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Permit { w- MASTER PERMIT CITY T I G A R D PERMIT #: MST2005 -00008 DEVELOPMENT SERVICES DATE ISSUED: 2/14/2005 I v �/ i / 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 15148 SW GREENFIELD DR PARCEL: 2S109DA - SR035 SUBDIVISION: SUMMIT RIDGE ZONING: R -7 BLOCK: LOT: 035 JURISDICTION: TIG REMARKS: New SF. BUILDING REISSUE: DM170 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,570 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,620 sf GARAGE: 645 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 5 VALUE: 312,222.30 OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 3,190 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: BOIUCMP < 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 W00DSTOVES: 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: 6 201 - 400 amp: 201 - 400 amp: 1st W/O SVCIFDR: 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: $ 8,726.11 This permit is subject to the regulations contained in the DON MORISSETTE COMMUNITIES LLC DON MORISSETTE HOMES INC Tigard Municipal Code, State of OR. Specialty Codes 4230 GALEWOOD ST # 100 4230 GAL EWOOD ST, STE 100 • and all other applicable laws. All work will be done in LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 accordance with approved plans. This permit 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 rules are set forth in OAR 952 - 001 -0010 through Reg #: LIC 35533 952- 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -6699. REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Engineered soils Issued y : 1...... Permittee Signature : ' a- - Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day ., ' Building Permit Application FO OFFICE USE ONLY + Received �� City of Tigard DateB : ..- -o Remit No.. i O d de d 13125 SW Hall Blvd., Tigard, OR 91 33( �q : E I V Plan Review _ Phone: 503.639.4171 Fax: 503.5•:.1' I9 D y���a'Ki� - fll('�I +ik Date/By: M A. . /i, 5 Other Permit J'aQr QDO d Inspection Line: 503.639.4175 _ Date Ready /By: 1a ' ® See Attached Checklist for Internet: www.ci.tigard.or.us JA 0 7 2005 Notified/Method: I Supplemental Information • 'S' ...:... ` •:' ^ v.' 11:'1'1:: -r: . �fl;'.�',PL�F.. .t r , . +�:': �_s:, �:.'s:t� - RE - ''�2 =FA �� '` liDWEli • Cr',�;.. .::.....,.....,.,,_•_.,, �...: .....,f.,..,,;..-:.,. ......,,���:.. . r.,,,- •w::,:r.,.i...,:: .:t.r -.,v„ .f'''rM'�� ^i .UIRED ?!DA. �A:(1' "AND 1VIII: .,�. _.., ._.,,:•...rte -a. .,_,.,a_.,. i....,1, ...... rr >.,..> .,I,.. .... ,rr .ir�,.�.. 'ii;!f„ Q, _�.: .,.rr. .a -, :._,,,- ,.,.::.— .,: > -.:• -. . -.. LH- N 17 � a'f ttb � � ,.:-..._r „s� ;'ia,. � .>< e:; t:;. »t €�r�. ,..<, ;•:atx;:�;'.;,au �_� - New construction r n Permit fees* are based on the value of the work performed. • Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alteration/replacetnent ❑ Other: • equipment, materials, labor, overhead, and the profit for the - - :`'fit :::a:.r-+. '..i:. vi _ work indicated c a �'if:' -si�'� `t:i�> t ated this application. �'a�> on t s a v.,,r. _ p .GA`n co C O.. 1: R OF - rx , - {.,,..,:: ,.w -.� ^� .tr..:': �.; �v:'?:::..r ...:a. „ -... �. .i:, �a• -• •:ip'•... t i ❑ 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: //p • S!; :; V„ : L`d7:� .:,r• - :Ir. .` �s y r t r: Ci +,.';:i`;i ;�0':. - M; - 'lir C'.Nr ', i:; ., i ,. } J , ,c ,.; •;hti:'!:cr }9 {a. Jr, ?' "ti`:;a'S,'> F. }r,),.,: pJ _flt$.1 !w:l. ; Vile r, ?;;ti , ;,,1...,.a,,,;,.1 ; t` ; ' i ':rr ., „ 1', i .,... ,,:�s�l" ,,,,, Total number of floors: .. { ,;; : ,..:.;a+ ; , { ,. l' :;, :,.. ;,IIIYFbIi'MATI : D TiO,CAT'IQIY, e , : . - t+.. y . •': ':'•'k °1 .. 'i!M ".�i.t� ^''�4 x':112•.: 9'..af.. 7iµ, 3711. Vfr: S` 5, �7�: I s! I° u° � . ' r- Y{ Zr+ �. rc2:' rfv` isl:: �l: l" Y4,( N, tiRi1 : <:i7.:,1. °P. > `4....':;r::flt v0. �r�._ ".3..13:r '�tS ,r . "_�s r:A4 r :.r °'rezui =`,a s , ; =1 r, ..!?.y. ..., . , -:., , �, n , a r , 7`�� 1 I, 3� ��,*, Job site address: �t • New dwelling area: 3 190 square feet • City /State /ZIP: . 1\ opt, t � �-- Garage/carport area: 4 square feet ` Suite/bldg. /apt. no.: Project name: • Lp-Y3411-( ijc— " e Covered porch area: square feet Cross street/directions to job site: Y _ 4 aC V Deck area: square feet • Other structure area: square feet <, <:7 /fit $ " r1 tj; k "n`�,, +,:Vjt ;� kj, ps 'S'r • :ID +,h :'MF:Friri ?r,i:P. +'i:ldi.� r t{ 7 Y A et:fi C ` � ° iltt 7 ` N ti Fi CF 'OI{I imm w n ;S Goa :IFI''MLI {.;JP *1..,,t„ r'?r, `' y :4:,,: { t ;,:.iY',�mx'SiertttY�9'r'v7Attlt i ;.XiMltY:-:4. Subdivision �t . //1 1 / ` Lot no.: 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 equipment, materials, labor, overhead, and the profit for the .::r Jl.: twx`+:;5'i4.v:,'- r'YFa! gl "; Tiyi.i ?''�' Jai):`: 1t.+;} �1:' i5�i 'r,t�V,:1v,5:'•:r�.r..i�UUi? sSYiittr,,;t:V`: a'�:: �;I,r:,', �J:,• +�,,� ^e /p lit.l:!'e:'3;u;Gr:•4,v >r: r„ t''il,':i:;ri; dh:'.`Jr. #,it ry;'r'( 1' r:, { "z'fh- :r+t :'„P;r <'yw.rJ, }.n >n: `(.,�ti:' "• . :. ,. t,,t ,, u orgy's'. =;:: ,>t1 r_ ,:xD:ES;CR'TP,�I©N1: :4 , 01' . , , R r;} '�,f,1� 1 : ; i l�!at' k ;+. � ,t5E4> work indicated on this application. ;`r:.iil. +''° )'P;t'ip ,y�ur'�: : > >'r 's : -;T. ...-.. - �'� +t'.4r. . . �,1,, iY�p;}. 4.: 1' .p,,: ?:•r,: {:;,r /4,f.:.', r,+?rW, ^ r : . t , t<, , PP , ,. ,_. r. r. _.,, ,....f;.,r,.- ..L-{;ir. <rY.,. .,...,fV:::c, , + ... .. ....... m„f':x'«:e. .•Fr, ., f...s. ". ^,:,: rY. .- :: }... ,,., :,,4W..n .,.�r .- Yar,:,.i11,:. St,t11�'1k;': , Valuation: $ Existing building area: square feet New building area: square feet ii:it = + "S:,)r�;�ips': '• - E :i>:ri4�i4�h:ktxti ?:;:itH1;�?ti�. 515'" �.:£ �r1"••^ ss... y�1 ... >.: r:_;r'�- Ty:.:!Tr•r v - ',iia { «{�• «k7SCr�a'.s- (�_f�' . ��.'n2•J'e1;, ',il sYti t - D�4`1*..,f ;'.: =t , ;,x�" ,�� i� t '��k 5� `� � c , , .� i � t Number of stones: R• t � 4 i i . , t 1 1:� w i'i 1�j• g i, `i : ' -'. �rA:�t.a:r }`i` y?�R�1;,ERSItY'+1,0 ' 'N3R -5[ l��;dt- itc,s.,, �,a *��.m .1 >i1�', ,j- }� i ,fi r•^ \,rl�,ti Vtf�:: ^e.a:Y :, _ �'Y.:�,. firth' ��P^ 4:' �: �`= li�,''),'! 4�} E',> 4> ..r9 ''w \e�7�il'.'�.r�:T_T>I+titi: fir.:. . �,.:!: LrXf'/ �r,: T�' h' �3��.'.; a�i�: li: Ar.}'. ilYx> YL'- 41' 1�C.'; h^,"'. Rl1 i:;' �i {� ".HSeif��j'Sti!t,`�(i�lA� Name: l.Jf`� J l'�i GO M Mil Ki tics / Go, Type of construction: ■ Address: f Y �20V ' (1, D GT �� �, 1. Occupancy groups: City /State /ZIP: L e, (... — c) + � / 0 I Existing: • Phone: ( 2j yj7 /755?) Fax: ( �„�/3) - • •7 L4 J New: t }!,$;t'�P'- Fk LL`t', n'ricaAt:Tr ":.t•'a:•,pa 'ir••r :: �ve r11dL: ",r.. : rlB;i= %siAa: 7:kr:. 67 +'tr; .!!r t:aaw, n: ,.,., - +,iy; ', ;;`iei''yn,,4 t •,]„ :,, ''l:ri ',`6 L °{4 t 't. ,6 I i :.�.,'�:� ,r. , n . ,lair.. = s - ,_!, - ' i ._� - - r5 $ l.ii' ^' - I � ♦r,l � yr 7 �' t 'ali�' '.i'� - { ., . 1 v r 4 r .:.:Y•. ':\ : L.f 11, rJ d. `� �i �: t:. +• •, ri'.•:r - "1::' l,t. l�� !'Jr (:( { � �i4' YI ,:� a if r. 9� Y12:" ,'+i'x' \: Y � :..tl :>'!,::,, k i. :1-iPv x: ia,:i:ll' +� ,:f <: - r..;:r", ia '`"AP,P' )VIC ' i' �..i ;?7 .7.•. i" ,.,a., ., _ ,.y ,.a :::.,. g:,;. -a,- - , x.. ..4:,...,:.,r: J n r :i; ,.. . . ,:, ,:, "; .,1.... >, .,� ❑ n . .. AN ' h,r ,.�:,,,, a;,.:} ,;~ V`^:,q• �ur: ; „ ,..OQNI�AC/T.•:. �!ISRSO'. ; ra a,1.,;. l . : ! f,. r : � „:,.,r . ,r:.,frr c, , H , r. • �',� .9 . . �.,. u +m : 3'S r;t. .w i. .ft , 5; +: •,'. S6 `;r., rr.t ?A.ra a: ;'•;`wY ''t >;tFi.` >.. :,,.,...,:,. ! ._r >'r:......r; �:;,.al �..fa_.,:a...;.n:r ..,i_._ +rr. -_:.>:.: ..w. ';.f..i�„ +>� ,, . ti`s, 1iu.. :1„• .... ..a;., a, ._., tt, :. , . ... , a'. ,r. ar••.a: ge,;.l,tr t d;; S.TSi'';I. .. - .4tj,,, ;,. ':1 4 ,., , _ . ... a�; .l; .,,� u .,;h .�' fIiTG'a ' nv , .,; :. _ Business name: p�� p�.� _ ,,: 1?;--,: F;, �ti;+. :_;.:: �'- pG` a gy l tf ; :: =:c�irt: }, a "•,:',rw, ,.s4 4L:hi'';:r;i >•'>: ;;. °; , zi 1 \ t e f s �'t �� All contractors and 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 performed. If the City /Slate /ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) . Fax: : ( ) E -mail: I 7• 1 r�t,. {, GO. 1?RACmO i, 1 r . .. ... .. .s.. I l i Business name: 9' 1•.4 .� ,�; "i `• "' s::' ;1BUILDLNG 'P>;RiVIhT .I'E , ... "... 4 . ... Address: '> ::.i. tri: ,,..... '{.,r, .... ...:...:._.... ,: °;i ='::.r f .:..... l Please refer to fee schedule. City /State /ZIP: • r Phone: ( ) Fax: Fees due upon application ( ) CCB lie.: /(,),).5 mount received ! Date received: `'` N ' ' r • Authorized signature: • 116,,,,L_ ���� � This permit application expires if a permit is not ()Maine, l �✓✓ � within 180 days a(tcr it has been accepted ns complete. • Print name: O. TL ��'„�� Date: .� ��,� � 7 * Fee methodology set by Tri - County Building Industry Service Board. i:\ Building \Permits \BUP- PernitApp.doc 12/03 440-4613T( I I /02 /COM /WEB) Plumbing Permit Application - FOR OFFICE USE ONLY City of Tigard R 13125 SW Hall Blvd„ Tigard, OR 97223 Permit Phone: 503.639.4171 Fax: 503.598.1960 g I, Date ��llill��I',� DateBy: Other Permit No.: 24- Hour Inspection Line: 503.639.4175 Internet: www,ci.tigard.or.us --� Date Ready /By: )iris: FO See Page 2 for Notified/Method: Supplemental Information .r :,........2 -... -:. �....._r.:.. 1. .._, r .._ > �. -a . ..� , . �.. .i;.i ; L . l . - .. S / .t „rT4: r.. .._ � M r , .. m, -. . .. ... ., , >.., . .: .P,`:cK 'tit^: T E F ._..... ._ _ ..... u _...,,, .,,,.. r 1 : : . •:., ' <SCHEDULE; J, I� New construction ❑ Demolition For special information use checklist 7 Description Qty. Ea. Total ❑ Addition /alteration /replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) ATE 'O t , S r '.0 G ,;O'F;CONSTRUCTION � i .<:: t� �� >�� t «t:'k =,.. - , FR i 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 Master builder E Other: „. :',,: u §;ra sk,.t_ t. <•, s;,:a. =r;`r:,r „,: s, "fi•, Fire sprinkler ( sq. ft.) Page 2 �a': " SITE FOI2lGP ' TI , t , i:i� ::'JOB ' IN A ON "AND,. LO �s' - , � r M1 » 3 ,,. r �s .::....... .......... ., .,_ �? ,.,r.k.,,a.. ;.'` _ ..,, >, .,. ,r,.,� ...�_t......,,..,..� Si Job site address: 1 5(L'( d,4 1.31.PQ,r - , 4 D Catch basin or area drain 16.60 City /State /ZIP: l - A e 9 ''1 _ Drywell, leach line, or trench drain 16.60 Suite /bldg, /apt. no.: 0 Project name: c� 5:, .l /Yt U Yl Footing drain (no. linear ft.: ) Page 2 Cross street/directions to job site: (J Manufactured home utilities 110.00 Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: O U ate, I Lot no.: as Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: ..7::- e:'� ttis+ -' , 'k ^i tr'S �t ',::; i�++';. 5rr. q. ��r::` r,. s;? y x , t, R", 'tl+; �zr.`''''1•' +i:i'blrv , 7tf Absorption valve 16.60 r'- _ ite;. . (;; ``ri' ,N . .;iP4,`'" `! � tirl,:'il�a` " 9zt t! phi ''^ ":'i'-;d's(; {aP.�_):1c:: E•!iv` h; :':rid /$ 1.,'s'�!; _ ^:h, r:5 �',,,;�e ..�..... .. ,Y ,�. � '1„i ,�,i tk.,. d 3�S 1 1 , i.-= !..gg ,-e a.,c; 4 k 'vox YAIR .,k,;c;f?D'ESGRIE , TI, { OF" T F.1tc a " ,. t K�?;r'.i'p d tt r. ..t.r ,...:. tf.' 1.,, I, r' n;*, p. i.., r.=; �' �': r: S^ �:. r`, s��yt:., b: a; sr; �r�i+?, t°:;.,.,.' e3 a�zs + �„• iY+,^ Id�t`. tY; rw��;,., al ; °�'t- er,.;:,,.n ?i�r,:�,11j,/4' fit^ .''.�.j /Ca:33;':5 +.t�,l�iw��� 1 it . � =.C +' Backflow preventer Page 2 Backwater valve 16.60 • Clothes washer 16.60 • Dishwasher 16.60 ;:}.:. - ;pr:r. •-r77.: •r; •cog.':;! ":,"G,;: ?tz...��c::3ks :o.CS '.Crt.i'.tiq ,stc ...: ",6'19: "�'Yt':'Suµ" " + "ce't Drinking 5,., s.i ; a.., .:y.,. a , .,.rti :.i ; x ',, ry .. t ;,; ,,! fountain 16.60 :u'r.. .n......; x,445 t .c. i g6wii >�;.u:�T,v,:a ,,`iii r, ttwya &o "','-, ;:„a..,.l. t ,ix} t� ... ..`:� , .. .'�r:, „pa 1, `. Jr, . , A= • �,,. -:,ttA,lrk:,;r; #,'•` ++r.�%.,rtf ,� ll l r �A °! . i , t-a.:. ;���, i ^`e5_c;. °.!s.,<,- .r-F,..:..._.. i._..,..r :Y._., .,..�. .....- ....1u.....:iU�, �f,�; - „ t .., ...,. ,, _. tG 60 � � ,„ � n ,,y� ,fit .� .. Ejectors/sump Name: C nm /.s (,C X111► mart )t' t / 7 } G �q ,� 1 Expansion tank 16.60 Address: -�� '3j/i,,le�/� , c. \ e „., l Fixture /sewer cap 16.60 City/State/ZIP: l� �Un ) t-/F-- ` 2) Floor drain /floor sink /hub 16.60 Phone: ) .�� "'7' -. 7 o' Fax: ( ) .-- 2- ' --- 7(0i S Garbage disposal 16.60 _ ;EC;VtLf`�: {; -' +'A, % ' };N J t ,, `,T ,: tilt,' "; ' 61 'F5P'- `t(S1:dll::M1�v' +i: t`�L1Td� '�l` > "' 1 ,1;11 ':;4 = 0:; l?W ,, ,'« ';:uu,l!�:'i „t:= ,'; g.1 MAR _ ; : 1 ;t :�'tl ,:.,.:l Hose bib 16.60 i2:: :;4y r ..... "' .T9y = ' =htr:,,.;a' rr i0, i .. ,..,, t.... ' _. ,,,, ,,srelr.r ,,.:;. ,deE`r,-a'':.,; rIT'Ar 1- : TSO, a, t.. - . ,.� ...... .. .. . ..i. '�/IM1 .,a,. _ _r!:`� H;:1�,!�.t 1. . i,. : ,. ::a..,,,,.r :. .......... ...'i� ". ._. ..,; ,:rrz��:, .. �,' ,<�::�;:,;,rak...,.:,:a_:,.,�,, Ice maker 16.60 Business name: h\terceptorlgrease 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: !., ,. Urinal 16.60 - d c I . CONTRACTOR ;:{ .,., re �'�' iii , , �;:. I,:.. . . t .. �� >�` „_ :. Water closet 16.60 Business name: g (.. ;r ' �' ��� Water heater 16.60 Address: k-20 ' )`F�' I�- l.�ll� ,/ Other: City / State/ZIP:. 9Sile,ej , /, pry , ,` Subtotal 6 Minimum permit fee: $36.25 Phone: (�,))( � ''/ /�t Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lie.: ( ^hunbin Lic. no.: Plan review (25% of permit fee) ` �� ' g ~ � ��� State surcharge (8% of permit fee) Authorized signature. /�,� .....0/ TOTAL PERMIT FEE `3 n Print name: ,� 1� ' 3.m_,,' I Iv Date: la ag This permit application expires if a permit is not obtained within '' 7 _ 1 180 days after it has been accepted as complete. • *Fee methodology set by Tri- County Building Industry Service Board rr a 'j' i:\ Building \Permits \PLM- PermilApp.doc 12/03 440- 4616T(10/02/COM /WEB) :'a r.ieCLL icai r et UHL J% J plied L1ULt IIIIIIIIIIIIIIIIIIIIIIIIAWMIMI ;. ' City of Tigard Date/By: Permit No.:A4 C- acyv _ � 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review �� '� Phone: 503.639.4171 Fax: 503.598.1960 ��/���s�am�/mM�ryl','ii, Date/By: Other Permit: c-'�r Inspection Line: 503.639.4175 'll' e_ Date Ready /By: furls: El See Page 2 for Internet: www.ci,tigard,or.us Notified/Method: Supplemental information ., ..,.. - e. l . ,:.: - r I :ice : . _.. _ _..::.,..- .... sI?YP,E: OF .W.OR& - - VIEW New construction ❑ Addition /alteration /replacement Please check all that apply: ❑ Service over 225 amps, comm'l ❑Hazardous location Demolition ❑ Other: ::.. :. ::......:;,,:: r :..._:._ ... .::::., "..,,.._,.,,:,.,.._ -.: ,..:: >,::: "::.:,,_,,.,,: ,,. ^;,.::,::....:,,:,.;;;,;: ,; ., 320 amps - rating ❑ Buildngover 10,000 sq. ft., Service over 32 ;..i - ;/0F�'�CO . STRU : TION#, aqr?,,; > {s`; ; ' /CATEGORY. N C - ��1�' %= ::' ?:'':' 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 ❑ Master builder ❑Other: ❑Building over three stories ❑Feeders, 400 amps or more ['Occupant load over 99 persons El Manufactured structures or JOB=�BPI .. §,-f Ioty, , a:AND` 1 OCATIONN` }; 't,: -, RV • -1Y. ,.,, „ :�r„ „ro:�.,.,...r;;, - ❑E Egress/lighting htin plan park P ...:.::.. ..:.:.-,,.:;^ �;:: �::::,:< �:::::.,,,.:;..,.,: : >.:;..,.,�;,.:, ....:<::;, :,.:<.:.:::;,.:.... ' . �;; ... ❑ -care facility Submit 2 sets of plans with any of the above. ❑Other: Job no.: 314 Job site address: ; 5\L4 ' t Z � ,�i �� City /State /ZIP: `"h C Of..„ I 1 JJJ The above are not applicable to temporary consh•uction service. y,m' �...y . i,� t 'ua: J1; _ f „•:::, �;;11rk4. .,t „'; e��;!YS:,:; aFEE -',§0. D.Uli.: ?,......,.;;`..... Suite/bldg./apt. no.: Project name: :,..,ra..,:.:..1;1 •ti:..,,: ::.: „. . . , St { .1 14�47'l.♦ v Description Qty. I Fee, Total I . Cross street /directions to job site: u New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: Yl 11 t Q Lot no ; Ea, add'i 500 sq. ft. or portion 33,40 1 • Limited energy, residential 75.00 2 Tax map /parcel no.: Limited energy, non - residential 75.00 2 ,:., - 1i tl,. i - �,4 . ; i'y A vi + Y ` � ';� .> :,,;• ON , , „ :O . ,O , �:.., :: %s I; `'' - -: , .:r,y; :9 ;4<,t,., - ,:1:� - -«.�, ,, w:. _ .. a; ail ,t €:,.,t. .: t; % c`.:nr,�� , tth sis* "�^ts Each manufactured la 6t : : ::.;.'.,. ,.::. ... � .. :. ... .... ....:.,.,,., :':.:':, t. " ,, , : , ., x. ;;h, >.. , , ... +:: -�,.�, ,, , , ., .;r... ,.;;,,, . ., <:..: a;:,.. . ,,..ays „= "ci.,:, ctured 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 ;',1 , I ;s: . Zl: is i : : `„ - .... n:4 { >' ...i::t : .. . +c., ti ., • _ ,: « w ;u.+ s � e; ,.,p; , ;: : o am 201 am s t 400 s 106.85 2 � '::, y ; r' {',i . v + � v o' N .� ....hF Y i'Y 3'�t'7ki'SYi v , ,.i� "t srli:`zµ':�.t?,.. e ' . : 7 .4z�� „i ::d `� � , �iz_ , l , t % P P r >,TR .-: :I sPRO.l~ „ l `:,,s, i i.l: ) `41r• , r: / -,li r , ; g i i l t . 4 A1Va i, .,a,::,a�c, � ;x; .ii "?:, ;v:,ns �1 nr-„ �cyar ,vs+.`,:= �•::vsr's",! °,;ri;z ,.. 5e...n.:,. �i .$''"'F>?!R ,S ,i1il „a�!:�2.,- .�..4; d„ l,.s,! i....=• we :b.�#'1�','d.:..:�.m.,k, -,a,t 401 amps to 600 amps 160.60 2 � Name: I �� " .',VI /"itl\ �/��r� ✓t � ,Ct 1 601 amps to 1,000 amps 240.60 2 Address: `It9.? , • at �' , . , 5 Over 1,000 amps or volts 454.65 2 La �� + U1 , J12 U� (,��- !G 7O z � Teorat only 66.85 2 City /State /ZIP: 1 , / Temporary services or feeders installation, alteration, and /or Phone: ) � '? . Fax: S)� ) (� C 1� "" �(�/ J r 1 C relocation . J 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 " 'ear i,+ i- , ,i- u,. >,t.e, �7, a:" ` "7 "' �t�;' ?•. , ,,,: : -• ; , r •.'. i 'a : t.•t... 1. , a A. Fee for branch circuits with � , ` + ,. ? ❑ r�lYi,I,' ='I;:. :,.':v ;� •1.. „t..,i O � + �A�•T<i,PE `S'ON'�i:�'�.,,t:, }. : -.: "` "' service or feeder fee, each 6.65 2 Business name: branch circuit Contact name: B. Fee for branch circuits without service or feeder fee, 46.85 2 Address: each branch circuit 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- >:c 11';; ;iii. ::ra.a' alters i �'CO , �PRACTOR•:. ;,. ener panel' ton or Business name: extension. Describe: Page 2 C� .,• . Address: ?flap C vj L,(r� //v.\ zo.) .-C.... Per Each additional inspection over allowable in any of the above / 1 Per inspection 62,50 City /State /ZIP: *` l G aA (d., Cam- q'7� 3 Investigation per hour (i hr min) 62.50 Phone: 0 - 1' - I 1001 t� Fax: ( ) Industrial plant per hour 73.75 v 4 a; `;' : {'.a int', iiiN; i'iEUE'OT1 JCAL PER1VIIt ilT "? , :J CCB Lic.: y0.44 Electrical Lic.�� Suprv. Lic.: a.� Subtotal Suprv. Electrician signature, required: Plan review (25% of permit fee) Print name: C1'V Date: C (,) State surcharge (8% of permit fee) C.•� 1r .),e 1 I 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 ivleellallICal reriiiit. r- Vup1icalIUU :, . ., a ,., I e ■ i. City of Tigard Date/By: Permit No,: AAL (mod 1312$ SW Halo Blvd., Tigard, OR 97223 No./4. / ivy Plan Review Phone: 503.639.4171 Fax: 503.598.1960 U„tr,9i , , Inspection Date/By: Other Permit: ection Line: 503.639.4175 • �� ) � j P cilia. Date Ready /By: Juris: ® See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information TYPE . OF . . ORT{ 1.,�4•,,:,. ... .. ,. ,.t�,,..,, -, �' -f•, �= (���`` "'rr`��� � "•�` iGO RCIAL' rFiE*.• `':SCHED .LJI;'E;i— :USEiGHECKLIT: =' 'g N :• , .�, :., _:�.:.' -, .. , o-, , ,t 4�4! .. ...,. ,. n,- n... -, ,:::t: �I... :vL,.,�o t'f�t -�i::,, .. .)..;,, `, Y.. i.... . - . , .:, �.i'.�_ : '• .:. .e tc! fr . .H _ ..e9..ytf„ �y .:,".!:r: r.... r,:� ::. y °.,:.. , _.:, t::. :.::.::,�� ....:, ,. �:.s...,,.. .. . : construction ❑ Addition /alteration /replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. "!1 Valu . 'I1R'. •�:t e• A1I'�GOR \' OF.:CONS UGTI C '`<' QN•s the ;�,_'.: ;,�,., 'RESIDENt?IALi'E ' •U I'PM'E NT:I .. . , . .. *4 {, a Q .. - ..... : ....:... SY$TEIGISFEES : : ID 1 - and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building ' For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description _- ; ;'ae - Qty. I Ea. Total y t i:i :;. ;: :., :.J ShCE.' !:', M.4 AtlIV : I :Al iD<� +liO.C'A . ;: ;,t:N ,, ,.. '; ., >. ..., >� .,. „ ,.Y � ; ,,.:,, . _ ,'i:, :.,, , • Heating/cooling Job site address: `5\ ?,1 F0° Air conditioning or heat pump ' ,GQ (requires site plan showing placement) 14.00 City /State/ZIP: 0 1"— `l Furnace 100,000 BTU (ducts /vents) 14.00 Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: / 0,9 Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or • hydronic) 14.00 Unit heaters (fuel -type, not electric), � } in -wall, in -duct, suspended, etc. 10.00 Subdivision: k f , p � Lot no.: Flue /vent for any of above 10.00 v Other: 10,00 Tax map /parcel no.: Other fuel appliances ":S':. ca , }. „ J,t.'"415` =. 5'a,d; ` •g1T.g:5sh _ . =t'la_ �i.p re' ,F><!., ;�r� '� . Water heater 10.00 °t_ r-. , ;Si �. -.:,; `io§p' IO . r Og , ,, ,0 ' .f,ui <g>.fg ,q . _ ti ," t'ii •, "n. ':`i•i,,, t'�i °: >. •: k;: R _ ±:�. .,,+�;.,� - - `$, •.�.,F.�Kf,,.. � 1 � •li, .r ,,.,: ... , a; }I:;f'i .,,, ;'1 n,;is�. =,is+',! r:r:.z. _..._'v,t,r3.'�,n.. er„);,...., �na•:�'dHf �:r.ce�_'1'....: �.. .,:, flyk 'ti.,,a.,. ),.f4.,C�.,r,;'_�;•�hr),i 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 ,.,,,,: e;a « ;,:f„ ,,•,_,:,•.:;,.f f. >• ,,;,;, ,,,;;, ;, ;,:: Chimney/liner/flue/vent 10.00 ..,,. 'uti, ,71 . , �, .f:6 J r� `i ,; e�a - , ,iz):SL,.,. �:;:n1rS{ 3 , ,.y . �:c ._ 2 " � :1 ". n`r S "i'C ., <r' }1'. -, n :lt l.� - e� (a .I ROPI}R - T.S,, +E :::z :,. T. }?C!1V R } _;,.k ?;a� = M,f:, °,. ,r TF,N'�N ,, :T�r t.,, /; -..-,:,:,,,-._ ,.... � „� .' , � r' �:•. r. v: �'_ y' f: ,k,,:;f�,_ �- r- .:; >•rt Other 10.00 Name: \ 1 `rr ANW -)' Lt) 0-j Environmental exhaust and ventilation Address: , I ' • ' ✓ ' ,, L . 1 Range hood /other kitchen lll.�l�// equipment 10.00 City /State/ZIP: ' 1 C. t £ )Q Clothes dryer exhaust 10.00 L �'" �, Single -duct exhaust (bathrooms, Phone: -� t. Fax: (�{ � 7 • — 2 (OE toilet compartments, utility rooms) 6.80 ' :�I'^ <a _ : !)j. , ; - .; l •t l ::; ' ":P:a �- ' IY'.' �'- x:t - r'.�11`: ::i': nISU ': w'f i: �:�. :! :4: � ", :i ,.. , ,:.} ., a�i k it<)s (,, t a, : 'dy t ; ii , ?,4;, . ki ,..E ' ,J r," - . r,t,.l ,i 1 e{, ii' r'i r ° } ° x, .v.:: :.,d, �.t:, , f ..j .dn r t. ,r r,,. �':l �'f..,,- Attic /crawls ace fans 10.00 ® i,,: '�.; • "'i ?,.._ ,�,a4 i :;; ,.. (d bN Ps4 k °. %l RSO .i?...,a: ? P �:> ..... .:: .. "tiy Yr, °'r+ ,,, � . -.,, � ,.: �., ta. _. �.� +�,r,: �. ,,.._..r_.. ,.. 5r ,•r.,: ,. n .) h,Re., ,, In - - t r, ,y 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 ....... ......:..... . .. ..:.., .. , . ..... CONTRACT,OR.,, ':;:; `;„ Barbecue Business name: C� r l � �4 i j - - t Clothes dryer (gas) r �l v'f Other: Address: //''�� •� L ..1i:id:,� ; t : ". ° , fs 1�1/`/V /lL' � AR,V e M'ICCEfANICAL''EERIVTIT FEE ,,;1: ,.s City /State /ZIP: U T `� ! Of"' (/1 ?(�5 Subtotal Phone: ( j )5 (. Fax: ( ) Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB lie.: .�i 1 State surcharge (8% of permit fee) ( TOTAL PERMIT FEE Authorized signature: . //j '7 This permit application expires if a permit is not obtained within 180 days after it has been accepted ns complete. Print name: MM�r 11110i 6611 Date: . IZ. * Fee methodology set by Tri County Building Industry Service Board is \Building \Permits \MCC- PermilApp.doc 12/03 440 -4617T (I I /02 /COM /WEB) LAAAAAAAAAAAAAAAAAAAAIAAAAAAAAAAAAAAAA -.4 * , A * I -1 ' iRTIFICATION fil STREET TREE C -_, [ A A A i ; 1 . 3-ooe-f..__ AcAT:E.-- , (1)1.1E/ISF ITIN•1) (PERMIT 110 _ ____... _._ Owner/Agent (or D i i o is 1.1)131?) • 1 I , 1 [ I )o licrel)y cei II)' lliat: the ((Mowing location 1 1 incets City of Tign (.2,o)inty i - 441 Lind use and development standards for street tree instalktion. 1 i AODRESS: 1.198 514 Giegi ve-- . 1 ' -4 • Lot: ; AAmivisf()NI: 51404y4J- X;c7& . I liY:. mov iill DAT, A IV , • [ . kLCEIVIFT) B Y• I)ATF: • A . --- . Fr-*NT*TTITTTYTYYTTTYYVITYYTTITYYTVYTY*YYTTIVICV*ITYYTYYT*TYTTYTTIFT1 CITY OF TIGARD - . BUILDING DIVISION ' PERMIT #: MST2005 -00008 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/14/2005 Phone: (503) 639 -4171 /, "„ mllI ," 1 Insp Requests (24 Hrs.): (503) 639 -4175 ' ''I L. INSPECTION WORKSHEET FOR DATE: 6/2/2005 TIME: 7:10AM PAGE: 59 SITE ADDRESS: 1 51 4 8 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 035 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF. OWNER: DON MORISSETTE COMMUNITIES LLC, PHONE #: 503 -387 -7538 CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503- 387 -7538 Inspection Request Scheduled For: Date: 5/2/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 005774 -01 603-209-4837 N Corrections /Comments /Instructions: • `►A PASS / PARTIAL APPROVAL ❑ CANCEL (l NO ACCESS ❑ FAIL , ❑ C /'L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED -- Z Inspecto : Date: ■5 Phone #: (503) 718 - CITY OF TIGARD 1 BUILDING DIVISION PERMIT #: MST2005 -00008 il 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/14/2005 Phone: (503) 639 -4171 �� n ��, u ��� �� °1 �� �� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 517J2005 TIME: 7:10AM < PAGE: 58 SITE ADDRESS: 15148 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 035 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF. OWNER: DON MORISSE.I I E COMMUNITIES LLC, PHONE #: 503-387-7538 CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503 -387 -7538 Inspection Request Scheduled For: Date: 5!2/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 005774-02 503 -2.09 -4837 N Corrections /Comments /Instructions: I lvv` w6r-Ji-e--- \ G \ L V'Z 9 vim. l 63 . Co � - Cti/NA-*A5 1 L-- 1 - 64/5 i(- 1 6 c, 2._ 6 1/ -s 0.-- FL D2..LJ c_--( L ,V (- l__?,...„.0,.-\ `fir . zs ie.....A.--t_.--1...,.. ? 6 , , , ,SS_ ❑ PARTIAL APPROVAL E❑ CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED L�� LC-72/6 Inspector: Date: Phone #: (503) 718- CITY OF TIGARD 1 BUILDING DIVISION PERMIT #:' MST2005 00008 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7014/2005 Phone: (503) 639 -4171 /n n /[i �ilflnlpi� ilii" Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/3/2005 TIME: 7:14AM PAGE: 57 SITE ADDRESS: 15148 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 035 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF. OWNER: DON MORISSETTE COMMUNITIES LLC, PHONE #: 503-387-7538 CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503 -387 -7538 Inspection Request Scheduled For: Date: 5/3/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 005950.01 503 - 209 -4837 N Corrections /Comments /Instructions: • SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \ ' l/ Date: 3/ Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION #: MST 2005.0000 8 g_______ • 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1412005 Phone: (503) 639 -4171 O�ima Inspection Requests (24 Hrs.): (503) 639 -4175 ...' INSPECTION WORKSHEET FOR DATE: 5/3/2005 TIME: 7:14AM PAGE: 56 SITE ADDRESS: 15148 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 036 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF. OWNER: DON MORISSE I I E COMMUNITIES LLC, PHONE #: 503-387 -7538 CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503- 387 -7538 Inspection Request Scheduled For: Date: 5/3/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 005950 -02 503-209-4837 N Corrections /Comments /Instructions: (( ‘ . t ik ie v 6 , , - 4( . . UM S � ' , . % 4 . . e.. ...........___ . , PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 2 " v Inspector: Date: `� Phone #: (503) 718-