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Permit (137) CITY OF TIGARD MASTER PERMIT 71N. COMMUNITY DEVELOPMENTr .. .. Permit#: MST2015 00286 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ',1r, r Date Issued: 02/27/2017 l"t Gt�F� g Parcel: 2S112CB00500 Jurisdiction: TIGARD Site address: 8205 SW NORFOLK LN Subdivision: HOGGAN'S PARK Lot: 6 Project: Hoggans Park, Lot 7 Project Description: New SF. 8/3/17: REPRINTED permit to add(1)laundry sink. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1221 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1663 sf Garage: 606 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 2 Detectors: Yes Total: 2884 sf Value: $354,716.13 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 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: 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 addl 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 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 2884 Owner: Contractor: WESTWOOD HOMES LLC WESTWOOD HOMES LLC Required Items and Reports(Conditions) 12700 NW CORNELL RD 12700 NW CORNELL RD 1 A geotechnical report is PORTLAND,OR 97229 PORTLAND,OR 97229 required before the footing 2 Ersn Cntrl 503-639-4175 PHONE: PHONE: 503-330-2215 FAX: 503-342-2403 Total Fees: $24,360.45 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 ork is suspended for m• - th- 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those r are set •rth i' OAR 952-001-0010 through OAR 952-001-0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1981.800.3 ./.44. Issued By: Permittee Signature: 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. Or Approved plans are required on the job site at the time of each inspection. • Plumbing Permit Application Building Fixtures RECEIVES FOR OFI'ICF, USE ONLY 1 City of Tigard DEC 2 3 Z015 Received . 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Permit No./Iii f z j�S.,/tr / • Phone: 503.718.2439 Fax: 503.594.f Plan Review W IG TIGARD Inspection Line: 503.639.4175 vICY t1G'F TtGARD1�' Date/By: Other Permit No.: Internet: www.tigard-or.gov BUILDING DIVISIGI>! NoOtte ed/Meeady/By: loris: ®See Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special information use checklist 0 Addition/alteration/replacement ❑Other: Description Qty. I Ea. ! Total 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 ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ❑Multi-family SFR(3)bath f 500.32 ❑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: !�;��� �', /� Catch basin or area drain �G� t/•� t.l;r! /(;;..1,t 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: "w . Manholes 18.76 *� ' Rain drain connector 18.76104. � Sanitary sewer(no.linear ft.: ) Page 2 • Storm sewer(no.linear ft,: ) Page 2 :3;7- , Water service(no.linear ft.: ) Page 2 Subdivision: 47.2";:iAP , )tee! ,. I Lot no.: l f �' Fixture or item: • Tax map/parcel nd.:`r Backflow preventer ` 31.27 I DESCRIPTION OF WORK Backwater valve 12.51 new SFR Clothes washer + 25.02 Dishwasher ! 25.02 3/1h 7 . 4-440,1 Gel' Ci J f t n/z �c� ,s,jivae Drinking fountain 25.02 Ejectors/sump 25.02 11 PROPERTY OWNER I 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 l 25.02 City/State/ZIP:Portland OR 97229 Hose bib , 25.02 Phone: ( /- 6}1 Fax:(503)342-2403 Ice maker 12.51 *14 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: CJI" al (forme, c Medical gas(value:$ ) Page 2 Contact name: (! FP:i.ke., Primer 12.51 Roof draincommercial Address: ;aR ( ) 12.51 Sink/basin/lavatory *)( 25.02 City/State/ZIP:e/y, Solar units(potable water) ✓ 62.54 (rye► Phone: ( )6:,` g,_ 547/5 Fax::( ) Tub/shower/shower pan 12.51 E-mailint westwoodhomesllc.com Urinal 25 02 b@ CONTRACTORWater closet 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 Lie.:178122 Plumbing Lie,no.: Plan review (25%of permit fee) //� State surcharge(12%of permit fee) 7`�' Authorized signature: ,. ,r /,2 TOTAL PERMIT FEE Print name:Dusti ague Date: This permit applicafion 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 Boar dm 1M/ :1BuildinglPermits\PLMU•PermitApp.doc I0/01/09 440-4616T(l0/02/COWEB) CITY OF TIGARD MASTER PERMIT 01 xi: COMMUNITY DEVELOPMENT Permit#: MST2015-00286 Tt GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/27/2017 Parcel: 2S112CB00500 Site address: 8205 SW NORFOLK LN Jurisdiction: TIGARD Subdivision: HOGGAN'S PARK Project: Hoggans Park, Lot 7 Lot: 6 Project Description: New SF BUILDING Floor Areas Required Setbacks Stories: 2 Bedrooms: 4 First: 1221 sf Repuired Hht: 24 Basement: 0 sf Left: 5 Parking Spaces: 0 ei 9 Bathrooms: 3 Second: 1663 sf Dwelling Units: 1 Garage: 606 sf Front 15 Smoke Third: 0 sf Right: 2 Detectors: Yes Total: 2884 sf Value: $354,716.13 Rear 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Urinals: 10 Tubs/Showers: 4 Sewer Lines: 100 SF Rain Garbage Disp: 1 Water Heaters: 1 Storm Sewer 100 FootingDrain: 0 Water Lines: 100 Drains: 0 Ice Maker: 1 Hose Bib: 2 Bckflw Prevntr: 0 Catch Basins: 0 Backwater Value: 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 Furn<100K: 1 Hoods: 1 Other Units: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders 1000 sf or less: 1 Branch Circuits 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 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 p W/O Svc/Fdr: 0 P 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 Other: N Other Description: All Ecompasing: Y BUILDING INFO Class of Work: Type of Use: NEW Type of Constr: Occupancy Group: SF VB Square Feet: R-3 2884 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 2 A geotechnical report is required before the footing PHONE: PHONE: 503-330-2215 FAX: 503-342-2403 Total Fees: $24,287.43 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 i OAR 952-001-0010 through OAR 952-001-0090. You may obtain a cop of the rules or direct questions to OUNC by calling 503.232.1987 or 00.3322.2233 4. Issued By: <;�.,.� ��'�/% Permittee Signature: �/I ,,e03.639.4175 by 7:00 a.m.for the next available inspecti' 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. Building Permit Application Residential RECEIVEis FOR OFFICE l SE o.AI.1 F3!25 iof Tigardeceived 13125 S W Hall Blvd.,Tigard,OR 97223 DECE 2 3 2 015 Date/By: 4Z ..z'///S i ' Permit N 7 fin/ ".....�''� �j Phone: 503.718.2439 Fax: 503.598.1 �/OF TIGARD Plan Review � ea✓/f���/ � Date/Be j j j Other Perm f TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION DateReady/By: 7urs: Internet: www.tigard-or.gov ,faS See Pagel for Notified/Method: a��j! ,J Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction ❑Demolition Permit fees*are based on the value of the work performed. ❑Addition/alteration/replacement 0 Other: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this app' ation. ® 1-and 2-family dwellingValuation / 1 t ., ? 0Commercial/industrial . / $ ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: J JOB SITE INFORMATION AND LOCATION Total number of floors: `(_ Job site address: r7.0 J I,/ /.4.211 ;r ` •, New dwelling area: `Z square feet City/State/ZIP: ‘j" n �'' q 490 n +``:= ,,-,,r/ t.), 't"`/ t;Y Garage/carport area: 6(2t? square feet Suite/bldg./apt.no.: 1/ / I Project name: Covered porch area square feet 6 Cross street/directions to job site: ` Deck area: 1/ ,-= square feet i i Other structure area: '''� square feet Subdivision: g� /n P REQUIRED DATA:COMMERCIAL-USE CHECKLIST ff-t V.,a f Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.j 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 PROPERTY OWNER I © 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 1 Fax:( ) New: a APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name:Westwood Homes LLC (Please refer to schedule) 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@Weshvoodhomesllacom PHOTOVOLTAICSOLAR 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 I $180.00 administrative fees): $180.00 Phone:(971)678-5018 Fax:( ) CCB lic.:195597 State surcharge(12%of permit fee): $21.60 Total fee due upon application: $201.60 !..--.--1/7 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. I Print name:Matt Fricke ((((//// I Date:l j'Z,/ 1 s ] *Fee methodology set by Tri-County Building Industry Service Board. I:Building\Peimits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) • ' Electrical Permit A EVE® FOR OFFICE USF O\1.I' li EN ED ePermit#:/75.7:47,5%-.4,0e),77,6 City of Tigard ec 13125 SW Hall Blvd.,Tigard,ORP 2 3 2U.15 Plan Review Related Permit#: 6 Phone: 503.718.2439 Fax: 503.5587106 Date/B Inspection Line: 503.639.4175GIYDate/By: loris: Iii See Page 2 for+ AR� ReadyNotified/Method: Supplemental Information 1 I G A K D Internet: www.tigard-or.gov DIVISION ION IOW WORK PLAN REVIEW TYPEFF . ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. less to ground,or exceeds 14,000 ❑Commercial-use agricultural ® 1 and 2-family dwelling ❑Commercial/industrial 0 Accessory building amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or larger separately derived 0 Emergency system. ge Y JOB SITE'INFORMATION AND LOCATION system. / ,_ ❑Addition of new motor load of Y �^ /v// "/, if 4: 100HP or more. ❑"A" "E» "1-2""1-3" Job#: l Job site address: (::,. ?(/`'� '�" � § ("�'^f �� 0 Six or more residential units. City/State/ZIP: I i(' ,.`, (1 4. L( 0 Recreational vehicle parks. t lY 1.' ❑Health-care facilities. occupancy. 0 Hazardous locations. ❑Supply voltage for more than Suite/bldg./apt.#: ' Project name: 0 Service or feeder 600 amps or more. 600 volts nominal. FEE SCHEDULE Cross street/directions to job site: Description I Qty I Each I Total I New residential single-or multi-famt'ly,dwelling unit. V I Lot#: Includes attached garage. Subdivision.• fi 1^ y, J r� ` 1,000 sq.ft.or less 1 � 168.54 4 / Ea.add'l 500 sq.ft.or portion , 33.92 1 Tax map/parcel#`. DESCRIPTION OF WORK Limited energy,residential j 75.00 2 (with above sq.ft.) New SFR Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 i4 PROPERTY OWNER I ' ❑ TENANT Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 Name:Westwood Homes LLC 201 amps to 400 amps I 133.56 2 Address: 12700 NW Cornell Rd 401 amps to 600 amps 200.34 2 amps 301.04 2 1,000 City/State/ZIP:Portland,OR 97229 601 amps to552.26 2 Over 1,000 amps or volts Phone:(971)678-5018 I Fax:( ) Temporary services or feeders installation,alteration,and/or Email: relocation 59.36 1 Owner installation:This installation is being made on property that I own which is not 200 amps or less 125.08 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 01 amps to 400 amps Owner signature: Date: 401 amps to 599 amps 168.54 2 Branch circuits—new,alteration,or extension,per panel lig APPLICANT; l ❑ CONTACT PERSON A.Fee for branch circuits with above service or feeder fee, 7.42 2 Business name:Same as Owner each branch circuit B.Fee for branch circuits without Contact name: service or feeder fee,first 56.18 2 Address: branch circuit 7.42 2 Each add'I branch circuit City/State/ZIP: Miscellaneous(service or feeder not included) Phone:( ) I Fax: ( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Sign or outline lighting 67.84 2 Business name:Ross Electric Inc Signal circuit(s)or limited-energy ❑ See Page 2 2 Address:2870 SE 75th Ave#203 panel,alteration,or extension. Each additional inspection over allowable in any of the above City/State/ZIP:Hillsboro,OR 97123 Additional inspection(1 hr min) 66.25/hr Phone:(503)642-2800 I Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email:RossElectric@eomcast.net Inspections for which no fee is 90.00/hr listed(Y2 hr min)ificall CCB Lic.: 157891 I Electrical Lic.: 34-436C I Suprv.Lic.: 42325 specy ELECTRICAL PERMIT FEES Subtotal: Suprv.Electrician signature,required: 7 Date: 0 Plan Review Required(25%of permit fee): Print name: Stephen Ross State surcharge(12%of permit fee): Fr I TOTAL PERMIT FEE: Authorized signature:/,,.74---,--4-',„/-17/ ,,..1"./ This permit application expires if a permit is not obtained within 180 -1 t ,(A I days after it has been accepted as complete. Print name: `t I Date: U. U{Gr? * Number of inspections allowed per permit. I.\Building\Permits\ELC PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Mechanical Permit AppliReeEIVED FOR OFFICE USE ONLY City of Tigard Received Date/By: Permit Ntr7 j )°,:,Ze( . ■ 13125 SW Hall Blvd.,Tigard,OR 9711 ( 2 3 2015 Plan Review I Phone: 503.718.2439 Fax: 503.598. Date/By: Other Permit: TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Juris: 63 See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information BUILDING DIVISION 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 CONSTRICTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling 0 Commercial/industrial ❑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: Air conditioning I 46.75 / Job site address: ,g7/:?'-') rs t .;, ,/ iF(� 0.�`i l/f!t ' p Furnace 100,000 BTU(ducts/vents) [ 46.75 S City/State/ZIP:Tigard OR Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: 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/__ ` i/ Lotno.: Other: 23.32 / Other fuel appliances: Tax map/parcel n�. Water heater 6 23.32 DESCRIPTION OF WORK Gas fireplace/insert ( 33.39 i Flue vent for water heater or gas new SFR fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 EI PROPERTY OWNER 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name:Westwood Homes LLC Range hood/other kitchen equipment f 33.39 Address: 12700 NW Cornell Road Clothes dryer exhaust I 33.39 / City/State/ZIP:Portland OR 97229 Single-duct exhaust(bathrooms, (, ,,a_ �y toilet compartments,utility rooms) , 7 23.32 Phone: ((//-6 7 -coif Fax:(503)342-2403 Attic/crawlspace fans 23.32 ►Zt APPLICANT 0 CONTACT PERSON Other: 23.32 Fuel piping: Business name:Westwood Homes LLC 'Z $14.15 for first four;$4.03 for each additional y 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: IN-671,-co-is Fax::(503-)342-2403 Fireplace Range E-mail:Mtia 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) Plan review(25%of permit fee) Phone:(503)656-1908 Fax:(503)650-3898 State surcharge(12%of permit fee) / CCB lic.: 178624 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 .- das Authorized signature: W * Fee methodology aysfter set byit Trhai-Countybeen Baccepteduildingas Industrycomplete.Service Board Print name:Jon Montgo Date: I:'Building\Permits\MEC_PermitApp_040113.doc 440-4617T(I1/02/COM/WEB) • Plumbing PermitFixtures Application Y FOR OFFICE L'SE ONLYB /l_i �S 1pw Received Permit No.' City of Tigard D E C 3 2015 DateBy: ipiiN 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Other Permit No.: S Phone: 503.718.2439 Fax: 503.59pr.1,1 ,/ OF TIGARD Date/By:av Inspection Line: 503.639.4175 TIGARD BUILDING DIVISION Date Ready/By: Juris: El See Page 2 for Internet: www.tigazd-or.gov Notified/Method: Supplemental Information FEE* SCHEDULE TYPE OF WORK For special information use checklist ®New construction 0 Demolition Description I Qty. Ea. Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) SFR(1)bath 312.70 CATEGORY OF CONSTRUCTION SFR(2)bath 437.78 ® 1-and 2-family dwelling ❑Commercial/industrial SFR(3)bath , 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 Page 2 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Site utilities: JOB SITE INFORMATION AND LOCATION Catchbasinor area drain 18.76 rf /_� � r��+ ��i`l ' Drywell,leach line,or trench drain 18.76 Job site address: X, G . .. -,i,,,,.; + Footing drain(no.linear ft.: ) Page 2 City/State/ZIP:Tigard OR Manufactured home utilities 50.03 Project name: Suite/bldg./apt.no.: J Manholes 18.76 Cross street/directions to job site: 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 Lot no.: Fixture or item: Subdivision: ,,-;.,),,77(,/,/, Cf Backflow preventer I 31.27 Tax map/parcel nog'.:' Backwater valve 12.51 DESCRIPTION OF WORK Clothes washer 25.02 Dishwasher 1 25.02 new SFR Drinking fountain 25.02 Ejectors/sump 25.02 Expansion tank 12.51 ht PROPERTY OWNER ❑ TENANT 25.02 Fixture/sewer cap Name:Westwood Homes LLC Floor drain/floor sink/hub 25.02 Address:12700 NW Cornell Road Garbage disposal I 25.02� 25.02 City/State/ZIP:Portland OR 97229 Hose bib Phone: 12.51 7 - • G--card Fax:(503)342-2403 Ice maker Interceptor/grease trap 25.02 ® APPLICANT ❑ CONTACT PERSON Page 2 Medical gas(value:$ ) Business name: . tjak ('of @, a( Primer 12.51 L� 12.51 Contact name: STT Ft( " .,- Roof drain(commercial) Sink/basin/lavatory 25.02 Address: �a ^ '� (potable water) 62.54 Solar units City/State/ZIP: Tub/shower/shower pan r� 12.51 Phone: � )��� o �� Fax: ( ) Urinal 25.02 E-mail. �it'�westwoodhomesllc.com Water closet 25.02 . CONTRACTOR Water heater 37.52 Water piping/DWV 56.29 Business name:H&H Mechanical 25.02 Address:5757 SE Willow Lane Other Subtotal City/State/ZIP:Milwaukee OR 97267 Minimum permit fee: $72.50 Phone:(503)975-9787 Fax:(503)659-2979 Plan review (25%of permit fee) CCB Lic.:178122 Plumbing Lic.no.: State surcharge(12%of permit fee) TOTAL PERMIT FEE Authorized Signature: //; : . .t - `� This permit application expires if a permit is not obtained within 180 days i Date: after it has been accepted as complete. Print name:Dusti 'ague *Fee methodology set by Tri-County Building Industry Service Board. 440-4616T(10/02/C OM/W EB) I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 City of Tigard 7111 r COMMUNITY DEVELOPMENT DEPARTMENT T 1 c n lz D Building Permit Review — Residential Building Permit #: /7--r 7---- 0/,.5- GOA o'6 Site Address: e-,2C.. s' ) Abr,4/.,e_ Li Project Name: !`/t: s - Lot #: (New dw 'g subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: etu ,TR. Verify site address/suite# exists and active in permit systt . "ever Terrace Neighborhood: ❑ Yes L✓ No Sit Plan Elements: • ree(3)copies of site plan 0 1 .sting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper Fr ootprint of new structure(including decks)with finished rawn to scale(standard architect or engineer scale) flyer elevations rth arrow % tility 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) Erosion control(including drainage-way protection,silt fence • .t dimensions and building setback dimensions d ign,location of catch basin,etc.) !P Lot area,building coverage area,percentage of coverage and S eet names i, pervious area (applicable if R-7,R-12,R-25&R-40) treet tree size,type and location f/, roperty corner elevations(2 foot contour lines if more than Oliisting trees to be retained with drip line,and tree 4 foot differential) protection measures f klean Water Services—Service Provider Lett�(lot platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified IJG No Received: ❑ Yes E No LJd Public FacilitV Improvement(PFI) Permit: ,,� '/equired: V Yes,applicant was notified ❑ No Applied For: /Yes ❑ No,stop intake and Use Case#: 4/,� C)/I— 0000 ti'/ P—Q )' (Jo Oq �F'/ $oning: y--7- etbacks: Front /5 Rear /S' Sided' Street Side /0 Garage o,2[ Lldandscape ts20 0/0 �ot Coverage Maximum: 0 % / V Building Height: Maximum Height 3S Actual Height 1&" *Visual Clearance prEasements 140 ensitive Lands: CI Yes LJ N o Type 112, Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit ,� /� Notes: qiIchtit1V.R., rmug - Z 1 t C-� o &- -/jjb /'!/o1 Approved By Planning: - _ Date: i tS Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_070915.docx Building Permit Submittal Original Submittal Date: /We2 3/25 Site Plans: # Building Plans: # L Building Permit#: ErEnter building permit#above. �� Workflow Routing: Ef-Planning E E?PEngineering ermit Coordinator '0 Building Workflow Sign-off: L -"Sign-off for Planning(include notes from planning review) Route Application Documents: J�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: /��� �y Date: /,-2-/?-0-5- Engineering Review 6 Slope at building pad: / 7, 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 No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: Date: Notes: "i / ✓ ��� 1 _ i - . . .7iy: -I _ . 11.... Approved Approved by Engineering: , A 'L p Date: Revisions (after Building Submittal only) Reviewer 0''—II,4 Revision 1: E Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit 2411 pproved,NOT Released: adio,' li Date: 3 /� Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: 7Revision Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: Yes El N/A Tigard Trans SDC: ❑ Yes p N/A Parks SDC: ' Yes ❑ N/A OK to Issue Permit Approved by Permit Coordinator: Date: 12/ k , 1:\Bui]ding\Fonns\B1dgPennitRvw_RES 070915.docx FOR OFFICE USE ONLY-SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter r LARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: ( `- DATE '1c.:r 1►,•' . DEPT: BUILDING DIVISION �% e. , MAR 2 2017 FROM: % City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8205 SW NORFOLK LN, TIGARD, OR, 97224 August 3, 2017 at 7:26:47 AM Record Type: Record ID: Residential - Master Permit MST2015-00286 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Correction for adding laundry tray installed without permit to permit not done. Investigative fee to be applied if not corrected by next inspection. 103.5.6 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8205 SW NORFOLK LN, TIGARD, OR, 97224 August 4, 2017 at 7:10:26 AM Record Type: Record ID: Residential - Master Permit MST2015-00286 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: Correction complete, laundry tray added to permit. Violation Summary: Inspector Contractor