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Permit
`{ CITY OF TIG A RD MASTER PERMIT PERMIT #: MST2005 -00059 ,'Ali DEVELOPMENT SERVICES DATE ISSUED: 4/4/2005 . I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 109 DA -02400 SITE ADDRESS: 15187 SW GREENFIELD DR ZONING: R -7 SUBDIVISION: SUMMIT RIDGE LOT: 001 JURISDICTION: TIG Project Description: New SF BUILDING REISSUE: DM257 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,976 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,922 sf GARAGE: 534 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 10 VALUE: 373,881.80 OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 3,898 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 0 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: 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/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 Owner: Contractor: Tigard Municipal Code, State of OR. Specialty Codes DON MORISSETTE COMMUNITIES LL DON MORISSETTE COMMUNITIES LL and all other applicable laws. All work will be done in 4230 GALEWOOD ST # 100 4230 GALEWOOD ST #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 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: $ 9,183.17 1 -800- 332 -2344. REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Issue : : ` I _ft __ _ � Permittee Signature : V s---- ` 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. ,r Building Permit Application • FOROFFICE USE -ONLY ' Cit of Tigard .. • Received 1 � .�I Pemit No.: 7 r ., B y : , �S oS �''� �S'SvZUQ3 000f�f 13125 SW Hall Blvd., Tigard, OR 9722 f i EC e ! .. f j Plan Review Phone: 503.639.4171 Fax: 503.598.1960 - 4 _ Other Pe tl 41,4, ;�q, � Date 1 . Date/By:) t, 3 -..2 - S mut: 00 SI.S>� � DUO 5-9 • .Inspection Line: 503.639.4175 _ _ . Date Ready /By: kids: ® See Attached Checklist for Internet www.ci.tigard.or.us FE 2 5 2 00 5 Notified/Method: .'I ( Supplemental Information ('.1TV nr- T• - -: tom.. T - 4,f,1.. - "11 1C�' - " �:J." ('�� - , ?t4:. r'- 8s__S: a.a:.'t 6. .,tc3 yr , S:S ��:,:! :` °7/- ' _ ..,. �c�<,, �. ,A, J � ..r�'ti , 4 '�i ' I .x%a.� ,UDZED D•. fi .�;1' =SAND .EAIVIIL -.DVVEliliING= <. �,-'. . t ,�. ' t � Y �l-..x .rY"... i. '• t" - { sr>:?.1'.C�.,3- ,..;.J:Y:.:x.Y: r, [3''f: c, '.. .."k. . L ., : *4:✓•:., -,_ n ...,39,k )-•,•, .: ; r,, r:��c..4i: } -' .f'Yi: ".. .x `v.•,k" .. .. . v , ;'�,d £._:_` .�•�"!r �' ?�: t;:•.5.�:<.., .rr .,i � , n��' : .�- _, .v R `' .,may .. - ttrl.,., .T .., �i:.,::.,v.J•a a s- -F.i .. ,. 5....�:•'�,..._ :n.. _,.lt�R'_., :r.. -,�k �.{,.,., .... .,, i':�kr,:�f'':�.:�.,..r... .. ..__...._...: &f' �ti� Permit fees* are based on the value of the work performed. m New construction ❑ Demolition Indicate the value (rounded to the nearest dollar) of all ❑ Addi tion /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the ..,, '� �:.s �';_ -• work indicated application. - ''c � ;w 't- ed on this a 1 as . `w .:�:'�::�i` ;`•r.`;...,.�•:.: PP ,%;< : r.Nt TEGORY i.OF -:G'ONSTRUCTTO' iglig t . ' - ?sr:,,.,.,. ; . :'�:�, l, �r tir:::' , . � .1i -,r :t�`�'•,� :...•r:., -,am- Harr ••?+ =,,�, _.. �S.f:d,, 1. txa,,,.,i � ,l - �. , -,:.? �av�. �'- ra��fi,::�+.y�.., ,.....: �.. ��f,+ w�tiii: �, v;,:'.<. •:xr',.....'ia:,.._,.,::'�'t. ,r^:Ji�cuutaA:','�aw t..... o. tt,,...., t.>„ 4��r.. ...�.2k��.:.- rC?�p- T'x....�.v,x 2::i Y dwelling ❑ Valuation: S 15 3 1 ti O 111 1- and 2 -famil dwellin Commercial /industrial t ❑ Accessory building El Multi-family Number of bedrooms: 5 • ❑ Master builder ❑ Other: Number of bathrooms: �,u, ::,a_, ::y:t 'A'•s,::,'a + ix::: st ?.,ts^ �^?sP'F:r.:73`h ,C' ats:, riP'� ,.,:27 •; g. HSJ ;.! •ds.•w;<'-; >iyp •i,'4.c 'r;,. ?a;i:.•y,.,n'rG *r "+:j "`L "7 _;_;q° .;aiti::- r ti p;, .tr.,, t J ;, s2 a _ ra „ �" r >`�t' `;, Total number of floor x:;is:...., ., `` :,;t:-. - '? :, a, ; .,,,, SrfE�,,S, , F,Ofi Di L Q'GA7T I 0 ,, +. <i' p � ..; }, ,' ly,,; �; 1 ';'.- ,..s:�s;, .k' -`h' t;;.u, arc:' r, �R. wfi�: 4.,... t'> iY��v:: dlitti. > ^:raxe'.�i "hCt;}.sta';: Sir,;' x+.,:'!: 7°: r= sti= ie€. b; e,:>'4:; i3raAS: yE' X; r` I.'': ti'«` GYrf .;�d "4���.t::.;t. "1h::?!.''r,"� Job site address: 151 „ en cA , ve New dwelling area: X 7 ) 8 9 square feet City /State /ZIP: ' / G C aragecarport area: c 53y square feet Suite/bldg. /apt. no.: 1 Project name: Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet I? f% 4i: SViijlY'.,`fT7 &t:`'kN." tq.wG . 1:S t'.ti y �:L. '? 'Y` F;P 3;iJ':'4. :.: � _. ;<v°l: 'QZj IRFsD'13t1 'rAt' C IEs ,'1 SE ICIECKLIS ,Ty t . ^,lw�€r .: t~ ts,,,,,.,'rf,,,,,, ,,,,,A mire ,c,K,,,r�,a.r,,,,,,, :,vt.,ri::. t: ,,,9,..,,,,�.,,,,,,,aitm? .,..A Subdivision: u .', l • ` • 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 "� = :4 &:�. ..t: #'S�_ - 't'a4'.;�J :.,: iramY::','I:� ;�t.'F<.1 g.9!` „M'xz °:, "�itr•,. "ai TFY.s±i;� `Ma.;, .sz:t <'.k7,t,s ,t _..: .;�� <'4i, %t,,.. ta !e:�. " �r - '''' h: ' "ii "..,x- :-'u<m� "tr'y ...3� ,.!r,r,r., ";i: <`,,t,s - 'Y�,�i; - .: *3,, ,e x= n; - ;:�� � :.a:: „•ts,:, >.`�b-�;.,yk• }. �s�.si _- 1.,.i,4u, ... zf'�'6f''A�, - i•,u. °:i t ?,, i;r >';t' ,• . -; :11 :4 :14 DESGRIPTIO'NrtUF, W,URK, - •:.,.'+:..r 4• :,,,i, r, i ,., 11;0. ,,. work indicated on this application. �i'l�r�. °�`'f`." -'•a;. �?S „„ - -t - . ,, ; 1 ;;,•: w �• dY. s;,.;( �.: x{ �l�it .•- ��;tix'rY'��dt,?�`3:,•rt�,�t, . .... ...... ... •.. .. ....:°. 5::.., Y<.. t. �..,..:' tsii.: i# i r;'#, ._.,..,�Rrs ° t <.,,,. t..::,:Ti4 �. ,. .w. ,:......a,.....,,�x, ..nom- ...,.,±.::,•..r.,,....,,, x- .,.,.. ,7 ,>!' Valuation: $ Existing building area: square feet New building area: square feet i 3�~= Jt'�i?:'Y,. - •t,.= .i{:.:Nkz ($t.<ys,,, t,,, ,,; n:k 'V?j': ^C Altlj l., �<.t °4 i t v, e ...Sri , .f�YM_Yki�'' .:'�•;y(�`.;'. - :,+ r uY,fS °.il'3 :•. IMCiu %:yS•::' -%a.: �FZ' e iw }9,,. :�t.:4P*,'SN4 {titiyY': � {`c"� lli I�ii� w L R.'�µ` p f tiv ::51.x., ;s, =:, = i;�t�;xii 19 ,ER X, ,OWNEi '. : ' . l' � =;sa* s.',r i ll ::.,f r ",T M * ,;:A * x'v� N Number of stories: l- :y�.,'fr ��`�.¢�:ss!'s,: 'bc1:.7/.�:ua�.;.r fast¢ �, n;+} 7�> 7.+: �sz,' fi*? n' x„' i9G11Tz�L'`' �t�: ��ica: za, e. iZP,? �1� .GHA;'�l�,i``irr.1.�•- .�.7,c :sgt!x,� ?x�,be.r�r° �r�3E's., a. Jn cr ,s ,� S rye:. - °, t�' r;+,i<.•'ttE::, Name: , 11A t Lj5” • G GU M.Mu NI 11 / GC-Q.} Type of construction: Address: 40.2 y ���� ( � ��„ Gj ( �, • (.00 Occupancy groups: City/State/ZIP: Lo ��k_� c) f C ` q 70 35 Existing: Phone: ( 3� . 7' '� Fax: ( S) �7 •.^ 1p [ 5 New: >,.. - ;'a,k ,3';•..- i; :i:.'S.„ 36 .ry \, -r,v ";k . : i . ,' y ' a *: vu >' ,:.tdy ;'r'�r'� €i ;`,l':!i :s3," , < {L .aj'f ~.r, ,:`r':' - ire `s., gii - .f ". 'n'L "� y� t '{: ''p . it ::;: o. :r, ':. -L ^�. i \ tc: 4 k a ^i ,�. „t E1P , RLI GAN� ;>.0 s�k : �,':��' N .. GON T A CT � "P�ItSO �a� t, , ;kt i ".:,,' „ � », ; €. • �,. „!. ,x =ns ......> . A . x- ..v.Fc ..,,.rk, •, .,,.,.,, aea:;n`f:,tt,'., b °rg=.,:x, I • , :,ar , ,:, v'.Lyw,,, ;.ix., .. ,1, s t.. �h � NOI I IC '.i =. ;,S,;;�• }x k?'#:,�.� .��;{ s - s y � tV , Fr i .,;�; 't^ xy:� h y � 3:7;: ys: _r: 1?? }�:.. :u ;;'u " "'1i'cx`ir:,. :;::�:,y 4t �: �'�`:F.rdS': :t; Business name: 5 Pi e Ks �►s 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 /State /ZIP: applicant is exempt from licensing, the following reasons . apply: Phone: ( ) Fax: : ( ) E -mail: 'aa, ;;� �t k;: "CON..'PRA,�. C O ':r •'ny .. .. ... .:..... <..... s!'::::_.:,:,.., a_+ a' r., ..,..;.�5::3..r:,t..pis -r. ":,v,4; !::rs +Kc., °��.'rrLa: %.`,_.. ..,. -.. -. „__:..:.., ,_ .m .. Business name: •yy��� nVi,!* 'i!:,,: , al:. :PERM:,,, E$ : , - -i - Address: tl'i:r,t .r,, ..;iF?Ct::..ci`i! ?e .. ,13#'3, :iss -17:x, 5J. �c;: . ^'s;::. ,- ... .. i . Please refer to fee schedule. City /State /ZIP: Phone: ( ) Fax: Fees due upon application ( ) CCB lic.: _ Amount received � �/ Date received: Authorized signature: , ' %�K- �^ � � This permit application expires if a permit is not obtained v�� within 180 days after it has been accepted as complete. Print name: A. 'r� I Date:a i i_41O * Fee methodology set by Tri -County Building industry Service Board. is \Building \Permits \BUP- Permi1App.doc 12/03 440- 46I3T(I I /02 /COM /WEB) Mechanical Permit Application ` FOR : U SEONLY, City of Tigard Received Permit No.. 131 SW Hall Blvd., Tigard, OR 97223 Plan Review pOUsnj Plan Review Phone: 503.639.4171 Fax: 503.598.1960 *,tp„,,l t it Date/By: Other Permit: Inspection Line: 503.639.4175 !_III Date Ready /By: Juris: RI See Page 2 for Internet: www.ci.tigard.or.us ,:. Notified/Method: Supplemental information ,.. -. .+.. , -,. Y'L.� -x .. ..iv -4• ... :. .. .. .... . _._. .., :r: '. •• K =�.i.: "4 -. '*t•1':: :. k'... _ - a'�Jw - .+s�_1`- �:Vi - xi 3i, ..Y.:�s E:OF:'=W .+, ORS .� "` .;.� • :, -:. 11MiVI�ER � '� FEEw�, �I) � EiCi H�E ��KL3 T� _ ,_:,� �:r,. �,_;;• C - S CHE .U LE :,US C i•�ke.7 r,.. .. .- .. .:.a... -�., �_.:`:i.... --T•.: �.,.,,.:t .Y.. .'i}f :` r':: . . .,.,x __. 5.• t'. �,_. T: n. A.,. ,...- i1,'u.. iy:l_....:. r ..,i; f1Y3::: i5 et';;� , . e .Sa #. v.,. ', .. , .. i; .. :. .v:'; , < �v 3 �' h-: tt:.= t• :h ^.'.: ;:F- r,:o'::r '. wrAe: r:. .4:::a:.� . .� , ........ 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. _ ,�.....: =.i:.; _>s:. S .ti �•.:..- , S(.Y' °-¢ ,,,,:,. n.:).� , - ,,r _.• a rea ;?;1=U'`- :� .': ∎i i�Vrr�llA. Z `.. 7 ` : , i e ; _ s::.s f -,. r, , f :: , = ; V alue: $ t z ` OFad , CO NS . RUCR9 ,,r.r P `: :;'ti:, :».0 :r ..•�,- ,,..:.,.,.:.,. •.., � - ''?��a.. _._ . : :.::+.. _ .. -. _ ., x ._. ..,.,,, .c.... >.�....,. .�.,.. .. :.. a:. Cam.. ,:�s}: - - - - ' >. ; R . ES I DENTIAL 'yE' -UI • PMENI)ISYSTEMSFEES ' *,. - = For special information use checklist. El I - and 2- family dwelling El Commercial /industrial ❑ Accessory building ` -i `''``=.'- ' ° 4,-, ° -,-.,. .; '� '_::.,� >i��:•,_,u:� ,,; ; .. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total , :.t '.: ' -i;.^ -_ - - 54'• _ •- !t4.:_ .,a�,e �t. '4. �x. .. si'+ \e•1�:. - �iiMY'tzi,];: : \.;,j .`. C :: r :. - :'1 t - j..za.4_n i",?t:'�F °s \:.:a >R�::. :JOB,.. SITE;-' INF. ORIVIATIONAi `!iD.?sLOG .; ° -� - �,�:�.a s4 °" .,- - .�:. ,.r =.�.,,r.. .ms:� ,. g c /ooling .ii ob ..._ . ��fi`i. ... . ... .. . .... . _ ... r<i ;:1 �: .., .,:5;: a , . a..- J:tz.:.:�1:. .. .,..4. .,.., ,<.., J.G.'j o'':�:,E,Y =:4 Heatin !+ ,J,,: -•.. � .;,•:':. < :. _:. ., , ...:....: .. ..r,.: �. :: >.,o•z.. . ,.r,.. s ., v.::::st,••:. -, •^ ,. ^.:,:.. site address: t \9\ '� G c`e�n Le l T•." " Air conditioning or hea pump ) /' (requires site plan showing placement) 14.00 City /State /ZIP: -�� a i Of- 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 Lot no.: s� Flue /vent for any of above 10.00 Subdivision: �rn \C J-- Other: 10,00 Tax map /parcel no.: Other fuel appliances =� k := ;,� . � -2 ° �i=' ,�,..� ,•� ":� °;1,, �. .z't Water heater 10.00 , A.:M,.: ,r'- DTR ., ,I t rW' t; -• °t va,.1, rr >:> %, - •�;�v . ,.,� .., x ��r':, TON._., : (J�� . ,. O>� �', r,. •��r . �,.�, ,,ti .�; �;i. �. �:,..� „ .. .. ..... .. .:i� -i..: ,,:- :r,:'�,t:: .. a" �rM1a,:).:` i»=<„= �t2:<..,. �s: ns:'; 1rm:-e,.-.:._^: �. e.,•;, s: 4i.,^ t< t+,:,,: r: �= ��c l.i'�'��.':�.,., :, >,��1"< ";"s,».ix•,, z.s " 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 : °iJU<<- ^ :,.a':.�r .'1Sz:= +S: <5ar:;2: +.d.�i::'s „teh': a ° ; „_ Chimney/liner/flue/vent /liner /flue /vent 10.00 'Fi ' ��:'?`•ii�� =,;i , }..�n;.r_: s ..e„ : ?x:: ,uka#rk - 1':; y PROE . ` . i.' S; ,: ,: t s t :..r, , ; ti? `'" = .e= 4 . i. m . , =��� `? T:•X; ,OWNER ' . ;� , TE1V �AiNT . ,� „w .:4:a�< . ,:,_ <,.. - : - - ..� •,;"r 5`,i'TS . z. ❑ , . , -,,, bS.e ":+.4; t. �1 , ::n 3 /�-� ,;.., ,.. - ,;...., , �..`,4.,u.::,..,..�_ I Other: Name: \ y� kY ` ,,. 511. Tc1 � a i 6:4, 1.��)0� Environmental exhaust and ventilation Address: / ' ' '' lrc- . L � Rang hood /other kitchen lll���4'JJ/ equipment ment 10.00 City /State/ZIP: . ''' 0 C Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: 4 ' `-.2� Fax: ('�i1 - 2 ('J I toilet compartments, utility rooms) 6.80 y: i�: - ! >,;x•: }I:,�- _arr; :: i, L::f:s`$ ''13e;rri;• ; z.r - •K;Wwa:t,,. - ;a„ �`'tiSr; }' .Y} -;:.;� �stil. `s'i„;a,,�f t :''A < l,f i! 3.0..�,;;4"+A ,.1 :r -n' „••;r rvf�s'Y " Ilr :,. :,. �. ; K ,P':. ;n;;i C'i ?;s ", _ - .tl :&,,,.SPI IC9NTr•, ,,ai :4„l�. I :1 ii -0.t' +- '$•1 =t r:!.CONaI'�A .1 +ON _ qt ftV � Attic /crawlspace fans 10.00 > -._ > -., _.. _.. ....,_.__'a,:, ., _... a.,, ,.v k� ���. ^z�s.:k5::...��tn:?SrG; - w-:�:,1��?���.; :r,�:rrna. �i:- �4s�.;�,t� r.,- .rvr��lfl:iq ^.� ;•., > <„ » < Other: 10.00 Business name: Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City /State /ZIP: Wall /suspended /unit heater Phone: ( ) Fax: : ( ) Water heater Fireplace E -mail: Range tl ':�� T ",�. =.� Barbecue - :CON • ,. wk : v '` ;:mss; = "' Business name: (11 r� t'-.• a � g � !, f A`` /' i^ ' Clothes dI er as Other: Address: //'"�� I L %•;r =. :; (! r -,, ' . t ,' It . z ., _ z � 6 1VIECFIAL V IG' A I P ERMIT: µ EES " ., ..• .: City /State /ZIP: V N t. ` Y`V t 1 7(;k . L/ ,:... Subtotal Minimum permit fee ($72.50) Phone: (j ) ,_ 1 f Fax: ( ) Plan review (25% of permit fee) CCB tic.: -5.D. 50 > _ State surcharge (8% of permit fee) °� TOTAL PERMIT FEE Authorized signature: 41 /� � ' ir This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Pt n rin r ttA1 Date: I L ..I 05 * Fee methodology set by Tri- County Building Industry Service Board 1: \Building \Permits \MEC- PermitApp.doc 12/03 440 -4617T (1 I /02 /COM /WEB) ., Plumbing Permit Application . . FOR • O FFICE' USE ONLY ; . • City Of Tigard • Received Date/By: emutNo.: J Dd 2 13125 SW Hall Blvd., Tigard, OR 97223 Y= �� Plan Review Phone: 503.639.4171 Fax: 503.598.1960 /4:7000,14!,/ ,f� Date/By: Other Permit No.: 24- Hour Inspection Line: 503.639.4175 . j( Internet: www.ci.tigard.or.us �.: , Date Ready /By: Juris: See Page 2 for g Noti6ed/Method: Supplemental Information n. . .ra- M „r, +„- ,:7. - .�Y.r.�;: ^Yd:`C?., �t��• � +u7:.t -: ;t� rt;,� ,�.nra ;.l+.• - �,:•��:, L, r i'4 ..ry.� ,m � t q „ :3fi: , u � r .. __... "< _�' ; z . ?: . , .:;; < ��� _� ? z�:. -. ,, � .FEE,:[SCIiEDUL'°,E;�,;.....,. ,� t, w,:, � „_ -,.,. - . ���k t., ...,._. F,- ,u .. .. � ,�+ -f. , .... ._ . _,. , ..'r'i ":-- - xv • - da %T - `, ".l:p.,, ,.4. +: x . e,....- sz. . � „r . ... . .. .... ....a „ -.... u., . n .k.. [ .... , :.a' ...).. , . - ..,..tn.::'1��.t..:�+.,:•.. s -,.3 .�s;:aa_te�;'tae_ ,- �ni:','�_, ,.. > .,. -... ..- .-, . _.- c;� -. o. •a'�� � ...,- ..; -+!_ -.,. ...a _.. . ,. �.ca:.,a, � ,.. ��- S...r. -., • ) (New construction C] Demolition For special information use checklist. 7 Description Qty. Ea. Total ❑ Addition /alteration/replacement ❑ Other: a New 1 2 family dwellings (includes 100 ft. for each utility connection) y <� 'CATEG Y& RY,,OF „ �GONSTR'UCTION'��r: ^•. -�:r�� a: ^;: ' O r ,,. ,r�. t i-.r..... • ' ' .:, SFR (I) bath 249.20 ..a. a?�d - _ - �_ _... r" ,... _.. * ti , :q: .•__a ?.>.:, :,nenr, �Ta'NV>Nt:!i_,.5� �..� >_ s:: €.; >>., ._.,.n?U.+�::ry �., ❑ 1 - and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 El Accessory building El Multi-family SFR (3) bath 399.00 Each additional bath /kitchen 45.00 ❑ Master builder ❑ Other: ,r- t ,,, ,�.Fw _,:- ,,.,ay,r.,<. >: >•. =,', .� Fire sprinkler ( sq. ft.) Page 2 • 4w � : ,L r' px,it>�;m l= ` a�i' ;..SyM , tnl ?: l "_ = 70B: S E =I I ,t i ,,,, t;,, `'arF� - !fi - :.x�, -.. d. ,,.s M r.- ,t��.. ,..r,� xet_�'+'�i . f ;,._ Site utilities <', . .... rvj ....h . . rvr1 Y.,.., �:.. no: �A," r4: �i? F1: n.. i'. 4: iY' �6' tY:: tN` a'" 2£' Yru :'�'tJ °.YL -i...: .. . +�.. ,tfii �r .., t:�d..:ln�( Job site address: '� w ei cel) es i I . Catc basin or area drain 16.60 City /State /ZIP: -- i t Q z Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: J Project name: 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: �i ' � „ n k r-� (( A T . Lot no.: Water service (no. linear ft.: ) Page 2 Tax map /parcel no.: `„ ^ 1 Fixture or item :3. r , c :.tt :a:;tt. },.r 3 3 zy::iU; +s. ,x „:, qy .,:. } s,. = ,; ; ,., ;;,... Absorption valve 16.60 h, ; =; :i °.g.., t, ='µ ri : "t�:,gak'�,a -; - r.n - 'jtt�'f �. r7' „,. ".;f s,zn ?..rr�,.,r��t;,;:,i.�ik';. , r, _ . ,.:.. .:..,, � �t !' '�. i>.�,;��' • ''i- - a ,'r,; ; !�;!'z, i .> ^iF�..ak,.- ,1..;: °�';;zh`-.: ,.: DES 'CRIE;TIQN«OFf,WORK� °,, :�i t�. ,u <._ o2 '�;:5:'�; ; et;;.., �.,, �,. t�.; �` �' i> �,:>_. t..,= �4„+.,.!, t��) 5��� ..;�,�.��t_,�,.k�,'.�.:�'�+ eel?' �;>, r�.. . /:,:a,:. +��:, },tt���y „t;; asp' �`tris�.���an��_�,n��r_.,.�,:�:, Backflow preventer Paget Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 ra:'_ ,r. ,..r;s:.c �.:, � * ,�: I- .t 4F; . : iN, , ;;; .1:� :,:vi , , .: v;:.. F , : ; ::, >.: o Drinking fountain 16.60 �it;' ,:F.; = yc:n��� , i' - r +;a' �., S, ., »�., mr`�2 :b t:.. .*�.1 r � : s. i+^'eiit'�; i � �.,«r,, -t , .. g ?,, iP. RO ``O.WNE • , `�.�; g 'f w, :q _y`i:t. a,, w-$' <TE $$ 7rAN1I � :;:-:,,; ; 4 . . - . , .,. - e -a, - , ,,,...,at,d . Y. f ° "to= ; 4',,,,- . , 25 , ._h' ..e_tc, ,t : - .3 ,p ; _ te r: ,._ , ...a �nsti " „a < :•'�A . , ._.).,r r.Y,:,:1 - •tr..���. -, >,: � ., t ...,u :- .,: Ejectors /sump 16.60 Name: 7o : _ ' 4 ' cm mutt utt i t) l' y � 1v .\� j ' Expansion tank 16.60 Address: .'1-0 t _,h' , * GA , cJ1C .. l Fixture /sewer cap 16.60 City/State/ZIP: ( A .) j) C ° ` 7 ( Floor drain /floor sink /hub 16.60 Phone: � j�) .c.6.7 •--. 7 l/ . Fax: ( )' :;-/)-2--? G ar b a ge di s posa l 16.60 : *a' +� ! <}:� _ v,tr ": a; -p .,n::p:a ,:;. #w; , 3^ c, tfa= �t,ti!�x'tftstsa•,'< ^.;ra vg Hose 16.60 . ......x rce:;< in " +'w } : ..rXt:.,.s Q,, Fi „ �+ "'.=, m - ." ? s: ti: APEliI AN :,'a }r a, „t ;` ,F , ,1 .*`, ., ®t C .ONT- ` CT''iPER t•r • ,, t i ° z•� - - ..�.:- t :. , _� ;,. ,:�,,, „, t,� ,.,�.U.,><.r,� A - SON }ry, , 1<,..� _, ..,__ �._ { *... �......,Y'A - ...'.':F. }.ti.. �''n., _ - .,..s.CM2::,e,:: 11:'..: t. 2 '.: rv" t' Td� .3'1.......s'Y�:lit.}s''..,:v'A Ice maker bib 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: Urinal 16.60 - '+�;zPK ';d;: 'tt', - :ir•:;9d:, °;:i " <F4'�3'r a'c ". r,Y.hx,!:'J'ci '. ; `.i;S,7:A ^, *4';1 �' s5av ;+l..i:, 44 ysc� }� Mi'f•Yti - _ ',+ e � ::: ; . t , A t�. }„ . S .;s u °is :'r y:':rt`r,'<, 3� �; ._�.s ;< .'•^ :>q: na,:V.;�}3:, 1 Y •,,: .t� nu...f,..S -< .n, s n x: -, ,, 5 =I :, &i :e , six, . ;! t, wt:., ..- . .. .._,._... .�,_...:�� .f....,. . . ^� %<�� - - .� +�a•. .. , s<�,,'.rw+;:/ Water closet 16.60 Business name: ti .r '.,, Water heater 16.60 Address: Other: ,, Subtotal City /State /ZIP: 4�_:� C !(,� Minimum permit fee: $72.50 (j Phone: (j:))(//3 ..- � �6 / 3l/� Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lie.: ^Inmbin Lie. no.: ,3XPO Plan review (25% of permit fee) Authorized signature State surcharge (8% of permit fee) TOTAL PERMIT FEE Print name: J F- 1 )\ Date: ,g/ 1 H lac... 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. is \Building \ Permits \P LM- PermitApp.doc 12/03 440 -4616T(10 /02 /COM /WIB) Electrical Permit Appli E n E t ' . FOR OFFICE'USE ONLY "'" ` , City of Tigard Received Permit No.: C 1312 Hall Blvd., Tigard, OR 97223 Date /By: (�l�j�(� J "��/ g Plan Review �{ 0 Phone: 503.639.4171 Fax: 503.598.1960 JUN 0 201 � /4, . Date/By: Other Permit: c Inspection Line: 503.639.4175 '� `a ' Date Ready/By: Tuns: H See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information CITY OF I /CARD TVDYLOTJ'INIC i nStniv PLAN REVIEW ig New construction ❑ Addition/alteration/replacement Please check all that apply: ❑ Demolition ill Other: ❑ 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 X 1 - and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building ❑S over 600 volts nominal units in one structure ❑ Multi family El Master builder ❑ Other: ❑ Building over three stories [Weeders, 400 amps or more CI Occupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park Job .0.3 6 Job site address: ! S�� � a ❑ Health -care facility ❑Other: B ! �r� . Submit 2 sets of plans with any of the above. City/State /ZIP: -7 V `/ a £ 7 2Z.3 The above are not applicable to temporary construction service. (((sss((( ` L FEE* SCHEDULE Suite/bldg. /apt. no.: Project name: ! /6N ` /QYl r S GiM ** /i. Description Qty. Fee. Total Cross street/directions to job site: 17CeF b 0 Q New residential single- or multi- family dwelling unit. � J� Includes attached garage. J 1,000 sq. ft. or less 145.15 4 Subdivision: 5 il nM I 4 -di, r y Lot no.: / • Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 • Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK • Each manufactured or modular J dwelling, service and /or feeder 90.90 2 `I "am, " l k0'1/5 14)/7 y, Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 ' PROPERTY OWNER CI TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: O 0 ) Mer /55 CM GaM� fl7Ji lir 5 601 amps to 1,000 amps 240.60 2 Address: Li 2 3 0 &*LC WOW 57f 8 fi Su l T- 10 0 Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State /ZIP: Lkk -e 0,5GsJr E, g7a35 Temporary services or feeders installation, alteration, and /or / relocation Phone: - 75-38 Fax: (5-0 — 7 200 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: ( ) Fax:: ( ) Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or g., T o C a. C extension. Describe: Page 2 2 Business name: /� Each additional inspection over allowable in any of the above Address: k �" p 0 o Per inspection 62.50 City /State /ZIP: g Ell oA� op ^ 77?�� Investigation per hour (1 hr min) 62.50 Phone: 7 Industrial plant per hour 73.75 (�3) 3s---&--8.62 8 Fax: ( V �' (053_ 9y��� ELECTRICAL PERMIT FEES* CCB Lic.: 1 3 . 222 2 _ Electrical Lic.:341— y-3 Suprv. Lic.: 1./y, 3 Subtotal Suprv. Electrician signature, required: 4 � Plan review (25% of permit fee) III Print name: I IL G �` Date: �1 State surcharge (8% of permit fee) r -C TOTAL PERMIT FEE . Authorized signature: _ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: * Fee methodology set by Tri- County Building Industry Service Board ** Number of inspections per permit allowed. i:\Building\Permits\ELC- PermitApp.doc t2/03 440- 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: ❑ Audio and Stereo Systems* Burglar Alarm Garage Door Opener* Heating, Ventilation and Air Conditioning System* Vacuum Systems* I I Other: COMMERCIAL WORK ONLY: Fee for each commercial system $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: I I Audio and Stereo Systems n Boiler Controls Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC • ❑ Instrumentation n Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls n Outdoor Landscape Lighting* ❑ Protective Signaling Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations i 4 uilding \Permits\ELC- PermitApp.doc 04/03 ,AAA, AAAA :( AAA ,i, AAAAAAAA , AAAAAAAAAAAAAA AAAAAAAA N ,1 A ,, z: AAAAA «,, `j . ., R6 -1 STREET TREE CERTIFICATION E . . , A i I, g a g e ! 4 Owner /A gent for D o i 1 1 i / 1 4 5 ' ' e / Cnotrvl u n ;1-c s LAC . . .® (PLEASE PRINT) (PERMIT HOLDER) 1 / ;i ,,, A , 4 , ----:, '' . ,p'gast%xcz Do cerfi3fy 74: ha � he f911A-wing location t.` Tirgard hr meets ® CRit�y:of /Wash Ynwgto n �, ounty 0. •.633,:tse x'z +&M" k72 ^:fi �.:,l wrt'Ld£ s.E;n°.':*� -"�' ® land use and development standards for street tree installation. 'ry ® ADDRESS: /5/S - 7 51h 6-eee i /d 44i LOT: I SUBDIVISION: 5k 04 m rY" 1 Aw 41110 0- 0. BY: DATE: /3 - I'D -- v 5 1 1 RECEIVED BY: DATE: ,, A L. VyyyTy VVVVVVVVVVyyy, . v. v ` yyyy VVVVVVVVVVV VV VVVVVVyyyyy® • CITY OF TIGARD . . M BUILDING DIVISION PERMIT #: c MST200.�00(l59 - 13125 SW Hall Blvd., Tigard, OR. 97223 DATE ISSUED: 4/4/2005 Phone: (503) 639 -4171 n ��4juv,tiTi Inspection Requests (24 Hrs.): (503) 639 -4175 ,,.. INSPECTION WORKSHEET FOR DATE: 8/10/200 - TIME: 7:05AM PAGE: 34 SITE ADDRESS: 15187 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 001 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF OWNER: DON MORI SSE I I E COMMUNITIES LLC, PHONE #: 603.387-m38 CONTRACTOR: DON MORISSEI i E COMMUNITIES LLC PHONE #: 503 - 387 -7538 Inspection Request Scheduled For: Date: 8/10/2005 Pour Time: Code # Inspection Description Confirm -# Contact # Message 199 Electrical final 013250 -01 503-209 -4837 N Corrections /Comments /Instr �tion ' A / "ASS ❑ P RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL / FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ` Date: 0 /© -t-�C Phone #: (503) 718- . CITY OF TIGARD I _ II BUILDING DIVISION PERMIT #: MST2005 -00059 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/4/2005 Phone:' (503) 639 -4171 4i,, r Inspection Requests (24 Hrs.): (503) 639 -4175 ''ti.. INSPECTION WORKSHEET FOR DATE: 8/11/2005 TIME: 7:09AM PAGE: 6 SITE ADDRESS: . 15187 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 001 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 COMMUNITIES LLC PHONE #: 503.387 - 7538 Inspection Request Scheduled For: Date: 8/11/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 013366 -01 503-209-4837 N Corrections /Comments /Instructions: - c7 i cg-t( 8 10' o 6__P- s v6= Cs. . at a ( _e- 0 ) , C I IF° i PASS • PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL a : LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED P ./ /'' c ) Inspector: ® Date: Phone #: 503 718 - • CITY OF TIGARD ' BUILDING DIVISION PERMIT #: MST2005 -00059 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 414/2005 Phone: (503) 639 -4171 7 y�l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/10/2005 TIME: 7 :05AM PAGE: 33 SITE ADDRESS: 15187 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 001 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF OWNER: DON MORI SSETTE COMMUNITIES LLC, PHONE #: 503 - 387 -7538 CONTRACTOR: DON MORISSETTE COMMUNITIES LLC PHONE #: 503.387 -7538 Inspection Request Scheduled For: Date: 8/10/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 013258.02 503. 2084837 N Corrections /Comments /Instructions: 6 _='ASS IN PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ' ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED /1/11.11111W e . 5 Inspect° Date: r/0' ®' Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005.00059 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 414/2005 Phone: (503) 639 4171��Np�ruplll�l� Inspection Requests (24 Hrs.): (503) 639 -4175 . INSPECTION WORKSHEET FOR DATE: 8/9/2005 TIME: 7 :05AM PAGE: 71 SITE ADDRESS: 15187 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 001 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF OWNER: DON MORISSETTE COMMUNITIES LLC, PHONE #: 503-387 -7538 CONTRACTOR: DON MORISSETTE COMMUNITIES LLC. PHONE #: 503 -387 -7538 Inspection Request Scheduled For: Date: 8/9/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 013149.02 503 -209 -4837 N Corrections/Comments/Instructions: 1' '' -11 j - • SS ❑ PARTIAL APPROVAL ❑ CANCEL U NO ACCESS ❑ FAIL E CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED q Inspector: / J► . - r Phone #: (503) 718-