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Permit
11 CITY OF TIGARD ', ` ' .1 MASTER PERMIT 2 COMMUNITY DEVELOPMENT �' dC) Permit#: MST2021-00075 Tt A .D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/26/2021 G It Parcel: 1 S135CC05100 Jurisdiction: Tigard Site address: 11857 SW PENNY LN Subdivision: BURT'S LANDING Lot: 3 Project: Burt's Landing, Lot 3 Project Description: New detached dwelling. 8/23/2021: REPRINT to add laundry tray. BUILDING Floor Areas Required Setbacks Required Stones: 2 Bedrooms: 4 First; 1059 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1567 sf Garage: 676 sf Front; 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2626 sf Value: $354,230.76 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 Bckflw Prevntr: 1 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-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 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'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-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 2626 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: $39,401.04 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 Q9-nnl-noin thrn ink OAR o691V1t.r7on vn�„mov nilt.in m rnm,of the riJce nr riirnrf ni,uctinne to nitric by roalnn cril 999 10577 nr 11 Ann 119 9144 Issued By: //%)/J'l 2.1/e{may Permittee Signature: ei� /T1/ ieLI 7e� JJ 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 AppiicatilECEIVED Building Fixtures roa Ol rit I k `‘r 0,1,4 City ofTitard \UG 2 3 2021 Rateivcd 13125 S W Hail Blvd.,Tigard,OR 97223 G. � . / 3,12121 Faro r No./� — �� Cal Phone: 503.718.2439 Fax: 503.598.1060 T�ARQ PlmHcview In ina tine: 503.639.41 75 �' ^!V c`�'� ^�': Other Permit No.; r c ,; '- ; R` y: F/, T hW T 10 Sea � 2fartntern www.G�rd ae8ov No ttediatelhal: -> ? / 476/ • TYPE OF WORK Seel aatattaHre■tton SCREDIU �s Now construction ..Demolition Forqupa/bl/b on arse c6ecklist 0Rdditiot✓atierntionfreplaeement ©Otitar Dtaarpttwt i Qty. j Ea. i Total New l-2-faaril dwe81 (includes 100 it for each air connection) CATEGORY OF CONSTRUC13pN SFR(7)b t El1-and 2-family dwelling ❑Cotnmereialltndustrial SFR(2)bath 111111 312 70 437.71 ©Accessory building 0 Multi-family SFR(3)bur 50032 Each additional ©Master builder ❑Other: 7sr 2 JOB SITE INFORMATION'AND LOCATION Fire spmdesr C __,aq_ft) Page Z / p -7 �n Site nt8lfiee: Job Site address: . / ,'SOS I S' (tQ1.�7j 17,Q. Catch basin or area drain 18.76 City/State/ZIP:Tigard OR7 72,23 leac(clay or tench drain _ Suite/b /� / Footing drain(no.linear ft.:„� Page 2 ldgiapt.no.: Project name: I3/ '4-5 i-L{f^11.c� Ma n tacpnedborne utilities 50 Cross street/directitms to job site 18.03 �'� r i " 8.76 (</,// ErgillEZERS mar' aar/le.-- `. Rain drain connector 18.76 Sanitary sewer(no.linear it:____) Page 2 Storm server(no,liner ft:. __.) Page 2 Water service(no.Breen it: ) Page 2 Subdivision: Lot no.: 3 Figure oritem: WWITaxmap/parcel no.: Baot�ow pmventer ®� DESCRIPTION OF WORK B valve . . Clothes washer 149-/L) L3_• yl ' 1:�✓-7 /L r7 7-6 c� IS 17 N CT D 25.0 // lut/%- /7 et. 2--, - U O '7 5 Drinking fountain 225A2 tif PROPERTY OWNetl _�� .... ., :.. C1:TENANT:, _�: :;:::: :;; �F.x�tuiantamlt Name:Westwood HomesLLC iliaaii'"' _ 25.02 MI Address:12700 NW Cornell Road FloorGarbag odlapoorsinkRatb QZ City/StatefZlP:Portland OR 97229 6 d 25.tri Hose bib 25.02 III Phone: Fax:(503)342-2403 Joe maker 12.51 gi Ar rPL-ICA ...� -..,..� .... . .,.;.0:CONTACT.P EReQA:'7 !t r Ja.w)ta greasy top 25.02 Business name: ... , Medical gas(value:S ) Contact name: Primer 12.5t Roof drain(commercial) III 1251 i4ddress Sialr/basintlavaDorr,.,,r..,,„ , 25.02 City/Statel7JP: Solar twits(pptebie gets) 6154 Phone: w I Fax::( ) Tob/showcr/showarPm 12.51 Urinal 25.02 E-mail 10:3CONTRACTOR. �M . r� 25,02 Business name:Jl&B Mechaaiea] .�i�,l,B� Waterpipittg/DWV MINI 5629 Address:5757 SE Willow lams abet 11111 2"2 NM City/State/ZIP:Milwardcie OR 97267 Subtotal Phone:(S03)9754787 Fax:(503)659.2979 Minimum permit fie: S72.50 11111111111 CCB Uc.:178122 Plumbing Lic.no.:Pif51/l tf Plea review (25 Ofpennit fee) Authorized signature: ,y 1 State mintage(12%gt of parole fee) 3 c'-7) TOTAL PERMIT FEZ 1, 0 I Print name:A gm Date, This permit applicants'expire:if a pen*la not obtained whaia ISO days - savkhaa been manned as mmplaoe *Fee methodobq et by Tri-Conroy Building Indnsay Smvitc Basrd. 11EainaaaWentilathm/.PwaSIApp Esc 10/01M 4416-46t6T(IOQ2/COM/Wra) i CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2021-00075 T It;A R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/26/2021 Parcel: 1S135CC05100 Jurisdiction: Tigard Site address: 11857 SW PENNY LN Subdivision: BURT'S LANDING Lot: 3 Project: Burt's Landing, Lot 3 Project Description: New detached dwelling BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First 1059 sf Basement: 0 sf Left: 5 Parking Spaces. 0 Height: 24 Bathrooms: 3 Second: 1567 sf Garage: 676 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 2626 sf Value: $354,230.76 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 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<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: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mid Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC. N Security Alarm N Vaccuum System: N Garage Opener: N All Other: N Other Description Ecompasing. Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF V8 R-3 2626 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: $39,373.02 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Hotly Vow.De,Weffe Permittee Signature: On/AMU...Cat-OA Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the Job site at the time of each inspection. 1 ' Plumbing Permit Application Building Fixtures FOR OFFu I 1 SE oyLI City of Tigard di t.;(�`�-'F R/P as xaedvoe :t • 13125 SW Hall Blvd.,Tigard,OR 97223 �Y: Pamitxo.:M$f2p�1 pQ075 Plan I� t Phone: 503.718.2439 Fax: 503.598.1960 rat Ate' Date/By: Other Permit No.: i _n r t Inspection Line 503.639.4175 Date Ready/By: Agu. ] 0 See Page 2 for Internet: www.tigard-or.gov Notified/Mahod� j SapplemeaniInformation TYPE OF WORK FEE" SCHEDULE ®New construction 0 Demolition For special trtfonnaslon use Meek/Lae 0 Addition/alteration/replacement ❑Other; Description I Qty. I Ea. I Total New 1-2-family dwellings(includes 100 ft for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 Eli-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 0 Accessory building 0 Multi-family SFR(3)bath 1 50032 Master builder Each additional lmdt/kiktren 25.02 Off' Fire sprinkler(___sq.ft) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: „1 Et SW , n Catch basin or area drain 18.76 City/State/Z1P:Tigard OR 7 7 Drywall leach lice or trench drain 18.76 Footing drain(no.linear ft.:..._) Page 2 Suite/bidg/apt.no.: Project name: e(/r Joh i eV Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear R:___) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: Lot no.: 3 Fixture or item: Tax map/parcel no.: Baekflow presenter 3I.27 DESCRIPTION OF WORK Backwetervalve / 12.51. . Clothes washer /1 25.02 t 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 Address:12700 NW Cornell Road Floor drain/floor siuk/hub 25.02 Garbage disposal I 25.02 City/State/ZIP:Portland OR 97229 Hose bib 'L Y5,02 Phone: Fax:(503)342-2403 Ice maker 1 12.51 APPLICA,NT : . .: 0:CONTACT.PERSON IntanePtnntrease trap 25.02 Business name: S 4q Medical gas(value S ) Page 2 n �^/�� Primer 12.51 Contact name: ^� U �(.' / G� Roof drain(commercial) 12.51 Address: _ Sink/basin/lavatory lavamry 25.02 City/State/ZIP: Solar units(potable Water) 6254 —Phone: /Fax::( ) Tob/shower/shower pan 12.51 E-mail 4d 1 /A/40 (7a,f?O 'ci I C r COY,a U close 25.02 CONTRACTOR 25.02 Business name:H&H Mechanical Waterher 1 37.52 Water piping/DWV 56,29 Address:5757 SE Willow Lane Other 25.02 City/State/ZIP:Mi waukie OR 97267 Subtotal Phone:(503)975-9787 Fax:(503)659-2979 Minimum permit fee: $72.50 CCB Lic.: 178122 Plumbing Lie.no.:(26, i i if Plan review (25%of permit fee) Authorized signature: ,dr yy ' 1 State surcharge of permit See) TOTTALAL PERMIT rah Print name:Dus: 'ague Date - / '7'Z/Tarts permit applinaoo expires if a permit is not obtained within ISO days L(l after it hen been accepted as complete "Fee methodology at by Tri-County Building industry Service Board. 1.VBufdingl➢ermirs1PLM11-PormitApp.da l0/01.09 440-4616T00/02/COMIWEB1 Plan # Ur2/(/ 6 1� a` (� l s3 p(1Q_ _ Floors a Large 6 Bed rooms 9 Small "7-7 WC 3 � 44 Tub Basement Vent 1st Floor 1 DS1co, _ . L. t-,7 i 1 -.32/1'�.K Water Heater 2nd Floor 66 -7 AC Y.�� SI 3rd Floor ( , ���. / - ___ • • Sc//h��ool P��,.� R3 Total �r "w �- - - ! l7� Garage L{� 1f' '�1 - �.� rk I Total � 3/:: �j / #forElec S 3 2 ) 7(0 lX�b��� v j.. I Cj. 12- City of Tigard / COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A R D Building Permit Review — Residential Building Permit #: Nt ST2O2l—q207 5 Site Address: 11857 SW Penny Lane Project Name: Burt's Landing Lot #: 3 Planning Review 03 -2i Id Proposal: New single detached house ❑� Verify address/suite #active in Accela. ❑r In River Terrace: ❑ No ❑r Yes, River Terrace Review Addendum Site Plan Elements: ° r Sion Control 0: copies of site plan on 8-1/2"x 11"or 11 x 17"paper tamed trees with drip line and tree protection measures ISI rawn to scale(standard architect or engineer scale) Footprint of new structure(including decks)and FFE elorth arrow �Jtility locations&easements (required for new and additions) D.ite address,project or subdivision name and lot number °-i walk/driveway approach Illkpplicant information(name and phone number) + ation of wells/septic systems 111 .t dimensions and building setback dimensions •3treet tree size,type and location ttquare footage of buildings to be demolished street names ��iII xisting structures on site =Comer elevations (2'contours if more than 4'differential II ft area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? " es o impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? l�Yes To Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑Yes,applicant was notified CI Received: ID Yes ❑r No Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs ,4 Required: ❑Yes,applicant was notified ❑� No Received: ❑ Yes ❑° No DC Exemption for ADU applied for: ❑Yes El No Received: El Yes El No LVJ Public Facilities Improvement (PH) Permit: Required: ❑r Yes,applicant was notified ❑ No Applied For: El Yes 0 No,stop intake ❑r Land Use Case#: SUB2016-00002 ElZoning: R-4.5 ❑s Required Setbacks: Front: 20 Rear: 15 Side: 5 Street Side: N/A Garage: 20 0 B 'ding Height: Max.Height: 30 Actual Height: 23.5 &1 andscape Area: % t Coverage Max: Entrance = Set back no more than 8' from street-facing wall ❑r Parallel to street or offset 45 degrees or less Windows ,. Minimum 12%of area of all street-facing facades Garage ° Gara e door is behind widest street-facing wall ❑r Yes CINo,one of the following is met: ❑gDoor extends no more than 5'from wall and there is a covered porch extending beyond garage. b ❑u Door extends no more than 5' from wall and there is a 12 sq ft.window above garage on 2ad floor. ❑° Gara e door width is 12'or less ❑r 50%or less of facade 60%or less and includes 7 of following. Covered porch Recessed entrance ❑ Wall offset 1'Roof eave B Roof offset Fire shingles Lap Siding ❑ Roof itch ❑ Gable,hi ,or gambrel roof Dormer Accent siding Window trim Window recess Window projection ❑ Balcony ` \ Visual Clearance Urban Forest�Plan 4'1 ❑r 0 Sensitive Lands: 0 Yes L"I No Type: ElConditions met prior to issuance of building permit Notes: ❑ Approved By Planning: Date: 2/26/21 Revisions (after B ding Submittal only) Reviewe aate/� ' Revision 1: Approved ❑ Not Approved r ,,,,_ Revision 2: ❑ Approved ❑ Not Approved I:1Bu ild in g\Forms\BI dgPerm itRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: D2/25/202./ Site Plans: # 3 Building Plans: # 3.�y Building Permit#: L'I Enter buildin permit#above. �, Workflow Routing: Planning ngineering L7 Permit Coordinator (uilding 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. El-Building: original permit application,site plans,building plans,engineer and beam calculations and trust . . 1s,if applicable,etc. Notes: By Permit Technician: /i/„,, ,r- Date: D3-03 *y Engineering Review L7 Slope at building pad: ),Z �gronditions "Met"prior to issuance of building permit LEI Easements (encroachments) per engineering conditions of approval and plat ater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 2-No Assess Water Quantity Fee in-lieu: 0 Yes L� No � LIDA Facility on lot: ( Yes ❑ No IQ rinal Plat Recorded: MOT Approved by Engineering: t . 6 S y, -ka Date: 3 _8.2a z, Notes: L � • ,� w� rVt,�, S E5 1'? 1w.,. � SAw.�ra.o... �.9'r'E/2s►�S Approved by Engineering: . (5 ).}gte Date: 3-2.6-yo zi Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review faConditions "Met"prior to issuance of building permit Approved, NOT Released: Cuj remslons— by 31512 z.,4 Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: �i. DC Exemption: ❑ Received Does not a--njly dr SDC Fees Entered: Wash Co Trans Dev Tax: Yes J N/A Tigard Trans SDC: ,3 Yes ❑ N/A Parks SDC: 13 Yes ❑ N/A LIDA 0 Yes _In LN/A OK to Issue Permit jj Approved by Permit Coordinator: � Date: 3/Z(0 _2.1 I:1Building\Forms\BldgPermitRvw_RES_I22419.docx