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Permit A e % , C ITY OF TIGARD MASTER PERMIT ����, DEVELOPMENT SERVICES DATE IS SUED: 5/9/2005 5 00103 13125 SW Hall Blvd., Tigard, OR 97223 503-639-4171 PARCEL: 2S109DA 04700 SITE ADDRESS: 15364 SW GREENFIELD DR ZONING: R -7 SUBDIVISION: SUMMIT RIDGE LOT: 024 JURISDICTION: TIG Project Description: New SF detached BUILDING REISSUE: DM170 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,570 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,620 sf GARAGE: 624 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRO: sf RIGHT: 5 VALUE: 315,098.40 OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 3,190 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 16 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 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+ amn /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC 0CC: 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, STE 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: $ 10,640.43 1 - 800 - 332 - 2344. • REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Engineered soils Issued By : At, _ - , _ - -- //� , Permittee Signature : M 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. Ktwwdve 8uil ing Permit Application 4x005 FOROFFICE USE ONLY . City of Tigard CITY OF TIGARD Received No.: 13125 SW Hall Blvd., Ti ard, OR 97223 BUILDIIVG DIVISI ®;d Date/By: - /a4 /p� 66 ST�a- {7j�O��O� Permit g Plan Review j / Phone: 503.639.4171 Fax: 503.598.1960 y/r4,,�d�y" ' r til\ Date/By: Other Permit: S") ( 0 5 - 0 b 10 b Inspection Line: 503.639.4175 ,4 I I Date Ready /By: t )irs: See Attached Checklistfor' Internet: www.ci.tigard.or.us Notified/Method: J .L7 .O���Iz,T /(k Supplemental Information S 01,•C-- /c),t, 6k - H;�ns; _ - _ "n¢;:b - dic�'::x.*?�X;'�?�" 'v,^,:r:t � r: ?; -i.�:;,;+u•- - g.te sf,xn., a- #fS.+x':°x X54 �ra Y�r .S`YCy, , - - 3: 5-• �� 't.� ^%. Ma`4y>'. "s'dt:.,ir'":. �n,kx�.l:!Y"':`dt _n.�y',rad5 ":: Vf.. � 5 �•. � rzti yr ; -ef wr 1: ���,��-`�.�w "a ��°',`,"i: fir. � u� � <?�:� �1`"". `M<r3�- , ��`'�. =.. �' H ;� Y �; .-� ` 3 < ?*,*��+ w �� • �- p . -ms mo r ,, „ _ :. .: •g F WORK `' `,: .: 1 ,g .tt , w- t, ' , y,_ : - �•, , ? '� i, -,> .. TYPE3t W = i ,... ,y.' `} REQ ED, iBATA :3I- AN D.2='FAMIIYDWELLIIVG , ;t ❑ Demolition Permit fees* are based on the value of the work performed: - r �'�,. ..:. . •er �; � " � r - . ; �, ��, � :s= - �rrxv �.'S r.�4' ;�r�`t"?�a�:� , .t��*.���I��i�:�,.,,'�.,sl?�.,r �.,.', ���a�. P����1z:~.;.,; �; i~... za�a�a€��;;�,�.�,.,:.- s��;�. ;.: New construction ' ' Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the „. , , r y r a s e .; ::a• . z 3 = = s rte€ ,. ... 'a.',y - '-'4h - -- a work indicated on this application. =a ' • Ak f :-:l r W . CATEGOR OF C ONSTRU C TION * , ' • , d7 , I-', : "....; '.".ril�'�' s^ 'r` " *;���.;r..rr «r� � ::�:�xcr+mk:�i:t! era ::r.�;F�c'�.�':�,^,;. ��s�,�tt_ a".:t .`�sa;��r��'�''C�a.��?. :t.�'Y:�utel Valuation: $ �� i n ❑ 1- and 2- family dwelling ❑ Commercial /industrial v � 1 1 �l O 111 Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: GJ r sTs�ox� ^f `�`r as ir,�"- �u, e:m' - j x 3Nta ANDi!Y etlevr Total number of floors: .? .r ' ^F`% ' ' r,ivh py.cm1„;: -, .g ,r.a - .,:s�,i.,: 4, • 4; * ;:t t z °.saga .' - ° r'*: 2m ..:- Job site address: > i .7 J�( L CW C feet P e 1 cc D -�, New dwelling area: 7 i Cl 1 i 0 square feet City /State /ZIP: .--c\_ 6 t Garage /carport area: (oa ( j square feet Suite/bldg. /apt. no.: Project name: Covered porch area: _I square feet Cross street/directions to job site: Deck area: square feet i Other structure area: square feet _ s n REQU' D DATA° COMMI IERC -USE TIED IST r a M:r. +1'OPV.� r•�uew¢ai,u.; s-.s a: : dbi r4t.... - M Z - -TO , o, . Subdivision: Sl y \ t '`r(a Q .,. Lot no.: a L1 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 �,m ,,,, r; „'f`r <n ` i° :, '?G A`"pP •- ,5;12:s ii�•e pr'., :r „,,,, cr -a +, �' '����,�,, � . ; _ ���:�; ~' - � : �' t � ..�,: "�4�: work indicated on this a s 0 ^ ' IDESCRIP,TI®Nf OFilW�ORIG ';a' i ' Y . . application. " �� 'w <- ;��� : =',...3if;:`a„' ti .:;r: ;r,a= :, <. "s��s;;. k „�t�a „- .,.�_�;: - ,'w Mimi -3; �� ua.3�::,.'fi Valuation: $ • Existing building area: square feet New building area: square feet a6,"�� ���� �.€: �t�aeu es> �. a�.��� >s ��:,��±�..�: i.ti�m�� :. : k -, t^„�':'�y �,t�c�4 °�s �ms t - t ^,� � PR O .�' ' .;,'; x '' ' ' , T EN A ,4,1 4 � w Number of stories: Name: cr., wa ,.,..,,,,,..` - L �' Li- ( Type of construction: Address: d_ V (1 �,�� �) ST ( �, rX Occupancy groups: City /State /ZIP: L,� •e , L7 , q —20 / 35 Existing: Phone: ) 4 7 j 7 ' 5?) Fax: ( /3) .3i17” '7CO /3 New: rC: 2 E.. r :,, _. �, �,€ t�.,. ��:'°.° :��:;«r,:;�.�$::�r�'x� =t,g,;Fa. : .�..A w, �,., :� =.a��an�iz�n�,;z��t,.,nu:�' =a �� <;: {: ' -r ..• APPT;ICANT...:' Nw C PERSON.. a,. ,” , :g> , a, � �` °.sa'� -� � t � � (���xi�� f CO Y TA Tt �. t '�r " °�, Y �,� � -rf� ,, . , tw +r,n s x•- ;' tat s T , e? a fa ... €w. ;' .' a t s a,:. ar. -4' N x ° = - TA V E°r" a Business name: 5 PM C NS �1 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' <� �'i"•'' y '_.,13�.: �:rr)=ar?t�'e. .,, tl, i,, �.'^'`, s if<.} its " �R' 7 , �: �k 3 ' r?-`•` � i` �; r y "k'•!'i":�it�N ° °r}u �z�Yt -., �? / r ,9. COIITR ' ;T :OR �a }, , € tnt ,i t' ` r,k . -. , _ .w °�:3- ?�:- :b_ -� *rGCd:t'_' -�� °•4 R .��us- ,'�i ", ..,,, d. `,.i. 5���'>.�� :�'�: ' a,,. � -.a Business name: 50\--F1,-L,, tD e r<,,, ..._ r;�,P, ..6:,v-,,v ; ., -t'�,:w, ;,�.._.�;-�• a ';isBUILDING P „, . ¢�r,, �ztl;'t:;;ax^,� _ �iei`ri;r��s,�;� =a:;sa� -.+:.:^. �' �, c s,t.�::,'�;'��,�r�•i',�:i «.�.:,- . Address: Please refer to fee schedule. City /State /ZIP: Fees due upon application Phone: ( ) Fax:( ) Amount received CCB lic.: , .4 62 5, 2 , Date received: Authorized signature: f f I j �e / This permit application expires if a permit is not obtained /� within 180 days after it has been accepted as complete. Print name: I♦ l Ti. Date: 3�� J O G J * Fee methodology set by Tri- County Building Industry Service Board. I: \Building \Permits \BUP- PermitApp.doc 12/03 440- 4613T(II /02 /COM /WEB) Plumbing Permit p pY catip FOR .OFFICE USE .ONLY Cif of Tigard !Eiew , PermitNo.: , „ y , 00 f O 13125 SW Hall Blvd., Tigard, OR 9722 o/ / .19 4 2�US Phone: 503.639.4171 Fax: 503.598.1960 / /giviMlo laF.' I l , I t +\ Date/By: Other Permit No.: 24- Hour Inspection Line: 503.639..4175 1 p W Date Ready /By: _Innis: p See Page 2 for Internet: www.ci.tigat'd.or.us CAT Y OF TIGARD Notified/Method: Supplemental information m�;;" " �w Y �� ".. �y..�_ �pp°rk"',.. 'r "�.t�•s 'u�U ; an ,E �`r rmst�r,; . ; �.,. $ :r ::i ,ec«:ss �u-� - �f �. a�;: e., ,,,:d3p �',p:��;:� ., - - - .,;a :.u: �a ^Y.� > .� >�,, M .�yy _. 3i~ ' ' , F ;Ft "e�r:= .a y ^t';.:-- i°2 'Kw 1 i . -i 4- .. : w• 5 vl+ * +E'�Te t :'3'v SA9 vix ..�.4 Sy ', >� i'..$A�.� K ,. ' . ` :k F ,�'' .+ , T YP -E� WOR . . r ;. It ' b a�EEEt,; 6S CHED,;,.. W " ' V. �.. o- _, G't m5, .� _._i(�.0 `�z. r�,�m- .,t.>s a_to� � a���,.��Sia ..w�: ...�.,..:k3t�aw�; -..�_� a;. � � �,1�s.�n�.a; �rv1, ^a�u,-,as«,...r -z,a R? n� `t`a.'?�s>. - �a'�a� , y J N ew construction ❑ Demolition For special information use checklist. Description Qty. Ea. Total ❑ Addition/alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) ;'.ka •3 ":J�k "'x i< A: �c�=' sae ;.asa ^ <�'�t��a s <?a...:�s::ut:.:k^a E 4��; ;�r'S�` , �3;, " *;: "' - t, *w , - ;�:4'.X GATEGORI' OF= CONSTRUCTI - ,s...,=a" ,,- ` .;Ti SFR (1) bath 249.20 ..}_-. �' +: .: y..� �. .k:wrF'r. � :,zni�uiv.m::'�.*a;n. , yae. �fiv �e��a` a.; t:. 2;_: at? w �r. �• C<'�- u:,�ir�iaf� #a:,��_y �_it; * ❑ 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 11] Accessory building ❑ Multi- family SFR (3) bath 399.00 El Master builder Each additional bath/kitchen 45.00 ❑ Ot her: ,'r*. ;'t �`;:, r ;- ,art,.. I4 x L ,- 1 Fire sprinkler ( sq. ft.) Page 2 w . _ tp �,:� 4 t ,J OB4S1TEvINF,ORMATION';*AND tLOC ON ' ` ' ' .v1 - ?'. : s„ s cLe "?a ° •40/1,.. =;a gr,1 s. Si,I< �srs_ .,: .:, &:$vi.°, x : rur,c> 'r,- 1 As ii tK&, �#'x t* ::. Sit • ut Job site address: + '5( Li w G reetlA i t^� Dr ( Catch basin or area drain 16.60 c S • City /State /ZIP: '• I (1.),J Project ` 012_ Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: �� 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:SU>I� , Zlde /Q , Lot no.: a Water service (no. linear ft.: ) Page 2 Tax map /parcel no.: Uv " V Fixture or item °. ; ➢,• SC ;y r, „ ::; N ,.:,> ; - Absorption valve 16.60 r# - t !, gg tt�r t >DE TIONi ®F Wi5fikW J k : i z F_ 4:. ltoi,; :� tgrr r� k;��,i .t;� .� Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 »gals;;" -,'";; • :.. ; ki.. . wr ,m my<< ,�a= ; r w Drinking ountain 16.60 V A t ' I P 9BERTY: PWNERt � ,c ® ant l 4 g Ejectors /sump 16.60 Name: Go:.+�..". ..; ..t 3-/ S . 4_1-- C_ �• - - Expansion tank 16.60 Address: 4t i,/����, -. , GI � .6\e„, I co Fixture /sewer cap 16.60 City /State /ZIP: / , Floor drain /floor sink/hub 16.60 I Phone: j12) 7 / /_ I Garbage disposal 16.60 � C 0' C/1`_ Fax: ( t ) � �� (l ., , ,,;1.4 ,, e ' i r ' �4rx;iEwsi i ; _ ,; ,�,_. : ..r 5;�g,� =4147 ° { ;� - Hose bib 16.60 k" x a �� ..FPL'IMlI t tl f ; rv e, C ONTACT "EE ` "< 1�R ��r,e..t a.. �� pu�._r� Ice maker 16.60 Business name: Interceptor /grease trap • 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City /State /ZIP: Roof drain (commercial) 16.60 Phone: ( ) Fax:: ( ) Sink/basin /lavatory 16.60 Tub /shower /shower pan 16.60 E -mail: � i ° h +� sacsxnua;,: ar t ;_ w, Urinal 16.60 ; : „S . 0.2, C® NTRACTOR ' tife . I1 , fi r Wt ga ` 4 :t ft ,: :f:.4 cxr".A = asp _ % ; -� t:kftr dM,V = z 4V Water closet 16.60 Business nam f / i C YY �`^ � � ( Water heater 16.60 Address: ` 0�il _� 1� G�tl� �•/ t ✓\ Other: City/State/ZIP: .e Y.�'��L�LR�� a Subtotal I Minimum permit fee: $72.50 Phone: (52.5) ( f ) '3 ' /, Fax: ( ) Residential backflow minimum permit fee: $36.25 • CCB Lie.: 1.0S "-1 � "Ittmbing Lic. no.: 3 p Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signature' . / t. TOTAL PERMIT FEE Print name: J PH t, ,vim \ Dater + I This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. i; \Building \Permits \PLM- PermitApp.doc 12/03 440- 4616T( l0 /02 /COM /WEB) p■00. Electrical P , n* A FOR OFFICE USE ONLY City of Tigard 499 z.,) 4 2005 Received Date/By: Permit No.: WAS T a-00 -- 6 01 V 13125 SW Hall Blvd., Tigard, OR 97223' Plan Review Phone: 503.639.4171 Fax: 503.598.1960 *oh i i� ( '$ Date/By: Other Permit: Inspection Line: 503.639.417 T�Gi r." 07 I 1�� ®� Date Ready /By: bids: ® See Page 2 for Internet: www.ci.tigard.ot'.ut � G DIVISION Notified/Method: Supplemental Information ?° _ - =-,� 5t : .*�� �°;��".�*-� �, a';c' #. "'��'aaM �:t:�'.:v;rn: ?� " =1�� ��,u, .,. ' >.i'��" _'<�„ .>p. �...ra.; , �nw,�.., - = a�,a•..- _ - :- Y ' ,..j=ai ,N. i' x: °t Y .,, s- ttr..wri, 7 atr.: ? c ^", n` * � mss" � ;moll. ORK �x °= ' %� �.�s, , x ��.. � gyp. �:�•, .�,::.,;P<LAN =,REVIEWx. � ;, � ^ s r 'r ,.,.. r....�. ..�.,. ;.. �:} , ,.:-, �^ asea•.vcr��.. ..xr9 a�i 3l , ' ;re�;?waa _% ..,,r �5 ;'.t' ' :� - •�5.�c�. mkt $ .F,r:at•. �xr New construction ❑ Addition /alteration /replacement Please check all that apply: ❑ Demolition ❑Other: EService over 225 amps, comm'l ['Hazardous location x.'.,,;,w: ° °o-, = ae 3x ,, ,. .: , , y , ., -: • ::• -.: • :':,; �, ; s s,. r., x ; _,,, EService over 320 amps - rating ❑ Buildng over 10,000 sq. ft., 'f: �V4 �' - kdia,J r ATS9.9R�Y OF CONSTRUCIIION( _ . A143 - � - I of 1- an �,'s -., ,u; : k;, ��,- u, ��U ,;'�.-:� :- ��- ,a�..� „�.,�«�� �,«���, ��, �, r, �:.., ����.�<�s:,t�f,�,,�,;n��,��u�;� d 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 ❑ Multi - family ❑ Master builder ❑ Other: ❑Building over three stories ❑Feeders, 400 amps or more r * ,y,, Multi * ,,�,, w , rxt z , M Master _ x , A p . , ❑Occupant load over 99 persons ❑Manufactured structures or ;`'`„; :�1, JOB SITE IINW1A I t A l ea g OCATIeVA 3 w i t;3 t.:. ^ .3' :..Y..- nii :0 � -? :ilA.,.:41 m rr u.,,,,.. . 4,.r ,,,e, :,`iw.i,..,,,s, ncu' ,W ` JA , ❑Egress /ligh RV plan park no.: '3L .I Job site address: I' x S t i Ptd b . ❑Health -care facility ['Other: • Submit 2 sets of plans with any of the above. City /State /ZIP: - 11�J� 0L, C--" The above are not applicable to temporary construction service. N `°" > M AEDiJLE , :" Suite/bldg. /apt. no.: Project name: • t;, r . BEEF* S'C a �.zl » tm� '.. Description Qty. I Fee. I Total 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: SUNn ‘t i0 Ea. add'I 500 sq. ft. or portion 33.40 1 cv� Lot no.: L I I1 .. Tax map /parcel no.: Limited energy, residential 75.00 2 a< "`:�;7 `,'cji' r5nr :. ^r<?'`' " %7n',;'`x:',':#' "'3�v - ...R.. :. c . L; '. ' , „:: r ;n .. Limited energy, non - residential 75.00 2 ` :P S , -. - ; � ` DESCRIPTION >.OF z ORK ,. V; . , i..� •, O ... " $A t4._- z :Iro , - xl s„-Att t. .a, ., „. ,u.- :.,. . � „ ,, - a . .., i 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 ;;:.. -�, - ^. -:�, £ :, % �- r n,.:,- :dn.F�„�, -'• . , - �.M<^x �etf r°a - 'i.oa•. ,r Ham;, k 44 ■4 16iiti TY. O fitliM 'P ; y N' TE NAN ;P _ �� amps to 400 amps 106.85 2 ;, -ter,` , ,::,.;�• „ -u w' - L:� : � Q:;::,," k .. ®� , �is ff;�P41/ 401 amps to 600 amps 160.60 2 Name: 6 o �ti..�.. �,,,, t . , L L ' l A,�� _ _ _ - _ _ _ - j 601 amps to 1,000 amps 240.60 2 Address: Low (1;05 6 jj7� Over 1,000 amps or volts 454.65 2 � Reconnect only 66.85 2 City /State /ZIP: La - U' q /V IDS Temporary services or feeders installation, alteration, and /or ) 7 7 r _ 7 !0! S relocation Phone: Fax: (.% 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel : :s 0 ; , L: .: .:."r` ",,j�;«e +�. x,:� I K - - .: .Y.a, " h +s:. ; v- ,, ...., a� algo s ns •-.v.--, . �,-- ;•,. -,- a n .> _ '; r4sr t. :.. A PP LICA N t �r c xaS i m ' ®a ,, ,,, T P ER SO N . . A. Fee for branch circuits with service or feeder fee, each Business name: branch circuit 6.65 2 Contact name: B. Fee for branch circuits 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) Pump or irrigation circle 53.40 2 Phone: ( ) Fax: : ( ) Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - r; i'" ! ; ;- ;* : rr , tl S"`�'t' "8 ,��s<, ¢ ` INA a, ,r > >t�" aO "r „ energy anel alt `,r�'�. ,rx� ..;`��:r���`�'��: �C® NTRAC�TOR��?: u} x< ��� :r.t��.a.s�s��??�.'�ir���.l��� gY P eration, or .. � '^_ extension. Describe: Page 2 2 Business name: CA `��=� 1 Address: AA '' A) �,r ] i F 7 7 Each additional inspection over allowable in any of the above / c7 Per inspection 62.50 City/State/ZIP: te Z .�I G G'v' ,, t (i q -)d,9-3 Investigation per hour (1 hr min) 62.50 Phone: D q.t.!' )0(2 Fax: ( ) Industrial plant per hour 73.75 / .�� w , IMinECT `'P EW- 64FEES* f 1 : / CCB Lie.: - I ,43_ Electrical Lic Suprv. Lie.: -- 5 Subtotal Suprv. Electrician signature, required: / Plan review (25% of permit fee) � � I Date `��� I I w State surcharge (8% of permit fee) Print name: ! C'� v A � L/.� �1 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:1 Building \ Permits \ELC- PermitApp.doc 12/03 440- 4615T(10/02/C0M /WEB Mechanical Perm it =Application FOR OFFICE USE ONLY City of Tigard illt Received G E! VED Date/By: Permit No.: (T 6t/ - )o•3 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review v f/7 Phone: 503.639.4171 Fax: 503.59810,60 /�„1dl t F Other Peit: Inspection Line: 503.639.4175 "'in 2 4 2 005 ii i . J. �' 1\ Date/By: rm El See Page 2 tor Internet: www.ci.tigard.orus N Dat t • lurk: Supplemental Information n.. - F - �: z�.'. - .:�i � : ':i:'�1 'x' "�,: >� «,,.•s•,.�,�m, �:�, � ,s�,.,�.��,. . r ?," "3�' -`` "�re�, �� -:.�: =�_ ��-.. t. ���, re .` 4 - �, �' ,,�,.:,�.�u,km� . = .�sR��an� zuxx;�v�:.s .;•., _ - �ra..:-:u:n+� a � sn7 ,.,= " 2 � *` ��' F.°�a'�'x�,c ��� -��`., �: .r,�� �EpO °WOR'1K,�� ��,� ?'t±.,��'��., .=�; _. :it, f COMMFiRCIAI.��FEE. SG•HFiDJI:,Et'- -USE CIPEPE(;I{LIST�`c `4 - ws. . � t.. e, 7�.. n�v=, �a��v1' �ti, Y�. ,.m.c...- .. =1�,._.azn^+:_.. �.�. �.�r�.� *,i��':'``as+E`','..m,,, ^ .+sw;zrva>n `�saa< Aa ��: -res� .aa �- �z�� :.�. �.�. New construction ❑ Addition /alteration /replacement Mechanical permit fees* are based on the value of the work TTTT���� performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. `;iak -s "'"' y ', x•: s,� � 2:x o-rz;. °zro::. mmararxnums,*s.• { ,R°da,4' x �'r,. 3 :s , Wt Value: ; .a .;; t, ,. $: ,t ° ° CAT.EGO O RYa OF CONSTRUC I t N - • ,, ;A .. # $ ;.-e,s �< ,_. 1 it -.• (r. � . � � z�>,vs,..,, ,as_; .%,w3�,_��_ .is 3:. �ulr s, s •p <. .�nr;an�.e..s'��."§s`:r=,a 1 �:n:�Ux:;�..5�.;'�°... �2E'�. '4^a r#rswr•:x.w-ow,r•z,.evk;,.= 3ri;m:, ..c.; sGnr *.raro ^,s m,. �t+,x... n. igak?PiPIt' ;F FLNFNW . �kMIY K-V: h : 1 - and 2- family dwelling Commercial /industrial ❑ Accessory building ° � '� = = For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. I Ea. Total ;,s .,, �r ;:," �; ?:�- A.. �r ° r ,:s;�: a. �a,;��. ^t :a,aavi� 4 - .t,�: u� r v�a w ;kHr rz• �`aa.;xuy�`. ,a i J OB SITE yIN SAND LO fiti O N 4 - gt " . . < _ ... Zti 4, .,, ,,.� . , °,,. , ,, ,, P. z .46.P. ...�_al RF�WPa ,,,,: � - Heatinp,/cooling Job site address: I ( ! I cj (•ee(I Pi( Q. �(; Air conditioning fires plan ao or heat p pump placement) --- (requires site Ian showin lacement 14.00 City /State /ZIP: t�, 1 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 SubdivisionLlm i 69 Lot no.: OH Flue /vent for any of above 10.00 e ..._, Other: 10.00 Tax map /parcel no.: Other fuel appliances _` �t"; '.v'.sF`":t.e"x'. - _'i*= '? ` �4 ;«""`"?%41''`'.�•:..:c= .�w_m.�. _ ,: wkw,°^ s,$:, zm ,:. " ,`s:•°a ,�. • ., � t.. ..i._ z � , s . x I Water heater 10.00 W '' . Y ..i r- . ;�;: `` , IV DESCRIPTION 4©F GW% 5 ; f; , ,� �spt .urs'4a'�* ^.N+'_mrx �> ,5. ;, "v „�.s�wu��aa� ^: ^.•r.�ro-^:erex�,�'c'.�aa lJ, rcr1, �"a:.,3�'".�����,��a.s�;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 gra n;,.a,:Ex xa b: a r rs <;µ.� r,r r Chimney /liner /flue /vent 0.00 : ,) , ':k � PR'OPERT>Y,' OWNER O' + . mss +l E, TEN'A,P1T . ld4g • "��.::: � :..," . Via•:. � �.-;,.z,m= s, =•>= �;�i «•, 1. s; e . �s: z�c� . � ��. �x"las',Yr�3i�s.,.,: :,: •�aa xi,a^s +�:� -„ .. �`.�.<i,,s�,,,it Other: 10.00 Name: \ \ C .. „,..,,, :„...--4- t V Z-, C Environmental exhaust and ventilation j ' ` � /� Range hood /other kitchen Address: �( . � J ► l (�/ equipment 10.00 City/State/ZIP: liZ O-S Clothes dryer exhaust 10.00 r 4 4 •� Single -duct exhaust (bathrooms, Phone: - J "q2 Fax: ( � 7 .! -2 (t.)1 =J toilet compartments, utility rooms) 6.80 ., i .�,�., �<. .0 *xra-�,a;�.n;�°s4�,: "` . ..»#. .y t"�" e,�. - � .e•= -...: xar��v: ;F`! ` � APP RIK, ,F ' �` � r ®f@ONTA PERSO A Attic /crawlspace fans 10.00 Business name: Other: 10.00 Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City/State /ZIP: Wall /suspended /unit heater Phone: ( ) Fax: : ( ) Water heater E -mail: Fireplace Range " 4 -'4'3. f ;.M V , a t - i3 . i �, = e. s � a- yt�:�.r:, ;," ? ; ,y� v+ . 0 , ; , ; x +, .a. ; »,? �;,�+ k" . N GONa � 2 `4A * vt� Barbecue .. _ :. _�.= ys - ==x�:� c,.. ,. � 1 - u- . urns ,�.,z = ��.>� � h�..��5'��+a. Business name: ( -) , d Npew j /, Clothes dryer (gas) Address: p LI �/�' `►/` ` w Other: ,, ryry '^ , *' '' ''M UN�IC RUI: I ' ,1-,` °' ` ;.v: i A:0 x,,{.4.; .. €x•.,;, ,,V, _.,,,,, ,,, z; , ,i,M., ' 1 *,,,VAP +,As .,•,i k , City /State /ZIP: V 1. T ` V ( t 7 ) "t Subtotal , in ` L �7 Minimum permit fee ($72.50) Phone: ( qp5 `_ ,.. ` d )) Fax: ( ) Plan review (25% of permit fee) J.. CCB lie.: State surcharge (8% of permit fee) ° C � // TOTAL PERMIT FEE li ' R Authorized signature: = This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: / 0. • \. 'U . , 1 I Date: ?I l (l J� * Fee methodology set by Tri- County Building Industry Service Board i \Building \Permits \MEC- PennitApp.doc 12/03 440 -4617T (11/02/COM/WEB) C G v • c3 L. CV CX,...q v- Electrical Permit Application ` - 1 . -. ? k. FOR,OFFICE :USE ONLY City g Received Clt of Tigard Da eiv Date/By: N'_ / i P \S� as �} i y 131 SW Hall Blvd., Tigard, OR 972-.3 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 / RECEIVED* 1 0 Date/By: Other Permit: Inspection Line: 503.639.4175 JUN 3 �" e`' Date Ready/By: Juris: El See Page 2 for Internet: www.ci.tigard.or.us J 200 Notified/Method: f Jr Supplemental Information E' U O r A ' PLAN REVIEW r vti1 irtinte _ New construction ❑ A4 /a Please check all that apply: ❑ Demolition ❑ Other: ❑Service over 225 amps, comm'l ❑Hazardous location 111 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 A , 1 and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building i ❑System over 600 volts nominal units in one structure ❑ Multi family ❑Master builder ❑Other: El Building over three stories ❑Feeders, 400 amps or more ❑ Occupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION ❑Egress /lighting plan RV park ❑ Health -care facility ❑Other: t Job no.: 3 8 3 Job site address: 1 ( - 0 SW rinv OR. Submit 2 sets of plans with any of the above. City/State /ZIP: QCs 012- ¶ 7 223 The above are not applicable to temporary construction service. Suite/bldg./apt. no.: Project name: b L 71 FEE* SCHEDULE onl � or/S Sr . C Cn l wt.nv, oescription I Qty. I Fee. I Total I " Cross street/directions to job site: 8 / /1 e New residential single- or multi - family dwelling unit. Gfv Iv Includes attached garage. • 1,000 sq. ft. or less 145.15 4 Subdivision: 5. 1.)9/1 r et qF Lot no.: a Li 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 /V o I kows- — w t wow" �J Services or feeders installation, alteration, and /or relocation l 200 amps or less 80.30 2 N PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: 6 . /�IOV/S$e17E M M a NI 601 amps to 1,000 amps 240.60 2 Address: Ll m c LE----ti l 4�bV 72er - sun —^�+ed Over 1,000 amps or volts 454.65 2 /J `r� �` 4 Reconnect only 66.85 2 City/State /ZIP: LA E 6S€4,/ &. 0 4 26,33"- Temporary services or feeders installation, alteration, and /or Phone: ( ) 7 76 - - r I Fax: ( 357 7.1 relocation JC63 3� 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel . ❑ APPLICANT ❑ CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, each branch circuit 46.85 2 Address: Each add'l branch circuit 6.65 2 City/State /ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( ) I Fax: : ( ) Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or ' extension. Describe: Page 2 ' 2 Business name: Pried % `Z is /.../...C. Address: �� Q �3 Q Each additional inspection over allowable in any of the above Per inspection 62.50 City/State /ZIP: ral 71,' 0 (3,2 9 7 7 57,0 Investigation per hour (1 hr min) 62.50 Phone: (5 ) 3$ -e-i , ij Fax: 6 4„93— 9 zi y Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES* CCB Lic.: ' 2222 Electrical Lic.: 3y -' 3 c Suprv. AV, Lic.: 9,73 Subtotal Suprv. Electrician signature, required: / y , Plan review (25% of permit fee) P Print name: `T / / Date: State surcharge (8% of permit fee) �� l an, V , ... �7a/ ��� /�� 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:\ Buildin g\Permits\ELC- PennitApp.doc 12/03 440- 46t5T(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: ❑ Audio and Stereo Systems ; • 0 I Boiler Controls n Clock Systems n Data Telecommunication Installation n Fire Alarm Installation HVAC ❑ Instrumentation ❑ Intercom and Paging Systems n Landscape Irrigation Control* n Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* n Protective Signaling - Other _ Total number of commercial systems: *No licenses are required. Licenses are required for all other installations i:\ Building \Permits\ELC - PermitApp.doc 04/03 IyT 5 cv /o3 A. AAAAAAAAAA ®, AAA® AAAA AAA® AA .,,. AAA AAA® AA A A rw . V G E li STREET EE CERTIFICATI ... I ® A 1 4 .:\ I, & it yw -E , a Owner / gent for Dor+ Ni o,a.,s saaE `b'vrAmtirl / LI-i, (PLEASE PRINT) s (PERMIT HOLDER) rz ' 4 u ,:. I _' >..._..� < °: mo I Do hereb 1 y; ; c31, t oil l W l f o flowing location ® meets C ty :of Ti =(Cu /Wash n ton County ^ -•'.u- rxr.s x,^ wxsr;:r<zrr?Fa' a- •ar.x, land use and development standards for street tree installation. •'y;h "ADDRESS: /5364 Sc.J deeeii cfee O■ LOT: 2 '1 SUBDIVISION: S' /6,, E 1 r....---,„..___..---- D> BY: DATE: 9- Z -pr o . 44 RECEIVED BY: \' / DATE: 2,_ d S a° D> ® L. a Y 'V' , " V VYVVVYY Y VV V yy yy ' ` CITY OF TIGARD v' . BUILDING DIVISION PERMIT #: M J 13125 SW Hall Blvd., Tigard, OR 97223 ..- DATE ISSUED: Phone: (503) 639 -4171 � I Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/7/2005 TIME: 7:08AM PAGE: 89 SITE ADDRESS: 15364 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 024 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF detached OWNER: DON MORISSETTE COMMUNITIES LLC, PHONE #: 503 -387 -7538 CONTRACTOR: DON MORISSLI i E COMMUNITIES LLC PHONE #: 503 - 3877536 Inspection Request Scheduled For: Date: 9/7/2005 Pour Time: . Code # Inspection Description Confirm # Contact # Message 299 Final inspection 015056-01 503.209 -4837 N Corrections /Comments /Instructions: • 1 1 • . • J 1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I f FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone Phone #: (503) 718- CITY OF TIGARD V BUILDING DIVISION PERMIT #: MST200&00103 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2005 Phone: (503) 639 -4171 %omgcml ii Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/1/2005 TIME: 7:14AM PAGE: 29 SITE ADDRESS: 15364 SW GREENFIEL.D DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 024 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE • DESCRIPTION: New SF detached OWNER: DON MORISSETTE COMMUNITIES LLC, PHONE #: 50387 -7538 CONTRACTOR: DON MORISSE, I E COMMUNITIES LLC PHONE #: 503.387 -7538 Inspection Request Scheduled For: Date: 911/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 014775-03 503. 209 -4837 N Corrections /Comments /Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 4A- JAt Date: q 1 Phone #: (503) 718- CITY OF TIGARD - . BUILDING DIVISION PERMIT #: MST2005 -00103 , 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2005 Phone: (503) 639- 4171m +�jpulN Inspection Requests (24 Hrs.): (503) 639 -4175 =� INSPECTION WORKSHEET FOR DATE: 911/2005 TIME: 7 :14AM PAGE: 27 SITE ADDRESS: 15364 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 024 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF detached OWNER: DON MORIS SEI I E COMMUNITIES LLC, PHONE #: 503-387.7538 CONTRACTOR: DON MORISSLI lE COMMUNITIES LLC PHONE #: 503.387 -7538 Inspection Request Scheduled For: Date: 911/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 014775-04 603-209-4837 N or or ?- ctions /Comments /Instructions: ' AO � - o V i • f' ' — e ZC�ZL`r "G L. LF 07 K o i./C;' 1.✓ /7 L_C= --� S ft.- �� • 1\1077 -- . 7 cr I` -- S 2 . N .,--_ 7.4 iv_, -„---. , C=am . S - - (- L h `A PASS P, ' RTIAL APPROVAL ❑ CANCEL I I'NO ACCESS ❑ FAIL FOR INSPECTION I ADDITIONAL FEES ASSESSED Inspector: / ■— Date: �/ r — �J Phone #: (503) 718 - . • CITY OF TIGARD i BUILDING DIVISION PERMIT #: MST2006 -00103 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2005 Phone: (503) 639 -4171 ,, aw iu i�i�� i Inspection Requests (24 Hrs.): (503) 639 -4175 =' INSPECTION WORKSHEET FOR DATE: 9/2/2005 TIME: 7 :07AM PAGE: 44 SITE ADDRESS: 15364 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 024 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF detached OWNER: DON MORISSEI IE COMMUNITIES LLC, PHONE #: 603-387-7638 CONTRACTOR: DON MORISSE I I E COMMUNITIES LLC PHONE #: 503.3$7 -7538 Inspection Request Scheduled For: Date: 9/2/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 014873 -01 603- 209.4837 N Corrections /Comments /Instructions: • I1 S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED � 912--/O s Inspector: .. Date: S Phone #: (503) 718-