Permit : , . CITY OF TIGARD
ia,,, i., A DEVELOPMENT SERVICES MASTER PERMIT
I` I PERMIT ft • MST96 -0430
. -� -_.. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1 2/03/96
PARCEL: 2S1 04BA- 1 1 400
SITE ADDRESS...: 13565 SW LIDEN DR
SUBDIVISION • CASTLE HILL NO.3 ZONING: R -12 PD
BLOCK • LOT °144
Remarks: Path 1
- BUILDING — - —
REISSUE: STORIES • 2 FLOOR AREAS — BASEMENT...: 0 sf REQUIRED SETBACKS ---- REQUIRED
CLASS OF WORK.:NEW HEIGHT • 24 FIRST • 1280 sf .GARAGE • 504 sf LEFT • 5 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD • 40 SECOND...: 1380 sf FRONT : 20 PARKING SPACES: 1
TYPE OF CONST.:5N DWELLING UNITS: 1 FINB5MENT: 0 sf RIGHT • 5
OCCUPANCY GRP.:R3 BDRM: 5 BATH: 3 TOTAL------: 2660 sf VALUE..$: 186865 REAR : 25
- -- - PLUMBING -
SINKS • 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS : 0
LAVATORIES : 3 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB /SHOWERS...: 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 1 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0
OTHER FIXTURES: 0
— MECHANICAL — ---
FUEL TYPES — FURN (100K ..: 0 BOIL /CMP ( 3HP: 0 VENT FANS • 4 CLOTHES DRYERS: 1
/GAS/ / / FURN ) =100K ..: 1 UNIT HEATERS..: 0 HOODS • 1 OTHER UNITS...: 1
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS • 0 WOODSTOVES • 0 GAS OUTLETS...: 1
-- -- ELECTRICAL
— RESIDENTIAL UNIT— - -- SERVICE /FEEDER— —TEMP SRVC /FEEDERS -- — BRANCH CIRCUITS -- --- MISCELLANEOUS -- — ADD'L INSPECTIONS- -
1m SF OR LESS: 1 0 - 200 amp..: 0 0 - 200 amp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 5 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR : 0
LIMITED ENERGY.: 0 401 - 600 alp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT : 0
MANF HM /SVC /FDR: 0 601 - 10 amp.: 0 601 +amps -1000 v: 0 MINOR LABEL -10: 0
1 „1a+ amp /volt.: 0 — — -- PLAN REVIEW SECTION —
Reconnect only.: 0 ) =4 RES UNITS..: SVC /FDR} =225 A.: ) 600 V NOMINAL: CLS AREA /SPC OCC:
- ELECTRICAL - RESTRICTED ENERGY - - --
A. SF RESIDENTIAL B. COMMERCIAL — ---
AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM • INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: X BOILER HVAC • LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL • OTHR: ..
HVAC DATA /TELE COMM.: NURSE CALLS • TOTAL # SYSTEMS: 0
Owner: - -- -- Contractor: - -- TOTAL FEES:$ 3019.21
VENTURE PROPERTIES INC DON MORISSETTE HOMES
5000 SW MEADOWS #151 5000 SW MEADOWS RD
SUITE 151
LAKE OSWEGO OR 97035 LAKE OSWEGO OR 97035
Phone #: 503 -620 -7538 Phone #: 620 -7538
Reg #..: 35533
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180
days of issuance, or if work is suspended for more than 180 days.
— — REQUIRED INSPECTIONS --- -- —
Footing Insp PLM /Underfloor Framing Insp Gas Fireplace Water Service In Building Final
Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Appr /Sdwlk Insp Erosion Control
Post /Beam Struct Plumb Top Out Low Voltage Gyp Board Insp Electrical Final
Post /Beam Meehan Electrical Servi Fireplace Insp Rain drain Insp M 'cal Final
Crawl Drain Electrical Rough Gas Line Insp Water Line Insp lumb Fi 1
--
( Dbna---LAd----
Permittee Signature: Issued By
Call for inspection - 639 -4175
„gym /
I 2
Plan Check # C 1”; /g
CITY OF TIGARD Residential Building Permit Application Recd Byc
13125 SW HALL BLVD. New Construction Additions or Alterations Date Rec. G1 5- `It,
TIGARD, OR 97223 Single Family Detached or Attached Date to P.E.
(503) 639-4171 to DST mi l— /3 �•
I
r l� .1 'T _
" '. Print or Type Per # A / !�; "i
Incomplete or illegible applications will not be accepted Called //, � C
crb" 35.4
Name of Subdivision Lot # i ame
Job ��e� 2 ` \ l�`' -1 , 11. rte►
Architect run ����
Address , s - Address 4xv L x) Phone
e 'MO��� t lirl�l\ lit I Cr' U (0 � ��- 7
• N
Owner i indd ss j - i, - 1 I iN1 C I
• Ma g Ad s s
mry/s a Pho E nginee r s„� l tm Si_ 64
Name � /1 ✓� I ` ,C/�2 �_'..3^vj
n t't "� addition 0 alteration 0 repair 0
Contractor arlin Address to be done:
) ! 7V'J ( 0 - Additional Description of Work:
ry/ i
Oregon q Zffi v 3. ..79. KI�vv
O ren onst t. Board Licit E,xp. Dat
Attach Copy of O gon ' 7 j J I LLl /S ,/ Project
Current COT B iness T or M # Exp. D to
i Licenses ` — "jGj � i - 3 ( 36 ✓ Valuation l
lT dr
Name NEW CONSTRUCTION ONLY:'—
Mechanical - nri ( 0 ^ n vt_ . Sq.Ft. House L0'61 Sq.Ft.Garage: �
Sub- Mailing Address O
Contractor ( �J(J J Corner Lot Yes No/ Flag Lot Yes N�
ity /Stat Zip h ne (check one) ✓ (check one) ,
^ /�,� . , l� 1 �7n nu - 5I �S Restricted Audio /Stereo Burglar
Oreggnpist. � Cait. and Lic.# E-3/ � ci , Energy System Alarm
Attach Copy of / i
Current COT Busine Tax or Metro # Exp. at Installation Garage Door HVAC
Licenses ,/ C C) Il �Gt (/opener Systems
Name 1'Lh e . ¥j I� (check all that Other:
P°`:mbing 47�,- - �, A� apply)
Sub- M " 'ng Address Will the electrical subcontractor wire for all Y esJ No
restricted energy installations? V
i.ontraCtor Has the Subdivision Plat recorded? N/A , No
Z
Ci /State • Ph•ne V
Oregon Cont.,Bgard Lic.# Ex Reissue of MST# Solar Compliance
Attach Copy oft- i O W / `-1 in ti ( (Calculation Attached)
Current Plumbs Lic # at ' I hereby acknowledge that I , at 6 ts Licenses ✓ j I ( � PJ �� V information given is co that have I am read the this o wn er application or auth the agent of
v 1 Dat the owner, anthat plans submitted are in compliance with Oregon
fJ -' � 7 S tate laws.
_ Name 7 ;� Signature of owner /Agent Date
Electrical tip. ' C *v 1 C Contact Person Name Phone
Sub- maiyng Address
' Contractor VO eO1 "39 FOR OFFICE USE ONLY: -
mty /S ' Plat Map/TL#:
Oregon Const C and Licit Date / p# od
Attach Copy of ✓ o ao ot I l /
7 Setbacks Zone: Solar:
e nsEl e ctris,�l J_ic, #
Licenses ✓ [ l G � Ex( py l (D V a-6,,,\ -' 1�'�
COT Busin T or Metro* p to Engineering rov : Planning Approval: TIF:
•.tslmstapp.doc 4 - 1 - 9,b Iv A-
•
•
Permit # Account Description Amount Amt. Pd. Bal. Due
S j(.oV,3O MST. Permit (BUILD) a 6 ,57.,E
Plumb. Permit . (PLUMB) ( -9 2-3 ,2 21, "
l -, •---` Mech. Permit (MECH) c7 : e-✓ �/ r ,,
aco ab0
ELC /ELR Permit ( ELPRMT) .-,/
5307 • S9.03
State Tax (TAX) 1
Bldg: 32 3
' Plumb: // , Z ‘ -
Mech: ,, Z
ELC /ELR: 1 -
• Plan Check
+
M ST (BUPPLN) �G7Z -, �3 ,2_ ;71 2Z_,F, ,?.3 cp 7 y2z.S3
Plumb: (PLMPLN)
Mech: (MECPLN) //, Z 3 _ //. Z 3
• CDC Review (LANDUS) -10, — ‘70,
sw4M,, - 04f326ewer Connection (SWUSA) o2...20 cry
Sewer Inspection (SWINSP) -3,r 3v
Parks Dev Charge c44 14 O i (PKSDC) 7 G ST /O S - 0
Residential TIE (TIF -R) / ;�Q�,
Mass Transit TIF ' `h (TIF -MT) Mt (4
Water Quality (WQUAL)
Water Quantity (WQUANT) /&)) 7(-
Erosion Control Permit (ERPRMT) 6 c/' 6 -L)
Erosion Planck/USA • (ERPLAN) - 9
Erosion Planck/COT (EROSN) • ,,iri.•?r 20
Fire Life Safety . (FLS)
TOTALS: 4- 4-0 is \dsts\mstapp.doc
ffl,-/ 7 f Rev. 7/96 5r/ �/ i
DEC 12 '96 11 :08AM BEAR ELECTRIC INC 503 678 1108 P.1
• Aral 61,01_01/v4 DEAr
CITY OF TIGARD
. 13125 S.W. HALL BLVD. ELCc i fI IC-
TIGARD, OR 97223
WIL /Owf be TF66
• E L cowf/i -/t Gfon.
oN Ifs ?og.
IMPORTANT PERMIT NOTICE
BEAR ELECTRIC AO .A/ E
PO BOX 389
28085 BUTTEVILLE RD NE
DONALD OR 97020
Electrical Signature Form
•
Permit # • MST96 -0430
Date Issued.: 12/03/96
Parcel 2S1048A -11400
Site Address: 13565 SW LIDEN DR
Subdivision.: CASTLE HILL NO.3
Block Lot: 144
Zoning R -12 PD
Remarks:
Path 1
Your company has been indicated as the electrical contractor for the permit indicated above. In
order for the electrical permit to be valid, the signature of the supervising electrician
is required.
Please have the appropriate individual from your company sign below and return this Electrical
Signature Form prior to the start of work. No electrical inspections will be authorized until
this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER: ELECTRICAL CONTRACTOR:
VENTURE PROPERTIES INC BEAR ELECTRIC
5000 SW MEADOWS #151 PO BOX 389
28085 BUTTEVILLE RD NE
LAKE OSWEGO OR 97035 DONALD OR 97020
Phone #: 503 -620 -7538 Phone #: FAX- 687 -1108
Reg #..: 20919
X
Signature of Supervising Electrician
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639 -4171, ext. #310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
A & R PLUMBING INC
2967 SE MAPLE ST
HILLSBORO OR 97123
Plumbing Signature Form
Permit # • MST96 -0430
Date Issued.: 12/03/96
Parcel 2S104BA -11400
Site Address: 13565 SW LIDEN DR
Subdivision.: CASTLE HILL NO.3
Block Lot: 144
Zoning R -12 PD
Remarks:
Path 1
Your company has been indicated as the plumbing contractor for the permit indicated above. In order
for the plumbing permit to be valid, please have the appropriate individual from your company sign
below and return this Plumbing Signature Form prior to the start of work. No plumbing inspections
will be authorized until this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER: PLUMBING CONTRACTOR:
VENTURE PROPERTIES INC A & R PLUMBING INC
5000 SW MEADOWS #151 2967 SE MAPLE ST
LAKE OSWEGO OR 97035 HILLSBORO OR 97123
Phone #: 503 - 620 -7538 Phone #:
Reg #..: 042286
X,
Signature of Authorized Plumber
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639 -4171, ext. #310
Page No. 1 CASE HISTORY FOR CASE NO.: MST96-0430
DON MORISSETTE HOMES
13565 SW LIDEN DR
07/22/97
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
---- - -- -- - -- --- ---
MSTA005 Application received / / / / 09/05/96 RECD JH 09/09/96 BON
MSTA008 Permit Created / / / / 09/09/96 PEND B 09/09/96 BON
MSTA010 Check for prcl. restrict. / / / / 09/05/96 09/09/96 BON
MSTA012 Plans routed to Plans Examiner / / / / 09/09/96 PEND B 09/09/96 BON
MSTA026 Plans approved by Plans Exmr / / / / 09/13/96 PASS RT 09/13/96 BT2
MSTA030 Reviewed plans routed to DSTS / / / / 09/13/96 PASS RT 09/13/96 BT2
MSTA080 (F) Ready to issue / / / / 09/16/96 PASS CJS 09/16/96 CJS
MSTA092 (F) Issue combination permit / / / / 12/03/96 PASS DRA 12/03/96 DRA
MSTA095 Issue plumbing signature form / / / / 01/07/97 RECD JMT 01/07/97 JT
MSTA097 Issue electric signature form / / / / 12/03/96 PASS DRA 12/03/96 DRA
MSTA705 Footing Insp / / / / 12/04/96 SEE FOUNDATION THIS DATE PASS RB 12/04/96 RB
MSTA706 Foundation Insp / / / / 12/04/96 PENDING- USA 12 -4 -96 PASS RB 12/04/96 RB
EXTEND VERTICAL BARS W/ 1 -#4 BAR
HORIZONTAL W /IN 5" OF TOP OF WALL HEIGHT
AT RT. WING FOR 15" j BOLTS; UFER
TAGGED; DRAIN WATER FROM FOOTING; MUCK
FOOTING WHERE NEEDED.
MSTA710 Post /Beam Structural / / / / 12/13/96 APP GS 12/13/96 GES
MSTA711 Post /Beam Mechanical / / / / 12/13/96 APP GS 12/13/96 GES
MSTA713 Crawl Drain / / / / 12/06/96 PASS MS 12/06/96 MRS
MSTA717 PLM /Underfloor / / / / 12/13/96 APP GS 12/13/96 GES
MSTA720 Mechanical Insp / / / / 01/15/97 see framing this date FAIL RB 01/15/97 RB
MSTA720 Mechanical Insp / / / / 01/23/97
•
PASS RB 01/23/97 KAS
NSTA722 Plumb Top Out / / / / 01/06/97 water pipe in overhang needs to be PASS MS 01/07/97 MRS
seperately insulated
needs blocking under wate arms.
MSTA723 Electrical Service / / / / 01/14/97 APP GS 01/14/97 GES
NSTA724 Electrical Rough In / / / / 01/14/97 APP GS 01/14/97 GES
MSTA725 Framing Insp / / / / 01/15/97 shear req'mts; strap plate rt side FAIL RB 01/15/97 RB
garage at beam; soffit duct in garage;
insulate bottom pan of RA plenum; strap
micro lam to plate formal dining;
.exhaust venting disconnected; support
glu -lam at main water closet; provide
web stiffeners where hangers are spaced
too far from TJI; provide access to fwd
gable master bedrm; add nailing to
hangers for trusses master bedrm; shim
top of rafters in bonus rm; insulate
wyes of flex duct in attic;
MSTA725 Framing Insp / / / / 01/23/97 PASS RB 01/23/97 KAS
•
•
Page No. 2 CASE HISTORY FOR CASE NO.: MST96-0430
DON MORISSETTE HOMES
13565 SW LIDEN DR
07/22/97
Action Description Rea/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MSTA726 Shear Wall Insp / / / / 12/20/96 b-524 straps at bay corners; block & FAIL RB 12/20/96 RB
nail CS -16 strap- 35'; nail splices at
J-wall if wing; provide mst-37 straps at
j-walls;
MSTA726 Shear Wall Insp / / / / 12/27/96 pending- tighten HD's; nail splice at if PEND RB 01/23/97 KAS
wing of garage; mst -37 strap missed at J
wall
MSTA726 Shear Wall Insp / / / / 01/23/97 PASS RB 01/23/97 KAS
MSTA735 Gas Line Insp / / / / 01/15/97 #133984 PASS RB 01/15/97 RB
MSTA740 Insulation Insp / / / / 01/23/97 pending- insulation missed under the PASS RB 01/23/97 KAS
jacuzzi; firestop thru penetrations at
plates; insulate bottom pan of return
air;
MSTA745 Gyp Board Insp / / / / 02/04/97 pending- garage inspection PART RB 02/04/97 RB
- MSTA745 Gyp Board Insp / / / / 02/06/97 garage PART GS 02/06/97 GES
MSTA755 Rain drain Insp / / / / 12/06/96 PASS MS 12/06/96 MRS
MSTA760 Water Line Insp / / / / 12/06/96 PASS MS 12/06/96 MRS
MSTA765 Appr /Sdwlk Insp / / / / 02/26/97 OK PASS PI 02/26/97 KAS
MSTA790 Electrical Final / / / / 03/19/97 strap conduit PASS MJR 03/31/97 MJR
MSTA795 Mechanical Final / / / / 03/19/97 see building final this date FAIL RB 03/19/97 RB
MSTA795 Mechanical Final / / / / 03/20/97 PASS RB 03/21/97 RB
MSTA797 Plumb Final / / / / 03/19/97 PASS MS 03/20/97 MRS
MSTA799 Building Final / / / / 03/19/97 support b -vent; fireplace inoperative; FAIL RB 03/19/97 RB
landing needed at deck; major water leak
under -floor (copper water line under
kitchen); insulate registers; remove
debris; vapor barrier ground cover;
cover rain drain at main entry; side
exit off garage- lighting fixture
missing; vent termination cap- east side
& close off vent screen; use final;
electrical final; plumbing final.
MSTA799 Building Final / / / / 03/20/97 PASS RB 03/21/97 RB
MSTA960 (F) Issue Cert. of Occupancy / / / / 03/19/97 mailed 7 -22-97 07/22/97 S *W
MSTA970 Case Finaled / / / / 03/20/97 PASS RB 03/21/97 RB
MSTB708 Erosion Control - / / / / 03/19/97 PASS USA 03/21/97 RB
•