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Permit MASTER PERMIT 17 . CITY OF T DATE PERMIT 10/09/ -0310 COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 2S 104BA -07700 13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 SITE ADDRESS...: 13920 SW LIDEN DR SUBDIVISION • CASTLE HILL #2 ZONING: R -12 PD BLOCK LOT •112 BUILDING REISSUE:MST95 -0135 DWELLING UNITS:1 BASEMENT :0 sf CLASS OF WORK.:NEW BEDRMS :4 BATHS:3 GARAGE :660 sf TYPE OF USE...:SF FLOOR AREAS REQUIRED SETBACKS TYPE OF CONST.:SN FIRST •1200 sf LEFT..:5 ft RIGHT.:5 ft OCCUPANCY GRP.: R3 SECOND...: 2716 sf FRONT.:20 ft REAR..: 15 ft ' STORIES FINBSMENT:0 sf REQUIRED HEIGHT •30 ft TOTAL :2616 sf SMOKE DETECTORS.:Y FLOOR LOAD •40 psf VALUE $• 199287 PARKING SPACES..:1 Remarks: PATH I PLUMBING SINKS •1 FLOOR DRAINS •0 BACKFLOW PREVNTRS..:1 LAVATORIES •3 WATER HEATERS...:1 TRAPS •0 TUB /SHOWERS •3 LAUNDRY TRAYS...:0 CATCH BASINS •0 WATER CLOSETS..:3 SEWER LINE (ft).:0 GREASE TRAPS •0 DISHWASHERS •1 WATER LINE (ft).:100 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 SWM $ 180.00 B 10/09/95 95- 271416 MAX INPUT:0 BTU VENT FANS..:4 SWM $ 100.00 B 10/09/95 95- 271416 FURN < 100K ..:0 HOODS •1 BPRT $ 683.00 B 10/09/95 95- 271416 FURN > =100K ..:1 WOODSTOVES.:0 BPLC $ 50.00 BON 08/15/95 95- 269376 FLOOR FURN •0 CLO DRYERS.: 1 BSPC $ 34.15 B 10/09/95 95- 271416 BOIL /CMP < 3HP:0 OTHER UNITS:1 PARK $ 500.00 B 10/09/95 95- 271416 GAS OUTLETS:1 MPRT $ 45.00 B 10/09/95 95- 271416 Owner: -- MPLC $ 11.25 B 10/09/95 95- 271416 DON MORISSETTE MSPC $ 2.25 B 10/09/95 95- 271416 5000 SW MEADOWS RD 3BTH $ 225.00 B 10/09/95 95- 271416 SUITE 151 PSPC $ 11.25 B 10/09/95 95- 271416 LAKE OSWEGO OR 97035 EROS $ 64.00 B 10/09/95 95- 271416 Phone #: 620 -7538 ERPC $ 20.80 B 10/09/95 95- 271416 Contractor: ERPC $ 20.80 B 10/09/95 95- 271416 DON MORISSETTE HOMES BPLC $ 50.00 B 10/09/95 95- 271416 5000 SW MEADOWS RD SUITE 151 LAKE OSWEGO OR 97035 Phone #: 620 -7538 Reg #..: 35533 $ 1997.50 TOTAL This pernit is issued subject to the regulations contained in the REQUIRED INSPECTIONS Tigard Municipal Code, State of Ore. Special 1. other Footing Insp Plumb Top Out applicable laws. All work will be done • accord.• ith approved Foundation Insp Framing Insp plans. This per.it will expire if wo• is not s - -d wi in 180 Post /Beam Str�_ict Fireplace Insp days of issuance, or if work is sus�-nded for u. . tha 80 days. Post /Beam Mechan Gas Line Insp r Crawl Drain Insulation Insp Permittee Si aturq: le Plm /undslab Insp Gyp Board Insp PLM/Underfloor Rain drain Insp Issued By: Mechanical Insp Water Line Insp Call for inspection — 639 -4175 M a Residential Bu ilding Permit Application C i t y cf Tigard 93925 SW Ha ll Blvd. C ,2 _ Tigard, OR 9722 .�J (503) 639-4171 • 'Jobsite Address: � v L C 7 V T� r ��' eU se Subdivision: ` \ # \ Y.:,.. Valuation: / 99 2 Corner Lot? Y , r � Reissueof:::( :6`: (. : Flag Lot? Y 0 ..:..::::::::::::::..:::;:!::::..:::.:::::::::.i:',.:::::::::':::Itliiii0. 4:::8g.: 4) .H.:7 :!:. " Owner: M 170 til 012 N S M G : ;atiprova.s ReQUi red:;;: <:.:; ::;:.., .. Address: M I 5vv a�'�w� � �l 5 Plannin : • i4K, CAD i 61P 3S E En eerie ' � " �> >> � <`` < `;' °.: >:: < <;!! >':. • Phone: v • .: :.......::.: <;0 a : ; : :; : :;;. >: _ . ; <.,...,:; :: ;::. . Contractor: �l4t"1 ayE ... . Items uired Req,.: ....... dr Ad ess: > > Buncon »tr:< a< :: «:.. < > <: < <<' ? < :.;; ::..:..:::::.:... ctors .. . Phone: °'Othe . Con r c r' License se # 555 3 ?) 1.1! _ (attach copy of current Oregon l Contact Name & Phone: Tf� LDS' J3f;, Subcontractors: Architect/Engineer: ra/ve� Plumbing: �&) - PcIC e2..b . UF - t 9,' 1`1 (1 Add ress:'SC Y) JM) !' 18 ° WS lei). S1 • IS Mechanical: — Y...1 � LCSUI�.R�- 'T$-i 's License) P. l..l ,E � 60, 0)4. q 9.03, (attach copy of current OR Contractor �� ' -÷539) Phone: JOB DESCRIPTION: • Applicant Signature & ( Phone number Received by: 6 ��v (i- -' Date Received: `1C .)� N :IWORO \CoMDE' RESAPP Permit # Account Description Amount Amt. Pd. Bal. Due M 51q 03/0 ,Bldg. Permit (BUILD) 0t.3 6e3, w Plumb. Permit (PLUMB) 2 Fr cA 2.) CN Mech. Permit (MECH) C/ - w ( ) a 01) State Tax (TAX) /7 6s Bldg: , )(-/ , /) Plumb: / / / I Mech: �, 1� Plan Check (PLANCK) / //. L i V ((• L Bldg: .50 / 1t50 Gc( C,�> Plumb: Mech: //. Z /Z4i -o3� Sewer Connection (SWUSA) 2 Z Sewer Inspection (SWINSP) 3 :" 3 Parks Dev Charge (PKSDC) / Storm Drainage Chg (SDSDC) Residential TIF (TIF -R) 1\ifirt - Mass Transit TIF (TIF -MT) Commercial TIE (TIF -C) Industrial TIF (TIF -I) Institutional TIF (TIF -IS) Office TIF (TIF -0) Water Quality (WQUAL) 76ti Water Quantity (WQUANT) / 0 L / & d Fire District (FIRE) Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) z2, el) 2 , rJ V Erosion Planck/COT (EROSN) fel eke) TOTALS: !/Z 3 Z • 5�) Z , S� � �i� I ii i i i • ii��i\ \ \�,:. r� ✓I�I�ij � � � � � c i C i' :iii�ijiq. iii�� \ \\ri. (N ir�ig. , • i ' y. /I J V'`! r./ . ��ac. .� j i i� / •It i �• .�1.. � 0i ii\0.�i\ii1 : i.... .. i;• it \ \ '.•• hi :i..... Iii fit \\.� •.. 04i AI.. ... •••' :. r...... : 04! ; :• A 1:• ,j 4; 4,,,,.. 4 ' 2 : . • it i i �I, � O ": •$:•I • •�\\ • ..t .h tag:. .. :: :':� .;o •\ ' 4,0;. ; h• \ .1,0:., • . S� . >S . .. �� :i , �,. ; :i . IZ rll � .. ��,. ✓I�. \,\_„ 3, ,.1I I \ \ ` ;'t. \�\ t ; . I ' . i . • .• . , �'C S AA:: P.,• \ \ a\ - ' �iII I :... :.� !,∎. :.ti': ''' i:` ..— .._'rr.. : �.. r.:• .. • �:\ P_ • r { C \\ �. ,r6rt r ;�\hl • ;.r „ �IIIl:•• `. �. • • :. ' :i� i ii .. • �: Vii; :i f J :..� ` .,;, r Cr e d it No: • = f; - - . - Date Issued. Q-,-.1(1-q5 .. TRAFFIC IMPACT Fi=g %% • CREDIT VOUCHE. • ? 11.1.:: ' =i - - - •. 'f•---/ In accordance with the Traffic Impact Fee Ordinance W •••'...' , Matrix Development Corporation is entitled to i l a 5'o °gin Traffic Impact Fee Credits that can be applied to TIF charges _� on !Offs) 6d -131 of the Castle hill No. 2 Development. The use of TIP credits .•'''• == • ; ; : ::, • : are subject to the rules and limitations of the TIF Ordinance. WARNING: ” This voucher must be presented at the time of issuance of the Building Permit, or if deferral was granted issuance of an Occupancy Permit MA T RIX DEVELOPMENT CORPORATION :: title and interest hereby assigns all its right ; . "'`: terest in and to that certain Traffic Impact Fee Credit to be granted upon the Issuance of a building permit for Lot \ \ ) CASTLE HILL NO 2 subdivision, Washington County, Oregon, to the order of. This assignment cf Tra • `r'c lr ;pact Fee C -kb - == `,� ' redit is made and given this ;ft f A : . day of 19 9< s=• " MATRIX RIX DEVE►_ E ORATION, ?"--:.-.-4:: DEVELOPMENT CORP L an Oregon Corporation By C ,, ' • Title or Position 1:::::::::: • c; �.:=--:?::::. : : ::F ` • .�: :i�irilrY:� \i•�' :�i�r� i .•.'•:' ,. -..• - ,, .,. .: :.�1. '.ve ,. �. \ \�••••-: F '• ,44: riii.:2••i,,;;�.,:. '•ifirsir� ".�.�, :4 :`::1 '• i I •ii �t i�i �\,.: ff: ': ••'•iii.•:Ii i .i?.i',.• :i �' J . •• . ii••• . ii:.....•••\ •. `: . •.i•j•. .;.,,;•;;; ..... st,..);`.:i••.\�.• :44 :•iii. : \ ;• \• ` ,. . , • : :: . ••• .•s •••i• • : : .;,-1.c. ;. ;.i� i, ;. ;... • i: .' i �:,, ;:,! • !!s % \,;,•! qt:: • . 'I'i r 1 �. '��1 \••• \•�: ;•!! 'lth. j ••• ••i ; �i •. ti ••.•••• • ■\:.. • •' • • •, �• . ; ••N,•. .�,.I..r .; W.∎. ' . ' \• •• ,!. ' •� • ..Irr.' ' \••N• ? • " . • • • � 7 ��•�••••••�; . •�i�iliili �': ^�'.�•J�i�i!! ! INSTA-FLAMB, . Model DV34 Direct Vent Gas Fireplace INSTALLATION Leadership in the design and manufacture of gas fireplaces shows in every aspect of the Insta -Flame fireplace. A Slim Line Design i. The Insta -Flame DV34 Gas Fireplace has been designed to Easy installation in what used to T provide builders, renovators, acid homeownets with the be thought of as 'impossible ultimate in economy, attractive looks, and ease -of -use. space' is now possible with the Requiring only a minimum of space for installation, and Insta - Flame DV34. E .:;Pe Only 14" deep and because it „ approved for bedroom installations, this fireplace can be vents from the rear, easy instal ° FF ` 44' located almost anywhere...ground level or above. lation is now possible in most ^ .3 household room or wall loca- tions with the Insta -Flame CORNER DV34. INSTALLATION STANDARD FEATURES Ire/' wAlal, t 1 OSS CANTILEVER y A Direct Vent Gas Fireplace which gives you Efficient, % Comfortable Heat, and No Chimney! �� CORNER o Insta-Flame's Direct vent balanced flue means this replace takes all o heat loss combusti ohair from ! FL AT ON WALL //j' occurs with a conventional chimney. �� Vii CORNER 1 • The Insta -Flame DV34 fireplace design also provides the best of radiant and convection heat. i FLAT ON WALL / p a l Convenient Control `, %.III% � / i�iiiiiii��i� /�� i ii iiiiiiiii /ii�� /iii All Insta -Flame Direct Vent gas fireplaces come com- i plete with a convenient wall switch for that instant / /i /i.%// 'flick of a switch' to turn your fire on. NM There even a millivolt at gas to ensure you have SPECIFICATIONS uninterrupted use at all l timeses, , even in the event of t of a power outage. — A r1 F ^F 1' -- • The Security of Quality 11 ,t9 ' I • Each Insta -Flame gas fireplace must pass quality inspec- - - }7 iI • tion standards which may well be the most stringent in < ' T the industry...all part of the Insta -Flame assurance of c B e quality, safety, and performance. H c 1 UR I RCI Enhance Your Room F RONT VIEW �-4 i 1 1 F E 1 • The Insta -Flame DV34. is an exceptional fireplace which will enhance your n n i-1 I-• environment even when its not in use. RIGHT VIEW LEFT VIEW Easy to see and enjoy behind a large, high temperature, neo- ceramic window, the —S f I Insta -Flame DV34 gas fireplace also features five attractively arranged logs with Model Fuel Input BTUIH 'Max. Output that rough -hewn bark texture look of real oak. o H DV34RN Natural Gas 20.000 15.000 F _ P _ . OV34RP Propane 18.000 13.500 A full five (5) year Warranty is also provided for on the combustion chamber. 4 e e 4 with optional fan system • REAR VIEW Optional Features FRONT VIEW RIGHT VIEW LEFT VIEW REAR VIEW • Hand Held Cordless Remote Control Kit - RC - A 36'/915mm F 147350mm L 16 15/16' /430mm P 19 ttn6 "ISOOmm • Variable Speed 160 CFM Blower System - FK - B 361/0920mm G 24 1/47615mm M 15 3r4'I400mm 0 1 1r2' /38mm dia. • Decorative Trim Kit. Available in the following finishes: . • C 341/47870mm H 25'I635mm N 1013/16' ;275mm gas knockout AB Antique Brass CH Chrome D 20 5n61515mm I 8 t121215mm 0 811/16'/220mm R 7/8' /23mm dia. 'E 32 70'1835mm J 6 5/16' /160mm electrical knockout PB Polished Brass PC Polished Copper K 3 9r16'I9Omm In the interest of constant product improvements, we reserve the right to change specifica- tions without notice. Patents pending on this product. Before installing this product, please • © YOUR AUTHORIZED DEALER read the Installation Instructions and check all local Building Codes and Gas Regulations. — Certified and Approved by the Canadian Gas Association. Also Ell. Approved. ••• ,� r i/ _, CANADIAN FIREPLACE DOROTHY TESTER SALES k . '> MANUFACTURING INC. (503) 1697-7081 • 6660 -A Orden Drive, Mississauga, Ontario, Canada L5T 1J7 CFM Fax: (416) 670 -4676 Tel: (416) 674 -8600 The Leader in Gas Fireplace Technology U.S. Patent No. 4,838,240 U.S. Patent No. 4,838241 PRINTED IN CANADA • 419 • Page No. 1 CASE HISTORY FOR CASE NO.: MST95 -0310 DON MORISSETTE 13920 SW LIDEN DR 09/14/97 Action Description Reg/ Schd/ End/ Action Notes Diap By Update Upd Code Sent Done Done Date By MSTA007 Application received / / / / 08/15/95 PASS BON 08/23/95 BLT MSTA010 Plan check deposit paid / / / / 08/15/95 PASS BON 08/23/95 BLT MSTA020 Plan check by 08/23/95 / / 08/23/95 PASS RT 08/23/95 BLT MSTA030 Check for prcl. restrict. / / 08/23/95 08/20/95 PASS BON 08/23/95 BLT MSTA050 Hold for / / / / 09/14/97 hold c/o for site permit final approval. HOLD JT 09/14/97 JT jeanne t I looked through the file on this date. no final engineering report. MSTA080 (F) Ready to issue / / / / 08/28/95 PASS BON 08/28/95 B MSTA092 (F) Issue combination permit / / / / 10/09/95 PASS BON 10/09/95 B MSTA097 Issue plumbing signature form / / / / 10/09/95 PASS BON 10/09/95 B MSTA705 Footing Insp / / / / 10/11/95 PASS RB 10/11/95 RB MSTA706 Foundation Insp / / / / 10/11/95 PASS RB 10/11/95 RB MSTA710 Post /Beam Structural / / / / 10/23/95 BEAMS MISSING DIS GS 10/23/95 GES MSTA710 Post /Beam Structural 12/28/95 / / 12/28/95 PASS RB 12/28/95 RB MSTA711 Poet /Beam Mechanical / / / / 10/23/95 APP GS 10/23/95 GES MSTA713 Crawl Drain / / / / 10/23/95 APP GS 10/23/95 GES MSTA717 PLM /Underfloor / / / / 10/23/95 APP GS 10/23/95 GES MSTA720 Mechanical Inep / / / / 12/26/95 enclose drywall behind furnace; soffit FAIL RB 12/26/95 RB ductwork in garage and main water . closet; secure dryer vent and protect throat; seal all thru penetrations within RA floor plenum; Vac tubing must be rated for plenums; fur out for duct in fwdbedrm at top of stairs; seal exhaust vent at master bath and extend to roof jack; MSTA720 Mechanical Inep 01/03/96 / / 01/03/96 see framing this date PASS RB 01/03/96 RB MSTA720 Mechanical Inep 01/06/96 / / 01/06/96 PASS RB 01/08/96 RB MSTA722 Plumb Top Out / / / / 11/22/95 PASS MS 11/22/95 MRS • Page No. 2 CASE HISTORY FOR CASE NO.: MST95 -0310 DON MORISSEITE 13920 SW LIDEN DR 09/14/97 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MSTA725 Framing insp / / / / 12/26/95 mech issues; master shower blocking; FAIL RB 12/26/95 RB enclose lid of corner of entry s. bedrm; family shower blocking; strap plate at mid stairs; strap redi lam at base of stairs; strap plate at waste at kitchen; support notched hole in stud adjacent to waste at kitchen; strap beam at nook -2; • support violated stud at back wall of garage /utility; strap plate at waste at back wall of garage /utility; strap thriple micros in garage -2 at both ends; strap 2x4 -to -2x6 walls in garage -2; stud missing at back entry in garage MSTA726 Framing cREINSP> 01/03/96 / / 01/03/96 complete soffit in gaarge and bathrm; PASS RB 01/03/96 RB seal all thru penetrations w /in RA plenum; vac tubing to be removed from RA plenum; MSTA726 Framing <REINSP> 01/06/96 / / 01/06/96 PASS RB 01/08/96 RB MSTA735 Gas Line Inep / / / / 12/19/95 PASS RB 12/20/95 RB MSTA740 Insulation Insp / / / / 01/06/96 PASS RB 01/08/96 RB MSTA745 Gyp Board Insp / / / / 01/12/96 APP GS 01/12/96 GES MSTA755 Rain drain Insp / / / / 10/16/95 PASS MS 10/16/95 MRS MSTA760 Water Line Insp / / / / 10/16/95 PASS MS 10/16/95 MRS MSTA761 Water Service Insp / / / / 02/27/96 APP GS 02/27/96 GES MSTA765 Appr /Sdwlk Insp 02/23/96 / / 02/13/96 1. Clean up mud inside forms. PEND PI 02/23/96 C*H 2. Felt at cold joint. 3. Be prepared to protect finish. MSTA795 Mechanical Final / / / / 02/27/96 SEE BLD DIS GS 02/27/96 GES MSTA795 Mechanical Final 02/29/96 / / 02/28/96 APP GS 02/29/96 GES MSTA797 Plumb Final / / / / 02/27/96 SEE BLD FNL DIS GS 02/27/96 GES MSTA797 Plumb Final 02/29/96 / / 02/28/96 APP GS 02/29/96 GES MSTA799 Building Final / / / / 02/27/96 COMPLETE WEATHERSTRIP OF FRENCH DOOR; DIS GS 02/27/96 GES LANDING OUTSIDE FRNCH DOORS; FINAL EROSION CONTROL; RESUPPORT UNDER FL DUCT AR REAR OF HOUSE [GRND CLEAR] ELR PERMIT NOT COMPLETE AT THIS TIME ' WILL BE DONE APPROX 60 DAYS AND WILL CALL FOR FINAL Page No. 3 CASE HISTORY FOR CASE NO.: MST95 -0310 DON MORISSETTE 13920 SW LIDEN DR 09/14/97 Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By • ---- --- -------- --- MSTA799 Building Final 02/29/96 / / 02/28/96 APP GS 02/29/96 GES MSTA970 Case Finaled / / / / 02/29/96 see sit permit APP GS 02/29/96 GES MSTB708 Erosion Control / / / / / / 08/23/95 BLT• MSTB750 Shear Wall Inep 11/09/95 / / 11/09/95 tighten nuts of hd's; h -wall connections PASS RB 11/13/95 RB missed • • • • • • • • CITY OF TIGARD BUILDING INSPECTION NOTICE • Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171 Inspection: Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk Foundation Plbg. Underslab Mech. Rough -in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL: Post/Beam Mech. San. Sewer Gas Line Plbg. Underfloor Rain Drain Framing Alarm Water Line Insulation. i Underflr. Insul. Shear Wall Gyp. Bd. eft , fo' Date Requested: Z /2-819 Time: AM _ PM Address: 1 3 9 2...0 Builder: Permit T 5 0.3r 0 THE FOLLOWING CORRECTIONS ARE REQUIRED: t24 .75 - 0 Z7_3 A °- 4-Zr% cueLO S rr —000 0 Cgi -72-9 • Inspector: .. "/" Date: Z - LB --74 APPROVED DISAPPROVED XPPROVED SUBJECT TO ABOVE _Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 95-00 3i6 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested AM PM BLD Location I 7 -2 te " 1 20 ad-O/L Cr. Suite MEC Contact Person Ph PLM Contractor 'lYW v i 42' Ph 10 7 S � $ SWR UILDI Tenant/Owner ELC • ng Wall ELR Footing Access: Foundation a 9 _ / �� 1 � n - FPS Ftg Drain ff�� —✓ SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing D 4 , � G `� L �� Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Mi • SS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE • Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.