Permit � CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2007 -00049
COMMUNITY DEVELOPMENT DATE ISSUED: 4/2/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S134DB-09900
SITE ADDRESS: 11082 SW NORTH DAKOTA ST ZONING: R - 4.5
SUBDIVISION: DAKOTA GLEN LOT: 001 JURISDICTION: TIG
PROJECT: DAKOTA GLEN •
Project Description: SF
BUILDING
REISSUE: DM170 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,570 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,620 sf GARAGE: 405 sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5
VALUE:
OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 3,190 sf 308,631.30 REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 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: 5 CLOTHES DRYER: 1
NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: 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 FOR: PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 5 201 • 400 amp: 201 • 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 800 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 OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL ,
AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: - NURSE CALLS: TOTAL 0 SYSTEMS:
This permit is subject to the regulations contained in the Tigard
Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable
DON MORISSETTE HOMES DON MORISSETTE HOMES INC laws. All work will be done in accordance with approved plans. This .
4230 GALEWOOD ST. STE 100 4230 GALEWOOD ST, STE 100 permit will expire if work is not started within 180 days of issuance, or
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 if the work is suspended for more than 180 days. 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 952 - 001 -0080. You may obtain copies of these rules or direct
Phone: 503 387 - 7538 Contact #: FAX 503 387 - 7615 questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
PRI 503- 387 -7538
Reg #: LIC 35533
TOTAL FEES: $ 12,102.51
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444
Issued By : Permittee Signatur �jY &».-2------
Call 503.639.4175 by 7:00 a.m. for an inspection that b siness day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Applicatie Fo of i ic_'l. use ONLY
City of Tigard 11 1 .,1 LPF r 1 - V l lz Received i A
DateB 9 Q I Permit No.: . y .. A
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie
Phone: 503.639.4171 Fax: 503.598.1960 r)..;:; V �;. r ��iipll 1(1 Date/B : Other Permi( a •, ., 6 -
Inspection Line: 503.639.4175 : AAA- ^ Date Ready/By: ® See Attached Checklist for
Internet: www.ci.tigard.or.us C ( `,
Y Of - - t Notified/Method: Supplemental Information
'2 liiLDINC r-1
TYPE OF. WORK REQUIRED DATA 1- AND 2- FAMILY DWELLING '
® 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
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $ 3z5 59Q 00
7 K.�
Number of bedrooms:
❑ Accessory building ❑ Multi- family Num 5
❑ Master builder ❑ Other: Number of bathrooms: Zit/
JOB SITE INFORMATION AND LOCATION - Total number of floors: Z
Job site address: 1 Si 4 1,1 vpaecrp, C, New dwelling area: 3 1 9 0 square feet
City/State/ZIP: Tigard, OR 97223 Garage/carport area: 4 square feet
Suite/bldg. /apt. no.: I Project name: Dakota Glen Covered porch area: 4 3 square feet
Cross street/directions to job site: 110 Pl. & North Dakota St. Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAi,L- USE'(:HECI(LLsT
Subdivision: Dakota Glen Lot no.: 1 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
. DESCRIPTION OF WORK , , ' work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
' • PROPERTY OWNER - • ❑ TENANT Number of stories:
Name: Don Morissette Homes, Inc. Type of construction:
Address: 4230 Galewood St., Suite 100 Occupancy groups:
City/ State/ZIP: Lake Oswego, OR 97035
Existing:
. Phone: (503)387-7538 Fax: (503)387 -7632 New:
®, APPLICANT E CONTACT PERSON ' . ' NOTICE
Business name: Don Morissette Homes, Inc. All contractors and subcontractors are required to be
Contact name: Tiffany Lane licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 4230 Galewood St., Suite 100 jurisdiction in which work is being performed. If the
City / State/ZIP: Lake Oswego, OR 97035 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 387 -7538 Fax: : (503) 387 -7632
E -mail: tlane@donmorissettehomes.com
CONTRACTOR ' ' • .
Business name: Don Morissette Homes, Inc. , `BUILDING. FEES * •
Address: 4230 Galewood St., Suite 100
Please refer to fee schedule.
City / State/ZIP: Lake Oswego, OR 97035
Fees due upon application
Phone: (503) 387 -7538 Fax: (503) 387 -7632
CCB lic.: 35533 Amount received
Date received:
l
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Tiffany Lane / Date: * Fee methodology set by Tri -County Building Industry
Service Board.
i1Building \Permils\BUP•PermitApp.doe 12/03 440- 46I3T(II /07/COM/WEB)
Plumbi Per mit AUp1� _ ERIE® „OR t_)t 1HHC•t. I JSI ci.l,1,
Ci of Ti and E D Tigrd, OR 97223 APR - 9 200
Phone: 503 639.4171 Fax: 503.598.1960 ' - :.i � f r` Date/By:
. ' .t Other Permit No.:
�
24- Hour Inspection Line: 503.639.4175 CITY OF T _,„ t, . � i Date Ready/By: Jai': PJ See Page 2 for
Internet, www,ci,tigard.or.us '^ t1 ' , 6.
BL)�W�N Notified/Method: ut Iar rmatloa
t i >.. - , I S t t, sa :`„:";I::;; p r t i S „ [ i ice:' ::=1),.'27C::•1:, �1 O 1 , ;�
( �: : 1. � r S _ ' ,f21:'='''''-\-:"::''' �.�I1 k.. ,'t � •;
® New construction ❑ Demolition Fo a edal fnjortwion use ekec/distr
Description I Qty. I E. 1 • Total
❑ Addition/alteration/replacement ❑ Other: New 1- 2-family dwellings (includes 100 fo th til )
i dw nga (in R r ea u ity C01111ectiOn
� + ' :� '
c r g � I � i � p � . . � � �1, ' .¢ ; 6 . � v < SPR (1) b ath 24920
® 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00
Bath additional bath/kitchen 45.00
0 Master builder ❑ Other
Fite sprinkler ( 5q. R) Page 2
i,,, . Site utilities
Job site address: \ t (j - `vo x l r0 'N t . : Catch basin or area drain 16.60
City /State/ZIP: Tigard, OR Drywall, leach line, or trench drain 16.60
Suite/bldgJapt. no.: I Project name: Footing drain (no. linear ft.: , )
Manufactured home utilities Page 2
Cross street/directions to job site:
1 10.00
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: Page 2
Storm sewer (no, linear ft.: ,_.) Page 2
- Subdivision: 17- Ckkok G air-) I Lot no Water service (no. linear ft.: ) Page 2
. Fixture or Item
Tax map /parcel no.:
, - - on valve
,..:. 1 u, ',1,1,:,,,. , r i s o nter
orph 6 60
, . ,. _ , .., ,•;,. ,,, , ,.,- Backfl w prove Page 2
Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
Drinking foutltaln 16.60
Ejectors/sump 16.60
Name: Don Morissette Homes Expansion tank 16.60
Address: 4230 Galewood St., Suite 100 Fixture/sewer cap 16.60
City/State/ZIP: Lake Oswego, OR 97035 Floor drain/floor sink/hub 16.60
Phone: (503)387 -7538 Fax: (503)387 -7615 Garbage disposal 16.60
- t i ` U i : i ` t + r { ?; : Hose bib 16.60
.;: ` ,:: . ,,,; ,.,. .,E, ` ice maker 16.60
Business name: Don Morissette Homes
Interceptor /grease trap 16.60
Contact name: Tiffany Lane Medical gas (value: $ ) Page 2
Address: 4230 Galewood St.. Suite 100 Primer 16.60
City/State/ZIP: Lake Oswego, OR 97035 Roof drain (commercial) 16.60
Phone: (503) 387 -7538 I Fax: : (503) 387 -7615 Sink/basin/lavatory 16.60
Tub/shower /shower pan 16.60
E-mail: tlane@donmorissettehomes.com
Urinal 16.60
t .... v ..... , � I i., I t Jam ,,,, t - -„-- ...1 , ( ,, � . ',!) - . Wa ter c lo-et 16,60
Business name: Legacy Plumbing Water heater 16.60
Address: 8985 SW Hazolvern Way Other:
City /State/ZIP: Portland, OR 97223
Subtotal
Minimum permit fee; $72.50
Phone: (503) Fax:
( ) 816 -8887 ( ) Residential backflow minimum permit fee: $3625
-
CCB Lic.: 159281 Plumbing Lic. no.: 26.517PB Plan review (25% of permit fee)
� State surcharge (8% of permit fee)
�
Authorized signature: /� �
`�-- TOTAL PERMIT FEE
Print name: Matt Nelson / Dater 117F-71. This permit application expires If a permit Is not obtained within
180 days after It has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board
1:1)uiWu,e wnikAPUN- PerrollApp,doc 17AW 44o.misnramx/commea)
Electrical Permit A li ' E L� � FOR OFFICE USE ONLY
City of Tigard Da : av p 1 j ' Permit No.:MS T OD) ODD 0
13125 Hall Blvd., Tigard, OR 97223 11 .1 0 F Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 , Other Permit:
Inspection Line: 503.639.4175 C 1 l.y:� 1 w'�,J,N .`�i�'i Date/B I Y ' I Juris: la See Page 2 for
Ty _ Date Ready/By: t;
®! l K � Notified/Method: Supplemental Information
Internet: www.ci.tigard.or.us � r
PE BOil OF �''1 , • PLAN REVIEW
TvrE of -
® New construction ❑ Addition/alteration /replacement Please check all that apply:
❑ Demolition ❑Other: ❑Service over 225 amps, comm'l OHazardous location
❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION • of 1- and 2- family dwellings 4 or more new residential
® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
❑Building over three stories ['Feeders, 400 amps or more
I:1 Multi - family 0 Master builder 0 Other:
❑Occupant load over 99 persons OManufactured structures or
.. JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park
I Q {�, ❑Health -care facility ['Other:
Job no.: Job site address:
1 105 Z S i4 i 7or""' a4 2 sets of plans with any of the above.
City/State/ZIP: Tigard, OR 97223 The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: I Project name: Dakota Glen FEB* .SCtiED13,LE
Description I Qty. I Fee. I Total I ••
Cross street/directions to job site: 110 PI. & North Dakota St. New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less I 145.15 4
Subdivision: Dakota Glen I Lot no.: 1 Ea. add'l 500 sq. ft. or portion 2 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.: Limited energy, non - residential 75.00 2
"DESCRIPTION OF WORK • Each manufactured or modular
dwelling, service and/or feeder 90.90 - 2
Services or feeders installation, alteration, and/or relocation
200 amps or less / 80.30 2
PROPERTY OWNER I - • ❑ TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: Don Morissette Homes, Inc. 601 amps to 1,000 amps 240.60 2
Address: 4230 Galewood St., Suite 100 Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State/ZIP: Lake Oswego, OR 97035 Temporary services or feeders installation, alteration, and/or
Phone: (503)387 - 7538 I Fax: (503)387 - 7632 relocation
200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
® 'APPLICANT 1 ( CONTACT PERSON „ • A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: Don Morissette Homes, Inc. branch circuit
B. Fee for branch circuits
Contact name: Tiffany Lane without service or feeder fee, 46.85 2
each branch circuit
Address: 4230 Galewood St., Suite 100 Each add'I branch circuit 6.65 2
City /State/ZIP: Lake Oswego, OR 97035 Miscellaneous (service or feeder not included)
Phone: (503) 387 - 7538 Fax: : (503) 387 - 7632 Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: tlane@donmorissettehomes.com Signal circuit(s) or limited-
CON i RA;� i OR .. energy panel, alteration, or
• extension. Describe: Page 2 2
Business name: City Electric - -
Address: 8900 SW Burnham St. F -27 Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State/ZIP: Tigard, OR 97223 Investigation per hour (I hr min) 62.50
Phone: (503) 443 -1092 Fax: ( ) Industrial plant per hour 73.75
ELECTRICAL. PERMIT .FEES* -
CCB Lic.: 42422 Electrical Lic.: 26- 89C I Suprv. Lic.: 35925 Subtotal
Suprv. Electrician signature, required: r-c Plan review (25% of permit fee)
State surcharge (8% of permit fee)
Print name: C.hucl� Fr Da te: TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
. days after it has been accepted as complete
Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board
•• Number of inspections per permit allowed.
is Building \Permits'ELC- PermitApp.doc 12/03 440- 4615T(10 /02/COM/WEB
Mechanical ' o FOR OFFICE USE ONLY
-- tl
City of Tigard Received Date/By: Permit No.. t, „", -eoo
• 13125 SSW Hall Blvd., Tigard, OR 97223 ./, Y Plan Review
Phone: 503.639.4171 Fax: 503.598.1960( ® / 2007 i ia app;, - + � Date Other Permit:
Inspection Line: 503.639.4175 1) '. II t
Ca d Y OF .� I Date Ready /By: kris: RI See Page 2 for
Internet: www.ci.tigard.or.us -G /- pjj Notified/Method: Supplemental Information
BUILDING DIVISION
. . T Y P E OF WORK COMMERCIAL FEE SCHEDULE — USE CHECKLIST
® 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.
. ' . ` CATEGORY OF. CONSTRUCTION ' Value: $
1- 2-family dwelling C /industrial RESIDENTIAL EQUIPMENT /•SYSTEMS FEES*
® y g ❑ ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
Description I Qty. I Ea. I Total
`: , - • SITE INFORMATION AND LOCATION • , ' , Heating/cooling
Job site address: c A� Air conditioning or heat pump
log �v' 1 VCJ + ��t�[�rA �T • (requires site plan showing placement) 1 14.00
City /State/ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts/vents) ' 14.00
Furnace 100,000+ BTU ( ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: Dakota Glen 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
' Flue/vent for any of above I 10.00
Subdivision: Dakota Glen Lot no.: Other: 10.00
Tax map /parcel no.: Other fuel appliances
•
DESCRIPTION OF WORK Water heater ( 10.00
Gas fireplace f 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
• Chimney/liner /flue/vent 10.00
..PROPERTY OWNER. , ❑ TENANT
Other: 10.00
Name: Don Morissette Homes Environmental exhaust and ventilation
Address: 4230 Galewood St., Suite 100 Range hood/other kitchen
equipment I 10.00
City/State/ZIP: Lake Oswego, OR 97035 Clothes dryer exhaust / 10.00
503 387 -7538 Fax: 503 387 -7632
Single-duct compartments, tm ent s (bathrooms, o
Phone: / �,
( ) ( ) toilet compartments, utility rooms) ll� 6.80
EI, APPLICANT ® CONTACT 'PERSON Attic/crawlspace fans 10.00
Business name: Don Morissette Homes Other: 10.00
Fuel piping
Contact name: Tiffany Lane $5.40 for first four; $1.00 for each a dditional
Address: 4230 Galewood St., Suite 100
Furnace, etc. /
Gas heat pump
City /State/ZIP: Lake Oswego, OR 97035 Wall /suspended/unit heater
Phone: (503) 387 -7538 Fax: : (503) 387 -7632 Water heater I
Fireplace I
E -mail: tlane@donmorissettehomes.com Range I
CONTRACTOR Barbecue
Business name: Comfort Zone
Clothes dryer (gas)
Other:
Address: 1032 NW Corporate Dr. MECHANICAL PERMIT FEES* ; .
City /State/ZIP: Troutdale, OR 97060 Subtotal
Phone: (503) 667 -5595 I Fax: (503) 491 -8253 Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lic.: 110091 State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature: 1 This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: David Heldstab I Date: • Fee methodology set by Tri County Building Industry Service Board
is Building \Pennits\MEC- PermitApp.doc 12/03 440-4617f (I I /02/COM/WEB)
• 'Plumbing Permit Ap • • ���� R E!ie/ Foli OFFICE usr ONLY gar Permit No.:OTaD /7_ oD
13SW Hall Blvd., Tigard, OR 97223 w °'
Phone: 503.639.4171 Fax: 503.598.196q. LA;? 0 p ry y /i i , ,p I t, Date/By: Other Permit No..
24- Hour Inspection Line: 503.639.4175 i o0/ ■ iJ.. fi•Ii 1 Date Ready/By: tuns See See Page 2 for
Internet: www.ci.tigard.or.us
CITY ¥ O T I / ARn Notified/Method: Supplemental I nformation
• •T "$19 Q ; iy '„ FEE* SCHEDULE
® New construction ❑ Demolition For special information use checklist.
Description I Qty . I Ea. I Total
❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY 'OF CONSTRUCTION SFR (1) bath 249.20
® 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft.) Page 2
. • .JOB 'SITE INFORMATION AND LOCATION Site utilities
Job site address: 0 j e7 , , • - ._ _ iw S . Catch basin or area drain 16.60
City/ State/ZIP: Tigard, OR 97223 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: I Project name: Dakota Glen Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site: 110 PI. & North Dakota St.
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: Dakota Glen I Lot no.: I Water service (no. linear ft.: ) Page 2
Fixture or item
Tax map /parcel no.:
Absorption valve 16.60
DTSCR1YfION OF WORK;
Backflow preventer Page 2
Backwater valve 16.60
Clothes washer I 16.60
Dishwasher t 16.60 • •IZI PROPERTY' ORiNER I ❑ TENANT Drinking fountain 16.60
Ejectors/sump 16.60
Name: Don Morissette Homes Expansion tank 16.60
Address: 4230 Galewood St., Suite 100 Fixture/sewer cap 16.60
City/State/ZIP: Lake Oswego, OR 97035 Floor drain/floor sink/hub 16.60
Phone: (503)387 -7538 Fax: (503)387 -7632 Garbage disposal I 16.60
Hose bib 2 16.60
. _ ®' APPLICANT :01 CONTACT PERSON •
' Ice maker 4 16.60
Business name: Don Morissette Homes
Interceptor /grease trap 16.60
Contact name: Tiffany Lane Medical gas (value: $ ) Page 2
Address: 4230 Galewood St., Suite 100 Primer 16.60
City/State/ZIP: Lake Oswego, OR 97035 Roof drain (commercial) 16.60
Phone: (503) 387 -7538 Fax: : (503) 387 -7632 Sink/basin / lavatory 5 16.60
Tub /shower /shower pan .), 16.60
E -mail: tlane@donmorissettehomes.com
Urinal 16.60
i CONTRAC ItOR
Water closet 3 16.60
Business name: Jardine Plumbing Water heater 1 16.60
Address: PO Box 186 Other:
City /State/ZIP: Estacada, OR 97023 Subtotal
Minimum permit fee: $72.50
Phone: (503) 630 -5436 Fax: ( ) Residential backflow minimum permit fee: $36.25
CCB Lic.: 108747 lumbing Lic. no.: 3 -320PB Plan review (25% of permit fee)
State surcharge (8% of permit fee)
Authorized signature: • /
I TOTAL PERMIT FEE
Print name: Jay Jardine Date: This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
i:\ Building \Permits\PLM- PermitApp.doe 12/03 440.4616T(10/02/COM/WEB)
A45767 -D14-7
STREET TREE CERTIFICATION
I %\ z. iN 5 Owner/Agent for 41,3 D 0- 1 sseT- 5
(PLEASE PRINT) (PERMIT HOLDER)
Do hereby certify that the following location meets
City of Tigard and Washington County
land use and development standards for street tree installation.
ADDRESS: /10f32- S l j A/044 Do k0
SUBDIVISION: �Q .,(%,Tg 6ke‘) LOT:
SIGNATURE: DATE: 6 _ s, o?
„ j'OWNER/AGENT)
RECEIVED BY: DA'Z'E:
(CITY OF TIGARD)
I: \Building \Forms \StreetTreeCertificate 01/19/07
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00049
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2/2007
Phone: (503) 639- 4171 f t
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/25/2007 TIME: 7:01AM PAGE: 31
SITE ADDRESS: 11062 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: DAKOTA GLEN LOT #: 001 TYPE OF USE:
PROJECT NAME: DAKOTA GLEN
DESCRIPTION: SF
OWNER: DON MORISSETTE HOMES, PHONE #: 503- 367 -7536
CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503- 387 -7538
Inspection Request Scheduled For: Date: 6/25/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 050858-01 503- 969 -2047 Y .52 (J
Corrections /Comments /Instructions:
etee-' /f k.sca -- O/C
Oc /SSva
7
/AJd'v 2 �' v�ie - /75
6".5/61,0 'A/TL O
/ 1 3 ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ C; OR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: i Date: 6' 2. 7 Phone #: (503) 718 -
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MST2007 -00049
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2/2007
Phone: (503) 639 -4171 i
Inspection Requests (24 Hrs.): (503) 639 -4175 ' �..
INSPECTION WORKSHEET FOR DATE: 6/25/2007 TIME: 7:01AM PAGE: 30
SITE ADDRESS: 11082 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: DAKOTA GLEN LOT #: 001 TYPE OF USE:
PROJECT NAME: DAKOTA GLEN
DESCRIPTION: SF
OWNER: DON MORISSETTE HOMES, PHONE #: 503 -3t37 -7538
CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503-387-7538
Inspection Request Scheduled For: Date: 6/25/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 050858-02 503-969-2047 N
Corrections /Comments/ Instructions:
7 ■1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
n
.i .- : / :: )- ---
Inspector: Date: (o - Zf� V7 Phone #: (503) 718- '
CITY OF TIGARD
BUILDING DIVISION T PERMIT #:
�� / 06 0(11
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED:
Phone: (503) 639 -4171 :ni /
Inspection Requests (24 Hrs.): (503) 639 -4175 s__ I fr/
INSPECTION WORKSHEET FOR DATE: lr /7/7//6 6 7 TIME: PAGE:
SITE ADDRESS: l I $50 1■ ` 7 1. /A CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
—1- fi 0 ( . 4, : (/ - g/l/tj
Corrections /Comments / Instru*ns:
Y .17 Nii/7:r L HAA k c 4i '"'
1.4t..._,ei a
P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: VI; Vil. Date: L/1/1- Phone #: (503) 718-
CITY OF TIGARD ' i 1
BUILDING DIVISION PERMIT #: MST2007-00049 ,
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2/2007
Phone: (503) 639 -4171 A
I
Inspection Requests (24 Hrs.): (503) 639 -4175 ''I � ..
INSPECTION WORKSHEET FOR DATE: 6/22/2007 TIME: 7:03AM PAGE: 9
SITE ADDRESS: 11082 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: DAKOTA GLEN LOT #: 001 TYPE OF USE:
PROJECT NAME: DAKOTA GLEN
DESCRIPTION: SF
OWNER: DON MORISSETTE HOMES, PHONE #: 503 - 387 -7538
CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503 -3E37 -7538
Inspection Request Scheduled For: Date: 6/22/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
'399 Plumbing final 050785 -02 503 - 969.2047 N
Corrections/ omments /Instructions: d
cA3 T \ 2_6
(64-6./t'frK(-_ 4/tAiy ikra, c rc?„4
o /� C.1/1° `+� s L-e u -e.n� 1, - -
k"-V."..-- ., Lc • --, 1-0— GS {-•\ (INN- . 1c-C .
.. PL1- -4 eic
, c-
0
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
[FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 1012- Phone #: (503) 718,242-1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007- 00049
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ' ill..
INSPECTION WORKSHEET FOR DATE: 6/5/2007 TIME: 7:01AM PAGE: 15
SITE ADDRESS: 11082 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: DAKOTA GLEN LOT #: 001 TYPE OF USE:
PROJECT NAME: DAKOTA GLEN
DESCRIPTION: SF
OWNER: DON MORISSETTE HOMES, PHONE #: 503 -3137 -7538
CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503- 387 -7538
Inspection Request Scheduled For: Date: 6/512007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
322 Shower pan 049619 -01 503-969-2047 Y
Corrections /Comments / Instructions:
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: t / 3e /� Date: -; Phone #: (503) 718-
• CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -0004.
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2/2007
Phone: (503) 639 -4171 At
Inspection Requests (24 Hrs.): (503) 639 -4175 ..' ' f lLL.
INSPECTION WORKSHEET FOR DATE: 5/1/2007 TIME: 7:00AM PAGE: 5
SITE ADDRESS: 11082 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: DAKOTA GLEN LOT #: 001 TYPE OF USE:
PROJECT NAME: DAKOTA GLEN
DESCRIPTION: SF
OWNER: DON MORISSETTE HOMES, PHONE #: 503 -387 -7538
CONTRACTOR: DON MORISSEITE HOMES INC PHONE #: 503 -387 -7538
Inspection Request Scheduled For: Date: 5/1/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 047427 -04 503. 518 -6452 N
Corrections/Comments/Instructions:
,PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: c L Date: Si i /d 7 Phone #: (503) 718-
CITY OF TIGARD
• BUILDING DIVISION PERMIT #: MST2007- 00043
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2/2007
Phone: (503) 639 -4171 /ate
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/27/2007 TIME: 7:00AM PAGE: 51
SITE ADDRESS: 11082 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: DAKOTA GLEN LOT #: 001 TYPE OF USE:
PROJECT NAME: DAKOTA GLEN
DESCRIPTION: SF
OWNER: DON MORISSETTE HOMES, PHONE #: 503- 387 -7538
CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503 -387 -7538
Inspection Request Scheduled For: Date: 4/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 047267 -06 503-519-6452 N
Corrections /Comments /Instructions:
C3
r ,-\4 c-01,13 kAAWL,
WQ
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: y 1\01Z0 t Date: 11-1(C)1 Phone #: (503) 718- V114•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00049
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2/2007
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 P._..
INSPECTION WORKSHEET FOR DATE: 4/23/2007 TIME: 7:00AM PAGE: 12
SITE ADDRESS: 11082 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: DAKOTA GLEN LOT #: 001 TYPE OF USE:
PROJECT NAME: DAKOTA GLEN
DESCRIPTION: SF
OWNER: DON MORISSETTE HOMES. PHONE #: 503-387 -7538
CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503 - 387 -7533
Inspection Request Scheduled For: Date: 4/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 046972 -10 503-519.6452 N
Corrections /Comments /Instructions:
1.4 J
L i•-(1 Is S-L4epo,rt �i. �i� ►-v�. gi,
1-41 r a,r c N6 N Co-uri,cst L �t'�. .sSL, L ` S P t v d-
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
K FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: abl'Yi-4 Date: 7 Jt37 Phone #: (503) 718-
CITY OF TIGARD . /
BUILDING DIVISION PERMIT #: MST2007 -00049
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2/2007
Phone: (503) 639 -4171 Av oii�.
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/10/2007 TIME: 7:00AM PAGE: 19
SITE ADDRESS: 11082 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: DAKOTA GLEN LOT #: 001 TYPE OF USE:
PROJECT NAME: DAKOTA GLEN
DESCRIPTION: SF
OWNER: DON MORISSETTE HOMES, PHONE #: 503 -307 -7538
CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503 -387 -7538
Inspection Request Scheduled For: Date: 4/10/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
315 Post/beam plumbing 046270.03 503. 519.6452 N
Corrections/Comments/Instructions:
I U o _ t k Z . O , . I j rvC3 n oVd 1,t In c L .rte,. -
0 era-vial. 1. e�.n - i - on 3 .) !TiA) l35
l • /A - ' .1 • > r- - ■ Al C.. ! !► .1 !J ► 0 4 0.
w p _
•
JX1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
.. � 14 /
Inspector: 1�� V Date: I vb l b - 7 Phone #: (503) 718 - 'Al
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007- 00049
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 412/2007
Phone: (503) Ase
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/5/2007 TIME: 7:03AM PAGE: 26
SITE ADDRESS: 11082 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: DAKOTA GLEN LOT #: 001 TYPE OF USE:
PROJECT NAME: DAKOTA GLEN
DESCRIPTION: SF
OWNER: DON MORISSETTE HOMES, PHONE #: 503 - 387 -7538
CONTRACTOR: DON MORISSE I I t. HOMES INC PHONE #: 503 -387 -75313
Inspection Request Scheduled For: Date: 4/5/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
310 Crawl drain 046037 -02 503 - 519 -6452 N
Corrections /Comments/ Instructions:
R fiu,r - ra0W A Co-44 ' rd ,/
AA
g PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 07 6-4-4 Date: f rl0 7 Phone #:. (503) 71.8-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00049
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2/2007
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 IL
INSPECTION WORKSHEET FOR DATE: 4/5/2007 TIME: 7:03AM PAGE: 29
SITE ADDRESS: 11082 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: DAKOTA GLEN LOT #: 001 TYPE OF USE:
PROJECT NAME: DAKOTA GLEN
DESCRIPTION: SF
OWNER: DON MORISSETTE HOMES, PHONE #: 503.387 -7538
CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503 - 307 -7536
Inspection Request Scheduled For: Date: 4/5/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
506 Sanitaiy sewer 046036-01 503 - 519-6452 Y
Corrections /Comments /Instructions:
IA PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: i 11 Date: y ICS 0 Phone #: (503) 718-
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00049
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2/2007
Phone: (503) 639 -4171 � �.d,o i I
Inspection Requests (24 Hrs.): (503) 639 -4175 =A Y- 1J—
INSPECTION WORKSHEET FOR DATE: 4/5/2007 TIME: 7:03AM PAGE: 28
SITE ADDRESS: 11082 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: DAKOTA GLEN LOT #: 001 TYPE OF USE:
PROJECT NAME: DAKOTA GLEN
DESCRIPTION: SF
OWNER: DON MORISSETTE HOMES, PHONE #: 503- 387 -7538
CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503 -387 -7538
Inspection Request Scheduled For: Date: 4/512007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 Storm drain 046036-02 503- 519 -6452 N
Corrections /Comments/ Instructions:
[g PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C11 \1\U. Date: (Ho 6 7 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MS't2007- 110040
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4/2/2007 .
Phone: (503) 639 -4171 o ur n 'I
Inspection Requests (24 Hrs.): (503) 639 -4175 °`:_..
INSPECTION WORKSHEET FOR DATE: 4/5/2007 TIME: 7:03AM PAGE: 27
SITE ADDRESS: 11082 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: DAKOTA GLEN LOT #: 00'i TYPE OF USE:
PROJECT NAME: DAKOTA GLEN
DESCRIPTION: SF
OWNER: DON MORISSETTE HOMES, PHONE #: 503.387 -7538
CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503 387 - 7538
Inspection Request Scheduled For: Date: 4/5/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 Water service 046037 -01 503 - 5186452 N
Corrections /Comments /Instructions:
1 " (--) ■./Netob,,,,
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cra Vv i 1't sva— Date: Wrio7 Phone #: (503) 718
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00049
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/4/2007 TIME: 7:01AM PAGE: 35
SITE ADDRESS: 11082 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: DAKOTA GLEN LOT #: 001 TYPE OF USE:
PROJECT NAME: DAKOTA GLEN
DESCRIPTION: SF
OWNER: DON MORISSETTE HOMES, PHONE #: 503 - 387 -7538
CONTRACTOR: DON MORISSL I I t HOMES INC PHONE #: 503 -387 -7538
Inspection Request Scheduled For: Date: 4/4/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
310 Crawl drain 045971 -05 503-619-6452 N
Corrections /Comments/ Instructions:
Nvr
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: criC\'Y} t\/ `_.,-- Date: c-% f Y/a 7 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00049
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2/2007
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639-4175 �..
INSPECTION WORKSHEET FOR DATE: 4/4 /2007 TIME: 7:01AM PAGE: 36
SITE ADDRESS: 11082 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: DAKOTA GLEN LOT #: 001 TYPE OF USE:
PROJECT NAME: DAKOTA GLEN
DESCRIPTION: SF
OWNER: DON MORISSE It HOMES, PHONE #: 503 -387 -7538
CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503-387 -7538
Inspection Request Scheduled For: Date: 4/4/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 Water service 045971 -04 503-519 -6452 N
Corrections /Comments /Instructions:
M T
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
�) FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �'�''"��' ^'' Date: L iI i-07 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00049
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2/2007
Phone: (503) 639- 4171dl
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' ° ;! I..
INSPECTION WORKSHEET FOR DATE: 4/4/2007 TIME: 7:01AM PAGE: 38
SITE ADDRESS: 11082 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: DAKOTA GLEN LOT #: 001 TYPE OF USE:
PROJECT NAME: DAKOTA GLEN
DESCRIPTION: SF
OWNER: DON MORISSETrE HOMES, PHONE #: 503387 -7538
CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503. 397 - 753B
Inspection Request Scheduled For: Date: 4/4/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 Storm drain 045971 -02 503. 519 -6452 N
Corrections /Comments /Instructions:
i(z.
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
NI FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: ( IN / Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00049
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2/2007
Phone: (503) 639- 4171 ; ,'I II
Inspection Requests (24 Hrs.): (503) 639 -4175 .J A R__
INSPECTION WORKSHEET FOR DATE: 4/4/2007 TIME: 7:01AM PAGE: 37
SITE ADDRESS: 11082 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: DAKOTA GLEN LOT #: 001 TYPE OF USE:
PROJECT NAME: DAKOTA GLEN
DESCRIPTION: SF
OWNER: DON MORISSE I I t HOMES, PHONE #: 503 -387 -7538
CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503-387 -7538
Inspection Request Scheduled For: Date: 4/4/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
335 Rain drain 045971 -03 503.519 -6452 N
Corrections /Comments /Instructions:
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
xf FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 1 111 t �7 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00049
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/4/2007 TIME: 7:01AM PAGE: 39
SITE ADDRESS: 11082 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: DAKOTA GLEN LOT #: 001 TYPE OF USE:
PROJECT NAME: DAKOTA GLEN
DESCRIPTION: SF
OWNER: DON MORISSETTE HOMES, PHONE #: 503- 387 -7538
CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503.307 -7538
Inspection Request Scheduled For: Date: 4/4/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
505 Sanitary sewer 045971 -01 503519-6452 N
Corrections /Comments /Instructions:
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
rigl FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ^ �1 A'— . Date: J J 4 / Phone #: (503) 718-
•
CITY OF TIGARD
1 . BUILDING DIVISION PERMIT #: MST2007-00049
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2/2007
Phone: (503) 639 -4171 ggu Ti ll
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/27/2007 TIME: 7:00AM PAGE: 53
SITE ADDRESS: 11082 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: DAKOTA GLEN LOT #: 001 TYPE OF USE:
PROJECT NAME: DAKOTA GLEN
DESCRIPTION: SF
OWNER: DON MORISSETTE HOMES, PHONE #: 503- 387 -7530
CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 603 - 387 - 7538
Inspection Request Scheduled For: Date: 4/27/2007 • Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 047267 -04 503-519-6452 N
Corrections /Comments /Instructions:
2
(/
AN) ( -
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � N(% LJE Date: 2 .1 al Phone #: (503) 718 - 1.4%
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00049
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2/2007
Phone: (503) 639 -4171 tpi I
Inspection Requests (24 Hrs.): (503) 639 -4175 IL.
INSPECTION WORKSHEET FOR DATE: 4/27/2007 TIME: 7:00AM PAGE: 54
SITE ADDRESS: 11082 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: DAKOTA GLEN LOT #: 001 TYPE OF USE:
PROJECT NAME: DAKOTA GLEN
DESCRIPTION: SF
OWNER: DON MORISSETTE HOMES, PHONE #: 503- 387 -7538
CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503. 387 -7538
Inspection Request Scheduled For: Date: 4/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 047267 -03 503.519 -6462 N
Corrections /Comments/ Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ Ca" . Aubi Date: 4121 61 Phone #: (503) 718 - /)L"f V
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007- 0009
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/27/2007 TIME: 7:00AM PAGE: 52
SITE ADDRESS: 11002 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: DAKOTA GLEN LOT #: 001 TYPE OF USE:
PROJECT NAME: DAKOTA GLEN
DESCRIPTION: SF
OWNER: DON MORISSETTE HOMES. PHONE #: 503 -387 -7538
CONTRACTOR: DON MORISSh t. HOMES INC PHONE #: 503387 -7538
Inspection Request Scheduled For: Date: 4/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 047267 -05 503-519 -6452 N
Corrections /Comments /Instructions:
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • NV)di .- Date: 4121 4f2 Phone #: (503) 718- 1.144t)
r
CITY OF TIGARD r
BUILDING DIVISION PERMIT #: MST2007- 00049
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 . -.i ''II
INSPECTION WORKSHEET FOR DATE: 5/3/2007 TIME: 7:00AM PAGE: 30
SITE ADDRESS: 11082 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: DAKOTA GLEN LOT #: 001 TYPE OF USE:
PROJECT NAME: DAKOTA GLEN
DESCRIPTION: SF
OWNER: DON MORISSETTE HOMES, PHONE #: 503.387 -7538
CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503- 387 -7538
Inspection Request Scheduled For: Date: 5/3/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
280 Insulation 047583 -05 503-519-6452 N
Corrections /Comments/ Instructions:
;FA PASS V,, PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL r/, •ALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED
■ Inspector: _ ■— Date: 7 0 Phone #: (503) 718- 24'127
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: MST2007 -00049
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2/2007
Phone: (503) 639 -4171 �a�q lilts
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/3/2007 TIME: 7:00AM PAGE: 29
SITE ADDRESS: 11082 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: DAKOTA GLEN LOT #: 001 TYPE OF USE:
PROJECT NAME: DAKOTA GLEN
DESCRIPTION: SF
OWNER: DON MORISSETFE HOMES, PHONE #: 503387 -7538
CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503-387-7538
Inspection Request Scheduled For: Date: 5/3/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
242 Interior shear walls 047583-06 503-519 -6452 N
Corrections/Comments/Instructions:
Comments /Instructions:
.c lO-J n - 0 ')'-Y ..11 srG���
z x.eczz. s
`I:I PASS // PARTIAL APPROVAL ❑ CANCEL El NO ACCESS
❑ FAIL NI CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED
Inspector: ■ Date 7 Phone #: (503) 718- Zeii
.„,„
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200 7 -0004 9
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2/2007
Phone: (503) 639 -4171 ..,—t - ^ . .o
Inspection Requests (24 Hrs.): (503) 639 -4175 ,
INSPECTION WORKSHEET FOR DATE: 4/27/2007 TIME: 7:00AM PAGE: 48
SITE ADDRESS: 11082 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: DAKOTA GLEN LOT #: 001 TYPE OF USE:
PROJECT NAME: DAKOTA GLEN
DESCRIPTION: SF
OWNER: DON MORISSETfE HOMES, PHONE #: 503 -387 -7538
CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503 - 387 - 7538
Inspection Request Scheduled For: Date: 4/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 047267 -08 503-519 -6452 N
Corrections /Comments /Instructions:
p r PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /V Date: 210 7 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00049
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2/2007
Phone: (503) 639 -4171 . I � I �
Inspection Requests (24 Hrs.): (503) 639 -4175 _'
INSPECTION WORKSHEET FOR DATE: 4/27/2007 TIME: 7:00AM PAGE: 50
SITE ADDRESS: 11062 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: DAKOTA GLEN LOT #: 001 TYPE OF USE:
PROJECT NAME: DAKOTA GLEN
DESCRIPTION: SF
OWNER: DON MORISSETTE HOMES, PHONE #: 503387 -7638
CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503 - 387 -7538
Inspection Request Scheduled For: Date: 4/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 047267 -07 503-519.6452 N
Co ections /Comments /Instructions:
44 1-)/
._
,g PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
i
Inspector: j Date: # Phone #: (503) 718-
r
CITY OF TIGARD J
BUILDING DIVISION PERMIT #: MST2007 -00049
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2/2007
Phone: (503) 639 -4171 tli�l�#
Inspection Requests (24 Hrs.): (503) 639 -4175 ":_..
INSPECTION WORKSHEET FOR DATE: 4/27/2007 TIME: 7:00AM PAGE: 47
SITE ADDRESS: 11082 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: DAKOTA GLEN LOT #: 001 TYPE OF USE:
PROJECT NAME: DAKOTA GLEN
DESCRIPTION: SF
OWNER: DON MORISSEfTE HOMES, PHONE #: 503-387-7538
CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503. 387 -7538
Inspection Request Scheduled For: Date: 4/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 047267 -09 503 - 519.6452 N
Corrections /Comments /Instructions:
P ee,/e.g/A/& . /5e A
I
"go 4 D D L > n S cu P Kati (�,�4�2 �2 c �sS � IC .3 Oydwae-4.0 /A/ 444-6 7
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ,(3 Date: 4C—Z7'° 7 Phone #: (503) 718-
CITY OF TIGARD
• BUILDING DIVISION PERMIT #: MST2007 -00049
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2/2007
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/23/2007 TIME: 7:00AM PAGE: 11
SITE ADDRESS: 11082 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: DAKOTA GLEN LOT #: 001 TYPE OF USE:
PROJECT NAME: DAKOTA GLEN
DESCRIPTION: SF
OWNER: DON MORISSETTE HOMES, PHONE #: 503 -387 -7538
CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503 - 387 - 7538
Inspection Request Scheduled For: Date: 4/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
235 Shear walls/anchors 046972 -11 503 - 519.6452 N
Corrections/Comments/Instructions:
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: d _ 0/7 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007- 00049
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4/2/2.007
Phone: (503) 639 -4171 w i f l
Inspection Requests (24 Hrs.): (503) 639 -4175 ` -..
INSPECTION WORKSHEET FOR DATE: 4/23/2007 TIME: 7:00AM PAGE: 10
SITE ADDRESS: 11082 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: DAKOTA GLEN LOT #: 001 TYPE OF USE:
PROJECT NAME: DAKOTA GLEN
DESCRIPTION: SF
OWNER: DON MORISSETTE HOMES, PHONE #: 503 - 387 -7538
CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503 - 387 -753B
Inspection Request Scheduled For: Date: 4/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
240 Exterior sheathing 046972 -12 503 - 519 -6452 N
Corrections /Comments /Instructions:
•
p q PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
1
Inspector: / Date: Z� r Phone #: (503) 718-
' /
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST 2007 -00049
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2/2007
Phone: (503) 639 -4171 ,. tt' ? �
Inspection Requests (24 Hrs.): (503) 639 -4175 .J .— `__..
INSPECTION WORKSHEET FOR DATE: 4/10/2007 TIME: 7:00AM PAGE: 20
SITE ADDRESS: 11082 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: DAKOTA GLEN LOT #: 001 TYPE OF USE:
PROJECT NAME: DAKOTA GLEN
DESCRIPTION: SF
OWNER: DON MORISSETTE HOMES, PHONE #: 503-387-7538
CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503 -387 -7538
Inspection Request Scheduled For: Date: 4/10/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
ec an -in 046270-02 503 - 519.6452 N
6D.$ r A n.o.
Corrections /Comments /Instructions:
AvP SS ❑ PARTIAL APPROVAL ❑ CANCEL �- ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ADDITIONA FEES ASSESSED
Inspector: /4 Date: 5t / 7 Phone #: (5,03) 718- Z
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007-00049
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/712007
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 „'
INSPECTION WORKSHEET FOR DATE: 4/10/2007 TIME: 7:00AM PAGE: 21
SITE ADDRESS: 11082 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: DAKOTA GLEN LOT #: 001 TYPE OF USE:
PROJECT NAME: DAKOTA GLEN
DESCRIPTION: SF
OWNER: DON MORISSETTE HOMES, PHONE #: 503 -387 -7530
CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503 -387 -7538
Inspection Request Scheduled For: Date: 4/10/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
225 Post/beam structural 046270 -01 503 - 519-6452 Y
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 4 JG--o 7 Phone #: (503) 718 - Z.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00049
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2/2007
Phone: (503) 639 -4171 Jzt I nspection Requests (24 Hrs.): (503) 639 -4175 �..
INSPECTION WORKSHEET FOR DATE: 4/3/2007 TIME: 7:00AM PAGE: 46
SITE ADDRESS: 11082 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: DAKOTA GLEN LOT #: 001 TYPE OF USE:
PROJECT NAME: DAKOTA GLEN
DESCRIPTION: SF
OWNER: DON MORISSETTE HOMES, PHONE #: 503-387-7638
CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503 - 387 -7530
Inspection Request Scheduled For: Date: 4/3/2007 Pour Time: 12:00
Code # Inspection Description Confirm # Contact # Message
210 Foundation walls 045902 -02 503 - 519 -6452 N
Corrections/Comments/Instructions:
ri PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: I Date: 7/3 O / Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007- 00(149
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2/2007
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/3/2007 TIME: 7:00AM PAGE: 47
SITE ADDRESS: 11082 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: DAKOTA GLEN LOT #: 001 TYPE OF USE:
PROJECT NAME: DAKOTA GLEN
DESCRIPTION: SF
OWNER: DON MORISSETTE HOMES, PHONE #: 503- 387 -7538
CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503-307 -7538
Inspection Request Scheduled For: Date: 4/3/2007 Pour Time: 12:00
Code # Inspection Description Confirm # Contact # Message
205 Footing 045902 -01 503 - 519 -6452 N /
Corrections /Comments /Instructions:
•
•
iN PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ C L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � 4 Date: _ Phone #: (503) 718-