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12255 SW ASPEN RIDGE. DR
/ \ CITY OF T I G A R D MASTER PERmrr
PERMIT#: MST2003-00504
DEVELOPMENT SERVICES DATE ISSUED: 11/5/03
13125 SW Hail Blvd.,Tigard, OR 97223 (903) 639-4171
SITE ADDRESS. 12255 SW ASPEN RIDGE DR PARCEL: 2S11013f;-05900
SUBDIVISION: THORNWOOD ZONING: K-7
BLACK: LOT: 040 JURISDICT SON: TIG
REMARKS: Coristructicn of new SF detached residence.
BUILDING
REISSUE. UMI I: S TORIES: 2 FLOOR AREAS REQUIRI'D SETBACKS REQUIRED
CLASS OF WORK: NI-.V. HEIGHT: 30 FIRST: 910 of BASEMENT, sf LEFT: 5 SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: 40 SECOND. 1 145 at GARAGE: 438 sf FRONT: 15 PARYU'G SPACES
TYPE OF C'JNST- 5N DWELLING UNITS: I THAD sf RIGHT 5
OCCUPANCY GRP: R3 BDRM: 3 PATH: 3 TOTAL Z 055 sl VALUE: 201,919 80 REAn:
PLUMBING
SINKS I WATER CLOSETS: 3 WASHING MACH LAUNDRY Tr.AYS: I RAIN DRAIN: 10., TRAPS
L'.VATORIES: 4 DISHWASHERS: I FLOOR DRAINS: SEWER LINES 100 SF RAIN DRAINS: 1 CATCH BASINS:
1 UBISHOWERS: _ GARBAGE DISP: I WATER HEATERS: I WATER LINES: IOOC BCKFLW PREVNTR: GREASE TRAPS
MECHANICAL
OTHER FIXTURES.
PIKE TYPES FURN-WOK: BOILICMP c 3HP: VENT FANS: 3 CLOTHES DRYER: i
GAS FURN>-100K: I UNIT HEATERS: HOODS: I OTHER UNITS: I
MAX INP btu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: 4
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEUER TEMP SRV'-(FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'(.INSPECTIONS
1000 SF OR LESS ' 0 - 20c amp: 0 X 0 amp WISVC OR FDR. PUMPIIRRIGATIOW PER INSPECTION:
EA ADD'L 60091`: 4 2M 400 amp: 201 410 amp. tat W/O SVCIFDR SIGN/OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 600 amp: 401 - 600 amp EAADDL.BR CIR. SIGNAL/PANEL: IN PLANT:
MANU HMISVCIFDR: 601 • 1000 amp: 601 imps-1000v MINOR LABEL:
1000+amp/volt:
Reconnect only:
PLAN REVIEW SECTION
— —
>-4 RES UNITS: SVCIFDRI.223 A.. >6U0 V NOMINAL: CLS AREAISPC OCC.
ELECTRICAL•RESTRICTED ENERGY _
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM. INTERCOWPAGING: OUTDOOR I NDSC LT
BURGLAR ALARM: OTHBOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL
GARAGE OPENER: CLOCK. INSTRUMENTATION: MEDICAL: OTHR-
HVAC DATAITELE COMM NURSE CALLS: TOTAL N SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 5,031.84
This permit is subject to the regulations contained in the
DON MORISSETTE HOMES DON MORISSETTE HOMES INC
4230 GALEN ODD S- 4230 GALEWOOD ST,STE 100 Tigard Municipal Code,Stale of OR. Specialty Codes and
STE 100 LAKE USW EGO,OR 97035 all other applicable laws. All work will be done in
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 1s 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 se
p3_387-75 forth in OAR 952-001-0010 through 952-001-0080. You
Rep e: lc 35 may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Erosion Control Insp 8' Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Water Service Insp
Grading Inspection Post/Beam Mechanica Plumb Top Out Exterior Sheathing Inst Gyp Board Insp Appr/Sdwlk Insp
Sewer Inspection Underfloor insulation Electrical Service Low Voltage Rain drain Insp Electrical Final
Footing Insp Crawl Drain/Backwater Electrical Rough In Gas Line Insp Storm drain Irsp Mechanical F nal
Foundation Insp PLM/Underfloor Franung Insp Gas Fireplace Water Line I isp Plumb Final
Issued By,; Permittee Signature :
Call (503) 639-417.5' by 7 00 p.m. for all ;nspection needed the next business day
E — _
CITY
OF
TIGAP n SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SVJR2003-00375
�
'31:.5 SW Hall Blvd., Tigard, OR 91223 (503) 639-4171 JATE I,-SUED: 11/5/03
PARCEL: 2 S 110 B C-06900
SITE ADDRESS; 12255 SW ASPEN RIDGE DR
SUBDIVISION: I'IIORNWOOD ZONING: R-7
BLOCK: LOT: 040 _._ JURi.SOICTION: TIG
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 dwelling.
Owner: _—__��_----- FEES
DON MORISSETTE HOMES Description s Date Amount
4230 GALEWOOD ST -- --- -
STE 100 ;1 NIUSAJ Swr Connect 11/5/03 $2,400.00
LAKE OSWEGO,OR 97035 ti�t'1;5 S\\r Connect 11/5/03 $0.00
Phone: 503-387-7538 1 ,\\INSPI tiwr Inspect 11/5/03 $35.00
l\til' tier Inspect 11/5/03 $0.00
Contractor: Total $2,435.00
Phone:
Reg #:
Required Inspections
_I
This Applicant agrees to comply with all the rules .d 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 shalt prospect
3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer" Perm
Issued b : ���_ (� Zt _ _ Permittee Sinnat-,;re:A
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
7 o ry, o'11
j\ Building P �ztion
Date received:/Q / ,.o Permit no.:
City of Tigard '� •'"
►T' �y y71:; Project/appl.no.: Expire date:
City of Address: 13125 SW Hall Blvd
TigarA 'A*
Phone: (503) 639-4171 Date issued: By: Receipt no.:
Fax: (503) 598-1960 I r Y OF PGARD —
3 RDiNn nIVISION case file no.: Payment type:
Land use approval: —_ T�'y 1&2 family:Simple complex:
U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family ,. New construction U Demolition y
U AJclitton/
atteration/replace men t U Tenant Improvement ❑Fire sprinkler/alarm U Other.
sok• ' Y t � �'
Job address: ` _ Bldg.no.: Suite no.: j
Lot: / Block; Subdivisi n: �/�/ 1 - -- Tax;nap/tEix lot/account no
Project name: ---
Description and location of work on premises/special conditions:
rNae: 'Y t`�' � �
Mailing address: 1 Sc 2 family dwelling:
State , ZIP: ......................
City: � � .' Valuation of work.................. .................... a
Phone: Fax: -"7 mail: No.of bedrooms/haths...........
Owner's representative: I} C-Y y I LIr— Total number of floors.................................
Phone: IF:::.: E—nail: New dwellin,area(sq. ft.) -
. , . .4 .,.i. Mr Gar•aue!camr rr aren(sq.ft.).........................
Name: ,` ( -e.iL-, Covered porch area(sq. ft.) .........................
Mailing address: A • Ci A �re, Deck area(sq. ft.) ........................................
City: State: ZIP: Other structure area(sq. ft.).........................
Phone: Fax: F-mail: CommerciaUmdustrial/multi-family:
Valuation of work........................................ $ _
Existing bldg.area(sq.ft.) .......................... --
Business name: 1 �� New bldg.area(sq. ft.) _
Address. Z Number of stories
City: State: ZIPS Type of construction
Phone: Fax. . E-mail: -� ....................................
CCB no.:
C - - — Occupancy group(s): Existing:
City/metro lic.no.: _ - New: _
Notice:All contractors and subcuntractors are required to be
licensed with the Oregon Construction Contractors Board under
Name: - L �j1 , q� provisions of ORS 701 and may be required to be licensed in the
c jurisdiction where work is being performed. If the applicant is
Address: � 4_l �1. �t -- j B Pe
Cit . State: Z1P: exempt from licensing,the following reason applies:
Contact person: Plan no.: —
Phone: Fax: E-mail:
Name: Contact person:_ Fees due upon application ........................... $
Address: — Date received:
City: State: ZIP: _ Amount received .... ................... ........•. R
Phone: —�Ix: I E-mail: Please refer to fee schedule
I hereby certify I have read and examined this application and the Not all iunsdictiors accept cred,t cants,Phase caul jurisdiction for mac information
attached checklist.A rovisions of I ws and ofdmances governing this D visa O MasterCard
work will be comp) wt ,whether. cified e' A L Credit card number —_ / /
f Expires
Authorized si natu. ' - C t.' "� I qI/
�J - Name of urdholdrr as shown on credit cards
Print name: i r l&I I ( L_ _ Cardholder signature Amount
Notice:This permit application expires if a permit is not obtained within ISO days after it has been accented as cumolete. 4444611(WOWOM)
One-and Two-Family Dwelling
Building Permit Application Checklist Reference no.:
— — Associated permits:
City of Tigard City of Tigard O Electrical 0 Plumbing ❑Mechanical
Address: 13125 SW Hall Blvd,Tigard,OR 97223 ❑other:
Phone: (503) 639-4171 v
Fax: (503) 599-1960
TIIE FOLLOWINd ITESIS ARE 9EQYIRED FOR
1 Land use actions completed.See jurisdiction criteria for Loncurrent reviews.
2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc.
3 Verification of approved plat/lot. i
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 J plan ❑permit required. Include drainage-way 1--otection,silt fence design and location of
catch-basin protection,etc. _
10 3 Complete sets of legible plans.Must be drawn to scale,showing conformance to applicable local and state
building codes.Lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed t/
if copyright violations exist.
I I Sitelplot plan drawn to scale.'The plan must show lot and building setback dimensions;property comer elevations(if
there is more than a 441.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and
driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator,lot
area;building coverage area;percentage of coverage;impervious area.existing structures on site;and surface drainage.
12 Foundation plan.Show dimensions,anchor bolts,any hold-downs aM 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,root'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. Y
fireplace construction, thermal insulation,etc.
15 Elevation views.Provide elevations for new construction- minimum of two elevations for additions and remodels.
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for
non-prescriptive path analysis provide specifications and calculations to engineering standards. _
17 Floor/roof framing.Provide plans for all floors/roof assemt,:'-..indicating member sizing,spacing,and hearing
locations.Show attic ventilation.
19 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered
systems,sec item 22."Engineer's calculations."
19 Beam calculations.Provide two sets of calculations using current code design values for Al 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 the prescriptive path or provide calculations. A gas-,)iping schematic is required
for four or more appliances.
22 Engineer's calculations.When required or provided,(i.e.,Fhear wall,roof truss)shall be stamped by an engineer or
architect licensed in Oregon and shall be shown to be applicable to the project under review.
JURI'S1111li-TIONALSI'll(IF C'
23 Five(5)site plans are required for Item 11 above. Site plans must be 8-1/2"x I I"or 1 I"x 17".
24 Two(2)sets each are required for Items 16, 19,20&22 above.
25 Building plans shall not contain red lines or tape-c..F
26 No rolled,reversed or mirrored building plans will be accepted.
27 _
28 _
Checklist must be cornpleted before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink.
Red ink is reserved for department use only. 44o-4614(tOWOM)
Hectrical Permit Application
--- -- Date received: Permit no. i
City Of Tigard ��) ProjtxUappl.no.: Expire date: —_
CirvnjTigurd Address: 13125 SW Hall Blv� Ti 3 Dateissued: By: Recaptno.:^
Phone: (503) 639.4171 �a Case file no.: Payment type:
Fax: (SU3) 598-1960 . rl� --
Land use approval: Pv
❑ 1 &2 family dwelling or accessory ❑Cotp� industrial El Multi-family O Tenant improvement
New construction ❑Addluon/alteration/replaccment ❑Other. _. 0 Partial
O; SIVE INFORNIAT]ION
Job address: �f B g.no.: Suite no.: �,T:ix map/tax lot/account no.:
R_
Lot: Block: Subdivi ion:
Project u.-,me: Description and location of work on premises:
Fstimated date of completion/inspection:
Jree Max
Job no
Description — <ry• (M) Total no,imsp
Business name: New residential-single or multi-Emily per
Address: k ? dwelling unit.Includes attached game.
City: State: ZIP: Serviceincla"-
1000 sq.ft.or less 4
Phone: ,j- l(') Fax: E-mail- — Each additional 500 sq.ft.or portion thereof �^
} Elec.bus^lie. no. I. '� Unutedenergy,residential 2
CCB no.: .y
Cn Urnited energy,non-residential ?_
r-c { Each manufactured home or modular dwelling --�
aru►t of supers rsrnP rlrnrlefnn(required) _Dae _/I Service and/or feeder —
Senices or feeders-uu7allation.
Sup ciect nameiprintl t + .e no Ct�S altentionorreluation:
200 amps or less 2
201 amps to 400 amps 2
Name (print): �� 2
. l.� 401 amps to 600 amps
Mailing address: 1f f 501 amps to 1000 amps 2
r-
City: s s State ZIP: Over 1000 amps or volts 2
Phone: - p Far: -mail: Reconnect only I
� -�
Owner Installation:The installation is being made on properr ' otsn Temporary services or feeders-
which is not intended for sale, lease.rent,or exchange accorduig Installatlon,alteration,or relocation:to 200 amps or less 2
ORS 447.455.479,670,701. 201 a,nps to 400 amps 2
O%kner's signature: Date: 401 to 600 ams 2
_ 7 I Branch circuits-new,alteration,
or extension per panel:
Name: A. Fee for branch circuits with purchase of
Address: T service or feeder fee,each branch ciicuit 2
City:— State: ZIP B. Fee for branch circuits without purchase
of service or feeder fee,first branch circuit:
Phone: Fal. E-mail: Eich additional branch circuit:
Misc.(Service or feeder not included):
O Service over 225 amps-commercial O Hc
ealth ue facility Each um or imgation circle `
line lighting
❑Service over 320 amps-rating of I del O Hazardous location Each sign or out—
family dwellings O Building over 10,0011 square feet four or Signal circuit(s)or a limited energy panel,
O System over 600 volts nominal more residential units in one structure alteration,or extension'
2
O Building over three stories O Feeders,400 amps or more *Description
•Occupant load over 99 persons U Manufactured structures or RV parte Each additional Inspection over the allowable in any of the above:
•EgressAightingplari O Other Per inspection _
Submit____sets of plans with any of the above. investigation fee
The above are not applicable to temporary construction service. Other
----
_�. Permit fee..................... —
Na all jodulicuum wctpr credit cards,please call jurisdiction for more tnformauon Notice.This permit application Plan review(at _ %) s
O Visa O MasterCard expires if a permit is not obtained
Ctcdit card numher __ — __ within 180 days after it has been State surcharge(8%)....S -
Expires accepted as complete TOTAL .......................S
Nurse of cardholder as shown on credit card s
Cardholder sttriattrrt Amount .JO-+[.S(&M COM)
Plumbing Permit Application
Daceruuved: Permit no.: `moi)t;�'1i••t_[_'`t'
City of Tigard Sewer pernut no.: Building permit no.:
Address: 13125 SW Hall Blvd.Tigard,qR9 Project/appl.no.. Expire date:
City(if Tigard Phone: (503) 639.4171
�j �i Date issued: By: Receipt no.:
Fax: 1503) 598-1960
V%, Cue rile no.. Payment type:
Land use approval:
7address:
lling or accessory Cl Commelt ai O tiiulti-family Cl Tenant improveme•.,
❑Additio)a/,a�t tion/rtplacement CI Food service0j:my I a W1r�Othe:-t r AJ N�� !���� Descri don Fee(m.) TotalLL�V �l New l and 2-family dNelllags n y:
_Bldg. no.: I Suit "`�" _ - (includes 100 It.for each udUtycoonecdou)
Tax ma /tax lot/account no.: SFR(1)bath
Lat.: Block: Subdivision: G SFR(2)bath
Project name: SFR(.3)bath _
City/cuunty: ZIP: Each additional bathflutchen
Description and location of work on premises: Site utilities:
Catch basin/:+rea drain
Drywellsfleactt line/trench drain
Est_date of completiorti9nspection: Footing drain(no. lin. ft.)
Manufactured home utilities
Business n e: .�1 'L�1 l#�I T-�L�.-- Manholes
Address: Rain dram connector
State, ZIP: Sanitary sewer(no. lin. ft.)
City - Storrs sewer(no. lin. ft.)
Phone: `- t_ Fax: I E-mail: Water service(no.lin.ft.)
CCB no . A"J t- Plumb, bus. reg. no: - Fixture or iters:
Cityimetro tic. no.: N,A Absorption valve
Contrdctar's representative signature ��L�_ r Back flow pre•;enter �
Backwater valve �
1 Basinsllavatory
_ Clothes washar
Name: 1J Dishwasher --�
Address: -L 1c Dnftk:ne fountainls) —�
City I State: ZIP. r Ejectors/sump
E-mail Expansion tank
Phone: Fax:
f ixturelsewer cap
door drainrJtloor sinks hub
Name (print): ' Garbage disposal
Mailing address:- Hose bibb
City: State ZIP: Ice maker
Phone -'� Fa<: 7(Gi E-,sail Interceptor/grease trap
Owner insraflation,residential maintenance only The actual Installation Pnmensl
will be made b% me or the maintenance and repair made by my regular RWf drain(commercial)
employee on the propem I own as aer(IRS Chapter 447. Smk(sl.basinlsl. lays(s)
Owner's signature. _ Date: Sump
Tubs'shower/shower pan
Urinal
Name:
Water cl,.-;et
Address: Water hec:c,
Citti State: (ZIP. _ Uttrer
Phone: Fax E-m-mTotal
ull.
Minimum fee................S
Na arl lunad,cuont rrepr emlit cards,plesse call Iun"ct,on fa more inforrnauon Notice:This permit application Plan review(at %) 3
C Visa ❑MasterCard expires if a permit is not obtained State surcharge(8C°0) ....$ __-----
within ISO dans after it has been
C.edtt:ard number prpar� TOTAL S ---------
................
accepted as complete.
Narrae )(.at Jrwi.ler v Thorn on crttLt card s
4."16cardholder attrtature
Amount 1 A[1R OMl
r'icchanical Permit Application
Date received: Permit no.: 1►i4 r41110-i
City of Tigard Projectiappl.no.: '.xpiredate:
C:;ofrigard Addres: 13125 SW Hall t d 23 Date issued: By: Receipt no..
Phonc, (503) 6394171
Fax: (503) 598-1960 `�14� Caseriileno,: Payment type:
Land use approval: _ OL �� Building permit no.:
OF PMIT
U 1 &. 2' tartly dwelling or accessory ❑ omnlerciaUindusrrial O Multi-family U Tenant improvement
>, cw construction ❑ Addition/alteration/replacement ❑Other:
11 SITE INFORNIATION1 1 1
Job address: (, Indicate equipment quantities in boxes below.Indicate the dollar
Bldg.no.: S 'te nu.: value of all mechanical:materials,equipment,labor,overhead,
Tax mal:/tax lot/account no.: orofit-Value$
Lot: jBiock: _ Subdivision: V 'See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee.
City/county: ZIP: _ I >t r 1
Description and location of work on premises:
I 1 1�' J I 1 a 1711
Foe(m) TOM
Est.date of completion/inspection: UVADescription Gxy Rt-s.only Res.only
Tenant improvement or change of use: handling
Is existingspace heated or conditioned?❑Yes ❑No Air handling unit CF'�1
P conditioning(site plan required)
Is exiting space insulated?❑Yes ❑No A leration of existing HVAC system_ em
Boiler/compressors
{
Pusincss name: y - ; [ i State boiler permit no.:
-- I4P Tons BTUr I - -
Address: ue/smoke dampers/duct smoke detectors
City: Lt State: ZIP: eatpump(site plan required) I
Phone: Pay: E-mail: nsta replace mace/burner
----- 'ncluding ductwork/vent liner ❑Yes❑No
CCB no.: t_= —� _. Aa rep ac rc ocate seaters •suspe� , _
City/metro lic. no.: N,A wall,or Floor mounted
Name(please print;. Vent for appliance other than furnace
efrigeration:
kills Absorption units BTU/H
Name: "� `,�EL(— Chillers _ HP
Com ressors _ HP
Address:
' ronmenlal exhamt and ventilation:
City: State: LIP: Appliance vent _
Phone: Fax: E-mail: ryerexhaust
Hoods,Type res. tc a azmat
hood fire suppression system —
Name: -' ' Exhaust fan with single duct(bath fans) _
Mailing address: ) �t,� Z
Exhaust system�aurt fi om heaun or ACS.
tie piping and dist�i out on(up to outlets)
Citv: T LPG NG Oil
Phone: Y!x
7- 4 ax: Email: ue piping each additional uver outlets
WIZI ructm p p,ng i schematic r-quired)
Name: Number of outlets _
ter listed appliance or equipment:
Address: — _— _ Decorative fireplace
City State: Insert-type
Phone: — Fax -mail: Wood
stove/pelletstovc
_ s Other:
Applicant's slgnatu' Date: Other.
Name(prints
Na all iunsdicuons acceccep credit cards,please call iunxlicuon fa m<2 rnftxmation Permit fee.....................$ _
Cl Visa O MasterCardm Notice:This permit application Minimum fee................$
expires if a permit is not obtained Plan review(at 96) $ _
Credit card number Expires within 180 days after it has been
ce ted as complete. State surcharge(8°b) ....$
rme —_
Nof cardholder ac
r u dwwa on credit card P P
S TOTAL .......................S
Canlholder signature -- — Amount 44nJ617(600000M)
............................................. ....................................................................................................................................................................................... b...a.....................
j p
DON MORTS .Q-J'ETTE
I H 0 U 19 I N C O ! P O R A T ! D
r ILAK O00isa ALM . dT :' ! ! T HUITR 100 ��JE � ^ � �
i LA [ ! OATlGI', OHlaO R 07044 • tU�
(504) 387 - 7438 7AY (503) '+347 -� 7814 0 • 2
IAT: 40
I DATE: 09/18/2003
PROPERTY: THORNIIOOD
CITY: TIIGARD
3 ` SCALE: 1"=20'
PLAN No.: 711
3 OPTION-2 ELEVATION
460' 54. 2' 460'
I t,
i Im' PSOE
i
7
DOCK WALL I .1 _--
E-
1
406
1
456 - I 4----
2AM5 0q. It
1+ 3 bdM
5-D' 2 V2 lodtf,
Fra
Q 0
j II f
f IL
4*451 2 � fq
0!�gap.
s
I Frs 4W
STow'+
I erosion C�mtrol 4!O t,• .:49,p— 460 g
I • lo- eg•
and hag \ s
i
eCon rate a
i 5 LMID-
Drl ay
1 scAPb_ —
M
3 44'I'
K'Approach['* 81dmuk ' '
3
j � 5350'
�I �I
12255 S.Uw ASPEN RIDGE DR.
LEGEND _ _ _ LOT COVERAGE
LOT AREA: 4,785 SGS, FT LOT 040
BUILDfNG—z' NORrNEQ^, PERCENT AARE 4: 3334 5Q F*. .4l� sq. ft. �
RED OAK PERCENTAGE: 30�
CITY OF TIGARD - SITV PLAN REVIFW
miILDINC, PERMlf NO . � pv
PLANNING DIVISION `]
]e `���� Required Setha.I,•; Ar N trnrm vd Q Not A ppi m ed
�
IECSide: ',.lde:
From. -aR Rear: (5
15 2003 Visual Clearance. O-A r,t 0 Nut Approved
p�T Ru Maxirr+utn Hu�I;tut;. .lei W61.
� tc%•t
GjI y C*TIUACWS Servwc hovitler Low Reyutred: Q Ye• No
t:;vlLt�IPJG fl1VIStON (y1 Received
B 0;11e: /O -I7-a
F-V, Nt:F ING DEPAR UMFN
Actual Slupe...[L°/S Approved Q Not Approved
Site PI 7, 19Approved 4 of proved
Env: A., Daie: `O n _
Nines:
Electrical Permit f1 lication hecel%ed Electncal
DatcB : Permit No S QU,3 —00 50V
City U17 TI aC(j Planning Approval Sign
y Date/By. Permit No.:
13125 SVS Hall Blvd. Plan Re%ie�k Other
Tigard,Oregon 97223 DateBv Permit No.: —
Phone: 503-6394171 Fax: 503-598-1960 Post-Revtcw Land Use
Date/By: Case No.:
Internet: www.ei.tigard.or.us Contact auris See Page 22 r:rr
24-hour Inspection Request: 503-639-4175 Ns-me/Method s_ir1L, lem.-cn-tr-
i Information.
TYPE
OF WORK _ _— PLAN REVIEW(Please check all that apply)
New construction i L1 Dem,11ition Service over 225 amps- El Health-care facility
commercial ❑Hazardous location
�_Addition/alteration/replacementOther _ ❑Service over 320 amps-rating of ❑Building over 10,000 square feet,
_ CATEGORY OF CONSTRUCTION_ V I&2 family dwellings four or more residential units to
C
i & 2-Family dwelling Commercial./Industrial ❑System over 600 volts nominal one structure
—
❑Building over three stories ❑Feeders,400 amps or more
Accessory Buildin
Multi-Family ❑Occupant load over 99 persons ❑Manufactured structures or RV park
❑ Master Builder ti—I Other' ❑Egressdighting plan ❑Other--
JOB
ther_JOB SITE INFORMATION and LOCATION Submit_sets of plans with an. of the abos e.
The above are not a piicable to temporary construction service.
Job site address: FEE'SCHEDULE
Suite#: Bld ./A t.#: Number of Ins ect ons per permit allowed
Pro eat Name:_ � ti1�1 sat mr' &QM Descri tion — Qty Fee teal Total
_ New residential-single or multi-family per
Cross street/Direcl Ions to jab site: 8�j L /k?evh� dwelling unit.Includes attached garage.
Service included:
1000 sq.fl.or less 1" 15 4
Each additional 5W sq.fl.or portion thereof _40 1
Limited energy.residential 75.00 2
Subdivision: 01'v W IAL #: Limited energy,non residential 75.00 2
Tax map/parcel #: Each manufactured home or modular dwelling
DESCRIPTION OF WORK service and or feeder 90.90 2
Services or feeder-installation,
alteration or relocation:
2W amps or less 80.30 2
201 amps to 400 amps 106.85 2
401 amps to 6W!To 160.60 2
PROPERTY OWNER =TEr1_kNT 601 ams to 10(AI amps 240.60 2
Over I(M amps or volts 454.65 2
Name: o/v' Ml;�>t-771 jl/� Reconnect only 66.85 2
Address: -kW _57— SAL I&D Temporary services or feeders-installation,
alteration,or relocation:
Cit /State/Zip: L'Sti Q je, 9 ✓ 200 arnps or less _ ` _ 66.85 1
Phone: 5-39' Fax: 38 -7t Sf 201 to
amps to am 100.30 2
_ 401 o 600 amps I33.75 z
1 APPLICANT CONTACT PERSON Branch circuits-new,alteration,or
Name: extension per panel:
A.Fee for branch circuits with purchase of
Aa ddress: _ service or feeder fee,each branch circuit 6.65 2
City/State/Zip: B.Fee for branch circuits without purchase of
service or feeder fee,first branch circuit _ 46.85
Phone: F8X: _ Each additional branch circuit 6.65
E-mail: Misc(Service or feeder not included)'.
CONTRACTOR Each pump or tri: anon circle 53.40 2
— ----— Er A silln or outline lighting 53.40 2
Job No:211110Signal circuit(s)or a limited energy pane:.
Business Name': alteration.or extension _ Page 2 2
�_1" —L L
_t1 Description
Address: _ ti —Each additional Inspecumt• r the allowable in any of the above:
City/State/Pip. A 1-100 � C�_ Per inspection per hotu mm. I hours 62_50
Phone: —1 XQ Fax: `� o investigation fee: — _ _
CCB Lic. #: 1.3722— Lic. #: —�e other:-- -- — Electrical Permit f:'ees"
Supimising electrician -- Subtotal S
Signature required- L/ Plan Review(25%of Permit Fee) S
Print Name: , r ar _ tC. State Surcharge(8°0 of Perrot Fee) S
TO'T'AL PERMIT FEE S _
Authorized Notice: This permit application expires If a permit is not obtained within
Signature: Qate: _____ 180 days after it has been accepted as complete.
*Fee methodolnkv set hs Tri-Count%Building industry Service Board.
-' — (Please print name) ---
i Dsts`Permit Fom s,L-1 PermttApp doe 01 03
J
Electrical Permit Application -City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Feefor all systems............................................................ S75.00
Check Type of Rork Involved:
Audio and Stereo Systems*
Burglar Alarm
Garage Door Opener*
ElHeating,Ventilation and Air Conditioning System*
F] Vacuum Systems*
LJ Other
COMMERCIAL WORK ONLY:
Fee for each system......................................................... $75.00
(SI'T1 OAR 918-260-260)
Check Type of Rork Involved:
0 Audto and Stereo Systerns
Boiler Controls
Clock Systems
MData Telecommuricatron Installation
Fire Alarm Installation
IIVAC
Instrumentation
Intercom and Paging Systems
Landscape Irrigation Control*
Medical
Nurse' ails
Outdoor I andscape Lighting*
Protective Signaling
Other
-Number of Systems
* No licenses are required. Licenses are required for all
other installations
r`Dits`Permit Form%+IePermrtAppPg2 dac 01/03
II
I
ELECTRICAL
CITY OF TIGARD RESTRICTED ENRIGY
DEVELC ?MENT SERVICES PERMIT#. ELR2003-00386
13125 SW Ha' Blvd., Tigard. OR 97223 (503) 639-4171 DATE ISSUED: 12/2.2/03
S11 E A DRESS: 12255 SW ASPEN RIDGE DP PARCEL: 2S11013C-06900
SUE.UI 'ISION: TE-IORNWOOD ZONING: R-7
BLOCK: LOT: 040 JURISDICTION: TIG
-role Description: All encompassing low voltage.
A. P"SIDENTIAL _ B.COMMERCIAL V _
�Av'U10 & STEREO: X AUDIO & STEREO: INTERCOM & PAGING:
F' '--I-AR ALARM: X BOILER: LANDSCAPE/IRRIGAT:
GAR ,%3E OPENER: X CLOCK: MEDICAL:
HVAC: X DATA/TELE COMM: NURSE CALLS:
VACUUM ',YSTEM: X FIRE ALARM: '„_.'TDOOR LANDSC LITE::
OTHER- ALL ENCOMP . X HV/1C: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
--- _ TOTAL # OF SYSTEMS: _
Owner: Contractor: —
DON IViORISSETTE HOMES QUADRANT SYSTEMS
4230 GAI-EWOOD ST PO BOX 14833
STE 100 PORTLAND, OR 9729?
LAKE OSWEGO, OR 97035
Phone: 503-387-7538 Phone- 503-387"7538
Reg #: S2114-55582I IDLE
LIC 96806
- _—� ELF 26-56501
FEES _ Required Inspections
Description Date —_v _ Amount Low Voltage Inspection
�FLPRMTJ Fl.lt I'crnnl 12/22/03 $75.00 Elect'I Final
I'AXJ 81%,State 12/22/03 $6.00
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes
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 work is suspended for more than 180 days ATTENTION: Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center. Those rales are set forth in OAR
^r , 001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at 1503)
3699
Issued by .- ,,`f�zeefr ;r;;�,L, Permittee Signa,ure _r" i ti? ��L!{�►..F c, y
_ OWNER INSTALJ_ATION ONLY _ _
The installation is being made on property I own which is r, t intended for sale, lease, or rent
OWNER'S o!GNATURE: _ DATE:
._--_-_—_.___ CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N DATE:
LICENSE NO: — — --
Call 639.4175 by 1:00 P.M. for an inspection needed the next business day
12:'1`/2003 14:06 5032362322 tai-laI)PaIJT : sTEnJ:=: PAGE 02
MUMM
Electrical Permit Application Received ElerRcal
- — patJ, i Fe it No.r�
rl,,;a,n--,ningA�+NvaI Sip
City of Tigard te/B rmitNo.:13125 SW Hall Blvd, an Review Other
Tigard,Oregon 97223 i)ntu>3r. Permit No.: _
Phonc: 503-639-4171 FA%: X03-598-1960Pnst-Revtcw Land Use
Date'Hy. ue No.:
Internet: www.ci,tigard.or.us Contact Juris.: I Rg See Page 2 for
24-hour Inspection Request 503-639-4175 _Notnc/Mcthod: 'mental tmformatlod.
s. y. �.
New construction Demolition ..,
:J.�r.�l-_ �IN�!1 ':�'�.�I•• r�'t�. .I�;vit l_ rh 'FW-PE-22M )'.�. r ,�L1y�d^ C. G ,_. iC �4.FMI,I 11' ...1 ❑1,J f ^.iri;• I
_ _ Service over 225 amps Hcalth-care facility "
ql;,commercial ❑Hazardous location
Addition/alteration/Ic la(:emr:nt Other: Sorvice over 310 amps-rating of ❑Ruilding over 10,000 square Not,
�':�il 1. r6, r• t', j� Cf1 I1j' S!•,1fl"i1 Sc 2 family dwcllingy four or mnrc residential units in
1 & r^.-l'9111i1 dwelling ComInercial/lridustrnal
system over 600 setts nominal ane sttvcturc
-----— ❑Building over three stories ❑Feeders,400 amps or more
Accesso Suildin Multi-Family ❑occupant load over 99 personS (]Manufactured structures or RV poria
Master Builder Otlicr. ❑Egress/lighting plan ❑othcr_ -_
Submit_sets of plans with any of the above.
' F' '" 'r'=z The above are not• Ilea I!to tenljtora con.4tructlon 5ervlcc.
Job site address: 1�-�'S5 s �?�d �Qfti rcrJl
Suite#: Sial ./A t.#; Number o[ins ectione per permit allowed
kro�ect Name: _ Description Qty Pee(es.) Total
New residential-single or multi-family per
Cross street/Directions to job site: dwelling unit.Includes attached garage.
� Set�•Iee Inehrded,
�! (21-U k 1000 SQ.ft.m Icss _ 145.15 4
Each oddit.onal 5W sQ.A.or portion thoreof 3.40 _.-!-
Limited rnrryZ residential 75.00 2
~Subdivision � pt Limited energy,non residential 7S� h
f Tax nta / arcel#; Fach manufactured home or modular dwelling
service and/or feeder 90. 2
SerVlees or feeders-installation,
1yJ► �a I�4` t r»r-th, .t(•i UE14_ - alteration or relocation:
--W 200 amps or less — g1)]0 2
201`trips to 400 amps 106-15 2
4u l am to 600 am>ZS 160.60 _— 7
GO 1 am
to o 1000 ams 240.60 2
' I �_ Over 1(100 Asn or volts 454.65 2
_Name: __L-AV i 0( F"fLi-4.5 Reconnect nti} 66.85
Add) � -�- Temporary services or feeders-instellattnn,
- --- alteration,or relocation:
city/state/zip: _ mo ornpt le,9 66.45
1�- I� ---�-k 1X: 271 amps to 4(10 sm�ta_ 100.30 2
Phone,,. • 4o I to 600 amps ' — 133.76 2
Bnnrh circuits-ncw,sheratlon•or
Name: eutenslun per panel:
_- — - --- -- ,1 rrc for branch circuits with purchasr,of
Address. �_ _, ____� "rvice or feeder fq each txanch circuit Fee for trG o5
It Mnch circuits without purchase of
C'it�/State/ ip: —_ - - - —-- -- -- — _.._q6 gs
_ - ec_mea m feeder fa,first branch circuit
Phone: Fax. I facli additional brafto circuit 6.65 2
— r Misc(Scrviec or reader not intluded):
E-Mail: I EAch pump or i2tgabon circle $3.40 V
Paah sit or outline li htins 51-40
Job No: Signal circuit(s)or s limited energy panel,
-- 1 1� erotion or axtenslor, _ Pe 2
$1151nC95 N1I11_;: u�.y./}1r'? �"Ifr Descriptio
Address: Po (So1Y 14 3 ach additional Inspection over the allowable In an lof the a vet
Clt !State/Zap: r�4.4A IL-�7K 1�,_�.j�— Per insper:tion per hour(min._I ho�_, oz.50 _
Phone�!�- 55�
Fax:sai,' �.a� fnvasti a,ion fee: —
pther.
CCB Lic. # g�8ab — Lia !
Supervising electrictarO ? //-- I Subtotal $ 7�0
Smature re iii ed: vl �� � _ Fle )review(25%of Permit Fcc)
Print Natne: c.t 1 V Lic. #: f I L LY'i' _ Statc Surcherse_L%of Perr'tit Fee)
TOTAL,PERNUT FEFFEF
Authorized i ( t Notice This permit application eerlres if a permit is not obtained within
Signature: C y� Date: ISO days after it has been accepted as comniere.
*Fee melhodololnr Ret by Tri-County Daiiomg lndur ry service Based.
��bhp• � a'h� -----
- (picase print name)
tbStstPemdt N•.tmu%ElcPermitApp doc 0)103
CITYOF TIGARD PLUMBING PERMIT _
DEVEL60 HENT SERVICES PERMIT#: PLM2004-00067
DATE ISSUED: 2/13/04
13125 SW Hall Blvd., Tigard, OR 97223 (5u3) 639-4171
PARCEL: 2S 1108C-06900
SITE ADDRESS: 12255 SW ASPEN 'RIDGE '�)R
SUBDIVISION: THORNVIIOOD ZONING: R-7
_ BLOCK: LOT: 04(? JURISDICTION: TIG
CLASS OF WORK: OTR GARBAGE DISPOSALS: h!OBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: FIACKFLOW PREVNTRS: 1
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
_ FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS:
_ SINKS: URINALS: GREASE TRAPS:
LAVATORIES: O 1 HER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Installation of residential backflow prevention device for irrigation. —_
_ FEES
Owner: Description Date Amount
DON MORISSETTE HOMES I'I'uMt3J 1'rrniit I ce 2/13/04 $36.25
4230 GALEWOOD ST ° tit;i�r ;urrh a 2/13/04 $2.90
STE 100
LAKE OSWEGO, OR 97035 Total $39.15
Phone : 503-387-7539
Contractor: —
I ANDSCAPE OREGON, INC.
12200 SW MYSLONY RD.
ILIALATIN, OR 97062 REQUIRED INSPECTIONS
RP/Backflo N Preventer
Phone : 503-692-5945 Final Inspe.,tion
Reg #: LIC 7904
This permit is issued subject to the regulations contained in the Tigard Municipal Code., state of OR.
Specialty Codes and all other applicable laws. All work will be done in accordance vvith approved
plans. This permit will expire if work is not started within 180 days of issuance, )r if work is suspended
for more than 1P0 days. ATTENTION. Oregon law requires you to follow rules adopted by the Oregon
_^
Permittee Signature: �I-11
Y
Call (50'�) 639-4175 by 7:00 P.M. for an inspection needed the next business day
m/ED -OR OFFICE USE ONLY
Plumh ,– erme---:��cation Rcteived Plumbing �y ,
Permit No.:
PlanningA val — Sev+cr
City of Tigard �/ Permit No.: ---
13125 SW Flail Blvd. CITY OF TIGAH I Plan Review �, Other— -
Tigard,Oregon 972.23 xa1l�111 r)ING(a1Vl �1 DatdEr : __- -- ilii—_._ --permit No.. —-
Phone: 503-639.4171 Fax: 503-.598-1960 Post-Ricvier• land Use
- -- - Case No.:
Internet: www.ci.tigard.or.us a]Lamm contact -- - J�ajsr Ser Pa)Sr Z for
14-hour Inspection Request 503-639-4175 NarndMetlrod: �___: .�_1�� Snppltmuttst lnforniatlon.
1 i�PE OF WORK -- _ FEE"SCHEDULE(tor special information use cbecklo
1New constriction _ - Demolition- _ Description Qty K(
Fea.) Total
Addition/alteration/renlacemcnt Other. New)l-& or milly.dwecn ne
CATEGORY of('ONs-1,RUCTION:. - (includes too R fore>,eh utlli rnneedioal
SFR(1)bath^ ---- _ 249.2.0
1 &2-Fami)�t dwelling Cotttmercial/Industrial SFR 2 bath _ _ 350.00
Accesso Buildin Multi-Famil
rYBuil--.g_.- _ --Y.... St'R 3 bath _ 399.00
LJ Master Builder Other: 6wh additional badvkitchen4 45.00 -T
_JOB SITE INFORMATION and LOCATION F're 6 er-!9.ft.: _ Page"2 -_
Ja_b_site address: 1 .� �L- 6 a1. t3it tllkles.
Suite#: - $ld /A L#: Catchbasin/area drain_ 16.60 _
_-_- -- —.--_-J ---g - _��-__ D ellfleach Iinr/trench drain _16.611
Pro ect Narne: LD r�1 l,�uc)v rL _(c� C)
._._-.�� -Footing drain Otto-linear�_-._ Page 2 ---
Cross strecbvirections to job site: Manufactured home utilities -I I 0J)0
�^
_Manholes _ --16.60 _�-
�k; 6-1"A l l �-r'v Rain drain connector 16.60 1 _
Sanitary_sewm(no.lineartib Page 2
Subd'vision:►h YQ�I_�I)oo.Ck VJ Lot#: storm sewer(no.linear R.) _ Fuge 2 _
�87t rflII / HfCel#: ��� i3 Whin service no.linear dt� Pa e 2
P p �D �l� - -_ _ Fix-tore o_rItem
DESCRIPTION OF WORK Abso tion valve __�� 6iTT
i SC L f�GkJ'-'JOt.-) 61W I e-) Backflow pmveniff I Page Z 1 All-`S
Haekwater valve 16.60
--- Clothes washer r-- - 16.60 --
- - _Dishwasher 16.60 -_
Thinking fountain - 16.60
"RYROPEP.TY OWNER TENANT ------ -
ElcctorsJsuM-2 _-. _ -- -- 16-60 --
Name_ ., _���}e. S exiansionrank- - -1 - - 16.60
Address: 30 &LO &atA4AJ00 SIJ Fixture/srwer cap 16.60 _
City/State/Zip: L0JV-f. C/�1(L�.� - Floordrain/floorsink/hub _ --- 16.60 -_
Crubage disposal 16.60
Phone: Fax: Hosc bib - 16.60
PLTCAIYT - .CO14TA&:PEIi.SO = tccm�ka - 16.60 -
Name bl L cp :§�PU-rroY-t7 Interceptor/grease trap --- 16.60
Address:/ 4CU-1 YltLI&Il1Y q R-D Medical Bas value: S-_ Page 2 _
Ci /Jtate/Zi :l .LA.-t54: /\_ L7 0(a a-• P60
rimer
drain camntercial - - - -16.60- _ _-
_Phones3_ (o%- -S"?LL Fax SbS logOL- o7loY Sink/_basin/lavatory - ,---- 16.60 i
E-mail: Tub/shower/shower Fran-_ - 16.60 - -
CONTRACTOR lJrinal 16_60 _
I uSlnes5 Name: (�y1dS Q t C _Water closet- �-16.60 -_
- Water heatrt -16`60
Address: (a�L�o R.Lo A� otlta: ----- _ ----- ---
Ci /State1Zi2-MA J-0-f-v t1t it
PhoneS'o3 ! - S9gS F_axs►3 (pfd_- Pervtk Fees• �2 SS
CCB Lie.#: " 9t)t4 I Plumb. Lic.#: _--
TT Minimum 1'ermil Fee VISO S
Authorbxmi G►� vResidential Backflow Mirtimum Fee 536.25 .3
Signaturee. _
Min Review 25x/.of Fmnit Foe S_ _
e-11 pd4, /- �- -- --�- - State Surchne(9%of Permit Fre) s
(Ptrase print name) r - -__TOTAL PERMIT FEE I S 1- -._
Notice: Thti prrmit application txplres if a permit is not obtained within All new consmtrrtal buildlary require 2 sett of plans with isometric or
1110 days after h has hem accepted sir complete- riser distram for plan review.
"pre mctbodology sept by TriA'onnty Raildint Industry Service finard.
I .d 99L0-X69-E05', SPUOIppr WIRE eE l :60 b0 2 F qaA
CITY OF TIGARD 24-Hour _
BUILDING Inspection Line: (b03)639-4175 MST 3
INSPECTION DIVISION Business Line: (503)639-1171 BUP - -
' --
Received ---_-- Date Requested -__
M PM BUP
_ — - -
l -z Z S ¢y1 lLG� C Suite- -- — MEC
Location (� p7
Contact Person —
Ph(--- - ) 4 J PLM
Contractor _ -_-.__._ Ph( ) ----
--- SWR __ --------
--- ---
TenanUOwner _--- ELC -_------------.----
BUILDING - --
ELC
Footing - - -- --
Foundation Acce:.s: ELF! ---
Fig Drain
Crawl Drain - SIT
Slab Inspection Notes:
Post A RAarr, - -- _
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing ---------------- - - -- �1
Insulation ---- -
Drywall Nailing -
Firewall �_�Cu5 -
Fire Sprinkler
Fire Alarm - --- ---- - - --- --
Susp'd Ceiling `-
Roof ---- - - -
Other: - --- ---
Final
PASS PART FAIL
PLUMBINPLUMBING - -
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_ -
ELECTRIC_AL —
Service _
Rough-In -- 5(a
(� C __
UG/Slab y 3 -G G 3 Sto 1'A'Ou �J .----- - ---- -- --- -
e
I arm
D Reinspection fee of$ - required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART _FAIL Unable to inspect-no access
SITE - i 1 Please call for reinspection RE:_ ---
Fire Supply Line (/J��
ADA D Insp� Ext ---
Approach/Sidewalk r/ -
Other:
Final DO NOT REMOVE this Inspection record front! the Jobs te-
i
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Lin+. '03)639-4175 3 �
INSPECTION DIVISION Business Line: (503)639-4171 MST
BLIP - -------
Receivedo? '�-`3 pate Requested 2 s T AM PM _____-._._ BUP --__-__-
Location ____/ _(_) -----�--� _ Suite p_ MEC
PLM
Contact Person __1J�_. _---- -- Ph ( ---- ) — -- --
Contractor _ ----------- - -- - Ph ( -- ) --- SWR
BUILDING Tenant/Owner - _-_ __ _ ______-_ ___-_ ELC
Footing - ELC ---.___ _._-...
Foundation Access:
Fig Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors
Ext Sheath/Shear _----.----------- -
Int Sheath/Shear
Framing ---
Insulation
Drywall Nailing - -- ---- - - --.. --- -
Firawall
Fire Sprinkler -- - - - --- - ------ - --
Fire Alarm
Susp'd Ceiling - - - -- - - --- - --
Roof
Other. 10, - --- ---- -_ - - - ------- -
Final
PASS PART FAIL
PLUMBING - -----
Post&Beam
Under Slab ------.--
Rough-h - ---
Water Service --- - - --
Sanitary Sewer
Rain Drains - - - -----.._ -- --------- --
Catch Basin/Manhole
Storm Drain - r-- --------- --------- - -- ------ - --
Shower Pan
aANFinal
PART FAIL --------- --- - --- �- -----_----
RT
ICAL-_
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 hefore next inspection. Pay at City Hall, 13125 NNW Hall Blvd
PASS PART FAIL
$ Please call for reinspection RE:-_ __. __ Unable to inspect no access
Fire Supply Line 10)
ADA
Approach/Sidewalk Dets _/Lc Inspector
Other:
i
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
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CITY OF TIGARD 2 Inspection Line: (503) 639-417
BUILDING MST 0 7.
INSPECTION DIVISION Business Line: (503)639-4171 BLIP
Received — Date Requested �__ �--- AM — PM -- BLIP
Location _ ���_ /� -_ ___�--Suiie— _ MEC
Contact Person _____ _ _-_- Ph(�� PLM _— —
Contractor - — Ph ( -- ) -- ------ SWR -- --
BUILDING Tenant/owner — __ ELC
Footing ELC
Foundation
Access:
Drain
f/ ELRNwe
Crawl Drain
----
Slab Inspectiun Nutes SIT
Post&Beam —�. �r _6►4l arlrlu2t
Shear Anchors
Ext Sheath/Shear
Int Sheath/Sheary —
Framing —
Insulation ---xll')
Drywall Nailing .� / _
Firewall
.�
? /5 G�.J�C
Fire Sprinkler 1
Fire Alarm
Susp'd
Roof
Other:
_ S PART FAIL
_ ING___ --- ----- —
Post
Under Slab
Rough-In
Water Service -
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain - -- —
Shower Pan _ —
Other:
Final ----
PAS____PART FAIL
eam '
Rough-In —
Gas Line
Smoke ampers -- — --
na
PART FAIL — -- —
CTRICAL — -
Service
Rough-In
U(3/Slab ---_---
Low Voltage - - - ---- �—
Fire Alarm
Final LReinspection fee of s. required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Ll Please call for reinspection RE: L- Unable to inspect- no access
Fiie Supply Line ADAZ� / 0 n t V —
Approach/Sidewalk pate' - --� Inspector 7LExt
ISP
Other-
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL