Case File a
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12270 SW Aspen RiOge Drive
s
CITY OF TIOARD 24-Hour
BUII-DiNiG Inspection Line: (503)639-4175
INSPECTION DIVISIONBusiness Line: MST
(503)639-417
BLIP
Deceived _- 5 Date Requested— 6 -� - —AM PM Blip
Z !- �46 QS
Location MFC
Contact Person -
Ph( ) _ `�U �'/ PLM -- -
Contractor __ --------------— --- Ph SWR
ILDI_ Tonant/Owner . —_-__- -- — ELC
rooting -
Foundation Ucess: ------- ELC -- - _-- —
Fig Drnin ELR
Crawl Drain
Slab Inspection Notes, SIT
Post&Ream
Shear Anchors --- - -
Ext :�neath/Shear
Int Sheath/Shear -
Framing
Insulation
Drywall Nailing - -- ..-
Firewall —_--
Fira Sprinkler —
Fire Alarm
Susp'd Ceiling --
Roof
Other: -------- --_-__,_
,WARPASS P
T FAIL --- -
FA
C,i--- _
Post 8 Beam
Uneer Slab ----- ---- — -
Rvagh-In
1.4ater Service -------------_- __ —.--__----
Sanitary Sewer
Rain Drains -
Catch Basan/Manhole
Storm Drain ---
ShowerPan
Other:
SS All FAIL --
L _ _
m -
Rough-In _
Gas Line
Smoke Dampers
ASS PART _FAIL
L
Service -
Rough-In
UG/Slab ---
Low Voltage
Fire Alarm — - — ---- ------ - — - —
' PAS PART TAIL Reinspection fee of$_—. required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
Pleeae call for reinspection RE:__—.__ _ - - Ej Unable to inspect-no access
Fire Supply Line
ADA 1.
Approach/Sidewalk pate ----'----� -� - �L � Inspector `
Ext
LpF
h :er:
- -- __—
al DO NO", REMOVE this Inspection record from the job site.
ASS PART FAIL
V 1 1 Y OF TIGARD _.�___ MASTER PERMIT
T PERMIT a9: MST2003-00102
DEVELOPMENT SERVICES DATE ISSUED: 4/7/03
13125 SW Hall Blvd., Yigard, OR 97223 (503) 6394171
SITE ADDRESS: 12270 SW ASPEN RIDGE DR PARCEL: 2S110BC-TSO42
SUBDIVISION: THORNWOOD ZONING: R-7
BLOCK: LOT: 1,42 JURISDICTION. 'LIG
REMARKS: Ne 4 SF detached, Path 1.
F JILDING
REISSUE: ii STORIES: _ _ FLOOR AREAS _ REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEInHT: 22 FIRST: 1,035 of BASEMENT'. of LEFT: 9 SMP'(E DETErTORS: Y
TYPE OF USE: SF FI OOR LOAD: 40 SECOND. 1,223 of GARAGE: 460 of FRONT :3 PARKING SPACES: 2
TYPE OF CONS r: 5N DWELLING UNITS: 1 THIRD of RIGHT
OCCUPANCY GRP: H3 aDRM: 4 BATH: 3 TOTAL: 2,258 of VALUE: 221•` .20 REAP. ,
PLUMBING _
SINKS. I WATER CLOSETS: 1 WASHING MACH: i LAUNDRY TRAYS. RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: I CAI CH BASINS:
THRISHOWERS. GARBAGE DISP. i WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS:
____ MECHANICAL OTHER FIXTURES:
FUEL TYPES FURN<100K: BOR!CMP<3HP: VENT FANS: 3 CLOTHES DRYER: 1
n, FURN>HLOK: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: I
MAX INP: btu FLOOR FURNANCES: VENTS: 1 V,OODSTOVES: GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS _ BRANCh CIRCUITS MISCELLANEOUS ADD'L!NSPECTIONS
1000 SF OR LESS: 1 0 -200 anal 0 -200 amp: WISVC,)R FOR: PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500Sr: 4 201 - 400 n,np 201 - 400 lamp: lot W/O SWT-DR: SIGN/OUT LIN LT: PER HOUR:
LIMITED ENERGY 401 600 am0. 401 600 amp: EAADDL BR CIF: SIGNALIPANEL: IN PLANT:
MANU HM/SVCIFDR: 601 1000 amp: 601-ampo•1000V: MINOR LABEL:
1000.ampNoll
PLAN REVIEW SECTION
Roconnect only
>•4 RES UNITS: SVCIFDR>•225 A.: >600:NOMINAL: CLS ARFAISPC OCC
ELECTRICAL-RESTRICTED ENERGY
A.SF RESIDENTIAL _.._ 8 COMMERCIAL _
AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC. DATAITELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 7,317.85
this permit is subject to the regulations contained in the
DON MORISSETTE HOMES DON MORISSETTE HOMES INC igard Municipal Code,State of OR. Specialty Codes and
4230 GALEWOOD STE#100 4230 GALEWOOD ST,STE 100 all other applicable laws. All work will be done in
LAKE OSW'EGO,OR 97035 LAKE OSWEGO,OR 97035
accordance with approved plans. This permit will expire if
work Is riot started within 180 days of Issuance,or if the
work IF suspended for more than IRO days. ATTENTION:
Oregon law,equirrs you to f ollow rw es adopted by the
Phone: 503-387-7538 Phone: Oregon Utlli,y Nutification Center. Those rules are set
forth In OAR 952-001-0010 through 952-001-0080. You
Rlao N 387�7 � may obtain copies of these rules or direst questions to
OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Erosion Control Insp 8, PosV9eam Mnchanica Mechanical Insp Shear Wall Insp Insulation Irlsp Mechanical Final
Grading Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Inst Rain drain Insp Plumb Final
Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Final inspection
Foundation Insp Footing/Foundation Dr; Electrical Rough In Gas Line Insp Appr/Sdwlk Insp
Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Electrical Final
I 1
Issued By : 61111, aaf,6 Permittee Signature : A �,A.
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'#: SWR2003-00087
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/7/03
SITE ADDRESS; 12270 SW ASPEN RIDGE DR PARCEL: 2S110BC-TSO42
:SUBDIVISION: THORNWOOD ZONING: It-7
yT_ BLOCK: LOT: 042 ��— JURISDICTION: I 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:
Rems,rks: Sewer connection for new SF
Owner: _FEES _
DON MORISSETTE HOMES [�,3sr.ripaon Date Amount
;;%30 GALEVNOOD STE #100
LAKE OSWEGO, OR 97035 [SWUSA) Swr Connect 4/7/03 $2,300.00
[SWUSA) Swr Connect 4/7/03 $0.00
Phone: 503-387-7535 [SWINS111 Swr Inspect 4/7/03 $35.00
[SWINSPI Swr Inspect 4/71103 $0.00
Contractor: -
--- ----- Total $'!,335.00
Phone:
Reg#.
ReqL.ired 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 ?f 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 Installer shall purchase a"Tap and Side Sewer" Perm
-moi L
Issued by: ,c cL. <.� J� �Gf.Lc'. c_ Permittee Signature:
Call (503)639-4175 by 7:00 P.M.for an Inspection needed the next business day
i
�p J s'r -, �a '� ),'
• Branding Permit Application
R
R Datereceived: ` Permitno.:l
City of Tigard ;-
Address: 13125 SW Hall Blvd,Tigard,OR 97223 E / �o1��appl.no.:
City ojT�gnrd f qultre date:
Phone: (503) 639-4171 Date issued: B Receipt no.:
Fax: (503) 598-1960 - Case rile no.: Payment type:
Land use approval: (t q, I&2 family:Simple Complex: i,,-
0 1 &.2 family dwelling or accessory U Commercial/industrial U Multi-family )ICNew construction O Demolition
U Addition/alteratiotr/replacenient U Tenant improvement 13 Fire sprinkler/alarm U Other: .
Job address: 7 ) 1
C Bldg.no.: Suite no.:
I of < Black: Subdivi on: Y A p/tax lot/account no.:
Project name: `
Description and location of work on premises/special conditions:
MA
Name: Y�
Mailing address: �t 1&2 family dwelling:
City: I State:( ZIP: Valuation of work............................ $ .2I,L j
............
Phone:.0'7 Fax: 7 mail: No.of bedrooms/baths.................................
- v
Owner's representative: ?CL Y I Total number of floors.................................
Phone: Fax: E-mail: New dwelling area(sq. ft.) ..........................
Garage/carport area(sq. ft.).........................
Name: �- Covered porch area(sq. ft.) .........................
Mailing address: (�j, Deck area(sq. R.) ....... ................................ f U
City: State: I ZIP: Other stnuctu:,:area(sq. ft.)......................... —
Phone: Fax: E-mail: - Commerclal/industrial/multi-family:
Valuationof work........................................ $
Business name: -,j - �o Existing bldg,area(sq. ft.) .......................... 1 —
s 1_ New bldg.area(sq.ft.) T _
Address: .............................
City: State: ZIP: Number of stories............................
-- I Type of construction
Phone: Faz: _ E-mail: .............
CCB no.: t= �-,-7� — Gccupancy group(s): Existing:
.�.��.�_" L--- - New:
City/metro li_.no.: Notice:All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
Name: 71a Ll provisions of ORS 701 and may►-required to be licensed in die
J
Address: C( T jurisdiction where work is being performed.If the applicant is
_2 2: I State: ZIP: exempt from licensing,the following reason applies:
Contact person: Plan no.: --- ----- -^_
Phone: Fax: E-mail: --
Name: Contact '.son: Fees due upon application ... ..................... $
Address: _ Date received:
City: —_ State: ZIPS^ Amount received ......................................... $
Phone: Faz: E-mail: Please refer to fee schedule.
I hereby certify I t,. P read and examined this application and the Not al jurisdictiow accept credit cams,please au juriAction for rrx"mfamutlo(L
attached checklist..provisions of laws and oldinances governing this OYsa U mutefcw
work will be con I wt ,whether, ified ereifi t //
(hdt,cam numha:
Authorized S1 01U f ' 1. l l �? Name of cardwlda u shown on credit cam Expires
Print name:, _ } , 'L s
Cardholder signture Amount
Notice:This pennit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4441613 tr WOM)
One-and Two-Family Dwelling
Building Permit Application Checklist Reference no.:
City of Tigard City Of Tigard '— Associatrdpermits:
Address: 13125 SW Hall Blvd,Tigard,OR 97223 Q Electrical Q Plumbing Q Mechanical
Phone: (503) 6394171 Q Other:
F:ix (503)598-1960
ELM 110TA's
I lAnd use actions completed.See jurisdiction criteria for concurrent reviews.
2 Zoning.Flood plain,solar balance points,seismic soils Jesignation,historic district,etc.
3 Verification of approved plat/lot. — -----
4 Fire district approval required. -- -
5 Septic system permit or authorization for remodel. Existing system ca acity
6 Sewer permit.
7 Water district approval.
8 Soils report.Must carry original applicable stamp and signature on rile or with application.
9 Erosion control 0 plan O permit required.Include drainage-way protection,silt fence deign and location of
catch-basin protection,etc.
10 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 cat bt/
if copyright violations exist. cannot completed
J`
1 i Sitelplot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if
there is more than a 44 elevation differential,plan must show contour lines at 2-ft intervals);location of easements
driveway;footprint of structure(including decks);location of wells/sepdc systems; and
utility locations;direction indicator,lot
area;bt 1din-coverage area;percentage of coverage;impervious area existing structures on site;and surface drainage.
12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent
_size and loc:^-ion.
T 3 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 sections)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.Shov,
details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,
fire lace 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(pres-riptive path)and/or laterad analysis plans.Must indicate details and locations;for
non- . cnr a path analysis provide specifications and calculations to engineering standards
17 Floor/roof framing.Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing
locations.Show attic ventil tion.
18 Basement and retandng walls.Provide cross sections and details showing placement of rebar. For engineered
systems,see item 22,"Engineer's calculations."
19 Beam calculations.Provide two sets of calculations using current code design values for all beams and multiple joists
over 1,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-piping schematic is required
for four_cr 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 shown to be applicable to the project under review.
23 Five(5)site plans are required for Item I 1 above. Site plans must be 8-1/2"x 1 i"or I I"x 17".
24 Twe(2)sets each are required for Items 16, 19,20&22 above.
25 Building plans shall not contain red lines or tape-ons.
26 No rolled,reversed or mirrored building plans will be accepted.
27 --
28
Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue er black ink.
Red ink is reserved for department use only. 4e0-4614(&MroM)
Mechanical Permit Application
-- Datereceived: i F j' Permit no.:H�,, , ck) )'�
City of Tigard Proje ct/appl.no.: Ex ire date:
City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 —
Phone: (503) 639-4171 Date issued: B Receipt no.:
Fax: (503) 598-1960 Case file no.: Payment type
Land use approval- — Building permit no.:
TYPE OF PERIMIT
071 2 family dwelling or accessory U Comrnercial/indusuial U Multi-family O Tenant improvement
w construction U Addition/alteration/replacement O Other.
JOB SITE INFO-!,,. 1 1 1 1 --
!ob address: Indicate equipment quantities in boxes below. Indicate the dollar
Bldg.no.: Suite no.: value of all mechanical matetia!s,equipment,labor,overhead,
Ta-ma tax lot/account no.: prof1L It
S —
Lot Block: Subdivision: n 1(� ) •See checklist for important application information and
Project name: i's fee schedule for residential permit fee.
City/county: ZIP:
Description and location of work or premises:
Fee(ea.) Total
Est.date of completion/inspection: _ Description Qty. Res.only Res.only
Tenant improvement or change of uw: VAC;
Is existing space heated or conditioned?U Yes Q NoAir handling unit CFM
Air conditioning(site p an required) _
Is existing space insulatf:d?U Yes U No Alteration of existing HVAC system
Wo 111 Iftyu M 1411111111111111 )hof ler/c:ompressors
Business name: t
State boiler permit no.:
Address: Jf ( HP Tons BTU/H
Fire/strioke dampers/duct smoke detectors _
City: �� State ZIP: cat pump(site plan required) -�
Phone;;&- . Fax; E-mail: nstalUrep�facefuuinacF/urner
Including ductwork/vent liner O Yes U No
CCB no.: _ rstall/replace/relocatehcaters—suspended,
Cityimetro lic. no.: N/A _ _ wall,or Floor mounted
Name(please print): ent for app liance other than furnace _
Re g;enB)n:
Absorption snits_ _ BTU/H
Name: `�E—LL- Chillers HP
Address: L �L — Com r_ssorsHP
onmenial exhaust and renlilation:
City: _ state: ZIP: Appliancevent
Phone: Fax: E-mail: et exhaust
s" Type II/res. tche azmat
hood fine suppression system
Name: Exhaust fan with single duct(bath fans) _
Mailing address: ) �' _ haust system apart from heating or AC
City: State ZIP )
tie I piping and distribution(up to outlets)
—• T �TTy��r. LPC. NG Oil
Phone: 7- Fax: E-mail: Fuel piping each additional overo�Tets
rocess piping(schematic required)
Number of outlets
Name: _ ter 16—led app or or equth em nt:
Address: — _ _ _ _— _ Decorative fireplace
state: ZIP: Insert--type
Phone: Fay: .41F-ma —i oodstovelpelletstove
Cher:—
Applleant'.r slgnatu' Date. —
Namc(priori: �L —"---
Na all luriw ictiom accept credit cards,pies call)uriWiction for more infomtWan Permit fee.....................$
O Visa U MasterCard Notice:This permit application Minimum fee................$
expires if a permit is not obtained
Credit card number _ — - i: within 180 days after it has been Plan review(at 96) 1; _
p State surcharge(8%) ....$
Name of cardholder u rhowa on credit card — accepted as complete.
_ s TOTAL .......................S _
Cardholder signature Amoum
440-4617(6rOrYCOM)
Electrical Permit Application
Datereceived;,, pJ Permitno.:ey�,f ,s{- er
City of Tigard Proje ct/appl,no.: ate:
City nfTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223
Phone: (503) 639-4171 Date issued: By�l_ Receipt no.
Fax: (503) 598-1960 Case rile no.: Payment t ype:
Land use approval:
t
U I &2 family dwelling or accessory 0 CommerciaUindustrial U Multi-family 0 Tenant improvement
New construction O Addition/alteraticn/replace m.nt 0 Other. 0 Partial
1
Job address: 1 Idg.no.: Suite no.: Tax map/tax lot/account no.:
Lot: B� lock: Subdivision: �,,
Project name: Descripdon and location of work on premises:
Estimated date of compietio�nspection: _
Job_no:_
1
Fee Max
Business name 1 Description Qty, (ea) Total no.Insp
Address: Mewevidential-sinskortnuttl-ramify per
'- Rk_A - _ dwelling toll.Includes attached gauge.
City: State: ZIP: -� _ Sersiceincluded:
Phone: aj Fax: ��E.mail: 1000 sq.ft.or less
a
CCB 2o. _ EICC. bass.IIc. n0: h additional 00 sq.tt or onion thereof
C: Littdted energy,residential 2
Limited energy,non-residential 2
Each manufactured home or modular dwelling
maser oj.apemrrrn�Nectrician(required) Date Service andror feeder 2
Sup elect namelpnnn 1 Lttxns.no a Servieesorfeeden-Grstallation,
alteration or relocation:
200 amps or less 2
Name (print). l r" 201 amps to 400 amps 2
Mailing address 401 amps to 600 imps - —2
'_,� 601 amps to 1000 amps 2
City: State ZIP: UvarlWOampsorVol ts
Phone:" - f Far: 2
mail: Reconnect only t
Owner in.shrlladon:The installation is being made on property 1 o%%n Temporary services or feeden-
which is not intended For sale, lease,rent,or exchange according to Installation,alteration,orrelocatlon:
ORS dal,455,479,670, 701. 200 amps or less _J 2
- 2
01%ner's 201 amps to 400 amps 91 nature: Dale: 401 to 60_0 amps '- 2 '
a Branch circuits-new,alleratlon,
m
Nae: or extension per panel:
A. Fee for branch circuits with purchase of
Address: se:-,ice or feeder fee,each branch circuit 2
City* State: _ Zip: B. Fee for branch circuits without purchase
Phone: 2�- of service or feeder fee,first branch circuit:
Fax: F-mail: _
Each additional branch circuit
11 LAN " Mise.(Service or feeder not included):
225,u
O Service ovcr nrs commerciai O Healthcare facility Each pump or irrigation circle 2
0 Service over 320 amps-rating of 1&2 OHatardouslocation Eschsignoroutlinelighting 2
family dwellings G Building over 11,000 square feet four or Signal circuit(s)or a limited energy panel,
0System over606volts nominal mom residential units inone structure alteration,or extension, 2
O Building over three stones O Feeder-.,400 amps or more
O Occupant load over 99 persons O Manufactured structures or RV park Etcch a tion _
O Egmmlightinr plan O Other h additional Inspection over the■Ilowable any of Ilse above:
Per inspection r
Submit_sets or plats with any of the above. tnrestigation fee
Thu above are not applicable to temporary construction service. other --
Na alt iudsdkuats accept credit cards,plea_;art)wisakdoo rot more info mation. Notice:This permit application Permit fee.....................S _
O visa O MasterCard expires if a permit is not obtained Pian review(a( _ %) S _
dcdlr card asmber_ _ 1 L within ISO days after;t has been State surcharge(876) ....S
Name of der a woe e t
Expires accepted as complete. TOTAL .......................S _^
S
Ngrwwe Amami
4404615(tiAaCOM)
1
Plumbing Permit Application
Datereccived: , ( J Permit no.;
City of Tigard
Address: 13115 SW Hall Blvd.Tigard, OR 97223 Sewer permit no.; Building pamit no.:
CiryoJTirard Phone: (`03) 639-4171 Project/appl.no.: ire date:
Fax: (503) 598-1960 Wie issued: , Byl„� ; Receipt no.:
Land use approval: Case file no.: Payment type: —
TYPE OV PERIVIIT AV'
O I &2 family dwelling or accessory Q Commercial/industrial 0 Multi-family 0 Tenant improvement
ew construction 0 Addition/alteration/replacement O Food service Q Other.
JOII SITE INFORINMION1. FEESM i r
lob address: 11 - D .1crition Qty. Fee{ea.) Total
New 1•and:_-(mnily dwellings only-
Taxmano.: Suite no.: (locludes100ft.foreach utility connection)
Taax tax !ot/account no.: SFn.(1)bath
Lot: Block: Subdivision: ^ SFR(2)bath
Project name: SFR(3)bath
City/county: ZIP: Each additional bath/kitchen
Description and location of work on premises: Siteutiiities:
Catch basin/arca drain
I;Bt,date of completion/inspection: D wells/leach line/trench drain
Fooung drun(no,lin. ft.)
Manufactured home utilities
Business name L Manholes
Address: -1 Rain drain connector
City _ State ZIP: Sanitary sewer(no.lin.ft.)
Phone .-c' Fax: E-mail: Storm sewer(no.tin.fQ
Water service(nu.lin ft.)
CCB no.: � ' 71 Plumb.bus. reg.no: nature or item:
City/metro lic. no.: N/,4 Absorption valve
KContractor's representative signature Back flow prrventer
Print name: Ua )
Lj Backwater valve
Basins/lavatory
Clothes washer
Dishwasher
Address: %` 1c V Dunking fountains)
Citv: _ ` State: 7_IP: Ejectorsisump
Phone: F�_x: E-mail: Expansion tank _
Fixture/sewer ca _
Nerve(print):
Floor drain"oor sinks/hub
� ��� ----
-r Garbage disposal
Mailing address: f
Hose btbb _
City: �O State ZIP: Ice maker
Phone: Fax: 7-llrrl E-mail: Inter, eptor/grease trap
Owner lnsralladonlresidenda/maintenance or Iv: The actual installation Primer(s)
will be made by me or the maintenance and repair mode by my regular Roof drain(commercial) _
employee un the property 1 own as per ORS Chapter 447. Sink(s),basin(s),lays(s) _
Owner's signature: Date: Sump
Tuos/s ower/shower pan
Unnal _
Name: Water closet _
Address: _ Water heater
City: State _ ZIP: Other.
Phone: Fax:�E-mail: Total
Na dt junadit:daru rceq c��cudr,plwe calf sur,sdkuon for mae in(omunan Notice:This permit application
Minimum fee................S
t]Vtaa o MuterCard expires if a Plan review(at _ %) $
p permit is not obtained
CState surcharge 8%) ....$
iedltcard number. within 180 days after it has been g
Er<pim
Name o/carrl4ol a shown M r.R'lil Card
accepted as complete. TOTAL .......................S _
_ S
CaMhcldet urwure — Amount 440-4616(60M.Mm)
DON • MORISSET 111F ►2=
HONKSgaPODA -HD
L A K K G 0 3 V K G 0. S 70 R O O Nu I T9 7 0 Rp Q
(603) 387 - 7638 FAX (003) 387 - 781OBE : 29 .19
LOT: 42
STANDARD ELEVATION ";1 r �v I I(.iAHL) DATE: 3/6/03
t3UIL()ING DIVISION PROOPERT: TRDORNWOOD
//�� SCALE: 1"=20'
p2�lJ PLAN No.: 132
RIDGE DR.
a gl wI
_43.60' ;
Approach „ .•5 eeswelk
aaof 4 ° :.'44a
25' L4ND9C4PE
ib TRACT
Concre
ry r
'Drlvewey•, �
y'`4
°` 445'
44e 45.0 sq. ft
Z car ger.
444 "FF.E 441' 6.
442
4'6cirm.- I
4 a Z 1/2 beth-----,
s -oFF.E. 441.5'
411
I : a
DECK ----
lot-
-------------------
i14 -A4
rn
434 0_ rndo
it —
11@tAMM6 WALL-
C?K 14 Y 430'
65� 1
31r3 03
LEGEND LOT COVERAGE
LOT AREA: 4026 SQ. FT. LOT "4?
O --7'NORTHERN BUILDING AREA: 1,562 SQ FT.
RED OAK PERCENTAGE: 32% 4026 sq. rt.
_ i
CITYOF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2003-00245
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 :171
DATE ISSUED: 6/4/03
SITE ADDRESS: 12270 SW ASPEN RIDGE DR
PARCEL: 2S11013C-TSO42
SUBDIVISION: THORNWOOD ZONING: R-7
BLOCK: LOT: 042 JURISDICTION: TIG
CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS:
_ SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: W'\TER LINE: ft
DISHWASHERS: RAIN DRAIN. ft
Remarks: Backflow preventer
FEES
Owner: - - - - —
Description Date Amount
DON MORISSETTE HOMES - --
42.30 GALEWOOD STE #100 1; 'IMBI Permit Fee 6/4/03 $36.25
LAKE OSWEGO, OR 97035 ITAX) 8%Statc Tax 6/4/03 $2.90
Total $39.15
Phone : 503-387-7538
Contractor:
LANDSCAPE OREGON, INC.
12200 SW MYSLONY RD.
TUALATIN, OR 97062
REQUIRED INSPECTIONS
Phone : 503-692-5945 RP/Backflow Preventer
Reg#: PLM 7804
This permit is issued Subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and ail 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 suspel i
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Issued By: ��I"{2 _ Permittee Signature
Call (504) 639.4175 by 7:00 P.M. for an inspection neGJeJ the next bu§ire .ss day
Jun G3 03 09: 52a dan edmands 503-692-0768 p. 4
Plumbing Permit '��a� '
- Received Plumbing
7 Date/By: Permit
-City of Tigard 1`j t.) 3 20 J Planning Approval � Sewer az
IT
y g �U Date/ : Permit No.:
13125 SW Hall Blvd. CI7Y OF TIG Plan Review Other --
Tigard,Oregon 97223 t DOWDY: Permit No.:
Phone' 503-639-4171 Fax: 503-50AINWNG Q $1O Post-Review Land Use
Date/By: Cas:No.:
Internet www.ci.tigard.or.us Contactruns.: See Page 2 to,
24-hour Inspection keyuest: 503-6139-4175 Namc/Method: _ Su nlemr-ital Infor.nxt.,
_ TYPE OF WORK FEE*SCHEDULE(for special infor-.- - ,.hec r
New construction Demolition Description Qty. : j' ten•) - :Dial
Additionialteration/r,�Elacement I El Other: New 1-&2-family dwellings
CATEGORY OF CONSTRUCTION includes 100 ft.for cacti utility connection
1 8c 2-Famil dwtdling Commercial/Industrial SFR t bath 249.20
SFR 2 bath 350.00
Accessog Building Multi-Famil SFR 3 bath _399.00
Master Builder Other: Each additional bath/kitchen 4.5.00
JOB SITE INFORNIATION and LOCATION Firesprinkler-sq.ft.: Page 2
Job site address: /;;Q7v 4-to nspin fe-vt e_ boelf Site Utilities
Suite#: Bld ./A t.#: Catch basin/area drain 16.60
%7�;-- t U Ct( C.107- Drywell/leach line/trerch drain 16.60
Project Name:
-- ----- - Footing drain no.linear ft. Page 2
Cross street/Direct.Jns to job site: Manufactured home utilities 110.00
e,i,LJ.C. A207- mtiY?' R h Manholes 16.60
Sic /'.ZL--f1 Rain drain connector 16.60
Sanitary sewer no.linear ft. PaRe 2
Subdivision:7Tl0Y11j0-)Cr-C_. - Lot#: Storm sewer(no.linear ft. Pa e 2
Tax map/parcel#: (,o S:; 8 (F Water service no.linear fl Pae 2
Fixture or Item
DESCRIPTION OF WORK
et..7c75C Absorption valve 16.60
L t�Lcli[.'� CrT� Backflow preventer _ Page 2
Backwater valve _ i 16.60 -
Clothes washer 16.60
Dishwasher 16.60
Drinking fountain 16.60
PROPERTY OWNER TENAN"I Ejectors/sumpEjectors/sump 16.60
Name:&M 0Tlpy)s S e(:-fe, 14 Ex ansion tank _ 16.60
Address: fa,30 S:du Fixture/sewerca 16.60
City/State/zip: LaK.eO G 'J�7c -? Floor drain/floor sink/hub 16.60
--- Garbs a disposal 16.60
Phone: Fax: Hose bib 16.60
ptPPLICANT .. CONTACT PERSON Ice maker I6 L'!
Narne: t' S Li r rgt L) Intercetor/grease trap 16.60
AddressCIO tri S(6'Yt AD Medical as-value- S - Pae 2
-----r-'�Q Primer 16.60
City/State/Zip: _ t7 /� S° - Roofdrain(commercial) 16.60
Phone5T3 FaxS903 Co9d -07fe Sink/basin/lavato _ 16.60 _
E-mail: Tub/shower/shower pan -- 16.60
CONTRACTOR Urinal 16.60
CcyacC-Eml
Business Name:/,en , _ u Wate closet _ 16.60
Address!�x� SCS= Water!:cater 16.60
n
Mt S h ' PLa Other
Cit /State/ZijTlrt"J-QAj-j!'t, C k- 761cQ-) Other:
Phone;SL5 (6 a GVYS- I Fax_'Z.3 to 9a-076 Plumbing Permit Fees
CCB Lic. #: '7 go _ Plumb. LicASubtotal S X)7-S s-
d Minimum Permit Fee 572.50 S
Authorize
Residential Backflow Minimum Fee S36.25 3�i eons
SignatureL-CGL, [!Gt>' Date: Plan Review(25%of Permit FesL S
I'L/7 pgt r/-C J A` State Surcharge 8%of Permit Fee) S
-1__ (Please print name) TOTAL PERMIT FEE I S
Notice: This permit application expires if a permit is not obtained within All new commercial buildings require 2 sets of pians with Isometric or
180 days after It has h-An aeceptod as complete. riser diagram for plan review.
*Fee methodology set by Trl-County Building lir ,istry Service Board.
is\Dsts\Permit For mskPimPer-ndtApp.doc 01103
i
CITY OF TIGARD
Res4dential Certificate (?f Occupancy
Permit No.: ,2003- UL/_ 02- Address: /-o 2 -76 Sc -) 195/exx1 112, D!�e c
Owner/Contractor: /Ylc s -r—,tw
rl, /
Date ci Final Inspection: _ Inspector:
This structure has been found to be in substantial compliance with the provisions of the State of Oregon One& Two Family Dwelling
Specialty Code and is hereby approved for occupancy.
I