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Permit CITY OF TIGARD MASTER PERMIT 11111 I COMMUNITY DEVELOPMENT Permit#: MST2021-00126 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/04/2021 T I(.+\k.f7 g Parcel: 1S135CC06300 Jurisdiction: Tigard Site address: 10404 SW LUCY CT Subdivision: BURT'S LANDING Lot: 15 Project: Burt's Landing, Lot 15 Project Description: New detached dwelling BUILDING Floor Areas Required Setbacks Required Stones: 2 Bedrooms: 3 First: 1694 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 Tvnes 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 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temo SrvclFeeders 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 Vaccuum System: N Garage Opener: N All 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 Cntrl 503-639-4175 PORTLAND,OR 97229 PORTLAND,OR 97229 PHONE: PHONE: 503-330-2215 FAX. 503-342-2403 Total Fees: $38,511.78 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: Rally VawDeWe9e Permittee Signature: O VI/AppliCatCov1 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. Is Building Permit Application Residential FOROFFICF i NEONLY Cityof Tigard RECEIVE Recei �/ ,� g Date/By:At Lti5202/ Permit No.:��T��^t��l Gal 1p 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 0 4 ZOZ1 Plan Review u t., 0,1 �Qa Sy Phone: 503.718.2439 Fax: 503.598.19fi0 DateBy: / I7 ZI Perm L 1 t e A R u inspection Line: 503.639.4175 CITY OF TIGARD Date ReadyBy: `1 j l u s: H See page 2 for Internet: www.tigard-or.gov Dleflified/Method: `�� �� Supplemental Information BUILDING DIVISIONG t TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction ❑Demolition Permit fees*are based on the value of the work performed. ❑Addition/alteration/replacement ❑Other. Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. (J/ ElI-and 2-family dwelling ElCommercial/industrial Valuation: $ 32�/ QOR t [ El Accessory building El Multi-familyNumber• of bedrooms: 3 ❑Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2,. Zf c5 Job site address: /O / a/ Cj'/ 1i(�G{/� Ci- New dwelling area: 2 /3/ square ee feete 7 371 ' City/State/ZIP: —01. r�/ Os- ! /223/ Garage/catport area:52.[.f square feet f ( c1 Suite/bldg./apt.no.: / Project name: /r.J. L4114%, Covered porch area: square feet I Cross street/directions to job site: J Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST 11 Subdivision: Lot no.: /C 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* (Pkase refer tafee schedule) Business name:Westwood Homes LLC n ( Structural plan review fee(or deposit): 7,s!-A`/ Contact name::��us e r n' r``4,1 / FLS plan review fee(if applicable): Address: 12700 NW Cornell Rd Total fees due upon application: City/State/ZIP:Portland,OR,97229 Phone:50 —?13-0 z /14 Fax: :( ) Amount received: E-mail: 4/U solewes- tlOO ray Ornes LLCr C oyY, PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR 1 roof-top mounted Photo Voltaic Solar Panel System. Business name: WeS va-c( l_{2JY ..2S L.1__C Submit two(2)sets of roof plan with connection details �/ and fire department access,along with the 2010 Oregon Address: /2 I' V7 0 0 W am CO(r I . Solar Installation Specialty Code checklist. City/State/ZIP: por f-/U4'L A ©a /CI 7 ZZ 7 Permit Fee(includes plan review G� / / and administrative fees): $180.00 Phone:` 03) 7(.3j—(Q `7 2 q Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: 195597 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: At GI soy' *Feemethodology set by Tri-County Building Industry Date: 3 ���� Service Board. 1:1Building\Permits\B UP-RESPe rmitApp. 02/24/201 I 440-4613 T(11/02/COM/W EB) � A Mechanical Permit Applica CEwived I I/12 011.1(1 l 'Nt ONI.v City of Tigard Date/y PermitNo.:t-(ST8262t O/z-G 1114 • 13125 SW Hall Blvd.,Tigard,OR 97223 4 q1 e. Phone: 503.718.2439 Fax: 503.598.1960 Date/BMAR 0 OL Pyew other Permit: TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Ihte ReadyBy: Jan: ®See Paget for Internet: www.tigard-or.gov Notified/Method: Supplemental lnformafion "'_DING DIVISION TYPE OF WORK . ,, 5 e, Mechanical permit fees*are based on the value of the work ❑X New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all E Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit Value:$ CATEGORY OF CONSTTEECI1ON RESIDENTIAL ,,:1 rs" ` C rq:A i , ® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For spedal biformallors use checklist ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total � Stea° y 3_" 3 : :1, r �,j ;,. „t r` Htating/cooling: ,,. 'rr, . z,x .<a a .uca+: Air conditioning 46.75 Job site address: 10 U0 q Ex z4a4 C� Furnace 100,000 BTU(ductsiveuts) 46.75 City/State/ZIP: /i/ av; t/ -• `�47ZZ 3 Furnace 100,000+BTU(ductsvents) 54.91 Suite/bkig./apt no.: r IP _tent name: 611 4-3 // Heat Ductpwork 6 23.302 • Cross street/directions to job site: J 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: I Lot no.:/S.— Other' 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 _ ,,N_ • 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 Chinmey/liner/fue/vent 23.32 Other: 23.32 :,1.-:. -" Environmental exhaust and ventilation: Name ig 04/ /pi S / Range hood/other kitchen f 127DO) NW n ✓�(( equipment 33.39 Address: V l' 1 Clothes dryer exhaust / 33.39 City/State/ZIP: or /) 0 q-70.z i Single-duct exhaust(bathrooms, �-y� toilet compartments,utility rooms) 23.32 Phone:il53) ' &'� Fax:( ) Attic/crawlspace fans 23.32 �v'A' Other: 23.32 Business name:Wes.W U t)a 110/71 s //C Fuel piping: $14.15 far that four;$4.03 for each additional Contact name:/ fir t- U'C� /ftlfi Furnace,etc. / 2,130-� Al / 4I n // {J�/ Gas heat pump Address: !�y 't-C `( I—V � Wall/suspendeclAmit heater City/State/ZIP: .7 Water heater PhoneNt5 1/3—&��(/,�� Fax::( F ce Range 1 E-mail:d T I / 0-Od J(d//. //e / Barbecue j _ aus?:k '':*--_.a._ — �__..,: ... .-._ , . ... .. .--_-- _ ..k: Clothes dryer(gas) Business name: Lakeside Heating&Cooling Other: ,i --. 1r-'41- ;,?.:Ira vsR c- t,r er.. `: Address: 7021 SW McEwan Subtotal ' " City/State/ZIP: Lake Oswego, OR 97035 Mom lennit fee($90.00) Plan review(25%of permit fee) Phone:(503 ) 635-5253 Fes'( ) State surcharge(12%of permit fee) CCB lie.: 227694 TOTAL PERMIT FEE This permit application eapi if a permit is not obtained within IRO days after it boa rea been accepted as complete. Authorized signature- * Fee methodology set by In-County Building Industry Service Board Print name: Jason Charlton Date: 3l/ 2421] I:\Bwlding\Permits MEC N PermitApp_04cl l.dm PA617r(1111d1/COM'WEE) ,Electrical Permit Application RECEIVE FOR OFFICE USE ONLY Received - City of Tigard 2021 Date/By: Permit#: 04sT2D2J-QQ 124 a 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 8 Plan Review Related Pernsit#: Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Inspection Line: 503.639.4175 CITY OF TIGARD Ready Date/By: luris: la See Page 2 for 1 IGA R I) Internet: www.tigard-or.gov BUILDING DIVISIO Notified/Method: I Supplemental Information TYPE OF WORK PLAN REVIEW ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more 0 Building over three stories. D Demolition 0 Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder 0 Other: ❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: Job site address: ,ell UN 54 l UW/ ❑Additioo mf oew motor load of system. `„/J1 IOOHP or more. ❑"A" "H„ ••1.2„••l 3,> y-t, occupancy. City/State/ZIP: f �49R rd 9/L e 22 3 0 Six or more residential units. P n f /� 'r '' `` ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: 1 Project name: V r4--� Oral(, E❑Hazardous locations. 0 Supply voltage for more than J ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Each I Total I ` New residential single-or multi-family dwelling unit. Subdivision: Lot#: /J Includes attached garage. 1,000 sq.ft.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 (with above sq.ft.) 75.00 2 New SFR Limited energy,multi-family residential(with above sq.ft.) 75.00 2 Renewable Energy 0 See Page 2 ® ❑ TENANT PROPERTY OWNER 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 la APPLICANT El CONTACT PERSON Branch circuits—new,alteration,or extension, .er panel A.Fee for branch circuits with Business name:Same as Owner above service or feeder fee, �/Git�V►! m Fahorbrancircirc 7.42 2 Contact name: V,! 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: Recomect 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 75th Ave#203 Signal circuit(s)emn or limited-energy 0 See Page 2 2 panel,alteration,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(1 ter min) 78.18/ter Inspections for which no fee is 90.00/hr CCB Lic.: 157891 Electrical Lie.: 34-436C Suprv.Lic.: 42325 specifically listed(.4 hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Stephen Ross Date: ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature;// TOTAL PERMIT FEE: JJJ This permit application expires ifs permit is not obtained within 180 Print name: f Date: 3/// Wi days after it has been accepted as complete. .../// " Number of inspections allowed per permit 1:1Building\Permits\BLC_PermitApp_EIR_ERE.doc Rev 06/17/2015 440.461511(11/05/COM/WEB Plumbing Permit Application RECEIVE Building Fixtures roe °F,I( I: I sF ONLY City of Tigard MAR 0 4)fl7 Rweivod . I)atd6y: Permit No.: IIIIII ■ 13125 SW Hall Blvd.,Tigard,OR 97223TZ���U/� a Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGARL �C"CW Other Permit No.: rl , e 1. Inspection Line. 503.639.4175 BUILDING DIVISIC.` R y la See Page zfor Internet: www.tigard-or.gov Nctthed/Mnhod: Sappkn.mtat Information TYPE OF WORK FEE*SCHEDULE 1gi New construction ❑Demolition For special Wonnarlon use checklist Description I Qty. 1 Ea. 1 Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ® I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ❑Multi-family SFR(3)bath 1 50032 0 Master builder )]Other; Each additional bath/kitchen 25.02 Fire sprinkler( sq.it) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: lob site address: Catch min or area drain 18.76 l/ �� •�v C - W Drywall,leach line,or trench drain 18.76 City/State/ZIP:Tigard OR /�23 Suite/bldg)pt no.: Project name: /�(/r4 S `/,, Foote (no.linear ft,: ) Page 2 w/l�i 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(no.linear ft.: ) Page 2 Subdivision: ( Lot no.: /S Fixture or item: Tax map/parcel no.: Beekflow preventer ! 31.27 . .DESCRIPTION OF WORK Backwater valve 12.51 •- '' r Clothes washer / n 1 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY O'IVNER d TENANT:.. Expansion tank 12.51 Name:Westwood Homes LWFixture/sewer rip 25.02 Floor drain/floor sink/hub Address:12700 NW Cornell Road 25.02 Garbage disposal 25.02 City/State/ZIP:Portland OR 97229 Hose bib 2 25.02 Phone: Fax:(503)342-2403 Ice make J 12.51 ® APPLICANT--, ...CI.CONTACT.PERSON ..': Interceptor/grease bap 25.02 Business name: Medical gas(value S�) Page 2 Contact name: Pri 12.51 Roof drain(commercial) 12.51 Address: _ 3ink/besio/lavatoy 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone: Fax::( ) Tub/shower/shower pan 12.51 E-mail Urinal 25.02 Water closet ✓ 25.02 CONTRACTOR Business name:HBO Mechanical Waleleete / 37.52 Water piping/DW V 56.29 Address:5757 SE Willow Lane Other 25.02 City/State/ZIP:Mitwaukie OR 97267 Subtotal Phone:(503)975-9787 Fax:(503)659-2979 Minimum permit fee: $72.50 CCE Lic.: 178122 IL-. Plumbing Lic.no.:P/514/'"i Plm review (25s%of permit fee) Authorized signature: ' - ,..,....0_,_., ' State surcharge TOTAL(12 of permit fee) /4',,� PERMIT FEE Print name:A . ' 'ague Date?-3/// This permit appliniloo expires if a permit is not obtained wiOdo ISO days ���]]]rrr after it has been accepted as complete_ "Fee methodology set by Tri-County Building Industry Service Board n:lBuldinglPennidiPLMV-PmnilApp.doc ,O/01A9 44O-4616T(10o2FCOMiWES) Plan # 5$ -- 2.4-61—tyyp 212 g Floors Z Large �y/ Bed rooms 3 Small '�1) :L.,.1) ^ �! twrQ c+41 WC LAV Tub 3 Basement Vent 5 1st Floor 1(p9y Water Heater ') 2nd Floor 3-7 AC —LS 3rd Floor 11 School `,s 1 II R-3 Total a 4 3 f Garage 5 OJT -2-' Total p95� (4)/Kel e-y ` #for Elec f { City of Tigard 1111 r COMMUNITY DEVELOPMENT DEPARTMENT e TIGARD Building Permit Review — Residential Building Permit #: M STZOZI-Od l Z4 Site Address: 10404 SW Lucy Ct Project Name: Burt's Landing Lot #: 1s Planning Review PPrposal: New single detached house Verify address/suite #active in Accela. \ 1,1� River Term: No CI Yes, River Terrace Review Addendum Si • Ian Elements: r sion Control J: c.pies of site plan on 8-1/2"x 11"or 11 x 17"paper ted trees with drip line and tree protection measures prawn to scale(standard architect or engineer scale) otprint of new structure(including decks)and FFE rai'.rt arrow ty locations&easements (required for new and additions) II' - address,project or subdivision name and lot number id-walk/driveway approach ITIA °licant information(name and phone number) 311. .tion of wells/septic systems 111 .t dimensions and building setback dimensions ]� eet tree size,type and location Itquare footage of buildings to be demolished , 7(et names II xisting structures on site Iti orner elevations(2'contours if more than 4'diffe ntiat II .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? s impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? es _ ❑ Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑Yes,applicant was notified ❑ No Received: ❑ Yes CI No Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No f.DC Exemptio for ADU applied for: ❑Yes CI No Received: CI Yes 11 No iP blic FaciliImprovement (PFI) Permit: equired: Yes,applicant was notified El Noplied For: Yes El No,stop intake and Use Case#: SU62016-00002 Zoning: R-4.5 7 `equired Setbacks: Front: 20 Rear: 15 Side: 5 Street Side: 15 Garage: 20 Building Hei Max. Height: 30 Actual eight: _ -22 a 1'andsca e r a: /o t Coverage Ma /o Entrance e back no more than 8'from street- acing g wall Parallel to street or offset 45 degrees or less Windows ' . . 12%of area of all street-facing facades Garage Garat door is behind widest street-facing wall ❑Yes No,one of the following is met: Z Door extends no more than 5' from wall d there is a covered porch extending beyond garage. I Door extends no more than 5' from w..1 and there is a 12 sq ft.window above garage on 2"d floor. JGara e door width is — 12'or less ral 50%/o 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 y� Accent siding �(`7 Window trim Window recess Window projection CI Balcony Ott] Visual Clearance ' Urban Fores an E�" El Lands: Yes No Type: Co itions met prior to issuance of building permit No s: Approved By Planning: Date: 171.-2 •)/ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: 03/04126•2/ Site Plans: # Building Plans: # 3 Building Permit#: laI--I�Enter buildin ermit# above. IA—Permit n Workflow Routing: Iy'Planning ngineering IA—Permit Coordinator LTBuilding 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. L� Building: original permit ap. cation,site plans,building plans,engineer and beam calculations and t t d,tails,if applicable,etc. Notes: By Permit Technician:/ Date: 04-/as2.J Engineering Review q III--77��SSlope at building pad: 3 re, nditions "Met"prior to issuance of building permit Li Easements (encroachments) per engineering conditions of approval and plat I2 vTater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes Er No Assess Water Quantity Fee in-lieu: ❑�I�y ❑Yes gNo Er LIDA Facility on lot: Yes No LI Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes:/ Approved by Engineering: ,K . f S y.} e2, Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review ,Conditions "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: II�� .�JI� .YJ SDC Exemption: ❑ Received Does not a7 ly 2I SDC Fees Entered: Wash Co Trans Dev Tax: g Yes N/A Tigard Trans SDC: .C�_I^Yes ❑ N/A .�I Parks SDC: Yes ❑ N/A LIDA EYes ❑ N/A OK to Issue Permit Approved by Permit Coordinator: kfra A Date: A-1(p 12,o Z t I:\Building\Forms\BldgPermitRv w_RES_122419.docx �7 RAIN DRAIN AND OUTFALL W + PROTECTION BUILDING OFFSET AND " N II a + + I I + - + W IMPERMEABLE LINER AS APPROVED I -4. BY BUILDING JURISDICTION + + 4. I I + PERFORATED PIPE MANIFOLD FOR LENGTH OF FACILITY; II + + 4" MINIMUM. ► ► ..• + I I + + STRUCTURAL WALL PER . W W I I . * BUILDING JURISDICTION •Y + + + A ' + + A + VP PIV I] W W W // 6" TYP. 30" MIN. OVERFLOW TO FACILITY WIDTH CONVEYANCE •�',� 4. ` n 4 1 _ 2" MIN FREEBOARD �3' �''I ,,, 6" MAX POND DEPTH 4\-V:�\� III III „�I H111 11I %� ./ III_I�I II I 1 in I (/y \��VA ` I LII I I I I I I 1 1I II (I 1ti 18" MIN GROWING MEDIUM >/ \//, Ii1=11I 1!I 1II •// ////j I I $ a +' • /\/j\ 3" DEEP (3/4" — 1/4") CLEAN w���/ ;' ,", /�, �� — CRUSHED DRAIN ROCK /v.N/Vss. v./��/�./v�iw 9" DEEP (1-1/2" — 3/4") �i\`i\\ , a CLEAN CRUSHED DRAIN ROCK wj AA/V'' /V�/</ ���\./VA/v A:.�/VA/V/VIVA/V./W,`, OVERFLOW TO j\\ \\/j\//�/jV\`j�././ -;,/ %\\//\/\\/% i\' CONVEYANCE /j Al a \/�\'%� %/V//� / /j/�V\j/\j/�\/\%j�V WATER PROOF PVC BOOT AND // /�. / / �, G,.. / / CLAMP OR APPROVED EQUAL j\/\// \�/>/FOUNDATIONN DRAIN PER DESIGN \�//.%i-;, ';''i!i>'A SECTION A-A iA%A/A%/i`�ivi iAA/�` 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 FACILITY IS BELOW BUILDING FOOTING. SIZE OF PLANTS FLOW THROUGH PLANTER LIDA HANDBOOK CleanWater Services DRAWING NO. 794 REVISED 03-16 %4' 120 Low Impact Development Approaches Handbook C1ean\Vate�'Services