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Permit , 4 r �� CITY OF TIGARD MASTER PERMIT PERMIT #: MST2005 -00016 DEVELOPMENT SERVICES DATE ISSUED: 2/23/2005 , 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 13089 SW HAZELCREST WY PARCEL: 2S109DB - SR065 SUBDIVISION: SUMMIT RIDGE ZONING: R -7 BLOCK: LOT: 065 JURISDICTION: URB . REMARKS: New SF. BUILDING REISSUE: DM199 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1,610 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,790 sf GARAGE: 400 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 5 ' VALUE: 324,627.00 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3,400 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 0 RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL /CMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: 0 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.: > 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: 0TH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 8,381.23 DON MORISSETTE COMMUNITES LLC DON MORISSETTE HOMES INC This permit is subject to the regulations contained. in the 4230 GALEWOOD ST # 100 4230 GALEWOOD ST, STE 100 Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. Phone: 503 387 - 7538 Phone: 503 387 - 7538 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 Reg #: LIC 35533 952- 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -6699. REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 -- �� � 7 Issued By : ✓ , /C4 Permittee Signature Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day , • : IO v.., . , 4 Builin� ermit Aca i • ro USE ONLY q � �o� Received /tea - City of Tigard � �� .. �� Date/By: / �� PemtitNo S �) � � � 13'125 SW Hall Blvd., Tigard, OR 97223 '• t; \ L 0 �►r Plan Review x Phon 503.639.4171 Fax: 503.598.1960 �. " " ,� Other Permit: "" 111 DateBy: ,.A -NAJ a -l4, -os . J �40d l i Inspection Line: 503.639.4175 C , .639.4175 � Date Ready /By: luris: ® See Attached Checklist for Internet: www,ci.ti ard.or.us Notified/Method: ., (( Supplemental Information Y _ fr: iC:s •_` :G{` :fi 5 i w.�,';` { F • RIZK. �_i:�i; UIItED D ` "a` I'- A.:.1 �� 1VIIliY;D; � , ELLIN' } r:3'.z�' .7•,�� : �' .u ..�'r -'.... -f'T - ., �,,,,>,:� , :bi ' - ' . < �; us a rr` ^ ..- . r. : . „ a;° s �s,a, *: ' . - z , '��� =. -K ' s�a - ° � :'.. = dy � < ., -.. _.... r ,.... .., ., , _ -., "' ti : -.. ..N... .n�:. , . E1 . . -. ? . vr ,_ -.,.. < sF t4•.,c4 :. . . -._.. -.., JN *`' ._.- _�.... 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 -i. - �:� t;� - ,:�3e work indicated on this application. � z > fir$;: w sGATEGO :•GONSTRUC11.10 ,t:, - q ,. .....• °a: ,�• ,... ' ::, _. .,.......... «_.,., ;, -_.,. ,. �,., _....., x °:'irk °59"5. �si: sas3.: ..... .. ..__ , ._... ty ,_ Valuation: $ ❑ 1- and 2- family dwelling ❑ Commercial /industrial ” ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑Other: Number of bathrooms: alt„ •4t;x ^ >,7: �' >;. yS -` A- :ti4"' - ! „fi "r`i:S.�`sni, `!l.`rSrArim i��.+, ._ � { !: A 'i'1.'�`:. ?tz:i�_:)pe 'i13e;t; •1 f;; , ;&F ' i "., r - , : , a�r�`io • if,mr . . t+r - raig:4.: ;;.3 ;1 ? ,0, ✓r t ,':n: =t�;rr'= �r , i,:�t::. :,t Y' '+ • :.iv,:, '] lit ;tl®CATIO. ��!!� x� ��� , +, wr,. Total number of floors: :j ,,<e- ,r, % JOB;tSrI?E , r •i ,: :-;: igi v €. p� -_ -, ry''�i i �.5';��: .;,U„•'. -`,1 �•_L�A.t�Y,S.1,1i: P,�::.'2� ...,._f4 421>a ia; Yr` vtS�: hl7:. t: a1S, a'. t: ki4? J. R�^ �[ p Cix: r : 7' �:. 1.. YPSk:: I: J' �x.. C��l�di�r_ 15.,+` �, IFi�i .'�yC�y'�� ^: /h+ Job site address: 1'308 9 SM1 +t AQ New dwelling area: 3 3 Q 0 square feet -- •. 1 Cit /State /ZIP: ,_ �e i a ��a Garage /carport area: square feet P �1 Sui te/ bl dg./apt. no.: Project name: A � � � Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet , . 5 ��� ,' :•. { � _ �;xit .uz ,, .. , s, u ,: , .. • % p "( 1+ I tEQ , tliRFsl ?Tj'ATA.aCO.iVI1VI'ERIAL;>f J5 1 E3CH YuCKLIST . ,`u 1 ]t'zgr:7?YSv+ A s1 0. „ ?::kFq^iwNsp ivkv't;r_..,'u;i;n1iu, 4 Subdivision: 3N �� . Lot no. 5S Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the ,':!,: ,;5.:.,` cy'- °,,v.ve'. ",3, .a4xivNi yvv,u , Imir ".11:'`. ,mrrRR':�;',;.•'t.� er1= . 0 , Nyit ?.,ti:" , yrr - �]�, _ work indicat on this application. ,, DES'CRI .ZION OF ?WOYtIC i. s �:c!` ,. PP ,Y ' 3:b ;,•: s.. r_..-. y' �4r..:'-3 ... r:J,..:;..,, , .Yiy;i:f',:.:. n... .; ,k ht"rk,"et',S';]. .- .,, _ ,k. ,,_ .�, ,.�:,�a.. ;`.�i:ia''r. ,{x; ,. Valuation: $ Existing building area: square feet • New building area: square feet ;An ,; �L -m,, s - .f,h':�I."::_ - @ k^' .. +k']]E /.: :i: %} 5' =Y i?.":ov.a. ,i \, °. j ;f. <`�,t+: i:' $ :v b : i ; Ti ; >Gi : •}:` S a g i `" • •=T �NA&J, ;.', Number of stories: �;:,�- •.?.as4,, .., , �RO�PER�1 ' ° %O,W1LI'EIi.. =�' "i;r' °,;. c i �.'��; =�.,4 � - x x,:- :s ^ �.. r.r�f ?k�„ , �'�a �;p . �. >.? .:.... 2f:'rE:, =_'�na is ]:- sA:�1iiA.�yx:�r =r. �.',x�%;�:`+.: ,7m- k:;t�isr�= ,du,�'��ta'�'� s- ,,.s ? =4; � .r sr. �s'�.fi ,;,!�e� c „t, ?; .. Name: rtYSV f./t ` - C",..0 MMI tits j ., {� Type of construction: Address: 4 0 .9 0( (9 ) GT 5 ( L---,. IX Occupancy groups: City /State /ZIP: L1 (15,,A..4-3C) , q * f 0 35 Existing: Phone: •V /' 5� Fax: (g l) / —� i •S New: .,:rr, - - - , {= , `±r; LV'; .'z':` ;in':;- tgr�ykr•tN': - ;5 % ''• - ,,c • F ,, „ s )i�: ":ir =' %� #.ii.; : to �. ^ ^[ e.5i�d:fi` ��.,i3:`,' t 4. F . E AN { . � ue - .1. • ,,Y,,: ", ?✓a:, r 7 n +ay: i'i.t _;.:x,,22 }>;' 3 Y %.f ni V 1 1 >'Yi i }_ '.lei{. :4">• AP; 7.'. ,,,,.... :,�,, .. N .A� t.. ,;,�"� :,+T" , .. .. .. ... .. <...,f., ,�,...:, ,.,. ,, ,.._ ..., ....,. .„ n ,.'),. �.....�., -, .,,. r.., ,.. i,..,, _..,, ,.Fav, .. ,,+!,�,.�: ,.wr4zt'xb., ,• 'i - ' -:� ':fig - - x , ”' - ,:.,t�,: yrs- �•.r.:�!<, m'.•, -� .,,,;:; �aT;�:;:` N UT,ICE =p,.:a i`.''� - Business name: 5 Noe f `s ? All contractors and subcontractors are required to "' t ' Contact Warne: 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: rz) '4 � jif• - :,: 6'ONTRACTORNY A� Busine name: . �—•�,y//� . J- . . .. - _ .... `.:(^'.f�1i': -;�+;.., ,,;{,,,,., :. .rs ;:r' ,., a:: := ;ls; ,; I :i1':,€ ; MILMIN. PERMIT F it) >- ;:: ` re =,-• L;• "" `. :l G:. Address: Please refer to fee schedule. City /State /ZIP: Fees due upon application Phone: ( ) Fax: ( ) CCB tic.: _ Amount received ! �( .�� t Date received: { • Authorized signature: /egt‘kyire j ft -�/ - This permit application expires if a permit is - :4" ; • � not obtained v ` r within 180 days after it has been accepted as complete. Print name: i � �� l '�� , Ic Date: I2 2,9 * Fee methodology set by Tri - County Building Industry Service Board, i:\ Building \Permits \BUP- Pem]itApp.doc 12/03 440- 4613T(11/02/COM /WEB) Mechanical Permit Application FOR OFFI : , , City .of Tigard Received No.: b f 13125 SW Hall Blvd., Tigard, OR 97223 y Permit � _ v v V Plan Review Phone: 503.639.4171 Fax: 503.598.1960 /49/ ll t� Date /By: Other Permit: Inspection Line: 503.639.4175 ��i . t° B 1, Date Ready/By: Juris. El See Page 2 for Internet: www.ci.tigat'd.or.us Notified/Method: Supplemental Information .,.- ....,,LL.;- .nr�:.;r. � ":.,:.. ..:- .,y . -._. .ray:: °>•;,'t :'�,-. � . .., x,. ,.. S ,..- .. _, z_,'+ - -.. . ".. .. : � +.,.,. ., a ..,. .. . , r _ . ..,.. ... , TYPE. OF W , ...,.- � a .,...,4,:, �,,_..::. _;,.,:. _ � � �_y =" r - . -:.:. , . ._�- ><., .;�.,f ,.�•. _,- ...�,,., r ORK., _,,_�. =;�, �.,,.,._ .., COMI -�EE D - , t . _ ,. ...,k . -...: ,... ,,..�.. <..,, �.,. ,,. ".„ .::.... ,..,,. _..,,., z �;��� >::� - - .F SCHE UL'E ..USEiCHECKLIS , ,k1'4',"'.,:' .1. - . a,.a.�l�._ -=, ' � �.:,...,,...__. ,:, � }r..,.:_;;',n,�•,t. j',... .,::,:,<:: �, �,K,,:..- �. ��,:•: �.:r::. rs:: �,.,. �. �; �x: i.,;;.>; �:,:.-:: s,:;.,,,,._ :•:."F:.,.; :_,..'�.��,::.•�._,,,: ::T_:;:' iJ �,�.�Y..F�.:�,.,t New construction ❑ Addition /alteration /replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. .,, :; . i : ,,` „ � .: :1R:a : r Value: �.sry z= ��� .. CAfPEGORY ;'t =� .�._ -.. -�• � �. .: .:.L .. .., .. .1 _.,..: -... ...,.,,. c.e .... :; - - :RESIDENiTIAI�`irE kUI.PIVIENT�YfSYSTEIVIS" .FEES , ❑ I- and 2-family dwelling C /industrial Y g Ill building �. „_ ��� -:::,• ::.:.........:::. �,.::•'.::->',._«_.:,_. �..;. F .,,k.,- ,.;::.•.._�.�;, For special information use checklist. ❑ Multi family ❑ Master builder ❑ Other: Description Qty. Ea. Total :x;._ ;-JOB;'SITE:,[NF.,OR 049 / 01:, /, g13,PI©N , ;is;_;,k,. , iIt: "';;n:.: i"; 4” i �� M u :. - .. Y.k`° Heating/cooling ", . - ", "�� . , � `: :� .. . . ... . _.a,a,:l:.:�: ,.,, jy r,. , x. rz .,,. :: _�. LL . _. . �. -.. �`k: !'- x:" Y h �rt i' Job site address: n 1 3 �� 3,0 I r h Air conditioning or heat pump I' � � (requires site plan showing placement) 14.00 City /State/ZIP: ] yX (j�, f O — i s '� q 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 Subdivision: 1 Lot no.: (C)S- Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances :,� � ., � ;:it Water heater ::r: tai ,f _ � 10.00 . %:Z. .. .h, DES Rn' IO s. 0E . W ®' :�. kp tN t , : , . Y: , . 0. ', a. . :. ._ ..e , n _ .., .. � ?�e',� . � t1 > -. ,�,{_. n. ,.. ... :_ <'t.: � :.tu., x._ . . _: . �•a:; per_,. ,r:.^�r.:_ , � .,; ,�a't , ,.. . , . , .. ea�:.'n 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 „.. 10.00 r =rt s a i5 )2T, ,..OWIVER,t;�? ~.:,�.:�,...<�= EI ,. .., r.. �:: ,:,;s`::i�;`a<= n i;�:,,,. -- <..,, ... , , .,�,,,��� _ r :.,,��c,�;��:,r• ,.,�,.. ,..,���,1 Other: 10.00 Name: i . L V✓ : : Th� t 1 ' 1� ' U. 1 �' Environmental exhaust and ventilation Address: NG / ' 1 ' i � ;, ).f l / ` Range hood /other kitchen "'' (lrl'lV/ equipment 10.00 City /State /ZIP: -; '' 1 01 t TQ ' Clothes dryer exhaust 10.00 i Single -duct exhaust (bathrooms, Phone: . ' --- )t) Fax: ( — 1 •-- —7 01 toilet compartments, utility rooms) 6.80 .: .1- ."" l . ..'ir"ii i t7 yeeh;;i F�et �;tu:�r'}r,; -'at c ,,�; _,,,,,:, :t �'1 "M ; ') � ,_:v.�, , t:': -,'t •. +Ga =: : w��,.: �� ,a �� . , �;,,,� , .� a ��1 ` Attic /crawls ace fans 10.00 g : r , �.AP T.. ,.it r<' t;� V' ,. $ :a�.£t,tc. ... .;: f ;E. RSO ` :�, _ 3 P -.x : _.. ,.. -,� e. _., ...., ..- S,:'.:..e.. „ r.,_- •.fq�. �f:. , - -_ .. -.- .:his.'.l:ru' Its#+, t�, � HP,.: z§ �s= :vV`- "-.a r'.v!'.W�'?! 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 Fi r =i;; _ s TRA" TOR 'CON C � : Barbecue Business name : i r) ' J ( a/ j tt �7 Clothes dryer (gas) - Other: Address: r Vl v `{ /I' v`L (X� /''� L 1 1 T=,1` j� i � � ". e,: " .*'' -= �ik: (.,! • � � � I �`}� / : „,� ; z : � = ; L.� 1VIECT#ANI E . �! City /State /ZIP: (1 ��l , L0 Subtotal Phone: ( r a ` _. Fax: ( ) an review permit fee ($72.50) I Plan review (25% of permit fee) CCB lie.: . (/�) / State surcharge (8% of permit fee) ,y/ TOTAL PERMIT FEE Authorized signature: •�'�C This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Mall 1 "LAt Date: __MEM * Fee methodology set by Tri- County Building Industry Service Board i:\ Building \Permits \MEC- PermitApp.doc 12/03 440 -4617T (11 /02 /COM /WEB) . PIs mbing Permit Application . ;FOR OFFICE USE ONLY . ' City Of Tigard • RE!iew eive Pitt No.: /1/1y �) 13125 SW Hall Blvd,, Tigard, OR 97223 em o r� �w�_ VV Phone: 503.639.4171 Fax: 503.598.1960 //erx4 illi Date/By: Other Permit No.: 24 - Hour Inspection Line: 503.639.4175 Internet: www.ci.tigard.or.us W Notified/Method: ) /Met Supplemental See Page od: Supplemental l for Information - „ r -� ,. „ ,, ,,, ,,,,, y -, ..,,. ..,,.. >..'.�.,, ,_,{ o.�...a.. :e. � " .5 �• g rit. na» - tt;;�� , nS_� .A . . ....:.......,. -..� YPE,. OR..WORK:,..,..:., ". ,: =:_:,: - , tr : -:< � . �.. . .. , , . � . : • __ ,, -.. �. _... _. ,.sh..�.• ...�.,.I�;::,,.::,,,� �FEE. 3E:.:.:.,... _. -... _..» .�. ...,... .., Y_ ., ..u s- �'. ,...,...., Ftb' . :.,..._. _..... ,..,_... :., ... -.. _ ,..,,. ,._.. �:. : _ ,- I�New construction ❑ Demolition For special informatio use checklist. T Description Qty. I Ea. I Total ❑ Addition /alteration/replacement ❑ Other: New 1 - 2- family dwellings (includes 100 ft. for each utility connection) s1, ,.' . ::,:.- .:..' CATEGORY.,OF •;CONSTRUCTION; • , -On' SFR bath , Ts:-.. '..., , ., � ..,, . .r.: :,::., R. FR I (1) 249.20 �Y .-- � v.. -r.. ,. ..__- ,.,_ � _..!'.r._t.�'i : ....r ..... ....fwd;. i$'Ci. i'C�:. 41:.�:Slu. -.,_, � - }.�. _;'8..,.,x : . �'- ' tiwt � ❑ 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building I] Multi - family SFR (3) bath 399.00 ❑ Master builder Each additional bath /kitchen 45.00 ; ,,a :::. ;.r,:. ❑^ e rn ., Fire sprinkler ( sq. ft.) Page 2 `:�; aE t�, r•. . - rdsrc::= 'a f' l :'rSk.• 5, itt-: �`~��� `� >: JOB= �S RPE `IN�FOIi1VIATION ^`AND...LOCATIO . �, {�•r,; . ,t�,,:x,: .�:,� „' ,,,,k, ;<,.� `,t;i i'. ^ " .,4 . ;:e• =� �aa-- N,t�a.,,.x.,:�s�"� =hg €g;`?i'�v_ e:�f SW q `�:::;._� :.. ._.,.: a,' ��rzr 'smv: x�„_., .:::- r,,:::�'.zrr ^,�:�t „- -,_.,. ,,,. »,_,.w; 7:..... _... i =2 „,. Site utilities Job site address: ��hC� ��� Catch basin or area drain 16.60 City /State/ZIP: "C p p�� Drywell, leach line, or trench drain 16.60 ` Yom 1 ' f Footing drain (no. linear ft.: ) Page 2 Suite/bldg./apt. no.: Project name: tGY 2.t n v 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 Subdivision: ' Lot no.: Water service (no. linear ft.: ) I Page 2 Tax map /parcel no.: Fixture or item x =, a. 4:•;a ,'s ,r:_ : ':;- x ..t :3, ,,•. Absorption valve 16.60 .-- - ''Pan. _iRei i', - - ', k ; .,i*'{} c , }1�1t,tii { ?.; „ 1 , { 4R � .•, � . ' \J2;'. t k�. .,: ZY,»_•: •�� =.Y. ' i,7S, �,: d .:e,.v-,_„w;; .. M. c.W / ,<M..' t ., k -, ,v k • ; tt��.x./. I x ,,,, a� a.:` i+ i�;` �" ��".; 1. J;;`.;: sn', w;? �e':!.- :,, -•, .:, - .,.+.�,. .,r .:. .,.:.: r ,C,�. >,:;- ..t.r�x:.:, -} ' %3:...�...�,_..,.c s -- ,< , ��<': F:,.<.. ..,1�;;�„ >,.:- ':- »,:,,•,' =,f „__ :._' �..<_,...,.:, ha , >.- ,.�€�:,- ,.�,_..,.:... > ",��E Backflow preventer Paget Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 .a:: a.: ,m >, a-¢:iA , - r:r z: ,;nxn.: -. _ kin �;;'k;: - '1„ ;�;:'.:s _ r,. r -:� .�.��{::s:tir.t -:�t,� Drinking 16.60 - 1 {' r,� . • , f ., z,; i,•. .al�, �, ;n_y - - *' t� , : .�r y : "=x=43 � SY' -' {,, ":.�'. ' , r - ••,a,�:i, jii PR 11.W : OW'1VFIt , t.,+" e - ,,: „ tTENAN :.x4 -' r -.,.. :u }: ',: - ci�.+s: �:;.t:.' ^t' lira.._. » �t::v.,;fxfi,f'4<_ty,� tiz�,;..i. > .4"". .5, �,a1$ .. .i` -' .:'i . ,: ,x.•; .. • ,. ::iry «3 „.., .x .A ?u�F.. N�.r,.s� - Gw; `a "' Ejectors /sump 16.60 Name: • �' ka/ / 4 ' 0 ffl '1l.t,h 1 d � 1/L ( /: Expansion tank 16.60 Address: ... e' F / ',, S , ,' I CD Fixture /sewer cap 16.60 City/State/ZIP: �" u - l 7'3 Floor drain /floor sink/hub 16.60 {,� Garbage disposal 16.60 Phone: 3) 25•7 7 Fax: (t 9 j ) /�(0( s `: \'• .I ^' - t:Clt3yi.iF^ - p+, L' „ t ,:=?7 x, n:"k;i r i vy ,M,v.,, i ` ; tit } :x, - :- tx,�.•- {a <ri^:';t�l.r,'tr•: ^w., .,;; ;.:;' r;,w ";;,,,Y,�, }., : z3{,S„n�M .'I.. s, . Ho 16.60 w' •nARPliIC ; xs::,;:,, ,t ,4 t ,r. . nip 1 - - AN.T�. : �':,. ,,;,;R.r;;; *..,._....r, ,�CONF�AC;T..iP,tERSO, t•15- � "�,'r _ »,. _.,:.t_z.i�i, ,^•ih3 �,... ,..s': r .t...,,,�:..�irr•.a,:-s.:_; >h�_ �a°s.•:^..,d;te�JCttt,,,eiar, Ice maker se bib 16.60 Business name: Interceptor /grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City /State /ZIP: Roof drain (commercial) 16.60 Phone: ( ) I Fax:: ( ) Sink/basin /lavatory 16.60 Tub /shower /shower pan 16.60 E-mail: :,n„ ;,x'• :•1;. a �..x :;,_. , ,;,..� v;�;r. - ::a;e:•v;;• :;�,;r' , r�� n „cs,. _ ,,,:,,;:: Urinal 16.60 `_iii ,.,. '� 't �F, ". �;i� u NTR,c -T 5':;� ° ?i: t` ,,. f- r �:: .. l :.'ra ' CI : �., Water closet ay::...,. , , -:, � ., , � 16.60 Business nam e: Y f ? 1'�(\. Water heater 16.60 Address: 0 Other: City /State /ZIP: Subtotal � f Minimum permit fee: $72.50 • Phone: 15,))(1, )r ..,1 / 3Cr Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lie.: 10 ^Itunbing Lic. no.: 2 2 77 V7I3 Plan review (25% of permit fee) Authorized signature' C State surcharge (8% of permit fee) �1 TOTAL PERMIT FEE Print name: J h1 3 E-'Ut J Date: I (i-%o�•t7 l This permit application expires if a permit is not obtained within �`rT� / /// r 1� 180 days after it has been accepted as complete, 7F , *Fee methodology set by Tri- County Building Industry Service Board. ro i:\ Building \Permits \PLM- PermitApp.doc 12/03 440- 4616T(10 /02 /COM/WBB) Electrical Permit Applic TIWCE psnn r , ,, FOR OFFICE:USEONLY, , ' _-: City of Tigard Received .7 31/05 .077( Perini( No M0. S'fo05 0. 0001. 13125 SW Hall Blvd.. Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax • 503 598.1960 MAR 31 °.t .° i' . I Date/By: 2 :) rrrd — .2......22... _ Inspection Line: 503.639.4175 iir. `f.17 Date Ready /By !.'v- :S!' See Page 2 1st- Internet: w'ww.ci.tigard.or us Noiiied'Method• _ I Supplemental Information C ITY OF TIGARD T TIIF_ MAI D IVISION Please check all that LAN REVIEW Al New construction ❑ Addition /alteration /re acemen Vld 'apply' 111 Demolition ❑Other: ❑Service over 225 amps, comm'I ❑Flazardous location • ['Service over 320 amps - ration ❑Bulldog over 10.000 sq ft.. CATEGORY OF CONSTRUCTION of I - and 2- family dwellings 4 or more new residen:al N I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure ❑ Multi- family El Master builder ❑Other: Building over three stories El Feeders, 400 amp, or more ❑Occupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION ❑ Egress /lighting plan RV park Job no.: /� q Job site address: /`� q ❑ Health -care facility ['Other: 1 1 1 v I 5 � �!���C r 'Submit 2 sets of plans with any of the above City /State /ZIP: / /, UUU /r o 2 " taky The above ate not applicable to temporary construction set iLe J Suite /bldg. /apt. no.: Project name: 1A / cC �..� r� �r FEE* SCHEDULE OQ� • '�'���jn� ��'l �./� rip non Qty. Fee. I Total Cross street /directions to job site: F Q-('iN � ' 0 t o( New residential residential single - or multi-family dwelling unit. C7 t(/ Includes attached garage. I ,000 sq. ft. or less 145 15 4 Subdivision: S v p! M ' ; r-�( . Lot no.: (D Ea. add'I 500 sq. ft. or portion 33 40 I r ���1111 t Limited energy, residential 75.00 3 Tax map /parcel no.: Limited energy, non - residential 75.00 - DESCRIPTION OF WORK Each manufactured or modular dwelling. service and /or feeder 90.90 __ A 8 kin/ s- T/IJ / AI A, Services or feeders installation, alteration, and /or relocation 200 amps or less 80 30 I 2 I ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106 85 401 amps to 600 amps 160.60 Name: 0 OA) nen n - ss tee- C 64n vA) / ri iff LI.< 601 amps to' I ,000 amps 240.60 ' Address: Lf O �� 1 � J S �i,c� -� 5ui Over 1,000 amps' or volts 45 165 �'E / �� Reconnect only 66 85 2 City /State /ZIP: LA...k - OS 091) d RJ ? 35 ' Temporary services or feeders installation, alteration. and /or Phone: ( -j3) 3,3r).— 7.5-3 8' j Fax: ( 53 3 �� 3 / 2000 0 amps 2 m p s or less 66.85 I Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 1 33.75 Owner signature: Date: Branch circuits - new. alteration, or extension, per panel ❑ APPLICANT ►_: CONTACT PERSON A. Fee for branch circuits wall _ I � / 1 I service or feeder fee, each Business name: branch circuit 6.65 2 Contact name: Jam! �.l B. Fee for branch circuits 46 3� without service or feeder tee, Address: • each branch circuit Each add'l branch circuit 6.65 2 City /State /ZIP: Miscellaneous (service or feeder not included) Pump or in'igation circle 53 40 I 2 Phone: ( 5 3 ' y C� Q ,, Y] �-1 7 �Z - 3 �rt�Fax: ( 3 ) /,�' / y��� S or outline lighting 53 40 ' E - mail: Signal circuit(s) or limited - CONTRACTOR energy panel. alteration, or � , &__/ ( Lc extension- Describe: Pave 2 Business name: � -�J Address: 2 3 Each additional inspection over allowable in am of the above �i dit„, � 2 ` Per inspection 62 50 f/ City /State /ZIP: __ (3 77? Investigation per hour (I hr min) 62 50 Phone: •) ) _35/ 8'b �/ Fax: (5 / ) 5I 7 _ 96,67 Industrial plant per hour 73.75 "' n ELECTRICAL PERMIT FEES* CCB Lic.: 1 .212oiC. Electrical Lic.:341110 _tinc Suprv. Ltc..ULG-2 5 Subtotal Suprv. Electrician signature, required: L�LJ� 7 4 Plan reviev� (25 G, of permit fee) State surcharge (8 °% of permit lee) Print name: AIE Date: A ■ I TOTAI. PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained 'siiiun ISO days after it has been accepted as complete Print name: Date: ' Fee methodology set by Tri- County Building Industry Service Bm,ird '' Number orInspections per permit allowed i I.BuildingWerrnts \ELC- PermnApp doe 12"03 440- 4515T110,02 :CO3,\1 :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: n Audio and Stereo Systems* I I Burglar Alarm n Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* n Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY: Fee for each commercial system $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: n Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems n D ata Telecommunication Installation ❑ F ire Alarm Installation ❑ HVAC ❑ Instrumentation n Intercom and Paging Systems Landscape Irrigation Control* n Medical n Nurse Calls n Outdoor Landscape Lighting* ri P rotective Signaling n Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations i 'F3 uildir g\Permir\ELC- PermitApp doc 04/03 \ � � Permit #:05 - 000514 - 00 - PE CleanWater Services Hillsbo ro o Highway s hw a clear. !Inspection notice required for 2550 SW Hi all inspections llsb H Hillsboro, OR 97123 Ph: (503) 681 -3600 Project Name: SUMMIT RIDGE, LOT 65 Project Address: 13089 SW HAZELCREST WY Issued By: Cathy Lindholm Type: Sani /SWM Connection Issued: Feb 22, 2005 Single Family Expires: Aug 21, 2005 Project Description: Owner Applicant Contractor DON MORISSETTE HOMES INC DON MORISSETTE HOMES INC NONE 4230 GALEWOOD ST #100 4230 GALEWOOD ST #100 LAKE OSWEGO OR 97035 LAKE OSWEGO OR 97035 Number of Equivalent Fixture Units (FU) 16 Number of Sq Ft 2640 Treatment Plant Durham Water District Tualatin Valley Fee Description Amount Erosion Control Inspection Fee 88.00 Erosion Control Plan Check Fee 57.20 • Sanitary SDC Fee (Connection) 2,500.00 Water Quality SDC 0.00 Water Quantity SDC 0.00 Sub Total 2,645.20 TOTAL 2,645.20 I HEREBY CERTIFY THAT.,THE ABOVE INFORMATION IS CORRECT. SIGNATURE:. 1��. Date: Z - 7? 'd 6 DON MORISSETTE HOMES INC v- i 07)S— LAAAAACAAAAAA,AAAAAAAAAAAA A AAAAAAAAAAAA A A A.AAAAAAAAAAAAAAJA.AAA:A.A -4 • It.- A . -- A 1- - I CATION 1 STREET T CI, Z..1_11 .,,._ A A / ,- • ■• I I, _—_&414- Aq*74- (._.) \viler/ A gen r t fo A itipv i ,‘o TM, eedv w n)kr,% 14 *. (PEA.ST /RIM) (PERMIT 1101.1)E10 ] ; A I )0 11(.1.Ch y Cell i ly (11 i'll t he Fulluwing I 1 A Ince(s C.,Ily of Tig31.(1/W3S11111glon (i_,(MIlt) . A iiist Ito- )°- -..4i Lind use Mid devciolinicill S And3i for st 1 ect I ucc.s. AIM ion. ■ ' . - ADDRESS: _110g 1-1-wlogl 0 v J A 4 -4 4 ' 1 LOT: SiRDIVISIONI: Sv.wsvvOk Oli , .. 4 ilY:, cll\----------'----- DATF1: •4 li, A . I;cilVIT) s v• , MIF.: rif-*******TTYTYTYTTvITTY'VYYTYTIVYTT******TYTTIVVYTIFYYTTYTTYTT'IT-1 ' CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00016 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/23/2005 Phone: (503) 639 -4171 �� " "' a�ip + +�iiI�I Inspection Requests (24 Hrs.): (503) 639 -4175 :. .! INSPECTION WORKSHEET FOR DATE: 5/17/2005 TIME: 7 :11AM PAGE: 52 SITE ADDRESS: 13089 SW HAZELCREST WY CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 055 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF. OWNER: DON MORISSE I I E COMMUNITES LLC, PHONE #: 503- 387 -7538 CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503.387 -7538 Inspection Request Scheduled For: Date: 5/17/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 007043-02 503 -209 -4837 N Corrections /Comments/ Instructions: 4 ,PASS _ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 4n4 Date: 4 14 / Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005.00016 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/23/2005 Phone: (503) 639 -4171 �nuu °IV �mpGll�l'�� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/18/2005 TIME: 7 : 34AM PAGE: 79 SITE ADDRESS: 13089 SW HAZELCREST WY CLASS OF WORK: . SUBDIVISION: SUMMIT RIDGE LOT #: 065 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF. OWNER: DON MORISSETTE COMMUNITES LLC, PHONE #: 503 -387 -7538 CONTRACTOR: DON MORISSE fTE HOMES INC PHONE #: 503 - 387 -7538 Inspection Request Scheduled For: Date: 5/18/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 007168 -01 503-2094837 N Corrections /Comments /Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 5 t ( Inspector: ►�f' Date: J Phone #: (503) 718- CITY OF TIGARD PERMIT #: h�S72005 -00016 I BUILDING G D DIVISION 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 2/23J2005 Phone: (503) 639 -4171 . :1111 "1111 Inspection Requests (24 Hrs.): (503) 639 -4175 k _�_.. INSPECTION WORKSHEET FOR DATE: 5/18/2005 TIME: 7 : 34AM PAGE: 78 SITE ADDRESS: 13089 SW HAZELCREST WY CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 065 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF. OWNER: DON WMORISSE I I E COMMUNITES LLC, PHONE #: 503 -387 -7538 CONTRACTOR: DON IORISSETTE HOMES INC PHONE #: 503 - 387 -7538 Inspection Request Scheduled For: Date: - 5/18/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 007168 -02 503 - 209 -4837 N Corrections /Comments /Instructions: • Alt ��i22. 05 pa(.7r7gl - 1 q -5 b /q/ 5 Xt.i/kil 0.-J V giro V Bill ,...e.._, Ara. __ i 4 .A.._ l i k.;kA-A1 � 0 f VJ A &L' ( / I 4 WO PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 74 1 Date: 5 U Phone #: (503) 718-