DateBy Related Permit y: Inspection Line. 503.639.4175 CITY OF I IGARa i Ready Date'By inns' 1 H See Paget for I I G A R D Internet: WNW.tigard-orgov 7,,,1 flwr:I. ("Ilir...:'I; Notified%titethod: Supplemental Information TYPE. OF WORK PLAN REVIEW ® \e« construction ❑;Addition 1ltmutitm'r_'hliccnient I tc,ue check all[hat apple;,Jimi r 2 sew of plans w/items checked): ❑Service or feeder 400 amps or more 0 Building over three stories. ❑ Dcnlnl itiolt ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSI R(+C'FlON exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® I-and 2-family dwelling [2]Commercial/industrial ❑Accessory building less to ground or exceeds 14,000 ❑Commercial-useagriculanal amps for all other installations buildings. ❑Multi-family 0 Master builder ❑Other: ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived 0 Addition of new motor load of system. Job#: 68160009 Job site address: 10894 Lady Marion Drive 10014P or more. ❑ A "E'°.'1-2","1 ", City/State/ZIP:Tigard/OR/97224 0 Six or more residential units. occupancy. 0 Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name:Trillium Hill ❑Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site:SW 109th AVE AND SW Lady Marion dr FEE SCIIEDGLE Description I tiny. I Each I Total I New residential single-or multi-family dwelling unit. Subdivision: Lot#: 9 Includes attached garage. 1,000 sq.ft.or less 1 168.54 168.54 4 'Fax map/parcel#:2S110DA11400 Ea.add'I 500 sq ft.or portion 4 33.92 107.76 1 DESCRIPTION OF WORK Limited energy,residential New Single Family Lome to be built-2153 SQF 4 Bedroom.Study,2 full bathrooms (with above sq.ft.) 75.00 2 h T Limited energy,multi-family 75.00 2 400 SOFT 2 car garage vv ith a 169 S I I coy ered rear deck. residential(with above sq.ft.) Renewable Energy 0 See Page 2 ® PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation Name: David Weekley 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 30034 2 City/State/ZIP: Beaverton/OR/97006 601 amps to 1,000 amps 301.04 2 Phone:(503)213-4415 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale, lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 ® APPLICANT Ica CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name:David Weekley I above service or feeder fee, 7 42 2 each branch circuit Contact name:Meghan Ticknor B.Fee for branch circuits without service or feeder fee,first 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: :( ) Each manufactured or modular 67.84 2 dwelling,service and,or feeder Email: mticknora'dw!tom es.com Reconnect only 67.84 3 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 Address:2890 SE Brookwood Ave panel,alteration,or extension. ❑ See Page 2 2 City/State/ZIP:Hillsboro,OR.97123 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.24/hr Phone:(503)648-4552 Fax:( ) Investigation(1 hr mm) 90.00/hr Email:permits@garnerelectric.com garrlerelectric.c0111 Industrial plant(I.hr min) 78.18'hr Inspections for which no fee is 90 00'hr CCB Lie.:121159 Electrical Lie.- 4-305C Supra. Lie.:3707S specifically listed(' hr min) ELECTRICAL. PERMIT FEES Supra.Electrician signature.require Subtotal: Print name:Charles Garner Date: 8/13/21 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: 154111.4 3L/.4.44 - TOTAL PERM11 FEE. This permit application expires if a permit is not obtained within 180 Print name:Brittany Burian Date: 8/13/21 days after it has been accepted as complete. * Number of inspections allowed per permit. I Buitdine`.Perm,is`ELC Permit\pp_ELR ERE.doe Rev 06i 17/2015 4404615'4II Os COMN'ES • Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENT AL*ORK ONLY: FEE- �Diaz' Fee for all residential systems combined: S75.00 ne Reenewnewan �`� ��`� ,Total able electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ A• udio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ B• urglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 3 ® Garage Door Opener* =100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ® Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7 42 3 ❑ V• acuum Systems* -100 kva-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is 66.25%hr charged at an hourly(I hr min) Inspections for which no fee is 90 0lE hr specifically listed min) COMMERCIAL WORK ONLY: ELECTRICAL. PERMIT FEES Subtotal(1-rater on Page 1). Fee for each commercial system: S75.00 * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls n Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ L• andscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ O• utdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I I\Building!Permits\ELC_PennitApp_ELR_ERE.doc Rev 06 17/2015 ',:.,.» RECEIVED AUG 17 2021 Plumbing Permit Application CITY OF " (GAR® Building Fixtures BUILDING DIVISION City of Tigard R°�1°d Penult Na.: j'dd '3� 13125 SW Hall Blvd.,Tigard,OR 97223 fktte/thy; Phone: 503.718.2439 Fax: 503.598.1960 Plan Review NKr Perini t No.: Inspection Line: 503.639.4175 Internal Re Date/By: Dow Ready/By: June. ` f ti See Page 2 for www.tigard orgov Notified/Method; Supplements 1 In fo rm alias e,kiea,>,. it, ion t,�r1 ny ,, i% y� > t�'} fi T M3. .�r Syr r i ,•} }. tr c*x iff tie c kj�, fk f' 1 n ,���" - .7 i,., :,, 'ti bi .il.}C ., 41/K S x'ly t�1rW'44,-t �-. •%ram �`{ �f R`.i1,t s 3 grits dt �':x lltl�)r[�;KL 1,1%;.4, 4110 er,.. .` �b :�alt"a t:.:. +, t1""� ti,s..,_ A i,.. � ,i4.:i\s, rwi-.-...,:4 at. ��..".,:+. a„i.�r5> ;>... . :. S -t...�,vt)y ap:+,k`E�S. ..i.; ®New construction 0 Demolition .Forspeclrtl information use checklist. Description L Qty. I Ea. I Total • ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 It.for each utility connection) r + x r.n.IrS+'.r t aY tt r :a +-r V 1.° to t V, 1 "� .p`t n SFR t bath 312,70 ®I-and 2-family dwelling ❑Commercial/industrial SIR(2)bath 1 437.78 __ ❑Accessory buildingy bed(3)bath 500.32 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: ��/ '{¢' ��(� �y, Fire sprinkler(`sq.II,) Page 2 ri. ..{"1l`{�C A"4...7 k f,i1, p�+ 'fl,bi j „ , a 7 d ,ono 1► oft ..,r t of t` ., site utilities: aft,.'3 � k��c tr•n W.! . .lr.>. Job site address; 10894 Lady Marion Drive Catch basin or area drain 18.76 Drywall,leach line,or trench drain 18.76 CltylStnta/I,IP;Tigard/OR/97224 Footing drain{no.linear It.:I& 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 1040 AVE AND SW Lady Marion Or Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_.) Page 2 Storm sewer(no.linear f.:.__) Page 2 Water service(no.linear ft.: __ Page 2 Subdivision:Trillium Hill I Lot no.:9 Fixture or item: Tax map/parcel no.:2SI IODA11400 Backtlow preventer 1 31.27 31.27 tifiri" +l llipe� K o t+t u" Backwater valve 12,51 ' zRWIL- '9" 7T �`''�"k Clothes washer I 25.02 25.02 New Single Family Home to be built-2153SQFT 4 bedroom,study,2 full bathroom Dishwasher l 25.02. 25,02 400SQFT 2 car garage with a 169SQFT covered rear deck. Drinking fountain 25.02 Ejectors/sump 25.02 rrePOVI Tt Yl ftlig MP404 . , Expansion tank 12.51 - Name:David Weekley Homes Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:1905 NW 169w Place Suite 102 Garbage disposal 1 25.02 25 02 City/State/ZIP:Beaverton,OR 97006 Hose bib 2 25.02 t Phone:(503)213-1415 Fax ( ) lee maker 1 12.51 12.51 irtiAtitlyiatrfrigl.74 Interceptor/grease trap 25.02 Business name:David Weekley Homes Medical gas(value:3_) Page 2 Primer 12,51 Contact name:Melilla nTicknor - Roof drain(commercial) 12.51 Address:1905 NW 169'"Place,Suite 102 ' Sink/basin/lavatory '4 25.02 City/State/ZIP:Beaverton/OR/97006 Solar units(potable water) 62.54 Phone;(5031213-4409 Fax::( ) Tub/shower/shower pan 1 2 12,51 E-mail:nischiedlert)dwhomesconi Urinal 25.02 • Water closet 2 25.02 �.' 4407k ' O a`"ti;'a°' e- t� Water heater t 37.52 37.52 Business name:Mahnedal Plumbing Water piping/DWV 56.29 Address:PO Box 207 Other: 25.02 City/State/ZIP:Banks/OR/97106 Subtotal Phone:(503)324-0759 Fax:( ) Minimum permit the: $72.50 CCB Lie,:102535 Plumbing Lie.no.:34.276.PB Plan review(25°ln of permit tee) State surcharge{12%ofpermit fee) Authorized signature: Carolina Maimedal TOTAL PERMIT FEE Print name:Carolina Malmedal Date:,8/13/21 This permit application expires If a permit is not obtained withlr 130 days after it has been accepted as complete, "Foe methodology set by Tri-Coiwty Building industry Servioe Board. ChauildngWermits/i'LMU-i'am4App,du° Ia/ai/09 440.4016:'(10/02/COM/WEIi) Plumbing Permit Application City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Suppression S stems fie, i:.t�{rry p'�M{{ +�p,�ytA\.�' d -1 {'t r54,�ff 4t4�� a. s. yC'1 t. Sqt aJs� rt Footing drain-I"100' 50.03 0 to 2,000 $121,90 Footing drain-each additional 100' 37,52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62,54 7,201 and greater $327.54 Sewer-each additional 100' 37,52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37,52 �µy�, t {� Vaig.4 l00�1';'Z �..e0!VC_OF ,..ee.✓a7�$r.:i.&•{ 1eW� 4,,:.C:tbr'R,d; ,-ti Storm&Rate Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1,52 far ..10, rP e410 l,1 each additional$100.00 or fraction thereof,to { �t n p tlOp t1 e e,w# �t.x:,: r KS ,"„ and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000,00 and$1,54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or traction thereof,to (minimum charge-1/2 hour) and including$25,000.00, Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000,00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge—1/2 hair) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? if"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. v r riawwti 6v Frtlrire T ue:.. „ . $i:tyrcT for c+ t v' vru1tr i �$ ! @1. 0)61( >fgkdlt1E !VOA � F ' >* eli t. hlidbnie Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath Tut>/Shower ❑ Any new commercial building with water service 2"and Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. Drive Thru 0 New exterior plumbing site utilities for any complex structure Cuspidor/WaterAspirator as defined in OAR918-780-0040, Dishwasher -Commercial ❑ Medical gas and vacuum systems for health cues facilities. -Domestic 0 Any multipurpose fire sprinkler system. Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above, 3" Car Wash Drain g ^t��391�r4ti P ��r# 54 ;:sef ,ar:: Garbage Domestic-non-food 0 Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial—food related -Industrial-food related Ice MachJRefrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Ree Vehicle Dump Station Shower -Gang -Stall Sink/I-nv -Non-Ford related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: C:\Users\Malmedal\AppData\L,ucat\Microsof\Windows\INetCache\Conteet.Outlook\3Ft2CXR48\Plumbing Per•mit,doe City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT T l c k D Building Permit Review — Residential I4 Building Permit #: 1,-4ST-2021-O 9 3 Site Address: 10894 SW Lady Marion Drive Project Name: Trillium Hill Lot #: 9 Planning Review Proposal: New House ® Verify address/suite#active in Accela. © In River Terrace: ® No ❑ Yes, River Terrace Review Addendum Site Plan Elements: ®Erosion Control !13 copies of site plan on 8-1/2"x 11" or 11 x 17"paper IBRetained trees with drip line and tree protection measures ®Drawn to scale(standard architect or engineer scale) &]Footprint of new structure(induding decks)and FFE ®North arrow EUtility locations&easements (required for new and additions) FlSite address,project or subdivision name and lot number In Sidewalk/driveway approach 1 ]Applicant information(name and phone number) OLocation of wells/septic systems ilLot dimensions and building setback dimensions ®Street tree size,type and location (Square footage of buildings to be demolished ®Street names !Existing structures on site ElCorner elevations (2'contours if more than 4'differential) Ifflt,ot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ( As ❑No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes ❑No C7 Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified II No Received: ❑ Yes ❑ No ® Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑ Yes,applicant was notified ® No Received: ❑ Yes ❑ No SDC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No ® Public Facilities Improvement (PFI) Permit Required: ❑ Yes,applicant was notified ® No Applied For: ❑ Yes ❑ No,stop intake ® Land Use Case#: ZON2018-00002 ® Zoning: R-4.5 ® Required Setbacks: Front: 20 Rear: 15 Side: 5 Street Side: 15 Garage: 20 ® Building Height Max.Height: 30 Actual Height: 18 Landscape Area: % ! Lot Coverage Max: p � Entrance ® Set back no more than 8'from street-facing wall tJ Parallel to street or offset 45 degrees or less Windows VI,Minimum 12%of area of all street-facing facades F: 13%/S: 12% Garage ® Garage door is behind widest street-facing wall ❑ Yes IN 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. 8] 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 is Visual Clearance ® Urban Forestry Plan ® Sensitive Lands: ® Yes El No Type: Significant tree groves ® Conditions met prior to issuance of building permit Notes: ® Approved By Planning: Date: 8/19/2021 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved 1:\Building\Forms\BldgPermitRvw_RES_122419.docx rrrarwrrrrr�r�rrrrrrrr✓ Building Permit Submittal Original Submittal Date: 07/ ,21 Site Plans: Building Plans: # 3 Building Permit#: -Enter building permit#above. Workflow Routing: Q-Planning [ Engineering La-Permit Coordinator ig'Building Workflow Sign off: L 'Sign-off for Planning(include notes from planning review) Route Application Documents: [Z1--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 and . st details,if applicable,etc. Notes: By Permit Technician: i/�<' Date: 000024 Engineering Review aS ope at building pad: /6g U.-Conditions"Met"prior to issuance of building permit [ Easements (encroachments)per engineering conditions of approval and plat 2"-Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes CNo Assess Water Quantity Fee in-lieu: ❑ Yes �No �/ LIDA Facility on lot ❑ Yes o J�J Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: e Approved by Engineering: ,� fiis 14 Date: -Z 3 7-o,a•[ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review ZS 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 eie Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: V Yes ❑ N/A Parks SDC: /Yes ❑ N/A LIDA ❑ Yes N/A OK to Issue Permit Approved by Permit Coordinator: Date: 8f 24 Zo2! I:\Building\Forms\B1dgPermitRvw_RES_122419.docx 4r 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 II - Transmittal■ Letter I I Ci I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Allyson Armstrong DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVEr FROM: Meghan Ticknor SEP 2 1 2021 COMPANY: David Weekley Homes CITY OF I'IGARL PHONE: 503.213.4409 BUILDING DIVISI(� — - EMAIL: mticknor@dwhomes.com RE: 10894 SW Lady Marion Drive {V1ST2 ,( (Site Address) (Permit Number) Trillium Hill Lot 9 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s)of plans. 2 Each Revisions: Calculation Package/Review Response Letter Cross section(s)and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: Please see the attached Calculation packages and the review response letter for the below revision that was to be made. 'The structural calculations do not match the plan at rear sheanvall.Calculations show a shearwall height of 9ft and plans call out balloon earning on page FRM-1.Detail 11/50.1 is not balloon framed.Please clarity.Plan B463-8' FOR E USE ONLY Routed to Permit Technici Date: 1TFFT L1 -I - Initials: MA- Fees Due: Yes NW Fee Description: Amount Due: N $ $ Special Instructions: Reprint Permit(per PE): n Yes VNo I I Done Applicant Notified: Date: ' 4,7 J Initials: