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Permit i is 411 CI TY OF F T I G MASTER PERMIT PERMIT #: MST2005 -00004 j � l DEVELOPMENT SERVICES DATE ISSUED: 3/22/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S109DA SR030 SITE ADDRESS: 15226 SW GREENFIELD DR ZONING: R -7 SUBDIVISION: SUMMIT RIDGE LOT: 030 JURISDICTION: TIG Project Description: New SF. BUILDING REISSUE: DM201 STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1,010 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,665 sf GARAGE: 680 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: 2.145 sf RIGHT: 5 VALUE: 466,473.60 OCCUPANCY GRP: R3 BDRM: 5 BATH: 4 TOTAL: 4,820 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 4 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: 5 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: 7 201 - 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: 0TH: BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: This permit is subject to the regulations contained in the Owner: Contractor: Tigard Municipal Code, State of OR. Specialty Codes DON MORISSETTE COMMUNITIES LL DON MORISSETTE HOMES INC and all other applicable laws. All work will be done in 4230 GALEWOOD ST # 100 4230 GALEWOOD ST, STE 100 accordance with approved plans. This permit will expire LAKE OSWEGO, OR 97035 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. ATTENTION: Oregon law requires you to follow rules Phone: 503_387_7538 Phone: 503 387 - 7538 adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or Reg #: LIC 35533 direct questions to OUNC by calling 503 - 246 -6699 or TOTAL FEES: $ 9,999.00 1 - 800 - 332 - 2344. REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Engineered soils Issued By : 1 / / Permittee Signature : G / Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. � : • . f dilly Permit App1i '' FOR OFFICE USE ONLY - d of Tigard i s ( EI VE _ / 7-05' �/ Per No.:��� U06(f 16125 S W,HaII Blvd., Tigard, OR 97223 Plan Review I yll3one: Other Perm � �O Fax: 503.598.1960 / d/ I' ' Date/By: � - JAN � � »/W � - /y-- O s Q DD/1� ' Inspection Line: 503.639.4175 � / a r � �a Da t eB DatDate/By: !„ .. Date Ready /By: Juris: Ed See Attached Checklist for Internet: www.ci.tigard.or.us CITY O F TIGAHO Notified/Method: '� ) ( Supplemental Information �, „�e., - ' }:,., >°vrY v:, 3ia;a. Er n;, m ,::tr. .� ;S." w3?:..0,,, _ ex-wm ,vio. ir-�zie i�,fts. s -i-.44 = ' _u• - _ ..`�.> i. fp v3:�;'it - '�F ,fn: "{,.h:�i' a:,:- °�"" `' aY� .. 1� JA�^� c 6 °atr ��^m " ,:,�_;t�mF -•• ', ` 1.. 3!..».'- _ li-F ! - rertrl it 5 -s AM,, •" :t fff, PE' ,®F` W. , ,', Vii:`" °�s '" AE' UIRED'DAT 2- FA M ILYD WELL t -if'r =•,u� °311• r k ::ti<'.;c+`. „rc}�,,•.-.=- ,� ,.,r, . :,.. .: ,,. ,,,&.; . : ' iw r.,' ::.;'f .: -;,7.� A: T . ' `.`' . ,.. °ca' * ... s .. -�+c -. .. *,, ,,...- . Il!tG e ".t�•3 >� .�,_.,_,i aa>, d recx :, €x,,,,� �sz3a .r- _ctza€ _ ..,... -. New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ti;' 1=1 Addition /alterat El Other: equipment, materials, labor, overhead, and the profit for the �1 -r+ '� r'� %at 1 — 22,22 ,7 ="' 2 ; " 'r -x ' work indicated on this a lication :,.. ':ti F s4. z`s: S , -'T vii„ -. + ' �t�s' �`,'e, r S', r',x. » i'x rN. ''':�;,r = `;'',*V'ia: -A' , t.2A'CATEGORYwtgF *CONSTRUCTION. ,; yq . , „..3.0 ai P ',..„,L, tit :,. ... ...- S6 _'•.i:m. „_i.Fi ? v„ ..,3_,2= 11.:..IE,."'e.R..%r..-. ram- ?�t ,,... ', "r.` 3ii? tS.C- ., xi�. •p ) .l - and 2- family dwelling El Commercial /industrial Valuation: $ Number of bedrooms: F ` , ❑ Accessory building ❑ Multi- family ✓ !xc1r� ; r�,f El Master builder 11 Other: Number of bathrooms: `�y bet - t 3 �,,:. ;,, f r : , i c - t w =. "a a: = k t r rw. 2r t a-12i tw ,24, 2" 2 -",” "f;k a `xJOBjSITE�INORMA +TI©NAN ; � t, Total number of floors: cvl Job site address: I oj p.. 5 Irl) G rfj 1,4 'Dr, J(, New dwelling area: square feet .�tf� � � d r' C ity /State /ZIP: - Garage /carport area: square feet Suite/lildg. /apt. no.: Project name: w !1 m (r K;0( c, Covered porch area: square feet Cross street/directions to job site: 33 Deck area: square feet., ,, "- Other structure area: square feet t,,:: '`a'4cy7m$:?d'�mi0;' - :'r'-,"• rs.�m,,.i7✓ r` taz„ vi 1." .3 it�o`�vs,a- ,y a•;'1 RE QUIRED DAT A�CQM IV IERC3AL; ; USEf6HECKEI ST =`mod. • - a h;' tr � - ealtkni k * : �r} Ac r ;,,,,, Subdivision: Lot no 30 Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: . s rs r me Y °Yw °; nt *,y , equipment, materials, labor, overhead, and the profit for the ��. �"�" -' \ #„�2`E'3%!A9�'fl; it �: .WV c ",. w'.•d+:3, .�« "ax- 4 ; ; a , _ M 2 L,7-, .,- e DESCRIPTION OF xWORK `° ' > 5 ll .�i<. gi gWa- work indicated on this application. �aa�='' 8i. �%: ��' �- �, 4¢ v!;. �ern1?c, �. r����t :`�.:.�a- YS.� ° ,�k_F;.�„ }..u_.�s�r >�^��"�";:;:. �_ -. �$'�`r';:v..5.�^f�i..•'�.��.a s:�:a'�,.. Valuation: $ Existing building area: square feet New building area: square feet •i;: "'- „. > -.. ,;:; , ,.� <4.�Y: :. ?fi3A'::E::aC� _' `°•".�` ea �`'.. • `�'^ p "�+'aYi4;;- ' »5•. - r m.;.*:�s-.a ..^S yr '.*} ;rte, " �'a;(� • � ' ' a s P•.ROP - , 1k . ,,,NER S ,,, . , t, " - 7;1 • a Number of stories: Name: , E� 1 p"'re C - j -( ; ; ' I ,;, t iu ig - / �� � L . Type of construction: ti • I Address: 4 -0. 2 00 (9 P�) ST . l l.�s !. Occupancy groups: City /State /ZIP: Lf 4 (J J � L 7 f q — 20 65 Existing: Phone: � � � . � Fax (r3) C / I New: � �`;, } i� � .. � A " { .;x l �lw ; t�`"�1... i''� -t,,. .�I, , 4` f" a. a �a-y s ,.�"3�' .ma;^ ��= ::.:v�`S5+" ` • ' 7 ' w~r t,'bi�•::�~,?�;rr;.r .., ,, C ,. _ , ,;� ' •..;. . �, :; .� „c.�.'a�t ' . 4; t T A PPLICANT = _t.;v, 4 Wa •p.CO P E R SON` . . J� ::.4: .��_ , a �4:..r.p__, Sx.L;• ,..» �E-, �, ��m i�:v't�.`,s'�iatt�.:aFi+<�k.�`' a x y .�'�: ^ �f.�'r�.'"�- . � '4 i+.;'�: �, � �� -�.:, s 44,,:�. � - ., s;.5 a � #,e z. &, . , a :. v . ?..:. u n '14.4 ss`� . 4 x"r� NO4 •� 4 :r0.,; ; ,,,,',ti 5 i l" e 1 `� Kk; _ Alll on contractors and s * ; a c t r s a re required to be Contact name: licensed with the Oregon Construction Contractors Board I under ORS 701 and maybe 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: " � M :. ..-.l} '' q° .itf7Y_!,:,�'S. :'wFari. in,'F.��te' , ;if ..: y= `, �:ist� - n as�`a;.;;.;,,t. c ��.�' ,� riCOO NT + "s\',�, "fi•' .�rai;:'�1'%'-t�;J.•••,.'' ~�'= �i�'�,�'`��! :, h a m. .. I2:ACTOR n: zap t. -. ...., x �m,•'�7a i�,;:c��3kf;^d'trt..�z� :�s�a;.�?r� �. �_w �a� .�.: '���r'�`�r; ' � "` r' ��, �' n Business name: 5 / $ Ik E � .k •WW2,, Ir ifit �": 4 - u, . • ,. - . r:°_ -.- : 1 A& PAre V BUIL -ERMIT F EES *, i; , : :: i' rli, . , Address: . Please refer to fee schedule. • City /State/ZIP: - Fees due upon application Phone: ( ) Fax: ( ) • Amount received CCB.lic.: 1-1;01:51. f ., r Date received: i t iv f iL Authorized signature: ' / ,,, This permit application expires if a permit is not obtained , • within 180 days after it has been accepted as complete. Print name: i l T2. KI I Date: i 24.20/09' * Fee methodology set by Tri- County Building industry Service Board. � i /.Build g\Peimits \BUP- PermitApp.doc 12/03 440- 4613T( I I /02 /COM /WEB) . I_ i Plumbing Permit Application' FOR..OFFICE USE ONLY - City f Tigard EEiew Permit No.: /(/j Gl / (Jw 13125 SW Hall Blvd., Tigard, OR 97223 • Pl∎kne: 503.639.4171 Fax: 503.598.1960 kiat0 �' I + £ � Date/By: Other Permit No.: 24- Hour Inspection Line: 503.639.4175 Internet: www.ci.tigard.or.us N Date tifed/Mehod: Juris: Supplemental Information . •:mi "�""tw:�,.:"* =,te ^.'. 1` T' ��:s`-::•�y;+:^�,+^:�.+�::.°rsv x•¢rwr' Fkt °iti?' .,.' �� :.: _ rw;��: _rrur<i ar.; �;ii C�'`+�n'+..:n"�..t^S ^ -. :s' �„ dB! : y , sly '==?1 �� R 1�5 � • �'m,.traa•nr a: ^att;: � y it ^� '3�'a�"� ...r �i . ^.: w- aik,. '�'.S -, T�YR,E�nOF• Wag 4 x t .�Y , .:u ",��", c .iNi �.�t '_.. `I` ' - Z 4�;,3 x _ -, ,- .r . �•!i:z. E FEE*a $ CHEDU LE1 , lu `, ,, . ia F." . ,ta�3 �. , -..ix kc< P�.,. -s, -a t+: � - �x?nx�h- >'!t�gra��.s3.?�s� fir._.. a�;•. i.. t s r�,- k�..,fKG.ss,t1L�:`r. - �. v ° z�`.s'"�. -La x. ^...a +7aa:. =�;x �i:.,.au �r i ' t?• « , J New construction ❑ Demolition For special information use checklist. Qt Description y. Ea. Total ❑ Addition /alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) Mw 3 ueY �'� * w y F1's "C" r:¥i}.,<sy�,^�,`y"y SFR (1) bath 249.20 k" t k , t, �� :, . ry , -. : 1. .11 GORY OF ,c STR TATI, i 1 X2 0 t ., .• ��Y -a +:• :i'f's., ^�'a.- tt< �srrxa.,a';.'dwr.- : cic:. #�:t <..,•�zar,..rsc.:, .;� ^arm- a- .:r`.`', 'r °sro',. .�f ��,,: ❑ 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 ❑ Other: .: « x ° . " - Fire sprinkler ( sq. ft.) Page 2 `;K , t fT : 6; , �LOEATION _ • �. P -+4;a " � y��; JOB SITE :IIyF®Ii1VI tv.A '�:? ` s a • , � `.. ' ?Kbt Ee':$.:..: S7Swi• i;': t=. N' r.. rs ra 3�ccx:.: �a�. t`: s�^. vii'#�D.�.,.a;- farv:'st"',Ka:, s_. ,:,); va'3' Site utilities Job site address: ir2A S W ( trzeh e ld -0 ( , Catch basin or area drain 16.60 City /State /ZIP: Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: r Project name: 5v yrh; t h 1 df;� Footing drain (no. linear ft.: ) Page 2 '� 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.: 30 Water service (no. linear ft.: ) Page 2 Tax map /parcel no.: Fixture or item • ... ,,� ; , -, Absorption valve 16.60 t;?. aw�n- N ;t:� � r :��� ;e��rs�,^r.. , .: . , .;�:w . =a ,.. :rse,�'� + =s• �as?>wfi[�'° .,' �:• �_r '�" i:. `Fi:,; ei "yam' : 1. ° - r= ' c?( a DESCRIPTIONOI WORK � i, ',,, V'a,. : 1 p Page 2 :. ��:,. �.`. s1" r�. w�< �" z�:'- iz.; �. t- �?�.+:- }�,,:i,'�+s.;n:- .:ir:: �.s�r.:.�•,,^k��*,.� .�§^��� �i =a�a':a. �, :.���- ,, Backflow reventer Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 tr t :=. -- 4;,,r v'" girl sir sw- . °-A: _. Mqa a �;° - P s� £,� Drinking fountain 16.60 ;> `s „o (t °r r PROEERT t . , O ER+ , ` �, ' e b TENANT'" °n Ejectors /sump 16.60 Name: A VjNA co „� ; t Expansion tank 16.60 Address: L i p r d \e- t CD Fixture /sewer cap 16.60 City /State /ZIP: ��� /'�� r (� ) O� q Floor drain /floor sink/hub 16.60 -7 t C_J" Phone:) . 9) - 7 0- Fax: (th 257 ..) S Garbage disposal 16.60 ` =:i:�;•?, s ;c� T."':.,;.,. „� ,- -r�� ::3n ,- ��.•� r;�:��na a' . ��l m � ^.xreza�;E� �:�E,: -�ws� �d � Hose bib 16.60 r J ` 's ;.�;e' v * ; iE" • 4' kit� F fir' '`t�"-„•r; Iti " ®AEPLICfANT c ` x C4 .. `' i.t' , rCON TitiCT ?RE RSON A a '. dl a ., ....N ;aaw aau- ,: w a a .. Y.. ...? �9 . $_s es;s ux- - :Ys .a: ;` 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: r " a s w, �: a;sasr� r Urinal 16.60 t - t *,'. COPiaTcRA t i A � - "_g 7 .�' ��`§€ t`b•' ;*., g , r ':;i' .�di�' �. x s;;'t�?- iE��'dr ...rCn,tt °:.....,:a _, fir.- ��4e; �} Y:. �k'# �5 +��..'x'.� . -. -`'� Water closet 16.60 Business name: V _," kAitTY00Y-\ ✓\ Water heater 16.60 Address: Other: ' City /State /ZIP: G--- X �-!��✓t- C/� Subtotal ( � M inimum permit fee: $72.50 Phone: 5 6) v"4 - � �l / 3(,f/. Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lie.: 1,0S .-- ^lambing Lie. no.: '2 7-- ,3L Plan review (25% of permit fee) • Authorized signature j 'v t State surcharge (8% of permit fee) • TOTAL PERMIT FEE Print name: ,� p4.-1 \ me.......--. \ Date: ( LJ. j _JO. / This permit application expires if a permit is not obtained within' V 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building industry Service Board. 1 \ Building \ Permits \PLM -Pe, mitApp.doc 12/03 440- 4616T(I0 /02 /COM/WED) , . . I I / M&i•hanl ica Permit Application FOR OFFI USE ONLY City- of Tigard Received Permit No.: A/ I�D(JS G�/d�Li 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 //aa7aNipt' + °1 Date/By: Other Permit: Inspection Line: 503.639.4175 F.f�l ,., Date Ready /By: Juris: E1 See Page 2 for Inten wwv;ci.tigard.or.us Notified/Method: • Supplemental Information - r's a- - w :4A 7,4 a , p : ,<:.+" v w : ,> x,;. '.I. k' g �•�.as, r;nr,::N `erra,.'.r�-i k ' ....,. ;" a'; . ` - ca .r -,ate.. xs a+,. - �F. '' . -z 3? •. 7, b ..'�.t '..'8W', r .p*'z - V , i`i :f �4 "^-°' - c.�.u *r °.,:,.;u.=,o-.,.,>:s! rr,+x°'aaps _ y ,:,,, . ., ,: . k< ..`' r , ,-,,, ,,,,,_,•Ft50F W ORK ,,I,,. „.. 4r 5t , *� r-.COMIVI�ERCIAaL'EE *' ..�US ,,. . "`� • "� )� `° - ;.� E � SCHEDUliEA C /' -.t .. � �..v,p.: , L.." ..: _ r ,I. M° � :v;. � wvnldrsmrx��?fr.'��x� �' .. `�..#`> n:�. -.w-. au. .ab.�l .d..'� i�e+� w�rsnsm7aa�uaeri;5�:9 �rc�iz?rs� s�. v, ��a .�.2�. 4 �ic :�., - .,: :. -. -, _mss« .A �Q New construction ❑ 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. s�4 ", - - .. 'm "v" .b'c' 7.`+; °3w.:... ,> �T'7" 'S;. 'u4. 'SE9. ut.�...'.f'2xvi' eOC:a� n " i '. xX R �a.F $ "�',i 1; a. : l'' fPTN* r-:. ,t Va , , - _ ' • . `;. . CfA „ TEG®RY jOF:, CO —,..,„ ,-, -, „�t� �'' :e ; ._, ,..c ":���.. ,� >n��. -. _,! �. 3', �.'.:.. z - i �s., t:_ s� . :s,an,- ,:,..e..vv�:. >Mttx?�z:- err:,. rn��rex-. � n'. ve. :..:> ��2s?+: �.. 6a1�" �.:, �s', ifi�',k�.a�;a".��1= rn�rll. ?k, �t:;�n^�ar �aa^' ;. t rk���;a"' r�n �x s ng.;rz ��.�Y';ccx;>rs_• � „�a -F o 7 �;, 440ESIDENfIAL E Q JIPMENT /4SYSTE M FEE 42tn: ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description 1 Qty. I Ea. _ �e;�3 +F.�x R4 =. �'wg 4 r"'''TrT'k �"_��= fa ;.. i 4 a.arn.:;aa...�x n- '.r _.<, - - mrr r� a ��:� >�wa� �< r . .� .It� r„ ' „ `� ,3p. s R � ri d',; ` , 1 4 .) J INF O I , A R N AyT ION ,,, . On( i4 , f, Heating/cooling Job site address: 152N,,\5 W �� 1t1G Iv. 'D f Air conditioning fires S to plan showing in g t p ump placement) (requires site Ian showin lacement 14.00 City /State /ZIP: _�a I Furnace 100,000 BTU (ducts /vents) 14.00 1 Furnace 100,000+ BTU (ducts /vents) _ 17.90 Suite/bldg. /apt. no.: Project name: .Sum YYl t �tG Gas heat pump 14.00 Cross street/directions to job site: JJ 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 Other: 10.00 Tax map /parcel no.: Other fuel appliances ,5�U � , 8� Y ka'sT "�.��1%. w ���' .Y •'E "f- .!�N<"r`- '.ias[shx � KWkiYS ^.k 4 1x r - ?' .. . ..� WOR r� ".. :. `�3(::C ^_'�," kei ` -,m ;,, - : °r o -. $ "DwESCRIP F,, . n -k ` ' ,- e. Water heater 10.00 ..'rti.ra`' .� .r* ,h"r'�t -,, ,. '<. �sx.- r= �o-;+ �.< c: z.: e:t; v:. u.. rsx° niscr; z:�.s�t,�LL<r.Kn,.:u.,� x�.`s ��^.�ik� >4-�: ,� 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 41 °. U - m-;�.,gu «r *, , ,fi.. .,;:,;;... . _ „ m��cur c. ,,V, ; - K Chimney/liner/flue/vent 10.00 ?� r " P R OP ER TY OMti l ' . r° ; TEN °A NT S' ' u i; y � ?� 3' �*vt,.� &. ` EPn N � ..a�� :.c- :•.,x'"�"a :. _,,,�,t ..2±I 6�t�art � $ �n P a, � ` �....- ,;,. :.�, � � �, . �, � � :. _ � ka ru � �, �- �.?�'b.'rh -�, Other: 10.00 Name: l lJf �wl ► r r T AE S t Luc..., Environmental exhaust and ventilation Address: L Range hood /other kitchen V �'" '�/ ( �('/ equipment 10.00 City /State /ZIP: 1 �. '7VrS Clothes dryer exhaust 10.00 r t Single -duct exhaust (bathrooms, Phone: �-CI�J - ���-2 Fax: ( � 2'7 •- (r =J toilet compartments, utility rooms) 6.80 "l' `e # iP;• �:ar�sa;,-,. ^ ; y mx° r. . �, �,<•xe.^r ...s ;=a:w:'u . ��c+r? .• r ak a. iii PP.LICANT a ' , CONTAdf PERSON. k ` Attic/crawlspace ,� ®� Attic /crawls ace fans 10.00 ° te�& oas: f__+,w >+anwr- �r��° r.+g. tt,Se�l>�" ��' tie °� 44 -._., 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 '' 'w _ t,.. ' ` - q./ .4% ' 'k_` s," ,:.x �. e k. r a ,- -5 n 1'47 g ` Via: €. - 11 : � _ TA:t7 - ' �, J : , , .- 6. . � 3 -ItPti 4r• 2AV);,ONTR?iCTORx� =n'�1 V Ie., 41:411'x- ,s' :, Barbecue / / , () _ . ` , Clothes dry (g as ) Business name: l L � `/t( Other: Address: Q L► RAW,* ' , ,. MEC ° ANI AL E P - * #, , ��� RMIT�F'EES u';_ �' �� � ):'rn"�,`. 3'b,�xxrx� �.. . n.:- rz. =.» ,.. <=: r+= w ar .�sr;,..a✓ t<aiaf> City /State/ZIP: V T `(V--- V `( el 7(b5 Subtotal Phone: ( 5 ', . _. "', "l, Fax: ( ) l Minimum permit fee ($72.5 c� Plan review (25% of permit fee) CCB lie.: -� /- ) e ?) State surcharge (8% of permit fee) ���� TOTAL PERMIT FEE Authorized signature: a41 ' if This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: go 4p,"1- Oaf oil I Date: 12 ,i21 0 t * Fee methodology set by Tri- County Building Industry Service Board \ \ is \Building Permits MEC- PermitApp.doc 12/03 +• 440- 46t7T(11 /02 /COM/WEB) Electrical Permit Application - • . FOR OFFICE - USE ONLY e ,' . , Cit of Ti and Received Perm t No.:��/� .�� Y g DateBy: Revi t (0 /U `a 8 J V r /S � -,, — Co0 4 • 13125 SW Hall Blvd., Tigard, OR 9722 � ( Other Permit: Phone: 503.639.4171 Fax: 503.598.1 6 �� ',�./� iii. Plan Date Inspection Line: 503.639.4175 c'p�` . Date Ready/By: Juris: El See Page 2 for Internet: www.ci.tigard.or.us MAY 1 6 2005 Notified/Method: Supplemental Information TYPE OF WORK 1 PLAN REVIEW StNew construction ❑ Adtlita Irrti Micement Please check all that apply: ❑ Demolition ❑ O U1DING DIVISION ['Service over 225 amps, comm'l ❑Hazardous location ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential N 1 and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure Li Multi family 11 Master builder ❑Other: ['Building over three stories ❑Feeders, 400 amps or more ❑Occupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION ❑Egress /lighting plan RV park / ❑Health -care facility ❑Other: Job no.: 3 Li I Job site address: / 5 Z 2 (� 5 w U 1-I1:11A✓ Fig}n &e,Submit 2 sets of plans with any of the above. City /State /ZIP: - a 0 12- . R 7 223 The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name: I A /J -{ � FEE* SCHEDULE pox.) • , w i . 0 01 F1 COM t Description Qty. I Fee. Total I "* Cross street/directions to job site: 6 �} .� R . j New residential single- or multi - family dwelling unit. C7 ' Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: 36 Ea. add'l 500 sq. ft. or portion 33.40 1 S ' �� t Limited energy, residential 75.00 2 • Tax map /parcel no.: Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular A) l dwelling, service and /or feeder 90.90 2 1i nit) 17. L'V5E , 14,1-714 416 Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 IX PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: U n 4) /- ! QY/ s S e17E Cr) piA4 u Ail no--5 601 amps to 1,000 amps 240.60 2 Address: LIA 3 Q &42. g" W 66 a 57z61.7- 726 5017r)ae Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City /State /ZIP: L k k E Oi h) E(St d £, 9 7 b 3 LSD Temporary services or feeders installation, alteration, and /or Phone: ( 563) - 38.'7' -75-3 0 ' I 3 ( 5 ) 3 3 7 -- 7 G l 5-- relocation Fax: G 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 ❑ APPLICANT ❑ CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, each branch circuit 46.85 2 Address: Each add'l branch circuit 6.65 2 City /State /ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( ) I Fax:: ( ) Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or extension. Describe: Page 2 2 Business name: X W TI E ZE,77n / c L L C Address: d `� Each additional inspection over allowable in any of the above �- D • Q ' 6)d 2 3 3 Per inspection 62.50 City /State /ZIP: ft W° Of # 977 510. Investigation per hour (1 hr min) 62.50 p� yy5 - Industrial plant per hour 73.75 Phone: (5 63) 7 8'(� Fax: (563) !! - �I 7 ELECTRICAL PERMIT FEES* CCB Lie.: 2222 Electrical Lie.: 3y_ t/(3 L Suprv. Lie.: ta g 33 Subtotal — Suprv. Electrician signature, required: �/ J/ Plan review (25% of permit fee) Print name: / ot! [' / 4 / State surcharge (8% of permit fee) / , .L / f2 Date: 7 t b 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\Pernits\ELC- PermitApp.doc 12/03 440- 4615T(10/02 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined .. $75.00 Check Type of Work Involved: n Audio and Stereo Systems* • n Burglar Alarm I I Garage Door Opener* Heating, Ventilation and Air Conditioning . System* . n Vacuum Systems* n Other: COMMERCIAL WORK ONLY: Fee for each commercial system $75.00 (SEE OAR 918 - 260 -260) Check Type of Work Involved: Audio and Stereo Systems . , ..' • n Boiler Controls , Clock Systems n Data Telecommunication Installation n Fire Alarm Installation n HVAC • n Instrumentation n Intercom and Paging Systems _ Landscape Irrigation Control* I I Medical • , . • - n Nurse Calls , - n Outdoor Landscape Lighting* �' •' 1 J.'„ �,: v "�; ` I I Protective Signaling n Other . • • Total number of commercial systems: ' • ; , ► ° *No licenses are required. Licenses are required for all other installations i:\ Building \Permits\ELC- PermitApp.doc 04/03 ors gam, -�z/- \ ® , AAA a AAAAAAAA ®.,, AAAAAAAAAAAAAAA A AA AAAAAA ® A.' AAAAAA 1 Ito- ® TREE CERTIFFcA'i'ION E . i .. .. ® F �s I� P vi - y - , .®wner /Agent for A�� ,) M#k fir ,4rz pi-, r, y LZ_.. . t. (PLEASE PRINT) (PERMIT HOLDER) ... . ark ® .5 rye , ® A f ,,r _ A aft '! Do hereb, f'ce %f t at" he; fol location meets °pity of, ar '�� F � ,� �, � �g d %W C ounty 1 land use and development standards for street tree installation 1. " i ADDRESS: %S Z� Sw �ree /c , 2,� i Or- LOT: 30 SUBDIVISION: Sk i /`'✓'- ,� to- 4 BY ` DATE "7-,2 6 -a _ DATE: 7-z6 � , RECEIVED BY: c--- VVVV'VVVVVVVVVVVVVVVV' VVVV VVVVV VV V V r CITY OF TIGARD ,, ' BUILDING DIVISION PERMIT #: MST2005-00004 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/22/2005 Phone: (503) 639 -4171 1A ".�� 1 ��m�� u� l �j,, Inspection Requests (24 Hrs.): (503) 639 -4175 `:_.. INSPECTION WORKSHEET FOR DATE: 7/27/2005 TIME: 7 :15AM PAGE: 20 SITE ADDRESS: 15226 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 030 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF. 7/21/2005 AC added. OWNER: DON MORISSETTE COMMUNITIES LLC, PHONE #: 503.387 -7538 CONTRACTOR: DON MORISSEfTE HOMES INC PHONE #: 503.367 -7538 Inspection Request Scheduled For: • Date: 7/27/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 012237 -04 503 - 209 -4837 N Corrections /Comments /Instructio : . R . e/r 7 24g. c sr - 6 T') 4 e 4:._-- (3 I • .a .A_A !- C.._-i% – T L - S 7 /Ai c_Zi — 1 i G,q-z_ /'/ A/4-z— , g_ /�cir } ` `e EP ►; 'ASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL . 'ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspecto I a:11111111111111111 Date: 7-217 aS Phone #: (503) 718 - CITY OF.TIGARD BUILDING DIVISION - PERMIT #: MST2005 -00004 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/27/2005 Phone: (503) 639 -4171 . 1 h14111l i t � Inspection Requests (24 Hrs.): (503) 639 -4175 J.... INSPECTION WORKSHEET FOR DATE: 7/27/2005 TIME: 7:15AM PAGE: 21 SITE ADDRESS: CLASS OF WORK: 15226 SW GREENFIELD DR SUBDIVISION: SUMMIT RIDGE LOT #: 030 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF. 7/2112005 AC added. OWNER: DON MORISSETTE COMMUNITIES LLC, PHONE #: 503 - 387 - 7538 CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503 - 387 -7538 Inspection Request Scheduled For: Date: 7/27/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 012237 -03 503 N Corrections/Comments/Instructions KePe. e_7 d ja rTzizi3Os (c„--_,) :.-t_u&- --) • 1'lo 1 . p20 , ,, tic .4- c.- 7Z62,-4 -- ' S T72/4 -/ /i i' i V&1 TIC 4 - d,.,r G A'S L- !K-/ c= P / pL 1- b v iZ c r ri ,- rr 04---/ >Z `' 9 �� .- ant st c= A nib RgY 6✓, co�.o, c..c /•/ 6 - i -- - -- - A- oV L . • 1 ► 1 � " • PARTIAL APPROVAL ❑ CANCEL 111 NO ACCESS _ .FAIL y , LL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: Date: 72- . Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2001r00004 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3/22/2005 ii Phone: (503) 639 -4171 /- 1v liT\ Inspection Requests (24 Hrs.): (503) 639 -4175 __ INSPECTION WORKSHEET FOR DATE: 7/27/2005 TIME: 7:15AM PAGE: 23 . SITE ADDRESS: 15226 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 030 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF. 7/21/2005 AC added. OWNER: DON MORISSI, I I E COMMUNITIES LLC, PHONE #: 503 - 387.7538 CONTRACTOR: DON MORISSE I i E HOMES INC PHONE #: 503.387_7538 Inspection Request Scheduled For: Date: 7/27/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 • Electrical final 012237 - -01 503 - 209 -4837 N Corrections /Comments /Instructi ns: ' eFo k .---- a( 7- 2--‘‘ osr . 6 a, 0 (-=" s) Cam PC,c;TZZ. IA -. SS RI PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I l FAIL MI L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: _ ilierAgill &, Date: Phone #: (503) 718- CITY OF TIGARD 1 BUILDING DIVISION PERMIT #: MST2005 -00004 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/22/2005 Phone: (503) 639 -4171 �r ,u m�� j Inspection Requests (24 Hrs.): (503) 639 -4175 =� — INSPECTION WORKSHEET FOR DATE: 7/27/2005 TIME: 7:15AM PAGE: 22 I SITE ADDRESS: 15226 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 030 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF. 7/21/2005 AC added. OWNER: DON MORISSETTE COMMUNITIES LLC, PHONE #: 503 - 387 - 7538 CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503. 387 -7538 Inspection Request Scheduled For: • Date: 7/27/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 012237 -02 503-209-4837 N Corrections/Comments/Instructions: r K I : F 1 0 ( ° ' (/ I fq■C 7 oS 6 77 S Ve ) G4D ALA - I� O ASS IN PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS (l FAIL VA C' .L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED . / Inspector: ■ Z� Ins - p Date: Phone #: (503) 718- CITY OF TIGAR BUILDING DIVISION ' • PERMIT #: MST2005-00004 II 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/22/2005 Phone: (503) 639 -4171 habh /In iiq�fi ilii- Inspection Requests (24 Hrs.): (503) 639 -4175 , °'�_I INSPECTION WORKSHEET FOR DATE: ?12612005 TIME: 7:07AM PAGE: 7 SITE ADDRESS: 15226 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 030 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF. 7/21/2005 AC added. OWNER: DON MORISSETTE COMMUNITIES LLC, PHONE #: 503..387 - 7530 CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503 - 387 -7538 Inspection Request Scheduled For: Date: 7/26/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 012166 -03 503-209-4837 N Corrections /Comments /Instructions: • VI 'ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: i rr .) 4 Date: ' 6 Phone #: (503) 718-