Loading...
Permit MASTER PERMIT CITY OF TIGARD PERMIT #: 2,41V DEVELOPMENT SERVICES DATE ISSUED: 4/15/04 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 12071 SW WHISTLER'S LP PARCEL: 2S103CC -WW289 SUBDIVISION: WHISTLER'S WALK NO. 2 ZONING: R -4.5 BLOCK: LOT: 089 JURISDICTION: TIG REMARKS: New SF detached BUILDING REISSUE. DM145 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1,290 sf BASEMENT. sf LEFT. 5 SMOKE DETECTORS' Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND' 1,722 sf GARAGE: 594 sf FRONT: 20 PARKING SPACES . 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD sf RIGHT: 20 VALUE. 295.731 00 OCCUPANCY GRP R3 BDRM• 4 BATH. 3 TOTAL. 3,012 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 0 RAIN DRAIN: 100 TRAPS. LAVATORIES: 4 DISHWASHERS' 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 2 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: 0 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 FD R PUMP /IRRIGATION PER INSPECTION. EAADD'L 500SF: 6 201 - 400 amp: 201 - 400 amp 1st W/O SVC/FDR: SIGN /OUT LIN LT: PER HOUR. LIMITED ENERGY: 401 • 600 amp: 401 - 600 amp. EAADDL BR CIR SIGNAL/PANEL: IN PLANT' MANU HM/SVCIFDR• 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 & STEREO: VACUUM SYSTEM: AUDIO & STEREO. FIRE ALARM' INTERCOWPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEJIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION' MEDICAL: OTHR• HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 8,130.28 DON MORISSETTE HOMES 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 and LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 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. ATTENTION: Oregon law requires' you to follow rules adopted by the Phone. 503 387 - 7538 Phone: Oregon Utility Notification Center. Those rules are set 5p3 forth in OAR 952 - 001 -0010 through 952 -001 -0080. You Reg #: LlC; 387355533 3g 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 Insj 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 lnsp Gas Fireplace Water Service Insp Building Final Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Appr /Sdwlk lnsp Issued By : Permittee Signature V` Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day .. Building Permit Application _ Date received: ,f j A, l : Permit no.: ; 5 2?9�L , ' i City of T><gar + � ®/ • Project/appl. no.: Expire date: City ofTrgard Address: 13125 SW H. T gard, OR wi23 Phone: (503) 639 -4171 Date issued: By: Receipt no.: Fax: (503) 598 -1960 pp 0 M Case file no.: Payment type: Land use approval: CITY OF TIGARD 1 &2 family: Simple Complex: . or • • VISION TYPE OF PERM IT l . 0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family ,'New construction 0 Demolition 0 Addition/alteration /replacement 0 Tenant improvement 0 Fire sprinkler /alarm 0 Other. JOB SITE INFORMATION Job address: Bldg. no.: Suite no.: Lot: `gm Block: Subdivision: V " nTll/l/llrig Tax map /tax lot/account no.: Project name: Description and location of work on premises/special conditions: OWNER FOR SPECIAL INFORMATION, USE CHECKLIST' . EMILVEM ; I ( Floodplain ,septiccapacity,solar,etc.) Mailing address: 'ei wim _ a relE I & 2 family dwelling: EEMAIEMIMM Valuation of work $ Phone: r �l ,. r No. of bedrooms/baths L1 (t ). 4 Owner's representative: , .' L� i f _ Total number of floors Phone: Fax: E -mail: New dwelling area (sq. ft.) APPLICANT Garage/carport area (sq. ft.) EMl�i•` j � I ,�� & � Covered porch area (sq. ft.) Mailing address: ' a tvgamilm Deck area (sq. ft.) City: State: ZIP: Other structure area (sq. ft.) Phone: Fax: E -mail: Commercial/industrial /multi - family: CONTRACTOR Valuation of work $ rid Existing bldg. area (sq. ft) ^ New bldg. area (sq. ft.) _ Address: I L =it: Number of stories City: State: ZIP: Phone: Fax: E -mail: Type of construction CCB no. v 1==.1.1111111111M Occupancy group(s): Existing: r New: City/metro lit. no.: Notice: All contractors and subcontractors are required to be . ARCHITECT /DESIGNER - licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may be required to be licensed in the Address: _ ,L .- , c(a �� l •� jurisdiction where work is being performed. If the applicant is City: State: 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: ZIP: Amount received $ Phone: Fax: 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 0 visa 0 MasterCard work will be comp!' • • wt •, , whether ifred i1erei t. r Credit card number: / / /� % )L 1 I 1 Expires Authorized si : • � ` L �� / I 1 Nerve of cardholder as shown on credit card Print name: r! L f 2 � $ - . . .e._ 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. 440-4613 (6100/COM) One - and Two- Family Dwelling Building Permit Application Checklist Reference no.: Associated permits: City of Tigard City Tigard `J g 0 Electrical ❑ Plumbing U Mechanical Address: 13125 SW Hall Blvd, Tigard, OR 97223 0 Other: Phone: (503) 639 -4171 Fax: (503) 598 -1960 • TILE FOLLOWING REQUIRED REVIEW — .Yes 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/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. 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch -basin protection, etc. /l c 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. '�(\ 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 ". 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 no.: 11 - _ , •� �, { j, • l� City of Tig • ,` , 9\ ® Projecdappl.no.: Expire date: City of Tigard Address: 13125 SW 1 •' t —' I and 97223 Phone: (503) 639 -4171 Date issued: By: Receipt no.: _ Fax: (503) 598 -1960 P PR 01 2BM Case file no.: Payment type: Land use approval: CITY nF TIGARD Building permit no.: ., _ ■ ON 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 Other: JOB SITE INFORMATION " COMMERCIAL VALUATION SCHEDULE Job address: t_ " -7 � mum��imijimi Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: Suite no.: value of all mechanical materials, equipment, labor, overhead, Tax ma. /tax lot/account no.: profit. Value $ . Lot: 'r i Block: Subdivision: I 72a._ Q ' 'See checklist for important application information and Project name: / r ' I 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 EQIJIPMFNTSCHEDULE 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? 0 Yes 0 N o fur handling unit CFM g P Air conditioning (site plan required) Is existing space insulated? 0 Yes 0 No Alteration of existing HV AC system MECHANICi \L• . CONTRACTOR ,. Boiler /compressors ������ State boiler permit no.: zII.f1 �I.� HP Tons BTU/1-1 Address: dindripb_ Fire/smoke dampers/duct smoke detectors City: \v^t Li State 7fllilaglifienal Heat pump (site plan required) Phone:,, ,. _ Fax: Email: Install/replace furnace/burner BTU /H Including ductwork/vent liner 0 Yes 0 No CCB no.: 'F .9� lnstall/replaceirelocate heaters — suspended, City/metro lic. no.: N/A wall, or floor mounted (please print): • OP i ,'im/ Name lease ice - - - NEL(_._ Vent for appliance other than furnace • j . • CONTACT': PERSON , Absorption Abs units BTU/F1 Name: ° `� , Chillers HP Address: Com. ressors HP 4_ ♦ b l Env exhaust and ventilation: City- State: ZIP: Appliance vent Phone: Fax: E - mail: Dryer exhaust • O Hoods, Type U lures. lutchen/hazmat hood fire suppression system _�. I , I , 0/11 • • Exhaust fan with single duct (bath fans) Mailing address: g�� / al_ Exhaust system apart from heating or AC _____ �L1ed Fuel piping and distribution (up to 4 outlets) Type: LPG NG Oil Phone:. INIU Fax: E -mail: Fuel piping each additional over 4 outlets . emau ' � , �` piping sch c required) I:NGINEIR � - ProcessP P g( q Number of outlets Name: Other listed appliance or equipment: Address: Decorative fireplace City• I State: I ZIP: Insert — type Phone: // F E-mail. Woodstove/pelletstove PP a �'IJf/i !�' r �� O Other: - Applicant's s si�natu" � Date: �� Name (print): l'•';' I , fi f f y A: / T Not all junsdiciions accept credit cards, please call pinsdicu rm on for more information Permit fee $ 0 Visa 0 MasterCard Notice: This permit application Minimum fee $ expires if a permit is not obtained Plan review (at _ % $ Credit card number. Es Expires w i t hi n 180 days after it has been ( ) p State surcharge (8 %) .... $ Name of cardholder as shown on credit card accepted as complete. S TOTAL $ Cardholder signature Amount , 440 -3617 (6i00.rCOM) Plumbing Permit Application (- E \ Date received: Permit no.'.tl�r _ 2 - l ... Ci ty o Tigard L-�� t - Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd. Tigard. OR 97W7,4 Projectiappl.no.. Expire date: City ojTigard Phone: (503) 639-4171 1 c.'' e' I_ '' 211114 Fax: (503) 598 -1960 j�Cai�t�� Date issued: By: J Receiptno.: CITY OF Land use approval: 13U1L ©1�1f;171�1IS1O� 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 SHE INFORMATION FEE SCIIEDUI E. (for special information use checklist) Job address: t 0-7 I At Vv t Description Qty. Fee(ea.) Total // 1 New 1- and 2- family dwellings only: Bldg. no.: Suite no.: - (indudes 100 ft. for each utility connection) Tax map /tax lot/account no.: SFR (1) bath Lot 1 Block: 'Subdivision: VI.. SFR (2) bath Project name: '‘A.TA -'i. d- SFR (3) bath City /county: ZIP: Each additional bath/kitchen _ Description and location 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.) PLUMMRING CONTRACTOR Manufactured home utilities Business name: PK(_V1 L i Manholes Address: , j 1 2_, Rain drain connector City • State ZIP: Sanitary sewer (no. lin. ft.) f!' -v� Storm sewer (no. lin. ft.) Phone: y ,-- � Fax: E -mail: Water service (no. lin. ft.) CCB no.: 1, (,,9± L( -] I Plumb. bus. reg. no: - - ; - ,• ti Fixture or item: City/metro lic. no.: N /,a � — Absorption valve Contractor's representative signature �` ✓L . � ' Back flow presenter Print name: .�• `'" 1- n11611 Backwater valve ' CONTAC"I PERSON Basins/lavatory 1 Clothes washer Name : -i ���, NE Dishwasher Address: _ AA / / Af Ic, ,N/ - Dnnkine fountains) City 'State: ZIP: ' Ejectors/sump Phone: Fax: E -mail: ' Expansion tank Fixture/sewer cap Floor drains/floor sinks/hub Name (print) Garbage disposal Mailing address: 1 - ( , } � j (--.7 P' _ ,7 j V) -e-- Hose bibb City: L.-fl • State I ZIP :C / j \ ice maker Phone: 1 . — Ar [Fax. '.7-710 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 Name ' Water closet Address: Water heater City I State I ZIP Other Phone. 'Fax: I E -mail: Total Na jurisdictions lusdscons accaccept e credit cards. please call )unsd+cuon for more infomuuon Minimum fee $ Notice This permit application q $ Plan review (at _ %) C visa `tssicrCard expires if a permit is not obtained State surcharge (8%) ..•• S C.edtt card number Expires w ithin 180 d ays after it has been —_ accepted as complete TOTAL $ Narne of cardholder as shown on credit cud S v. Cudhoidu signature Amount , .40a6i6 (6tinC:OM) ,, , Electrical Peon _ • . , � , City of Tigard APR 0 1 2004 Project/appI.no.: received: Permit no.: r . a )! a T +K �I I 1. no.: Expire date: .. � � ect/a Pp City of Tigard Address: 13125 SW Hall Blt1, - 5 T 9722 Date issued: By: Receipt no.: Fax (3 639-4171 BUILDING D Fax: : ( (503) ) 5 598 -1960 -1960 DIVISION Case file no.: Payment type: Land use approval: . TYPE OF PERMIT' , ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial 0 Multi - family ❑ Tenant improvement V New construction ❑ Addition/alteration/replacement ❑ Other. ❑ Partial JOB SITE INFORMATION Job address: IdO'7 migrA itf /•fillral Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot: ' Block: Subdivision: 'm lat ili 11, i Project name: Description and location of work on premises: Estimated date of completion/inspection: . CONTRACTOR . A1'1'1.1( ION - FEE SCHEDULE. • . - Job no: /1 Fj Fee Max 'IV ' � D escription Qty. (ea.) Total no. insp �/1 / New residential - single or multi - family per Address: AIP ° Wri _ = `` 2` dweUingunit includes attached garage. =' ' E4 ZIP: # Service included: Phone: 22 l Fax: E -mail: 1000 sq. ft. or less 4 iii 'J 411,11 Each additional 500 sq. ft or portion thereof __ no.: y _ o il. Elec. bus. 1tc. no: 4 , , e t, energy, residential ___ 2 C' ( -)� _ Limited energy, non- residential ___ 2 Each manufactured home or modular dwelling ■■ . • ' nature of supervrsrng electrician (required) Date FA Service and/or feeder 2 Sup elect name (print) 1 A '1 � • Serricesorfeeders— Installation, 11111. _,It_ no • alteration or relocation: . ',PROPERTY OWN FR ' 200 amps or less 2 Name (print): P f1(t1i�r� 201 amps to 400 amps ___ 2 � ��� 401 amps to 600 amps ___ Mailing address: � _� 601 amps to 1 000 amps ___ 2 City: • t' �� =+ ZIP: Over 1000 amps or volts ___ 2 Phone: , r' Reconnect onl �_ I Owner installation: The installation is being made o gpr I wn Temporary services or feeders - . which is not intended for sale, lease, rent, or exchange according to installation, alteration, 200 amps or less 2 ORS 447, 455, 179, 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: State: 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): ■■ O Service over 225 amps - commercial 0 Health-care Each pump or irrigation circle 2 are facility O Service over 320 amps - rating of 1&2 O Hazardous location Each sign or outline lighting __ 2 _ 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, orextension• 2 O Building over three stories ❑ Feeders, 400 amps or more *Description: O Occupant load over 99 persons ❑ Manufactured structures or RV park Each additional inspection over the allowable in any of the above: ❑ Egress/lightingplan O Other: Per inspection __ 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 junsdicuons accept credit cards, please call jurisdicuoa for more tnformauon Notice: This permit application Plan review (at _ %) $ O Visa 0 MasterCard expires if a permit is not obtained Gent 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 $ Cardholder signature Amount 440 -4615 (64X1COM) . • CITY OF TIGARD Credit No.: 2004 -0001 RECEIVE" Date Issued: 01/28/04 APR 1 5 2004 Engineering %a�f ";. I ,a Authorization �!! 1- F1 CITY OF TIGARD Date: 01/28/04 BUILDING DIVISION 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. developer) (name of 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. erg-1:j P. mss._,. . - Director Date Permit Numbers Lot Numbers Credit Used Balance Beginning Balance $ 50,606.07 y / /S /a y elT�ooY -4oHe , 7? 9,25:3e, o0 Balance carried forward to TIF Credit No. • Ordinance 379 provides for an expiration 10 years from authorization. Iogm \viola \tif09 i At 5 a -- Lf ( ._ 4 iti STREET TREE CERTIFICATION A 1 , ! i /i)wnci /gent for 1:2 ri02 /�r - 1ES I, V��� SE l'1 (l'ERAIIT 1101.1)ER) (PLEASE I'R1Nf) I)0 'lel Chy C Citify tli:it the following location meets (:ily c) (Til;aicl /Waslciitl;lc)it (;c)tnnty i ® land use a nd clevelc)I)i wiii standards for street tier installation. Abl)[ZESS: I2o I S0) wN -1SrLE S L1 - - - - - -- LOT: 159 - - -- ` IJ R I ) I V I S I ( ) l`I : G✓hL/STS Gv4i,RC - _- - /g"\------- 11/1'I'F: 7.23 -e 4 - - - -- lV7 i* ` TifTYYTY ITT®TT®'iYTTTTTTTViiTTT` YYTTYYTYYTTYYTTY®TTTY1 CITY OF TIGARD 24 -Hour . BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST 7 BUP Received - Date Requ-sted 7/ AM PM BUP Location 1 MEC Contact Person ' .7 Ph (-" d ) '7 PLM Contractor Ph ( ) SWR UILDIN Tenant/Owner ELC Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear J Framing Mr" /AiSTA T Insulation Drywall Nailing Firewall Fire.Sprinkler Fire Alarm Susp'd Ceiling Roof _ S _ -- - PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan -- Other: Final P -T FAIL • Rough -In Gas Line Sm Dampers _� PART F • 11. - 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 Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA Approach /Sidewalk Date 7- 2-d— a4-- Inspector r 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 cA 8219 Cl"t INSPECTION DIVISION Business Line: (503 639 4171 1 7 / BUP Received 7 /� � ate Requested � �n��u� I BUP Location 1c-a7 / / L Suite MEC Contact Person ( a k a . , PLM 9 - 4 7 Ph ( ) �D Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Ext Sheath/Shear ,_ Ext eah/h 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 P T FAIL 4LECTRIC Service Rough -In UG/Slab Low Voltage rm 0� �) S , PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line C ADA V Inspector \ ` 1 Y t' Approach /Sidewalk Date Ext Other: Final DO NOT REMOVE this inspection recor from the Job site. PASS PART FAIL