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InitiallyGood j 1 12325 SW ASPEN RIDGE DR t I CITYOF TIGARD Pt UMBING PERI'AIT DEVELOPMENT SERVICES PERMIT#: PLM2003-0,0368 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 07/30/2803 SITE ADDRESS: 12325 SW ASPEN RIDGE DR PARCEL: 2S 110BC-TS037 SUBDIVISION: THORNWOOD ZONING: R-7 BLOCK: LOT: 037 — JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE Or 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: LAVATORIFS. OTHER FIXYURES: TUB'SHC,,VERS: SEWER LINE: ft WATEF. CLOSETS: WATER LINE: ft DI�PFIWASHERS: RAIN DRAIN: ft Romarks: back flow preventor _ FEES _ Owner: _ Description Date Amount DON UIORISSETTE HOMES 11"JUM131 Permit FCC 37/30/200' � $36.25 4730 GALEWOOC ST STE 100 I I'AXI 811%State Tax — 07l30/200� $2.90 I.AKE OSWEGO, OR 97035 Total $39.15 Phone : 503-38' 7slS Contractor: L.ANLISCAPE OREGON, INC. 12200 SW MY SLONY RD. TUALATIN, OR 97062 REQUrRED INSPECTIONS RP/Backflow Preventr, Phone : 503-692.5945 Rep#: PLM 7804 This pent, ; rs issued subiect to the reaulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and All other aF plicable 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 rnore than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those roles are set forth in OAR 952-0001-0010 through OAR 952-0001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-6699. Issued By: �3) 639-4175 Permittee Signature: �„' '��,-,Z -t' Calby 7:fl0 P.M. for an 'inspection needed the next business day 'I'll 29 03 02: 077 dan edmonds I 503-682 -0768 P � Plumbing Permit Alic :in ' ' • •NLY - - Received Plambing / C i}rtrlgy 3 l/YiU Prnnit Nc�L�I o-103'� 3 W D City 1.t 'igard ] Plamong Approval 7/ Sewer i 131125 SW Hall B_vd. t_ N IJ° Permit No.- Plan Itother 1 i({at d Oregon 972'.3 Daee/t3L Pemdt No 503-639-41'I Fax: 503-598-1%0 Post-Review Land Use Internet: www.ci.tigard_or.us UmdH. ___, Case No.: Cantact a 1.4-hoar Inspection Rcgue;;t 503--639-417Natrt1Mcthod: J,ris: Sr Page 2 for SU '.Icmcatal In form ation.- f-- -- TYPE'OF WORK -- FEE*SCHEDULE(for special InfC,�na(ion use checklist) cw constructionDemolition De:eri tion AdditiolAilletan�_tion/ lacemcut Other: New 1-&c 2-family dwellings --_ _ _._.. CATEGORY OF I,ONSTRUCfION fgde_des 100 R.for each atilit connectinu _ 1 &"l Famil dwciiin� Commercial/[Qduslrial sF baW _ 249.20 ---�!_ !z - SFR '2)bath - - - Access0 Buildin �-- 350.00 �___- _._ ( Multi-Famil SFR 3�batfi 399.00 _ Master Builder _ Other: _ F-ach additional batit/kitchen _ 45.00 _ _.'utB SITE -11,.MATION and LOCATION Fire sprinkler-sq.R: _ Pae 2 Job site address- 3 S Le�_F-I•�------ _ Site Utilities Suite Al: Bld It Catch Imsintarea drain _ 16.60 Pm�ee-c Name:- yl L��OG�( LUT �3 7 Det 'a'elVleach line/trench drain 16.60 !- (.mt;s streef/Uitections to job site: Foo iE drnur no. linear R - -�______�_- Page 2 Manufacttued horns utilities 110.00 IgG1 1/ fh.. 7 JV 40 Manholes --- 16 60 - Rain drain connector _ _ -- 16.60 Sanitary sewer no.linear ft. �-- - Subdivision: 7l1(1Y7)W cxY� Lot#; SNum smvcr(no.linear Pa e z - ---�--- - B•- - TaX a areGl#: rp��S" Waux service no-linwr_�-� Pa t 2 rA .•DESCkd"ION OF WORK ' -- Fi*tucr_de llem )4_, Abaa n valve T 16.60 r - Backflow preventer - Page 2 Backwater valve - 16.G0 _ 16.60 Dishwasher -- 16.60 OWNEIR ]'I' y -- Qrirtkin Countaui 16.60 N�am..�I'l'7��-i ss /t, f1zYy, S �"ators/s -� 16.60 Address. •�3,' - F„xptu,siontank_ --- _ IF.6C a �C(.f G�z Lter:�r� �7'Y,t# rixture/sewer cap 16.60 II City/$tate/G j jc�'G 6S[vt��y p rtZ�j 7p3y Flom drain floor sink/hub 16.60 Pb ne; Fax: Gam'-g-dis m1 16.60 _ PLICANT �- CONTACT RSW7_ Hose bib - 16.60 Name: //�/ y �,.'e/%cr=y - Ice maker _ 16.60 fnAnetot&cc tea - -16.66 - Cit /,�Y?Orj�l.0 j'YI f �L /P _.._�_ Medical valve: S Cit /State/Zt `� -- Page 2 _.� T,I eL{it-�f 7 n p Primer --_ Phoned �9a, s�y.s� :�-� [:RRoofdn16.60nk/basin/lava' 'r 16.60 E-t,tail: Tuh/sh_owV70- tower -- 16-60 _ • _ � '. ;CONTRACTOR:'t 16.60 £iusiness Name: /finds r p W:ater_closet --- Addrtm./�)C �(r) ^lt Water heater 16.60 A l� Otho- 16.60 !P Other 711 Q(cL .Kf /�- g�J(,�� Other: - Yhoae5o3F" FW- Sa3 fe a _O76 Pldmbins Ceratlt Peds• _ '-7 rir __ Plumb. Lic.#: -�. Subtotal t Authorized - Minimum Permit Fee$72.50 S Signahue:-- �I_G/IRcriderhal Backflow Minimwn F 6. _ u �y13 Plan Review _ - -1�F-i�M�jJQ�-I•-CrLC./ ______�- --_- 25yofP«mitFee S -=f-- (-PleaYe print mens) --- She Stuchargc(SX of Permit Fee S e2 Nntlea '"u permit appllatia,e:plres If a Perrelt Is not obtained within --- TOTAL PERMIT FEF 180 da-.,;after it has been accepiml res ioenpletc. All a w eemarercial letrmmact require 2.gt3 of plans with isometric err _ riser diagram for frt-.n review. Fee methodology set by Tri-C'orrnty Buftding Industry Service Board. CITY OF TIGARD 24-Hour BUILDING Inspection Line: '503)63$0-4175 MST 20 CD1.Z INSPECTION DIVISION Busin.lss line: 1503)639-4171 - BUP Received _ — Date Requested _AM PM BUP _ Location �-Z1, _ Aj _quite MEC Contact Person Ph( )QD 2-a 3:7 PLM Contractor -__-_— -- ___—_-- -- ---------___� Ph( ) SWR - -- --_-- BUILDING Tenant/Owner -_--- LC Footing Foundation ---�- ELC --- _- - _- - Access: Ftg Drain ELR Crawl Drain ____ _ Slab Inspection Notes: SIT Post&Beam Shear Anchors - Ext Shoath/Shear Int Sheath/Shear Framing ---- - - ----- Insulation Drywall Nailing - ---- ----- Firewall Fire Sprinkler - — -- - - --- - - -- -- - - Fire Alarm Susp'd Ceiling - — - --- - ---- -- - Roof Other ---- — F 1_ PASS PART FAILPR_H - !NG — Post& Beam — — Under Slab --- _ - Rough-In ------- --- "rater Service - ---- — -- S initary Sewer -ain Drains -- ----- �- -- -- r.atch Basin/Manhole Storm Drain Shower -- Shower Pan FinPl S PART FAIL — _ ANICAL Post&Beam - -- Rough-In Gas Line Smoke Dampers - - — -- PAS PART FAILService -"— ---- ----- _ Plough-In — ---— --- ----- —- -- UG/Slab Low Voltagejlre4klarm Z�Fina PART FAIL F] Reinspection fee of$ —_required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. _ P Pleb se call for reinspection RE: --_— �� Unable to inspect- no access Fire Supply Line ADA .,pproach/Sidawelic Dats._ � .lG - Inspector Ext----_... Others anal -- DO NOT REMOVE this Inspection record from the job site, PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (5^,3)639-4171 MST - BUP -- Received ----___—Date Requested 7-- AM-_ PM—__ BUP Location _- / as Suite--_ MEC Contact Person --___—__-- �d --- Ph --�� - � ) --- - PLM Contractor------- -------- --- Ph ----) __ SWR FFoundati(,n LDING — Tenant/Owner _- _ ELC - - -- ng —---- rainAccess: ELCl Drain ELR Slab Inspection Notes: SIT Pest&Beam - Shear Anchors — - ------- - - Ext Sheath/Shear Int Sheath/Shear Framing —_—..--- --_— - --- Insulation -- --- _-----. Drywall Nailing - - ----._.—__ Firewall Fire Sprinkler F re Alarm - - - -- Susp'd Ceiling Root / ----- -- Other:----- --- -- _--_—_ ----�1 Fina! - PASS PART FAIL_ --- ---- PLUMBING Post_& Beam`----- —_---- - --- — ---- r Under Slab Rough-In ------------ --- — --- Water Service — Sanitary Sewer — Rain Drains Catch Basin!Manhole — Stc!m Drain - -- Shower Pan �� y PAS _PART FAIL MECHANICAL Past&—B e—a Rough-in Gas Line ---- �- -- ---- Smoke Dampers --_-- ---._!-- -- Final - PASS PART FAIL ---- -------------� ELECTRICAL -------- —`... --- - — Sen ice — — ---- -- - --_ __ Rough-In UG/Slab -- - -- -- __ Low Voltace - Fire Alain I -- --- ------ - -- --- Final Reinspection fee of$.--_�—____ required before nL�xt ins ection. Pay at City Hall, 13125 SW Hall Blvd. MASS PART FAIL R Please call for reinspection RE: _ — [j Unable to inspect- no access Fire Supply Line —` ADA c ^, Approach/Sidewalk Dati_ _1L 3 - Inspector- l-.Z t.' 1 1 J .2 Other: ---- Ext —._-- Final -- DO NOT REMOVE this Inspection record from the job site. PASS PARI— FAILJ i CITYOF TIGARD MASTER PERMIT PERMIT#: MST2003-00192 DEVELOPMENT SERVICES DATE ISSUED: 5/12/03 PC 13125 SW Hall 3lvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 12325 SV1/ ASPEN RIDGE DR PARCEL: 2S110BC-TS037 SUBDIVISION: THORNWOOD ZONING: R-7 BLOCK: LOT: 1117 JURISDICTION: I I(i REMARKS: Const. new SF detached residence. _ BUILDING REISSUE. DM17D STORIES: FLOOR AREAS _REQUIRED SETBACKS_ REQUIRED CLASS OF WORK: NEW HEIGHT: 26 FIRST. I.17r, of BASEMEN/ 0 LEFT: 5 SMOKE DETECTORS. TYPE OF USE: Sr FLOOR LOAD: 40 SECOND: I 4 sf GARAGE. •Il•t of FRONT 21 PARKING SPACES: TYPE OF CONST: 6N DWELLING UNITS: I THRD sf RIGHT, 5 OCCUPANCY GRP: R3 6DRM: .1 BATH' .{ VALUE. . I,,rI nn TOTAL t��n) of REAR. 15 _ _PLUMBING SINKS: 1 WATER CLOSETS: 7 WASHING MACH: i LAUNDRY TRAYS: W 14AIN DRAIN 100 TRAPS. LAVATORIES: 4 DISHWASHERS: I FLOOR DRAINS: SEWER LINES loo Sr RAIN DRAINS: 1 CATCH BASINS- TUBISHOWER& 4 GARBAGE DISP: I WATER HEATERS: I WATER LINES: Inn BCKFLW PREVNTR. GPEASE TRAPS: MECHANICAL OTHER FIXTURES: FUEL TYPES, _ FURN<100K. BOIL/CMP<3HP: VENT FANS: CLOTHES DRYER: I —` FURN>-100K: I UNIT HEATERS HOODS: OTHER UNITS. I MAX IMP: ht'l FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: 4 _ EL.ECT RICAL RESIDENTIAL UNIT - _ SERVICE FEEDFR TEMP SRVCIFEEDERS _ BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp. 0 200 angr W/SVC OR FDR: PUMP/IRRIGATION: PER INSPECTION- EA ADD'L 500SF: s 201 - 400 imp, 201 400 amp 1 at WIO SVCIF DR: SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 600 amp EAADDL SR CIR: SIGNALIPANEL: IN PLANT: MANU HMISVCIFDR: 601 1000 amu: 001+a1nps-1000,. MINOR LABEL: 1000♦amvtvolt PLAN REVIEW SECTION Ruconnect only: 4 RES UNITS: SVCIFDR»225 A. >600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL _ B.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO h STEREO FIRE ALARM: INTERCOWPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER HVAC: LANDSCAP"FIRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC, DATA/TELE COMM: NURSE CALLS: TOTAL/SYSTEMS: Owner: Contractor: TOTAL FEES: $ 5,888.80 This permit is subject to the regulations contained in the DON MORISEETTE HOMES DON MORISSETTE HOMES INC Tigard Municipal Code,State of OR. Specialty Codes and 4230 GALEWOOD ST 4230 GALEWOOD ST,STE 100 all other applicable laws. All work will be done In STE 100 LAKE OSW'EGO,OR 97035 accordance with approved plans. This permit will expired I.-AKE OSWEGO,OR 97035 work is not started within 180 days of Issuance,or If the work is suspended for more than 180 days. ATTENTION. Oregon law requires you to follow rules adopted by the Phone: 503-387-7538 Phone: Oregon Utility Notification Center. Those riles are set S03�387_7 g forth In OAR 952-001-0010 through 952-001-0080. You Rpw; LIC + may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, PosUBeam Structural Mechanical Insp Shear Wall Insp Insulation Insp Water Service Im.I Grading Inspection Post/Beam MechanlGa Plumb Top Out Exterior Sheathing Insf Gyp Board Insp Appr/Sdwlk Insp Sewer Inspection Underfloor insulation Electrical Service Low Voltage Rain drain Insp Electrical Final Footing Insp Crawl Drain/Backwater Electrical Rough In Gas Line Insp Roof Nailing Mechanical Final Foundation Insp PLM/Underfloor Framing Insp Gas Fireplace Water Line Insp Plumb Final Issued By : _ _ Lti t� - %uJ—�c 1 Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an :nspection needed the next business day a,• CITYOF TI1603AA RD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2003-00156 13125 SW Hali Blvd., Tigard, OR 97?23 (503) 639-4171 DATE ISSUED: 6/12/03 SITE ADDRESS; 12325 SW ASPEN RIDGE UR PARCEL: 2S 110BC-TS03 7 SUBDIVISION: "'HORNWOOD ZONING: R-7 BLOCK: LOT: (13 JURISDICTION: Ili TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. Oi: BUILDINGS: INSTALL TYPE: LTPS)WR IMPERV SURFACE: Remarks: Sewer connection for new SF detached residence Owner: -- --- FEES _ DON MORISSETTE HOMES Description -Date Amount 4230 GALEWOOD ST p STE 100 [SWI ISA]Swr Connect 6/12/03 $2,300.00 LAKE OSWEGO, OR 97035 [SWUSA]Swr Connect 6/12/03 $0.00 Phone: 503-387-7538 [SWINSP]Swr Inspect 6/12/03 $35.00 [SWINSPI Swr Inspect 6/12/03 $0.00 Contractor: ----- -- Total $2,335.00 Phone: Reg#: Required Inspections i This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from the date issued. 'The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located,the installer shall purchase a "Tap and Side Sewer" Perm Issued by:�< .u�- TLSO C Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day I nTlp.: -•---.�-.»�:,.w.�u,�..�..... ..w»„d,,.,�.+„�;ivi:F,u�o.a,.+aw.wc:+..,..at�;.ks.virl.,.. Building Permit Application ro Date received:I; '/'O�j Permit no.”' City of Tigard ---- ---� Address: 13125 S W Hall Blvd,Ti ard,OR 47239 1003 1'roju dappl.no.: F Farr,date: Ciry of�g�rd 8 Phone: (503) 6394171 (lr OF T IGANO Date issued: By: f Receiptno.• i Fax: (503) 599-1900 � „tll nlrlr nl��le71 1r Casefileno.: Payment type: Land use, approval: - �i A" 1&2 family:Simple Complex: T— 7U I & 2 family dwelling or accessory U Commercial/industx7. Commercial/industrial U Multi-family , New construction U Demolition U Additiou/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other: _— JOB S11 IF INI 0111MATION lob address: L Bldg.no.: j ect nano: ProBlock: Subdivision; �(� Tax map/tax lot/account no.: Pro - Description and location of work on premises/spe-6al conditions: Name: 40 Mailing address:-1- ;('a II do 2 family dwetling: City Statel( l ZIP: m Valuation of work... $ Phone: - Fax: -7 -mail: No.of bedrooms/baths................................. Owner's representative: -t V I Total number of floors _ Phone: Fax: E mail: New dwelling area(sq.it.) — T- 4 area(sq. ft.) ........................ ` Name: ,Y 1 Covered porch area(sq.tt.) ......................... Mailing addressL�Xl Deck area(sq.ft.) ....................................... — City: State: _ 2 IP: Ott. -structure area(s(L'.'t.)......................... Phone: Fax: I E-mail: -- Commercial)Industrial/multi-family: Valuationof work........................................ $ Business Existing bldg.area(sq.Ft.) .......................... AddreNew bldg.area(sq. ft.)................................ Cit Y'. Number of stories........................................ State: _ ZIP: — Phone: — Fax: E-mail: Type of construction.................................... CCB no.: cj� — — Occupancy group(s): Existing: City/metro lic.no.: New: Notice:All contractors and subcontractors are required to'%c licensed with the Oregon Construction Contractors Board under Name: t. r t"+ __ provisions of ORS 701 and may be required to be licensed in tiv- Address: �� jurisdiction where work is being performed. If the app.icant is —City: State: "ZIP: exempt from licensing,the following reason applies: Contact person: Plan no.: Phone: Fax: E-mail: -- — Name: lContact person: Fees due upon application ........................... $ _ Address: _ Date received: City: State: ZIP: Amount received .................................. Phone: Fa Email: -- �� Please refer to fee schedule. 1 hereby certify 1 have read and examined this apt•lication and the Nor all jurisdictions wcelx credh cards,please call jurisdiction for more information. attached checklist.A revisions of I ws and ordinances governing this U vsa 0 MasterCard work will be comply wl ,whether cified hereA r 0 Credit card numlx•r _�— @xpircs Al1lhOCl2ed satll �� _ Name of cardholder as shown on credit card Print name:. Cardholder slputure— S Amount Notice: This permit application r me if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613(&M oM) 1 One-and Two-Family Dwelling Building Permit Application Checklist Reference no Associated permits: City of Tigard City of Tigard U Electrical U Plumbing U Mechanical Address: 13125 SW Hall Blvd.Tigard,OR 97223 U Other: _— Phone: (503) 639-4171 Faz: (501) 599-1960 I Land use actions completed.See,urisdiction criteria for concurrent reviews. 2 Zoning.flood plain,solar balance points,seismic soils designation,historic district,err_. 3 Verification of approved platilot. — _4 Fire district approval required. —---- -- 5 Septic system permit or authorization for r remodel•Existing system capacity 6 Sewer permit. — — 7 Water dis ict approval. 9 Solis report.Must carry original applicable stamp and signature on file or with application. 9 Erosion control ❑plan IJ 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 if copyright violations exist. ro K comer elevations(if I I Site/plot plan drawn to scae plan mu—_ _T rale.Thhow lot and building setback dimensions:p pe y there is more than a 4-R.elevation differential,plan must show contour lines at 2-ft intervals);location of easement and lot driveway;footprint of structure(including decks);location of wells/sepdr.systems:utility locations;direction indicator, — area;building coverage area;percentage of coy_eragc:impe�ivus 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 flits,plumbing fixtures,balconies and decks 30 inches above rade.etc. 14 Croce section(e)and devils.Show all framing-member sizes and spacing such as floor bums,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 a..d roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs, \ ;ire lace construction, thermal insulation,etc. 15 Elevation vlews.Provide elevations for new construction;minimum of ton 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 acce tab!:. I fi Wall bracing(prescrlptive path)andlor lateral analysis plans.Mast indicate details and locations;for non-prescriptive path analysis provide specifications and calculations to engineering standards. spacing, _ 17 Floo-Iroof framing.Provide plans for all floorslroof assemblies,indicating member sizing,spacing,and beating locations.Show attic ventilation. [19 Basement and retaining walls.Provide cross sections and details showing placement of rebar.For engineered _ systems,see Pem 22,"Engineer's calculations" 19 Besm calculations.Provide two sets of cidculations 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 floorlroof►rues design details. — 21 Energy Code rompliance.Identify the prescriptive path or provide calculations.A gas-piping schematic is required for four or more appliances. 2..2 Engiaeer,s calculations.When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or architect licensed it,Oregon and shall tw shown to be applicable to the project under review. 23 Five(5)site plans are required for Item 11 above. Site plans must be 9-1/2" x I I"or I I" x 17". _ 24 Two(2)sets each are required for Items 16, 19,20&22 above. 25 Building plans shall not contain red lines or tape-ons.r 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�'ear ink. Red ink is reserved for department use only. Mechanical Perinit Application Datereccived: Pcrmit no.:6Y ax -De-- ot City oft Tigard Project/appl.no.: Expiredate: — - CiryofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receiptno.: Phone: (503) 639-4171 -- — Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Building permit no.: TYPE OF PERMIT U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement X4ew construction U Add ition/alteration/replacement U Other: _ 1 { 1 1 1 1 Job address: 7 w 1 Indicate equipment quantities in boxes below. Indicate the dollar , Bldg.no.: _ uite no.: r value of all mechanical materials,equipment,labor,overhead, Tax map/tax lotlaccount no.: profit.Value$ Lot: Block: Subdivision: hV °See checklist foi important application information and Project name: jurisdiction's fee schedule for residential permit fee. City/county: ZIP: 1 al Description and location of work on premises:_ Apo r�AC. 1 1Fee(esm.) Total Est.date of completion/inspection: Descri on lh�. Res.only Res.ouly Tenant improvement or change of use: Air handling unit CFM Is existing space heated or conditioned?U Yes U No Au conditioning(site p an requtrr Is existing space insulated?U Yes U No Alteration o exmstinq A system oilu/compressors State boiler permit no.: Business ngme: 1 _ Hp Tons BTU/H Address: gismo a damper;/duct smoke detectors City: State ZiP:, eat pump(site plan required) Phone: Fax: E-mail: nsta replace mace%burer _ — - Including ductwork/vent liner U Yes O No _ CCB no.: �r� _ nstalUrep ac re ocateheaters-suspen e City/metro lic, no.:N/A wall,or floor mounted. Name(please print): ( Vent forappliance other than furnace e Brat on: Absorption units —_ BTUM _ Name: Chillers HP — Com- sors _ HP Address: _ _— rurmental exhaust an venttlat on: City: — State: ZIP: A phancevent _ Phone: Fax: E-mail: erexhaust — ocxTs-9—ype U T LUre—s.U tc I�n/hazmat hood fire suppression system Naive: >n Exhaust fan with single duct(bath fans) ) aust system Mailing address: a from heatin or C ne pep ng an dist ut on(up to 4 outlets) _City: State _ ZIP Type: -- LPG __ NG Oil _ Fhonc' y 7- Fax` F-mail uel piping each additional over 4—outlets Process piping(schematicrequired) Number of or.tleLs Name: _ --UA er tstc�appT�ice o-t egTment: -- Add_ress: Decorative fireplace — City: —� _�Slate: ZIP: nseri s T4to�pellet stove Phone- Fax: mail: Other: S Applicant's sign anr Date: )� pl tier —� Y Permit fee ....••••••$ —. Na all Juriadicfiom;;; credit canis,piesse can juisdiction for nrm Information Notice:Thisrmit application Pe PP Minimum fee................$ _ - ❑Visa U MasterCard expires if it permit is not obtained plan review(at ^ %) $ _ credit ewd numbs —__ -- -- within 180 days after it has been State surcharge(8%)....$ — Name of rardho der a 7h--a on c ire accepted as complete. s TOTAL.......................$ — Cardholdu Npwure Amour 4164617(60WCOM) I Plumbing Perinit Application ---- _ Date received. _ IPermit no.EdQAV_�� -U /; , City of Tigard Sewc pemut no.: -- Building permit nc.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 CiryojTigard phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-19150 Date issued: By: Receipt no.: Land use approval _ __ C:;se file no.: Payment type: C] 1 &2 family dwellim;or accessory J Commercial/indusL-i_! L.1 Multi-family 0 Tenant irnprovement jdew curl niction U Addition/alteration/replacemeru O Pool service U Other. — _ INE:13:11141MITT'M 1 �� -� L t ) ' ��__ — —_Description Qty. Fee(ea.) 'Total Job address: _�] --- -- Z� Nen I and 2-fatnil dwellings only: Bldg. no.: ite no.: Y s _— (iarludes 100 fl.1'nr each trdlityconned ion) Tax map/tax let/account no.: SFR(I)bath _ Lou 2.) .7 Block: Subdivision:L- SFR(2)bath _ Project name: SFR(3)batt City/county: T-----�ZrP_ Each additional badlikitchen _ Description and location of work on premises: _. _-- Siteutilities: _Catch basin/area drain _ ESL date of completiai/inspertion: Drywells/leach line/trench drain Footing drain(no. lin. ft.) _ / , Manufactured home utilities Business ntlmr Q�,�S��S.� L h (- !-i _— Manholes — - _Address: ��lp� p_ - _ Rain drain connector _-- - r 14.E` �` Sa)tita sewer Ino.lin. ft j Stau• ZlP: ry Phone.. Fax: E-mail: Storm sewer(no. lin.(t) _ _ Water service(no.lin.ft.) CCB no.: 7 Plumb.bus. reg. no: - FIXture or item: City/metro lic. no.:N/A - Absorrtion valve _— Contractor's representative signature ! —_ Back tl^w presenter _ — Print name: -- U r J Backwater valve-- Basins/lavatorv, Clothes washer Name: _ �— Dishwasher _ Address: YY`F � .� V Dnril:ing fountain(s) Cine ----^i _— State: ZIP: Ejectors/sump Phone: Fax: E-mail: Expansion tank _ Fixture/sewer ca -Z Floor drains/floor sinks hub Name(print): r�� ,�` �_ _ - L '� _� � Garbaxe disposal Mailing address: Hose bibb City (� State ZIP: Z Ice maker — n --��-( Email: Interceptor/grease trap _hone- 7 tar: Owner insta!ladcn/reside jdal maintenance oniv: The actual installation Fnmcr(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 OP.S Chapter 447. Sink(s),basin;:;),lays(s) Owner's signature: Date: Sump - Tubs/shower/shower pan — _tnnal Name __ _ Water closet _ address: Water lu:ater -- City: _ --- State: ZIP: Other Phone: __LF ax_ E-mail: Total _ ------- - — Minimum fee................S ---- Na ill)un�diniory arc.p credit cards,pleas eau p,nsdicuon for mote mformauon Notice:This permit application Plan review(at — %) S Q visa 0 MasterCud expires if a permit is not obtained ---- within 1 SO days after it has been State surcharge(8%) ....E __----- C.rdii cxd numtxr. _« - $ Expires TOTAL I acct-pled u .""" complete. .."' '."...... 'Jame or cardhoker at shown on cred,i card ---_ S Cardholdu si6r,aiure-- Amoun, J 440-1616(6rt16�COM) i Electrical Permit Application Datereceived: Permit no.: r-j W? -W i City Of Tigard Pruject/appl.no.: Expiredate: City of Tigard Address: 13125 SW Hall Dlvd,Tigard,OR 97223 Dateissued: By: Receipt no.: Phone: (503)6394171 — Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: TYPE OF ❑ 1 &2 family dwelli;tg or accessory U Commercial/industrial ❑Multi-family U Tenant improvement New construction U Add ition/al teradordrepiacement C3 Other. U Partial It INFORMATION Job address: _ W _ Bldg.no.: Suite nn.: Tax map/tax lot/account no.: Lot: 91ock: Subdiv ion: Project name: Description and location of work on premises: Estimated date of completion/inspection: III) Job no: 11, I Fee Max Business name: 1 Description Q(t- (ea.) Total no.lnsp Nen residrntial-single or multi-family per Address: 1 / / L doelfingunit.Includes attached garage City: En _ State: ZIP: smieebiclu"- Phone: ij ( Fax: E-mail: IOgOsq.ft.orless _ 4 A additional 500 sq ft-or portion thereof CCB no. � Elec. bus.lie.no:a(p� Unutedenergy,residentiel 2 Umitedcergy,non-residential 2 Each manufactured(tome or modular dwelling atureojsupervistnp etedrfclan(re ufred) Uate Service andior feeder 2 Sup elect name(print) 1 License no a Services or feeders-installation, alteration or relocation: smol 200 amps or less 2 Name (print): ri 201 amps to 400 amps 2 401 amps to 600 amps 2 Mailing address: 1/ 601 amps to 1000 arnps 2 City: L I State ZIP: Over 1000 amps or volts 2 Phone: Fax: --7 -mail: Reconnect only I Owner Installation:The installation is being made on proper.y I own Temporary services or feeders- which is not intended for sale, lease,rent.or exchange according to illation,alteration.or relocation: ORS 447,455,479,670,70I. 200 amps or less 2201 amps to 400 amps 2 Owner's signature: Date: sot to 600 ams 2 ENGINEER Branch circuits•neve,alleratlon, or extenslon per panel: Name: _ A Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City' State: ZIP: B Fee for branch circuits without purchase - or service or feeder fee,first branch circuit: 2 Phone: Fax: E mall: Each additional branch circuit: PLAN REVIIEW(Please check all that apply) Mise.(.Service or feeder not Included): ❑Service over 225 amps-comtnemial ❑Health-care facility Each pump or irrigation circle 2 ❑Service over 32.0 amps-rating of 1&2 ❑Hazardous location Each sign or outline lighting 2 family dwellings ❑Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel, ❑System over 600 volts nominal more residential units in one structure alteration,or extension* 2 ❑Building over three stories ❑Feeders,400 amps or more •Dexo tion: ❑Occupant load over 99 persons ❑Manufactured structures or RV park Each additional Inspection over the allowable In any of the above: ❑EgressAightingplan D Other. ——�-�— per inspection Submit____sets of plans with any of the above. Investigation ice _ The above are not applicable to temporary construction service. Other --- _- Not all jurisdictions accept credit crude,please tall jurisrlicum Ire more infamutltxr NOIICe:This permit application Permit fee.....................S ❑Visa ❑MasterCard expires if a permit is not obtained Plan review(al _ %) $ cred t card numtw: %;ithin 180 days after it has been State surcharge(8%) ....$ _ Upies accepted as complete. TOTAL .......................$ Name of cardholder u shown on credit card —` Cardholder rignarure _ Amount 440-4615(6410dr(-)f,l _ 96. 3 2/2rl9? ,a:58__ 503-387-7617 vENTUpE PAGE 02 EE 4 1111 14 0 19 COW FOOTING -------------- 777-4 oc � � ° - w DON - MORISSETTE H 0 M 3 3 1 N C 0 R P 0 R A T 9 D —47 4 2 3 0 CA L9W0CD STR EST I U I T 3 1 0 0 L A K K 0 8 W I a 0 a 9 a 0 6 ? 0 3 5 5 O (5 0 3) 3 4 1 - 7 5 3 4 FAX (503) 3N 87 - 761BE : 2914. 1 LOT: 37 OPI-10NA ELEVATION I DATE: 4/23/03 PROPERTY: THORNWOOD CITY: TIGARD SCALE: 1"=20' PLAN No.: 17D 460, 460' 10' P&D E— 7LONG P,4 T 100 A54 4 bcIrm. 454 3 bath 452 i� 424ert.1. 2 6drr-78dr—, F.F.E. 450' PfaeCH 'AA L_---- -- ir-oncrate rlvaway' 441' ,4, 44D 48' A V 441' 777 -- - . . rC4ck -- -- 50.0ey" loll 12.325 5,W. A5FmFN FRIDGE LEGEND LOT COVE-RAGE LOT AREA: 4,A50 SO. FT LOT 031 00 --1' N0k4r"F:;*, BUILDING AREA: 1,844 Sa FT 4 RE, OAK PERC:ENT46E. 41.49. 450 sq. rt.. CITY ()F'TIGARD- SIXE PLAN Rf+VIEW BUILDING PERMIT U., c°t PLANNING DIV lSlnf jt Approvedt3 Not Approved Rcgttired `+rtthuex': S `street Side: o -- Side: '2.o Reir: Iff-- fron'c. _ Crira}+e: ..---_- Vis++al l:IcaruncN A hro,, r_J Not Al)pr()ved ty1s►xinuim Buildi.1" tieil�hl Y cws service Pr,+�i��r I.et►er her:i . L r. r : i:NwNI:.F:R{-+tiht, 1►L I',�11T �IP('r�, "I rJ Not Approved Actimi S1ope:� Not Approved Site Ma++ Approved f1v: I�'� pl-l"v Date' d' l CiTy OF TIOARD Residential Certr ficate O f Occupancy Permit No.: 6)03 -00 Z Address: Owner/Conti, ,r t y Et'rTf Date of Final Inspection Inspector: This stricture has been found to he in substantial compliance with the provisions of the Stale of Oregon One cfe Two Family Dwelling Specialty Co&and is hereby tipped for occupancy_ _ I