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Case File I N W A CJl NN D ,n M it Z v W m v m i I 12345 SW ASPEN RIDGE DRIVE CITY OF TIIGARD 2.4-Hour BUILDING Inspection 1-:7e: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 -�- 6Up -- --- Received __ ___ Date Re tie-,ted AM --- PM ___-_ BUP Location _-�- LLz.._ uite — MEC Contact Person __-_______.-{' Ph(--) � —3-7 PLM --_-- ----- -- -- Contractor _ --------- - Ph(--) -- - - -- SWR BUILDING Tenant/Owner -- -._-- - ---_-- ELC -- Footing ELC Foundation Access: Fig Drain ELR Crawl Drair, Slab Inspection Notes: SIT Post&Beam - ---------- Shear Anch jrs - -- -- - -- Fxt Sheath/Shear of Sheath/Shear Framing - .. Insulation Drywall Nailing - -- - - Firewall Fire Sprinkler - - Fire Alarm Susp'd Coiling ---- -- - - ---- Roof Other. - - -- -- - - Final PASS PART FAIL - - - P_LUMBIN Post& Beam — Under Slab -- - - - _ ---- - - ------ - - Rough-In Water Service ----- -- -- - - Sanitary Sewer Rain Drains ---- ---- -- - -- Catch Basin/Manhole Storm Drain - -- - - Shower Pan Other. - ------ --- ---- --•---- - -- - Final PASS PART FAiL -- --- --- MECHANICAL Pos',&Beam - Re .gh-In — - - -- - - - Gas Line Smoke Dampers --- _-_•-- - -- - - Final _PASS_PART FAIL - --- —--�— "`- ELECTRICAL _ Service Rough-In �- UG/Slab Low Voltage Fire Alarm ff - ❑ Reinspection tee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS_ PART FAIL SITE Piease call for reinspection RE:_-.-.-___-___ - El Linable to inspect-- no access Fire Supply LineADA r--� Ext Approach/Sidewalk Dates_ Inspector 11t� Other: Final DO 140T REMOVE this Inspoctioln reco'Fd from the job site. PASS PART FAIL I n � 0 0 CL - a W f � a c y• ti � o (n f s Z A Fr �. Er rool H � to M A ^ J O � �• n A C CITY OF TI`SARD ` _ MASTER PERMIT DEVELOPMENT SERVICESPERMIT#: MSI-2003-00254 DATE ISSUED: 8/11/03 13125 SW Hall ' Ivd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 12345 SW ASPEN RIDGE DR PARCEL: 2S110BC-06500 SUBDIVISION: THORNWOOD ZONING: R-7 BLOCK: LOT: 030 JURISDICTION: TIG REMARKS: Const. new SF detached residence BUILDING REISSUE* DM133A STORIES: _ FLOOR AREAS REQUIRED SETBACKS CLASS OF WORK: NFW HEIGHT ', FIRST 1REQUIRED .150 at BASEMENT N LEFT: 5 SMOKE OETECTOi3: V TYPE OF USE: SF FLOOR LOAD. Iii SECOND: 1,430 at GARAGE: 536 of FRONT: 15 PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: I neno of RIGHT: 5 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2.580 a1 VALUE: 253,342 40 REAR: t5 PLUMBING SINKS I WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAW DRAIN 100 TRAPS LAVATORIES 4 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF P, 1,C,01NIS: I CATCH BASINS TUBISHOWERS: 3 GARBAGE DISP: I WATER HEATERS: 1 WATER LINES: 100 BCKF+.W PR,'VN*R. GREASE TRAPS: MECHANICAL O',HER FIXTURES: FUEL TYPES — FURN c t00K: BOIUCMP c 3HP: VENT FANS: 4 CI OTHE$DRYER: I (;AS FURN>-100K: t UNIT HEATERS: HOODS: t OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: I WOODSTOVES: GHS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDER$ BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 •200 amp. 0 •200 amp: W/SVC OR FOR: PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 5003F: 5 201 - 400 amp: 201 400 amp: tat WIO SVCIF DR: SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 800 amp: EAADDL BR CIR: SIGNAUPANEL: IN PLANT: MANU HMISVCIFDR: 601 • 1000 amp: 601.empa.1000v MINOR LABEL: 1000-amp/volt Reconnect only: PLAN REVIEW SECTION —4 RES UNITS: SVCIFDR>=225 A.: >600 V NOMINAL: CLS AREAISPC OCC. _ ELECTRICAL•RESTRICTED ENERGY A.$F RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPERRRIG: PROTECTIVE 31GNL: GARAGE OPENER: CLOCK INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAITELE COMM. NURSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TOT',I- FEES: $ 5,461.82 DON MORISSETTE HOMES DON MORISSETTE HOMES INC This permit is subject to the regulations con!ained in the Tigard Municipal Code,State OR. Specialty Codes end 4230 GALEWOOD ST 423n GALEWOOD ST,STE 100 STE 100 LAK'.OSWEGO,OR 97035 all other applicable laws. All work will be done In LAKE OSWEGO,OR 97035 accordance with approved plans. This permit will expire If 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: 501-187-75313 Phone: Oregon Utility Notification Center. Tnose rules are set $Q 387-7 forth in OAR 952-001-0010 through 952-001-0080. Y0.1 Rep 0: 1 1� 1 � may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Water Line Insp Grading Inspection Post/Beam Mechanica Plumb Top Out Exterior Sheathing Inst Gyp Board Insp Water Service Insp Sewer Inspection Underfloor insulation Electrical Service Low Voltage Rain drain Insp Appr/Sdwlk Insp Footing Insp Crawl Drain/Backwater Eloctrical Rough In Gas Line Insp Storm drain Insp Electrical Final Foundation Insp PLM/Underfloor Framing Insp Gas Fireplace Roof Nailing Mechanical Final Issued By : _,Lc,11` J fl/ Permitt ee Signature Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day CITYOF TIGAR® SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2003-00192 13123 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/11/03 SITE ADDRESS; 12345 SW ASPEN RIDGE DR PARCEL: 2S110BC-06500 SUBDIVISION: THORNWOOD ZONING: R-7 BLOCK: LOT: 036 JURISDICTION: 11(' TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: I TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: L_i PSWR IMPERV SURFACE: Remarks: Sewer connection for new SF residence. Owner: _ _ DON MORISSETTE HOMES FEES — – 4230 GALEWOOD ST Description Date Amount STK 100 [SWINSP]Swr Inspect 8/11/03 $35.00 LAKE OSWEGO, OR 97035 [SWINSP]Swr Inspect 8/11/03 $0.00 Phone: 503-387-7538 [SWUSA]Swr Connect 8/11/03 $2,400.00 Contractor: S%V(iSA r Connect 8/11/03 $0.00 Total $2,435.00 J Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Wate,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 cia-rItee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shad 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: Permittee Signature:_ Call (503)639-41'5 by 7:00 P.M.for an inspection needed the next business day Building Permit Application Datereceived: Permit no: , . t�A� City of Tigard --1--=�. Address: 13125 SW Hall Blvd.Tigard,OR tr722� Projcct/appl.no.: Expire date: City njTigarti g ` Phone. (503) 639-4171 Date issued: Hy: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use arproval: 1&2 family:Simple Complex: U I &2 family dwelling or accesso. A/industm l ]Multi-family XNew construction U Demolition U Addition/alteration/replacement u I enant improvement J Fire sprinkler/alarm J Other:_ OWN JOB SUE INFOR11111A I 10N !oh address: r Bldg.no.: Swte no.: Lot: Block: Subdivisioh: Tax map/tax lot/account no.: i i ce— Project name: 1 Description and location of work on premises/special conditions: Name: t ,Y%c"f. , 1 � Mailing address: VV I &2 family dwelling: UD City: n StateZIP: Valuaticn of work........................................ $ r53 JrI Z Phone: Fax: 7 -mail: No.of bedrooms/baths................................. �� yI _ Owner's mpres wative: a V-yam E ' _4 r�l Total number of floors................................. Phone: Far -mail: New dwelling area(sq. ft.) .......................... ) Garage/carport area(sq.ft.) ........................ !arnc, IL, 1 Covered pt)rch area(sq.ft.) ......................... Mailing address: L_iNrl Deck area(sq. ft.)........................................ City: State: ZIP: Other structure area(sq.ft.)......................... Phone: Fax: Email: Commercial/industriallmultI-family- tValuation of work........................................ $ Business name: Existing bldg.area(sq.ft) .......................... New bldg.area(sq. ft.) ................................ V — Address: - Number of stories ........................................ City: State: ZIP: Type of construction.................................... Phone: Fax: _ F.-ms�il: — CCB no.: � Occupancy group(s): [xisting: 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 Address: �� �l� �(� jurisdiction where work is being performed. If the applicant is City: Statc:—J ZIP: exempt from licensing,the following reason applies- Contact person: Plan no.: -- Phone: Fax: E-mail: Name: Contact person: Fees due upon application . ......................... $ Address: Date received: City: State: Z[P: Amount received ......................................... $ Phone: Fax: Email: Please refer to fee schedule. I hereby certify l have read and examined this application and the Not all jurisdictions accept credit earth.plew call jurisdiction itr mare informaunn. attached checklist. rovisions of I ws and oKd�tnances goveming this U visa U Mastercard work will be comp) w!F� hcitied Nerern Ullot. Credit card nambet _ _ �j �...� k/­2 Authorized si atu v `-t/y[�!��; Name d cudholder na shown on credit card = P _ 7 Print name: M-r t_( -�_ -- -- Cardholder sipururt Amount Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440.417 ebvurCOMi One-and Two-Family Dwelling Building Permit Application Checklist Reference no.: ('u v„i 1,gandAsseciated permits: City of Tigard O Electrical O Plumbing O Mechanical Address: 13125 SW Hall 111%d, Tigard,OR 97221 OOthcr. Phone: (503) 639-4171 '-`— Fax: (503) 598-1960 THE F0, Lt0WkNG ITFI%I.% ARF REQD FOR i Laud use actions completed.Sec jurisdiction criteria for concurrent reviews. 2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc. T 3 Verification of approved platilot. 4 Fire district approval required. 5 Septic system permit or authorization for remodel.Existing system capacity _ 6 Sewer prrmit. 7 Water district approval. 8 Soils report.Must carry original applicable stamp and signature on file or with application. -_ 9 Erosion control ❑plan ❑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 confo-imance 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. I I Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;property corner Elevations(if there is more t!lan a 4-ft.elevation differential,plan must show contour lines at 2-ft intervals);location of easements and driveway;tootptint of stnrcture(including decks):location of wells/septic systems.utility locations;direction indicator,lot arra;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. _ 12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection detailr,vent size and location. 11 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. '.4 Cross secdon(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 crcss 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. x 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 Wali bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for non- rescnptive 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 walls.Provide cross sections and details showing placement of rebar. For engineered systems,see item 22,"Engineer's calculations." 19 Beam calculations.Provide two sets of calculations using current code design values for all beams and multiple joists over 1 J feet Long and/or any beanJoist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required for four or more appliances. 22 Engineer's calculation•.When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or architect licensed in Oregon and shall be shown to be applicable to the project under review. 23 Five(5)site plans are required for Item 1 I above. Site plans must ue 8-1/2"x I I"or 1 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. 26 No rolled,reversed or mirrored building plans will be accepted. 27 L±27 -- Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue ,r black ink. Red ink is reserved for department use only. «04614(60MCOMt Mechanical Pei-initApplication -- _--� Date received: Permit no.:ll City of Tigard Project/apt, to.: Expire date: CityojTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 pate issued: u By: Receiptn� o-� Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ Building permit no.. TYPE OF PERMff U I &2 family dwelling or accessory U Commercial/indusuial ❑Multi-family U Tenant improvement XVew construction U Addition/alteration/replacement U Other. JOB SM INIP0111,1MATION COMIMERCIAL1 1 Job address: y -) Indicate equipment quantities in boxes below. Indic,,te the dollar Bldg. no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value S Lot: ? Block: Subdivision: W •See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City/county: ZIP. MAW 11 a t Description and location of work on premises: + ! Fee(m) Total Est.date of completiorOnspection: _ Description _ Qty. Res.only Res.only Tenant improvement or change of use: Air handling unit Cf7N1 Is existing space heated or conditioned?U Yes C No Al-con iuomng(s tt a plan required) I::existing space insulated?O Yes U No A terauono existing HVAC system _ Boiler/compressors Business name: t � � �QVState boiler permit no.: _ HP Tons BTU/H _ Address: r td�� /smoke dampers/duct smoke detectors City: Ll Stare• ZIP: tpump(site plan required) Phone: Fax: rail: ace mac urner / CCB no.: rr Including ductwork/vent liner ❑Yes O No ___ Instalrep ac re ocateheaters-suspended, City/metro lic. no.:NiA wall,or floor mounted Name(please print): Vent or a.rlianceother than furnace Refrigeration: Absorption:snits BTU/H Name: �L Chillers i HP Address: L C Compressors HP _ ' Environmental exhaust an ventilation: City: - State: ZIP. Appliance vent Phone: Fax E-mail: Dryer exhaust ouds,�` 'es. tc eNhazmat hood fire suppression system Name: ' Exhaust fan with single duct(bath fans) Mailing address: ) N,' aust s stem apart from heatin or C City: State ZIP )" piping an distribution(up to 4 out ets) Phone: Email: �Ue yr_ --LPG NO Oil uel i Ing each a ditiona over out ets rocesspiping(schematic required) _ Number of outlets Name: Mier listed appliance or equipment, Address: _ Decorative fireplace CitiState: ZIP: nsert-type — _ Phone Fax: F.•mail: W stove/pe letstoT ve _ Other: .4pplirant's signurur Date: I I Other. _ — - Name(print): I,l f _ Y _ _ Na sit jurisdlcuons accept credit cards,please call iurisdtcuon for more mformNion. Notice:This permit application Permit fee.....................$ U Visa ❑MasterCard Minimum fee................S _ expires if a permit is not obtained Credit card member _ ---- Expires within ISU days ager it has been Plan review(at � 96) S _ p State surcharge(8%) ....S —Name of of cardholder u shown on credit cud accepted as complete. s TOTAL .......................S _ Cardholder tipature Amount Mp-.v,li(&WCOM) Plumbing Permit Application -- Date received: Permit no.:jii` 103 >7U✓ City of Tigard Sewer pemut no.. Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 - Ciryoj7fgord Phone: (503) 639-1171 Pre)ecVappl. r.._ Expire date: Fax: (503) 598-1960 Date issued. By: Rcceiptno.: Land use approval: Case file no. Payment type: 1 \0 18c_' farruly dwelling or accessory 0 Commercial/industrial O Multi-family O Tenant improvement ��f 0 Add iuon/zlterauon/repiacement O Food service 0 Other. : t t >t al'1711 , w,. , Job address: �,' 111� I 11 .1 k Description I thy•1 Fee(e:t.) 1 Total I Bldg. no.: Suite no.: New 1-and 1-family dwellings only: I (includes too ft.for each tniGty connection) Tax map/tax lot/account no.. SFR(1) bash Lot Lo Block: I Subdivi::ton:,�r_� SFR(2)bath -- - Project name: SFR(3) bath City/county: ZIP: Each additional battv'kitchen Description and location of work on premises: Site utilities: _ Catch basin area drain Est.date of completion/inspection: Drvwells/leach line/trench drain Fooung dean(no. lin. ft.)� _ 1 Manufactured home utilities Bminessnarie: L ILI Manholes Address_ j _ Rain drain connector _ City State ZIP Sanitary sewer(no. lin. ft.) Phone.--1 Fax: E-mail: Storm sewer(no.tin.ft) CCB no.: t -j ll-7 Plumb. bus. reg. no: - Water service(no.lin. ft.) _ Fixture or item: City,mctro lie. no.: N,A Absorption valve Contractor's representative signature_ Back tlow re•:enter I Print name: Q�r� U Backwater valve I BasinsAavatory game `\LE ...� Clothes Hasher 1 � Dishwasher ,f Address: t 1r V Dnnkrng fountain(s) City State: ZIP: Ejectors/51,1`1`117 _ Phone: Fax Email: Expansion tank Fixturelsewer cap _ Name (pint) �� tL�t�'[� �^'� ��r ge iisposal sinks/hub -t Garbage disposal Mailing address: T Hose bibb City: Stare ZIP: C-7 Ice maker Phone - , 1 Fax: �- � Email: Interceptor/grease trap Owner instadationiresidendal maintenance only: The actual installation Pnmen s) will be made b,, me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s),basin(s), lays(s) Owner's si nature. Date: Sum Tubs/shower/shower an Unnal Name: Water closet Address __ �k ater heater — Cit., StateZ� IP: OUier Phrne ~`— Fax. Email. — Total No,311 o "cuoru accep crribi ends.please ail)ans,bcuon roe mute information Notre.This permit Minimum fee................S _ •milli blan Plan review(at %) S C Visa O MasterCard expires if a permit is not obtained �., Cedit;rd number �--1 within Igo dais after it has been State surcharge(8 o) S Eap,re, TOTAL .......................S accepted as complete. Nrme><:arllwlder a>J+o»n oa credit cid S Cardhotdeu signatureAm,n n, 4M-4616(isvorom) i< Electrical Permit Application Daterex.eived: Permit no.., � a City of Tigard Project/appl.no.: Expire date: City of Tigard Address: 17125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 639-4171 — Fax: (503) 598-1960 Case file.no.: Payment type: Land use approval: tt ❑ 1 ,g 2 family dwelling or accessory O Commercial/industrial U Muiti-family ❑Tenant improvement New construction ❑Addition/alteration/replacement ❑Other. ❑Partiad 11 ORMATION Job address: y V, [J'dg.no.: Suite no.: Tax map/tax lot/account no.: Lot: - Bltxk: Subdivisio taw ` -_ Pmject name: Description and lot;ation of work on premises: Estimated date of completionlinspection: SGIIEDULE Job Business name: ! _ Description Qty. (--I Total no.Itt+p 1•� New teddes d l-single or multi-family per AddreSS dwelling unit Includes attached garage. City: State: ZIP: C–ZServiceinclu" Phone: 0-j- I&CP Fax: E-mail: loco Sq.fL or less _4 Foch additional 500 .ft.or portion thereof CCB no.: Elec.bus. lic. no: Umited energy,residential _ 2 Limited energy,red home orual 2 Each manufactured home or modular dwelling nrurr ojsuprmrstn electrlcinn(required) Date Service and/or feeder 2 Services or feeders–h .tallation, Sup elect namelprinti 1 Llcenseno ■Iteratlonorrelocation: 200 amps or less 2 Name (print)' t 201 amps to 400 amps 2 401 amps to 600 amps 2 Mailing address: 1/ 60'amps to 1000 amps 2 Cit)': L c s State ZIP: Over 1000 amps or volts 2 Phone: – Fax: ) –� mail: Reconnectonly I Owner Installation:The installation is being made on j,. ,perry 1 o%-,n Temporraryservimorfeeders - which is not intended for sale, least:,rent,or exchange according to Installation.alteration,or relocation: 200 amps or las _ 2 ORS 447,455,479,670,701. 201 amps to 400 amps � O��ner's si nature: Date: 40I tn600amps 2 Branch circuits-new,alteration, or extension per panel: Name: _ A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 ZIP: fi. Fee for branch circuits without purchase City: Stale: -- of servic-or feeder fee,first branch circuit: _? Phone: fax: E-mail: Foch addiuonal branch circuit: Misc.(Service or fee der not Included): .kirrigation 2 rvtee overx 225 amps-cmm� rcO HEachum P or g ation circletal Health-caro facility — Service over.120 amps-rating of 1 de2 O Hazardous location Each sign or outline lighting 2 famlydwellings 13 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 mare •Deuri tinn. *Occupant load over 99 persons O Manufactured suuctures or RV pale Each additional Inspection over the allowable In any of the above: 13 EgressAightingplan Cl(Vier.. -- Per inspectionr-- Submit_sets of plans with any of the above. Investigation fee — — The above are not applicable to temporary construction service. Other Nor all jurisdictions accept credit cards,please till jurimbetioo for mom Information Notice This permit application Permit fee.....................S -- Q Visa ❑MasterCard expires if a permit is not obtained Plan review(at ! %) $ _ r rrdit card numtwr L within 180 days after it has been State surcharge(8%) ....S Eapires accepted as complete. TOTAL .......................$ J Name of cardholder as Chown on c 't card S Cardholder signature Amount 440-MIi(6 MOM) - - IA- I DON - MORISSETTE '!5 3 0 m 1 8 1 r C 0 2 P 0 R A T 9 0 4230 GAL ■ 4 0 0 0 STREIT 0 Q I T R 1 0 0 (507)Z3e7-763e' FAX (603) 357 0 7a 15 OBE : 2913 LOT: 36 DATE: 5/20/03 PROPERTY: THORNWOOD CITY: TIGARD SCALE: i"=20' Ib'-m' PLAN No,.: 133.A row 460' S�.P,�' - CRAFTSMAN ELEVATIG*4 460 - JI 9 458 L---- --- o m'xV a5c- MA-:C -- -, r ------— 1i :3 2AW 4 bdrm. --FFbath A 455' 61 , Q 636 sq. ft. 45. � ?c �- FRF. 4b¢)' , N i � auan � •q - --- -. Approach Sidewalk — 5m.IDm'; 6 aUri I I wl 3 S W 12 345 S.W. ASPEN RIDGE LAR.. A LEGEND _ _ LOT COVER,4GE - --__. 4,450 SD. F' LOT X36 •ARE" 1,844 SD. FT -4,450 Q �t DO ---:' NCRTuERN = _ ,".AGE. 41.A% q. j RED OAK - a l CIIY t) 1 F 7'ICgRU- SITE 1'1,AN BUIL�I)iNt; NKCVIF.W �RMI"I PLANNiNc UIVISI(}N� Re�.InireJ Sctb •I;s: S ide: 14,"proved Cl Not A 5t et Side: 1'proved F,��nt. Visuaf 1_fCarrtnrr: (;;irri�tr "'?".�- 411t.35— Rear: h9eximum Building H�• hprov,-d ❑ Not ApprovalC'W'S Sen ice Provider Letter [] Yec i © R cei� ;I ENGINi- 'kINGDEPAR I,NIEN7.1)ale. Actual ,. lop,; IN ode Site Plep: 13 APpruved ❑ Not Approved B ": ;L Approved of A 0 ppr4.w*d Date: to I i CITY OF TIGARD 24-Hour BUILDING In3pection Line: (503)639-4175 !NSFIECTION DIVISION Business Line: (503) 639-4171 MST __— BUP e� Received __ Date Requested_. i L / _- AMPM__- BUP Location __ _ __. 1._?=_-� U a� 1 _ Suite_ —___ _ MEC Contact Person _ Ph ( ) ..._.__..�_-----��___._ PLM - Cont actor ---- .-. ------ - Ph( ) - ---- - - SV✓R --- ---- BU11011W r Tenant/Owner - ELC Footing ELC —_--_-- Foundation Access: - Ftg Drain Et.R 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 Susp'd Ceiling — - - -- - Roof J Other: Final - ---_- -- PASS_PART FAIL -� --- --- PLUMBING — Post& Beam— t Under Slab _-- Rough-In Water Service Sanitary Sewer Rain Drains - —-- --- — Catch Basin/Manhole Storm Drain -- - - -- Ot o r: Pa TS PART FAIL - --- - - ANICAI. --- -- - - -- -- ----------- Post& Beam Rough-In Gas Line Smoke Dampers -_— Fina! -------- _ --- PASS PART FA,L - - ---- -- ELECTRICAL Service —- - ----- _.- ---- - Rough-In UQ/Slab --- --- ---____�_Low Voltage Voltage _-_- Fire Alarm -- ----- ------ ---- Final Reinspection fed of$—_- . required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL $ITE F-] Please call for reinspection RE -_y. _ E] Unable to inspect- no access Fi,e Supply Line i ADA ApproachiSidewalk DMO- -- Inspector ` ' Ext Other: Find r� DCO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITYOF TIGARD _ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: P30/03 -00521 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9130!03 PARCEL: 2S 110BG-06500 SITE ADDRESS: 12345 SW ASPEN RIDGE DR SL,BDIVISION: THORNWOOD ZONING: R-7 _Bt-OCK: LOT: 029 ` —_ _ JURISDICTION: TIG `CLASS OF WORK: OTR GARBAGE DISPOSAL& MOBILE. HOME SPACES: TYPE OF USE: SF 1 LASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 :=! nO R URAIN5: 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: WATEF, LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of residential backflow prevention device for irrigation. FEES Owner. Description Date Amount DON MORISSETTE HOMES II'Ll ih1R I'crniii FCC 9/30/03 $36.25 4230 GALEWOOD ST 1 1 �.0 state Tax 9/30/03 $2.90 STE 100 — LAKE OSWEGO, OR 97035 Total $39.15 Phone : 503-387-7539 Contractor: LANDSCAPE OREGON, INC. 12200 SW MYSLONY RD, TUALATIN, OR 9706 REQUIRED INSPECTIONS RP/Backflow Preventer Phone : 503-692-5945 Final Inspection Reg #: 11I.M 7904 T his permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR. Specia!ty Coded and all other applicable laws. All work will be done in accordance with approved pians. This permit will expire if work is not started within 180 days of isSuance, or if work is suspended for more than 180 days. ATTE=NTION: Oregon law requires you to follow rules adopted oy the Oregon Issued 8y' Permittee Signature:}, Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Se :x,28 03 02: 46p dan edmands 503-692-0768 p. 2 Plu>�bing 'ermit Application Receved P,uw t}2IPeri � i I !dl3 : ( 2 5a p Planning Approval Sewer Cityf Tigard R EG�.�V�- t)ate/B : Ptxm;t N _- 13125 S Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: Permit No.: Phone: 103-639-4171 Fax: .'iO3-598-1960 Post-Review land Use DaWDY: Cue No Internet:f wwwxi.ligard.or.us Gnttact !Wu'l.: '+er Page z ror 24-hour inspection Request: 303-639AJ75 NamrJMethat: _ J� Supplemental lu[ormation. t(PE OF WORK FEE*SCHEDULE for spedal tnformation use checklist _N c*construction I LJ DemolitionDescription Qty. —Fee(esol Total Add hmr. on/alteration replaceent Other: New 1-&2-runtily dwellings CATEGORY OF CONSTRUCTION (includes 100 h.for neh oullh Mnaoetion SF �� 249.20 I &_ -l�atnily dwelling Commt:rciaVRS�bath lndustrial -SFR 2 bath _ 35000 Acc_ sort'Building Multi-Family SPR 3 bath 399.00 Mas er Budder Ll Other: Each additional both/kitchen 45.00 OB SITE INFORMATION and LOCATION_ Fire nr! lcr-s-Ic.ft.: � Page _Job site address: .;1.3t./S S1-0 "c _ Site Utilities Suite#: _ bldg./Apt.#: Catch basin/areatlrain IG.fiO Ilrywell/leach lineltrench dr. 16.60 Project ame: 7htry n t,t.160 cL_ L-OT34� Fuotin drain no.linear ft Page 2 Cross scet/Direetions to job site: Manufactured Lome utilities 110.00 &AA k Manholes — 16.60 _ Rain drain connector 16.60 �-- Sanitary sewer(no.linear ft.) Page 2 Su17d1��. tod n 11� ` L*T r\LAD C,Ck Lot#: 3 Storm sewer(n.).linew ft.) � Page 2 Tax ma ar�_eal 11: U 5 S B(o Water service ao.linear UPn e 2 Fixture or Item - --��DESCRIPTION OF WORK �� Abs�tion valvt� 16.60 rC 010`— _CSC 11�10U) C1 e A)/r Q)_ Backflow reven:er+ Pa e 2 S _ s_`� .._ 4 I Backwater valve_ 16.60 Y Clothes washer __ 16.60 Dishwmher 16.60 _ PROPERTY OWNER_ TENANT Eje;t ine urrip ain 16.60 �� - E'e:toraisum�^_ 16.60 Name: Q�_I�STY,f_& yfk. IA_ Ex nsiontank i 16.60 Addres -;4 30 S uta &4 tA4-A-)C2_O CU Fixture/sewer cap J i6.60 C:` /St e/zi ): LC(7LG-5 Floor drain/floor sink/hub 16.60 _��l)'1[�- Garbag {i_.— 16.60 Phone: Fax: Ilose b _ 1660 'RiPPLICANTV - CONTA(C7'PERSON ice mal _ _ 16.60 - Name: 6,11(n _1rio-r- t-y �— — ^_ Interce tor/ tease ha J F 16.60 Addressl:/_-a-O O _CW M`_Ahmu Medical gas-value: S Pae 2 _ -- - Printer __ _ 16.60 (•11y/SL�L1i-�lA_a_#a1_A O I2_)_70(p .� Roof drain cornmcrcial)_ — 16.60 - P: One "3 t090- Sri4_51Fax-SDS 69 OL- 0'76Y Sink/basin/lavalory _ r 16.60 E-mail: Tub/shower/shower Pan 16.60 CONTRACTOR Urinal r_ 16.60 Busines Name: ndS(�a O M CYC s water closet _f � 16.60 --T— -- Water heater 16.60 _Addressl l2 po _CO. - l'.tt r�/S e%ZI��TLI z rn g7L'(n� Other.Phone !tA 54 y s Fax�3 (Yfd - O'1lo �� r'�ambing Permit Fees• .2�t55 --a---— Subtotal s CCB Li c. 9: "7SV Plumb. Lica!: _ �— Minimum Permit Fee S72.50 S .3In 5 /+utho ize� / ! L Residential Backflow Minimum Fee$36.25 Si n:ihrre LLr�� C�t't C�C� Date. -7!a b -- e� P Y --- -- Plan Review(25.e of Permit Fee S r�(��(l�rdLL .. �_— State Surcharge 8%of permit FCC) S 6 [ (Plrmse print name) TOTAL PERMIT FELE S /S Notice: Thta pot mit application expires If a permit is not obtained within All new commercial buildit gs require 2 acts of plans with Isometric or 180 days after it has been artepted as complete. riser diagram for plsn resit w. *Fee methadolap_v act try Tri-('aunty Building Industry Se"lee Board. CITY OF TIGARD 24-Hour BUILDING Inspecilon Line: (503)639-4175 MST - J O� INSPECTION DIVISION Busiress Line: (503)639-4171 --- SUP Received ___--. Date R uested AM__.__—__ PM _ SUP Location ___.__l z _ _ _. e� Suite MEC _ Contact Person --- ---� Ph( ) .2 e).l M37__ PLM SWR BUILDING_ Tenant/Owner __- _ N-_-______�___ �__ ELC - Footing - ELC Foundation --------_-_._-_.__-__ Access: Ftg Drain ELR Crawl Drain ��-- - Slab Inspection Notes: SIT _`- Post& Beam ---- ----_.__ --.._._-- ---_-.- Shear Anchors -- - - -- Ext Sheath/Shear Int Sheath/Shear _ - Framing -- --- ---- ----� _._— ---- - -- Insulation Drywall Nailing - -- ----- �� --- --- Firewall Fire Sprinkler L - ------ --- Fire Alarm Suap'd Ceiling `�1 -- Roof Other: Final - PASS PART FAIL ---- - - PLUMBING Post&Beam Under Slab Rough-In Water Service - - ----- -- ------ - Sanitary Sewer Rain Drains ----- - ---- Catch Basin/Manhole Storm Drain - --- - --- Shower Pan Other: MAS PART FAIL -- - - - -- ---- ---------- _ ANICAL _ Post& Beam Rough-In ---------_---_----------- Gas Line Smoke Dampers ---- ---.--- Final --- -- ------ --------- - PASS PART_-FAIL— ELECTRICAL Service Rough-In UG/Slab ,-___---.-- Low Voltagr! _ Fire Alarm Final II Reinspection fee of$__ __-- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE _ I D Please call f®reispection RE:- r t'nable to inspect-no access Fire Supply LineADApat•Approach/Sidowalk -- ---_ Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received _ Date Requested__ `, AM PM_ BUP Location 3 Suite ----- Contact Person __—__. Ph(--_—__) .2 0 9Ve,31_-_ PLM Contractor _------- Ph( ) — SWR BUILDING TenantJOwner --_----.- ELk; Footing PLC Foundation Access: Fig 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 Susp'd Ceiling -- ------------- -- ....... Roof Oth r: — --- --- ---- ..__ . _ ...,, PART FAIL -- - ---- - - -- --- ---- --___ PLUMBING Post& 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 R,jugh-In ---- --- C;as Line Dampers -- - -- F' PART FAIL - --- — - — --- E Cf CAL Service ------ --- --- Rough-In LIG/Slab ------ — Low Voltage _ Fire Alarm Final L Reinspection fee of$—_ required before next inspection. Pay at City Hall. 13125 SW Hall Blvd. PASS PART FAIL SITE_ _ _ _ Please call for reinspection RE:--._ _ � Unable to inspect-no access Fire Supply Line ADA -, 1 Approach/Sidewalk Date- l _� -3 Inspector_ Eaa - Other. final DO NOT RE.VIOVE this Inspection record from the Job site. PASS PART FAIL