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Permit
CITY OF TIGARD ft i ,' ., r .il MASTER PERMIT 14 1 COMMUNITY DEVELOPMENT V� Permit#: MST2021-00082 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/27/2021 Parcel: 1 S135CC05900 Jurisdiction: Tigard Site address: 11824 SW PENNY LN Subdivision: BURT'S LANDING Lot: 11 Project: Burt's Landing, Lot 11 Project Description: New detached dwelling. 8/23/2021: REPRINT to add utility sink in garage. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1246 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1682 sf Garage: 606 sf Front: 20 Smoke DwellingUnits: 1 0 Yes Third: sf Right; 5 Detectors: Total: 2928 st Value: $387,832.68 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: 4 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: 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 0 Other Units: Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 5 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 6 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+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 2928 Owner: Contractor: WESTWOOD HOMES LLC WESTWOOD HOMES LLC Required Items and Reports(Conditions) 12700 NW CORNELL RD 12700 NW CORNELL RD 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97229 PORTLAND,OR 97229 PHONE: PHONE: 503-330-2215 FAX: 503-342-2403 Total Fees: $40,492.82 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 o99-nn1-nnln rh,i,,,n s-AR 069 _noon Vnmn„nMaln o rnn„of ehc nJae nr Airnr1 n„nerinnc In ell imr.by romnn Sn'i 999 1Q147 nr 1 non 119 9141 %Issued By: \ ir??n / ,Q ( - Permittee Signature: a•V ' ' f r /\j/ 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 Application ##- Building Futures L r I VED 01: ()Ft t( 1 I cl 0\r , City of Tigard A U G 2 3 2021 x 1vcd 13}25 S W Hail Blvd,Tigard,OR 97113 <90 Permit No:. . 17atewBy: �/ 3�. / S'iZd l"L)L� ��� Phone: 503.7182439 Fax: 503,598.1960 TIGARD Plan Review inspection Lioe: 503.639.4175 DIVISION Date/By: OtherPataa'tNo.: T r ;'t r Internet: Line: 03.63,g4v Roars e/ �} haw � s See Page 2 for Not{frod/Measect •.- - <00 srppymmy1 lJnrat.50a TYPE OF Wtlk1C ®New construction 0 Demolition For Veda/Worleadart aseeA /¢` ❑Addition/alteration/replacement 0 Other: New 1-2-tamily dwell' I $tl ( Totao dwellings ulDlades 100 ft for each WIT connection) CATEGORY OF CONSTRVCnON SFR(1)bath 312.70 :f I.and 2-amity dwelling 0 CAurmerDiellindustriuil SFR(2)bath 437.78 Q Accessory building 0 Multi-family SPR(3)bath 500.32 Each additional hathAcitchen 25.02 0 Master builder ❑Other: Fire sprinkler L sq.ft) Page 2 JOB SITE�INFORMATION�AAND LOCATION Site maiden: Job site address: 1/ fJ gill 5744,/••'G7/2,9 r idn"� Catch basin or area drain 18.76 • City/Slate/ZIP:Tigard OR C277 023 Its line, Leh d 18.76 Suit&bklgJapt no,: Project name: Footing drain(no.Tinier ft:_) p 2 Maouhicwmd home utilities 50.03 all Cross street/directions to j[[[or,,b,���site: /ei / 2 if r / (4 '0 I a Manholes 18.76 II 1 f !1 '(//I Y J �in Rain drain connector MECI J Sanitary sewer(no.linear ft: ) p 2 Storm Sewer(no.linter R: ) Page 2 Water service(no.linear ft: 1 Page 2 Subdivision: Lot no.: // Mama or Hew Tax map/psrcel Oro.: Bed now prrveraa 3127 111 .DESCRTPTiON OF WORK . , Backwater valve 1251 �,�z�, � CiD9ues washer %) )a' C r -/' :-.(r i\,'/C. /nY 6'717L4. Dishwasher 25.02 % E -k / •-7,C; .- f- '-'� �C /t'T- /`i<(TZar2f l4Ud,f' Drtnidngfoutain 25.02 ff 02 - PROPERTY.OWNER ' .;1 ';'.: .:.. .0 TENANT';: :'.:;�„'. : ��� 12 12.51 Na Ilk Westwood Homes Id Fxttatltcwer 25.d2 Floor drain/floor siokAwb Address:12700 NW Cornell RoadGarbage III25.021111 City/State/ZIP:Portland OR 97229 disposal 5.02 25.02 Phone: _ Pax:(503)342 2403 2.57 ®,APPLICOff.:.. :.0'.CONTACT PERSON..:•};.: :. 25.02 Business name Medici!gas(value:s ) Page 2 P Contact name: _ Primer 12.51 Roof rimerraia(commercial) I231 Address Sdgk/besiallavata!Y :-. ; 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone: Fax::( ) Tabislmvw/showcrpen 11 12.51 E-mail • �� Urinal 25.02 CONTRACTOR. WaAercipcet 25.02 1111 Business name:HAMMecbaaieal WMa hwttr 37.52 Waterpiping/DWI/ 56.29 Address:5757 SE Willow Lane Other 25.02 City/State/ZIP:Mtlwaukk OR 97267 Subtotal Phone:(503)97S-9787 Fax:(S03)6592979 Minimum pntnh fee: $72.50 CCB Lic.:178122 Plumbing Lit n0.4=tyi j i.f Plan review (25%of permit fee) Authorized signore:, yy� 1 Stine surcharge(12%of penult fee) 3 .e ) /��/l1. ,` TOTAL PERMIT FEE Mal Print Warne:D ere Dater.(7/ l/ This permit applicant erpirca Ha permit h nor*Wined within 189 slays 1 ono ham twee aaapredascomPlei 'Per ntt:thodology or 6y 7ti.Cotmiy Building ladasoy Service Hosed. 1:IBwldinaParm6sWIMU-PmritApp.da IRIAN 440-461670:MCOM/WEB) CITY OF TIGARD MASTER PERMIT • - COMMUNITY DEVELOPMENT II Permit#: MST2021-00082 T l G A R.f7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/27/2021 Parcel: 1S135CC05900 Jurisdiction: Tigard Site address: 11824 SW PENNY LN Subdivision: BURT'S LANDING Lot: 11 Project: Burt's Landing, Lot 11 Project Description: New detached dwelling BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1246 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1682 sf Garage: 606 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2928 sf Value: $387,832.68 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: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100Catch 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 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 6 201-400 amp: 0 201-400 amp: 0 WIG 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: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VP R-3 2928 Owner: Contractor: WESTWOOD HOMES LLC WESTWOOD HOMES LLC Required Items and Reports(Conditions) 12700 NW CORNELL RD 12700 NW CORNELL RD 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97229 PORTLAND,OR 97229 PHONE: PHONE: 503-330-2215 FAX: 503-342-2403 Total Fees: $40,464.80 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. f Issued By: V ) I ' V 'Delwee Permittee Signature: 0wAPP 'aan Call 503.639A175 by 7:00 a.m.for the next available Inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Buildin2 Permit Application '3 C Zl -'5 Residential RECEIVE. FOR OFFICE t1SF:oyI_1 Received '-1$T20Z!'000c�2. City of Tigard �,e,By, D3-tl;Z.az/- / Permit Na.: • 13125 SW Hall Blvd.,Tigard,OR 97223 A D c Plan Review Q -. t 4i t_ la Z) A w Other Permit:6'14/ie2O2t-004,i 6,3 ' Phone: 503.718.2439 Fax: 503.598.1960 8 Date/By: l 1 TIGARD Inspection Line: 503.639.4175 GTY OF AGAR( Date Ready/By: I iuris: ® See Page2 for Internet: www.tigard-or.gov ;+i ,�, rwor. r� 3 t--.;,, • ed/Medwd /14 Supplemental Information i, 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. e.� IA El 1-and 2-family dwelling El Commercial/industrial Valuation: $ +387 I �3 d-' ❑Accessory building 0 Multi-family Number of bedrooms: 0 Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 3L-( Job site address: //S2 y Spy �i/7h ziut.e. New dwelling area: 2 92 g square feet l to SZ City/State/ZIP: 7-7,/4,7 / 0A '7Z2 3 Garage/carport area: /et ,e square feet (a9W Suite/bldg./apt.no.: Project name: /3(/yis �-egi 1�%/j, Covered porch area: �a► .„ square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I Lot no.: ! 1 Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all 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 re fee schedule) Structural plan review fee(or deposit): Contact name:.4(use twL(/{ J FLS plan review fee(if applicable): Address:12700 NW Cornell Rd Total fees due upon application: City/State/ZIP:Portland,OR,97229 Phone:50 -?i 3-4'Z/q Fax::( ) Amount received: E-mail: A.l aS veV i 1 oa o lr arnes t�LC,C O1,1 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR / roof-top mounted PhotoVoltaic Solar Panel System. Business name: LAMS�w0 C�c rar{1QS L1,G Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 127 0 0 (/IA j &)✓I t.L( ( Solar Installation Specialty Code checklist. City/State/ZIP: 1-1--tT ciii.v"j ©a- G3-7ZZ Permit Fee(includes plan review $18000 ! I and administrative fees): Phone:603) 7(3-0267 9 N Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.:195597 Total fee due upon application: $201.60 Authorized signature: aLet,cztit.„..y./ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 41 U sal ' Date: 3 f 2e z *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Pe mits\BUP-RESPermitApp. 02/24/2011 440-4613T(l 1/02/COM/WEB) Mechanical Permit EIV Applica ' -, FOR OFFICE 1 SF.O\1.1 Tig d '' " y City Permit No 13125 S Wof liall Blvard.,Tigard OR 97223 p,1 A p e 61 Z rj Phil Review • Phone: 503.718.2439 Fax 503.598.1960' .tin r� L By_ Other Perm t: i i c „I.n Inspection Line: 503.639.4175 l Date Ready/By: 7 ® See Page 2 for Internet: www.tigard-or.gov C'',���' i Il�a�(}' Notified/Method: Supplemental Information TYPE OF WORK "" ' COafM140 r FEE* -:USE CHECKLIST --- - Mechanical permit fees*are based on the value of the work 0 New construction ❑Addition/alteration/replacement performed.indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL,EQUIPMENT I giSTEMS FEES* ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special Information use cited:list ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB Si l LF "FORMATION AND LOCATION Haling/cooing: // 1 S wV i� Air conditioning 1 46.75 Job site address: 2 Furnace 100,000 BTU(duets/vents) l 46.75 City/State/ZIP: '7_) �j 4,`C// ) q Z7 7 Furnace 100,000+BTU(ducts/wins) 54.91 / Heat pump 61.06 Suite/bldgJapt.no.: Project name: A3tir ( /'j Ductwork 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 Other: 23.32 Subdivision: Lot no.: `/ Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK 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 fueplace/inscrt 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 n/PROPERTY' Environmental exhaust and ventilation: Name: //A ) �/ OC9/ i/ /S /C Range hood/other kitchen Yv /J .�� equipmem 33.39 Address: ` —7, £) IV elrkw/ 7 Clothes dryer exhaust 33.39 City/State/ZIP: i�/ey�l4`(�j/ ,4/2 d97G ? 7 Singte-duct exhaust(bathrooms, 1 7/3- '_ 7 toilet compartments,utility rooms) 5 _ 23.32 — Phone lf7 Fax( ) Attic/crawlspace fans 23.32 APPLIC •.,.`" Other: 23.32 Business name:tAJ1 7 r0/ •/ ' S / Fuel piping: $14.15 for first four;I4.03 for each additional Contact name: /g'l /$(j(/j J Furnace,etc, Address: ///i7� / J (:?jy Q`/ Gas heat pump Wall/suspended/unit heater City/State/ZIP: f7 - 4 / O� 47 2Zi7 Water heater Phone: fi/ 7/ �`]�',11 ?/� �I Fax::( ��� )�.t�r�J(� /��.t,, Fireplace &mail: I l/i !,�`d I'l/QJ/ tiv G(/'v(/i r t.a //e/C�"'t� e , Barbecue .� ' - ^,.. Clothes dryer(gas) Business name: Lakeside Heating&Cooling Other: MECHANICAL PERMIT Ii1 E5* Address: 7021 SW McEwan Subtotal City/State ZIP: Lake Oswego, OR 97035 Minimum permit fee($40.00) Plan review(25%of permit fee) Phone:(503) 635-5253 Fax:( ) State surcharge(12%of permit fee) CCB lie.: 227694 TOTAL PERMIT FEE Ibis permit application expires ifs permit is not obtained within 180 days after it has been accepted as complete Authorized signature Gy -'�— ' Fee methodologysetTn-Co® Building�� by H Industry Service Board Print name: Jason Charlton Date: 3/6' 21.ti Ii&rildina\PermLL+'MEC_umitApp_040113do° 4404617T(111102/COM/wm) Electrical Permit Application R FOR OFFICE. USE ONLY City of Tigard RECEIVE C E I V E Received Permit#: Dat • 13125 SW Hall Blvd.,Tigard,OR 97223 2021 plan Review Phone: 503.718.2439 Fax: 503.598.1960 MAR Da Related Permit#: Inspection Line: 503.639.4175 Ready Date/By: kris: 65 See Page 2 for Ti GA RI) . Internet: www.tigard-or.gov ifaIT} OF (i( A1 j Not Bed Method: Supplemental Information TYPE OF WORK 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 ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. ® 1-and 2-family dwelling ElCommercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder ❑Other: ❑Fire pump. 0 Installation of ISO KVAor JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: Job site address: �/ ❑Addition of new motor load of system. �� I J"• V /��v/ (P�i'� 100HP or more. ❑"A„ ••E„•'1-2" '•l_3„ City/State/ZIP: 4.r 0,� 2.3 J ❑Six or more residential units. ueacey. r ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: a Project name: ailizg L j ❑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 I Qty. I Each I Total I *- New residential single-or multi-family dwelling unit Subdivision: I Lot#: /( Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 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 ID TENANT Renewable Energy 0 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 l 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 I 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 I ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name:Same as Owner above service or feeder fee, 7.42 2 e^( ✓/ Ell, ( „• ' Feeeeh branch circuit Contact name: /� I�/l".((,OJJ B. for branch circuits without Address: service or feeder fee,first 56.18 2 branch circuit City/State/ZIP: Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) � / ( Fax::( ) Each manufactured or modular V I,v,e1-k(iood hV �/(G(l r,* dwelling,service and/or feeder 67.84 2 Email: 41 i j SG 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 75th Ave#203 Signal circuit(s)or limited-energy ❑ 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(I hr min) 66.25/hr Phone:(503)642-2800 Fax: ( ) Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email:RossElectric@comcast.net Inspections for which no fee is 90.00/hr CCB Lie.: 157891 Electrical Lic.: 34-436C Suprv.Lic.: 42325 specifically listed(/hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Stephen Ross Date: ❑Plan Review Required(25%of permit fee): a' State surcharge(12%of permit fee): Authorized signature:j/ TOTAL PERMIT FEE: / This permit application expires if a permit is not obtained within 180 Print name: ‘/ Date:��/�G/ days after it has been accepted as complete. + Number of inspections allowed per permit. 1:leailding\Pamirs\ELC_errmilApp_ELR_ERE.dac Rev 06n7n015 440-4515T(1 v05/COMnvEB Plumbing Permit Application ' , Building Fixtures RECEt !! EL tort (wilt : I SI OyL1 City of Tigard Revived .1111 • 13125 SW Hall Blvd.,Tigard,OR 97223 --�Q t, 8 2021 DatteBy: Permit No.: Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Inspection Line: 503.639.4I75 CITY OF I f Ci lit Date/By: Other Permit No.. 1 t c:AF. - Internet: www.tigard-otgov ,i.1 PI.DINC1 ' :' In Dohg��o. Julie See Pagefor '.a� Notified/method: Sapplemtstai14fsrmadoo TYPE OF WORK FEE* SCHEDULE . ®New construction 0 Demolition For special information use ckeckliz Description I Total ❑Addition/alteration/replacement 0 Other Qty. Ea. New I-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ® 1-and 2-family dwelling 0 Contmercia industrial SFR(2)bath 437.78 SFR(3)bathI ( 50032 ❑Accessory building 0 Multi-family Master builder Each additional bath/kitchen 25.02 ❑Other: Fire sprinkler(____sq.g,) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: Jr ` v'22-/j / - �ei catch basin or area drain 18.76 City/State/ZIP:Tigard OR q 7 Doting Leach lice, a trench drain Page 2 , Footing drain(no.linear ft.: Suite/bldg./apt.no.: Project name: ,�(�r d+` ) 3 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear IL: ) Page 2 Storm sewer(no.linear ft: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: Lot no.: // Fixture or item: Tax map/parcel no.: Backlow preventer 3I.27 DESCRIPTION OF WORK Backwater valve I2.51 t - Clothes washer L 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump I 25.02 EJ PROPERTY OWNER 0 TENANT. Expansion tank 12.51 Name:Westwood Horses LLC >txturdsewer cap 25.02 Address:12700 NW Cornell Road Floor drain/floor stnk/futb 25.02 City/State/ZIP:Portland OR 97229 Garbage disposal 25.02 Hose bib 25.02 Phone: Fax:(503)342-2403 - ! Ice maker 12.51 ®APPLICANT-: . O:CONTACT.PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 Contact name: Framer 12.51 • Roof drain(commercial) 12.51 Address: Sink/basin/lavatory Li 25.02 City/State/ZIP: Solar units(potables/suer) 62.54 Phone: Fax::( ) Tub/shower/shower pan 3 12.51 E-mail Urinal 25.02 Water closet 325.02 Comm ntACroR Business name:H&H Mechanical water halo r 37.52 Water pipinp/DW V 5629 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: $72.50 CCB Lic.: 178122 PItmtbing Lic.no.:P67 r ii Plan review (25%of permit fee) Authorized signature: � ��j' State surcharge(12%of permit tee) 1 TOTAL PERMIT}th f Print name:Dus i ague Datet3j/ __ 7% 3s permit appticatloa ezpirea 1{a permH is not oLttioed within no days .r�_`�.L after it La been accepted as comphoe 'Fee methodology let by To-county Building Industry Service Board. I:lauiI ng1PermitslPf.MU-PamitApp.doe IO/01109 444-461670002/COM/wES) 1 City of Tigard 11111 ■ COMMUNITY DEVELOPMENT DEPARTMENT T A R Building Permit Review — Residential Building Permit #: AiSi:202t 000 BZ Site Address: 11824 SW Penny Lane Project Name: Burt's Landing Lot #: 11 Planning Review *AVAI •' one-R.41v RIM • Proposal: new house t. SA/24 NG76- 1iv R6✓ Paz-Lt 0 ® Verify address/suite# active in Accela. E In River Terrace: IX No ❑ Yes, River Terrace Review Addendum Site Plan Elements: $lErosion Control X13 copies of site plan on 8-1/2"x 11" or 11 x 17"paper I@Retained trees with drip line and tree protection measures IN Drawn to scale (standard architect or engineer scale) &Footprint of new structure(including decks)and FFE ®North arrow ]Utility locations&easements(required for new and additions) $]Site address,project or subdivision name and lot number R7 Sidewalk/driveway approach lApplicant information(name and phone number) riaLocation of wells/septic systems ®Lot dimensions and building setback dimensions lie Street tree size,type and location IlaSquare footage of buildings to be demolished &Street names nR]Existing structures on site CJComer 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? XIYes ❑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 IX No Received: ❑ Yes ❑ No K] Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑ Yes,applicant was notified 6Ll No Received: ❑ Yes El No ® SDC Exemption for ADU applied for. ❑ Yes ® No Received: ❑ Yes ❑ No ® Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified ® No Applied For: ❑ Yes ❑ No,stop intake ® Land Use Case#: SUB2016-00002 k] 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: 26 Flal Landscape Area: _ % a Lot Coverage Max: 0/0 Entrance $] Set back no more than 8' from street-facing wall LJ Parallel to street or offset 45 degrees or less Windows ® Minimum 12%of area of all street-facing facades F:12% Garage [X Garage door is behind widest street-facing wall ❑ Yes ® No,one of the following is met: X 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. X1 Garage door width is ❑ 12'or less ❑ 50%or less of facade ;K] 60%or less and includes 7 of following: X] Covered porch ® Recessed entrance g] Wall offset $l 1'Roof eave ® Roof offset ❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ® Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding E Window trim El Window recess ❑ Window projection ❑ Balcony ® Visual Clearance ® Urban Forestry Plan a Sensitive Lands: ❑ Yes ® No Type: ® Conditions met prior to issuance of building permit Notes: � ���Q���� ® Approved By Pla ping: if., 4 Amok."t/ Date: 3/9/2021 Revisions (after B ding Submittal only Review D to Revision 1: Approved ID Not Approved r _ Cc—2- Revision 2: Xf Approved ❑ Not Approved AI-- 5 t 1:\Building\Forms\BldgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: d3-08•ZO2./ Site Plans: # c ' Building Plans: # 'J Building Permit#: [Enter building permit# above. Workflow Routing. 2"-Planning Ce" Engineering LK Permit Coordinator Ly'Building Workflow Sign-off: D--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. [-Building: original permit application,site plans,building plans,engineer and beam calculations an. trust details,if applicable,etc. Notes: / By Permit Technician: _— �WA7777l�' Date: Cl3-//-202-/ Engineering Review L Slope at building pad: (220 21 Conditions"Met"prior to issuance of building permit CY.asements (encroachments)per engineering conditions of approval and plat 2Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑'5o Assess Water Quantity Fee in-lieu: ❑ Yes 21*- -o / LIDA Facility on lot rf'-'"Yes ❑ No 2 final Plat Recorded: � f�b NOT Approved by Engineering: (.� . Yr g)-} Date: 3-a'S Z,,,Z/ Notes: 4 l ( r p., f rt2 /rr 2 f£t. 1/ I avT 5 TAG... /re--rezez.¢/ f t-' �3.L1.f..,G.IA-- t £..a St....Q!7— El Approved by Engineering: Date: Revisions (after Building Submittal only.) %te• L')30 5 T<'2' `' ewer Date Revision 1: ❑ Approved RW N of ApprovedZ A.S¢w �� ,5 " a E f� VIZ._ Revision 2: 2"-Approved ❑ Not Approved l. Fr S t}t,[ S-/Z' 2-( Permit Coordinator Review Conditions"Met"prior to issuance of building permit ❑ Approved,NOT Released: .ajo 5tAt leapt re glu�S — 3i+ltf?Pate: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: nth--a,ire,Kd,- 0. 0ea.epl..'0..J' Revision Notice 2: Date Sent to Applicant SDC Exemption: ❑ Received 1211 Does not apply N'SDC Fees Entered: Wash Co Trans Dev Tax: % Yes ❑ N/A Tigard Trans SDC: JZr Yes ❑ N/A Parks SDC: 7 Yes ❑ N/A LIDA 0 Yes ❑ N/A OK to Issue Permit r � ' Approved by Permit Coordinator: ems__ - Date: ,/0/2—/ 1:1 Building\Forms\Bl dgPermi lRvw_RE S_122419.docx Agnes Lindor From: Agnes Lindor Sent: Monday, May 10, 2021 9:45 AM To: Allison May Cc: #Building Permit Technicians; Kenny Fisher; Lina Smith Subject: Burts Landing MST2021-00082 Attachments: SKM_C65921051009370.pdf Allison- The site plan needs to show the LIDA draining to the conservation easement and not to the street, see attached. Please revise and resubmit. This comment is also true for Lots 12 and 14.Thanks, Agnes Lindor I Associate Planner City of Tigard I Community Development 13125 SW Hall Boulevard Tigard, Oregon 97223 Phone: 503.718.2429 Email:AgnesL@tigard-or.gov • Agnes Lindor From: Agnes Lindor Sent: Tuesday, March 16, 2021 1:48 PM To: 'Allison May' Cc: Lina Smith;#Building Permit Technicians Subject: Burt's Landing Lot 11 / MST2021-00084 Hi Allison- This site plan is missing water meter, storm lateral, and conservation easement. Please revise and email back us with this transmittal sheet filled out.Thanks, Agnes Lindor I Associate Planner City of Tigard I Community Development 13125 SW Hall Boulevard Tigard,Oregon 97223 Phone: 503.718.2429 Email: AgnesL@tigard-or.gov °. RAIN DRAIN AND OUTFALL PROTECTION W W W i • i BUILDING OFFSET AND �a " ° .1, 4, NI, 4, IMPERMEABLE LINER AS APPROVED BY BUILDING JURISDICTION W W y. I i PERFORATED PIPE MANIFOLD i i i FOR LENGTH OF FACILTY; 4, 1 ( W • 4" MINIMUM. d 6 ' -� W I I- W W STRUCTURAL WALL PER ° , i 4I I4, i p BUILDING JURISDICTION W .. W W A , i W i sir&J< i -- r A L a 1 °° - W •W Ira i W W i W �� f .._ . A.. . OVERFLOW TO 6" TYP. 30" MIN. CONVEYANCE J� 1 r— FACILITY WIDTH 7I p — 2" MIN FREEBOARD I 6" MAX POND DEPTH % / < 11 I=111= I T L 1'E I I-1 I \% a i /fjfVA�/j� ,:41 h=111—Ell F- 11-11= 'Yf% 18" MIN GROWING MEDIUM /\/\\f%\\/ . :'1:-=- 111111 _1 -1111111 I I .: ., %v �ivv i?l 11 I- 111 Il 1 I-11 \ v� a / fj/j it►r`•,t r..APR• \/> 3" DEEP (3/4" — 1/4") CLEAN / �f, Jt _ •arj \/A./ f i 'f/ " V//�j 9D11/2" 3/4 ) `" ~ \'\'. it ��\/f�AjA e j /�AA//A/fVAA�% / /fVAf///<X>VA AiV�i A/'V X"V� V.../ ":VA V fVA\ \'/P, OVERFLOW TO ��% ° %fV/l�f\� /�/�Vf%V%� � % ��jf %ff/ff A, CONVEYANCE /fAf�� ° AA<Tj\�f� ,,k.Vf/��VAf�Vf,�V,v/VAf f/Af.�� WATER PROOF PVC BOOT AND •\/\ \\\" `\\�/pUN/aTION//D/AIN/rPE �t /SIN/ / CLAMP OR APPROVED EQUAL VV�/V AA%VAS< '//</ �, v„., �i/vv�iwvi w�/!� SECTION A-A A/fVA/ff\/��j�AAj \/yAj�AA// 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 aeanWater Services DRAWING NO. 794 REVISED 03-16 1710 Low Impact Development Approaches Handbook C1eanWater `Services 0 o CITY OF TIGARD Approved by Planning _ _ w�� P DNNY LAN 1a, Date: 3(a 2ozr N — . ' Initials: M- f 68.6' -2 Ili 0 Erosion Control: I1 Silt Fencing —— • Straw mulch on exposed soil u�` �. DRIVEWAY =� Gravel construction driveway` ' $_ \ Construction De e � �1 L' (_ — N asp J 0 . �� ' Stock pile ,GARAe 1.i ; ,/� / r MARn132.0•\ 1 1 ///! ` _ �0_ ----1--- " -;, ' // ''.:.1•''' _____\_, I\ ', 7,855SF ' ! 1 FFE: 168-0y i " \ to '' II AN PLOOR Z:2 �: V 1 I` /�/ RFLOOR I92 'rI i ...'l \ GOV'G PATI�����""' i 25'-V � o 1 -1 �o II- b F.1 —L _ _ , 1 n '' en ( 2 I . _ '15 " Or IN,- ,\___.,.4 4 i,,„.„., AZ i [ �;-85.1' IF TOTAL IMPERVIOUS = 2,630 S.F. X .O6 = 158 S.F. REG. FOR LIDA BOX. 160 S.F. PROVIDED LOT AREA 1855 5F SITEPLAN \\Olk SETBACKS: BUILDING COVERAGE 2,000 SF FRONT = 2S' STREET SIDE=15 % OF COVERAGE 25% SCALE : 1"-20' SIDE = 5' REAR = 15' 'RIVEV`lAY AREA 612 5F PLAN NAME. BUSTS LANDING 2123 �f Westwood Homes LLC I t c[1j ,( 4 reinn` Lane, 12118 NW Blackhawk Drive II 'RAUN: E-DRAFTING u uu Tv� ' Portland OR 97229 PLOT: �'2 '2l L O T phone 503-352-5363 fax 503-352-5914 GALt l"=2�'-C1�"