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Permit
� a CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2021-00505 Date Issued: 12/13/2021 T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110DA10300 Jurisdiction: Tigard Site address: 10819 SW LADY MARION DR Subdivision: TRILLIUM HILL Lot: 3 Project: Trillium Hill, Lot 3 Project Description: New detached dwelling BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 430 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 4 Second: 1957 sf Garage: 603 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 2387 sf Value $348,718.62 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100 Tubs/Showers: 4 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: 6 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 l 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 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 2387 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: $39,844.50 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 oc nn1_rn1n thrni,nh nAR oc,.nnl-nnon Vn,,mw nhfain nnn,,of the n,ioc nr,♦hart ni icetinne fn nl IMr by,-,n,nn CM 9'i9 10R7 nr 1 Ann Al?V 4A Issued By: Flo-U.Aj VO-4 'De We9e, Permittee Signature: Or't'A Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the iob site at the time of each inspection. ,,IP .. •.nn.n....Wi, Building Permit Application i Residential `' RECEIVED FOR OFFICE USE ONLY Cl of Tigard �y1- PermitN<74 g NOV 1.5 2021 D, e B iifi72oJ_/ .lir �OZI-Gt�5o5 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Re�ies Phone: 503.718.2439 Fax: 503.598.1960 Date Bti 1/j..j Ohr Peru j�0� 3 T IcARD InspectionLine: 503639.4175 CTY OF TIGARD Do Ready/Btwin See Page 2 for Internet: wvw.tigard-or.gov BUILDING DIVISION tified/Method. 1� , 1 Ar ®Supplemental Information / TYPE OF WORK RF.QI IR 1)DATA:l:1-AND 2-F%'1IL1 D\VN:I.LING ® y+cw construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑ ,lddition/alteration,'replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION indicated on this app'cation. ® I-and 2-family dwellnL ❑Commercial/industrial Valuation: $3s , '�,(„�q�-1 I g� ❑Accessory building 0 Multi-family. Number of bedrooms: 4 c// �� �/ ❑ Master builder 0 Other: Number of bathrooms: >6{Li JOB SUIT INFORM tF1ON AND LOCATION Total number of floors: 2 2--CR0 Job site address: 10819 SW Lady Marion Drive New dwelling area: 2387 square feet 1957 City/State/ZIP:Tigard/OR/97224 Garage/carport area: 603 square feet L.3 a Suite/bldg./apt.no.: Project name:Trillium Hill Covered porch area: square feet Cross street/directions to job site:SW 109th AVE AND SW Lady Marion Dr TD_ec'k'area: li,civ square feet �"' ... =, : uare feet REQUIRED DATA:COMMERCIAL-USE SE CHECKLIST C Kl IST i Subdivision:Trillium hill I Lot no.:3 Permit fees* are based on the salve of the work perlormcd. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.:2S I I OD:\I 1400 equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. New Single Family Home to be built-2387 SQFT 4 Bedroom,3.5 bath with 603 SQ Valuation: $ FT 3 car garage with a 108 SQFT covered rear porch and a 33SQFT front porch. Existing building area: square feet New building area: square feet ® PROPERTY OWN ER 0 TENANT Number of stories: Name:David Weekley Homes Type of construction: Address: 1905 NW 1696 Place Suite 102 Occupancy groups: City/State/ZIP:Beaverton,OR 97006 Existing: Phone:(5(13)213-4415 I a.:( ) New: 0 APPLICANT ® CONTACT PERSON BCILDI\G PERMIT FEES* Weekley refer to schedule) eekley Homes Business name:David / Structural plan review°fee(or deposit): �' 941 Contact name:Meghan Ticknor ,n FLS plan review fee(if applicable): W"Address: 1905 N 16) Place,Suite 102 Total fees due upon application: City/State/ZIP:Beaverton/OR/97006 Phone:(503)213-4409 Fax::( ) ,Amount receivcc! E-mail: mticknor w dwhomes.com PHOTOVOLTAIC SOLAR PANEL S\STEM FEES* ESr Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photovoltaic Solar Panel System. Business name:David Weekley Homes Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:1905 NW 169th Place,Suite 102 Solar Installation Specialty Code checklist. City/State/ZIP:Beaverton/OR/97006 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(503)213-4415 Fax:( I State surcharge(12%of permit fee): $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: *Fee methodology set by Tri-County Building Industry Service Board. I:ABuildingAPermits\BUP-RESPerntitApp.doc 02/24/2011 440-4613T(I1/02/COM/WEB) L Building Permit Application Checklist ' One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received Permit No Date/ _ 13125 SW Hall Blvd.,Tigard,OR 97223 Date/Associated permits: Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 El Electrical ® Plumbing El Mechanical T I G A R D Internet: www.tigard-or. ov o g ❑ Other THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A s` I Land use actions completed. See jurisdiction criteria for concurrent reviews. 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ® ❑ ❑ hi 3 Verification of approved plat/lot. ® ❑ ❑ 4 Fire district approval required. Name of district: 0 0 0 , 5 Septic system permit or authorization for remodel. Existing system capacity 0 0 0 I 6 Sewer permit. ❑ 0 0 7 Water district approval. ❑ 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. ® ❑ ❑ i 9 Erosion control ®plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- // 0 0 basin protection,etc. f: 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ® 0 El building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size rj sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if i copyright violations exist. 1' 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ® ❑ 0 ;• there is more than a 4-ft. elevation differential,plan must show contour lines at 2-ft. intervals);location of easements 111 and driveway:footprint of structure(including decks);location of wells/septic systems;utility locations;direction j~ indicator:lot area:building coverage area:percentage of coverage;impervious area;existing structures on site;and 11) surface drainage. f 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs sand reinforcing pads,connection details,vent size ® El and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ® ❑ ❑ furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. ! 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists, sub- ® 0 El 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. ® El 0 Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations; for non- ® 0 ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing ® 0 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rehar. For engineered ❑ 0 El systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ® 0 0 over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ►y ❑ 0 21 Energy Code compliance. Identify 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 ® 0 0 architect licensed in Oreeon and shall be shown to be ai licable to the .ro"ect under review. JURISDICTIONAL SPECIFICS 2; Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or II"x 17". 0 0 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ® 0 0 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ® 0 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. ® 0 0 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ® ❑ 0 Street 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 0 including El decks,patio covers(over non-impervious s surface)and p accessory structures to existingresidential e"si ctential dwellings on a lot of record approved prior to September 9 1995. I:ABuilding\Perm its\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I1/02/COM/WEB) . Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard RECEIVED Received I-�S�ZOZI-�.X�$ Receive: 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 NOV 15 2021 Date/By: Permit No.:Other Permit: TIGARD Inspection Line: 503.639.4175 Date Ready/By: tuns: !d See Page 2 for Internet. www.tigard-or.gov Notified Method CITY OF TIGARD Supplemental Information BUILDING DIVISION TYPE OF WORK COMMERCIAL LEE" SCHEDULE - USE CHECKLIST Mechanical permit tees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)ofall ❑ Demolition ❑Other: mechanical materials,equipment,labor_overhead,and profit. Value $ CATEGORY OF CONSTRUCTION RESIDENTIAL EQt IP%LE:NT/SY"STEMS FEES* ® I-and 2-family dwelling ❑Commercial industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. (a. Total JOB SITE INEC/I: 1A.1'1ON AND LOCATIONHeating/cooling: Air conditioning I 46.75 46.75 Job site address: 10819 SW 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.lapt.no.: Project name:Trillium Hill Duct work 23.32 Cross street/directions to job site:SW 109th Ave and SW Lady Marion Dr Hvdronic 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 I_ot no.:3 Other: 23.32 Other fuel appliances: Tax map'parccl no: 2S 1 101)A 11400 Water heater I 23.32 22.32 DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 33.39 Flue vent for water heater or gas Nen single fancily home to be built-2387 sgft,4 bedroom 3.5 bath home with fireplace 23.32 603 stilt 3 car garage and a 108 sqft covered back porch and 33 sq front po. Loa lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/clue/vent 23.32 OWNER ID PROPERTY" Other: 23.32 ❑ ITN 1N"F 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 I 33.39 33.39 City/State/ZIP:Beaverton/OR/97006 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 4 23.32 93.28 Phone:(503 )213-4415 Fax:( ) Attic/crawlspace fans 23.32 El APPLICANT ® (ONTA('l' PERSON Other: 23.32 Fuel piping: Business name: David Weekleyekley Ilumes S14.15 for first four;54.03 for each additional Contact name:Meghan'Ticknor Furnace,etc. Address: 1905 NW 169"Place,Suite 102 Gas heat pump Walt/suspended/unit heater City/State/ZIP: Beaverton/OR/97006 Water heater Phone:(503)213-4408 Fax: :( ) Fireplace Range E-mail: mticknora dwhomes.com Barbecue CONTRACTOR Clothes dryer(gas) Business name: David 14eekley Homes Other: h11:CTIANICAL PERMITI HIS* Address:1905 NW 169"'Place Suite 102 Subtotal City/State/ZIP:Beaverton/OR/97006 Minimum permit fee($90.00) Plan review(25%,ofpermit fee) Phone:(503)213-4415 Fax:( ) State surcharge(12%of permit fee) CCB lie.:213653 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. Authorized signature;,"'''- * Fee methodology set by Tri-County Building Industry Service Board Print name: Ken Put nan Date: //AdO/ r(Building\Permits\MEC_fermi tApp_040 113.doe 440-46I7T(I I/02/COME W EB) Nimm 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 fast$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. L\Building\Permits\MEC_PermitApp_040113.doc 2 Electrical Permit Application RECEIVE a I: FOR OFFICE USE ONLY City ofTigard sr2021-o0go5 g Penn;t a 13125 SW Flail Blvd.,Tigard,OR 97223 NOV 5 2021 n.t_t, ill 3 • Plan Rey iew Phone. 503.718.2439 Fax: 503.598.196(1 Date/Bv: Related Permit Inspection Line: 50 3.639.4175 CITY OF TIGARD Ready Date By: lens: FaSee Page 2 for TIGARD Internet: www.tigard-or.gov Notified Method: Supplemental Information BUILDING DIVISION TYPE OF WORK I'I,A\ REVIEW ®New construction ❑.Atldition'aiterulion'N.placemcnt Please cheek all that apply(submit 2 sets of plans n n ii h ck i,: ❑Service or feeder 400 amps or more ❑Building over three stories. ❑ Demolition ❑Other: where the available fault current 0 Marinas and boatyards. ('A'rEGORv OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® I-and2-family dwelling Commercial/industrial less to ground.or exceeds 14.000 ❑Commercial-uses agricultural b ❑ lcecssory building snips tiar all other installations. buildings. ❑ Multi-family ❑ Master builder ❑ Other: 0 Fire pump, 0 Installation of 150 KVA or JOB SITE: INFORMATION AND LOCATION ❑Emergency system. larger separately derived ❑ bddition of new motor load of system. Job#: 68160003 Job site address: 10819 SW Lady Marion Drive IOOFIP or more ❑ w "F" `1-2" "l-3" City/State/ZIP:"figard/OR/97224 0 Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. 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 norninal. Cross street/directions to job site:SW 109t AVE AND SW Lady Marion dr FEE SCHEDI Lh. Description I QR. I Each I Iota) 'Sew residential single-or multi-family dwelling unit. Subdivision: I of ? Includes attached garage. 1,000 st ft.or less I 168.54 168.54 4 Lax map/parcel N:251101) I1-100 1 Ea.addl 500 sq.ft.or portion 4 33.92 107.76 I DES("RwrIo\ OF WORK Limited energy,residential Ness Single Family to be built-2387SQF 14 Bedroom,3.5 bath with 603SQFT 3 car (with above sq.ft.) 75.00 '- Limited energy,multi-family garage with a I08SQFT covered rear porch and a 33SQFT front porch. residential(with above sq.ft.) 75.01 Renewable Energy 0 See Page 2 ® PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation Name: David'tVeekley !Ionics 200 amps or less 100.70 _ Address: 1905 NW 169thr Place Suite 102 201 amps to 400 amps 133.56 401 amps to 600 amps 200.34 City/State/ZIP: Beaverton/OR/97006 601 amps to 1,000 amps 301.04 Phone:(503)213-4415 Fax:( ) Over 1,01J0 amps or volts 552.26 2 Email: mschiedleriddvvhomes.com Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that 1 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 I)saner signature: Date: 401 amps to 599 amps 168.54 2 Branch circuits—new,alteration,or extension,per panel ® APPLICANT ® Ct)YCA('T PERSON A.Fee Mr branch circuits with Business name: David \ eekley homes above service or feeder fee. 742 each branch circuit Contact name: Meghan Ticknor B.Fee for branch circuits without Address:1905 NW 169th Place Suite 102 service or feeder fee,first s6 1 branch circuit City/State/ZIP: Beaverton/OR/97006 Each add'I branch circuit 7.42 Miscellaneous(service or feeder not included) Phone:(503)213-4409 Fax: :( ) Each manufactured or modular Email: niticknor-u dwhomcs.com dwelling,service and/or feeder 67.84 Reconnect only 67.84 _ CONTRACTOR Pump or irrigation circle 67.84 _ 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 _ City/State/ZIP: Hillsboro,OR.97123 Each additional inspection over allowable in any of the a bin e Additional inspection II hr min) 66.25 hr Phone:(503)648-4552 Fax:( ) Investigation(1 hr min) 90.00i hr Industrial plant(I hr min) 78.18 hr Email:permits@garnerelectric.corTl Inspections for which no fee t< 90 00 hr CCB Lic.:121159 Electrical Lie.. 4-305C Suprv.Lie.:3707S specifically listed t'!-brim]. E.1l,FRIc 1L PERMIT FEES Suprv.Electrician signature,require Subtotal: Print name:Charles Garner -1 Date: 11.10.21 0 Plan Review Required(25%of permit fee): State surcharge(12%ofpermit fee): Authorized signature: 5� 5� TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name:Brittany Burian Date: 11.10.21 days after it has been accepted as complete. * Number of inspections allowed per permit. 1:\Buil ding'PeimitsELC_Pemst.spp_ELR_ERE.di 440--isi5T(1105;COu t/WEB 11 II Electrical Permit Application —City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Fee for all residential systems combined: S :±,IN) Renewable 1 ,�,t.,l I 7— 1 Qh. Each Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ri Audio and Stereo Systems* 15.01 to 25 kva 20034 Wind generation systems in excess of 25 kva: I Burglar Alarm 25.01 to 50 kva 301 04 z El50.01 to 100 kva 2 o Garage Door Opener* s5__6 >100 kva(fee in accordance with OAR 918-309-0040) 552.26 N Heating, Ventilation and Air Conditioning * Solar generation systems in excess of 25 kva: System Each additional kva over 25 7.42 3 i Vacuum Systems* 100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: IOther: Each additional inspection is charged at an hourly(I hr min) 66 25i hr 1 Inspections for which no fee is 9000 hr ,..111%listed C hi lain) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: S75,p{l allowed (Later on ha,e I)_ i (SEE OAR 918-309-0000) ` Vatnberofins,xoponsllowaaperpermit. Check Type of Work Involved: ❑ A• udio and Stereo Systems ❑ Boiler Controls n C• lock Systems n D• ata Telecommunication Installation — Fire Alarm Installation HVAC instrumentation n Intercom and Paging Systems I Landscape Irrigation Control* ❑ M• edical —I N• urse Calls n O• utdoor Landscape Lighting* ii P• rotective Signaling —I O• ther: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I.`.Building\Permits\ELC_Permits\pp_ELR_ERE.doe Rev 06 l7,2015 Plumbing Permit Applicatior#H.������� Building Fixtures City of Tigard NOV 15 2021 Recel'late/tvaBy:d IN . Derail No.: 13125 SW Hall Blvd.,Tigard,OR. 97223 Z���'a(J�d 5 Phone: 503.718.2439 Fax: 503.598.1960meviaw CITY OF TIGARD VPlai,a/B[ty: outer Ponnit No.: i i Inspection Line: 503 639,4175 l ii i r I NG rsi ii i0 paw Ready/By hos et See Page 2 for Intern wwwtigard orgov otllled/Madwd I ¢ Su lemenral inforntadon c�}b� �iw t4{ida ; n4.y y kr N 7 ' � +a i ... ! '^'t I i. x �r r d, pP iy yt!ab`.. 4" :,v. .ir,. t' 7l�1ke� s0 ..t t w ,n ;4 �� t zDy m t c y ♦ t�, t1 i7 0 ;c yt " . - _ ��,i!.�.. &.f..,�wa k. ,..(•,�T .3.%qt3,tsar,...,.�.b ., :!n., r"�<'� '� .'�. :a.i ,.,nir�, r}dK r�� �ne� >� ;',�� �1a�t���44sµ n ��'� - - .2ttefU. t,'. ®New construction 0 Demolition For special!n,joemutlon use checklist. Description I_ Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) �,'l",�1 xl�r tyka=•Y �:� r Tr� nx- r. ,k.thh n to �'}, t 4K jl��,y7!t .rSq, tar i i4!9fi .,c4fi' e"sdi7'..', �h `n{.Mt��'ZRf .L,1e,._.,. .0oax or;yl,,y ter ,;. `. ,, ' _# SFR(I)bath 312.70 SFR(2)bath El 1-and 2-family dwelling 0 Commercial/industrial riercial/industrial 437,78 ❑Accessory building 0 Multi-family SFR(3)bath _i 500.32 500.32 - ❑Master builderEach additional bath/kitchen �' 1 25.02 25.02 0 OtherFite sprinklerIl. �;� � !�a R ( sq. ) Page 2 d t rx' 1 ..,=oupo,j�V ' 135 -iou,,a t` r9Nri r " Site utilities: Job site address: 10819 SW Lady Marion Drive Catch basin or area drain (8,76 City/State/ZIP:Tigard,OR/97224 Drywell,leach line,or trench drain 18.76 - Footing drain(no,linear ft.: 30) Page 2 87,55 Suite/bldg./apt,no.: 1 Project name:Trillium Hill Manufactured home utilities 50.03 Cross street/directions to job site:SW 109'h 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 ft.;__J Page 2 Water service(no,linear it.:1 Page 2 Subdivision:Trillium Hill I Lot no.: 3 nature or item: ' Tax map/parcel no.:2S110DA11400 Backtlow preventer I 31.27 3127 C` es Cti` MO' sa " W407, Backwater valve 12,51 New Single Family Home to be built-2387SQFT 4 Bedroom,3.5 bath Clod,es washer t 25.02 25.02 Dishwasher I 25.02, 25.02 with 603SQFT 3 car garage with a 108SQFT covered rear porch and a Drinking fountain 25.02 33SQFT front porch. Ejectors/sump 25.02 .x'vttV, t * t (tiO#14~0 Expansion tai,k 12,51 Name:David Weekley Homes Fixture/sewer cap 75,02 uFloor drahvtloor sinklhub 25,02 Address:1905 NW 169 Place Suite 1.02 Garbage disposal 1 25.02 25.02 City/State/ZIP:Beaverton.OR 97006 Hose bib 25.02 __ Phone:(503)213-4415 Fax:( ) Ice maker 1 12.51 12.51 'Air::: ` ,. A _ � + ig Interceptor/grease trap 25,02 Business name:David Weekley Homes Medical gas(value,3 ) Page 2 Primer 12.51 Contact mane:Meghan Ticknor kooFdrain(commercial) 12.51 Address:1905 NW 1694h Place,Suite 102 Sinlc/basinilavato rY 1 6 25.02 150.12 City/State/ZIP:Beaverton/OR/97006 Solar units(potable water) _ 62,54 Phone:(503)213-4409 Fax::( ) Tubishowcr/showet.pan 4 12,51 50.04 E-mail:msettiedler®dwhomes.com Urinal 25.02 + nv,r. yM�h= # kp{ Water closet 4 - . fi ;idi a a Oroyi"' }..rWoi lw r zit' 25A2 100.08' Water heater t 37.52 37.52 Business name:Malmedal Plumbing Water piping/DWV 5629 Address:PO Box 207 Other; 25.0,.2 City/State/ZIP;Banks/OR/97106 Subtotal Phone:(503)324-0759 Fax:( ) Minimum permit fee: $72.50 CCB Lic.:102535 Plumbing Lie.no.:34-276.PB Pan review (25°1 of permit the) - State surcharge(12%of permit fee) Authorized signature: Carolina Malmedal : - TOTAL PERMIT FEE Print name:Carolina Malmedal Date:41-10-21 This permit application expires if permit Is not obtained withlnISO day" after it has horn accepted as complete. "Pee methodology set by Id-County i3uildiug industry Service Board, f:tauildiagtpertniirtt'LMU-I'e.niitapp.doc I 0/01/09 440.4616T(t0/02/COM/WC17) Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Suppression Systems: rSTte'L,l0IIti s' gli #t1 k > pti il`;t+ °Siiii'a''i'e+0:6,06 aa t'\t. r,l �a% 4i, ,r,, v .7;.,e.t Footing drain-1"100' 50.03 0 to 2,000 $121.90 �- Footing drain-each additional 100' 37.52 ' 2,001 to 3,600 $169.69 Sewer-1st 100' 62.54 3,601 to 7,200 $233.20 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service 1st 100' 62.54 Water Service each additional 100' 375 Medical Gas Systems Storm&Ram pram-1st l00' 62.54 814 1'w',.,f,�.' syid� $ ;�)ft �``i eiti b ;:=,t ; ''', ; Storm&Ram Drain each adduiaiall00 37.52 $100to$5,000.00 Minimumfee$72.50 $5.001,00 to$10,000.00 $72.50 for the first$5,000.00 and$1,52 for `v �l 10:0pCCt101)14.. -fg]E;i�S i, at .r ,kF . n .,t1 to each additional$100,00 or fraction thereof,to Inspection of existing plumbing or for _ and including$tU,000.00. which no fee is specifically indicated 90.00/hr $I0 OO 1.00 to$25,00(1.110 $148.50 for the titst$10,000.00 and$I.Sd for (minimum charge 1/2 hour} each additional$100.00 or fraction thereof;to Inspections outside of normal business 90.00/hrand including the first 0.00. hours(minimum charge—2 hours) $25,001.00 to$50,000.00 $379,50 for first$25,000.00 and$1.45 for s(minin Fees 90.00/hr ouch additional$100.00 or fraction thereof;to 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 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture, Failure to accurately report fixtures could result in increased sewer fees*. w Y " (?aatttit bt Futire Tv ' ! p} ' 'rx;, '1$Et @ill SOC � IYI[1t11�4417414,040M4 i0attt0fiXpafo�t- .ii n :�. ,' • +' ;� �i'"� ' iietrl�ee('? t.ltit6rki'etYormed, ' 1'.'st012', e�;;: tsetocaie Plan review is required for any of the following. Baptistry/FontPlease check all that apply, Bath -Tub/Shower ❑ Any new commercial building with water service 2"and Jacuczi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. Drive Thru ' El New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator ' as defined in OAR918-780-0040. Dishwasher Cnmmemial 0 Medical gas and vacuum systems for health can;facilities, -Domestic 0 Any multipurpose tire sprinkler system. Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040, Eye Wash Floor Drainisink -2" Submit 2 sets of plans with any of the above. -3" a ro47 t kr� u W n Car Wash Drain — f «3 � 4� � 4 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 Mach.JRefrig.Drains Oil Separator(Gus Station) Comments regarding fixture work: • Rec.Vehicle Dump Station Shower -Gang -Stall - Sink/Guy -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter washer-Clothes - *Note: If the fixture work under this permit results in an 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 Other Fixtures: P g permit can be issued. C:1Users1Malmedal\AppData\LocallMicrosothWindowsiiNetCache\Contt.2t.Outlook13112C'XR48\Plumbing Perinit,doe 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 !PI '. leTransmittal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Allyson Armstrong DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Meghan Ticknor NOV 2 9 2021 COMPANY: David Weekley Homes CITY OF TIGARD BUILDING DIVISION By af . PHONE: 503.213.4409 EMAIL: mticknor@dwhomes.com RE: 10819 SW Lady Marion Drive. MST2021-00505 (Site Address) (Permit Number) Trillium Hill Lot 3 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: Code Compliance 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: Submitted set showed old Oregon Residential Specialty code. Revised sheets show adjustments. FOR OFF CE USE ONLY Routed to Permit Technicia • Date: 124 1 ZI Initials: MI-- Fees Due: ❑ Yes [Agee Description: Amount Due: ND `/ $ $ Special Instructions: Reprint Permit (per PE): Yes❑ o El Done kj. Applicant Notified: �— Date: /,�Z /7/ / Initials: City of Tigard N COMMUNITY DEVELOPMENT DEPARTMENT a T1cARD Building Permit Review — Residential Building Permit #: /15 I Z®Z!00 505 Site Address: 10819 SW Lady Marion Drive Project Name: Trillium Hill Lot #: 3 Planning Review Proposal: New detached dwelling ® Verify address/suite# active in Accela. ] In River Terrace: ® No ❑ Yes, River Terrace Review Addendum Site Plan Elements: i]Erosion Control is 13 copies of site plan on 8-1/2"x 11"or 11 x 17"paper Ctetained trees with drip line and tree protection measures !7Drawn to scale(standard architect or engineer scale) iJFootprint 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) PPLocation of wells/septic systems ®Lot dimensions and building setback dimensions ®Street tree size,type and location fquare footage of buildings to be demolished n Street names t' !xisting structures on site $1Corner elevations (2'contours if more than 4'differential) Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? 4 ❑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 ii No Received: ❑ Yes ❑ No gi Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑ Yes,applicant was notified RE No Received: ❑ Yes ❑ No IN SDC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No f1 Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified E No Applied For: ❑ Yes ❑ No,stop intake X7 Land Use Case #: ZON2018-00002 E Zoning: R-4.5 © Required Setbacks: Front: 20 Rear: 15 Side: 5 Street Side: N/A Garage: 20 ® Building Height Max.Height: 30 Actual Height: 24 rE Landscape Area: % lig Lot Coverage Max: Entrance E Set back no more than 8'from street-facing wall E Parallel to street or offset 45 degrees or less Windows E Minimum 12%of area of all street-facing facades Garage El Garage door is behind widest street-facing wall ❑ Yes ] No,one of the following is met: *i 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. l Garage door width is ❑ 12'or less kJ50%or less of facade ❑ 60%or less and includes 7 of following: 1. ❑ 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 ® Visual Clearance ® Urban Forestry Plan ® Sensitive Lands: le Yes ❑ No Type: Significant Tree grove )0 Conditions met prior to issuance of building permit Notes: © Approved By Planning: Date: 11/16/2021 it Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved f Revision 2: ❑ Approved 0 Not Approved I:\Building\Forms\Bl dgPermitRvw_RE S_122419.docx Building Permit Submittal Original Submittal Date: ///5/202! Site Plans: # :3 Building Plans: # 3 Building Permit#: [VEnter building permit# above. Workflow Routing: R-Planning [J'Engineering [.—"Permit Coordinator Building Workflow Sign-off: CYSign-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 and trust details,if applicable,etc. Notes: By Permit Technician: Date: /L"/17/2.02-/ Engineering Review 2 Slope at building pad: /,Z% 2 Conditions "Met"prior to issuance of building permit [Easements (encroachments)per engineering conditions of approval and plat 2rWater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 13—No Assess Water Quantity Fee in-lieu: ❑ Yes Cr-No LIDA Facility on lot: ❑ Yes LI�No EFina1 Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: l pproved by Engineering: K , f i s hi G g Date: / / —/ -Z,c 2.4 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 ilZr Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: / Yes ❑ N/A p / Tigard Trans SDC: /J Yes ❑ N/A Parks SDC: ird Yes ❑ N/A LIDA ❑ Yes % N/A 71 OK to Issue Permit Approved by Permit Coordinator: Date: I I [ (it) 1:\Building\Forms\Bl dgPermitRvw_RES_122419.docx