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SrfglreS«tx�1: rrF�v�cM� FxylrWN i Inc , 804 EnVinWilp
T'FmrrtwC*d City of T'Iq�, Oregon. dated &rrCh 1e r�3COnOW10n o'E*V wo K
w)Foftltr Er,plrW, JIM Imbr10, IUM vlsitw'
r ,e Nfpo+lee of . th* Ira�er reh+rndr,c�ez! lot nwmbe' 48 on At�frr• 14, 2004
vWt Nree primer!ty b „y�Aav„ tdw /o+�r1dNR(r�n fwave'�n Su reg
p�Y,xirr�f±'d. 1r1 e� e f Subgrade. r>tnd looting
r�)std�r e t � ease and tww..* ut: Tri* ndowvst egMCen� rootlraB Cor t^• S.,b)sct
PPmx4T+elefy 7 ("t from the 1%*Ck d ttw r WON w,ci 7 feet etvwe Me t oso of the rcck
w}ali nveeurod by t.`W fOundatl0n conlrec.tme 1"Of "I
The ault�ue IgenO�al� oonsletecf oC+rrr r aMrnd rAI that pr�taAa1 �r;fl to v*ry • If9 The ourrAnt
4ubprwds Is
1;YanSk$ w1Pd o4hotiOva for eorood four460011 sinal Romwi on ou, obeeWet 0r S. t-O
raundoWn WA()QF4W% find Wowstlon O"411a1p 411OL lt! bs *CC*P1AN0 fir Support tri the propc9se
t#Inple-ternliy IxMx?a!t PPV1r):fe+:';h Prn�rl(� Kubgs`�R,iex w11ra1 v�OOrva�
O'!r v Wiq ,00ps for th1�
W'4ee of 9eOte-hrICA Wtew Pe'talne to fouVaban b"rin, oondlt,"only
Ona Is 4MIU4 to the oondltlons exists Wd exp041ed et tfre tlme of our site vlslh. Tn1e ropo i is kx
Don Mor,e"% Htm,41 only and Intormatlon herein Should not be rel ed upon try others witnout
coneuldnp GOOPOOM C Englneering, Iris. It you have any further gjeetlons, pies'"CGOII,
glnc>�rA(y,
GOOP00fin tt'n9k4"r,q.Inc.
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Port wo, or"00 991114 ran(003) 1"4700
1
CITY OF TIGARD 211-Hour
BUILDING Inspection Line: (50�4 639-4175 MST DOGd�
INSPECTION DIVISION Business Line: ( 3yWA�4171
� BLIPReceived --_ Datc Requested__4� L" AM -____ PM — BLIP
Location _ _ Suite MEC
Co,,tact Person _ _ �1. --� Ph( ) �'0 = ,. 7 PLM
Contractor ..--- Ph(.-) - SWR
BUILDING Tenant/Owner _ _. ELC
Footing
Foundation Access: ELC --
Ftg Drain ELR
Crawl Drain �i - 7 __ --- --
Slab Inspection Notes: �l SIT - -- -- -
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear -- --V- -
Framing
Insulation
Drywall Nailing _
Firewall 7 ` \
Fire Sprinkler / �`— / �`` ✓
Fire Alarm —
Susp'd Ceiling - - -
Roof
Other: —
Final — '---
PASS PART_ FAIL
PLUMBING
Post&Beam
Under Slab
Rough-Ir.
N;ater Service _
Sanitary Sewer
Rain Drains - ------- -
Catch Basin/Manhole
Storm Drain
Shower Pan
Other:
PART FAIL
f
Post& Beam _
Rough-In
Gas Line
Smoke Dampers --—
Final
PASS PART FAIL -- --
ELEC-RICAL
Rough-In
UG/Slab - - -- - -- -- - -
Low Voltage
Fire Alarm
Final LJ Reinspection fee of$_ _required before next inspection. F.. at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SIT_E _ [:] Please call for reinspection RE:_ F-] Unableto inspect-no access
ADA L(Lin
DAe /7
�a
Approach/Sidewalk Dais Inspector
_ _.__ __ _ Ext
Other:
Final DO NOT REMOVE this Inspection record from the Jab 1r ate.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line. (503) 639-4171 MST _'Z40
BUP --
Received Date equested� AM___ PM _-- BUP
Location _ U _ _ MEC
Contact Person PLM
Contractor -- - - - ----- Ph( -) ---- SWR
BUILDING Tenant/Owner _-_ _. -_ ELC
Footing - -
Foundation Access: ELC
Ftg Drain ELR -
Crawl Drain _ ---- --
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors ---- -____
Ext Sheath/Shear
- - --
Int Sheath/Shear -
Framing --
Insulation \,
Drywall Nailing --r--_ _
Firewall /
Fire Sprinkler
Fire Alarm
Susp'd Ceiling --- /
Roof i V
Other: -
Final
PASS PART FAIL -�
-
Post&Beam - -- - -
Under Slab --
Rough-In - -
Water Service --- _
Sanitary Sewer
Rain Drains - - -_--
Catch Basin/Manhole
Storm Drain
Shower f an
Other: _ - - - ---- - _
Final
_PASS _PART FAIL -- --
MECHANICAL
"ost&Beam
Rough-In - -- �- -
Gas Line
Smoke Dampers - --- T.__`- -_-- -
Final
PASS PART FAIL
ELECTRICAL
Service
--
Rough-In
JG/Slab
- -- - --- -
Low Voltage _
Fire Alarm
14 0
pl� Reinspection fee of$_. required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PAS PART FAIL
Sll'E _ _ Please call for reinspection RE:_- _ Unable to inspect-no access
Fire Supply Line
ADA 6�� , r
Approach.�Sidewalk Data_,-- �� Inspect -- �m Lt5
- 1-} -- Ext ----._
Other: _
_.tASS PART FAIL DO NOT REMOVE this Inspection record from the JoL site.
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CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST cbO V-00 O O(�
INSPECTION DIVISION Business Line: (503)639-4171
BUP
Received ... -_ __ .-_- -. Date Requested AM_ PM __ _ BLP
Location _—_� _Suite MEC
----- -----
Contact Person __ Ph(__ ) �d � 4 93? PLM
Contractor —_ _—___.._ Ph( ) SWR
BUILDING Tenant/Owner __ __—_ ELC
Foot
iig ELC
roundation ---
Access:
Ftg Drain ,.LR
Crawl Drain SIT _
Slab Inspection Notes: �-
Post&Beam
Shear Anchors — - -- -
Ext Sheath/Shear
Int Sheath/Shear 774i7:V0
Framing
Insulation
Drywall Nailing '
Firewall
Fire Sprinkler
Fire Alarm
►
Sus,)'d Ceiling
Roof y
Ot er. - -
S_PART FAIL -
BING
st& Beam
Under Slab ----
Rough-In
Water Service
Sanitary Sewer
Rain Drains — —
Catch Basin/Manhole
Storm Drain --- - - --- —
Shower Pan
Other. --
Final
_PASS PART FAIL - - - ---------
MECHANICAL _
Post& Beam
Rough-In - -------- - -------- ------ ---
Gas Line —
SM91e Dampers - — — -
in
PART FAIL -- -- -- —
CTRICAL
Service
Rough-In — —_—
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of before next Ina$� _ required
t-ASS _PART FAIL — p pection. Pay at City Hail, 13125 SW Hall Blvd.
SITE [] Please call for reinspection RE:_ ❑ Unable to inspect-no access
Fire Supply Line
ADA /41/0 ----
Approach/Sidewalk Date _------_.__- InspeatOr_—______-------__._---
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspect;on Line: (503) 639-4175
MST
INSPECTION DIVISION Business Line: (503) 639-4171
BLIP - --
Received . _ _.__ Date Requested / ___ M __ PM BLIP
Location -] �� �1 Suite MEC
Contact Person _ Ek, Ph( ) 1 G PLM . UD _Dyo
Contractor __ _ Ph( ) _- SWR
BUILDING Tenant/Owner _ _-____ ELC
Footing ELC
Foundation Access:
Ftg Drain ELR _-
Crawl Drain ---
Slab Inspection Notes: SIT
Post&Beam -
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing - - - --- -
Insulation
Drywal Nailing
Firewall
Fire Sprinkler --- -
Fire Alarm
Susp'd Ceiling --- -
Roof
Other: - -
Final
PASS PART FAIL
PLUMBING
Post& Beam
Under Slab —
Rough-In
Water Service - ---_-- -
Sanitary Sewer
Rain Drains --- -
Catch Basin/Manhole
Storm Crain __ - ------- -- --
Shower Pan
Other: -
m
ASS PART FAIL - -- --- ----_.__ _- --
(MEtHANICAL
Post& Beam
Rough-In -
Gas Line
Smoke Dampers - -
Final
PASS PART FAIL -- - -- --
ELECTRICAL
Service
Rough-In
UG/Slab
Low Voltage
Fire Alarm
Final t_J Reinspection fee of$_ -required before next inspection. Pay at City Hall, 13125 SW Hell Blvd.
PASS PART FAIL
SITE —_ Please call for reinspection RE:_._ _ — _ Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk D� {-� ------ Inspector__ --EUct
Other-
Final
therFinal DO NOT REMOVE this Inspection record from the jab Sita.
PASS PART FAIL
CITY O r r T I G A R D _____,MASTER PERMIT
PERMIT#: MST2004-00004
DEVELOPMENT SERVICES DATE ISSUED: 3/17/04
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 12340 SVV ASPEN RIDGE DR PARCEL: 2S11013C-07400
SUBDIVISION: THORNWOOD ZONING: R-7
BLOCK: LOT: 04', JURISDICTION: fi(;
REMARKS: New SF
BOLDING
REISSUE: DM1700A2 STORIES: 7 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 28 FIRST: 754 at BASEMENT: 784 of LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,570 at GARAGE: 405 of FRONT: 15 PARKING SPACES: 2
TYPE OF CONST: 5N DWELLING UNITS: 1 THRD. 1,820 al RIGHT, 5
10679.
OCCUPANCY GRP: R3 BDRM: ,5 BATH: 3 TOTAL: 9.974 a1 VALUE: 383. REAR: tti
PLUMBING
SINKS: WATER CLOSETS. WASHING MACH. LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES 4 DISHWASHERS: i FLOOR DRAINS: SEWER LINES: 100 SF RAIN GRAINS: I CATCH BASINS:
TUSISHOWERS: GARBAGE DISP: 1 WATER HEATERS: I WATER LINES,. 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<100K: BOIL/CMP<3HP VENT FANS: 3 CLOTHES DRYER: 1
GAS FURN>-100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: Ltu FL OOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4
_ ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: v 0 200 amp: 0 200 ampWISVC OR FOR: PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L 5005F. N 201 400 amp: 201 400 amp: tat WIO SVC/FDR. SIGNIOUT LIN LT: PER HEAR:
LIMITED ENERGY: 401 600 amp: 401 600 amp: EAADDL BR CIR: SIGNAL/PANEL: IN PLANT
MANU HWSVC/FDR: 601 1000 amu: 601+MMPs.1000v. MINOR LABEL:
1000+amp/volt:
PLAN REVIEW SECTION
Reconnect onlV:
>=4 RFS UNITS: SVCIFDR>=225 A.: >800 V NOMINAL: CLS AREA/SPC OCC
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO S STEREO: VACUUM SYSTEM: AUDIO 6.STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILEP. HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATAITELE COMM: NURSE CALLS TOTAL N SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 6,537.09
DON MORISSETTE HOMES DON MORISSETTE HOMES INC This permit Is Subject to the regulations contained In the
4230 GALEWOOD ST 4230 GALEWOOD ST,STE 100 Tigard Municipal Code,Stale Specialty Codes and
STE 100 LAKE OSWEGO,OR 97035 all other applicable laws All woo rkk well be done i
LAKE OSWEGO.OR 97035 accordance with approved plans. This permit will
H
ll expire
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 rules are set
T87-7 forth in OAR 952-001-0010 through 952-001-0080 You
Req N: t3-• � � may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987
REQUIRED INSPECTIONS
Ersn Cntrl 681.4444 Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdwlk Insp
Sewer Inspection Underfloor Insulation Plumb Top Out Exterior Sheathing Insl Rain drain Insp Electrical Final
Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Storm drain Insp Mechanical Final
Foundation In,•.p Footing/Foundation Dr, Electrical Rough In Gas Lime Insp Water Line Insp Plumb Final
Post/Searn Structural PLM/Underfloor Framing Insp Gas Finiplace Water Service Insp Building Final
Issued By : � � Permittee Signature
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day
CITYOF TIGAR® SEWER CONNECTICN PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2004-00008
13'125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/17/04
SITE ADDRESS; 12340 SW ASPENRIDGE DR PARCEL: 2S 110BC-07400
SUBDIVISION: THORNWOOD ZONING: R-7
BLOCK: LOT: 045 JURISDICTION: 'CIG
TENANT NAME:
USA NO: FIXTURE UNITS:
GLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Nc w SF
Owner: __— _ — ----_ FEES -----
DON MORISSETTE HOMES Description Date Amount
4230 GALEWOOD ST --
STE 100 11 Y OF TIGAKD 3/17/04 $2,400.00
LAKE OSWEGO, OR 97035 Cl I'Y OF TIGARD 3/17/04 $0.00
Phone: 503-387-753N ISWINSPJ Swr Inspect 3/17/04 $35.00
Contractor.
ISWINSP)Swr Inspect 3/17/04 $0.00
- -- ---
Total $2,435.00
Phone:
Reg #:
Required Inspections
This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180
days from the date issued. The total amount paid will be forfeited 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" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted
by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-6699.
Issued by: Permittee Signature:
Call (503 639-4175 by 7:00 P.M. for ai inspection needed the nex' business day
_Building Permit Application
„ Date received: -17j 1� Permit no.:
City of Tig � �/ ((ff''``�
City of Tigard
Address: 13125 SW91�i,FIL &223 F'roject/appl.no.: _ Expire date:
Phone: (503) 639-4171 Date issued: By. ,receipt iso.:
Fax: (503) 598-1960 JAN I .S )0(,4 Case file no.: Payment type:
Land use approva '*V OF T-103A__ 1&21amily:Simple Complex
WAN U I &2 family dwelling or accessory U Commercial/industrial U Muiti-family ,CNew const.-uction U Demolition
U Add ition/altcmtiott/replacement U Tenant improvement U Fire sprinkler/alami 0 Other: _
.1011 SITE t
Job ad s: 1 I Bldg.no.: Suite no.:
Lo_ Block: Subdivis on: w ) Tax map/tax lot/account no.: Y—
Project name: /-I a I I Cjt' - 0 T400
and location of work on premises/special conditions:
(Floodpinin.sepillcftpacity
Mailing address: I&2 family dwelling:
City: Stater! ZIP: ! Valuation of work........................................ $�
Phone•. Fax: :mail: No.of bedrooms/baths................................. _
Owner's representative: Out r I Total number of floors................................ -
Phone: Fax: E-mail: New dwelling area(sq.ft.) .......................... _
Garage/carport area(sq.ft.) ........................ 7l1�7
Name: 1 - � Covered porch area(sq.ft.) .........................
Mailing address: is- Deck area(sq.ft.) ........................................
— ")ther structure area(s . ft.)..........
City: State: ZIP: •••• •••• •••••
Phone: Fax: E-mail: Commerciallindustriallmult[-family:
Valuation of work........................................ $ — —
Ex�,sting bldg.area(sq. ft.) .......................... -- _
Business name: 1 New bldg.area(sq.ft.)...............
Z ,
-
Address: -
-• Number of stories........................................
City: State: ZIP:
-- Type of construction....................................
Phone: Fax: _ I E-mail:
Occupancy group(s): Existing: —
,�z — --- New: _
City/metro tic.no.: Notice:All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
Name: , provisions of ORS 701 and may be required to be licensed in the
L
Address: CO jurisdiction where work is being performed. If the applicant is
Ci!.Y: i State: ZIP: exempt from li�-.,:sing,the following reason applies:
Contact person: I Plan no.: — -
Phone: Fax: E-mail: -- -
Name: Contact person: Fees due upon application ........................... $_
Address: _ Date received: _
City: State:_ IZIP: Amount received ......................................... $
Phone: Fax_ I E-mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not ati Jurisdictions accept credit card,,ptease tail jurisdiction for marc information.
attached checklist. rovisions of I ws and 1�inances governing this U visa O AMastetcam
work will be comp) wi er,whethcified.Herern t L�) credit card mhmhet: _ _ /
G)l� Expires
Authorized si natu `
Qk+ i1♦ Name of cardholder as shown on credit card
- s
Print nstmc: _ 4 Zf_1"�� I f e -� Arnount —
t.ardholder,iputtae
Notice:This permit application expires if a perruit is not obtained within 180 days after it has been accepted as complete. 4404611 rrmrrconfl
One-and Two-Family Dwelling
Building Permit Application Checklist Referencrno.:
City of Tigard City of Tigard
Associated permits:
y g O Electrical 0 Plumbing O Mechanical
Address: 13125 SW Hall Blvd,Tigard,OR 97223 ❑Other:
Phone: (503) 639-4171 — — --
Fax: (503) 598-1960
FOLLOWINGTHE 1
No
I Land use actions completed.See lunsdictiou cntcna fur concurrent reviews.
2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc.
3 Verification of approved plat/lot. _I
4 Fire district--approval required. {
5 Septic system permit or authorization for remodel. Existing system capacity
6 Sewer permit.
7 Water district approval.
8 Soils report.Must carry original applicable stamp and signature on file or with application.
9 Erosion control ❑plan D permit required. Include drainage-way protection,silt fence design and location of
catch-basin pmtection.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 bev a plan location and details. Plan review cannot be completed
if copyright violations exist._
11 Sitelplot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if
there is more than a O4 elevation differential,plan must show contour lines at 24L intervals);location of easements and
driveway;footprint of structure(including decks);location of wells/septic systems:utility locations;direction indicator,lot
urea;building coverage area ;percentage 4coverage;impervious area.existing structures on site;and surface drainage.
12 Foundation plan.Show dimensiom,,anchor bolts,any hrld-downs and reinforcing pads,connection details,vent
size and location. _
13 Flt.or 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 bearine
_ 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 cut-rent 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.
[2_2 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.
.11 1
23 Five(5)site plans are required for Item I I above. Site plans must be 8-1/2"x 11"or 11"x 17".
24 Two(2)sets each are required for Items 16, 19,20&22 above. �Y
25 Building plans shalt not contain red lines or tape-ons.
26 No rolled,reversed or mirrored building plans will be accepted.
27
'8
Checklist must be completed before pl:u; 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(WWOM)
Plumbing Permit Application
Date received: Permit no.:/J
>, City of Tigard � Sewer permit no.' - Building permit no..
-"y Address: 13125 SW Hall Blvd.Tri}srd,lOR7 97223
City ofTtgar! Phone: (503) 639-4171 JAI`I .� J LOO�4 Prolect/appl.no Expire date:
Fax (503) 598-1960 Date issued: By: Receipt no.:
CITY OF TIGARD Case rile no. Payment type:
Lard use approval'
t �
U l &2 f^rnily dwelling or accessory 0 Commerce Uindustnal ❑ Mulu•famity 0 Tenant improvement
ew cr.nstruction 0 Addition/alternuon/teplacerncnt 7 Food service 0
t �1 11113I i t
M7 r7YV7;1gM
^' Dnscriotion Qty. Fee(er.) Total
Oobddre. ) Vevr I-and 2-family drreiiings only:�
Bldg.no.: Suite O.: i includes 100 it.for ena utility cotma:tion)
Tax map/tnx lot/account no.: SFR(1)bath
riot Block: Subdivision: SFR(2)bath
Pm;ect name: _ SFR(3)bath
Cit)/county: ZIP: Each additional bath/kitchen
Description and location of work on premises: Ca ch basinl
Catch basin/area drain
Drvwells+leach line/trench dram
Est.date of completion/'inspection: Fooung drain(no. lin. ft.)
Manufactured home utilities
Business name: :-�N .l- �rt�I �� I Manholes
Address: Rain drain connector _
State- ZIP. Sanitary sewer(no.lin. ft.)
City - Storm sewer(no.lin.ft.)
Phone: <"t_�< Fax: E-mail: Water service(no.lin.ft.)
CCB no.: Plumb. busreg. no: Picture or item:
City/metro tic. no.: N A Absorption valve —
Contractor's repr_esenta.tive signature J Back Clow preventer
Print name: 1 \ I I?. L Backwater valve -I
Ba ins/lavatory
Clothes-washer
Name:�1 -� ���I - Dishwasher
Ad(Iress: Dnnk:re fountains)
Cir. - = State: ZIP: Ejectors.sump
Phone Fax: E-mail: Expansion tank -
Fixture.'sewer cap -
Floor drains/floor sink-s/1
tub
Name (print): - Garbage dis sal
Mailing address: �� _ Hose bibb
City _ l ;tate ZIP:L Ice maker
Phone: Fax:, 7- O E-mail: Interceptor/grease wap --
Owner insrallution/residendal maintenance only: The actual installation Primes s)
will be made by me or the maintenance and repair made 'ay my regular Roof drain(commercial)
emplo;;ee on the property 1 own as per ORS Chapter 447. Slnkisi.basinis), lays(s)
Owner's si nature: ____-_ Date: Sum t
Tubs'showedshower pan
L'n'd -
Name -- Water cluset --
Addres s `k ater heater
Cit% - State: _ I ZIP: Outer
--------- --- � Total
Phone. Fax: E-mail.
-- — -—
Minimum fee................
Na all;uns.licu =Cep,cepr credit cst&pit=c.111 Iunuf+cuon rnr mire inrml-wnn. Notice:This permit application
Plan review(at ._ %) S —
0 visa ❑Mastercard evpires if a per-nit is not obtained State surcharge(3"o) ..""S
C.edir card number _ — _._I_-/ __ widiin 180 dass after it has been
Expires TOTAL .......................S �--------
Name or cardholder u shown as credo card accepted as complete.
s
440_I616(6UaCK-'GM)
rardlfoldu sr`surure Amour -
Electrical Pe tion
Dateraeived: Permit no.: V1�
City of Tigard u Project/appl.no.: �piredate:
CiryofTigard Address: 13125 SW Hall Blvt�.AJW dR M#3 Date issued - By: Receipt no.:
Phone: (503) 639-4171
Case file no.: Payment type:
Fax: (503) 598-1960 CITY OF TIGARD
Land use approval: 13UILDING olVISIm,
1 '
[_�
❑ I &2 family dwelling or accessory O CommerciaUindustrial U Mull -family U Tenant improvement
New construction O Add ition/.,jtecttion/replacement U Other. ❑Partial
It SUE IN FORIVUTION
Job address: �) t Bld .no.: Suite no.: Tvc map/tax lot/account no .:
Lot: Block: Subdivision:" _
Project name: Description and location of work on premises:
Estimated date of completionfins ction: FEE
SCHEDULE
Fee Max
Job no. _
Description - Qty. (ea.) Total no.lnsp
Business name: l New r esidentfal-singk or muhi-family per
Address: dwelling unit.Includes attached garae•.
StateVE-mail:
ZIP: Servlminclu"-
City:��
1000 sq ft.or less - 4
Phone: 7j • I F Lt: Each additional SW sq.ft or portion thereof
CCB no.: _ Elec., W. lic. no:,) — umitedenergy,raidendal 2
Each manufactured home or modulo dwelling
Date Service and/or feeder —2
otu►t o 1u tnrstng rlrt7rlNan(required) — Serviedorfeedee-hsstallation,
Sup elect name(print) — t ' 1 "`n""" �� alteration or relocation:
200 amps or less 2
c 201 amps to 400 amps 2
Name (print): ���� 1 - t -- _ z
^� 401 am is to 600 amps
Mailing address: 1l 601 amps to IOW amps 2
(jty; I --7State ZIP: Over 1OWamps orvolts — _ 2
Phone:, – , Far: – / mall: Reconnrctonly — 1
Owner installation:The installation is being made on property I o%,,n Temporary services or feeders-
btstallation,alteration,or relocation:
which is not intended for sale, lease, rent,or exchange according to 2W amps or less —_ 2
ORS 447,455,479,670, 701. 201 amps to 400 amps _ 2
O%�,ner's signature: Dale: 401 to 600 ams 2
f4k :
h circuits-at",alteration,
ension per panel:
Mu-ae: _ for branch circuits with purchase ofAddress: vice or feeder fee,each branch circuit
City: State: i IP: B Fa for be rich circuiu without purchase —
of service ur feeder fee,first branch circuit:
Phone: Fax: E mal l: Each additional branch circuit:
REVIEWPIAN Me.(Service or feeder not Included):
Each pump or irrigation circle 2
❑Service over 215 auras-cornmereu
ial ❑ Health-care facility - 2
O Service over 320 amps-rating of 1&2 Gs Hazardous location Eacl-sign or outline lighting —
family dwellings O Building over 10,000 square feet four or Signal ctrcuit(s)or a limited energy pan eh
2
•System over 600 voltsnomino' mcreresidential units inone structure alteration,or extension'
❑Building over three it,ties O Feeders,400 amps or more 'Description: ---- —
O Occupant:mead over 99 pe sons O Manufactured structures or RV park Each additional inspection over the dlowable in any of the above:
O EgresrJliRhtingp::^ ❑Other — Pennspection
th an of the above. Imesu alion t.e —
Submit_tab of plain wi y li
The above are not applicable to temporary construction service. other
f -- Permit vee.....................
Not alt jurisdictions sup credit cards,please call jurisdicuon fm rnrxe infom ucn Notice:This permit application Plan review(at — %) -
O Visa O MasterCard expires if a permit is not obtained
Credit cud mtmhd —LL_ within 180 days after it has been State surcharge(8.b) ....S
Etpircs accepted as complete. TC'TA1. .....................I.$
Name of cardholder as shnwo on credit earl
CudhoAer sitnature s Amount 4tOJ61S(6A(LC7M1
Mechanical Permit A licationMEMO
— claDate received: permit /9 5 r X!9,/-,1 x'
City of Tigard Project/appl.no.: Expire Jar
City ofTigurd Address: 13125 SW Hall BI#Rig04Ojfl(W223 —`—
Phone: (503) 639-4171 ---
Date issued: By: Receipt no.:
Fax: (503) 598-1960 CITY OF TIGARC Case file no.: Payment type _
Land use approval: 3UILDING n1Vl S1n61 LBuilding permit no.:
WA
U I Sc 2 family dwelling or accessory CJ CommrrciaUindustrial ❑ Multi-family U Tenant improvement
flew construction O Addition/alteration/replacement U Other:
JOB SiTE INFORNIATION OMMERCIAL VALUATION1
Job addttss: ' 1 Indicate equipment quantities in boxes below. Indicate the dollar
Bldg.no,: I Suite no.: U value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.: profit. Value S —
Lot: LjLj IBIo'ck: Subdivision:� 'See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee.
City/county: ZIP: I &2 FAMILY DWELLING PER511T FEE SCHEDULE
Description and location of work on premises:
Fee(ea-) Total
Est.date of completion/inspection: Description Qly. Res.only Res.only
Airhandling Tenant improvement or change of use: an
Is existing space heated or conditioned?C3 Yes U No dling unit CFM
Air con iuonrng(site plan required)
Is e;istinp space insulated?U Yes ❑ No Alteration of existing A system _
-floiler/compressors
State boiler permit nr,.:
Business. name: ( � _ HP _ Tons BTU/FI
Address: rl A4 FLrdsmoke damperi'duct smokee�tectors
City: L! State: ZIP: cat pum (site plan equ--irk--�
Phone: Fax: E-mail: nsta Urep ace rnace uumei t/ i -
CCB rto.: Including ductwork/vent liner O Yes U No --�
nsia replacelreloca,e heaters-suspen e
City/metro lic. no.:N/A wall,or floor mounted
Name(please print): _ L _Veno fofor a�itance c eiS r than furnace
e gerat on:
Absorpdonuaits ___ BTU/H
NameTE t_. Chillers__--- _ HP - --
Address: �. C �L Compressors _ HP
knvirotimental rxltausr and renti adon:
.:it•.. State: ZIP: � Appliancevc t
Piione: Fax -- E-mail: ryere. au
oods, ype Tires.kit— tc a sTazmat
hood fire sur ssion system
Name: ' Exhaust fan with single duct(bath fans)
Mailing address: ) Vl,' Exhausts stem apart from heating or AC _
-, a uel piping andistribution(up to 4 outlets)
City: � State LIP )�-
1 Type: LPG NG Oil
Phone: 7- Fax: E mall: Fuel 1ping each additional over 4 outlets
rocesspiping!schematic required)
Name: _
Number of owlets _ v
Address: — - - ter eTpp ance or equ pment:
_ Decorative fireplace
City: -- - — State: ZIP: Insert-type _
—) - oodstove/pellet stove
Phone: Fas: F:-mail -Other.
.4pplicanr'.s signaru Uate: -� Ut ter. M f_
Name(print— ) — 1 �/ n,' �l = — — -- -- -- —
---�
Not WI jwisdictiom axept credit cants.piease can jw.Acuon for mom informationPermit fee.....................
Notice:This permit application
U visa U MasterCard expires if a permit is not obtained Minimum fee.............
Credit card numbu _ _ --- Expires within 180 days after it has been State sreview(at _ %)
P surcharge(8 $ ---
Name of cardholder u shown on credit card accepted as complete.
Cxdholder si`nalure Amount 440.4617(&MICOM)
DON • MORISSETTE OBE : 2922
20 M " 8 [ N C 0 R P 0 2 A T 2 D
4230 0AL3T000 8Ta ■ +' 8UITs 100 LOT: 46
L A R 2 08W300. 0 22 ',+ 11 27046
(603) 367 - 7630 1AI (603) a87 – 72 DATE: 12102003 t 6 / /
PROPERTY: THORNI/OOD
CITY: TIGARD
SCALE: 1"=20'
PLAN No.: 170
OPTION 2 ELEVATION
A/ UNFINISHED BASEMENT
12340 SIU. ASPEN RIDGE DR. �
.!I kl all
I I I
cuRe
Approach . Bl�ewa ik
„L 4J6 44
,'
110
P-11
crete)o ( 1prlveway - 10, PUF -I
.LsS 44yN o aaa –�--i
'•, h -
car sr. �
440
11'7' Y -
s38 I-�_.y�___ �d
– I
I
416 -
i 3,19a'�
1. 4 bdrm.
434 21/2 bath
FFE. 44 S.51
237 �z 5_®
232 s t' \� 436
DECK
430– a u'' a 18'x
418 —
T46
1g `���
4 6 n 9 0 ry
Ih
FMTAINING WALL---�
TOW 4740 44� 50.0 0I 423' ...-----TOW A»o
Bow 4190 Dow.4230
LEGEND LOT COVERAGE
!� LOT AREA: 4,100 50. FT, LO'. 045
!z, NORTNEWN BUILDING AREA: 2,326 SGS. FT 44,00 bei. ft.
1"`���,f�///) RED OAK PERCENTAGE: 49..
I _
CITY OF TIGARD- SITE PLAN REVIEW
BUILDING PERMIT NO.: !t c rio
PLANNING DIVISION:
Required S whacks: P Approved ❑ Not Approved aAN
Side: r Street Side: _LQ--
Front. 45�— Garave: X-�z.. Rear: JY,�_ t pF71C ►RDN
[] Approved
OI�IL�+�:�71VI81O
Visual Clearance: �•Approved Not
Maximum Building Neiul1t•A-1 feet
CWS Service rovider Letter Required: ❑ Yes No
❑ Rerei ed
13 : Date: ( r
FNGINEERING DEPA10 ENT:
Actual Slope:,?.% ['Approved ❑ Not Approved
Site Plan: bKApproved ❑ N .4 Approved
Bv: e 111_.._ Date:
N� !c>
r
CITYO F T I GA R® PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2004-00304
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/30/2004
SITE ADDRESS: 12340 SW ASPEN RIDGE DR PARCEL: 2S11OBC-07400
SUBDIVISION: THORNWOOD ZONING: R-7
BLOCK: LOT: 045 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:
TUBiSHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: If,
DISHWASHERS: RAIN DRAIN: ft
Remarks: Installation of residential backflow prevention device for irrigation.
Owner: FEES
DON MORISSETTF HOMES INC Description Date Amount- _
4230 GALEWOOD ST#100 I I'LUMB] Permit 1-cc 6/30/2004 $36.25
LAKE OSWEGO, OR 97035 1 AX1 844,tit;itc tiurrli; l 6/30/2004 $2,90
Total $39.15
Phone : S03-187-757n ---
Contractor:
t ANDSC.APE OREGON, INC.
12200 SW M i SLONY RD.
TUALATIN, OR 97062
REQUIRED INSPECTIONS
Phone : �u3-692-5945 RP/Backflow Preventer
Final Inspection
Reg #: I W 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
Utility Notification Center. Those rules 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)
2.46-6 a
Issue By: �g_ �y _ Permittee t Signature;—
- —
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next bu ess day
i
Jun JO (14 06: 31a dan edmonds 503-692-0768 p. 2
OF -ICE VSE- lXLY
PlumlAng Permit Application O
F R O
Planning ApproV21 Scvmx
City of Tigard Pant M.
13175 SW Hall Blvd. Plan Rcvivw othL—
Tigard,Oregon 97223 U_W_C/EW:._ PcrrnitNo.�
Phone: 503-639-4171 Fax: 503-598-1960 Pent-Review lAnd the
Doday, case Nm-
Internet: www-t. ligard-m-us Cb&tW( see Page 2 for
24--hour Inspection RequcsL 503-639-4175 Namdmcdo&- _—T_ ___, SM!Laxentid Infoorumdost.
WORK
I-TNWw—consftmtionDemolition
4e don Tam
Adclition/altioa/
"TFGORV-.OF COMMM-TION-, C�.; 249.20
NT,_.1-Farnilydwelling CommarciaYladustrial _ffR L 7)bath 35OLOBuildingMuld-Fantily - "_00
Lr Building _ SFR_ - (3)ba& J
Ma.ter Builder Other:
Eads additional b2d;dkikhen 45-00
Fire 9?!j*
JG8 SffK'HffDRMATl0M*and,LQCATl0M _4:." ft: Page 2
Jobsiteaddrew-
Catch bashilamm drain 16.60
Suite kvt-#: Dr�rtreMeA,-h Gndtrrneb tiraitt 16.60--
_1lAectName:7k)LnML,L,cr)(t ig drain(no.lium ft) Pa,e 2
Cross.Strectmir=tIms to job site. b1mufacomcd bathe"Wilk 110.00
rl — F
y)AT tj P.C) MR
Rain drain cunnectm 16.60
Sanitary=wet(on-linear IL) 1!me. 2-
S".3rwer(no.UVAM ft.) Pa C2
Subdivision:T ho-MUJrZ�C Wales mmmce(nm limw M) tP e2
Taxtnap/pamelAt.
A16.60
Daddlow pmvcww
J _2, _2
Hadmater valve 16-60
Ckdics wasber 16.60-----
Dishwashzi 16.60
16-60
ROPLRTY OWNROL LTENANT':
16.60
Expmsiom tmk 16.60
Address:4;k3o li.Lx) &,4,tA_wor_)ala FixituWsewer 16.60
Flom dmWfloor.sbdAub 16.60
daWosW 16.60
T
Phone: –7 F2_x- Hom bob 16.60 4p]tLjCAjff -1�O ACT!*
lee nolm 16.60
Name:&I Cn Kp OL jw L 16.60
Address:I m al ff. lffj S
Mawr 16-60
Roof drain jcm-_nmrce!q 16.60
PhoneSl)3 VO.- DTq-S-T Fax-_cOl 1.9 a.- 016 V Sint/ba
16.60
E-mail: TuWshowedsbowm 16.60
M - 16.60
ACroR UfhW
Business Name: I rVUC,04t3#_ G rc-qa% -r-, water Close
rn, l,mc4 go.W — 011mr Waftr data 16-60
4
Ci!Y1StaleJ7.ip:-TV,AJL0_f-kR_ crjo(v
Aa
CCB Lic. TM - tVimm - c
Authorized b4iniumm Permit Fee S-12-50 S
Residential Undkflow blimiangn Fee$36-25
PIM Review(25%of t5jmk -!�q S
Satemdzmme(9%of Permit Fee S
(Please,prim narno—_ mx-
a permit Is not -btaimmel wifibilm AM;;;cmmmmvj boRdhp"require 2 mft airg"m w1th howteMicar
IAA days after It ban b"mac—,tre in carnpicte. riser diavramm for Pun rlesiew.
'Per melho"ev met by Trii-Camty nmm"indas"qervke Board.