Permit •
CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2004 -00382
�I; DEVELOPMENT SERVICES DATE ISSUED: 12/30/2004
r � I J � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 12494 SW WINTERVIEW DR PARCEL: 2S110BC -TP001
SUBDIVISION: THORNWOOD PARTITION ZONING: R -7
BLOCK: LOT: 001 JURISDICTION: TIG
REMARKS: New SF detached.
BUILDING
REISSUE: DM182 STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 29 FIRST: 815 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.320 sf GARAGE: 680 sf FRONT: 15 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 TM:). 1,720 sf RIGHT. 10
VALUE: 376,129 00
OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 3,855 sf REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS. 1 WATER LINES. 100 BCKFLW PREVNTR: GREASE TRAPS.
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: 2 BOIUCMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 1
GAS FURN > =100K: 0 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: 7 201 - 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 +amp6- 1000v: 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 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 # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 9,182.46
DON MORISSETTE HOMES DON MORISSETTE HOMES INC This permit is subject to the regulations contained in the
4230 GALEWOOD SUITE 100 4230 GALEWOOD ST, STE 100 Tigard Municipal Code, State of All wo work will bey done in
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: 503 387 - 7538 ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those
Reg #: LIC 35533 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 Structural Mechanical Insp Shear Wall Insp Rain drain Insp Electrical Final
Grading Inspection Post/Beam Mechanical Plumb Top Out Exterior Sheathing Insr Storm drain Insp Mechanical Final
Sewer Inspection Underfloor insulation Electrical Service Low Voltage Water Line Insp Plumb Final
Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Fireplace Water Service Insp Building Final
Foundation Insp PLM /Underfloor Framing Insp Insulation Insp Appr /Sdwlk Insp
Issued By : �/...) t/,GLC. Permittee Signature :
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
Building Permit Application 0 . FOR OFFICE USE ONLY
City of Tigard �j ®� !! Date
Received
I ���� Permit No.RW00(f 30
13125 SW Hall Blvd., Tigard, O' ' '• V Plan Review
Phone: 503.639.4171 Fax: 503 ? >• t p ® ®� / �" ?r *I ( i t \ Date/By: /Z —3o - ay ill 0V Other Permit:A3 C/�37$
Inspection Line: 503.639.4175 t$ r Date Ready/By i." Ju ' El See Attached Checklist for
Internet: www.ci.tigard.or.us IS° fa® Notrtied/Method��yfe �1 l� - Supplemental Information
10
..„1{ 0 0N S v /I \ , -ems 'czl i...)-0
T w( REQUIRED DATA: 1- A 2- FAMILY DWELLING
x ew construction � V` ` - O El Permit fees* are based on the value of the work performed.
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.
❑ 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $
12 Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: 2.-•••
Job site address:! s.41 , New dwelling area: square feet
City/State/ZIP: 1\ J , c Garage/carport area: GQW square feet
Suite/bldg. /apt. no.: \j Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: l , a, Lot no.: Permit fees* are based on the value of the work performed.
Tax map/parcel no.: ` 1 Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
P ROPERTY OWNER
0 TENANT Number of stories:
Name: vt t G Type of construction:
Address: LO,. (� S1 . Cg - ) Occupancy groups:
City/State/ZIP: � _� Z Z P: L[�KG � D (� ' (( q-20 / 5 Existing:
t, -S
Phone: •✓) / /7552) Fax: p5) ) . 7to 5 New:
'0 APPLICANT ❑ CONTACT PERSON
NOTICE '
Business name: 5N-0,e f ketme 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: 50c r Ce-- p BUILDING PERMIT FEES*
Address:
Please refer to fee schedule.
City /State/ZIP:
Fees due upon application
Phone: ( ) Fax: ( )
CCB lic.: .592 Amount received
Date received:
Authorized signature: Iket... This permit application expires if a permit is not obtained
n . � M within 180 days after it has been accepted as complete.
l Print name: 1 le £.'s I 't tR lJ l Date: ' ?,1(C-I • Fee methodology set by Tri -County Building Industry
Service Board.
I \Bmlding \Permds \BUP- PermnApp doe 12/03 440- 4613T(I 1 /02/COM/WEB)
Plumbing Per �i "'VAN 1 i FOR OFFICE USE ONLY
City of Tigard I 4 20014 Received Permit No.: bey
13125 SW Hall Blvd., Tigard, 2 DatDate/By: er hf �� �0 f ?D /
Phone: 503.639.4171 Fax: 503.598.1960 1/xa4 d\ Plan Review
Date/By: Other Permit No.:
24- Hour Inspection Line: 5036 nuF TIGARD F . I I
ard.or.0 Date Ready/By: Saris RI See Page 2 for
Internet: www.cl.ti
g Un PI NG DIVI Notified/Method: Supplemental Information
TYPE OF WORK • . FEE* SCHEDULE
f (New construction ❑ Demolition For special information use checklist.
Description Qty. Ea. Total
❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (I) 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: t 02.E • ' - • .� � A .A. Ilk . Catch basin or area drain 16.60
City/State/ZIP: l7 / Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: I 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
Subdivision: (f\V f I Lot no.: Water service (no. linear ft.: ) Page 2
Tax map /parcel no.: l I Fixture or item
W
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
1.104-2-1->e, Ejectors /sump 16.60
Name:
Expansion tank 16.60
Address: ���" 11 �Q � �, Fixture/sewer cap 16.60
City/ State/ZIP: L�J C.'1`_ N Floor drain /floor sink/hub 16.60
Phone: F ) . 7 7 0. Fax: 69y .77(0( Garbage disposal 16.60
❑ APPLICANT ❑ 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: ( ) I Fax: : ( ) Sink/basin/lavatory 16.60
Tub /shower /shower pan 16.60
E -mail:
Urinal 16.60
CONTRACTOR, Water closet 16.60
Business name: f 1 � .(.\ " ✓l Water heater 16.60
Address: 'lit, , Other:
l
City /State/ZIP: e-16,e4 Subtotal
2! ( Minimum permit fee: $72.50
Phone: � � Fax: ( ) Residential backflow minimum permit fee: $36.25
CCB Lic.: 1 0 1 b - - 7 4 . 4 - - - ) iilmbing Lic. no.: .7 -- 0 Plan review (25% of permit fee)
Authorized signature. il� c71� t State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Print name: J 1 \ Date: t /� This permit application expires if a permit is not obtained within
V 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
i \Building \Perna \PLM•PermitApp doe 12/03 440-4616T(10/02/COM/WEB)
Electrical Permit Appli 1 FOR OFFICE USE ONLY
City of Tigard t Date/By:
Received Permit No.t49 /0d _
13125 SW Hall Blvd., Tigard, OR 97223
DEt 1 20�' Plan Review
Phone. 503.639.4171 Fax: 503.598.1960 "'I A I I? t ;�j�l'i� DateBy: Ot Permit:
Inspection Line: 503.639.4175 1 r':_ - , Date Ready/By: kris 65 See Page 2 for
Internet: www.ci.tigard.or.us ar OF TIGARD Notified/Method: Supplemental Information
TYPgY+`MIAIVISION ' PLAN REVIEW
New construction ❑ Addition /alteration /replacement Please check all that apply:
❑ Demolition 0 Other: ['Service over 225 amps, comm'l ['Hazardous location
['Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of I - 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
ID Multi - family ❑ Master builder ❑ Other: ['Building over three stories ❑Feeders, 400 amps or more
['Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress/lighting RV park
Job no.: Job site address: (2194 V v DHealth-care facility ['Other:
,gip Submit 2 sets of plans with any of the above.
City /State/ZIP: ` - i � ? U Dr` The above are not applicable to temporary construction service.
FEE* SCHEDULE
Suite/bldg. /apt. no.: 1 Project name:
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: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 I
, ^ , Limited energy, residential 75.00 2
Tax map /parcel no.: ( l�'jl Limited energy, OF WORK gy, non - residential 75.00 2
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
PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106 85 2
401 amps to 600 amps 160.60 2
Name: /yam t 140rl 601 amps to 1,000 amps 240.60 2
Address: -Ig W baw 3 , lx Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
� City/ State/ZIP: L U + CV Cj r)0 b � Temporary services or feeders installation, alteration, and /or
Phone: ) � —?
� .. Fax: (f -2_ t 6 9 )) � Q 7` _ relocation
rte (mil 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 I ❑ 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.A. �'[� f,
Address: ?flap SW 1 S ' 1- .��-7 Each additional inspection over allowable in any of the above
,� Per inspection 62.50
City / State/ZIP: ] r d„ ` / q' ?X1:3 per hour (I hr min) 62.50
Phone: E L. H 0t2 t ']_ Fax: ( ) J Industrial plant per hour 73.75
r ` �/ ELECTRICAL PERMIT FEES*
CCB Lic.: Z-1 Electrical Lic . C.1 Suprv. Lic.: -5q,95 Subtotal
Suprv. Electrician signature, required: Plan review (25% of permit fee)
Print name: C \,.,1_ ,C /� /) n I ' zf' it I State surcharge (8% of permit fee)
V- , Date: [/L _ I l(f�l
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•PennilApp doe 12/03 440.4615T(l0/02ICOM/WEB
Mechanical Permit •,.;;7/1)._(-i17:„ � o , �` - ' - FOR OFFICE USE ONLY
City of Tigard Received QQ(� ^
' Date/By: Permit No.: goo /'^
13125 SW Hall Blvd., Tigard, OR 97223 A . `�tt4 �Ji/!�
�k Plan Review
Phone: 503.639.4171 Fax: 503.598.1960M /c �sj/ Date/By: Other Permit:
Inspection Line: 503 639.4175 1, � y
__ Date Ready /By: Juris See Page 2 for
Internet www.ci.tigard.or us �o�TY 0 � TI S ® = "° Notified/Method: Supplemental Information
riul1DING D
/,+ TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
IXI New construction ❑ Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
T` performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ 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 LOCATION Heating/cooling
Job site address: t ._ r,/�/�� v.
f 4 � rttliv 0 {. Air conditioning or heat pump
Y (requires site plan showing placement) 14.00
City / State/ZIP: ' If l�`�( I O 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
Subdivision: v l Lot no.: Flue/vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: 1 / j ' �a [ 1 Other fuel appliances
Y" 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
PROPERTY OWNER I Chimney/liner /flue/vent 10.00
h ,� /�❑ TENANT Other: 10.00
Name: \ � � ' 7JV V 0 Environmental exhaust and ventilation
Address: lb. Netirtit (; . 10 Range hood /other kitchen
U�'JJ equipment 10.00
City/ State/ZIP: 4 )U ?1 Clothes dryer exhaust 10.00
� � ` f>)-7..- ii Single -duct exhaust (bathrooms,
Phone: G ✓ ✓ Fax: ( '7 10 l ES 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: ( ) I Fax: : ( ) Water heater
E -mail: Fireplace
Range
CONTRACTOR Barbecue
Business name: C11 'L�I�U d i � „ /1 Clothes dryer (gas)
iY/� (�C� Other:
Address: PO 1 � i..1 �/ / �` MECHANICAL PERMIT FEES*
City /State/ZIP: `\ l-l'9 l T ^ `t _ �/ /� I � 4 71A (J Subtotal
� 3 2 /,,,;,), Minimum permit fee ($72.50)
Phone: 3 - I Fax: ( ) Plan review (25% of permit fee)
CCB lic.: . State surcharge (8% of permit fee)
�
� TOTAL PERMIT FEE
�A
Authorized signature: '_� Mrr This permit application expires If a permit is not obtained within 180
� days after It has been accepted as complete.
Print name: 9 ! d f uC�l
. / \ I ( Date: 1''-1(c1 • Fee methodology set by Tri- County Building Industry Service Board
i.\Buildtng \Permits \MEC- PermaAppdoe 12/03 440- 4617T(I1 /02/COM/WEB)
0 ■
� CERTIFIC TREE T TREE
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i ;
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I, t �1 - - - (PERMIT 1101.1)r_!z)
I
I )o IIC I cla cel t II ' do the ((mowing tut-al io!' , 1 ( tli i gtonn Comity
City c>(�I'il;arc Tigard/Washington
1 4 land use and development standards for street t I c(' Illstalktioll.
i ADDRESS: 1�2Y9V S fii.)i0retai' - frz p/L. ---- ----- -------- - - - - .
tar: P4i/el. / ____ S t) R I) I V I S I O rl : lffo ,en/woa p -- — - --
IIY: ______/_
___
DATE: 5 -_„ 7 .0_05-
v
1 RECEIVED BY: _ I )n' I'I�.: -- - --
---------- - -- - - - - --
, CITY OF TIGARD
BUILDING DIVISION PERMIT #:
i--45 �
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639- 4171
A, l'
, Inspection Requests (24 Hrs.): (503) 639 -4175
irt INSPECTION WORKSHEET FOR DATE: 3 Z D 6 TIME: PAGE:
SITE ADDRESS: 1,2,-1'7 If 5 Al &e v CLASS OF WORK: r
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT TION: 6/ Z2^'E_ 1 `/ e
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
•
Inspection Request Scheduled For: Date: Pour Time:
l
Code # Inspection Description Confirm # Contact # Message
‹E .
Corrections /Comments /Instructions:
Cam.
/ 7 //K6r ��L I . / - _ ' --J
4 • Vii• .1 4 ' WIPP 4 47. b ,
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INS ECT ❑ ADD TION FEES ASSESSED
/ t; Inspector: Date: 2 - '°,‘ Phone #: (503) 718
V.
F cfin CITY OF "TIGARD
Friday, March 31, 2006
® EEGON
Issac & Cheryl Baklund Jim Delmore
12494 SW Winterview Dr. Don Morissette Homes
Tigard, OR 97224 4230 Galewood St., Ste. 100
Lake Oswego, OR 97035
U., Jo( -o001/
RE CORRECTIONS COMPLETED: Sanitary /Storm Cross- Connection, 12494 SW
Winterview Dr., Tigard.
Thank you for your cooperation and promptness in correcting the sanitary /storm cross -
connection at 12494 SW Winterview.
This confirms that repairs to the plumbing and drainage system to the property are
complete. For your files I have attached a copy of my inspection report showing a "Pass"
for a sewer inspection. Lacking a current permit to associate that inspection with I have
linked it to the original construction permit, MST2004- 00382.
In my letter of 3/24/06 I indicated that we had concern that a fourth bathroom might have
been added to the property without benefit of permit or inspection. This corrects that
misunderstanding and confirms that, in fact, a fourth bathroom has not been added to the
property and there is, accordingly, no violation for work without permit.
My colleagues in WWS have confirmed to me that the outfall location in the water quality
facility has now been properly cleaned up.
Accordingly, this confirms that, in recognition of your prompt action and cooperation and in
recognition of the fact that the problem did not stem from non - permitted work, the City of
Tigard will impose no penalties for any of the violations noted in my letter of 3/24/06 and
all charges based on those violations are herewith dismissed.
Thank you '`r your coo ► - rata. n. Please call me if you have any questions.
Ad ir
Albert S
Building Codes Enforcement Officer
cc: Property File; Hap Watkins; Al Dickman.
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772
<f ( CITY OF TIGARD
BUILDING DIVISION PERMIT #: /15
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175 : =__.;
INSPECTION WORKSHEET FOR DATE: AS Z 0 6, TIME: PAGE:
SITE ADDRESS: I [ i A[/v lZ et
CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: e L,'4' leel
OWNER: PHONE #:
CONTRACTOR: PHONE #:
1 Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
JE
Corrections/Comments/Instructions:
-- 1 O 4 /A / / C.- Z: : .� ek ) : 0-5.5
/A1!/ 1 ` ' r ■
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INS ECT JP i ❑ ADD TIONA FEES ASSESSED
(//
Inspector: Date: 2 �Y Phone #: (503) 718- --O
•
H s
F ILE copy
CITY OF TIG D
Friday, March 24, 2006 OREGON
Issac & Cheryl Baklund
12494 SW Winterview Dr.
Tigard, OR 97224 0 10'd -Q3 00 )
RE PUBLIC HEALTH HAZARD, DANGEROUS STRUCTURE, ORDER TO DESIST FROM
USE, Violations of Oregon Residential Specialty Code and Tigard Municipal Code:
Lower floor bathroom at your residence at 12494 SW Winterview Dr., Tigard.
I would have preferred to first discuss this matter with you informally, by phone.
Regrettably, the telephone number you left with our Water and Sewer Billing Department
has been disconnected and I have been unable to find a telephone listing for you.
Accordingly, and given the seriousness of the subject and the urgency of the need for
corrective action, I have no alternative but to set forth this more formal document.
Please call me as soon as possible to discuss this. And please advise me immediately and
accept my apologies if our records regarding this matter are in error in any way.
SUMMARY:
This declares that:
1. The discharge of untreated raw sewage and human waste from your residence at
12494 SW Winterview Dr., Tigard, onto the ground surface and into the running
stream in the water quality protection facility adjacent to your residence constitutes an
immediate and urgent Public Health Hazard; and
2. The bathroom on the lower level of the residence and, to the extent the bathroom
continues to be used, the residence itself constitute Dangerous Structures.
Accordingly, this orders and directs you to:
1. Immediately cease any use of the bathroom fixtures on the lower level of your house
at 12494 SW Winterview Dr., Tigard;
2. Immediately engage an appropriate contractor or service to clean up the solid sewage
waste that has been deposited in the water quality protection facility adjacent to your
property, treat the affected soil and water as may be needed to correct and neutralize
any bacteriological hazard, and advise this office of the results of their effort; and
3. Promptly demolish and remove the subject bathroom including all fixtures and
supply and drain lines or submit to this office plans and an application for a permit to
construct the subject bathroom.
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772
12494 SW Winterview Dr., Tigard, 3/24/06, p. 2 of 3.
BACKGROUND:
Personnel from the Waste Water /Storm Department, City of Tigard, have advised me that
they confirmed today with dye- testing that a bathroom located on the lower floor of your
house near the recreation room is not draining into the City's sanitary sewer system as is
required by law and by the codes referenced above but is discharging raw, untreated sewage
onto the ground and into a running ning stream in a storm water drainage channel and water
quality protection facility adjacent to your property.
I confirmed this myself by observation this afternoon and I photodocumented the presence
of solid sewage waste in the water quality protection facility leading from the outfall of a
drainage pipe up to and into the stream runnin through the facility. A photograph of the
subject solid sewage waste is attached. Please note that much of the solid and liquid waste
still shows green coloration from the dye -test.
Such discharge of untreated sewage and human waste constitutes a violation of:
1. Section P2603.0 of the Oregon Residential Specialty Code (ORSC): "It shall be
unlawful for any person to cause, suffer, or permit the disposal of sewage, human
excrement, or other liquid wastes, in any place or manner, except through and by means
of an approved plumbing and drainage system, installed and maintained in accordance
with the plumbing provisions of this Code," and
2. Section P2604.0 of the ORSC: "All plumbing fixtures, drains, ... used to receive or
discharge liquid wastes or sewage, shall be connected properly to the drainage system of
the building or premises, in accordance with the requirements of the plumbing
provisions of this Code."
Such discharge is also a violation of provisions of the Tigard Municipal Code (TMC),
including:
1. TMC 14.04.030.1, which adopts the State codes and directs that "they shall be in force
and effect as part of this Municipal Code ... " and
2. TMC 14.04.090.3: "No person shall install, alter, ... any plumbing or drainage piping
work or any fixture ... in the City, or cause the same to be done contrary to or in
violation of this chapter," and
3. TMC 14.16.250k "Every plumbing fixture or device shall be properly connected to ...
a public or an approved private sewer system," and
4. TMC 14.16.250D: "All plumbing repairs and installations shall be made in accordance
with the provisions of the Plumbing Code adopted by the City."
Further, our records show no permit for the installation of a bathroom on the lower level of
this house. Permit MST2004- 00382, under which the house was constructed by Don
Morissette Homes, made specific reference to three full bathrooms, one located on the main
floor and two on the upper floor of this three -level house. The original permit documents
cover only three bathrooms and include in the fixture count only three water closets; a set of
plans dated 1/19/05 for the fire sprinkler system permitted under BUP2005 - 00047 show
w
•
12494 SW Winterview Dr., Tigard, 3/24/06, p. 3 of 3.
only the three upstairs bathrooms; and we find no mention in our records of any plan or
permit revision to add a bathroom on the lower level.
Construction of a bathroom such as this without a permit is a further violation of the ORSC,
Section R105.1, which requires that permits be taken out before such work is begun, and of
TMC 14.04.090.3 and TMC 14.16.250D above for Work Without Permit.
The discharge of untreated raw sewage and human waste onto the ground surface and into
the running stream in the water quality protection facility adjacent to your residence
constitutes an immediate and urgent Public Health Hazard.
Because that sewage has been shown to originate from the bathroom on the lower level of
your residence, that bathroom and, to the extent that said bathroom continues to be used,
the residence itself are herewith declared to constitute Dangerous Structures pursuant to
TMC 14.16.360, 380A, 380K2, and 380N. Pursuant to TMC 14.16.390.1 and .4 this orders
and directs that the subject bathroom be demolished and removed or that permits for its
installation be applied for and the installation brought into compliance. Pursuant to TMC
14.16.390.2 this orders and directs that the subject bathroom be vacated, that is, that use of
the bathroom fixtures cease immediately.
Each of the above violations of the ORSC and the TMC constitute Class I Civil Infractions
under the TMC and are subject to penalties of up to $250.00 per day, per violation.
If we receive your immediate and full cooperation in correcting this situation and these
violations such that we need take no stronger enforcement action than serving you with this
notice we can refrain from serving you with a Summons and Complaint and we can exercise
similar restraint in imposing or seeking penalty awards. However, the City of Tigard reserves
the right to proceed to Summons and Complaint or take other enforcement actions as we
deem fit if we do not promptly receive positive responses from all responsible parties and if
we at anytime deem that corrective action is insufficient or insufficiently prompt.
Please let me hear from you at your earliest convenience. .My direct line is 503 - 718 -2426.
In particular, please advise me as soon as possible as to who did the actual installation of the
subject bathroom: the ori:inal builder, Don Morissette Homes, and their plumbing sub -
contracto ardine P • • g or some other contractor, or yourselves.
A i , —
Al ert S
Build ► • Codes Enforcement Officer
cc: Property File; Hap Watkins; Al Dickman; Don Morissette Homes; Jardine Plumbing.
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Untreated sewage effluent, 3/24/06
12494 SW Winterview Dr., Tigard
1
C'T' OF TIGARD '
BUILDING DIVISION PERMIT #: MST2004- 00382
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/30/2004
Phone: (503) 639 -4171 kellmo;„ l�k tl�
Inspection Requests (24 Hrs.): (503) 639 -4175 , 44. IL
INSPECTION WORKSHEET FOR DATE: 6/8/2005 TIME: 7:12AM PAGE: 49
SITE ADDRESS: 12494 SW WINTERVIEW DR CLASS OF WORK:
SUBDIVISION: THORNWOOD PARTITION LOT #: 001 TYPE OF USE:
PROJECT NAME: THORNWOOD PARTITION
DESCRIPTION: New SF detached.
OWNER: DON MORISSETTE HOMES, PHONE #: 503-387 -7538
CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503.367 -7538
Inspection Request Scheduled For: Date: 6/8/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 008733 -01 503 - 209.4837 N
Corrections /Comments /Instructions: ( A-- vz,z.‘ .A .
• •
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
VL ! 1 L (0
Inspector: VV {{ Date: Phone #: (503) 718-
06406/2005 16:45 503- 644 -5989 CRAFTWORK PLUMBING PAGE 02
„v. " 0 6/06/2805 15;55 503-- "'3- -1577 KEN ■OMAC< PAGE 02
WOMACK WATER WORKS; INC
CCS UCENSE #125943; 051254
BACKFLOW ASSEMBLY TEST REPORT ' EXISTING
PROPERTY OWNER; CRAF'IWORK PLUMBING PHONE_____
MA/UNO ADORERS: 7742 SW NIMBUS AVE
ctn. BEAVERTON STATE OR ZIP 91225
ASSEMSLY ADDRESS: 12494 SW WINTER VIEW DR
OCVA .75 2000B AMES 12307
WATER PURVEYOR: T(GAI O
A SSIA LY LOCATIONBSMNT PLR
�eww..ew wbss sowaa..anoaaos.e�wwssaesews.. w t :.wsew rs swsa w wswss...
INITIAL TEST RESULTS
REDUCED PRESSURE ASSEMBLY SVBA INITIAL TEST
01 CHECK DOUBLE CHECK AIR CHECK PASBEDJL
PRESS bROP (A) CHECK 01 INLET FAILED
RELIEF VALVE TIGHT X„. X 2.4 OPENED AT PRESS DROP
OPENED AT(B( LEAKED DATE
MIN 2 P510 P510 P510 030804
BUFFER CHECK 02
A-B. TIGHT X_ 2 DID NOT FAILED SYSTEM
MN 3 PSID LEAKED PSID ' OPEN • PSI0
RELIEF VALVE
ma PAIL
sees®aoe*sww.....7 ,, = ma ..«waiaaaeaxaaavmaaaweaga ww.wo..wag
COMMENTS
REPAIRS
AMOR
•
PARTS
a.e�ssews.o..e..a a.. aos ■saw was s • •.... w. a assess w avvessws.. ew«s verses ■ ssso ws
TEST AFTER REPAIRS
REDUCED PRES' RE A a : Y PVIWSV5A- AFTER REPAIRS
Si CHECK DOUBLE CHECK DATE:
PRESS DROP_ (A) CHECK 01 OPENED AT: PRESS DROP
• REAP TIGHT PSID
OPENED (B) CHECK lq _^ _ y PASSED_
SUFFER MIN 2 P5ID TIGHT PSC P30 PSID
MIN 3 PSID
IN COMPLETING AND SUBMITTING THIS TEST REPORT, THE TESTER CERTIRES NAT THE
ASSEMBLY HAS BEEN TESTED AND MAINTAINED IN ACCORDANCE WITH ALL APPUCABLE
RULES AND REGULATIONS OF THE WATER SYSTEM. AND STATE REGULATIONS.
GAUGE CALABRATION DATE O2! 05 / 2005 DETECTOR METER READING
TEST SIGNATURE CERTO NO
TESTERS NAME JEREMY , GAUGE MOW
TESTERS ADDRESS PO S , URAVERT'ON, OR ITo70 W3 043.C411
COMPANY NAMEWOMACK TSR WORKS, NC PHONE
REPORT RECEIVED SY: X SERVICE RESTORED
(REPRESENTATIV OR ER) I
r ) ;
•
•
•
0
•
MAH COUNTY THIS FORM MUST BE KEPT IN THE CLINIC
HEALTH
HEALTH DEPARTMENT
•
On -Call Interpreter Invoice
Employee Name Date
. i_
Employee Signature SAP#
Cost Center PPE .
Date Start Time End Time - Total Hrs Other Tasks Performed % Initials
•
,r •
Supervisor Signature
Please FAX to (503) 988 -3242 and send the original invoice, signed by the site supervisor, to 160/7/LS
P•088 Rev. 09/24/03 1923
•
• 4.
•
CITY OF TIGARD
BUILDING DIVISION J ~ ' • PERMIT #: MST2004 -00382
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/30/2004
Phone: (503) 639 - 4171 ^d'�F�IIjh1
Inspection Requests (24 Hrs.): (503) 639 -4175 IL
INSPECTION WORKSHEET FOR DATE: 5118/20Q TIME: 7:34AM PAGE: 77
SITE ADDRESS: 12494 SW WINTER VIEW DR CLASS OF WORK:
SUBDIVISION: THORNWOOD PARTITION LOT #: 0Q1 TYPE OF USE:
PROJECT NAME: THORNWOOD PARTITION
DESCRIPTION: New SF detached.
• OWNER: DON MORISSETTE HOMES, PHONE #: 503 -387 -7538
CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503387 -7538
Inspection Request Scheduled For: Date: 5/18/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 007168 -03 503- 209 -4837 N
Corrections /Comments/ Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: -S " S Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION . . PERMIT #: MST2004 -00382
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 17/30/2004
Phone: (503) 639 -4171 � �°"r°' 'w1 �' I I
Inspection Requests (24 Hrs.): (503) 639 -4175 -_' �- `'I � ..
INSPECTION WORKSHEET FOR DATE: 6/19/2005 TIME: 7 PAGE: 28
SITE ADDRESS: 12494 SW WINTERVIEW DR CLASS OF WORK:
SUBDIVISION: THORNWOOD PARTITION LOT #: 001 TYPE OF USE:
PROJECT NAME: THORNWOOD PARTITION
DESCRIPTION: New SF detached.
OWNER: DON MORISSETTE HOMES, PHONE #: 503 -387 -7538
CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503-387-7538
Inspection Request Scheduled For: Date: 5/19/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 / 4 Plumbing final 007315 -07 503 - 209-4837 N
orrection /Comments /Instructions: . b
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GL!/IA / 1 C.�� . G
PIAIAA: (-; 414, /)/ 1 0 ( Q • -) < S f
a
Ma - 1 a ( . - 1°
0 , ,
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
0�
Inspector: Dater �� � Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION r . PERMIT #: MST2004 -00382
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12130/2004
Phone: (503) 639 -4171 7109011/?1A,
Inspection Requests (24 Hrs.): (503) 639 -4175 _ s: _—
INSPECTION WORKSHEET FOR DATE: 5/20/2005 TIME: 7 :11AM PAGE: 58
SITE ADDRESS: 12494 SW WINTER VIEW DR CLASS OF WORK:
SUBDIVISION: THORNWOOD PARTITION LOT #: 001 TYPE OF USE:
PROJECT NAME: THORNWOOD PARTITION
DESCRIPTION: New SF detached.
OWNER: DON MORISSE I I t HOMES, PHONE #: 503-387-7538
CONTRACTOR: DON MORISSETTE HOMES INC PHONE #: 503 - 387 -7536
Inspection Request Scheduled For: Date: 5/20 /2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 007385-05 503. 2034837 N
Corrections/Comments/Instructions:
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
I Ki Inspector: Date: /7/(V7i< Phone #: (503) 718-
CIT'1 OF TIGARD
BUILDING DIVISION PERMIT #: MST2004 -00382
13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: 12/30/2004
Phone: (503) 639 - 4171 Jit i ° I �I Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/20/2005 TIME: 7 :11AM PAGE: 57
SITE ADDRESS: 12494 SW WINTERVIEW DR CLASS OF WORK:
SUBDIVISION: THORNWOOD PARTITION LOT #: 001 TYPE OF USE: —
PROJECT NAME: THORNWOOD PARTITION
DESCRIPTION: New SF detached.
OWNER: DON MORISSETTE HOMES, PHONE #: 503-387-7538
CONTRACTOR: DON MORISSI, I I E HOMES INC PHONE #: 503-387-7538
Inspection Request Scheduled For: Date: 5/20/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 007385 -06 503- 209 -4837 N
Corrections /Comments /Instructions: rt j6 I
• 60)(,6(
cjp V
•
„,a7„,.(.6..6e__.5--- sl_e_._..t...._____
t
, 1 * / -4/L) 0 ' 0 'c-e__. ( Ps rtz. .
V i a
PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
t
Inspector: Date: J /� �_ Phone #: (503) 718-