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Permit IN ___ CITY OF TIGARDIlickcj\13-.9 MASTER PERMIT II . - COMMUNITY DEVELOPMENT Permits: MST2021-00223 Date Issued: 09/07/2021 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135CC06000 Jurisdiction: Tigard Site address: 11844 SW PENNY LN Subdivision: BURT'S LANDING Lot: 12 Project: Burt's Landing, Lot 12 Project Description: New detached dwelling BUILDING Floor Areas Reauired Setbacks Required Stories 1 Bedrooms. 3 First. 2400 sf Basement 0 sf Left: 5 Parking Spaces: 0 Height. 17 Bathrooms 2 Second: 0 sf Garage: 625 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 2400 sf Value: $324,091 50 Rear. 15 PLUMBING Sinks: 1 Water Closets: 2 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 PrevMr: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Tvoes Air Conditioning: Y Vent Fans: 4 Clothes Dryers' 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 5 Furn>=10OK' 0 ELECTRICAL Residential Unit Service Feeder TemD 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 10004-amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo, N HVAC N Security Alarm: N Vaccuum System: N Garage Opener: N AllY !1 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 2400 Owner: Contractor: REAUME,JEFFRY&DEBORAH L WESTWOOD HOMES LLC Required Items and Reports(Conditions) 16508 SW TIMBERLAND DR 12700 NW CORNELL RD 1 Ersn Cntrl 503-639-4175 BEAVERTON,OR 97007 PORTLAND,OR 97229 PHONE. PHONE: 503-330-2215 FAX: 503-342-2403 Total Fees: $38,251.62 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 it 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 a59J1nl_nnln fhrniinh nAR q49-nn1-nn0n vnn mm,nh+ein a rnmr nf+ha rWpe nr dwarf n,mefinne fn nl INr by rallinn wk 919 111OOR17 nr i Ann 119',IAA Issued By: 1{OUV VG1 .,V& P.� WC Permittee Signature: OwAf'Ylir en 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 lob site at the time of each inspection. 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 protect. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT III e Transmittal Letter LH, F. n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tieard-or.aov TO: DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Allison May SEP 901 COMPANY: Westwood Homes LLC t;ITY OF TIGARD PHONE: 503-713-6294 ';UILDING DIVISIOI�1By.- EMAIL: allison@westwoodhomesllc.com RE: 11844 SW PENNY LN ) 57iI— 00221 (Site Address) (Permit Number) MST2021-00223 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: 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. Other(explain): REMARKS: We are removing the laundry room sink and need to get a revised permit. Routed to Pert Technician: ate: '':1 I'( Z �� Initials: i Fees Due: Yes ( Fee Descrliption: Amount Due: _ � fie ' ,,�l I//, 0'9'1\ — $`- s - 1----- rz.vv . izilL- / $ Special I / ,(' Instructions: Reprint Permit (per PE):�. � EYes / I ❑ No ❑ Done Applicant Notified: ate: C//li� ( Initials: �(/ lit CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2021-00223 Date Issued: 09/07/2021 T f(.1 A I:.1? 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 1S135CC06000 Jurisdiction: Tigard Site address: 11844 SW PENNY LN Subdivision: BURT'S LANDING Lot: 12 Project: Burt's Landing, Lot 12 Project Description: New detached dwelling BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First 2400 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 17 Bathrooms: 2 Second: 0 sf Garage: 625 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 2400 sf Value: $324,091.50 Rear: 15 PLUMBING Sinks: 1 Water Closets: 2 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 Bckfw 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: 4 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 side!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 2400 Owner: Contractor: REAUME,JEFFRY&DEBORAH L WESTWOOD HOMES LLC Required Items and Reports(Conditions) 16508 SW TIMBERLAND DR 12700 NW CORNELL RD 1 Ersn Cntrl 503-639-4175 BEAVERTON,OR 97007 PORTLAND,OR 97229 PHONE: PHONE: 503-330-2215 FAX: 503-342-2403 Total Fees: $38,206.62 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 oc,_nn1.onln thrnunh insR oc flfl1 nfOn Vnu mau nh+ain a rnn,,of the ndae nr rlir,rt nune+inne to r1l IhJC hi,Tallinn cn2 9'1,1027 nr 1 Ann 229 71,ae Issued By: HcPUY VaxvDe'Weffe Permittee Signature: OlvAppUca lo-rt 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. Building Permit Application ., - toll /i I Residential RECEIVE FOR OFFICE UST O\I.1 City of Tigard ateBy: A� 15 7n)/ M,C 20y-0pZ23 ,� 13125• Date/By:!"(/ fVy Permit No.: ' Phone:S 03.7 824 9 Tigard, Fax 03.598 960 JUN 0 7 202i t I t , 'n'j� 7 �� a/ rPem tswrzoz�-oo47 T t G A F n Inspection Line: 503.639.4175 CITY OF TIGARD Nohfi��etLod: 7k.1en• fa See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION 7" / *' 1� Supplemental Information if 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. El1-and 2-family dwelling ❑Commercial/industrial Valuation: $ 3, Ct! S° ❑Accessory building ID Multi-familyNumber of bedrooms: 3 v ❑Master builder ❑Other: Number of bathrooms: L JOB SITE INFORMATION AND LOCATION Total number of floors: t 367_' Job site address: //OM Chi Rfh0t.4114. New dwelling area: 2.(/00 square feet 0' 41 06 City/State/ZIP: 9stregfO ZZ3/D Garage/carportarea: (p2S square feet Suite/bldgJapt.no.: Project name:6Vr-TJ Lone 1 n' Covered porch area: square feet Cross street/directions to job site: f Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: /2 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 0 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 tee schedule) � Structural plan review fee(or deposit): 7 /, `i Contact name:Ai usjyt n/j f,(,( Address:12700 NW Cornell Rd 1 FLS plan review fee(if applicable): City/State/ZIP:Portland,OR,97229 Total fees due upon application: Phone:5t) -7 13—(QZ-/14 Fax::( ) Amount received: E-mail: 4/Li SaviG(� 4Cl{/(J�pj/CrYt e3 L�. C j PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name: UV.s-)Aitroa HOyy.1ls Li__C.. Submit two(2)sets of roof plan with connection details Address: 127 0 0 ivCU�/�,� and fire department access,along with the 2010 Oregon iv Solar Installation Specialty Code checklist. City/State/ZIP: per+l m{-l.O �1-( ©a- '/ ZZ 7 Permit Fee(includes plan review and administrative fees): $180.00 Phone:( 7/3 Z q/1� Fax:( ) State surcharge(12%ofpermit fee): $21.60 CCB lic.:195597 Total fee due upon application: $201.60 Authorized signature; This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: At U Soct wit) Date Z/�2�/ *Fee methodology set by Tri-County Building Industry Service Board. 1:1Building\PeroutslBUP-RESPermitA02/24/2011 440-4613T(11/02/COM/WEB) . Mechanical Permit ApplicatiRECEIVEp FOR OFFICE I SE O\1.) City of Tigard Received IIi �'y Date/By Permit No.: ' 13125 SW HallBlvd,Tigard,OR 97223 ,�U N O ( 202Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By Other Permit: r i,, c r Inspection Line: 503.639.4175 CITY OF r IGAHU Date Ready/By: Innis RI See Page 2 for Internet: www.tigard-or.gov Rill! numn DIVISION Notifed/Method Supplemental Information TYPE OF WORK ` ,.,, s Cps[,.PFEe. ti3E ciacKLLST Mg!! . Mechanical permit fees'are based on the value of the work ❑X New construction 0 Addition!alt era:iolihuplacement performed.Indicate the value(rounded to the nearest dollar)of all mechanical materials,equipment,labor,overhead,and profit ❑Demolition ❑Other: Value:$ CATEGORY OF CO%STRLCTIO RESIDENTIA7.EQUIPMENT/5'S'STEIM,S"FRES* ® 1-and 2-family dwelling ❑Commercial/industliai ❑Accessory building For special tnfornmton use checklist ❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. I Total JOB SLIP 1NFORMATIOR AND LOCATION Heating/cooling: 11(LJL SkV om.7 Cam'- Av 100,i0g 46.75 Job site address: Furnace 100,000 BTU(ducts/vents) i 46.75 City/State/ZIP: 71944/ 9 —7t 2 3 Furnace 100,000+BTU(ducts/vents) 54.91 ✓1 yr !t 1 LJ i>2 Heat pump 23.32 Suite/bldg./apt d no.: Project ft7 1IS Lnv� Duct work 23.32 Cross street/directions to job site; Hydronic hot water system 2332 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 2332 Subdivision: Lot no.: / Other. 23.327 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 a 43 Gas fireplace/iasen 3339 Flue vent for water heater or gas HVAC for new construction home fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 3339 Wood fireplace/insert 23.32 Cbimney/liner/flue/vent 23.32 Other. 23.32 Environmental exhaust and ventilation: Name: 1/11,1g c40/Dad l76m'PS // : Range hood/other kitchen ' Address: /22 O i /(A/ 0/ 4L/1 t equipment 33.39 Clothes dryer exhaust ( 33.39 City/State/ZIP: 100`f14 0,e.. ' -z z f Single-duct exhaust(bathrooms, U Phone6t -7/ -to29d/ Aitereampspaec compartments, 23.323 Fax ( ) Attic/aawlspace fans 2332 Other: 23.32 � Business name: ' IYl-P 4.s 4'OOI4(4,2 piping: ��� 54.15 for first four;$4.03 for each additional4 Contact name: Furnace,etc. ( Address: Gas heat pump City/State/ZIP: Wall/suspended/unit heater Water heater Phone:( ) Fax::( ) Fireplace / E-mail:R 1' atehleSfw 11/0tnes7/6C, B '{ Bmbecue Clothes dryer(gaa) Business name: Lakeside Heating&Cooling other: Address: 7021 SW McEwan MECHANICALPERMITPEES* Subtotal City/State/ZIP: Lake Oswego, OR 97035 Minimum permit fee($90.00) Phone:(503) 635-5253 Fax:( ) Plan review(25%ofpermit tea) State surcharge(12%of pamit be) CCB lie.: 227694 TOTAL PERMIT 81L5. This permit application expires if a permit is not obtained within 180 Authorized signatan days after it has been accepted as complete. e�- � j • Fee methodology set by Tn-County Building industry Service Board Print name: Jason Charlton Date: 44e.ls � 1:1Buildirg\Permits\J iT 1IMJCOM/WPB) Electrical Permit Application RECEIVE FOR OFFICE USE ON1.1' City of Tigard Received Da ; Permit#: 1111 • 13125 SW Hall Blvd.,Tigard,OR 97223 J U N ® °, 2021 Plan Review • Phone: 503.718.2439 Fax: 503.598.1960 I Date/B : Related Permit#: TI AitU Inspection Line: 503.639.4175 CITY OF IGHIiu Ready Date/By: kris: ® See for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ®New construction D 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 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder 0 Other: ['Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived )� O Li/J SA/P�Nn9 ❑Addition of new motor load or system. Job#: Job site address: / o .f ,/ 100HP or more. City/State/ZIP: ,lardf 0(2- T7023 ❑Six or more residential units. occupancy. / 0 Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: ,�0,-- S 44/7( ///f/�/% 0 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 l Qty. r Cad. 1 Total I • New residential single-or multi-family dwelling unit. Subdivision: Lot#: /Z Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 Ea.add'I 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 New SFR (with above sq.ft.) - Limited energy,multi-family 75.00 2 residential(with above sq.ft.) El PROPERTY OWNER 0 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 Email: Temporary services or feeders installation,alteration,and/or 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 Branch circuits-new,alteration,or extension,per panel El APPLICANT ❑ CONTACT PERSON A.Fee for branch circuits with Business name:Same as Owner above service or feeder fee, Contact name: )f ��[' }'J�] each branch circuit 7.42 2 1n4 U C)b� ,' ` B.Fee for branch circuits without Address: 6 '(_7 N�e � ( g� service or feeder fee,fast ''ma�yy;; branch circuit 56.18 2 City/State/ZIP: por,‘`4/1 d ©,e_ g72.0 Each add'l branch circuit 7.42 2 r Miscellaneous(service or feeder not included) Phone:(9)3)'J/3-4s 2qt/ Fax::( ) Each manufactured or modular Email: Al(,iS r,,(/1 wor A/CYDj ,QQIIC'(COL_ dwelling,service and/or feeder 67.84 2 '.,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 75tb Ave#203 Signal circuit(s)or limited energy panel,alteration,or extension. 0 See Page 2 2 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 Iidustrial plant(1 hr miii) 78.18/hr Inspections for which no fee is CCB Lie.: 157891 Electrical Lie.: 34-436C Suprv.Lie.: 42325 specifically listed(A hr min) 90.00/hr ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Stephen Ross Date: ❑Plan Review Required(25%of penult fee): �' 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:4Q/%//2d Z j days after it has been accepted as complete. -/ I * Number of inspections allowed per permit. i:\Buildmg1Permiss\ELC_PrrmitApp_ELR_ERE.doc Rev 06/17/2015 440.4615T111/05/COM/WEB Plumbing Permit Application Building Fixtures RECEIVE I I-()R oF'l I( t: 1 SF ONL% City of Tigard Received C ■ 13125 SW Hall Blvd.,Tigard,OR 97223 JUN 0 7 2021 DateRevlew Permit No.: Phone: 503.7]6.2439 Fax: 503.598.1960 Dare/By: Otter Permit No 11 _, . �,�. Inspection Line: 503.639.4175 CITY OF TIGARD Date Read Internet: www.tigard or.gov y/B➢ rare: 141 See Page meal for RI ill n1NG DLVIS10 Nonfied/Mc1Wd Supplemental Information TYPE OF WORK . FEE*.SCHEDULE . ®New construction 0 Demolition For , .ill ar»rdloa use checklist Description ❑Addition/alterationheplacenrent 0 Other: I Qts Ea. Total New I-2-family dwellings(includes 100 ft.for each able connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ®1-and 2-family dwelling 0 Commercialrmdustrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 50032 ❑Master builder 0 Other: Each additional barhJkitclren 02 Fire sprinkler L. sq.ft) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: lob site address: ;7 7 a • . rr /'J Catch basin or area drain 18.76 City/State/ZIP:Tigard OR 7 22 3 Footing },leach line or trench drain 18.76 2 y��7 L S/ Footing dratune (no.linear ft.: ) Page 2 Suite/bldgJapt no.: Project name: Q G( 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 it:Y) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: Lot no.: 2 Fixture or Item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 I Clothes washy 25.02 Dishwasher I 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 .f PROPERTY OWNER . 0 TENANT Expansion tank 12.51 Name:Westwood Homes LLC Fixture/sewcr cap 25.02 III Address:12700 NW Cornell Road Floor dispo a sink/hub 25.02 Garbaggee disposal 25.02 City/State/ZIP:Portland OR 97229 Hose bib 25.02 Phone: Fax:(503)342-2403 Ice maker 12.51 El APPLIiCAA't .0 't" :#.,a • Interceptor/grease trap 25.02 Business name: IS� �d �o.eS //G Medical gas(value:S ) Page 2 Canted name: ' I j iL Primer 12.51 Address: ! 7t 7O /v v y / /( /T Roof drain(commercial) 12.512 City/state/ZJP: Qy/l41 t e/ Ole- 972e sink/basin/lavatory unspotbl 6225.54 Solar units(potable water) 62.54 Phone: 0 - 7/.3-Le 2 Fax::( ) Tub/shower/shower pan 12.51 E-mail 17Cid' NJ. 3'9-k /7c 0721.QS//c.C�_ Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater Business name:H&H Mechanical Water in 37.52 pip f�WV 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 Minimumpermit fee: $72.50 CCB Lic.: 178122 Plumbing Lic.no.:Ipe,7 f Plan review (25%of permit fee) State surcharge(12%of permit fce Authorized signature: yt ) �' _, TOTAL PERMIT FEE Print name:this ' 'ague Date: i Z , This permit application expires if a permit is not obtained within 189 days after it has been accepted as complete. 'Fee methodology het by Tri-County Building Industry Service Board. t:lBuldinglPermbsVPt.MU-PermitApp.doe I0/01Po9 440-4616T(10/02FCOM/WEB) City of Tigard C ■ COMMUNITY DEVELOPMENT DEPARTMENT 114 T I G A R D Building Permit Review — Residential Building Permit #: H S TLd Z 1—00 2-L Site Address: 11844 SW Penny Lane Project Name: Burt's Landing Lot #: 12 Planning Review re o( /_ Proposal: New house , 04 ee / an Stet pl�..fL (o/Q-V/2l ® Verify address/suite# active in Alefela. f7 In River Terrace: II No ❑ Yes, River Terrace Review Addendum Site Plan Elements: ®Erosion Control E3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper n❑dlRetained trees with drip line and tree protection measures ®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 ©Sidewalk/driveway approach ®Applicant information(name and phone number) 11AILocation of wells/septic systems ❑X Lot dimensions and building setback dimensions ElStreet tree size,type and location ►Ca]Square footage of buildings to be demolished ®Street names RiExisting structures on site al Corner elevations(2'contours if more than 4'differential) lLot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ®Yes ❑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 FJ No Received: ❑ Yes ❑ No 17 Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑ Yes,applicant was notified ® No Received: ❑ Yes ❑ No @] SDC Exemption for ADU applied for: E Yes ❑ No Received: ❑ Yes ❑ No © Public Facilities Improvement (PH) Permit Required: ❑ Yes,applicant was notified ® No Applied For: ❑ Yes ❑ No,stop intake ® Land Use Case#: SUB2016-00005 1 Zoning: R-4.5 ® Required Setbacks: Front: 20 Rear: 15 Side: 5 Street Side: na Garage: 20 ® Building Height Max.Height: 30 Actual Height: 17 @ Landscape Area: % @ Lot Coverage Max: Entrance ® Set back no more than 8'from street-facing wall ® Parallel to street or offset 45 degrees or less Windows $] Minimum 12%of area of all street-facing facades 15% Garage N Garage door is behind widest street-facing wall Ki Yes E No,one of the following is met: E Door extends no more than 5'from wall and there is a covered porch extending beyond garage. E Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor. ❑X Garage door width is ❑ 12'or less M 50%or less of facade E 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance ❑ Wall offset E 1'Roof eave ❑ Roof offset ❑ Fire shingles E Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony ® Visual Clearance ® Urban Forestry Plan El Sensitive Lands: ❑ Yes © No Type: ® Conditions met prior to issuance of building permit Notes: © Approved By Planning: lATI4 Ci Date: 6/8/2021 Revisions (after Bt.'. in Submittal only) % g Reviewer a e • Revision 1: Approved ❑ Not Approved Z daratarm J Approved El Not Approved D Z/ 1:\Building\Fonns1BldgPennitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: %/O/22LJ Site Plans: # Building Plans: # 3 Building Permit#: [ Enter building permit#above. � � Workflow Routing EPlanning Engineering P [EB --"Permit Coordinator uilding Workflow Sign-off: al/Sign-off for Planning(include notes from planning review) Route Application Documents: 0/Engineering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing form. GI/Building: original permit application,site plans,building plans, engineer and beam calculations and st details,if applicable, etc. Notes: / By Permit Technician: i j/`<7/// Date: O4// /262-/ Engineering Review 2 S ope at building pad: conditions"Met"prior to issuance of building permit [Easements (encroachments) per engineering conditions of approval and plat 2 Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 0 No Assess Water Quantity Fee in-lieu: ❑ Yes 121" o � LIDA Facility on lot: ales ❑ No la Final Plat Recorded: lam' NOT Approved by Engineering: K. 65 t llft- Date: to -is=2,rzit Notes: 111111 __ ..�:.._R_ =...---. -- .�- '�..�_�■-.�..«�.:-mac ❑ Approved by Engineering: Date: Revisions (after Building Submittal only) -... Reviewer Date Revision 1: 0 Approved of Approved 14.. (t S 4„/4_, (e "'ZB " 20 L! 'Approved 0 Not Approved K, ,t5 4't ? " 5-7-0,2,i Pfrmit Coordinator Review tjConditions "Met" prior to issuance of building permit 0 Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: V Z /&lz1 Revise 2 Date Sent to Applicant: (i) ! ( -2.-t I, .:DC Exemption: 0 Received Does not apply T SDC Fees Entered: Wash Co Trans Dev Tax: IV/Yes 0 N/A Tigard Trans SDC: Ve Yes 0 N/A Parks SDC: Yes 0 N/A LIDA Yes 0 N/A /OK to Issue Permit Approved by Permit Coordinator: //let,c,- �/Date: 1 p(2 'lt/' 1:1B u i I d in g1Fo rms\Bl dgPerm itRvw_RE S_122419.docx Dianna Ornelas From: Allison May <Allison@westwoodhomesllc.com> Sent: Monday, June 28, 2021 1:15 PM To: #Building Permit Technicians; Kenny Fisher Subject: Revised Plot Plan for Burt's Landing - MST2021-00223 Attachments: BURTS LANDING LOT 12_092221.pdf iWarning!This message was sent from outside your organization and we are unable to verify the sender. Good Afternoon, I received a call from Kenny Fisher to revise the location of the Storm line on the plot plan for Burt's Landing Lot 12. Please see attached. Thank you! A6lisow Mari Westwood Homes, LLC 12700 NW Cornell Rd, Portland, OR 97229, Upper Floor 503.715.2383 Main Line 1503.713.6294 Direct Line www.westwoodhomesllc.com `j Please consider the environment before printing this email 1 Agnes Lindor From: Agnes Lindor Sent: Tuesday,June 29, 2021 2:12 PM To: Allison May Cc: #Building Permit Technicians; Kenny Fisher Subject: MST2021-00223 Burt's Landing 12 Hi Allison- A revision to the site plan is being requested by engineering: - Remove storm lateral from street;and - Remove water meter call out near swale as meter is on the west property line. Please revise and resubmit with this transmittal sheet.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 1 Dianna Ornelas From: Lina Smith Sent: Thursday, June 24, 2021 12:30 PM To: #Building Permit Technicians Cc: Allison May Subject: RE: MST2021-00223 Burt's Landing Lot 12 Attachments: BURTS LANDING LOT 12_092221.pdf Hi Building, Can you please take in this revision for MST2021-00223? Thank you, Lina Lina Smith Assistant Planner City of Tigard I Community Development 13125 SW Hall Blvd.Tigard, OR 97223 E-mail: LinaCS@tigard-or.gov From:Allison May<Allison@westwoodhomesllc.com> Sent: Thursday,June 24, 2021 11:49 AM To: Lina Smith <LinaCS@tigard-or.gov> Subject: FW: MST2021-00223 Burt's Landing Lot 12 Warning!This message was sent from outside your organization and we are unable to Allow sender l Block sender verify the sender. Hi Lina, will you please pass this along to Engineering as requested. Thank you, Allison From: Lina Smith <LinaCS@tigard-or.gov> Date:June 16, 2021 at 12:34:38 PM PDT To: Allison May<Allison@westwoodhomesllc.com> Cc:Agnes Lindor<agnesl@tigard-or.gov>, Kenny Fisher<Kenny@tigard-or.gov>,#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: MST2021-00223 Burt's Landing Lot 12 Hi Allison, Engineering has requested you submit a revised site plan with the following change: "Show LIDA draining to the conservation easement per plan. Remove water meter call out near swale as meter is near west property line." If you have any questions, please contact Kenny Fisher in Engineering(copied on this e-mail). 1 Please make sure to include a transmittal sheet with the revised site plan (3 copies): https://www.tigard-or.gov/document center/Building/TransmittalLetter.pdf Thank you, Lina Smith Assistant Planner City of Tigard I Community Development 13125 5W Hall Blvd.Tigard, OR 97223 E-mail: LinaCS@tigard-or.gov DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule." 2