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Permit CITY OF TIGARD MASTER PERMIT ' al . COMMUNITY DEVELOPMENT /1l Z� �� Permit#: MST2021-00138 TIC;AR T) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/04/2021 Parcel: 1 S 135CC06100 Jurisdiction: Tigard Site address: 11874 SW PENNY LN Subdivision: BURT'S LANDING Lot: 13 Project: Burt's Landing, Lot 13 Project Description: New detached dwelling. 8/18/2021: REPRINT permit to add(1)utility sink. 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 Drains: 0 Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 1 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 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: 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: $39,415.54 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 Qc7-nn1-nnin thrn n NINR QF7 _noon Vnii rnau nhfain a nnnv of fha niloe nr Arrant ni iaetinnc to(li INC'by Tallinn cn1 917 1QA7 nr 1 Rnn 119)1dd ..w f f ,p Issued By: �',-�'i .0 �"'-- Permittee Signature: � i L'���d ti� 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. NICITY OF TIGARD MASTER PERMIT i COMMUNITY DEVELOPMENT Permit#: MST2021-00138 f G A R T.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/04/2021 T Parcel: 1 S 135CC06100 Jurisdiction: Tigard Site address: 11874 SW PENNY LN Subdivision: BURT'S LANDING Lot: 13 Project: Burt's Landing, Lot 13 Project Description: New detached dwelling BUILDING Floor Areas Reauired 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 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: 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 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 Fum<100K: 1 Vents: 0 VVoodstoves: 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: 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 Other: NI Other Description: Ecompasing: Y 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: $39,387.52 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: UD-11N VGW/De,Werie Permittee Signature: DWAppUco uTri. 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. t • Building Permit Application Residential RECEIVED FOR OFFICE USE O\l 1 City of Tigard Received is 242/ 0l Ms7Z021-�1z113s Permit No.: • 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 0 2021 Plan Review u f ¢ �� A y- L 'n.�^�-coo t�8 Phone: 503.718.2439 Fax: 503.598.1960 I/ V f4'/Q �erPr' k 21 coQ p CITY OF TIGARD Date Ready/By: y r t n x D Ins ecnon Lme: 503.639.4175 D Rea B : // hail: S See Page 2 for Internet: www.tigard-or.gov otified/M Supplemental Information P Iil f ING nl\nr;i�h; pP 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. ® 1-and 2-family dwelling ElCommercial/industrial Valuation: $ 3 y' eL3 p ❑Accessory building El Multi-familyNumber of bedrooms: ❑Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 7 r Job site address: /i g 7(.f Sk, /iem ci lan-e, New dwelling area: 2424 square feet 15.07 City/State/ZIP:71 '3 Terri ()/ ' - 2-.2 Garage/carport area: 107(p square feet t C Suite/bldg./apt.no.: Project name: i3(/r-/-S I ai'1Ga9I241 Covered porch area: square feet Cross street/directions to job site: / Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: f 3 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* Business name:Westwood Homes LLC (Please refer to fee schedule Structural plan review fee(or deposit): 5)..N' Contact name::A i U S A )' c.4..(,/{ J FLS plan review fee(if applicable): Address:12700 NW Cornell Rd City/State/ZIP:Portland,O{R,,97229 Total fees due upon application: Phone:503 7I}-I�2 1 Fax: :( ) Amount received: E-mail: 41 Lj s�J►�Iewas-1-woa 0I h orves LLC,C d»-i PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Comercial and residential prescriptive installation of �TCONTRACTOR roof-topm mounted PhotoVcltaic Solar Panel System Business name: WQ5��'�` S / Submit two(2)sets of roof plan with connection details Address: 127 0 0 Co���I and fire department access,along with the 2010 Oregon � Solar Installation Specialty Code checklist. City/State/ZIP: porfl O( ©/L 17 2 -.7 Permit Fee(includes plan review and administrative fees): $180.00 Phone: 7/.3 4,2q 14 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.:195597 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained �f within 180 days after it has been accepted as complete. Print name: 141(,f s Date: 3// / f *Fee methodology set by Tri-County Building Industry ( Service Board. I:\Building\Permits\BUP-RES PermitApp. 02/24/2011 440-4613 TO I/02/COM/WEB) i S O nn IVE FOR OFFICE i:ONLY Mechanical Permit Applicatl�oCECC E City of Tigard MAR C 4 2021 may: PermitNo.: Si 202t-00 I318 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Other Permit: Inspection Lice: 503.639.4175 CITY OF TIGARLDate Ready/By: Juris. B(See Page lfor Internet: www.tigardor.gov I1I JIL.DING DIVISION Notified/Method: Supplemental Information TYPE OF WORK .::.,., M_. .e!.IFEB*. S't} y.W.O.EGKS91, Mechanical permit fees•are based on the value of the work ❑X New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ t CAT'E4 ORY OE CONST1WCrLO 3 ; ® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For spedat information nee checklist ❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total <#: .:ua_r - - Ail conditioning / 46.75 Job site address: // -7 el h� 4 � Furnace 100,000 BTU(ducts/vents)ts/vents) f 46.75 City/State/ZIP:`r e74,r� ©10 Gf fl � /'�23 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldgJapt.no.: _/ Project name: Heat pump 61.06 �/r�3 Lri�lr� Dud 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-dud,suspended,etc. 46.75 Flue/vent for any of above 23.32 '� Subdivision: I Lot no.: /3 23.32 Other fuel appliances: Tax map/parcel no.: Water beater 23.32 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/flue/vent 23.32 ;7 ..:47:7 --- iir Other: 23.32 W e s � I //C Range dnhl exhaust and ventilation: Name: [ Gam// /F 1!/ :. Range hood/other kitchen �� /��.r equipment i 33.39 Address: 12700 MA/ ll1,9t_e l Clothes dryer exhaust 1 33.39 City/State/ZIP: p01-4-/an6 65 X- 67 72z 7 Single-dud exhaust(bathrooms, G toilet compartments,utility rooms) ✓ 23.32 Phone:05/75) 7/3' ,2 ' Fax( ) Attic/crawlspacefans 23.32 Other: 23.32 51 ur 2. 3fJj i� s s'. //�.� //��`ry"fir Fuel piping: Business name. ��� "`�f t r ✓ '_ ��� S14.15 far first four,S4.03 for each additional Contact name: /-/asom /Y L � Furnace,etc. Address: J 2?0 11/W A.e// le_soL Gas heat pump �/./ Or/ -7 Wan/suspended/unit heater city/State/ZIP: p�l/�f/!4 kt 0 ' 1/ ZZ I Water heater I Phone: ,J) /1.3'(p (,I I Fax::( ) Fireplace I / Range /q ` 11 {-v �� ���d/7't��rG •t�('YL Barbecue Clothes dryer(gas) Business name: Lakeside Heating&Cooling Other. 8HIC2tArtufa_1.PERMIT.FEES* Address: 7021 SW McEwan subtotal` City/StaterZIP: 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 fcc) CCB lic.: 227694 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 160 „/�'� _y►---�� days after it has been accepted as complete. Authorized signatln • Fee methodology set by Tri-Comty Building Industry Service Board Print name: Jason Charlton Date: 3//`9_2/ F 1:\B,utding\PamibVv¢C PemmApp 04011340c 44n.4617r(11/071COMIWEB) ' Plumbing Permit Application Building Fixtures RECEIVEL EG 1IlR OFI I( I: 1 51:; O\1.4 City of Tigard MAR 0 ,I z021 Permit No. 114 13125 SW Hall Blvd.,Tigard,OR 97223Plan R M vTZU 21 -Oa 13 g C Phone: 503.718.2439 Fax: 503.598.1960 , Date/B view t/ Inspection Line: 503.639.4175 ITY OF TIGARD atNBy: tkllerirrmitWo.: Internet www.tigerd or.gov n Aam R UILDING DIVI ' )o la see Page2for IvotifKd/Malad; Sapplemeatal Information TYPE OF WORK FEE* SCHEDULE • ®New construction ❑Demolition For special iyjornation use checklist Description I Qty. I Ea. I Total ❑Addition/alterationheplacernent ❑Other: New I-2-family dweili,:. (includes 100 ik for each utility connection) CATEGORY OF CONSTRUCTION . SFR(1)bath 312.70 ® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 50032 0 Master builder 0 Other: Eachadditional bath/kitchen25.02 Fire sprinkler L__,sq.ft,) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: ; , f S-W ,p�hn� Catch basin or area drain 18.76 City/State/ZIP:Tigard OR /7'22 3 Footing F teach lice or trench drain 2 ■ / Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt,no.: I Project name: r 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 ft.: ) Page 2 Water service(nu linear ft.: ) Page 2 Subdivision: I Lot no.: /3 Fixture or Item: Tax map/parcel no.: Baekflow preventer 1 31.27 .DESCRIPTION OF WORK Backwater valve 12.51 t Clothes washer j 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump I 25.02 ® PROPERTY OWNER. .. 0 TENANT., Expansion tank 12,51 Name:Westwood Homes LLC Fixture/sewer cap 25.02 Address:12700 NW Cornell Road Garbage disp Floor drain sink/hub 25.02City/State/ZIP:Portland OR 97229 osaa l 25.02 Bose bib 25.02 Fax:(503)342-2403 Ice maker 1 12.51 ® APPLICANT : 0 CONTACT.PERSON I►da►ap0or/8rease CaP 25_02 Business name: V /- erd / tW S /76 Medical gas(value:$ ) Page 2 Contact name: /GiS2 ? ins�� Roofd 11 12.51 !2-/0-O 4 r,A ' (l/ 11^ A i 1 ,_ drain(commercial) I2.51 Address: t �f (�V irV�7 //}u Sink/basin/lavatory f in -vl v� -�7�7 �''j 62.54 02 City/State/ZIP: � � 9/U� Solar units(potable water) 62.54 Phone: I 5—'7/5—IP21t ( Fax::( ) Tub/shower/shower pan 3 12.11 E-mailUrinal 25,02 coNnucroR. Water closet 25.02 Business name:H&H Mechanical weterlwakr 37.52 Water piping/DW V 56.29 Address:5757 SE Willow Lane Other: 25.02 City/State/ZIP:Milwaukee OR 97267 Subtotal Phone:(503)975-9787 Fax:(503)659-2979 Minimum permit fee: S72.50 CCB Lic.: 178122 Plumbing Lie.11o.• r e � � j ii Plan review (25%ofpemlh fee) ) Authorized signature: 7 State surcharge(12%of permit tEe) -r ..'��� . /, / _ TOTAL PERMIT FEE _ Print name:Dus' 'ague Date. V j//�7/ This art aPlsrr+>I°a expires if a Permit is not obtained wilaio 780 days `7 after k bat been accepted as complete. 'Fee methodology set by'Fri-County Building Industry Service Hoard. is Moildina4Pamis&'L nLPemtApp.doe 10/01/09 440-46I6T(lO iCOMIwFB) • 4 'Electrical Permit Application®® /�^^++ r FOR OFFICE USE ONLY City of Tigard RECEIVE Received Permit#: IA gr 20 —off 3$ • 13125 SW Hall Blvd.,Tigard,OR 97223IN Plan Review L Phone: 503.718.2439 Fax: 503.598.1960 MAR 0 4 '°OZI Date/B : Related Permit#: Inspection Line: 503.639.4175 Ready Date/By: kris: H See Page 2 for TIGARD Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information TYPE OF WOIILDIN( r'VISI(,'Y' 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 IDBuilding 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-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. 0 Multi-family 0 Master builder ❑Other: ❑Fire pump. 0 installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: Job site address: jig�7 ) �7 ��'nnn /� ❑Addition of new motor load of system. //0 /g s pe ��v, /40 Ki 10011P or more. ❑••A„ •,&„a1-2" "1.3„ City/State/ZIP: 7 sir n - J 0 Health-care or more residential units. Recreational ty ' + '1 t/ ��Z ❑ facilities. ❑R vehicle parks. Suite/bldg./apt.#: Project name: ❑Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description 1 Qty. I Each I Total New residential single-or multi-family dwelling unit. Subdivision: Lot#: /3 Includes attached garage. s✓ 1,000 sq.it or less 168.54 4 Tax map/parcel#: Ea.add'l 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.) El PROPERTY OWNER ❑ TENANT Renewable Energy El 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 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, A1l4S`M �,_a each obranch circuit 7.42 2 Contact name: f V, f (NnAN[/�//!/,�II� B.Fee for branch circuits without Address: l2?6 rf !'V(n/ ht service or feeder fee first 56.18 2 branch circuit City/State/ZIP: po(4-1 4407 -12 oh 2j2 /' Each add'I branch circuit 7.42 2 Phone: Miscellaneous(service or feeder not included) (� Fax: :( ) Each manufactured or modular 7/3 * welling, 67.84 2 Email:41 6-G✓1 WWs�woOhomes-1/c Coi 1 d e g,serviceandorfeeder Reconnect onl y 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 75th Ave#203 Signaln circuit(s)eran or limited-energyxes . 0 See Page 2 2 panel,alteration,or extension. City/State/ZIP:Hillsboro,OR 97123 Each additional inspection over allowable inany of the above Additional inspection(1 hr min) 66.25/hr Phone:(503)642-2800 Fax:( ) Investigation(1 hr min) 90.00/hr Email:RossElectrlc@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.: 42325"s specifically listed(.4 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�y' State surcharge(12%of permit fee): Authorized signature/� /// T TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: ✓ Date:'3// 207/ J days after it has been accepted as complete. / " JJ • Number of inspections allowed per permit. I:\Building\Pemita\Q.C_PermitApp_EtR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB 1 VA-jj_ er_jZi4 G-) Pre-4/-4-/A- Plan# 2 o2(p Floors a Large -7 Irif, i� /,,! , C� Bed rooms y Small ( �y iiit i�♦ ,,I we 3 Tub 3 Basement ( I Vent S 1st Floor l b` j `j Water Heater 1 2nd Floor 16(Q`] AC f 3rd Floor ,,�7I _ School `i�oy . R-3 Total �I-0.1 ) S S``.5 D J fiL 1t Garage 1-j� 1 �l Total 330 a � r k 01, - #for Elec 1-‘) Prrbist_ c_ y-Kot„,,,t,4Lu_-64--k-f-- - `1- lay City of Tigard .1111- u COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: MST2021-0013S) Site Address: 11874 SW Penny Lane Project Name: Burt's Landing Lot #: 13 Planning Review PrLposal: New single detached house pL Verify address/suite #active in Accela. lain River Te ce: No ❑ Yes, River Terrace Review Addendum S ti Plan Elements:y 1111 ion Control �/ pies of site plan on 8-1/2"x 11"or 11 x 17"paper �t ed trees with drip line and tree protection measures cwn to scale(standard architect or engineer scale) otprint of new structure(including decks)and FFE \/rth arrow L. ility locations&easements(required for new and additions) e address,project or subdivision name and lot number_dp �.idewalk/driveway approach licant information(name and phone number) 1 -‘;;�; ation of wells/septic systems Z1.,ot dimensions and building setback dimensions ./eet tree size,type and location quare footage of buildings to be demolished ✓,,, eet names , .xisting structures on site lorner elevations(2'contours if more than 4'diffe n 'al T� mot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? r' s 'a impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? es o 0 Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑Yes ❑ No ❑ Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No DC Exempti for ADU applied for: ❑Yes ❑No84 Received: ❑ Yes ❑ No Public FacilImprovement(PFI) Permit: squired: Yes,applicant was notified ElNo Applied For: Yes ❑ No,stop intake nd Use Case#: SUB2016 00002 Zoning: R-4.5 quired Setbacks: Front: 20 Rear: 15 Side: 5 Street Side: 15 Garage: 20 1� B ....ding Hei••t: Max. Height: 3 "+l�Y 0Actual eight: o9 ' andscape .re•: % of Coverage Ma Entrance ! .-t back no more than 8'from street-facing wall P allel to street or offset 45 degrees or less Windows I linimum 12%of area of all street-facing facades Garage r Gara e door is behind widest street-facing wall Yes ❑ No,one of the following is met: Door extends no more than 5' from wall d there is a covered porch extending beyond garage. Door extends no more than 5' from w and there is a 12 sq ft.window above garage on 2nd floor. Gara e 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 Window recess Window projection ❑ Balcony Y Vim' ual Clearance Urban Fores an \ ii,t&ensitive Lands: ❑ Yes No Type: P. Co..itions met prior to issuance of building permit No -s: I/ Approved By Planning: Date: _ 171/ a Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved 1:1Building\Forms\BldgPermitRvw_RES_I22419.docx Building Permit Submittal Original Submittal Date: QJ7 yPJ0-o2J Site Plans: # /3 Building Plans: # '3 Building Permit#: L7 P Et-Enter buildin permit# above., �� Workflow Routing: lanning Engineering P ermit Coordinator Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: ©'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and �original plan review routing form. nn L[�'tsuilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: , i Date: 0/4 n2) Engineering Review g Slope at building pad: a /Q LE�I c��,onditions "Met"prior to issuance of building permit Id'Easements (encroachments) per engineering conditions of approval and plat la*ater Quality/Quantity Facility: yy Assess Water Quality Fee in-lieu: 0 Yes R NNo Assess Water Quantity Fee in-lieu: ❑ Yes Er-No �� LIDA Facility on lot: Yes ❑ No 2 Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 4, f's*4E.2- Date: 14 / Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review jaConditions "Met"prior to issuance of building permit ❑ Approved, NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: ILI SDC Exemption: ❑ Received Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: Yes LJ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA Yes ❑ N/A !v OK to Issue Permit Approved by Permit Coordinator: AO"ri Date: 4( I w'U I:\Building\Fors\BldgPermitRvw_RES_I22419.docx RAIN DRAIN AND OUTFALL PROTECTION W W W W W W W BUILDING OFFSET AND - (VII W W I I W W W W IMPERMEABLE LINER AS APPROVED BY BUILDING JURISDICTION !i W W I I. W W W I I W PERFORATED PIPE MANIFOLD .L. W W W `. FOR LENGTH OF FACILITY; W W I I W 4" MINIMUM. z ° - W W I I W W -STRUCTURAL WALL PER W W I I W W �� BUILDING JURISDICTION W .. W W A W W W W 4111 A Cc n W W ,,', W W W W ccl/—a OVERFLOW TO 6" TYP. 30" MIN. CONVEYANCE FACILITY WIDTH S r — �+� — 2" MIN FREEBOARD /\/\ ' Y * 1I 1— 6" MAX POND DEPTH \%//AAA . y Iw%�/< �•.�I I I_T--_-n IfI� I i I • \i\ \��< _=111-111— -III—III-11 /ix ° , ///V/VA//VA/'/� - ;�-111=1 1 _ 1)I 1i �/V: 18" MIN GROWING MEDIUM iy/v/ivy/% -�=1TI-11 E11 1-T-111 :‹/ /'/' .1-1IH-I F El I I-I i FI 1 > / ° %\/��\//< ' rr!: '% nJ%i' 3" DEEP (3/4" - 1/4") CLEAN i//\/\//\, • Y CRUSHED DRAIN ROCK \ \ \a ?��s r�'i �//\\//�/�\, 9" DEEP (1-1/2" - 3/4") �\/\ �- CLEAN CRUSHED DRAIN ROCK /i T`% //�\i/<'`,.\i\\`\ \�\i\\i% </ \\ / / \/< OVERFLOW To \// \\/\// \/j \�\�\�/ �/ / CONVEYANCE /`i` °° \i\�T\/i\\/i\�i\\/Ti\\/i\\/i\\/i\\/i�i��i�i. , \ �� VAS �V \VA�\AAA A� \J WATER PROOF PVC BOOT AND \/\/ \/`//\ \/%�>''/\ \�/%�/%\///// /. ///J / CLAMP OR APPROVED EQUAL /\\jN a \j\V\/ eaNaA110N DRAIN PER DESIGN \,�/ iwAv/'vZi`//`A/Vy/ / SECTION A-A \\\/\ \i\i��i\i\\ice\i/\�/\\/ NOTES: 1 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 FACILITY IS BELOW BUILDING FOOTING. SIZE OF PLANTS FLOW THROUGH PLANTER LIDA HAND 3 0 0 K C1eanWaterr Services DRAWING NO. 794 REVISED 03-16 120 Low Impact Development Approaches Handbook Clea„water Services 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 r ! .,n.r r, 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Allyson Armstrong DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Allison May APR 2 0 2021 COMPANY: Westwood Homes LLC. CITY OF TIGARD PHONE: 503-713-6294 BUILDING DIVISIO\IBy � EMAIL: allison@westwoodhomesllc.com RE: 11874 SW PENNY LN MST2021-00138 (Site Address) (Permit Number) Burls Landing Lot 13 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Ear $^. F `.S sa-". s v;e4 d xr§ c 8 'S"`f' � $r � - �� =ae� 0 �rn1�.I" �i :..�. ..r-.br�,fw w"r��x`r::r�k:�eK"'�ds�"� �5.' ��y' �` + m 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. 3 Other(explain):Upper Floor Joist Layouts REMARKS: �'��,., � x sy � rep s. ,e•,•e,k _. �Fe�+s e�"FaF' ".&� `' Routed to Permit Techni iatV / ( ?�j Z� Initials: m Fees Due: El Yes Nd-* Fee Description: Amount Due: ' $ Special Instructions: Reprint Permit(per PE): ❑ Yes o Done Applicant Notified: 01_Date: "/Z , Initials: