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Permit ti• CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00196 44 Aaj? 1 DEVELOPMENT SERVICES DATE ISSUED: 7/21/2004 ' • 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 12480 SW ASPEN RIDGE DR PARCEL: 2S110BC -08700 SUBDIVISION: THORNWOOD ZONING: R - BLOCK: LOT: 058 JURISDICTION: TIG . REMARKS: New SF. BUILDING REISSUE: DM711 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: 917 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,086 sf GARAGE: 440 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 10 VALUE: 198 75720 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2.003 sf . REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 4 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 3 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FOR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 • 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL • RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 5,086.33 DON MORISSETTE HOMES DON MORISSETTE HOMES INC This permit is subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes 4230 GALEWOOD ST 4230 GALEWOOD ST, STE 100 and all other applicable laws. .All work will be done in STE 100 LAKE OSWEGO, OR 97035 accordance with approved plans. This permit will expire LAKE OSWEGO, OR 97035 if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. Phone: 503 387 - 7538 Phone: ATTENTION: Oregon law requires you to follow rules 387355$3 adopted by the Oregon Utility Notification Center. Those LI Reg #: 1 j rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Ersn Cntrl 681 -4444 Post/Beam Mechanical Plumb Top Out Exterior Sheathing Insr Gyp Board Insp Appr /Sdwlk Insp Sewer Inspection Underfloor insulation Electrical Service Low Voltage Rain drain Insp Electrical Final Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Storm drain Insp Mechanical Final Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Water Line Insp Plumb Final Post/Be -.• . ■ • - Mechanical Insp Shear Wall Insp Insulation Insp Water Service Insp Building Final \ / Iss ed By A ll, It/ ' Permittee Signat � Y f' Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day • Building Permit-Application FOR OFFICE USE ONLY 0 LJ� u= u VI t Received City Of Tigard Date/By: / / /AL� 6-6 PemutNo.: f „ 4 ,010/_ 13125 SW Hall Blvd., Tigard, OR 97223 / 100! r Plan Revie Jv Phone: 503.639.4171 Fax: 503.598.T960'' C � / n e m I i I o u ' � & Date/By: Other Permit Q _ Grim L Inspection Line: 503.639.4175 CITY OF TIGARD .�f I Date Ready /By: Juris: ® See Attached Checklist for C I Internet: www.ci.tigard.or.us Notified/Method: '11 G Supplemental Information BUILDING DIVISION e 7 2,3;-,a, y x° 'e ' `� `. m,ri Ri O ' WORK . " t ,��� < ` ri d..;' , t � ,�'t - ii UIRED D VD.1=fiIVIIL�'tliV tiLIN '=� � -=;.,,:.,, ^ - , , v ` ^ .: £ :., f �_.. Il' zW � - . %',' '�`s ;4:"�' � �. . A F";24,:50;,), "ays•2e* *a"�?F,dS'.�i.3§; elil t a wq k New construction ❑ Demolition Permit fees* are based on the value of the work performed. V \ Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the ,. �:�::.:•,.°?;>�_ ,, � � r ���'� • work indicated on this application. 4 :1 4W � ' Z W l GORY%Ar CONS:4 IO Ak ms s li sS1s� ..' A='. �5:', �` �r` rt; Nt`',.: �r�• �N: �a: fad. te. 31< z.: YS! isaG�.. F�.. G€ ?�:. sx, ^:�%a tvl5's"..*�1"ifird"k :e4+.� a 3�x.,.�:?.o;, - �r�I�'�-..r�a.,'•.,.tn'�;�:✓'� - ❑ 1- and 2- faintly dwelling ['Commercial/industrial Valuation: $ ['Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder Ill Other: Number of bathrooms: V ( rn. .„ it L c . -.: ea* �� ww a r s 7 n �, . -; * •s: e',r NP. ' 1 t r >f� � " . ibit T�.INFaltaleirl_ ND.'.LOCATION -1; ol Total number of floors: ", ni .,-- tea suleioh - Wits »ato404 .c^., -. rn t. Fe aa, k:.k.. u4,..t .,,P -w- , d,.A .,.3, ..k1. S Job site address: 1, "ii �v � / / , New dwelling area: (9 ... 61 5 square feet Cit /ZIP:. -- ii c 1, S Garage /carport area: ! - - ' f square feet LP /9 Suite/bldg. /apt. no.: Project name: Covered porch area: ? square feet Cross street/directions to job site: Deck area: u9 square feet Other structure area: square feet se�a�aw�..;�xi;;;r�,�x;« ate: ��w ;��,r�a�$�s:rttza�s��°i�:•�s� � =�;,n�.� �. \{ /�{ �/� irIRE rEA AI�ICOMrale -'AL -US ~ G AECKtiIS, u u �/ 1 I �/ ,�� R .a� m tra e fees* are b o n t of r Subdivision: Lot no.: Permit fees* are bas on the v of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all ,_ , . r4 a .,T- equipment, materials, labor, overhead, and the profit for the M,I ;�*ls . s<' ` M ra# r e« sly s n ,. uu yf ^sl' ; �:;, : izte ! ai r � + , *,3 0 DESCRIPTIONr =� R'ORIC . 1 I Mat work indicated on this application. ..._°;�.,,,�„ ,'.,.t �_ F��..v`��.�,°.a- .��i��.. . z��a��w�w�. �, vi .�tsr��r:rt� ?:�a.�e•?�,��,rvs,? ` �i-3�,., �'s. >bu.�,"£,:�g�.�. �r.a.. , IJp Valuation: $ Existing building area: square feet New building area: square feet � "'MN Y A o'�"*.«"I i �3x$' �:. ' N: `a_':c „.3: :* �' � y A' ' Y ��wa....,, A ' 744 3 y y � k.PR©P,E OWIYE,,,, °,, ii t ; .R � ®TEiVANT C ti Number of stories: l l s r + :v v µ s a �= s tieeax= x � a . � : _t,,a,.,,4� „,,, r,,,, ..„ „, -. _.. Name: ---, � e. Type of construction: Address: f� / r i ' - te9_, W I , ) s�,. j �, �. Occupancy groups: City/State/ZIP: Li d �L C —7 7 3E Existing: Phone: 1, Ci» ;755?) Fax: (�� 5) 2 6 / • 7 L I S New: sirt-' � +me..•;'- �;'�""� €:��?d_ ..�� { �,;;^ .; � "•'i': c� '-'t"`• { , . ; r;��t z . `.(�= - ,�rb�ri�. i5r�' � , K -.. .....,ii'. ,. c it i ,-( N4 gars -0 -'0,4b zme- ,:,,..... , win, :r I� rAPPLICAN T ".. „ e � , ,, rt ,CONTvACTF< ,,° ,. : . , 40t ,. .; x t ,,.. "r - ' . �. .rr._, „ m.: ti; tr,.ss .. fr �t...s . �, � t ; t �N , � .$. : N OiTICr. t a," y " Algi :Att,. , ��, a`, t. �+ �a�: �� A°.' .aa: k. s, :. �^ er< v, x ° s ���� �iC j� M�`��'�:�, °r Business name: 5��e A ll contractors subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being !formed. If the City /State /ZIP: applicant is exempt from licensi , t e following reasons apply: Phone: ( ) Fax: : ( ) V ` E -mail: ry., „ „ �.� .$ ,^ .; N, ;wu,::sc;�a;J ,r.,;,ov, .z- ur=w7 ,, I < . ,.. r k t e rltI g gre�\.,' 4 `' 1 1 CNTRACTO , F a `' w ;` ' ' ' � x Few _•�,�� ,Lx�3E -.�, �s ... � �..- ..�.;�� "X�� �_ ��^ �` 14���' M�S,�.,���>m�.c,.a'?�°i�s�'�,'' � _ Business name: 5AI✓j l �D MOVE < ` - , r..�. ai 'S',?a "tau .�"-�.;" o;o%.� •. RFu r BTJIL katf-ERIVIIT"F•EES* t �,,,, , t +jam' : Address: .,:r , ,..e: s-�r.; • ,nh.: r,,,,r: 4� 1 r' ..: ; Please refer to fee schedule. City /State /ZIP: Fees due upon application Phone: ( ) Fax: ( ) Amount received CCB lic.: , 27 , Date received: Authorized signature: 1' 17//. f �� - This permit application expires if a permit is not obtained r 0 within 180 days after it has been accepted as complete. Print name: r J T2 ✓ I Date: fri rill * Fee methodology set by Tri- County Building Industry Service Board. i \Building \Permits \BUP- PermitApp.doc 12/03 440-461 3T( I I /02 /COM /WEB) r,ir rVED Plumbing Permit Appl'icatio'n ----- FOR OFFICE USE ONLY City of Tigard 1p0� D E iew PermNo 1312 Hall Bd., Tigard, OR 97223 l - Phone: 503.639.4171 Fax: 503.598.1960 y /.»n�dl �� Date/By: Other PernutNo.: 24- Hour Inspection Line: 503.639.4175 CITY OF TI(aP ° M' + ` Y Internet: www.ci.tigard.or.us BUILDING D'�r _ I! luris: NatifiecVMethod: S Date Ready /By: S See Page 2 for upplemental Information .R -,,, .. i' .- - -n fi r. , w- ne.�., <. 3a:3 >,;. �* ^s% it 1 ..:• .:M J?ew ,;: .e ms.. _- ..1 %Ki t; r."" - V •'e.4 �i�siTt` `° rt. -� E . " -'- n. i., , t a :- '�.': t a t , .: -. ` t �k' ; q ' ' : ;' is .*,?i °`. ' sea�4 , s•!�* * �nss '� `�` r zS „ra a �- r; r' v,' +.a , A,,, = c �„'.. &f - TYPE= OF1 . r " ta` ,' a A. x, REE SCHEDULE . _. ( u ,xe�., � =k�s��;��£� r��r:��*��.w���r�`- .��:sv,.�.r�� �s; ,'�, �:._ �,`':; - � °�.w >�'��.ar��r,�:,- Sri., , r, ,. +, j, d t�� �.�m�� '� � 4'.hi RY4 }�,.. _,�,._., x ..3 � _ �'4- -r'aP. , :i „ T�New construction ❑ Demolition For special information use checklist. i ` Description Qty. Ea. Total ❑ Addition /alteration /replacement ❑ Other: New 1-2-family dwellings (includes 100 ft. for each utility connection) *s' %s`�4<" c �4v��: c° s ;�� ? 7=;- ..:;�,�';rvss.. «f >..�' ",' e� ',ti rs�'� *ra- �tf »� �v-• v�t^�,S�:i "8 "�r"r' " `' ' E + ,40 +it { CAT + +1 OF�'C O "' t ""• �J ;' SFR ( 1 ) bath 249.20 ;G:'a';5+,.._. ,. .. . �.. ,'t i..., act4.,•r ra;*_ /,c:r_,...YS 4d.v.«i,et r,/ ;F a. '45 44 .'ala,t :: ,,t .._, . ❑ 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath J 399 3 / / - ❑Master builder Each additional bath /kitchen 45.00 . ❑ Other: :* ... ;;,t,_ - -:r_ rU r:. « : »;.<,s ;. cam ,.. Fire sprinkler ( , sq. ft.) Page 2 NW' JOB ?SI E D LOffigil N�� s Site utilities Job site address: i '�' C �� k� ' P>,rr3 ,( � I Catch basin or area drain 16.60 City /State/ZIP: ° Vv / Drywell, leach line, or trench drain 16.60 Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: Project name: g Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 W-C �� Lot no.: Storm sewer (no. linear ft.: ) Page 2 Subdivision: V\ ` .: Water service (no. linear ft.: ) Page 2 Tax map /parcel no.: Fixture or item °a - , ""' << , _,.�rew.> r:3a u.. mrx tN. _ ° r Absorption valve 16.60 ,,; R . Vin; n.. :_ if DESCRIP,,TION 30F.,, WORK ;;. ,' VOW . ` 1� - , J A% la. :4 = - � ' .4v.4, �.av*wv,, g55 :. i0:4 irn t ,wp). �� ..�a a 1frn�st,.. -1�s a Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 a t•, . °; > c.�r „ ,� ,• fIX, r - ° p� ' t � ` ® T , °. ENANT � s:*.,, *• .. _ Drinking fountain 16.60 0 ROPURTY 'O )2 t `" � ,== ;v0. Ejectors /sump 16.60 Name: k ' Expansion tank 1 16.60 Address: .11 •. (34100:25,) 5 -' I CO Fixture /sewer cap 16.60 City /State /ZIP: / L ', Of---. 6-/-z Floor drain/floor sink/hub 16.60 Garbage disposal 16.60 Phone: 7 ,ma s� / g p �) � - 7 �� Fax: t �.1. :� / l �/� %' : . r "` A' a'-: . ` {° i t `"g. r ss z ff 7,,m W74a9 :, Hose b e 16 a v �, �,w ^ eta �:,: it�AP ,� aq s h + ` g3 . , U. 00 d44.1 _ r. I § . A u I SR 4, vea 4 Ice maker .60 Business name: Interceptor /grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City /State /ZIP: Roof drain (commercial) 16.60 Phone: ( ) Fax: : ( ) Sink/basin /lavatory 16.60 Tub /shower /shower pan 16.60 E -mail: z, a �' w =��- ,. a= Urinal 16.60 ` " -,,"� lkaj �CONTR 'z, {', '. ' M L, - :i .^* :`, .v lg,k+i ss &%, -r <,miri .:� irm heat; `41 ; � ' .a- ... Water closet 16.60 Business namaV t / � Y �Cr ? 1 iLt Water heater 16.60 Address: Q r Vil L ✓\ Other: City /State /ZIP:.G. -) ,. �l,e/ ' d / Subtotal `-+IY� •CA- [X/l� L Minimum permit fee: $72.50 Phone: (j;).5) I 3 . Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lie.: I 0q) .- 7 ♦ ^lambing Lie. no.: 7� 1 .3Z12 � Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signature' TOTAL PERMIT FEE Print name: � �c.�) � � � I i Y . Date: This permit application expires if a permit is not obtained within 1 180 days after it has been accepted as complete. *Fee methodology set by Tri- Courrty Building Industry Service Board. i• \Building \ Permits \PLM- PermitApp.doc 12/03 440- 4616T(10 /02 /COM/WEB) Electrical Permit Application FOR OFFICE USE ONLY City of Tigard © E iew ���� V PennitNo.: nq- 9.0 - bu . 13125 SW Hall Blvd, Tigard, OR 972 !T �1 I Phone: 503.639.4171 Fax: 503.598.1960 A w th i' ll ' +r� Date/By: Other Permit: Inspection Line: 503.639.4175 t ti L 1 700 - n`' I Date Ready /By: luris: El See Page 2 for Internet: www.ci.tigard.or.us 4 C' t.. Notifiedfviethod: Supplemental Information -,- . �-. a 2 n �.:,ae'. ^ ...,., ., .. _. �, .^ _ ... _ .. rr.: � - s�,v.�• <c:�zr r x Y +.r. rs -3s,n: a �_• - _ - `_'� -. ,tr' � �"�;,," w '� i"a r�.i'E�.;t; >:, �.:��t , ,;;�; .�, �;`. : <�i� �'.� ..�.. rvt .��. - - .�=.� "m� =:y °Mi 4_.. ;.�„•x;.'r ;a .: _ ?'`4'.- ..r : +k: ',m^i ^•3 a .,: • : R -: °, ,+I I�Eh. ©Fr:. , + r f x �, •..P a,V,.,. ` S' ,n�. yi • e,.+n ,w1 '�: �' ...,__ `r'�' �O#. Q(` �' 1-_* �'[ ��t�r���F;'i�,�T;�'`�' "=,w�:`�a r��'o .a;" ��"' "'' `' 1 ' ."" — Plea check all that apply: New construction 111 Addition /alteration /replace pP y ❑ Demolition ❑Other: ['Service over 225 amps, comm'l ❑Hazardous location ik���, ,„ #„ _ y „ , . t y a , ; � z , , w ,� ['Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft., "tr: � .�� Sk,,R�t`�,k � v J 'Uk:' i£C.SG'tfWN�" 8 4ry „ry JI LM.R�*htu.: MG' .S.”: �'S:t i .�•• . xi ,. Q 4 Xr '` , `ioi Z : , TYR ';, C ATEG O fiVPiWCONS TR UCTION ` r ;� '` t of 1- and 2- family dwellings 4 or more new residential ,,srn:"....a ,,,o4 :A.- 0,.y. ' 4..4 s ari ak;c+ -vi, ass �! 8"'.`7'/?i is lacy ` 4 ,r _. -..r, , ❑ I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure ❑Building over three stories ['Feeders, 400 amps or more ❑ Multi -famil y ❑M aster builder ❑ Other: 4 ti , „ c , ;, x , f � y s . n ,. ❑Occupant load over 99 persons ['Manufactured structures or '', 7 ; . 'xri . ,, s ' , - „ JOB •SITE INF I OR AjPIONsr' RIFT WiffeiN, ,, ' ❑ E /lighting RV park planT: 9 4 �Lre.. '� Job no.: dA Job site address: I 9 0l/ ; 0 EHealth-care facility ❑Other: .. — I Submit 2 sets of plans with any of the above. City /State /ZIP: `fl ■ ' , 1 / r)( The above are not applicable to temporary construction service. Suite /bldg. /apt. no.: Project name: A V , :, ,., _.. � FEE*. RWI IiP,', ` '; ” tt Description Qty. Fee. Total Cross street /directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. _ 1,000 sq. ft. or less / 145.15 1 1 6 ' . : 1 ; ' 4 Subdivision: \ Awoa Lot no.: Ea. add'1 500 sq. ft. or portion 3 33.40 /00 ,ZU 1 Tax map /parcel no.: Limited energy, residential 75.00 2 J;jec, ye „, _ ,,; _ t Limited energy, non - residential 75.00 2 . tr '�k.w. a as 412 ;3 gfiu.,,_ wt.. 4 ,:il'`a'.; DESCRIPT „ I®N OFq�'WORIC + ”` r '.. �.. . _ � � � � . -. -.,mss � .. ; . � ��r.� . '������� Each manufactured or modular dwelling, service and /or feeder 90.90 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 N *,.. r ® TEANTt�r` f` P P ,. r t PR®PER <TY OWNER ; r r t , amps to 400 amps 106.85 2 Name: \ o on ' \ v v . ,5 401 amps to 600 amps 160.60 2 L +� ° �t� X✓ V i " 601 amps to 1,000 amps 240.60 2 . i. tcuk/ l /'�1� Over 1,000 amps or volts 454.65 2 Address: — 19 �a � JC� ,, l 1 ix Te only services 66.85 2 City /State /ZIP: v � � � �� Temporary services or feeders installation, alteration, and /or Phone: ) - ' --- 'i Fax: 3) 7 - '7&-iS relocation 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel 4 ",A.r. TM.k anssa�.�:- '���.,a:. 4vrx �' - .. a. t xetc:Fwa a, r �w�sur: , , ;n:cxsw�[,: ” ° ®' i I RI S` ANT 3,. ,. ,� > ;r n 1 Ri° ®" ., M .,� . A. Fee for branch " :�'� � - 'v, CON QA s circuits with �;. �;. sK �; a HUx �t ..w w- •.r� ,n. :v� .�.�.� r „�*,:��i.�� , ,... „<. �b��?u .�,. CT . PERS.ON 8r��_*r,W�?e service or feeder fee, each 6.65 2 Business name: branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, Address: each branch circuit 46.85 2 Each add'1 branch circuit 6.65 2 City /State /ZIP: Miscellaneous (service or feeder not included) Phone: ( ) Fax: : ( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - ' rm°'?i��-s a�r!';��Y?« G"„f:`� ;•,�Na.� `.'.�;.,� x � �'�r"�- ",.�,•.�- s.,�. T" ur`++4?'��'$'''^.`PSR^S fry.: *,w- u'sl�afkr'�"4'4i =�. �.� � _ ...;.s•..,t �„fra 3 as'' MS ONt .W ialt.�. ++���,i $$}}�� , � energy PaneI, alteration, or M ” Ju .ak, .' �`�rt',�. b`,".NPwk.;.,wa�e. �a.f`u %��,�k L.k.i(� Business name: C/ti �. extension. Describe: Page 2 2 ( Address: Ot 7 sV v ut �h�� /} Q� „ s.) , . r _0 Each additional inspection over allowable in any of the above ��W V Per inspection 62.50 City /State /ZIP: 71 (-afd, Ce- t/ '7 3 Investigation per hour (I hr min) 62.50 Phone: f' qz. K r! t' " Fax ( ) J Industrial plant per hour 73.75 t MEMI IEA_L PE IMIRIRO .ITS +FEES* ' ' 4'a; ^=° >ii CCB Lic.. `/ ` C� y � Electrical Lic. Suprv. Lie.: 3 d5 Subtotal Z qi - , z Suprv. Electrician signature, required: / Pl review (25% of permit fee) A State surcharge (8% of permit fee) Print name: ,,(, r „ n I Date: ' TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: * Fee methodology set by Tri- County Building industry Service Board ** Number of inspections per permit allowed. i.\ Building \Permits \ELC- PermitApp.doc 12/03 440- 4615T(IO/02/COM /WEB Mechanical Permit Application FOR OFFICE USE ONLY r d Receive City f Tigard Date /By: Permit No.: 1312 SW Hall Blvd., Tigard, OR 97223 ����� Plan Review ��oo� • p � I Phone: 503.639.4171 Fax: 503.598.1960 "VA l\ Date/By: Other Permit. Inspection Line: 503.639.4175 EE i �; i U4 hP Y Internet: www.ci.ti ard.or.us I_ 1 . Date . e d : Rids: Rids: See Page 2 for I g Notified//Met Ready/By: Supplemental Information r.ITY OF TIGARD ±}:c : "' °`:'''ti"t;s, `.,'- - - �;,4:ar'�_''`" ":j:" :7?;- �. �- t+. rH>,: ;.mx�'a,.�.'ev�� »�f�.sr.e*:f�.- -. li � l bn ,: >• -.s�` s3,�r�::�w:r ter -_ P `i �' 4'�TlW ` u- ''•S 'r,,�°'�`a' y c b ' i- �sar�.r.+zk " :� >ra... *;r.�,.:g;#y. �.w;ac +,.5. ^-c am 9 d 4r- a;. , ^' t t0 W ORK . ; t COMMERG '' * : " i (, - ^ a i IAL, FEE.. 'SCHEDULE. USE @HEC 7, : - s'��'$�.��s =n * x. �'; �- w r� �� � �' Sk u�..>i _� tt .Lxsmuu�.aa+rne.a av::�E a �oGr��mv- ;uznrr .t!.� ,_.r. -:,n� �n- �..,k= ,- v ,, ,,,.--6 , „ , ,2_„,,,o-, , .-1 , -• , _ N ew construction El Addition/alteration /replacement Mechanical permit fees* are based on the value of the work TTTT `" `��� performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. .., ' '` :i �s'i:'av; s',.Y s t• � „'�'�S'x-�r 'a r vmk• .:,uar: y n.mty -t ,.,- ,.at3,. ' .- 'r: ';.0 =� t'F:.:'. ' »v .:;SS Value: $ s st "< r :G:4ig afe OPISTRUCTION -x r �: ''" ` .. t : � „ta ->:te :, +.: ? "'SM`,- - a § x.-.,...,,,�„<:� ,,, „,,,,,.....A, :A,,,�m..n,.b,.,�. -m a. c e : * , !! arry -AP •k,',?we /ow/tnt . .7... ;- s- c,.A /Fcss•ao.:1u,,c,gc e fl i f� RESIDEN 444;.EQ IPMENIr + Yrt014,0.0°000 PAW U __ ar %SYSTEMS *. - ; El 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building � :x• " °"�'� ~�� °'' " =�= " "� ,__� For special information use checklist. ❑ Multi family ❑ Master builder ❑ Other: Description Qty. Ea. I Total g >, - - , -z � � �'saa r9a;. ,.• ^ae <:, :� s >mm�.n.�sxu� .; �.x,�e�a�su,a � + - q . ,� :4. t� °rut• -:, „71,, r.L: l,,",e` i 4x., ., v r Y •j `}= s ; r k i".,mr'�?t?:•,,.� "` t �tyL"I'•,, "'� ; JOB SITE"INFORMATIONI #, AND: L O Y CATIONH ., g/ poling ..... .. ..'�&+i. ,.�:%su»��� =a ;ss;S�. -srca _.- . �GU a�"lta,e�., - y S Heating/cooling Job sitc address: l� �� ��� f ( Air conditioning or heat pump 14.00 � tJ (requires site plan showing placement) City /State /ZIP: IV( OE Furnace 100,000 BTU (ducts /vents) 14.00 Furnace 100,000+ BTU (ducts /vents) / 17.90 / 7i9/) Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work /' 14.00 ) `, Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: �� Lo[ no Flue /vent for any of above ./, 10.00 /0 1 r Other: 10.00 Tax map /parcel no.: Other fuel appliances ` :, o ,arr ' •_-"` gti v, ;, -. *,,.,. , iZj :::-. ° `s' t " e Water heater / 1 IC . - , V t;t ,DESCRIPTIOIY•OF�W . ®RI{� � i,., 0.00 I .,� :�.':r1i: � � :r�, ^.� xa:,:ae «rte ,;����;,.�,s�,�u �� ��� � Gas fireplace / 10.00 / e) • Flue vent for water heater or gas fireplace Z 10.00 Zr) Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 '`' "'' , i ,,, - yu: »im-t t. .- x ,, s ,, ,. _ . «„ s .. ;: ,;� a : , >; C himne /liner /flue /vent r .,x " aP , ROPER Ta Y ®WN fi0 , T EN /ANT : = k s Y 10.00 ,. , :., . , ,^tim : ,•.. t t r ..S p .,,.. , ernA -_. Other: 10.00 Name: \ �/� -7!2 • ' II / Environmental exhaust and ventilation Address: V tJ / ^ J t ' I /� equipment / 10.00 / Range hood /other kitchen ID ll Xl�� U City /State /ZIP: .2 t q - )o s Clothes dryer exhaust / 10.00 / d Phone: Fax: Single -duct exhaust (bathrooms, 0 r - � ( � ` ' --7 ( V toilet compartments, utility rooms) 4 3 6.80 27 ZU Kog` R , � I r zaps ° - x• .. t :.sm,rM , t 1 .F w. 3 : � �APPI,ICANaT J 0 • ' , , C A AM S L C P RSON t . .a- .,�'s`tn'� ? "';��u227.�., ;� ,� �. :s�,s�,���s zu.w, • .��f. mk s., 1�. L. �.,• z" vr4+ s, �as��mr ;�m.�.�ti:?z:.:e':.�a`�5' Attic /crawlspace fans 10.00 Business name: Other: 10.00 Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. / Gas heat pump City/State/ZIP: Wall /suspended /unit heater Phone: ( ) Fax: : ( ) Water heater / Fireplace y E -mail: Range �#'•� ':- :.; , .: L'- "� .tt� . ':n. ;, :, .•. .a^-. .+;r,7 �:;t. •- �..:� �= ,�,. -xz � a•rt ; : A "W -. ' * Vti d ` t, � .. : '.: , :Wie-I s d Barbecue Business name: Clothes dryer (gas) 3 C�Ca� r -� Other: �r Address: Lt MECHANICA P ERMIT EE rattle ', -', City /State /ZIP: V u L� 1 Y\ U ( v l - (1-70.475 Subtotal Phone: ( 5 '�_ _,. ,)_) Fax: ( ) Minimum permit fee ($72.50) Z c� Plan review (25% of permit fee) CCB lie.: Jj State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: >'I' /� Lfr This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: MIIIMIntf 1 1 Date: p mr� * Fee methodology set by Tri- County Building Industry Service Board is \ Bid lding \Permits \MEC- PermitAppdoe 12/07 440- 4617T(il /02 /COM/WEB) AL, AAAA.AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA:AA I _____ii..r. 4 -4 • li> A _ I- . STREET TREE CERTIFICATION -44 1 .._1 5- A 6/serE, (PLEASE PRIM) 0 w I) er / A gent 1 or 1 P 4 10.151e776 AWES (PERMIT 1101,1)E10 • ', . . •• I 4 1 I hereby ca( if) ilt;it• the ((Mowing loci( ion 1 -I A meets City of 'li County • -.4 lnd use and level( mr 10- i . A > s taiidards lo sti.cct t FCC illS(A111011. 0- a ( ADDRESS: ____q:: go As 'EA/ Rio .- I • -44 • , 1 Lai 51 suRDivisl(-)NI: D-h9R-AktioDo • [ iy:. _ 411/76.----7------------ DATE: ?-19-0V. [ • -44 R1;.CElVED B ': I) ATF.: - 4 - - . AFINT*TTYTTTYTYTTY.- I' , TY *TT TYYT Virrifl if YTTYYTTYTTYTTYTT1 ' VOlU6i 4VU4 14 :a/ 1`AA 5 CITY OF TIGARD (?1001 CITY OF TIGARD Credit No.: 2003 -00001 Date Issued: _ 3/28/03 Engineering °. 'n��G } t Authorization ...4 a;' 1 J - Date: 3/28/03 TRAFFIC IMPACT FEE CREDIT VOUCHER Land Use C asefile No.: SUB 2000 -00006 In accordance with Ordinance 379 (Washington County Traffic Impact Fee Ordinance) Don Morissette Homes, Inc. (name of is entitled to $ 168151.00 in raffic Impact Fee Credits that can be applied to TIF charges for development on lot(s) orn of the Th ad Subdivision Development. The use of TIF credits are subject to the rule and limitations of the TIF Ordinance which are listed on the back of this voucher. WARNING: This voucher must be presented at the time of issuance of the building permit, or if deferral was granted, issuance of an Occupancy Pe i it. ��P — Zgloz.7. , ,�, - A L P. -►s Date Permit Numbers Lot Numbers Credit Used Balance Beginning Balance $ 168,151.00 lk r n1(1 2 bo3 000 t /S _ ? rd 3 /6.5 /./-g - c3 {n,5? .1003 • o cto ;- Sa ri,a fi _ /4,3 37t' o .5 _ M5"r+ A3 --O0 433 /0 a 345 ,./0 057- -OnKo 4L390 19. .20/ .05 5 / 0-e i lae os: Ib .. ,.s 2G�.ez in, 36 rra /0 5/v? /'/Kr,42i3_ oaigo ' . (,*3 ,s / "31.& $e) 2;f to _ a -� e71 S /% / /a3 ran a_ a -� _ l�!'Cr9 �.�r ° IA fr - Si .......3... S. a 3 j 0 = 0 4<<l i .Z5'1 ' _ m‘r"so -Co (0 A4 0 . — - 141 , /- ir Balance carried forward to TIF Credit No. ;��:. • Ordinance 379 provides for an expiration 10 years from authorization. loginlviolalpr9.1 CITY OFTIGARD 24 -Hour BUILDING Inspection Line: (503) 63' 4175 lb 6.� INSPECTION DIVISION Business Line: (503) 6 -4171 MST /� " BUP Received Date Requested �` AM .. PM BUP Location - : &_ii: ■' /i ;1 - Suite MEC Contact Person C�� ' • Ph ( ) °2d ` C/137 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: • SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear USA E7 c SL ay.) ►`l�4 L Drywall Nailing Drywall N Firewall /Su L Fire Sprinkler st} -'r/ C Fire Alarm Susp'd Ceiling Roof Other: PART SIL BING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains M � /' '4 � Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers �" J PART FAIL CTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 111 Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk D _ ` / ® Inspect . _ `�� Ext Other: Final DO NOT REMOVE this inspection reco. from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST -zoo LI - .Do INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested AM PM BUP Location • �� ,• '�4 A _ _ i'��� Suite MEC Contact Person Ph ( ) �� � 1 _ ' f ■3 7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall _ Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam _ Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Ot er: aft oig PART FAIL HANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA 7/ I Approach/Sidewalk Date � Inspector b� Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD , 24 -Hour / 'S :BUILDING Inspection Line: (503) 639 -4175 MST 630 - d dl INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received _ Date Re nested ` —' " 7 AM PM BUP Location i 2 ' Q p a.,-vi. AI Suite MEC Contact Person r _■24Pj Ph ) `7 - 4 ( 37 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: 1 \ SIT 6 ?{ Post & Beam g Shear Anchors if t 0( i) Ext Sheath/Shear — i Int Sheath/Shear �_ • ": 0 °H1 G Framing Insulation I V - 7 Drywall Nailing �'+ i , ' ' '� A i Firewall I. { 1: Fire Sprinkler ��L"' t �' i Fire Alarm * . I 0 Q .- Susp'd Ceiling ---....1,---) /� � Roof 1 v v Other: Final ) . t\ V W Y T ( ) -- l` �� - 1 PASS RT FAIL U B - Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other final _ PASS ECH PART 'FAIL �� � , I A / + \"&il , V�VN MECHANICAL VV � � \-\- ) i -4\11(V .. Post & Beam Rough -In Gas Line Smoke Dampers Final PASS RT FAIL RIG L Rough -In UG/Slab Low Voltage 4/ — Alarm Finals} E Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL SITE El Please call for reinspection RE: ❑ Unable to inspect – no access Fire Supply Line ADA Approach /Sidewalk Date Q Inspecto • - �..d___ ■ Ext Other: Final DO NOT REMOVE this inspection record from the Jo site. PASS PART FAIL