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Permit (147) CITY OF TIGARD 4 1 MASTER PERMIT PES! . 'v COMMUNITY DEVELOPMENT 11170ffIll Permit#: MST2015-00288 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/30/2016 fit ° Parcel: 2S112CB00500 Jurisdiction: TIGARD Site address: 8150 SW NORFOLK LN Subdivision: HOGGAN'S PARK Lot: 6 Project: Hoggans Park, Lot 11 Project Description: New SF. 4/20/17, REPRINTED to add (1) laundry sink&(1)additional lay. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 0 First: 1059 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1567 sf Garage: 676 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2626 sf Value: $330,180.76 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 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: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 0 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'I 500 sf: 3 201-400 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 Other: N Other Description: Ecompasing: Y 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 12700 NW CORNELL RD PORTLAND,OR 97229 PHONE: PHONE: 503-330-2215 I FAX: 503-342-2403 Total Fees: $23,802.14 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in a e with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. AT NTION: 0 gon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001 010 throughO R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 5 232.1987 Qr 1.800.332.2344. 4 Issue By: ��CX Permittee Signature:C c Otfrre---l-r Call 503.639.4175 by 7:00 a.m.for the next available inspectiontcYa e. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Applicatio Building FixturesRECEIVE I • FOR OFFICE I S[: Q�1.1 City Of Tigard Date/By: 04/S-e2:0y q . Date/By: Permit No.: 14 ■ 13125 5W Half Blvd.,Tigard,OR 97223 A P R 2 ® 2017 Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Date/$y; Other Permit No,: Inspection Line: 503.639.4175TIGARD CITY O T IGA RD Date Ready/By: kris: t e1 See Page 2 forInternet www.tigard-or.gov;•'; TYPl' OP W e �? Noft t /Method ,. .. .. .,.. ., �� F��* SCHEI?UL Supplemental ntal Information ®New construction 0 Demolition For special information use checklist. Description ( Qty. ( Ea. L Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONS1 RVCTJON SFR(1)bath 312.70 ® I_and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 ❑Master builderEach additional bath/kitchen 25.02 0 Other: 42 JOB SITZ INFORMATION',AND LOCATION Site Fire sprinkler ( s .ft. ) Pages: Job site addre ; r i ° Catch basin or area drain 18-76 (�() !/tr 1�� ( Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:__ ) Page 2 Suite/bldg./apt.no.: I Project name: Manufactured home utilities 50.03 Cross street/directions to job site: ` ��; Manholes 18.76 '` i5- 6Y> Rain drain connector 18.76 V ( a ., Sanitary sewer(no,linear ft: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 - Water service(no.linear ft: ) Page 2 Subdivision:Hoggans Park I Lot no.:K Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 . Backwater valve 12.51r DESCRTTPION F WORK :: ""i. .: -. ,. Clothes washer 25.02 Dishwasher J�''; 1 25.02 /40,W +/1 + + / ."(;:fit It .. u M-r , Drinking fountain 25.02 c 4„Y . 11. SD C-L ( c,....5. /a,g7,7- • Ejectors/sump 25.02 �.,.`<.. ` a PROPERTY§E3 R o t ANT , ' Expansion tank 12.51 Name:Westwood Homes LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:12700 NW Cornell Rd Garbage disposal 25.02 City/State/ZIP:Portland,OR 97229 Hose bib 25.02 Phone:(971)678-5018 Fax:( ) Ice maker 12.51 iCAN1 .., " Q CNT.4CTPERSON: Interceptor/grease trap 25.02 . , , : ; Business name:Westwood Homes LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Matt Fricke Roof drain(commercial) 12.51 Address:12700 NW Cornell Rd Sink/basin/lavatory 25.02 City/State/ZIP:Portland,OR 97229 Solar units(potable water) 62.54 Phone:(971)678-5018 Fax::( ) Tub/shower/shower pan 12,51 E-mail:Matt@westwoodhomesIlc.com Urinal 25.02 s Water closet 25.02 COCTOR , NTRA E .,..:, �,... ..: ,.:. .:., ., .: .., . .... , .:M ,., Water heater 37.52 Business name:H and H Mechanical Waterpiping/DWV 56.29 Address:5757 SE Willow Lane Other: 25.02 City/State/ZIP:Milwankie,OR 97267 Subtotal Minimum permit fee: $72.50 Phone;(503)975-9787 Fax:(503)659-2979 Plan review (25%of permit fee) CCB Lie,:178122 Plumbing Lic.no,: /' State surcharge(12%of permit fee) Authorized signature: !'ice -t nr/ TOTAL PERMIT FEE Print name: // I Date: �?` ) This permit application expires if a permit is not obtained within 180 days .1,,,/ )�/ f �/ / ' after it has been accepted as complete, /// *Fee methodology set by Tri-County Building Industry Service Board. I.`Building\Permit5':PLM(J-PennitApp.dae 10/01,09 440-4916T(10/02'COM/WEB) Debbie Adamski From: David Young Sent: Thursday, April 20, 2017 9:15 AM To: #Building Permit Technicians Subject: 8150 SW Norfolk, MST 2015-00288 Please put a hold on this permit until plumbing fixtures installed without permit are added to the permit.Their appears to be a laundry sink in the garage and a 5th lay not on the permit. Let me know if you have any questions. Thanks, David Sent from my iPad 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." CITY OF TIGARD MASTER PERMIT P7N.. COMMUNITY DEVELOPMENT Permit#: MST2015 00288 13125 SW Hall Blvd.,Ti Date Issued: 11/30/2016 TIaR. and OR 97223 503.718.2439 9 Parcel: 2S112CB00500 Jurisdiction: TIGARD Site address: 8150 SW NORFOLK LN Subdivision: HOGGAN'S PARK Lot: 6 Project: Hoggans Park, Lot 11 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 0 First: 1059 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1567 sf Garage: 676 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2626 sf Value: $330,180.76 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 Storm Sewer 100 Drains: 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 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: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 0 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'I 500 sf: 3 201-400 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 Other: N Other Description: Ecompasing: Y 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 12700 NW CORNELL RD PORTLAND,OR 97229 PHONE: PHONE: 503-330-2215 FAX: 503-342-2403 Total Fees: $23,774.12 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 f h in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a co of the rules or direct questions to OUNC by calling 503.232.19 or 1.80 2.2344. Issued By: -i Permittee Signature: , ' 3.639.4175 by 7:00 a.m.for the next available inspection ate. 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. t� W mv I ie •VA Q � � � b � a p'; o o : G s � ,1\ ti Jki. S v -•V' raj' �'� ,, �n `:�e `� kP el ❑ r. ❑ ❑ ° U Ln r � w t4,� > VLI o O N O eq o 00 66 O w_ occ ° "06 o ,0 O O &^ o a w w .Vr .. •� N PC Q o a w Q w yy �•. vi N •�. U � N � •� O o a P" ++ O •Y.i T O �b •0 `�. yaw c0 O � a N �.v `. > >•a° U J y E4 P. Hl '� •O s„ �.. Vl a .� a> p 'a `. o T a o _ w N a w z z z O > ie •VA Q � � � b � a p'; o o : G s � ,1\ ti Jki. S v -•V' raj' �'� ,, �n `:�e `� kP el ❑ r. ❑ ❑ ° U Ln r � w t4,� > VLI o O N O eq o 00 66 �+ 0 4 o C d ci was occ ° a o ,0 O O gj .Vr .. •� N PC Q o a w Q w yy �•. vi N •�. U � N � •� O o a P" ++ O •Y.i T •0 `�. yaw c0 O � a N �.v `. U J y E4 P. Hl a .� ie •VA Q � � � b � a p'; o o : G s � ,1\ ti Jki. S v -•V' raj' �'� ,, �n `:�e `� kP el ❑ r. ❑ ❑ ° U Ln r � w t4,� ►i N N O O N y .. •� N PC Q U P, U Q ►i N N O `Mechanical Permit Application RECEIVECity of Tigard liir eceived FOR OFFICE ISE ONLY , Date/By: Permit No.: r �. IN ��f5 'NBlvd.,13125 SW Hall Tigard,OR 97223 ' Phone: 503.718.2439 Fax: 503.598.1960 DEC 2 3 2015 DatePlan BRevy:iew Other Permit: i t G A R D Inspection Line: 503.639.4175 •ate Ready/By: orris: M See Page 2 for Internet: www.tigard-or.gov CITY OF TIGAR I otified/Method: Supplemental Information BUILDING DIVISI: TYPE OF WORK COMMERCIAL FEE* SCHEDULE-USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. 0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Job site address: �(,/ f1 �t • Air conditioning ��' 46.75 5( C / f (' (C.it Furnace 100,000 BTU(ducts/vents) I )(` 46.75 City/State/ZIP:Tigard OR Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name: Heat pump 61.06 Duct work I it 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 li 23.32 Subdivision: 477? ,t4 ( Pn r Lot no.: # Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater / 23.32 DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 Flue vent for water heater or gas new SFR fireplace 4. 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 El PROPERTY OWNER 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name:Westwood Homes LLC Range hood/other kitchen equipment / 33.39 Address: 12700 NW Cornell Road Clothes dryer exhaust / 3339 City/State/ZIP:Portland OR 97229 Single-duct exhaust(bathrooms, �_ toilet compartments,utility rooms) 23.32 Phone: ‘11/-‘i 6-0 Fax:(503)342-2403 Attic/crawlspace fans 23.32 v,,. __,__.__.__.w CI..APPLICANT___-__. .......__._ ._.__,__......_D..CONTACT_.PERSON_ Other: 2332 Business name:Westwood Homes LLC Fuel piping: � I G �. $14.15 for first four;$4.03 for each additional Contact name:. Furnace,etc. / Address:12700 NW Cornell Road Gas heat pump Wall/suspended/unit heater City/State/ZIP:Portland OR 97229 Water heater Phone: f'71--6F5.- 57/cJ Fax::(503-)342-2403 Fireplace / Range / E-mail:jwestwoodhomesllc.com Barbecue ( CONTRACTOR Clothes dryer(gas) / Business name:Central Air Other. MECHANICAL PERMIT FEES* Address:PO Box 433 Subtotal City/State/ZIP:Clackamas,OR 97015 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)656-1908 Fax:(503)650-3898 State surcharge(12%of permit fee) CCB lic.:178624 //0/fitt 1 TOTAL PERMIT FEE •6o This permit application expires if a permit is not obtained within 180 t / A ___ __ -_- days after it has been accepted as complete Authorized signature: _ // �y`J * Fee methodology set by Tri County Building Industry Service Board Print name:Jon Montgo f - Date: / Ar,Ci 4) 1:\Building\Permits\MEC_PermitApp_040113.doc 440'617T(11/02/COM/WEB) Nov 30 2016 2: 06PM HP LASERJET FAX p. 1 k ��BBYY Y IVSD , 13125 8W Balli fd.,Wont OR 97229 Paw Pbaer 503.71t2{39 Pix; $03.39L19W�� 0� 7 �!, 6.-CX�s�.t` il, ` ispection Lbw 503.699.4175 . 5uamet: wwx.Ugesd or.genr (e' � io NN.�r�: OP .-;-I, � , tl+. SIO 'l. PLAN Zil New construction 0 Additionialtcradcm/replscateemt Is cloakI maw�fir. .,a aeb of., . "Amu .... .; llemoliti+lp ❑Other: C I%Moo a iadr 400=pa etymon la teta�lilog twang aaeiao. II !ek'1itQOIRY( , whmttemiidlegot'aomeas pa4dauand Lwqu�rr, >_4 1-end 2-à1 y dwoiling i Cote nerolelRndvsuial Alt Memory banding Ms io,ass r gtog building. leataSong.or e►io 1!D Yob or D�,e.ebl+ippp CI Quoaaokl•mia neindonsi 0 1lfitlti lUmil w Master builder ❑Other C 'ibr ail ether gaiana i°"r. Wets. A or ION , TINSONMAT/Off ANA X. CATION i7>latew.eI7 e1. �lowawaitlstallaikul so v Job rub ants addressDAMN armw ingot load or dariw4 Atte L 'IRf80M7P: 161)0P dram 173•A-,"g:1.30,"1.3",�' 7 Z Olga rmare rreidodwoalw tieeltp-ouaieitltlee. C7 Itoostatagal.hirleP/Az Cl lirnrdvae gardow ❑a %Clap Armen gas Cenee sir directfori6 to Jab site: 6evica gamine OM or mom !OO nab omigat. Subdlvletfaer: �L?r � or n 'er twa�'eerlC 1,000 ' 1 at 1146 1111 © 1Aam500 . ar.. . 1.111 33.92 11111.113 ' '- • 7790 Time• ....r1-'",-. ,,` _. . 1111111:1 75.°° ...... a MART iloia;vjes M 11.1111- Adldress;12100NWCornetAd 201 2+100 } ��10070 � 133.56 MEM '�:Pmrtland,C11t i 401 , to 0 ` 200,34 Oat Moo to i, .'... MI MN MOO Email: G tala �' nts Met ,, or wilts MI s3s426 �H IFFRiiiiiiiiiiiiiiiiiia Ovonwinstalledont This installation is being made on Recsearly tot I own',high is not 200 or leer 111111111M111•1111110 intended for IA lease,rent.or exchange,according to ORS 447,449,670,end 7(31. 201 ,. rri�Apa� lot 440 , 111.1 12103 Owner _ Doe: _ 401 . . 1°599 aqops -© a•' e� s 1. 7.44.r.Y F•T wJ '.F. l� n. Bantam=Met Sema sue 4lraer „`r Luepke- �.� .. . —„se e � _____ c' /soe z1p, 1111 t> y_ ?A EMU c=smominumEnitimmum ._.u.7.7 .40,, ,,,.._ r, , .Brasil: 6RA4 �o etan`-___ ! Address: v *203 r"r "”" ", � 2b70 BE 736'A ``�" ' r4Mle" 1:1 gas Page 2 MN C y1St td ':811Lbe,+s„OR 97123 T"'.71-- ^I'T.T r. r,s in las va PhD=(503)649�it00EncimElniall..... E=MOMIIIIIIII NB gam* Eno � i'• Email:Roae�Gledrle{ rnmw staet Mused be IN CC19 Lia: 157011 Etot�ivei 34-436C Swim.Lk.: 42 ...�, 90A0/hr _I � "' MEM'016123 Rebiatat MIMI ` . Rete: OP*Review , . r of , 1111M10. - Authorised , I ''-f TcerALautterP210; 11111.110 Plains WOW: MAWpuede a 'r'.s.., iiap time p set „ IIMNIP en ago it lis intra seem 1 ala ate, e wen a nit,sail 7401! • 1 ;� *Obit elf ta�epelply Almsgiver penile Ir , r -Plumbing Permit Application Building Fixtures RECEIVED FOR OFFICE LSE ONLY City of Tigard Received II '11 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: PermitNo.: g DEC 2 X2015ili7.- r ��, Plan: Revia Phone: 503.718.2439 Fax: 503.598.1960 Date/By:ew Other Permit No.: TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Internet: www.tigard-or.gov t ' � ate Ready/By: runs: H See Page 2 for BUILDING DIVISION,'otified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I Total 0 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 SFR(3)bath 500.32 ❑Multi-family ❑Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler( sq.ft.) Page 2 Site utilities: JOB SITE INFORMATION AND LOCATION 0 Job site address: g(X50 L./ ,O,v ,ff- 10 IA Catch basin or area drain 18.76 ci City/State/ZIP:Tigard OR Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: 1 Project name: 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 ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: 1 es ciet rf'c a r'/ Lot no.: 11 Fixture or item: Tax map/parcel no.: Backflow preventer I 31.27 DESCRIPTION OF WORK Backwater valve 12.51 new SFR Clothes washer / 25.02 Dishwasher / 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER 1 0 TENANT 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_ q 25.02 Phone: ( 71- 611--" O/' Fax:(503)342-2403 Ice maker 12.51 ® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: inigAjali Wille) j C Medical gas(value:$ _ ) Page 2 Contact name:^,� 1L Primer S Y(U#t F"t L'. e, 12.51 Roof drain(commercial) 12.51 Address: a ' ot.fiur Sink/basin/lavatory C, 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone: 41 )674- 9 /g. Fax::( ) Tub/shower/shower pan a 12.51 E-maili4141UwestwoodhomeslIc.com Urinal 25.02 CONTRACTOR Water closet 3 25.02 Water heater / 37.52 Business name:H&H Mechanical 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.: Plan review (25%of permit fee) State surcharge(12%of permit fee)- Authorized signature: p. /....,,,....1.-.......;?,„ ,-)2 TOTAL PERMIT FEE y LPrint name:Dustiryliague /' Date: / ! 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 Service Board. I:\Building\Permirs\pLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) ( City of Tigard 111 COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: /WIr.c�� . . ', . Site Address: act ,TIO AA 4 & Z. Project Name: Art 4 _z Lot #: // (New dw i , = subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: 41-ek; 7'C Verify site address/suite# exists and active in permit systee.. . fiver Terrace Neighborhood: ❑ Yes nd No Sit lan Elements: I A-4,'ree(3) copies of site plan !'.A,fisting structures on sitee plan must be on 8-1/2"x 11"or 11 x 17"paper 1►Footprint of new structure(including decks)with finished raven to scale(standard architect or engineer scale) oor elevations Orth arrow Utility locations (required for new,may apply for additions) to address,project or subdivision name and lot number i.cation of wells/septic systems plicant information(name and phone number) 11, rosion control(including drainage way protection, silt fence t dimensions and building setback dimensions stgn,location of catch basin,etc.) of area,building coverage area,percentage of coverage and ldS eet names pervious area(applicable if R-7,R-12,R-25&R-40) treet tree size,type and location Property corner elevations(2 foot contour lines if more than it ,4 'sting trees to be retained with drip line,and tree 4 foot differential) protection measures T[lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified L� l�o Received: ❑ Yes ❑ No Public Facilitie mprovement (PFI) Permit: 'equired: Yes,applicant was notified E No Applied For: I Yes ❑ No,stop intake Vand Use Case#: Su :o,6a (7c a / ( •90/S CX)06.6 oning: r--7- etbacks: Front / Rear I S Side Street Side /0 Garage (QC)' -andscape Requirement: c woF f Coverage Maximum: ilding Height: Maximum Height Actual Height cQ isual Clearance asements ensitive Lands: ❑ Yes No Type Urban Forestry Plan ❑ Conditions "Met"' rior to issuance of buildingpermit f Notes: _ l c l 1.750 ®/114 27` -Ze 121.-Li `. &-. 7L� Gl-//c-ti 1ii w + peon/ 4-- . / C' l Approved By Planning: ..=: ; Date: /P ` s'"'" Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Fonns\B1dgPermitRvw_RES_070915.docx Building Permit Submittal Original Submittal Date: 601i/15— Site 1i/1iSite Plans: # 3 Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: ��la��nning [ gineering Coordinator l tiilding Workflow Sign-off: R'Sign-off for Planning(include notes from planning review) Route Application Documents: ngineering: (1) copy of permit application, (1) site plan, (1) building plan and ori . plan review routing form. wilding: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: nn By Permit Technician: s � ta. A Date: /:R/3///3--- En ineering Review Slope at building pad: /L Conditions "Met"prior to issuance of building permit Easements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes i No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: A. .F di J7 Date: 4,714•71--15 Revisions (after Building Submittal only Reviewer Date Revision 1: ❑ Approved ❑ 04 of Approved Revision 2: E Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit Approved,NOT Released: (19,474;s11-2 /1 /�J /17�Date: 111-1/4, Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: ❑ Yes N/A Parks SDC: E Yes ❑ N/A L f .•= •K to Issue Permit ,//16„."(107� Approved by Permit Coordinator: /1ffV/7ir_ -Date:7 / I:\Building\Fonns\BldgPennitRvw_RES_070915.docx Albert Shields From: Albert Shields Sent: Monday, January 04, 2016 3:39 PM To: 'Matt Fricke' Cc: #Building Permit Technicians Subject: MST2015-00288, 8150 SW Norfolk Lane Matt, I just realized that I had released permit MST2015-00288 in error on 12/30. There are still multiple Conditions of Approval that remain Not Met under SUB2014-00006 so this permit is on Hold as "Approved but Not Released." Please let me know when the conditions have been met or if you have any questions. Albert Shields City of Tigard Permits/Projects .: Coordinator r i1 ,,. Aber t•: bgard or }503 718-2426 :- (503)624-3681 r. 13125 SW rig BEb, r r r t OR 97223 1 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8150 SW NORFOLK LN, TIGARD, OR, 97224 April 20, 2017 at 9:14:58 AM Record Type: Record ID: Residential - Master Permit MST2015-00288 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Note: for plumbing final inspection, provide permit for 5th lay and extra sink installed in garage without permit. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8150 SW NORFOLK LN, TIGARD, OR, 97224 May 8, 2017 at 8:53:00 AM Record Type: Record ID: Residential - Master Permit MST2015-00288 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Slope away from structure at entry to drainage swale raked in bark dust by contractor. City not responsible for change in landscape after building final inspection. Final erosion control approved. Street tree certification received. Moisture content form received. High efficiency lighting form received. Insulation certification checked. Duct seal test report received. C of 0 left on site at kitchen island. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8150 SW NORFOLK LN, TIGARD, OR, 97224 May 5, 2017 at 8:21 :05 AM Record Type: Record ID: Residential - Master Permit MST2015-00288 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Correction for slope away from structure right side front not done. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8150 SW NORFOLK LN, TIGARD, OR, 97224 May 3, 2017 at 12:44:56 PM Record Type: Record ID: Residential - Master Permit MST2015-00288 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide slope away from house 6" in 10" or approved drainage swale. R401 .3 at front by entry, rear at back of house between patio and AC and any other locations not to code. Remove all smoke detector covers for testing. Violation Summary: Inspector Contractor