Permit (2) g
711 CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT a�r Permit#: MST2021-00138
` Date Issued: 05/04/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135CC06100
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
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 SrvclFeeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea addl 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
1 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
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#q# Issued By: `` Permittee Signature:
ly
g 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.
Plum bink Permit Applicatit ECEI 1/ED % /17 STV aI - W/5cr
Building Fixtures
Cityof Tigard AUG 17 1011 Received r I OR ;'r art i i r opt 4`
• 13125 SW Blvd.,Tigard,OR 47 1 Y OF TIGARU Plan Bevkw7��,�f � .PermitNy.js/ & 01)/3
Phone: 503.718.2439 Fax: 503.59 Date/By: Other Permit No.:
Inspection Line: 503.639.4I75 SUILDING DIVISION
l 1 l;;,3'.t Internet: www.iigard-or.gov No .f/' L / ' ,t) h +' 8
0r psepk Page ta 21 ffra mattoa
TYPE OF WORK
0 New construction 0 Demolition Pot spedatWontratloh use r4 eirPe
Des
0 Addition/alteration/replacement 0 Other: New 1-2•ihtiail dwdn• ., Qty. Total
(includes l Q(}ft.for each u utility connection)
CATEGORY OF CONSTRUCTION " SFR(1)ba@t
312.70 1111111111
MI
181 I.and 2-family dwelling a Commereittifitwtustrial SFR(2)bath437.78
0 Accessory building 0 Multi-family SErlt(3)bath 50032
0 Master builder Each additional bath/kitchen 25.02
Other: Fire sprinkler(_.___sq.it.)
Page 2
JOB SITE INFORMATION AND LOCATION Site ntftittea:
Cadcb basin or area
lob site addr:esx •7 ��/'f/?/� L��i�-L� drain Il }8.7b
City/State/ZIP:Tigard OR �223 ✓/ Dryweil,leach line,orirench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt,no.: Project name: G r to pas
.,/ lylanttfArnwu1 home utilities 50A3
1111
Cross street/directions to job site: Manholes
11 18.76
Rain drain connector J 8.76
Sanitary sewn(no.linear ft.: ) Ill Page 2 1111
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: Lot no.: / Hoye or item:
Tax map/parcel no.: Ba plow preventer 31.27
DESCRIPTION OF WORK Bttcltwatcr valve 22.5}
r C '-tda( S» Clothes washy 25:Q2
A Dishwasher 25.02
1 i I' Drinking fountain 25.02
/
Ejectors/sump 25.02
PROPERTY OWNER :lt`••
.�....�;,< . , ..:. •0 TENANT:._ ;:•;:;:.;::;:.:: ENpansiontank 12.51
Name:Westwood Homes LLC Fixture/sewer tipIII 25.02
Floor drain/floor sinkimb
Address:12700 NW Cornell Road 25.02
OnitagCity/State/ZIP:Portland OR 97229 El
e disp 25-02
Hose bib 25.02
Phone: _ Fax:(503)342 2403 Ice maker 12.51
0 A :.. ...n CONTACY PERs0N.... Inte ceptor/Freest trap 11 25_02
Business name: - • Medical Fes(value:S ) Page 2 .7,"
Contact name: ' Pruner 12.5}
Address: - Roof drain(commercia}) 12.51
-._- Sink/basinllavatory it i 1 t,i- 25_02
City/State/ZIP: Solar units(potable water)
62.54
Phone: r Fax::( ) Tub/shower/shower pan 12.51
E-mail Urine, 25.02
CONTRACTOR- Wader closet 25.02
Business name:H&H Mee.han)eal wetter beater 37.52
ill
Water piping/DWV 56.29
Address:5757 SE Willow Lane Other
25.02
City/State/ZIP:Milwaukk OR 97267
Subtotal ,?,j el
Phone:(503)975-9787 Fax:(503)659-2979 Minimum permit fee: $72.50
CCB Lie.:178122 Plumbing Lic no.:P6Z/j L/ Plan review (25%ofpermh fee)
State suer range(12°fo of permit the) .3.ei
Authorized signature: - ,,.,,z.,,-,
TOTAL PERMIT FEE „2, ,t
IPrint name:Deus 'ague Date /7 i 4 r Ibis permit applicable expires if r permit Is rot obtained withie hill days
( after h has been accepted as compkte.
"Fee methodology ref by Tri-County Building Industry Service Board"
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