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Case File N N y cn m z X 0 R1 O m 1 I ► 12275 SW ASPEN RIDGE DRIVE (',ITY OF TIGARD 24-Hour BUILDING Inspection line: (503)639-4175 MST INSPECTION DIVISION Busincys Line: (503)639-4171 BUP ---- Recei,;;d Date RequestedL ( _ AM___ PM_ BUP - --__-- 9 MEC Location _ _ Z a- 7�..�-�--�2�.vn -1'�--�L2��Suite_-r. - -- - --- ----- (19� Contact Parson .--,o- _- Ph( -) - PLM Contractor ----- -- - - Ph (- --) ---- - _ SWR --- --- ---- --- BUILDING Tenant/Owner --_-_.- ___ ELC ----_--- _-- Footing ELC Foundation ACCP,Ss: Ftg Drain ELR - - --- ---- Crawl Drain ( - Stab ' Inspection Notes: - SIT Post&Beam - --- -- -------- -- _ Shear Anchors - Ext Sheath/Shear L - - Int Sheath/Shear Q C) Framing - Insulatir o r� � !� h �, l =y--..� Z 1� Drywril Nailing I --- Fir�wall Hire Sprinkler ---- -�-- 9re Alarm _,C uL ��t- ��•-K --�iY�rr,l�- 3 � � ,'usp'd Ceiling 1 RLof ART RT FAIL NG - -- -- Post 8 Beam Llndp Slab -- -- — —- Rough-In Water Service - - - Sanitary SewerL t Rain Drains � L' c.. Catch Basin/Manhole ---__- Storm Drain - Shower Pan _— Other: - Final — PASS_ PART FAIL MECHANICAL - Post& Beam Hough-In -- -- -- _. --- - Gas Line Smoke Dampers --- - -- - Final PASS PART FAIL - --' - ELECTRICAL --- Service Rouoh-In -- IJIG/Slab Low Voltage ---- - -- --- -- Fire Alarm Final ❑ Reinspection fee of$_ —._required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd PASS PART FAIL SITE _ _ Please call for reinspection RE:___ [� Unable to inspect -no access Fire Supply Line ADA Deft ��? ) � -_ InspOCtor� - - Ext -- Approach/Sidewalk Other: Final DO NOT REMOVE this Inspection re%:ord from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour EUP-DING Inspection Line: (503) 639-4175 MST INSPECT;ON DIVISION Business Line: (503) 639-4171 BLIP ( AM___1 Date Requested PM BUP -------- -C If MEC Location Contact Person Ph Ur SWIR Contractor Ph (--) BUILDING Tenant/Owner ELG Footing EX Foundation Access: Ftg Drain ELR Crawl DrainSIT Slab Inspection INotes- Post&Beam 3hear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final FAIL P IPLU-1IM111NO Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin Manhole Storm Drain ShowerP Ot_' Z? PART FAILC'4 HFA--NICAL Post& Beam Rough-In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Servire Rough.-In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PAFG PART FAIL SITE E] Please call for reinspection RE:—_ Unable to inspect-no access Fi e Supply Line AIDA Data 3- Inspector Ext Approach/Sidewalk Other: Final DO NOT REMOVE this Inspection record from the job site. PASS— PART FAIL CITY OF T I G A R D — MASTER PERMIT PERMIT#: 03-00230 7/14/0 DEVELOPMENT SERVICES DATE ISSUED: 7/14/03 13125 SW Hall Blvd., Tigard,OR 97223 (503) 639.4171 SITE ADDRESS: 12275 SW ASPEN RIDGE DR PARCEL: 2S110BC-TS039 �Uf3DIVISION: THORNWOOD ZONING: R-7 CLOCK: LOT: 10j1) JURISDICTION: 'CIG REMARKS: New SF detached, Path 1. BUp DING REISSUE: DM170 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 31 FIRST: 1.434 sf BASEMENT: at LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.756 at GARAGE: 410 •t FRONT: 15 PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: I THfo at RIGHT: 5 96�o0 OCCUPANCY GRP: R3 BDRM: a BATH: 3 TOTAL: 3.190 sl VALUE: 3o6, REAR: i, PLUMBING SINKS: I WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN. TRAPS LAVATORIES: 4 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS. TUBISHOWERS: 3 GARBAGE DISP: I WATER HEATtift I WATER LINES: 100 aCKFLW PREVNTR: GREASE TRAPS. MECHANICAL OTHER FIXTURES. FUEL TYPES FURN<100K 6011!CMP<3HP: VENT FANS: 3 CLOTHES DRYER: 1 RAS rURN>000K: I UNIT HEATERS HOODS: 1 OTHER UNITS: I MAX INP. Itti FLOOR FURNANCES: VENTS I WOODSTOVES: GAS OUTLETS: 4 EL:CTRICAL RESIDENTIAL UNIT SERVICE FEEDEF. TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'l.INSPECTIONS 1090 SF OR LESS:p 0 -200 amp: 0 -200 amp WISVC OR FDR: PUMPIIRRIGA'rION: PER INSPECTION EA ADD'L 500SF 6 201 - 400 amp: 201 400 amp tat W/O SVCIF DR: SIGNIOI IT LIN LT: PER HOUR LIMITED ENFRG,' 401 - 600 amp: 401 - 600 a ip EAADDL BR CIR: SIGNALIPANEL: IN PLANT MANU HM/SVCIFDR: 601 1000 amp: act+amps-1000V. MINOR LABEL: 10004 amp/Volt: PLAN REVIEW SECTION Reconnect only: »4 RES UNITS: SVCIFDR»225 A: >600 V NOMINAL: CLS AREA/SPC OCC. ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL S.COMMERCIAL AUDIO&STEREO VACUUM SYSTEM: AUDIO&STEREO: FIRE ALAnM: INTERCOMIPAGING: OUTDOOR LNDSC LT. BURGLAR ALARM. OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION. MEDICAL: OTHR: MVAC: DATA/TELE COMM: NURSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 5,608.15 DON MORISSETTE HOMES INC DON MORISGETTE HOMES INC This permit is subject to the regulations contained in th 4230 GALEWOOD ST#100 4230 GALEWOOD ST,STE 100 Tigard Municipal Code,State OR. Specialty Codes and LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 all other applicable laws. All work will be done in accordancecewith approved plans. This penTllt will expire if work is not started within 180 days of issuance,or 1f the work is suspended for mo•e than 180 days. ATTENTION. Oregon law rAquires you to follow rules adopted by the Phone: 503-387-7538 Phone: Oregon Utility Notification Center. Those rules are set 5p �3g forth in OAR 952-001-0010 through 952-001-0080. You Reg N: T 138 7375533 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 Insulstion Insp Water Line Insp Grading Inspection Post/Beam Mechanica Plumb Top Out Exterior Sheathing Insl Gyp Board Insp Water Service Insp Sewer Inspection 'lnderfloor insulation Electrical Service Low Voltage Rain drain Insp Appr/Sdwlk Insp Footing insp Crawl Drain/Backwater Electrical Rough In Gas Line Insp Storm drain Insp Electrical Final Foundat PLM/Underfloor Framing Insp Gas Fireplace Roof Nailing Mechanical Final 1,--.sued 6y : _ Permittee Signatl.ire : r Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day I�`/ O� �I���� __ SEINER CONNECTION PERMIT DEVELOPMENT SERVICES UA1 E ISSUED: 7/14/03 PERMIT#: S 14/03 -00180 - 13125 SIN Ha!I Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S110BC--fS039 SITE ADDRESS; 12275 SW ASPEN RIDGE DR SUBDIVISION: 1IIORNW(N0I) ZONING: R-7 BLOCK: ___ LOT: JURISDICTION: 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. Owner: FEES DON MORISSETTE HOMES INC Description Date Amount 4230 GALEWOOD ST#100 LAKE OSWEGO, OR 97035 1SWINSP]Swr Inspect 7/14/03 $35.00 ISWINSP]Swr Inspect 7/14/03 $0.00 Phone: 503-387-7538 1SWUSA] Swr Connect 7/14/03 $2,400.00 1SWUSAI Swr Connect 7/14/03 $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 Ser;Ices. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantr•a the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prosy?(-t 3 feet in all directions from the distance given. If not so located,the installer shall purchase a"Tap and Side Sewer" Pern Issued 6t,�Q Y Permittee Signa'.ure: Call (503) 639-4175 by 7:OC P.M. for an inspection needed the next business day To 1"r : 7 ))-o-; Building Permit Application Daiereceived: 3 6 - Permitno.: r u,')."j0 City of Tigard — Address: 13125 SW Hail Blvd. Tigard,OR 972'23 Prolect/appl,no date: Ciry n(Tr,garrl Phone: (503) 639-4171 Date issued: B Receipt no.: Fax: (503) 598-1960 Case rile no.: Payment type: Land use approval 1'-::('unity.Sunpje Complex: ;UAddition/altemtion/repl &Z family dwelling or accessory U Commercial/industrial tJ Multi-family ,' New construction U Demolition aceinent U Tenant improvement U Fire sprinkler/alarm U Other:Kdress: \ ; Bldg.no.: Suite no.: Block: Subdivision. \ �( Tax map/tax lot/account no.: PriVect,name: Description and location of work on premises/special c onditions: Mailing address: Lr 1&2 famlly dwel ng: City: State:L ZIP_ Valuation of work........................................ $ /_ Phone: FaS'i) 7 -mail: _ No.of bedrooms/baths................................. Owner's representative: ' �t:LI A't _tom Total number of floors.................................o ne: Fax: E-mail: New dwelling area(sq.ft.)ME Garage/carport area(sq.ft.) ...................e: 1 ' Covered porch area(sq. ft.) ......................... Mailing address:�•t•� Q, _ Deck area(sq.ft.) ........................................ City: State:` ZIP: Other structure area(sq. ft.)......................... Phone: Fax: E-mail: CommereiaUlodtutriaUmulti-family: Valuationof work........................................ $ Business name: 3 Existing bldg.area(sq. ft.) .......................... Address:T". 2 New bldg.area(sq. ft.) City: Suite: ZIP: Number of stories........................................ Phone: Fax: _ _ E-mail: �— Type of construction.................................... CCB no.: — Occupancy group(s): Existing: New: City/metro tic.no.: Notiet:All contractors and subcontractors are required to be I with the Oregon Construction Contractors Board under Name: t,l A provisions of ORS 701 and may be required to be licensed in the Address: Lp �(,r jurisdiction where work is being performed.If the applicant is City: State: Z►p exempt from licensing,the following reason applies: Contact person: Plan no.: Phone: Fax: I E-mail: Name: Contact person: Fees due upon application ........................... $ _-- Address: Date received: City: State: ZIP: Amount received ......................................... $ Phon, Fax: Email: Please refer to fee schedule. I hereby certify I have read and examined this application and the iaa all junulictiona accept credit cards,please call jurixlic,ion tar mare infirmatioa attached checklist.A rovisions of I ws and o inancec governing this �o viae ❑MuterCard i work will be compli wt ,w1hether. cified Herein i Credit card number: __ Expires Authorized si atu+, _ •1 t 1 Ic Lr — Name o<curffioider u dwwn on credit card Print name, I TL I yaw I ranlhoider aiputure _ Amount - f Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted as complete. aa-4613(6 ff OM) One-and Two-Family Dwelling l .rilding Perinit Application Checklist Reference no., -- Associated permits. City of 1 igurd City of Tigard U Electrical a Plumbing U Mechanical Address: 13125 SW Nall Blvd,Tigard,OR 97223 O Other: Phone: (503) 639-4171 -- —J Fax: (503) 598-1960 TI III FOLLOWINGRt FORNo I Land use actions completed.See jun diction criteria for concurrent reviews. 2 Zoning. I71tyxi plain,solar balance points,seismic soils designation,historic district.etc. 3 Verification of approved platflot. _ 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 U plan U permit required. Include drainage-way protection,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. J� I I Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if there is more than a 4-ft.elevation differential,plan must show contour lines at 24 intervals);location of easements and driveway;footprint of structure(including decks);location of wellstseptic systems:utility locations;direction indicator,lot area;building coverage area;percentage of coverage:impervious area;existing sttuc.ures 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, lumbing fixtures,balconies and decks 30 inches above grade,etc. 50 14 Cross section(s)and details.Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-fluor, 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, YY 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 floorstroof assemblies,indicating member sizing,spacing,and hearing locations.Show attic ventilation. 18 Basement and retaining 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 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-piping schematic is required for four or more appliances. _ 22 Engineer'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. JURISDR1110NAL SPECIFICS 23 Five(5)site plans are required for Item 1 I above. Site plans crust be 8-1/2"x I I"or 11 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-ons. 26 No rolled,reversed or mirrored building plans will be accepted. _ 2i 28 Checklist must be completed 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. 4"14 t&a°'roM' P Mechanical Permit Application L=jW& FDater.eceived: (p 7,D. Permit no.:NST -ooh City of Tigard Project/appl.no.: Expire date: City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receiptno.: Phone: (503) 639-4171 Fax: (503) 598-060 Case file no.: Payment type: Land use approval: Building permit no.: TYPE OF PEkMl'f 0 I &2 family dwelling or accessory G Commercial/industrial O Multi-family 0 tenant improvement >0gew construction O AdditiorJalteration/replacement ❑Other: JOB SITE INFORMATION 1 1SCIIEDULE lob address: = - l -\. F, it 77 Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: Su to no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit. Value$ Loth Bhek: Subdivision: "y Y\V'J" I "See checklist for impor=t application information and Project name: jurisdiction's fee schedule for residential permit fee. City/county: i'LIP: Description and location of work on premises: Fee(rr.) Total Esr.date of completionlinspection: _ Description Qty. Res.only I Res.only Terant improvement or change of use Air handling CFM Is existing space heated of caonditioned?0 Yes 0 No dling unit Au conditioning(site plan required) Is existing space insulated"0 Yes 0 No I Alteration of existing HVAC system Boiler/compressors State boiler permit no.. Business name: 1 1 HP Tons BTU/H Address: (" ue/smoke dampers/ uct smoke detectors City: ��! State 'I, nstaptrep—(Site plan acefurnacr�urner) Phone: Fax: E-mail: p CCB .�.: tr- Including ductwork/vent liner U Yes O No �_ __ nsta replace/relocateheaters-suspended, City/metro lic. no.:N/A wall,or floor mounted Name(please print): -n = Ventfu(appliance o er than furnace _ e gerat on: Absorption units _ BTUM Name: Chillers_ _— HP — - Address: Compressors HP �• — —Lnr;onmenial exhaust and ventilation: City: State: ZIP: I Appliancevert Phone: E-mail: _Dryer exhaust / Hoods,Type res. 'tchen/hazmat hood fire suppression system Exhaust fan with single duct(bath fans) Mailing address: ,' aust systema art from heatingor AC City: State ZIP v) ue piping andistribution(up to 4 out its) — Type- L°G __ NG __ Oil —_ Phone: f ax E-mail: 1 i ing each ad itional over 4 outlets rocess piping(schematicrequired) _. Name: Number of outlets Other listed appliance or equipment: Address: __ Decorative fireplace City: --_- _ - State: ZIP: insert-type _ Wro(isloveliellet stove Phone: Fax. 1{-mail: t'.jthef: Applicant's signatu' W�Date: ._� Other.Neme(print l:1— I Yi i ENV,'r�,• /I Noi all jurisdictioru accept credit cards.please call junutiction for more mfomWion Permit fee.....................S _ -- 0 Visa 0 MasterCard Notice:This permit application Minimum fee................b _ Credit card number _ 1_�— etpircs if a permit is not obtained Plan review(at _ %) S Expires within Igo days after it has been State surcharge(8%) ....S Name of cudholder u thown on credit cud accepted as complete. s TOTAL ......................$ Crdholdet si`nature timoum "0-4617 t&11WYC01,'t Plumbing Pernnit Application Daterecetved.�� 65 Permit no.: mi _ � City of Tigard Sewer pert no.. Building permit no.: Address: 13125 SW Hall Blvd.Tigard,OR 97223 - ----- -- -- Cityy offigard Phone: (503) 639-4171 Projecuappl.no.. Expire date: Fax: (503) 598-1960 Due issued: _ By: Receipt no.: Land use approval: C.Ise file no. Payment type: 1 � ;address: y dwelling or accessory O Commercial/industnal OMulti-family Q Tenant impruvement uct .n 0 Addibon/alteration/replacement ❑Frwd service ❑Other.l �� - _.(/� =i' Description _ Ef (ea.) Total Bldg. no.: Suite no.: New I-and 2-family dwellings only: (includes 100 ft.for each utility connection) Tax map/tax lot/account no.: SFR(1)bath _ Lor: Block: Subdivision: ti alt SFR(2)bath Project name: SFR(3)bath City/county: 7.1P: Each additional badvlutchen Description and location of work on premises: SiteutW ies: Catch basin/area drain Est date of completiorv'tnspection: Dtywellsileach line/trench drain Fooung drain(no.lin. ft.) __ Manufactured home utilities Business Mime fS, L Manholes Address: '� ` Rain drain connector City State, Z1P: S.nttary sewer(no.lin. ft.) Phone "-c' Fax: E-mail: Storm sewer(no.lin.ft.) Water service(no.lin. ft.) _ CCB no.: (C� -7 L Plumb. bus. reg. no: - Fixture or item: City%metro lic. no.: N,A ;` Absorption valve. Contractor's representative signature+'`' � Back flow nmventer Print nar-e ��-1 P' '-- K ` 1 V Backwater valve Basins lavatory Clothes washer Nure:`� � + ��� I * C Dishwasher _ A idress; 7e Dnrikire rouriLmni s) Ci t, State: ZIP: Eleuors/sump — Phone fax: E-mail: iExpansion tank Fixturelsewer cap _ y}� Floor drains/Iloor sinks/hub -- Name (print): j��'R� "t Garbaee disposal Mailing address: 1 Hose btbb city- �Q State ZIP: r Ice maker Phone: - Fa.\: j �fL� E-mail: Interceptor/grease bra --� Owner inrtalladon/reiVendal maintenance only: The actual installation Pnmeti s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sinlclsl,basinis),lays(s) Owner's signature _ Date Sum Tubs/shower/shower pan Unnal Name Water closet Address ---- Water heater Cit -�-- State: ZIP Other. Phone. Fax: E-mail: Total Na yl unf.Ucuom aece credo cud+•please all unxLcuon for mae mfornuuon Minimum fee................S p I Notice:This permit application Plan review(at _- %) $ --_- c visa U Mastercard expires;f a permit is not obtained State surcharge(8%) ...•$ C.edil;ad number — — within 180 days after it has been Expires accepted - accepted as camplew. ...................... None of ar;lholder v rhoMn an cmLi cud C.tnihoidei signature f Amount 44(}�16(&MCOM) Electrical Permit Application r 1I 17A rDa(crec"eived: �/W Permit no.: City Of Tigard Project/appl.no.:�-"� Fxpire date: C.tyofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: _ By:) Receipt no.. Phone: (503) 639-4171 Case file no. Payment type: Fax: (503) 598-1960 Land use approval: ---- TYPE 1 ❑ l &2 family dwelling or accessory ❑Cummercial/indust ial U Multi-family U Tenant improvement ammaNew construction ❑Addition/alterauon/replaceinent Ll Other. U Partial 1 1 Job address: ) J Bldg.no.: Suite no.: _ Tnt no.: ax m.p/tax lot/accou Lot: t Block: Subdivisi ��X_5/,L\ _— — --- Project name: Descnption and location of work on premises: _ Estimated date of compiction/inspection: UUMKMMEU Fee Max Job no: i 7 1 Description Qty. (e3.) Total no.hop Business name: Nen mcidattiat-Singleor mule-family per Address: ) dwelling unit.Includes att2ched gorage. City: State: Z1P: SeHceincluded 1000 sq.ft.or less 4 Phone: '3- 1 Fax: E-mail: Each additional 500 sq.ft.or portion thereof CCB no.: Elec. bus. lic. no: Le, umitedenergy,residential 2 C` _ Limi Servicated energy,non-residential 2 Each mamracturcd home or modular dwelling n•e - Service and/or feeder 2 Druce"I, 1 em(electrician(required) Date _ , —. orfeeders-irsslallation, _7�) Sup elect name(prim) 1 License no miterallon or relocation: 200 amps or less — 2 201 amps to X400 amps 2 Name (nrint) 401 amps to 600 amps 2 Mailing address: 1/ 601 amps to 1000 amps 2 State ZIP: Over 1000 amps or volts 2 City , 1 Mai Reeonr act only Phone: Far ) `� Temporary services or feeders- owner instu;!anon:The installation is being made on property I own butaIlation,alteration,orrelocation: which is not intended for sale, lease, rent,or exchange a xording u' 200 amps or less 2 ORS 447,45 5,479,670,701. 201 amps to 400 amps — _-_ - 2 2 Omier's si nature: Date: 401 to 600 amps Branch circuits-new,alteration, or emenslon per panel: Nance: A Fee for branch circuits with purchase of 2 Address: service or feeder fee,each branch circuit State: ZlP' B Fee for branch circuits without purchase 2 City. of service or feeder feefirst branch circuit: Phone: Fax: Email: Each additional branch circuit: Misc.(Service or reedernot included): Each pump or imgauon circle 2- t]Service over 22 amps cormtr_rctal l7 Health care facility Each sign or outline lighting 2 -- U0 Service over 320 amps rating of 1&2 U Hazardous location Signal circuit(s)or a limited energy panel, (tinily dwellings ❑Building over 10,000 square feet four or g 2 CO3 Sys .,n over 600 volts nominal more residential scents in one swcture alteration,orextersion• _ U Building over three stones ❑Feeders,400 amps or more •Dcscri tion — ❑Occupant load over 99 persons ❑Manufactured structures or RV pale Each additional Inspectlon over the allowable in any of the above: ❑Egress/lighungplan ❑Other. _ — Per nspecu,)n r—��— Submit sets or plans with any of the above. lnveaugaUon fee — Ttee above are not applicable to temporary construction service. Other Permit fee.....................S •-- -- Nom all jonsacttons rcep credit cards•pie=call jurisuction for tune information Notice:This permit application Plan review(at _ %) $ 0 visa U MasterCard expires if a permit is not obtained State surcharge(8%) ....$ _ Credit care number — ___�— within 180 days after it has been Expi1es accepted as complete TOTAL .........•.......••••••$ Name of eanlholder u rhown on credit card = 440-4615(60dCOM) - cardholder u6nature Amount DON - MORISSETrrE N 0 M 9 9 T LAKE 09WKG00, 9T0R9G0IN 97035 OBE : 2916 (5 0 9) 9 8 7 - 7 5 9 8 R A X,11 3) 3 8 7 - 7 e l 5 LLLJJJ 111JJJ • r 0 9AI , P; LOT: 39 DATE: 5/7/03 PROPERTY': THORNWOOD OPTION I ELEVATION ��}���,�S. �lJ�l3 CITY: TIGARD CITY OF T16 ARD SCALE: 1"=23' w fitrv%lr', r)tVIVY PLAN No.: 170 460' - 460' Im'P.5D.E. -- _.. 01 C 0NC. ROCK .11-L-"/ ,`' 3,190 aq. Ft . I _ 456 4 bbrm. 2 1/2 bath FF E. 458' 0 X54 2 4' 406 eq. ft. I is 5�G7' 2 car q8r." FF-.E. 450' I _i 13 A50 haemo, Concrete hay ,;�rlveway 9i 25 _AND-- --- - 11_ ."' —� 5CARE 448' ;e <.c 44 Approach a 12215 S.W. A5FEN RIDGE 1:)R, LEGEND '_OT GOVERAGE -- --- LOT AREA: 4,62 50. FT. LOT 039 5JILDING AREA: 2,086 5G. F7. 4,162 sq. Ft. —@�DOAK RN PERCENTAGE: 43 L 1 ('!TY lDF TIC:AKI}-SITF PLAN R VI w --- RUII.UIN(i IL) N( : _1 )LANNING f)IVISI()N: Not APPi'ov Approved ❑ Required Sell) / 15 side .�`-" -- Street Side C- (; age: _U- Rear. 1 rota. •.J1 —, Not A,ppruved AP troved C� Visual t'Icarancr•. � illi ht• feet Maximum 13161dinj g Yes Q� No • �,c ;t•rvice PrwiArr tetter Required: ❑ 0 Received Date: to I.NIiINf.:F. I' i PAR 1 1-n 1 Not Approved ��,5 �pproved ❑ roved A.tu.tl sl°p� �pprovvd clot App S I,i ., Date* 103 ..._.--- r, q!{ f q Note- i CI T Y OF T I GA R D PLUMBING PERMIT \ PERMIT#: PLM2003-0049_' REVEL JPMENT SERVICES GATE ISSUED: 9/19/03 13125 SW 11--ill Blvd., Tigard, OR 97223 (503) 639-4171 ,ITE: /.,)DRESS: 12275 SW ASPEN RIUGL DR PARCEL: 2S110BC--06800 SU 3D ASICN: THORNWOOD ZONING: R-7 BLOCK LOT: 039 JURISDICTION: TIG _ASS OF WORK: O R GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OP USE: 6F WASHING MACH: BACKFLOW PREVNTRS: 1 GC(,(JPANC'i GR!3: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES _ _ LAUNDRY TRAYS: SF RAIN DRAINS: _ SiNKS: URINALS: GREASE TRAPS: LAVA•ORIES: OTHER FIXTURES: 1!JBiSHOWERS: SEWER LINE: ft WATER CL")SETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Rewarks: Irrigation backflow FEES Owner: -- Description Date Amount DON MORISSETTE HOMES -- 4230 GALEWOOD STREEE' Il t IN1BI Permit Fee 9/19/03 $36.2.5 SUITE 100 I IA`<I X State Tax 9/19/03 $2.90 LAKE OSWEGO,OR 97035 Total $39.15 Phone : 274-5223 Contractor: LANDSCAPE OREGON, INC. 12200 SW MYSLONY RD. TUALATIN, OR 97062 REQUIRED INSPECTIONS RP/Backflow Preventer Phone : 503-592-5945 Final Inspection Reg #: PLM 7804 This permit is issued subject to the regulations co,itained in the Tigard Municipal Code, State of OR. Speci,31ty Codes and all other applicable laws. F,, work will be done in accordance with approved plans. This permit will expire if work is not start^ , ithin. 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 II Issued By: Permittee Signature: ._114i a11 (50i639-4175 by 7:00 P.M. for an inspection newled the next Nu iness day ' ep 17 (!:i 1 04p dan edmonds 503-692-0768 F. 1 USE ONLY Plumbing Permit cation � ' IQ, ttm;•r,l FFICE Pit rB pz lbeelNg Pcmcffn�t No..I H-p opPlamming _ � o�l " t �` CitySx�a ° Nam V w . _ DmrBY-. t'ernut No.: Tigard,U —� reRon 97273 , sP _. _ Phone: 503-639-4171 Fax- 503-598-1960 M- pust-mew �� _ !2!rJ Y:_ _ CaNo.: Internet www.Ci_ti,,ard.or.us Contact _ se loris: ) See Page 2 fnr--� 24-hour Inspection Request 503-6394175 NartadltAeUod: I (S 1 SvpptcmenW Information. – TYPE O_F WORK ( FEW SCU EDUI.E(forspedallnforic on use cBeclttist)`� —ew construction _ Dentalitivn Ateration/tiDescriptioe _ Qtr.T Fee(ee.) Taal -- Addition/al other. New.1-&`2-famt73r.dwelltup ' .CA7EGORY`�OFC�ONSTRU(:TION; ' --.� .SM(1)baffi 249.20 i�B�.tocr�r� osaaec�ioa — _�&ZT*ly dwelling --Co- ._.iaV1ndusdnal�' SFR bath --T-- 350-00 LjA .--Buil ' C�Multti-FaMily-__ SFR(3)bath _ --i 399.00 Master Builder Other: Each adal kand baddidtdtrn 45.00 ,ion s1T6'1NFORw riON and[.00ATION Fire - It: Peg-2 -fob—site Mdtr"si: /��7 S F'-' 4 _n kt-cfq c� �. :-- S'wUUGtift' —�- t:'.a"frame✓arm drain Suite#: — 11 JApt# Dr�w0lilesdt lindtraich drain ^� _Project Name:7Y-tornw-V, LCi__ 3�_ — F dram no.linear tR Cross streedDirec isms to job site: Manufactured home ttiilibes 5 t� (&L i t'_t- fyY--i to 21.1 Manholes_ ]t__1L(6__6 Rein drain connector Subdivision:- -YAWfc,L{ Sttxur sewer(ao-linea, tom Water saetce(no.boar ft) Pape 2 ' � ;DESCRL_rYON.OF WORK _ -- • :- _Firinrte it'lteai - �_� -- valve 16.60 -tas�r(IS c T ?�'r d fL_ Fiackflow Ptcvtatcr-- P e 2 :L7• S� &-rCfC.7C10-L0 CL t_y(;C >3ackwadcr valve ___ ----- 16.60 _ — Clathex Washer _ 16.60 ` Dishwasher _ 16.60_ Dmk6tp�Conmrt>tirt — 16.60 topFRTY:OWNBR `' 7-�TENANT' H' 16.60 Name: pt yl i'Y)�'Y i s S fC� -_fHi7Y► s _ F.s tank - 16.60 Address: p SGU C [ Lt!c+r`�C, QaF Fixecrdpewcr eau 16.60 City/,Rtalte/zip_-j,(tKG 6S -�tg'0 O0_y7,n3Y Floor drauvaoorsinkraub 16.60 ('rar6a - _ 16.60_ Ph riC: Fax: Hose biby� 15.60 PLICANT CrNI'TACi`PNit50N'':..' Inerrmkx.�` 16.60 Name: �r tvry-tt 3 -- __-- _ Addmgs:! i(JYl _ —____ Medical M-value: S 2 PTWW 16.60 Cit /Stt�te/Zi _11V A" 1-in. o/Q_ �7�1O Roof drain« ,t) -- 16.60 Phone:,W r-ia-59rfIFax:-S03 6,9R - 676 _ s �nayator_y — 16.60 E-mail: _ Tulakhowtrishower pan 16.60 :1 _ CONTRACTOR'S Urinol _ ___ _ 16.60 Business Name: 16.60 r C� W,,K-, w -- —— - - --attr l 660 - Address:4;000 Sd O fill _S/d'h[ Rb _ _ _ oder: Ctty/S-t�telZi��7ad-td--h L o2. 4 7�(©�, c><1ta -- --- _ — -- __— Phone$03 toqa - 59kc- 13 CCB Lac. #: C6(f Plu,.nb. tic.#: —Mir�:n; „lit Feesrzso i Antftori � —— sigmlurt ��G!_(11_.. )a_�-..��jJpaOe; Co c`,I Rnsidmtiat Backllaw Mmittum F 6.?_ 3CA X25 --- --- - — Plan Rtrinw_(ZS%, of Pamit Fee) S r ^� -- _ SRaae 3tndwr�+e(SX of Factti Fee S Q , TO TOTAL rmmrr REE S 9,, l:; .__ — Nnher. 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