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Permit CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2021-00147 Date Issued: 12/07/2021 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135CC04900 3 j 7/8� f", Jurisdiction: Tigard Site address: 11897 SW PENNY LN Subdivision: BURT'S LANDING Lot: 1 Project: Burt's Landing, Lot 1 Project Description: New detached dwelling. 3/17/22: REPRINTED permit to include laundry tray. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1059 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 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: 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 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 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 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: $39,400.54 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 aril-nnl-nnln thrnl Inh n.R QF7.nnl.nnQn Ynl I mau nhtain a r�""''^44 re IIcC nr rtlrart nl iactinnc to ni IN(:h\,Tallinn Frig 9'27 10517 nr 1 RCM'119 9144 Issued By: f� f i'+�/ Permittee Signature: �t� . 2---. 39.4175 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 Fixtures l OR 01'k7t 1. tsL O\Lt - of IN e 13125 S W Tigard llBlvd.,Tigard,DR 97223 R E C E I v . Permit No.: cS7C7t.e/1'`�(//�7 Phone: 503.718.2439 Fax: 503.598.1960 Inspection Line: 503.639.4175 Due Offer Permit No.; 1''ii;:a.1) q ry ry qg DaReR Re /8 : Internet: www.tigard-or.gov r .L( 7 4 U & E!J See Page 2 for Snppfaornhr taforautioa TYPE OF 1.VORK R FEE* SCHEDULE .. 0 New construction ❑Dem For.s Prt7a11+tforntmlon use checklist Additaodalteratio lacerlment DING DIVICION Description ft �P �]Other Q.b Ea. Total New 1-2-family dweilin:,(includes 100 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 ElAccessory building 0 Multi-familySFR(3)bath 500.32 ❑Master builder - Each additional barb/kitchen 25.02 0 Other: Fire sprinkler( s .ft) 9 Page 2 TOoit3j 7 SITE Il4}IORMA ITON AND LOCA 1701Y Site aU7iHta: /O Job site address: �l "/ 1 Ski `/./a/:_�Jci. - , , c 1111 18.76 City/State/ZIP:Tigard OR a� 11111 Drywall leach line,or trench drain 18.76 J 6vr-+-S (•.qy? J'-?0 Footingnufa clam home(no. near It:, SuifelbidgJ t,no,: Prv'ect name: � Mantmfacumred utilities ) Page 2 Cross street/directions to job site: _ . Manholes 18 18.76 6 Rain drain connector 18 76 _ Sanitary sewer(no.linear ft:,___) Page 2 Storm sewer(no linear ft.: ) 1111 Page 2 Subdivision:(' y 7 1n / , Lot no.: / Water service(no.linear tt.: ) Page 2 Fixture or Item: Tax map/parcel no.: Beeldlow preventer 31.27 DESCRIPTION OF WORK :rr: .• -,:... Backwater valve 12.51 JJ� ��11 ,, - Clothes washer 1 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ig PROPERTY.OWNER t;"'' � :.' ClC1 TENANT ..`;`;::: ::,:: Expansion tank Name:Westwood Homes LLC .11111111 Fixture/sewer cap 25.02 11111111 Floor drain/floor sink/hub Address:12700 NW Cornell RoadGarb 2502 11111111111 City/Stale/ZIP:Portland OR 97229 Bose disposal ii 25.02111111111 Dore se b bib 25.02 IIIIIIIIII Phone: Fax:(503)342-2403 Ice make1111 12-5t Mil ® APPLI ':,.` ... ...0:CONTACT,PERSON. Irrtelteptor/grease hap 25.02 Business name: e,SS7'(NO`O' /c/e/?'1�S L G C. Medical gas{value S I_.._) Page 2 Primer 12,51El Contact name: }/3 1(4 Sc)—yi ()/f et.A, Roof drain(commercial) 12.31 Address: mg.._ 74 0 f 1/� CO rr- /( ?d...- Sinlrlbasin/lavatory City/Stale/ZIP: 49r 1'la/l GI( 1 O9e. •1 - Solar units(potable water) z5.02 6z-s4 Phone: ' /S— &--2 9 Ing111111111111111111, Tub/shower/shower pan 1111 12.51 IIIIIIIII E-mail 4 ' • •es-isuo Oc r)I -S//e. Co Urinal 25.02 MI CONTT2ACTCtR. Water closet Business name:11&El Mechanical W°tuhcater 37.52 Water piping/DWV 56.29 Address;5757 SE Willow Lane Other: 25.02 III City/State/ZIP:Mitwaukie OR 97267 Subtotal MI Phone:(503)975-9787 Fax:(503)659-2979 Minimum permit fee: 572.50 CCB Lie.: 178122 Plumbing Lie.no.:pj, Plan review (25%of permit fee) State surcharge(12%of permit tee) MI Authorized signature:. ,-4--2.,,,..•40,i TOTAL PERNirr FEE Print name:A ' 'ague Date. , M. This permit applir*far it k?as es if permit is of obtained within 180 days 'Fee methodology set by Tri-County Building Industry Service Board. t.utadin&mpermima utu-lsarmillpp.dac tONIm 440-0a16T(1OYDVCOM/WE8) Branden Taggart From: Branden Taggart Sent: Thursday, March 17, 2022 6:32 PM To: Allison May Subject: RE: Burt's Landing Lot 1 - MST2021-00147 - 11897 SW PENNY LN Attachments: SKMBT_C28022031710450.pdf; Invoice.pdf Hi Allison, I have added the sink to MST2021-00147. The balance due is$28.02, and I have attached an invoice above for you to reference. These fees can be paid online at https://aca-prod.accela.com/TIGARD/Welcome.aspx by searching for the permit record number MST2021-00147 under the Building tab. There is a 3%service fee for credit cards, but e-checks do not have a service fee. Once paid, please email the Permit Technicians at TigardBuildingPermits@tigard-or.gov so that we may reprint the permit and email you the revised permit paperwork. Please note that inspections cannot resume until this balance is paid. Thank you, rIBranden Taggart ., City of Tigard 2.fir Senior Permit Technician Community Development 13125 SW Hall Blvd Tigard, OR 97223 (503)718-2449 brandent©tigard-or,gov From:Allison May<Allison@westwoodhomesllc.com> Sent:Thursday, March 17, 2022 11:17 AM To: Branden Taggart<brandent@tigard-or.gov> Subject: RE: Burt's Landing Lot 1 - MST2021-00147 - 11897 SW PENNY LN Caution!This message was sent from outside your organization. Allow sender I Block sender Thank you, Branden! From: Branden Taggart<brandent( tigard-or.gov> Sent:Thursday, March 17, 2022 9:36 AM To:Allison May<Allison@westwoodhomesllc.com> Subject: RE: Burt's Landing Lot 1 - MST2021-00147 - 11897 SW PENNY LN Hi Allison, 1 Going forward, the instructions that I provided you in my previous email below is the process for adding plumbing fixtures to issued permits. I spoke with Jill in Utility Billing, and since they are so busy, I am just going to print this email chain this time rather than requiring an approved Water Meter Fixture Unit form as previously mentioned. Now, we will just need a new Plumbing Permit Application for adding (1) laundry room sink. You can write this in the Description of Work section on the application along with the existing permit number. Thanks, Branden Taggart n City of Tigard Senior Permit Technician Community Development 13125 SW Hall Blvd Tigard, OR 97223 (503)718-2449 brandent@tigard-or.gov From: Branden Taggart<brandent@tigard-or.gov> Sent: Wednesday, March 16, 2022 10:07 AM To:Allison May<Allison@westwoodhomesllc.com> Cc: Allyson Armstrong<AllysonA@tigard-or.gov> Subject: RE: Utility Sink- MST2021-00147 - 11897 SW Penny Lane Hey Allison, Since the Building permit has already been issued, we will need you to complete the attached Water Meter Fixture Unit Worksheet and email it to our Utility Billing Department for approval at ubonlinepay@tigard-or.gov. Once approved, please email us the approved Water Meter Worksheet in addition to a completed Plumbing Permit Application so that we may add the sink to your existing permit. Thanks, From: Allison May<Allison@westwoodhomesllc.com> Sent:Wednesday, March 16, 2022 12:40 PM To: Branden Taggart<brandent@tigard-or.gov> Subject: FW: Burt's Landing Lot 1- MST2021-00147 - 11897 SW PENNY LN Hi Brandon, The additional sink will not increase the water meter size. Please let me know how to proceed. Appreciative, Allison May Westwood Homes, LLC Customer Service & Warranty Manager 12700 NW Cornell Road, Portland, OR 97229 - Upper Floor 503.715.2383 Main Line 1503.713.6294 Direct Line www.westwoodhomesilc.com 2 From: UB Online<UBOnlinepay@tigard-or.gov> Sent: Wednesday, March 16, 2022 12:30 PM To: Allison May<Allison@westwoodhomesllc.com> Subject: RE: Burt's Landing Lot 1 - MST2021-00147 - 11897 SW PENNY LN Hi Allison, Fortunately, there is already a 3/ inch meter purchased for that location so we don't need to increase the meter size. Kind Regards, Jill (she/her/hers) Ili A WOW.?; Jill G EV0UCANBEANV 4 city of Tigard-Utility Billing Vy�ER cpi TH�N6 Senior Accounting Asst ( ')826 7211 Paynents a (503)718-2460 UB Main : iiith@tigard-or.gov (503)718-2494 ` i $ 1325 a Tig1ard,5ORWH97 BI , all 3ud From:Allison May<Allison@westwoodhomesilc.com> Sent: Wednesday, March 16, 2022 10:28 AM To: UB Online<UBOnlinepay@tigard-or.gov> Subject: Burt's Landing Lot 1 - MST2021-00147- 11897 SW PENNY LN Good morning, I need to add a laundry room sink to an existing permit. I have updated the attached fixture count worksheet. Thank you, Allison May Westwood Homes, LLC Customer Service & Warranty Manager 12700 NW Cornell Road, Portland, OR 97229 - Upper Floor 503.715.2383 Main Line 1503.713.6294 Direct Line www.westwoodhomesllc.com 3 CITY OF TIGARD MASTER PERMIT s COMMUNITY DEVELOPMENT Permit#: MST2021-00147 T I i;AR 1) 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/07/2021 Parcel: 1 S 135CC04900 Jurisdiction: Tigard Site address: 11897 SW PENNY LN Subdivision: BURT'S LANDING Lot: 1 Project: Burt's Landing, Lot 1 Project Description: New detached dwelling BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1059 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 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: 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!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+amplvolt: 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: $39,372.52 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 ORi9-rin1-nnl n fhrnimh nal>Q9-nn1-nnan vni 1 mw nhfmin n rnnv of fha n ilec nr riirerf n,ieetinne fn nu'Kir hu roninn fill 9-49 1 CIR7,nr,II RCM'Al')9'1A4 Issued By: H aw a{(y V Dew W e p-pge- Permittee Signature: O t,A -LZ _o'tiPrw 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. Building Permit Application 44 ( 15 / Residential RECEIVED City'PI of Tigard p Received �j �{ g APR �Z? Date/By: / Permit No.:M S� `"V 'a 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Li 27 7�Phone: 503.718.2439 Fax: 503.598.1960 Date/By: c. Zit Other Permit 0 ii —00093 I WARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov UILDING DIVISION Notified/Method, 'y ` / �(9 Supplemental Information fstA, / 17 TYPE OF WORK REQUIRED I ATA: -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. i Valuation: $ 3 5 y 2 3 a lk El I-and 2-family dwelling ElCommercial/industrial r r ❑Accessory building El Multi-familyNumber of bedrooms: 0 Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: Z 33 0 Job site address: / eq 7 5 W/� r/?�j New dwelling area: Z�o2 square feet IS�� City/State/ZIP: /f /— (7Ae- 0'7L ya'L 3 Garage/carport area: , square feet Suite/bldg./apt.no.: Project name: r ' t��Gej Covered porch area: 40;..4 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.: .. , 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 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 to fee schedule) rs� r� Structural plan review fee(or deposit): i IVl l Contact name:- / FLS plan review fee(if applicable): Address: 12700 NW Cornell Rd Total fees due upon application: City/State/ZIP:Portland,OR,97229 Phone:50?j'-'---7 1 3_02/4 Fax::( ) Amount received: E-mail: 41 IA 5 eRiesfwpaalli Oyy1Qs Lj--C. C c' vi PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: LAiV�/� HV Y l QS-iC S L 1� Submit two(2)sets of roof plan with connection details `f / ,� _ and fire department access,along with the 2010 Oregon Address: 12-7 0 0 , V t'v ec(n_t l ( e-Ct/. Solar Installation Specialty Code checklist. City/State/ZIP: Por'fl m-e 1 of 0a2 q7 Za 7 Permit Fee(includes plan review $180.00 and administrative fees): Phone:693) 7`.3—4: 2 et y Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: 195597 Total fee due upon application: $201.60 Authorized signature: ct-'W This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name: / U SW( Date: 04//2-610/ Service Board. I:\Buildin \Permits\BUP-RESPermitA 2 4 g pp 0 /2 /2011 440-4613T(11/02/COM/WEB) Mechanical Permit Appli" EIVEQ FOR OFF ICI:F: l SF O\l.l City of Tigard 1 Received By: Permit No.:H s T- az,1--0U/147 r 13125 SW Hall Blvd.,Tigard,OR 972231 e 1 5 iUL Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: T I C A R D Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Juris: SI See Page 2 for Internet: www.tigard-or.gov UILOING DIVISION Notified/Method: Supplemental Information B TYPE OF WORK�t 1 tJ J COMME.13CLAL FEE* SCHEDULE—USE CZ ECKLIST Mechanical permit fees*are based on the value of the work ❑X New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all mechanical materials,equipment,labor,overhead,and profit 0 Demolition ❑Other: Value:$ CATEGORY OF CONSTRUCTION RESIDENv tIAL EQUIPMENT/sysrENts VEEP' ® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning I 46.75 Job site address: 1/gel 7sw /627/? ( /'lam Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP: / / w.V d O4_ , 0.7 Furnace 100,000+BTU(ducts/vents) 54.91 l Heat pump 61.06 _ Suite/bldg./apt.no.: Project name: 6(/H S 1.4,. Duct work 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 ROPERTY OWNER 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name: l�,aS UOVCI /yJ-S J( , Range hood/other kitchen equipment [ 33.39 Address: !2 70MA/� Cv/�J f f i '- Clothes dryer exhaust ( 33.39 City/State/Z1P: f2oriTan.44 p/Z 2 7- Single-duct exhaust(bathrooms, -7/ 2 / toilet compartments,utility rooms) 5 23.32 Phone: -7/l J 7—��( � Fax:( ) Attic/crawispace fans 23.32 b ii r # S4 ltl,`t � nIff}b , ,, .. wa i �a y o , LI: Other. 23.32 Fuel piping: Business name: 3a,rike Z S CJJ/j/i\OK $14.15 for first four;$4.03 for each additional Contact name: A t o,50-r7 �.9 Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater [ Phone:( ) Fax::( ) Fireplace [ Range E-mail: 9-1 ;rSG S{'ov d/7O Si/6,CC Yvl Barbecue I CX)1 `RACtOR. Clothes dryer(gas) Business name: Lakeside Heating& Cooling Other: MECHANICAL PERMIT PEP* 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 fee) 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 Tn-County Building Industry Service Board Print name: Jason Charlton llate: /y72o-e-c I\Building\Permits\MtC_PermitApp 040113 doc 440 (11/02/COM/WEB) Electrical Permit Application FOR OFFICF I SF ONi.Y II� (�/ City of Tigard Received Permit#: M ST 2 0Z('-VO l`-f 7 Date/B 13125 SW Hall Blvd.,Tigard,OR 97223, Plann Review II C Phone: 503.718.2439 Fax: 503.598.1960 4 Date/B : Related Permit#: 1 I G A R D Inspection Line: 503.639.4175 APR r n� Ready Date/By: Juris: ® See Page 2 for Internet: www.tigard-or.govf Notified/Method: Supplemental Information TYPE OF WO PLAN REVIEW �� Please check all that apply(submit 2 sets ofplans w/items ®New construction D Addition/alte pp{p(�ppJ�C tGnt p,r PP y checked): : LI-J 1 1J 1 V 1`b l V I`,' ❑Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: Job site address: /)8)9 7 5-'v [r/ y (.4 / ❑100HAddition of new motor load of system. / ! "p t-' Six or or more. ❑occupancy. "1-2","1-3", City/State/ZIP: 7-794 Y- 002- '9 7 22"5 0 Six or more residential units. occupancy. J / ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: J,/ C�v E-44'2 t'/1,9 0 Hazardous locations. El 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 1 New residential single-or multi-family dwelling unit. Subdivision: 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 residential(with above sq.ft.) 75.00 2 Renewable Energy ❑ See Page 2 ® PROPERTY OWNER 0 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 El 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 each branch circuit Contact name: B.Fee for branch circuits without service or feeder fee,first 56.18 2 Address: branch circuit City/State/ZIP: Each add'1 branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone: ( ) Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: 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(1 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.: 4232048 specifically listed(1/2 hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Stephen Ross Date: 0 Plan Review Required(25%of permit fee): J ///,o State surcharge(12%of permit fee): Authorized signature:,,, !`74, !.✓ TOTAL PERMIT FEE: ` F` This permit application expires if a permit is not obtained within 180 Print name: �' Date: �/� / f days after it has been accepted as complete. /// * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev06/17/2015 440-4615T(11/05/COM/WEB Plumbing_Permit Application Building Fixtures 1 oR OFI i( I. I Sli OyLt ,, City of Tigard ECE11�` 4 Msrzozr- 147 13125 SW Hall Blvd.,Tigard,OR 97223 Permit Nn.: >s Phone: 503.718.2439 Fax: 503.598.1960 Plan Date/By:Review Ins ion Line: 503.639.4 i 75 APR 1 r 707 Other Permit No.: T 1 G A 1�D Internet Line:g rd-or.gov03.639.41 5 2' 7 Dabe g n3y: + Fill See Page 2 for Notified/Method. 5apptemenial Information TYPE OF WORK UI I Y UI- I I(AH FEE* SCHEDULE El New construction ❑Demb lvtFI 1 • 1 0 ' For special Mt rmation use checklist Description ❑Addition/alteration/replacement 0 Other: New 1-2-famildweilin Qty. Ea. Total s(includes 100 ft for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 El 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ❑Multi-family SFR{3}bath t 50032 ❑Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler(_._._,sq.ft) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: - Job site address: i A//t&I 50 p , �+ r Catch basin or area drain 18.76 City/State/ZIP:Tigard OR q 777 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldgJapt.no.: Project name: Ziato nd/ i Manufactured home utilities Cross street/direcions to job site: .18 Manholes ]8.76 6 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.: Fixture or item: Tax map/parcel no.: Backllow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 - i Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER El L:,�t TENANT:. .:.:::.:.::":::: Expansion tank 12.51 Name:Westwood Homes LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub Address:12700 NW Cornell Road 25.02 Garbage disposal 25.02 City/State/ZIP:Portland OR 97229 / 25.02 Nose bib Phone: - . - Fax:(503)342-2403 Ice maker / 12.51 ® APPLICANT . . 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: +N,QS- -4o-b e MaS/j6, Medical gas(value:$ ) Page 2 � y Primer Contact name: ' j l.. Sd� /? 12.51 /2 7_00 �" / ,Y Roof drain(commercial) 12.51 Address: ` YV CIO(J 1 � Sink/basin/lavatory g 25.02 City/State/ZIP: 0/-f I CGKat O.- 7 2 Z 7 Solar units(potable water) 62.54 Phone: 3 --'7 l -� C ji Fax::( ) Tub/shower/shower pan 12.51 E-mail A41 - 0)1 weS VOVd1r1 c//c,c Urinal 25.02 CON1 RA(TOR Water closet 3 25.02 •Business name:H&H Mechanical . . • Water heater / 37.52 Water piping/DWV 56.29 Address:5757 SE Willow Lane --- Other. 25.02 City/State/ZIP:Milwaulcie OR 97267 Subtotal Phone:(503)975-9787 Fax:(503)659-2979 Minimum permit fee: S72.50 CCA Lie.: 178122 Plumbing Lic.no.:P,67 I LI Plan review (25%of permit fee) State surebarge(l2%of permit fire) Authorized signature: ,./ :.yx� „. .//! / TOTAL PERMIT FEE I Print name:Dus ague ��� 1 Date:4 //,/,245,0, ( This permit application expires if a permit is not obtained within IN days tt after it has been accepted as complete. ‘Fee methodology set by Tri-County Building Industry Service Board ttButdinglPermasWt.MU-PermitApp doc 10/01/09 440-4616T(10f021COM wttn) City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT Tic A R h Building Permit Review — Residential Building Permit #: M STZOZ l-0 0 147 Site Address: 11897 SW Penny Lane Project Name: Burt's Landing Lot#: 1 Planning Review Proposal: New house $7 Verify address/suite# active in Accela. ® In River Terrace: M No El Yes, River Terrace Review Addendum Site Plan Elements: &Erosion Control K3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper nQRetained trees with drip line and tree protection measures kDrawn to scale(standard architect or engineer scale) ®Footprint of new structure(including decks)and FFE ®North arrow &Utility locations&easements(required for new and additions) ®Site address,project or subdivision name and lot number L Sidewalk/driveway approach ]Applicant information(name and phone number) naLocation of wells/septic systems ®Lot dimensions and building setback dimensions ®Street tree size,type and location square footage of buildings to be demolished ®Street names haExisting structures on site [ Corner elevations(2'contours if more than 4'differential) Il aLot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? [$Yes ❑No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? l Yes ❑No t Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified kl No Received: ❑ Yes ❑ No Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: 0 Yes,applicant was notified Ill No Received: ❑ Yes ❑ No ® SDC Exemption for ADU applied for: 0 Yes & No Received: 0 Yes ❑ No ® Public Facilities Improvement(PFI)Permit: Required: ❑ Yes,applicant was notified I No Applied For: ❑ Yes ❑ No,stop intake ® Land Use Case#: SUB2016-00002 & Zoning: R-4.5 ® Required Setbacks: Front: 20 Rear: 15 Side: 5 Street Side: 15 Garage: 20 ® Building Height: Max.Height: 30 Actual Height: 25 rila Landscape Area: nti Lot Coverage Max: Entrance 51 Set back no more than 8'from street-facing wall ® Parallel to street or offset 45 degrees or less Windows gl Minimum 12%of area of all street-facing facades F/S: 13% Garage ® Garage door is behind widest street-facing wall ® 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. kJ Garage door width is ❑ 12'or less ® 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance 0 Wall offset ❑ 1'Roof eave ❑ Roof offset ❑ Fire shingles 0 Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection 0 Balcony & Visual Clearance ® Urban Forestry Plan ® Sensitive Lands: El Yes ® No Type: Conditions met prior to issuance of building permit Notes: G' A ® Approved By Planning: O Date: 4/15/2021 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: �� �S,2o21 Site Plans: # Building Plans: # 3 Building Permit#: Enter building permit# above. Workflow Routing: B'Planning Engineering Cn--Permit Coordinator +Building Workflow Sign-off: [0-.Sign-off for Planning(include notes from planning review) Route Application Documents: pr'Engineering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing form. GkBuilding: original permit application,site plans,building plans,engineer and beam calculations rust details,if applicable,etc. Notes: By Permit Technician: Date: D4/70/521 Engineering Review Slope at building pad: dZ C�C ditions "Met"prior to issuance of building permitD'Easements (encroachments)per engineering conditions of approval and plat ['..Water Quality/Quantity Facility: ,/ Assess Water Quality Fee in-lieu: ❑ Yes L/f No Assess Water Quantity Fee in-lieu: ❑ Yes [ o LIDA Facility on lot: Q""Yes ❑ No EFinal Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes:� 2 Approved by Engineering: g , s _. Date: 11 7, Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review jYConditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: SDC Exemption: ❑ Received Does not apply 7f SDC Fees Entered: Wash Co Trans Dev Tax: eJ Yes ❑ N/A Tigard Trans SDC: ie Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA Yes ❑ N/A OK to Issue Permit Approved by Permit Coordinator: Ani" Date: 4(20(z,c) 2.4 I:\Building\Forms\Bl dgPerni i tRvw_RE S_122419.docx _/ 7- RAIN DRAIN AND OUTFACE PROTECTION J. BUILDING OFFSET AND W IMPERMEABLE LINER AS APPROVED J I I BY BUILDING JURISDICTION W W W I I PERFORATED PIPE MANIFOLD FOR LENGTH OF FACILITY; W W I I 4" MINIMUM. r W I I r� STRUCTURAL WALL PER W W I II BUILDING JURISDICTION , W W W J, A : : : 14: W4.L .. W 6 6' TYP. 30" MIN. OVERFLOW TO CONVEYANCE r,FACILITY WIDTH • I I. i•�"0 \ i,�' — 2" MIN FREEBOARD VA . 'I ,1; �11 I 6" MAX POND DEPTH i\\//\\//\\/,\ . , %\,2 • \�/�y/�\�� I III III_ 1 I 1-111E 1 % ,/\ • /\//� /` 'm m I—1, 111111 �,,,, 18" MIN GROWING MEDIUM \ \> I-i 11=1 I I- El I I-!1 I-11 y\ ! < -III--11I-11 1E111=111 \ � ��/ice f-1 1 III l i=1 i�I Ii�i/\ \//\\�\//<. ,•fit:f. •VI I `IP, �*//��.. 3" DEEP (3/4" - 1/4") CLEAN ////\//\ . �.� /,>`,\\ CRUSHED DRAIN ROCK j/, , �` . 4: `'.., ! %\\\/\\/ ' 9" DEEP 1- • r 4o •F.� Ri' \ /'/ // ( 1/2" - 3/4") f�/�/ /� ;� � � CLEAN CRUSHED DRAIN ROCK \\//y/\\//\ : war 4 \/\/%\ // / //\///�/%// / /// /\/j\//�r,/\//\\/\ ACONVEYANCEO\���\• \ � � i �\i/i\/i/i/i/�i/i\ /\/i`/ce/.. a \ \/%/,,,/, ,\%%\>/,.1\/%%�%�,\�/%�/\//%\/ CLAMP WATER ORO APPROVED F PVC OEQUALD ▪ \�//\>,//\FOUNDATION DRAIN PER DESIGN \/fi ,,,;\x v \Y \Y ,;\%\;;\i\;;` SECTION A-A YVe\ /\ /\ce,\y"„\\/ 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 C1eanWate\ Services DRAWING NO. 794 REVISED 03-16 1 20 Low Impact Development Approaches Handbook C1eanWatei Sen-ices