Permit A d. C ITY O F TI G A R D MASTER PERMIT
PERMIT #: MST2004 -00067
oI DEVELOPMENT SERVICES DATE ISSUED: 5/13/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 12078 SW WHISTLER'S LP PARCEL: 2S103CC -WW280
SUBDIVISION: WHISTLER'S WALK NO. 2 ZONING: R - 4.5
BLOCK: LOT: 080 JURISDICTION: TIG
REMARKS: New SF detached.
BUILDING
REISSUE: DM45 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 23 FIRST: 1,560 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.410 sf GARAGE: 680 sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 TURD. sf RIGHT: 5
VALUE: 290 00
OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2.970 sf REAR: 15
PLUMBING
SINKS: 2 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: 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: 6 201 • 400 amp: 201 • 400 amp: 1st IMO SVOFDR: 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 /FOR: 601 • 1000 amp: 601 +amps •1000x. 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 8 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 8 SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 8,126.98
DON MORISSETTE HOMES DON MORISSETTE HOMES INC This permit is subject to the regulations contained in the
4230 GALEWOOD ST #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
5p 3� 387 -"7555-YS adopted by the Oregon Utility Notification Center. Those
Reg a: LIC 3 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 Insl Gyp Board lnsp Appr /Sdwlk Insp
Sewer Inspection Underfloor insulation Electrical Service Low Voltage Rain drain Insp Electrical Final
Footing lnsp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Storm drain Insp Mechanical Final
Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Water Line lnsp Plumb Final
Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Water Service Insp Building Final
r`. / I r
Iss ed By : — 0 t _ i...._.4.1_ Permittee Signature :�
- Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
1 (' 5 1I' 5W 42004/ -ono ,l
A • Building Permit Application
. . Datcreceived: A6 o Pennitno.: j
,:` Syr City of T><gwED I i0�(�4?
City ofTigard
Address: 13125 S W , igard, OR 97223
Project/appl. no.: Expire d
Phone: (503) 639 -4171 Date issued: By: I Receipt no.:
Fax: (503) 598 -1960 f t.B 2 5 200 4: '
Case file no.: Payment type:
Land use approval: GN OF TIGARD j %CP 1 &2 family: Simple Complex:
- . . 1SIDN
T1( P1: OF ' f'RjIIT
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.
,IOU SHE INFORMATION
Job address: lariarji`/ ]� l 'arr,■ 4 /41 Bldg. no.: Suite no.:
Lot: -jaw Block: Subdivision: n_' :' y rnlif�� map/
tax � � ax ma tax lot/account no.:
Project name:
Description and location of work on premises/special conditions:
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: tip r p _' Matdr�_rk (Flood plain, septic capacity, solar, etc.)
Mailing address: ',e� Rt/3t!tut 1 & 2 family dwelling:
City: A ZIP: Valuation of work $ f Phone:. r" rii �� -mail: No. of bedrooms/baths C .i
Owner's representative: ra j• g ti y Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.) .0 'Wo
APPLICANT Garage/carport area (sq. ft.) /I2V
Name: Covered d porch area (sq. ft.)
Mailing address: , �1�1� I CL., Deck area (sq. ft.)
City: `State: I ZIP: Other structure area (sq. ft.)
Phone: . Fax: E - mail: CommerclaUlndustrial /multi - family:
CONTRACTOR Valuation of work ..Y. $
Business name: _ 7 ,VI ME �,b
Existing bldg. area (sq. ft.)
Address: vii l New bldg. area (sq. ft.)
Number of stories
City: State: Type of construction
Phone: I Fax: I E -mail:
CCB no.: .?j S ) )3 Occupancy group(s): Existing:
New:
City/metro lit. no.: Notice: All contractors and subcontractors are required to be
ARCI I ITECI /DESI(,NER licensed with the Oregon Construction Contractors Board under
Name: 6,10,4,k et- 10,2111, letir ,- provisions of ORS 701 and may be required to be licensed in the
Address: c ��1Q C rsN jurisdiction where work is being performed. If the applicant is
clArP
City: State: 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: IZYP: 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 Na all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. • . rovisions of 1 ws and ordinances governing this 0 visa Cl MasterCard
/ work will be comp • wt ., whether ified Herein t. Credit Card number
Authorized si i pi
_ �1 Name of cardholder as shown on credit card
Print name: i •T 1 �.� !_ Cardholder signature $ Amount
tgmtme
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. - " 440-4613 (6/
4
1
One- and Two- Family Dwelling
:�'�� Building Permit Application Checklist Reference no.:
City of Tigard Cl of Tigard
Associated permits:
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 •
THE FOLLOWING ITEMS ARE REQUIRE!) FOR PLAN REVIEW Yes No N/A
I 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 0 plan 0 permit required. Include drainage -way protection, silt fence design and location of ,/
catch -basin protection, etc. ,J�
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 K
if copyright violations exist.
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, `l
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."
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.
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.N4' � 0.•
1
'YyY" I ,I
��. i
174.. ,
z City of Tigard qElVED Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW H Blvd, Ti 7223
Phone: (503) 639 -4171 FEB 2. 5 200k Date issued: By: I Receipt no.:
Fax: (503) 598 -1960 LD Case file no.: Payment type:
Land use approval: Orr( OF TIGARD Building permit no.:
_ .. _a ION
'TYPE OF PERMIT
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 Tenant improvement •
XNew construction 0 Addition/alteration /replacement 0 Other.
JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE -
. Job address: �,,M'J "M� ,P . 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: 9juil Block: Subdivision: MYAli ILL 'See checklist for important application information and
Project name: TT /W ' jurisdiction's fee schedule for residential permit fee.
City/county: 1 ZIP: 1 & 2 FAMILY DWELLING PERMTf FEE SCHEDULE
Description and location of work on premises: AND COMMERICAL!INDUSTRLIL EQUIPMENTSCIIEDULE
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 No Air handling unit CFM
g P Air conditioning (site plan required)
Is existing space insulated? 0 Yes 0 No Alteration of existing HVAC system
MECHANICAL CONTRACTOR Boiler /compressors
Business name: �� �. State boiler permit no.:
z�I.fs�I HP Tons BTU/H
Address: _ Fire/smoke dampers/duct smoke detectors
City: sk IETIIrgrAl25/111_ i I eat pump (site plan required)
Phone: 5 .7j Fax: E -mail: Install/replace furnace/burner BTU /H
?-9
Including ductwork/vent liner O Yes 0 No
CCB no.: ) j('; ) - Install/replace/relocate heaters suspended, —
City/metro lic. no.: N/A wall, or floor mounted
Name (please print): a • t2 -- 1 . / N iger ME..� Vent for appliance other than furnace
CONTACT PERSON
Refrigeration:
• Absorption units BTU/H
Name: i AllIERMEMEI Chillers HP
Com. ressors HP
Address: •1(V%- LV\ C
Environmental exhaust and ventilation:
City: [State: ZIP: Appliance vent
Phone: Fax: E -mail: Dryer exhaust
OWNER Hoods, Type 1/11/res. kitchen/hazmat
hood fire suppression system
Name: �,' � '* . Exhaust fan with single duct (bath fans)
Mailing address: Irr / i n=lje ein Exhaust system a. art from heating or AC
City: ilia �A1:12 � Fuel piping an tributioN(up to 4 outlets)
Type:
Phone: ZIE I rrljdi Fax: E -mail: Fuel piping each additional over 4 outlets
ENGINEER Process piping (schematic required)
Name: Number of outlets
Other listed appliance or equipment:
Address: Decorative fireplace
City: !State: T ZIP: Insert - type
Phone: Fax: .. E- mail: , Woodstove/pelle[ stove Other
f PP g " ,'�li� ►t1 r Il� 1 ' i �I JA Other —
Applicant's s si Haiti - Date: �
Name (print): t,! j rr f i - i , i rk: i i —
° Permit fee $
Not all junsdicuons accept credit cards, please call jurisdiction for more information. Notice: This permit application Minimum fee $
0 Visa 0 MasterCard expires if a permit is not obtained
Credit card number: E i / with 180 days after it has been Plan review (at %) $
Expires State surcharge (8 %) .... $
Name of cardholder as shown on credit card accepted as complete.
S TOTAL $
Cardholder signature Amount 440 -4617 (6i00/COM)
,
. Plumbing Permit Application _ -
AP 4
- . ��1E Datereceived: • ~ , ��� • -Q'19
. +L ii, C of Tigard R v
Sewer permit no.: Building permit no.:
Address: 13125 SW Hall Blvd. Tigard�O 2 0 Project/appl.no.: Expire date:
City ojTigard Phone: (503) 639 -417 �F �D
Fax: (503) 598 -1960 Date issued: By: Receipt no.:
GIP/ OF TIGARD Case file no.: Payment type:
Land use approval:
TYPE OF PERMIT
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement
■• ew construction 0 Addition/alteration/replacement 0 Food service 0 Other.
JOB SITE INFORMATION FEE SCHEDULE (for special information use checklist)
Job address: i f % 70
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/ lot/account no.: SFR (1) bath
Lot: `71, Block: Subdivision: ______ (Ay7 SFR (2) bath
Project name: 1.11.11M111111 SFR (3) bath
City/county: I 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.)
I'LUN111ING CONTRACTOR Manufactured home utilities
Business name` i N c g _ V I L A )t-i,13 (Alb . Manholes
Address: ? I Rain drain connector
City: State ZIP: Sanitary Sant sewer (no. lin. ft.)
E -mail: Storm sewer (no. lin. ft.)
Phone :(�tl -- Fax: Water service (no. lin. ft.)
CCB no.: 1, (> >) L( —] I Plumb. bus. reg. no: - — W ; Fixture or item:
City/metro tic. no.. N/A l �/ ', Absorption valve
Contractors representative signature `�.�/ t Back flow preventer
Print name: • • / I U� tiI1 Backwater valve
CONTACT' PERSON Basins/lavatory \ . ` Clothes washer . •
Name: l VIN-e--DI N E Dishwasher
Address: AA , / ` IC V D nnking fountains)
City: State: ZIP: Electors sump
` E -mail: Expansion tank
Phone: � Fax: P —
OWNER Fixture/sewer cap _
f : ; ,.}, . Floor drains /floor sinks/hub
Name (print): , �� :��t Garbage disposal
Mailing address: L�,TP h • ' �) Hose bibb
City: -C) State � ZIP: 0 --- )Ci 2 J -, Ice maker
. Phone: - 7- - } 1 52 E -mail: 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
Unnal
Name: Water closet ,
Address: Water heater
_ City. 1 State: I ZIP: Other
Phone. I Fax: I E -mail: Total
Minimum fee S �—
n u ac
Not all lusd,cuorcept credit cards, please call j uinformation. uon for more information. Notice: This permit application
Plan review (at _ %) S
C Visa O MasterCard / / State surcharge (8 expires if a pe mi i s not obtained q
) • S
C.edit card number. w ithin I80 days after it has been 0 �—
Expires TOTAL S -----
accepted as complete. •
Name at cardholder as shown on cretin card
S 440 -416 (600C 0m)
Cardholder signature Amount
. ,
Electrical Per ' cion
, . A - •
Date received: Permit no.: ---..• _ ,
.I City of Tigar L pp � Project/appl.no.: Expire date:
City ojTigard Address: 13125 SW Hall Blvd, YOd� '�� " Date issued: By: I Receipt no.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 CITY OF TIGARD Case file no.: Payment type:
Land use approval: BUILDING DIVISION
TYPE OF PERMIT
0 I & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement
I' New construction ❑ Addition/alteration/replacement 0 Other. ❑ Partial
JOB SITE INFORMATION •
Job address: #2 j WLm���i 'M1 Bldg. no.: Suite no.: Tax map /tax lot/account no.:
Lot: ' J Block: Subdivision: IArla �
Project name: Description and location of work on premises:
Estimated date of completion/inspection: •
CONTRACTOR R, \CTOR AI'I'I.IC'.\ I ION FEE SCIIEDLI[.E -
J•• L%, Fee Max
Business name: CA-11.-1 E �~ ( cription Qty. (ea.) Total no. (asp
New residential - sin �G �/ single or multi - family per
Address: 1►I • .-.._ latw_ • 6 " AI dwelling wiLIndudes attached garage.
___ Service Included:
Phone: l r ��
• Fax: E -mail: 1000 sq. ft or less 4
Est y Each additional 500 sq. ft or portion thereof
O: r n 1F El ec. b us. li c. no:
y Limited energy, residential 2
C Limited energy, non- residential 2
Each m home or modular dwelling
na ture of supervising electrician (required) Date � to and/or feeder 2
Sup. elect. name (print) 1 �j License no: 9 a, Services or feeders — Installation,
AIL alteration or relocation:
PROPERTY OWNER 200 amps or less 2
Name (print): • ..... 'fltAl..r! 201 amps to 400 amps 2
IC 401 amps to 600 amps •
Mailing address: � .., - �( I,� �• , 601 amps to 1000 amps 2
City: .tf
State ZIP: '70 Over l000 amps orvolts 2
Phone:, ;/7 r .2 Fax: ,z- -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: 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: [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):
O Service over 225 amps-commercial 0 Health-care facility Each pump or irrigation circle 2
O Service over 320 amps- rating of 1&2 0 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, or extension* 2
O 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:
O Egress/lightingplan 0 Other. Per inspection I I I I
Submit _ sets of plans with any of the above. Invesugation fee
The above are not applicable to temporary construction service. Other
Not all jurisdicuons accept credit cards, please call jurisdiction for more information. Notice: This permit application
Permit fee $
O Visa 0 MasterCard expires if a permit is not obtained Plan review (at _ %) $
Credit card number. / I within 180 days after it has been State surcharge (8%) .... $ Expires TOTAL as comp TOTAL $
Name of cardholder as shown on credit card
S
Cardholder signature Amount 440 -461S (6A0"COM)
CITY OF TIGARD Credit No.: 2004 -0001
Date Issued: 01/28/04
Engineering
A i, Authorization
=� `- 1.1. 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.
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.
aril:3 P. 0 _
Director
Date Permit Numbers Lot Numbers Credit Used Balance
Beginning Balance $ 50,606.07
War
if
z ---- ; .____.7 i h. , .
) :1
Balance carried forward to TIF Credit No.
• Ordinance 379 provides for an expiration 10 years from authorization.
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ADDRESS: 1 Ion 5 /An-4 /5 T-tegs Le _____
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CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST ("200 cl -006 (07
INSPECTION DIVISION Business Line: (503) 639 -4171
�y BUP
Received Date Requested �' 2J AM PM BUP
Location /(3 78' Suite MEC
Contact Person Ph ( )d —437 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 S �c Pat ci-A f t4 �I ' )0 w ' 1 6� O�) c:e ►� t
Framing
Insulation O ( ,�C
Drywall Nailing i •
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 Alarm
Aur Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
4 OS) PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line
ADA � N<�Q
Approach/Sidewalk Date � 2. — � � Inspector �7E� 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''' ») 4 4 1– enO 4 7
INSPECTION DIVISION V Business Line: (503) 639 -4171
BUP
Received Date Requested '7 PM BUP
Location 7 -0 7 L,1_) iz.Z.4-i1_41) Suite /� MEC
Contact Person Ph ( ) .C), — ' 37 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 USA ,.� • �// J &L
Framing l/ /`'C t�
Drywall on
Drywall Nailing
Firewall
Fire Sprinkler �ki so
Fire Alarm
Susp'd Ceiling
Roof
Other:
limey �. I i
PASS' PART r
- I BING _
Post & Beam tl• •
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
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 7-�
L /- Q
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection re , e rom the job site.
PASS PART FAIL