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Permit I h A v CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00174 DEVELOPMENT SERVICES DATE ISSUED: 6/24/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 12260 SW THORNWOOD DR PARCEL: 2S110BC -05600 SUBDIVISION: THORNWOOD ZONING: R - BLOCK: LOT: 027 JURISDICTION: TIG REMARKS: New SF detached. BUILDING REISSUE: DM186AS STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 26 FIRST: 1,525 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.950 sf GARAGE: 640 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 •HRD: sf RIGHT: 5 VALUE: 340 OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 3,475 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 4 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: 3 CLOTHES DRYER: 1 GAS 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 FDR: PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 7 201 - 400 amp: 201 - 400 amp: 1st W/O SVCIFOR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 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: LANDSCAPEI1RRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,201.68 This permit is subject to the regulations contained in the DON MORISSETTE HOMES DON MORISSETTE HOMES INC 4230 GALEWOOD ST., #100 4230 GALEWOOD ST, STE 100 Tigard Municipal Code, State A of l w k will done n LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 and rd ra cer applicable laws. s . This permit done in accordance with approved plans. This permi t will expire if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. Phone: 503 387 - 7538 Phone: ATTENTION: Oregon law requires you to follow rules LIC 3873755 adopted by the Oregon Utility Notification Center. Those Reg 6: L l s rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Ersn Cntrl 681 -4444 Post/Beam Structural Mechanical lnsp Shear Wall lnsp Insulation Insp Appr /Sdwlk Insp Grading Inspection Post/Beam Mechanical Plumb Top Out Exterior Sheathing Ins l Rain drain Insp Electrical Final Sewer Inspection Underfloor insulation Electrical Service Low Voltage Storm drain Insp Mechanical Final Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Water Line Insp Plumb Final Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Water Service Insp Building Final A ..... E______ Issued By : 5,.,a Permittee Signature : C " Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day To pr c.,2_o'1 A 444 c oos/— 0/7o Building Permit Application .. Date received: V / o Permit no :e17,20/9 D D/ 7 �- : . i l i ;' City of Tigard E r,� y y ''' - - Projectlappl. no.: Expire date: Address: 13125 SW Hall Blvd, CayofTigard r 2 3 Phone: (503) 639 -4171 Date issued: By: I Receipt no.: Fax: (503) 598 -1960 JUN 4 2004 Case file no.: Payment type: Land use approval: CITY OFTIGARD I &2 family: Sim! e 'II omplex: BUILDING DIVISION TYPE OF PERMIT O 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family ,'New construction O Demolition O Addition/alteration /replacement O Tenant improvement 0 Fire sprinkler /alarm 0 Other: JOB SITE INFORMATION Job address: W ,A rrilMT a Bldg. no.: Suite no.: Lot: —) Block: Subdivision: VI 'Q _ Tax map /tax lot/account no.: Project name: Description and location of work on premises/special conditions: OIVNER FOR SPECIAL INFORMATION, USE CHECKLIST Name: • ,1(\ Y �� g 'YS ( Floodplain ,scpticcapacity,solar,etc.) • Mailing address: • I /.(, C 1 -, 1 1 & 2 family dwelling: City: 1111 CA ZIP: •- '22. z Valuation of work $ Phone:. r MIIng -mail: No. of bedrooms/baths -3 27 Owner's representative: ''',VICL j. le Gut ►ri L...... Total number of floors te Phone: Fax: E -mail: New dwelling area (sq. ft.) APPLICANT Garage/carport area (sq. ft.) Name: 7 IRMIZt' , * AA ' Covered porch area (sq. ft.) Mailing a ddress:•'Y'�(1L� a \i'r Deck area (sq. ft.) City: I State: I ZIP: Other structure area (sq. ft.) Phone: Fax: E -mail: Commerciallindustriallmulti- family: CONTRACTOR Valuation of work $ • Business name: - E � ri] agA Existing bldg. area (sq. ft.) Address: New bldg. area (sq. ft.) City: State: ZIP: Number of stories Phone: I Fax: I E -mail: Type of construction CCB no.: 5 Cj j 3 Occupancy group(s): Existing: New: City/metro lic. no.: Notice: All contractors and subcontractors are required to be ARCI I ITECT/DES I G N ER licensed with the Oregon Construction Contractors Board under Name: (in,tkfr L f provisions of ORS 701 and may be required to be licensed in the Address: _4, C( -n4 jurisdiction where work is being performed. If the applicant is City: State: I ZIP: exempt from licensing, the following reason applies: Contact person: Plan no.: Phone: Fax: E -mail: Name: Contact person: Fees due upon application $ Address: Date received: City: !State: 'ZIP: Amount received $ Phone: I Fax: I E -mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information. attached checklist. A •rovisions of 1 ws and o dinances governing this CI Visa ❑ MasterCard work will be complt wr• whether cifiedilerei r (� Credit card number: / / � Expires Authorized si a atu.\ , i (- i1 Name of cardholder as shown on credit card $ Print name: •t:_ Cardholder signature Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4404613 (6.VWCOM) (I One- and Two - Family Dwelling . Building Permit Application Checklist Reference no.: City of Tigard Cl of Tigard Associated permits: `J g 0 Electrical 0 Plumbing 0 Mechanical Address: 13125 SW Hall Blvd, Tigard, OR 97223 Other: Phone: (503) 639 -4171 Fax: (503) 598 -1960 THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A • 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. • _ 3 Verification of approved plat/ot. 4 Fire district approval required. 5 Septic system permit or authorization for remodel. Existing system capacity 6 Sewer permit. 7 Water district approval. �( 8 Soils report. Must carry original applicable stamp and signature on file or with application. �( 9 Erosion control 0 plan 0 permit required. Include drainage -way protection, silt fence design and location of catch -basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed t/ if copyright violations exist. J� 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if there is more than a 4-ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells/septic systems; utility locations; direction indicator, lot x area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub -floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. J� 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and/or lateral analysis plans. Must indicate details and locations; for non - prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors/roof assemblies, indicating member sizing, spacing, and bearing locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any beam/joist carrying a non - uniform load. x • 20 Manufactured floor /roof truss design details. �( 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or architect licensed in Oregon and shall be shown to be applicable to the project under review. JURISDICTIONAL SPECIFICS 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". 24 Two (2) sets each are required for Items 16, 19, 20 & 22 above. • 25 Building plans shall not contain red lines or tape -ons. 26 No rolled, reversed or mirrored building plans will be accepted. 27 28 • Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only. 440-4614 (6!00/COM) Mechanical Permit Application � � Date received: Permit n S : 6 0/14 = .iL 1I City of TigardR E C E I V E D . City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 P r o je c t /appl. no.: Expire date: Phone: (503) 639 - 4171 JUN 4 2004 Date issued: By: I Receipt no.: - • Fax: (503) 598 -1960 Case file no.: Payment type: CITY OF TIGARD Land use approval: BI lIL tntr` DIVICION Building permit no.: TYPE OF PERMIT 0 1 & 2 family dwelling or accessory 0 CommerciaUindustrial 0 Multi - family 0 Tenant improvement • ,New construction 0 Addition/alteration /replacement 0 Other. JOB SITE INFORMATION • COMMERCIAL VALUATION SCHEDULE - Job address: jn A) ` i Ij V Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: Suite no.: value of all mechanical materials, equipment, labor, overhead, Tax map /tax lot/account no.: profit. Value $ • Lot: _ Block: Subdivision: 0 /151 *See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City/county: I ZIP: 1 & 2. FAMILY DWELLING PERMIT FEE SCHEDULE - Description and location of work on premises: AND COMMERICALIINDUSTRIAL EQUIPMENTSCHEDULE Fee(en.) Total Est. date of completion/inspection: Description Qty. Res. only Res. only HVAC: Tenant improvement or change of use: Air handling unit CFM • Is existing space heated or conditioned? 0 Yes 0 No Air conditioning (site plan required) Is existing space insulated? 0 Yes 0 No Alteration of existing HVAC system MECHANICAL CONTRACTOR Boiler /compressors ��}� State boiler permit no.: 1„I /���z /fir HP Tons BTU/H Address: Il r i Mffig Fire/smoke dampers/duct smoke detectors City: 4,0 ��.M ZIP: °we 1 Heat pump (site plan required) - Phone: a� - 'Far: E -mail: InstalUreplace furnace/burner BTU /H Including ductwork/vent liner O Yes 0 No >-- CCB no.: .F �( InstalUreplacelrelocate heaters - suspended, City/metro lic. no.: N/A wall, or floor mounted Name (please print): j fp I .1jV' NE.1.-L.. Vent for appliance other than furnace Refrigeration: CONTACT PERSON Absorption units BTU/H Name: � • Chillers HP Address: Com. ressors HP — _ ♦ �t Environmental exhaust and ventilation: City: State: ZIP: Appliance vent Phone: Fax: E -mail: Dryer exhaust . - OWNER ' - Hoods, Type U lures. kitchen/hazmat hood fire suppression system inne s�, 7� Exhaust fan with single duct (bath fans) • Mailing address: grO _ s'_illg f � � Exhaust system apart from heating or AC • Fuel piping and distribution (up to 4 outlets) 01211401 State ZIP R)?j � Type: LPG NG Oil Phone: d �j2 Fax: E -mail: Fuel piping each additional over 4 outlets • ENGINEER Process piping (schematic required) _ Number of outlets Name: Other listed appliance or equipment: Address: Decorative fireplace City: I State: I ZIP: Insert - type Phone: Fax: E -mail: Woodstovelpel Other: PP e �li.!ig COMM . Applicant's s signora' : Date Other: i Name (print): ,/,-- - , .., ° Permit fee $ Not all jurisdictions accept credit cards. please call jurisdiction for more information. Notice: This permit application ❑ Visa ❑ MasterCard Minimum fee $ expires if a permit is not obtained Credit card number: / / Plan review (at _ %) $ • Expires within 180 days after it has been State surcharge (8 % ) .... $ Name of cardholder as shown on credit card accepted as complete. i TOTAL $ Cardholder signature Amount 440.4617 (6A0/COM) Plumbing Permit Application ' , :: ; :. y :` Date received: Permit no11.0 Y 4i/7 , , 41, j�l141 City of Tiga } � �, f Sewer permit no.: Building permit no.: "�"� Address: 13125 SW I � �'t/" �t.� 23 City of Tigard Phone: (503) 639 4171 Project/appl. no.: Expire date: Fax: (503) 598 -1960 JUN 4 2UU4 Date issued: By: Receipt Land use approval: CiTV e - T r h LJ Case file no.: Payment type: TOE OF PERMIT 0 1 & 2 family dwelling or accessory 0 CommerciaUindustrial 0 Multi - family 0 Tenant improvement ►: New construction 0 Addition/alteration/replacement 0 Food service 0 Other: JOB SITE INFORMATION • FEE SCHEDULE (for special information use checklist) Job address , /0 , A 1(1 A ��L^ ,J Description Qty. Fee(ea.) Total New 1- and 2- family dwellings only: Bldg. no.: Suite no.: (includes 100 ft. for each utility connection) Tax map /tax lot/account no.: _ SFR (1) bath Lot_ _ Block: Subdivision :JJ / It IM SFR (2) bath • Project name: SFR (3) bath City /county: I ZIP: Each additional bathlkitchen Description and location of work on premises: Site utilities: Catch basin/area drain I Est. date of completion/inspection: Drywells/leach line/trench drain Footing drain (no. lin. ft.) ` PLUMBING . CONTRACTOR Manufactured home utilities a - 1 Business name: > (`Q(� L rr Manholes f Addess: T !� I Rain drain connector M- i ZIP: Sanitary sew (no. lin. ft.) ME � !"�, � —v� A Storm sewer (no. lin. ft.) • Phone: y_ ,-�" � Fax: E-mail: _ ,.ti Water service (no. lin. ft.) ME CCB no.: [ D9:7 L I —] I Plumb. bus. reg. no: or `Picture or item: City/metro lic. no.: N/A Absorption valve • Contractor's representative signature .............,..„-3:-\ ✓t! Back flow preventer �� • i ���T�� Backwater valve 1.11 — CUNI r�C I'l RSON Basins/lavatory `\ ��i s.��-D Clothes washer Name: 1 I � Dishwasher Address: ' A i / 0 )t, . V Drinking fountain(s) City: I State: Ejectors/sump Phone: Fax: Expansion tank , ," .iF• :'- OWNER Fixture/sewer cap MI _ Floor drains/floor sinks/hub M Name (print): j it � Garbage disposal Mailing address: _ • • '' • 1 • , 6. Hose bibb a - City: _ MIZZor �� Ice maker _ . I Phone: j . – 4 ., Fax: lr E-mail: Interceptor /grease trap Owner installation/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain (commercial) employee on the property I own as per ORS Chapter 447. Sink(s), basin(s). lays(s) Owner's signature: Date: Sump ENGINEER Tubs/shower /shower pan Urinal I Name: Water closet Address: Water heater City: I State: ZIP: Other. Phone: I Fax: E -mail: Total Minimum fee $ Notice: This permit application Na ac all jurisdictions ceq credit cards, please tit jurisdiction for more information. N Plan review (at __ %) $ 0 Visa 0 MasterCard expires if a permit is not obtained State surcharge (8 %) •••• $ C.edit card number. / / within ISO days after it has been $ �— Expires accepted as complete. TOTAL ._.--- Name of cardholder as shown oa credit card S 440-7616 x616 (601COM) Cardholder signature Amount Electrical Permit Application . . A, • Date received: Permit nog ysr,2ao y 79 =V,.. "�1 City of TigA I Project/appI.no.: Expire date: City of Tigard Address: 13125 SIAM !s:1 aEilV 223 Date issued: By: I Receipt no.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 , JUN 4 2004 Case file no.: Payment type: Land use approval ARD TYPE OF PERMIT ❑ I & 2 family dwelling or accessory 0 Commercial/industrial ❑ Multi - family ❑ Tenant improvement ■• New construction ❑ Addition/alteration/replacement ❑ Other. ❑ Partial - JOB SITE INFORMATION Job address: �� i V �] M'l :�_. no.: Suite no.: Tax map /tax lot/account no.: Lot: ,9,- Block: Subdivision ' . Project name: I Description and location of work on premises: Estimated date of completion/inspection: CONTRACTOR RACI OR All'l.ICA\ I ION FEE SCHEDULE - - . Job no: r1F1r Fee • Max Business name: 9 •i 1 Description Qty. (ea) Total no. hasp Id New residential -single or multi- family per Address: "' `np _ `` I TN dwelling unit Includes attached garage as Mi • R Serriainchuded: • one: .3 - IC •_ Fax: E -mail: 1000 sq. ft. or less • 4 • ' r� . „ ^ Each additional 500 sq. ft or portion thereof 2 CCB no.: Elec bus. lic. no: (� Limited energy, residential C f �� Each manufactured nu fact red home or m - 2 6 I _ - /� Each manufactured home or modular dwelling Harar o f supervising electrician (required) Date {r/�fjl/ Service and/or feeder 2 ■ Sup. elect. name (print): 1 � M License no: Q Se rvices or feeders — Installation, �I! t' F — I a alteration or relocation: PROPERTY OWNER 200 amps or less 2 i 201 amps to 400 amps 2 Name (print): Mum . • tl( ►��rh� 401 amps to 600 amps • 2 Mailing address: 1���� _ /�� S. 601 amps to 1000 amps 2 City: . a s State ' ZIP: -D Over 1000 amps or volts 2 Phone: , ,/7 -2 Fax: M- a► -mail: Reconnect only I Owner installation: The installation is being made on property I own Temporary services or feeders - which is not intended for sale, lease, rent, or exchange according to installation, alteration, orrelocation: 200 amps or less 2 ORS 447, 455, 479, 670, 701. 201 amps to 400 amps 2 Owner's signature: Date: 401 to 600 amps 2 ENGINEER Branch circuits - nen, alteration, • or extension per panel: Name: A. Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 2 City: l State: I ZIP: B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit: 2 Phone: Fax: Email Each additional branch circuit: PLAN REVIEW (Please check all that apply) Misc. (Service or feeder not included): O Service over 225 amps - commercial 0 Health-care Each pump or irrigation circle 2 are facility 2 O Service over 320 amps - rating of 1&2 0 Hazardous location Each signor outline lighting , family dwellings 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel. O System over 600 volts nominal more residential units in one structure alteration, or extension* 2 ❑ Building over three stories 0 Feeders, 400 amps or more 'Description: O Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable in any of the above: Cl Egress/lighting plan 0 Other. - Per inspection I I I I Submit _ sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Permit fee $ No all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application Plan review (at _ %) $ O Visa 0 MasterCard expires if a permit is not obtained Credit card number: / / within 180 days after it has been State surcharge (8%) .... $ , Expires accepted as complete. TOTAL $ Name of cardholder as shown on credit card S Cardholder signature Amount 440 -4615 (640/C0M) • M. 57 Lf — 0-0 17 4 -/- ...._ LAAAAAAAAAAAAAAAAAAAAAAAAAAAAA A • . A lo- 1 . 1 STREET TREE CERTIFICATION [ . I 1 : 1 1 • I I, _ (PLEASE PliINT) , ()wile!" AVM for p m ( 1 7 1. 1 5 PERMIT I OLDER) 1 i ) o hereby certify that the following location i 1 meets City of Tigard/Washington ( . • A I. A Lind use and development standards for street tree illSiA11.1011. A . , [ ADIVESS: ____ 1 Lcyr: 3-1 so mivisioN: __Ig _ . .• • . • iy: iAlria.._40 DAE: to, it- pt.( .... 44 -------------------- A 41 itii.CiiVEr) BY: 41111P F)ATF: lo-12.0/1 _ _' I Or-707-***Wf-TTYYTYYT - 1/1711YYTTIFTTN"1"1","ViTVIrli;i7#7firrifYYTTYY7TTYYTTYY1 Uor00/ cUU4 14 :0( rAA 5U35US1!ltSU CITY OF TIGARD 2001 CITY OF TIGARD Credit No.: 2003 -00001 Date Issued: _ 3/28/03 Engineering ''� r + ` Authorization �, -� Date: 3/28/03 TRAFFIC IMPACT FEE CREDIT VOUCHER Land Use Casefile No.: SUB 2000 -00008 In accordance with Ordinance 379 (Washington County Traffic Impact Fee Ordinance) Don Morissette Homes, Inc. , (name or is entitled to $ 168151.00 in raffle Impact Fee Credits that can be applied to TIF charges for development on lot(s) of S b ' ' P ()� ail � /4 the Thom _ od � divlsi9n Development. The use of TIF credits are subject to the rulels and limitations of the TIF Ordinance which are listed on the back of this voucher. WARNING: This voucher must be presented at the time of issuance of the building permit, or if deferral was granted, issuance of an Occupancy Pe i it. go p ,,,,,, ., z.q.z., _. „,...„ '�, NZ-- ' ,s 44 P DAVJI6 I Date — Permit Numbers Lot Numbers Credit Used Balance J Beginning Balance $ 168,151.00 g_21213_ rh4.1 - 000rt /S 0..23f0 /toy s q --g - 03 i t s-r aoo3•Bo 442 fl as f JG3 Z71 H/a & [ 1 51 k/3 - '00119 - Y %3n) • LW q 41 o pAcr.0003 -x0 /0 A 390 t•515 - 531___ 512103 rnsraoas -oo10 g3 iry I5 e BB 51 0- /at 11157 -col A294.0?) /5'3,tN.so g6 6 /05 a /1'KT.7co3_ ooi8o 4/ (93S0,461 /oi - m41a4 -pnrT9 a2 Atle I•l a31 ao oS lh o -001W a X 3 50 /VG, Pi/ - .193 a3',.. h157Amrg - / S1 d 3y' �� air - p 6 �(p3 raa�D - aa50. - !H1l l 8b /- Balance carried forward to TIF Credit No. . • Ordinance 379 provides for an expiration 10 years from authorization. toginmklaltioe.t CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST y 7 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Re nested A M PM BUP Location / - %' ile-erZifP Suite JJ// MEC Contact Person Ph ( ) old 4e 3 7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation ' Drywall Nailing / �} 1n } c /� Firewall 1 � G ,. c c I ic t"� i � �� (r �`� ? �� � Nov A � lA rt1r Fire Sprinkler Fire Alarm ), j Susp'd Ceiling Roof Other: Final PA PAT FAIL CUM Pos & Beam 7 L V\ \ 1 "c'V Under Slab r - A fk9-1A151i- WatehSe , VN � b1 ' ` � �-b S , q �,C ` 4 , i Water Service v�I�1n �, / }' `/� p }, Sanitary Sewer a ' \ t�`15 � )3 (141 'V Atv R Q 1 �i s ` uAiv � ! � ��� 1 Rain Drains Catch Basin / Manhole `� Storm Drain V Shower Pan F 6/4 bV Shoo) (3 I\ 1 J Y (� I'C I � ��) - itit PART FAIL � \` �� � ° P MEC ICAL ��s I Post & Beam Rough -In Gas Line Smoke Dampers Final P ,T FAIL e 'ce R ough -In L� o∎/ (� � 4 / - C.)v at..) Fire Alarm PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE ❑ Please call for reinspection RE: 11 Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Dat e % Inspecto C' er Ext Other: Final DO NOT REMOVE this Inspection record from the Jo_ site. PASS PART FAIL CITY -QF TIGARD 24 -Hour 1 BUILDING i Inspection Line: (503) 639 -4175 MST ;f ©D c ` _ 6 1 i INSPECTION DIVISION Business Line: (503) 39 -4171 / BUP Received Date Requested / 1 A PM BUP Location ) Al .4S-tiN Suite MEC Contact Person 2 " 4- Ph ( ) -- '1P 3 7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear j7� —)Q r cjE ) Framing \C� J Insulation Drywall Nailing 3� �� ' Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof C436 Other: •ASS PART FAIL ..; NG • •.� Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers J PART FAIL ELE - ICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE LI Please call for reinspection RE: Unable to inspect – no access Fire Supply Line / \ ADA Ia. / 2_ - O In spector Approach/Sidewalk Date _ — Ext Other: Final DO NOT REMOVE this inspection re ' ord from the Job site. PASS PART FAIL