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Case File a N A A cn N v m z v m 0 X m 1 12474 SW ASPEN RIDGE DRIVE / F�D —_�._ MASTER PERMIT CITY OF TIGA PERMIT#: NIST2003-00369 DEVELOPMENT SEPVICES DATE ISSUED: 8/14iO3 1312.5 3W Hall Blvd., Tigard, OR 97223 (503) 639.4171 SITE ADDRESS: 12474 SW ASPEN RIDGE DR PARCEL: 2S11013C-08600 SUBDIVISION: THORNWOOD ZONING: R-7 BLOCK: LOT: h,,'' JURISDICTION: I [(I REMARKS: New SF de'.ached, Path 1 BUILDING REISSUE: DM172 STORIES. _� FLOOR AREAS __-_ _REQUIRED SETBACKS REQUIRED �— CLASS OF WORK: NEW HEIGHT FIRST: I.utri at BASEMENT. at LEFT: 5 SMOKE DETECTORS TYPE OF USE: bF FLOnR LOAD 1 SECOND: 971, at GARAGE 400 at I'RONT: I5 PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS THRD at FIGHT: 5 VALUE ,.yy.,74 00 OCCUPANCY GRP: R3 BORM: 3 BATH: 3 TOTAL: 585 at REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH LAUNDRY rRAYS RAIN DRAIN: 100 TRAPS LAVATORIES. 4 DISHWASHERS: 3 FLOOR DRAINS: SEWER LINES: !`in .it'RAIN DRAINS: I CATCH BASINS: TUBISHOWERS: 1 GARBAGE DISP: I WATER HEATERS: 1 WATERLINES 10') BCKFLW PREVNTI': GREASE TRAPS: OTHER FIXTURES. MECHANICAL rUEL TYPES FURN<100K: BOIUCMP c 3HP: VENT FANS: 4 CLOTHES DRYER: I ,A, FURN -TOOK: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: bw FLOOP FURNANCE& VENTS: 1 WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER _ TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECt )NS 1000 SF OR I ESS: 1 0 •200 amp: 0 -700 amp: W/SVC OR FDR PUMPIIRRIGATION: PEh INSPECTIuN: EA ADD'L 500SF: 4 201 400 amp: 201 - WO amp Tat W/O SVCIFOR SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 - 600 arnp EAADDL SR CIR, SIGNALIPANEL.: IN PLANT: I MANU HMISVCIFDR: 601 1000 amp: 601 000V MINOR LABEL: 1000•amp/volt PLAN REVIEW SECiN7N Reconnect only: >=4 RES UNITS: 9VCIFDR>,,225 A.: >600 4 NOMIN".. CLS AREA/SPC OCC: _ELECTRICAL•RESTRIC?,:D ENERGY _ A.SF RESIDENTIAL B.COMMERCIAL AUDIO A STEREO: VACUUM SYSTEM- AUDIO 6.;TERF.O: FIRE A!ARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 5,392.95 DON MORISSETTE HOMES ING DON MORISSETTE HOMES INC tins permit is subject to the regulations contained in the 42.30 GALEWOOD STE#100 4230 G.ALEWOOD ST,STE 100 Tigard Municipal Code,State OR. Specialty Codes and LAKE OSWEGO OR 97035 LAKE OSWEGO,OR 97035 all other applicable laws All work wilIb permit done in accordance with appro er',plans. This peit wilit l expire If work is not started with 180 days of issuance,or if the work is suspended for I )re than 180 days. ATTENTION: Oregon law requires y1 to follow rules adopted by the PboTTa: 503-387-7538 Phone: Oregon Utility Notifical T Center. Tho,a rules are set 5T 7 forth in OAR 952-001-uu10 through 951-001-0080 You Raba L�e.. 15 may obtain copies of these rules or dire:t questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Structural Mechaniral Insp Shee. Wall Insp Insulation Insp Water Service Insp Grading Inspection Post/Beam Mechanica Plumb Top Out Exterior Sheathing Insl Gyp Board Insp Appr/Sdwlk Insp Sewer Inspection Underfloor insulation Electricpl Service Low Vc,'tage Rain drain Insp Electrical Final Footing Insp Crawl Drain/Backwater Electrical Rough in Gas Line Insp Storm drain Insp Mechanical Final Foundation Insp PLM/Underfloor Framing Insp Gas Fireplace Water Line Insp Plumb Final Issued By : r_ , �1J ' �= �' Permittee Signature Call (503) 639-4175 by 7:00 p.m. ;or an inspection needed the next business day CITYOF TIG,ARD _YSEWERCONNECTI()N PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2003-00297 131:5 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/14/03 PARCEL.: 2S 1',OBC-08600 SITE ADDRESS: 12474 SW ASPEN RIDGE DR SUBDIVISION: III(WNWOOD ZONING: iZ-I BLOCK: LOT: iis7_ JURISDICTION: 'Ic; 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: newer connection for new SF, Owner: _ _ FEES DON MORISSETTE HOMES INC Description Date Amount 1230 GALEWOOD STE #100 _ – LAKE OSWEGO,OR 97035 [SWUSA]Swr Connect 3/14/03 $2,400.00 [SWUSA]Swr Connect 8/14/03 $0.00 Phone: 503-387-7538 [SWINSP] Swr Inspect 8/14/03 $35.00 [SkVINS11] Swr Inspect 8/14/03 $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 pair+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 Permittee Signature:. ( n Issued by: / _,,.� f � — g ._ LA__ Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day � oo n y n CL p ] CL � rr ri Vf O w a o h V ON R � N a CDOlt .� c � i � I i I �2, To Yr 1 Building Permit Application I1at!et ecciv / �IsPermit no.:City of Tigard it L U L.t �.L Da �` Address: 13125 S W Hall Blvd,Tig OR 97223 Project/appl.no.: tapire date: City of Tigard aFd R 7 "1003 —� Phone: (503) 639-4171 Date issued: cry: Racept no.: Fax: (503) 598-1960 Case file no.: Payment type: �� CITY Of' TIGARD _. Land use approval: rI 1lt )ING DIV,`>I1&2 family:Simple complex: �. U I &2 family dwelling or accessory U Commercial/industrial U Multi-family XNew construction U Demolition U Addition/altemtion/mplacetttent U Tenant improvement U Fire sprinkler/alattii U Other: .1019 SITV INF- 212111101 b Job address: " " 77 - ` L_ Bldg.no.: Suite nae: Lot: Block: Subdivision. Tax mapltax lot/account no.: Project name: -- Description and location of work on premises/special conditions: Mailing address: iy L _ 1 tflt 2' family dwelling: V S 7q W City: , Stateu(_,t ZIP: h Valuation of work ...... $ Phone: Fax: ) 7 -ma:1: No.of bedrooms/baths...........- 1 Owner's representative: I G 1 V 1!_K_ Total number of floors................................. Phone: Fax: Email: New dwelling area(sq. ft, c� I E Garage/carport area(sq.ft.)......................... _- Name: M(`tY 1 Covered porch arca(sq.ft.) ......................... jDeck areas ft. Mailing address' �L. V ( q. )........................................ City: States ZIP: Other structure area(sq. ft.)......._................ Phone: Fax E-mail: Cc.cmmerciallindustrial/multi-famlly: Valuation of work........................................ $ �� - _ Existing bldg.area(sq. ft.) .......................... Business name: New bldg.area(sq. ft.) ..:...................... . erre .�. �. _ Address; - Number of stories City: State: ZIP: Type of construction................ Phone: Fax: E-mail: — CCB no.: `z� '�_ _ _ Occupancy group(s): f' fu _ i City/metro tic.no., Notice:All contrac.t(I s and subcontractors are iced to be ARUIFFFUY1t licensed with the Oregon Construction Contractors BdOW under Name: - y( provisions of ORS 701 and may he required to be licensed in the Address: VIP UGC Jurisdiction where work is being performed. If the applicant is City: State: ZIP: exempt from licensing,the following season applies: Contact person: Plan no.: 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 head and examined this application and the Not dl jttrisdictiosu eccer.credit cards.please call jurisdktion for mat information attached checklist. A rovisions of I ws and i mances governing this ❑Visa U Mastercard work will be comp) wt ,whether, cifie�Nereid m Credit card number Authorized sf natu !x� CName d cardAofder u shown on credit cardPrint name: { (, � $ ( Cardholder slguttae Amount Notice:This permit application expires if a permit is not obtained within 1110 days after it has been accepted as complete. 4t04er3(6MICOM) One-and Two-Family Dwelling Building Permit Application Checklist Reference no.: Associated permits: Cityoj'rigard City of Tigard U Electrical O Plumbing Cl Mechanical Address: 13125 SW Hall Blvd,Tigard,Og 97223 0 Other: Phone: (503)639-4171 Fax: (503) 598-1960 t FORYLAN I Land use actions completed.See jurisdiction criteria for concurrent reviews. 2 Toning.Flood plain,solar balance points,seismic soils designation,historic district,etc. _ 3 Verification of approved pintllot. 4 Fire district approval required. 5 Septic system permit or authorization for remodel.Existing system capacity __.. 6 Sewer permit. 7 Water district approval. _ 8 Soils report. Must carry original applicable stamp and signature on File or with application. 9 Erosion control ❑plan ❑permit required.Include drainage-way protection,silt fence design and location of catch-basin protection,etc. 0 3Complete 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 teff-rences between plan location and details.Plan review cannot be completed if-copyright violations exist. — -- I 1 Sitelplot plan drawn to sale.The plan must show lot and building setback dimensions:property comer elevations(if there is more than a 44 elevation differential,plan must show contour lines at 2-fl;.intervals);location of easements and dhvew, ;:footprint of stnrctun:f inclu'!.Z decks);location of weliwseptic systems;utility locations:direction indicator,lot ling coverage area;percemlgc of coti^rage;impervious area;existing structures on site;and surface drainage. 1: 1.otawation plan.Show dimensions,anchor bolts,any hold-dor is 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 fixtwes,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 he 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. J� 15 Elevation views.Provide elevations for new construction;minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis pin- Must indicate details and locations;for non-prescriptive path analysis provide specifications and calculations to engineering standards. 17 Flo-or/roof framing. Provide plans for all flours/rool'assemblies,indicating member sizing,spacing,and hearing locations.Show attic ventilation. 18 Basement and retaining walls.Provide .ross 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 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 1 I above. Site plans must he 8-1/:" x 1 I"or I I" x 17". 24 Two(2)sets each are required for Items 16, 19,20&22 above. 25 Building plans shall not contain red lines or tape-ons. — 26 No rolled,reversed or mirrored building plans will be accepted. — 27 28 -- Checklist must be computed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only. 4404614(601COW Mechanical Permit Application �J l� Date received: Permit no.: City of Tigard Project/appl no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 -- - __ Phone: (503) 639-4171 JUL 18 2UO3 Date issued: By: Receipt no.: Fax: (503) 598-1960 CITY OF TIGARD rase file no.. — Payment type:—__- LanJ use approval: 9111, UNC DWISICIh Building permit no.. — TYPE OF PEIRNIff 0 1 &2 family dwelling or accessory 0 Commercial/industrial 0 Multi-family O Tenant impmveme7, 3,irr udtiuu�tiun O Addition/alteration/replacement 0 Other. 'JORS]ITEINFORAIIATION COMMERCIALii oil lob address: { r_j ( 1 Indicate equipment quantities in boxes`delow.Indicate the dollar Bldg.no.: Stitt no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tar. lot/account no.: profit.Value$ Lot: C- Block: Subdivision: e; 'See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City/county: _ ZIP: 1 o o o t Description and location of work on premises: t t ` t t t t a t Fee(ea.) Total Est.date of completion/inspection: Description Qty. Res.only Rm.00 ly Tenant impruvement or change of use: AC: Is existing space heated or conditioned?0 Yes O No Air handling unit _ CFM Air con iuomng(site plan required) Is existing spare insulated?0 Yes 0 No Alteration o existing RVAC system —961"T o�`//c-=Pressors Business name: State boiler permit no.: I HP Tons BTUM Address: Fire/smoke a damper-,'duct smo a detectors City: Ii State ZIP; eat pump(site p an wired) _ -- Phone: Fax: E-mail: nstal replace furnac urner -- Inclu;ling ductwork/veut liner 0 Yes O No _ CCB no•: �jr�e']( nstalVreplace/relocatcheaters-suspen ed, City/metro lie. no.: N/A wall,or floor mounted Name(please print): Vent for appliance other than furnace efrigeration: Absorption units.____ BTU/Ii Name: `�� (_, Chillers _ HP -- Address: G d Compressors HP City — — or ronmenta ez ust an rent dation: State. ZIP: Appliance vent Phone: Fax: Email: Dryer exhaust —� -- _ Dods,Type res. etc a azmat hood fire suppression sys-:em Name: n~ ' Exhaust fan with single duct(bath fans) Mailing address ' ) �' aust systema art from hearing or AC Citv: State Zlp tie piping anddistribution(up to out ets) x �s Type: _—LPG NO Oil Phone: 7- Fax: Email: Fuel iptng eac a iuona over 4 out e's Process piping(schemaucrequired) Name. Number of outlets Address appliance or equipment: Decorative fireplace _ City -- -- -_--- -- Stale: 'LIP. nsel n-type _— — Phonr. Fax: Email: vVoodstovdpc�ietstove r, (her: 5� ,4pplicnnr's signvru' Date:'—/ '� N: me(prints: " ► , -It -- Na dl JunvLctions accept credit cads,piwe call jurisdiction for"we Int 'an Permit fee.....................S _. O Visa I]MasterCard Notice:Thi3 permit application Minimum fee................$ Credit cad number __��— expires if a permit is not obtained Plan review(at — %) S Expires within ISO days after it has been State surcharge(8%)....$ _ Nance of cudholder u shown on credit cad accepted as complete. s _ TOTAL .......................S _ Cardholder si"ture Amount - 4"1,, (bna+COM) Plumbing Permit(Application �� t,I Datereceived: Perraitno.:` City of Tigard �- ) `r E � Sewer Permit no.; Building permit no.: Address: 1315 SW Hall Blvd,Tigard,OR 97223 Ci.;oJTigard Phone: (503) 639-4171 JUL 18 2003 Prolecdappl.no., l:zpi• late Fax: (503) 598-1960 Date issued: By: eteiptno.: - � fIGARD Land use approval: ► Case file no.: Payment type: Y C) 1 &2 larruly dwelling or accessory U Cummer•cial/industnal �I tituld-family ❑Tenant improvement Vew construction O Addiuonlalteratiorr/rtplacemcnt ❑ Fond service O Other: 1 : t t a M lar _ Dcscripdoa (Xy I Fce(ea.) Total Job address: _ d — - Ve� family dwellings only: Bldg.no.: Suite 00.: (includes 100 ft.for each utility connection) Tax rrap/tax lot/account no.: SFR(1)bath _. Lot: C Block: Subdivision: SFR(2)bath Project name: SFR(3)bath City/county: ZIP: Each additional badvlcitchen Description and location of work on premises: Site utWties: Catch basin/area drain Est-date of con lett nlins ction: Drywellsileach line/tmrch drain Es o p � Footin drain(no.lin. f:.) _ Manufactured home utilities Business name: ;S' LManhot:s M Address: '� `� l Rain drain connector City Starr ZIP: Sanitary sewer(no.lin. ft.) Phone: _A5 Fir: E-mail: Storm sewer(no.lin.ft) Water>e,:ice(no.lin.ft.) CCB no.: j %.-I Plumb.bus. reg, no: - F'I.Xture or item: City/metro lic. no.: N, ,A .' / Absorption valve _ Contractor's representative signature• Sack tlow pre•:enter Print narne: Q� _�) �Tt'- I u Backwater valve Basins/lavatory, Clothes washer _ Dishwasher Address: • Z �, 1c "� Dnnktne fountains) Cin I State: ZIP: E)ectorsisump 1 Phone E-mail: Expansion tank IlkFlxtnre/SCWtr cap Floor dr•ains/tlonr sinksthub Name (pnntl: !-- r' � 1�,�- � Gar',^:- :i-•ti• oil Mailing address: Hose brvc City L. l State ZIP: ce maker Phone - , !Fax: 7-70 E-mail: Interceptor/grease trap l Owner instaUadon/residendal maintenance only: The actual installation Pnmeris) will be made b� me or the maintenance and repair made by my regular Roof drain(commercial) e:nplovee on the property I own as per ORS Chapter 347 Sinklsl,be.intsl.lays(s) Date: Sump Owner's si¢r,arure 7ubs'shower/shower pan l.nnal Name: _ _ Water closet Addresses w ater heater Cin- Mate: ZIP. Other. Phone Fax: Emil. Total _ Na all;unkbcuom weep cnd t rad,please can lansticure on for mo ,nrormauon Notice:This permit 3pplie3tion Minimum fee................S C V1 S.1 O SluterCud expires if a Plan review(at -_• %) s / p permit is not obulned State surcharge(8"0)....S _ C.edr cad number Expires accepted I80 Jays after it has been TOTAL .............1b)....S — �ccepted u complete. Name 9:ardboldrr as rfw.n ao 09th'cad Cadnorder fr�rarure s Amours aJ0-r615 iM'fOl_'OM1 J� DON - MORISSETTE ®BE : 2934 44IS0 0ALXW00a 8TRRET 8UITI 110 LLOT- 67 1. AL2 09w3 00. 0 a N G 0 N 070 '15 DATE: 7/2/09 (503) 3 e7 - 7589 VAX (548) 387 •- 7315 PROPERTY: THORN>AOOD CITY: TIGARD SCALE: 1"=20' PLAN No : 172 STANDARD ELEVATION g M 464 d''m yG F �6y � 1T 94l�� a — ,� • 461' 40 400 eq. ft. C;0111 rete p 2 car gar.® riv Fr-,E, 494'" c� 2158S eq. Ft. t>> 3 bdrm. j� �ia� ra' r► 2 bath 1 a lTt y 0 - Ff�E. 4665 ', ,DDE-- K aa' _ IA, Lp \� r— RECEIVED JUL 18 2003 CITY OF 11GAI LEGEND LOT C-OVERAGE BUILDING MIS;' LCT AREA: 5,1 8- SQ. FT. LOT 1Jl STREEBUILDING AREA: 2,406 5Q. ,°T. Cj 1g 1 Aq. ft. --RECC ?BEESRDEC PLAT 00 T PERCENTAGE: 41.6% EGO FC4 SIZES AND T7PE5 c�•rY OF•TIGARD -SITF el AN tE, V'EW _..._.._ 1 L)ILDING Pf:Rc iI NU.: --- PLANNING DIVISlON0 Approved ❑ Not Applored Required Srt Side: Street Side: -ao- Rear: .. - Front. _i - Garngc ---- Approved npproved Q Not App Viauttl('Ir�trauce: 3os Mrximutn Building I OCR r .__.. ftr Yes eN" NiS Servir;e Provider letter ttequircd: a It`eci�et� Date: --- H : ENti1NO,71T NCi D pAR I proved (] Not A{7 O%":'d Artual tilupe:�- Nut A roved Site Nlan. Al+pro`rci � Pp' N ,teti, 1 ' OFFICE.USE ONLY Electrical Permit Application n d �L / L' PeermitNo. r 4 1 1 � g Approval Sign City of Tigard V EEc v Permit No.: _. view Other 13125 SW Hall Blvd. : Permit No.:Tigard,Oregon 97223 eview Land Use Phone: 503-639-4171 Fax: 503-598-1960 �,• Case No: t 29 See Page 2 for Internet: www.ci.tigard.or.us Supplemental Information.24-hour Inspection Request: 503-639-4175 Method: / TYPE OF WORK -PLAN REVIEW Please check all that appl y -_ - Service over 225 amps- health care facility New construction Demolition commercial ❑HazarJuus location Addition/alteration/replacement Other: ❑Service over 320 amps-rating of ❑four ildi more residentialng over 10,0Suares ifeet. CATEGORY OF CONSTRUCTION I&2 family Dwellings �'ommcrcial/[ndustrial ❑System over 600 volts nominal one stnicture 1 &2-Family dWelli _ _ ❑Building over three stories ❑Fe .,400 amps or more Multi-Famil ❑Occupant load over 99 persons ❑K: ^'.,actured structures or RV park Accessory Building other:__—___ - - Other: ❑Egress/lighting plan ❑ Master Builder Submit--sets of pians with any of the above. JOB SITE INFORMATION and LOCATION The above are not applicable to temporary construction service. t Job site address: 2 h/ FEE"SCHEDULENumber of ins ections er ermit allowed Suite#: Bld ./A t.#: --Deacrl tion Qh. Fee(ca.) Total I Q1"1� !/� Project Name: on/ n0r's s - _>'--"� — New resldentlal-sIngle or multi-family per Cross street/Directions to job site: dwelling unit.Includes attached garage. Service Included: 145.15 4 000 sq.ft.or less 1 Each additional 500 s .tt.or nion thereof 33.40 _ -- Limited enei ,residential 75'00 2 t#:5 75.00 2 Lo Subdivision: 0 Lv GG .--- Limited energy non residential - Each manufactured home or modular dwelling 90.90 2 Tax ma / arcel #: ----- service and/or feeder DESCRIPTION OF WORK Services or feeders-Installation, alteration or relocation: $0.30 2 -- - "---- - -------- -� 200 am s or les., -_.. 201 am to 400 am 1s 106.$0 2 -- _-..-_ ----- 160.60 2 ------ -__ -- 401 amps to 600 amps _ 240.60 2 601 amps to 1000 ams - 454.65 _ 2 PROPERTY OW R— TENANT - Over 1(1[10 amps or volts 66.$5 2 Name: .1�RK,--fi7- _.------ Reconnectot gr u Temporaryservices or feeders-Installation. Address: 30 G�1�Ld alteratiop,or relocation: 85 I Cit /State/Zl : - CJ S W ��r Q 200 am a or less __- 100.30 _ 2 �� 5? - - I 201 amps to 400 am . 133.75 2 Phone: �� Fax: 40l to600ams _ APPLICANT .CONTACT PERSON Branch circuits-new,alteration,or extension per panel: Name: _-_ ---. - -- - - A. 'pec for branch circuits with purchase of 6.65 2 Add service or feeder fee each branch circuit - - --- - -- - B.Fee for branch circuits without purchase of 2 Cit /State/Zip: service or feeder fee first branch circuit 46.85 6.65 2 Phone: Fax: Each additional branch circuit Misc.(Service or feeder not included)' - ---- --------_--- 53.40_ 2 F-meil: Fach um or irrivahon circle 53.40 2 CONT RAC_TOR Each si or outlii,e li htin - - Job NO: -_ --- Signal.,,rcuit(s)or s limited energy panel. _ Pa e2 - 2 alteration or extension Business Name: L- Nscription: Address: , Q. Each additional inspection over the_allowable In m of the above: 62.50 city/state/z, T 20 G Per ins ctiun r hour'min. 1 hour _--- �(� 1'8X: Investigation fee: Phone: — CCB Lic. #: Jua Z_ Lic. #: =y�'� - _— Electrical Permit Fees' __-- Subtotal $ __- Supervising electricianJ� plan Review(25%of permit Fee S Llsi attire re wired ,. State S;trchar a 8%of Permit Fee $ Print Name:(,. v — ^— TOTAL PERMIT FEE S Authorized Notice: This permit applicatlon expires If a permit ix not obtained w htl lh rytl lh Date: 180 days after it has been accepted as complete. Signature: ____------- ------- -- - -- *Fee methodology set by Trldbunty Building Indurtry Service Board. - - - --(Please print name) —_ i:\DstsTermitForms\ElcPernitApp-doc 01/03 Electrical Permit Application -City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RF,SIDENTIAL WORK ONLY: -- Fecfor all systcros............................................................ $75.00 ('heck'I'ype of Work Involved: ❑ Audio and Stereo Systems* F1liurglar Alarm El (;aragc I)arr Opcner* I seating,Ventilation and Air Conditioning System* Vacuum Systcros* 0 Other_— ------ COMMERCIAL%A'ORK ONLY: Fee for each system.......................... (St3E OAR 918-260-260) Check 1'ype of Work 111-11 cd: Audio and Stereo Systems Boiler Controls ('lock Systems i)ata 1'clecommunication Installation Fire Alarm Installation HVAC 0- Instrumentation MIntercom and Paging Systems LJ landscape Irrigation Control* Medical 0 Nurse Calls Outdoor landscape i.ighting* Protective Signaling Other _ Number of Systems * No licenses are required. Licenses are required for all other installations i.\Dsts',Permit Forms\ElcpermitAppPg2 dix 111103 CITY OF T I G A R D .,-----.— PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003-00586 13125 SW F :I! 8!•,d., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/13/03 I ADDRESS: 12474 SVV A iPEN RIDGE DR PARCEL: 2S110BC-08600 ISUEDIV 310N: THORNWO tU ZONING: R-7 bLOIK: LOT: 057 JURISDICTION: TIG CLASS OF VJOi X: GTR GARBAGE DISPOSALS: MOBILE HOME SPACES: .:YPE OF USE: SF WASHING P.1ACW BACKFLOW PREVNTRS. I jCCUP.ANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS- CATCH BASINS: -_F�XTURE.i— LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVAT( .?IES: OTHER FIXTURES: JB/SHOWERS: SEWER LINE: ft ..ATER CLOSETF: WATER LINE: ft DISHWASHER;,:: RAIN DRAIN. ft Remarks: Install irriCiation backflow pieventer. Owner: --- FEES-- Description Date Amount DON MORISSETTE HOMES INC i — — --- 4230 GALEWOOD STE #100 IPL11M13J Prnnit I'rr 11/13;03 $36.25 LAKE OSWEGO, OR 97035 [TAX] 8"/ Stats 11/13/03 $2.90 Total $39.15 Phone : 503-387-75.38 Contractor: LANDSCAPE OREGON, INC. 12200 SW MYSLONY RD. TUALATIN, OR 97062 REQUIRED INSPECTIONS Phone : 503-692-5945 RP/Backflow Preventer Final Inspection Reg #: LIC LCB. 7804 PLM ALL PHASES- PLL This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Speci..lty Codes and all other applicable laws. All wort, will be done in accoidarloe 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. ATTENTIONS Oregon law requires you follow rules adopted by the Oregon Utility Notification tenter. Those rules are set fot-'h in OAR 9` -001-0010 through OAR 952-0001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-6699. 6 Issued 8y: At edtl' '- Permittee Signature: e'9 Z ,'l� Call (50) 639-4175 by 7:00 P.M. for an inspection needed the next business day NOV 11 ()3 ()U: 10a dan edmands 503-692- 0768 p. 2 Plnmbin Permit A.plication OFFICE USE ONLY . Received , ' r Plumbing D2WB :/ /] ' Permit No.: Cit of Tiaand R EC E I V E L Planning proval sewer Y g DateMl : Pe n.it No.: 13125 SW Hall Blvd. Pian Review - Other Tigard,Oregon 97223t)atdl!y_ --_ Permit No.. Phone: 503-6394171 KV 112-541160 Post-Review lend Use Internet: www.ci.tigar DatrlD Case Na: cction R 1 i 5 Coftirl Juris.: see Page 2 for 21-hour[ nP P, ft"-O NamrJMcthod- I Supplemental Information, _ TYPE OF WORK � FEE*SCREDT rLL'fcr sedallnformatiou use iheckllst New construction Demolition Description Qty. Fee(ea.l Total Addition/alteratiort/re lacement Other: 7T New 1-&2-fauttly dwellings C F CONSTRUCTION acludes 100 tt,fur esih utility connection ATEGORY O - --.- . I & 2-Famih dwelling ElCommercial/Industrial SFR11 bath 249.20 SFR 2)bath _ 350.00 ccessog Buildil� Multi-Famil SFR 3 bath 399.00 I Master Builder Other: _ I Each additional batli/kitchen 45.00 JOB SITE INFORMATION and LOCATION Fire sprinkler-sq.R.: -^ Pagc 2 _ Job site address: /e2y 7 yt:Ugp,tc D2. Site Utilities - --� Suite#: I-Bldg✓ pt.#.#: Catch basin/area drain 16.60_ D ell/Icach lindtrench drain 16.60 Proiect Name:Jhm'11 U. Lc*i LeJ T '7 Footin drain no.linear ft. PaE2 c Cross street/Directions to job site: Manufactured home utilities 110.00 Manholes - - 16.60_ Rain drum connector 16.60 _ - S.-t-nitary sewer(no. linear R-L` Pa•e 2 Subdivision:` WyUc( f L Ot#: � Storm sewer(no.linear R•j _ Pagc Z Water service(no.linear ft.)__ t'a tc 2 Tax map/parcel#: X55- -�16 5' _ DESCRIPTION OF WORK _- Fixture or ltcm _ Absorption valve 16.60 _ 4 �ti/1etSC G_ 1_IC�JOLt3 GCt;t)[C Backllow prrventer -- page 2 _ S Backwater valve 16.60 Clothes washer - 16.60 `- f)ishwasher 16.60 -- Drinking fountain 16.60 1tOPER''Y OWNE[t TENANT Ejcrtors/sump 16.60 Name: Dmt /Yl0Y/S - IMInC.S _ B'xpansiontank16.60 Address: A30 -S-Lo &cJ. otL,)n0t-t� Fixture/scwercap _ �_ 16.60 Cit/State/Zip:L04t - 0 9702S Floordrain/foorsinklhub- _- T 16.60 -- Garbage ti T11- 16.60 _ Phone: Fax: Hose bib 16.60 APPLICANT _ CONTACT FUSON Ice maker� � 16.60 Naine.(:�><l C i 1 Zp a rw-Lo Interceptor/gre rsc trap 16.60 Address:I D,O O .Gwyrs i�u 1ZD Medical ps-velue_ S Pe 2 Ciy/State/ZPrimer -_ W.607 Rssafdrain(con-micrcial) 16.60 Phonea)3 (obi- -Sri 115' Fax:503 (09 a,- 076 9 Sink/basin/Inva� 16.60 E-mail: Tub/shower/shower pan 16.60 CONTRACTOR Unnal _ 16.60 Business Name: La-rASr-Llc& - U fr-ldy\ �-r, Watercloset -� - 16.60 Address: (a Vie, Witter heater _-� _ 16.60 �...1� other: Ci /State/Zi :-n\_,%t0--f- - v IQ! L Other. 03 0, a- _ 3 0'�t ► - 0?ok _�- Plumbing Permit Fees o Phone S' S�1►/5� Fax�Z► � ' � � * 7 SS _ _ _ Subtotal S CCB Lic. #: "79V(4 Plumb.Lic.#: ---- -- - - Authorized Minimm"Permit Fcc$721 '12 50t Signature �1L�.r) � 7�GY(� pie. ( I 1 � '3 Resi_den_tial Backflow Minimum Fee 536.25 Plan Rev'-w 25%of Permit l ee) S _ _ Eller) ` t� j - -- -- (8% f!!--- -- - ,_ �5tate Surcharg�8°/.of Permit Fcc S _ ? , 90 _ (Plisse print name) TO_TAL_PELMIT FE $ .31, /,� Nntice! This prrmit application expires It a permit is not obtained within All new commercial buildings i t'quire 2 cels of plans with isometric nr NO days uftet it has been arrepled as romplete. riser diagram for plan review. *Fee methodology set by Ti i-Cnunty I hrilding Industry Service Iloard. CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST _— BUP Receive j 5 "S Z Date Requested __._ ZZ,Z( —U 3 AMPM — BUP -ocation __—!2/� _ __ Suite_ MEC — Contact Person _._s. em ----- —._— Ph (_�52��) (p 9 2 `S _ ° � =� Contractor � (�.� ��. -- _ Ph SWR ..— BUILDING TenanUOwner _-_ — ELC _ Footing - Foundation ELC ------_-----------___-_- Ftg Drain ACC@SS: ELR Crawl Drain Slab Inspection Notes SIT _ _ _— Post& Beam Shea, Anchors -- ----- Ext Sheath/Shear Int Sheath/Shear -- --- --- Framing ------ --- — -- — —__--____--- Insulation Drywall Nailing ------— - ------------- -- ---- Firewall Fire Sprinkler -..._--- - ------------- —___ `_-- Fire Alarm Susp'd Ceiling --- --- - --- --- --- Roof Other: _ ---- — - - -- — - - ---- Final --- �� PASS PART FAIL --- � ---- - --- Post& Beam Under Slab --..— Rough-In — ------�—._� Water Service Sanitary Sewer Rain Drains - ---- - - — ---_-- -Catch Basin Basin/Manhole Storm Drain — Shower Pan�,/ Other: ] F10 w ----- -- Fina{ PIrS§ PART FAIL MKOHANICAL Post& Beam Rough-In - --- _ ------------ ---- ---__._..—..-------- Gas! ine Smoke Dampers - --- ---- -- -- -- - -- Final _PASS PART FA!L --- - - -- -- ELECTRICAL ----------- Service -- --- -- --- - Rough-In — Low Voltage - - - - - -- Fire Itlaim Final ❑ Reospection fee o1 S_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd PASS PART FAIL SITE E] Please call for reinspegtion RE:— — Unable to inspect -no access Fire F:.!pply Line ADA , Approach/Sidewalk Date Inspector r y/ Ext Other. Final _ O NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour Inspection Line: (503)639-4175 z BUILDING (M INSPECTION DIVISION Business Line: (503)639-4171 / BUP Received I V?:Z.2---e3LZibate Requested r �— ZI( Q 41VI—_ PN _ BUP Locatiol ----- MEC Contact PersonPh � —) — PLM ' - '" -=-? -- —� _ Contractor -._ — ------ ------ Ph(--) ---- - --- SWR - -- BUILDING _ Tenant/Owner _.-- -- -----,�-- __-_-- ELC ----_--_..__.-.---.__._-- Footing - FLC 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 — -------- -- --- - -- Fire Alarm Susp'd Ceiling - Roof Qth ---- Fin` PART — ---- ---- --- - - - T FAIL_ PLUMBING Post& Beam Under Slab --- - -- �v -- ------ _ Rough-In Water Service ------ - ------ - ---- -- —_ _- Sanitary Sewer Rain Drains -- -- - --_. _— ------ ---- Catch Basin/Manhole Storm Dram Shower Pan Other ---------- -_-_-- - -- -- Final - PASS PART FAIL ---.._____ ------------------- ---- MECHANICAI- —__ ----- ---_..__-. _-- - -- Post& Beam Rough-In ---- ------ --- -- ---- ---- --- Gas Line Smoke Dampers - ------- -- - - - - - ---... Final PASS PART FAIL --- ELEC_TRICAL— Service --- -- ------- -- Rough-In -- UG/Slab I_ow Voltage Fire� ------------ -- ----- Fi Reinspection fee of$—_ �. required before next inspection. Pay at City Hall. 13125 SW Hall Blvd. PART FAIL Please call for reinspection RE: .. -- _ ___ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date---L/f _----_ Inopeeor —_ - -Ext Other: Final DO NOT REn;!1,VE this Inspection record from the job site. PASS PART--FAIL— y C) d ► a 44 . s �� ► � ��JJ ► 44 404 N o • N_ -, ,► d o ► M. �' ° C ► 44 loo. c ► 44 n ► ° ► Dj •� 44 ® ► 4 ► ►♦wswwwwwwww�www�swwwwwwwwwwwi�ww�w��r�♦wwww� J CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)63v-4171 Lam" '=-- r/ BUP Received —_—_ Date Requested AM __ PM _.._— BUP Location Suite MEC Contact Person ___ _ Ph(---) _ PLM Contractor ___-- _—-- _-- -- Ph (___—) _--- _-- SWR ---- BUILDING Tenant/Owner —__—.___ ELC Footing ---____.____ ELC Foundation Access: -- Ftg Drain ELR Crawl Drain �! Slab Inspection Notes: SIT Post& Beam Shear Anchors -- -- ----- Ext Sheath/Shear Int Sheath/Shear ♦� 1 1 Framing —.— Insulation Drywall Nailing -- - -- Firewall Fire Sprinkler - ---- - — --- - Fire Alarm Susp'd Ceiling - ------ - - Roof Other: -------- _... - - - -- Final _PASS ART FAIL --- -- P B G — earn Under Slab ----_-- Rough-In Water Service --- ------- ------- -------- --- -- -- Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain --------- - ----- -------- ---- Shower Pan Otkmw _AS PART FAIL MECHANICAL _ Post& Beam Rough-In - -- ----------- ----- - -------------- _ Gas Line Smoke Dampers --- -- ----- --- Final PASS PART FAIL - - - - --- ---- - ----------- --- ---- ELECTRICAL Service---- - _- -- --- -----.-_---------- ---- -- --_---------- Rough-In --- -- ------------ -- -- - - - ----_ -- UG/Slab Low Voltage Fire Alarm ---------- --------- Final Reinspection fee of$ _ _- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. _PASS PART FAIL SIT_E _ Please call for reinspection RE:_ -,_ —_— Unable to inspect-no access Fire Supply Line ADA Ap�roarh/Sidewalk Data. J _ Inspector _ �'µ�' w Ext Other: _ Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD BUILDING PERMIT PERMIT#: BUP2004-00075 DEVELOPMENT SERVICES DATE ISSUED: 3/8/04 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S11013C-08600 SITE ADDRESS: 12474 SW ASPEN RIDGE DR SUBDIVISION: THORNWOOD ZONING: R-7 BLOCK: LOT: 057 -- JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR FIRST: sf N: S: E: W: TYPE OF USE: SF SECOND: S. PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W:^ OCCUPANCY GRP: R3 TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: RSMT?: MEZZ?: _ REQD SETBACKS _ REQUIRED FLOOR LOAD: 40 psf LEFT: 5 ft RGHT: 5 ft FIR SPKL: SMOK DI'T: DWELLING UNITS: 1 FRNT: 20 ft REAR: 12 ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 7,300.00 Remarks: Deck addition Owner: Contractor: KEANE, DENNIS & KATHLEEN ED GAUSE CONSTRUCTION INC 1244 SW ASPEN RIDGE DR. 17460 TREETOP LANE I IGARD, OR 97224 LAKE OSWEGO, OR 97034 Phone: 503-639-3923 Phone: 503-636-5934 Reg #: LIC 82643 FEES REQUIRED INSPECTIONS – Description Date Amount Footing Insp IB1JPPLNj Pln Rv 3/1/04 — $78.07 Framing Insp Final Irspection l ItIIILI)] Permit I rc 3!8/04 $120.10 I'AXj 9%,SWIc tinri hart 3/8/04 $9.61 lt'LCPLN1 CD( PIn Re% 3/8/04 $40.00 Total $247.78 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law 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 the rules adopted by the Oregon Utility Notification Center. Those rales are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-6699 or 1-800-332-2344 Issued By: ----- Permittee J Signature: 2k Call 639-4175 Uy 7 p.m. for an inspection rhe next business day C)O, BuildinL, Permit Application City Tigard of Ti d Received Date/By: ( - G Penna Nu. 13125 SW Hall Blvd.,Tigard,Oft 9722 .. L`•+E I V �,,.. Plan Reviev�� 1 3 �D Phone: 503.639.4171 Pax: 503.598.1900 Date/B ; !� V Other Perniit: Inspection Line: 503.639.4175 Date Ready/By: 9/0 - Jur ® Sec Attached Checklist far Internet: www.ci.tigard.or.us M Notifred/Method / Supplemental Infnrrnannn REQUIRED BATA:1-AND 2-FAMILV'!WELLING ❑New construction ❑ Demolition Permit fees'are based on the value of the work perfunned. — Indicate the value(rounded to the nearest dollar)ol'all AAddition/alleration/replacement — ❑Other: equipment,materials,labor,overhead,and the profit for the CATHGORY OF CONSTRUCTION work indicated on this application. S I-and 2-family dwelling ❑Commercial/indu��,trial Valuation: �- eve-, ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: (,t/ /95�.1�1 )/ New dwelling area: square feet City/State/ZIP: - GQ C( L Garage/carport area: square feet Suite/bldg./apt.tto.: Project name: Covered porch area: square feet Cross street/directions to job site: Deck area square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: VYf�w��d Lot no.: S_? Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: — _ equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation S Existing building area: square feel New building area: square feet PROPERTY OWNER �— ❑ TENANT Number of stories: Name: jyj , (�G 2 i ',,' r( � r/e C n ge an Type of construction: Address: vx vi;,,_ Occupancy groups: City/Slate/ZIP: "— Existing: Phone:(G-O tP 3 y _3`1 2 3 Fax:( )-- —— New: ❑ APPLICANT CONTACT PERSON — NOTICE Business name: All contractors and subcontractors are req fired to be Contact name: a licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed.If the City/Stale/ZIP: applicant is exempt from licensing,the following reasons / -- apply: Phone: ) 3q Fax: :6v3) �P 310-07e 'Z E-mail: C'�� 5b 720- yo 1Y/ CONTRACTOR -- -- Business name: L_y1C 0`c C ovt f r"(-,ft (�_ - "'� — BUILDING PERMIT FEES* Address: --- -- - Please refer to fee schedule. City/Slate/ZIP: Phone: (� 3�O o7G - Fees due upon application ( • b � Fax:( / CCBhc.: (0C� Amount received —"— Date received: � Authorized signature: This permit application expires if a perrdt Is not obtained Prins name: pate: within 180 days after It has been acc:pted as complete. C�—�� -- - n� • Lh.l��[' 7..-� Fee methodology set by Tri-County Building Industry Service Board. itauildina\Permi1skRUP-PerntAppdoe 12/03 440.4613T(I1/02/COMMEB) 1 1 ,d � moi.fc l One- and Two-Family Dwelling Buildine Permit Application Checklist FOR OFFICE USE ONLV Received Permit No.; City of Tigard Date/By: _-_,__ 13125 SW Hall Blvd.,Tigard,OR 97223 Associate)permits, Phone: 503.639.4171 Fax: 503 598.1960 ❑ Electrical ❑ Plumbing ❑ Mechanical 24-Hour Inspection Line: 503.639.4175 Internet: www.ei.tigard.or.us O ower: 1 Land use actions completed. Sec jurisdiction criteria fol concurrent reviews. _ _El 1 2 Zoning. Flood laip n=solar balance eints,seismic soils designation,historic district,etc.--- 3 tc. -3 V_eriftcation of approved plat/lot. _�. ---- U-- —❑ 4 Fire district approval re ulre_d. Name of district: _ _ 11_ Ll ❑__ 5 Septic sstem permit or authorization for remodel. EJsting system cu Licit 6 Sewer permit. - - 7 Water district approval. -- -- 8 Solls report. Must carry otiginal 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 conformance to applicable local and state ❑ ❑ ❑ iuilding codes. Lateral design details and connections must be incorporated into the plans or on a separate full 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 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 welWseptic 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 1:1 ❑ 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 10 inches above grade,etc. _ 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,cc:'ng height,aiding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. _ 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations; for non- ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and 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 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 El architect licensed in Ore on and shall be shown to be a licable to the proiect under review 23 Five 5 site plans are reurq 'red for Item I I above. Site plans must be 8-1/2"x 11"or 11"x 17". 24 Two(2).sets each are required for Items 16, 19,20 and 22 above. _ ❑__❑ 25 Buildingplans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ 26 "Reversed"building plans must meet criteria outlined in the_Pet init&System Development Fees document. ❑_ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ Street Tree List. 29 Site plan to include tree protection measures as required b conditions of a roval. �_ ❑_ ❑ 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. i:U3uilding\Permits'.One-Two-FamilyChecklist.doc 12/03 CITY OF TIGARD • SITE PLAN REVIEW BUILDING PEI1M-11-'N0.4tj �W GY'O PLANNING DIVISION: f� q , S Required Set� cks: Approved ia 5" � [3Nut ;�phr�i,ed Side: Street Side: From. Garage: Rear: . )a-oJjcz4vmeof Visual Clearance:A ❑ Apapved C3 Not Approved Maximum Building Height,_ feet CWS Service Provider Letter Required: ❑ Ye-; 1A No Com C3Receiv ed t� Date: JR - a- o� ENGINEE ING DEPAR'Ipr1ENT: Actual Slope:% Approved C3 Not Approved Site Plan: e-. ❑ Not Approved fly: te: -o Nutcs: -L/yl CA U a csw7%-" . V � X n b R 'EIVED MAk CITY OF 1IUAHL) w CL D BUILDING DIVISION a a CD ut T. . N W lU �? U) -a C) 0 cr a 1 7E 75, W a T3 cr — Xw i� Q 7o: U) n f° •rre s r s fro(.3 r rt, �- z cn ` cn v „ O oQ m mX - > cl 0 -3 (D N r a r ro D r a m w --r I't CD fG a dv 0 n n (D' cn t JL art ' \ w: v ,n, t. r 13 n 1l+ , . rj TTO an r d r , t� G �� rn '' o � � �ra i COITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BUP ��►S Received ? � Date Requested___Z1- AM PM BUN Location ��L-lam'--- LLtoile ---------- MEC -- - -- ---- Contact Person __-- ___- ___-. -- ---- - Ph PLM - - Contractor Ph (_ ` .) --- --- SWR BUILDING _ Tenant/Owner __ j = O`-- ELC ------ ------ Footing - ELC Foundation Access: Ftg Drain ELR Crawl Drain SIT Slab Inspection Notes: --- Post& Beam - --- — Shear Anchors Ext Sheath/Shear -- -- Int Sheath/Shear Framing Insulation Drywall Nailing ..--- -------...----------.__._ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - Roof Fi -- ---------- - P $,� PART FAIL -- -_ PLUMBING Post_& am Under Slab Rough-In _ Water Service Sanitary Sewer -- --_-- Rain Drains - - ---_— -- --- Catch Basin/Manhole Storm Drain — - -- — ---- Shower Pan Other: _.---- ------- Final PASS PART FAIL MECHANICAL --- - --- _-- Post& Beam Rough-In _—__ -----_-_.__ _____ ---_---------------- Gas Line __ _-_- Smoke Dampers --- -- Final PASS PARSFAIL LE -- -- - - -- ----- --- ---_-_------------- — -. ECTRICAL_ — Service Rough-In -- ----- - — _�.. --- ----- UG/Slab Low Voltage _ -- - - Fire Alarm Final Reinspection fee of$_ - 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 D&W S �— Inspector .' ��-=� Ext Approach/Sidewalk Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL.