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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 111111 Transmittal Letter T I G A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Allison May FEB 2 4 2021 COMPANY: Westwood Homes LLC CITY OF TIGARD BUILDING DIVISION ,, By PHONE: 503-713-6294 EMAIL: allison@westwoodhomesllc.com RE: 11811 SW PENNY LN MST2021-00056 (Site Address) (Permit Number) Buds Landing Lot 8 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description, Additional set(s) of plans. 3 Revisions: Li 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 LIDA on Plot Plan FO OF ICE USE ONLY Routed to Permit Techni ian: _pate: 3 [ / Initials: 0---/ Fees Due: Yes , Tom Fee Desc do : Amount Due: ❑ t�J`k`� p _ $ eC/ $ oi- cv_ D P Special Instructions: Reprint Permit(per PE): ❑ Yes No `�' ❑ Done Applicant Notified: Date: 3/. U/Lt 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 ri,A u.n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Allyson Armstrong DATE RECEIVED: DEPT: BUILDING DIVISION FROM: Allison May RECEIVED COMPANY: Westwood Homes LLC. MAR 2 3 2021 CITY OF TIGARD By PHONE: 503-713-6294 3UILDING DIVISION EMAIL: allison@westwoodhomesllc.com RE: 11811 SW Penny Lane MST2021-00056 (Site Address) (Permit Number) Burt's Landing Lot 8 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s)of plans. Revisions: 3 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: Corrected details to reflect Post&Beam System ,// FOROFFICE USE ONLY Routed to Pe "f hnician: Date: ,3 ss- ( Initials: MI"3 Fees Due: Yes ❑ No Fee Description: Amount Due: l'_ f lan cam`,tAz-) S(1y ,514-zvi- cis ., $ Special Instructions: Reprint Permit (per PE): ❑ Yes o " ❑ Done Applicant Notified: Date: ,�1g 044/// Initials: fr 1:1Building\Fomrs\TransmittalLetter-Revisions 073120.doc 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 T R-,A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION FROM: Allison May RECEIVED COMPANY: Westwood Homes LLC MAR 0 2021 CITY OF TIGARD By.AV PHONE: 503-713-6294 r�UII DING DIVISION EMAIL: allison@westwoodhomesllc.com RE: 11811 SW PENNY LN MST2021-00056 (Site Address) (Permit Number) Burls Landing Lot 8 (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: Revised truss engineering showing a raised heel. FOIj OFFICE USE ONLY Routed to Permit Technic an: ate: 1/ I.S/2) Initials: Fees Due: ElYes d� Fee Descriptiod: Amount ue: :: .- $ .\\„...j 6.....,...- e.._„....------ $ a $ /(:2---,- __ .. Special Instructions: Reprint Permit(per PE): ❑ Yes No i- J Done Applicant Notified: Date: /� J__( Initials: ftic'" RAIN DRAIN AND OUTFALL y W W W PROTECTION W vow BUILDING OFFSET AND ii 0.AIM. ',I BY BUILDING JURISDICTION PPROVED PERFORATED PIPE MANIFOLD FOR LENGTH OF FACILITY; 4. .4. W 4" MINIMUM. _.groll ' W w W STRUCTURAL WALL PER . y w 4. w BUILDING JURISDICTION * * * W A W: .., yW �4A A L iree W W W ' W W � ., , , 6" TYP. 30" MIN. OVERFLOW TO CONVEYANCE _FACILITY WIDTH h . 1 r • ,. '''v IIWW ��:;. 2" MIN FREEBOARD �1� _k 1�1/ �"" �1�1 \ 6" MAX POND DEPTH vvK � �1 L__:_�A 1, i - �� \ . III I 11II I. /�: 18" MIN GROWING MEDIUM iviv/v// III—III-11 I- - ° < \\ A��j =1 1� —1 / �. 3" DEEP (3/4" — 1/4") CLEAN \ j\\j� "`�6 ;� CRUSHED DRAIN ROCK V !Apo.* �����A�A�� CLEAN DEEP CRUSHED DRAIN ROCK \\\/\\ \f/\ • • j \(\ \ \\ ��\��\/�\ \ \ \ \ \\ \ \ 4: OVERFLOW TO CONVE ANCE \��\� e° S` \w�� \\�X \\\\ \\\� \\\\�\\\\\ WATER PROOFPVC BOOT AND ,�// / a /;/���/j�/i��//��/��/\�/// CLAMP OR APPROVED EQUAL > j �; FOUNDATION DRAIN PER DESIGN %`, � A/ / 7 l`7 / NOTES: 1. PRIVATE WATER QUALITY TREATMENT LOT# 2. 30" MIN WIDTH — FACILITY LENGTH TO BE CALCULATED BASED ON INCOMING FLOWS. BOX SIZE (SF.) 3. VEGETATION: SEE PLANT LIST IN LIDA HANDBOOK. OF PLANTS 4. NO TREES OR DEEP ROOTED VEGETATION OVER PIPING. # 5. RAIN DRAINS AND OVERFLOW TO MAINTAIN MAXIMUM LINEAR TYPE OF PLANTS SEPARATION. 6. OUTFALL PROTECTION SIZED PER FLOW CALCULATIONS. 7. BUILDING JURISDICTION APPROVAL REQUIRED WHEN DEPTH OF SIZE OF PLANTS FACILITY IS BELOW BUILDING FOOTING. FLOW THROUGH PLANTER LIDA HANDBOOK CleanWatei Services DRAWING NO. 794 REVISED 03-16 120 Low Impact Development Approaches Handbook aeanWarer Services RECEIVED FEB 2 3 2021 • .1 CITY OF TIGARD © 1,� BUILDING , ilk,I':_ "7""_ . .! „„,,, s _ , ,I� _,.,_ ....,„._ __ w I ,,,4.;„r. _. ....,... ..._____._,„ mil 1,!________ Irili II IIIµ 7,-- —. , ��,„ C IIF_II I oramagragamo el it '(� - IT I-rlIrll TNI� Ilrlll—i I_I TGJ .. , ` ipii [1 j mil l• MOTE Lm,BO%!£✓M NOT TO EKG®HITOM OF 9LlLTN6 PM, e BLOC PNO WPL TO MCRFI.]E M MEMXT To gl HV'+/.•RV LOT 9O,LEPM MOTTO E0GE®.1B'NKN) �v�l LIIDA BOX DETAIL/STRUCTURAL \gym O6 — — _ 'HE MAPLE / E dio it-, dl ti . ___.\_ 6,_ _ 4011r,..,> --"\--", 4\ CF4 f� 5 i \ \ MAPLE I I1-- v \ I^ 5 p 'A‘ \ \P u' ,cs —I__ I LQ 8 v Lo. 9,237SF ��, \ \ NFLooR- Dabs F CO% D .i\--Q. `,� ,., Ip/,�u PPEi"2 FLOOR- 1Eg15p F r •ATI• . OTAL 292850 FT F • ate �AR.oG T 1ai \MAPLE � / j,,, 3 3 �, FJ \ FFE: 171 -0" gl 6.' I� I'../ . GARAGE , a �� Q' 1 a m sF °bRIVEWAY �\e S� q'1 v „N zz,„ _-- n -54 AO a� tt P',ti' i fi ..,1 ,2 �, lip SITEFLAN 1) SCALE : 1"=20' o rat) 2.._..:..... o rid+ -.. 0 qPo • '°`ts N. ti�v' IONIed y� y 11q.8 S.F. REQ. FOR LIDA BOX. 120 •,� - E S.F. PROVIDED -, ./.-1, LOT AREA c1,231 5F 4"V BUILDING COVERAGE 1,qq? SF \ l4k p j'L� SETBACKS: % OF COVERAGE 21.6% ' STREET SIDE E I5' MPERVIOUS 5F. 3,208 5F SIDE = 5' REAR = 15' DRIVEY'AY AREA 1171 5F //e'/i PLAN NAME: BUi? LANDING 2c128 Westwood Homes LLC SW PENNY LN 12118 NW Blackhawk Drive DRAUJNE DRaFTinC: TIGARD, DR 91223 Portland OR 97229 PLOT: 2/23/21 SCALE: LOT 8 phone 503-352-5363 fax 503-352-5919 45 INDICATED Agnes Lindor From: Agnes Lindor Sent: Tuesday, February 23, 2021 1:37 PM To: Allison@westwoodhomesllc.com Cc: #Building Permit Technicians; Kenny Fisher; Lina Smith Subject: MST2021-00056 I-li Allison- Please submit a revised site plan showing the LIDA correctly sized. Please send the revised site plan and this transmittal sheet back to this email.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@tigard-or.gov 1 Kenny Fisher From: Jeremy Tamargo it: Wednesday, January 13, 2021 10:42 AM 1o: Kenny Fisher Subject: OCWS Impervious Sizing Standards c. For single family and duplex residential partitions and subdivisions, stormwater management approaches shall be sized using the following criteria: 1. Actual impervious surface area in all public and private rights-of- way and common space created by the development and for existing impervious area proposed to remain on site. 2. An assumed rate of 2,640 square feet of impervious surface area for lots greater than 3,000 square feet. 3. For lots that are 3,000 square feet or smaller, impervious area may be based on either of the following; December 2019 RUNOFF TREATMENT AND CONTROL R&O 19-5, Amended by R&O 19-22 Chapter 4—Page 23 A. The maximum allowed impervious area per lot, including driveways and buildings, as calculated using the local jurisdiction's development code, or B. An assumed rate of 2,640 square feet of impervious surface area per lot. !Ii: Jeremy Tamargo, P.E. City of Tigard Principal Engineer (971)713-0281 jerernyt@tigar d-ar.gov 13125 SW Hall Blvd Tigard, OR 97223 1 CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2021-00056 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/01/2021 Parcel: 1 S 135CC05600 Jurisdiction: Tigard Site address: 11811 SW PENNY LN Subdivision: BURT'S LANDING Lot: 8 Project: Burt's Landing,Lot 8 Project Description: New detached dwelling BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1246 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1682 sf Garage: 606 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2928 sf Value: $389,921.01 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 Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 1 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywall-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 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: 6 201-400 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+ampNolt: 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: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2928 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: $40,550.35 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 mayobtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1,800,332.2344. t%,Issued By: 1 ,a_\ v,v,, /.E. PermitteeSignature: fY\ (31T1�C CI t„\ J Call 503. 39.4175 by 7:00 a.m.for the next available inspection date. ~{ This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application E C E I V E E3 g Residential !'S FOR OFFICE I SI OAI.1 City of Tigard FEB 0 9 2021 Received r / i Permit No.: II I • 13125 S W Hall Blvd.,Tigard OR 9722 Plan Review02 ;� 0s 7 202!-COD 5e) Phone: 503.718.2439 Fax: 503.598.1 TY OF TIGARD Date/By: (S 74 I i Other Permigyne 202j,colic TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: / VI See Page 2 for Internet: www.tigard-or.gov tified/Meth : 6 �/I lr Supplemental Information F / TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 11 ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ 3 ',9 2 1 a O ` ❑Accessory building El Multi-familyNumber of bedrooms: 5 1 ❑Master builder El Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: Z 35-3 Job site address: l/8'// Y r (jf, New dwelling area: 2/� square feet 1 Ut City/State/ZIP: ` 1 , 0�- 72�3 Garage/caiport area: ii, square feet `214( Suite/bldg./apt.no.: Project name: pr�J L6 i:/I ' w l Covered porch area: 7S square feet Cross street/directions to job site: J Deck area: square feet Other structure area: square feet �f REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I Lot no.: d 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.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. New SFR Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name:Same as applicant Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: ® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule Business name:Westwood Homes LLC �� Structural plan review fee(or deposit): 3if Contact name::A 1 IArsavt J FLS plan review fee(if applicable): Address:12700 NW Cornell Rd Total fees due upon application: City/State/ZIP:Portland,OR,97229 Phone:50 —7 i 3-02 N Fax: :( ) Amount received: E-mail: 4.1 aso/W Ives-I-4 f or O cm,5 Lu, c(/ j PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: WQS-weMc( l-fV ' $ L('�/- Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 127 D 0 ( W eo/ (nett ( ect Solar Installation Specialty Code checklist. City/State/ZIP: por-I-I' #- 0( ©2 172_2-'7 Permit Fee(includes plan review $180.00 Phone:,�3) 7/ j-02q(./ ( ) age(12%of perve mit Fax: State surcharge(12%of permit fee): $21.60 CCB lic.:195597 Total fee due upon application: $201.60 Authorized signature: a.... This permit application expires if a permit is not obtained ��"�� llf�� Ve/�� within 180 days after it has been accepted as complete. Print name: AlGi 601 I Date: *Fee methodology set by Tri-County Building Industry Service Board. I:1Bui ldinglPermits1BUP-RE SPermhtApp. 02/24/2011 440-4613 T(11/02/COM/W EB) ECEI Mechanical Permit ED ion orFn I. 1 sl:Oy1-1 City of Tigard FEB 0 9 2021 ReceBy Permit No. 5 0 / 006501, 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.196CIT/OF TIGARD Date/By: Other Permit: T I(_;.1RD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: Notiti hub: 0 See Paget for Internet: www.tigardor.gov ed/Melhod: Supplemental Information TYPE OF WORK .t::ta t':1-�' •�.x .l, ` .,': '3 v _ a+r �A<ca.�',1. .n=9< F�>.. - _ „,t Mechanical permit fees•are based on the value of the work ❑X New construction 0 Addition/alteration/replacement performed Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,end profit Value:$ CATEGORY OF CONSTRUCTION DEMENTIAL EQUIPMENT/SYSTEMS PEES* ® 1-and 2-family dwelling 0 Commercialfindustrial ❑Accessory building For special information use checklist ❑Multi-family ❑Master builder ❑Other: Description Qty. I Ea. Total JOB SUE INFORMATION AND LOCATION - Heating/cooliag: /} �j � Air conditioning 46.75 Job site address: `/ K V / 5?Ai ,.}/�r7i' ' bail n'^C/ Furnace 100,000 BTU(ducts/vents) ( 46.75 City/State/ZIP: 7 7 44 r a/ ©,a_ 7 2 z 5 Furnace I00,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: J Project name: /4/43 / ri H pump . Dud 23 work 23.3232 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.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 L apt- clakg+' w„; °� a Gas fireplace/insert 33.39 Flue vent for water heater or gas HVAC for new construction home fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/Baevent 23.32 Other: 23.32 ,"" L ---.---_:_ - - Environmental exhaust and ventilation: Name: /S 000 1 eyn 2.s ` Range hood/otherkitchen Address: 1 Z700 i/(r/ equipment 33.39 l�/ Yee�J V-T `� Clothes dryer exhaust I 33.39 City/State/ZIP: p6 r fl n G/1 o !q 7 2 Z.7 Si[icompartments,ngle-duct exhaust(utility rooms)_ S. 23.32 Phone:503) '7 J'3—&2 (-1 Fax:( ) Artic/crawlspace fans 23.32 a Other 23.32 Business name: VVieS4-lv90o/ -s G _.. Fuel piping: n� / ;`,n^ S14.15 for first four;54.03 for each additional Contact name: 4�l�J V/ I m/t ,1 ,,/ Furnace,etc. ( Address: /Z7 e o iv w CoV/6/7 P-; (_ Gas heat pump Wall/suspended/unit heater City/State/ZIP: 0-c..41 )-e/ 'O 1-7 2Z q Water heater I Phone: -7/3 —6,2_q to I Fax::( ) Fireplace Range E-mail: ♦ • Ok7 ' WeS:-/711-/O-adl2errilQS1.--LGr C' Barbecue f .: Clothes dryer ) Business name: Lakeside Heatingtit CoolingOther' a .7 :! ''. ' MECHANICALPERMITFE Address: 7021 SW McEwan Subtotal CitylState/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 k not obtained within 180 days after it has been accepted as complete. Authorized signature' • Fee methodology set by Tn-County Belding Industry Service Board Print name: Jason Charlton Date: Z/&' Zd1_' I:\BuildingWeanits3MEC_PennitApp_040113.doc 44-461 (11/02/co tWEB) Electrical Permit Applicatiar.ECEIVED FOR OFFICE.USE ONLY CityofTigard Received sI 2o21-oc r� g FEB 0 9 2021 Date/B " Permit#: �,l (J Ara lig • 13125 SW hall Blvd.,Tigard,OR 97223 I. Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Da Related Permit#: T l GA p Inspection Line: 503.639.4175 CITY OF TIGARD Ready Date/By: kris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF wtWAILING DIVISInN PLAN REVIEW ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more ❑Building over three stories. 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-familydwellingCommercial/industrialless to ground,or exceeds 14,000 ❑Commercial-use agricultural ❑ 0Accessory building amps for all other installations. buildings. ❑Multi-family ❑Master builder 0 Other: ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived �p 0 Addition of new motor load of system. Job#: Job site address: 1/8/1 Ski 1"t, 1 l 100HP or more. ❑"A","E","l-2","1-3", City/State/ZIP: `T j cf� 0� J er �- °172Z3 ❑Six or more residential units. occupancy. II ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: 6t'4, 1-- �/L9 ❑Hazardous locations. 0 Supply voltage for more than ElService or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Each 1 Total �y New residential single-or multi-family dwelling unit. Subdivision: Lot#: y Includes attached garage. (J 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'I 500 sq.ft.or q portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 New SFR (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 El PROPERTY OWNER 0 TENANT Services or feeders installationialteration,and/or relocation Name:Westwood Homes LLC 200 amps or less 100.70 2 Address: 12700 NW Cornell Rd 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Portland,OR 97229 601 amps to 1,000 amps 301.04 2 Phone:(971)678-5018 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 to APPLICANT 0 CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name:Same as Owner above service or feeder fee, 7.42 2 each branch circuit Contact name: B.Fee for branch circuits without service or feeder fee,first Address: branch circuit 56.18 2 City/State/ZIP: Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) Fax:: ( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Ross Electric Inc Sign or outline lighting 67.84 2 to Signal circuit(s)or limited-energy Address:2870 SE 75 Ave#203 panel,alteration, 0 See Page 2 2 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)642-2800 Fax:( ) Investigation(1 hr min) 90.00/hr Email:RossElectric@comcast.net Industrial plant(I hr min) 78.18/l1r Inspections for which no fee is 90.00/hr CCB Lic.: 157891 Electrical Lie.: 34-436C Suprv.Lie.: 4232frg specifically listed('=hrmin) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Stephen Ross Date: ❑Plan Review Required(25%of permit fee): '1 State surcharge(12%of permit fee): Authorized signature: /2 TOTAL PERMIT FEE: L ig I^ ,,.,� I This permit application expires if a permit is not obtained within 180 Print name: Date: 2/87 1 j days after it has been accepted as complete. }/5/ * Number of inspections allowed per permit. I:1BuildingTermile\ELC_PermilApp_ELR_ERE.doc Rev 06/17/2015 440-46 T(11/OS/COM/WEBEB • Plumbing Permit Application - Building Fixtures 101 of►,c l l r O\i City of Tigard RECEIVED Re4ei"d III • 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Permit No.: 51-2,021-d0056 C Phone: 503.718.2439 Fax: 503.598.1960 FEB 0 9 2021 Plan Review Ins tionLine: 503.639.4175Dat �Y: Other FanutNo.: i"..A K D Internet: www.tigard-or.gov CITY OF TIGARD No ei Ready/By:e: rud I a p 2for Sappkmmhl Information TYPE OE WOR UILDING DIVI le FEE*SCHEDULE ®New construction ❑Demolition Fora a[ P�+ information use checklist Description ❑Addition/alteration/replacement 0 Other I Qty. .f Ea. I Total New 1-2-family dwellings(includes 100 ft for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 ® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath f 4307.78 0 Accessory building 0 Multi-family SFR(3)bath 50032 ❑Master builder Fach additional bath/kitchen 25.02 ❑Other: Fire sprinkler(__._sq.R) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: ;7 t j�'� n N �r yt p/ Catch basin or area drain 18.76 City/State/ZIP:Tigard OR Drywall leach line,oririxtch drain 18.76 Footing drain(no.linear tl.: .) Page 2 Suite/bldg./apt.no.: Project name: , vir-_ 1.- A Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:,_,_) Page 2 Storm sewer(no.linear R:. ) Page 2 Water service no.linear it: ) Page 2 Subdivision: I Lot no.: 44. Fixture or Item: Tax map/parcel no.: Baddlow preventer 3I.27 DESCRIPTION OF WORK " Backwater valve 12.51 I Clothes washer 1 25.02 1 Dishwasher ' 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER _ 0 TENANT Expansion rank 12.51 Name:Westwood Homes LLCdr Fixture/solvercap 25.02 Address: 12700 NW Cornell Road Floor ge disp/flo a sink/hub 25.02 City/State/ZIP:Portland OR 97229 Garbage taposl 25.02 Hose bib 25.02 Phone: Fax:(503)342-2403 Ice maker 12.51 ® APPLuuA •, , .. . .0 CONTACT PERSON.``.:;_'': Interceptor/grease trap 25.02 Business name: Medical gas(value:S `) p�2 Contact name: Primer 12.51 Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone: Fax::( ) Tub/shower/shhowerpan ]2.51 E-mail " Urinal 25.02 CONTRACTOR. Water closet 25.02 Business name:H&H Mechanical Water heater 37.52 Waterpiping/DWV 56.29 Address:5757 SE Willow Lane Other. 25.02 City/State/ZIP:Milwaukie OR 97267 Subtotal Phone:(503)975-9787 Fax:(503)659-2979 Minimum permit fee: $72.50 CCB Lic.: 178122 Plumbing Lie.no.:Pe)14/ 1 Plan review (25o%of permit fee) Authorized signature: yy.-, _,..2 I State surcharge(12%of permit Ilse) yft '` TOTAL PF-RMIT FEE I Print name:Due ' agae Dates it This permit apptintl0a etpira ice permit is ape obtained within ill days . �... a&erit bas been accepted as eompkte. "Fee methodology se by Tri-County Building]ndusny Service Board. I:1BuldingtPamaSPt.MU-PmnitApp.dos 10/01/09 440-46t6T0002/COM/WES) i City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT"11111 `�,/1 1 j T I G A R D Building Permit Review — Residential Building Permit #: M ST2 22 -�() G6 a ���i-/Y'�s� L�>A lam h Site Address: 11811 SW Penny Lane Project Name: Burt's Landing Lot #: 8 Planning Review Proposal: New house ® Verify address/suite# active in Accela. it In River Terrace: Al No ❑ Yes, River Terrace Review Addendum Site Plan Elements: $]Erosion Control K13 copies of site plan on 8-1/2"x 11"or 11 x 17"paper na]Retained trees with drip line and tree protection measures ®Drawn to scale(standard architect or engineer scale) $]Footprint of new structure(including decks)and FFE tfNOrth arrow KJUtility 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) na Location of wells/septic systems ®Lot dimensions and building setback dimensions l Street tree size,type and location n®Square footage of buildings to be demolished X]Street names n®Existing structures on site $]Corner elevations (2'contours if more than 4'differential) 'TJ Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? [Yes ❑No impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? aYes ❑No F] Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): 1 Required: ❑ Yes,applicant was notified gal No Received: ❑ Yes 11LJ No Water Meter Fixture Unit Worksheet—Addi ons,Remodels and ADUs J Required: ❑ Yes,applicant was notified I No Received: ❑ Yes 1d No 6LI l SDC Exemption for ADU applied for: ❑ Yes No Received: ❑ Yes ao No X Public Facili s Improvement (PH) Permit: J Required: Yes,applicant was notified El No Applied For: P Yes ❑ No,stop intake l Land Use Case#: SUB2016-00002 K] Zoning: R-4.5 K] Required Setbacks: Front: 20 Rear: 15 Side: 5 Street Side: /- Garage: 20 [ Building Height: Max.Height: 30 Actual Height: 26 I1 Landscape Area: % f1 Lot Coverage Max: Entrance ® Set back no more than 8'from street-facing wall le Parallel to street or offset 45 degrees or less Windows Kj Minimum 12%of area of all street-facing facades Front= 13% / Back= 26% Garage Xl Garage door is behind widest street-facing wall ❑ Yes [ No,one of the following is met: El 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 2"d floor. IC Garage door width is ❑ 12'or less ❑ 50%or less of facade X 60%or less and includes 7 of following: Xl Covered porch X Recessed entrance Xl Wall offset X 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 IO Urban Forestry Plan KJ Sensitive Lands: ❑ Yes K] No Type: igt Co itions met prior to issuance of building permit No s: Approved By Planning: — Date: 1' '2/ Revisions (after Rd mg Submittal only) to Revision 1: Approved El Approved ...j / Revision 2: ❑ Approved ❑ Not Approved I:\Bui(ding\Forms\BldgPermitRvw_RES I22419.docx --s Building Permit Submittal Original Submittal Date: 40 2/ Site Plans: # Building Plans: # 3 Building Permit#: VEnter building permit#above. y Workflow Routing: [Y Planning C 'Engineering 11-"Permit Coordinator 42' Building Workflow Sign-off: I/Sign-off for Planning(include notes from planning review) Route Application Documents: al/Engineering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing form. CYBuilding: original permit application,site plans,building plans, engineer and beam calculations and, st details,if applicable,etc. Notes: i / By Permit Technician: , Date: CO3/ Engineering Review Er-Sio-pe at building pad: #0 conditions "Met"prior to issuance of building permit 2r Easements (encroachments) per engineering conditions of approval and plat later Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 12"&o Assess Water Quantity Fee in-lieu: ❑ Yes [2-1\To LIDA Facility on lot. rYes ❑ No Final Plat Recorded: 12-ICTOT Approved by Engineering: i, r, SNP Date: _.3,1 3..„70z 1 Notes: G, .yam -,e tt_T S1 LG L/A , ❑ Approved by Engineering: Date: Revisions (after Buj ing Submittal only) Reviewer Date Revision 1: I Approved LI Not Approved /' • FigyE. 3 -6 •2oz< Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review at Conditions"Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: S0((1.+ flM1, -to App ll�In t- r'yy L 2-1 3 1207'l Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: XSDC Exemption: ❑ Received g. Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: gi Yes ❑ N/A Tigard Trans SDC: 71 Yes ❑ N/A Parks SDC: 7 Yes ❑ N/A LIDA Yes ❑ N/A VI, OK to Issue Permit r1 Approved by Permit Coordinator: I'1� V Date: ?-(�� T:\Building\Fomi s\B1 dgPermitRvw_RES_122419.docx I i gi roc bra 1 pi,/, ig Plan# Floors (9- Large to /0) f Bed rooms S Small '� NNNNJ� WC ? ^LAV Tub Basement �/(5-/2-) 4 Vent 1st Floor 12Lae �" 88 C� p Water Heater 1 2nd Floor l(pe6Z R3_ IZZ y Le x 2-1 2 C. 3�T7 i ct AC 3rd Floor Dp L{ 53D 4 3$ School l S c-r-, R-3 Total ZZD `�(,?�x b� Z 3� 13 q ��?� S �S OJr �-e� Garage �.Qi�� Cplf Lr.C� PDr�c-�-24. x7s 1,r0 Total 3s3 Tv ( = 38. 1 1 cZl , a l #for Elec j v 0 WO" Igoe- DER