DashNumberEnd �...��,.,.... ...w.......�.....,.,.�......._.....�.....«,...�...,.._,.....,�..M......_..,..Y.........�...,.��.M,..,.w..w...............--- —....�.�...�.w.�....�..e�..�..�.�«.uY.w.�.�.�..�,w;wd�Wi141W�''.
1235r- SW ASPEN RIDGE DRIVE
CITY OF TIGARD 24-Hour
BUILDING Inspec!:ov, Ling; (503) 539-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
BLIP
9ecaived �-a'' _Date Rewsted___L—��2 qM--------_.-- PM --- _ _--- BUP - —
l.ocation Suite ---- MEC — -- ----
Contact Person _—��� Ph I—) COg� Y5 PLM 1�U
Contractor--- --- ---- --- Ph(— ) — -.� SWR —
BUILDING Tenant/Owner ELC
Foisting _- - -- -
Foundation ,ccess, ELC
Ftg Drain ELR
Crewl Dr3ln
Slab I Inspection Notes: SIT _—
Post R Beam
Shear Anchors _
Exc Sheath/Shear
Int Sheath/Sl-,or
Framing
------------- ---
Insuie0in - - -
Drywall Nailing —
F`rewall - - - -
Fire Sprinkler
Fir-4 Alarm , - ---
Susti'd CAiling - - -- ----
Ror i --
cher: -
- _.
I Final
PASS PART FAIL - -`-- -`-
-
-- --- -
cst A P yam-
Unoer Slab ---_ - ----_-_-_- _
Rough-In -
Wate;Service --- -
Sanitary Sewer
Rain Drains --
Catch Basin/Manhole
Storm Drain -- _-. ---. -------
Shower P
Ot r:_ �7----- _
�, -
PASS PARS' FAIL -
NICAL
Post&Beam ----- -
Rough-In
Gas Line —
Smoke Dampers --- - - ---- -- -
Final
rASS PART FAIL --
ELECTRICAL
Servica
Rouyh-In
UG/Slab
Low Voltage
- ---
Fir,: Alarm
Final E] Reinspection fee of$__- required before next inspection. Pay at City Hail, 13125 SW Hall Blvd.
PASS PART FAIL
Please call for reinFpecti Unable to inspect-no access
Fire Supply LineADA
Approach/Sidewaik (Pate InSP40
Other: �"
Final - --- - DO NOT REMOVE this Insspo. tloni recaed FFoM the site.
PASS PART FAIL
CITYOF T I G A R p MASTER PERMIT
DEVELOPMENT SERVICES PERMIT#: MST2003-00181
1312` SW Hall Blvd., Tigard, OR 97223 (503) 639-0171 DATE ISSUED: 6!2:/03
SITE ADDRESS: 12365 SW ASPEN RIDGE DR
PARCEL:
SUBDIVISION: THORNWOOD 2.`�110BC-TS035
ZONING: '<-7
BLOCK: LOT: 035 JURISDICTION: TIG
REMARKS: Construction of new SF detached residence.
BUILDING
REISSUE: OM133A STORIES: 2 FLOOR AREAS
REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 23 FIRST: 1'1F0 of BASEMENT: of LEFT: 5
SMOKE DETECTORS: v
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,430 at GARAGE: 525 of FRONT: 15 PARKING SPACES
TYPE OF CONST: 5N DWELLING UNITS: 1 THRD al
VALUE: RIGHT: 5
OCCUPANCY ORP: R3 BDR 4: 4 BATH: 3 TOTAL: 2.580 of 253,041.90
REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS:
RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: 'EWER LINES: 100
9F RAIN DRAINS: 1 CATCH BASINS
TUB/SHOWERS: 3 r-ARBAGE DISP: 1 WATER HEATERS:
WATER LINES: 100 BCHFLW PREVNTR: GREASE TRAPS:
MECHANICAL OTHER FIXTURES:
FUEL TYPES FURN-9 100K: BOILICMP<3HP: VENT FANS: 4 CLOTHES DR".N: —
GAS FURN>•100K: 1 UNIT HEATERS:
HOODS- 1 OT—R UNITS: t
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WCOUSTOVES:
GAS OUTLETS: 4
ELECTRICAL
RESIDENTIAL UNIT SEkVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS _ MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 -200 amp: WIS VC OR FD rn
Fut..''RRIGATION: PER INSPECTION
FA ADD'L 500SF: 5 201 - 400 amp: 201 400 amp Tat WIO SVCIFDR:
SIGN/OUT LIN LT: PER HOUR.
LIMITED ENERGY: 401 600 amp: 401 000 amp: EAADDL BR CIR:
SIGNAL/PANEL: IN PLANT:
MANUHMISVC/FDR: 601 • 1000 amp: 001+arnpa•1mov:
MINOR LABEL:
1000•amplvolt:
Reconnect only: PLAN REVIEW SECTION
»4 RES UNITS: SVCIFDR>=225 A.: >600 V NOMINAL: CLS AREA/SPC OCC.
ELELTRICAL•RESTRICTED ENERGY
A.OF RESIDENTIAL
S.COMMERCIAL
AUDIO&STEREO: VACUUM SYSTEM: AUDIO 6 STEREO:
FIRE ALARM: INTERCOMIPAGING: OUTDOOR L.NCSC LT.
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION:
MEDICAL: OTHR:
HVAC DATAITELE COMM:
NURSE CALLS: TOTAL N SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 5,711.82
DON MORISSETTE ,TOMES This permit is subject to the regulations contained in the
4230 GALE WOOD ST Tigard Municipal Code,State of OR Specialty Codes and
STE 100 all other applicable laws. All work will be done in
LAKE OSWEGO,OR 97035 accordance with approved plans. This permit Will rxpire if
work is not Flarted within 180 days of issuance,or if the
work Is suspended for more than 180 days. ATTENTION
pb„N: Oregon law requires you to follow rules adopted by the
503-387-7538 Phone. Oregon Utility Notification Center Those rules are set
forth in OAR 952-001-0010 through 952-001-0080. You
Rao 0: may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987
REQUIRED INSPECTIONS
Erosion Control Insp 8, Post/Seam Structural Mechanical Insp Shear Wall Insp Insulation li,sp qp
Grading Inspection Post/Beam Mechanlca Plumb Top Uut Exterior Sheathing Inst Rain drain Insp Electrical Final p
Sewer Inspection Underfloor insulation Electrical Service Low Voltage Roof Nailing
Footing Insp g Mechanical Final
Crawl Dr'1in/Backwater Electrical Rough In Cas Line Insp Water Line Insp Plumb Final
— Foundation Insp PLM/Underfloor Framing Insp Gas Fireplace Water Service Insp Building Final
Issued By: „n�` permittee Signature : �--
Call(503`6394175 by 7:00 p.m. for an Inspection needed the next business day
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2003-00144
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/23/03
SITE ADDRESS; 12365 SW ASPEN RIDGE DR PARCEL: 2811OBC-TS035
SUBDIVISION: THORNWOOU ZONING: R-7
BLOCK: LOT: 035 JURISDICTION: Tic;
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection for new SF detached dwelling.
Owner: FEES
DON MORISSETTE HOMES tion Date Amount Description 4230 GALEWOOD ST p
STE 100 [SWUSA]Swr Connect 6/7.3/03 $2,300.00
LAKE OSWEGO,OR 97035 ISWUSA] Swr Connect 6/23/03 $0.00
Phone: 503-397-7539 (SWINSI') Swr Inspect 6/23/03 $35.00
(SWINSI']Swr Inspect 6/23/03 $0.00
Contractor:
JARDINE PLUMBING
Total $2,33:,' 00
P0BOX 186
ESTACADA,OR 97023
Phone: 503-630-5436
Reg#: SUP 35925
1.I1' 42422
ELF '-6-2990
LIC 35533
LIC 32509
LIC 109747
111.M 3-3201)B
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 f,am the distance given. If not so located,the installer shall purchase a"Tap and Side Sewer' Perm
Issued by: r Permittee Signature:
Call (503)f639-4175 by 7:00 P.M.for an inspection needed the next business day
I
BuRding Permit Application�
City Of Tigard Date received:rv3 Permit no.:
CiryajTigard Address: 13125 SW Hall IbcProjecuuppl.no.: Expire date:
Phone: (503) 639-4171 Date issued:
Fax: (503) 598-1960 BY Receipt no.:
Ari 0 J Case file no.: Payment type:
Land use approval: C 1&2 family:Simple Complex:
O l
12 family dwelling or accessory U Commercial/industrial U Multi-family , 'New construction U Demolition
❑Addition/alteration/replacement U Tenant improvement U Fin:sprinkler/alarm '_1 Oahe[
a
Job address:
Nldg. no.: Suite no.:
Lot: Block: Subdivis n: 'V' Tax map/tax lot/account no.• ,,
Project name: OPC �p
Description and location of work on Premises/special conditions:
Name: � �e"j=- • �
_YVaSam
Mailing address: L' 1 &2 family dwelling:
City: � State;• ZIP: ! � Valuation of work.......
Phone:. Fax: "� -mail: ................................. y _
._- No.of bedrooms/baths................. .
Owner's representative: _ ••••••••••••• •-
G'1 Y I( _ Total number of floors
Phone: Fax: E.mail: New dwelling ................
area(sq. ft.) ..........................
Garage/carport
area(sq.ft.). .7'
Name: ? Covered porch area(sq. ft.) ........................ _
Mailing address: Deck area(sq.ft.)
........................................ _
City: State: ZIP: Other stricture area(sq. ft.)......................... —
Phone: Fax: E-mail: COrmnerclal/industrlal/multl-family:
Valuation of work........................................ $
Business name: �-�7 - Existing bldg.area(sq.ft.) ..........................
Address? Z ` New bldg.area(sq.ft.)................................ —
City: State: Zi P: — Number of stories........................................
Phone: Fax: E-mail: Type of construction.................................... _
CCB no.: Occupancy group(s): Existing: _
City/metro lic.no.: New:
Notice:All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
Name: -ia�� � � `.; �lZ 4'�,
provisions of ORS 701 and may required wired to be licensed in the
Address: `� i —--- ----- q
1 �L � jurisdiction where work ix being performed. If the applicant is
City: State: ZIP: exempt from licensing,the following reason applies:
Contact person: Plan
Phone: Fax: E-mail:-
Name: Contact person: Fees due upon application ....................... $
Address:
-- Date received: _•+ _
City: State: ZIP: Amount received ....................................... $
Phone: Fax: E-mail: _ Please refer to fee schedule.
I hereby certify I have mad and examined this application and the [Not all Jud"Ctiom&ceps credit cards•please caul juriselkrion for more information.attached checklist.A rovisions of I ws and old�rnances governing this vie. U MuterCardwork will be compll w whether cified heret'n tdit card number: /
Authorized Z;6�
i-��T 11 Expires
Name of ,Idea u shown on crani card
Print name: f e fl t r "L $( __ cardhd r Uaouture Amount
Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4404613 t w/coxtl t
One- and Two-Family Dwelling
Building Permit Application Checklist Referenceno.:
Associated permits:
City of Tigard City of Tigard U Electrical U Plumbing U Mechanical
Address: 1312_`SW Nall Blvd,Tigard,OR 97223 U Other: _
Phone: (503) 639-4171
Fax: («l^) 598-1960
1 Land use actions completed.See iurisdiction criteria for concurrent reviews.
2 Zoning.Float plain,solar balance points,seismic soils designation,historic district,etc.
3 Verification of approved plot/lot. --_
4 Fire district—__approval required. _
5 Septic system permit or authorization for remodel.Existing system capacity
6 Sewer permit.
7 Water district approval.
8 Soils report.Must carry original applicable stamp and signature on file or with application.
9 Erosion control U plan U permit required.Include drainage-way protection,silt fence design and location of
catch-basin protection,etc.
10 3 Complete sets of legible plans.Must be drawn to scale,showing conformance to applicable local and state
building codes.Lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details.Plan review cannot be completed
if copyright violations exist.
11 Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if
there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft intervals);location of easements and
driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot
area;building coverage ama—,percentage of coverage;impervious area;existing structures on site;and surface drainage.
11 Foundation plan.Show oi-te %ions,anchor bolts,ally hold-downs and reinforcing pads,connection details,vent
size and location.
13 Floor plans.Show all dimensions,room identificati• ,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 will 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 analyst 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/roc -ssemblies,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 r-vo sets of calculations using cunent code design values for.dl beams and multiple joists
over 10 feet long and/or an) beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details.
21 Energy Code compliance.identify the prescriptive path or provide calculations.A gas-piping schematic is required
for four or more appliances.
22 Engineer's calculations.When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or
architect licensed in Oregon and shall be shown to be applicable to the project under review.
23 Five(5)site plans are required for Item 11 above. Site plans must be 8-1/2" x I 1"or I 1"x 17".
24 Two(2)sets each are required:or 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 — —
28
Checklist must be completed before plan review start date. Minos changes or notes on submitted plans may be in blue or black ink.
Red ink is reserved for department use only. MO-4614(muuCON0
CITY OF TIGARD N'u
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
CITY ELECTRIC + SUPPLY CO
8900 SW BURNHAM F-27
TIGARD, OR 97223
Electrical Signature Form
Permit #: MST2003-00181
Bate Issued: 6/23/2003
Parcel: 2S110BC-TS035
Site Address: 12365 SW ASPEN RIDGE DR
Subdivision: THORNWOOp
Block: Lot: 035
Jurisdiction: T;G
Zoning: R-7
Remarks. C
Your company has been indicated as the electrical contractor for the permit indicated
' the electrical permit to be ated above.
valid. the signaturician re In orderfor
e
appropriate individual from your company sign below and rretu n this ng tElectrical required.
unatdure lease have the
start, of the work to the address above, ATTN: Building Division. g Form prior to the
Na electrical inspections pecti s will be authorized until this completed form is received
OWNER.
ELECTRICAL CONTRACTOR
DON MORISSETTE HOMES CITY ELECTRIC + SUPPLY Co
4230 GAI_EWOQD �T
STE 100 8900 SW BURNHAM F-27
LAKE OSWEi;O, PhoOR 97035 TIGARD, OR 97223 <
Phone #: 503-•387-753$ o' ' (�
ne #: ,, yy3 _ p 1 Z
Reg #: sur 35925
LIC 42422
FIT, 26-2890
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X
Signature of Supervising Electrician
If you have any questions, please call 503.718.2433.
A CITY OF
101 G,ARD PLUMBING PERMIT
DEVELOPMENT SERVICES PE ,AIT M PLM2073-.00399
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATL ISSUED: 8/5/03
PARCEL: 2S 110BC-TS035
SITE ADDRESS: 12365 SW ASPEN RIDGE DR
SUBDIVISION: THORNWOOD ZONING: R-7
_ BLOCK: LOT: 035 JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
'TYPE OF 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:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Rev arks: Install backflow preventer
_
Owners _ FEES ----
i-- Description __ Date Amount
DON MORISSETTE HOMES 111.UMBI Permit Fre 8/5/03 $36.2.5
4230 GALEWOOD ST"
STE 100 I I:��I `t 4tn:c"fay 8/5/03 — $2.90 --
LAKE OSWEGO,OP 97035 Total $39.15
Phone : 503-387-7538
Contractor:
LANDSCAPE OREGON, INC.
12200 SW MYSLONY RD.
TUALATIN, OR 97062 REQUIRED INSPECTIONS
RP/Backflow Preventer
Phone : 503-692-5945
Reg#: PLM 7804
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Issued By: ca_ryL � Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next busin !'day
a
At1g 04 03 02: 46p dan edmonds
503-692-07[;8 p. 2
R.11111birity Permit ApplicationME ' ' -M IKE
---- ---- Received
llate/l1 � )
City Of Tigard Planning Appro_val Sewer
Date/By:: Permit No.:
13125 SW Hall Blvd. Plan Review -- Other
Tigard,Oregon 97223 Date/B : PerrnitNo.:
Phone: 503-6394171 Fax: 503-598-1960 Post-Review Land Use
Internet: wu'w.ci.tigard.onus Date/By: _ Cme No.:
24-hour Inspection Request: 503-639-4175 Contact Juris.: See Page 1 for -
NarxaMcthod: Sup2lementallntormatlun.
TYPF OF WORK FEE*SCHEDULE(fors ectal information use chcckllst)
rA
struction _ Demolition _ Des cri tp lop � I Qty. Fec(eo,) Toial
Addition/alteration/replacement Other: New 1-&2-family dwellings
CATECORY'.OF CONSTRUCTION Includes loo ft.for each utilityconnection
mily dwellin Commercial/Industrial SFR I bath 249.20
IIuildin SFR 2 bath 350.00
� []Multi-Family SFR 3 bath 399.00uilder Other: Each additional bath/kitchen SITE INFORMATION and LOCATION Fire s rinkler- . R.: Pa e 2ess:_(�3(05 �S[t) '� !U Site Utilities
Suite#: Bldg•/Apt•#: - Catch basin/area drain
16.60
Pro ect Name: �?'!1 t;UCri C.ur :�35 Dr ell/leach line/trench drain 16.60
Cross street/Directinns to job site: A Footin drain no, linear ft,) Pa e2
sw (ku M 7&J Manufactured home utilities 110.00
- Manholes 16.60
Rain drain connector 16.60
Sanita sewer no.linear ft. Pa
¢e 2
Subdivision: 'Th[»-rl r uyC� �-' Storm sewer no.linear R.
Lot#� 3 - Pa c 2 _
Tax map/parcel#: (Lim S (3�, Water service no, linear ft. Pae 2
DESCRIPTION OF WORK Fixture or Item
"cfLe,
L - b,LuGfltllc) ��/< C� Abso tion valve 16.60
Backflow mventer
Pa e 2
Backwater valve 16 60
Clothes washer 16.60
Dishwasher 16.60
PROPERTY OW?tER TENANT Drinkingfountain 16.60
Ejectors/sum
Name: 16.60
bal') /YI t3Yl S�.Q s''ykC� Expansion tank
16.60
.�1ddrC55: U �t�UO Fixture/sewer r:a 16.6(1
L /� Stdte/Zi :J ck/ -!�' t� r'� %743 Floor drain/floor sink/hub 16.60
Phone: Garbs a cl osal 16.60
Fes' Hose bib
PPLICANT CONTACTPERSON 16.60
Ice maker _ 16.60 _
Nanle: oetre :(f) Interce tor/ rcase trap 16.60
Address:/:��Z{7C� S Cj n7 l SNL IQ -"_ Medical as-value. 5 Page 2-
City'State/Zi :y'Zs!ll.��l-t-2; G 9W) -1-> Primer _ 16.60
Phone:540 tc Roof drain comrnerr ial 16.60
�s� -c-ei-"S FaX, 3 Io9� arjrJ(C Sink/basitt/lavato 16.60
E-mail: Tub/shower/shower an 16.60
CONTRACTOR Urinal 16.60
Business Name: 1-a4da t-Gam?, 611 ' Water closet 16.60
Address: ;�UCS 41A.) Yui s[yy�'��YL`- \facer heater - - 16,60
-��-- -� - Other:
Cit /State/P:' �a-�IrL ptQ- q' c)�oZ Other:
Phone. T,3 �,q.1 -Stivs- Faro a 699.' Plumbing Permit Fees"
CCH Lic. #: f] 90 1-( Plumb. Lia!#: Subtotal S
Authorized Minimum Permit Fee $
Signature: ' �//l�{dU Date, e/ Residential Backflow Minimum Fe 36.2 -�C°•
CV) S��r` .� - _� - _ Plan Review
urcharge(84i°of P25%of Permit Fce S
State Sermit Fec s d
(?base print na.ae) TOTAL PERMIT FEE S
Notice: This permit application expires if a permit is not obtair,rd worhin All new commercial buildings require 2 sets or piano with Isometric or
180 days after It has been accepted as complete. riser diagram for plan review.
*Fee methodology set by Tri-County Building Industry Service Board.
is\thts\Permit ForrmTlmPerrnitApp,doc 01103
CITY OF TIGARD
13.125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTIC P
CITY ELECTRIC + SUPPLY CO RECEIVED
8900 SW BURNHAM F-27
TIGARD, OR 97723
JUL 3 7(103
C:I1 y"Ur TIOAHU
Electrical Signature Form BUILDING DIVISION
Permit#: MST2003-00181
Date Issued: 6/23/2003
Parcel: 2S110BG TS035
Site Address: 12365 SW ASPEN RIDGE DR
Subdivision: THORNWOOD
Block: Let: 035
Jurisdiction TIG
Zoning: R-7
Remarks: C
Your company has been indicated as the electrical contractor for the permit indicated above. In order for
the electrical permit to be valid, the signature of the supervising electrician is required. Please have the
appropriate individual from your company sign below and return this Llectrical Signature Form prior to ti•e
start of the work to the address above, ATTN: Building Division.
No electrical inspections will be authorized until th?s completed form is received
OWNER: ELECTRICAL. CONTRACTOR
LEON MORISSETTE HOMES CITY ELECTRIC +SUPPLY CO
4230 GALEWOOD ST 8900 SW BURNHAM F-2.7
STE 14^ TIGARD, OR 97223 _
LAKE OSWEGQ OR 97035 f/i j�t (� R_s'- 3 o
Phone#: 503-387-7538 Phone #: yq3
Reg #: SUE' 35925
LIC 42422
ELE 26-289C
AN INK SIGNATURE IS REQUIRED ON TH18 FORM
Signature of Supervising Electrician
If you have any questions, please call 503.718.2433.
i
1002 jxm `(nq Q2Iv9I.L in ,(.LID 199Ct1.9C09 IVA 9t:90 aRl CO/TULO
CITY OF TIGARD
13120 S.W_ HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
ROSE CITY PLUMBING
11145 SE GRANBERRY LN
CLACKAMAS, OR 97085
Plumbing Signature Form
Pgrmit 0: MST2003-OQ181
Date laeued: 6/.33/2003
Parcel: 2811013C.06400
�Oe Address; 12265 SW ASPEN RIDGE DR
Sup iivision THORNWOOD
dock: L ot: 035
JuriedlC,'lon: TIG
7oning: R-7
Remarks. C
Your company has been indicated as the plumbing contractor for the permit Indicated above. In order for
the plumbing perrmlt to he vaNd, pbaFA have the appropriate in ,rvidual from Your company sign below and
retum this Plumbing Sipr;nture Form prier to the start of the work to the address above, ATTN' 13(dlding
Dhrlsion.
No plumbing Inspections will be outhorized until this `:Omplelled farm in received
OWNFR PLUMGINO CONTRA(;FOR
DON MORISSETTE HOMES ROSE CITY PLUM91NG
4230 GALEWOOD ST 11148 SE GRANBERRY LN
STE 100 CLACKAMAS, OR 57086
LAKE OSWEGO, OR 970J6
Phone #: 503.387.7538 Phone#: $03-380-0323
Req #t: LIC 131267
PLM 3-459P13
AN iNK SIGNATURE IS REQUIRED ON TNI;S RM � \
Signature of Authorized Plumber _
If You have any questions, pleARP call 503 718,2433.
innfw, TJ1,T nT,a nVVg1T in iTTI
�4acp`arnt rv4 so,:Rn riga Cnl''tla0