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HomeMy WebLinkAboutPermit ka Ali, CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00408 �i� DEVELOPMENT SERVICES DATE ISSUED: 1/26/2005 , 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 SITE ADDRESS: 15067 SW GREENFIELD DR PARCEL: 2S109DA - SR045 SUBDIVISION: SUMMIT RIDGE ZONING: R -7 BLOCK: LOT: 045 JURISDICTION: TIG REMARKS: New SF. BUILDING REISSUE: DM714 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 26 FIRST: 1,060 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,320 sf GARAGE: 440 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 5 VALUE: 232 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2,380 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: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL /CMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: 0 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: 8 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: 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 AREAISPC 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: $ 8,074.06 DON MORRISSETTE COMMUNITIES DON MORISSETTE HOMES INC This permit is subject to the regulations contained C o in the WOOD ST # 100 4230 GALEWOOD ST, STE 100 Tigard al Mu Code, State of All w Specialty wil b o ne i n 4230 GALE LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 and all ra cer applicable ed laws. Al. This permit done in accordance with approved plans. This permi t will expire 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: 503 387 - 7538 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those Reg 8: LIC 35533 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 Electrical Service Low Voltage Storm drain Insp Mechanical Final Sewer Inspection Underfloor insulation Electrical Rough In Gas Line Insp Water Line Insp Plumb Final Footing Insp Crawl Drain /Backwater Framing Insp Gas Fireplace Water Service Insp Building Final Foundation Insp PLM /Underfloor Shear Wall Insp Insulation Insp Appr /Sdwlk Insp Post/Beam Structural Plumb Top Out Exterior Sheathing Insr Rain drain Insp Electrical Final Issued By : _y��� Lvvci Permittee Signature Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day • ; - i Building rm" .. • FOR OFFICE USE ONLY City ® DateB e yr a ®y � - P em'it No.: � ssao�y ' /a t • y Of r g a rd f • -; 13'125 S \ 'all Blvd., Tigard, OR 97223 Plan Rev . ,u3.. QQ' - �� ��O 2 / / + ` Other ermit•. �J ��y� ' .1::.13 6394171 Fax: 503 . 59 C7�u 2 7 2004 M� ' Ail DateBy: Oth P �•)dd 66z, n pection Line: 503.639.4175 Date Ready /By: luris: H See Attached Checklist for I rienieti www.ci.tigard.or.us CITY OF TIGARD Notified/Method: S�i Supplemental Information f BUiLDING DIVISION T' /G ..._ K M.. Cffr,- _,.a. �.. ., � , ... �+i.x 3• - .-. ... _ x.. ,.. ,.,.-ni++•s .t- ,�....: =_.r.:,::,,.:L.,c 4•�c� _ e, '`t.. . -...,. _..,,v,+ .r__. :: .. .1. .h _,___ ., .: .n ,.7 .•:,x - e., r•7 "�: =t . TYP.E OE WORK ..._ . - ..i:. _,:" <...;.,, � ^ >,e• - � _ ,,...� ,,.. .�_ , .,. ,- .. , ,r,., z�..... �. ,. = t'r'�`;���' 'RE4�.UII2EDP'DATA'.-1= 'AND'�2= FAMILY.. "D, - EIIIN' ' t- ....z�?..,..s,;,<t. �.�, ,,.. +..r;:,•. r. - ..• ,.s• .,�..- rw,. ,� :�'��.2,. Q,_ G:, .._ :' ���,�� .._._..,,,. t.,.. .,.!.,. .c_,. rs:,.. ,,.. = ':r'r': __.... r_.�.,.,. �.,.., ;,.< : i�...kr�,.,.:, ._, -: �t} G. � ?i`tx:;,u::n ...;a4 �.. x,:.rtr,x ; . New construction ❑ Demolition Permit fees* are based on the value of the work performed. VVVVVV Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alteration/replacement ❑Other: equipment, materials, labor, overhead, and the profit for the is r. s>�� r: - work indicated �i<� o k m ate this application. > :r.' .'r= dont lsa h c r 4 :,` r iCATE GO RY : O ^,CMN STR UC TICrt iI .:: - �. '- ? .. _i >'i � .iii " d -.= 4 ;,.,_:. :'. . �',�::: . - ., _.. .z ,:._ .... ., _ �41:���(:' -. .. ' ?:.�`'::' °r'i: i .n, v,u N .,.'�•1 ... .... .. :. .. . ... )-1- and 2- family dwelling ❑ Commercial /industrial *' Valuation: $ / ❑ Accessory building III Multi-family Number of bedrooms: 471' ❑ Master builder El Other: Number of bathrooms: • f/� j;l "� � - 'r - yi Mir .rYk�'��x - 1� .;.rl ='N': - =+ :' ' G:', ;° , 1 _{ ' Total number of floors: ,.. . k,t. r .„ ., _ �• - ``,;JOB cSITrE: ?INFORMATION.,.: , D;: +Lp:GATI'O t;�,,., {' ° „ 2. z: �„ � ai�,, n, X".::,> 4 Si,-, v' ir. c!', W: S. Ativ3.. ....t`,Y'�^ s .qxC•�.rt,,. -, "ar5 ....,�5!- `, Y., ,....„,r �'�z"� "!:.?..e,4,.:,. .. t._.. s <,_. .,,r., r=,...,�..... -..... Job site address: icJp(p7 1 p) 6 a D • " ve New dwelling area: 2 ^22® square feet City /State /ZIP: / A/ i Garage /carport area: square feet 1 Suite/bldg. /apt. no.: Project name: VVy� . 1 � ' ,�1. �;� Covered porch area: square feet Cross street/directions to job site: �+ Deck area: square feet Other structure area: square feet ; <s n "' ,.a; ras , _„ .,,,' s « c- "s r z >' =r, , ,.. k. s = ' +REQ JIREDiD`A:T kCOIVIMERCIAL,LISE CA'ECK ,, '. s,.-r.{na,�ra�+.�. r „;fn'z_ „ snc"a -,,,.. ,:,, a,rr.,sr,,:r,1;;ax:,,,,., „;,;.w .- ,.;:„ Subdivision: Lot no.: ice Permit fees* are based on the value of the work performed. Tax map /parcel no.: • Indicate the value (rounded to the nearest dollar) of all ;:..: . ,, ; ;u,,: , ,:, ; ;, ,. . ... u.,,.,.- overhead, ndth profit forthe equipment, materials, labor, and the , ,::� t,,.!,,.,.t ...c,w, v - .. k,-Wi: 1 k i r.`Rt`';'..}{i.tiez? - ti�i�'^-.` r”` v `:<;' i'<' :^'•',:,'"` ^ "k'r�,4 ° ?;:` `',lir', -ir i:'�k.... .::- t +',' d' ,= .,;a Un•: ? ^�`� ' ":3i';.;. ; ,.ui.�, i '3i., S', - :�*'i:;i ,:!i; DES ' :. i ; . Mrli,j,•W , work indicated on this application. :�a' x.7 :.`�,. ^�,:. _ • „: .::��� '.r . ,`o,:rr, rte ;, r .. a. .v ,., .r .... . . . ... .....ti' };. , . ,. : ,ry _i't.t: r.n.... ^57 ,,,. r_,. .._ . .� ..: _ _. "4; ,..ix:= Valuation: $ Existing building area: square feet New building area: square feet • •13- y` }�` <!s ar; v. i •„ : - -r -:4, . ?%t 'F .45'+ - - .':•, .,1,t1,4t�e- S', ; en k i.. ,d1 S.x '::1.� . iY ,, ' ` � � ^;;ki.' m"1r,. ! i:': "t ..'-4 1, `4 ' ''.`..��'s;, ” ;,.,,i , 'PROPERT.Y;OW,;'NER, � : Al , ;,; "', , „ :: i ' > :_:. = TENANT =� =r: ” +�i' ': Number of stories: e ,,, r.rx,�. S ,iir;� z. + ?;:�:�*'_'' .. "';; 1 _., x:•r,;: +c:.>f:� -3s ,. a*. m1:: 1,' s>: ya; 3•:; t :;:., i:~ u: i a' >'�1'S',a„r °.i >.r,,:`..: ,,,., r a,_ t ,S>: _ '` . Name: • +,� 1.,/4c aV l . comy,4,6iy es Type of construction: Address: " `Id.. ( ) c� L�.. IX Occupancy groups: City /State/ZIP: LEQ J ` , .P I q -20 3 5 Existing: Phone: ,,,„ /1 r� IJ� -• �2) Fax: eai5) .3 �'7 .7 /67 / s New: .k'. . . "t.;, - r:� }:' - .'SY.- - :�i{� : ,i4 "• ntp"_�T.,L,',.lt�.+ ':'!�+iF: knc.� ,,:f,�... - '_etY' d ?S . "t.;' av� < - ' ':Sd�i ';'L: ANTS: <" C N AGT FRS' � N�` 1.. ?' f: � a. },r'1 ., e , ,.,_4 . \ +, 1..... w .' ,..- S' \:ak'iTiS:i /er:. -37. .. _, kiAir�v i Yf. �. xr > .Sr, a� ,.:(�T: r,..t,, to ,..��,,�z ,� w „_, > "� ;�� � �:, y . : 1� ; . : > ., < . - —..,. ; �� y u, {- ''v ";c ������ All contractors and subcontractors are required : rsj � <.,?r ?: r%iii �' ie:�idi aL ra_ _t ,,. a:: „<,,t* ,e ,Q_.. ., /. ,.s ..., Business name: 5 PT1�1 i J 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 performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) Fax:: ( ) E -mail: ;; , :rte _:.,.. :.., . :., CONTRACTOR'' - z: ' a_,. Business name: 5 1,C PC P\1 *,f.. -.. ,, rs,t•: ; :Y:;:r ?:d:i; :�7:' N.,,,,,': ' `' -:BUILDI NG TERMIPTEES*i Add ress: rr � k ;t _ , :';'' _ .ti, . ,..;a�. . . - . .,,- , . - -. -,. . . .. .. -. : • Please refer to fee schedule. City /State /ZIP: Phone: ( ) Fax: ( ) Fees due upon application ' Amount received CCB lie.: 5�f / Date received: 7 Authorized signature: �' Sri This permit application expires if a permit is not obtained / i � k f.. ' Iggl / k f within 180 days after it has been accepted as complete. ' Print name: \ -.).. A I i' .I K) Date: /2/2C/0 / * Fee methodology set by Tri- County Building Industry Service Board. i'\ Building \Permits \BUP- PermitApp.doc 12/03 440- 4013T(I I /02 /COM /WEB) e4: „ Plumbing Permit Application FOR OFFICE USE ON .: . Cit of Ti and Received _ / y g Daten3y: Permit No.: / .--i r 1 13125 SW Hall Blvd., Tigard, OR 97223 C. Wo Plan Review Phone: 503.639.4171 Fax: 503.598.1960 / /074th 11 i ei\ Date/By: Other Permit No.: 24- Hour Inspection Line: 503.639.4175 , I Internet: www.ci.tigard.or.us W Notified/Method: od: Buis: S See Pent l Information . : . ;...._ „_.:' ,,.. ,.Ei: . . .. .,,', - .. : .. .ti•-v. 'tit, �,�,, ..�. ,T. . -, v3 r.,.�., ... .:..... ... .: .. :..' �':':i �::`t'�. _ � :l:v +_: 4 -• .� xx'CU..:,- - New construction ❑ Demolition For special information use checklist. N .< Description I Qty. Ea. Total ❑ Addition /alteration /replacement ❑ Other: • New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) r.;. ::i: : CA TE GORY: OF D "GQ . N.§, UC t .;E ; . `. - SFR 1 bath 249.20 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 Each additional bath /kitchen 45.00 El Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 r „ JOB ;S N O O ;ANDt +LO,CATTON ,z�ue. _, -. , .,.....:. r .,.. ,;aa Site utilities Job site address: Seib tD 7 Svc Gryervfie,L4 'D K Catch basin or area drain 16.60 City / State/ZIP: 1 0 l cr72.2.4 Drywell, leach line, or trench drain 16.60 Suite/bldg./apt. no.: Project name: • Footing drain (no. linear ft.: ) Page 2 �� ��L1���3e 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 Storm sewer (no. linear ft.: ) Page 2 Subdivision: ` Lot no.: 48 Water service (no. linear ft.: ) Page 2 Tax map /parcel no.: Fixture or item : , , ... :.+.u., a;,:,,, ::` . ,', .,',:„ .,, _:. Absorption valve 16.60 +'' . " ;'+ '- '?'+: :., :,4- - ..:"t1 - .ti. Via„ M1i^7Si'r'. =. e,. - - - �tili� µ:ii, ;: ,{�`n' ; ti,.,, .'.�t''i4 "z. -��a., 'a<._ -., .?+,r , -; :s ��a'>-'; c:'"`'���';t's,�': +'4:�:.,, - r i , r� '= t��� ;t?�;ie,,.,•t�.i..r,..+;,.1;.., ,.r.,,�,r: >.p�...S;.,,:.. ",., �1,t„ .11 llf gl'Al :1,!„ F•A PTIn,,AW, WORK,,., r„l- :.,,t ?, :..,, _.< .�_,.,�.:.���;'r':.� � _4- ��;..,..-.� __:,.:,, �3� �,::, H�, �< � x,. l���:+ �; �: � r,- :����t�,�a���:.,���= �.�;�,.�� Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 - .,,. - :, ,r „ � , ; ,.., . s r <, ,Y t , . • ° �.t. - -i:4 Drinking fountain 16.60 w a ° f.- ;; '' z7 `s SA ; sz ii , u.ti g t r.PRO ; , , t ;,, ''�t�,. � „ „ t� d .,y�,, _ ..v . .,.t�u fr� ,, Ejectors /sump 16.60 � OWP T ER. •, : llgi ; ;' tiPtZ. =7_11::`n =J z I aD z;e N:Teri.P ,t �i;: tc;,. ;s Yt.,, : <. {;� rsa.,:.,al ;. „._u.r_,..a_.�/.M,:.,.. -:: a� + +,.�. s.Y..,�:s�s:3.,,; 3n =.? "' "�'''���'� 1 a ,. '7 Name:' , i\ t1,t �",'J`84 ' Co m rvw rte' J Expansion tank 16.60 Address: i..-10 ( ' ,� t Fixture /sewer cap 16.60 City /State /ZIP: 60(e, .cp, �� � Floor drain /floor sink/hub 16.60 Phone: -�) :••q).7 `7 �-b Fax: ( )� ✓1 (a' S Garbage disposal 16.60 ;a'tt` ,,, e..,;�,.n, - ;� <7. =,;,, ,:�, , ::F ;�, -i; Hose bib 16.60 til 9 1j - ] _ ®:s' AEPLICANTr:. ,,.`;.,_ „stt. ., C ONY `' / T SO PERN - 'iy �. ::! + �L. x�;9�` i .t A A�C t �_.r?t. s��,ery -,e .9. nom. J �t....- .._- ,....,. ..x_..., -� i�r. w<..._. 3 ' ..,_.,.. <ieti:3 „ -. Ice maker 16.60 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: t.,. {, Urinal 16.60 s : ; ; GONTRAC ORit 't t'' „ ..,..r. .. .. ��;� Water closet 16.60 . - _ .. , W •t• ,��- 4d t E 3 1 i Business nam �/�6\ v � � y t: t 1' _. ,. Water heater 16.60 Ao Y-NS Address: 1/O Other: • City /State /ZIP:.G.21/44,�./. Subtotal ( Minimum permit fee: $72.50 Phone: ) ( j -- Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: O(d'`'7 ^lrimbing Lic. no.:.� •-•XT O Plan review (25% of permit fee) ' Authorized signature. --------- � r, State surcharge (8% of permit fee) - TOTAL PERMIT FEE Print name: 1� 1 r` V t ' Date: 1 212401 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 \Permits \PLM- PermitApp.doc 12/03 440.46 16T( I 0 /02 /COM /WEB) IA Electrical Permit Application FOR USE ONLY ._ • ' . City ¢ Tigard Received y g y , Permit Nofry,. 000 41af1 13125 SW Hall Blvd,, Tigard, OR 97223 Plan R /� �� 0 g Plan Review Phone: 503.639.4171 Fax: 503.598.1960 tioryl ' ml� Date/I3 y: Other Permit: � . Inspection Line: 503.639.4175 _`' I Date Ready /By: Juris: 0 See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information _.. ,.. ". _ ,.,- ,s. _._ ....... i: .... TYP. ..W RK,- ",Z.:,r..::�a -, -: ,:.: - °.„t:`� _ E" OF O s ".:- I?LAN'. � _�::� > ,rs: -:: - N ew construction ❑ Addition /alteration /replacement Please check all that apply: [1] Demolition ❑ Other: Service over 225 amps, comm'l ['Hazardous location :__, ":...:. •:-,.. ,_, over 320 amps - rating ❑ Buildng over 10,000 sq. ft., r .,, : .: , :; ervlce CATEGORY. OF.;- CONSTRUCTION;: ` %' > ;" <`i:i ,.. - .. - .... ... .... . .. .....t <,, ,,.. ... ,., of 1 - and 2 - family dwellings 4 or more new residential ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi - family 111 Master builder ❑Other: ['Building over three stories EFeeders, 400 amps or more ❑Occupant load over 99 persons ['Manufactured structures or JOB SITE , , INFORMATION AND LOCATION; y, ,! t „ . ` {�,�, ❑ Egress /lighting plan RV park Job no.: S .. Job site address: ! 5w �e L/� ❑Health care facility ❑Other: (� ` Submit 2 sets of plans with any of the above. City /State /ZIP: '� l /1. , ( , 0� The above are not applicable to temporary construction service. art,_; ,:�,;;t.li:.i:/�.iS;,' " 'i:;1 °!.' :k::`7;.'.1ts,� ^'`3e: _ _ C . :.1;� !, ;:r. _,_. -,f i: :.._, ,.,� s EE E. { ., S E'er ,.:.•.., s i'� : Suite /bldg. /apt. no.: Project name: C. Description Qty, I Fee, L Total ** = 5 r R 1 i �s. Cied 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 4 Subdivision: Lot no.: 4 5 Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map/parcel no.: Limited energy, residential 75.00 2 _ Limited energy, non - residential 75.00 2 re: "at ,s , D �r ESCRIPTIO ;?OF::WORIC =a .� :. ..,= � ° /:: ":- „t ... . ��.. _ ,,f .- .........:. , ,.,z, ,....... ,_ c;�:k... ,., Each : �''-• M , _..,_ x,�a.9... :._, "�i� „� 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 ,s”; - Am , o . `.,': ;:,�;;: • ;; � ':o-t, >I`r„id� �� .:;� =,,ti, -a 201 amps to 400 amps 106.85 2 <, `` ►./ 'R'OPRTI'xOW1N)"3R'IN ', :,t x ='; " 74 E ", ,: :9;. _l t : - - �,�..,.�;;'; 3s-, .:_,.,- .�- ,�,.,- x..,� ''''4.':—,, NAPT;I ,.�„ � "� = � Ir . a+ : ; w_r.E. •, .,.., U - . w,, t t.:r�; . 401 amps to 600 amps 160.60 2 Name: A ", 10 ' ,� Croy riu�,, 601 amps to 1,000 amps 240.60 2 Address: L p.. ( , - . ��l/ L� Over 1,000 amps or volts 454.65 2 t •� 1 Reconnect only 66.85 2 City /State /ZIP: L , e ` e , o, q`� i�'-1 7 Temporary services or feeders installation, alteration, and /or Phone: ) . / . ;) . - 2 - -7 4 ,i lpr j Fax:c )3) , )7 — " 7 f? 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 lr< Fee for branch 'r :-YS , •!=A•f � tn. ..:.n, circuits with i: '.��': ®i1PPIi1� T�: t w,.. tr "� ;�. CAN -s :;.� =J:= >; ::.�.. ,,.� r,� . : ❑�sGONTA ° CT ,.. �ER5UN: , �;�;` c: :'. ' .,_. , g ...._ .. ��., .. .,; �da7/ �a .,:;:,.: $.',.._...{:..t.. b,.�l, FfitN9.;,,,,.,�. ,.. <. • ._ „�aw:c:• -.; 9��i ".:�) ?j: Business name: service or feeder fee, each branch circuit 6.65 2 B. Fee for branch circuits Contact name: without service or feeder fee, Address: each branch circuit 46.85 2 Each add'I 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- : - ," Iii; `-` ener Panel, altera lion , or '.:CONTRACTOR. ?G:: , r. �1:: gY is ,�/ extension. Describe: Page 2 2 Business name: (' -, - 4 . "V Address: ( )9CJD SV v Ut1 Y �.w\ �4 i — Each additional inspection over allowable in any of the above ^ Per inspection 62.50 City /State /ZIP: -`�I C,,, / a t Lam- 41 { J investigation per hour (1 hr min) 62.50 Phone: ) ,f� ]( ' _. Fax: ( ) Industrial plant per hour 73,75 /v ` v ,4; i ;_' 'ELECTRICALi PERMI ,E * CCB Lie.: Suprv. n a<s "';.;6 -r.!,; b EES. �/ /y Electri Lic.: �/ Lic.: � '� Subtotal Suprv. Electrician signature, required: — � Plan review (25% of permit fee) Print name: C_,K\.),L 1( ' •_v Ae I Date: 1 Z z zi o y State surcharge (8% of permit fee) NC. L/d 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. is \ Building \ Permits \ELC- PermitApp.doc 12/03 440- 4615T(10 /02 /COM /WEB ,Mechanical Permit Application FOR OFFICE•USE ONL ' City of Tigard Received Date/By: Permit No. / }n 0i ...,‘,0 V 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review I' � Phone: 503.639.4171 Fax: 503.598.1960 /c600. , I ,r\ Date/By: Other Permit: Inspection Line: 503.639.4175 - ,' 1 111 'Internet: www.ci.tigard.or.us � ' --. Date Ready /By: Juris: See Page 2 for g Notified/Method: Supplemental Information ..... - -<.. i. ._ ..:.s . {�� Y.. �.1.<._1 :.,:. , .. .,p. �: 0.. F }..; •.r �'j'�::' •. _ - :�Y2kY"' _ t:: - 'r 1H. - - TY ,E OF.,W,ORK :._ , : , :�. - �' 9 . ..... -. i .. - to +: e ::' i' , , R - DIAL `•FEEd�.SCHEDUI;E',4;USE CIIEGKL3ST,a`,' Mechanical permit fees* are based on the value of the work New construction ❑ Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. : ;;,.�.. ,� . :... -: a "NZ. 1.;;�:.;;,;; , - Value: -�a� �.CATEGO OF�':CONSTRUCTIONI:: - ..,. ,,..�.. . � : .....:.:....., � �.,�.i,., . r . ,. _ . c , i . , ,.. • il k: x1 ;i ,i:r'.i ; :i ;: � '`' gel` ": 's'' 4; = SIDENTIALiEQUIPMENT -% ; =' l- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total ' JOB': SITE l �I•QCATIQN: .�,�', .,�F;$ :4; - � � ,_ _, ,;•r_ . . • _,,, _ - _ Hcating/coolinR Job site address: ��a S� y / Air conditioning or heat pump (p � VI ► K ii . Fe v/• (requires site plan showing placement) 14.00 City /State /ZIP: �C ( Cf.- Furnace 100,000 BTU (ducts /vents) 14.00 Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg./apt. no.: Project name: Syr i. 12;413c 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: Lot no.: Flue /vent for any of above 10.00 a ys Other: 10.00 Tax map /parcel no.: Other fuel appliances •`.i S, "P A3- x` _ i'k.: " Svv {8 :!, uutr';:: ;:,A'Y,,N'v'-;t ",,3 -.L,, ,ln .,h.. ti- :t.G:. :'ati - ;. ',qi 7 ' , � M.,: r: ,, , , ; '. Water heater 10.00 _ ;; �.,;�..:. DESCRLPTIO�, ;:- "OF.�l� � ,15 ,s:,�... ':; ,�� =;a: ;; ,,A. = ti: ..,.. N ,.LORI{; =� _ . � : , se. x ��,��: �,: ;�,_, ,.-., � .. . .... .. tc'�= z4,t ... s+�;T�.,, , _...,- ..a.,. �<r, „ ,4x`- .rdi.,` -_ .�. � ., -.;:� a <, :�.�.`?i.�':z;; °4ri,.,,�S fN.F. 3:a -v Gas fireplace 10.00 Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 .. „.:.-,-,,,, -,,:r Chimney/liner/flue/vent s ;_ < =r.a. ._ ,., 8 , , �T '3 Chimne /1' 10.00 ': e`s t >i =l TENIAN ,, ,f. 10.00 Name: ` ` 0v • Cu M� � " Environmental exhaust and ventilation Address:(, .! !' Range hood/other kitchen L ��66)✓✓✓ equipment Cl 10.00 City /State/ZIP: q ‘)Cl- ngh othes duct e dryer xh exhaausust t 10.00 � jj � 7, Si (bathrooms, Phone: �.% - & J Fax: (f ?,01 .- -7 (CI toilet compartments, utility rooms) 6.80 =�f,? s)1- '= ,:uss4„ -„ s r::�::: �::r;, ". r,- s <:css� < °, cn sraa: nrvr^ - i.. . :, Z Pl . c! `r : t t l e� { vs _ ;i t _ :r*.`Cr:�i:C =ilaj A ,1= ,1,: 'a' , t. `' Attic/crawlspace fans �::��� fit,.: ®`AEPL`<GANT' , ,i7�- ��t's,4 - 4 1W ,. ,,,.- =',, 10.00 ..k., ; ��. '.�'.r. ,, ,.� �`rx;;i�:'t ❑ �RS,ON;a:`�� <'fr °,s_.� P .._ .,, : . c.:.,,...,_,: L, ax' rn,•,;. .- ':;.,s� °...._'x.,a'h., .YS�,':' -,. ,73,�:v- .L .a.,.t ` ;:- •.,....�. �,_ a „ °.x..,,.a,..s,.,c r�cu ar- veim;fR -, .. �.'ae'., .., 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 E -mail: Fireplace Range O .TRACTOR ` t >.; Barbecue E Barb Business name: � �I/77+ ��( , Clothes dryer (gas) PO ��L/1:�` 6�.L� Other: Address: u//'�� 2-1 L G/ ' •04-,t , 1VIECHANICAL'PERIVIIT FEES* ' ' = `^ � 1 ^ ��/� /� / ) �, ,... a: e4. a„,.:,-, r. s .;a:._,_a .:...........m�- ..._,, >.�:rrr•:a. =:a. r,. = _.. „ City /State /ZIP: Y v' &9 T ` l ` t v I ( 4 7(.) Subtotal •,., Phone: ( ) 2 5 I Fax: ( ) Minimum permit fee ($72.50) ✓ ✓ 1 Plan review (25% of permit fee) CCB lie.: � ) �1 State surcharge (8% of permit fee) C TOTAL PERMIT FEE Authorized signature: + nia' i This permit application expires if a permit is not obtained within I80 days after it has been accepted as complete. Print name: 1 ; i Date: i 1Z ®y * Fee methodology set by Tri- County Building Industry Service Board is \Building \Permits \MEC- PermilApp.doc 12/03 440 -4617T (11 /02 /C0M /WEB) i A To2069-coyogy ...._ LAAAAAAAAAAAAAAAA 1 --r a r- . 1 STREET TREE CERTIFICATION -4 r- 44 ■- , 1 - - ()wiles / Agent for A 0 10,,r /5/ e (I'! ./.:AsE PRIM) (PERMIT liOLDER) 4 -4 44 , 41.1 1)0 Ilereky ell(' lilac. the futlowii location 1 1 niccts City Of Tigard/Washington (.7,)tinty io- 1 -4 4 land use and development s(Anchrds for slice( tree instalktion. p- -44 [ 1 . ADMZESS: ./ • i A i , LOT: L15 _ ____ uimivislosi:_._._kyvvu______. . I 1Y: Ar - DATE,: - dr . 0 1°.°11.F.. _ __-........■•■-• ' lkiKEIVI By I )AT[: • - .4 - Alr—VT*****—"iiTTY!"4",-***- .': ' Vii44-livii—"firifTTY*TYVVIITTYVYYTYYTTYITTYYTTIT*1 ' CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00408 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/26/2005 Phone: (503) 639 -4171 4 ru + +° Inspection Requests (24 Hrs.): (503) 639 -4175 .=_' ''�1, INSPECTION WORKSHEET FOR DATE: 4/',( 2006 TIME: 7:09AM PAGE: 9 SITE ADDRESS: 16067 SW GREENFIELD DR CLASS OF WORK: \I SUBDIVISION: SUMMIT RIDGE LOT #: 045 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF. OWNER: DON MORRISSETTE COMMUNITIES, PHONE #: 603-387-7638 CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503387 -7536 Inspection Request Scheduled For: Date: 4/6/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 003747 -02 503-209.4837 N Corrections/Comments/Instructions: '-t ==Po�� mil L7. z a AS S u S � (cp,---‘,‘Dc___6:7-- • • PASS © PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL C� L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: A Date: 2.7( o lone #: (503) 718 - s CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00408 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/26/2005 Jzoli Phone: (503) 63 9 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/5/2006 TIME: 7:09AM PAGE: 10 SITE ADDRESS: 15067 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 046 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF. OWNER: DON MORRISSETTE COMMUNITIES, PHONE #: 503 -387 -7538 CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503- 387 -7538 Inspection Request Scheduled For: Date: 4/6/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 003747 -01 603-209-4837 N Corrections /Comments /Instru tions: L /'L / -cS' S_ -Ssuuc (S) e on PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ A IL // CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 7S #: (503) 718- CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST2004-00408 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/26/2005 Phone: (503) 639 -4171 . r ii� Inspection Requests (24 Hrs.): (503) 639 -4175 ..,,._.� __... INSPECTION WORKSHEET FOR DATE: 4/4/2005 TIME: 7:11AM PAGE: 62 SITE ADDRESS: 15067 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 045 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF. OWNER: DON MORRISSETTE COMMUNITIES, PHONE #: 503- 387 -7538 CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503 -307 -7536 Inspection Request Scheduled For: Date: 4/4/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 003634 -01 5503 - 209.4837 N Corrections /Comments /Instructions: 0 /1/ "' 0) e- `1 L , /' ce,k_ j / I:C ‹F)if1 t 9 )113 Y.,f' 0 oillel i‘ IA 144 ,k iy 614 4, ettftk ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: .--1:-Ai-1--4 Date: 7 — yr - e hone #: (503) 718- CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 CT 7 ( I_ 00 Spa ff. INS. ECTION DIVISION Business Line: (503) 639 -4171 BUP Received ' Lis 7 Date Re uested � d c AM PM BUP Location i S . a., ( uite MEC Contact Person /`-'J'1- Ph ( ) 19 ' `s PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ) .. S' � ` I t,\I (I ELC Footing Foundation Ftg Drain ELC Access: p Lk � IN \., r ELR Crawl Drain l Slab Inspection Notes: , I l ' ,�,0 \\ \ S1 SIT Post & Beam ttt� 1 Shear Anchors '`4 �.A " f 1 \p �f�� A � Ext Sheath/Shear \ 1 V 1\ X� t`,I � J V tl �... Int Sheath/Shear Framing Insulation Drywall Nailing �y r l ( Firewall Fire Sprinkler c-P 13 c`.' � VA tz1 (AL Aria l, w i ° ` PLIA6)-J tAinik- 1, Fire Alarm G y. 0\ \ ��j �) .�/A 1 Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam / Under Slab .'S �i 1 1-: Lt 5 = � s * ' b � � 4 1 i/� ( � Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final L +(� ` 1 �:i ^�� 0 (, 5- _ f, b a p31 PA -S___PART FAIL E Pos Beam Rou h ` a 3D ampers Final W ART FAIL AL 'Serv - et ough -In Fire Alar Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line ADA ? . 1 Ct8 — D Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the ob site. PASS PART FAIL I ' CITY OF TIGARD BUILDING' DIVISION PERMIT #: MST2004-00408 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/26/2005 Phone: (503) 639 -4171 „ m mr uA jlp�i6'�I`i Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/1/2 TIME: 7:10AM PAGE: 61 SITE ADDRESS: 15067 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 045 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF. OWNER: DON MORRISSETTE COMMUNITIES, PHONE #: 503 - 387 -7638 CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503.387 - 7538 Inspection Request Scheduled For: Date: 4/1/2006 Pour Time: Code # Inspection Description p p Confirm # Contact # Message 399 Plumbing final 003513 -01 503 - 209-4837 N Corrections /Comments /Instructions: OC Lh PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (ID Date: ' y / 1 /06 - 7 Phone #: (503) 718- CITY OF TIGARC BUILDING DIVISION PERMIT #: MST2004 -00408 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/26/2006 Phone: (503) 639 -4171 , popypiplLlli i i Inspection Requests (24 Hrs.): (503) 639 -4175 _� INSPECTION WORKSHEET FOR DATE: 3/31/2006 TIME: 7 :05AM PAGE: 61 SITE ADDRESS: 15067 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 045 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF. OWNER: DON MORRISSETTE COMMUNITIES, PHONE #: 603-387-7538 CONTRACTOR: DON MORISSE I I E HOMES INC PHONE #: 503 -387 -7538 Inspection Request Scheduled For: Date: 3/31/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 003349-01 503 -200 -4837 N Corrections/Comments/Instructions: d c-°/ 13,' c� C --- -- -- --`.� .i -,-ov" '. ......z < . ...../ '4,M,,,, .. - ,- PASS APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL Vs-PARTIAL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date 3: 7 Phone #: (503) 718 - CITY OF TIGARD 24 -Hour BUILDING J Inspection Line: (503) 639 -4175 MST r,?OU - Oc ' INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested 1 AM PM BUP Location G d1 t '-L I_ -Z.-4 , Suite MEC Contact Person / Ph ( ) .57 1 4 5 - - PLM • Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC 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 Water Service Sanitary Sewer . Rain Drains Catch Basin / Manhole Storm Drain Shower Pan O j her: P' S PART FAIL CHANICA L 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 �i i ADA Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour !� U BUILDING Inspection Line: (503) 639 -4175 MST aDO v t iO INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested AM PM BUP Location ) 3 Ce 7 4)l #a .i Suite MEC Contact Person / Ph ( ) ,5 c (S °Z PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear // Int Sheath/Shear Co,� 11 -1 A- 86�2 L NliLG'r�'� �' 2 `� �✓a�cL L' Framing �� O � ,�1 Insulation Lo �a c 2 a - I I -0 u LC Ov P " ; To LIT. Drywall Nailing Firewall Fire Sprinkler Fire Alarm '/n� Susp'd Ceiling Pro ��-e. � 1 a irc.�`� ✓ � L( ,Sa -,.-�i � re L., -c/ 7� a-��a 1 e. Roof R i M . - o p �,� c. l r/ w. F LY+.1�d'zb :-�• Other: Final ) cf P-(oo✓ P) N,.. r." Ovvti' otQ_ �j �,�, ,,,� � Z/arC ✓� PASS PART FAIL PLUMBING _ A- l am P 1 u i�-� �1 -p o‘r �, ��t.�"�c ✓. ost & Beam nder Slab Rough -In Water Service Sanitary Sewer Rain Drains • Catch Basin / Manhole Storm Drain Shower Pan Other: Fi PAS PART FAIL . MECHANICAL 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 t 1,, � Approach /Sidewalk Date 2 / 7, 1 b - Inspector ( 11 ■ • Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL • CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) • !-,175 MST ��� - D �`" v BUP INSPECTION DIVISION Business Line: (5i < 6 4171 1 Received Date Requested ` - 3) AM PM BUP Location p( I =' -� ' i IPA _ Suite MEC Contact Person a///t / Ph ( )5» PLM Contractor Ph ( ) SWR . •B'OTLDIN_GG Tenant/Owner ELC Footing _ ELC Foundation Access: (I-1 Ftg Drain ELR wl Drai a 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: Roof / Fi �— P T FAIL MBINNG% Post e6 am Under Slab Rough -In Mavirio in Drain Catc Basin / Manhole rah� Shower Pan Other: Fina PART FAIL ANICAL 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 / t 6 D ` 1 Inspector Ext Approach/Sidewalk P Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD BUILDING DIVISION PERMIT #: S -0 M T2004 0408 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/26/2005 Phone: (503) 639 -4171 7lipti l ll Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/4/2005 TIME 7:11AM PAGE: 60 SITE ADDRESS: 15067 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 045 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF. OWNER: DON MORRISSE1 I E COMMUNITIES, PHONE #: 503 -387 -7538 CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503 - 387 -7538 Inspection Request Scheduled For: Date: 4/4/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 003634 -03 503 - 2094837 N Corrections /Comments /Instructions: u S A- O BSa •i1, / 'i- -, ,S 1 O6 -f '7 7L 6iCi C l S u L qj f' C1C 77 c • CC_i.5 1 C-, - - c___- F: i /9--L— • ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL 0 CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED Li, /I. /r �+ Inspector: 1 Date: Phone #: (503) 718- 1 CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST 2004 -00408 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/26/2005 Phone: (503) 639 -4171 �� f�I Inspection Requests (24 Hrs.): (503) 639 -4175 ,,_.:. INSPECTION WORKSHEET FOR DATE: 4/4/2005 TIME: 7:11AM PAGE: 61 SITE ADDRESS: 15067 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 045 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF. OWNER: DON MORRISSh.I I E COMMUNITIES, PHONE #: 503 -367 -7538 CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503 - 387 -7538 Inspection Request Scheduled For: Date: 4/4/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 003634 -02 503 - 209.4837 N Corrections /Comments/ Instructions: • 1'bGl_PASS U PARTIAL APPROVAL 111 CANCEL _ NO ACCESS V I I FAIL ' LLL OR INSPECTION ❑ ADDITIONAL FEES ASSESSED 7 4 ( 1 Inspector: I .∎ Date: '— r o ne #: (503) 718 - CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST c 66 q 66 (-- INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested AM PM BUP Location -4/ J ' / / / J Suite MEC Contact Person I r 'Y`i O Ph ( ) " _ 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 E s eath/Shear nt�_r = ami r= 2/2'nA ) 2 D rywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final -, AA PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain - Shower Pan Other: Final PASS PART FAIL MECHANICAL • Post& Beam • Gas Line Smoke Dampers Final APART 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 El Please call for reinspection RE: El Unable to inspect — no access Fire Supply Line / ADA Approach/Sidewalk Date Inspector - Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 - 4175 MSTc7 - 66 4 INSPECTION DIVISION Business Line: (503) 639 -4171 } f " "BUP Received / Date Re• uested c -D s AM PM BUP Location : 1 t• i ! d , I Suite MEC Contact Person a_�yL j � Ph ( ) ,57 -4 7 sa PLM Contractor _ Ph ( ) SWR BUILDING Tenant/Owner ELC Footing • Foundation ELC Access: C � T �v Ftg Drain ELR Crawl Drain Slab Inspection Notes: A jeu - ./ 7 4dY SIT Post & Beam (44 /10 Shear Anchors Q 11 ----- Ext Sheath/Shear Int Sheath/Shear J F W g-JCL4-1-. ( /„ - C-7-- -, Insulation ) `7 , I G * /c r 0 r S - (j Drywall Nailing `� r Firewall U _ ' _ Fire Sprinkler Fire Alarm \ • 5 - -1--z) 1 u Susp'd Ceiling / Roof ' - G-v L lY"' 1A...-10(-4 '5 `t-u Other: Final 4 PASS PART I a - 6 PLUMBING �. f . io l-� � ` ` " l-J Post & Beam 1 Under Slab ry ` � Ir Z�� V . i• v - � '. `- Water Service '5 Cl� �. 011.,-,7 S '� ,A Sanitary Sewer " j� , 4 51-k-6/4 J'�� _ 'j Rain Drains '�' r ',�' ^ ` , �~ / Catch Basin / Manhole ,- - , 4--1.--ft - ,, -Pie e Storm Drain �� � t ?- � 7 Shower Pan 7 -, 1 (, y1,-e-v }� o-S Other: I G/ I / Final U9.- G.C/� - o PASS PART C} MECHANICAL q ) -- e ->t -/ - V ' Post & Beam Gas ine %6 ) - 14.__O / ' '� '✓'v'� t C lc 6 Smoke Dampers /) ,� `, Final � t -? ' 1p p LeLik ) PASS PART G ELECTRICAL • - 4 Lk./ / ,L� :.____ s Service Rough-In /Z) C'tf, ..- l' ►' I P L . &k-6- <== - Lt cL-- UG/Slab / Z Low Voltage Z. _ _ ,_ A - • • _� - `% =_ _ ' , T Fire Alarm Final @Reingpection fee of $ requ ed before.next inspectio Pay a ity Hall, 13125 SW Hall Blvd. PASS PART FAIL 6/ -0 c y / , SITE Please call for reinspect n R / a e ins e = no access Fire Supply Line / / ®� Approach /Sidewalk Date Insp , F Ext /YV� Other: DO NOT RE OVE this inspe tore reca d from t Job its. e____ PASS PART FAIL j "�, L,,�'5!!! CITY OF TIGARD , 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST e'° (( `ccc -/O INSPECTION DIVISION Business Line: (503) 639 -4171 UP Received Date Requested `9 ,( 7 AM PM BUP Location t'7 7 . 'r i> ' ' i v Suite MEC Contact Person 6,. '�� Ph ( )oZ6 j--� �37 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 . / 0 Sheath/S e if il Sheath/S �,i_ \ ,,p �� / Framing " "� ` Insulation �" l C� _� Drywall Nailing �- Firewall Fire Sprinkler Fire Alarm ?j l (, p / CS 1c (i+r) Susp'd Ceiling / Roof 1 C "l/L� S L k C f Other: • Final eFAIL ` �i;� �� � , PLUMB • IlaLILAlk Post & Beam Under Slab ......... 4 . Rough-In _ + Water Service � Sanitary Sewer - - f ( j L� S A- •(-4 , Rain Drains Catch Basin / Manhole $ 7 � — C( .� �'�/ J .► c- Storm Drain r „�j . � J Shower Pan ( Other: Final • PASS PART MECHANICAL FAIL CO — 5 -4 S f 5 Post &Beam € fV- // (.j s, Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final El 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 • Approach /Sidewalk Date ?// 7/ : � Inspector Est Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL r, CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST d U INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested ' / - AM PM BUP Location 1 5Z ) ea 7 / ,, Suite MEC Contact Person arde (/ Ph ( ) 57 5 ` Sc 3. PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam ' ear Anchors Sheath/S e r Sheath/ e r Framing J� Insulation 1 � rf / • - 'i' / P Drywall Nailing '� ! 5 �� ' Firewall Fire Sprinkler / I Fire Alarm Susp'd Ceiling 2 _ .�. 5 _ � E� // Y s Roof Other: / �, J J Final '� /f1 i� 4�' L 9Vl C 91 --t z"%4 �-ii PASS PART FAIL '' �� ,, / PLUMBING f 1 � 4/y Y /%�I (-0-144 y — Cde4i )e /1/�- 4' 4 �A .�t. iV id 9p itA' Post & Beam . Under Slab / A _ s D /' / _ Rough -In ` • , h N fri � C - 2-/ �I Water Service `�' • i ... / Sanitary Sewer Rain Drains Catch Basin / Manhole 5) Ma 1 f 4 �? y /�� �r j _ Storm Drain Shower Pan Other: Final (17) rb " .�j Gam/ 5/ "l I � 5 dl GV�'Y1t 1(�4 PASS PART FAIL MECHANICAL 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 0 Please call for reinspection RE. ❑ Unable to inspect — no access Fire Supply Line / ADA Approach/Sidewalk Date 1 / Inspector Ext Other: Final DO NOT REMOVE this inspection recordtfrom the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour p BUILDING Inspection Line: (503) 639 -4175 MST , ? 06 q 6 q 0 1� 9 INSPECTION DIVISION Business Line: (503) 639 - 4171 BUP Received Date Requested + -- AM PM BUP Location / AL Suite MEC Contact Person CAS.-(1 Ph ( )..S-7 _ (o ¥,5 PLM Contractor 0 Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT .ostim Shear Anchors Ext Sheath/Shear Int Sheath/Shear ' )J)JJ) Framing /Lint L . ,/ Insulation Drywall Nailing .-J . 4 t --- A r- -re Sr'" �i�✓ "" ' Firewall, _ _ _ Fire Sprinkler = a %t . f:U 7 Fire Alarm Susp'd Ceiling Roof J Other: f Final.����� P S-4ART FAIL 1'LUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains - Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL oR a rr Rough -ln Gas Line Smoke Dampers Final PA ART 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: I ❑ Unable to inspect - no access Fire Supply Line ADA Approach/Sidewalk Date Z �L - Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503 75 MST'' ��o 1 8 INSPECTION DIVISION Business Line: (5 ',fj 71 BUP Received Date Requested / J a '7 AM PM BUP Location ! •6 (o7 �-2 —Q Suite MEC Contact Person Ph ( ) 57 ((S PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC ootmg Qundati Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection es: SIT Post & Beam - d d r i-UA----1 Shear Anchors Ext Sheath/Shear • Int Sheath/Shear "-65 /� + 2/ * ) Framing ° �� � Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling • Roof Other: Fin PART FAIL P U MBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: • Final PASS PART FAIL MECHANICAL . 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 /1/-)76' UL;; Approach/Sidewalk Date Ins pector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL