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12300 SW ASPEN RIDrE DRIVE
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-___._ MASTERPERM;f
CITY OF TIGARD
PER"!T#: IVIS-12003-00229
DEVELOPMENT SERVICES DATF ISSUED: 7/15/03
13125 SW Hall Bl.d., Tigard, OR 97223 (503) 639.4171
SITE ADDRESS: 12300 SW ASPEN RIDGE DR PARCEL 2S110BC-TSO43
SUBDIVISION: 11-10RIJWOOD ZONING: P
BLOCK: LO-r: 043 JUR!SDICTION• III,
REMARKS: Ne'N SF rle:tac;hed, Path 1.
BUILDING
REISSUE: DMIS1 STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CL nSS OF WORK: NEW HEIGHT: 32 FIRST 1.304 at BASEMENT: �sf LEFT: SMOKE DETECTORS: f
TYPE OF USE: SF FLOOR LOAD: 4n SECOND: 1,72E sf GARAGE: 736 sf FRONT: 20 PARKING SPACES
TYPE OF:,ONST: 5N DWELLING UNITS: 1 T4RD of RIGHT 5
OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAI: 3.030 al VAL'1F.. 301.757.80 REAR I5
PLUMBING
SINKS: I WATLR CLOSETS. 3 WASHING MACH: I LAUNDF Y TRAYS- RAIN DRAIN: 100 TRAPS.
LAVATORIES: 4 DISHWASHERS: FLOOR DRAINS: 0 SEWE "I�.ES: too SF RAIN DRAINS-. 1 CATCH BASINS:
TUBISHOWERS: 3 GARBAGE DISP: I WATER HeATERS I WATER LINES: 100 BCKFLW PREVNTR GREASE TRAPS:
OTHER FIXTURES.
MECHANICAL
_ FUEL TYPES FURN<100K: BOIL/CMP,3HP: VENT FANS: 5 CLOTHES DRYER: t
,AS FURN>000K: 1 UNIT HEATERS! HOODS: I OTHER UNITS: I
MAX INP: III. FLOOP FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: 4
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRAN:H CIRCUITS MISCELLANEOUS ADD'L IN.'ECTIONS
1000 SF OR LESS: 1 0 -20n.mp: 0 -200 env: W/SVG OR FOR PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L 800SF s 201 4o0 amp: 201 - 400 amp: tat WIO SVC IF DR: SIGN UT LIN LT: PER HOUR:
LIMITED ENERGY: 41A 600 amp: 401 000 amp. EAADDL BR CIR SIGNAL/PANEL: IN PLAN r
MANU nWSVCIFDR: of 1 - 1000 amp: 601*ampa-1000v: MINOR LABEL:
1000•amplvolt
PLAN REVIEW SECTION
Reconnect only:
>-4 RES UNITS SVCIFDR>=225 A: >800 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL-RESTRICTED ENERGY
A.SF RESIDENTIAL -_ - B.COMMERCIAL
AUDIO 8 STEREO: VACIIUM SYSTEM AUDIO 6 b`ERE.O: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH. BOILER: HVAC: LANDSCAf ;nRRIG: PROTECTIVE SIGNL.
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR
HVAC: DATA/TELE COMM. PURSE CALLS: TOTAL A SYSTEMS:
Jwner: Contractor:
TOTAL FEES: $ 5,864.53
DON MORISSEI7E HOMES INC DON MORIS�CTTF HOMES INC This permit is subled to the regulations contained in the
4230 GALEWOOD ST#100 4230 GALEVVOOD ST,STE 100 Tigard Municipal Code,State OR. Specialty Codes and
all other applicable laws. All woo rk will be done in
LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 accordance with approved plans. This permit wit!expire If
work is not started within 180 days of issuance,or if the
work is suspended for more than 180 days. ATTEN TION:
Oregon law requires you to follow rules adrpted by the
Phone: 503-387-7518 Pyrone: Oregon Utility Notification Center Those rules are set
so3 387-� ? forth in OAR 952-001-01110 through 952.001-0080. You
Rep M: LIl7 � 3� may obtain copies of tt1 Ise rules or direct questions to
OUNC by calling(503).48-1987.
REQUIRED INSPECTIONS
Erosion Control Insp 8, Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Water Service Insp
Grading Inspectictl Post/Beam Mechenica Plumb Top Out Exterior Sheathing Insl Rain drain.Insp Appr/Sdwlk Insp
Sewer Inspection Underfloor insulate^n Electrical Service Low Voltage Storm drain Insp Electrical Final
Footing Insp Crawl Drain/Backwater Electrical ROLgh In Gas Line Insp Roof Nailing Mechanical Final
Foundation Insp PLM/Underfloor Framing Insp Gas Fireplace Water Line Insp F+umb Final
Issued By : _4� Permittee Signature I --
Call (503) 639-4175 by 7:00 p.m. for an Inspection needed the next business day
�\ CITY OF TIGARD _ SEWER CONNECTION PERMIT
DEVELU, ,MENT SERVICES PERMIT#: SWR2003-00179
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/15/03
PARCEL: 2S 110BC-TSO43
SITE ADDRESS; 12300 SW ASPEN RIDGF DR
SUBDIVISION: III(WNWOOD ZONING: R•7
BLOCK: LOT: k)1 t v _ JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTWiE UNITS:
CLASS OF WORK: NEW DWELL ANG UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPE:RV SURFACE:
Remarks: Sewer connection for new SF.
Owner: _ FEES
DON MORISSETTE HOMES INC Description Date Amount
4230 GAL EWOOD ST#100 —
LAKE OSWEGO,OR 97035 (SWINSP]Swr Inspect 7/15/03 $35.00
[SWINSP]Swr Inspect 7/15/03 $0.00
Phone: 503-387-7538 [SWUSA]Swr Connect 7/15/03 $2,400.00
[SWUSA] Swr Connect 7/15/03 _- $0.00
Contractor: — �— v Total $2,435.00
Phone:
Reg#:
Required Inspections
1
I
This Applicant agrees to comply with al! the rules and regulations of the Clewi Water Services. The permit expires 180
days from the date issued. The tot;i amount paid will be forfeited if the permit expires. The Agency dues not guarantee
the accuracy of the side sewe 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 no located,the installer shall purchase a "Tap and Side Sewer" Perm
s Permittee Signature: I
Issued by: g t .LI& 1
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
-Tc j�T-: ) 10- n 3 p0, -DO 7
Building Permit Application
Datereceived: !j Permit no JL"�3.CV
City of Tigard 6�.��,�--i � _,. -- �
City ojTigard
Address: 13125"W Fall Blvd,Tigard,OR 97223 Project/appl.no.: L'xptreuatc: J
Phone: (503) 639-4171 Date issued: By: Receipt no.:
Fax: (503) 598-1960 Case file no.: Payment type: c
�N
Land use approval: � t&2 family:simple Complex:
,x
O ( &2 familv+1 !Iling or accessory U Commercial/industrial U Multi-family , New construction U Demolition w
J Additl)tvaiterauon/mplacement J Tenant improvement J Fire spnnkler/alarm U Other'
Job address: �, t _ BWg. no.: Suite no.:
t:� Blocki—Subdivisi Tax mr p/tax lot/account no.:
rojcct name:
De 'ption and location of work on premises/special conditions:
0%%Ni It FOR SPECIAL INFOR.'Will ION, I SU
Name: V 1(�
Mailing address: 1� / ! �,' _ 1 1 tit 2 family dwelhng:
Cit � - , t^�
y: StateL 7.IP: Valuation of work........................................ $ - S 7.
Phone: Fax: ) 1 matt: No.of bedrooms/baths.................................
Owner's representative: �L_ IC�-�Y I!_ - Total number of floors.. ..............................
Phone: Fnx: F,nait: New dwelling area sq. ft.)APPUdN
Garage/caTor ,. ft.)......................... 7>�.
Name: Y 1 - ��— C',rvcreu aorch.t r.l I ,I.I ..... .. ......... .. . ')
Mailing address: ! _��, V Deck area(sq.ft.) ........................................
City: State: ZIP: Other structure area(sq. ft.).........................
Phone: Fax: E-mail: CommereiaUlndustriallmulti-family:
Valuation of work........................................
Business name: M - Existing bldg.area(sq.ft.) ................... ...
Add res_ s: �Z! ti'Y�� I".Z New bldg.area(sq.ft.)................ ............ _
Number of stories
............... ..................... --
City: State: ZIP: Tyx of construction...
..............................
Phone: Fax: E-mail: Occupancy groups . Existing:'
no.:
--- New: _
City/metro lie.no.: Notice:All contractors and subcontractors art:required to be
licensed with the Oregon Construction Contractors Board under
Name: -- provisions of ORS 701 and may be required to be'icensed in the
Address: y-y �(, KL �� jurisdiction where work is being performed. If the applicant is
City: State: ZIP: exempt from licensing,the following reason applies:
Contact person: Plan no.:
Phone: i ,• ----- E-mail: - --- --
Name: Contact person: Fees due upon application ........................... $
Address: Date received:
City: _ State: 7.1!': - Amount received ......................................... $ —
Phonr_ Fax: Email: Please refer to fee schedule.
I here,ty certify I have read and examined this application and the Na tit iariadretiom arcept credit cud.,please call ionadiction for mac lnformalim.
attached checklist. rovisions of I ws and o��inances govc-ming this ovtu U MasterCard
work will be cempl wt ,whether cified NeteA t i credit card number
Authorized si&nitu �' t1 -`� — Expire
+ Namu e or cardholder dawn nn cteAn card _
Print name: I �-( j t f L c•.dnutder asnuure Amouat
t —
Notice:This permit application expires if a permit is not obtained within 190 days atter it has been accepted as complete. 4404613(6adCOM)
One-and Two-Family Dwelling
Building Permit Application Checklist Referenceno.:
Associated permits:
CityCiryoJ,�gard oTigard Ti gd U Electrical U Plumbing ❑Mechanical
Address: 13i25 SW Hall Blvd,Tigard,OR 97223 U Other:(503) 639-4171
Fax: (503) 598-1960
t FORYLAN
I Land use actions completed.See jurisdiction criteria for concurrent reviews. _
2 Zoning.Flood plain,solar balance points,seismic soils designation,historic distract,etc.
3 Verification of approved plat/lot.
4 Fire district approval required. _
5 Septic system permit or authorization for remodel.Existing system capacity
6 Sewer permit. _
7 Water district approval.
8 Solis report.Must carry original applicable stamp and signature on rile 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 4-11.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 covertige 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 location.
13 Floor plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater,
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 Cross section(s)and details.Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-floor,
wall construction,roof construction.More than one cross section may be required to clearly portray construction.Show
details of all wall and roof sheathing,roofing,roof slope,ceiling height.siding material,footings and foundation,stairs,
fireplace construction, thermal insulation,etc.
15 Elevation 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 assemblies,indicating member sizing,spacing,and bearing
locations.Show attic ventilation. _
18 Basement and retaining walla.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 Y
over 10 feet long and/or any beam/joist carrying a non-uniforrn load. ZX
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 toiss)shall be stamped by an engineer or
tFive
ensed in Oregon and shall be shown to be applicable to the project under review.
e plans are required for Item I I above. Site plans must be 8-1/2"x I I"or 11"x 17",
s each are required for Items 16, 19,20&22 above.
25 uiing 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 or black ink.
Red ink is reserved for department use only. 44a4614(601)(YcoM)
Mechanical Permit Application
-�
Datereceived: t0 3 D Permit no.:�4;
City of Tigard Pro)ect/appl.no.: Expire date:
city ofTiga.d Address: 13125 SW Hall Blvd,Tigard,OR 97223
Phone: '503) 639-4171 Date issued: By: keccipt no.: ~`
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: _ Budding permit no
1
LO I &2 family dwelling or accessory 0 Commercial/industrial 0 Multi-family O Tenant improvement
; few construction O Addition/alteratiori/replacement ❑Other:
li S"t INFORMATION CONIMERCIAL1SCHEDULE
!ob address: \ (�i Y '-Y JY Indicate equipment quantities in boxes below.Indicate the dollar
Bldg. no.: �j Suite no.: value of all mechanical materials.equipment,labor,overhead,
Tax map/tax lot/account no.: profit.Value$ _
Lot: Block: Subdivision: .Y ,t 'See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee.
_City/county: ZIP: 1 n x 1
Description pd location of work on premises:_ 7AJrhQd1ing,'
I x' 1 s x I X 111
Fee(ea.) rota!
Est.date of completion inspection: 1)escription Qty. Res.onl_v Res.only
Tenant improvement or change of use:
Is existing space heated or conditioned?0 Yes 0 No unit ---CFM----
_1
_ CFM___=
con itioning site plan required)
Is exts'ing space insulated?Cl Yes 0 No teration of existing HVAC system
fBoiler/compressors -�
Business name 6 State boiler permit no.:
---� ( HP Tons BTU/14 _
Address: ire/smoke dampers/duct smoke detectors
City: L 1,nn, State: LIP: ea�tpump(siteplanre'quired) -----
Phone: Fax: E-mail: Insta repel—acefurnac urner_B.Includingductwork/vent liner 0 Yes O No
CCB no.: - - v_-_-
?�r�'- Instal repac relocate heaters-suspen ed,
City/metro lic. no.: N/A J wall,or floor mounted
Name(please print). Vent for appliance other than furnace _
e enation:
Absorption units BTU/H
;Name:
me: " � ��� '�L Chillers HP f
dress L Com pressors _ HP
ty. —' — nTroturnental exhaust and vent t oft:
State: ZII': Appiianceveni
one: Fax: E-mail: �ryerexhaust
s," ype res. itchen/hazmat
hood fire suppression system
' Exhaust fan with single duct(bath fans)
Mailing address: ) �,' aust system a art from heaun or AC
City: State' i 7-IP� Fuel piping an distribution(up- to outlets)
Phone: Type: —_LPG __ NO Oil
7` Fax: E-mail: File' ipinp eachadditional over out ets
roots piping(schematic required)
Name: Number of outlets
-- ----- ter lWed appliance or equ pment:
Address: Decorative fireplace
City' _ State ZIP nsert-typeW5W --"
- --
svipe Phone Fax, theytoeetstove
Applicant's si natu . -
_ OI er.
Name(print): �' -' --
Nd all luntdictloru accept credit cards,plena cast juritdict:on far mace mfornuxim Notice:This permit application Permit!Ge.....................$ _ -----
❑visa 0 MasterCud expires if a permit is not obtained Minimum fee................$
Credit card number . / / Plan review(at _ %) S
Expires within IRO days after it has been —
State surcharge(8%)....S
Naof cudholder a thawe on credit card accepted as complete.
Nam
$ TOTAL .......................f
Colder signature Amount
1404611(69YCOM)
Plumbing Permit Application
Dace received: Prrtnit no.:
City of Tigard ewer
SPermitno.: Building permit no.:
Address: 13125 SW Hall Blvd.Tigard.OR 97223
Ciry ojTigard Pro ecda I.no.. Ex ire date:
Phone: (503) 639-417I t PP p
Fax: (503) 598-1960 Date issued: By Receipt no.:
Land use approval: Cue rile no.. payment type.
au all a
O 18e 2 fanuly dwelling or accessory U Commemal/industrial O Multi-family C1 Tenant improvement
New construction O AddiuotJZlterauon/replacement 0 Food service O Other.
1 1 1 ]I W7011311MN IffnTIM
Job address: K, _t c l Deicription Qty. Fete(ea.) Tour
New I-and 2-farndy dwellings only:
Bldg. no.: ire no.:
Tax map/tax lot/account no.: (includes 100ft.for eachutility connection)
� SFR(1; bath _
Lot —i Block: Subdivision: �Y V�! SFR(2)bath
Project name: SFR(3)bath r
City/county: ZIP Each additional bath/kitchen
Description and location of work on premises: SitettWties:
_ Catch Sasin/area drain _
Est.date of completionlinspection: D,ywellsileach line/trench drain
Fooung drain(no. iin. ft.)
Manufactured home utilities
Busine-z name; _� L Manholes
Address: ` Rain drain connector
Citv State- ZIP: Sanitary sewer(no.lin. ft.)
E-mail:
Storm sewer(no. lin. ft.)
Phone: " -1't_ fax: Waterser:ice(no.lin. ft.)
CCB no.: [Cip-?l Plumb. bus. reg. no:
---- Fixture or item:
City/metro lit. no.. '� Absorption valve
Contractors representative signaturepre':enter
Print name: —� I�f. /" Backwater valve
Basinsflavatory
Name:, - Clothes washer _
Dishwasher
Address: ext Dnakine fountain(s)
Cit'. State: ZIP: Electors/sump
Phone Fax: E-mail: E.Tpansion tank
Fixturelsewer cap
Floor drains/floor sinks/hub
Name (print): i(c �S Garbage dis sal
Maiiing address: _ Hose bibb
City State ZIP:G� L Ice maker
Phone: - Fay: ]-7NC E-mail Interceptor/grease trap
Owner installatiofv'residenda/maintenance onlY The actual installation Pnmens)
will he made by me or rile rr aintenance and repair made by my regular Roof drain(commercial)
employee on the property I own as per ORS Chapter 447. Sink(sl. basints), lays(s)
Owner's sienatur: Date Sump _
- -- Tubs/shower/shower an
L1nn d
Name _ Water closet
Address: Water heater
State. j ZIP: Other-
Phone.
therPhone. Fax: 1 E-mail. Total
Not all;uns.brunns tcepi cw1it cutisplease till lun.bruon rax mixe info mauen Minimum fee................S
Notice ThIs prrtttit application Plan review(at _ %) S
C Visa C?M.Ule.-CanJ expires if a permit is not obtained n
C.edit;ud number within 180 days after it has been State surcharge(8 o) ....S __.--.---
Etpuet TOTAL . ...S _�-----
Name r cardAolsier v srsov.n oo cn:dts card
accepted as complete. """"""""'"
1i
�+ cara-arar ulrtuurt Amount "0-1616 t&MOCOM1
s
Electrical Permit Application Recci d O O 1'.icctrica1
- Date/B ` , _ Perini*No.: Y k�`:j�?x7'SL c `l
RECEIVED Date/By:Approval Sign
City Of"Tigard Date/By: _- Permit No.:
13125 SW Hall Blvd. 'AUGPlan Review Other
Tigard,Oregon 97223 AU11 2003 pate Post-Review Permit se
Phone: 503-639-4171 Fax: 503-598-1960 Date/ y: Land Use
� pa._ te/BY_ Case No.: _
Internet: www.ci.tigard.or.IWTY OF TIGARD Contact tuns.: sec Page 2 for
24-hour Inspection RequeNl6W49*MION Namc/Method: 5u elemental Information.
TYPE OF WORK PLAN REVIEW(Please check all that appy)
New construction Service over 225 amps- lia7ardcarc cationcommercial ❑Hazardous location Addition/alteration/replacement
jF?Dernolition
ther: ❑Service over 320 amps-rating ai ❑Building over 10,000 square feet.
CATEGORY OF CONSTRUCTION 1 &2 family dwellings four or more residential units in
❑System over 600 volts nominal one structure
I & 2-Family Wellin Commercial/Industrial n Building over three stories ❑Feeders,400 amps or more
ACcessot�+Building _ Multi-Family
_ ❑Occupant load over 09 persons ❑Manufactured structures or RV park
Master L3uilder Other: 13Fgress/lighting plan ❑Other.__
Submit_sets of pians with any of the above.
JOB SITE INFORMATION and LOCATION The above are not applicable to tempo-ar coy nstruction servict.
Job site address: I Z3.0 QAsgE� FEE*SCHEDULE
Suite#: I Bldg./Apt.#: r 7✓t _- Number of ins ections er mitallowed
_Project Name: 1)N M.6115,56-77 t _ :_o',rL nescr�ot Qty Fee(ea.) Total
New resldeni.Ial-single or m71'1-1amily per
Cross street/Dircetions to job site: p 1f f3t,�t MOuA/94►v dwelling unit.Includes atta04ed gorage.
Ob Service Included:
l� 1000 sq.ft.or less _145.15 a
Each additional 500 sq.R.or portion thereof 33.40 1
Limited ener ,-esidential 75.00 2
Subdivision: )n" Lot#: Limited energy,nonresidential 75.00 2
Tax ma / arca #: Each manufactured line or mcxlular dwelling
DESCRIPTION OF WORK service and/or feeder 90.90 2
— Services or feeders-Installation,
alteration or relocation:
- --- -- 80.30 1 2
- --------- 200 amps or less
___ - ----- 201 amps to 400 amps — 106.85 2
-- -- 401 amps to 600 amps 160.60
601 amps to 1000 amps _ 240.60 2
PROPERTY OWNER r-TENANT -_� Over IOM amps or volts 454.65 1 2
Name: .� -4-& We � Reconnect only 66.85 2
Address: q 2 3 p G.A Lt l�bo � S 7•emporary services or feeders-Installation,
alteration,or relocation: 66.85 1
City/State/Zip: L A K E C e w>�- c r, `i 200 amps of less 100.30 - 2
201--a�s to 400 amps
Fax: 3 3 1,( 133.75 2
-CIPhone: -7 - ��600:�n, s
APPLICANT CONTACT PERSON Branch circuits-new,alteration,or
Name: extension per panel:
-------- - A.1•eP far branch circuits with purchase of 1
Address: _ __ _ service or feeder fee each branch circuit 6.65
City/'5tate/ZiB.Fee for branch circuits without purchase of
_ _._ --- service or feeder fee,first branch circuit 46.85
Phone: I dx: __ Each additional branch circuit 6.65 2
-- ---
E-mail:
Misc.(Service or feeder not included):
_ 57.40 _ 2
Each t.nL>or irrigation circle
CONTRACTOR Each sign or outline lighting Sae) 2
Job No: __ Signal circuit(s)or a limited energy panel,
Lalteration,or extension Palle 2
Business Name: ��aa / �/ ��_- Description
Address: i s�LLe�— Each additional inspection over the allowable In an or the above:
Cit /State/Zi : _�� A K. � i Per inspection per hour(min_I hour) _ 62.50
Phone:SD3 Jlft a�.� __ Fax: _. .- " Investigation fee -
Other:
CCB Lic.#: Lic. #: 3I—H3 C- _- Electrical Permit Fees*
Supervising electriria, —�- subtotal Ssignature,rt: uired� — _ Plan Review(25%of Permit Fee S
Print Nanta: Lic state Surcharge(8%of Permit Fee $
_ TOTAL PERMIT FEE S _
Authorized Notice: This permit application expires If a permit is not obtained within
Signature: - _--__.-- date: ---- 180 days after It has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
(Please print name)
is\psts\Permit Forms\E:cPermitApp.doc 01/03
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Feefor all systems............................................................ $75.00
Check Type of Work Involved:
F1Audio and Stereo Systems*
Burglar Alarm
t Wage Door Opener*
F] heating,Ventilation and Air Conditioning System*
C, Vacuum Systems*
❑ ()(her--- —__—. —
COMMERCIAL WORK ONLY:
Fee for ea s stem.......................................................... $75.00
(SEE OAR 918-260-260)
Check Type of Work Involved:
Audio and Stereo Systems
Boiler Controls
Clock Systems
Data"Telecommunication Installation
Pirr Alum Installation
M IIVAC
ElInstrumentation
MIntercom and Paging Systems
0 landscape Irrigation Control*
E] M Micai
Nurse Calls
Outdoor Landscape lighting*
L1 Protective Signaling
Other
Number of Systems
* No licenses are required. Licenses are required for all
other installations
i\Dsts\permit forms\l'.IcPcrmaAppPg2 doc 01111
1
CITYOF T IGARD ____PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2003-0052.4
13125 SW 'ia.i Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/30/03
PARCEL: 2511 UBC-07200
SITE ADDRESS: 12300 SW ASPEN RIDGE DR
SUBDIVISION: THORNWOOD ZONING: R-7
BLOCK: LOT: 043 JURISDICTION: TIG
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: R3 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: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Installation of residential backflow prevention device for irrigation.
BEES
Owner:
— — Description Date Amount
DON MORISSETTE HOMES INC I I'LUMBI i'crmit Fec 9/30/03 $36.25
4230 GALEWOOD ST #100
LAKE OSWEGO, OR 97035 I'rAXI SN4 State Tax 9/30/03 _ $290
Total $39.15
Phone : 503-387-7538
Contractor:
LANDSCAPE OREGON, INC.
12200 SW MYSLONY RD.
TUALATIN, OR 97062 REQUIRED INSPECTIONS
RP/Backflow Preventer
Phone : 503-692-5945 Final Inspection
Reg#: PLM 7804
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
Issued B / �' - Permittee Signature:
Y —LUL _
Call (503) 639-4175 by 7:00 P.I/. for an inspection needed the next busine3s day
-4.1c '19 CKA 0;': 55p dan edmonds 503-692-0768 p. 4
I
FOR t ONLY
Phu bineses ermit Application J Rece;ved Plumbing
DatdBy: Permit No
City
Planning Approval Sewn
f Tigardrxitemx:__ Permit No.
13125 3 Hall Blvd. Plan Review othcr�
Tigard,gregun 97223 f a!G'By:. Permit No.:
Phone: 03-639 4171 Fax: 503-598-1960 Post-Review I-and Usc
DatrJB : Case No.:
Internet: www.ci.tigard.or.us Cortnt tuns.: Seepage 2 for
24-hour nspection Reouest: 503-039-4175 Namc/Method: Supplemental Information._.
-�_ TYPE OF WORK -- FEE*SCHEDULE for Ypeclal information use checklist)
New construction Demolition Description Qty. Fcc(r a.) Total
Addi ion/alteration/re lacement Other; �- New I-&2-family dweuings
CATEGORY',OF CONSTRUCTION, (Includes 100 R.(breach rtilit 'eoaraetlon .
! & -FamilydwellingCornmemiaVIndus.rial SFR 1 bath 249.20
SFR 2 bath 350.00
Accp soryBBuildi _ Multi-Farm! SFR 3 bath 399.0
Mas r Builder Other: Each additional bath/kitchen _ 45.00
IOB SITE INFORMATION and LOCATION Fite sprinkler-mg.ft.: Pae 2
Job site ddress: a.30 C SL r` < e DR_ Sits IJtlllties
Suite#: Bld ./A t.#: Catch basin/area drain 16.60
Ur�welVicach line/trench drain _16.60
Project ame: Thorn e��vo�L LOT- 3 Footing drain(no.linear ft. Page 2
Cross s et/Direetions to job site: Manufactured home utilities i 10.00
S„i,J 6ttl/ 017-f') 12D Manholes 16.60
Rain drain cotter► a 16.60
Sani sewer no_linear(L)_ Pa e 2
Subdivision: TY161r1'1Wdod- Lot#: Stornr sewer no.linear ft. Pa e 2
-' Water service no.linear ft.) Page 2
Tax ma arcel
M. tr 6 � - Ftrttirtr or Item
DESCItII'T10N OF WORK Absorption valve 16.60
B ickflow pmventer Pa e 2
P,ackwater valve _ 16.60
Clothes washer 16.60
Dishwasher 16.60
ROP RTY OWNER TENANT Drinking fountain 16.60
Eiectors/su-� 16.60
Name: �cn
.�CTY I Sat!fie- Expansion tank --- 16.60
Address:
.AA30 ted-100 eta Fixture/sewerca _ 16.60
Ci /Sta Zip; L(J< � Civ u. C/`j( S Floor dmin/floor sink/hub 16.60
Garbage disposal 16.60
Phone: J I Fax: Hose bib 16.60
PP1.1 ANT CONTACT PERSON Ice maker 16.60
Name: 1(n aYrdt o Interceptor/grease trap 16.60
Address:! o 4�w rn q 1D Mtxlical gas-value: S Pa.-e2_
Ci /Stat Zi :M,A_a_QU--11f: O R 97o(4 a_ Printer 16.60
Roof drain(Commercial) 16.60
PhoneSC 3 to%_ -99 Fax 3 (09 a,- 0710.9 Sink/hasin/lavatorL� 16.60
E-mail: I Tub/shower/shower pan 16.60
CONTRACTOR Urinal 16.60
Business ame+�vdS �. O f-[-q�
Water closet 16.60
----�- Water heater 16.60
Address:ltaaOo�c� n. Other.
Ciy/Stat4JZip:-rMAAo-t. R. 4 (oa-- Other: _
Phone:F6 - SV LJ S' FaxcpB (d9 - 0%& PlumblapPermitFees• -2 7.55_
CCB I.ic. #: -WcV4 I Plumb. Lic.#: _ _ subtotal S
Authorized Minimum Permit Fee 572.50 S 36aS
Sign �ZZ 01 t � I?site:� Residential backflow Minimum Fee 536.25
Plan Review(25%of Permit pee. S
E-110n a4WW state Strrc_hame 8Ye of Permit Fee S_�,_
(Please print tame) TOTAL PERMIT FEE IS
Notice: 'MIS ermlt application expires if a permit is not obtained within An nen commerrial buildings require 2 sets of plans with isometric or
IttO etays a0er it has been-ceep[ed as eoro�lete. riser diagram for plan review.
"Fre methodology set by Tri-County&rilding Indust",service Hoard.
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
M5 f
INSPECTION DIVISION Business Line: (503) 639-4171 _ L
BLIP —_.-_-- -
Received -------_--- --- Date R quPsted __- �Z�-�AM- -- -- QPM --_----- BLIP
_
SuitLocation MEC ---------__-_--
Contact Person __ PLM
c -_
_ - Ph( - ).,� _�- _
Contractor _-- - ---- - Ph ( --- ) --- ---- -- SWR
BUILDING Tenant/Owner --- ----- - - -- - -- -- ELC ---- - ---- ----
Footing
El_C
Foundation
Access:
Ftg Drain ELR
Crawl Drain
S.ab Inspection Notes: SIT
Post&Beam ------.
Shear Anchors -
Ext Sheath/Shear
Int Sheath/Shear
Framing - -- --- - -- -
Insulation
Drywall Nailing - --- - --- - ---
Firewall
Fire Sprinkler ------- -- --- - -- --- -- -
Fire Alarm
Susp'd Ceiling - - - - - -- --
Roof
Other.
Final
_
PASS PART FAIL _ _ _ --- ----- --- -- -- ----------- ---
M -------- ---- -------
Toell,&fie
Under Slab -- -------.----- -- — - ---
Rough-In
Water Service -- ------- - -- ----
Sanitary Sewer
Rain Drains ------- -_--- ___-_._-- -- - -
Catch Basin/Manhole
Storm Drain ------ ---._.. - -- - - -----------
Shower Pan
Ot - - ---------
ina
PART FAIL - - --- --- --- �-- -
_MECHANICAL —_-__-
Post&Beam
Rough-In ---- ------�___—__--- - — -
Gas Line
Smoke Dampers ------- ----
Final
PASS PART FAIL — ---- - - ------ - ---- - - - -----
EL_ECTRICAL__
Service
Rough-In
UG/Slab _T--
Low Voltage --------- ---- --------- ------ - -
Fire Alarm
m Reins P.tion fee of$ _ required before next inspection. Pa at Ci Hall, 13125 SW Hall Blvd.
_PART FAIL P '�' _. q P Y b
Please call for reinspection RE:-�___.___ Unable to inspect no access
Fire Supply Line
ADA
Approach/Sidewalk DateInspector _ - -_ -_ -_ Ext
Other:_
Final I DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
Crry OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175 MST
INSP77CTION DIVISION BL3iness i_ine: (503)639-41'11 BLIP -- --
Received _-- _ -- Date quested ---L'0 L �- AM _ PM_--- BLIP _ —_---
Location —_ILL 3 0Z) — r --Suite_� MEC --- ---
Contact Person Ph(.. _)'-)_s2G = -7 PLM
Contractor — -- Ph (-----) ---- - —_— - SWR ._.- --- -----
r Tenant/Owner _ ELC -
Footing ELC -_ -- -
Foundation Access: ELF!
Ftc Drain
Crawl Digin -"
Slab Inspectic,n Notes: SIT
Post&Beam - —- -- - - --------
Shear Anchors
E•t Sheath/Shear — - -
Int Sheath/Shear -
Framing --
In--jlation
Drywall Nailing
Firewall _
Fire Sprinkler — �-
Fire Alarm
Susp'd Ceiling --- - - _
Roof _ --- -
Oth
ASS PART FAIL
MBINGI
Post&Beam
Under Slab ---- - -- -
Rough-In _—
Water Service
Sdnitary Sewer
Rain Drains -- --
Catch Basin/Manhole -
Storm Drain -"w�----
Shower Pan —
Other:
Final ---- -- ------ --------
PASS PART FAIL
MECHANICAL
Post&Beam _--_
Rough-In ------- — _ --
Gas Line
SmoKe Dampers - ----- — - --
SS PART FAIL - —
Service
Rough-In -
UG/Slab
Low Voltage _
Fire Alarm
Final Reinspection fee ci $ __ _required before next inspection. Pay at City Hall, 13125 SW Hall Bivd.
PASS PART FAIL
L]SITE Please all for reinspection RE:, _ F-1Unable to inspect-no access
Fire Supply Line
ADApl•; � Ext
Daus_L�- � --�.! _ Inspector_— ----
A oach/Sidewalk - __-
Other:_
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
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CITY OF TIGARD 24-Hour
BUILDING Inspection Line: X503)639-4175
MST -------------------
IN'OPECTION DIVISION Business Line: (503)639-4171
BUP ---- —
Received __B.,L�_�+ —_Date Requested_—_.l z — AM____ PM__ BUP
Location _ - U_ ------- �-- - -� ",.Jit -- - MEC --- —�/—/-
Contact Person --- -_.__---- Ph
Contractor -__j-Lt, <(-- 0 �-_-__- Ph SWR
BUILDING Tenant/Owner __ __ _ --_ ELC --
Footing — ELC
Foundation Access:
Ftg Drain ELR _—
Crawl Drain ---
Slab Inspection Notes: SIT
Post& Beam --
Shear Anchors ---------------._ ------
Ext Sheath/Shear --------
Int Sheath/Shear
Framing -— - - _ --- ------ ---- ---
Insulation
Drywall Nailing - - -- -- —_ -----
Firewall
Fire Sprinkler - -
Fire Alarm .9 _
Susp'd Ceiling -- - —
Roof
Final
FAIL --�- -- —
Post& Beam —
Under Slab ----
Rough-ln n6 Lk)
Water Service /�P.l). ------- — -- ----------- -
Sanitary Sewer
Rain Drains --- -- -----
Catch Basin/Manhole
Storm Drain - �.- --.-- - --- - -- —
Shower r U j =-- -----_ - ---- ---- ---- --- �
Other:._ - -
Fin.g
;•#�A PART FAIL —__.__-- -- _ ... --- - �— ---------- ----
-- --------
_ HANICAL ---- -- -- --- - - - -
Post& Beam
Hough-In -- - -- ------ ---- ---- --
Gas Line
Smoke Dampers — - --- — - - --- _-- -
Final
PASS PART FAIL - -- - - - - --- - ---
ELECTRICAL
Service
Hough-In —.-- -- - - - ---- ------ - - ------------
UG/Slab
Low Voltage ----- - - --------- ----- ---- --
Fire Alarm
Final Reinspection fee of g ____._-. required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS_ PART FAIL
Please call for reinspection RE: __----___ Unable to inspect- no access
Fire Supply Line „
ADA
f�
A proach/Sidewalk Date / ? Inspector -_. Ext --
HP �
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
06, '2003 12:07 503-387-7617 VENTRE PAGE 03
DON - MORISSETTE
Ilowns lxcomrO ■ . T • o
4 12 0 GALSMO06 XT235T stilTs 1 . 0
ti::,s .y� ' s.i•(s:'g :. , 7 i °s OBE : A� �n��.0
LOT: 43
DATB: 5/5/33
6TANDARD ELEVATION PROPERTY: TINORNIIOOD
CITY: TIGAR'D
SCALE: Vn:20'
PLAN No.: 181D
12300 SIU, ASPEN RIDGid,g OR
AAO
M., in
t Ik Approach
441' J.
ji 41
4A-Y
' 7-
Cl -O
AAb
444 F .E. 1'
AAO 4 '-ndrm.
1 1/2 beth
4313 12 --
� d34_ erosion�;pArol
o- ag. Ancly E,1
LECHM LOT COVERAGE
LOT AREA: 4,100 sd F-T. LOT 043
--r Bu :.DIr3G AREA: 2,2W 90, r-T. 4,100 sq. ft.
MED OAK PERCENTAGE: AJ5%
I
CITY OF TIGARI) •SITF: PLAN REVIEW
IWILDING PERMIT `O0
M..ANNINO DIVISION: q rived
Required Setbacks: W Approved C3 Not i P
Side. -- Street Side:
Cis�ra�r .D... Rear:..
{"rant ..lz� T~
Vi,u,0 cleart�nce: Approve;1 Not Approved
Vfuxin;unl Building Height, feet ❑ Yes ❑
(v u
CWS Service prL)vider Letter I:equired:
❑ Received
IAN: CL Date:
\.IuaI alop c:A.Z". � pproved 0 Not Approved
Site III-In V1.proved 1 got Approved
i
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