Permit CITY OF TIGARD MASTER PERMIT
`� = COMMUNITY DEVELOPMENT Permit#: MST2021-00119
T I t:;A Il D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/19/2021
Parcel: 1 S135CC05300
Jurisdiction: Tigard
Site address: 11841 SW PENNY LN
Subdivision: BURT'S LANDING Lot: 5
Project: Burt's Landing, Lot 5
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: 25 Bathrooms: 3 Second: 1682 sf Garage: 606 sf Front: 20 Smoke
Yes
Dwelling Units: 1 Third: 0 sf Right: 5 Detectors
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 Drains: 0 Storm Sewer: 100
Tubs/Showers: 4 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: 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 SrvclFeeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'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
I PORTLAND,OR 97229 PORTLAND,OR 97229
I
PHONE PHONE: 503-330-2215
FAX: 503-342-2403
Total Fees: $40,510.80
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
oc9-nnl-nnin then,,nh r1AP oc9-nn1_mon vnn mov nhfin,',new of tho nilcc nr rlirnrf mieefinnc fn ni ilir by n,Iiinn cm 949 1057 nr 1 Rnn'379 9744
Issued By: HP{lr� Vav,De Wege PermitteeSignature: Q� Arl1r-'i�' �
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 - 3/25f21
Residential NOISING ONICIllnE FOR OFFICE (SE OM.\'
City of Tigard CHNOilJOA110 ivedV/ ,20Z( -0O(`9
DateRece/By: 0' �' Permit No.:14S
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review�J/�/Z/ i&� � 7 '
Phone: 503.718.2439 Fax: 503.598.1960 1201 S Z Vbli Date/By: T Afr
Other Perm o
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: 7 ® See Page 2 for
Internet: www.tigard-or.gov CI R A I T I- Ncyified ethod: r / /4� �
MA J Supplemental Information
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.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement D Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
(Dg
® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ �� l 13 ,
❑Accessory building 0 Multi-family Number of bedrooms: 5
ElMaster builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: 2....--- 3 3,Ll
Job site address: /f7(' $YV ,own C .� New dwelling area:2.1Z8` square feet ' 9j/j
City/State/ZIP: 7`7/// �/1✓x- i 22 3 Garage/carport area: ( 069 square feet ),AUY
Suite/bldg./apt.no.: Project name: el/y21`j' ��riz. � Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: S Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
New SFR Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:Same as applicant Type of construction:
Address: Occupancy groups:
City/State/ZIP:
Existing:
Phone:( ) Fax:( )
New:
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Westwood Homes LLC (Please refer ro fee schedule)
Structural plan review fee(or deposit):
Contact name::At L4 s 0Yl M aA
FLS plan review fee(if applicable):
Address: 12700 NW Cornell Rd
'Iota]fees due upon application:
City/State/ZIP:Portland,OR,97229
Phone:50�j-- 7 i 3_(0 Z eV-T-7 Fax::( ) Amount received:
E-mail: 41 `j je, 9j,1 f O��Oyy�s L�, on PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: !Nes-Iwo-0a r-is L j_ Submit two(2)sets of roof plan with connection details
A/Y ' and fire department access,along with the 2010 Oregon
' V V
Address: /27 0 0 CO(ram I ( ed Solar Installation Specialty Code checklist.
City/State/ZIP: p0r-I-I fiLi.A 012- 17 iZ 7 Permit Fee(includes plan review $180.00
Phone: 3) '7/.3,— 2 q y Fax:( ) and administrative fees):
State surcharge(12%of permit fee): $21.60
CCB lic.: 195597
® Total fee due upon application: $201.60
Authorized signature: `��''� // This permit application expires if a permit is not obtained
`� 1 within 180 days after it has been accepted as complete.
®V_f ( J�O/}/E 312�' 1 *Fee methodology set by Tri-County Building Industry
Print name: At Vf VY 1 Date: / Service Board.
I:\Building\Permits\BUP-RESPermttApp d 02/24/2011 440-4613T(11/02/COM/WEB)
.. .. .. ........ -..... r M,
Mechanical Permit Applicam.('� ed toll Orh1( 1 l sr.clNl.l
City of Tigard �✓ I V D Recei"y Permit No.:f,..,i sr2_02-L- O t t C
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 MAR 2 5 ZOZ1 Date/By: Other Permit:
T I G A fi U Inspection Line: 503.639.4175 �� Date ReadyBy: finis: 21 See Page 2 for
Internet www.tigard-or.gov CITY OF TIGA Notified/Method Supplemental information t, %Ng DIVISION
TYPE OF t ORK COMMERCIAL FEE* SCHEDULE- USE MCKUST
Mechanical permit fees*are based on the value of the work
❑X New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit
Value:$
CATEGORY OF CONSTRUCTION RESIDEN 11AL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special injormnrion use checklist
❑Multi-family 0 Master builder ❑Other: Description Qty. Ea Total
JOB SITE DEFORMATION AND LOCATIONHeatinglcooling:
Air conditioning 46.75
Job site address:�i yi t f��� i/ Furnace 100,000 BTU(ducts/vents) 1 46.75
City/State/ZIP: l ,4r2 /7Z73 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bld .1 t.no.: /(Project name: ��j ' /I gfN/TS C.4yf29 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
Subdivision: Lot no.: Other. 23.32
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 fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
__--__._. Other: 23.32
�° El TENANT
n : . Environmental exhaust and ventilation:
Name: fr l ,vV V i It�c Range hood/other kitchen
1 t. equipment 33.39
Address: ya /V fi` /7 y //( cd� Clothes dryer exhaust t 33.39
City/State/ZIP 1A"sr../ �a '77Z21 Single-duct exhaust(bathrooms,
�� � toilet compartments,utility rooms) S 23.32
Phon . ) oFax:( ) Attic/crawlspace fans 23.32
s �`' ;t _`+ .„ a . , L h .` ,, Other: 23.32
Business name: ' (I OOP i ��/ Fuel piping:
Y���YYY $14.15 for first four;$4.03 for each additional
Contact name:,q ((CIS Furnace,etc
Address: lZ l�r�/'/GV %/ It / -� Gas heat pump
/ Wall/suspended/unit heater
City/State/ZIP: t�'���� i 472 2 7 Water heater
Phone )
/ /3 .. 4 �FFaax::(�j ) / Fireplace 1Range /
� qr G !/Yc�7t'" YC""1�p01kvo1Ihezyws/I . .. Barbecue 1
E-mail:
CONTRACTOR Clothes dryer(gas)
-
Other:
Business name: Lakeside Heating& Cooling MECHANICAL PERMIT FEES*
Address: 7021 SW McEwan Subtotal
City/State/ZIP: Lake Oswego, OR 97035 Minimum permit fee($90.00)
-- Plan review(25%of permit fee)
Phone:(503 ) 635-5253 Fax:( ) State surcharge(12%of permit fce)
CCB lie.: 227694 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature- * Fee methodology set by Tri-County Building Industry Service Board
Print name: Jason Charlton Date: 3/25'2d2/
1-1BuildingPertnits\MEC PermitApp-_040113.doc 440-4617T(11/02JCOM/WEB)
Electrical Permit Application FOR OFFR F. I SF(Iyl.l'
City of g RECEIVE Received ��F�^
illTigard Date/B : Permit#: e f t�u'C�Gt 9
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
• is Phone: 503.718.2439 Fax: 503.598.1960 MAR 2 5 {.11L,?02� Date/B Related Permit#:
Inspection Line: 503.639.4175 Ready Date/By: Juris: H See Page 2 for
T I G A R D Internet: www.tigard-or.gov Notified/Method: Supplemental Information
''1TY OF TIGAREJ
TYPE OF WO G DIVISION
PLAN REVIEW
1��1�'"' �1111.Ti'� Please check all that apply planschecked):
®New construction ❑Addition/alteratio rep acement pp y(submit 2 sets of w/items
0 Service or feeder 400 amps or more ❑Building over three stories.
❑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.
ElI-and 2-family dwelling 0 Commercial/industrial illAccessory building less to ground,or exceeds 14,000 CI Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: 0 Fire pump. El Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
Job#: Job site address: ilYq/SW tiil � G ❑Additioo of new motor load of system.
// '`J 1001IP or more. ❑system.
City/State/ZIP: `]� ({/r /� Z ✓ ❑Six or more residential units. occupancy.
I / ( lO, '/ Recreational vehicle
❑Health-care facilities. ❑ parks.
Suite/bldg./apt.#: Project name: /5 Y L_tt/ /P� El Hazardous locations. El Supply voltage for more than
J600volts nominal.
0 Service or feeder 600 amps or more.
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#:5 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
(with above sq.ft.) 75.00 2
New SFR Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
r Renewable Energy ❑ See Page 2
El PROPERTY OWNER T ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: Westwood Homes LLC 200 amps or less 100.70 2
Address: 12700 NW Cornell Rd 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: Portland,OR 97229 601 amps to 1,000 amps 301.04 2
Phone: (971)678-5018 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
APPLICANT ❑ 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
�'��n each branch circuit
Contact name: /L/l_�L/1 / B.Fee for branch circuits without
Address: /?'70-0 AN f # P-- -/ service or feeder fee,first
branch circuit 56.18 2
City/State/ZIP: ���G e- q'1'72z 7 Each add'1 branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone�[�b) /.3—&. Fax: :( ) Each manufactured or modular
67.84 2
dwelling,service and/or feeder
Email: �'l b� w�� �g/ ���� 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 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(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 Lic.: 157891 Electrical Lic.: 34-436C Suprv.Lic.: 4232? specifically listed(/hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: Stephen Ross Date: ❑Plan Review Required(25%of permit fee):
i}' State surcharge(12%of permit fee):
Authorized signature: ; / , ��fry+
TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Date: �/2*/2..e.-0171 days after it has been accepted as complete.
* Number of inspections allowed per permit.
1:\Building\Permits\ELC PemvtApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
w
Plumbing Permit Application
Building Fixtures 1()Iz oFl is I: I Si o\Lt'
IIICity of Tigard RECEIVE it -4 Permit No" q�
a 13125 SW Hall Blvd.,Tigard,OR 97223 DatdB v ( S Z-��t! /
= Phone: 503.718.2439 Fax: 503.598.1960 Plan Review
Inspection Line: 503.639.4175 MAR 2 5 2021 Date/By: Other Permit No.:
1 i C a is t) Date Ready/By. �, -
Internet: www.tigard-or.gov in See Page i2 for
Notified/Method;
�+��� Supplemental Information
TYPE OF WORK. Ill DING FEE* SCHF;Dux
►�1 New constructionG D'
0 Demolition For special Worm:lion use checklist
Description I I Total
❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 R.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
® I-and 2-family dwelling ❑Commercialrndustrial SFR(2)bath 437.78
❑Accessory building 0 Multi-family SFR(3)bath 50032
Master builderEach additional bath/kitchen 25.02
0 Other: Fire sprinkler
C___-sq.R) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: ;r l If-21"1 , D/ ) iii/4 p`- Catch basin or area drain 18.76
City/State/ZIP:Tigard OR . ”22 3 �,'� DrYNeli,leach tine,or trench drain 18.76
(/� S i . Footing drain(no.linear ft.: ) Page 2
Suite/bldgiapt.no.: Project name:
(.G Manufactured home utilities 50.03
Cross street/directions to job site: Manholes
/8.76
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.55 Fixture or item: - -"-'
Tax map/parcel no.: Baekflow preventer ! 31.27
DESCRIPTION OF WORK Backwater valve 12.51
I - „ i Clothes washer ' 25.02
Dishwasher I 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
r4. PROPERTY OWNER : 0 TENANT:. .. .-!:.',.:::::I':.:::.: Expansion tank 12.51
Name:Westwood Homes LLC Fixture/sewer cap 25.02
Address:12700 NW Cornell Road Floor drain/floor sink/hub 25.02
Garbage disposal 25.02
City/State/ZIP:Portland OR 97229
_ _ Hose bib 2 25.02
Phone: Fax:(503)342-2403
Ice maker ' 12.51
®APPLICANT . . 0 .• r • Jet Interceptor/grease trap
25.02
Business name: ,e 571-puao S `L ( Medical gas(value:$ ) Page 2
Contact name: Al 1 it J Prim I2.51
Roof drain(commercial) I2.51
Address: •`2 CO (Al / '/l( ��"
SinkPoesia/lavatory 25.02
City/State/ZIP: M,` 04 ? jgtrrllIllIllIll Solar units(potable water) 62.54
Phone: j - 7/- 7 - Fax::( ) Tub/shower/shower pan 12.51
E-mail '/ -dilaRto-W C - Urinal 25.02
CONTRACTOR Water closet 25.02
Business name:B&B Mechanical Weterheater 37.52
Water piping/DWV 56.29
Address:5757 SE Willow Lane Other.
25.02
----��
City/State/ZIP:Milwaukie OR 97267 Subtotal
Phone:(503)975-9787 Fax:(503)659-2979 Minimum permit fee: $72.50
CCB Lic.: 178122 Plumbing Lic.no.:Po ! Plan review (25%of permit fee)
Authorized si attire: ' State surcharge 02%of pemtit fee)
�� '���� TOTAL PERMIT FEE
IPrint name:Dus 'ague Date: 25 'i" is permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1 tBuilding%PermiisPPLMU-PermitApp.doc 10/01/09 440-46i6T(10/02JC0M/WL•B)
City of Tigard
IICOMMUNITY DEVELOPMENT DEPARTMENT
a
T I c A R D Building Permit Review — Residential
Building Permit #: M,STX)21 -0O U9
Site Address: 11841 SW Penny Lane
Project Name: Burt's Landing Lot #: 5
Planning Review SAalAi : Re✓h'sed &,pi
Proposal: New single detached house r L.,ral e
0 Verify address/suite #active in Accela. ❑ In River Terrace: 0 No El Yes, River Terrace Review Addendum
Site Plan Elements: ° ro ' n Control
0I copies of site plan on 8-1/2"x 11"or 11 x 17"paper tained trees with drip line and tree protection measures
0I rawn to scale(standard architect or engineer scale) Footprint of new structure(including decks)and FFE
0 orth arrow 'Li-nifty locations&easements(required for new and additions)
III.ite address,project or subdivision name and lot number °'i.-walk/driveway approach
II pplicant information(name and phone number) Ye. ation of wells/septic systems
•t dimensions and building setback dimensions ,Street tree size,type and location
Isquare footage of buildings to be demolished street names
% 4,1 xi sting structures on site r_corner elevations(2'contours if more than 4'differential
II •t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ° es o
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? LJY es TO
•
❑ Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995):
-\4Required: ❑Yes,applicant was notified 0 No `1 Received: ElYes 0 No
Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
Required: ❑Yes,applicant was notified �° No Received: ❑Yes 0 No
❑ SDC Exemption for ADU applied for: L1 Yes Q No Received: ❑Yes Q No
0 Public Facilities Improvement (PFI) Permit:
Required: 0 Yes,applicant was notified ❑ No Applied For: El Yes ❑No,stop intake
El Land Use Case#: SUB2016-00002 El Zoning: R-4.5
0 Required Setbacks: Front: 20 Rear: 15 Side: 5 Street Side: NSA Garage: 20
0 Building Height: Max.Height: 30 Actual Height: 25
\landscape Area: % t Coverage Max:
Entrance , Set back no more than 8'from street-facing wall 0 Parallel to street or offset 45 degrees or less
Windows ° Minimum 12%of area of all street-facing facades
Garage v Gara e door is behind widest street-facing wall 0 Yes ❑ No,one of the following is met:
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.
0 Gara e door width is I 12'or less ❑ 50%or less of facade or
Covered porch 0 Recessed entrance El Walloffset B 601'Roof leaveessand includes 7 of following:
Roof offset
Fire shingles Lap Siding ❑ Roof itch ❑° Gable,hi ,or gambrel roof Dormer
Accent siding Window trim Window recess Window projection ❑ Balcony
`� Visual Clearance 0 Urban Forestry Plan
❑ Sensitive Lands: ❑ Yes 11:1 No Type:
0 Conditions met prior to issuance of building permit
Notes:
0 Approved By Planning: --� r. .__, Date: 3/29/21
Revisions (after Building Submittal only) Reviewer Date
Revision 1: X Approved ❑ Not Approved AL- slittirg
Revision 2: El Approved ❑ Not Approved
l:\Building\Forms\BldgPermitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: O3/25V/zozJ
Site Plans: #
Building Plans: #
Building Permit#: ErEnter building ermit# above.
Workflow Routing: 'Planning Engineering etermit Coordinator EhBuilding
Workflow Sign-off: gn-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 and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: 9V39'
1261-4
Engineering Review
lope at building pad: _2
eConditions"Met"prior to issuance of building permit
Ehrasements (encroachments) per engineering conditions of approval and plat
/ater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes q�No
LI Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: Ees ❑ No
❑Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
pproved by Engineering: 14 , (i,. .44 _ Date: 3 -3 c-'Zo2(
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Pq mit Coordinator Review
ilConditions "Met"prior to issuance of building permit
n • pproved, NOT Released: Date:
Notes:
Revisions (after Building Submittal only)Revision Notice 1: Date Sent to Applicant: fi q
t-t... 5 144 I'jf24
Revision Notice 2: Date Sent to Applicant:
0D:DC Exemption: ❑ Received oes not a ly
WA SDC Fees Entered: Wash Co Trans Dev Tax: �e N/A
Tigard Trans SDC: es ❑ N/A
Parks SDC: es ❑ N/A
LIDA Yes ❑ N/A
OK to Issue Permit
Approved by Permit Coordinator: -r— --C. 4`' Date: //. /
1:\Building\Forms\B1dgPermitRvw RES_122419.docx
__/'� RAIN DRAIN AND OUTFALL
W y W 4, . PROTECTION
" BUILDING OFFSET AND
W i i W 4F IMPERMEABLE LINER AS APPROVED
BY BUILDING JURISDICTION
,� ,,, I I d, PERFORATED PIPE MANIFOLD
' 4. ,,, W • FOR LENGTH OF FACILITY;
4, W l i 4" MINIMUM.
' w ta l l W STRUCTURAL WALL PER
W W I y J BUILDING JURISDICTION
' * • W
A �t w A
,:
. , yL
el
W W
. _
. .. .
.., , ,
„ .
_, .
6" TYP. 30" MIN. OVERFLOW TO
CONVEYANCE
FACILITY WIDTH
:C . 1
"`> 11 771�� i, p , „A — 2" MIN FREEBOARD
`9 ; 6" MAX POND DEPTH
.9
' ii III_I 1=ilhlll ;/; 1
it iii, , .._:_ 11 _Ii .."
\\/\\<, .�-i IL
- i�iii�iil Eli ��'> 18" MIN GROWING MEDIUM
:�,�% lilillil1\I�� tLI �/{<i.
a /�///, r ,i � r =! //�/�� 3" DEEP (3/4" - 1/4") CLEAN
r �"'...k. ,- , — CRUSHED DRAIN ROCK
%\%e/` "IFS • //\/./'
' ' /\// -• _ • y/\y\\//,/ 9" DEEP 1-
� ./\! s 41.E �' . & \/ ( 1/2.. _ 3/4")
�j\ - �4� ! : .--', - \"�\"�\ CLEAN CRUSHED DRAIN ROCK
\ • /\ \ \\ \
\ \ \/ .\''� \,.\\\ \\\\\\.\\ \ \,-�\, OVERFLOW TO
,-v \ /\ \-, /,�!\\//" \\/�j�/�,,/(///./ ,j��j��,,\ CONVEYANCE
/,/".� ,/��; � / :, , i �� '`V' j WATER PROOF PVC BOOT AND
j/:' / //'��/// CLAMP OR APPROVED EQUAL
`\iti \\ \/ FOUNDATION DRAIN PER DESIGN
IN/l/ V//v�/V// . / '
�Y/\ - ,,-." i�i\�'//,,\\i��i/ SECTION A-A
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 CleanWate\ Services
DRAWING NO. 794 REVISED 03-16
120 Low Impact Development Approaches Handbook CleanWater Services
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
q
illiT •
ransmittal Letter
I i i, 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Agnes Lindor DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
FROM: Allison May
NAY ►0 2021
COMPANY: Westwood Homes LLC CITY OF TI ARD
PHONE: 503-713-6294 BUILDING DI sON- -
EMAIL: allison@westwoodhomesllc.com
RE: 11841 SW PENNY LN MST2021-00119
(Site Address) (Permit Number)
Burt's Landing Lot 5
(Project name or subdivision name and lot number)
ATTACHED ARE
p� THE FOLLOWING ITEMS: �p ,, ,,yg��
T P"dBYtRn. 4 €�iA;G" ' i�j V' fi'/=t F;r-�7 �E i F i`5 `�,'�j i L11 s
3i(2 ,' d t �� i 3 P',photo y� �t t c. d
,R�d �t� ��f �MSlEs � {s:i9 s .4e» ��� fA sl�a � �� "'-k� � icy.,`a �,.�, kA..�.a
3 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.
it . - exp am):
' 8 ARKS: Centered house on lot and moved the LIDA box to other side of house.
L- 0 w ad, /✓ram// JC-- o — de„ havee.
i�}}ie:'�4�s Yp tSF f,e .t +ae}y€s.ia rk4�yy�t `Fv �;' 4$5�- Sar f,'.ii� t„ c �t�;{ � -y t � � J.+.- 111743
,. r q •.. {,.
4FF�.L3�tr 1?7.¢;;�# tl£V'�.`ikie#{k§i,p.1Ft .i g# iSrs i I` vJ .kf i 9.,:. - '4 ..K ... .. `ra`r ,i,#..' i K:v 1 111 ' t I: < � ' t, },.
:i#=#rSs,, dee:,#�psi§ ��r ,t ,�a a � +Y.� s>
Routed to Pe it Tec ician: Date: rj Z.j 21 Initials.
Fees Due: Ye ❑No Fee Desc i do : Amount Due:$
? toun
$ /
$ 1-`c 0o'Special
Instructions:
Reprint Permit (per PE): ❑ Yes No ❑ Done
Applicant Notified: 72_.
Date: ,"/ , � ol-/ Initials: