Permit MASTER PERMIT
CITY OF TIGARD
PERMIT #: MST2004 -00245
11I(j DEVELOPMENT a SER I DES 9-4171 DATE ISSUED: 9/2/2004
13125 SW Hall SITE ADDRESS: 12490 SW WINTERVIEW DR PARCEL: 2S110BC -08800
SUBDIVISION: THORNWOOD ZONING: R -7
BLOCK: LOT: 059 JURISDICTION: TIG •
REMARKS: New SF
BUILDING
REISSUE: DM144 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1,220 sf BASEMENT: et LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,609 el GARAGE: 430 of FRONT: 15 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 TURD of RIGHT: 5
VALUE: 277 426 20
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,829 sf REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 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: BOILICMP < 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 W00DSTOVES: GAS OUTLETS: 4
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS 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: 5 201 - 400 amp: 201 - 400 amp: 1st W/O 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 /FDR: 601 - 1000 amp: 601 +amps - 1000x: MINOR LABEL:
1000+ ampNolt :
PLAN REVIEW SECTION
Reconnect only:
>=4 RES UNITS: SVC /FDR> =225 A.: 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: $ 5,721.31
This permit is subject to the regulations contained in the
DON MORISSETTE HOMES DON MORISSETTE HOMES INC Tigard Municipal Code, State of OR. Specialty Codes
4230 GALEWOOD ST 4230 GALEWOOD ST, STE 100 and all other applicable laws. All work will be done in
STE 100 LAKE OSWEGO, OR 97035 accordance with approved plans. This permit will expire
LAKE OSWEGO, OR 97035 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
7 adopted by the Oregon Utility Notification Center. Those
Reg #: �,4 387 - 3383 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 Rain drain lnsp Electrical Final
Sewer Inspection Underfloor insulation Electrical Service Low Voltage Storm drain Insp Mechanical Final
Footing lnsp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Water Line Insp Plumb Final
Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Water Service Insp Building Final
Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Appr /Sdwlk Insp
/ Zy______
Issued By : _ __■ . �.i.J _ t _ Permittee Signature �_��LL \ . I J
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
i ' ■
- Building Permit '6) ; : , ,►1! ED FOR OFFICE USE ONLY
/ Received City of Tigard Date/By: a 'J Q • Permit No.: f 60 o 55
13125 SW Hall Blvd., Tigard, OR 9Z 2 3 2004 Plan Revie
Phone: 503.639.4171 Fax: 503.5 011980 / n.o-i ry�1ii'l�j � l'� + � Date/By: 4 So- al Other Permit: '�
inspection Line: 503.639.4175 . Date Ready/By: lads: 65 See Attached Checklist for
Internet: www.ci.tigard.or.us CITY OF TIGAR D r'. Notified/Method: /G Supplemental Information
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA: 1 -.AND 2- FAMILY DWELLING
New construction
❑ Demolition Pe rmit fees' are based on the value of the work performe
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application , �
Valuation: $
❑ 1- and 2- family dwelling ❑ Commercial /industrial d.
El Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder 0 Other: Number of bathrooms: 2 1 12_
JOB SITE INFORMATION AP5 , D n LOCATTION , - Total number of floors: g.
Job site address: O, l JV V - v (l�l l/� ��1� , New dwelling area: c 2 square feet
City/ State/ZIP: 4"�/I�ve� 1 i�r , �/1 Garage/carport area: L1 �v square feet
Suite/bldg. /apt. no.: vv Project name: '1 l eN,l a , l „ �7'�� Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet N
^'� REQUIRED DATA: COMMERCIAL- USE,CHECKLIST
Subdivision: \ } V%)t�J� I Lot no.: "� Permit fees" are based on the value of the work performed.
"`�"��� Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK • work indicated on this application. \
Valuation: $ K
Existing building area: square feet tk
r
New building area: square feet
PROPERTY OWNER I ❑ TENANT Number of stories:
Name: t Type of construction:
Address: Lo �V ( 'T c — ( �, l l0 Occupancy groups:
City/State/ZIP: L ,c J _, 7 + oK q ) CS- Existing:
Phone: ( r . Y l 1 - 7 0 e / 7 -- 7.J )9 ) Fax: ( ) .3i0 -- '7 ( ``0 [ 5 New:
❑ APPLICANT ❑ CONTACT PERSON
NOTICE '
Business name: stc isasve All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City/ State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax::( )
E -mail:
CONTRACTOR
Business name: BUILDING PERMIT FEES*
Address:
City / State/ZIP: Please refer to fee schedule.
Phone: ( ) Fax: Fees due upon application
( )
CCB lic.: .557' ,
Amount received
7 Date received:
Authorized signature: /' I `� This permit application expires if a permit is not obtained
l within 180 days after it has been accepted as complete.
Print name: �Je 4s ,. g: ` I Date: . 26 ■ Fee methodology set by Tri -County Building Industry
Service Board.
i \Bwldmg \Permas \BUP- PermitApp doc 12/03 440- 4613T(1 I /02/COM/WEB) •
Plutnbing lermit App1 GEIVE FOR OFFICE USE ONLY
City of Tigard Received Permit No.: t / L
13125 SW Hall Blvd., Tigard, OR 97223 20 1 ' Date/By: � N- S7�PJOY -o e ? `I/
�(� 9 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 / �� i' -t ` \ Date/By: Other Permit No.:
24- Hour Inspection Line: 503.639.4175 CITY OF TI r•I �.�
fl . Date Ready/By: i°ris: El See Page 2 for
Internet: www.ci.tigard.or.us B.l .ILPIN I ,. Not ified/Method:
(' DI Supplemental Information
TYPE OF WORK FEE* SCHEDULE
(N ew construction ❑ Demolition For special information use checklist.
Description i Qty. Ea. Total
❑ Addition/alteration/replacement ❑ Other: New 1 - 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
❑ 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00
❑ Master builder Each additional bath/kitchen 45.00
❑ Other: Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: 0 C'] j " A j ;VA N. fIj iX Catch basin or area drain I I 16.60
City/ State/ZIP: `� Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: Project name:
Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site: Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
`_L�� p� Water service (no. linear ft.: ) Page 2
Subdivision: 1 r �f �1 W I Lot no.:
Tax map /parcel no.: Fixture or item
Absorption valve 16.60
DESCRIPTION OF WORK ' - Backflow preventer Page 2
Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
❑ PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60
e '/ _ � ' ` Ejectors/sump 16.60
Name: ` a ,,� c
C" t(JV` Expansion tank 16.60
Address: �� _ Fixture/sewer cap 1 6.60
City/ State/ZIP: (� �,/�)�f 6?-2) � Floor drain /floor sink /hub 16.60
Phone ) � c:6-7-. 7 0.-b JJ Fax: (py .7--- S Garbage disposal 16.60
❑ APPLICANT .0 CONTACT PERSON Hose bib 16.60
Ice maker 16.60
Business name:
Interceptor /grease trap 16.60
Contact name: Medical gas (value. $ ) Page 2
Address: Primer 16.60 •
City / State/ZIP: Roof drain (commercial) 16.60
Phone: ( ) Fax:: ( ) Sink/basin/lavatory 16.60
Tub /shower /shower pan 16.60
E -mail: Urinal 16.60
CONTRACTOR ' Water closet 16.60
Business nam f , ? k.1� i�,�jil(15 Water heater 16.60
Address: � ` Other:
City /State/ZIP:.i'!l� -t- Subtotal
, „ Q - 3 ` f Minimum permit fee: $72.50
Phone: 5 ) • �il/Yl V � Fax: ( ) Residential backflow minimum permit fee: $36.25
CCB Lic.: 1 o V / 44 lambing Lic. no.: 6 Plan review (25% of permit fee)
State surcharge (8% of permit fee)
Authorized signature: t. TOTAL PERMIT FEE
r�7
Print name: J � 1 I I i g. Date: C This permit application expires if a permit is not obtained within
V fi 180 days after it has been accepted as complete.
*Fee methodology set by Tri -County Building Industry Service Board.
I \Budding \Permia \PLM- PermilApp doe 12/03 440-4616T(10/02/COM/WEB)
Electrical Permit Application FOR orrlcE USE ONLY
City of Tigard
, EC E IV E D Received Permit No.
13125 SW Hall Blvd , Tigard, OR 9 2 Date/By: •i srY- DOae5
g Plan Review
Phone: 503 639.4171 Fax: 503.598 1960 ��' i I l l\ Date/By: Other Permit:
Inspection Line: 503 639.4175 AUG Date Ready/By: y: Jura See Page 2 for
www.ci.tigard.or.us Notifed/Method:
Internet: www.ci.ti 200 P_
g Supplemental Information
❑ „ � „ Q SIGN '
Please check all that PLAN REVIEW
New constructio I7rn n a tera ton replacement apply:
/ /// '""'" ❑Service over 225 amps, comm'l ❑Hazardous location
❑ Demolition ❑ Other:
['Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
❑ I - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
❑ Multi - family ❑Master builder ❑Other: ❑Building over three stones ['Feeders, 400 amps or more
JOB SITE INFORMATION AND LOCATION ❑Occupant load over 99 persons ❑ RR Vnu rk l structures or
- ❑Egress/lighting plan park
no.: Job site address: l �V �J (� ❑Health -care facility ❑Other:
� J �t • , Submit 2 sets of plans with any of the above.
City / State/ZIP: -- -ti C� ,' The above are not applicable to temporary construction service
Suite/bldg. /apt. no.: I Project name: FEE* SCHEDULE
Description I Qty. I Fee. I Total I ••
Cross street/directions to job site: New residential single -or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: ` I Lot no.: 451 Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
dwelling, service and /or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
' 1'1 PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: I t. I - ei I l A J 601 amps to 1 ,000 amps 240.60 2
Address.2-la-W '.UO lam ltd Over 1,000 amps or volts 454.65 2
ty �� O V q '70 ID Te y se 66.85 2
Ci / State/ZIP: W Temmpp orary services or feeders installation, alteration, and /or
Phone:) --? Fax:3))7 — 7b1 S relocation
200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
❑ APPLICANT ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee,
Address:
each branch circuit 46.85 2
Each add'l branch circuit 6.65 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Fax:: ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
extension. Describe: Page 2 2
Business name: C,� g
Address: JV grn ] �� Each additional inspection over allowable in any of the above
/ ✓ , Per inspection 62.50
City / State/ZIP: (//J_/,i'./ .„ t ''7 - :{ Investigation per hour (I hr min) 62.50
Phone: f_ 1..1 Kyl la. Fax: ( ) J Industrial plant per hour 73.75
v ELECTRICAL PERMIT FEES*
CCB Lic.: Li 0,D_ Electrical Lic. C.,1 Suprv. Lie.: 35eia.5 Subtotal
Suprv. Electrician signature, required: Plan review (25% of permit fee)
I Print name: � � turn I Date:
� State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board
•• Number of inspections per permit allowed.
i \ Building \ Permits \ELC- PermitApp.doc 12/03 440- 4615T(10 /02JCOM/WEB
Mechanical Permit A lication FOR OFFICE USE ONLY
'City of Tigard E° IV ED Received 5
13125 SW Hall Blvd., Tigard, FR 9722 Date/By: PermitNoOks a OQatF
Plan Review
Phone. 503.639.4171 Fax: 503.598.1960 /reran , ft\ Date/By: Other Permit.
Inspection Line: 503.639 4175 AUG 2 3 2004 .i F i�li
Internet. www.ci.tigard.or.us „Ai.. __.. ®
Date Ready /By: June. See Page 2 for
g Notified/Method:
CITY OF TIGARD Supplemental Information
BUILT 1 M IJ COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
New construction ❑ A ddition/alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit
CATEGORY OF CONSTRUCTION Value: $
❑ I and 2 family dwelling ❑ Commercial /industrial 1:1 Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
For special information use checklist.
❑ Multi family ❑ Master builder ❑ Other:
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND L OCATION Heating/cooling
Job site address: ---)kAeMC10 _ Air conditioning or heat pump
Di, (requires site plan showing placement) 14.00
City /State/ZIP: r f VG l r Furnace 100,000 BTU ( ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Flue/vent for any of above 10.00
Subdivision: Lot no.: Other: 10.00 _
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
Chimney /liner /flue/vent 10.00
PROPERTY OWNER ❑ TENANT Other: 10.00
Name: \ �- � ` . AtAne Environmental exhaust and ventilation
Address: (J
/r,�W`' IY/ LQJ n �Q1 Range hood /other kitchen
equipment 10.00
City/ State/ZIP: i 1 (A. 4 '7 1 Clothes dryer exhaust 10.00
( Single -duct exhaust (bathrooms,
�
Phone: — 1 Fax: ( , toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Business name:
Other: 10.00
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address:
Furnace, etc.
Gas heat pump
City/State/ZIP: Wall /suspended/unit heater
Phone: ( ) Fax:: ( ) Water heater
E-mail: Fireplace
- Range
CONTRACTOR Barbecue
Business name: 61 1 . 6 r N/�l /� f� c Clothes dryer (gas)
N �' �� Other:
Address: p 1--)24 L ^ (/� /�] �` MECHANICAL PERM FEES*
City/State/ZIP: `f l-A. 1 1' n ` , Y ` f (/ /� � I� L 7')1 ,,fJ Subtotal
� g 2 L Minimum permit fee ($72.50)
Phone: J v ) I Fax: ( ) Plan review (25% of permit fee)
CCB lic.: State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized si g natu r - i� 'j� This permit application expires If a permit is not obtained within 180
days after it has been accepted as complete.
Print name: M..
,/ !_� l Date: A myl. • Fee methodology set by Tri- County Building Industry Service Board
■ \Buitdmg \Permits \MEC- PermitApp.doc 12/03 440-4617f (11/02/COM/WEB)
un.uo!tuuw 10:A• rAA ouaedalaou CITY of TIGARD
r, 6bOOI
CITY OF TIGARD Credit No.: _ 2003-000Q1
Date Issued: 3128/0
1/4.,-• 41 lb Engineering
i; Authorization
r? rl. ,: '�I =rs Date: 8
TRAFFIC IMPACT FEE
CREDIT VOUCHER Land Use
. Camille No.: 6U8 ?.sigigf000e
In accordance with Ordinance 370 (lAtashington County Traffic Impact Fee Ordinance) on
M9rissette Flamm inc,
(o s
is entitled to $ 16 151.00 In Impact Fee Credits that can be applied to TIF charges for
development on lot(s) la of the Tho • Development. The use of T7F credits are
sunset to the ruleis end irritations of the TIF Ordnance 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
R 44"icitm.
b. , ry; Date Permit Numbers Lot Numbers Credit Used Balance
IIIegbnning Balance $ 168.151,00
:fir- 3 nutio2oes - earn 1 1. fba fp iGA'7y(
N -1 -o3 *sr • ;so to
`'VesJ# Orke 0 Ilk ® a+ 3 fQ _ 4 (
- 0 Mrro - to . _a a4o _i�r� gyp, _Alga. an_ iSk'rcepa Id
o "T..204- gar1i 4V W. � Ad9 4,.tD '$1 1d
a
_ t . oe , is e91 c>4
asztecazzalof 41i .1390 r N4 tigt ' 46
(2.41 n�tra _ale— /sil , kV-
Balance carried forward to TIF Credit No.
.�� . • Ordinance 379 provides for an expiration 10 years from authorization.
,w,
P' 5 - o Coa f.5
X 11 .111AeA®ee®®®A®e ----- --- ---- --- -- r
4
i _
STREET TR CERTIFICATION
!i ;
• i I, //� /'e 4 - T ' 1 ) can er / /vent (0i Pod / /Jt/t 44/E-5
- — �/_ -
� - (i'E161117'110L1)ERJ
• 1 I )c) Iles CI)) cat If' that the ((Mowing location
I/ Ishingtc)u County
meets ( - -,It y of 1'il;al c `XI;
i
I use and development standards (c>I street tree installation.
k
ADDRESS: — ./ 2 ' 0 9) GJr11Jr'GLt'ffI 04- - - - - --
LOU: Sf — SIJBDIVtstori: - -7loRNwooO .
4 BY: - --
I) n'I'I�.: 1 /3 — �7 _ - - -
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64—)
DON MfORISSETTE OBE: 2936
illir
HOWLS . ! ° ° 714 6; N C O R P O R A T E D
4830 OALET00D- 3 *)I<T 8:II,TTIE• 1 - T: 59
L•SB• •OSTEOO. OREGON a- 70 ° 35 ^ DATE: 8 8/11/04
(003)887 -73'83 FAX (608)807 —.7 „216 .LO
. ' PROPERTY: THORNWOOD
. CITY: TIGARD
. SCALE: 1 " =20'
�” , PLAi`1 No.: 144
' OPTION 1 ELEVA
STREET TREE MUST
B E PER APP ROVED
�. _ EVE LOPMENT THE PLAN
124910 si o. .1 1 , 1 .
1 a g 10 Wp lli:t" $ •...., 461'
. — � �.... 112 8 � - . � : � • 461' . ; ANCE ET •
1144— 466
PP 6• 465
S 111 / 4 4
43 - 9 6'e'
464
car gar. 5 ,_ m•
FF.E. 466' re'
0 0 463'
,..
9 6q. ft.. m r 462
i• 3 bdrm.
n 2 1/2 bath
5' 0' 11 . 4665' ---------- 460
111
1460 :";
l 458
` n' In
18'X12'
DECK
18' EASEMENT -- '"
r
n 7 t o
5' TRACT 'B' in �
EASEMENT I —
e I A
460' 50.00' 451'
I
LEGEND LOT COVERAGE
LOT AREA: 4,955 SQ. FT. LOT 1 59
O — STREET TREES, SEE
RECORDED PLAT BUILDING AREA 2015 SQ. FT.
PERCENTAGE: 41,S% 4,955 eq. ft.
FOR SIZES AND TYPES
r }'
CITY OF TIGARD - SITE PLAN a
BUILDING PERMIT NO.: t'l"'� Approved PLANNING DIVISION p.••• p oved ❑Not App'
Required Setbacks: �^
Side: Street Side: av Rear:
Front. 4� Garage: Not Approved
A proved ❑
Visual Clearance: hr feet
� ����'��� ��� ,Maximum Building Heig — Yes � No
�" n �� - CWS Service • Provider Letter Required: ❑
❑ Received
� �'� - Date: .--...74 a•
B Approved Actual oR;NDEPARTMENT: r ed ❑ Not App
Actual SI pa of Approved
(- Approved ❑ _
Site PI Date: -6
B : cz
Notes: o ,e
-f ovt ed.- 1-el `d" •
CITY OF TIGARD . 24 -Hour
BUILDING Inspection Line: 4103) 639 -4175 MST p/0
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested //-111 1 AM PM BUP
Location - -.1 ' � & _ r- Suite MEC
Contact Person • • Ph ( )
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
Are 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
Ina Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
S PART FAIL
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA 07 Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from th Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
•
BUILDING Inspection Line- 39 75 7"
MST Q2
INSPECTION DIVISION Business Lin 3 9 -4171
( BUP
Received Date Requested / I �--� AM PM BUP
Location -- - Suite !/ p MEC
Contact Person /, -0 Ph ( ) -2 b r te" o .3 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain p
Slab Inspection Notes: AL( g Al ` \ SIT
Post & Beam
Shear Anchors /7
Ext Sheath/Shear
Int Sheath/Shear / r/Z-714 7 — ��� f I9 ,
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
PART FAIL
- ' ANICAL
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 E Please call for reinspection RE: Unable to inspect - no access
Fire Supply Line 1
ADA 6 /te,70
Approach/Sidewalk Date Inspector � � IExt
Other:
y
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
•
BUILDING Inspection Line: 003) 639 - 4175 MST Q00 d as
INSPECTION DIVISION Business Line: (503) 639 - 4171
BUP
Received Date Requested ' /1 23 AM PM BUP
Location l a <4 9 d �wh 0/1. (L - c - Suite MEC
Contact Person 6-e-n Ph ( ) 20 2 — 'J 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
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
r
• ' RT 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
I
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 El Please call for reinspection RE: / ❑ Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date - z — U 4- Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
•