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Case File ti N R N N CJI O cn D cn V m z � G) tl U G m 12250 SW ASPEN RIDGE DRIVE __ �\ CITY OF TIGARD _ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003-00546 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/15/03 SITE ADDRtSS: '12250 SW ASPEN RIDGE DR PARCEL: 2S110B,-07000 SUBDIVISION: THORNWOOD ZONING: R-7 BLOCK: LOT: 041 JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOP2 DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES _ L.AUNI'RY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER -iXTURE:S: TUB/SHOWERS: SEWER LINE: ft WATER CLOSET7. WATER LINE: ft DISHWA SPERS. RAIN DRAIN: ft Remarks: I^stall irrigation backflow preventer. — -- -- FEES --------- Owner_ �- — — -- - --- Description Date Amount DON MORISSETTE HOMES -- 4230 GALE dVOOD ST Jill I T113l Ilermii kc 10/16/03 $36.25 ATF 100 1*1 AX 1 I io. 10,16/03 $2.90 LAKE OSWEGO, OR 97035 Total $39.15 Phe..e : 503-387-7538 � -- ----- — Contractor: LANDSCAPE OREGON, INC. 12200 SW MYSLONY RD. TUALArIN, OR 97062 REQUIRED INSPECTIONS Phone : 503-692-5945 RP/Backflow Preventer Final inspection Reg #: LIC.' LCB: 7804 PLM ALL PHASES- PLL This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Godes and al! other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work it not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Issued By1�, �.!a� _ Perrnittee Signature: 'A, Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day 0cr. 14 03 04: 51p dare edinprrrtf3, 503-692-0768 P. 2 NLY Plum IU Permi lea • 11 Received ` • OFFICE Plombin9 [; 1 natem„ l o i ��_ _ Permit N. f �- iVPian iproval Sewer 1- City of Tigard W�._�_ Permit No.: --- - - ---- 13125 SW Hall Blvd. `� OF llGp�C►`,A Pbur Review odter -- Tigard,O egon 971.23 3 ntNG� Datc/8 �_ Permit No.: _ 1'trst�Review land Use Phone: 503-639-4171 Fax: 503-541Wo Datdgy. Case No.: J Internet .ci.tigard.or.us Contact -� See Page 2 ror 24-hour I ection Request: 503-639-4175 Nante/Method: '� . Supplemental Inhrmatlon. ---ni TYPE CF WORK FEE*SCHEDULE fors eelid inrorieaUon use"checklist) _ New donstruction Demolition _ Description Qty. Fee(,a.) Total Addit on/alteration/replacement Other. New 1-•&-2-fititily dwellings CATEGORY llq�i ,OF CONSTF-UL-11ON. (includes 100k foreaih Is Ili coo .aetlon' _ CATEG SFR I hath 249.20 1 NJ 1 &2 I�amil dwelling (:ommercial/Industrial SFR 2 bath 350.00 Acoes,ory Bu;ldin Multi-Family SFR 3 bath 399.00 _ ❑Mas r Builder J ULtter: Each additiunal bath/kitchen 45.00 OB SITE INFORMATION and LOCATION Fire sprinkler-sq. ft.. Job site dress: �15v Sar-' iQ5 �_ A-tt� f'� - site Will ties -- _Suitt #: _ Bld ./A t#: Catch basin/area drain 16.60 nrywell/leacrt line/trench drain 16.60 _. Project ame:'j77y-KLA :610 ct: Lor t-!•/ Footk:,r drain(no.linear ft.) P_agc 2 Cross street/Directions to job site: Manufactured home utilities 110.00 Manholes 16.60 S LAJ /L L(�� L rrti) i -P . - - l� Rain drain connector 16.60 Sanitary sewer(no.linear ft.) Pe, e 2 SubdIV1S n: 11- I t 0 Det- Lot#: Storm sewer(no. linear ft.) Pa e 2 Water service no. linear R) Page 2 _ Tax mapi parcel_#: _ Flieture or Item DESCRIPTION OF WORk Abso tion valve 16.60 _ l rd& G -X. 1'IOW 61W 1 Ce) Bacicfl2w prcvenlo: Backwater valve _ 16.60 Clothes washr"r _ 16.60 -- Dishwasher 16.60 Drinkin fountain 16.60 PROP RTY.OWNER TENANT E'ectors/srtrtip 16.60 Name: dl M C)Y ,S YLS Expansirn rutk 16.60 Address ;Z 30 S.VL) (74 -CA4-L 300,'3U Fixture/sewor caQ 16.60 Ci :'Stat e/Zi :trtl V£ C!S-�r�r�- Q7U35 Floor drain/floor sink/hub 16_60 _Garbage disposal 16.60 Phoila: Fax. Hose bib 16.60 TSAPPLI _ANT _ CONTACT P_ _ON_ Ice maker -- 16.60 _ N.me: C f l arrno latertx or tr strap - - 16.60 Address I 0 r SW /11( R� Medical gas value: S_ Page 2 U Ptimer 16.60 Cit /Sta e/Zi --fl•lA-Q.avlf`- O fe 9-)0(o a-- Roof drain(ex>mmemial) 16.60 PhoneS>3 (o%- -SW51-S94.51Fax_5A3 O a�- 076,11 Sink/bacin/Iavatu _ 16.60 E-mail: Tub/shower/shower pan 16.60 CONTRACTOR Urinal 16.60 _ Busines Name: Lo-v xcrt. Q M Water closet- 16.60 Water heater 16.60 Address (a;I-0 o il ) lam. ottta- TJ City/Sta e/Zi :11AA-ta*,kr . other.. Phone - 544S FaVV21 (D9d 0%�( _. Plumbing Permit Fees" CCB Li . #: -40f-I Plumb. Lie.#: T� _- _ subtotal s N.inimum Permit Fur^72.50 S 3(o a.S A mnatuT P.csidcrItial Backflow Minimum Fee 536.25 Signaturoy}' L` CL'L/t�v Dater IW _3 Plan Review(25%of Permit Fee) S Ellen _State Surchatge(HY.of Permit Fee s -- (Pkns, printname) -T-- - L- __ TOTAL PERMIT FEE s LS Notice: This permit appYnt en expires trot permit Is not nbtarned withic All near commercial ImUdiotgs require 2 sets of plans with Iwmetrie or 100 days all er it has been r.ccepted as complete Harr diagram for plan revie r. •Fn methodology set by Tri-County nuimag industry Service Board. `, O� �'�� MASTER PERMIT CITY I T / PERMIT #: MST2003-00268 DEVELOPMENT SERVICES DATE ISSUED: 8/27/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 2250 SW ASPEN RIDGE DR PARCEL: 2S11013C-07000 SUBDIVISION: FHORNWOOD ZONING: R-i BLOCK: LOT: II-i I JURISDICTION: -116 REMARKS: Const. new SF detached residence. BUILDING REISSUE: DM118A STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 23 FIRST: 1.144 of BASEMENT: of LEFT: 5 SMOKE DETECTORS. TYPE OF USE. SF FLOOR LOAD: 40 SECOND: 1,806 of GARAGE. 444 of FRONT: 15 PARKING SPACES TYPE OF CONST: 514 DWELLING UNITS: 1 TH M of RIGHT: F OCCUPANCY GRP: R3 BURM: a BATH: 3 TOTAL: 2VALUE: 283.369 20 550 of REAR: 15 PLUMBING SINKS: I WATER CLOSETS, 3 WASHING MACH, 1 LAUNDRY TRAPS: RAIN DRAIN 100 I.AVATORIES: 4 DISHWASHERS: I FLOOR DRAINS, SEWER LINES: 100 SF RAIN DRAIN.'.: 1 CATCH BAS.:+S: TUHISHOWERS GARBAGE DISP: 1 WATER HEJ,TERS: I WATER LINES 110 BCKFLW PREVNTR GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPLS FURN<100K: RCILICMP<3HP: VENT FANS: 5 CLOTHES DRYER: 1 FURN>•100K: I UNI i HEATERS. HOODS: I OTHER UNITS: I MAX INP btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES. GAS OUTLETS: 4 _ ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 Sr-OR LESS. 1 0 - 200 amp: 0 200 amp. WISVC OR rDR: PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF. S 201 - 400 amp: 201 - 400 amp let W/O SVCA:DR: SIGNIOUT LIN LT: PER HOUR. LIMITED ENERGY: 401 600 amp: 401 - 600 amp EAADDL BR CIR. SIGNAL/PANEL IN PLANT. MANU HMBVCIFDR: 601 1000 amp: 901 Fampa-1000v. MINOR LABEL: 1000.amolvolt: PL'W REVIEW SECTION Reconnect anlV: -- >-4 RES UNITS: SVCIFDR> 225 A.: >900 V NOMIN.,L: CLS AREA/SPC OCC _ ELECTRICAL•RESTRICTED ENERGY _ A.SF RESIDENTIAL B.COMMERCIIIL AUDIO&STEREO: VACUUM SYSTEM: AUDIO&S1F.REO: FIRE ALARM: INTERCOWPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA(TF.LE COMM: NURSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES. $ 5,668.97 DON MORISSETTE HOMES DON MORISSETTE HOMES INS This permit is subject to the regulations contained In the 4230 GALEWOOD ST 4230 GALEWOOD ST,STE 100 alMunicipal Code,State of OR. Specialty Codes and STE 100 LAKE OSWEGO,OR 97035 alll other applicable laws. All work will be done 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. ATTENTION Oregon law requires you to follow rules adopted by the Phone: 503-387-7538 Phone: Oregon Utility Notification Center. Those rules are set p forth In OAR 952-001-0010 through 952-001-0080. You Rap. T I iK7�,= may obtain copies of these rules or direct questions to OUNC by calling(503)248-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Water Service Insp Grading Inspection Post/Beam Mechan!^s Plumb Top Out Exterior Sheathing Inst Rain drain Insp Appr/Sdwlk Insp Sewer Inspection Underfloor insulation Electrical Service Low Voltage Storm drain Insp Electrical Final Footing Insp Crawl Drain/Backwater Electrical Rough In Gas Line Insp Roof Nailing Mechanical Final Foundation Insp PLM/Underfloor Framing Insp Gas Fireplace Water Line Insp Plumb Final � ! issurd By : Permittee Signature Call (503) 639-4175 by 7:00 p.m, for an inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2003 00201 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/27/03 iITE: ADDRESS; 12250 SW ASPEN RIDGE DR PARCEL: 2S11013C-07000 SUBDIVISION: THORNWOOD ZONING: R-7 BLOCK: LOT: 041 JURISDICTION: "1 Ic i TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF residence. Owner: — — FEES DON MORISSETTE HOMES Description Date Amount 4230 GALEWOOD ST _ STE 100 [SWINSP]Swr Inspect 8/27/03 $35.00 LAKE OSWEGO, OR 97035 1SWINSP]Swr Inspect 8/27/03 $0.00 Phone: 503-387-7538 [SWUSA]Swr Connect 8/27/03 $2,400.00 [5Wl1SA]Swr Connect 8/27/03 $0.00 Contractor: — -- -- _--- Total $2,435.00 Phone- Reg #! Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located,the ii;staller shall purchase a"Tap and Side Sewer' Perm i" hh Issued bk� Permittee Signature: Cali (503) 639-4175 by 7.00 P.M. for an inspection needed the next business day f Building Permit Application CIIty of Tigard Datereceivede'.2L-a Permit no.:Ari j Ci o 7i and Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: Expire date; rY l 8 Phone: (503) 639-4171 Date issued: B J y P Receipt no.: \X Fax: (503) 598-1960 rase File no.: Payment type: Land use approval: i&Z'tamlly:Simple Complex: U _ �v U l &2 family dwelling or accessory U Commercial industrial 0 Multi-family XNew construction O Demolition U Add i tion/al tc ration/replacement U Tenant improvement U Fire sprinkler/alarm U Other. rJooddress: �' � � - (1 � Bldg,no.: Suite no.: Lot: -"-f I Subdivision: I ' L 'Tax map/tax lot/account no.: Project name: -- Description and location of work on premises/special conditions: f" Nam. Y t . Y1E'.,A Mailing address: \,• 1 &2 family dwelling: City: Stated 7.IP: ) Valuation of work........................................ $ 3 Phone: Fax 7 mail: No.of bedrmms/baths.............. Owner's representative: I G-1 V I L� I 'focal number of floors.......... P'none: Fax E mei' New dwelling area(sq. ft.) , + Garage/carport area(sq.ft.)�u�. 7Nawie: Y j Covered 1 irch area(sq.ft.)......................... liDeck area(sq. ft.) ........................................ : State: 7.(P Other sttvcfum area(sq. ft.)......................... Phone: f ax: E-mail: Commercial/industriallmulti-family: 11111 tall Valuation of work........................................ Business name: -3 - Existing bldg.area(sq.ft.) ......................., Bushess: � orhcks New bldg.area(sq. ft.)............. .............. City: State: ZIP: Number of stories.... ——_— Phone: Fax: E-mail: ype of constructi ............................... .... CCB no.: r) .b�_ Occupancy gro (s): Existing: - City/metro lir..no.: New: Notice:All contractors and subcontractors are required to be t licensed with the Oregon Construction Contractors Board under Name:_Llaw a Y' 9�r provisions of URS 701 and may be required to be licensed in the Address: �� — jurisdiction where work is being performed. If the applicant is Cit State: ZIP: — - exempt from licensing,the following reason applies: Contact person: Plat -o.: Phone: Fax: E-mail: Name: Contact person: _ Fees due upon application ........................... $ _ Address: _ _ Date received: City: State: ZIP: Amount received ......................................... $ Phone: Fax: E-mail: Please refer to fee schedule. T 1 hereby certify I have read and examined this application and the Not all jurisdictions sccW credit tends.pl au call jurisdiction for roots information' attached checklist. AILprovisions of 1 ws and o��Inances governing this U Visa U MasterCard work will he compli wi ,whether. tided Herein y�tot Credit card number: J / Authc 0 , i� j 3expiros �f��j Name of cardholder as shown on credit Print name: } —r-- r�k s Cardholder siptauure —� holAmount —_ Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. aaaaeu WD(Wt,M) One-and Two-Family Dwelling Building PermR Application Checklist Reference no.: C,ty of I igarel Associated permits: City of 'Tigard • Address: 13125 SW Nall Blvd,Tigard,OR 977.23 O Electrical O Plumbing 0 Mechanical Phone:Phone: (503) 639-4171 -_ Fax: (503) 598-1960 1 1 1 Land use actions cet apleted.See jurisdiction criteria for concurrent reviews. 2 Toning.Flood plain,solar balance points,seismic soils designation,historic district,etc. -- 3 Verification of approved pi-itllot. 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,eta. 10 _.L Complete sets of legible plans.Must be drawn to scale,showing conformance to applicable local and,tate 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` I I Site/plot plan drawn to scale.The plan must show lot and budding setback dimensions;property comer elevations(if there is more than a O4 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,lut area;building coverage area;percentage of coverage;im rvious 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 Hews.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 fou:foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references arc acceptable. If, 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 siting,spacing,and bearing locations.Show attic ventilation. IX Basement and retaining walls.Provide cross sections and details showing placement of rebar.For engineered systems,see item 22,"Engineer's calculations." I i Beam calculations.Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 21 Energy Code compliance.Identify die prescriptive path or provide calculations.A gas-piping schematic is required for four or more appliances. 22 Englneer'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 showu to he applicable to the project under review. I 23 Five(5)site plans are required for Item I 1 above, Site plans must be 8-1/2"x I I"or 11"x 17", jt 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 pians will be accepted_. 27 Checklist must he completed before plan review start date. Minor changes or notes on submitted plans may he in blue or black ink. Red ink is reserved for department use only. "0-+e14 rr WOM) Mechanical Permit Application Date received: City of Tigard Project/appl.no.: Expire date: CiryojTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Building permit no.: ❑ 1 &2 family dwelling or accessory ❑Commercial/industrial ❑Multi-family C3Tenant improvement �lew construction U Addition/altetation/replacement O Other:— — _ 11 1 1 1 1 Job address: 1, 1 Indicate equipment quantifies in boxes below.Indicate the dollar Bldg, no.: Suite no.: value of R"mechanical materials,equipment,labor,overhead, Tax snap/tax lot/account no.: profit.Value S Lot: – Block: Subdivision: YtVV C 'See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City/county: ZIP: 1 I Vila Description and location of work on premises: _ 1 Fee(r9.) Total Est.date of completion/inspection: AC: Dev>ri on Qty. Res.only Res.only Tenant improvement or change of use: Air handling unit CFM Is existing space heated or conditioned?❑Yes O No Atr conditioning(site plan required) Is existing space insulated?U Yes U No I Alteration of existing HVAU system moiler ssors State boiler permit no.: Business name: – { V1 HP Tons BTU/H Address I _ irelsmak�mpers�iict smoke detectors City; Ll State- LIP: e�vmp(site plan required) Phone: Fax: Email: —1.11 _ tate mace/burner__ / Including ductwork/vent liner ❑Yes U No CCB no.: _ Instal rep acr/relocate eters-suspPnde , City/metro lic. no.: N/A wall,or floor mounted Name(please print): - Vent fora iance other than furnace Refrigeration: Absorption units BTU/H t _ Chillers HP Name: ,? 5_ �'�1't -- Com ressors HP Address ;_ _ r "ruental ex fit an rent ton: City: State: ZIP: Appliance vent Phone P:r: E-mail: Dr;r;c�h,:ust Dods,T ype Vii res.�chett/hazmat hood fire suppression system �,! - St Exhaust fan with single duct(bath fanam s)Mailing ad tress ) �/�, Rust system apart from eatin or Aue p p ng andt� ut on(up to out ets)City: ate ZIP ) T LPG NG Oil Type: Phone: 7, Fax: E-mail: Fuel pi ing each a ditioni over outlets _ rotes piping(schematic required) Number of outlets Name: ter listed appliance or equipment: Address. __ Decorative fireplace _ City: �-------- State: ZIP: TnSert-type _ _ -- Phone. Fa.�: E•mail: let stove _ — , Other: Applicant's slgnaru' Name(print) Nd dl junsdicuoru accepi credit cad+,pie de cdl jurisdieuon ror mere mfermauon. Permit fee.....................S Notice:This permit application Minimum fee................S _ U visa 13 MuterCard expires if a permit is not obtained Y Cmdir card number / / -- Plan review(at _ %) S — Espires within Igo days after it has been State surcharge(8%) ....$ ---- Name or cadholder as shown on credit cad s accepted as complete. TOTAL . Cardhuldu ripurure — Amount 440-46111600000MI Plumbing Permit Application) — Date received: Pc=tno.:4 City of Tigard Sewer permit no.. Building permit no.: Address: 13125 SW Hall Blvd.Tigard.OR `7.12' ProlecVappl.no_ Fxpitedate: ,City of7'igard Phone: (503) 639-4171 -- Fax: (503) 598-1960 Date issued: - By R zeiptno.: Case File no. Payment:ype: I Land use approval: _ — ----- - J r] i & 'family 1haelhng or accessory ❑CommerciaVindustrial O ''lulu-fain ly C1 Tenant improvement Vew,;onstrucn-m 0 Addiuunialterauon/mplacement -1 Fx)d service O Other. AMth7l � � 1 1 ' N7� I Description (Zty. Fee(rr.) Total , Job address: � ' i C New l-and 2-family dwellings Drily: Bldg. no.: 5wtt no.: _ (includes 100 ft.foreachrrtlli(yconnection) Tax reap/tax lot/account no.: _ SFR(1)bath Lot Bla k: Subdivision: L ` SFR(2)bath _ Project name: SFR(3)bath HEIE City/county: — ZIP: _ �_— Each additional badOutchen _ y Description and location of work on premises: — -- Catchsiteu basun/ Catch EasinJarea drain -- Drywellslleach line/trench drain Est.date of compleuordinspection: Footing drain(no.lin. ft.) - Manufactured home utilities Business ne• 1>LI )f 1 l�_(a Manholes --- ._ - � _��__-- � Rain drain connector — a Address:City: Sana sewer(no.lin. ft.) Star.• ZIP: — E-mail: Stolen sewer(no.lin.ft.) Phone: -1 Fax: Water service CCB no.: '7 L Plumb.bus. reg.no: - Fixture or item: City metro lic. no.:7141A Absorption valve I-ontrsctor's representative signature Back tlow p eventer U Backwater valve Print name: Pc Basins/lavatory — Clothes washer Name:,V"'-1 Sf-,� t-1� Dishwasher — Address: Dnnkine fountain(s) - City State: ZIP: Electorslsump — Phone: Fax: E-mail: Expansion tank a:-tum'—wer car Floor drains/floor sink-s/hub Name (pnnt): !-1/`; �� Garbage disposal Mailing address: Hose bibb City 1 State ZIP: Ice maker Phone ' - TFax: �-7N E-mail• Interceptor/grease trap -- owner inrtatladorv'residenda/maintenance only': The actual installation Pnmensi will be made by me or the maintenance anti repair made by my regular Roof dr-.un(cummerclall -- employee on the property 1 own as per QRS Chapter 447. Sink(s).baslnls).lays(s) Owner's signature: Date: Sump Tubyshower/shower pan -- Unna! Name: ----_ Water closet Address' — Water heater Citn J State ZIP: OUier __ _ E-mail: Total Phone: Fax. Minimum fee................S ------ No'Al un";uau step cmdrt cutispleau cell lunxlicuon its more mrartruuon Notice:This permit application Plan review(at — %) S c visa O AtuierCard expires if a permit is not obtained State surcharge(8%) •••S ---- C.eda;ud number _ within ISO days after it has been s tits s v accepted as complete. TOTAL ....................... Nune I cardholder u shown oe ctesln cud — s ytp..i616 I��r`'s 1 cardholdet signmure Amount HectricalPermit Application � Date recei,ed: City of Tigard Project/appl.no.: Expire date: CirytfTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Reneiptno.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: TYPE OF PERMIT 0 1 &2 family dwelling or accessory 0 Commercial/industrial Q Multi-family 0 Tenant improvement New construction 0 Addition/alterauor/replacement O Other _ 0 Partial 11 SftE INFORMATIOI* Job address: L 1,) ` 1 Ig.no.: Suite no.: ITax map/tax lot/account no.: Lot: I Block: Subdivis on: Project name: I Description and location of work on premises: Estimated date of completion/inspection: _ t Job no: i Fee Max Business name: 1 Description_ _Qty. (ra) Total no.Insp Address: ��V2 11 New tx�deet�-siMk-or multi-family per dwelling unit-Includes attached garage. City: State: -gl Zip: sm leeinclu". Phone: ,j- i Fax: E-mail: 1000 sqft.or less 4 Foch additional 500 sq.h.or portion thereof CCB no.: Elec. bus. lic. no:,;[ llmitedenergy,residential 2 C' 7�) Each m energy,non residential 2 Each manufactured home or modular dwelling alu►e ojtuptrvltln�e/rRrlcfan (required) Date Le F I Service and/or feeder 2 Sup elect nemeipnntl 1 Lt_enseno Services or feeders-installation, alteration or relocation: 200 amps or less _ _ 2 Nance (print). ` 201 amps to 400 amps 2 • �x 401 amps to 600 amps 2 Mailing address: N 601 amps to 1000 amps 2 City: 1-.�-s 0, State Zip: �� Over 1000 amps or volt- 2 Phone:M7- Fax: `7- mail: Reconnect only I Ownerinsrallallon:The installation is being made on property I own Te:nporaryseMcesorteeders- which is not intended for sale, lease,rent,or exchange according to Insullatio.t,alteration,ormlocadon: 200 amps or less ORS 447,455.179,670.701. 201 amps to 400 amps 0%%ner's signature: Date: 401 to 600 amps --— Branch circuits-new,alteration, or extension per panel: i Name: A. Fee for branch circuits with purchase of Address: _ service or feeder fee,each branch circuit City: Stale ZIP: B Fee for branch circuits without purchase - —'- of service or feeder fee,first branch circuit: ' Phone: T:tf Email: — Each additional branch circuit: _ PIAN R�VIEIV(�Iease check all 11112111 1111pply) Mitc.(Ser Iceorf.xdernot Included): ❑Service over 225 amps-commercial O Healthcare factfity Each pum-,or irrigation circle 2 Fath si n or outline lighting(]Service over 320 amps-rating of 1,c1 ❑Hazardous location B g g 2 familydwellings O Building over 10,000 uluare feet four or Signal circuit(s)or a limited energy panel. Cl System over 600 volts nominal more residential units to one structure alteration,or extension' 2 O Building over three stories 0 Feeders,400 amps or more *Description _ O Occupant load over 99 persons O Manufactured structures or RV park Fich additional Inspection over the allnwable In any of the above: O Egrssiiighundplan C3 Other. - Per inspection Submit_sets of plans with any of the above. Im esugation fee _ T he abor are not applicable to temporary construction service. Other p ) permit application Permit fee..................... Nd all'u�tadicuons arca credit cards,p'tase call jurisdiction for ttrxe infmnsua+ NOIICt:This O Visa d MasterCard expires if a permit is not obtained Plan review(at _ %) $ Credit card number - / / within 180 days after it has been State surcharge(8%)....$ _ (spires accepted w complete. TOTAL .......................$ _ Name of cwnlhulder at rbuwn on crtdil card S CxWwlder ritnature Amount "0.4615 16At1'COM) DON - MORISSETTE OBE ; 2918 H 0 M 8 9 4890 GALBW00D STREIRT 3U ITR 100 LOT: 41 1, A K K 0 4 • 6 G 0, 0 R 9 G O N 4 7 0 3 6 DATE: J/15/03 (603) 387 - 7638 RAX (603) 987 - 7810 PROPERTY: THORNWOOD CITY: TIGARD SCALE: )"=20' STANDARD ELEVATION PLAN No.: I 18 12250 5-W. A,5f=E 4 RIDGE Dim'. asp ---_ --- 3.05_- Sidewalk Approach 448' „b��---. 44 6 25 -ANDSCAPE - r O TR,''r :Concretar ;n 0' e.UF- — N e riveway" ' i' r 11.00' 4 - 445'T_�# --i-_ m 421 sq. rt. J I 2 car ger: F.F.E. 444' 2,950 sq. Pt.-- 4 bdrm. 438 jai l 2 1/2 bath FF.E. 445' DECK a3a --------'�► ------------r-=r " J N N rp.}o� ads did r 34 �1 -; .50' 4433' / W aO TA TO E w LEGEND �' LOT COVERAGE --- - __I-- ARE..: 4 58 9G. =- LO' "41 Bu:L--lNG AREA: '.-'al 5c. 4,158 eq. rt. 02' NVRT�+E'QN ==gCENTAGE 3-ro o QED OAC CITY OF TIGANG • SITE PLAN RENA 'W HU11,DING PERM11 !alt► PLANNING DIVISION Requirrd Setbacks- El Not Approved Side`.. y+n. Front. Visual cleara\�i cr.� [i i..i No, Apprcrrd maximurn Nuildiiij; F` CWS Service Provider +.�P1t f7 Ves [] No Received H __ l►"le: I'.N(iINI:I:RIN(; DLP R'1 MF f: Actual Slope: '/ ❑ Approved ❑ N( pproved Site Plan: ❑ Approved ❑ Not roved A Date: Notcv: /. L ('ITV OM Tlt:ARD - SlTF. PLAN RF.VIFW BUILDING PLRMI t 1v(). ( _Z07 PLANNING UIVISIt)N: Required Segacks. Arlv- 1.11+ f] Nm Approved 'aide: "" SI(ert `;,�1�• _.�5... �► Front. (JI'mi rt Visual Clearance, Too,•A i:J "��t A()luvvcd Maximum Building Height 4xi CWS Servi* rovider Letter Required ❑ Ycs No❑ kr�civr�l P_ - R(i VA Actual Slope:% pproved I1 Not Approved Site Plan: (Approved Lj Not Alit ov—d 001C. 4 Notes. /�a 6� Sure Ito GMGi`�N�w�EN^ O«""rJ �C�se.tie►..f) y � d O � w � N � � r � ` rr �, � ►� n Z � " � a a � � �. ,� O S � h O �, ., � � O 11.,E - c. � I /V w � � � � o � ,-: < � N 8. � N� N �, H '� � ' n ♦� � �� ry r p1 � � c' 1 1 `J' Q [�� y � � � � ^ � � � \�, i F -� � � i a c -, �, � a N � � ' �, `� a =� �o �� ° ',� � .o o .. o o ,, � o � o � ,r 0 �� CITY OF TIGIARD 24-1.-toulr BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 BLIP Received . 12- 1 10 4=3—qDate Requested 2111AM PM_ BUP `3 Location ___ �2 2 Lj �. Suite MEG Contact Person Q�2 __ Ph PLM Contractor -._..__._ Ph(- ) SWR 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 Framing ___ [ti cr tZ. j�_ 4- - /�,.✓t C _�� _�1- / -!c,_0 3 f-� ~- ---- - - Insulation Drywall Nailing ------ --- ---- _- -�_-------__-_--------__.-_-- Firewall Fire Sprinkler - ----_--- -- ____-__ Fire Alarm Susp'd CeilingRoof PART PART_FAIL PLUMBING Post& Beam - -- Undar Slab _- � Rough-In ---- ---- --_____-- ------ --- Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: ____ - ----- -- -- -- -- . ---- Final PASS PART FAIL -- -- -- --- -- - _M_ECHA_NICAL Post& Beam - ----_.. - - -----.— Rough-In - ---- - - -- -- -- Gas Line Smoko-Dampers F iaL_-.,,, fECSa i PART FAIL --- -- ------ ELECTRICAL Service - -- -- - - ----- - ------- Rough-In _ UG/Slab Low Voltage Fire Alarm Final L Reinspection fee of s required before next Inspection. Pay at City Hall, 13125 SW Hall Bled. PASS PART_FAIL SITE F� Please call for reinspection RE: --_i f Unable to inspect-- no access Fire Supply Line ADA Date at. -//_��' Inspector i _-. Icxt Other: Final -_I DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL ►wwwwwwswwsww♦�.www♦.►wwwswwwww.w�. .wwww�.www��i � r i � � o d ► r� ► a z BOJ'7 � � � � ► r rr' ► SU � v �„ ► v t� <rN ► �, ► I ► 7 �. Poo. 1 r ' ► ► 7 ► 44 ►_ 1 t �ivvvvrvvvvv vvvvvvvvvvvvvvvvvvvv •vvvvvvvvvvvI► j � CITY OF TIGARD 24-Hour T (� BUILDING Inspection Line: (503)639-4175 MS� >- 0 0, O !NSPECTION DIVISION Business Line: (503)639-4171 BUP Received -- __ Date R quested_� � AM PM BUP Location _� 0.l _ � —``. �_Suite MEC __-- Contact Person —__— -- _— Ph(---), PLM — —_-- Contractor Ph( _) SWR __— BUILDING Tenant/Owner —_.— _ _— ELC Footing --_.__.__ -- -.---- Foundation Access: ELC Fig Drain ELR Crawl Drain -- --- ---- Slab Inspection Notes: SIT Post& Beam Shear Anchors -- T - -- - - Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing -_-__- Firowall r Fire Sprinkler Fire Alarm Susp'd Ceiling -- — - --_ Roof Other: — ----- -- ----- --- Final - PAS __P R_T FAIL — -- ----- - -- --- LUMBIbid --- ---- Under Slab Rough-In - -------•-- ---- --- - Water Service _- Sanitary Sewer Rain Drains --- - --- _--_ _ Catch Basin/Manhole Storm Drain - --- -- --- _- _ _ Shower Pan Other - - -- -- —--.—-_ i PASS---POT T FAIL -- - - -- _- - - -- ---- — CHANT L eam -- --- ------.. -- -- - -- Rough-In -- - - --- Gas Line - --- -- --._----- --------- Sr KAe Dampers,t: final SS PART FAIL - - ---------- - -- --- - ELECTRICAL Servico --- - -- --- --- - -- - — Rough-In UG/Slab Low Voltage - Fire Alarm Final Reinspection fee of s_ PASS PART FAIL p rayuired before next inspection. Pay wCity Hall, 13125 SW Hall Blvd. SITE Please call for reinspection RE: ---_ `-.-- r�] Unable to inspect- io access Fire Supply Line ADA i Approach/Sidewalk Date Gy � Inspector_ - -- - Ext--- Other: Final T...- - DO l:^T REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP -- Received ___--____-__Y_. Date Requestedn/ _7L-1 0 - AM._.___-_—_ PM .________ BUP Location _�•25 � �_K.e ' Ve-_Suite_ _ - MEC Contact Person `M ----' Contractor Ph(�____) _ ----------- SWR — BUILDING Tenant/Owner _—___ __--_—__ ELC Footing ELC Foundation Access: - Ftg Drain ELR _ Crawl Drain _ Slab Inspection Notes: SIT Post&Beam -'jShear Anchors Ext Sheath/Shear _ Int Sheath/Shear - Framing ------- - -- — ----- ------- Insulation Drywall Nailing -- --- -- - - Firewall Fire Sprinkler ---- ---- Fire Alarm Susp'd Ceiling _-- - --------- - - Roof Other: - --- - --- -- _�_- _ -- Final - P ART FAIL_ - LUMRIEW ost& Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains -- -- Catch Basin/Manhole Storrs Drain ----- - ShWer Pan in . ASJT FAIL _ HANICAL -_ Post&Beam Rough-In - - - -- ---- --- - --- - ---- -- Gas Line Smoke Dampers --- - - . Final PASS PART FAIL - -- - --- -------- _. .- ELECTRICAL Service - - - - - - - ---- ------- Ro igh-Irn UG/Slab -- --- -- Low Voltage Fire Alarm Final PASS PART FAIL Reinspection fee of s required before next nspection. Pay at City Hall, 13125 SW Hall Blvd SITE_ _ _ `lease call for reinspection RE: _ _ - _ _ E] Unable to inspect -nc access Fire Supply Line ADA DrAt• Approach/Sidewalk -- - Inspsetor---------..� .-_-- - _ _ Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PA-14 PART FAIL