Permit - " .. CITY OFTIGARD
,G , ��, i ;� DEVELOPMENT SERVICES MASTER PERMIT
-. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PE RM I T • # M S T96 -0496
DATE ISSUED: 11/04/96
PARCEL: 2S104BA -10600
SITE ADDRESS...: 13665 SW LIDEN DR
SUBDIVISION • CASTLE HILL NO. 3 ZONING: R -12 PD
BLOCK, • LOT •136
Remarks: Path I
-- BUILDING ----- - -----
REISSUE: STORIES : 2 FLOOR AREAS BASEMENT...: 0 sf REQUIRED SETBACKS -- REQUIRED—
CLASS OF WORK.:NEW HEIGHT • 23 FIRST 1180 sf GARAGE • 420 sf LEFT • 11 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD : 40 SECOND...: 840 sf FRONT • 20 PARKING SPACES: 1
TYPE OF CONST.:5W DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT • 5
OCCUPANCY GRP.:R3 BDRM: 4 BATH: 3 TOTAL------: 2020 sf VALUE..$: 142564 REAR : 23
-- PLUMBING —
SINKS : 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS • 0
LAVATORIES • 3 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB /SHOWERS...: 2 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 1'.1', BCKFLW PREVNTR: 1 GREASE TRAPS..: 0
OTHER FIXTURES: 0
1 — MECHANICAL — - ---- -- — -----
FUEL TYPES FURN (100K ..: 0 BOIL /CMP ( 3HP: 0 VENT FANS • 4 CLOTHES DRYERS: 1
/GAS/ / / FURN ) =100K ..: 1 UNIT HEATERS..: 0 HOODS • 1 OTHER UNITS...: 1
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS • 0 WOODSTOVES • 0 GAS OUTLETS...: 1
ELECTRICAL - — -- - -
- RESIDENTIAL UNIT— — SERVICE /FEEDER - -- —TEMP SRVC /FEEDERS— — BRANCH CIRCUITS — --- MISCELLANEOUS — - -ADD'L INSPECTIONS -
1m SF OR LESS: 1 0 - 200 amp..: 0 0 - 200 amp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 3 201 - 4% alp..: 0 201 - 400 asp..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR : 0
LIMITED ENERGY.: 0 401 - 600 alp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT : 0
MANF HM /SVC /FDR: 0 601 - 1m amp.: 0 601 +amps- 1. v: 0 MINOR LABEL -10: 0
1000+ amp /volt.: 0 — PLAN REVIEW SECTION — —
Reconnect only.: 0 )=4 RES UNITS..: SVC /FDR) =225 A.: ) 600 V NOMINAL: CLS AREA /SPC (MC:
— - -- — ELECTRICAL - RESTRICTED ENERGY — - -- -- -- - -- --
A. SF RESIDENTIAL -- B. COMMERCIAL -- --- ---- -- ------- - - - - --
AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: X BOILER HVAC LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL OTHR: ..
HVAC • DATA /TELE COMM.: NURSE CALLS • TOTAL # SYSTEMS: 0
Owner: -- - - ---- --- -- Contractor: - - TOTAL FEES:$ 2946.79
DON MORISSETTE HOMES DON MORISSETTE HOMES
5000 SW MEADOWS RD "r SW MEADOWS RD
SUITE 151
LAKE OSWEGO OR 97035 LAKE OSWEGO OR 97035
Phone #: 620 -7638 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 Mechan Electrical Servi Fireplace Insp Rain drain Insp Mechanical Final
Crawl Drain Electrical Rough Gas Line Insp Water Line Insp PI Final
Permittee Signature: ���lV,l� Issued By: ' 1 /‘—'
Call for inspection — 639 -4175
i
. • Plan Check if I
CITY' OF TIGARD Residential Building Permit Application Recd By 4
13125 SW HALL BLVD. New Construction Additions or Alterations Date Redd (
TIGARD, _j IGARD, OR 97223 Single Family Detached or Attached Date to P.E. Ib -zI - `t e
503) 639 -4171 Date to DST /.' - i 4
Print or Type
Permit* 4�lla qh „-
Called ID - 7S - lb 6(4%3
Incomplete or illegible applications will not be accepted ,
Name of Subdivision Lot* Name -
Job [O -1'► l l 1-(40 `r1P0` -I '� vV I _ ;
S Ad Architect Mailing Address
Address iite �jLdP ress 7 ` D XY `)'vq M D.
City/State Zip ' Phone
-�, D.
t am yl t - o ki &-I f �I�eD �� ,O f (1-. q S ( O O i '�< -Z.J
Owner Mailing Address t'K� ) I AGO' S. J Engineer i � F>rF-
,p C
x.Y
• C) `SvU IA 05y\fp 1?-IP. En 9 Mailing Address c7
City/State Zi _ / Phone �,�i ML W r4 -ri' Sr,
L.0) ' t ' 2 q16?-75 /. ^ -7 S'� i city/state Zi Phone .
Name 1l (PD. �7 LOy'7(kS
1 General t . DI I--1 5, a / E Ill F3 Describe work new • addition 0 alteration 0 repair 0
I Contractor a iling Address to be done:
3\N MEei 5 IC-D ity Additional Description of Work:
State Z hone tyE3A/ viof--i-E
Copy oro G
Board u E Date
Attach Co of 1 � 1 �� • Pr oject $ ]/
Current COT Business Tax or Metro # Exp. Date Valuation $ �t t � � �D
Licenses . q ui - G5q
► Name NEW CONSTRUCTION ONLY:
Mechanical 'WI (c5uKtr.I -pH?. Sq.Ft. House: Sq.Ft.Garage
Sub Mailing Address 0090 2-OD c
Contractor 1 i bG fig- i-ek_ ap , Corner Lot Yes N Q� Fla g Lot Yes
°
City/State Z i Phone (check one) /'\ (check one) l`
�1P6 115 Restricted Audio /Stereo Burglar
Orego Const. t. Board tic.* p. D Energy System Alarm
Attach Copy of - 7 + � ,. ,?j q G ara
Current COT Business Tax or Metro LD tq Installation ge Door HVAC
# �
Licenses I r a ( _ U
` I I 19 -7 X Opener Systems
Name (check all that Other.
Plumbing Pt UM biW apply)
Sub Mailing Address Will the electrical subcontractor wire for all yes No
c _L_ . Has the Subdivision Plat recorded? N/A s No
restricted energy installations?
Contractor gQ (p ` f'lh� 1
I fl y/State Zip Ph one �� /
\ \:YD, 97 _la `Q3 g1�
l 2ccm Const. Cont Board Licit En,.� Reissue of MST# Solar Compliance
Attach Copy of () Li a-p-)co ' - '7 1 1 q'7 • (Calculation Attached)
■ Current Plumbing Lir a ExD pate I hereby acknowledge that I have read this application, that the
Licenses .- (`Z q Pik' 0 t 30 J "1 information given is correct, that I am the owner or authorized agent of
CRT Business Tax or Metro* Fop qa the owner, and that plans submitted are in compliance with Oregon
q (Q —a ? �'D- 1 K I ` (O Y1 7 State laws.
7 Name $mature f erlAnt ' Prig / ( �
Electrical 1 i
1 t Contact Person Name Phone
Sub- Mailing Address
Contractor • ( POR OFFICE USE ONLY: . _
I �ly f ate Z R Phone 1 � D)- Plat # Map/TL#: f�f� {�1 ri sz
O gon Cons Cont. � Board Lid# Exp Da / - 12 2-j• Z51 gi3A - N &n _
Attach Copy of � 10 o� "/ Setbacks Zone: Solar.
Current Electrical Lic. # Ex Da p ,, ( _ 1
Licenses ti ”' r 1�. id
� ( . 1 l rci n �/ 1` - f?7N I 1f/
,COZ Busine3� o�tro.# Date Engineering App Planning Approval: TIF:
, C v 1 1 q� y ►tf fig• 40 ratkv Nlsc
ntsWistapp.doc
.
Pen # • Account Description Amount Amt. Pd. Bal. Due
mstq - D Y';itST. Permit (BUILD) 5/o.56) S (/
Plumb. Permit (PLUMB) o ,,6cd 2 25
Mech. Permit (MECH) 'lg. 014 tit j - Y.
ELC /ELR Permit (ELPRMT) .. .2.25
State Tax (TAX) S/. 7, .5/, 7k
Bldg: aZ 20 3
Plumb: // t r /
Mech: . t )o� •
ELC /ELR: /,' Z J
Plan Check P,` s►- iP ' Y % 041'/
/ ./ Z �� u
`- ,
MST: 35/.3 3 1Sd 4l' !s1,33 (BUPPLN) 552 6 G hOZ,I0
Plumb: (PLMPLN)
Mech: (MECPLN) /J, a %/. 2 I
CDC Review (LANDUS) 1/6. e/G , -
SwAyG- v ijglfSewer Connection (SWUSA) 2 2 o o ,0.
• Sewer Inspection (SWINSP) ,3..$ 3;
Parks Dev Charge (PKSDC) / OS o
Residential TIF (TIF -R) /.T 0 U C a
Mass Transit TIF (TIF -MT) / /) / " ' R''
Water Quality (WQUAL) (,C
Water Quantity (WQUANT) / C' 0 / 00
0 � Erosion Control Permit ( ERPRMT) Co I !o _
Erosion Planck/USA (ERPLAN) � • v i' 0.10#7) ,-
-
Erosion Planck/COT (EROSN) o -v•'t) ?.t,d v
Fire Life Safety (FLS)
—�I
TOTALS: 1 / .• ) C1 1 (, ►, -
i:ldstslmstapp.doc
Rev. 7/96 I K ' --___ 1 0 -
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
ROBS ELECTRIC
STEPHEN LLOYD ROBS
23810 SW DRAKE LN
HILLSBORO OR 97123
Electrical Signature Form
Permit # • MST96 -0496
Date Issued.: 06/12/97
Parcel • 28104BA -10600
Site Address: 13665 SW LIDEN DR
Subdivision.: CASTLE HILL NO. 3
Block Lot: 136
Jurisdiction:
Zoning • R -12 PD
Remarks:
Path I
Your company has been indicated as the electrical contractor for the permit indi
order for the electrical permit to be valid, the signature of the supervising el
is required.
Please have the appropriate individual from your company sign below and return t
Signature Form prior to the start of work. No electrical inspections will be au
this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER: ELECTRICAL CONTRACTOR:
DON MORIBSETTE HOMES ROSS ELECTRIC
5000 SW MEADOWS RD STEPHEN LLOYD ROSS
LAKE OSWEGO OR 97035 23810 SW DRAKE LN
HILLSBORO OR 97123
Phone #: Phone #:
Reg #..: 001188
X // 70
S' t •e 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 -0496
Date Issued.: 11/04/96
Parcel • 2S104BA -10600
Site Address: 13665 SW LIDEN DR
Subdivision.: CASTLE HILL NO. 3
Block Lot: 136
Zoning • R -12 PD
Remarks:
Path I
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:
DON MORISSETTE HOMES A & R PLUMBING INC
5000 SW MEADOWS RD 2967 SE MAPLE ST
LAKE OSWEGO OR 97035 HILLSBORO OR 97123
Phone #:. 620 -7638 Phone #:
Reg #..: 042286
X 6
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 - -.- --
PK FROM :FIRST AMERICAN TPNRSBRN TO 50336207485 1995.10 -22 15:32 #289 P.02/03
• , yi i O' i
I 4140.1: •Ii .4
„ • ," ,. i "•✓ • i • ht, I IIS t" : 30 .•p
I. , t ACAS .n 7�v4e. • + 1 ii s •4i �. .i ,tP, , 7 A4 . ,I • I rR ; A ... . ..4...,. 1 � P:: >: ! •'
. t t�y �. .b' h ,} X_ .y J�•. J,' .,� ............. � , �.. y •" . • ��`r� :, . • + 1 4' •• i'. � •�•
•�••L�.• 410 � • _•:� .. .. •y ,✓' w • d h • � ? 7 , �,�}„ sl.�ii ::;:t% Ile a � ,• .,• r
r r • �I, 4S 1 '1s +i • • 7 4 P .•, • •:• . � p .,,..,.2:!__....0.56e; � r ' • . e '• .` , _ '• + ti.
• iM ` 1 at.
;j Cred No: l {: g
T.r ' . . • • D Issued: L• - _, •
f RAFFIC IMPACT FE: j
TRAP
is CREDIT YoUC I . ' ; v .'i., ta AN
• f2•'rl I n a ccordant's with the Trcf,ic I Fee O rdinance, Matrix D evelopment Corporation ':4V:
l. f. • Is entitled to 41epg}- i n ' t raffic Impact Fee Credits that can a applied to TIF charges
on lot(s) 68 731 or the Ca tie Ku No. '2 Development, The a of T IF credits . 1 %
"+ a re subject to t he rules an l imitations of the TIF Ordinance. ' WARNING: 7. ,
Isz .a,� This voucher must be pre anted at the time of Issuance of '. e Building Permit, or if deferral °'�. • • was granted issuance of + Ocrvpancy Permit . • • : ' :
• MATRIX DE OFMBNT CO herby assigns all its right. .
v • title and Interest in and to that certain Traffic Im Fee Credit to be granted ='; 71
• upon the Issuance of a building permit for Lot ,I ?"''
., . ' CASTLE HILL NO. R subdivision, Washington County, Oregon, to the order oh. .
;�' 9
fi r' • ..• ► Fee . I r • J. :...
. - .;C;, This ess , nt of Tr2 ., ;c lr.;pac, re. Credit is made and given this(
::-.1.: ?i day of ; �Te 19C 4C) •.,.,
rte : y`:•
. MATRIX DE' /E! OF�MENT CORPORATION,
f ?Jf an Oregon C•rporat /on .
"krr: •
•i ' h • ' Title or - osition ...' • : 4 1,
ii .:,,-;•;:.: "
r ley. .N ; , 1
.:1*•�' ' ..M • is Y •,• A `�., :S ' . '. . y •. yr :1;1 \I 4• ;. . IS.•.,1' .,�Y� ,��• • 3�� ?,•5
•
•
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing ec .
PIbg.Und /FIr /Slab Plbg. Top Out Insulation i s
Post/Beam Struct. Mech. Rough -in Gyp. Bd. 6E61)
San. Sewer Gas Line Appr /Sdwlk
Other:
Date: 3 be) / 97 A.M. P.M. Entry:
Address: ,) 3 6 6
Tenant: Ste: MST: 1 /f�-6i
BUP:
Con /Own: MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Inspect r: Date: _Z
APPROVED _ DISAPPROVED /CALL FOR REINSP. CF 0