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Permit
CITY OF TIGARD MASTER PERMIT III II 11 COMMUNITY DEVELOPMENT Permit#: MST2021-00537 Date Issued: 02/10/2022 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110DA10700 Jurisdiction: Tigard Site address: 10824 SW LADY MARION DR Subdivision: TRILLIUM HILL Lot: 7 Project: Trillium Hill, Lot 7 Project Description: New detached dwelling with 322sf deck and 100sf deck cover BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 1684 sf Basement: 712 sf Left: 5 Parking Spaces: 0 Height: 16.5 Bathrooms: 3 Second: 0 sf Garage: 429 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 2396 sf Value: $345,640.96 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 SP' 100 • Tubs/Showers: 3 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: 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!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 2396 Owner: Contractor: WEEKLEY HOMES LLC WEEKLEY HOMES Required Items and Reports(Conditions) 1111 NORTH POST OAK RD 1905 NW 169TH PLACE SUITE 102 1 Ersn Cntrl 503-639-4175 HOUSTON,TX 77055 BEAVERTON,OR 97006 2 Geo Tech Report Required Prior To Pour PHONE: PHONE: 503-213-4415 FAX: Total Fees: $39,768.12 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 059-nni-M1n thr iinh(iAR QF9-M1-nnon Vnii may nhtain a rnnv of the rnlnc nr dirt nnactinnc to(ii INr by rollinn col 911 1QR7 nr 1 RCM 119 9144 co-- Issued By: LiID Permittee Signature: Cll. t 1 C.- tS\�+1 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Buildint; Permit Application I-2j- 121212j Residential FOR OFFI(l USE ONLY City of Tigard RECEIVE hkti'c ;,+ I 2024 Pcrnrit No.'M�T�Qu'W 5'?J7 ihri L(> _.. - 13125 SW Hail Blvd..Tigard,OR 97223 0 2 2023 DD '/ o� p[C Plan Review ( .. A ti other PermigVI�e,!-003u- ' f Phone: 50:718.2439 Fax: 503.598.1960 l)an:I3r. TIGARD Inspection Line: 503639.4175 TI(aARD fxneKeady:Bv: �/ ® SecPage2for Internet: ..wu.tieardKrr.gov CITY O� N c ITlethod: � C+;- Supplemental Information BUILDING DIVISION 7- TYPE: OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING ®New construction 0 Demolition Permit fees*are based on the value of the work perlhnned. - - Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit lbr the (ATEGORY OF CO\STKICTiO work indicated onthis ap lication. b I-and 2-family dwellingC'ommercial'industiiaf Valuation: 33. 00 ��j1 [e��l El I- 0 I:Accessory building ��_ �� ❑Multi-lamil Number ol'bedrooms: 3 ❑Master builder 0 Other: Number of bathrooms: 3 JOB SITE LNFOR'IATION AND LOCATION Total number of floors: 2 2-5 ZS-- Job site address: 10824 SW Lady Marion Drive New dwellin ��P6&1, square feet �1P`�C4 City/State/ZIP:Tigard/OR/97224 Garage/carport area: 429 square feet 1(a- 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: 'bZ — square tact _ s tct re e Kim square feet W REQt 1RED DATA:COMMERCIAL-ESE CHECKLIST Subdivision:Trillium hill Lot no.:7 Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.:2S 110DA 11400 equipment,materials,labor.overhead,and the profit for the DESCRIPTION OF WORK - work indicated on this application. New Single Family Home to be built-1684SQFf 3 Bedroom,3 bath with 429 SQ Valuation: S FT 2 car garage with a 42 SOFT covered front porch and a 712sqft Finished — Existing building area: square feet basement. New building area: square feet ® PROPERTY OWNER 0 TF,NAN'1' Number of stories: Name:David Weekley!tomes 'Type of construction: - Address:1905 NW 169ih Place Suite 102 Occupancy groups: Cite/State/ZiP:Beaverton,OR 97006 Existing: Phone:(503)213-4415 Fax:( ) New: ❑ „APPLIRAYI kil CONTAc r PERSON • BUILDING PERMIT FEES* • (Plane rep'to fee scherfale) Business name:David Weekley!tomes '?5��ef Structural plan res iew fee(or deposit): 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/OR/97006 Phone:(503)213-44(19 I Fax::( ) Amount received: PHOTOVOLTAIC UC SOLAR PANEL SYSTEM FEES* E-mail:mtieknorra:dwhomes.com ^-- - Commercial and residential prescriptive installation of (:ONTR.tCTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:David Weekley Homes Submit two(2)sets of roof plan with connection details <,-... —.. --- . — and tire department access;along with the 2010 Oregon Address:1905 NW 169'h Place,Suite 102 Solar Installation St•ecialty Code checklist. Permit Fee(includes plan review City%State'ZIP: Beaverton/OR/97006 S180.00 _. —._w.—_,,-.-- .�-- _.__-__.- _ ____."....--.. and administrative fee;): __ Phone:(S(13)213-4415 Fax:( ) "-____ State surcharge(12%of permit fee): S21.60- C(:Blie.:213653 ._.. Total fee due upon application: $201.60 Authorized signature. /GC l-N4,2 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: 11/22/21 *Fee methodology set by'I ri-County Building Indu',t ; — Service Board. 1:1Building`,I'ermits\\BUP-RF.SPermitApp.duc 02/24/201 1 440-16I3T(1]'02 COM/WLB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY eived City of Tigard Rec RecDat ive Permit No IIIH 13125 SW Hall Blvd.,Tigard.OR 97223 Associated permits: _ Phone: 503.718.2439 Fax: 503.598.1960 El Electrical 10 Plumbing El Mechanical 24-Hour Inspection Line: 503.639.4175 TIGARD Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A I Land use actions completed. Sec jurisdiction criteria for concurrent reviews. 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ® ❑ ❑ 3 Verification of approved plat/lot. ® ❑ 0 4 Fire district approval required. Name of district: . 0 ❑ 0 5 Septic system permit or authorization for remodel. Existing system capacity 0 ❑ 0 6 Sewer permit. ❑ ❑ 0 7 Water district approval. 0 ❑ 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. ® 0 0 9 Erosion control ®plan 0 permit required. include drainage-way protection.silt fence design and location of catch- 0 0 0 basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale.showing conformance to applicable local and state ® 0 0 building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ® 0 ❑ 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 D ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 ❑ furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ® ❑ 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. ® 0 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 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 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ El systems,see item 22,"Engineer's calculations." 19 Beam calcuu,lations. Provide two sets of calculations using current code design values for all beams and multiple joists ® ❑ 0 over 10 feet'ong and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. El ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required El ❑ 0 for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ® ❑ 0 architect licensed in Oreeon 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 I I above. Site plans must be 8-1/2"x 11"or 11"x 17". ® ❑ 0 24 Two(2)sets each are required for items 16, 19,20 and 22 above. ® ❑ 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 I)cvelopment Fees document. ® ❑ 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 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations.driplines. 0 0 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 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. 'gilding\Permits\BLIP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application FOR OFFICE LSE ONLY Cityof Tigard RECEIVE® ReceeiByved: Permit No liS120244 537 :� g Dat 13125 SW I fall Blvd.,Tigard,OR 97223 Phone:• 503.718.2439 Fax: 503.598.1960 Plan Review � f Date.'By Other Permit: Inspection Line: 503.6394175 DEC 2021 Date Ready/By: Jabs ® See Page 2 for TIGARD >'= Internet: www.tigard-or.gov Notified/Method: Supplemental Information CITY OF TIGARD BUILDING DIVISinN TYPE OF WORK {: COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit tees*are based on the value of the work El New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ a CATEGORY OF CONSTRUCTION cq; RESIDENTIAL EQUIPMENT/SYSTEMS FEES*,;,::.','-_ ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special injbrmation use checklist. ❑ Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total _.` /' Heating/cooling: k,� ° JOB St7E`�INFOR'�1:AT'ION,ANU LOCATtOiN � Air conditioning I 46.75 46.75 Job site address: 10824 SW Lady Alarion Drive Furnace 100,000 BTU(ducts/vents) 1 46.75 46.75 City/State/ZIP:Tigard/OR/97223 Furnace 100,000+BTU(ducts/watts) 54.91 lfeat pump 61.06 Suite/bldg./apt.no.: Project name:Trillium Hill Duct work 23.32 Cross street/directions to job site:SW' 109'n Ave and SW'Lady Marion Dr FIydronic 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 11i11 Lot no.:7 Other: 23.32 Other fuel appliances: Tax map/parcel no_:2S110D. 11400 Water heater 1 23.32 23.32 DESCRIPTION OF,WORK Gas fireplace/insert 1 33.39 3339 Flue vent for water heater or gas New single family home to be built-1684SQFT 3 Bedroom,3 bath with 429 SQ fireplace 23.32 FT 2 car garage with a 42 SQFT covered front porch and a 712sqft Finished Log lighter(gas) 23.32 Wood/pellet stove 33.39 basement. Wood fireplace/insert 23.32 Chi mnev/liner/clue/vent 23.32 Other: 23.32 '. ® PROPERTY OWNER i a' 3 •0-TENANT ; i. ,. Environmental exhaust and ventilation: Name:David Weekley Homes Range hood/other kitchen equipment 1 33.39 33.39 Address: 1905 NW 169'h 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 69.96 Phone:(503)213-4415 Fax:( ) Attic/crawlspace tans 23.32 ® ,APPLICANT 0 CONTACT PERSON Other: 23.32 Fuel piping: Business name:David Weekley Homes St4.15 for first four;S4.03 for each additional Contact name:iAleghan Ticknor Furnace,etc. Address: 1905 NW 169'h Place,Suite 102 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Beaverton/OR/97006 Water heater Phone:(503)213-4408 l'ax::( ) Fireplace Range F.-mail: mticknora(lwhomes.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:Das id Weekley Homes Other: `s ' ME-01.A 1CAL l tF ECFE S* yi Address: 1905 NW 169'h 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%ofpermit fee) CCB lie.:213653 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: * Fee methodology set by Tri-County Building Industry Service Board Print name:Ken Pun Date:Afi1A i 1',Building\Petnitu�MEC_PeinitApp_040113 doc 4404617 l(I Ir02ZCOM/WEB) 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. l:\Building\Permits\MEC_PermitApp_040113.doc 2 Electrical Permit Application�SECEI�/ED Ft)R()1'Flr'F: 1 s1:ost. ��}}�G J 1"l V Date/By: sprv32.,-co�!3 / P Cite o Tigard Prnnht=: `� g nate.'By: 13125 SW Hall Bled,Tigard,OR 97223 DEC Plan Review 0 2 2021 Phone: 503 7182439 Fax 503.598.1960 Date-By: Related Permit Inspection Line' 503.639.4175 Ready Date,'By inris la See Page 2 for TIGARU, Internet. svwss.tigard-or.gov CITI OF TIGARD Notitird%Method' Supplemental Information TYPE OF WORK BUILDING DIVISION . PLAN REVIEW ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans is'items checked): 0 Service or feeder 400 amps or more 0 Building over three stories 0 Demolition 0 Other: where the as ailable fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCT 1ON exceeds 10,0(10 amps at 150 volts or 0 Floating buildings. ®1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to grotmd.or exceeds 14.000 El Commercial-use agricultural fillips 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 derised 0 Addition of new motor load of system. Job 4:68160007 Job site address: 10824 SW Lady Marion Drive 1 o0HP or more. ❑"A"."E","I "1-_", City/State/ZIP:7 i yard/OR/97224 ❑Six or more residential units. occupancy t; ❑Health-care facilities. 0 Recreational vehicle parks. 0 Hazardous locations. 0 Supply voltage for more than Suite/bldg./apt.#: Project name:Trillium Hill 0 Service or feeder 600 snips or more. 600 voles nominal. Cross street/directions to job site:SW 109th AVE AND SW Lally M1larion dr ,', ii.'r `FEE)SCHEDIJLE *;� ,;a �,, Description I Qty. I Each I Total I New residential single-or multi-family dwelling unit. Subdivision: Lot 4:7 Includes attached garage. 1.000 sq.ft or less 1 16854 168.54 4 Ta.x map/parcel 4:2S110DA11400 Ea.add'I 500 sq.ft.or portion 4 33.92 107.76 1 ', DESCRIPTION OF WORK °` Limited energy,residential ' New Single Family to be built-1684SQFt homes with 3 bath,3 bed,a 429SQFT 2 car (with above sq.ft.) Ton 2 Limited enemy,multi-family 7500 2 garage,with a 42SQFT covered front porch and a 712sgft finished basement. residential(with above sq.ft.) Renewable Energy ❑ See Page 2 ,; '_"® -PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation Name:David Weeklev Homes 200 amps or less 100.70 2 Address: 1905 NW 169th Place Suite 102 201 amps to 400 amps 133.56 401 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 I,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 ® APPLICANT 1N'1' Branch circuits—new,alteration,or extension,per panel ® CONTACT PERSON A.Fee for branch circuits with Business name: David '.Yeekley Homes above service or feeder fee. 7.42 2 each branch circuit Contact name:Meghan Ticknor B.Fee for branch circuits without t t w service or feeder fee,first 56 18 2 Address: 1905 NW 16) Place Suite 102 branch circuit City/State/ZIP: Beaverton/OR/97006 Each add')branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503)213-4409 Fax: :( ) Each manufactured or modular 67.84 2 dwellin_,service andior feeder Email: mticknord,dwhomes•Com Reconnect only 67.84 2 CONTRACTOR Nr, r�., _;�� • ti ,,. ,' `' Pump or irrigation circle 67.84 2 Business name:Garner Electric Si en or outline lighting 67.84 2 Signal circuit(s)or limited-energy ❑ See Page 2 Address:2891)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 t I hr mint 90.00 hr Email:permits@garnerelectric.corn Industrial plant(I hr min) 78.18i hr Inspections for which no fee is 90"00 hr CCB Lic.:121159 Electrical Lic.' 4-305C supra. Lie.:3707S specifically listed(!:hr shin) . ..: ' El FC`I'.RICAL PERMIT-FEES Suprv. Electrician signature,require Subtotal: Print name:Charles Garner Date: 11/22/21 0 Plan Review Required(25%of permit fee): r� �J State surcharge(1230 of permit fee). v Authorized signature: 4•�Z(� U 444 TOTAL ga PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name:Brittany Burian Date: 11/22/21 days after it has been accepted as complete. Number of inspections allowed per permit. I.1Building'Pei mitsELC-Permit:App FLR_ERE doe Rev 06:17/2015 440-4615-41 105,(OM`ss'EB Electrical Permit Application-City of Tigard Page 2-Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK,ONLY: FEE SCHEDULE .. .. ,`:. Description I Qq. I Each I 'rural I " Fee for all residential systems combined: $75.00 Renewable electrical enemy systems: 5 kva or less 100 70 2 Check Type of Work Involved: 5.01 to i s kva 133.56 2 n Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301 04 2 50.01 to 100 kva 552.26 2 ® Garage Door Opener* 10o kva(fee in accordance with OAR 918-309-00401 552.26 ® Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 n Vacuum Systems* 100 kva-no additional charge 0.0 3 Each additional inspection over allowable in am'of the above: ❑ Other: Each additional inspection is 6625 hr chanted at an hourly(I hr min) Inspections for which no fee is 90.00i hr specifically listed(t."hr min) COMMERCIALWORKONLY•' .� `ELE trite% ))RwT g.$ * Subtotal(Enter on Page 1): Fee for each commercial system:• $75.00 * Number of inspections allowed pet permit (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems El Data Telecommunication Installation n F• ire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape irrigation Control* ❑ Medical ❑ N• urse Calls n O• utdoor Landscape Lighting* El Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1'Building Permits EL(_PernitApp_ELR_ERE.doe Rev 0617i^_015 .. ..., v, Plumbing Permit Application Building Fixtures RECEIVE 1111 City of Tigard dim Permit No.; � u pU 3-1 13125 SW Hall Blvd.,Tigard,OR 97223 E �) 2021 Plan Review 5 / Phone: 503.718.2439 Fax: 503.598.1960 Dale/Byt Otiiw Permit No.: i i s Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: lurk -of Ste Page 2 for Internet: www tigard-or gov i„t QIvls19`�.lotifled/Medwd Su�,plewemml fnformatlon ru3ti,zt?* h 3 aft 4- a 1 r y� s1► 'tt,2--kR''`d�' �j'�t r� i -.:.7 t i P k 1 x,c ,�,. ,t61,�' :arse. .;� +,.,1.:.,� 4Mi T'ft E�F 0Ke,' Aii:.g; •tiPfg�,S,hfi:.'" .r i ' " A:""; ,r.�„`ft >4' ,r4414 Militia .,1�� ®New construction 0 Demolition For special I ornenion use checklist Description �[ Qty. Ea. Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 It for melt utility connection) ZW° ,{i yq'fr Yk � r 1 �'>• iF+r 1,�� p K J tw1 a�sy� �y e �-,pit '.:t6� A , . ,. W T ➢s� ti? �r ,�*{ SFR(I)bath 312.70 ®I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 1 500.32 500.32 ❑Accessory building 0 Multi-family - - Each additional bath/kitchen 25.02 Q Master builder jy� 0 Other. Fire sprinkler(_sq.it.) I Page 2 I i' #14' 145,,`iootiO 1 t1Cv`r%**0.11 0§MMAO -`e Site utilities: Job site address:10824 SW Lady Marion Dri ve Catch besot or area drain 18.76 City/State/ZIP:Tigard/012/97224 Drywall,leach line,or trench drain 18,76 Footing drain(no.linear It: Q) 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 109th AVE AND SW Lady Marlon Dr Manholes 18,76 Rain drain connects 18.76 S anitary sewer(no.1 inear ft.:_) Page 2 Storm sewer(no.linear tt.:_, Page 2 Water service(no.linear it.:_ J _ Page 2 Subdivision:Trillium Hill I Lot no.:7 Fixture or item: Tax map/parcel no.:2S110DA11400 Backtlow preventer I J 31.27 31.27 r ,'v r, }+' .cs 1 on rIMv:: Backwater valve �� 12,51 "� �' "'"`�' '' n' nr Clodteswasher l 25.02 25.02 New Single Family to be built-1684SQFt homes with 3 bath,3 bed,a 4295QFT 2 car - Dishwasher 1 25.02, 25.02 garage,with a 42SQFT covered front porch and a 712sgft finished basement. Drinking fountain 25.02 Ejectors/sump 25.02 .i. , ? .' f .,, - rtitro Expansion tank 12.51 Name:David Weekley Humes Fixture/sewer cap 25.02 Floor dmin/floor sirdc/hub 25.02 Address:1905 NW 169a Place Suite 102 Garbage disposal 1 25.02 25.02 I City/State/ZIP:Beaverton,OR 97016 Hose bib 2 ' 25.02 50.04 Phone:(503)213-1415 Fax:( ) lee maker 1 12.51 1251 .h :f•r_ r r r t� i' , � ° �"' �' ,�`� interceptor/grtase trap 25.02 Business name: David Weekley Homes Medical gas(value:$_) Page 2 Cor,tactname:MeghanTicknor ( Primer 12.51 Roof drain(comrneicial) 12.51 I Address:1905 NW 169th Place,Suite 102 ' I Sink/basin/lavatory 5 25.02 125.10 I City/State/ZIP:Beaverton/OR/97006 I Solar units(potable water) 62,54 Phone:(503)213-4409 I Fax::( ) Tub/shower/shower pan 12.51 Urinal 25.02 &mail:mschledler@dwhomes.cont Water closet �r•��o � r �t 51� T � 25.02� . ^• Water heater t 37.52 37.52 Business name:Malin eclat Plumbing Water piping/DWV 56.29 I Address:PO Box 207 Other: 25.02 City/State/ZIP:Banks/OH/97106 Subtotal l Phone:(503)324-0759 I Fax:( ) I Minimum permit tbe: $72.50 Plan review (25%of permit the) I CCB Lie.: 102535 I Plumbing Lie.no.:34-276PB State surcharge(12%of permit fee) Authorized signature: Carolina Malmedal 't ,r" TOTAL PERMIT FEE Print name:Carolina Mrlmedal I Date:,11/22/21 I Thi�t application aspires If a permit Is not obtained within 1t10 days after if has been accepted no templed. "Fee methodology eel by Tt-Cow5y Building tnd,ntty Service Board, i:tadldineeniteU'LMU-PamitAppGn WOW, 4404616T(t0i022'OM/Wltii) Plumbing Permit Application - City of Tigard Page 2- Supplemental Information Fee Schedule: Residential Fire Suppression Systems rr t r',,, Y' +4 - d� +� Y' �1 ,t iti ti 4 rhrl .; t ref± ° t>i�lfiie }?� � 't; it i4iG'4:Ofkge i a .� ' „t ='r „ ti Footing drain-t"100' 50.03 r0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,041 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 6'�I t 0i'appv.(C'�+ �+ x b y r RP Storm it Rain Drain-1st 100' 62.54 $1.00 to$5,000,00 Minimum fee$72.50 Storm&Rain Drain-each additional 1.00' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for i ,; 3 r S t,,:k 9 .r b 4 9 each additional$100,00 or fraction thereof,to r1!�� �'�>q� C tt011 1 S;;y3 2r., F s. ytt, <q.,,;7 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 fraction 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 tirst$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 $50,031.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? if"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. _ Y rr,dtrt b�Fiii.re 7tyk.:'"° Aril lair Q *.o �?l ii>i ....1 "ta114i.ions ;' XpR Plan review is required for any of the following. iiiI Baptistry/Font iYetforniid: '�' i.r. x N4'w`. s `51 R` i" Please check all that apply. Baptistry/Font 0 Any new commercial building with water service 2"and Bath -Tub/Shower greater,except systems designed and stamped by licensed -Jacuzzi/Whirlpool Car Wash -Each Stall engineer. Drive Thru CI New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in 0AR918-780-0040. Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities. -Domestic 0 Any multipurpose fire sprinkler system. Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040, Eye Wash , Floor Drain/sink -2" Submit sets of plans with any of the above. 4„ x <,aim etrrg2; tr a ±-. Car Wash Drain . '_ 't 1� '''R �> ? F�1' t a k Garbage -Domestic-non-food ❑ Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice.MechiRefrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Ree.Vehicle Dump Station Shower -Gang -Stall - Sink/Inv -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer.Clothes increase of sewer EDUs,a sewer permit will be issued and Water Extractor Water Coset-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: C:\Users iM aimed al1AppDuta\Local\Microsoft\Windows\MetCache1Contett.Outlook\3Ef2CXR4$\Plumbing Permit.doe City of Tigard 1111 ■ . COMMUNITY DEVELOPMENT DEPARTMENT T 1 c n R n Building Permit Review — Residential i Building Permit #: 11 SrZ02-t-©°537 o Site Address: 1 eA 24 c(A) (,p,4 Y1,6l 11*i Pr f Project Name: T(i(l i Uliy v5 Lot #: Planning Review Proposal: 9.C47 d&u1 „ v idt,l/ ID Verify address/suite# active in Accela. il In River Terrace: 50 No ❑ Yes,River Terrace Review Addendum Site Plan Elements: ?Erosion Control p copies of site plan on 8-1/2"x 11"or 11 x 17"paper Retained trees with drip line and tree protection measures PDrawn to scale(standard architect or engineer scale) girootprint of new structure(including decks)and FFE Worth arrow 2/Utility locations&easements(required for new and additions) IXI:tite address,project or subdivision name and lot number psidewalk/driveway approach fAApplicant information(name and phone number) ems 4 Lot dimensions and building setback dimensions gEtreet tree size,type and location �+',� �oew of h„ilrlinnc to 1, .�s1i{it . Atreet names a d >1,000 sf of impervious area created or replaced? /iYes ❑No , - , -2-5-&-R-40) If yes,is a storm water quality facility shown? 0Yes1No Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No ' iDC E mpti €er ��ted-fer. ewes " ,- Received: ❑ Yes ❑ No r--,: : o Iwnroyepient(p Tl PP« }t.... u i uvua.i Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: ‘v 'ZO (8 OOoq 3 ❑ Zoning: IR Required Setbacks: Front: 2.0 i Rear: I y Side: 5 i Street Side: / 0 t Garage: 2x/( CVi Building Height: Max. Height: --SC) t Actual Height: l b. 5 T a^ascap®-Area .9 Lot.Cvvt-iag�.MaA. `Ye Entrance f Set back no more than 8'from street facing wall Parallel to street or offset 45 degrees or less Windows �" Minimum 12%of area of all street-facing facades Garage Garage door is behind widest street-facing wall Yes ❑ met: ❑ Door extends no more than 5'from wall and there is a overed 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. 74 Garage door width is ❑ 12'or less 111 50%or less of facade ❑ 60%or less and includes 7 of following: ll ❑ 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 0 Visual Clearance ❑ Urban Forestry Plan ❑ Sensitive Lands: ❑ Yes fl No Type: ] Conditions met prior to issuance of building permit eNotes:Approved By Planning: 4aA/1l.. Date: —�f�Gvl/� visions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved 0 Not Approved I:\Building\Forms\B1dgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: 12/0 2/2la 2/ Site Plans: # 3 Building Plans: # 3 Building Permit#: [ Enter building permit#above. Workflow Routing: Tr-Planning [Engineering [Permit Coordinator CI-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 and st details,if applicable, etc. Notes: By Permit Technician: Date: /2/4Q/2dL/ Engineering Review . --Slope at building pad: /13X) Conditions "Met"prior to issuance of building permit 2YEasements (encroachments)per engineering conditions of approval and plat l X/ater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes I To As1ess Water Quantity Fee in-lieu: ❑ Yes ®'f\To LIDA Facility on lot: ❑ Yes 13 /No Le?rcial Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: c7 A Engineering:b Y ng ineerin g: . SI-4CvL Date: 9,/3 - ZaZ.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 yr Does not apply ):Zr SDC Fees Entered: Wash Co Trans Dev Tax: / Yes ❑ N/A Tigard Trans SDC: /Yes ❑ N/A Parks SDC: /Yes ❑ N/A LIDA ❑ Yes / N/A OK to Issue Permit Approved by Permit Coordinator: A7Ovv\le Date: 17iJ(`�(/)M I:\Building\Forms\BldgPermitRvw_RES_122419.docx 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 11 Transmittal Letter T I G A R D 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 DEC 2 9 ZOZI COMPANY: David Weekley Homes LaITY OF TIUAHt.) PHONE: 503.213.4409 3UILDING DIVISIQp - , i EMAIL: mticknor@dwhomes.com IRE: 10824 SW Lady Marion Drive. MST2021-00537 (Site Address) (Permit Number) Trillium Hill Lot 7 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. 3 Revisions: Calcs/Deck Stair Stringer Support Footing Revised plan sheets 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.Lateral { calculation for the covered deck attached along with lateral load connection calculation. FORFFICE USE ONLY Routed to Permit Technic n: ate: i / 22 Initials: Alt— Fees Due: ❑ Yes Fee Desc ipt on: Amount Due: o e $ 0________ $ Special Instructions: Reprint Permit(per PE): ❑ Yes o ❑ Done Applicant Notified: ye,--7---Date: /. Initials: