Loading...
12225 SW KELLY LANE 1 N N J1 fD r 12225 SW Kelly Lane lmw�l CITY OF TIGAR PLUMBING PERMIT DEVELOPMENT SERVICESTE ISSUED: 5/29/03 PERMIT#: PLN•2003-00229 � 13125 SW H.11 BlvJ . Tigard, OR 97223 (503) 639-4'171 r,•:. F t.: 2S 103CC-09400 SITE ADDPr'•.ba. 12225 SW KELLY LN SUBDIVISION: WHISTLER'S WALK ZONING: R-4.5 _ BLOCK: I_OT' 041 __ i_ JURISDICTION: TIG CLASS OF WCPK: ALT GAr:BA.SE [DISPOSALS: MOBILE HOME SPACES: TYPE OF USE. SF WASHING MACH: BAC'AFLDW PREVNTRS: OCCUPANCY GIZP: R3 FLOOR DRAINS: TRAPS: STORIES: WAT''R HEATERS: CATCH BASINS: _ FIXTURES' LAUNDRY TRAYS: SF RAIN DRAINS: SP4KS: URINALS. GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWER'i: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of residential irrigation backflow i ovontion device_ _ _FEES Owner: Description Date Amount DON MORISSETTE HOMES INC IPLUMB] Pernik Fec 5/29/03 $36.25 4230 GALEWOOD STE #100 ITAXJ 8%)State Tax 5/29/03 $2.90 LAKE OSWEGO,OR 97035 - — Total $39.15 Phone : 503-387-7538 Contractor: LANDSCAPE OREGON, INC. 12200 SJV MYSLONY RD. TUALATIN, OR 97062 REQUIRED INSPECTIONS RP/Backflow Preventer Phone : 503-692-5945 Final Inspectioo Reg#: I'LM 7804 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty .,odes and all ether applicable laws. /\II work will be done in ,accordance with approved plans. This permit will expire if work is not started within 180 days of is.uance, or if work is suspended for more than 180 days. ATTENTION: Oregor, law requires you to follow rules adopted by the Oregon Issued By 7 ' �� _� Permittee Signature:� ;'�L..% cls ;'7�/L� _ Call 503) 639-4175 by 7:n0 P.M. frr an inspection needed thq next business day May 28 0: 10: 31a dart edmonds 503-692-0168 F). 2 FOR tt tt P !1m�►i -Pe `d �ry �� ��ILtrU_I� NLY Received Plumbing Date/By; 5�Q 3 ermit Ncid&l1 4?00.3 'dp z Z Planning Ap rovat Sewer City of TigfiM � Date/DY: Permit No.: 13125 SW Hall Blvd. Plan�, Plan Review Other 'Tigard,Oregon 97223 � D Date/Dy. Permit No,; _ Phone: 503-639.41,1 r sx: 503.5% 96 Post-Review land Use Dute/13 : Case No.: Internet: www.ci.tigard.ur.uS Coumct Jori .: 5ee Page 2 for 24-hour Inspection Requc�t: 503-639-4175 Name/Method: Sutomental Information. TYPE Of WORK FEE*SCHEDULF.(fors ectal Information use chi ckllst) New construction _ Demolition Description Qty. Fec(ca.) total Addition/alteration/replacement Other: New r.& farnlly dwellings CATEGORY'OF CONSTRUCTION (Incl -.',ex 100 ft for each utility connection 1 &2-Family dwelling Commercial/Industrial SFR(I)bath :4910 SFR 2 bath _ 350.20 Acces,io Buildin _ Multi-Famil SFR 3 butte _ 399.00 Master Builder Other: Each additional bath/kitchon 45.00 JOB SITE IN.F_ORMATION and LOCATION F�-e sprinkler-so. fi.: Page 2 Job site ad6ress: ! J a -Ste &1(N __)-ane," , _ Site Utilities Suite#: Bid %A--t. Catch basin/armdrain _ 10.60 --�-- DrywelUlcach line/trench drain lG,GO Pro'ect Name: t t)h[Sura �lUu(k ' " t-ooting drain no. linear R. Page 2 Cross street/Directions, to job site: Manufactured home utilities 110.00 Manholes 16.60 Y Rain drain connector 16.60 Sanitary se, •cr(no. linear ft.) Pae 2 SubdiviSiott:Cul'1 iSt�Cr,,-LL'tA�4'fL- u t± Sturm ' scwcr no.linear R. Pv,e 2 Tax map/parcel#: to 5j S 0: - water service(no.linear ft.) Pa e 2 _ DESCRIPTION OF WORK Absorption or Item Abso tion valve 16.60 C.L_, JSC-C( � L -Aj-cl CL t_I_Cy_ Dacktlow preventer Pae 2 Backwater valve 16.60 Clothes washer 16.60 - --- - Dishwr.sher 16.60 -- Drinking fountain _ 16.60 )PROPERTY OWNFtt_ TENANT _ E'..tors/sum�t_ 16.60 Narnc:DKM _oo rVis.�±tFt� tfr-rnc'S _ Ex ansiou tank 16.60 Address_ ?�(�S,LV 6(t Ll'.L1_( Fixture/scwcr cap _ 16.60 City/State/zip: LLi,4tK a C}e;1.t.e Ci G IZ, `ri 7C3 9 Floor dr.aviloor sn�'/hub 16.60 - Garbo a disposal 16.60 Phone: Fax: Ilose bib _ 16.60 ISLAPPLICANT CONTACT PERSON Ice maker 16.60 Name: ntw i,r rWInterceptor/ reasctra 16.60 Address: .S W to _ t �,^ Medical gas-value: S Page 2 I -` Primer _ 1660 Cit /State/ZiP-TLL0_Cd_f_)re O14-:3 _ Roofdrain commercial 16.60 Phon $ZA Ip 9;i4l y� Fax: �Ct�l a-0'7w �- Sink/bs yin/lnvatoi 16.60 E-mait' Tub,'sower/shower pan 16.60 _ C'ON'rRACTOR i- Urinal � 16.60 Na,ne:/ jlfliS'Cu�y (;�-c'�;c'YI ZYit� Water lie 16.60 Business f�------rwater hr _ 16.60 Address: 22-O Wf A) ki�� Other: _Cit /State/Zip:7'i,.(Ct (U iii- 9 70 4-:.X other - Phone:(p`/ - ._'iy 5 1 Fax: ,y.?- ("N - -Plumb 1a Permit Fees* CCB Lic. #: _ Plumb. LicA - _ Subtotal! s _ J Minimum Pe mit Foe$72,50 S Authorized C Residential Backflow Minimum Fe 6.2 -3 G'• 5 Signature: - -���u1C: Plan Review(25%of PermitFee) S State Surcharge(8%of Pennit Feel- S (Please print nntm) TOTAL PERMIT FEE Notice: Thio permit application expires ifs permit Is not obtained within .SII new co•ttmercial buildings require 2 sets of plans with Isometric or IRO days over Il has[icon accepted as complete. riser diagram for pian review. 'Fce methodolog:,set by Tri-County Building industry Service Board. i:tUsts\Permit Forms\PlmPermitAop.doc 01103 CITYOF TIGARD _ MASTER PERMIT DEVELOPMENT SERVICES PERMIT#: Mi-000s2 DATE ISSUED: 3/331/031/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 12225 SW KELLY LN PARCEL: 25103CC-09400 SUBDIVISION: WHISTLER'S WALK ZONING: R-4.5 BLOCK: LOT: 041 JURISDICTION: TIG REMARKS: New SF c'stache d, Path 1. BUILDI14G REISSUE: STORIES: FLOOR AREAS _ REQUIRED SEI BACKS REQUIRED CLASS OF WORK: NEW HEIGHT. FIRST: 1,290 al BASEMENT: al LEFT: 12 SMOKE DETECTORS: v TYr OF USE: SF FLOOR LOAD: 40 SECOND: 1,360 at GARAGE: 6626 at FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: I TMrm at RIGHT: 5 : OCCUPANCY GRP: R3 BDRfvVALUE 163,956 20. 4 BATH: 3 TOTAL: 2.5E,�' at REAR: 34 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH. I LAUNDRY TRAYS: I RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: l FLOOR DRAINS SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUSISHOWERS: 3 GARBAGE DISP: I WATER h2ATER3: 1 WATER LINES: 100 BCKFLW PREVNTr': 1 GREASE TRAPS: MECHANICAL OTHLR FIXTURES: FUEL TYPES FURN<100K: BOILICMP<3HP VENT FANS: 4 CLOTHES DRYER: 1 GAS FURN>•100K I UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SCRVICE FEEDER TEMP 3PVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS _ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 -2o amp: 0 -200 amp: W19VC OR FOR: PUMPIIRRIGAT(DN: PER INSPECTION: EA ADD'L 500SF: 5 201 - 400 amp: 201 - 400 amp: tat W/O SVC IFDR: SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp, EA ADDL BR CIR: SIGNAL/PANEL, IN PLANT: MANU HMISVC/FDR: 601 - 1000 an o: 601+amps•1000v MINOR LABEL: 1660+amolvolt: Reconnect only: PLAN REVIEW SECTION ­4 RES UNITS: SVC/FDR> 225 A.: >600 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL•RESTRICT ED ENERGY A.SF RESIDENTIAL _ B.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT* BURGLAR ALARM' OTH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATARELE COMM: NURSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TO i AL FEES: $ 5,253.42 This rQr'11I#Is subject to the regi latlons Contained in the DON MORISSETTE HOMES INC DON MORISSETTE HOMES INC 4230 GALrWOOD STE#100 4230 GALEWOOD ST,STE 100 I IgP Municipal Code,State of OR. Specialty Codes and LAKE OS' ILGO,OR 97035 LAKE OSWEGU,OR 97035 all o;,nr applicable laws. All work will be done in accoroance with approved plans. This permit will expire U work is lot started within 180 days Of Issuance,or if the work is suspended for more than 180 days. ATTENTION- Phone: law requires you to follow rules adopted by the Phbna: 503-387-7538 Phone: Oregon Utility Notification Center. Those rules are set 5p3 387-7�3� forth in OAR 952-001-0010 through gb2-001.0080. You R•0 w: I IC 3533 may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. RE 11.1IRED INSPECTIONS Erosion Control Insp 81 Post/Beam Structural PLM/Underflunr Framing Insp Gas Fire .ace Electrical Final Grading Inspection Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Sevier Inspection Underfloor Insulation Plumb Top Out Exterior Sheathing Inst Rain drain Insp P!umu Final Focting Insp Crawl Draln/Backwater Electrical Service Low Voltage Water Line Insp Final Inspection Fot.ndatlon Insp Footing/FOundatirn Dn Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Issued By : " �,( permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day __ r,ITY OF TIGARD SEWER CONNECTION PERMIT 60 DEVELOPMENT SERVICES PERMIT #: X -00078 1312- SW Hail Blvd., Tigard, OR 97223 (503) 639-4111 DATE ISSUED: 3r331/031/03 PARC F.L: 2 S 103CC-09400 SITE ADDRESS; 12225 SVU KELLY LN SUBD'ViSION: WHISTLER'S WALK ZONING: R-4.5 BLOCK: LOT: 041 _._ — JURISDICTION: 11(, TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUI'.DINGS: INSTALL TYPE: LTPSWR IMPERV SUIiF-ACE: Remarks: Sewer connection for new SF deteched residence. Owner: DON MORIS:;ETTE HOMES INC Description Date Amo Int 4230 GALEW,,.' D STE #100 — LAKE OSWEGO, OR 97035 ;SWUSASwr Cbnnecl 3/31/03 $2,300.00 IS�1't1SASwr Connect 3/31/03 $0.00 Phone: 501-387-7518 1SWINSPI Swr Inspect 3/31/03 $35.01) ISN'INSP1 S%kr Inspect 3/31/03 $0.00 Contractor: -- — --- — Total $2,335.00 Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. 1 he 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 insta!ler 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 Issued by: i �Z -� Permittee Signaturo-1 t_ �-.q 1�7 . Ca(l (503) 639-4175 by 7:00 P.M. for an inspection needed the next busin^ss day Building 1"ermit Application ' — ed:Uatertxeivr1, 1 Permit no.: City of Tigard �.,' � J"_# Prolect/eppl.no. f xpirc date: City 7f Tigard Address: 13125 SW Hall Blvd,Tigaro, .IR 97223 -- --- Phone: (503) 639-4171 Date issued: Ityl, Receipt no.: _--- Fax: (503) 598-19150 '( Case file no.: — _ Payment type:: Land use approval: _ l&2 faindy:Simple Complex: v ;Job I &2 family•lwelling or accessory ❑Commercial/industrial U Multi-family ,CNew construction U Demolition Addidon/al ation/replacement ❑Tenant improvement J Fire sprinkler/alarni ,Oth r. _— address: =� ��,^ ( 1 _ Bldg.no.: _ Suite no.: Blcx:k: Subdivision-'�,��{ Tax map/tax lot/account nc.: Project name: Description and local on of work on premises/s;,ecial conditions: 1:011 SPECIAL INFOJR.NIAVION, CSE(JILUKUSU N" Name: Y��. L Y _ + '' 1pWin,septic tapacis y,solar,el e.) Mailing address: ) LIC �>,,• _ _ I &2 family dwelling: City: t I C, IStatet'jKAZIP:Ci ) y7v aluation of work ...... $"5 Phone: - . F7,155 ax: '�'+ 7 -mail: No.of bedrooms/baths................................. _ Owner's representativL. Total number of floors................................. Phone: Fax: E-ma:1: New dwelling tuea(sq,ft.) .......................... Garage/carport area(sq.ft.)......................... — Name: ,Y (� ' Covered porch area(sq. ft.) . .... .................. -3 !Mailing address: ��,. De.k area(sq.ft.) ........................................ -_-- Other structure area(s . ft.)........................ City State: _ 7_.IP: _�_ — Pht,n+ -_ Commercial/industrial/multi-family: s Valuation of work................ ....................... $ Business name: Existing bldg.area(sq.ft.) .......................... _ � � "' "- - �- Z New bldg.area(sq..ft.) Address: Number of stories. ......................... ' City: State: ZIP: — Citmc; Fax: Email: Type of construction......................... .......... Occupancy v eltp(s): Existing: CCB no.: _ New: City/metro lie.no.: Notice:All contractor.and subcontractors are required to be t licensed with the Oregon Construction Contractors Board under Name: t,l �- Yom- provisions of ORS 7111 and may be required to be liccased in the Address: A-i �(, jurisdiction where w(,A is being performed. If the applicant is CitX: I State: ZIPS - exempt from licensing,the following reason applies: Contact person: Plan no.: -" Phnnr I,tK If: mail "---- - t ' R Name: Ie,'ont iLt I>Ltson. Fees due upon application ... ...................... $ Address: - - Date received: _ _ City: IState. ZIP: Amount received ........... . .......................... $ Phone: Fax. E-mail: _r!case refer to fee schedule. hereby certify I have read and examined this application ti id the New sit jurisdictions,.req credit cards,please call juriadktion rat mom infixmatitm. attached checklist. A11-provisions of I ws and i finances governing this ❑visa n M itercard w •ork will be compli wt er,wheth . cifitd Here 1f r�jll7t. l Credit card numt v _— — F�pi/�_ Authorizea si natu None d cardholder ea wn on credit crd $ Print name: p f Z'f;nr? 1 L Cardholdet signature _ Amount Notice:This permit application expires if a permit is not obtained within 190 days after it has Been accepted as complete, 4404613(6MCOM) One-and Two-Family Dwelling Building Permit Application Cho ,dist Reference no.: City ufTfgardCity of Tigard Associated permits Electrical ❑Plumbing 0 Mechanical Elect Address: 13125 SW Hall Blvd,Tigard,OR 97223 U U Elect Phone: (503) 639-4171 _-- —__ Fax: (503) 598-1960 I Land use actions completed.See junsd)c tion critena for concurrent reviews. 2 Zoning.Flood 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 pemit. - 7 Water district approval. Solis 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 f erce design and location o-1- 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 t/ if copyright violations exist. J` 11 Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;property comet elevations(if there is more than a Oft,elevation differential,plan must show contour lines at 2-ft.intervals);location of easement., mid driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direetion indicator,lot arca;building coverage area;Ercentage of covers e;impervious area;existing structures on site;and surGnce draivage,_ 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,roofing,roof slope,ceiling heigl;t,sidu)g 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 el.,vations 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 eng'neering standards. 17 Floor/roof framing.Provide plans for all floors/roof assemblies,indicating member siring,spacing,and hearing 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 currert 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 trues design deradls. 21 Energy Code compliance.Identify the prescriptive path or provide calculations.A gas-piping schematic is required y for four or more appliances. 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 i,,the project under review. JURISDICTIONAL 23 Five(5)site plans are required for Item 1 I above. Site plans must be 8-1/2"x 11"or 11"x 17". )[ 24 Two(2)sets each are required for Items 16, 19,20&22 above. 25 Building plans shall not co.1tain 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. Minor changes or notes on submitted plans may be in Hue or black ink. Fled ink is reserved for department use only. 440-M14(601COM) Mechanical Permit Application Date received: Permit no.r�.' City of Tigard Projectlappl.no.: Expire date! City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 --�---- Phone: (503) 639-4171 Date issued: By: Rl eceipt no.. Fax: (503) 598-1960 Case file no: _ Payment type: Land use approval: Budding permit no: TYPE OF PERMIT ❑ l &2 frmily dwelling or accessory ❑Commercial/indusuial O Multi-family ❑Tenant improvement lew rnnsttuction U Addition/alteration/replacement ❑Other: { S1 IT INFORMATION Job address: `� - j c- � � , Indicate eywpment quantities in boxes below, Indicate the dollar Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax snap/tax lot/account no.: profit-Value$ _ Lot: 4 Block. Subdivision: 4' 'See check.ist for important application information and Project name: A jurisdiction's fee schedule for residential permit fee. City/county: ZIP: i al t Description and location of work on promises: I t t t 011111 1'er(m) Total Est.date of completion/inspection: Description — Qty. Res.only Res.only Tenant improvement or change of use: AC: Is existing 'pace heated or conditioned?❑Yes ❑No Air handling unit ___CFM _ Air conditioning(site plan required) Is existing space insulated"U Yes U No Alteration of existing HVAC system ILI oiler/compresscrs -- Business name. L Stale boiler permit no.: ^ - HP Tons BTUM Address Q _ Firelsm.ce dampers/ uct smokeetectors City: Llr 1 State 71}' _ eat pump(site plan required) _ Phone: Far:_ - E-mail. nstal vreplace turn ac urner / - - CCA no.: Including ductwork/vent liner ❑Yes❑No nsta replace/re ocate heaters-suspended, C`ty/metro lic. no.: N/A wall,or floor mounted Name(please print): Ven ora Bance other than urnace CONTACT lbl�RSON e gerat on: Absorption units_ BTUM Name: C` LaL, Chillers_ HP - -- Address: Cum ressors HP G Cl _ t o ronmentat a tut an ventilation: City' State: LIP: _ Appliance vent Phone: Fax: E-mail: - ryere aust TI-oo�fi�%�;. 'tc a azmat hood fire suppression system Name: Yl � 1 ' Exhaust fan with sine le duct(bath fans) ftitailing 3d�iress j - xhaust s^stem apart from heating or AC Circ: - State 7_IPr� x,�j °e Piping i and ribut on(up to outlets) I'hc,nc - E nail: Type .LPG __ NO Oil -- 7 l t` ucl i tng each a dtuc nal over 4 outlets MIR rocess piping I schematic required) Name: Number of outlets appliance or equipment: - Decorative fireplace Citi- _ --- State: ZIP: nsert-type - Phone: Fax.. C•mail: stove/pellet stove Other �- Applicant's slgnaru" - pate: "_� other. Name(print)Not all iurirdictlaru accept cmtit code,pie"tail)unutiction for mde mfomtation. Permit fee.....................S O Visa O MasterCard Notice:This permit application Minimum fee................S Credit expires if a permit is not obtained plan review(at _ %) S ._ n dlt and number -.plwi hin 190 days after it has been ^---- - rc' State surehlrge(896) Name of cudholder u shown on cmAit cud accepted as Complete. — s TOTAL .......................$ Cardholwr signnum Amount 440-4617 t150000CoMI Plumbing Permit Application Date received: Permit no.: / l - ' City of Tigard ;ewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd.Tigard,OR 97223 Pruject/appl.no.: Expire date: City ofTigard Phone: (503) 639-4171 — — Fax: (503) 598-1960 Date issued: By: Receipt no, Case file no.: Payment type: Land use approval: ____--- --- O Commercial/:adustrial '1 Multi-family ❑Tena+t improvement U I & 2 family dwelling or accessory cw construction Addiuon/alteration/replacement J Fucxl serv,ce U Other. r R 71 Description _Oty. Fee(ea.) Total Job address: �"�7 ` �' F -E I �" - i New 1-and 2-family dwellings only: Bldg. no.: Suite no.: (includes 100 R.for e2ch utility connection) Tax map/tax lot/account no.: SFR(1)bath _ _— Lai Block: Subdivistcn: L RE SFR(2)bath _ Project name: SFR(3)bath _ ZIP: Each additional badVkitchen City/county: _. Sale utilities: Description and location of work on premises: Catch basin/area drain Drywellsneach line/trench drain Est_nate of completir_n/inspection: Fooling drain(no.lin.ft.) Manufactured home utilities _ Business nan e ._ L. Manholes Addres � Rain brain connector ' State• ZIP: Sanitary sewer(no.lin. ft.) Cavy: Storm sewer(no.lin. ft.) ^'[one Fax: E-mail: Water service(no.lin.ft.) CCB no.: L Plumb. bus, reg. no: — nxture or item: City/metro lic. no.:NiA !�'—/^ Absorpuon salve Contractor's representative signature --v!L_�_ �" Back tlow[trevenrer Print name: Q'c U 7 Backwater valve Basins/lavatory Clothes washer Dishwasher Address: LyY.�' _a��1-lir Dnnkine fountain(s) Citi- State: ZIP: ElectorrJsump Phone: Fax: E-mail: Expansion rank Fixture/sewer cap Floor drainsinoor swlcs%hub Name (prin[): L Garbage disposal Mailing address: 1�.� Hose bibb _ City: �1 State ZIP' -- Ice maker - Phone: Fax: 7-%t:'i E-mail: lnter_cpt- -r ase Owner instaUadon/residential maintenance onit,: The actual .ctallation Pnmeris) _ will be made by me or the maintenance and repair made by my regular Ririf drain(commercial) employee on the property I own as per ORS Chapiar 447. 1 Slnk(si,basinisl,lays(., Date: Sum Owner's signature: — T'ubs/shower/shower pan Unnal Water closet Address:--- 14 iter heater Cit} State: ZiP: (Other. — rotas � E.mall ` Phone: Fax: M1tinimum fee................S Na an junubcuoru seep enxfit codspleme etll lunabcunn for muse mrormu+on Votice:This permit application if is not obtained Plan review Cat .� %) -----"�'---- 0 Visa exires permit 0 Kutercard p p State surcharge(8%) ....$ Cmdii cud number- within 180 days aner it has been Enprres TOTAL accepted u complete. ....................... Nurse of cmdhoidet U shown ci cre+he cud s - .41G..t616160�'COM� Am win Cudholdia utnarura Electrical Permit Application Datereceived: Permit no.: r"Igw,93 City Of TigardProjectlappl.no.: _ Expire date: City afTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: — By: _ I Recciptno_ — Phone: (503) 639-4171 Fax: (503)5915-1960 Cao file no.: Payment type: Land use approval: ___ �Klj a 110190 11 1 &2 family dwelling or accessory O Corrmarcial,:ndustnal U Multi-fam' ❑Tenant improvement New construction ❑Addition/alb &tion/replacement U Other. ,---_ CJ Partial 1 lob address: �Ick, `�l L U 1 B-ld�g.-no.�� Suite no.: Tax map/tax lot/account no. Loc Subdivision: ^tet ' I ] V" — Project name: Description add location of work on premises: Fst.mated date of complefiomfinspection: CON I)CA( HW FEUSCUOULIE Pee Max lob nu: _ C Description Ott'. (era.) Total no.lnsp Business,iame:.� t-��-� E i Newresidential-singleorrnultl-lamilyper Address: y" �L��( i2C— dweWngunh.includes attached garage. City: ('tk--� NV � ser ice included 1000 sq.ft or leas 4 _ Phone: .j i Fax: duh additional 500 sq.ft or portion thereof _ CCB no.: Elec.bus. lic. no: jrtllledcnergy,rcsfdentiai 1 inuted energy,non-residential 2-- L/) Etch manufactured home or modular dwelling - Se vice and/or feeder 2 raurr-.is rn_urn$tfrclrtclan(re fuired) pate — Ser'ices or feeders-Installation, Sup elect name(pr-n;) C—ii-lr Licer.:e no alter slion or relocation: 100 u.-vs or less 2 t ( 101 amp to 400 amps 1 Name (print): ` 401 amps:o 600 amps 1 Mailing address: 601 amps to 1000 amps 2 State �r I P: Over l(x)o amps or volts 1 T -'� mail: Reconnectonly I Phone: -� r�:. Owner installation: I he installation is being made on property I own Temporary services or feeders- budallation,alteration,or relocation: which not intended for Sale, lease,rent,or exchange according to 200 amps or less _ 2 OF,i 447,455.479,679,701. 201 amps to 000 amps 2 Owner's si nature: Date: 401 to 600 amps 2 a Branch circuits•new,alteration or extension per panel: (Jame: A. f-ee for branch circuiu with purchase of service or feeder fee,each branch circuit 2 Address: _ - AdY zipB. Fee for branch circuits without purch^ e City; St.^.ICt : — of service or feeder fee•pint branch circuit 2 Phone: I':ix f?'titail: Each additional branch circuit: Misc.(service or feeder not included): UZUEEach pump or irrigation circle 2 ❑Service over 225 amps-commercial ❑Health-care facility 1 ❑Service over 320 amps-rating of Ide2 ❑Hazardous location Each sign or outline lighting familydwellings ❑Building over 10,000 square feet four of Signal circuit(s)or a limited energy panel. 1 ❑System over 60P volts nominal more residential units in one structure alteratiun,or extension' ❑Building over three stones ❑Feeders,400 amps or more •Desch tion: ----- O Occupant load over 99 persons ❑Manufactured structures or RV park lsich additional Inspection offer the allowable In any of the&hove:_ ❑Egress/lighungplan ❑Other _------- Pennspection Submit—sets of plans with any of the above. Invest,.ation fee [lee above are not applicable to temporary construction service. Other Permit fee.....................$ ria all fadsdictinns accept crotid cant',please till iurisdkdioo for nrrxe lnfomuuen Notice:This permit application Plan review(at — %) $ ❑Visa L3 MasterCard expires if a permit is not obtained - Credit card numb& _ within I F0 days after it has been State surcharge(8%)....$ — spires accepted as complete. TOTAL .......................$ Nuns of eardholder as showo on credit card 3 _--�Cardholder signature Amourn— 44046'5(6MCOM) DON • MORISSETTE OBE : 281 8 0 x 5 1 I N C 0 3 P 0 R A ? Z D 4 A d 0 a A L Z W J O D 8 T & Z Z T L01., �1 X Tea °' °i3 o ° a 7 eieDATE: 02/26/2003Akt,603) 387 - eis a) e 9 'o PROPERTY: WHISTLER 3—WALK CITY: TIGARD F!V ED SCALE: i"=20' PLAN No.: 198 OPTION i ELEVATION i Y Ca` r IC:1AU 322' 61.00' �r�N 322 z u 126 "6on convo F3 yTT PR!vATE ib.pp'gp EASEMENT Y f' POR BENEFIT OP LOTS 40,41,42, 1 43. 7-- ------•— 326 1 � I2'-8' 10'.10' 1 WOOD a,eDECK It j:9' 1 4b6m. 2Vs beth �j FF.E. 334. 626 eq. Ft. 3 car gar. - FFE. 334' PCRCw a, 3 ♦ 334' _ 334' y_m• 10S PUE EAW--ENT a II bl 332 b 12225S.W. KELLY MANE A LEGEND _ LOT COVERAGE LOT "r�, 6,634 50. FT. BUILDING AREA 2,006 $G. FT. LOT 041 ° —~2'A R ERUM PERCENTAGE: 301% 6,634 eq. Pt. , ELECTRICAL CITY OF s GARD RESTRICTEDENERGY Y DEVELOPMENT SERVICES PERMIT#: ELR2003-00122 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 C,,TE ISSUED: 4/25/03 PARCEL: 2S103CC-09400 SITE ADDRESS: 12225 SW KELLY LN SU3DIVISION: WHISTLER'S WALK ZONING: R-4.5 BLOCK: LOT: 041 JURISDIC-FI014: TIG Proiect Description: All encompassing low voltage. A.RESIDENTIAL B. CO_M_MERCIAL_. "'IIDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BG'LER: LANDSCAPE/IRRIGAT. GARAGE OPENER: CLOCK: MEDICAL. HVAC: DATA/TELE CGMM: NURSE CALLS: VACUUM SYSTEM: FIRE AI-.A RM: OUTDOOR LANDSC LITE: OTHER: AI-L ENCOMP : X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS:.__—,.__ Owner: Y Contractor: DON MORISSETTE HOMES '":C: LIVE \VIRE TECHNOLOGIES LLC 4230 GAl_EWCOD STE #100 PO PDX 952 LAKE OSWC GO, OR 97035 TUALATIN, OR 97062 Phone: 503-387-7531 Phone: 503-670-9910 Reg #: 1-1.1' 34-599CLI) LK, 151771 SI-111 33451.1'.n FEES__ Required Inspections Description Date Amount— Low Voltage Inspection �I I I,It11 / I I I It PCI ul 4/25/03 $75.00 Elect'I Final X I S` Slow I a\ 4/25/03 $6.00 Total $81.00 This Permit is issuer/ 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.witbin i80 dpys of issuance,or if work Is suspended for more than 180 days. ATTENTION: Oregon law requires you follow rules a ted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc ISS ped by +/ _ Permittee Signature OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: _ CONTRACTOR INSTALLATION ONLY SIGNATURE OF ;-UPR. ELF-C'N DATE:_ _ _. LICENSE NO: - ------- ----- .�---w— —�—_ �_ _-- - _— --- - Call 6394175 by 7:00 P.M. for an ir•cpection needed the next business day hlectrical 11e►•mit Application -._-- -• - I)me received:::: d S D� Permit no-El city of Tigard I,, )jectlappl.no.: _ date: Address: 13125 SW hall Blvd,Tigard,OR 97223 Date issued: :A,p l Receiptno.: Phone: (503) 639-4171 Case file no.: Payment type: Fax: (503)598-1960 -- I.ar►d use approval: _ t :New Rr.2 family dwelling or accessory L]Commercial/industrial U Multi fancily U Tenant imin,nvement construction U Adtlitiun/allrration/rrpla+:lue++l U r 11111 r U I'mird Job address: t 2 22 S S' W4 ( /V 141df,. no.: tinUr n , 7 Fax map/lax rut/;recount no --��Block: 5uhdivi_Aon: _ ---- - Projert name: -- Description and location o1 rs++l I. ol+premises: - vT>/D� (w T• j'v o rr E D�YI Estimated date of com letion/Inspection: mo 4 2- $ r+� t►ta Job no: Ikecripliun Qty. Ica.l 7111.1 r,u.iny, Business name: Of W iff, r� �fl )r`�IP-� N,wrrSwrm�l .ire}Ie,NnYllll fatuity per Address:po Pa. dwelling tr+it.Inslud,,.Macbet!Earage. City: stale: zIP: S1 i, Servicrbncluded. — - 1000 sq ft.orIcsL 4 Fax. -)-lot E-mail: Phonet"l Each additiona1500 sq ft orp, 1111"thereofCCB nEI- hug.lir.f10:J� - Limitedenergy,residential 2 L.imiledenergy,non-residential — 2 _ City/metro lic.no.: _ -- .Z Each manufactured home of modular dwelling -- Service and/or feeder 2--- Signator f wisingelecuicien re ui+ed)- l)atc §er cesorreeden-In+tallati;i — sup.elect.manna(print) Q - 0 t r i' License no:33tgr� shervi loo or relocation: 1 1 gal amps or less _. 2 201 amps to 400 amps 2 Name(print)7__.,-j r,,+1L( l_I /{o^%'✓S 2 _ _ 401 amps to G00 amps 601 anus to 1000 strips 2 Mailing addrZ— Cily: SI.r!, 71 POver 1000 amps or voles Z: Reconnect oni 1 Phone: _:t:: 1 l:-mail: Temporary aerricec ur feeders- Owner installation:The installation is being made on property I own y"allniion,alteration,Orreiocarion: which is not intended for sale,lease,rent,or exchange according to 20x1 amp%m less 2 ORS 447,455,479,670,701. 201 amps to 400 amps — 2 Date: 4+11 w 001 alts IS 2 owner's si nature: rtranch circalts-rrew,alleralion, or estemion per panel: Name: A Fee for branch circuits with purchase of 2 --- service at feeder fee,each branch circuit Address: - - D. Fee for branch circuits without purchase - - City: State I I' mf service or feeder fee,first branch circuit: 2 Phone: 1';tx I trr'i1 "ch additional b.anch circuit: rM Mlle.(gerrlce or feeder pot Included): I tach pump or inigation cUcle 2 U Service over 225 amps con;n�rrieb U I lcald+c:u r f oc'IU) nisch sign ut outline lighting _ 2 U Service over 320 amps-rating of I k2 U Flnrntdous location Si nal circuits)or a limited energy panel, family Over U Building over 10,(xxl square icet four or alteration,or extensiopn 2 Li system over 600 volts nominal more residential units in r-ne structure _- CJ Building over three stories U Feeders,41x1 amps or n• rr •lhsc ii tion ._. _ _T __- U(kcupant load over 09 persons U Manufactured structures or Rv park FAcb additional Nspection over the rdlowabk i ruty— of�a U Ggres&/fghtingplall U Other: _ per inspe-tion - Submit_--rets of plant,with any of the above. Investigation fee tr The alae are not applicable to temporary construction service.-.- _. �+ -- ___ --- Permit fee...... ..............$ it Nd all judxlictirms.crept crrdli curls,plea..call jutirdi u.ern nvxr iM,routiur+ N fIICC:7111 permit application Plan review(at -- 91) $ a`r,Y U Visa U Mastcr('ard expires it a permit is not obtained State surcharge(8r ) .... 1Q.EW-3 within ISO days after it has been $ vJ Credit card number. _ ...._-_.__---'--.—�__�_ }:spiresaccepted its complete T�)1'��� ....................... _ _.._.Fame"�Fo eu' +ubder w s�l+uwn on cir�ii cry-^- S 4-404r,Itteal+)tt'1MU — Cr 10 de1 Agnal, CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 0 BUP Received Date Requested PM BLIP Location Suite MEC Contact PersonPh PLM Contractor SWR BUILDING Tenant/Ownrr ELC Pooting ELC --- ----- Foundation Access: Ftg Drain I ELR Crawl Drain 11,Ll Slab Inspection N6tes:' SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Root Other: Final PASS PART FAIL PLUMBING Post&Beam Under Slab Rough-in Water Service Sanitary Sewer Rain Drains Catch r-a- n/Manhole Storm Drain Shower Pan t F-. -Float,, FAIL AIL HANICAL Post&Beam Rough-In Gas Line Smoke Dampers Final PASS PART FAIlL ELECTRICAL Service Rough-In ------ - UG/Slab Low Voltage Fire Alarm Final PART FAIL Reinspection h v of$ required before next inspection Pay at City Hall, 13125 SW Hall RIA PASS .SITE please call for folwy-'. 11, 111 Fite Supply Line ADA Date Inspector Ext Approach/Sidewalk Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PAPT FAIL n G n ? 0. C-1-11) Ln ZZ w � � a 0 a a a \ a � a O ,M D� C� CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVIS;ON Rusiness Line: (503609 4171 BUP Received -_—Date Requested - < < AM PM -- BUP Location I a ,5 �,1� '� Suite MEC — Contact Person _ — '''" a - Ph(—) PLM --- Contractor__-- ____ Ph( ) SWR BUILDING Tenant/Owner _— ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain SIT Slab Inspection Notes: - - Post&Beam Shear Anchors Ext Shealh/Shear — tnt Sheat�vShear Frerrir,n Ins.dation Drywall Nailing —r--- �:irewall Fire:prii.:,ler ---"— Fire Alarm _ susp'd Ceiling Roof Other-- --- ---- - - -- �,,afnal _ _S PART FAIL ----- -- _ Post&Beam _ Under Slab -..------ -- — -- - Rough-In Water Service --- ----------- _---- Sanitary Sewer _ Rain Drains Catch Basin/Manholes Storm Drain ----- - -- ------ - - Shower Pan Other: �— --- FinalPASS 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 F] Reinspection fee of$_-_ —required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL 1—ITE Please call for reinspection RE: - E] Unable to inspect-no access I-ire Supply Line ` I y( A ADA Date 4/�`�- Inspector _ .-._.�-��- -� Ext_ Approach/Sidewalk Other. Final T DO NOT REMOVE this Inspection record from the Job site. PASS PART Fatr CITY OF TIf,,ARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business line: (503)639-4171 MST BUP Received -----.----Date Requested _._`�l�_ _...___ AM PM BUP Location r.__a a� �y Contact Persons -_ Ph(__ ) v.. .-_ PLM Contractor Ph SWR BUILDING TEnant/Owner -_--_ _ _ ELC Footing --- Foundation ELC Fig Drain Access: ELR --- Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors ---- ------- --- Ext Sheath/Shear Int Sheath/Shear - - -- -- -- Framing -- - - - - ---- - --_ Insulation Drywall Nailing - - - - - --- ---- ------- - - - Firewall Fire Sprinkler ----- - - - _� - - Fire Alarm Susp'd Ceiling - - - — _ -- - -- --- Roof Other - -- - -_ Final PASS PART FAIL -- - -- --- -- --- - PLUMBING Post& Beam Under Slab Rough-In Water Service --- Sanitary Sewer Rain Drains -- Catch Basin/Manhole Storm Drain --- - ----- Shower Pan Other - - - Final PASS_PART FAIL --- _ - --- --- - - MECHANICAL Post&Beam �- - -- Rough-In Gas Line — -�-- Smoke Dampers Final PASS PART FAIL -- ELECTRICAL Service — - Rough-In UG/Slab U el OC ae Fire Alarm� PART FAIL Reinspection fee of$_ requirod before next inspection. Pay at City Hall, 13125 SW Hail Rl�-(1 SITE n Please call for reinspection RE: Cj Unable to Insper' no access Fire Supply Line ADA Approach/Sidewalk Onto /o -� Ir�spectctr �_^- {r"`''�` Ext Other: Final DO NOT (REMOVE this Inspection record from t,hs job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Lira: $03)639-4175 MST 3 •do v �� INSPECTION DIVISION Business Lie9-4171_ BILIP --- Received _ Date Requested __._� w AM/US�_ PM_____-- BUP Location l a, 1--)- _ �� / �----..-___Suite __-_-- -. MEC Contact Person _—__---J� Ph (-----__--) � ?-Y-23-7, PLM Contractor-----__-__.------_.___-_.- _- _._ -_ Ph SWR ---- -----____-- _BUILDING Tenant/Owner -_ _ _ ELC Footing --- Foundation ELC Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: C� �` --�— SIT Post& Beam _ Sher Anchors a --- - Ext Sheath/Shear Int nath/Shear F ami Insulation �� �f —�-- , Drywall Nailing - -- �'_ � L' - �I Firewallrv!) Fire Sprinkler Fire Alarm Susp'd Ceiling - ^ Root `sem Other: Ile— �(� ma -- -1 1. -` '- �� "Q7-� .JL,( tali PASS PART /��C Post&Beam _ n( V\J Under Slab Rough-in l�('� Y Y �fn S� ��1 ✓ Iti/� �/ ,. � ®� Water Service Sanitary Sewer �� c!-'yv `�r✓� J� �^ t�� Z cp Rain Drains Catch Basin/Manhole Storm Drain -- Shower Pan Other - - Fi PAS PART FAIL - - -- -_ —� - - ----------- HANICAL Post&Beam Rough-In - -- - Gas Line Smoke Damper!a - - - - - -_ ---- - - - - ---- -- - m ASS PART FAIL - ------- -- ._ Service Rough-In UG/Slab -. _. - - ----- - Low Voltage --_-------- ------ - ___-- -__-_-.___ Fire Alarm Final Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: - El Unable to inspect-no access Fire Supply Line ADAc Approach/Sidewalk Date _ -_ Inspector ..-__ �.- -- -Ext Other Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL r ►AAAAAAAAAAAAt4AAAAAAAAAAAAAAAA,AAAAAAAAAAAAAA rl ► �A pol. I ► t � � w ► A t � o ► x t -� v ► v ` . 1` W W ► ► ► V r z ► 1.4 °J Q ►_ • U iNi D ► v '� PA ► 1 ► 1 PA . `w f 1 ► ► - ► .:� x 04 �.