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Permit C ITY OF TIGARD MASTER PERMIT PERMIT #: MST2005 -00132 Ak . DEVELOPMENT SERVICES DATE ISSUED: 6/3/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 109DA -08000 SITE ADDRESS: 15007 SW HAZELCREST TERR ZONING: R - SUBDIVISION: SUMMIT RIDGE LOT: 057 JURISDICTION: TIG Project Description: New SF. BUILDING REISSUE: DM170 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 26 FIRST: 1,570 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,620 sf GARAGE: 609 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 5 VALUE: 311,779.10 OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 3,190 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 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 W00DSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 6 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FOR: 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: $ 10,635.13 1 -800- 332 -2344. REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Issued By : 4 / .�? Permittee Signature : G ( .----_' Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. • Building Permit App i �I V �� FOR orrice USE ONLY Cit g of Tigard Received C� �3 ©S �3 j � ?D . D5 -" J32 °J Date/By: 7 L.) Pem»t No.: d( � 13125 SW Hall Blvd., Tigard, OR 97223 APR 1 3 2005 Plan Revie 'Phone: 503.639.4171 Fax: 503.598.1960 i/ m'dl�,i E� �' B \ Date : j 3 "-,, 3 mit:5 - c' S Other Per($ cia Inspection Line: 503.639.4175 CiTY OF TIGA I a fr ¢•I I „ Date Ready /By: Ju f 0 /// 9tt Attached Checklist for Internet: www.ci.tigard.or.us BUILDING �� V 9 `� Notified /fvletho �� 77 1� Supplemental Information ,:.. -... ....... -.+,. .s- ,s- ..•.n: „,4 .. ... ...;..r :: x:��- .:,.,;,v,a .,....�.,,a- ha.,.,ai r>n_...m -v. :Yt:;� - r °.3':: f -T'a ?iVa� i,y.: ' ,..._.:.v .y.a. ,., -. ,e :+ .. ., } .. _ ...,,. .ors -�,,:. V�t.:.,i .. ...- _..F„e • >, �:_sqr, - 4.a d'+ _ " - ar+a =� ,-o � tt , . ,. . , ,�:: i, <: xt::, � .zr a.�a,. �:4 s:'a/: ;r..,x; p', „a:,,. t.., n '' tOF,• -.ORK. a _ - , ; , ... •..RE+ 'D IRE: ,.DA I A: =1',� `APID _2 liING" ; vs -;.. ,.,�., ,e.._:: • >,.T� -„ � �...,,,a,. ' h: :.�.... -... _ ,,..e ..l y s x ^' - ,. j:a'�';F};`t;dt i = g'rtl ,,, ; __�` >�..t.. ,.: u...e, -: -.w .:.;: a'.,.r, g ..,f;;,.. = ';:,.., : ,,. , .'xw h+t �„ x'�.__.; .r` ; .�•.. t2. :Q - b, - . d: .s .,,.!, ,s .,-t _ _ f, 'a�s. ::r :. _ �s -. ;�rwa�' :��% .L:, -. -i, : -n -. - ::x ^+ ¢:J s:�� - ='i -, w ;L� a < �.L � +,.i:� • ..., „�. • . ........ ... .ka 3rKt'r «� .. ,:c awt:�=- ...n ?e:`x''}a ...., ..........f.. .. , v�t•.,,.t, .... ..,, .,, }!,» ,•2.9•',a.,�,wuG:a-. ,.. . `a'r », _, _.. 7;:g!, a :% JI< J_ .- ,....� _..•..,..,.- ..,,r. .: , . 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 I ❑ Other: equipment, materials, labor, overhead, and the profit for the - •: •.1.: I :; t :r +;ft::, `• •fo- 'n'u:4K 6 - "' BHT,• - 'Sl" c�. :aF`� >rXK•' 5 ?'ii'a i "» fit.`- - - - �'�" F; - - work indicated on this application. ' S .l' � , s :.': =; ;r. C? TIETGOI2I! 'Ok = 6t, ,4 d ,. �;T L : '�X.R"''.f'... :fi f{ . r 1 \i5 +, A !F �� w • :iMt`' t -,,,. - G - .:. w _.to:St' „Stn„ � J t � ${ h Fk: '. /i "r /. .� �, c +.. i✓'i�i �. ,�' = - q��i: ::,. i`:yr: L: �`:': k .'.,:itt::l.';r......,..,�n .. ........ ..v }.S..�G'iv'h �a :.^:.`sr �i�'S} .i.t. c.,. .r.. -. a��.,. `�'�''e^if ❑ I- and 2-family dwelling ❑ Commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi - family Number of bedrooms: 5 Number of bathrooms: ^ ❑ Master builder ❑ Other: o� 'L ,',f•,c.,�c =+n ::,p ^ "d';,:;+•' : ryi'aT.3,�;:+�•.i:Gt.';.- a, +P ;. r t:- `_'1�cd:4^.f:'xt� :shss!,::'; Y:F'- +'rr.d :;, T,�A S :::•:a :'. .';t: �.et_,.:a�'t;r`�r:;r -,��. :i -(� �,r 4: } , �,_;, ;I : ,� � I:'- t��:yr'�r;�.��� ;;�,,.: ' ;1:�;.�� Total number of floors: Z ,l ;,,,,,-,_ � 1. ,J O,, rSITI✓,,IIY#'O�jMA'Iv Olga... > D, IQCATI: :J'.+ a �P:,..'��tr,.n:,6 . h f.'_= `�Yr " -� •S,i:;'Y'�'- %�m.6,ti3" {�'? ��a, z::,'.':; t:,; nr, P`.. a ;skt;:aas.:,r,:- ,';; _27,y''n;" - sw. tL�; a. c, �,:::. �c, �' l' aY=. �.>' x. r ;�t /r.FRa:Ura;.�,a <a•wt..,.:a,; •P <;s,r'�. .,h1- '::.�s .,��5�, S Job site address: ( 5 0b1 51J P�r,n - " . �- New dwelling area: 3 1 9 Q square feet City /State /ZIP: 0yjt,�� ( (.51e... a �,(� � _ Garage/carport area: square feet Suite/bldg. /apt. no.: i Project name: S 't-Yn -( l� QC Covered porch area: square feet Cross street/directions to job site: U Deck area: square feet Other structure area: square feet g A aV ' r,:q` <a1;r'- a'w'4z.;l;t';}, s.,,,.. i� +t_..0 .ti;,..:,•,- Subdivision: Lot no.: 57 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 : .: ..., ; a ,,.:..,._ .,.•. overhead, and the profit for t . x ..,:.,at;' ; ,: #i$1' 4:riNt :.�afl * ,, � -V _ , .; y: r,WR „ equipment, materials, labo overhe d a e pr the �� ;�, ., °� .>w ,, � . , ,:r� , :c,. ; .M -s �: work indicated )' . , : �i is ^sD'ES :�W ,; :. w {: , =s:� . r- .. ili 7 t ated on this application. r p : � _alms yy �.:�::' r,r 4 q � tw ,A. ,4:,- , ..M1 a . ,,,,>.,$, P n :} +' :+ .. . = "� ^:!��.,. �.r �, r':r ... ... .: ... ..:..: .. �.. b'�.'i *�4;_t:�ii. ; ?:; 1,._ ..,��.,�_, c.$.I ...a.e ,r �Y.r.� ,'.,.ir�,.Yt,'.�.,G143. .c., . � ... ..... . .: . .. a. .,. a...,x :< ,.. s.:': is' -:. a �tak.�,hP..: at', a rt(;� f _ Valuation: $ Existing building area: square feet . New building area: square feet . •- a•:_,.1 + P:=:;Lwh •lu11;miA: g �@ a';c- ip l m:s ktzt k:'- - . c,Fa ,°o� .gar, :'.:z'>.ve .;ff,.:,0.tt: tptt`�'" 'iry'£° uh,+• •t 'l.- .'.„ ^t11F•., :`,w. ,,,;, �r. .xi, .;• i r l " PRdP��j ' 9. ET F . �7 t r t ' Ri i .... r,•. „ a,. , "4 ANTr: ; 4`s'=t ' - ..l"e s, Number of stories: • ,.., ^.u,.� ^C4o _ �i•r «:??.:';?L�q a+;. � u4 ,ss }..;_�,xr:?�.- ,I�- ..:�1':�.. �.:�:�.. tJ.tr,.i .. ....'rrv''1 =:sa: ra,f�,.s:�, ;i. � %:ti: r= '�',:' . :i�., ra:'r4�!. '.�� Name: t l ;,.i Lel pi 4 U K tics ! UL,.� Type of construction: Address: I t7.�l./ ( T tom r� Occupancy groups: City /Stattere/ZIIPyP::,� L6 � , � 0 . q - 20 3 FC New: Existing: �:J) J V� ° GS Fax: ( Phone: ( /j) � v7,_ 7 La /S ':y:,;; , ..,, 7.' „,-.r i.a: ^.,- M1, u9' - -- .xrt � - .,.mw.'8"J:', ^Id:; v t ;" o .: •R 1 i_ .n'�.iijA : Ct`i�;' • .:. - ;:.k., ,x;LtC :Nr', "/. a �4 ! S fkt "�I T f ., ,, t::9•.:t =nx � _:..row , =;. :� :.,, ° L1e ,,:.. T too :>�a xr;d ;�J., a4. �, : - %':° aN ts. ' "i':£€ ,,, a'• N C I2S'.0'. . Y,I.�, ,�; .:3*.xzr„ }. >��� "d. "ax, .,,,:.>: •`A ,.�::. .,. e ,: «.. •.,,�,a�t:':, :,• r,.,_, �.s. <., -.: a e.. -:x rn,.,,, .at.a... ,r.,, x .,.1. .rp'1' }'�;5._ }. & . ....tr: '4t'?' •�\:4 :a�t,"" -•l,s- 2r" fv,r} _ .. ..�,.;,:.:':n:....,. - ens. ,.. , : «>u:7. ..., ,...:: .�..- a.a,,..b :;.s;:.7t �;;:o-- ,r,:.� ., ��ii'�, 4 ;.`:, - rx.,;i R. :,- �?�v,', 1; 1`e : n h.i ,:,t:i �'.: x,. .;C - ...... , . v. w Fi .., //'� � �`/'' � -.., (' � Y /i � , ..i ,:- .. , -rq3 , #.. . ai5 - _ -s,r. .. �s,.. ,�'a.. .�'.�. #. „t , z� . 4 r �` � „ NU;rI�i�? kn ` ; ,- it -..>< �, 1\ e•�� 1 r����/�.�J1 .,` 4! v, a:,• t..:,.:. 4�:. na .+`.. co nt , . r o-r; *:'tc;�f•. :. ti '; ...': " s; ;k i, ryvrf Business name: 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: :•N? `a1 ( `. *hF' .. Ate-: ''hit'( # _ 5- - •�!,'-il.:, i My ,ij •t - rCTOR= Y - i °GONTII �1 f';< 1 - ��1 �' riA "nil .; f.. a. , ,. .,.,`$,. ..e = ?i �'- , .. , i .. -i s, s... - :t" .. , .a - .. ,. - ..,.a "I,., � - _.:....v !;f..:. r -. ,... Business name: /y[��� il ,r::,, s'4 :.z': :rstr:.,,.;r.,:,,; fsgi ,,/ a 4 `,:: .it' ."BUILDING tER1VII r g a' Add ress: ;)v3i ?�< �.., ?',:3�a Z.rf :3r, ,,,is � >...- n h:s,., : x'9; #.z_i'�`� ".a?!, .,. Please refer to fee schedule. City /State /ZIP: Phone: ( ) Fax: Fees due upon application ( ) CCB tic.: (0.-,3,5 t Amount received Date received: A signature: ,, f / within 180 days after it has been accepted as complete. j De Ai i 1 "�Z ((( ((( plga-4)-ne-K-- This permit application expires if a permit is not obtained ) Date: `2/29 /� I I * Fee methodology set by Tri -County Building Industry Service Board. is \Building \Permits \BUP- PermitApp.doc 12/03 440- 4013T(1 I /02 /COM /WEB) :). • Plumbing Permit Application FOR O FFICE US ONLY , City of Tigard Received �� . , 13125 SW Hall Blvd., Tigard, OR 97223 Date/By: Re Permit No. 1 ,� &V /./ Plan Review Phone: 503.639.4171 Fax: 503.598.1960 /,nmofibp, f i ,j \ Date/By: Other Permit No.: 24- Hour Inspection Line: 503.639.4175 f' Juris: www.ci.ti g ard.ot'.us .W Date Ready /By: Notified/Method: S See Page 2 for Supplemental Information .. 5 s > . t. `�9 L . - - L =iL�. � ',' s `'u '1 „ �, ' .. ° - f . �:.TkYRE"�' - zrg;; ¢; - > =:':,�,:. EE SGH ;r , f'New construction ❑ Demolition For special information use checklist i Description Qty. Ea. Tota ❑ Addition /alteration/replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) i:`°t:.H.ryc -;' :: `:� "x:i �..1, �.i: t .:`q;r. i•f�t' „ 'a�'c.,; - :,k':.efT„' . tT }::. 5'.k. „4`:v ;.t.'i - ii��. -.; - :ltd: •` ' Y r' � " i - ry '�"' : _?:.. - r� `'i^ -:- :CATEGORY. OF- CONS i ��,r;:, ;�.," '�,,; z /:.. s .,� SFR 1 bath 249.20 . _. =r�?i�'Y: w - -. €' �' , , ...... 3,.: <i;. \ c,. ,. " �.: -.-� ..,.�nras_ ,� ?; -ri�`Z•,;- .;: n�.. , .. ;:Ria�- 3:,.,r.. �;t::.,..x, _.... : .: y vi;3`rl�r, °:f::c� ( ) ❑ 1 - and 2 - family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 111 Accessory building ❑ Multi- family SFR (3) bath 399.00 Each additional bath /kitchen 45.00 ❑ Master builder ❑ Other: :.i : , ;, ,:: 1, =c,,'a. :, „sA r w.H;,vs• ; ,,., , m,c, r "u. .;i s l y,,,: >; „,,,,.,: ;.,, - Fire sprinkler ( sq. ft.) Page 2 :1- : : iiV:c!f'�" ' :,.- rat ri:i' w - �'%'i �, P r o: :.,,, pc't': ,, .h:,: ? i :% r 'JOB; S ITE,: - IN'FORMATIO , '.+ + `AND: tOOCATIONn X'R ,'• "r t , ,,,� = .:�;,,�:f •, ;: . C( - ,.. - n ii ......i . ...... ) � ..w... ,.,_ ;.i,t.;- ";,:draaSr, urt,�, -;a °_ = sa• at' �s, �.: a r.,:'. aar �. �A�zr:. �.,-...; ,', ro' r» zx ,ab,.:..,,._:r,wa- ,.:::esr��.,. `.FGi�.o�< Site utilities Job site address: �1 � Catch basin or area drain 16.60 ej City /State /ZIP: T I b A 9 2.-a Drywell, leach line, or trench drain 16.60 Suite /bldg. /apt. no.: Project name: �j Footing drain (no, linear ft.: ) Page 2 '� " � Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no, linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2 Tax map /parcel no.: Fixture or item rrs, ss, - ,v,: r;, h,c , e , - Absorption valve 16.60 .',:"-i "��.`:?^i4t., .:.i �. ,,,4'i sits" :,�',ta�S. - :+�� f4'>'Ehi.i- "i:;ct;. 'tit' - Yr rr.,'n+7'•t;j�d ii`X- - VV;,;:i., -�.1 vt'.,.,x`l',i�:x� ':i:;n!Y,y it�L',�t- '��''?; t: .�`,tk�V �k Y � 'n:,,c .,d•; . �r. S-�° ;:.,'7ir' >�.��kl',1,�. m `,Y,1, .,1; ;':.4;, „:,, :,,,,:.; ]_, k,„,,,, -:W R'K•.s.ryti ,,,,,:: :'. . z. y u z . €.,,, ...... ... :.:>., �: �.; �; bryr�; 4: z`,,,.,:):.,..,: �. rw,,,, �:., �,:;•,.,.::,,. n; �,: �, 1?k: a,,,.,,:; t;<; F,;:;.;:._ �;..><,,, ��_... �,; ��' �t?�?M�;�'= w?r.�s,.f�;�, =r.t:. Backflow preventer Paget Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 . "',ate >,.: s•:, a,' ,.,.,:��. s• - - .:rx ;, Drinking fountain 1 . � �.:,, 1, .t iii :; ,. < ~3 : �`. - , ����.�!:�;.�, ; = +,�, s;�t ., w , �k z •.r 6 60 ft V , s a,,,. ,f='-..3^' . :r•t, 7 2rs �;': t' } R , i�s'a :. ° _,;:fi � •- t',; •:.st +( ., . : TE'N . sl ` ���r<`< : :;i: ,. , ::��: , `;, .:4' .fs:: + ,.,r.: -n ,f411, :t ` 'e „.<,,,,,, r;: A - r ,« t. ,S ,5, ,,,, . as ;K r,+1 . ..s > ;aE' : - � _ ., _��': , - :�e�:�.. ,,., _ :-- ._,,., n , i � ... d �d ^:.��..� 1, 1 , '.�.,. a.t.. �,.uH�!;Ik�.:. �r_x. • a'o-w4�.� n ` �,.�^ , Ejectors /sump 16.60 Name: t(Jv (Q rn plah F - )e , 1..0 / Expansion tank 16.60 Address: - Fixture /sewer cap 16.60 City/State/ZIP: (,Ar('f '). OX l 7 Floor drain /floor sink/hub 16.60 Phone: ..7 2) . c'7 •--. ,7 - �� 1) Fax: (."/' )9y -2 --"-na ( Garbage disposal 16.60 l:�• _ - ..:i- v ar+_',Gi1'.` kv- - :: 'd'fl�, ',:: i 'ia 'fAGG?.?`• r$'�3d: F• = °p+ 'iY. ^ ^.3k1' ' - :E:::' r ^l =i <, '3; {{'= 5 r ._ ;t ? ; x Hose bib 16.60 L tGg'i 4 ,af.., ,1$',:'1t`:r , ;flYa.; F.:At;; „� ; 1 j `"� �".,.dv:. , ti;u ,,,:,. r ' ®`>ARPLIG'ANT .. :t.w .. �, .,r „Y„ °aCONTACTesP�RSO. ...> ru,t..; „; ,.:,, - ., t .:. %. 1.. a; ?, ., :a .. ht. „ € -: . a :h .�.: ,,,:,.. ,, :,- ,.:. -.:. ,. ,.. ,..,.s; •�t. .. s, ,x- ;:`xi:. '` <E .. __. ... . t: * ;�z< _- ., k:1r,. ..., CB maker I 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: Sink/basin /lavatory 16.60 ( ) Fax: ( ) Tub /shower /shower pan 16.60 E -mail: : a:,; r-- v;:te., :;•Ha., <; 'r }:w i ,::a,:: u:•' ` :n:,r ; . Urinal 16.60 G`; tin '"`-- 4<�- .L•n�t,.. 4t� e.r�v, ".:.'t { - '.•>i •k:v, • �.,J a,� .. ft •'.c.�: �;d`i. f � 6� . ,k...'- ..:A.: "::`::�r :�..e. >::.: ": ,L1.u.�, ;�ta „C� ,i^ ? ;�,:; ='CONTRACTOR*, ,,^ x`dt ; -4'. r�s:_ .. "s. ,:__....._..�'- .::� - , - .::�... �:�,�- •:�.��. s. ;.t'' W ate r c 16.60 „ . . ... ., .,`wY4 -, , .�, r� s15ky:Yi -_. ,..i� ,,..s.:,�3.�� ih,Yfi- u rzfi ltt,�un�.. : 12 :Y,!YYSE -., �: Business name: ' r YAX ..„," ? � , \` Water heater 16.60 • Address: r /0 ' �'�1.�' 1 4�11� Other: �( �� �� Subtotal City /State /ZIP:..e tl. 4 /...0 `� C 5 r ( Minimum permit fee: $72.50 Phone: (f625)(" �• Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: I• 0(6'-7q V ^ tnmbing Lic. no.: ?7 •. .3 `]/7p Plan review (25% of permit fee) c7v State surcharge (8% of permit fee) Authorized signature L TOTAL PERMIT FEE . Print name:. 1 � F ,- t 1\ i Date: (a a,1 Q This permit application expires if a permit is not obtained within �J 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. i:\ Building \Permits \PLM- PermilApp.doc 12/03 440- 4616T(I0/02/COM /WEB) Electrical Permit Application . , FOR OFFICE E USE ONLY City of Tigard Date/By: PemutNo,: 112v, © 6 57...Z_ 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 - �� . tsr,, ' dll p '1 ,r\ Date/By: Other Permit: c Inspection Line: 503.639.4175 A 1 Date Ready /By: Juris: El See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information _ �iyz;:. - '.;�`ii" 'isi" ^� ^3¢.T :s ° fir " - .:i -, �, TYP,E • F'� - - :�RE IE O .W ,PLAN V W,?y - <.. .. .., -. r..l. ._.•. n.�.. .. .u, �.r,...,. R. x .. ... ... .....: c., k. . "'.:...v..ze4r__.,.i... -:.. .3 .,x'l..Y.•._,i. ,.J::.f ., s -... .:... _r..,i. ,n. ......, r .i.-. .�li.., � ,.. New construction ❑Addition /alteration /replacement Please check all that apply: EService over 225 amps, comm'l ❑Hazardous location ❑ ❑ Demolition Other: ['Service over 320 amps rating ❑ Buildng over 10,000 sq. ft., a •` xF'rv ?,'rc'',T- j,.$. >-'.!� i ..: a! `.. , Z .f . ,.. �x :.' % ; J .,, ,a :;...t... xi.,. t?.T; ::'. •.� :;.�,,;, : CATEGORY .OTt'CONSTRUCTIQN�Y .�•_ ,.. -�. of 1 -and 2-family dwellings 4 or more new residential ❑ 1- and 2-family dwelling Commercial /industrial 0 Accessory building ESystem over 600 volts nominal units in one structure ❑ Multi family 111 Master builder El Other: EBuilding over three stories [Weeders, 400 amps or more , ..,.:...,.- :....::... « ,- :,.,,._,.,'_..:,::,:- _...,•,. _ persons EManufactured structures or „ , ❑ Occupant loa over 9 9 e Manufach wSF' - 4" 9 i�.:'' ' «x - %r I`i<�� INRORM�TI T'I RV V `:iJ B'�S E. O .AND�s7OCA O 0 N` r s' P ��., - Egress/lighting htin 1 ._ �•,:.._:.,;.,.><..•.,<:. �= �a::- u.. l�<:•>„•, d�,.;:, d�:> �` �_. ;�..,:..Y:�:�;a :_,_�::� - ,t�,.k::�:'x „ >,�.:�;�.. ,._t:��• „a.., _- .�,.,.�;_..,:�i;.,....,.. g g gP Job no.: 5� Job site address: �3c �� ['Health-care facility ❑Other: ����, Submit 2 sets of plans with any of the above. City /State /ZIP: "i C 6, : ssi?-;,,,.';li'� . ;, ,•,, 1 � , 2_ ---. 4_ , '& ,, t � The above are not applicable to temporary construction service, • a „- .�� a• <d�dgdu *.51,'•.;'K �'.3:71'�� ' *i CH004- .t:..� %�. x �."ijh;>;' r.... s' .- i,¢..x� Suite/bldg./apt. no.: Project name ..:zFEEa„i. Q. Description " I • 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: Lot no.: S-7 Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 :' „t. = Limited energy, non- residential 75.00 2 ! .A,'• ,L :::i. - .; - ;,iat' lN3 - DESCR PtI'ION OF , .ORIC' : ' ;:r ; � ; %c • - r: == � � �._: � Each man ,r� _- - .............. s, - : u facturedormodular ..., :,.' > }c ., .. ....,a. .. ..., ..., .. :,7�. :.n , r.¢- x« r:.•; li tt�* 3r',,:' .id� {iie�l:_�.., c.. n dwelling, service and /or feeder 90.90 2 • Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 °2 ?:i:.""!4,r:•ILF� 'tti; Mai « : ::r'f •,.�,"( ..�.yr.'AY -}��ex::: , - - - ;,'a,,, ;,;,:t -;f F. 201 amps to 400 amps 106.85 2 iY�C ^G:�ie s;� y:5.:« 7- �'S "._ :..3 €ie:' ; -'a" P P ,,•. ROP RT A . { ;'' e u l: <rEIYANT t ,. ,, :x;, , .7 .,.b,;...,,r'.. ,t:...: ,, .::,. wl�t l;,' „ 4 :.,, �„ ... ............. .. :. •..,,sra:,. .,:kr i. <: =: t 401 amps to 600 amps 160.60 2 Name: 3y' 00)1\3-5)0 tPWV i't? 4 L �t i 601 amps to 1,000 amps 240.60 2 Address: -1D.. f l laili i Ci,M, ., 1Z --, Over 1,000 amps or volts 454.65 2 ��/� -c--? Reconnect only 66.85 2 City /State /ZIP: LcL 1 e / 0 V C 1 Temporary services or feeders installation, alteration, and /or ) � _� �) t) - 7 /c.d relocation Phone: Fax: G t ✓I 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 1.; - ..t r, e i'. -' ".`:).. - l`:'w: + - {i• - - __�� " " _ ., :4 , . r ."xN'! - l.rn l {t"'t:Mt-n ',ii F: '' 3 _ {dj tis,,�v s ii < ®. . ) A=P,R L TCAIV T ,.t,. ° t A e •,A. - . ? GT N` ' " -. . _ ;,::�; = A. Fee for branch circuits with ,_�..-- „,,:a.., rte.,,= �:•��� ,..,-.,..H,,, ds4�;�� >r-wt��.�.t�n,:,L,'�l c�. ._, �sa� ,..�..r�• „t_- ,,,,,..,:�,:a:.� _ ?.;t�- r:�,'��i,,i;:lt service or feeder fee, each Business name: branch circuit 6.65 2 • B. Fee for branch circuits Contact name: without service or feeder fee, • Address: each branch circuit 46.85 2 Each add'1 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- - - ?'f y .Y;, e - - " ",y+ "'s, - i•i,• .E -� - energy nei alteration or i; - �FCO. TRACTO- R,. ',;:: �;t,. y � ; ; ,_,.a,, + ..:. ,. ..6 °r[.��eri;'5�:. *' :. ,. ...,.....,,,..,, ... :..,,« ..,x- - �r.:..�.(id3: E:,:,�...,r-3:r���a.: �';� -;t - �,..,,,. ' Business name: ('„,t ; l J ( _ � extension. Describe: Page 2 Address: ?f)9(z) C � Lt . fc z.: z.: s f- ..� Each additional inspection over allowable in any of the above / L Per inspection 62,50 City /State /ZIP: � G t: yr �� d_ /" q' -);9-q,-);9_--3 Investigation per hour (t hr min) 62.50 Phone: ( /4L-.f Doi (D.... Fax: ( ) industrial plant per hour 73.75 z - `t','fiR! %l' El')E'GtTRIC'AI;'iP.FiR1VIIVIE S *'a`>;,? , 't'r, CCB Lic.: 1-02-1 Electrical Lio.At 1 Suprv, Lic.:.5qd5 Subtotal Suprv. Electrician signature, required: - Plan review (25% of permit fee) . 1 l State surcharge (8% of permit fee) Print name: C}��(C,� ; ,E,r) I Date: t� d q 1 T /.•� w TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 PI - Inn name: days after it has been accepted as complete Date: * Fee methodology set by Tri- County Building Industry Service Board . ** Number of inspections per permit allowed. i_\ Building \ Permits \ELC- PermitApp.doc 12/03 440- 4615T(I 0 /02 /COM /WEB i Mechanical Permit Application roR'OFFIcE USE ONLY City of Tigard DateBed Permit No 13125.SW Hall`Blvd., Tigard, OR 97223 y �, 1 "�� � Plan Review Phone: 503.639.4171 Fax: 503.598.1960 kosto A , I l t Date/By: Other Permit: Inspection Line: 503.639.4175 � ., U: f41 Internet: www.ci.tigard.or.us Date e d /Met o: Juris: Supplemental See Page l Information nternet: www.ci.ti g Notified/Method: Supplemental Information tti a:r?. .�',. TYPE:; G� �.� \ �` ONIIVI�E > IAI;`FElE,. ^ CHED.ULE•: � •US - -':' :: �- - :i;�:�:�$n '•:ir;: C :S EiCHECKI,IST;�: g N ew construction r] Addition /alteration /replacement Mechanical peit fes* 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. tom .,. :: \_; M;:s :� �:� • $ .. , �, °h.,.i+#,: .7#i..,r,>,r, ';t�, r; - + 't.a.: ?- t ;;rtiip;, 'ti :'r. ��:� -�, C'ATEGORY;:OE .CONSTRUGrTION r:z,, t�:;- `` %t't• . >t :.. x} ... ..: s:.�..:�.. `' C .•,.._ _.,. .., �, .... w..>, 1,�,. .._.,..r,,.: '1:._, .. _.,. a.- .9._. :,.. - ��•• x ;•:fi� .• _ ,. .........., ST EMS FEES ';'; ; .� .:RESIDEN�PIAL' iJIP1VIEIV•'I'� /'5Y T * ❑ I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building " "` ; «:,:, >::::q:: :.y.<:.x..,,,,- :• ,..: ,.... For special information use checklist. ❑ Multi family ❑ Master builder ❑ Other: Description Qty. Ea. Total r.; - ;, \. _ -_ s, - _ - « ., {:c ;,ti; �.,1�; - - c •ik� :'.E:'0fs:'hli:7�3z�u•:iar i':;l'''` =JO,B SITE:�INEO� A(GION ?' AND'.;. h; OCATI ©N- Y - �il�?�, ;`� > .:..:: .... . F.. � .,, � : ,: �• �,. 01 „> . ;: Heating/cooling Job site address: kSQ0 &% Air conditioning or heat pump �,( /� y�\ r ) q T)(� , (requires si07,10001E7 ing placement) 14.00 City / State/ZIP: - ,, it ' I v 1 � Fumace 1 U (ducts /vents) 14.00 J Furnace 100,000+ BTU (ducts /vents) 17.90 Suite /bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or • hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: I Lot no.: 5 Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances ,�f,i - r, r,.s n.;..,z :;.� r,n:ar:r. -v °k:r •':" ,0,1 viii " .,,:s ° `�l;c '::�t... �, :•” _ : � ,. , fit .; :�s�.rr�;, Water heater 10.00 .. ��`i',4.: ° w �, � �,; IN•®F�t . �O�i! , �k'i`L` •� "',4 , r:, -:v: ,; ^i, .,.�:�.r�,: .x. r; �`' ;n'�- -�, ,.. . a- .. �, <. , -. , :� -a +"T'u ;i��:, a��;- t:a') +;,a .. ,,, .. r, -. ,- - ,. _ -x_ ,. �r �- , .s.�r,„.u, .. •;pu^.:,,i -d M.: tm „a �...: �:..rG�ia , ., .... r , ..t ., . _ . <. �..�, 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 :, .::.: E; : 1 . - .f Chimney/liner/flue/vent 10.00 P O , PERT T'©VUNER:r_: � €; .. , � ._ .a . , TENANT A ; . •t t, •}# No , .;:, , ,,, , ,,j . ^'.;.,, „ . ,. :e"„ . .,. ,_ .r�th }u,_TtN �..;,,,�s «s -, Other: _ 10.00 Name: \ y . • �ceim ar\ 1P �,�)0.� Environmental exhaust and ventilation Address: V�.^. / '1 1' L . l Range hood /other kitchen ) ill...- --1��/ equipment 10.00 City / State/ZIP: I Of 6 �� Clothes dryer exhaust 10.00 i ,,^ Single -duct exhaust (bathrooms, Phone: ~� q7 Fax: (� (01 toilet compartments, utility rooms) 6.80 "�t:: <ii {:o; - ^; .a•rasmra.a: +i"' +a4 t'ri,rCiY° -- ,*� /.�7.fa• 'ts,n rt;., =a�;ua:n'11fi, »uay,r �; �n .;,: ;p�; a .,.� }.' :��;� a _ , �;�,�. Attic/crawlspace fans 10.00 I.:t • ®::APPItICANr�I';t ga;::.;k,'1 n4 ':Ia ::I,. cON i1CT: 4 ,;, P �.. >..... = :=- ut�';,: ..,.- .- .._.... ,.. .<- :vN+-,4ic,:rtentr.�., 'rya ., ,.. • =_�1 r_�.a= (�;, ..n r`sc..,1 +:,,.,r. :; assess: m,; �,-. 5�av, �. ,�,..naw`.r:'xa- �= ;�:'.wt:::i 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 Fireplace E -mail: Range � � _ . ) : :sift :. I2;'. . . - :Tv - z'• ''xi _s ,:. t!M �aL , - �; _ ::k,�,•:CONTRACTOR; 0 wzr =?'';: .r;.`�'�I_� ...- 7..:,. f - Barbecue Business name: (11 r], Clothes dryer (gas) r• 1 J 1 4 Other: Address: '� L // °:'�1i=3 "r ; '`i ✓;;i f i - * .. , „,,,, „ �l / j1� r xr,;..: r. `1VIECTIAIVIC AT'PERIVII I' =.FEES < -- r . 5,., „, 1 _ I • ` �_ ' 2cit W ,.i „a, .�- . 3i�; Subtotal i.V..i r� iS �,.- ...- .•�%� City/State/ZIP: Subtot �/�'' Minimum permit fee ($72.50) Phone: (� '� ” !`J I Fax: ( ) Plan review (25% of permit fee) CCB lie.: 5(1?) State surcharge (8% of permit fee) TOTAL PERMIT FEE \ Authorized signature: ' R This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: ra�/t' net] Date: '.� \-` * Fee methodology set by Tri -County Building Industry Service Board i:\ Building \Permits \MEC- PennitApp.doc 12/03 440 -4617T (1 /02 /COM /WEB) d � p� /1 c1 / 3 2-- \ , AAAA ®®A AA ,i':F6 ® l' 'I , r e'. 4 A I STREET EE CERTIFICATION .. ® A P. 1 i Va � � I, � L.-4V. f..- 4�c� o t_.., , Owner /Agent for � 0-) M 0vt. 6 rr Co.M r~ "e 44,es. 14C, k ® (PLEASE PRINT) (PERMIT HOLDER) / ® fi a ;fi .T Do hereby c:e 4 i fil t he; oll`owing location % Ti an v on � y /�Xl a meets ount l and use and development standards for street tree installation. -41 I ADDRESS: f LOT: 51 SUBDIVISION: S 1 BY: DATE: 9- 1 5 - b 1 RECEIVED BY: . - DATE: �� S1/4 CITY OF TIGARD \,' BUILDING DIVISION PERMIT #: ! 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/3/2005 Phone: (503) 639 -4171 A �1)�I MST2005 -00132 Inspection Requests (24 Hrs.): (503) 639 -4175 . �! `:_.. INSPECTION WORKSHEET FOR DATE: 9/16/2006 TIME: 7:01AM PAGE: 35 SITE ADDRESS: 15007 SW HAZELCREST TERR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 057 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF. OWNER: DON MORISSLI 1E COMMUNITIES LLC, PHONE #: 503 - 387-7538 CONTRACTOR: DON MORISSETTE COMMUNITIES LLC PHONE #: 503.387 -7538 Inspection Request Scheduled For: Date: 9/1612005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 015911 -02 503 - 209.4837 N Corrections /Comments / Instructions: ,\ • r '' r A rms - - - ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS I FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: _ _ Dater / Phone #: (503) 718- . . ■ - - f . CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00132 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/3/2005 Phone: (503) 639 -4171 *ONO i Inspection Requests (24 Hrs.): (503) 639 -4175 zdSA INSPECTION WORKSHEET FOR DATE: 9/15/2005 TIME: 7:03AM PAGE: 50 SITE ADDRESS: 15007 SW HAZELCREST TERR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 057 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF. OWNER: DON MORISSE:I I E COMMUNITIES LLC, PHONE #: 503..387 -7538 CONTRACTOR: DON MORISSETTE COMMUNITIES LLC PHONE #: 503..387 -7538 Inspection Request Scheduled For: Date: 9/15/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 01577301 503209.4637 N Corrections /Comments /Instructions: 1/ . • # / - 7 .0 _ aii,, fl" L � r oy �� — -40 e-a K!I ‹. - IV ' \ , V cam/ Ir tA KQ�..� r ►1 PASS ❑ PAR IAL APPROVAL n CANCEL n NO ACCESS pp.— n FAIL 11 • FO' `.PE ON A DDITIONAL FEES ASSESSED f/ Inspector: Date: / 454-1— Phone #: (503) 718 CITY OF TIGARD '' BUILDING DIVISION PERMIT #: MST2005 -00132 11 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: &302005 Phone: (503) 639 -4171 u( 1 # Inspection Requests (24 Hrs.): (503) 639 -4175 � ..'� '' I � - INSPECTION WORKSHEET FOR DATE: 9116/2005 TI : 7 :01AIV1 PAGE: 36 SITE ADDRESS: 15007 SW HAZELCREST TERR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 067 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF. OWNER: DON MORISSEI I E COMMUNITIES LLC, PHONE #: 503-387-7538 CONTRACTOR: DON MORISSE! !E COMMUNITIES LLC PHONE #: 503..387 -7538 Inspection Request Scheduled For: Date: 9/16/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 015911 -01 503 - 209.4837 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: " iA --" `` Date :Y t `W Phone #: (503) 718- NI CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200�00132 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/312005 Phone: (503) 639 -4171 / i�i�i � , Inspection Requests (24 Hrs.): (503) 639 -4175 W INSPECTION WORKSHEET FOR DATE: 9/14/2005 TIME: 7:09AM PAGE: 84 SITE ADDRESS: 15007 SW HAZELCREST TERR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 057 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF. OWNER: DON MORISSETTE COMMUNITIES LLC, PHONE #: 503 - 3874536 CONTRACTOR: DON MORISSE. I I E COMMUNITIES LLC PHONE #: 503-367 -7538 Inspection Request Scheduled For: Date: 9/14/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 015612 -04 503-209-4837 N Corrections /Comments/ Instructions: 4 / / } Pr AT IA -&qi ; .11W _ ' ..- a , _ , 7 , , : dr / /. –�� — 5 /y/ c-e_.9 e._,/ //) 9 . . ':SS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1) Date: i _b Phone #: (503) 718 -