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Permit r . MASTER PERMIT CITY T I G A R D PERMIT #: MST2005 -00108 4 �, DEVELOPMENT SERVICES DATE ISSUED: 4/27/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S109DA SITE ADDRESS: 15309 SW GREENFIELD DR ZONING: R - 7 SUBDIVISION: SUMMIT RIDGE LOT: 007 JURISDICTION: TIG Project Description: New SF. BUILDING REISSUE: DM181 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 26 FIRST: 1,605 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,790 sf GARAGE: 600 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 5 VALUE: 329,772.00 OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 3,395 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 6 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 • 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: 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: $ 10,788.94 1 -800- 332 -2344. REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 l Issued :y : / S i' ' ` Permittee Signature :;\ c/C 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. ,. ... . P', Building Permit Application FOR • City of Tigard t•'t I DateBy: — i — 0� 1D & Permit No,: ''japd -0d/ p R 7 13125 SW Hall Blvd., Tigard, O 23� Plan Review Phone: 503.639.4171 Fax: 503.598.1960 ��ll ^ l�' -o � DateB � f / 7 -05 Other PermitS ) 0(j5 /1 0 Inspection Line: 503.639.4175 2 005 t •• Date Read /B luris: ® See Attached Checklist for • Internet: www =ci.tigard.or,us MAR 30 Notif ie d/Meth od:7'/ , � � l fr Supplemental Information S ( . 9 --e) - - . - . Sii , ut..- ,,: 2 • + _ t.' lr - ..'S, �'. i,t Via: a�.i -v' 3 r'�i'� ,v -- ,, „: E•O „ !. .•t.z., `I,.r i:;= s. :41 , tRE1 UIltED'• DA `TA::1!:=AND' FA , ILX'DWELli G`• "� - . �,.,:.,,. -r _..r . . - -:r <::' 3:..M.,,- ::,:y.„ .......... :,3. e=..:..wrr34 7 r: � `:^S� \ =:� =- , : k � , .. , . .,.- ;rtvr.t .\ _'�ts=3 �\. )?�, .aa sat;'m'c: "'<t;.' ,.. _� .. -,. .. -: s�xi :.. . ...... . A . _�:✓ . r�.`,:... ... New construction BUIL ..,,..... `s"i�&6't.T,'"�y ,.. :.- .., =:�., x.�.:• r�<:., .,c' z n ;..;:as'.r.. ',..,�?;,c�,u3 i�,:�.. os.. M _ ., ....., DINE u ` ol Permit fees* are based on the value of the work.performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the i - tee - - _ -k: i':* :at'.^ '.4: 4 , 7 , .:r.+� =5`.'` work indicated t n. -�; nd ated this a 1 caUo x .. �F�.``s on ;, ::k � � "� PP F „- _ A -. E - O Y'- FS= i "Pi • TR CTIO4. - 'Fu, �' Zl G ,R 4 < .C() S U l:t ".E. ° - ,p, ri , .. - _mot +.... _!3'^• >a:- _.. :•'4. .t, i:- ;f , • - 1..rrr -...., ,:,u- :..., i ,.. • .:^' -` t�' "3�� ";t�7::.'S�Vz�'cie :'j'ti;'.(;�;`�'x, .t ... . . ... . .. .. �. n.4k:"d .. , Ell 1- and 2- family dwelling E] Commercial /industrial Valuation: $ ❑ Accessory building El Multi-family Number of bedrooms: S El Master builder ❑ Other: Number of bathrooms: 2 I t ':� :^.ia;: �:1:x - ' 1'. `•';:. tYr.7r>w -" + ". e,ta " {±S;i - ', °.,k` ;.d" :c u}':u' Yd,Y:'.� •fl!�'x - ti�gi' ' ",i "srreet .F '. , :l. . '., `.lfxl : - t t T,;w J,:,, <' ,. (! ,:Si;}JS' 4 &:tsY_'L.' €;t':. R,'�~; = „.,,,. 41 v, „�. �,): ,.; ; `” , r : -,s : #,�:':,,..1� „�,.,; Total number of floors: :,1. 4;,t : ::..... ...... JOB 6 t �vFOItIVIasTIO > ua D ,tT e 1 , ?_ � s,` , I , -:• J j ::�.�;' _Y:�n_ . „a . t .n. An _ � � , Qnt : \:4r �: a.,. - - , .. �:��t��'i Z c-..._. �,- �:.: n•.' orzs�?�C..,,., s=,..: d,'. �: ls aur'. i� rr, ��:: � v' �: a , s.._ _, �.: � §i�:uas<:, +s ,. _ , ..,..,._ „s ... ... .:. ... .rx r- .�mn,�,.>.,- 'S C.�_i:-4., ..4 2�+Y' ` t hen i i"� Job site address: `5319 0 e , . New dwelling area: 3395 square feet City /State /ZIP: T ,G i (.5 1(2- l� / Garage /carport area: square feet Suite/bldg. /apt. no.: t Project name: 6•�G� 1r/� Covered porch area: square feet Cross street/directions to job site: '”" Deck area: square feet Other structure area: square feet : r /r` +H,u ^.4''t�aa`r�.;aa =,,;•.. y, �i .4i u .w, ,:,�;� v sr ;s '' c�•'ur ,,,._ .,; .. y?";'?RFQ.T((IRI}fai LptiiiVImv CIAI';`�JSIEECFIE'C•I{LIST;tit . Iv�,can,.. il. ;iFiiJ.t. env;,,,,,,`,,,,.?:- .:Yhi.9�Wit� n,,,,,,,,,,, ,,,,,,,,,,,,,,,,,,,,rt?,v,,,, Subdivision: 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 r� k-, , .'s_ ■; a4, .gas, n -:.iy,:tr:,.:;WM.. r r> i.n : LI equipment, materials, labor, overhead, and the profit for the - `i'4. .: {..- ` }ii!`. t -�:� t:• 1q' :5,.:.`y�,, ? 'r�{„... : {.�, . ?•'_ki t r .6:..t ;•�i "', t;ys w asp . - "D „• „, F: �` :” .;:, .� . a,., ,, .; t -:> Ft?. work indicated on this application. ��a:; ,�'� - ,.t S O x,,es „ORI{, ,.'��...� :.,t.,,,.., , w,,x. .1 - .,er;:�: `' =i�1ti''t. ,'i., .� - ii�.;ti= Y.....k n � :5�., :4=:X: `+ : p, _ �.:; >, � , ,,4. s, � , ._.,,.;.,,_- ..;r;u „- -'x',. , :,. .,..._ ... ` Valuation: $ .. , .�< ..,,_. ,.f .... .... ...:.. .. .4......vi: .., -�.'ln .= m. �,7- e'JS=.. -, i,TL"•.,.uY:1.:3. , ;i- iE- .:�."3a�ay a..a..rl.:� .�,,:d..�v': Existing building area: square feet New building area: square feet - .�`e', i :l'<: C.';.-� a%3 if tti' .5is ,. `�� : rCr - - :',_' - , p §e ^i` ' ° ak; - e'i - - __ t ” - _, x : "j;.'.+ i` E` ,p {A•^e'yn' �. :i;.r� ,,. .x L +x_,^:t:' "y„' _/ .� a; '� + •. `t n &y . ,'u =�.y`i . \iii -nir- 1.,.. .,.5 - ..,., 't� =�= `; : . ® , . '', z:iY ��,: �.,:� �.,,. -;r��� rah ' .F ; ��w .,.,, ,.a,.w- Number ofst ,�..:� %•11t k, � , , ; EROp,ER 'Y O VV'1Lt R ,. r,. t t,:r. c. t. u-m ;l, a:�, ~� p.T NAIVv,� , t,. ,: a stories: c' .,.t n, yr s�e:r::: •.�. ->,. ys' s„:,' tq. vz:' c.;,._ �_ a*..• �ad: px.= aiy,,.,.v �u. �:?('` a' 1' w'. �. yt.) k;: f:, �. g?; t2�r' vr.: t; rtx". rYt$ l:'?! h:>- SF:•,,,.>;"• j,,, q, n. N-::%:. �h�-*' r�„^ �E� "�!:�,,i`•= i,^;krz�s.,., >6',aev -c, Name: t' `M1. '' • 5 • " G0 M M u Ki r j (..t...0,_,, Type of construction: Address: - Id.,.. L2 ( ,F���) G G L.,-... (. Occupancy groups: City /State/ZIP: Li e C � Existing: A � P C ' � I / 0 ` • Phone: . 70 `70?) e � Fax: (g/3) - 7 - .7 t [ 5 New: !'_.; .,s ^. tea.:: _ � ¢ »7 +;: Y:T•'!tpg =:, na ' -�.yx sn' <^ -. 1Kx:.- .u,..hsL >., _ . < :. ti:i'.�`b t t .r�''tt.:r, l .. .- �. ..... :..:.. ,,�n: r.`:.- .rte;:.;. - -,,a^ ..,,, - r; , -. r l:+rnt.; : A:Nr..:4 ! t3ra5;W- . is .d•' , 4 r.:.. *'Sr : {{ cif' i - - = iyR.,..s >it'..t :: ? y ,y, ;r i� "" ,l4- 'e.!{S'.`, i *u:�� _„ Ar ", ; - , C= °'I:oo Ta a.. , ; � . ; 2, T,t . isi} ?i , , :> N . C T;'c= P)(�RSON . 7 =, ,.,' '.�;,; 7 , .m. :. - „� .,.,..., ':.. , „- :,.;,;'.,,r .. `atr:;.a _. ^': -_� .•.,[. ` S,a K ;`'�i:;;.* : �.. - .,.'PIO;IIICI�;i'° _ : .. r eh- 1.,•,,,... �1.�?,5':r�ai,,Ar��i':i!�rr:�, r:`E'i:��L:'i=\.�Y:._ � ,•1..r 1 2 ' ^_'i'Li!. p ,.. p, � � �,�, `. �r„ a1- .,.1- . .l:..r,a<f. �Y a. .. ,'„'.�•,l,jc:1 : '.^�.' r •: I : �i Business name: ' i 1�e f `� r`t:C��� 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: 4f :: •:, ", i �' :: -'.:.: r. r. .,...]' ,,, +Z: - h :' a t:. r:,r.l:., - .rrol:. - il: , en. ,i': ,:... ONT 'C�I?,OR < = , ..... �5i-' u T.;TiL ?'-r ... .. ....: ..... - .... -. - �., .....: :F:: : 1.;i ie' Business name: P ,:.: :., ' ..: ;•,•.. k ; , t ':BUIIftDING'� . PERM T' ;FEE$: - > ,: < - ", , : . Address: ` k =` "::) t.. .. .., . . r.: "a.i;yr . . st -; ,:. . ,. :'�7r ° '... ,n,. ,..... ;,_s. . . ; 'n>., ., . Please refer to fee schedule. City /State /ZIP: Phone: ( ) Fax: Fees due upon application ( ) CCB tic,: Amount received /(0 t �. Date received: Authorized signature: E,i n . 190b-fribe----' This permit application expires if a permit.is not obtained / ( within 180 days after it has been accepted as complete. Print name: i 'r Date: Zf qt� t1 ( y * Fee methodology set by Tri- County Building hidusIndustry ` Service Board, i:\ Building \Permits \BUP- PermilApp.doc 12/03 440-461 3T( I I /02 /COM /WEB) S' • Plumbing Permit App;licat o FOR OFFICE USE 'ONLY 1i to, ^ .1....p. Cit of Tigard Received Y Date/By: No.: \� - - i f v 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review )) II.J�tJ / U Phone: 503.639.4171 Fax: 503.598.1960 AR 3 0 2 00 4, \ Other Permit No.: ll DDate/By: 24- Hour Inspection Line: 503.639.4175 _ y�i i !' I� Date Read B orris: met: www.ci.ti ard.or.us ee J ' `" " '°` y y See Page 2 for Inteniet: - y -v >( 11V rm Notified/Method: Supplemental Information YP : E:• ,! <- . ,.. z . .., , . ._ T __ < :__ . .. . . t. . . . _.. t.. , � :.�.. •::4 -:- t� SCHEDUIsE �:; <: i -,_... . -..S _..,., .. -,. J-S:Y ..�._.. - .. v. ..a ., , ,s. >,.� T. x t . , .. . :. r.. w.. 1 ?J -., - . F ■-. - - - - ..:� ., ':3 j L--' _ . ' T-4±'•,: s.i~''tw ".r,';r.:� •,•.�s�_•e s.�ru ��T +� _i._s..:: „ - '_ .z..�.,.,a_•�e_ a F or special information use checklist. New construction ❑ Demolition P f Description Qty. Ea Total ❑ Addition /alteration/replacement ❑ Other: New 1 - 2- family dwellings (includes 100 ft. for each utility connection) '.,, ::CATEGORY OF .CONS] +R ��^ �s� ;< >' T UGTION' ���' SFR (I) bath .�^ t� ,.. , >� ( ) 24920 .. -.w -� . -ti ! . ._ -_ .,...<,....c . _ - v:�"�a, s:t, _. :,4 , .: . : i't�N: ei'hY,.o�Pr:r • nvr .a t:3 _ .. ,L ❑ 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building 1=I Multi-family SFR (3) bath 399.00 I1] Master builder Each additional bath/kitchen 45.00 ❑ Other: :r•: „ Fire sprinkler ( , sq. ft.) Page 2 _ ;� .s�i; "' ie . , l r .,..�C >� iti ; : • i ' i �?:t'dr: :+JO ` SIT E ' INFO ` b: L ATL .,; .i ,, ).z „ =+�:�A. . ,. „ _,. _.. .. ,,... . -. .. :.r »=;;,�;,!:,�_fi� , r,:. ..._ s�;: = . , � ;,���7,.,,,,,.,, �.r`.,..,,.,.,,,__,,.�aa Site utilities Job site address: j S L 5f1,4) � � . Catch basin or area drain 16.60 / t City /State/ZIP: `{ . Drywell, leach line, or trench drain 16.60 g j Footing drain (no. linear ft.: ) Page 2 Suite /bldg. /apt, no.: Project name: /'� .Q.) 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 Lot no.: Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: ;•a :,:: :: :;Yn::. • aeay:,r,:. r:xs, +ms ; :•s£� '�,: Absorption valve 16.60 n °r::., .,,__ ,�'�' >•C,:, � 'ii' -�;;i z �larit_ • : ..z.. ;:�'i, °:t'';t. j,'et- °:ii'-;DESCRIPTI0 Fe WO , ' �� «.,.r;:�;r, 21. :, m.t.,_, =a �.'Tt'�..;i. " li'i %'er,. Y t:s .,R'r.�l. ,. xNrz� ,� F .,:' "�4ry;.:;'Pi,- vas: ir`^'_ a,.,, ...'1.�ti:iE!•- iisSu�.e }r ?:i "a ,�, c,1:';- :::iiJ ��.� w1, ^' „4:':T::a?aY'? °.!74 "; ?.�t� vkt " ?L _ z:, -: °ot5 n ... : _ �;-- TU���s =�: -. ,. r,... �al�x���„-,_._..._, .- _..l.��U�.d;_,. :._ >.,..,.,,,, Backflow preventer Paget Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 ?il' ..:.`,";.nil - i:.�':1.>: ""�5 ,'t - , �3rsx - - - "n.R F; =;i +s. : .t.' m,, - Drinking fountain 16.60 ..,i,. ,�,',: �:�;i'�'�+'w- .,,. �_ ^; € • g 16.6 ,, PII;OPER.� '{4.tF�<�`,.�zG� =,.x<: =<,u 'u�<- = „ ^s�a�.�: �',s `I`Y' =OWI!IER....•,.. ` _'. :•r,, _•; - ,TE'NAN31 . ._. _ - ,. ta mer" � ..,t: �t.v,::,r;: - .z:�,' _ .'z$, �t. . �.1 -;i7: .. _ ? �.q,,,, �:F: - ,.. -,. ,. - -, .,: �. et r<. s?:,..,-, .�..., , 4. 3,.:... GI).' �: �,,.,, a.: 9: �..: ��.ii;�•:,.,,�,,,:n',�sa.•c �.�;:�;,�s�,�.�. ,.,.,,. �,zi >_�;:��; , ,/� �� I( " �� '' "��'' Ejectors /sump 16.60 Name: y 00 18 1 ' e m in airt 1 { h C , (,'L't � / Expansion tank 16.60 Address:' . ; t / t"'"' ' , l � Fixture /sewer cap 16 ■ City/State/ZIP: / (i.�hn�, • , -z Floor drain /floor sink/hub 16.60 Phone: j�) % '7 . 7,_ Fax: r/ )� <U��,a( Garbage disposal 16.60 •:.f :� -5:1:: r;` _i -4 - t :^Nin e�T Ht j ,� 1 .• ,:'XG':i ';1 v ". "4:: t ",k' 41Y :^" dl'+= a:(fr s., :.:5 :, :• .. € .• t ::ltei :, f z> _:.,, ,xt= .,1 piy ,:t1 Hose bib 16.60 APPLI � 'r � `,h� : f >� r ,��;_ . -; d =C.OIYT���C;I , r: � ° ° ':�: ' , �t;: ' # ,��. <.,,.,,.__. , ,.o...... <._ , �1 : = ,,...;. �� �:.�.. . ::;;c,:y 16.60 ; � " -'s :m , . ...,�, L, ice - ttrts....,_a ..,.,� _ss., ... - Ice maker 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: : sxaz: ;,;o-;;. v „. r: as - u,._v.- Urinal 16.60 :.,t : f \r - ':Yr': � t '� i '.�. 4} = :a , CTOR" � • ;�i. C ON T RA = i<' 4 , .. , „ ._ .:. :<:�, � _ , . ,�_ .,. ,a, �,.. , .. . ='' �`::i,:,�•.,, ....,..._..,. - �,.,i =��;t.., , Water closet 16.60 Business name: t w r " A ey■,, Water heater 16.60 . Address: '/O , Other: Subtotal City /State /ZIP: i - l 3l.// Minimum permit fee: $72.50 Phone: (j25)6(), r Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lie.: U��� �� ^ttlmbing i ie. no.: 7 7 G� Plan review (25% of permit fee) �� State surcharge (8% of permit fee) Authorized signature �~ ,� /� TOTAL PERMIT FEE Print name: P. I 1 f , fit 1 � gi Date 2,1 0� 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. is \Building \Permits \PLM- PermitApp.doc 12/03 440- 4616T( l 0 /02 /COM /WEB) Electrical Permit Application . ' FOR OFF CE'USE ONLY . G C t Of Tl ardl Permit No.: t ' i ;�, � Received Q 1312 SW Hall Blvd., Tigard, OR 97223 '" `"`�'' � ` Plan Re 1N Ot - -n) ) d g Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Amm /dl Mlyl Q' l t Date/By: Other Permit: Inspection Line: 503.639.4175 MAR ` Date Ready /By: )uris: el See Page 2 for Internet: www.ci.tigard.or.us MAR 3 0 20' Notified/Method: Supplemental Information , z. <. - . , ,.:�,- , -, ,..,., ..: ., ; , fi t' cxw:�:;;. TXBE OiH WORK I`t� �.s. :;PLAN : .�1:.> New construction ❑ Addition %alteration /replacement Please check all that apply: l 1 i - ice i; "v 4 - 'J�� ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., ❑ Demolition ❑Other: over ous location Service r 225 amps, comm'l Hazard g , RCA�fiEGORY OF r C . ON5T�RUCTIOPi, _, t t 3 - r of 1 -and 2- family dwellings 4 or more new residential , < } ❑ I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure Ill Multi- family ❑ Master builder ❑Other: ❑Building over three stories [Weeders, 400 amps or more ❑Occupant load over 99 persons (=I Manufactured structures or ` : : JOB , INFORMASI'ION' AND rLOCATI©N , >,, ,`„ ,,, , ❑ Egress /lighting plan RV park Job no.: 3570 Job site address: 70 1 L ❑Health -care facility ❑Othe: � 0-f..,, Submit 2 sets of plans with any of the above. City /State /ZIP: '1 G 1 , J 2 The above are not applicable to temporary construction service. An "vi "?tr� :✓y ",:�4R��1'�rY' -�',� 'ii4;Y.w�r.F" , *.,. ';;yt(:�i „'tttd - , Iit., �. ;:a(`- '4,:.; ; .,:EEE.,. ; ;SCHF,DUI_E rs Suite/bldg./apt. no.: F Project name: ': r..t .....:.......:...” ,..,._.,.. <�..,., ,.__.._A,.. ,- :,,`�;' :, Description °,.:1 - ,.,. - Qty. Fee. 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: Lot no.: 7 Ea. add'l 500 sq. ft. or portion 33.40 I Tax map /parcel no.: energy, test 75 00 2 _., <, ;: - Limited energy, :a. ; r ..6.�,,. ..: t= ^- �4i;Y }: w.;s`�a;. itjr., 4in;TMAk:ittijti: :'jtt;f Limited nergy non-residential -0 C'RI `.I?.IO" si ,,y,,- ,ORICtr` _ S >' N O `a.,,• ,:,r.�r.,_.r -.,:i . <.�`ali3�;t.:a , . _..- .. _:._ .. , . ., -.. - s....,..,,.,, . e .; . ,.. , -��, .,. s . . Each manufactured or modular dwelling, service and /or feeder 90.90 2 Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 RN ^.< -S5 ",.roc!- ';m, *. ;:4'_a ::, _ .w: -i- :'.; ;1; t =. ,:;:;,. 201 amps to 400 amps 106.85 2 Y' �'.iz+'- i . i.. ,. �:' � s`.79" ::t "y' wps f•:,.7.1i�t�f,;:v: .,: °) ' <nPROPER: . Y'OWNE :: ;:r, _ ,, < /„tl ";r !v i'3.'sPENAN k 0 7 ,ka�' % , f . .,,, .,,,., - e.., ,1 { x "`'t., 2:17+' "x... r ...... z ti v.`Fr �i "<:.�:�.,,�:-' ,� ,..,•,y�w.aAa, ' °� ;,,,,,,, ,,, , .,. . . - :t�.;tr:, , ,., �.: «, r< .,. �n=�:�4s.;a� �.,,,1,, w.. �a ��.�,. <" 401 amps to 600 amps 160.60 2 Name: ‘! ' I6' r LL.c,i 601 amps to 1,000 amps 240.60 2 Address: 2 _ j . ! ) �.i.e,a .43. , l AY Over 1,000 amps or volts 454.65 2 jd �/ - Reconnect only 66.85 2 City /State /ZIP: LW £ 0) J� Temporary services or feeders installation, alteration, and /or Phone: ) "-? Fax: )3) � - 7(15 relocation 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel ::,fa ., ^`: ';> r „'. ,.�,? ”: - ;'1 A. Fee circuitswi _ „���. " ". „ " 'w� „��:”? f or branch with +AE „LZ,„,,,, , '„` "(1O 1V1AC`T PEItS`ON' '.1.. service or feeder fee, each 6.65 2 Business name: branch circuit _ B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 Address: each branch circuit Each add'l branch circuit 6.65 2 City /State /ZIP: Miscellaneous (service or feeder not included) Phone: Pump or irrigation circle 53.40 2 ( ) Fax: ( ) Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited- - �,t ;ii:;.i:= �” energy panel, alteration, CON`PRACTOR3.: > �ti'�r .., ,� :r;:= ? "_ :.ae, .;.� gY P . or extension. Describe: Page 2 2 Business name: i C� Address: ( i i- rhh �4 , —- Each additional inspection over allowable in any of the above Per inspection 62,50 City /State /ZIP: --- (-a d, /' / q " )do.-3 Investigation per hour (1 hr min) 62.50 Phone: ,�-)b Le.L( '( `` D._ Fax: ( ) Industrial plant per hour 73.75 �' '. +'., ,', ; p: ; " Rsl; ";;^ EY ECTR'ICAL; PERMITa' FEE S' ;z_ - gi CCB Lie.: 0, Electrical Lic,: Suprv. Lic.: . ... Subtotal Suprv. Electrician signature, required: I Date: / l Plan review (25% of permit fee) Print name: dev ,C " L'.'� LI State surcharge (8% of permit fee) q "! p t / TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: * Fee methodology set by Tri- County Building Industry Service Board ** Number of inspections per permit allowed. is \Building \ Permits \ELC- PermitApp.doc 12/03 440.4615T(10/02/COM /WEB Mechanical Permit Application Fon OFFICE USE.oNLv. , .. s• gar d � � +�• Received City of Tigard � � Date/By: Permit No.: �5fcZ� — ad I 0 �( 13125 SW Hall Blvd., Tigard, OR 97 223.. , , o ! ' Plan Review J r Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 G,r�dj� .l ) 1\ DDate/By: Inspection Line: 503.639.4175 Al. r n � 5 Internet: www.ci,tigard.or.us l'iAR 30 200 - Date Ready/By: /Met Iuris: Supplemental See Page l for g 6 - Notified/Method: Supplemental Information =y SFr; r. � Z'� )f'.i:: I t >,.. ,._• �•_: ,�...._...:...; `,.,..;a. - ,•.:�. OMMERCI:'AL'.�FEE. SCHEDULE•..... USE.0 ,� _ , . - ;N: �f:. a�rl =� � +.'..F -.. ,'C' 'HECICLIST; - rT = �. -a... <.... ,..,. -� ? , ��., t. :a•.:, =...::,:r:.x�';::.:. > , . , ;.<..• �:.,_: .:�:.:..:M•,:.:,;.r:::,._,,.:, New construction E,Ad'di'tioii /alter d o i!#e 11ceieiNnt 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. -.ti, .'Y. "� Y'd1.3 '.:. . .:eYiie : >kte, :yl:' °.':il•'i '�?er` ;ia'v - - k:,, Value: .r.: - 3 M;. : : " " sv OF;;CONSTRU.C'PIQ :'�; ":r�s�t ;` RESIDENTIAL'�E' i'UIPIVMENT?I YS �;_; ;: 1- and 2- family dwelling Commercial /industrial 11 Accessory building " °' = ° =' °`" "` °''' " - S = "' "` El Multi-family For special information use checklist. ❑ Master builder ❑ O ther: Q Description t . Ea Total ' JOB SITE • INFORMATION, AND LO CATION „ 3 . . . . .._. :..,. -. . r: �w ,, ., , , ,,,,,,, r .,, Heating/cooling Job site address: 1530g1 5,14) 6-104.4LelZ � Air conditioning or heat pump /' (requires site plan showing placement) 14.00 City /State/ZIP: _ 1 y/�/ c, i Of— .. -(1 Furnace 100,000 BTU (ducts /vents) 14.00 ' ! Furnace 100,000+ BTU (ducts /vents) 17.90 Suite /bldg. /apt. no.: Project name: S` Gas heat pump 14.00 Cross street/directions to job site: d � a 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: 1 Lot no.: Flue /vent for any of above 10.00 Other: ) 0.00 Tax map /parcel no.: Other fuel appliances ., ^, :; -C' t::...m._a i;rt; ...::::.:.:.„,,, ^..;.,,, ,,: r',,::: ant: ,:T.,,,,, ,,,:ia:,,,.5,.4 t , .. ., , r . „ .-. : z•,' <<r . , ., -.. r: M ' <,e ?r :s, ?. ` a" `yaa Water heater 10.00 ;: ; r i ? ,,r .,IO ® -�:} k,.4. - ka "''' ennui ; -..<,: , _. , _y �- � ` ° ri E•,"` t. ,v.._ „ - .._:.�:, , . , . . �:, � ,�- �..�sr,,.c.�,= ,..n�?`�.... -. n. �n.... r, .�`v:;'�'-;tsct�;. #,,....K.... 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 :; :;,; ., Chimney/liner/flue/vent 10.00 ;'4' '�. `s3 ^1 y E; - : „, R'OPERT.X`iO W N 'E R:r.= ',• v ,;* TEPii, .,.:T,., »r.,. -,t AA „ ,.., - . - , ,. . ....: . . .. � i ";_,, wi< �a,- .,.,:a .,... - w,f. � ;�,.,=:,1x:.. , .,..r I Other` 10.00 Name: \ �� C/ v • r \ 11mixf*e/4, l(l0./ Environmental exhaust and ventilation � Q� Range hood /other kitchen Address:( ( equipment 10.00 City /State /ZIP: q )O ?7S Clothes dryer exhaust 10.00 Fax: f . r Single -duct exhaust (bathrooms, Phone: " (� " -1 Il(�' 1 =J toilet compartments, utility rooms) 6.80 J ' :'�,'i1,g'i :::;•f?: - .th".�iz"C:;7 "a riJ,:,L'. ; :Y.'. '':iii,^ "'S;e %S=; ? + .44', ; "Lt's , iRn. „, I • �'`' u. ' `y -,•�?l.P<x-'' g , ., „ r ;n ti` :. , Attic /crawlspace fans 1000 '�.�ri ...�� z�. ��CO1VfI'�AC7't'�P,ERSO p • 1 6 Business name: Other: 10.00 Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Furnace, etc. Address: . Gas heat pump City /State /ZIP: Wall /suspended /unit heater Phone: ( ) Fax: : ( ) Water heater , E -mail: Fireplace Range T sM4?'< } '•.CON RA Bar Clothes dryer r � � j � (gas) Business nam (11a a T �C -,,-C.L Other: Address: � Q , , .n, E _. l L ;4 . ! -,. , _; ... C'H ANICA I ?PER iV II , ..,„ , S w` i, City /State /ZIP: V je& T `V ` ( W 1� 7Ct Subtotal ` ` P Minimum permit fee ($72.50) Phone: (q) 3 g.. � 'I Fax: ( ) Plan review (25% of permit fee) CCB lic.: £ (;y) State surcharge (8% of permit fee) CC TOTAL PERMIT FEE Authorized signature: AMIFO This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: t , M11111014, P W.,4 ' Date: ) AN * Fee methodology set by Tri- County Building Industry Service Board I: \Building \Permits \MEC- PermiiApp.doc I2/03 440 -4617T (II /02/COM /WEB) • Electrical PermitQi'� r a FOROFFICEUSEONLY : City Of Tigard Received PermitNo.: 13125 Sw Hall Blvd., Tigard, OR 97,223 r d DateBy: � '2: 0005,.;' u� Plan Review Phone: 503.639.4171 Fax: 503.598 +.1.96' .) +(':' � /��a "t4pi���,'' � +'°� Date/By: t � n y: OtherPeit: Inspection Line: 503 639 4175 i L '? Date ReadyBy: Juris: B See Page 2 for Internet: wwW.ot.ttgard.or.us � Notified/Ivlethod Supplemental information a�, .y _..+.. „�.,,> a.. - ' =M �::�3 -a°: <,.5sa'" «�.,aa •y- ,,, �e?'<.t'.t , ,�. < - ��n,. „a ye•.�.::::�:� �L :F ��;:`, +.'•; , Al ,,.- t���. « "a.�a _;�. Ws.s�fu ",Rz �i. r~*•' � ,'�':- .;x.r.,�a�,- �- e�xn.o_, -i. cap.. �•' ?',,.. ssV." r« p.:: a," �- ���S F.., u'.- x _:.�.�:':`.��,'�..�.�. --... _,�',.,.,. '�x::� ,.,.o... ._a..''�s"^ k± ..i,.,:�.'SN _'�... ,, .,,,...,.. ,.,�. ... i/ New construction ❑ Addition/alteration/replacement Please check all that apply: ❑Service over 225 amps, comm'l ❑Hazardous location ❑ Demolition ❑ Other: Krk ,t ?kr, _,.�.. ,.,, „ taw • . , 4 ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., �.c •- ; r '� ” x v'C(1: 'GPT w�a,1 ^ a! s :rY'_ is 4 r more new residential ' � 1 ,���� -G�� EGO „»�.,(��. ,�'1�T1� ON ,., -•, ,�, , � of 1-and 2- fanvly dwellings o •�v5axtx - -ut.� .,: " <:,:�e..•,• w s�z..- .�e�,'.;:.:�t+»r °� :, b'.�:. -rir .~�tcc:.�,?st.': " ny.��' u.^'r- .�.+�.a",.z.'ss'x, °3� «^Y: ,1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi- family fl Master builder ❑ Other: ❑Building over three stories ❑Feeders, 400 amps or more ccupant ❑O load over 99 persons ❑ LL ,. ��k >•... �`;:.�r�au� x=;��;F�.;._ee _ ���; �u- z �,�•t�. � ����t�; ..;�,�_���a Manufactured structures or , LOz 4�FI Egress/lighting plan RV. park Job no.: , Job site address: � l /yam ❑Health -care facility ❑Other: �/ ( ` 5 36 w .e� Ur I Submit 2 sets of plans with any of the above. City/State /ZIP: " 7 '22 The above are not applicable to temporary construction service. Suite bldg o. Project name: �j etA . /apt. n � � �'� , / ' y iJ I i C'/i.` S 2 T a, £OM1sa, Description Qty. Fee. Total Cross streetldirections to job site: ��� tom! Q� New residential single - or multi - family dwelling unit. i t 1 ` Includes attached garage. 1,000 sq. ft. or less ' 145.15 4 Subdivision: ,5 �' 7 0 r� — t. Lot no.: Ea. add'1 500 sq. ft. or portion 33.40 1 Tax map /parcel no.. Limited energy, residential 75.00 2 Limited energy, non -residential 75.00 2 Z � II,ES�?ItI+ T;4 �O ;?� <: ", ti 1+ fit., n'.; i-.'. � -„::• �w� f�K.'z': Ilia-° �. �� '��k�'��'":�'�:= `�;r�:ze?= Each manufactured or modular _ !1 dwelling, service and /or feeder 90.90 2 ,kJ ?lei !# O5, e4J I1V ( Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 ''�' °�::`fti�" , " "_.�,;,a^�•' �;;��ax, a�;; :�4;;�sw ` �?m.� °;,�1;�'� }, ..;,�. --r,. ,, ��;...�r:;��e-:?�� >r� �:rl' 201 amps to 400 amps 106.85 2 ;�w_ ': #aa ��r.� - sa..�.4 .,���x:��+� ° a�.�,.:.sr�Ss, xrkt�. t,•, ..a, ��,.ik ..0 �_= �a......, a. .� .+� �*,:sc:,:��, °.'��;z�,M;: ' 401 amps to 600 amps 160.60 2 Name: Dg,.j /'l ( n1 Y 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 '• c ��* cc- 1'�f''o �2T t �� Ij `Gd Reconnect only 66.85 2 City/State /ZIP: ( _4/"5 CS �t . . Temporary services or feeders installation, alteration, and /or relocation Phone: (5 3) 3 '7 - 3 y' Fax: ( 9) ij 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 10 400 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 A. Fee for branch circuits with : r .. ^L•�. -. 1'.' k' $ .�!'L�l�ll "M 'Y� .y YyS ^f : '� + �1&, <i'�'��'�r LT.tl Q �„ $ c,+@, .�.:�Y •;S.i.< 'w. ?":�:i,.:,r: �� F?: s� r��� • « ...- �����SFd,�l+�� �F';;;yF service or feeder fee, each 6.65 2 Business name: S branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 Address: each branch circuit Each add'I branch circuit 6.65 2 City /State /ZIP: Miscellaneous (service or feeder not included) Phone:( ) Fax::( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - :', `•Sp, y,4vt .2.:R�• r;�tMW a:; ;'a;:::, t,- ,,,.�a'- "x * aE- ,i3 .: -. qY,�?:;..;...... ,,. - •.w:pr, <.: ,r energy P ane1, alteration, or =�i.:� s�.�'�w41'`�.'� r�r._n ��:`�"",��',.N G,��.1 C�T�3I ��- �'��:�.�' �� �•'��� extension. Describe: Page 2 2 Business name: r� 2 t L c77l ( i—C- C. Address: ® 'C)( Each additional inspection over allowable in any of the above L." Per inspection 62.50 City /State /ZIP: Pco r.i C .k'I2 a ('7 7)57, Investigation per hour (1 hr min) 62.50 Phone: ( Fax: ( � ) � Industrial plant per hour 73.75 CCB Lie.: ",, 22 Electrical, Lic.:3%t 1/j j Suprv. Lie.: Subtotal Suprv. Electrician signature, required: /�� Plan review (25% of permit fee) f + � Print name: Date: State surcharge (8% of permit fee) �� d�'✓�j � � ��t` " "" �� ` � 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 Tr- County Building Industry Service Board •` Number of inspections per permit allowed. i:\ Buitding \Petmits\ELC PernitApp.doc 12/03 440- 4615T(lo /o2 /c0M/WEB ' � 8e' A A A :i)A,'�.a A A : A f A A A A b :1_f A d l: A V t 1 1 ii STREET ii, TREE CERTIFIcATION .. A > �� 0. i < I, i,itv��- 1 ' , � � 5 wner / for 7oe=�. ("tba1 IT - e-- eo,.,,, 0, u, h.i n s z_LL (PLEASE PRINT) (PERMIT HOLDER) 1 i � 4 y n { o ' : wing Do hereb 1 �c ��h =at ���:�e fol�l o, location meets ,4 ity�:of ' igard /WWash :un.gton ount A l and use and development standards for street tree installation• ADDRESS: /5 9 5a 60'4lil &Lp pry, � , 1 LOT: '/ SUBDIVISION: 5. w. �.,; Y- ) f 5 1 ® BY: DATE: ? — 05" RECEIVED BY: DATE: ` / 7 S A ta& TYVVVVVVVVVVVVVVVVVVVVVVY VVVVVVVVVVVVVVVV ' yyy yyyyy` yy .y CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005- 001013 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/27/2005 Phone: (503) 639 -4171 wi4Vu�i� Inspection Requests (24 Hrs.): (503) 639 -4175 _. _�. °`__.1 INSPECTION WORKSHEET FOR DATE: 9/7/2005 TIME: 7 :06AM PAGE: 96 SITE ADDRESS: 15309 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 007 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: Now SF. OWNER: DON MORISSE. I I E COMMUNITIES LLC, PHONE #: 503 - 367 -7536 CONTRACTOR: DON MORISSEI I E COMMUNITIES LLC PHONE #: 503 -387 -7538 Inspection Request Scheduled For: Date: 9/7/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 015053 -03 503-2094637 N Co rections/Comments/ Instructions: ,..i , s (; ) / ' . PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I FAIL 0 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: V(A\ Date: / 77 Phone #: (503) 718- 1 • CITY OF TIGARD . ,. A 1 1 BUILDING DIVISION PERMIT #: MST2005-00108 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/27/2005 Phone: (503) 639-4171 boxiMpli Inspection Requests (24 Hrs.): (503) 639-4175 A- ' INSPECTION WORKSHEET FOR DATE: 9/7/2005 TIME: 7:08AM PAGE: 9B I SITE ADDRESS: 15309 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 007 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF. OWNER: DON MORISSETTE COMMUNITIES LLC, PHONE #: 503-387.7538 CONTRACTOR: DON IVIORISSLI lE COMMUNITIES LLC PHONE #: 503.387_7538 Inspection Request Scheduled For: Date: 9/7/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 015053-01 503-209-4837 N Corrections/Comments/Instructions: • / PASS 0 PARTIAL APPROVAL El CANCEL 0 NO ACCESS FAIL I I CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED • • 1 Inspector: 1 Date: ' Phone #: (503) 718- CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST1005-00108 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/27/2005 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 9/8/2006 TIME: 7:09AM PAGE: 8 SITE ADDRESS: 15309 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 007 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF. OWNER: DON MORISSL I i E COMMUNITIES LLC, PHONE #: 583.387_7538 CONTRACTOR: DON MORISSETTE COMMUNITIES LLC PHONE #: 583_387.7538 Inspection Request Scheduled For: Date: W812006 Pour Time: Code # Inspection Description Confirm # Contact # Message . 299 Final inspection 016192-02 503-209-4837 N ( rrections/Comments/Instructions: ph ) PiALI 7,00 1-7 - 0O . S1' - ( --- (2_S1 - -c-- 1 ‘"-S C:( T--/ - 5 C9 C-r--1;.‘ C-c-4_ elf -- , . PASS 0 PARTIAL APPROVAL n CANCEL 1 I NO ACCESS 0 FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: \4k, (----- Date: - ,6,- ---- Phone #: (503) 718- _,. .. . CITY OF TIGARD ., . BUILDING DIVISION . PERMIT #: M ST2005-00108 13125 SW Hall Blvd., Tigard, OR 97223 (.2 ISSUED: 4/27/2005 Phone: (503) 639-4171 ittil Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 9/812005 TIME: 7:09AM PAGE: 9 SITE ADDRESS: 15309 SW GREENFIELD DR CLASS OF WORK: I SUBDIVISION: SUMMIT RIDGE LOT #: 007 TYPE OF USE: I PROJECT NAME: SUMMIT RIDGE I 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: 902005 Pour Time: Code # Inspection 'Description Confirm # Contact # Message 399 Plumbing final 015192-01 503-209-4837 N Corrections /Comments/ Instructions: F; PASS II] PARTIAL APPROVAL n CANCEL NO ACCESS n FAIL 0 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: \ 4/ 1‘C &-- Date: q/ Phone #: (503) 718-