Permit (246) CITY OF TIGARD MASTER PERMIT
1 "- COMMUNITY DEVELOPMENT Permit#: MST2015-00301
and OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 12/27/2016
T[r�aI2L 9
Parcel: 2S112CB00500
Jurisdiction: TIGARD
Site address: 8190 SW NORFOLK LN
Subdivision: HOGGAN'S PARK Lot: 6
Project: Hoggans Park, Lot 10
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1170 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 32 Bathrooms: 3 Second: 1611 sf Garage: 526 sf Front 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes
Total: 2781 sf Value: $339,256.72 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 Storm Sewer: 100
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0
Catch Basins: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0
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: 4
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: 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: Y 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 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: $24,089.92
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 :0
days. ATTENTION: Oregon law requires you to follow the r. - .,.•ted by the Oregon Utility Notification Center. Those rules are set forth i •
952-001-0010 through OAR 952-001-0090. You may obtain a c,. of the rules or•'rect questions to OUNC by calling 503.232.1987 0 -'00.33 2 4.
Issued By: „0 .� !”" Permittee Signature:
dr
Call ,o..• 75 by 7:00 a.m,for the next available inspec • 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 Z-0-1-- /0
13
Revidential z/z�
FOR OFFI(`F ISE ONLY
City of Tigard
REw'
d
]3125 SW Hall Blvd.,Tigard,OR 97223 °+ tieD Dr� PermitNo.:Phone: 503.718.2439 Fax: 503.598; DQ
Date : T Other Permit: 5 •
T I G A R D Inspection Line: 503.639.4175 t m �� ;
Internet: www.tigard-or.gov g �Q`� Date Ready/By: 111 0 See Page 2 for
\'),,..0 �j Nab Notified/Method: P• supplemental information
O� ,�
kl , �0\y\S
TYPE OF WO REQUIRED DATA:1-AND 2-FAMILY DWELLING
®New construction 0 4'i Permit fees*are based on the value of the work performed.
Indicate the value
❑Addition/alteration/replacement Other: (rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1-and 2-family dwelling 0 Commercial/industrial Valuation:3y) $ ,27
` 1
Ili
o Accessory building 0 Multi-family Number of bedrooms: 3
❑Master builder
0 Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: .. 33 0-7
Job site address: p'x'i ' (-/,/ - ',f (/ / e' _ /
A) New dwellingarea:
e
Z:3 t'� ! square feetCity/State/ZIP: .t „,:,, , ('2 /” _Ge1 Garage/carport area: 5'1 6 square feetISuite/bldg./apt.no.:j
Project name:
iJ�{` 3 �l"(l n
l '.V_0. I(0 Covered porch area: 147 square feet 1611
Cross street/directions to job site: ✓
Deck area: '"" square feet 1170
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
:" ii c /,?sc
Subdivision: C°'_ I Lot no.: r (5 Permit fees*are based on the value of the work performed.
Tax map/parcel nd Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
New Single Family Construction Valuation: $
Existing building area: square feet
New building area: square feet
10 PROPERTY OWNER I 0 TENANT Number of stories:
Name:Westwood Homes LLC
Type of construction:
Address:12700 NW Cornell Rd
Occupancy groups:
City/State/ZIP:Portland,OR 97229
Existing:
Phone:(971)678-5018 Fax:( )
New:
fI APPLICANT 0 CONTACT PERSON
BUILDING PERMIT FEES*
Business name:Westwood Homes LLC (Please refer to feeschedule)
Contact name:Matt Fricke Structural plan review fee(or deposit):
Address: 12700 NW Cornell Rd FLS plan review fee(if applicable):
City/State/ZIP:Portland,OR 97229 Total fees due upon application:
Phone:(971)678-5018 I Fax::( ) Amount received:
E-mail:Matt@Westwoodhomesllc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:Westwood Homes LLC Submit two(2)sets of roof plan with connection details
Address:12700 NE Cornell Rd and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP:Portland,OR 97229 Permit Fee(includes plan review
Phone:(971)678-5018 and administrative fees): $180.00
Fax:( )
CCB lic.:195597
State surcharge(12%of permit fee): $21.60
9 Total fee due upon application: $201.60
Authorized signature. . 3., '�
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Matt Fricke Date:/Vie e 7 (` *Fee methodology set by Tri-Coon BuildingIndustry
I //C t it I
Service Board.
I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Application FOR OFFICE USE ONLY
' - City of Tigard Received _'
Date/By: Permit No.:
¢ 13125 SW Hall Blvd.,Tigard,OR 97223lik A , y 7,, 4.i
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review
Date/By: Other Permit:
TI G A R D Inspection Line: 503.639.4175 �'"$
Internet: www.tigard-or.govf Date Ready/By: Juris: ra See Page 2 for
ve
116\S Notified/Method: Supplemental Information
TYPE OF WORK O�Cpt '� COMMERCIAL FEE* SCHEDULE- USE CHECKLIST
®New construction ' Mechanical permit fees*are based on the value of the work
0 Addition/alteration/votl9'wr�� k � performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: Bk-0-°‘ mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$
RESIDENTIAL EQUIPMENT f SYSTEMS FEES*
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder
0 Other: Description
Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
� '�' 1 r Air conditioning 46.75
Job site address:
``>f / t/ /Jol fc(le, /Oil") Furnace 100,000 BTU(ducts/vents) c 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 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: % t �/ Lot no.: �t/'j Other:
t C'f<..�, , S t ( 23.32
Tax map/parcel no Other fuel appliances:
Water heater ( 23.32
DESCRIPTION OF WORK Gas fireplace/insert ( 33.39
new SFR Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
PROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Westwood Homes LLC Range hood/other kitchen r
Address:12700 NW Cornell Road equipment t 33.39
Clothes dryer exhaust 1 33.39
City/State/ZIP:Portland OR 97229 Single-duct exhaust(bathrooms,
F'�j toilet compartments,utility rooms) 4 23.32
Phone: r/TY"Of
1 }O`gi Fax:(503)342-2403
Attic/crawlspace fans 23.32
APPLICANT 0 CONTACT PERSON Other:
23.32
Business name:Westwood Homes LLC Fuel piping:
Fri $14.15 for first four;$4.03 for each additional
i1 C I
Contact name:. i rr,i't?. Furnace,etc.
Address: 12700 NW Cornell Road Gas heat pump
WalUsuspended/unit heater
City/State/ZIP:Portland OR 97229 Water heater
Phone: V*6 jf,r ccii Fax::(503-)342-2403 Fireplace
Range
E-mail:MR westwoodhomesllc.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)
Phone:(503)656-1908 Plan review(25%of permit fee)
Fax:(503)650-3898 State surcharge(12%of permit fee)
CCB lie.: 178624 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
W-----------------
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name:Jon Montgo Date: i 1(-2,
ft, 'u( S
1.\Building\Permits\MEC_PermitApp_040113.doc 4404617T(11/0(2/COM/WEB)
Electrical Permit Application R)R Orrice 1 SE ON 1.1
• City of Tigard Received
13125 SW Hall Blvd.,Ti ll Date/B : Permit#:
Tigard,OR 97223 Plan ReviewAo
Q Phone: 503.718.2439 Fax: 503.598.1' 11' Related Permit#: ,
Inspection Line: 503.639.4175 Date/B :
II/11 G A R Dn 15 Ready Date/By: Juris: See Page 2 for
Internet: www.tigard-or.gov q (..Q1J Notified/Method:
D Supplemental Information
TYPE OF WORK TIe PR® PLAN REVIEW
®New construction 0 Addition/alteration/ c��n DINkSIO" Please check all that apply(submit 2 sets of plans w/items checked):
6,1ff i�
0 Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition 0 Other:CATEGORY OF CONSTRUi tC j[1 ON where the available fault current 0 Marinas and boatyards.
exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations, buildings.
❑Multi-family 0 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#: i Job site address: ('7 O (,,;,../ // f 0 Addition of new motor load of system.
4.,/,:),,e-fry P(?i' 100HP or more. ❑`•A> `•E»`•1-2„"1-3"
City/State/ZIP: 'ir C}. �i r/4 (r7 t 7 I( 0 Six or more residential units. occupancy.
/
ElHealth-carefacilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: IProject name: ElHazardous locations. 0 Supply voltage for more than
Cross street/directions to job site: ❑Service or feeder 600 amps or more. 600 volts nominal.
FEE SCHEDULE
Description Each
Total
New residential single-or multi-family dwelling unit.
Subdivision: 1-/-(7-,4-,0/4c. /4e%! I Lot#: /16. Includes attached garage.
Tax map/parcel ; 4 1,000 sq.ft.or less ) 168.54 4
DESCRIPTION OF WORK Ea.add'1500 sqft.or portion T 33.92 1
Limited energy,residential
j
New SFR (with above sq.ft.) 75.00 2
Limited y,mumily
residential
energ(with abovelti-fasq.ft.) 75.00 2
® PROPERTY OWNER I 0 TENANT Renewable Energy 0 See Page 2
Services or feeders installation,alteration,and/or relocation
Name:Westwood Homes LLC 200 amps or less
100.70 2
Address:12700 NW Cornell Rd 201 amps to 400 amps ( 133.56 2
City/State/ZIP:Portland,OR 97229 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Phone:(971)678-5018 Fax:( ) Over 1,000 amps or volts 552.26 2
Email: (174- �, /ix;hve^,lil`el f`�l t..)
% 'Cl._(( C?y}. Temporary services or feeders installation,alteration,and/or
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less ( 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08
2
Owner signature: Date: 401 amps to 599 amps 168.54 2
lia APPLICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
Business name:Same as Owner A.Fee for branch circuits with
above service or feeder fee,
Contact name:
each branch circuit 7.42 2
B.Fee for branch circuits without
Address: service or feeder fee,first
branch circuit 56.18 2
City/State/ZIP: Each add'l branch circuit 7.42 2
Phone: Miscellaneous(service or feeder not included)
( ) I Fax: :( ) Each manufactured or modular
Email: dwelling,service and/or feeder 67.84 2
Reconnect only 67.84 2
CONTRACTOR
_ Pump or irrigation circle 67.84 2
Business name:Ross Electric Inc Sign or outline lighting 67.84 2
Address:2870 SE 75th Ave#203 Signal circuit(s)or limited-energy 2 Page panel,alteration,or extension. ❑ See g 2
City/State/ZIP:Hillsboro,OR 97123 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)642-2800 I Fax:( ) Investigation(1 hr min) 90.00/hr
Email:RossElectric@comcast.net Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
CCB Lic.: 157891 I Electrical Lie.: 34-436C I Suprv.Lie.: 42325 specifically listed(%2 hr min) 90.00/hr
Suprv.Electrician signature,required: ELECTRICAL PERMIT FEES
Subtotal:
Print name: Stephen Ross , I Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature:=?,-/4---,-;017,A?,,,,,,,„ TOTAL PERMIT FEE:
Print name: J � -.—../. (71.:.3
7 This permit application expires if a permit is not obtained within 180
I Date: ; — �_l1:� I days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
Plumbing Permit Application
Building Fixtures FOR OFFICE ESE ONLY
City of Tigard Received Permit No.:
Date/By: ��u )
13125 SW Hall Blvd.,Tigard,OR 97223^ 11111 (r)s d�,1- ]c)
S Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Other Permit No.:
Inspection Line: 503.639.4175 Date/By:
T I G A R D Date Ready/By: 7uris: El See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
Z New construction 0 Demolition For special information use checklist
Description I Qty. I Ea. Total
❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(I)bath 312.70
1-and 2-famil dwellin SFR(2)bath 437.78
0 y g ❑Commercial/industrial
AccessorybuildingSFR(3)bath ( 500.32
❑ 0 Multi-family
Each additional bath/kitchen 25.02
❑Master builder 0 Other:
Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: (<3.,/'7 (.71-31. �'j(�` &-, /6 yi,e,
Catch basin or area drain 18.76
City/State/ZIP:Tigard OR Drywell,leach line,or trench drain 18.76
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
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.: ) Page 2
1 Water service(no.linear ft.: ) Page 2
Subdivision:
,,_ /7 j/r T• ! I Lot no.:/(3 Fixture or item:
Tax map/parcel>� / Backflow preventer I 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer ( 25.02
new SFR Dishwasher ( 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
in PROPERTY OWNER I 0 TENANT Expansion tank 12.51
Fixture/sewer cap 25.02
Name:Westwood Homes LLC
Floor drain/floor sink/hub 25.02
Address: 12700 NW Cornell Road Garbage disposal i 25.02
City/State/ZIP:Portland OR 97229 Hose bib 1 25.02
Phone: I?r- 6 -calf Fax:(503)342-2403 Ice maker 12.51
ell APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name: `",', C'G 1.
� 1 t1°1 F. ` Medical gas(value:$ ) Page 2
>�
Primer 12.51
Contact name: ki ' F .G k ,
Roof drain(commercial) 12.51
Address: 5 A ifrie 4 il,. c Sink/basin/lavatory if 25.02
City/State/ZIP: Solar units(potable water) 62.54
Phone:6W( )6V1 - U5 Fax::( ) Tub/shower/shower pan 2 12.51
E-mailMwestwoodhomesllc.com Urinal 25.02
i a't
CONTRACTOR Water closet 525.02
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)
r
State surcharge(12%of permit fee)
Authorized signature: /2: . f ,/ � "",> TOTAL PERMIT FEE
l.-,` ';'-'• ' -e-----/....,-----
Print
/7 q L This permit application expires if a permit is not obtained within 180 days
Print name:Dusti ague Date: / t:I J after it has been accepted as complete.
111 *Fee methodology set by Tri-County Building Industry Service Board.
t\BuildingWermits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
■
T I G n R D Building Permit Review — Residential
Building Permit #: /•1 70206-----0()3. C,1/
Site Address: e7,6 ,7,,‘,0 ��'f A._ l
Project Name: g h Lot #: /a
(New dw'1' r subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: /l1e t) ,W
Ild{Verify site address/suite# exists and active in permit sysstte ..
]i;rf Iver Terrace Neighborhood: ❑ Yes No
Sit: Ian Elements:
'1111►' ree (3) copies of site plan 01 'sting structures on site
1/. . e plan must be on 8-1/2"x 11"or 11 x 17"paper oot rint of new structure(includingdecks)with finished
p
ru, lcawn to scale(standard architect or engineer scale) fl or elevations
rth arrow Uttility locations (required for new,may apply for additions)
• e address,project or subdivision name and lot number % �,cation of wells/septic systems
plicant information(name and phone number) iP rosion control(including drainage-way protection,silt fence
�ot dimensions and building setback dimensions d ign,location of catch basin,etc.)
t area,building coverage area,percentage of coverage and yeet names
impervious area(applicable if R-7,R-12,R-25&R-40) treet tree size,type and location
0perty corner elevations (2 foot contour lines if more than PViisting trees to be retained with drip line,and tree
4 foot differential) protection measures
1 lklean Water Services—Service Provider Lette of platted prior to 9/10/1995):
Pequired: ❑ Yes,applicant was notified No Received: El Yes E No
ublic Faciliti . Improvement(PFI) Permit:
Required: VJ Yes,applicant was notified ❑ No Applied For: ', Yes ❑ No,stop intake
g*and Use Case#: 60��I — 00
Zening: F'
e)tbacks: Front Rear /c Side 7-- Street Side JD Garage (z C i)
Vf andscape Requirement: Qv
of Coverage Maximum:
C)
LI! Building Height: Maximum Height 3, Actual Height c±9Q!
1m o isual Clearance
IEasements
0 ensitive Lands: ❑ Yes Type
ik
Urban Forestry Plan iX
E Conditions "Met"prior to issuance of building permit
Notes: r 1 '\A'g /i . 41 0i 4i4_ � _ i /loll ,/' . ;IL., i - c „AO gr.
Approved By Planning: ..... Al.....— Date: /Q sc.-
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\BldgPennitRvw RES 070915.docx
Building Permit Submittal
Original Submittal Date: ,/ /r1//5
Site Plans: # 3
Building Plans: #
Building Permit#: Z,Etirer building permit#above.
Workflow Routing: fanning ngineeringermit Coordinator Ing
Workflow Sign-off: Loff for Planning(include notes from planning review)
Route Application Documents: neering: (1) copy of permit application, (1) site plan, (1) building plan and
original fan review routing form.
uilding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes: _
By Permit Technician: � ?. IMP Date: /,vz /c
Engineering Review
Slope at building pad: yd
``J Conditions "Met"prior to issuance of building permit
AfEasements (encroachments) per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes No
❑ NOT Approved by En:ineering: ', Date:
Notes: ,a� ?�? PW �r
Approved by Engineering: fiZcl Date: /Z— 3/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: El Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
.Approved,NOT Released: C ,1/"iAv� Date: ,,J+'/i,
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:
2a SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: ❑ Yes 12M/A
Parks SDC: -7Yes ❑ N/A
OK to Issue Permit / Date: O/30:4"
Approved by Permit Coordinator:
I:\Building\Forms\B1dgPennitRvw_RES 07091 5.docx
Albert Shields
From: Albert Shields
Sent: Monday, January 04, 2016 3:50 PM
To: 'Matt Fricke'
Subject: MST2015-00301, -00304,
Matt, Conditions of Approval required before building permit issuance remain Not Met. I'll mark MST2015-00301 and
MST2015-00304 "Approved but Not Released." Please let me know when the conditions are met.
Albert Shields
City o€Tigard
Permits/Projects
Coordinator
(503) 713-2426
( 3)62+-3681 -• ,
13125 S,;`Hal Blvd,
Tigard,OR 97223
1
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8190 SW NORFOLK LN, TIGARD, OR, 97224 May 8, 2017 at 9:15:16 AM
Record Type: Record ID:
Residential - Master Permit MST2015-00301
Inspection Type: Inspector:
399 Plumbing final David Young
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8190 SW NORFOLK LN, TIGARD, OR, 97224 May 11 , 2017 at 3:07:14 PM
Record Type: Record ID:
Residential - Master Permit MST2015-00301
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
FA I L
Comments:
Seal condensate drain line in rear thru foundation vent. R408.2
No AC installed at time of final inspection.
Violation Summary:
Inspector Contractor