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Permit 7 - 45 - O jZ -Q4,- 4, \ �� e- -- I +� CITY OF TIGARD DEVELOPMENT SERVICES MASTER PERMIT PERMIT #: MST2005 -00083 '' DATE ISSUED: 3/25/2005 e 1 �. _�,, 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 PARCEL: 2S109DA -02500 SITE ADDRESS: 15199 SW GREENFIELD DR ZONING: R -7 SUBDIVISION: SUMMIT RIDGE LOT: 002 JURISDICTION: TIG Project.Description: New SF detached. 7/15/05: Added A/C unit. BUILDING REISSUE: DM170 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 31 FIRST: 1,570 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,520 sf GARAGE: 407 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: 308,381.10 OCCUPANCY GRP: R3 BDRM: 4 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: BOIL/CMP < 3HP: 1 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: 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: 5 201 - 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 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: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other DON MORISSETTE HOMES DON MORISSETTE COMMUNITIES LLC applicable laws. All work will be done in accordance with approved 4230 GALEWOOD ST 4230 GALEWOOD ST #100 plans. This permit will expire if work is not started within 180 days STE 100 LAKE OSWEGO, OR 97035 of issuance, or if the work is suspended for more than 180 days. LAKE OSWEGO, OR 97035 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 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699 Phone: 503- 387 -7538 Phone: 503- 387 -7538 or 1 -800- 332 -2344. Reg #: LIC 162512 TOTAL FEES: $ 8,777.09 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Issued By : ".0, X. 0 1 =/ Permittee Signature : 5e,-c_, () �p V Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. 0 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. ' CITY OF TIGARD MASTER PERMIT PERMIT #: MST2005 -00083 ���* DEVELOPMENT SERVICES DATE ISSUED; 3/25/2005 c � J J 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2 S 109 DA -S R002 SITE ADDRESS: 15199 SW GREENFIELD DR ZONING: R - SUBDIVISION: SUMMIT RIDGE LOT: 002 JURISDICTION: TIG Project Description: New SF detached BUILDING REISSUE: DM170 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED ' CLASS OF WORK: NEW HEIGHT: 31 FIRST: 1.570 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.620 sf GARAGE: 407 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THROE sf RIGHT: 5 VALUE: 308 OCCUPANCY GRP: R3 BDRM: 4 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: 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 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: 5 201 - 400 amp: 201 - 400 amp: 1st W/O SVOFDR: 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: This permit is subject to the regulations contained in the Owner: Contractor: Tigard Municipal Code, State of OR. Specialty Codes DON MORISSETTE HOMES DON MORISSETTE COMMUNITIES LL and all other applicable laws. All work will be done in 4230 GALEWOOD ST 4230 GALEWOOD ST #100 accordance with approved plans. This permit will expire STE 100 LAKE OSWEGO, OR 97035 if work is not started within 180 days of issuance, or if the LAKE OSWEGO, OR 97035 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 162512 direct questions to OUNC by calling 503 - 246 -6699 or TOTAL FEES: $ 8,699.47 1- 800 - 332 -2344. REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 / 4 Permittee Si nature : Issued By ..' 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. Bthlding Permit '7',...i 3 14c .tig FOR OFFICE USE ONLY ht°'r Receive. — City of Tigard �� Date/B : DDS PermitNo.:� 1f3 �pV � 13125 SW Hell Blvd., Tigard, Q l0GP Plan Revi Phone: 503.639.4171 Fax: 5 601,visio� �� � Date/By: 7, 3 - )2 - b Other Permit:^ AD Inspection Line: 503.639.417 U()- ` I Date Ready/By: luris: ® See Attached Checklist for __.. Internet; www.ci.tigard.or.us Notified/Method f 22 - t03"--- 9 T Supplemental Information . \ -&)- (7 •-c. S'Sf -4z W / ® !a AM / n ,4 { ]Ar.: ...yl,,,a,^ .'l vrar,„:'• ;.4',+•l'. - : y '3; C :•. <a., .t;r .?e•! �f, •cy . ua „•.tr : - f _ ', ' ,t, ?ck,'u � k�..: : "��,{r `'F.( ": ;. b " :W " i ; Pa ' , 4 C ' , : z r rl , •;S;y -' �, f °bFt ie.,; ti. . .., ' tt • , _.. <<'RI7 YIIRED DAtPA , . D 2 J DWRIILUVG .;r �: . ,...%,,,,:t �'v . rr � -,Lc�� :- t:�:i• .i4. ,,,*('lf n °..,.c � n, icy- r � 4- ..., -r•r ..t... � r Jf 7r �� �J„ . .`.., y ,, j r ...., +•�, ,� •. .._ ..�. n,.. . !(t, . . . x-"' .ter:: .l.>'.. C. •, .,':�:. =.A1 :'.. _ Jc, Demolition • Permit fees* are based on the value of the work performed. New construction ❑ Demolition Indicate the value (rounded to the nearest dollar) p of all ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the {• r ,� •.: ,:: _ : ,, na.a;'•rr,• :.:r:rt :�r;r, , t ,. : :,rc,' ;•�yt , r,; work indicated on this application. �„ = ;r, t tii i4'ttr r Q\. : : •� .,,. PP _ ':,': I� O,FiAGONSiI k ,i,. ' , lr. > , . - �,,; �� � '.'' �r � ; :' � ... �; • ;. ,. � . ' •,,,: ,:. .., �. .,. ti �: x... a:•. 5 I; �, t; rr4. v:' r:, t; �•.ti, r-;..} s1 N:.. �� ��� •:! : %;ni��'��r.i_�,.. - 'r0 1 El I - and 2- family dwelling ❑ Commercial /industrial Valuation: $ .(:)".1 t $ t 10 ❑ Accessory building ❑ Multi - family Number of bedrooms: Li ❑ Master builder ❑Other: Number of bathrooms: 2 . 5 1 �( ' b ?. :r::::,: j , . t .. �. :; ., .. f .., , , ;, ,.-< ;1 .� ^ - ;,•r `; , ,, ,.: .',. . car .. PJ 444 "' Total number of floors: L 2. r 'i,�// 4�' 6'301 ,`.,,. f �' �t - iSi� ' Ik't C;N F } : Llr�� ..r.' / ,� ,,,, f;'!:=.4.:"; I l u ,, �� -:.,.. 'Zi. r ,.`��i • Fl ,,u;l! ! ... FIF��, ��i 4:!�:�r:.� �,'� � ��� Id ",.F��'`i . ; 3( Job site address: i . \ • .,a , .�dc�� . .'x:rp.,.,,.._ r, ,t',.. }'� •. y': �7Ss ,F• vt... av;� i. �r y., ve:...: ;f�n �'. .. u i rbt(" New dwelling area: 3 } cl0 square feet City/State/ZIP : r! Garage/carport area: L. cn square feet Suite/bldg. /apt. no.: Project name: Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet p aln Via. r . r, r1P 1xE* r" t ? r , r k „ ;.,1 ; , it. S S'. . a 11: : :,: cr - ,., r l, Q1 f N n • I IlyIDII, I, )S C ECIfLI + •, rar•,.- .�,i,� �y ,•:';..Y' >r A_ n Subdivision: Sum m l E 12_,d 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 '•: i, : 2;i 41';t�'.. ' ,,” t%d y, Ir�7,,; ,' ?a(� _ac.i: ��•;' P I Y�.�cu''Yier: ''4L' '�:"e''L ^,. i?a.;.?1T. =:;1:: _st., ., , °,, r °, , "'' t work indicated on this application. I mo,,, i;il r•,•,iJ ,, , PSILII�+ T ItKbIrpS�! ©RIt *' ' . ' .HI A:Zair:'.t, l ;: %i ?+: `i " =i .,',;„ PP .;r. .'.('t'-o:,, -. ,. .r:.t.d..., .:v.,��,. . ,. �.,: .,,r.b.•,r;,arf:G�.ra , :��:.,�:r- t >:nS ^.:k..,• � .- ..... =, -.d arc Valuation: $ Existing building area: square feet New building area: square feet ,r tk 1. - ;>: i i � u,�.. . F t ,� , = , 5 Y4 . ::�:r:, :.N..":,., .s �lvit C 7: .' "F+ �` V 7.kk UP,ER7+Y'xU ER V' =f, ' t Y. f: ` : ;.41µ • ®t;,T NANfF Z �'• f'�: 1', t.(; , Number of stories: ;;� ?,..i��..�ilr' , ,_j,,� �. kit: ?yp, �, a~ ai. �l:,. sr: ,:•,rr!'�:��a'�'�!3td�l •�l?r;t: fir` isC :'.t :,,..t',.' . a;' [�t- �•�m:= r i', "3ar.•r;t��.''..1 Name: � �l l � C O MMu, n-cs ` � L _U Type of construction: Address: La,.?L (i ) Gr. c - (1-,, 100 Occupancy groups: City /State/ZI u . ( 4 - 4 ! 7 R 703 Existing: Phone: CO) 4 ? ) . - - ) ' 5?) Fax: (r /5) .3-7.-.7/,,,i5 New: t tjl�•, ; ;yi ?;,,' , r •�• ; °av c�.� - ..en ;J ::d'S:� S` °; ?�. r. . "t9 ;' inn _7.i � = M } ,1A ? ° °'- RC 14!Yv,iF0 ii.. r. ; ° : k31514 °-` ∎ 6 i,p. ,: a k' - '( r r. �( r) I 1 •l ��GjN. � i r 1 1- , -�� • r E,7 r �'. ,•( i.J•111.. } 7 n1 ^,r Yi �:1 '!. w.r::� .,, =;:'r .,. tr4 , . P• : "- v'i :`,i: - 0 . r o- f' 4 y iv. ;.c, 2,:,r•;, t .. S :!1 . A6NT.ACp1 : ., P I,,RS'U ,, , ,. ;4, ur " .. : i.aa',.. . r °;?m.- ,%, . I: ,. 1 , 6 1.5: ! , :. :. t:, r�`, _,., !! = :' i " `...'+ ' `5:�� , i a 1 <4 . ,Y: " f. r.n' . � ,t R ,1, f'•I, tr i , y ,., 4�;r.'�.`.,�F f,s�.er... S.y , , ��n:�.�`.;,.. i' ., , atl , , r.. 15 .. . .(h,+r� ,( '4.• .., ; .s. ..n ."i , 7 !�y, ;r � ^:: 'Ay -c.. ' , ; 2 - 5.9x , '1 \ � I t �' k ., .. p ,..� (- 1:ta� f,:.n.e�aC�H;i'a:' }tr: ; ay ? ".,� ?' +4`' ": .. �:r:. r p +J�;,Zfj„y,:;• • .;y;: Business name: 5NyttJ �'' All contractors and subcontractors are required to be Contact naive: 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: ,• •, - zi ,97 •. "!svo : -'' _ �t't,ia, �r ,•• •• ;,i:..,Cr l •,; = ' .l.' \'�C. "'� y r., v' •:2:G...,,.;qu 'j'. ' ` : '�'i:;(: , ` ; ' , C O E 5. yr 4;, ,� r , r , \ i •r •!�•''•.' .. �� "Tti', :'Y'v,$. `n ° . f y ' � � � � P< I: -. M C,,'?}: `.�. .� >'-.., �d 'i �.`ft , -7,1.r - L'..rr:rt r Business name: '- T •I `..� p ... ��� ++ ��tt JJ ��. // 1 ,,,,,:p:, : ,, , , ", =: Bi�,i rF.ED.S.�'� . Address: : , ; 3 :. Please refer to fee schedule. City /State/ZIP: Phone: ( ) Fax: Fees due upon application ( ) CCB lie,: Amount received D ate received: Authorized signature: �� This permit application expires if a permit is not obtained ppet �� / ' within 180 days after it has been accepted as complete. Print name: De .f l m .,t Date: 7I Cj I QG, ► Fee methodology set by Tri -County Building Industry Service Board. i:\ Building \Permits \BUP- PermitApp.doc I2/03 440- 4613T(II /02/COM /WEB) Electrical Permit •it pit ltu>li FOR OFFICE USE ONLY City of Tigard Received DateBy: Permit No.: VAS T:94905' 1004 13125 SW Hall Blvd., Tigard, OR 9724, it 1 L 8� 0S Plan Review Phone: 503.639.4171 Fax: 503.598.) .1" " //' ,,„4 , 1 -, f� Date/By: Other Permit: Inspection Line: 503.639.4175 _A_14, ^• Date Ready/By: Juris: el See Page 2 for Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: Supplemental Information New construction ❑ Addition /alteration /replacement Please check all that apply: ❑ Demolition ❑Other: ['Service over 225 amps, comm'I ❑Hazardous location GAT Z 1OF.�CONS`GRUC!'IO r''.' - n • ` r. r' " % :`S ;` ' ` °:a O. Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., ..... O .,. eit ST .. „-,..a ;.,.. f. .. nti J4.L: ; i4. :.� t , , of 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 ,, 1, . _... 'H .rin n oI :r,; •.r! n:br ; :144 ,• 1 T" f % T�]•.r . .r. : : ['Occupant load over 99 persons ['Manufactured structures or r . - - l .r � mss ^.. - sgr.. � �;' if : ,:,::., , f , • a F .,,.-ri h t in lan ,tiJOB;7;SL , FQ t©l ^AN :LU CAtPI U �, � t V. ;. '` E ess/li Job no.: 35, IS RV park �• . .,� " ., 'a�!i • r:•.,rr..: � . .::x <.� »: :,,, • -- >s ::',� .,. , „�t..: „<..::,. -.. ,.•��' + -a � . , ;., ,; , � : , :.; �:�.:c.:_� . :,,: ❑ 8r g g plan facility ❑Other: /// Job site address: I S el rem �e� `y\ (, Submit 2 sets of plans with any of the above. City /State/ZIP: ""h/ Jl 6 Of/ The above are not applicable to temporary construction service. '"iY �G:r it .r4,J'.:,'� 'S1:' ; ijl Yr:q 'S ��' E r, ��•ite xRaw`;,e: +; v Suite/bldg. /apt. no.: Project name: .,i3!t °f /^t /�lk�i _„ „t ilf* ; ,.SCHEDU E`':• :.;: l i ,�: .,•~ Description I Qty. I Fee. I Total I •• 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: xt..\ m 1 eR e Lot no.: G Ea. add'I 500 sq. ft. or portion 33.40 I Tax map /parcel no.: � Limited energy, residential 75.00 2 .. � ,., :; a `, �, ,, t _. Limited energy, non - residential 75.00 2 '.': A 15 zx • _ l y . . ll ` . ' -t.,= ` y,.-•;'�iu'11?;, :,.,: r •r K Each manufactured or modular ,:� '� >.a' 4� 'DESCRI'IO1V OF;';WORK�'i E �,i T�.,:, ' 1_ � r ... _, :., ','.. `.a+r!'re�L ?N„ �T.:;�.y -, �, .c, s':- ,t,,..� - . -, � •. � , ...:,��� „ : t' .... 't. �. :� a,;r p3�i _, ,li �. dwelling, service and /or feeder 90.90 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 :',0 -, • o 11,0,6,, 1 r 201 amps to 400 amps 106.85 2 F,'.v�' a,� t , �: � t' � / s i �' :_b -Yii. � ;�: v ',iitr:.r�S;:h.... rs, axy,� ;,l'; -. ',i - • ga'., Y.ROP'ER� - 1 ` Q �?1 ' 11 1 v-. u:, ' � t,. •i T $ tgrpt !ir x " ;. ,; ,: i.fr :. N r n,..:.,r•t tY . :,...;: sr r ='i psi,, :it e,' •...4 r.,..� _ . T21..:'.: ?, :., ;. .- t 401 amps to 600 amps 160.60 2 Name: 11 ,k • ' r L.ttl 601 amps to 1,000 amps 240.60 2 Address: 2-1D.W Wirl/ j 9- , 100 Over 1,000 amps or volts 454.65 2 V ) V G�(, J � Reconnect only 66.85 2 Ci ty / State/ZIP: Temporary services or feeders installation, alteration, and/or ) ^'� ,_^� ,/,., t)� - 7 r i S relocation Phone: ! ! Fax: (9( 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 S, + ti :, ,;r ; ry ?A kir' . ,,� ' i, *; �:; :;:,,; l A. Fee for branch circuits with .._. . ,..... ::. A)'ELICANTaI;;' " ti`�Ty '��' ,�iu�����r'i� ® ;ON.1�.�' „�'� 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) Pump or irrigation circle 53.40 2 Phone: ( ) Fax : : ( ) Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - 'w 7- k' '` ::'i . i a`., ,'. ... . .... I.! �:�:•j1' ,5; " l °o,f ',' , :%. _' ¢ l+. Y Y. energy C ONrr�r�RAG' C O R..{{� ' rr ��', � + +} �� �.,;�;, 1 gY P anel, alteration, or ..:i ^� - "��, .,.': -�.. : D ., �lp'.'�s' .�'r",v ,,'r •'1: .'�1, , .l.4;,,,.,,.�. �, , 4�R�...�,.1,.f :,.iv,'.�.;; ak /6Gl •i r:•r, d':` "1{r..�u .i•�'.�,•�,_.� extension. Describe: Page 2 2 Business name: CA--V n 7 -./ Address: t V 61 LAM t , f- .--,=2-7 Each additional inspection over allowable in any of the above Per inspection 62.50 City /State/ZIP: * rl (4a/ rd., /'� £ 1 J Investigation per hour (1 hr min) 62.50 Phone: 0 41.4 (D._ Fax: ( ) Industrial plant per hour 73.75 �� /„ � ?t' tr;i;. ila .`niF]I,j- �t, <'AIi; P1a12.11 FEESJ:"'' °i`�'.... CCB Lic.: y Electrical Lic G Suprv. Lic.: .35q;95 Subtotal Suprv. Electrician signature, required: Plan review (25% of permit fee) 3 1 t o State surcharge (8% of permit fee) Print name: C��(,C `1 z I Date: ` TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board •• Number of inspections per permit allowed. i:\ Building \Pennits\ELC- PermiiApp.doc 12/03 440.4615 T(10 /02/C0M/WEB Mechanical Permit Application rotz OFFICE USi? ONLY City of Tigard A Da° y PermitNo.: A167: _ g g3 13125 SW Hall Blvd., Tigard, OR 9 CEIVED Plan Review Phone: 503.639.4171 Fax: 503.598.1 2005 /G.Tr,; : h ,. 1 1 � , I ;\ Date/By: Other Permit: Inspection Line: 503.639.4175 MAR 1 1. 2005 ,-.>y.. +m' I i Date Ready/By: Aura: RI See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information CITY OF A, ' : �. • TIGR® d i ` ' ,. �;:: { r ;c ' >< , 7 ,1; '? •C RCIA FLE ., S ;tUSEiCHECKLIS?I` . New 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. • �,.,.:,, . �..,,,.:- •, _:,..,, •r•:.,,,:..;..,1: , , ;::,,, :',•fi :,�;,.Ta �t;,;[�:'�� ; °,i V • - _, +: s': KCATEGURY. • n1 ;ORS ?ONS iEUCTIQ1w,,r � ° r , ; 1' , i. _. ..1. .. � In \,4i'`'i .. . .t ... .:'�. ( ^l� -� ; }. -!� .. ... alue: .. $ . . ❑ 1 - and 2 family dwelling ❑ Commercial/industrial ❑ r RESIDENTIAL E....... .. ... /'$YS. - .. . . ES *', dustrial Accessory building " �'•• � "�� • ° ° - � ' ' E ❑ Multi family ❑ Master builder ❑ Other: For special information use checklist. Description I Qty. I Ea. I Total B"i -ON', •rs•�..;.:;%: ' : , +, - 'JOr SITE�IhiFO ;� ,I AIVD !•�LcOCAZ'IOI�,':,�;;.!;:��� � - . ... .,. : .. .,::,: ��..,...�,,.....r :.,:., .. ,.. .: .:�t;r- ;'{i � Heating/cooling Job site address: 15`tCAG G cee n `-N- Air conditioning or heat pump ` (requires site plan showing placement) 14.00 City /State/ZIP: /- Furnace 100,000 BTU (ducts/vents) 14.00 Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision:a It 1Z1 d 99 _ Lot no.: a Flue/vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances w: r,trl;, : a;l{ n:ry;p<; -: Water heater 10.00 , . ,:e : � E _...: �+,r�,, , , . , . Z „ : , ... ,.,,Rl�'� • Q)!i, a . F �; �,� : r�gt ', �.v a�1�;si::r' ,, �r :it::::"' „ - a ��l ` �, i Yi.,'GY'�', +.- i g ., 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 10.00 � ? PR y . - ,. - • � T3t , . : I <' . '+ r s _• � ; t- ®' TRNA7HT ; ::. $ = , ,, a ` :;� <', . ; 6;, ,. � -,.;� :: ,,,_z �. ,- .,_,.. ; , ,' , •, Other: 10.00 Name: 4 . Vb` . � A lktP,4) Ut J C J Environmental exhaust and ventilation Address: 00 ) C1- . c ' ,\ . I /Q Range hood /other kitchen '� lU�'/J equipment 10.00 City /State/ZIP: i r 1 4 T)Q 7i Clothes dryer exhaust 10.00 • ,�,(', 1 Single -duct exhaust (bathrooms, Phone: T.6 -� �` q2 Fax: (E:0 .- 7 . •- - 2 ( toilet compartments, utility rooms) 6.80 [�;i +y! "�,""va, ��'. +'v :iii <r..1 -' i r:.,i • ,• ':i'k� �'�n + "r�1' °� `l;;ii�' -i`:d 11kYje�! it y ; '; $q.� •.a- u•,;. !n ':,. _ �•, ur16;"A�'i " r �'' Attic/crawlspace ;;.:, ifjj l j4*T::;' , ; lt'l ±,..4Wk' ,i'®�kQONSP�,Y4(7'��P,; +SR �I!f::;ti•'; ;P, ;1::>>1 A crawlspace fans 10.00 Business name: Other: 10.00 Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Fumace, etc. Gas heat pump City/State/ZIP: Wall /suspended /unit heater Phone: ( ) I Fax: : ( ) Water heater E Fireplace Range + ,.... ri,.; �CUN;T ! "CPUR,i ' : - .: ',� > �•;, Barbecue Business name: (� a ` (� Clothes dryer (gas) Other: ; Address: PD f A / Q t � � � w -IL( \� /] � ;t' i '=` '' :':: .40, 1 104,0A 4 L PERMIT.'F$ ES* =: ; Y `y & \ 1 `Y 1� ' _ , 4 7 : C,:.. ,. :. v- . <.S ,,..:. _ - .,. Subtotal `? City / State/ZIP: v C� • �l /W L/ Sutot Phone: 4'0 r Minimum permit fee ($72.50) ©l Fax: ( ) Plan review (25% of permit fee) CCB lic.: . ]�` C! ) - State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: A /� , rliMe This permit application expires if a permit is not obtained within 180 days after It has been accepted as complete. Print name: F--F/ 1 t I I Date: I q I Qs * Fee methodology set by Tri -County Building Industry Service Board i:\ B \ \ uilding Permits MEC- PermitApp.doc 12/03 440 -46I7T (I I /02/COM/WBB) CEIVED Ptumbing Permi9Aptication roll OFFICE USE ONLY City of Tigard . MAR- i 13125 SW Hall Blvd., TigardOR 97223 2 5 005 ,, Received Datemy: 1 i 0. . rm re al Peit No. il C . „ 6.--0045S Plan Revi ": , Phone: 503.639.4171 Fax: 503,12496n -- Atrfik.o.,V1:1111 Date/By: Other Permit No.: 24 Hour Inspection Line: 503.63V4.115 Date Ready/By: ions: 1Z1 See Page 2 for Internet: www.ci.tigard.or.us BUILDING DIVISION L.,-,.4. 6 '1!.. Notified/Method: Supplemental Information : . , ' • ...-:,' . ,"..,..', iC.i,‘ . -','..*-. iiii:*Ziriirdiiik,71,.Pc"4'i4.;'.n.!;'N..NCAi*.TPW,0:,-i i'W.: . - /i, t y - i, ii ..i -, ,i , , ,; i i, : : , f , ..,,, , 7.. , ,,- • , ..• ' --: • .-, • ,_, ='.••=!!..: '-!;. - ..,- r ' , " , jr,■"; , :':3,:' `," r:',2:', .!..::::?S: I 0,!.. ((New construction 0 Demolition For special information use checklist. Description 1:5iy. En.TI'rotal 0 Addition/alteration/replacement 0 Other: New 1 - 2 dwellings (includes 100 ft. for each utility connection) ekiidi5ki;bi'efiiCi§iiiiikiiiiWZ4F;R:RVI SFR (1) bath 249.20 .' - -. .- '.. . •,......,:.::!:'‘..: r - +:::ht . ::' , QC:k 4.!i i : El 1- and 2-family dwelling 0 Commercial/industrial SFR (2) bath 350.00 SFR (3) bath 399.00 0 Accessory building 0 Multi-family Each additional bath/kitchen 45.00 0 Master builder 0 Other: .t , ‘ ,. ,. ,., 1 ii Fire sprinkler sq. ft.) Page 2 ;iiii gi iiiiiiVkiiii765eid ifoR 4P . .. . - •.•!' - '-:t..0:Y... - ,'.::. , ! , -;.q..-::9-,,, , ...il - Vr::11 . P14.'.1..2,1u4 +,■11,-(1 ■li..1% ',1 t:' :g 7 Site utilities Job site address: 1V.D ‘Ct01 SW (2) reen --bctue_ Catch basin or area drain _ 16.60 City/State/ZIP: Tco rN s-z. Drywell, leach line, or trench drain 16.60 Suite/bldg./apt. no.: Project name: Footing drain (no. linear ft.: ) Page 2 1/4-) 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 Water service (no. linear ft.: ) I Page 2 Subdivision: ,..lo.i-N-Nry'l I la ■ Cker2 I Lot no.: Fixture or item Tax map/parcel no.: ltif;; 10 i *PPt _ e , Absorption valve 16.60 , i:...c:-:.,-,p;--$41,...1 , :ir:: ,, :orfte, !4..if,...,, ,,.,,,, ,,, :,, !,,.:.: 4 „•„,,, Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 ''';...,,;'.';::-. _:.'-.' ,,!.::.: ,,,,,,,,,..., •v: -73.7ffe V.,4l.:'-'..L..:l'o'1 ,, .. , ::.: , 11 Ejectors/sump 16.60 Name: itt .il . ' .. / • ' ern M art i'fit , (/L( , Expansion tank 16.60 Address: Lot , • r i f . 1 GI , SI e, . . . , t CZ) Fixture/sewer cap 16.60 . City/State/ZIP: chke a._ q .-- z .7,. f , Floor drain/floor sink/hub 16.60 Phone: &P.') 337- 7 0 Fax: (th .-N)7. S 1 Garbage disposal 16.60 Hose bib 16.60 'h,•;,:; Nvi ,tg-,: Wi.:4;NA Ofigiiik,V,,44 , ‘1,,,1-.. Qr;) 4. 'irk ' ;' ‘. ... ';.".., LAO 2 , ; ■•KL-4 iee 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 Sink/basin/lavatory 16.60 Phone: ( ) Fax: : ( ) Tub/shower/shower pan 16.60 E-mail: Urinal 16.60 M, Water closet 16.60 Business name V k ryN., Water heater 16.60 es Addrs: 0 1,CEL.9 Other: Subtotal City/State/ZIP: .--1164, f e" ( Minimum permit fee: $72.50 Phone: ("2-4) ... (...,/ 5Le, Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lie.: loco Nipp inmbing Lie. no.: . 3-- ;3„;:ykir Plan review (25% of permit fee) . State surcharge (8% of permit fee) Authorized signature. t. TOTAL PERMIT FEE .... H --7 ,.. - ---- na ...-_ - pH , 3 k " 1\i g Date: 9 I 05 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. iMuildingWermits \ PLM-PermitApp.doc 12/03 440-4616T(10/02/COWWEB) /''1 / O S -c.)-rieDg3 \ ® AAAAAAAAAA -> AA I.£ AAAAAAAA j ,: AA _ t: AAA® AA A AA A A AAAAAA,fl Fr 1 ® S T .1 T RE CERTIFIcAIIO .. Ot- k � 6 p` "` ® , , Xa a - I k n L�ILf 44-7- E , � �wer /Agent for �bN . XY/ ss��� u,�, � , � s (PLASE PRINT) :/ (PERMIT HOLDER) I ° -. ® A 1 ' B e' ' 1 �' . ; Do hereby = ce jf tfh :at rth fol location b b "�i` a Y:z j P sa i'i. -''.. f ;,�� 1' y � C meets , e ty f �` rd /Washr ® ai, o B aan 'g t on County enr. -mss :„:,axa,;a: ?3 -..+ ^ r:*z.:x's»v".,x.'��a 4.us='3Ye 1 l and use and development standards for street tree installation. O. I 4 a ADDRESS: /S si,J 6ywrce /d a- 0 LOT: Z SUBDIVISION: SL,'rmr r -- , pe s 5t. 4 �„ -1 BY: ' DATE: 1 1 PI— 1> I RECEIVED BY: DATE: S ® Vy VVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVV VV VVVVVV 1VVVVVV ' CITY=-OF TIGARD - BUILDING DIVISION PERMIT #: MST2005.00083 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/2512005 Phone: (503) 639 -4171 /�aa'dlllw�!uV�j� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/14/2005 TIME: 7:11AM PAGE: 57 SITE ADDRESS: 15199 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 002 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF detached • OWNER: DON MORISSETTE HOMES, PHONE #: 503 -387 -7538 CONTRACTOR: DON MORISSETTE COMMUNITIES LLC PHONE #: 503- 387 -7538 Inspection Request Scheduled For: Date: 7/14/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 011410-01 503209.4837 N Corrections /Comments • ons: '; PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL ❑ C LL FOR INSPECTION , ❑ ADDITIONAL FEES ASSESSED Inspector: - // Date: Phone #: (503) 718- CITY OF TIGAR[ BUILDING DIVISION PERMIT #: MST2005-00083 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/25/2005 Phone: (503) 639 -4171 Jig/111T\ Inspection Requests (24 Hrs.): (503) 639 -4175 __.. INSPECTION WORKSHEET FOR DATE: 7/14/2005 TIME: 7:11AM PAGE: 56 SITE ADDRESS: 15199 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 002 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF detached OWNER: DON MORISSETTE HOMES, PHONE #: 503 -387 -7538 • CONTRACTOR: DON MORISSETTE COMMUNITIES LLC PHONE #: 503- 387 -7538 Inspection Request Scheduled For: Date: 7/14/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 011410 -02 503. 209 -4837 N Corrections /Comments /Instructions: • L I. ` 4100 / ��i ./� • S ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / Date: Phone #: (503) 718 - CITY OF TIGARD . . BUILDING DIVISION PERMIT #: MST2005.00083 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/25/2005 Phone: (503) 639 -4171 Anto to Inspection Requests (24 Hrs.): (503) 639 -4175 . ' ._ INSPECTION WORKSHEET FOR DATE: 7/15/9005 TIME: 7:11AM PAGE: 58 I SITE ADDRESS: 15199 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 002 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF detached • OWNER: DON MORISSEI IE HOMES, PHONE #: 503 -387 -7538 CONTRACTOR: DON MORISSETTE COMMUNITIES LLC PHONE #: 503.387 -7538 Inspection Request Scheduled For: Date: 7/15/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 011504 -01 503-209-4837 N Corrections /Comments /Instructions: I`. PASS 'AR ± L APPROVAL ❑ .CANCEL ❑ NO ACCESS IN AIL a AL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: s" /v �3 Phone #: 503 p � ) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00083 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/25/2005 �Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/15/2005 TIME: 7:11AM PAGE: 57 SITE ADDRESS: 15199 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 002 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF detached OWNER: DON MORISSETTE HOMES, PHONE #: 503- 387 -7538 CONTRACTOR: DON MORISSETTE COMMUNITIES LLC PHONE #: 503-387 -7538 Inspection Request Scheduled For: Date: 7/15/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 011504 -02 503-209-4837 N Corrections /Comments / Instructions: C 0/4 igi S7 - � — c-Gs7e_17 A s ::—/_/./ 5 u L , .9- - Z -rte( Gc-57 ( , C-I F/� s r - c) & I f / c� £ �4�t -z v 4-r � C-� . <9>Qr �- 41 /4C___ — r• Lc---- /f-Z - 771- c/ r- o f /NL- - '�� - Z�/ &-.. O -ASS II - PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL % FALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / Date: - ��5 Phone #: (503) 718 -