Permit CITY OF T PERMIT # MASTER PERMIT • MST95 -0368
COMMUNITY DEVELOPMENT L%P 1*JlMLNT DATE ISSUED: 10/16/95
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171
PARCEL: 2S104BA— CH3193
SITE ADDRESS...: 13740 SW LIDEN DR
SUBDIVISION • CASTLE HILL NO.3 ZONING: R -12 PD
BLOCK LOT •193
BUILDING
REISSUE: DWELLING UNITS:1 BASEMENT :0 sf
CLASS OF WORK.:NEW BEDRMS:4 BATHS:3 GARAGE :480 sf
TYPE OF USE...:SF FLOOR AREAS REQUIRED SETBACKS
TYPE OF CONST.:5N FIRST • 1086 sf LEFT..:5 ft RIGHT.:5 ft
OCCUPANCY GRP.: R3 SECOND...: 1360 sf FRONT.:20 ft REAR..: 15 ft
STORIES •2 FINBSMENT:0 sf REQUIRED
HEIGHT -28 ft TOTAL :2446 sf SMOKE DETECTORS.:Y
FLOOR LOAD •40 psf VALUE $• 165968 PARKING SPACES..:2
Remarks: Path I
PLUMBING ----
SINKS •1 FLOOR DRAINS •0 BACKFLOW PREVNTRS..:1
LAVATORIES •4 WATER HEATERS...:1 TRAPS :0
TUB /SHOWERS •3 LAUNDRY TRAYS...:0 CATCH BASINS •0
WATER CLOSETS..:3 SEWER LINE (ft).:27 GREASE TRAPS •0
DISHWASHERS -1 WATER LINE (ft).:27 OTHER FIXTURES •0
GARBAGE DISP...:1 RAIN DRAIN (ft).:0
WASHING MACH...:1 SF RAIN DRAINS..:1
MECHANICAL FEES
FUEL TYPES UNIT HTRS..:0 type amount by date recpt
/GAS/ / / VENTS •0 TIF $ 1590.00 JDA 10/16/95 95- 271695
MAX INPUT:0 BTU VENT FANS..:2 SWM $ 100.00 JDA 10/16/95 95- 271695
FURN < 100K ..:1 HOODS -1 BPRT $ 598.00 JDA 10/16/95 95- 271695
FURN >=100K ..:0 WOOD STOVES.: 0 BPLC $ 388.70 95- 269728
FLOOR FURN -0 CLO DRYERS.: 1 BSPC $ 29.90 JDA 10/16/95 95- 271695
BOIL /CMP < 3HP:0 OTHER UNITS:0 PARK $ 500.00 JDA 10/16/95 95- 271695
GAS OUTLETS:1 MPRT $ 33.00 JDA 10/16/95 95- 271695
Owner: - - - --- MPLC $ 8.25 JDA 10/16/95 95- 271695
DON MORRIESETTE HOMES, INC. M5PC $ 1.65 JDA 10/16/95 95- 271695
5000 SW MEADOWS, INC. 38TH $ 225.00 JDA 10/16/95 95- 271695
PPLC $ 47.55 JDA 10/16/95 95- 271695
LAKE OSWEGO OR 97035 PSPC $ 9.51 JDA 10/16/95 95- 271695
Phone #: 503 -620 -7538 EROS $ 64.00 JDA 10/16/95 95- 271695
Contractor: ERPC $ 20.80 JDA 10/16/95 95- 271695
DON MORISSETTE HOMES ERPC $ 20.80 JDA 10/16/95 95- 271695
5000 SW MEADOWS RD
SUITE 151
LAKE OSWEGO OR 97035
Phone #: 620 -7538
Reg #..: 35533
$ 3637.16 TOTAL
This permit is issued subject to the regulations contained in the REQUIRED INSPECTIONS
Tigard Municipal Code, State of Ore. Specialty Codes and all other Footing Insp Plumb Top Out
applicable laws. All work will be done in accordance with approved Foundation Insp Electrical Beryl
plans. This permit will expire if work is not started within 180 Post /Beam Struct Electrical Rough
days of issuance, or if work is suspended for more than 180 days. Post /Beam Meehan Framing Insp
Crawl Drain Low Voltage
Permittee Signature: „IA. L v JL Plm /undslab Insp Fireplace Insp
/,� ,' PLM /Underfloor Gas Line Insp _
Issued \By: ,J -L,tL (/1�-- Mechanical Insp Insulation Insp
Call for inspection — 639 -4175
• Residential Building Permit Application
• Cit o Tigard
13125 SW Hall Blvd.
Ti gard, OR 97223
(503) 639 -4179
job Address: 131 �� (�
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Subdivision: (rK�1 1 `� Lot # �� :. : .::..:..:.:... ;: : •
Valuation:
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Corner Lot? Y CN ;e . . : : i , : :: Flag Lot? Y e o f �° ; »:::>:;::::::� �. ;:;: :: ;::: : : :,.. , . 9
Owner: l�. DtJ ! ST1e k�DN I NL
Address: D. e
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Phone:
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Co tractor: I
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Address:
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phone:
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Contractors License cen #
se ? J'
553 er _
(attach copy of currant Ore license)
Contact Name & Phone: 6\4 6 5 j6
Subcontractors: Architect/Engineer :`T y FZ,v .
Plumbing: 5 �cK�$ L) H 1 1`1(.1 Address :�jC Y) e vsJ MBgr W 5 e . sib. 15 !
Mechanical: ) CdUl�1T� -1 �T�7 - 'l tom• L. /E e 01( q' 90 35
(attach copy of current OR Con trac tor's li c ense) �� _ 3 O
Phone U
1
JOB DESCRIPTION: t�,�S YMGJ� I� �aL..�, ( 1 \ ‘ 1•�
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Applicant Signature 8 Phone num
Received by: I Date Received: A)
N: \WORD \COM D EVIRESAPP
•
Permit # Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD) 6 c
Plumb. Permit (PLUMB) ,2) , 06
Mech. Permit (MECH) 33;0
State Tax (TAX) ' *
Bldg: A( ID
Plumb: "i• ►‘/
Mech: 1 (2
Plan Check (.44zintem 601,1 V 3 s:7 26 13g,
—
Plumb: QM 1 - _--- -- _:_q/.__5.5.
Mech: ft\e'091,14 r. aC
� n J
Sewer Connection (SWUSA) ZOO V9
O 1 Sewer Inspection (SWINSP) .357 a
Parks Dev Charge (PKSDC) 500.
Storm Drainage Chg (SDSDC) u
Residential TIF (TIF -R) I L 70
Mass Transit TIF (TIF -MT) 1 7-0
Commercial TIF (TIF -C)
Industrial TIF (TIF -I)
Institutional TIF (TIF -IS)
Office TIF (TIF -0)
Water Quality (WQUAL) rbs4 " 10000
Water Quantity (WQUANT) *OA/
Fire District (FIRE) W 3416)
Erosion Cntrl Permit (ERPRMT) fi Q Oft
Erosion Planck/USA (ERPLAN) 0 0
Erosion Planck/COT (EROSN) ? 0 ,0
3' f7-f/ .
TOTALS: � 1 IP—
•
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CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
JARDINE PLUMBING
P O BOX 186
ESTACADA OR 97023
Plumbing Signature Form
Permit # • M8T95 -0368
Date Issued.: 10/14/96
Parcel • 28104BA -16300
Site Address: 13740 SW LIDEN DR
Subdivision.: CASTLE HILL NO.3
Block • Lot: 193
Zoning • R -12 PD
Remarks:
Path I
Your company has been indicated as the'plumbing contractor for the permit indica
for the plumbing permit to be valid, please have the appropriate individual from
below and return this Plumbing Signature Form prior to the start of work. No pl
will be authorized until this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
•
OWNER: PLUMBING CONTRACTOR:
DON MORRIESETTE HOMES, INC. JARDINE PLUMBING
5000 SW MEADOWS, INC. P 0 BOX 186
LAKE OSWEGO OR 97035 ESTACADA OR 97023
Phone #: 503 - 620 -7538 Phone #:
Reg #..: 108747
X ---//*/*
Signature of Authorized Plumber
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any ques ions, please call 39 -4171, ext. #310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
TRI - COUNTY TEMP CONTROL
13651 SE AMBLER RD
CLACKAMAS OR 97015
Electrical Signature Form
Permit # • M8T95 -0368
Date Issued.: 11/15/96
Parcel • 28104BA -16300
Site Address: 13740 SW LIDEN DR
Subdivision.: CASTLE HILL NO.3
Block Lot: 193
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 MORRIESETTE HOMES, INC. TRI - COUNTY TEMP CONTROL
5000 SW MEADOWS, INC. 13651 SE AMBLER RD
LAKE OSWEGO OR 97035 CLACKAMAS OR 97015
Phone #: 503 -620 -7538 Phone #: 654 -3115
Reg #..: 72623
S gnature o Supervising 'b- ctrician
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639-4171, ext. #310
FROM :FIRST PrIF_R1CAN TANRSBRN TO 50362079, 1995,09-28 09: 02 #679 P.03/04
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: %%7'”. Credit No: -.%*
"' . Date Issued: q 6 8/9.y
It ';'‘ .
:� $ AV TRAFFIC IMPACT FEE l
• ,, ig
t CREDIT VOUCHER = = " •`'
:. :.
v , 70 in accordance with the_ Traf c Impact Fee Ordinance Matrix Development Corporation
'=%- : Is entitled to 4i o e, s :..-
in Traffi., lmpac_t r' Credits that be applied to 77F charges
on lots Bd-• 137 of the Castle Hill No. 0 Development. The use of T 1F credits "'`,f
.:,= ;'� are subject fa the .'vies and limitations cf the TIP Ordinance. WARNING: "'
'•
'' This voucher must be presented at the time of issuance of the Building Permit, or if deferral
. y
:.. ; was granted issc;ance of an Occupancy Permit.
M,•
-..4.4..:. MATRIX DE VEL OPMENT CORPOF.;, T7ON hereby assigns all its right, • `_
, R; » tide and interest in ai d to that certain T radio impact ree Cred it w be granted it % = .
:' r•, r
upon the Issuance of a building permit for Lot 1 ? 3 -:.Zt,
yr ' CASTLE I-ILL NO.2 subdivision, Washington County, Dragon, to the order of: I
s. . •
;std; k This assignment of Traffic impact Fee Credit is made and given t;::s.J 8 .. r
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day of 3.9- p-i- 19q1. +.
r :;•M MATRIX DEVELOPMENT CORPORA 77ON, r
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an Oregon Corporation , .
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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 -Mec)�
PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. - :Idg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other: /
Date: 7 M. P.M. Entry:
I Address: G _
Tenant: Ste: MST:
BUP:
Con /Own: MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE RE IR D: ELR:
Pi7
Inspector: Date: 7 /Z. !i /c /
PPROVED _ DISAPPROVED /CALL FOR REINSP. CF CO