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Permit q CITY OF TIGARD ,, MASTER PERMIT 2 COMMUNITY DEVELOPMENT L - • -cod Permit#: MST2021-00121 TIGAR.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/26/2021 Parcel: 1 S135CC06200 Jurisdiction: Tigard Site address: 11894 SW PENNY LN Subdivision: BURTS LANDING Lot: 14 Project: Burt's Landing, Lot 14 Project Description: New detached dwelling. 8/26/2021: REPRINT permit to add (1)utility sink in garage. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 1694 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 22 Bathrooms: 3 Second: 737 sr Garage: 524 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 2431 sf Value: $323,009.46 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 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: 1 Other Fixture Units: Utility sink in garage MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 5 Fum>=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: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: D 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 2431 Owner: Contractor: WESTWOOD HOMES LLC WESTWOOD HOMES LLC Required Items and Reports(Conditions) 12700 NW CORNELL RD 12700 NW CORNELL RD 1 Ersn Cntri 503-639-4175 PORTLAND,OR 97229 PORTLAND,OR 97229 PHONE: PHONE: 503-330-2215 FAX: 503-342.2403 Total Fees: $38,620.15 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 Q59-nnLnnln fhrnu 11fAR Qc911n On Vnm,ma;/nhtain a nnnv of fha name nr dinant ni incanne to rfl INr.by nallinn ROA 919 1QA7 nr 1 Fenn'149 9144 Ce 4'/V �/�G/e . v r✓Issued By. � ��"� ` �.-� Permittee Signature: 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. Plumbing_Permit APpIicat1on :CEIVED ]wilding Fixtures City of Tigard AUG 2 3 2021 I(>u rtl i r( i t a; oil t 111 i3125SWHa1Blvd.,T;gard,OR YOFTU3ARD Jhr�Y Received ' �</r ?% , 5tx,4/ Ft�j-/x�'/�2/ Phone: 503,7182439 Fax: 503.598 I110,10NPlan Review ' Inspection s: 503.639.4175 03' � �� z>rway: Other Permit No 7 3`""1:t 7 Internee www.Ggsrd-or.gov Dos Rzedyn3w od: t/2 S 72 , i; 131411 B Set Pate 1 far 8appkmmnr f■ronoa TYPE OP W&IU( L',al �' :`: :�� ii f'181E•.g�i98t}11T:E.:._ ®New construction ❑Demolition Pet special G2lonoution use cheeklEa Des ❑Addition/alteration/replacement ©Other ��� Qty 1 Be. I Total New 1-.2.41ildly dwellings includes WO ft for cash utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ®1-and 2-family dwelling ❑Commeraillfnndustrial SFR(2)bath 437.78 bath ©accessory building 0 Multi-family SFR _____(3) 500 32 [3 Master builder Each additional bath/kitchen 25.02 ( Other: Fire spr nPJer(___s4 R) II Page 2 JOB SITE INFORMATION AND LOCATION She .7,(I-; Job site address /74 YV.inn Lines Catch basin or areadndn 18.76 City/State/ZIP:Tigard OR 722 Drywe11 }each line,or bench dram 18.76 Suit&bldg/apt no.: Project name: Footing dram(no.linear$:_.. 1 Page 2 f- d '0 Manufactured home tailitia 50.03 Cross street/directions to*site: //r�Lr, er of" r Manhalcs 18.76 ,,[[��t/ VI l (1 One• Rain drain connector 18,76 Sanitary sewer Mo.linear tl_:_) Page2 Storm sewer(no.linear ft:_____) Page 2 Subdivision Wate<service(no.linear ft: ) Page 2 Lot no.:I Rehire or item: Tax map/parcel no.: Bade Iow prevtata + 31.27 D6$CRIPTION OF WORK Backwater valve I2.51 1. / u7/L//7 /A.;/ G (�/f/' 6-- Dishwasher 25.02 O -fv/ % /i. TZCI.?%- ©C)/.�2 25.02 - Drinidngfountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER :.. D TENANT:: :':.';;r:i'::; EaParsiontank lzsl II Name:Westwood Homes LLC FaroaP/sewe r rep 25.02 Address:12700 NW Cornell Road Floc dram/floorsWc/buh 25.02 City/State/ZIP:Portland OR 97229 Garbage&p°sal 25.02 . _ Hose bib 25.02 Phone: Fax:(503)342-2403 Ice maker =®� ®±1PPliC671. . :r • Cl..:. :CONTACT.P> (IN. .; ': ltereePter/greasetrIP 25-02 Business name: r Medical gas(vakre$ ) Page 2 -Contact name: ... 12.51 - Raofdrain(oatmrrreial) 1251 Address: Si°kbtsindavatory << e i t i 25.02 . _ _ _ x Solarunits(potable water) 2.5 MI Phone: - Pa :( ) Tnbs alwwc/showrr pan 12.51 E-mail + Urinal 25.02 . CONI RACT UR Water dons 25.02 Business name:H&H Mechanical Waoerheater 37.52 WaterPRing/DWY $6.29 Address:5757 SE Willow Lane Other. 25,02 City/State/ZIP:Mllwaulde OR 97267 Subtotal Phone:(503)975-9787 Pax(503)659-2979 Minimum penult fee:$72.50 Cat Lie.:178122 Plumbing Lip.no.:2aj[f f 1 f MIn review (25%ofpemtit fee) Authorized signature: s State autoharp 024 or permit nee) TOTAL PERMIT PEE , Print name:Due agae 1 Dates_ �2� This Park app0uaos esyira if a is e aAaklhubem ! orobtamadwkMaltOdaps ara�ud in areri "Pu aulhadolop b1' -C°w Weary Banding try Saris Board. iNkuhreVahlitalPlhiti.PerahAppAsc lMiv9 440-46367(10102rConvcvEel CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT 11 Permit#: MST2021-00121 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/26/2021 Parcel: 1 S 135CC06200 Jurisdiction: Tigard Site address: 11894 SW PENNY LN Subdivision: BURT'S LANDING Lot: 14 Project: Burt's Landing, Lot 14 Project Description: New detached dwelling BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 1894 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 22 Bathrooms: 3 Second: 737 sf Garage: 524 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2431 sf Value: $323,009.46 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 1 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Tvpes Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<10OK: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 5 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Tema SrvciFeeders 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: 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 8.Stereo: N HVAC: N Security Alarm: N Vaccuurn System: N Garage Opener: N All Ecompasing: Y Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2431 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: $38,495.28 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: liouy VaxvDe-Wege Permittee Signature: OWAppUco ttovi. 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. 7Building Permit Application RECEIVED n� ` / p� �g"3I z_ 1 2 Residential RECEIVE ! FOR OFFICE ISI: ONI.1 1 1. 9 L.� DReceived c City of Tigard ej ye, ZJ1l Permit No.:�l'�pf7-021 -001Z • 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 2 9 107' plan Review ^� �����-dC167 ■ Phone: 503.718.2439 Fax: 503.598.1960 DateBy: �/I/ . jJ Ti Other Perm' TIGARD Inspection. Line: 503.639.4175 CITY OF TIGARD Date ReadY/BY v/ mis; ® e Internet: www.tigard-or.gov N ethod: / � T SupSpleementalPage2for Information l 1}t ��nl�. st,11 C'�{l(\,; /, r 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 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. � �� n ® I-and 2-family dwelling ❑Commercial/industrial Valuation: $ J�Zt OCR ,`l c' ElAccessory building ❑Multi-family Number of bedrooms: 3 ❑Master builder ❑Other: Number of bathrooms: >E � JOB SITE INFORMATION AND LOCATION Total number of floors: 2 9 SS Job site address: /l,/� nn a I„ J New dwelling area: �/?�'/ square feet 73 City/State/ZIP: /` 27 3 Garage/carport area:6 square feet (�41. Suite/bldg./apt.no.: / ✓ Project name: /O)vLS �.� i1 Covered porch area: square feet Cross street/directions to job site: ��vv Jam/ Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: / 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 0 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* Business name:Westwood Homes LLC (Please refer to fee schedule) ' r Structural plan review fee(or deposit): Contact name::4 L N Soi, 1W'(1f FLS plan review fee(if applicable): Address:12700 NW Cornell Rd Total fees due upon application: City/State/ZIP:Portland,OR,f 97229'J Phone:5077 71 3'�I 22'11 Fax::( ) Amount received: E-mail: 4 U S 6WeSV-wog c1 h 0)14,3 UrC. C dl� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: INeS-hWo Dti( kilineUES 1_1_6... Submit two(2)sets of roof plan with connection details �" / Coand fire department access,along with the 2010 Oregon Address: /)7 0 0 Al IV C (n+e I ( ect Solar Installation Specialty Code checklist. City/State/ZIP: Ford cin A ©a_ 17 ZZ 7 Permit Fee(includes plan review $180.00 Phone:603) '717j--02 q 4 Fax:( ) and(12adm%of pervemit fees):e State surcharge(12%ofpermit fee): $21.60 CCB lic.:195597 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after It has been accepted as complete. Print name: 41 Lif V l ak/ Date: r sal / / *Fee methodology set by Tri-County Building Industry u/G` Service Board. 1:\Building\Permits\BUJP-RESPermitApp.dix 02/24/2011 440-4613T(1 I/02/COM/WEB) Mechanical Permit ApplicatiRECEIVE 0 colt orri( r i sit oa.) City of Tigard Received By: 13125 SW Hall Blvd,Tigard,OR 97223 MAR 2 9 702` pansy: Permit No.: tl IA Plan Review Other Permit: Phone: 503.718.2439 Fax: 503.598.1960 Line: 503-639.4175 CITY OFTIGARD Date e TtGAAD Inspection Date ReadyiBY: Julia: H See Page 2for Internet: www.tigard-or.gov r III nit9r7/IsioNi Nonfed/Method: Supplemental Information TYPE of wont c°MM.EllerAt,FEE SCWIT ULE-,use CIfl c lasT Mechanical permit fees*are based on the value of the work ❑X New construction ❑Addition/alteration/replacement performed Indicate the value(rounded to the nearest dollar)of all mechanical materials,equipment,labor,overhead,and profit. ❑Demolition ❑Other Value:$ CATEGORY Oil CONSTRZCTfON RLStflEN'PrALE.oul f1t.TrrigS'SrEltgFEE3* ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use cherklid ❑Multi-family 0 Master builder D Other: Description Qty. Ea. I Total JOB SIT E l PORMATION AND LOCATION Heating/cooling: - . . t Air conditioning 1 46.75 Job site address: //cr/ y a 6j/'j `f Furnace 100,000 BTU(ducts/vents) I 46.75 City/State/ZIP: / 9 ZZ Furnace 100,000+BTU(ducts/vents) , 54.91 Suite/bldgJapt.no.: I(Project name: r�s' /�r Heat pump 61.06 ���iii�77"��'''vvr 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 �'� 23.32 Other fuel appliances: Tax map/parcel no.: Water beater 23.32 DEEsccRIPTION OF WORK Gas fueplace/insert 3339 - - - 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/flue/vent 23.32 23.32 - k 11 �y l - j4j 7)or I S ,L (. LllTt Environmentalnghood/other exhaust and veotiladon: Name: n �7 �y� ,^!,.i , / /�] ,� / ) Range hood/otherkitchen uipment 33.39 Address: 1 (- 6 Or) i tr VV C f( lf��/ CCllotthes dryer exhaust () 3339 City/State/ZIP: 1— l(4,yt.0( " e 722_i Single-duct exhaust(bathrooms, toilet compartments,utility rooms) S 2332 Phone:j /p `t'2-- Fax:( ) Attic/crawlspace fans 23.32 <: - Other: 23.32 Fuel piping: Business name. 4#u. a-, e '`inej4/ SIAI5 far that four;S4.03 far each additional Contact name: / 6-a/') // 1./,/�f/� Furnace,etc. I J Gas heat pump Wall/suspended/unh heater City/State/ZIP: Water heater I Phone:( ) I Fax::( ) R lace ange � E-mail:A/ /• wQ L/ • 4.0 ig ,_//c, ' ..,► Barbecue ' Business name: Lakeside Heating &Cooling Other. MECuAN1CALrxx rTi S* 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 fie permit is not obtained within 180 days after it has been accepted as complete. Authorized signature _ * Fee methodology set by Tri-County Building lndushy Service Board Print name: Jason Charlton Date: 3l zqJ ra l 11BuildiagTermimUdEC_PenoaApp 040113.doc 4404617T(11102/COM/WFD) Electrical Permit Application FOR OFFICE USE ONLY City of Tigard RECEIVE D Received Permit N: • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review I ' Phone: 503.718.2439 Fax: 503.598.1960 LIAR 2 9 1?' Date/B : Related Permit p: Inspection Line: 503.639.4175 Ready DateBy: ruris: 67 See Page 2 for 1 1 GA I`11 Internet: www.tigard-or.gov CITY OF TIGARU Notified/Method: Supplemental Information TYPE OF Wo1g1JILb(NG DIVISION PLAN REVIEW ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition El Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. El1-and 2-family dwellin less to ground,or exceeds 14,000 ID Commercial-use agricultural g ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ['Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived 0 Addition of new motor load of system. Job#: Job site address: /f,M 4 SkV 4 y La . 100HP or more. ❑"A"."E","1-z',"I-3", City/State/ZIP: 1 1 0/2— Z2 a/Y 0 "/7 Z --� ❑Six or more residential units. occupancy. / tt ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: /--4-5' /i/J n�r,Y/ 0 Hazardous locations. 0 Supply voltage for more than 11 ee1sa"" ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I End. 1 Taal I * / New residential single-or multi-family dwelling unit. /Subdivision: Lot#: � Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential New SFR (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) ® PROPERTY OWNER El TENANT Renewable Energy ID See Page 2 Services or feeders installation,alteration,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 ® APPLICANT El 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, each branch circuit 7.42 2 Contact name: B.Fee for branch circuits without Address: service or feeder fee,first 56.18 2 branch circuit 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 Address:2870 SE 75m Ave#203 Signalnel,circuit(s)an or limited-energy 0 See Page 2 2 panel,alteration,or extension. Each additional inspection over allowable in any of the above City/State/ZIP:Hillsboro,OR 97123 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(1 hr min) 78.18/hr Inspections for which no fee is CCB Lic.: 157891 Electrical Lic.: 34-436C Suprv.Lic.: 4232ir 3 specifically listed(Vs hr min) 90.00/hr ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Stephen Ross Date: 0 Plan Review Required(25%of permit fee): J /r' State surcharge(12%of permit fee): Authorized signature: /- ��pyp TOTAL PERMIT FEE: /` This permit application expires if a permit is not obtained within 180 Print name: Date:3 'L� days after it has been accepted as complete. � * Number of inspections allowed per permit. F\BuildhgtPermitstELC_PamitApp ELR_ERE.doc Rev 06/17/2015 440.46152(11/05/COM/WEB • Plumbing Permit Application Building Fixtures y of RECEIVE E ' x ;,� FOR OFUR 11ST ON1_t C /a • 13125 SW Hall Blvd.,Tigard,OR 97223 qi]Z q Plan Rev Permit No:- � g Phone: 503.718.2439 Fax: 503.598.1960 �aR1 2 .. , Plan Rev ew Inspection Line: 503.639.4173 Date/By: Other Parmit Ab.: Tit,n ti:n Internet: Line:gars-or gov :.CITY OF TIGARC Dale R IBY: Jurt g See Page 2 ror ,� r1�f�n�+ Notifted/Method: tlivts7W}�+ Sappr�ental Information TYPE OF WOR[C FEE*.SCHEDULE ®New construction ❑Demolition Fors erial ir(formmion use checklist Description I 4 i Total ❑Addition/alteration/replacement 0 Other. New I-2-family dwellingsft I Ea.f (includes 100 for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 ® 1-and 2-family dwelling 0 Commercial/industrial SFR )bath 437.78 ❑Accessory building 0 Multi-Family SFR(3)bath ' S 5.02 0 Master builder Other: Each additional bath/kitchen 25.02 Fire sprinkler L._ _sq.ft) Page 2 JOB SITE INFORMATION AM, LOCATION Site utilities: Job sate address: i ip / '7 sw. !l{���... Q� Catch basin or area drain 18.76 City/State/ZIP:Tigard OR G� -Z Z%3 tT Drywall leach line or trench dram 18.76 Footing drain(no.linear ft: ) Page 2 Suite/bidgiapt.no.: 1 Project name: 0015 Manufactured home utilities Cross street/directions to job site: J 50.03 Manholes 18.76 Rain drain connector _ 18.76 Sanitary sewer(no.linear IL:____) Page 2 Stone sewer(no.linear ft: ) Page 2 Water service(no.linear IL: ) Page 2 Subdivision: Lot no.: Fliturt or Item: Tax map/parcel no.: Backflow presenter , 31.27 DESCRIPTION OF WORK Backwater valve 12.51 I r Clothes washer ' 25.02 Dishwasher ' 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER '; . .0 TENANT_. Expansion tank 12.51 Name:Westwood Homes LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub Address:12700 NW Cornell Road 25.02 Garbage disposal 1 25.02 City/State/ZIP:Portland OR 97229 those bib 25.02 Phone: - Fax:(503)342-2403 Ice maker ® APPLiCO ' 12.51 a .. : �]:CONTACT.PERSON r.:; . IMaceptor/grease trap 25.02 Business name: Medical gas(value S _) Page 2 Contact name: . Primer 12.51 Roof drain(commercial) 12.51 Address: Sink/basin/lavatory (l 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone: Fax::( ) Tub/shower/shower pan 12.51 E-mail Urtnal 25.02 CONTRACTOR. Water closet7 25.02 Business name:Ian Mechanical Water rpin 37.52 Water piping/DWV 56.29 Address:5757 SE Willow Lane Other 25.02 City/State/ZIP:Mihwaulde OR 97267 Subtotal Phone:(503)975-9787 Fax:(503)659-2979 Minimum permit fee: S72.50 CCB Lie.: 178122 Plumbing Lie.no.:03 J Plan review (25%ofpemtit fee) Authorized signature: ,4J �j' State surcharge of porIle t ie) ... t TOTAL PERMIT Ft Print name:Das ' ague Dater Taus permit applicants aspires if a permit is nos Obtained within 189 days . -r . =;1 after if has been accepted as complete. "Fee methodology eel by'hi-County Building Industry Service Board. t:lBuiktinglPemits1PLMLLPennihApp.doc 10/O1/09 44o 4616r(tng2/COMMEB) Plan # 58-2A31Ml1 —a ' ((/, Floors D- Large 1w� �� Bed rooms 3 Small L L'90 we 3 LAV y Tub 3 Basement Vent 1st Floor k y Water Heater ) 2nd Floor -7 3-7 AC �j 3rd Floor School �ic R-3 Total a1/4t3 I CJ 1 lop Lit Garage Shy e)15 Total S j r( L „re, #for Elec 9 City of Tigard 111111 ■ II COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: t.48T2O2_1—O 012 Site Address: 11894 SW Penny Lane Project Name: Burt's Landing Lot #: 14 Planning Review Proposal: New house ® Verify address/suite# active in Accela. ® In River Terrace: ® No E Yes, River Terrace Review Addendum Site Plan Elements: XErosion Control KJ3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper fl Retained trees with drip line and tree protection measures n Drawn to scale (standard architect or engineer scale) ."Footprint of new structure(including decks)and FFE k North arrow ®Utility locations&easements(required for new and additions) ®Site address,project or subdivision name and lot number ZSidewalk/driveway approach ®Applicant information(name and phone number) Il®Location of wells/septic systems 20Lot dimensions and building setback dimensions XlStreet tree size,type and location I11Square footage of buildings to be demolished ®Street names naExisting structures on site ®Comer elevations(2'contours if more than 4'differential) ®Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ®Yes No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? [ Yes No ® Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified R No Received: ❑ Yes ❑ No ® Water Meter Fixture Unit Worksheet-Additions,Remodels and ADUs Required: ❑ Yes,applicant was notified kl No Received: ❑ Yes E No ® SDC Exemption for ADU applied for: ❑ Yes E No Received: ❑ Yes ❑ No Ki Public Facilities Improvement (PFI) Permit: Required: El Yes,applicant was notified E No Applied For: ❑ Yes ❑ No,stop intake I ® Land Use Case#: SUB2016-00002 ® Zoning: R-4.5 ® Required Setbacks: Front: 20 Rear: 15 Side: 5 Street Side: n/a Garage: 20 ® Building Height Max. Height: 30 Actual Height: 22 t Landscape Area: % 0 Lot Coverage Max: Entrance ® Set back no more than 8'from street-facing wall ] Parallel to street or offset 45 degrees or less Windows fit] Minimum 12%of area of all street-facing facades 13% Garage Z Garage door is behind widest street-facing wall ❑ Yes M 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 2nd floor. liC7 Garage door width is ❑ 12'or less NI 50%or less of facade ❑ 60%or less and includes 7 of following El Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof cave ❑ Roof offset ❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony I Visual Clearance ® Urban Forestry Plan ® Sensitive Lands: ❑ Yes ® No Type: ® Conditions met prior to issuance of building permit Notes: i Approved By Planning: I w`"' Date: 31�j0 12024 Revisions (after Building Submittal only, Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: D Approved ❑ Not Approved 1:\Building\Forms\BI dgPermitRvwRE S_122419.docx Building Permit Submittal Original Submittal Date: 03/24/20.1 Site Plans: # 5 Building Plans: # 3 Building Permit#: [T'Enter building permit#above. Workflow Routing: a-Planning R'Engineering [ Permit Coordinator Building Workflow Sign-off: E Sign-off for Planning(include notes from planning review) Route Application Documents: 0- 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 tru details,if applicable,etc. Notes: / By Permit Technician: 1 1,11,Plir Date: d9/3d/2OZ I Engineeringgi� Review I RI.1[3pe at building pad: A-% lConditions "Met"prior to issuance of building permit 12--Easements (encroachments) per engineering conditions of approval and plat P' Water Quality/Quantity Facility Assess Water Quality Fee in-lieu: ❑ Yes R"Nlo Assess Water Quantity Fee in-lieu: ❑ Yes 1'No LIDA Facility on lot: Z.-Yes ❑ No Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes:�te I/ Approved by Engineering: (Z_ 5(4-ta-, Date: 3-3 I- 2.6.7—r Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Pe it Coordinator Review iC.nditions"Met"prior to issuance of building permit 11.!.' Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: # :P C Exemption: ❑ Received poes not apply b SDC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A Tigard Trans SDC: Ces ❑ N/A Parks SDC: s ❑ N/A LIDA s El N/A OK to Issue Permit Approved by Permit Coordinator: — _ % # Date: `7 '//2/ I:\Building\Fonns\BldgPermitRvw_RE S_122419.docx RAIN DRAIN AND OUTFALL + + W PROTECTION BUILDING OFFSET AND it I ! ! ! 0 RMLE AS APPRVED * *• 1 I ORD ANIFOLD ' FOR LENGTH OF FACILITY; • + 4" MINIMUM. * + I I. + * STRUCTURAL WALL PER 4 * I 1 4 + BUILDING JURISDICTION Y + o V L : • ,r,„,........ . . ..,,,,,.. . . „. ... . , , .. . . . . . _i/L, . •• . .. . ,.. OVERFLOW TO 6" TYP. 30" MIN. CONVEYANCE .1 FACILITY WIDTH 1 7 1 I —_ 2" MIN FREEBOARD II" v I 6" MAX POND DEPTH ' :s /\ I I=1 I l I=1 11-I I I ' i i i `\ 11l11=M1I11111i El-.1111il l / j/VAjAA�, I ± I hEIIh H 1;1-11 y j 18" MIN GROWING MEDIUM \ -_Ii71 i I: III:=1Ii `s ; //i, 1 11 1E 1I1 I I _il </_ ,/,�/1.X wows3 viited as . \%' 'i 3" DEEP (3/4" — 1/4") CLEAN , ,� ,� �„,'.. CRUSHED DRAIN ROCK /j/ �j %; .,;-:/i 9" DEEP (1-1/2" — 3/4") V/VA ' ,�A\�A n ///�j/ CLEAN CRUSHED DRAIN ROCK '''2 4 \ \ �� A A \ VAV \ / VVA \( /:/ V \;VCV , e/ ViVAA/ / - A\ A, A/�,'-� OVERFLOW TO �//� ' 7'< '<scV //2 ''/A/<XVV/Az/` G /AV/AyA CONVEYANCE c" \/ jj''\ �\/- ,';,,/ / / WATER PROOF BOOT AND / j- , /i %\\X </ /\ CLAMP RAPPROVEDEQUAL /•--, '2/ \//\\Z\SATION DRAIN PER DESIGN ,,•;y9,//%�i iv��/;/v�i/�/ ' SECTION A-A 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 CleanWateer\` Services DRAWING NO. 794 REVISED 03-16 120 Low Impact Development Approaches Handbook C1eanWater�Services