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Permit 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 ■III Transmittal Letter i, n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: 4 iti9n5Ohj DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Allison May MAR 0 8 2021 COMPANY: Westwood Homes LLC CITY OF TIGARD PHONE: 503-713-6294 BUILDING DIVISION By EMAIL: allison©westwoodhomesllc.com RE: 11849 SW PENNY LN MST2021-00073 (Site Address) (Permit Number) Burts Landing Lot 4 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: r Description. Additional set(s) of plans. Revisions: 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: Revised truss engineering showing a raised heel. Routed to Permit Technician: Date: 'j `z" Initials: Fees Due: ❑ Yes 7 No (/Fee Desc 'ption: / Amount Due:1. Ob 1± $ s p7z..---' Special Instructions: Reprint Permit (per PE): ❑ Yes No `� ❑ Done j);AL,„, Applicant Notified: Date: 4175-7 ) Initials: 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 Transmittal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tiaard-or.gov TO: Agnes Lindor DATE RECEIVED: DEPT: BUILDING DIVISION riECEIVED FROM: Allison May �3,t91 MAR 0 9 2021 COMPANY: Westwood Homes LLC CITY OF TIGARD PHONE: 503 713 6294 BUILDING DIVISION Byt EMAIL: allison@westwoodhomesllc.com RE: 11849 SW PENNY LN MST2021-00073 (Site Address) (Permit Number) Burt's Landing Lot 4 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: 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:ARKS: Revised Plot Plan FO OFFICE USE ONLY Routed to Permit Technician: Date: �jl Z( Initials: kk Fees Due: ❑ Yes ,N ee Descriptio Amount Due: .V) 0- '65 $$ Special Instructions: Reprint Permit(per PE): ❑ Yes o ❑ Done Applicant Notified: ® Date: G// 7 / Initials: Agnes Lindor From: Agnes Lindor Sent: Monday, March 8, 2021 11:49 AM To: Allison May Cc: Kenny Fisher; #Building Permit Technicians; Lina Smith Subject: Burt's Landing Lots 3 and 4 Allison- Please submit a revised site plan showing: - Call out water meter - Call out and show storm and sanitary laterals. Please make sure these are shown on all future submittals. Please also include the transmittal form for each lot.Thanks, Agnes Lindor I Associate Planner City of Tigard I Community Development 13125 SW Hall Boulevard Tigard, Oregon 97223 Phone: 503.718.2429 Email: AgnesL@tgard-or.gov 1 Erosion control: silt fencing; straw mulch on 03 C7g z/ exposed soil; gravel construction driveway; construction debris stock pile RECEIVED MAR tl �'a 2a21 E , X PEP APCP CITY OF TIGARD _'„'„E.k '''' BUILDING DIVISION _Lsn ; • I ,,r tE. 4.4 .� • Y VHi.w 9Tw:vAM NYX N rtG AT �DTNCEIt9 N:DYAT ID'dc t coxc T„z - -„HIT I J I,. rlEn •1 �w f ro�m.»w �Ipp t-�I�nII-C. elvac C Noa<N M a< ;d _ 5 m ,.T,D' � �-�1 �f,u,IuFr. ' .��T�...a.e IMA.. ?L-_ _7 ' Ir��'TE.rATp��i w,s,m�wrx a. a � RD 6 `: w,, . A 6rem e." O,£LIDA EOK OENTN NOT TO F$G®EOTTM4 OF&ALONE.PIO. A PLOP'or,PALL TO NCR....IN NEPPT TO KEEP NECESSARY I.W.mK 0ErtO MOT To Etrz®.A8 MAIL) 02 D LIDA BOX DETAIL/STRUCTURAL N.s I 75.00' —r— TOTAL IMPERVIOUS = 2640 5.F. X .06 2'HEDGE 2'LEDGE MAPLE ' = 160 S.F. REQ. FOR LIDA BOX. 160 MAPLE �Q) ll N 17 L 111I S.F. PROVIDED t �� s ``�COV E) ////' I PATIO // // )/////// //////// ' /" / // / /// / // //// i/ /// / .� �/ ;1 LOT ��/ /��� ZONING DISTRICT: R-4.5 REQUIRED PROPOSED '4PLE %/ ' '' '' '/ /,/ MIN. FRONT YAW SETBACK: /.=A 20' '' /;, AIH FLOOR- 24m 5 //�/ // MIN. GARAGE SETBACK: 20' 23'-0 51I �I �Al2YE basso FT / / / v MIN.SIDE YARD SETBACK: 5' 5' �I i/'�i/�/ //// // / /// �I MIN.STREET SIDE SETBACK: 15' N/A N 2 /, / ;///// ////'/,/ MIN. REAR YAW SETBACK: 15' 15' 1 / , ��y / '//// /i// I MAX BUILDING COVERAGE FOR LOT: N/A 39.8% r / /// /, , MAX IMPERVIOUS SURFACE FOR LOT: N/A 5,049 5F (61.5%) � '� LE Cov'D ' GARAGE ,, 7 MAX BLDG HT.: 30' 21'-8 1/4" �,y �':L E urRv/1� // /' ///�/' l� OTHER"": / I, 2ssF �f j ' /// /// /�/// I • IF THERE ARE MULTIPLE SETBACKS,U5E THE MIRIAM BEING PROPOSED I /,/, / / �� ° c " SPECIAL CONDITIONS,I.E.,SETBACKS ABUTTING CRITICAL AREA,STREET ETC. I' WALKWAY r : 50'm�0.• r ,i L. , ,27sF ,„ " s LOT AREA 8,205 SF n DRIVEWAY" " �. ��, �SSF I4, BUILDING COVERAGE 3,267 SF 88" / 11011,, iiiiv. ' � s 1 Q�� Z Q)( SITLAN `4 410 CITY OF TIGARD 5G?�LE 1"=20' z f Approved y Panning w ' Date: ..1 -2-1 a- Initials: 1189 PLAN NAME: 2400 BUR_ TS LANDING Westwood Homes LLC 1)14UNE-Di2AFTIN 11 B 5W FENNY LN 1211 Portland OR 9722Drive PLOT: s/eizi TIGARD, OR ' 1223 L 0 T 4 phone 503-352-5363 fax 503-352-5914 SCALE: AS INDICATED 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 III Transmittal Letter T I G A h.I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATI J VED DEPT: BUILDING DIVISION APR E, 0Zen FROM: Allison May CITY OF TIGARD COMPANY: Westwood Homes LLC BUILDING DIVISION PHONE: 503-713-6294 By EMAIL: allison@westwoodhomeslIc.com RE: 11849 SW Penny Lane MST2021-00073 (Site Address) (Permit Number) Burt's Landing Lot 4 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: `' Copies: Description: 3 Additional set(s) of plans. Revisions: 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: We are removing 1 sink in the shared bathroom.. A 1 tJSrIZ--- P s C) Jrvc — 1�&JCA--) CC,-rrS rY `T0 - FOB OFFICE USE ONLY Routed to 'e it Technician: Date: Li i i.‘.0// vI Initials: aw/' Fees Due: V i,',1 es ` No Fee De ciiptioh: Amount Due: I. $ Y/.iii�op � �r�V „, Alio:. AO $ $ Special ` —t Instructions: Reprint Permit(per PE): ❑ Yes No ❑ Done Applicant Notified: / Date: ti/,.)-/� Initials: , I:1Building\Forms\TransmittalLette- ev00120.doc Plumbing Permit Application Building Fixtures 1 na oFtict: 1 sr oyLt City agard Received Permitrmit No.:� �7/ ■ 13125 SW of W Hall Blvd.,Tigard,OR 97223 `� ' III G Phone: 503.718.2439 Fax: 503.598.1960 PlanRewrw t.�,73 Inspection Line: 503.639.4175 Date/By: other Permit No.: '�C 1 1 c;a R 1) Internet: www.tigerd-or.gov Ready/By ® See Page 2 for Notified/UAW; Sappkmeatal Information TYPE OP WORK FEE* SCHEDULE 'ew construction 0 Demolition For spermlInformation use checklist Descri,,on rAddition/atterationheplacement ❑Other New 1- family dwellingsQtr. Ea. Total A. (includes 100 ft for each utility mane ... ) CATEGORY OF CONSTRUCTION .. SFR(1) 312.70 / ® 1-and 2-family dwelling ElCommercia)rndustrial SFR(2)b:. I 437.78 ❑Accessory building ©Multi-family SFR(3)bath 50032 / ❑Master builder r addition. kitchen _ 25.02 Other: Fire sprinkler( sq.ft) Page 2/ JOB SITE INFORMATION AND LOCATION Site ad3iHea: i lob site address: ,w/( sw 1 Dih D Catch basin or area . :' 18 6 City/State/ZIP:Tigard OR {�(�1 Drl■s11 leach line o ch drain 1 .76 Suite/bldg./aptno. vyProject name: � , e6 Footing drain(no.lin : Ti: ) e 2 t ManufantOred borne aril'es /50.03 Cross street/directions to job site: Manholes d/ ]8.76 Rain drain connector / 18.76 Sanitary sewer(no.linear IL. Page 2 Storm sewer(no.linear ft.: ) t/ Page 2 Water service(no-linear ft.: ) / Page 2 Subdivision ( Lot no.: q Fixture or Item: Tax map/parcel no.: Baddlow preventer /, 31.27 DESCRIPTION OF WORK Backwater valve , 12.51 r IN e &> 'r v/ Oh,e Si/7/� Clothes washer 25.02 � r� �� Dishwasher / 25.02 V r t' l^ K,e--Grrn-f Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER. I..'`: •- []TENANT... Expansion tank 12.51 Name:Westwood Homes LLC Fixttrre/sewercaP 25.02 Address:12700 NW Cornell Road Garbage dr disposaorl sink/hub 25 02 City/State/ZIP:Portland OR 97229 disposal 25 Hose bib A 25.02 Phone: Fax:(503)342-2403 Ice maker 1 12.51 el APPLICANT 0 CONTACT: PERSON interceptor/grew 25.02 Business name: Medical gas(val •$_) Page 2 Contact name: - Primer _ 12.51 Roof drain(.,- mercial) 12.51 Address: Siak/ba5,, : 3 5.02 City/State/ZIP: Solarun f.(potable water) .•.54 Phone: - Fax::( ) Tub/ . /shower pan -3 12 1 E-mail Urinal 25. CONTRACTOR. W' closet L- 23.01 • Wa- heater 37.52 Business name:H&H Mechanical W ,r in WV Address:5757 SE Willow Lane prP $6.29 •i err 25.02 City/State/ZIP:Milwaukie OR 97267 Subtotal P Phone:($03)975-9787 Fax:(503)659-2979 Minimum permit fee: 572.50 CCA Lic.: 178122 Plumbing Lic,no.:P6L/t Li Plan review (25%of permit fee) Authorized signature: y 1 State surcharge(12%of pernnt tee) Sri .<Ys--' � r , I TOTAL PERMIT}a h Print name:Dus ' ague ' Date. / This permit appiiwaoa mk lassmed within ISO days 1 after h aaaespirea bewif a acpercepted mnormolrtapte0� 'Fee methodology set by Tri-County Building Industry Service Board. I:1Bu7tSnglPermus\PLMU-PmnitApp.doc 10/01/09 44o-46r6T(tn07'COM/WEa) Branden Taggart From: Branden Taggart Sent: Thursday, April 15, 2021 5:11 PM To: Allison May Cc: Allyson Armstrong;Tina Escalera Subject: Burt's Landing, Lot4 Revisions: MST2021-00073 - 11849 SW Penny Ln. Attachments: TransmittalLetter-Revisions_073120.pdf Hey Allison, We received your revision for lot 4 of Burt's Landing to remove (1) sink. However,we are missing a completed Transmittal Letter—attached above. Also, the floor plan does not show what sink needs to be removed. Please make a notation on the floor plan to show the removal of the sink. The foundation plan and other pages are not needed, but we will need to receive (3) copies of the floor plan showing the removal of the sink. If you would rather not print more copies,you are welcome to revise the floor plan that you submitted. I can arrange for you to make these revisions from our conference room if you prefer. Please let us know how you would like to proceed. Thanks, Branden Taggart a City of Tigard . m ;t, Senior Permit Technician Community Development 13125 SW Hall Blvd Tigard,OR 97223 (503)718-2449 brandent©tigard-o r.g ov 1 CITY OF TIGARD MASTER PERMIT III s ' COMMUNITY DEVELOPMENT Permit#: MST2021-00073 T r i;A G I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/08/2021 Parcel: 1S135CC05200 Jurisdiction: Tigard Site address: 11849 SW PENNY LN Subdivision: BURT'S LANDING Lot: 4 Project: Burt's Landing, Lot 4 Project Description: New detached dwelling BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 2400 sf Basement: 0 sf Left 5 Parking Spaces: 0 Height: 16 Bathrooms: 2 Second: 0 sf Garage: 699 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2400 sf Value: $327,966.27 Rear: 15 PLUMBING Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain 0 Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bcklw 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 Tvoes Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: Gas Outlets: 5 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 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-100ov: 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: Eeompasing. Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2400 Owner. Contractor: WESTWOOD HOMES LLC WESTWOOD HOMES LLC Required Items and Reports(Conditions) 12700 NW CORNELL RD 12700 NW CORNELL RD 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97229 PORTLAND,OR 97229 PHONE: PHONE: 503-330-2215 FAX: 503-342-2403 Total Fees: $38,493.85 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: 14 011Y Van.De'We*e Permittee Signature: 0 VliApplu,cf tion Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. • Mechanical Permit Application- ,`Neil , roll Old ICI I sl:Oy1.) *. - -:.. i-.r City of Tigard D By: Perm t Na.:(1ST2o Z 1 UUfJZ 3 13125 SW Hall Blvd.,Tigard,OR 97223 -C" ry Plan Review _ Phone: 503.718.2439 Fax: 503.598.1960 x.f Date/By: Other Permit T 1 I,A R Il Inspection Line: 503.639.4175 Date Ready/By: Avis El See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK - d. .. r ,d. Mechanical permit fees*are based on the value of the work fJ Ncw construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CO?SIRUC IOTI -s' -_ - - _ :, ; 1391HYN'19.4T.EQi11.$l4f$i�1'/SYSI'El{ Fl;'hS1'. ® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist ❑Multi-family 0 Master builder ❑Other: Description Qty. I Ea. Total t .. ` k,p'CdT10N Cahn coo Iv [�/� 'A/ Air conditioning 46.75 ! Job site address: O T C SYV peen L4i" Furnace 100,000 BTU(dmYs/vents) 1 46.75 City/State/ZIP: i ye q i l Furnace 100,000+BTU(ducWvents) 54.91 Heat pump 61.06 Suite/bldgJapt.no.: Project name: 6Vy-J-3 Let"di a.J Duct work 23.32 Cross street/directions to job site: 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: Lot no.: I Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 ,-,--,-sit ''', rs.'- r.,.4. ofi wow Gas fireplace/insert 33.39 r �`- - - Flue vent for water heater or gas HVAC for new construction home fireplace 23.32 Tog lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chinmey/liner/Bue/vent 23.32 ROPERTY OWNER Other: 23.32 s � .__. - � '�'� Environmental exhaust and ventilation: Name: UV e�-f-w G 0 -0,,, L , (�(/cj Range hood/other kitchen /�y� /W(m`rI" equipment ' 33.39 Address:!D7 0 V /V W I i f R-d. Clothes dryer exhaust I 33.39 City/State/ZIP: Q -I1 i I A fi - '7 ZZ Single-duct exhaust(bathrooms, �/� !k WVW /� f� toilet compartments,utility rooms) 23.32 Phone: �(/J /- — ('QZ'I Fax:( ) Attic/crawlspace fans 23.32 Other 23.32 _ Fuel piping: Business name: 5 —jnj / . ..v....Q. 1-4-L/ .: ng: i / $14.15 for first four;$4.03 for each additional Contact name: /L y7 Furnace,etc. Address: f..74-D W W ie Y at frl e- Gas heat pump Wall/suspended/tmit heater City/State/ZIP: P e�rj'- -/ 0,2_ ,1'72.01 Water heater Phone:qgi -7! ✓ 60 - / Fax::( ) Fireplace Range E-mail: 4/ VI SO l km 9-0d hen/lei/GI Barbecue 2a ,kriti - Clothes dryer(gas) Business name: Lakeside Heating&Cooling Other ri ; Address: 7021 SW McEwan subtotal City/State/ZIP: Lake Oswego, OR 97035 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503 ) 635-5253 Fax:( ) state surcharge(12%of permit fee) CCB lie.: 227694 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 Tn-County Building Industry Service Board Print name: Jason Charlton Date: 212.2.12.04 I:\Building\PermiblMEC_PermitApp_040113.doc 440-4617r(1Ifi2/COM/WEB) • Plumbing Permit Application . . Building Fixtures I Oft oFFu 1. 1 sF osl.) tpCity of Tigard Received • 13125 SW Hagard, R 2 Date/By: Permit Na.:M.STZe��-0007 = • Phone: 503.7ll18.2439Blvd.,TiFax: 5O03.598.196972 30 FEB 2 5 2021 Pl8eJB :Review li t 1 , i'h Inspection Line: 503.639.4175 DateJBY: Other Permit No.: TY n i-- 'i t�n� .. pat?Rendy/BY: ludo- Id See Paget for Internet www.tigard-or.gov �..: �' ' NotifrodRvlethod: TYPE OF WORK Sepple neural information FEE*.SCHEDULE y New construction ■Demolition,. For ■ special use checklist ■ Description ( Qty, I Ea. I Total New 1-2-family dwellings(includes 100 ft for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath El1•and 2-family dwelling 312.70 ❑ industrial SFR(2)bath I 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 50032 Each additional bath/kitchen 25.02 ❑Master builder ❑Other: JOB SITE INFORMATION AND LOCATION Fire sprinkler�,sq.ft) Page 2 Site at0ities: p Job site address: ,,iO4;7--CM/ nn _� C�f�6/ ,_ ,_ `�C� Catch basinorareadrain �� City/State/ZIP:Tigard OR 7 ZZ 3 C• Drywall,leach tine,or trench drain 18.76 C, Suite/bldg apt.no.: Project name: •S Lot Footing drain(no.linear ft.: ) Page 2 Cross street/directions to job site: Manufact nholes red how utilities 50.03 Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft:, ) Page 2 Storm sewer(no.linear it:_) Page 2 Water service no.linear ff.: ) Page 2 ' Fixture or item: • Backflow preventer i 31.27 Tax ma • DESCRIPTION t e Backwater valve i 12.51 • Clothes washer 25.02 Dishwasher Willi 25.02 MEI Drinking fountain EMI 25.02 211 PROPERTY Ejectas/smnp III25.02 .OWNER Expansion lank111111 IZ,S] Name:Westwood Homes LLC Fixture/sewer cap 25.02 Address:12700 NW Come)/Road Floor drain/floor sink/hub 25,02 City/State/ZIP:PortlandOR. 97229 Garbage disposal 25.02 Phone: Far(503)342-2403 Hose bib 25.02 ce maker ■ t PERSON Itnterccprfldgrease trap 12.51 z5_02_o2 Medical gas(value:S ) Page 2 : 1 :• Primer • 12.51 Roof drain(commercial) 12.51 Sink/basin/lavatory 25.02 Solar units(potable water) 62.54 Phone: - Fax::( ) Tub/shower/shower pan E-mail 12.51 Urinal 25.02 CONTRACTOR IIII Water cioset 25.02 Business name:H&H Mechanical Water heater 37.52 Address:5757 SE Willow Lane Water Png/D 56.29 Other. 25.02 City/State/ZIP:Milwaukie OR 97267 Subtotal Phone:(503)975-9787 Fax:(503)659-2979 Minimum permit fee: S72.50 CCB Lic.:178122 Plumbing Lic.rm.•Peg/1 Plan review (25%of permit fee) Authorized signature: Slate surcharge(12%of penult the) rs✓ TOTAL PERMIT FEE Print name:Dus . ague Dale. 7 This permit apP#cadoa a «a i!a /7 f"-- / JZ"/ Aar it his been permk is not obtained within lgO drys 'Fee methodology at by Tri-Coumy accepted l an Industry net)Building Indu6ey Service Board. I:IauiMSngtPVINCSNLMV-Pa[milA AOc lO.'OE09 4e0-46t6T(i692COWWE5) z7qc City of Tigard ~ COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: 1202(-000 7? Site Address: 11849 SW Penny Lane Project Name: Burt's Landing Lot #: 4 Planning Review 03/09/?J ' I V'SeD -lo S Proposal: New single detached house D ❑ Verify address/suite #active in Accela. ❑r In River Terrace: El No ❑r Yes, River Terrace Review Addendum Site Plan Elements: �'ro ion Control el: copies of site plan on 8-1/2"x 11"or 11 x 17"paper \aired trees with drip line and tree protection measures 0 rawn to scale(standard architect or engineer scale) footprint of new structure(including decks)and FEE 0 orth arrow .:3daty locations&easements(required for new and additions) 12.ite address,project or subdivision name and lot number ,Sidewalk/driveway approach 0 pplicant information(name and phone number) location of wells/septic systems 13 .t dimensions and building setback dimensions 'Y%street tree size,type and location li:quare footage of buildings to be demolished Street names \ II:xisting structures on site °Zorner elevations(2'contours if more than 4'differential II .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? L1Yes o impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? es o Clean Water Services-Service Provider Letter (lot platted prior to 9/10/1995): \ Required: ❑ Yes,applicant was notified ❑r No Received: ❑ Yes ❑° No Water Meter Fixture Unit Worksheet-Additions,Remodels and ADUs Required: El Yes,applicant was notified CI No Received: El Yes CI No SDC Exemption for ADU applied for: ElYes 11 No Received: El Yes ElNo Public Facilities Improvement (PFI) Permit: Required: Q Yes,applicant was notified ❑ No Applied For: ❑✓ Yes ❑ No,stop intake ❑r Land Use Case#: SU B201 6-00002 El Zoning: R-4.5 Q Required Setbacks: Front: 20 Rear: 15 Side: 5 Street Side: N/A Garage: 20 ❑r :uilding Height: Max. Height: 3 / Actual Height: 16 Landscape Area: % ��,,'("T t Coverage Max: Entrance v Set back no more than 8' from street-facing wall Q Parallel to street or offset 45 degrees or less Windows r Minimum 12%of area of all street-facing facades Garage ° Gara e door is behind widest street-facing wall ❑✓ Yes ❑ No,one of the following is met: ❑gDoor extends no more than 5' from wall and there is a covered porch extending beyond garage. uuDoor extends no more than 5' from wall and there is a 12 sq ft.window above garage on 2nd floor. ❑r 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 itch ❑ Gable,hi ,or gambrel roof Dormer _ Accent siding Window trim 1Wmdow recess U Window projection El Balcony ,; Ii Visual Clearance ❑r Urban Forestry P1an II Sensitive Lands: El Yes ° No Type: d Conditions met prior to issuance of building permit Notes: 0 Approved By Pla 'ng: C_>. Z Date: 2/26/21 Revisions (after Bo' ing Submittal only) Reviecv�r �� ate Revision 1: Approved ❑ Not Approved .2- Revision 2: El Approved ❑ Not Approved 1:1Building'Forms\Bl dgPcrm itRvw_RE S_122419.docx Building Permit Submittal Original Submittal Date: 2/2 /2bZ/ Site Plans: # 3 Building Plans: # 3 Building Permit#: Enter building}pl'ermit# above. El- Workflow Routing: Planning ±f Engineering E I Permit Coordinator IBuiding Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: 2"Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. �y L'� Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: Date: D 3-D 3-202✓ Engineering Review nn lope at building pad: 'C L� onditions "Met"prior to issuance of building permit �-��asements (encroachments) per engineering conditions of approval and plat b Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes o Assess Water Quantity Fee in-lieu: ❑ Yes Ro LIDA Facility on lot: 2"-Yes ❑ No Final Plat Recorded: 12- 0T Approved by Engineering: K , F y i- -ram Date: - zozf Notes: 5 tf4+tis GA 1 I ov^r woo.-t� STAL... k 5-4,..i oY+rps ..frFi�ta l Approved by Engineering: . f' S l k V. Date: 3 - ZoZ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review `4 Conditions "Met"prior to issuance of building permit ®-Approved, NOT Released: ET1l Pent Slor►.S- At, 3 Is 12.02.( Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: SDC Exemption: ❑ Received Does not ai 1 p Y SDC Fees Entered: Wash Co Trans Dev Tax: Yes N/A Tigard Trans SDC: g Yes 0 N/A Parks SDC: g Yes ❑ N/A LIDA laYes ❑ N/A OK to Issue Permit Approved by Permit Coordinator: - Date: 5/ fa I:\Building\Forms\B IdgPermitRvw_RES_122419.docx