The URL can be used to link to this page

Permit CITY OF TIGARD MASTER PERMIT 4 ■. - COMMUNITY DEVELOPMENT Permit#: MST2021-00094 Date Issued: 09/22/2021 Ti GAR.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S135CC06600 • Jurisdiction: Tigard Site address: 10494 SW LUCY CT Subdivision: BURTS LANDING Lot: 18 Project: Burt's Landing, Lot 18 Project Description: New detached dwelling unit BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1170 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 22 Bathrooms: 3 Second: 1611 sf Garage: 526 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 2781 sf Value: $366,193.24 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 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 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: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 1 Vents; 0 Woodstoves: 0 Gas Outlets: 5 Fum>=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'I 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/yob: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener. N All Y Ecompasing: Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2781 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: $39,861.95 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-M1-nnln*hrni inh(SAP 0A9-41M-nnon yni i mou nhroin o rnnv n4}ha ndoc nr rlknrr m,aCunea In Oh Inn-.n.,rollinn ca' 949 1057 nr 1 Son 9'1dd Issued By: ficrUA/ Vcaw Di.Wege Permittee Signature: OW Arplizeokervve 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. DECEIVE I )IL Ol:l l(, 151:(lyI 1 Mechanical Permit Applicatio ®� ,', 1 e 7 City of Tigard iiAR $ Vizi DateBy: 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Other Permit Phone: 503.718.2439 Fax: 503.598.19601111' OF TIGARD Date By kris: ® See Page for Inspection Line: 503.639.4175 CITY Date Ready/BY: ? see Page 2 Information T1( n17f1 Internet: www.tigardor.gov UILDING DIVISIO o d/M�°d CAPE OF WORK _ Mechanical permit fees'are based on the value of the work Addition/alteration/replacement performed.indicate the value(rounded to the nearest dollar)of all N ❑Demolition construction Other: mechanical materials,equipment,labor,overhead,and profit. Value S _ CATEGORY OF CONSTRUCTIONi For special information nse checklfaL al1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building Description I , I I Total 0 Master builder 0 Other:El Multi-family eatin cool' - � Air conditonin 46.75 Furnace 100 000 BTI7(dues en a) 46.75 Job site address: E jace 100,000+DTU ducts vents 54.91 City/State/ZIP: '� A[,� `� ZZ3 - Pom heat 61.06 23.32 suiterldgiapt.n0.: • rjectname: (/1 / / / / Duct work 2332 Cross street/directionsH dronic hot water s to job site: Residential boiler(radiator or 23.32 hydronic) Unit heaters(fuel-type,not electric), 75 in-wall,in-duct,suspended,etc. Flue/vent for an of above 23.32 Other. 23.32 Lot no.: / Other fuel appliances: Subdivision Water 23.32 Tax map/parcel no.: Gas heaterce/inscrt 33.39 # s, , , Flue fireplace vent for water heater or gas 32 HVAC for new construction home Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/lineraieJvent 23.32 s . .:� Other. 23.32 ` " „ . A.:s...i: Environmental exhaust and ventilation: ;; ,�."� '.t :!- _;�'_...�=-c_ �..--.�._ , ._. __._ Range hood/other kitchen Name: �/ �� (� , equipment ( 33.39 2 I i �DV / /ir Clothes dryer exhaust / 33.39 Address:City/State/ZIP: 'Or /iG Single-duet exhaust(bathrooms, �/ C/,,vv�� toilet compartments,utility rooms) J 23.32 �G 23.32 Attic/crawlspace fans . l / Fax ( ) 23.32 Phi , � ,a�31a Other: t sx�.^sav .�,�>,C lx '' _ �_......._y, ��piping: _.r.�� Business name S14.13 for first four;S4.03 for each additional Furnace,etc. Contact name: Gas heat pump Address: Wall/suspended/unitheater Water heater City/State/ZIP: Fireplace Phone:( ) I�Fax ( ) Range 1 / / ) Un 0 — 1 l- ----- /, r�„ - - - ''''f it _ Barbecuedryer(gas) tl E-mail:�G (� Clothes ,:. . Other. Business name: Lakeside Heating&Cooling My( ANTCAI PF,RMIfFEES` Subtotal Address: 7021 SW MCEwan Minimum permit fee Subtotal City/State/ZIP: Lake Oswego, OR 97035 Planreview(25%of permit fee) Phone:(503 ) 635-5253 Fax:( ) State surcharge(12%of permit fee) TOTAL PERMIT'FEE CCB lie.: 227694 Ibis permit application expires if a permit is not obtained within 180 days after it has been accepted as complete * Fee methodology set by hi-County Building Industry Service Board Authorized 5ignature� f/i / I Print name: Jason Charlton 3/ Date: 6 1 040113.doe 406461Tr(11N1/COM/WEa) ��BtildingV'erssi<sV.ff C_Pn�mitApp_ Plumbing Permit Application • ' Building Fixtures RECEIVEL roc oFFI( : I sr o\i�t City of Tigard Received • 13125 SW Hall Blvd.,Tigard,OR 97223 r"4AR 8 2O21 Date/By: S'2.l,41- wit No.: _'a'2r.Cx)" Plan ReviewC ' Phone: 503.718.2439 Fax: 503.598.1960 Ocher Permit No.: I i t,A ti:t1 Inspection line 503.639.4175 CITY OF TI(aARD Dotter: Dote Ready/By: Ara 1 B See Pap 2 for Internet: www.tigard-or.gov 3UU DING WI •►` Notified/Method Sapplemeaul information TYPE or WORK FEE* SCHEDULE ®New construction ❑Demolition For special information use cheeklisc Description 1 Qty. j Ea. 1 Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION , . _ SFR(1)bath ,. 312.70 ® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ©Accessory building 0 Multi-family SFR(3) ' ' 50032 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprmYJer(__ s9-ft) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: .r Job site address: D 14/SA/ L UCL.) c1 �basin or 18.76 DryweCity/State/ZIP:Tigard OR q7z �'^. Footing leach line,or french drain 2 1 Footing dram(no.linear ft.: ) Page 2 Suite/bidgJapt no.: I Project name: ?L/✓ J vr/yt "l (/wnel//l 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 1 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: Lot no.: /f' Fixture or item: Tax map/parcel no.: Backflow preventer I 31.27 DESCRIPTION OF WORK Backwater valve 12.51 .. . f :. Clothes washer I 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER 1 . D TENANT:, ExPansion tank 12,51 Name:Westwood Homes LWFixtutdsewercap 25.02 Address: 12700 NW Cornell Road Floor drain/floor sink/hub 25.02 disposal r 25.02 City/State/L1P:Portland OR 97229 HoseGarb Hose bib SL, 25.02 Phone: Fax:(503)342-2403 Ice maker r 12.51 ®APPLICANT : 0:CONTACT.PERSON.:` -:.:. Imerceptor/Bne�hap 25.02 a Medical value.Business name: { -) Page 2 Contact name: -' Primer 12.51 Roof drain(commercial) 12.51 Address: - Sink/basin/lavatory Jl 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone: Fax:( ) Tub/shower/shower pan ? 12.51 E-mail •• Urinal 25.02 CONTRACTOR. Wafer closet !? 25.02 Business name:HdcH Mechanical Water heater1 37.52 Waft I. 56.29 Address:5757 SE Willow Lane Other 25.02 City/State/ZIP:Milwauide OR 97267 Subtotal Phone:(503)975-9787 Fax:(503)659-2979 Minimum permit fee: $72.50 CCB Lic.: 178122 Plumbing Lie.no.:P6t1It( Plan review (25%of permit fee) Authorized signature: yy� ' State surcharge(12%of permit fee) y r/ TOTAL PERMIT FEE - f Print name:Das ' ague Date:1 ~��'�;_,%�� This permit appiica800 espina if a permit is notobtained within 160 days .`ir' afW it has herd accepted u complete, •Fed methodology get by Tri-County Building Industry Service Board. l:laul&ng1Pmn4slPINU-PmnitApp.da 10/01/09 440-4616700/02/COMMF8) City of Tigard 3�9 I Z J COMMUNITY DEVELOPMENT DEPARTMENT = Building Permit Review — Residential TIGARD Building Permit #: rvIJi I A" li Site Address: /0 4I9'-/ g/( ) 1-,_uC au4�- /,� Project Name: , rg � ,kq Lot #: le) Plane ' g Review- Pr, •osal: A "16) /zu !4 Verifyaddress/suite # active in Accela. In River Te e: iZ No ❑ Yes, River Terrace Review Addendum Sit Plan Elements: velEr.Sion Control V./copies of site plan on 8-1/2"x 11"or 11 x 17"paper kill etained trees with drip line and tree protection measures awn to scale(standard architect or engineer scale) 'ootprint of new structure (including decks)and FFE orth arrow tility locations&easements(required for new and additions) Pa . e address,project or subdivision name and lot number t Si. , alk/drivewa➢approach Z .. .plicant information(name and phone number) Al.i,.cation of wells/septic systems TA Lot dimensions and building setback dimensions ►y9reet tree size,type and location ' 11 Square footage of buildings to be demolished 0 eet names 1 II Existing structures on site Comer elevations (2'contours if more than 4'diffe natal) II Lot 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 II Clean Water Services-Service Provider Lett (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified No Received: 0 Yes No II Water Meter Fixture Unit Worksheet-Addip6ns,Remod s and ADUs Required: 0 Yes,applicant was notified No Received: ❑ Yes II C Exemption for ADU applied for: 0 Yes No Received: 0 Yes No Public Facilitie mprovement(PH) Permit: equired: Yes,applicant was notified 0 No lied For: Yes 0 No,stop intake I[J and Use Case#: ��11 a' 00 Zoning e'er 'e uired Setbacks: Front: �Q Rear:/ Side: Street Side:� 7" q arage:YA Building Hei : Max. Height: 0 Actual eight .2oZ W andscape r a: % Dl)►. .t Coverage street-facingwall NJ P el to street or offset 45 degrees or less Entrance et back no more than 8' from Windows ' um 12%of area of all street-facing facades behind widest street-facing Garage door is wall Yes 0 No,one of the following is met: iDoor extends no more than 5'from wall a d there is a covered porch extending beyond garage. D Door extends no more than 5'from and there is a 12 sq ft.window above garage on 2"d floor. age door width is 0 12'or less 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance ❑ Wall offset 0 1'Roof cave ❑ Roof offset ❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding l l Window trim 0 Window recess ❑ Window projection ❑ Balcony V Visual Clearance ban Forestry Plan i i ensitive Lands: Yes ❑ No Type: /4 J_ !2 Conditions met prior to issuance of building permit Notes: /�f -' IV`2024 a Approved By Planning: P� Date: 3! Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved I:\BuildingTorms\BldgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: 3161262.1 Site Plans: # Building Plans: # 3 Building Permit#: Vti Enter building permit#above. Workflow Routing: di Planning B. Engineering �,Permit Coordinator &I Building Workflow Sign-off 8 Sign-off for Planning(include notes from planning review) Route Application Documents: li 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: �WU ul) Eb/� c ICJ Date: 3122-ia l ti Engineering Review P./Slope at building pad: ,2Z "Conditions "Met"prior to issuance of building permit C2•-1 asements (encroachments)per engineering conditions of approval and plat water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes IG No Assess Water Quantity Fee in-lieu: ❑ Yes �No LIDA Facility on lot: f dyes 0 No Final Plat Recorded: 0 NOT Approved by Engineering: Date: Notes: B Approved by Engineering: 14 Ks Date: 3'- 2,2---Zd a / Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved ❑ Not Approved Permit Coordinator Review XConditions "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: Revision Notice 2: Date Sent to Applicant: 0 SDC Exemption: 0 Received Does not apply rSDC Fees Entered: Wash Co Trans Dev Tax: yes 0 N/A Tigard Trans SDC: Z Yes 0 N/A Parks SDC: 2"ye5 ❑ N/A LIDA Yes 0 N/A KI OK to Issue Permit Approved by Permit Coordinator: V _ Date: 3123I24)2A I:\Building\Forms\BidgpermitRvw_RES 122419.docx