Permit ,,
A ,
CITY OF T I G A R D MASTER PERMIT
PERMIT #: MST2004 -00085
���, DEVELOPMENT SERVICES DATE ISSUED: 5/19/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 12075 SW WHISTLER'S LP PARCEL: 2S103CC -WW287
SUBDIVISION: WHISTLER'S WALK NO. 2 ZONING: R - 4.5
BLOCK: LOT: 087 JURISDICTION: TIG
REMARKS: New SF detached
BUILDING
REISSUE: DM192C STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 26 FIRST: 2,020 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,630 sf GARAGE: 615 sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 THR0 sf RIGHT: 5
VALUE: 354 50
OCCUPANCY GRP: R3 BDRM: 5 BATH: 4 TOTAL: 3,650 sf REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 6 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: 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 FOR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 7 201 - 400 amp: 201 - 400 amp: 1st W/O SV0FDR: 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 +amp6- 1000x. MINOR LABEL:
1000+ ampNolt :
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: 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 # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 8,654.87
This permit is subject to the regulations contained in the
DON MORISSETTE HOMES INC DON MORISSETTE HOMES INC Tigard Municipal Code, State of OR. Specialty Codes
4230 GALEWOOD STE #200 4230 GALEWOOD ST, STE 100 and all other applicable laws All work will be done in
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 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 -7 3R adopted by the Oregon Utility Notification Center. Those
Reg #: �g 355533 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 Insf 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 Structural Mechanical Insp Shear Wall Insp Insulation Insp Water Service Insp Building Final
/ .,- (..." 2
Issued By • �� ::� I Permittee Signature :
r
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
r o PI- it -6-dit im u ,2 e -
" Building Permit Application
. A Datereceived: 3'11 Q / Permit gard
Phone: (503) 639 -4171 Date issued: By: I Receipt no.:
Fax: (503) 598 -1960 MAR 1 9 LUU4 Case file no.: Payment type:
Land use approval: CITY CAF TIGARD 1 &2 family: Simple Complex:
_, _ a SIGN ''.%)'
TYPE OF PERMIT
0 1 & 2 family dwelling or accessory 0 Commercial/industrial O Multi- family ,'New construction 0 Demolition
0 Addition /alteration/replacement 0 Tenant improvement ❑Fire sprinkler /alarm ❑Other.
JOI1 SITE INFORMATION
Job address: lalip � rid���_ir 4111.1111.1111MIIM Bldg. no.: Suite no.:
Lot: WAN Block: Subdivision: wyfitrmsa itYl Tax map /tax lot/account no.:
Project name:
Description and location of work on premises/special conditions:
OWNER FUR SPECIAL INFORMATION, USE CHECKLIST
• Name: Vrak=iliiMranti • r1 1 ( Floodplain ,septiccapacit},solar,etc.) ,
Mailing address: Ari imffram 1 & 2 family dwelling:
City: ■EEMA ZIP: ' 'x). 3""' Valuation of work $
Phone: . r 1IMMI , -mail: No. of bedrooms/baths itrir
Owner's representative: ` 'fit i f Cut try (..)K. � Total number of floors ��
Phone: Fax: E -mail: New dwelling area (sq. ft.) � -1)`
APPLICANT Garage/carport area (sq. ft.) MG
•
Name: �' A . Covered porch area (sq. ft.)
Mailing address: Q Deck area (sq. ft.)
City: State: ZIP: Other structure area (sq. ft.)
Phone: Fax: E -mail: Commercial /industrialmulti- family:
CONTRACTOR Valuation of work $
Existing bldg. area (sq. ft.)
Business name: _16,11 dril]MM
Address: F &_ New bldg. area (sq. ft.)
Number of stories
City: State: Type of construction
Phone: I Fax: I E -mail:
CCB no.: 2) cj Cj - -3 Occupancy group(s): Existing:
City/metro lic. no.: New:
Notice: All contractors and subcontractors are required to be
. ARCHITECT /DESIGNER. licensed with the Oregon Construction Contractors Board under
Name: ( -1n, toor-0 provisions of ORS 701 and may be required to be licensed in the
Address: ,L )� • i �(F 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: 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.
rm
attached checklist. A . rovisions of I ws and odinances governing this 0 Visa 0 MasterCard
work will be comph wi • . , whether cified here 1► mint. Credit card number. / /
- � f �j � J $
Authorized Si: atu. =' 1 I i./ — Name of cardholder as shown on credit card Expires
name: _>_ ' f C,f i ( .-J 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 (doaCOM)
•
• f
One - and Two - Family Dwelling
' ' ' Application ' ' Reference no.:
y Building Permit Application Checklist
i Associated permits:
Cay of T gard Ci of Tigard
`J b ❑ Electrical ❑ Plumbing ❑ Mechanical
Address: 13125 SW Hall Blvd, Tigard, OR 97223 ❑ Other:
Phone: (503) 639 -4171
Fax: (503) 598 -1960
TIIE ITEMS ARE FOR PLAN REVIEW 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. �[
9 Erosion control ❑ plan ❑ 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�
1 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 v .
• 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. 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 (6ro0/COM)
' Mechanical Permit Application
Date received: Permit no.: )@y,.o
�1 j, A 11 City of Tigard ,� e 5® Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Ti l.• v r
Phone: (503) 639 -4171 Date issued: By: Receipt no.:
Fax: (503) 598 -1960 L Li i Case file no.: Payment type:
�
Land use approval: AK Building permit no.:
01- 1 tui
�r
'f1'►E OF PERMIT
El 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: „ 4. 1,41TAW A talrlIM - 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: ✓O' Block: Subdivision: F v granw ' See checklist for important application information and
Project name: V Z.4 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 COMMERICAIJINDUSTRIAL EQUIPMENTSCHEDULE
Fee(ea.) Total
Est. date of comp letion /inspection: Description Qty. Res. only Res. only
Tenant improvement or change of use: Air ha n •
Is existing space heated or conditioned? O Yes U No Air handling unit CFM
g s P Air conditioning (site plan required)
Is existing space insulated? 0 Yes ❑ No _ Alteration of existing HVAC system
MECFIAN CONTRACTOR Boiler /compressors
Business name: t [ ■ � State boiler permit no.:
.,I. J HP Tons BTU/H
Address: �rgb_ Fire/smoke dampers/duct smoke detectors
City: " Lt! EIMM" ZIP: ollt 1 Heatpump(siteplanrequired)
Phone:„.7 -V-P ] I Fax: E -mail: Install/replacefurnace/burner BTU /H
Including ductwork/vent liner Cl Yes O No
CCB no.: ' ?,9t- =)('; ) Install/replace/relocate heaters - suspended,
City/metro lic. no.: N/A wall, or floor mounted
Name (please print): • • 2 -3- 1 ---
1 .PjIi' (1/4-1,��L._ Vent for appliance other than furnace
Refrigeration:
CONTACT PERSON
'' `` Absorption units BTU/H
Name: ° >13E `N�� Chillers HP
Address: ' Q C 0L %: iv C__. Compressors HP
Environmental exhaust and ventilation:
City: I State: ZIP: Appliance vent
Phone: Fax: E -mail: Dryer exhaust
O W N E R Hoods, Type U IUres. kitchen/hazmat
hood fire suppression system
Name: Exhaust fan with single duct (bath fans)
Mailing address: 4 Wri ) / .' _ i,��1, Exhaust system apart from heating or AC
City: , State 7 4111 ZIPR'4/) Fuel piping and distribution (up to 4 outlets)
Type: LPG NG Oil
Phone: 7 - _01 Fax: E - mail: Fuel piping each additional over 4 outlets
ENGINEER Process piping (schemauc required)
Number of outlets
Name: Other listed appliance or equipment:
Address: Decorative fireplace
City • J State: I ZIP: Insert - type
Phone: Fax: E -mail: Woodstove/pelletstove
Other:
Applicant's signatu L
, , /7 Date: Ll le Other.
Name (print): (J ` i f 1na1 ?If' I i
w—
Na all Junsdreuons accept credit cards, please call jurisdiction for more information. Permit fee $
O Visa O MasterCard Notice: This permit application Minimum fee $
r within if a permit is not obtained Plan review (at _ %) $
Credit card number E ( )
Expires hin 180 days has b
p ays a fter been surcharge (8 %) .... $
Name of cardholder as shown on credit card accepted as complete.
S TOTAL $
Cardholder signature Amount 440 -4617 (6,00/CON)
Plumbing Permit Application
P ermit no . ��jl D0D
�5
Date received:
, r 4 i City of Tigard Sewer permit no.: Building permit no.:
Address: 13125 SW Hall Blvd. Tigard, OR 97223
City of Tigard o Ti d �� �1� �® Project/appl. no.: Expire date:
Phone: (503) 639 -1171
Fax: (503) 598 -1960 Date issued: By Receipt no.:
Land use approval: y 1Uu4 Case file no Payment type:
�'IAtk 1
TYPE. (IT 2ERMIT
0 1 & 2 family dwelling or accessory D C•u ttt>pi'0�eilr}tt$1 , 0 Multi- family 0 Tenant improvement
•: New construction 0 A. . ition/alteration/replacement 0 Food service 0 Other.
,;.. JOB SITE INFORMATION FEE SCHEDULE (for special informat use checklist) .
Job address: : VI Description Qty. Fee(ea.) Total
Bld f New l- 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: Subdivisto A �w.AVA I I SFR (2) bath
Project name: ` / , Ai12111 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: Drywellstleach line/trench drain
Footing drain (no. lin. ft.)
'
PLO NIII1 \G. :CO\ I-RAC E Manufactured home utilities
Bruin _t ` 7 L i Manholes
Address: ��b�11112 • Rain drain connector
� V ZIP: Sanitary sewer (no. lin. ft.)
�' Storm sewer (no. lin. ft.)
Phone: 1" Fax: E-mail: _ ;�.ly I Water service (no. lin. ft.)
CCB no.: . '• "7k_ Plumb. bus. reg. no:
� Fixture or i tem:
City/metro lic. no.: NSA / 7 Absorption valve
Contractor's representative signature dot i Back flow preventer
Print name: • • / I U. . IfirAN Backwater valve
. CON FACT . PERSON Basins/lavatory
Name :.1{\` -1 , p N ,, E Clothes washer
Dishwasher
Address: a £ * i / / te, AC' Dnnkins fountains)
City- State: Ejectors/sump
Phone: Fax: Expansion tank
' -4 '. 0 \I:R - Fixture/sewer cap
Floor drains/floor sinks/hub - Name (print): it 1 Garbage disposal
Mailing address: r.► 1 Hose bibb
City: _) • Mil...... Ice maker
Phone: / — Ai r Fax: 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. Sink(s). basin(s). lays(s) ,
Owner's signature Date: Sump
Tubs/shower /shower pan
' . .. , I NGINEER Urinal
Name: Water closet ,
Address Water heater
City State. ZIP. Other
Phone: Fax: E -mail. Total
Minimum fee $
'Not ali junsdreuons accept credit cards, please call junsd+cuon for more mformauonN Notice This permit application $
Plan review (at _ %)
C visa O MssmrCard expires if a permit is not obtained
C.edit card number / w ithin 180 days after it has bee State surcharge (8 .a
o) .... $ __--
Expires TOTAL $ —__----
accepted is complete.
Name of cardholder as shown on credit cud
S
Amount 4404616 (600C'OM)
� Cardholder signature i
.„ Electrical Permit Application • ' -
, 41,
Date received: Permit no.: t d4 -066S
1j ; }gifirI City of Tigard Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW H 1V EC) Date Issued: By: Receipt no.:
Phone: (503) 639- 41711,,r 9�-
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval:
�iR -1._ 9 104
_ -D
- ' TYPE OF PERMIT.
__
❑ 1 & 2 family dwelling or accessory � � • Commercial/industrial 0 Multi- family ❑ Tenant improvement
►' New construction ❑ Addition/alteration/replacement ❑ Other. ❑ Partial
- '.. J SITE INFORMATION .
Job address: WI! , )9 p Bldg. no.: Suite no.: Tax map /tax lot/account no.:
Lot: � � Block: Subdivision:
Project name: Description and location of work on premises:
Estimated date of completion/inspection:
CON I RACTOR APPLIC, \ - I ION - . FEE SCHEDULE
Job no: Fee Max
Description Qty. (ea.) Total no. rasp
Business name: � 1 N pal -single or multi-family per
Address: r, • ` a te dwelling mtit- includes attached garage.
EMI g ZIP: Service included
Phone:L42.) .j - I 4 "..1 Fax: E -mail: 1000 sq. ft. or less
r.1 ,. Each additional 500 sq. ft or portion thereof
CCB no.: _ Elec. bus. Iic. no: - .— umited energy, residential 2
C : Limited energy, non - residential 2
Each manufactured home or modular dwelling
nature of supervising electrician (required) Date Service and/or feeder 2
��p L no Q Services or feeders – hu'tallation,
Sup elect name (print) �� 1 C� ±l �� / alteration or relocation:
''PROI'IiR"lY. OWNER.. . - 200 amps or less 2
0 201 amps to 400 amps 2
Name (print): IIITID <.r>• 401 amps to 600 amps 2 A.
Mailing address: ��tr _ it ��if[s_ J 601 amps to 1000 amps 2
City: c all ElEral ZIP: "0 Over 1000 amps or volts 2
Phone:,) 2 r -mail: Reconnect only 1
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: 2
200 amps or less
ORS 447, 455, 479, 670, 701. 201 amps to 400 amps 2
Owner's signature: Date: 401 to 600 am.s 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):
❑ Service amps-commercial 225 amps-commercial 0 Health-care facility pump or irrigation circle 2
ty 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, 2
O System over 600 volts nominal more residential units in one structure alteration, or extension'
O Building over three stones 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:
O Egress/lighting plan 0 Other: Per nspection 1 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 $
Not all lunsdicuons accept credit cards, please call lunsdtcuoa for more Inform aeon Notice: This permit application Plan review (at _ %) $
O Visa O 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 (6/00/COM)
CITY OF TIGARD Credit No.: 2004 -0001
Date Issued: 01/28/04
A � U �Engineering
., 4 „, k , ''lh Authorization
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 Whistlers 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.
e
P. OL.,_4....,...„,
Director
Date Permit Numbers Lot Numbers Credit Used Balance
Beginning Balance $ 50,606.07
S/ q/ v /Z�5% ,dD'� 87
Balance carried forward to TIF Credit No.
• Ordinance 379 provides for an expiration 10 years from authorization.
login \viola \tif09 1
+
AAAA1Aeaes,eAA AAAAA A -AIAA A 44 4A AAA AAAAAAAAAAAAAAAAAease:41
-4 p
P
■ .
TRE C_i_Jl� Z_ I_� IC ATION -
STREET 0.-
. 1 . l
aw11CI1Ag e 11t (() 1- D�,,,,.1 24- l S5 r l/ C 774e-/ N
r, - _�t_>°+ -►tom _ ���rc (.)‘1,7
- )w (1'I:1Z�1t1'1'►Ipl.!)rIZ)
•
1 (PLEA ST !WIN I)
I)0 heiel,y c_elrily dial the ((Mowing location
1 1
meets City of Tigard/Washington County
I lal I • Icl Ilse aucl develo )IIle11l s1a11elIrcls (ur street tree 111SlallatU11.
A DI) R BS: S: / 2 0 7 .S! 5 .-- £ )I - s ,4'44'K S cop ——
A
i ECI 1 VIA 1-) B Y: � / 9
t,1 1)I - Gt/ ls�I s . ,e- / 1 - _ .
. 1 ilY: DATE: g—/4 -eV
` I 1 /V I ' I / 7- C K -
— ' - — — --
FITT**TT*rTTTTTYTYTITTT VTTTYYTTI ►vTiTivTTTIITYTTTTTTTYTTITTTTTTTI
CITY OF TIGARD 24 -Hour • (L
BUILDING -Inspection Line: (503) 639 -4175 MST �7
INSPECTION DIVISION Business Line: (503) 639 - 4171
BUP
Received Date Requested F — /3 AM PM BUP
Location / a` 7 5 (--ci Suite MEC
Contact Person Ph ( ) �� — �(� PLM
Contractor Ph ( ) SWR /Alb.
BUILDING Tenant/Owner ELC �/-
Footing
Foundation ELC
Ftg Drain Access: ELR /.
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear ` p V 14 (� � � . ten t& �6r 1/2;1
Framing 1(J � S>�
Insulation
Drywall Nailing
Firewall •
Fire Sprinkler // --- p rrA Q
Fire Alarm LA J I 30. I 11� . - 3 I� ` L. okA a► t1'-F- BgPa zo n...-
Susp'd Ceiling \1
Roof � a` s3�. , ot. 5 o
Other: - - (�
Final d V.Tlil Cr) .y 0 F YbviT
'
PASS • -earn PART FAIL S �w 0� 1 o F C7r'v ' put_
�
Under Slab �1
Rough -In C7 W /� 1. IftN - rub
Water Service es+ �' ► �MUn l "
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain (('''--
Shower Pan - oCZ.C.�L. N �. tlVk 1 1"' ► Z.1 Vgt (1a.t . A�
PA PART
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire : arm
r Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART AI
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line � .
ADA �� ' ' 1\t 8U�
Approach /Sidewalk Date Inspe ctor Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
•
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: 1503) 639 -4175
MST ;?(26 -ono R�"'
INSPECTION DIVISION Business Line: (503) 639 - 4171
BUP
Received Date Requested �o AM PM BUP
Location _f a � 07 6 5 - 1. ' )I L4c eeApJ Suite MEC
Contact Person /&4 Ph ( ) S - y k'3 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC A
Footing f/
Foundation ELC
Ftg Drain Access: ELR AVIAN!
Crawl Drain WAIN
Slab Inspection Notes: SIT R //
Post & Beam FA4W7
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
Fi = Alarm
'AS PART FAIL Reinspection fee of $ required before next inspectio ay at City Hall, 13125 SW Hall Blvd.
SI fl Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA a `U p /
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 -
BUILbING Inspection Line:' (503) 639 -4175 MST 6 'r" - 60 6 —
INSPECTION_DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested F ' t 7 AM PM BUP
Location / a 6 7 5 CCU Suite MEC
Contact Person 62 Ph ( ) -418'3 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 (-f <%z6 t fi'%I, L ) 8-1G- 04-
Insulation
Drywall Nailing E S,fre- Ui�G
Firewall /A/SrlAL��i This — k-c-
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
(Pia'
PART FAIL
UMBING
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
S e Dampers
PART FAIL
CTRICAL
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 — /7- 04 —
Approach /Sidewalk Date_ Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL