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Case File N + 00 i N D m z 0 m v i i 12468 SW ASPEN RIDGE DR CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 LL UP Received _ - - Date Requested AM --- PIA - -- BUP -_-.-- Location �� 7� k_d /- =Suite _ MEC _— Contact Person y oe --_ h( ) _ PLM _ Contractor — Ph(--) " 44-3'7 ;WR -- BUILDING Tenant/Owner - _— ELC ELC Foundation Acs ess: Ftg Drain ELR Crawl Drain ___ SIT Slab Inspection Notes: - - Post&Beam Shear Anchors Fxt Sheath/Shear - -- T - -- Int Sheath/Shear Framing - , --- Insulation i' f Drywall Nailing --�- - Firewall --- Pire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: - Final PASS PART FAIL PLUMBING Post 8 Beam Under Slab - Ruugh-In Water Service — Sanitary Sewer _ Rain Drains Catch Basin/Manhole Storm Drain -- Shower Pat i — Other:. Final PASS _PART FAIL MEC:;ANICAL _ —_ _- ---- - Post&Beam Rough-In — -- -- — Gas Line _ Smoke Dampers - --- ---- - Final PASS PART FAIL — —"--___"------- �--- - -- --- Service Rough-In - I)G;Siab Low Voltage F- �' s - - -- ---- --- - Fire Alarm ASPART FAIL Reinspection fee of$-_ required before nf.xt inspection. Pay at City Hall, 13125 SW Hall Blvd. g Please call foi reinspection RE --- Unable to inspect—no access Fire Supply Line ADA App•oach/Sidewalk Gats�� " 1V � 0�-- Inspector -_�'_f� �-Q8� � ----W - n.her. ,71na1 ®O NOT GiEMOVE this Inspection record from the job site. PA SPART FAIL i CITY OFTIGARD 24-Hour BUILDING InsF action Line: (503) 639-4175 MST��C� INSPECTION DIVISIONBusiness Line: (503) 09-4171 BLIP Received Date quested - AM PM BLIP _ Location - Suite - _- - MEC - ----- --- -- Contact Person _ Ph( ) L_ -L PLM ----- _--- Contractor - -- - ----_ -- - .-� Ph( � -�- SWR _-------..-_. BUILDING Tenant/Owner ____ __-__- _. - Footing LC ------_-_-.__._.----- Foundation I ELC -- Ftg Drain ACC@SS: Crawl Drain ELR --- - -- - Slab Inspection Notes: SIT -__- Po�;t&Beam Shear Anchors - -- - -_- ---- _ Ext Sheath/Shear \- - Int Sheath/Shear - -- -- - - Framing --- __--- ----- - Insulation U I(y1 2 ANAX Drywall Nailing ---- -- Firewall - -- Fire Sprinkler WTI - - ------ _- Fire Alarm 2,e-.JA J Susp'd Ceiling Root Other: Final PASS RT FAIL --- ----- ----- -----.- Un Beam Cx U ~ Under Slab _—( ! -�- Rough-In S � Water Service - 'u r ` ux- 4o Sanitary Sewer Rain Drains - �S Catch Basin/Manhole Storm Drain -- Shower Pan ----_--- ------ - -- Other: - - - - --- -- ___--- ------------------__-- in._ MHAN-I&A—L ' PART FAIL L ___ - ---- - -- - -- - Post&Beam Rough-In Gas line -- - ,----� Smoke Dampers -- _ Final PASS PAREFAIL -- - - - ELECTRICAL_ ---- -- Service ---- Rough-In UG/Slab - - - -- ---- - -- Low Voltage F larm n [] Reinspection fee of$_ required before next Ins PASS PART AIL - � pection. Pay at C!ty Hall, 13125 SW Hall Blvd. PASS PAR T ALI SITE Please call for reinspection RE:.-_ Unable to inspect-no access Fire Supply Line 1 ADA , Approach/Sidewalk Daft Inspector Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL Nov 19 2003 5: 21PM GeoPacific Engineering, I 5t73-598-8'105 P. 1 ,-Iy G PifiC Heel-Wohd Geotechnical Solutions Investigation-Ill Constructlon Support November 18,2003 Job No 00-4945 Attention, Andrew Thomas Venture Propert os,Inc. 4230 Galewood Street, Suite 100 i_ake Oswego,Oregon 97035 s=ax No. (503)670-9099 AF: GEOTECHNICAL. ENQ!NEER'S FOUNDATION EXCAVATION REVIE44 THORNWOOD LOT 56 CITY OF TIGARD, OREGON Peference GeoPacfflc Engineering Inc„So l Eng'nser's Summary at Corolualon of Carthwort,Thornwocd C ty of Tigard. Oregon, dated March 16, 2003. GeoPocrfic Geologist, ErlckA Koss, vlalled the all Were nced c. on Nowimber 14, 2093 to rAv,ew the foundation excavation subgrade and footing proximity to existing sicpe face. Specific 1o.inoaton desgr recommendations were presented in the report,referenced above. he westornmast footing (downslope) for the subject rea dente is greater than 10 test horizontal to the 91ape face and is a1 less Irian a 2N:1 V slope to to of the adjacent drainage. tooting subgraca penarally consisted of engineered fill on thr, front embankment and natural soils at the lowest ,west) portrGn of the home with exception of the no-hwest corner of the excavation. Approximately 9 linear feet of exf1csed subgrade on the northwest corner consists n' inadequately compacted fill. Eipsed on probtng with a steel T-bar, the uncon-pacted IN extends to a depth of about 12 Inches below existing ground surface, this sou was removed on November 181h. Soils now exposed In the excavatlon arot>Hd stHf to very stiff; although cola and wet weat!ier may soften subgrade and warrani same mucking beneath foo111r96 immediately prior to oouring the foundation. The current subgrade is considered adeq.Ia,e for sprend 'oundalion support. Based on o.-r obsarvation;., the foundation subg,ade and excavetlon setbacks ernu'd be as eptable ror e.ipport of the proposed eingle•f smily home. No deck tooting subgraces we-e observed. Sore 'staining walls are needed in the -i"o of the home to retain tall vertical cuts and some back'lling wr'• be tiiK:assa�y. Our work scope for tlls phase of geotecnn cal evlew pertains to founcatlor bearing c*r+dltions onty,and s hmited to the Condit ars ex at ng and exposed at the llme at our s to visNs. 11 VOL have ary+urtner quest ons, please call Sincerely. GeoPeciflc EngInewing,Inc Ox fS .v�5/N6 t4'E o x 14743 ernes D. imbris P.E ,C.E 0 / C aoteohnical Engineer ` OREGON /1 7312 SW Durham Road r ._C�t� ` f0 �S Tel(5031 598-6445 Portland. Oregon 97224 'U(503)598 6705 I . T i.�►�w.uww.�.�►ww wwwuw�..-�-1� . . ..wwwwwwww.�� Al i►- QIP. �' _ � � ~ ^ � ► .i = /w 41 = j � s ,P i I44 j I i � �► i v T v Tv T7TTT77 TTT7 TT7�'r 1 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503) 1339-4171 MST Y —60 7 BUP Received `� �� Date Requested AM_... PM BUP _ Location _suite_-. MEC Contact Person _... Ph( ) _ PLM Conte _ -- �� Ph( -) 1-0q- 44R '7 SWR BUILDIN Tenant/Owner ELC Fdotfng-- Foundation Access: ELC - Ftg Drain Crawl Drain ELR --- -__ -- — Slab Inspection Notes: SIT Post& Beam Shear Anchors Ext Sheath/Shear i Int Sheath/Shear -- Framing �� S��` AsT-1-0-C &;u2 CIT r--b-ti Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -- _ Roof aS RT FAIL Post 8 Beam -- Ui ider Slab Rough-In -- Water Service Sanitary Sewer Rain Drains _ Catch Basin/Manhole —u Storm Drain Shower Pan Other:_ Final Y _ — PA PART_FAIL ---- — RIE CHANIC Pos ---- Rough-In Gas Line — ' �a Dampers RT FAIL ICAL Service --- — Rough-In UG/Slab -- --- Low Voltage Fire Alarm Final Reins _PASS PART FAIL pection fee of$_ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE [] Please call for reinspection RE:—__ _ _ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Dab llnspoctor __ Ext Other - Final DO Nor REMOVE this Inspection record from the job site. PASS PART FAIL d � � 0 0 5� G � Pte'► i co o O1 J G� n E o � p3 s x CITY OF TIGARD 24-Hour BUILDING Line: (503)63 - 75 MST INSPECTION DIVISION Business Line: (503) 6 0 �� ,.� I� BUP - Recei edI�) Date Requested AM PMS_ BUP _--_ Location �1 `'r0s� st MEC Contact Person Ph Contractor_ _ __-- Ph( ) SWR - BUILDING Tenant/Owner _ ELC - Footing Foundation ELC __ —• Access: Ftg Drain ELR Crawl Drain - -- Slab Inspection Notes: SIT Post& Beam C)-ej Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing -- --- Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -- Root Other: -- Final PAS PART FAIL. ---- - -TIDUMBINO -eam - Under Slab Rough-In —_ Water Service - - - --- ----- Sanitary Sewer Rain Drains - Catch Basin/Manhole Storm Drain --- -- Sho er Par} the : 1� PASS,/_PART FAIL _ _A_NICAIL _ Post&Beam Rough-In Gas Line Smoke Dampers Final PASS PART FAIL_ --- --- — -- _EL_ECT_RICAI Service — _— -- _-- Rough-In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of$_ required before next Ins PASS PART FAIL P q Inspection. Pay at City Hell, 13125 SW Hall Blvd. SITE Please call for reinspection RE:_ _ Unable to inspect-no access Fire Supply Line ADAApproach/Sidewalk Daft--'�" Q f✓f Inspector �^ � � _ Ext Otner: J Final DO NOT REMOVE this Inspection record from the job elte. PASS PART FAIL CITYO 1 ,'1 I G A R D __ MASTER PERMIT PERMIT #: MST2003-00407 DEVELOPMENT SERVICES DATE ISSUED: 11/17/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 12468 SW ASPEN RIDGE DR PARCEL: 2S110BC-08500 SUBDIVISION: THORNWOOD ZONING: [,-- BLOCK: LOT: 056 JURISDICTION: I I(i REMARKS: New SF detached, Path 1. _ BUILDING REISSUE: DM714A STORIES 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 21 El FIRST: 1,000 of BASEMENT: of LEFT: 5 SMOKE DETECTORS: r TYPE OF URS: SF FLOOR LOAD: 40 SECOND: 1.320 of GARAGE: 450 at FRONT: 15 PARKING SPACES TYPE OF'�JNST: 5N DWELLING UNITS: I THIRD of RIGHT: 5 ;32 20 OCCUPANCY GRP: R3 BDRM: 3 BATH: i TOTAL: 2.360 of VALUE: 734 REAR: Ir PLUMBING _ SINKS: I WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN: IUU TRAPS: LAVATORIES: 4 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: I CATCH BASINS: TUBISHOWERS: 3 GARBAGF.UISP: I WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL.TyrES FURN<1:,)K: 0 LOIUCMP<AHP: VENT FANS: 4 CLOTHES DRYER: 1 FURN>e100K: 1 UNIT HEATERS: HCODS: 1 OTHER UNITS: 1 MAX INP: btu FL LIOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS_ ADD'L INSPECTIONS 1000 SF OR LESS. 1 0 200 amp. 0 200 amp: WfSVC OR FDR PUMPfIRRIGA1ION: PER INSPECTION: EA ADD'L 500SF: •1 201 400 amp: 201 400 amp let WIO SVC/FDR. SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY-. 401 600 amp: 401 600 amp EAADDL BR CIR: SIGNAUPANEL: IN PLANT: MANU HMISVCIFDR: 601 - 1000 amp: 601+amps-1000V MINOR LABEL.: 1000•amolvoll PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS. SVCIFDR>R225 A.: >600 V NOMINAL: CLS AREAISPC OCC. ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL _ AUDIO&STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: 0TH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAITELE COMM: NURSE CALLS: TOTAL A SYSTEMS: Owner: Contractor: TOTAL FEES: $ 5,223.68 This permit is subject to the regulations contained in the DON MORISSETTE HOMES INC DON MORISSETTE HOMES INC Tigard Municipal Code,State of OR. Specialty Codes and 4230 GALEWOOD ST#100 4230 GALEWOOD ST,STE 100 all other applicable laws. All work will be done in LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 accordance with approved plans. This permit will expire if work is not started within 1✓0 days of Issuance,or if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to followrules adopted by the Phone: 503-387-7538 Phone: Oregon Utility Notification Center. Those rules are set SIy' forth in OAR 952-001-0010 through 952-001-0080. You Rap N: 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 Appr/Sdwlk Insp Grading Inspection Post/Beam Mechanica Plumb Top Out Exterior Sheathing Insf Rain drain Insp Electrical Final Sewer Inspection, I_Irvierfloor insulation Electrical Service Low Voltage Storm drain Insp Mechanical Final Footing Insp Crawl Drain/Backwater Electrical Rough In Gas Line Insp Water Line Insp Plumb Final Foundation Insp PLM/Underfloor Framing Insp Gas Fireplace Water Service Insp Building Final kti Issued By : Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITYOF TIG ® RD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2003-00308 13125 SW Hall BIS-4 , Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/17/03 SITE ADDRESS; 12468 SW ASF LN RIDGE DR PARCEL: 2S1108C-08500 SUBDIVISION: T'I-IORNWOOD ZONING: P7 BLOCK: LOT: 056 JURISDICTION: Il( TENANT NAME: JSA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING U14ITS: I TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF detached. Owner: ---- - __ FEES _ DON MORISSETTE HOMES INC Description Date Amount 4230 GALEWOOD ST#100 p LAKE OSWEGO, OR 97035 t Swr C otmect 11/17/03 $2,400.00 1 S W I tiA] Swr Connect 11/17/03 $0.00 Phone: 503-387-7538 [SWINS111 S\Nr Inspect 11/17/03 $35.00 (SWINS111 tier Inspect 11/17/03 $0.00 Contractor: ----- 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" Perm f1 . !ssuedl by: ��—�<i L� — Permittee Signature -' �----- __ Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day w `cr1?�- 3C� Building Permit Application Datereceived: s� Permit no.: .1 City of Tigai' C-N Project/appl.no.: ate: City ofTigard Address: 13125 SW H vdc'4.,Tigard,O 7223 -- (� Phone: (503) 639-4171 6 10 Date issued: Hyeeeipt no.: Fax: (503) 598-1960 "ase file no.: Payment type: Land use approval: IT q nF TIGp,FD i517 IA2 family:Simple Complex: --�. U I &2 family dwelling or accessory U Commercial/industrial U Multi-family >CNew construction U Demolition O Add ition/alteration/ttplacement ❑Tenant improvement U Fire sprinkler/alarm U Other: _ .1011 SITE, t All Job address: Block:77Suh4iriis4on: �,, �• f3ldg. .. Suite no.:Lot: it (,1,�'� Tax map/tax lot/account no.: ► j Project name: - --- _ — Description and location of work on premises/special conditions:. (r-loo Plain,110011C capacity,%War'etc.yMailing address: Lr,(,A,'C t_ C4 J Ct I &2 family dwelling: City: C _ State/- ZIP: Cf Valuation of work........................................ $ 5 3l Phone: - Fax-:`5 -mail: No.of bedrooms/badis................ ... ........ Owner's representative: )L ti j — Total number of floors................................. Phone: Fax: F-mail: New dwelling area(sq.ft.) _ Garage/carport area(sq. ft.) Name: 1 �-�,Y 1 l Covered porch area(sq.ft.) ......................... g ��—e...—�. I` _ Deck area(sq.ft.) ...... .. / L!J Mailing address: � .�... .......................... --- Other structure area(s . ft.)......................... City: State: ZIP: — — Phone: — Fax: E-mail: Commercial/industrial/multi-family: Valuation of work........................................ $ _ Fxisting bldg.area(sq. ft.) .......................... Business name: �'l :- Y�1C'r Address: - New bldg.area(sq.ft.)........................... ' Number of stories City: State:_ ZIP: ................................... .. Phone: Fax: E-Mail. — Type of construction.......................... ........ CCG rru.: t J - --- Occupancy group(s): xisting: e.. _ New: City/metro lic.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: q�� provisions of URS 701 and may be required to be licensed in the Address: ��` _ jurisdiction where work is being performed.If the applicant is Cit : State: ZIP: —- exempt from licensing,the following reason applies: Contact person: _ Plan no.: ------ ---- Phone: I�ax — F' mail --- ---- - _.—_ Name: _ t',aunu l Pel"i0tr Fees due.upon application ........................... $ Address: - _ Date received: City: I State: ZIP: Amount received .................................... .... $_ - Phone: Fax: - E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Nor all jun"coom accept credit cards,please carr Jurisdiction for more mradon. attached checklist. rovisions or I ws andoff��dtnances governing this o visa U Mastercard work wpill be com I WTN,whether. cified dercA.9 t. r Cmdit card number 1 Expires Authorized tatuc,aA `-� 1 13 _ �( �— Name of eardhaldrr sa shown on credit cwd Print name: i` C.(�Gt l f I LL Cardholder sipature Amount - Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted as^omplete 4404613 trYUWOSn One-and Two-Family Dwelling Building Permit Application Checklist Re�erenceno.: Associated permits: City f rrgard City of Tigard U Electrical ❑Plumbing O Mechanical Address: 1312J SW Hall Blvd,Tigard,C4 97223 OOther: Phone: (503) 639-4171 Fax: (503) 598-1960 FOLLOWINGTAE REQUIRED 1 I baud use actions completed. See jurisdiction criteria for concurrent reviews. —_ 2 Zoning.P1ood plain,solar balance points,seismic soils designation,historic district,etc. 3 Verification of approved plat/lot. 4 Fire district approval required. 5 Septic system permit or authorization for remodel. Existing system capacity 6 Sewer permit. 7 Water district approval 8 Soils report.Must carry original applicable stamp and signature on'lle or with application. 9 Erosion control ❑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 pr:: location and details. Plan review cannot be completed t/ if copyright violations exist. J� -- I 1 Site/plot plan drawn to scale.The plan must show lot and bui;ding setback dimensions;property comer elevations(if there is more than a 4-fl.elevation differential,plan must show contour lines at 2-R.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/sepdc systems:utility locations;direction indicator,lot area;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 details,vent size and location. 13 Floor plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater, furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details.Show all framing-member sizes and spacing such as floor beams,headers.joists,sub-floor, wall construction,roof construction. More than one cross section may be required to clearly portray construction.Show details of all wall and roof sheathing,rooting,roof slope,ceiling height,siding material,footings and foundation,stairs, `J fireplace construction, thermal insulation,etc. J� 15 Elevation views.Provid,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 V non-prescriptive path analysis provide specifications and calculations to engineering standards. _ —p 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 10 feet long and/or any beant/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. ILI 11 HISDIU111ONALSPECIFICS mom 23 Five(5)site plans are required for Item I 1 above. Site plans must be 8-1/2" x I I"or I I" x 17". K 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 plaits will be accepted. — 27 28 Checklist must be completed before plan re,,iew start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only. 44n-4614(&oacorvt) Mechanical Permit Application Date received: Permit no.: f Cicr of Tigard Pro;ect/appl.no.: Expire date: CityofTigard Ac+dre'.s: 13125 SW Hall Blvd,Tig$(d,SR197498� I'honr: (503) 639-4171 JUL LU'1J Dateis�ued_ By: pt no.: Fax: (:)03) 598-1960 CITY 0F TI(sARD Case file no.: Payment type: � Land use approval: III In nING DIVISION Building permit no.: C371O l &2 family dwelling or accessory 0 Commercial/industrial O Multi-family ❑Tenant improvement X'lev, cot suu_tion Q A(ldition/alteration/replaccment U Other- NFOANIA COMMEWAL VALUATIONSCHEDULE �lb address: Z) j Indicate equipment quantities in boxes beiuw.Indicate the dollar Bldg.no.: _ Suite no.: value of all mechanical materials,equipment.labor,overhead, Tax i..ap/tax lot/account no.. profit Value S L.ot:_ 5 lock: Subdivision fAL1Y R�Q 'See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City/county: ZIP: t 1 Description and location of work on premises: __— 1 1 1 ° 1 1 1IJ 101 Fee(ea.) Total Est.date of completion/inspection _ i)escriptioo UtY• Ret.only;Res.only Tenant improvement or change of use: �ha. Air hancilinb unit Is existing space heated or conditioned?O Yes O No Air conditioning(sloe p an required) Is existing space insulated?O Yes U No Iteration o existing_ A system — Boiler/compressors State boiler permit no.: Business name _� �� t {�J�1{LUHP ,—_TonsBTU/H Address: ( �' �T— Fire/smoke dampers duct smoke electors _ L_ City: L! State' ZIP: eat pump(site plan required) Phone: :arc: E-mail: nsta replace mace/burnerBTU/14 c� Including ductwork/vent liner 0 Yes O No CCB no.: ;?_—) Y l Instal Ureplare/relocateheaters-suspended, City/rr,etro lic. no.:N/A _ - wall,or flooi mounted — —_ Name(please print): _ �T� ens ora appliance other than furnace Nefrigeration: Absorption units_ BTU/H — Name: f AAL --� Chillers ---- lip — — Compressors HP Address: C _<L r _ Environmental exhaust and Ventilation: City: State: ZIP. Appliance vent _ -- Phone: Fax: E-mail: ryerexhaust s, ype l res.lutche azmat hood fire suppression system --- Name: Exhaust for,with single duct(bath fans) Mailing address: ) c I/L' _ Exhaust system mart om eatin or AC tie prp Citv: State, ng and distribution(up to 4 outlets t IP Z ) _ —_ -_. — �— Type: LPC NG Oil _. Phone:- 7' I.ax E-mail: ueT piping eachad itjona over outlets I rocs sp p ng(schematicrequired) — Name. Number of outlets ter app ance or Mu mp ent: Address Decorah ve fireplace City State: 'IP nsert-type _ --- --- — — - — stove/pelletstove -- — Phone Fa. -mail: - Other: YApplicant's signatr. D-w: �" Other- Name t er. Name(print): (�_ Yt t l it n Not all iunsdicuoru accept credit cards,please cats junsdlcuon for rrwxe Wortnauon. Permit fee.....................$ Notice:This This permit application Minimum fee................S _ ❑Visa ❑MasterCard expires if a permit is not obtained Credit cam nurnber --L - within 180 days after it has been Plan review(at _ %) $ Expires State surcharge(8%) ....S _ — Name of cardnol r u shown on credit card s accepted as complete. ` TOTAL .......................S --- Cardholder signature Atttount 4404617(N0UMM) Plumbing Per mit Application t � Q Date received: Prarii[no.: / City of Tigard Sev rr permit no.. Building permit no.: ' Address: 13125 S'N liall Blvd.Tigard,OR 97223 F'rotec�aPpl nn Expire date: Cary oJTigard Phone: (503) 639-4171 R( O E I v E D pat i a issued' BY' Receipt no.: Fax: (503) 598-1960 1._. Case file no. Pr.ymentype: Land use approval: -- --- - TYPE OF PERIVIF117 O 1 8c'_famil dwelling or accessory O )�f,�,� )11 MuC 'IRLi-Emily O Tenant improvement Y g rY O uo'ri/altaM- �lacemenr t F"'.;service O Other. *New construction Fee(ea. Total tom, Description Qh' ) Job address_ �/t✓ Gtc New I•and 2-family d Konly: Bldg. no.. Suite no.: (includes loll R.for e2cls utility-o[mection) I Tax map/tax lot/account no.: SFR(1)bath ,1 Lot: Bitx k: Subdivision. SFR(2)bath -- SFR(3)bath -- Project name: City/county: ZIP: Each additional bath/kitchen Description and location of work on premises:_ _— Catch batirL/ — _ C:ttch basin/area drain Drvwellrileach lineltrench drain Est date of completion/inspection: mmWFooting drain(no.lin. ft.) __ _. Manufactured home utilities r _ Business name. L 1 1,$(�t� Manholes _ Address: Rain drain connector State ZIP Sanitary sewer(no.lin. ft.) City' - Storm sewer(no.lin. UL) Phone _1 Fax: E-mail: Water ser+ice(no.lin.fL) --� CCB no.: I< ' Z� �Plumb.bus. reg. no: - a Fixture or item: Cityimetro lic. no.: NrA / % Absorption valve Contractors representative signature Back tlow presenter Print name: U Backwater valveKOMI mom — BasnnsAavatory _ Clothes washer Name ��; �F��►�I��_ Dishwasher Address: 1c "V _ Dnnkine fountain(s) cit" State: ZIP: Ejectors/sump - -------- j Phony F,,: E-mail: Ex ansion tank Fixture/sewer cap Floor drains/floor sinks/hub _ Name i print): )';� f �` � � Garbage disposal _ Mailing address: Hose bibb - - City l') State ZIP:Q Ice maker 7-70- - Fay: E-mail: Interce for/grease tra Phone —1 Owner insraUadonlresidential maintenance only: The actual installation Pn nen s) will be made b% me or the maintenance and rep^;r made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Strtktsi,basinlst, lays(s) _ O��nrr siQnaturc Date: Sump 111111111111111111111'Tubs/shower/shower pan l.'nnal Water closet Nam�� -- - -- Address - - --�- .Yater heater Cin --- — State: ZIP: Other. - - otal Phone: Fax: E-mail.ail _-- Minimum fee................S _ Nu an iurrulcuon-A aecepr credit cards.please,:11)un"Ctjon for name mfonwtvn Nmice T.iis rermit 3pplic3tten C{) S Plan review(at _ C Visa O MasterCard expires if a permit is nit obtainedS within 180 da%s after is his bean State surcharge(8.o) •••• C.edii card number '-- Es ties accepted u c p omplete. TOTAL .......................S ._----- Name j(cZ&41der v da•+n no cr",card $ AWI-ii J-10-y'16(�7p'COMI cz,thaides titnaiuse a Electrical Permit Application Date received: Permit no.: City of Ti ^ � r Project/app! no.: Expire date: City of Tigard Address: 13125 S �&4,Pr1 �rtf'0R_97223 Date issued: fav: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 JUL6 '1 2003 Case file no. Payment type: Land use approval: t irYVE OF PER511T. I & family dwelling or accessory O Commercial/industrial U Multi-family U'Fenant improvement New construction U Addition/.dterationlreplacement U Other. U Partial JOB 1 ' i 1 HLHob address: ��'( ` n ' Bldg. nu.: Suite no.: Tax map/tax lot/account no.: — ot:l_j(d jBlock: I Suhdivislon: U)hf-A _ _ Project rame: Description and location of work on premises: Estimated date of completion/inspection: 1 Job no: = For Max Descriptionmsp name:�1-ri.1 scrion Qfy. (cam) Total no.lresidentialresidentialNresidential-single mu or mrthi-(amity per Address: L ) dwellinguniLlncludesatrachedgarage. City: -VA I-*p<V— State: ZIP:Cj se*•lcYir,cluded Phone:4q..3- I Fax: E-mail: 10(0 sq.ft.or lass __ 4 Each additional 500 sq.ft.or portion thereof CCB no.: Elec.bus. lic. no: United energy,residentiol _ 2 )�) Each manufactured home or modular dwelling —attire o sir entsrn e/eRMclan(required) adte I : Servi«and/or f_eder 2— ticenseno Services or feeders-Installallon, Sup elect name(pint) 1 alteratlonorreloation: 200 amps or less 2 Name (print): ` C 201 amps to 400 amps 2 401 amps to 600 amps _ Mailing address: _v 601 amps to 1000 amps _ 2 City: s state ZIP: 36over 1000 amps or volts _ 2 Phone: - - f .-mail: Reconnect only _ I Owner Installati in:The installation is being made on property I own Temporary services or feeders- which is not intend.d for sale, leaec, rent,or exchange according to Installation,alteration,orrelocation: 00 amps or less LtfEr_i ORS 447,455,479,670,701. 201 amps to 400 ampsOwner's si nature: Date• 401to6(X) ps ? •,l 7 a Branch circuit%-new,alteration, or extension per panel: Name: A Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit City: le- ZIP: B, Fec for branch circum without purchase ty State- ---- --- of service or feeder fa,first branch circuit: 2 i�� Phone: fay. E. mail: Each addiuonalbran chcircuit: 1111 Misc.(Se.rvlre or feeder not Included): O Service over 225 amps-commercial 0 Healthcare facility Each pump or irrigation circle 2 •Service over 320 amps-raving of 1 k2 O Hazardous location Each sign ui outline lighting 2 family dwellings 0 Building over 10.000 square feet four or Signal circ4tt(s)or a limited energy panel, 0 System over 600 volts nominal more residential units in one structure alteration,or extension* 2 O BuAing over three stones O Feeders,410 amps or more •Desert uon: _ — 0 occupant loved over 99 persons O Manufactured swcturm or RV park Eich additional inspection over am-orf-th—e above—� •EgressAighungplan 0 Other —__ --— Per inspection I —1 Submit—sets of plans with any of the above. Invesugadon fee -- Vie above are not applicable to temporary construction service. Other - -- Permit fee............... .....5 _. Nor all luns4 eons accept credit cards,please call jurisdiction for mrxe information Notice:This permit application 0 all U MasterCard expires if a permit is not obtained Plan review(at _ %) $ Credit card number' I / within IAO days a0cr it has been State surcharge(8%) ....5 - - Expires accepted as complete. TOTAL .......................S _ Name of camfholder a shown on credit card — --Cudholder rianalurc"---�— Amount 44x)-4615(6"YCOM) JcD ----------- D0N • M0RISSEls�E OBE : 2933 soxa9 INCOMPORAT2 % LOT: 56 4280 GALBWOOD 2TaSST SUITS 120 DATE: 07/29/2009 L A 1 9 o8wsao, 0a200N S7o1a (eoe) sev - Teas t4i (eoa) aeT - Tee PROPERTY: THORNWOGD CITY: TIGARD SCALE: 1"=20' PLAN No.: 714A STAND,RD ELF-VATION zm m a6c ah6 1 dh� y 46 ' • 46® 458 \ 456 i ✓ �6��, ,ie.,, Q 456 i CAr 46 �. Joakki s \� 402' �� RECEIVED CITY OF TIGARD BUILDING DIVISION LEGEND LOT COVr=PACsE LOT ,AREA. 4,BO& SG F- LOT M36 BUILDING 44MA: I15Q 50 FT 4,W6 eq. Ft. o —STREET TREES SEE PERCENT :GE, 3� ta, RECORDED =LAT FCR SIZES AND TrPES CITU OF TIGARD-SITE PLAN REVIEW HUILDINU PEPS M1T PLANNING DIVISION: Required Set ckS. K Approve (� Not Approved Side: Street Side: 'C Front. Xi–s wrage: .— Rear. 1� Visual C'leitrance: Approved 0 Not Approved Maximum Building, h.ruhr JQ feet ('WS Service Provider Ixtter Required: C3 Yes JMNo / Q ec tved R � 0111e: f'NIjINI•:l-.RIN(i I) :PAR'l MEN'I': Actual tilopc: 3 io ( 'Approved ❑ Not Approved Site Plan: [Approved ❑ Not pproved n _._. ��.�, hate: 0 3 Not,• CITYOF TIGARD PLUMBIrvGPERMIT \ PERMIT#: PLIv12004-00248 DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6!3/2004 PARCEL: 2S 11 OBC-08500 SITE ADDRESS: 12468 SW ASPEN RIDGE DR SUBDIVISION: THORNWOOD ZONING: R-7 BLOCK: LOT: 056 JURISDICTION: TIG CLASS OF WORK: GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Install irrigation backflow FEES _ Owner: Description Date Amount DON MORISSETTE HOMES JPLUN1111 Permit LCC 6/3/2004 $36.25 4230 GALEWOOD STREET I'rAX 18,8",, Slate Stirchal1 6/3/2004 $2.90 SUITE 100 LAKE OSWEGO, OR 97035 Total $39.15 Phone : 274-5223 Contractor: LANDSCAPE OREGON, INC. 12200 SW MYSLONY RD. TUALATIN, OR 97062 REQUIRED INSPECTIONS RPiBac:kflow Preventer Phone : 503-692-5945 Final Inspection Reg #: 11C 7904 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 160 days of issuance, or if work is suspended for more than 160 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set for,h in OAR 952-0001-0010 through OAR 952-0001-0100. You may obtain copies of these rules or 1,Ilect questions to OUNC by calling (503) 246-6699. Issued By; _ _�t,��: ti>i Permittee Signab.are: ___ �� Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day _ - J 26a d ones i! Jun 0 1 04 1 1 : 503-692-0768 W,F ICE USE-ONLY FOR OFF PIUMH Raeived HOZ Platming A1W.:vyvW Scwct City of Tigard ,C,1u1 1q,, 13125 SW Hall 131vd- TIC Plan Itm-irw Other Tigard,Oregon 97221 AHD J4N DaWD Pennit No-: Phone: 503-6394171 Fax. vdf1!@V m Pait-Re" Lam U= _Cmc No- Internet. www-ci.tigard-mms coff2cr or 24-how Inspection RequeSL 503-639-4I75 eforsumdom TYPE OF%VORK FEE*SCHEDULE MW Sordm Inforiliadon Use i!hftld St New 7tlo—n A - Demolition Description "On.) Toui ddfioaltetLplamme"- Jodwr Ne*1 1-11*'Wly CATEGORY OF CONSTRUCTION (1)bath 1 &Z-Family dwelling CorrunercinVIndustrial SFR 24910 SPR(2)bnth 350.00 �Bufldiyg_ Multi-Farngy SFRla-bath 399.00 Master Builder Other Each additional baddUtchas 45.00 JOB SITE WFORMATION and LOCATION F.ire spr.Wider-,sq.JL: Pag,C2 .-YOW'site address: IJI(OWSite UtillHes: Ulte BldgJApl-#. ..r Farea drain 16.60 ProjectName: 77J) �&(e -DEMIlAr-ach linethrnch drain 16.60. Foofing drAin(no.linear iL)_ -J!S-AS2 Cross Str"t(Dircefions to job site: Manu&T�urtd huroe utilities 110-00 S_LU 12 0 Manholes 16.60 Rain drain cumcdor 16.60 Sanitar sewer(no.I!qtar& Page 2 Subdivision.?-he r)Lc(,)rU Lot M S Strum sewer(no.linear M) Page 2 Tax mWimeel Water service(no.linear Page 2 7: DESCRIPTION OF WORK Ab Cr -Acfvow Ck LAJ Lr_� _12t*fi cr Pagr 2 Badwater valve 1660 Ckdhes washer 16k0 Dinlrwasl-u 16.60 qrip!SoL&fountain 16.6 ROPERTY OWNER'.., Eicclori/Su"W ---- 16.60 Name: L!an • _lix Ansiom,tank 16.60 Addresq:4;t 30 cLo &,atA_tjL)C)t-)Cj..> FixturetsmVer cap16.60 Ci tatdZip: LIV". CAAJ-)e-cP6 CI_XX3S;� Floor draintfloor sink/hub 16.60 Gmb2 & 16.60 Phone: Fax: I.low bib 16.60 PLICANT CONTA k Namecenmcr 16.00 Dm 16.60 Address:I L4 aD Medical Ras-vWue: 61h rC' 0 9:-'9-7 0 60 Roof rain 16.60 PhourSbB (v 9Q- 91 LIS I Fax-503 1A a.- 0-76Q SinMy_ asinnavatvr _.___ 16.60 E-Mail. Tub/showertshower mn 16.60 UOMMAC�IVR .L 16.60 Business Name: oj�i -algo OMel&.., Water closet 16.60 Water heater 16.60 Address: I D�D-oo S.CQ meq__ — e other. Other. honeEp 6 c ysJ Fax CCB Lic. Plumb-LicA Subtaud. S Authorized Minimum Permit Fee V2.50 S SignftAUM��&Zln D ar,(�, Residential Backflow Mhdmutn Fee 336.75 Plan itte"eWIZ1%of PCT!LEaT S Ellen -, t_lyia ---Sta — State S +-RC (Please print rearm) n"AL PERM1717 FFV S Nnuvr: 11himpeewit APPr9tNtion emAre,IfA permit is not obf Amed vMhIm All new com—ist boudiaw%"pire 2 seft or jAmns with immworie or 11U)d*VS 2ftrt It bat bees accepted as complete. ri.—d1*X—for ptam revk r.