Permit MASTER PERMIT
CITY OF TIGARD
PERMIT #: MST2004 -00142
I I DEVELOPMENT SERVICES DATE ISSUED: 5/25/2004
" ., I � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 12054 SW WHISTLER'S LP PARCEL: 2S103CD -WW268
SUBDIVISION: WHISTLER'S WALK NO. 2 ZONING: R - 4.5
BLOCK: LOT: 068 JURISDICTION: TIG
REMARKS: New SF detached
BUILDING
REISSUE: DM199AS STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1,610 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,790 sf GARAGE: 423 sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 THRD. sf RIGHT: 5
VALUE: 325 90
OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3,400 sf REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 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: 4 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: 6 201 - 400 amp: 201 - 400 amp: 1st W/O SVCIFDR: 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 REVIEWSECTION
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 8 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/1RRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 8,369.70
DON MORISSETTE HOMES INC DON MORISSETTE HOMES INC This permit is subject to the regulations contained in the
4230 GALEWOOD STE 100 4230 GALEWOOD ST, STE 100 Tigard Municipal Code, State of OR. Specialty Codes
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 and all Other applicable laws. All work will be done in
accordance with approved plans. This permit will expire
If work is not started within 180 days of issuance, or if the
work is suspended for more than 180 days.
Phone: 503 387 - 7538 Phone: ATTENTION. Oregon law requires you to follow rules
387 - adopted by the Oregon Utility Notification Center. Those
Reg #: i.4 355533 3g 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 Mechanical Plumb Top Out Exterior Sheathing Insr Gyp Board Insp Appr /Sdwlk Insp
Sewer Inspection Underfloor insulation Electrical Service Low Voltage Rain drain Insp Electrical Final
Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Storm drain Insp Mechanical Final
Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Water Line Insp Plumb Final
Post/Beam tural Mechanical Insp Shear Wall Insp Insulation Insp Water Service Insp Building Final
Issue • By : ` _ I _ / -,4 . _ � Permittee Signature
- Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
,� Ci>r g-- ;5 -oy V-60 le/
Building Permit Application
, A
City of Tigard Datereceived:5 7 6v Permit no.:, ,r j� r y
- -
Project/appl.no.: Expire date:
CiryojTigard Address: 13125 SW Hall Blvd, Tigard, O 97
Phone: (503) 639 -4171 R EC E I V Date issued: By: Receipt no.: f
Fax: (503) 598 -1960 Case file no.: Payment type:
•
Land use approval: vlAY t ry 2004 l &2 family: Simple Complex: . of
TYPE. OF PERMIT
.' _
0 1 & 2 family dwelling or accessory ❑ �� •�rn�ustrial ❑ Multi family ,New construction ❑Demolition
0 Addition/alteration /replacement 0 Tenant improvement 0 Fire sprinkler /alarm 0 Other:
• JOB SITE INFORMATION
Imo" a dress: Fik1 „0•Plamm� =t t riik- �� Bldg. no.: Suite no.:
' Lot: r' Block: Subdivision: L A j�i1 / � � Tax map /tax lot/account no.:
Pro 'e . e:
Description and location of work on premises/special conditions:
OWNER - FOR SPECIAL INFORMATION, USE C1IECKLIST- ':
A min; 0 (Flood plain, septic capacity, solar, etc.)
Mailing address: iewirmrittin 1 & 2 family dwelling:
WNW/ MIA ZIP: ' • 1) , SO Valuation of work $ .
Phone:. , A rz UM N L No. of bedrooms/baths L( 'Z
Owner's representative: • A '" L4, ( Total number of floors ■
Phone: Fax: E -mail: New dwelling area (sq. ft.) "AT
APPLICANT - Garage/carport area (sq. ft) i�l
w
lam. , ,,. �_a_11 Covered porch area (sq. ft.)
Mailing address: L r,' 7 _ a a, r • t,... Deck area (sq. ft.) .
City: L State: ZIP: Other structure area (sq. ft.)
Phone: Fax: E -mail: Commercial/industrial /multi - family: ()
CONTRACTOR Valuation of work $ .„,,,_:,..,..„,.„:„ - .. - .z rid Existing bldg. area (sq. ft.)
Address: � & � _i. New bldg. area (sq. ft.)
.
City: State: ZIP: Number of stories
Phone: I Fax: I E -mail:
Type of construction
:..?-1 t3 �j �j" Occupancy group(s): Existing:
` CCB no.:
New:
City/metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCHITECT /DESIGNER ` licensed with the Oregon Construction Contractors Board under
Name: (la, ( ,lt,0„. (. _ provisions of ORS 701 and may be required to be licensed in the
Address: c ).4 -N-� ((� eIly:iV 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:
• . ENGINEER . . • .: .
Name: Contact person: Fees due upon application $
Address: Date received:
City: (State: IZIP: 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 I ws and o(dinances governing this ❑ Visa ❑ MasterCard
work will be comply a wt a , whether cifred tiered r �tot Credit card number: / /
✓✓✓ Expires
Authorized si _ atu , i 1 i A 4i -� � ' 2 e: �� Name of cardholder as shown on credit card
Print name: $
Cardholder signature Amount
. Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (6 O/COM)
One- and Two - Family Dwelling
_; ' , ! , j° Building Permit Application Checklist Reference no.:
Associated permits:
City of Tigard City of Tigard g 0 Electrical 0 Plumbing 0 Mechanical
Address: 13125 SW Hall Blvd, Tigard, OR 97223 0 Other:
Phone: (503) 639 -4171
Fax: (503) 598 -1960
TILE FOL ITEMS - ARE - REQUIRED - FOR - PLAN -RE -VIEW Yes— No -N /A-
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. V
2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc.
•
3 Verification of approved plat/lot.
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. y
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
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.
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. ' x \
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.
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 ". )C
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 •
. A Date received: Permit no.: ) 4 7 -ewy ;
•
1 1•� City of Tigard Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 - 4171 Date issued: By: Receipt no.: .,
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: Building permit no.:
- TYPE OF PERMIT .
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi family ❑ Tenant improvement
construction ❑ Addition/alteration/replacement ❑ Other.
JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE ,
Job address: t.T liMs`I /rM� 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: • ill Block: Subdivision.WrnLij *See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee.
City/county: ZIP: 1 & 2 FAMILY DWELLING PERMIT FEE SCHEDULE .
Description and location of work on premises: AND COMMERICAL/INDUSTRIAL EQUIPMENTSCHEDULE
Fee(ea.) Total
Est. date of completion /inspection: Description Qty. Res. only Res. only
Tenant improvement or change of use: HVAC: •
Is existing space heated or conditioned? ❑ Yes ❑ No Air handling unit CFM
g P Au conditioning (site plan required)
Is existing space insulated? ❑ Yes ❑ No Alteration of existing HVAC system
- : � , -_ - - -- - - _ � . Boller/compressors
ressors
MECHANICAL :CON I RACTOR := P
State boiler permit no.:
��.� HP Tons BTU/H
Address: tt� ! Fire /smoke dampers/duct smoke detectors -
City: '\ �� warlimie1gn Heat pump (site plan required) M
Phone: .. Fax E-mail: Install/replace furnace/burner BTU /H
Including ductwork/vent liner ❑ Yes ❑ No
CCB no.: _ • Install /replace/relocate heaters- suspended,
City/metro lic. no.: N/A wall, or floor mounted
Name (please print): / 1 p I ' t`-le Vent for appliance other than furnace
C ONTAC "F` . ' P E R SON: - . ..• !•-.. Refrigeration:
. ; Absorption units BTU/hl
Chillers HP
Name: AW 1
`-k�LL� I=
Address: Com.ressors HP
�� R �t Environmental exhaust and ventilation:
City: State: ZIP: Appliance vent
Phone: Fax: E -mail: Dryer exhaust
O W N E R _ Hoods, Type U lures. kjtchen/hazmat
i = • hood fire suppression system
Name: �y M �' aL ,� Exhaust fan with single duct (bath fans) -__
Mailing address: W AM 1 i W � al Faust system apart from heating or AC im
ICIMINERP ZlPR4i , 5 Fuel piping and distribut (up to 4 outlets) Ill
Type: LPG NG Oil
Phone: s Fax: E -mail Fuel piping each additional over 4 outlets _
:r. ` ENGINEER Process piping (schematic required) MIM
Number of outlets
Name: Other listed appliance or equipment:
Address: Decorative fireplace
City I State: ZIP: Insert - type
Phone: Fax. E -mail: Woodstove/pelletstove
Other:
Applicant's signatu ": , tiff" Date: PHIIII Other. ME
Name (print): <' . ' ' • •
T
Not all junsdretions accept credit cards, please call lunsdicuon for more informauon. Permit fee $
Notice: This permit application Minimum fee $
❑ Visa 0 MasterCard expires if a permit is not obtained
Credit card number ex
Expires w i t hin 180 days after it has been Plan review (at To) $
p State surcharge (8 %) .... $
Name of cardholder as shown on credit card accepted as complete. TOTAL $
Cardholder signature Amount 440-4617 (600/COM)
. Plumbing Perm Application F T
Datereceived: Permit no 7 ,. -Od/
j+llrj City of Tigard Sewer permit no.: Building permit no.:
ct'+r Address: 13125 SW Hall Blvd. Tigard. OR 97223 prolect/appl.no.: Expire date:
City of Tigard Phone: (503) 639 -1171
Fax: (503) 598 -1960 Date issued: By: Receipt no.:
Land use approval: Case file no.. Payment type:
TYPE OF PERMIT - .
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi family 0 Tenant improvement
►- New construction 0 Addition/alteration/replacement 0 Food service 0 Other.
JOB STTEINFORMATION. CH
. FEE SCHEDULE ( for special information use checklist):
- 57�l J Description Qty. Fee(ea.) Total
Job address: I 0/ '- r New 1- and 2- fatally dwellings only:
Bldg. no.: Suite no.: (includes 100 ft. for each utility connection)
Tax map /tax lot/account no.: SFR (1) bath
Lot '"I I Block: t Subdivision: W�A �r SFR (2) bath
Project name: SFR (3) bath
City /county: ZIP: Each additional bath/kitchen
_ Description and locauon of work on premises: Site utilities:
Catch basin/area drain
Est- date of completion/inspection: Drywells/leach line/trench drain
Footing drain (no. lin. ft.)
Y I'LL II31NG;;- .`CO�i:hRACTOIL' ' - : • Manufactured home utilities ill
Business name: ' ,lip‘ L. ` i Manholes =
Address: 2._0 Rain drain connector Mil=
one: y —l1� �'�� Fax: E-mail: Z1P • Sanitary sewer (no. lin. ft.)
• Storm sewer (no. lin. ft.) one:
•� Water service (no. tin. ft.) ME
L
CCB no.: i '• "7 I Plumb. bus. reg. no: - ' ;� Fixture or item:
City/metro lic. no.: N/A valve
Contractor's representative signature ../ " . Back flow preventer
. nni • i 11/110I Backwater valve
.
v- •. ::(ONi - AC G_:. ' Pl;Rs0`. , :. Basins/lavatory MI
Clothes washer Name: .1 {\` �DI 1J E Dishwasher
Address: A ' _ 0 b ,., ,Ni Dnnkdn fountain(s)
City• I State: l ZIP: Ejectors/sump
Phone: Fax: I E -mail: Expansion tank
; 0W. \ER Fixture sewer cap
,,, ,,,�� Floor drains /floor sinks/hub U Name (Print) :�( ��`'� l �t � : Garbage disposal
Mailing address: � � �s� Hose btbb
MEW Ice maker
Phone: y ��jB °WM Interceptor /grease trap
Owner installation/residential maintenance only: The actual installation Pnmer(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 Slnk(s), ba_sin(sl. lays(s)
Owner's signature Date- Sump
1111 —
Tubs/shower/shower pan
. r. <'. ENGINEER . Unnal
Name Water closet
Address Water heater
Cit} State i ZIP. Other.
Phone. Fax• 1E-mail Total
Minimum fee $
Not all lunsucuons accept credit cards. please call IunsdLcuon for more informauort N T his r it application $
Notice
Pt PP Pl an rev (at — %)
C visa 0 vlsseerCud expires if a permit is not obtained
C.edn card number / w ithin ISO days after it has been State surcharge (8 %) .. -• $ �-
Expires TOTAL $ -----
accepted as complete.
Name of cardholder as shown on credit card
S 440-4616 (600.0044)
Cardholder signature Amount
Electrical Permit Application : - ,
Date received: Permit no.: i �j �LO� —� r
` y;'t.��� City of Tigard Project/appl.no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: By: Receipt no.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval:
• TYPE OF PERMIT
❑ I & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ Tenant improvement
I' New construction ❑ Addition/alteration/replacement ❑ Other. ❑ Partial
- ' JOB SITE INFORMATION
Job address: �T l AmfarA �� r ,� Bldg. no.: Suite no.: Tax map /tax lot/account no.:
Lot: IMI Block: Subdivision: �ttint
Project name: Description and location of work on premises:
Estimated date of completion/inspection:
,CON FRAC'IOR APPLICATION . FEE SCHEDULE.' - -
Job no: Fee Max
Description Qty. (ea.) Total no. tarp
Business name: J ' � 1 New residential -single or multi-family per
Address: 1 '" _ �` atee dwelling unit. Includes attached garage.
CE I IL 'Wit' • `A 1 Hu &,..ozi1 1000 sq is orris 4
Phone: r - 1 �j Fax: E -mail:
I Each additional 500 sq. ft. or portion thereof
CCB no.. Elec. bus. tic, no: 0 L Limited energy, residential 2
('e\ Limited
chmanu manufactured home or m 2
,/ �) Each manufactured home en modular dwelling
J
, nature of supervising electrician (requ Date Ilfi,
Service and/or feeder 2
Q Services or feeders— installation,
Sup elect name(print) _ AIL 1 , R_ A 'J' L ic ense no /a alteration or relocation:
PROPERTY OWNER -. • 200 amps orless 2
201 amps to 400 amps 2
Name (print): ` • . tl[►�t -reel �!y LX) �� 401 amps to 600 amps 2
Mailing address: I x ) 1 1i A. 5 t ' a 601 amps to 1000 amps 2
City: �.0t , 'State ZIP: 70 Over 1000 amps or volts 2
Phone:, ,/7 Fax: _ -) - r -mail: Reconnect only 1
Owner installation: The installation is being made on property I own Temporary servicesorfeeders -
which is not intended for sale, lease. rent, or exchange according to installation, alteration, or relocation: 2
200 amps or less
ORS 447, 455, 479, 670, 701. 201 amps to 400 amps 2
Owner's signature: Date: 401 to 600 amps 2 • . ENGINEER; ' Branch circuits - new, alteration,
or extension per panel:
Name: A. Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit 2
City: I State: I ZIP: B Fee for branch circuits without purchase
of service or feeder fee, first branch circuit: 2
Phone: Fax: E-mail: .
Each additional branch circuit: ,
PLAN REVIEW (Please check all that-apply) Misc. (Service or feeder not included):
i
i
Each pump or irrigation circle 2
❑ Service over 225 amps- commercial ❑ Health-care facility Eac 2
❑ Service over 320 amps- rating of 1&2 ❑ Hazardous location Each sign or outline lighting
family dwellings ❑ Building over 10.000 square feet four or Signal circuit(s) or a limited energy panel,
❑ System over 600 volts nominal more residential units in one structure alteration, or extension• 2
❑ Building over three stones ❑ Feeders, 400 amps or more *Description
❑ Occupant load over 99 persons ❑ Manufactured structures or RV park Each additional inspection over the allowable in any of the above:
❑ Egress/lighting plan ❑ Other. Per inspection 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 $
Not all junsdictions accept credit cards, please call lunsdicuoa for more informauon Notice: This permit application
❑ Visa ❑ MasterCard expires if a permit is not obtained Plan review (at _ %) $
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 (6AO/COM)
. CITY OF TIGARD Credit No.: 2004 -0001
Date Issued: 01/28/04
Engineering
7,, ,g Authorization
._ -,U- - Date: 01/28/04
TRAFFIC IMPACT FEE
CREDIT VOUCHER Land Use
Casefile No.: SUB2003 -00004
In accordance with Ordinance 379 (Washington County Traffic Impact Fee Ordinance) Venture
Properties, Inc.
(name of
developer)
is entitled to $ 50,606.07 in Traffic Impact Fee Credits that can be applied to TIF charges for
development on lot(s) 1 - 29 of the Whistler's Walk 2 Development. The use of TIF credits are
subject to the rules 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 Permit.
b1
ei6"--
P. +.mot —
Director
Date Permit Numbers Lot Numbers Credit Used Balance
Beginning Balance $ 50,606.07
Balance carried forward to TIF Credit No.
• Ordinance 379 provides for an expiration 10 years from authorization.
login \viola\tif09.1
i--
S T --- 6° — sc5
, LAA1AAAAAAAAAAAAAAAAAIAAA AAA AAAAAAA,AAAAAAAAAAAAAA
-4t ■
•
' 1 STREET TREE CERTIFICATION
A
A
[
1
1 .
I, _ F ow f- A-cyfre_ _
(ITLISE l'IUNI) , Owner/ Agent for P�-) )-400..tcri-E I-I-DNgc
(PERMIT 1101.)ER)
. . . . ,. .. ,, .. .
AO 1)0 hereby cei ill) (lit the following location
1 1
meets City of 'hod/Washington (IIIIty
A
i A
-1 land use and development standards EOI street tree installation.
.
ADDRESS: ?)_51_1 .5' b01-1/57 P. . __
I
GI: 6 8
fr"---, SI JRDIVISION: IA isn-eXi kaf .
4 11Y:. DATF: ii-/F-o_V
/
, .
41 /
1 RECEIVED 11 Y: / , 6/ /,,,,/ I ) All l- /ci - (--.1- --
- .
- ■ ,
Alr—***—*****TYTYYTTY TT ',TY V ItiTTITYYTTYV*TYTT VIIVITYVYYTTYYVTYTTYTY1 '
'CITY OF TIGARD 24 -Hour •
BUILDING Inspection Line: (503) 639 -4175 MST ® ���
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date % /.>
Requested g-) 9 AM PM BUP
Location / a s 4 (- ! )I..0 Suite MEC
Contact Person Ph ( ) O 9 ' fi73 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
r -
•
P—PART FAIL
PLUMBING
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
PART FAIL
• - - 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 111 Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA Date ! Inspector 4' ,0 .� -- ector Ext
Approach/Sidewalk p
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST.="100
INSPECTION DIVISION Business Line: (503) 639 -4171
F--/S BUP
Received 2 ' O 54- Date Requested o C `o AM PM BUP
Location __41 td / Suite MEC
Contact Person t e.ett- Ph ( ) c 4te3 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain tar,'
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
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
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
•
Fire Alar
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SITE Please call for reinspection RE: Unable to inspect - no access
Fire Supply Line
ADA i' 14;) CZ 1\)(30 Lam'
Approach /Sidewalk Date Inspector EXt
Other:
Final DO NOT. REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD _ 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST c;7604/1"--6°/ YZ
INSPECTION DIVISION • Business Line: (503) 639 -4171
BUP
Received Date Requested F--, 7 AM PM BUP
Location D gq Li j/14g n4 Suite MEC
Contact Person Ph ( ) ■- • 4 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner - ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall ,,,,, _
Fire Sprinkler �� �� � �' � — - -
Fire Alarm / _
ii_. -air /_ �r /ice
Susp'd Ceiling -
Roof
e .37-9 ...- Z ..0•"-
Other:
Final
PASS PART FAIL
PLUMBING 6
Post & Beam / l/
�
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Otier:
)
PART FAIL
oi - HANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
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 0 Please c -II for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk Date Inspector Est
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL