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Permit C ITY OF TIGARD MASTER PERMIT PERMIT #: MST2005 -00090 � DEVELOPMENT SERVICES DATE ISSUED: 5/6/2005 i 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S109DA -02900 SITE ADDRESS: 15295 SW GREENFIELD DR ZONING: R -7 SUBDIVISION: SUMMIT RIDGE LOT: 006 JURISDICTION: TIG Project Description: New SF detached BUILDING REISSUE: DM170 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 27 FIRST: 1,600 of BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,670 sf GARAGE: 461 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: 31527590 OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 3,270 , . 270 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: 0 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: 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: 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.: , 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: $ 10,661.77 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Issued By : " 2 a Permittee Signature : Z;` 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. Building Permit Ap,pl � ica;tion V u FOR OFFICE USE ONLY , , 119 j Rece • City of Tigard / i Per No.: Date /By:. t 1/0 U � l p,... m5T-_190? °-000 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie /// Phone: 503.639.4171 Fax: 503.598.1 1 7 2 ' /N/il d'('` Date/B }r Other Permit: Inspection Line: 503.639.4175 !J . Date Ready /By: Juris: 0 See Attached Checklist for Internet: www.ci.tigard.or.us CITY OFTIGARD Notified/Method:/ 7Jj /y1, - r I Supplemental Information i i to Hint( nlvislOnt t.i:i�',. .. .:�:. -'e5e y . 5' t-.• t^"." id: n' -'+.'i.f"`Au'..-'- !31- P� "�c'V�S !iAilx%�naal�:..t5" - - - - .�;,xa�s.�• »�,�. ,.:';4 �,a��, -.-- .tea.,:;. ..m -r �;;� r�. `� <'�; ,``q`r',•`�,�„+,�` :: =R�t .:.p;��.. , . €:��,r; .� p,�."�. r� r ,� , �- J „wx,,.;,,��;.a,;ras�r�rr;���:': ��r. ;�., ; � �, _:, ,,, .a : r,...„ ;Et ''TYPE' 04-ORK * a • ” - °t ry i :.. � Yq � 1. x, >, , ; „,. .: "'. ` �� - , — . , EQiJIR M. ,,,, T tl �ANDI'2 F`AIVIILY D w9 6,41 ,/ ��' x ` �' � a �a � Tti, =-�,,, - ,l;�x�..�.>`�:s�= ,a ��:r�utr� w+rd =���s.��.4a,� ._ ��-��.�::������ New construction ❑ Demolition 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 ;� >ti = < 7 F N. NvS«':. t�6? ea= j,m;.;.a:x- 'ta,`• =aH�'��4:e'a`aa Yab""u''`:1'= s>,iti'.r. .t= ; y .,, �.. tvf, ,, t . 00' 0.0 4 :.�� „; i 't` ?` .� r . �, - `5 0 . 4V work indicated on this application. F'.,+; ',,'/ a s % .' ? h a?.� G�TEi OFD.;CONSTRiICT'I, — ,:,,.., � V , ;' `.�><, ��= �m:'$ �o; ��t{ �: r� ��r�ecr' s:. �. �r ����r�a: ��.. ��t�, t, �K,,,> rx� a x. �x� -�>i. ❑ 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $31� J '3o ❑ Accessory building ['Multi-family Number of bedrooms: J ❑ Master builder ❑ Other: Number of bathrooms: a , ✓ ;,,,,„ , c -. xt 4: i,,,k n.'•'s�'_ „,, ca ,�N.u€ .x m :SS; ,4 t , i , .,v; rf_z.Y ,, v, , ,v `;3; ;,�d!'.kiviiii - ,,l i _. v' i ; ..,�..aa.,z A .' , 6.4,4 wIOB SFIT INFORMATION �sAND LOCATION ' f ` ' Total number of floors: 0 +.�- a �k � i � , ,c, -i t. Job site address: f 5� S( � > C (pen �,e l � ( New dwelling area: Q� © square feet City /State /ZIP: i �� ;�� Garage /carport area: Li Z I 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 a �', i`RE;QUI'RED.SDATAB`Pi, COMMERCJ AL4USE CFIECKL•IST a /� d fl 'iii p io�,i,ti r, s `4ixi;iw 1t otkoi it+.sl'ivi T .Y ,g,i Ltt'K4;`'x`::^,, W,, , ` °d” Subdivision: < v„, 1 1i�1 QQ . Lot no.: Co Permit fees* are based on the value of the work performed. ir Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all :r :. ,a.:_KV,.:i'_ u ; .:; :,, ;,.a a . 7 <. :r; _;: ,= re.':,z to 3_ . , ` equipment, materials, labor, overhead, and the profit for the � � " `DESCRIPTION` OF WORK , 0, -, a' � " ; y � , work indicated on this application. Valuation: $ • Existing building area: square feet New building area: square feet ,� �" rx vt "C S°v'v+dt, r# z " tsW s °w { x m*„.0 `fr'..#+, " ' n. • 11 1 PROPERT 1611 — E i , a ° � 1 � ��TEIVANT11 ' 1 i ,: �u vtrz� 4�,�., _. x a v l r s,on. Number of stories: �,�+ Name: - t \ �O � ,,, ,,� .:� ,c,, Liz. Type of construction: Address: L f bL) (I N.... , ,1' uc .e✓+) G .. ( l�, 1.1 Occupancy groups: City /State /ZIP: �---E LU J - A . 4 , 7 ok q 70 3 Existing: Phone: � C 7, 51) Fax: ( 15) �j i.�7 ' 7CAI S New: - :r�s "- ':�',T'-`� �, "'tr�� :. ,�������c � ,�.� .�{ ;� � ;;; #� Ffi , . � , . � , :„, „,, ,,„, APPLICANT,:' 9' ', A, ®CO „ *, N ,t , ¢`,�, . w ; , *N t 1 , - f ' e ^z���: vret�r. 4 §� �e. <hs, �s���.'� ss ��r�` ..�.3��a�NOT, CE ���.� ` br t Met IF Business name: 5KA-1,e f 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: ',- �' i r �'. a:; t�= x �. �: ri;' rriy.�u,. t ^- *:?:�;:;•: ;�`��`�a r =�.yam�`�e2crz�a.xr.�;'szr.=„ a,_t °a��'�.Y;t:i: 3-;. ?�a`a? "=«�`�;��i °�?�,: �tu"�;; ) a V - " N:W ri `S ° fat hTt riCONTRACTOpliWa nR j re Business name: 90\1-4 _C 1\- r.r t g l s ;w,:l,...i,r„i;;, „� ...,...w .{...; .,:. t��'v,.u�u�x. � Gz RM ty�.� Address: -s,un :,., ,> °: Us,sz y ..'.:. o Please refer to fee schedule. City /State/ZIP: Fees due upon application Phone: ( ) Fax: ( ) CCB lie.: . 1 b a•j T Amount received r Pa1 � Date received: Authorized signature: , ����/K•/ This permit application expires if a permit is not obtained l within 180 days after it bas been accepted as complete. � Print name: i J N 1.1�^ � 1 C Date: 'I' (o I (:) t J * Fee methodology set by Tri- County” Building Indust( Service Board. is \Building \Permits \BUP- PermitApp.doc 12/03 440.46i 3T( I 1 /02 /COM /WEB) FCENEDD . • 1, PI tmbing Permit Application FOR OFFICE USE ONLY ViAii z t 2005 . City f Tigard E!iew Td OR 97223 OF TIGA6�® Pl V6 Phone: 503.639.4171 Fax: 5 +i+� Date/By: Permit No.: 24- Hour Inspection Line: 503.639.41g LDING DIVISION Internet: www.Ci.ti at'd.ot'.us i i I � Date Ready /By: Juris: H See Page 2 for g Notified/Method: Supplemental Information ;a.,.;�d =, -•.' p , - a. tJ.;y . , •, n- -a:�zac ^....;u 3 r �; �:!c - ,mac r. a a< .�i .�'' °''`•� - `,c " °�� `�i�- �+� ''"- � .,:�. .��, -a ° � �•.� irk r; '�' a,„rv ,s.•���ar.'ezyu rrx� ;.p,e�.r�ttr:�.,� :*�# g; '' =;;;v f _ri din a TYPtE r• :M1 t t, :�, ; W� 1 :, - a 3 ',, . FEE *r SCHEDaV p ' . , „ " . w .ff • , ti . t ag ' s; ;I, . g,s.,. -• ,7 vr. ,,; .,,. VANMS ,': -,.... .yx= t -, .44 l„ ., . r., '• ...: F r . 1N ew construction ❑ Demolition For special information use checklist. Description I Qty. Ea. Total ❑ Addition /alteration /replacement ❑ Other: New 1-2-family dwellings (includes 100 ft. for each utility connection) h;,s w?' 4u?` ;''Smarm- " '..,4'- a::asx:,; <r ,- � :, , ,ex:r�. - tE f f;wt:: ,• ':�' r�. ..` r ; h .« ,• � err. ! ^vst' a i „, f Ot g . jCATEGOR >Y tOF CONS a � ,s SFR (1) bath 249.20 ❑ 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 [11 Accessory building III Multi-family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: •,i k -: ,,,�.w a ateh,,.t �r w .: ; ,. « gas, ,: «,aw I N -..s.. „, Fire sprinkler ( sq. ft.) Page 2 ° t X ? - , JOB SITE INFORMATIONj�A D OC TIi5 t #, ,,P'P Sit u tiliti es Job site add ress: (eel P e <� ' Catch basin or area drain 16.60 City/State/ZIP: 1 Drywell, leach line, or trench drain 16.60 ���� I Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: J Project name: Cross street/directions to job site: Manufactured home utilities 110.00 Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Y Water service (no. linear ft.: ) Page 2 Subdivision: SLKv\ m 1 .{ - '2 Lot no.: cso Tax map /parcel no Fixture or item t ;aC ws ��aP• � �r Absorption valve 16.60 a t-A k 45 i t(DESG TT 3 , . -, I ti • a M Backflow preventer Page 2 Backwater valve 16.60 . Clothes washer 16.60 • Dishwasher 16.60 ±. ,1 ' a 7 - r.,a�i: .us*_ xwK r :a�., ..r,- --, w »�<r_.� - - s 4, sVti tPR Wt t rig( R h i iIV � qtr ` 4 .- ATEN'ANT a E mg fountain 16.60 Ejectors /sump 16.60 Name: M77-75t , 's".`-',"-• i'''/ LS `.4_L Expansion tank 16.60 Address: L- • ' ' 1 2 - , 1 Ca Fixture /sewer cap 16.60 City /State /ZIP: / � � e -Z- Floor drain /floor sink/hub 16.60 Phone: ) . '7 7 Lo .v Fax: (t) .:: 1 7 -' 7 ( S Garbage disposal 16.60 111;,14 1 I, - • 4 itil tv�a r n y ,,, a g =;. .;t; r-.�„rt S Sas `p�ec ^rte;' Hose bib 16.60 t•f »�x "4`i �"w ;.,,, xG`,- '"'�'i:•s4,r.,, ;,� i�k''t � & "r�'•i CANT. .,,., ®CONTACT`: P.ERS®N R ` e£ a: =kYr:. to s:1 •e:r ,ruaa °::'k , .,: 1,:ti- ks m na :,:w ,aa . : itti Ice maker 16.60 Business name: Interceptor /grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City /State /ZIP: Roof drain (commercial) 16.60 Phone: ( ) I Fax:: ( ) Sink/basin /lavatory 16.60 Tub /shower /shower pan 16.60 E -mail: xti.r °' # vr. ; - x a. e s : ; , a v _..,, q Urinal 16.60 L t' �h ,pi q4' itiftiyU ; 'p VONTRAC'°TO' R v ; �:�'�Ct' µ'�C�` �'C M: 4.s�% ,.. a .. v : i .4 mt,,0ai ,va 9 � .�.r '? s.;e 1 Water closet 16.60 Business � �� \ \0��( Water heater 16.60 Address: k/0 ,� , " ✓ ' , , V Other: City /State /ZIP: =--7 X. ,1 '�- G^ -(i��� C Subtotal / � °�, ( Minimum permit fee: $72.50 Phone: 5).51 -- .../t /4 :.J Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: (• 0S ^ tmnbing Lic. no.: 22 , 3xl V Plan review (25% of permit fee) Authorized signature- State surcharge (8% of permit fee) /� TOTAL PERMIT FEE Print name: ,� ' V I I , ) g _ Date: ?„1 I ( 1( 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 \PLM- PermitApp.doc 12/03 440- 4616T(10 /02 /COM/WEB) Mechanical Permit - Applie tid'n FOR OFFICE USE ONLY 4, a =u v ..ter l Cityof Tigard Received d Date /By: Permit No.N[ ACV C _ �ciy� 13125 SW Hall Blvd., Tigard, OR 97223, ] Plan Review �' - Phone: 503.639.4171 Fax: 503598.1.960 LUU *soh M rd\ Date/By: OtherPerniit: inspection Line: 503.639.4175 , y �""'� • , I l� Date Ready /By: Juris. El See Page 2 for Internet: www.ci.tigar'd.or.us ; OF TIGARD Notified/Method: Supplemental Information SING DIVISIIIM ^ n' =•r .��,'.,°,Y , , :��q � , z .. ., .y., =,rspze33..� # „� xPre: k:., a . ac; va css�aa ;ra I °� xx - 't`t;':r. =, zy�.;rr �sa:.: �. Fa»::.��s;- .:w:srm� �:r° ' xnsa:� �, ra.;��Wra:•r,.�r.a�,:.j: », r� .xeaa���.:.�v:.a��.. >�, :,ila. , :4 a :Z, �.�k r� °T�YP• /'1W f r ; i �` ` ; r . (q tr '1 ' COMMER �'' i S CHEDULE ' * =., USE'CI CKLIS, t s x t..kl " . uA. .e4..,4- sri .cil.:.4 I; xv4.e4.. .i^',... '4 -a .e a .,„ , •,.§ � 4.7,5,5e � txr4 a�w. rsus m�4m,:n�a<.,rotr t.**ssarm.4V4t4.srf.a;.rrsk. �-.:v - ±a New construction ❑ Addition /alteration/replacement Mechanical permit fees* are based on the value of the work TT�� performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. 'ra a, zr -�+s�< : �;�.: ��'r a «c�rc..ccn- *_� „za: r z„rE,a�� � e:���,rau: $ '";{ = f� e :. f � � r . xb:Nre � r:�?a+st gk" a�� ,; ,t; s =, k ~ " CATEGOR�Yt F 6 . ,Wo . :? c , ...~ : T' t4 Value: TMfim ,, -. n :'-', * ..,, ` ° .., O , CONSTRUCTI®N ,' ,,x; + • , ...;,;L : , ,,J • � .. , at. ., � ' : .��u ,. .n�. .._.r.., sx a. �: � �;:: � k. •�r ��.r:�;�.�„h4��,��.�:r.,s ' psi::` �< �' �. .�: >,�r •;;:�•� _ a.,"��. r r{`. r.,e��:��fr = ^ .uW�N - r.^:sr+� . �• � �u��a.zs�. �$„xr' ❑ 1- and 2-family dwelling ❑Commercial /industrial ❑ Accessory building - r4 RESiDENTPAL EQUIPMEN %SYST� t 7:, rc,F4x,. n5 1•4 t';' .1'd ,++ >'t�rxbES,e+ra'#. _eL�.A2�la�n A , ,� ❑ Multi family ❑Master builder ❑ For special information use checklist. Other: Description Qty. Ea. I Total '',4`''.2:44 ,,,;.gn. ;x`��`�w5„"�3.,pa�oFt�>..., -, ^. ^n ; ,raw -xW� eesri, k u'. �. �� y. �� ;r %z. > :�,•d , , „ �T , ,^ " ;;aa�;' 2 r•v '7 . r ; v JOB Siff INFO A +LOGATIO t � r He a ti ng/cooling Job site address: (a q 5 C r -Fr e� c---0(. Aiq conditioning or hea pump ) r� (requires site Ian showing placement) 1 4.00 City /State /ZIP: _7I , v Furnace 100,000 BTU (ducts /vents) 14.00 I 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 1 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 r �� Flue /vent for any of above 10.00 Subdivision: 5u M , Lot no.: (.0 M I tt ( l Other: 10.00 Tax map /parcel no.: Other fuel appliances 8,. r I .4 e 'W ;Tz T 3 r ' x - . . I t x tri r y p y s r r k °r^, :N g,,, .lo a` ., DES C121PT ION OF W© _KK� ; ,, rh K N = 1 Water heater 10.00 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 - .- ,, : ,, r..£ , =. r,,, t ii, - - x- ;; e fi; ° , < , t + =.: #a;,:; ; _ ,F:z wi ,,., , a /,;mirk l Chimney /liner /flue /vent 10.00 � d PROPERT+Ya tOWNER 6' t "ter II g 1 E N:e,4i:' E � a t x . _ �� �/ ;a_.ra ;� .;:,,,e..a �,=.�.<. �t� Other: 10.00 Name: \ s, C/ v ' . ■rJ�i Le..........:,.. ee.• i.- c ' r L S I-L� Environmental exhaust and ventilation Address: ✓� Ott, I 4. 1. I > Range hood /other kitchen ✓ " - r l e/ equipment 10.00 City /State /ZIP: .7 '' Ol (4.'01 Clothes dryer exhaust 10.00 Single - duct exhaust (bathrooms, Phone: • - Fax: ( � - i - -2 (71 �� toilet compartments, utility rooms) 6.80. r S'' I d i '`(,.^ a _., .. s - g a a , r ye '""° xr .,w a ;t s r/ 4_' • 'A PPL ICANT` 1 ` ,xi ®�CONIrAC Attic /crawlspace fans 10.00 ,., et, w=.�VkS- rt..,,,..a.�. -.. �k_^� +vs 't. t..k a, i ���;'u a,'',, �. �..�..,<, � .wati�u�r�t_� �a .v�, ^�^�'d� Business name: Other: 10.00 Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City/State /ZIP: Wall /suspended /unit heater Phone: ( ) I Fax: : ( ) Water heater E -mail: Fireplace Range _x `- a:-.: . F4' i i,/.4 : "0*- zs»�r=:r,:seR r 4 `:. u::rra, 1: < t t iCON TRAG, , fi <<a: z x: n : : i Barbecue .. ..:,.. . �«..+� �,t'S', r£�",. i w, i ° y , �rr,rr...i�a��w nr`�„= 40� fi � `�`sb,4':+ii ;i:ar' ^�: Business name: (11 /"i ')4 /Jf; - !' _ Clothes dryer (gas) (1l ° ` v`L (�� Other: Address: L g , - ...,��v,�, <�rk s �.: �n,•�.3.�,.���<r �,,y ., s ,1VI < I I ANICALPERMI T F EE S" d -2 -i - xui> "n vi i7-- ..r c-. .. .^.:Y + +,,,z; 01 ;:i ',"i City /State /ZIP: `/\ -e . T ` ` . 77A L 5 Subtotal V ( Minimum permit fee ($72.50) Phone: () `� a ), Fax: ( ) Plan review (25% of permit fee) CCB lie.: . 5�) �] State surcharge (8% of permit fee) L � TOTAL PERMIT FEE Authorized signature: �'�� This permit application expires if a permit is not obtained within 180 _^� days after it has been accepted as complete. Print name: ' \ , , ; 11 `�J \ \\ Date:) 1 ( b5 • * Fee methodology set by Tri- County Building Industry Service Board is \Building \ Permits \ MEC- PermitApp.doc 12/03 440 -46I7T (11 /02 /COM/WEB) Electrical Perrr�it kq** t i% ONLY �� t > : • � �' FOR OFFICE ONLY r City of Tigard Receive `S' Permit No., - • • - _ ocO g p 13125 SW Hall Blvd., Tigard, bR.9 4 � l Plan Review Phone: 503.639.4171 Fax: 503.5 `960.. LUU #tipolo ii,lei Date/I3 : Other Permit: Inspection Line: 503.639.4175 n .:, -C ' Date Ready/By: Juris: E! See Page 2 for Internet: www.ci.tigard.or.us CITY..OF T1GA4 i Notified/Method: Supplemental Information , - cu= , s.. e($¢. ,x. u�,. ""F, `•'n ?'�; ..:' T� * x` 5 i ���.niG�. + ., .,,,,;,, � . _..,: .aF .�'C,n � �, �' ^ � - § ,.., , � y:.y � --. �x ,�-:., fi �. �� ^u : �' tc.-'- a : , �; !'.�I: �' -' . as�,`,?>~m..,�.,.:�x eairy ���.,r._ar. ,.'x�ty< °:rsar�ar _ v�s � o s;�:�:.a:� , � . • �a� r � `�m"- x�:�:;a+�.�x -,.r', �;.swra= k�..,, w. 'x,...- ��;� ,:< �E. a ,.axir.�:.._ . ,,t_:-- s.�,.. •.,- ::t,.•.,.;__,,�.r:. ... : w Please check all that apply: ,,. New construction •®iAdditio / alteration /re PP Y: CI Demolition ❑ Other: ['Service over 225 amps, comm'l Hazardous location ; a e m > r l_ _. x,s. .mss . her: : � < x > cy' r ,> , ® ., x , ,, ,.t ,, .. ❑Service over 320 amps-rating ❑ Buildng over 10,000 sq. ft., .fAt,y u ir . `t:;�.. $.aa--., t'r eaV " PI�^''C.O TS.TRT �I2 fo' , '` �'r , ' , c`� , ,�: -s: " " ' of 1 and 2 famil dwellings 4 r m re new re ,1441 Ver. ',-3: :. x r.� y O 43.v la y residential or o sdnlal 1- and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building ['System over 600 volts nominal units in one structure • ❑ Multi family ❑ Master builder ❑Building over three stories ['Feeders, 400 amps or more ❑ Other: ['Occupant load over 99 persons ❑Manufactured structures or r 4; x', ` "�N'ie�' _' ti . :�_'� '- '%,i.R =. hz:• o�;t§srL;�.Fa, r_ k 4. P ,JOB SIII O. ON f RV �r;:;.v>?4-- .-.r.1� .2..r ' I.O_= `I?xON . ❑E park ess/li htin lan P ` «.rr �ua...s.��u�� -•,a �� :.,�,�.:•..`�":,aTU�:_ ��',- .._ �`' r`. � :�,'��°�';h�'.'�i.�'5�+�, � g g P ❑Health -care facility ❑Other: Job no.: J ob site address: � Flan g.,, Submit 2 sets of plans with any of the above. City /State /ZIP: °�� j 4 91 223 The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name: � �µ K i f Description It Qty. Fee. Total > *'•' H 7L;f ECI ', ?t', ;. '; +� . I 'Y t _:, /L �% i Cross street/directions to job site: g 800.0 / New residential single - or multi- family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: - I M Pi i , ir-tAktii I Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 Tax map /parcel no.: . ° <; , •:, h ; „�,•, z; s w f e � � ., a _. ` , ' r: =x f. x. Limited energy, non- residential 75.00 • 2 :,: frr ,D P ».. ' ,"' "A.E C T ® C} ,. l Q r ' ,: a; x 't - n' Val , ii�1 w,a,tigw 0,, ',: :',.r:4„. „.. ,� ' ;,,- ..; J, }, ,.,. « ,�. ? , •,;:, "' > .,:-.. i,,y. Each manufactured or modular • � i dwelling, service and /or feeder 90.90 2 fJ ` �' ' ) ",�' 1 U F ( ' ( R 6 C & G Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 . , 41.�?.,""`t"s;��:,��� •.w•�:°�,c�•a,r�:a;�: ^� +�+= uvfa, �'. »; ,��,g - •� , : K•a�a��:w� :?�r�.M , �. , .. , .� x;?a 201 amps to 400 amps 106.85 2 k • P t 1?, `)1 ' O ER 3 �, r 3 a , T ' ; : �.,�w... -, w �...�.� ;�;:rno ti�#^:� :1����.,.r� ���:isa.,�.. •'�.,.,�rr_ - as, w _.k�`^�:.� 1 401 amps to 600 amps 160.60 2 Name: gn div ' in iTE- 601 amps to 1,000 amps 240.60 2 V en S 5 Address: 0 I _ 1.1 s_r 617 0/T - I' 6l� Over 1,000 amps or volts 454.65 2 Lv'f J Reconnect only • 66.85 2 City/State /ZIP: id 65 O , a , c 1 7 y $ Temporary services or feeders installation, alteration, and /or Phone: ( ) : relocation �� ! Fes � � ( 5d 3 ) 5' 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 4 -ex� ., - 3 s ii? ikr;, :4r*' ,:' >>. .;rs , , eit s `'•P. '' ' :.t ` 1 " - •lw ;tc: . c - �:; s �;.:�a. ' flti , , , yA; n. , , .? _ %� • ): 'x', �_ i. 5 " , ,, i� y '(� � A. Fee for branch circuits with ,v? . { : ��� c`T':(F . �, r'MGt� 1:011 C ICJ �.j� 1 ;. +Srtz'; nc= : <,,z: %r5 ;,is, =: " , . t: s`., 3;.:. .n,°.,.-, 4�ts'*.,-., ka; rxa; a: �i3��'�..- x.;�.'k,';.,r- �J•as;, 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: ( ) Fax:: ( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited- , a'<";'ss. ": is' •ar's..E.s' '':i moe:,.,. :.nc:r rc a x, ,u •,xug`ua. x. energy.panel, alteration, or ':'.f,',.a ,' ..klivivi Fe menwww J :. , -:. .. ` ' Y ',,1' U�. ;, mr,,, " ._r.,.:- ws,�.. =W si�,,.t€ extension. Describe: Paget 2 Business name: Address: P ec y k 2 330 Each additional inspection over allowable in any of the above Per inspection 62.50 City /State /ZIP: C� © ,2 c17257, Investigation per hour (1 hr nun) 62.50 Phone: (563) iw 522 -- 3 j s- I Fax: ( 3 <093 - ,qLj Industrial plant per hour 73.75 a .t -..�� von,;, �� � =s <ir itirratataW CCB Lic.: 0 2.2 2 2 I Electrical Lic.:3_ Gjy3 Cd Suprv. Lie.: lit /33 ,a, Subtotal Suprv. Electrician signature, required: / y * Plan review (25% of permit fee) �L i 1 / �v _ • / State surcharge (8% of permit fee) Print name: / Date: 6 / Z (/ © A! dNyj / . t 5 7. F�2f !o� / 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. 1 :\ Building \Permits\ELC- PemnitApp.doc 12/03 440- 4615T(10 /02 /COM/WEB AAA..; ®AAA, :. ,, .,i AA te,: , r 1 ziA5 7 az> 5 —evo 90 1 1 S REET 1 TR EE CERTIFICATIO ® ', d i fiat; I, ` Lkr 1t ' YA 1 v2,- s ,,Owner/Agent for 6j Mo v r c s E — •7 e ten (PLEASE PRINT) (PERMIT HOLDER) �� S L 4 / a4_ Do � ha�titi.d��following location ® meets 4 x and /Washi .wgt C ount y 3.za*„rt. k ✓.d'+r�:n'.;M�.�"x::.¢;:a..,:, ast' r.^.. ay.::*a^3v:,,ras,�;......�.>;;z z.x;z;.� ra�'"3 land use and development standards for street tree installation. tt- 'h tt- ADDRESS: -41 fJ S Sw 6.�,&Z- "..t/FiE 4o 0 r- 4 Dr- , a LOT: 0 SUBDIVISION: ,s�, ,,,.. fr. ri ie'el3 z_. 1 — BY: dill r DATE: 8 - i -o5 xa I 1 RECEIVED BY: DATE: 7 1 F 1 7 9 " 7 V''''' ''YVVVVV yyyy yyy yy yy ®'y y /' 0 CITY OF TIGARD _ BUILDING DIVISION PERMIT #: MST7005,00090 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/6/2006 Phone: (503) 639 -4171 x4 1, iP Inspection Requests (24 Hrs.): (503) 639 -4175 ''__ INSPECTION WORKSHEET FOR DATE: 8/30/2005 TIME: 7 :11AM PAGE: 87 I 1 SITE ADDRESS: 15295 SW GREENFIELD DR CLASS OF WORK: 1, SUBDIVISION: SUMMIT RIDGE LOT #: 006 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF detached OWNER: DON MORISSEI IE HOMES, PHONE #: 503 - 387 -7638 CONTRACTOR: DON MORISSETTE COMMUNITIES LLC PHONE #: 503 -387 -7538 Inspection Request Scheduled For: Date: 8/30/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 014574 -07 503- 209.4837 N Corrections /Comments /Instructions: PASS _ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED r Inspector: " l� Date: F 1 3 v a Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: ST2005 00000 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/6/2005 Phone: (503) 639 -4171 4 14i &pr Inspection Requests (24 Hrs.): (503) 639 -4175 °__.. INSPECTION WORKSHEET FOR DATE: 9/1/2005 TIME 7 :14AM PAGE: 34 SITE ADDRESS: 15295 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 005 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF detached OWNER: DON MORISSETTE HOMES, PHONE #: 503- 387 -7538 CONTRACTOR: DON MORISSLI I E COMMUNITIES LLC PHONE #: 503- 387 -7538 Inspection Request Scheduled For: Date: 9/1/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 014775.01 503-209-4837 N Corrections /Comments /Instructions: � �i 0 :• - 0 I r o_ - -- Co C i' f ( C":7 4I4 '. r Z # / R - i OPASS 2 RTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL ' ' L FOR INSPECTION U ADDITIONAL FEES ASSESSED Inspector: �_ ■ Date: /. C Phone #: (503) 718 - ilk CITY OF TIGARD y BUILDING DIVISION PERMIT #: MST2005 00090 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/6/2005 Phone: (503) 639 -4171 A nl�;'�I ' Inspection Requests (24 Hrs.): (503) 639 -4175 s'W °'�_� INSPECTION WORKSHEET FOR DATE: 9/1/2005 TIME: 7 :14AM PAGE: 31 SITE ADDRESS: 15295 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 006 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF detached OWNER: DON MORISSETTE HOMES, PHONE #: 503 - 387 -7538 CONTRACTOR: DON MORISSE I i E COMMUNITIES LLC PHONE #: 503.387 -7538 • Inspection Request Scheduled For: Date: 9/112005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 014775-02 503 - 209-4837 N Corrections /Comments/ Instructions: P© - Z i ' l ' d L.y C_ 1r) 2�b c_:7 f\-1 mo o, ip c ,r• - • FA PASS II ' TIAL APP ' ❑ CANCEL ❑ NO ACCESS n FAIL • L /FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ■ L `, Date: ' / ° S Phone #: (503) 718 - CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2005.00090 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 516/2005 Phone: (503) 639 -4171 A „,, o i t ' I Inspection Requests (24 Hrs.): (503) 639 -4175 �.. INSPECTION WORKSHEET FOR DATE: 8/3012005 TIME: 7:11AM PAGE: 88 SITE ADDRESS: 15295 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 006 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF detached OWNER: DON MORISSETTE HOMES, PHONE #: 603. 387 -7638 CONTRACTOR: DON MORISSE I I E COMMUNITIES LLC PHONE #: 503 - 387 -7538 Inspection Request Scheduled For: Date: 813012005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 01457406 603 -209 -4837 N Corrections /Comments/ Instructions: • K PASS ' ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 1`,) 4 Inspector: /1 I. Date: U Phone #: 503 P � ) 718 -