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12250 SW KELLY LANE N N N O N 6 X M. r r z it 12250 SW KELLY LANE CITY OF TIGARD ^..µ•'tour BUILDING, Inspection Line: (503) 639.4175 INSPECTION DIVISION Business Lire: (503) 639-4171 MST. /P_ BUPReceived Gate Reqsested d ANS PM _ _ BLIPLocution — L -' _T �- �- r � ----� --Suite -------- MEC a -//� rc,�� Ph Contact P^ PLM - - ContractorJA1 �bl: Pn, ) _— - SWR 44UILDIN Tgnant/Owner _ _— — - FIX Footing E t.t: Foundation A CASs: _—� Ftg Drain E L P Crawl Drain - Slab Inr,,)ection Notes: SIT -_ Post&Beam Shear Anchors Ext Sheath/Shear IN Sheath/Shear Framing - - - --- - li,sulation Dry .-all`Jailing Firewai,' Fire Sprinkler Fire Alarm Cusp'd f:eiling Roof PA PART FAIL 1;1MBING Post beam Under Slab _ Rough-In Water Service _---_ Sanitary Sewer Rain Drains - - - _—.— Catch Basin/Manhole Storm Drain Shower Pan Ot Sinai 0PART_ FAIL_ - AN CA — FP:io—s1W9ff1-m_ Rough-In Gas Line -— Dampers - _.._ __— ------ --- — -- --- —- i d,17AS P FAIL Etwlvf Rough-in UG/Slab -- Low Voltage _— Fire arm FinaT [� Reinspection fee of$ —__Y required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. 9 PART FAIL 3 r� Please call;or reinspection RE:—— —. — Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Data Ext_—_— Other- Final --� DO NOT REMOVE this Inspection record from the fob site. PASS PART FAIL ,►♦At.AAAAAAAAAAAAAAAAAAAAA.:iLAAAAAAAAAAAAAAAAAAA 4 a r > ► y ► 4 ' ► . ► 4 ► . ► . � � ► . s ► . a. m . ► . z � y p � �y Poo. ° No G rb , ► 4 z ,;" ► 4 ► 4I �. .4 :? _ ► . > �I ► .. _ . 4 oil. � a R ' P / ► A I ► d r �-fes. E fD -I n Z 0 o j. J a 2L R CLn v n IIN o � n I CITYOF T I G A R D __MASTER PERMIT_ PERMIT#: MST2003-00166 DEVELOPMENT SERVICES DATE ISSUED: 7/10/03 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 12250 SW KELLY LN PARCEL: 2S103CC-08500 SUBDIVISION: WHISTLER'S WALK ZONING: R-4.5 BLOCK: LOT: 032 JURISDICTION: I iG REMARKS: New "F detached, Path 1. BUILDING REISSUE: DMI',', STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 20 FIRST: 1,810 of BA'EMENT: at LEFT: 4 SMOKE DETECTORS, Y TYPE Or 113E: SF FLOOR LOAD: 40 SECOND: 1,790 of GARAGE: 552 of FRONT: 20 PARKING SPACES. TYPE OF CONST: 5N DWELLING UNITS: t THIRD of RIGHT: 4 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3.400 of VALUE: 330,800.40 REAR: 15 PLUMBING SINKS I WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: i CATCH BASINS: TUB/SHOWERS: GARBAGE Disr. WATER HEATERS: i WATER L., 'c8: 100 A:KFLW PREVNTR GREASE TRAP'/: MECHANICAL OTHER FIXTURE..+ FUEL TYPES FURN<ICOW BOIL/CMP<3HP: VENT FANS: a CLOTHES DRYER: 1 GAS FURN>000K: 1 UNIT HEATERS: HOODS- I OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER` TEMP SRVCIFEEDERS BR/.NCH CIRCUITS --MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 o Tip: 0 - 200 amp: WISVC OR FOR: PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 7 201 400 a-p: 201 400 amp: t at W/O SVC/F OR: SIGNIOUT LIN LT: PER HOUo LIMITED ENERGY: 401 00C aro/: 401 800 amp: EAADOL SR CIRSIGNALIPANEL: IN PLANT: MANU HMISVCIFDR: 801 10r10 amp: $01+ampa•t000v MINOR LABEL: 10004 an alvolt: Reconnect only: PLAN REVIEW SECTION - >-4 RES UNITS: SVC/FDR>=2[;:A: a 000 V NOMINAL: CLS AREAISPC OCC ELECTRICAL-RESTRICTED ENERCY A.SF RESIDENTIAL S.COMMERCIAL AUDIO 6 STEREO VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INtERCOMIPAGING OUTDCOR LNDSC LT. BURGLAR ALARM: 0TH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL ARAGE OPENER CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 5,804.08 DON MORISSETTE HOMES DUN MORISSETTE HOMES INC This permit is subject to the regulations contained In the 4230 GALEWOOD STE#100 4230 GALEWOOD 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 will be done i accordance with approved plans. This permit will expire if work is not started within 180 days of Issuance,or If the work Is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Phone: 503-397-7-538 Phone: Oregon Utility Notification Center Those rules are set 5 5�u forth in OAR 952-001-0010 througtl 952-001.0080 You Ras 0: l l i�7-7 it 4 may obtain copies of these rules of direct questions to �{ OUNC by calling(503)248-1987 REQUIRED INSPECTIONS Erosion Control Insp 81 Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Water Service Insp Grading Inspection Post/Bearn Mechanica Plumb Top Out Exterior Sheathing Inst Rain drain Insp AppNSdwlk Insp Sewer Inspection Underfloor Insulation Electrical Service Low Voltage Storm drain Insp Electrical Final Footing Insp Crawl Draln/Backwater Electrical Rough In Gas Line Insp Roof Nailing Mechanical F°nal Foundation Insp PLM/Underfloor Framing Insp Gas Fireplace Water Line Insp Plumb Final Issued By : _ t � ' - _ _ Permittee Signature Call (503) 639-4175 by 7:00 ,.m. for an inspection neeue(i the next business day CITY OF TIGARD► _ SEW'RCONNECTION PERMIT _ DEVELOPMENT SERVICES PERMIT#: SWR2003-00134 13125 SW Hall Blvd., Tigara, OR 97223 (503) 639-4171 DATE ISSUED: 7/10/03 SITE ADDRESS; 12250 SW KELLY LN PARCEL: 2S103CC-08500 SUBDIVISION: WHIS'TLLiR'S WALK ZONING: R-4.5 BLOCK: LOT. U.r? JURISDICTION: TIG TENANT NAME: I ISA NO: FIXTURE UNITS: CI.ASS C WORK: NEW DWELLING UNITS: 1 TYPE %F USE: SF NO. OF BUILDINGS: INSTAL. TYPE: LTPSV✓R IMPERV SURFACE: Remarks: Sewer connection for new SF. Owner: — --- — - _____ FEES DON MORISSF rT'E HOMES DescriHtion Date Amount 4230 GALEWOOD STE #100 LAKE OSWEGO, OR 9707: 1SWINSPJ Swr Inspect 7/10/03 $35.00 ISWINSp) Swr Inspect 7/10/03 $0.00 Phone: 503-387-7538 ISW !SA I S\�rConnect 7/10/03 $2,400.00 1 Sn'l '-'A I S„I c tinnect 7/10/03 $0.00 Contractor: ---_ ----- - -'-" Total $2,435.00 Phone: Reg #: Required Inapections This Applicant agrees to comply with all the rules End 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 shrill prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC by calling(503) 246-6699. Issued by;. Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the neat business day /vt A✓ �l3& w Building Permit Application Tigard :received: y 1'f n� Permit no.: City or f E igard Project/appl.no.: Expire date: City(of l;gard Address: 13125 SW Hall Blvd,Tigard,OR 97223 �- Phone: (503) 639-4171 - Date issued: BY Receiptno.: Fax: (503) 598-1960 A_ C cfilenc).. Paymenttype: Land use approval• 2 family:Simple Gxnplex: U 1 &2 family dw#�Iling or accessory U Commercial/industrial U Multi-family &New construction ❑Demolition U Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other { SITE INFORMAI Job address: ; V L h Bldg. no.: _ Suite no.: Lot: Block: u�bdivision:' L ? '( sl Tax map/tax lot/accounl no.: Project name: Description and location of work on premises/special conditions: __ - ------- i Mailing address: dwelling: City: State* i ZIP: ) Valuation of work................................. Phone: Fax: 7 -mail: No.of bedrooms/baths..................... ... ....... _ •.-� owner's representative: Total number of floors.......... ......................f �— E-mail: New dwelling area(sq. ft.) . . Phone: Fax: .................... ... �. Garage/carport area(sq. ft.)......................... Covered porch area(sq.ft.) .................... ---- Name: Deck area(sq. ft.) . ....................................... " —_ ---- State: ZIP: Other structure arca(sq.ft.)......................... City: Phone: _ Fax: E-mail: Commercial/iudu5trial/multi-family: Valuation of work............................ ........... $ Existing bldg.area(sq.ft.) .......................... _ Bus 1 iness n..nu+. .� � New bldg.area(sq.ft.) ......... ... Address: Z L Number of stories........................................ City: _ State: ZIPType of construction................... ................ Fa – - -��,, Phone: x: E-mail: Occupancy gmup(s): Existing: CCB no.: — --- - -- New: City/metm lic.no.: Notice:All contractors and subcontr,:tors are required to be licensed with the Oregon Consttuctio: 'ontractors Board under Name � L -� Y� y — provisions of ORS 701 and may be reywred to be licensed in the jurisdiction where work is being performed. If the applicant is Address: exempt from licensing,the following reason applies: City: State: ZIP: - _ Contact person: J Plan no.: Phone: Fax: E-mail: — Name: Contact person: Fees due upon application ........................... E Address: Date received: City: State: ZIP: Amount received ............................ ............ a _ Phone: x: E-mail: - Please refer to fee schedule. I hereby certify I have read and txamined this application and the Wot j njunsdictims accept cretht cards.Tease Calc jurildkUon if mane infonnaaon. attached checklist. A1pmvisions of I:ws and ordinances governing this �vt:a O Mastercard ` �{ Credit c trd number __ — Expires work will be comps wnt4, w thether. cifiecl erei�i rt. ' 7 �) r _ Authorized si rlalil a ' 11 - �t t 1 ' — /J �, Name ter cudn,alder to shown on credit cud _ Print name: __ { ' Cardboldet st6rtature Amount Notice:This permit application expires if a permit is not obtained within 180 days afler it has been accepted as complete. 440-4613(6/00rCoS1) One-and irwo-Family Dwelling Building Permit Application Checklist Referenceno.: Cavo/Tr Kut'/ City of Tigard � Associatedpermus: Address: 13125 SW :F1;dl Blvd,Tigard,OR 97223 l7 Electrical Cl Plumbing O Mechanical �❑Other. Phone: (503) 639-4171 -- Fax: (503) 598-1960 I Land use actions completed.See jurisdiction criteria for concurrent reviews. 2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district, C. 3 Verification of approved platAlot. 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 0 permit required. Include drainage-way protection,silt fence design and location of catch-basin protection,etc. _ 10 3 Complete sets of legible plan%.Must be dra4s n to scale,showing conformance to applicable local and state building nodes.Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to tht plans with cross references between plan location and details. Plan review cannot be completed tJ if copyright violations exist. _ J� IT Slte/plot plan drawn to scale.'rhe 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 24 intervals);location of easements and driveway;footprict of structure(including decks);location of well.Jsepuc systems;utility locations;direction indicator,lot rues;budding owerage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation,clan.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 sire,Iocatinn of smoke detectors,water heater. furnact_,ventilation fans plumbing fixtures,balconies and decks 30 inches abo+e recuse,etc. 14 Crops section(s)and details.Show all framing-member sizes and spacing such as floor beams,headers,ioists,sub-flair, .;.,a]',construction,roof'construction.More than one cross section may be required to clearly portray construction.Show derails of all wall and roof sheathing,rooting,roof slope,ceiling height,siding material,footings and foundation,stairs, fireplace construction, thermal insulation,etc. _ 15 Elevation views,Provide elevations for new construction;minimum of two elevations for additions and remodels. Exterior elevations must rcilect 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 nun-prescriptive path analysis provide specifications and calculations to engineering stand ids. 17 Floor/roof framing.Provide plans for all floom/rorif assemblies,indicating member sizing,sptacing,and hearing locations.Show attic ventilation. 18 Basement and retaining walls.Provide cross sections anti details showing placement of rebar. For engineered systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calcul•ttions using current code design values for aG be;ims and multiple joists over 10 feet long and/or any beam/joist carryii a non-uniform load. _ 'n Manufactured floor/roof truss design detaUe. 21 Energy Code compliance, Identify the prescript ve path or provide calculations.A gas-piping schematic is required for fc-�r or more appliances. 22 Engineer's calculations.When required or provided,o shear wall,roof truss)shall be stamped by an engineer or architect licensed in Oreyon and shall he shown to tv,a1plicahle to the project tinder review JUR ISDI(TIONAL SPECIFICS 23 Five(5)site plans are tc•yuiwd for Itenr I I ab,rv,• Silt plans must h• { '12 1 1 ' u 1 1 r 17". 24 Two(2)sets cacti are required G•r items IG, N. 20&22 above. 25 Building plans shall not contain red lines or tape-ons. - 26 No rolled,reversed or mirrored Uuii;ling 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 blue or black ink. Red ink is reserved for department use only. 4404814(aoatcoM) Mechanical Permit Applicati-ion Dale received. Permit no.:Vf<,rp !,s,-i /(r6 City of Tigard Projecdappl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: Phone: (503) 639-4171 t no.: By Receip Fax: (503) 598-1960 Case file no: _ Payment type: Land use approval: _ Building permit no.. TYPE OF PERMIT ❑ 1 &2 family dwelling or accessory ❑Commercial./industrial ❑Multi-family ❑T rtnro�emt nt ;,.iIdcw ,��iditiorvaitcrationircplac.men- ❑Ut era_ 11 SITE INFORMATION1 1SCIIEDULE Job address: �. Indicate equipment quanutics in hexes be ow. I•tdicate the dollar Bldg,no.: _ Suite n value of all mechanical materials.equipment,labor,overhead, Tax map/tax lot/account no.: pt.lfit.Value$ Lot: Block: Subdivision: t 'See checklist for important application information and jurisdiction's fee schedule for residential permit fee. Project name: City/county: ZIP: Est.date of aompletion/inspecdon: r x 1 Description ane:location of work on premises: 1 r t ' 1 1 fee(e%) Total Description cry R".only Res.only Tenant improvement-,r change of use: Air handling unit CFM Is ezistin;space heated or conditioned?❑Y^-s Q No Air conditioning(sne plan rt quire ) __ _ Is:.AIsting!pace insulated?Q Yes U No Alteration o existing A system ofeNcompressors State boiler permit no.: Lousiness name: t ( HP Tons BTU!_H Address: iretsmo a dampers/ asci smoke electors City: !�R Ll State: ZIP: cat limp(si e plan require ) - PhonFae� Email: nstal repacefurnaccrner e: - Including ductwork/vent liner O Yes O No CCB nu.: 47 nsta rep ace/re ocate caters-suspended, City/metro lic. no.:N/A wall,or floor mounted '- ent for ao lance oilier than furnace Name(please print): ) - _t �.: =�___ ------ e era on: Absorption units BTUIH Name: C.-J-lir' L, --- Chillers_ _ HP Compressors_ e_ HP Address: CIS Environmental exhaust an —ventilation: City: State: ZIP: Appliance vent — Phone: I.-ux: E-mail: Dryere aust s, 7Fpe reslutche azmat hood fire suppression system Name: Exhaust fan with si-.,. duct(bath fans) Mailing address: ) N,, aunts <tem t rom eating ui AC Fuel piping and ut on(up to 4 outlets) City: _ State ZIP f Type: •__,_LPti✓ NO Oil Phone. 7 , FSx: E-mail' asci pipineac a itiotial over A outlets ProcessE6114111INN ill- piping(schematic required) Number of outlets _. Name: _ _ ter lLqted app ance or equ pment: Address: Decorative fireplace City: State: LIP: y Insert-type Phony: Woodstove/pe et stove F-mail: err Applicant's slgnatu" Date: t Ot er. Name(print) Not all Jurisdictions axtpt credit cards,please call iunutrction for more rnfartnation, Permit fee.....................S .. Notice:This permit application Minimum fee.. $ 0 Visa O MasterCard etpires if a permit is not obtained —r Credit card number --- spires~ within 190 days after it has been Plan review(at _ 96) S State surcharge(8%) ....S accepted as complete. Name of cardhol r u shown on credit card f TOTAL .......................S Clirdholder siputute Amount 4404611(6*COM) Plumbing Permit application Date received: y IN 4 Permit no.: Mk Cit of Tigard City g Address: 131<5 SW Hall Blvd,Tigard,OR 97223 Sewer permit no.: Building permit no.: City of Tigard Phone: (503) 639-4171 Project/appl.no.; Expire date: Fax: (503) 598-1960 Date issued: By: I Receipt no.: Land use approval: Case rile no; Payment type: t A jam 0 1 &2 family dwelling or accessory ❑Commercial/indust ial ❑Multi-family Q Tenant improvement ew construction O Addition/alteration replacement 0 Food service 0 Other. I t srr-E]N�ORMTIONg tULE(ror spoelial Job address: lllWC Woo jQty. Fee ea.) Total New 1-and 2-fatnlly dweWngs only: Bldg.no.: Suite no.: (Includes 1000.for each utllityco rection) Tax map/tax lot/account no.. SFR(1)bath Lot Block: I Subdivision: Q 1 SFFv(2)bath Project name: Sit(1)bath City/county: 7.IP: Each additional badv*jtchen Description and.oc:ation of work on premises: Siteuttlitles: Catch basirvarea drain Est.date of completer Winspection: Drywel(s/leach line/trench drain Footing drain(no. lin.ft.) Manufactured home utilities Business name (Lv1 L ) �_Wa Manho es Address: Rain drun connector City: _ State ZStorm see,er(no.lin. ft.)— Sanitary sewer(no. lin. ft.) Phone: r't_- ,2 Fee: Lmail: CCB no.. [ 7' ' _[ -7 TWa,er seryce(no,lin.ft.) lumb.bus. reg.no: W3Fbturor item: City/menu lie. no N%A % Absarption va ve Contractor's representati' .3;Znature,, - �_ Back Ilow prevonter Print n;tme: Qx <= U Backwater vale Basins/lavatory Name: �_� \��-L�� N� Clothes washer Address: G- Dishwasher �-Lr a� — Drinkine fountains) City: -_ State 71P Electomisump Phone: Fax: F.-mail: Expansion tank _ Fixture/sewer cap Floor drains/floor sinks/huh Name (print): Garbage di;posal Mailing address: _ � — ' Hose bibb City State (Lio.L/ �_ Ice maker _ Phone: - Fax: 7-70 E-mail: Interceptor/grease trip Owner insrallarfnn/residenrla/maintenarce oniv: The actual nstallation Pnmetts) will be made b� me or the maintenance and repair made by my regular Roof drain icummercial) eriployee on the property I own as per ORS Chapter 147 Sink(sI,basmisi, Iays(s) Owner's signature: Date: Sump Tubs/shower/shover pan l'nnal Name: Water closet -- - '— Address: 73ter heater _ City: Other. — Phone: , Far: y -�E-mail: Total Na ill lunxhctiana accept credit cards,pleau call lunuticaon fat rmite information Nonce This permit application Minimum fee........ .......S O visa ❑MaaterCard expires if a permit is not obtained Plan review(at — Rs) $ Credit cart numhrr _ _ —� within 180 drys atter it has been State surcha.-ge(8%) ....$ — Etptiet ��Name of cardholtlrr u Chown cn ctedtt Card accepted as complete. TOTAL .......................S Cvdholdu ninature Amount "D-4616(&UWObt) Electrical Permit Application Date received: `/ �? D°� Pen tit no.:fJ�r �x City of Tigard Projecdappl.no.: Expire date: City ofTisard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By. Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: t 1 Rc 2 G.mily dwelling or accessory O Commercial/industrial 0 Multi-Family ❑Tenant improvement Nlew construction C1 Addition/alteradon/replacement o Other. U Parual JOB SM INIFORMATION Job address: Bldg.no._ Suite no.: 1;tx map/tax lot account ao.^__ Block: Subdivisto : lV4E Project name: Description and location of work on premises: Estimated date of completion/inspection: gar a I 1111111Mt Job no: _- -- Fee Max —Businessname: �. - j�1 D pi"on Qty. (M) Total no.bssp New residential-single or multi-familY per Address: )\ '11, dweWMunlit.Includes attached garage. City: State: IIP: Servicelncluded- ix: E-mail: 1000 sq.h.or less _ 4 Each additional 500 sq.ft.er portion thereof CCB no._'�Q1"��s� Elec, bus. lic. no:a(J Urnited energy, gy,residential 2 Firtuted nu actured home or ? Each manufactured home or modular dwelling aturr ojsu rrvrsrn NrdNclan(required) _ Dote t Service and/or feedc 2 Su"(print): � elect name(print) 1 kLenseno ��� Services or feeders-Installation, alteration or relocation: 200&nips or less 2 ` 0 l 201 amps to 400 amps 2 401 amps to 600 amps _ _ Mailing addre601 amps to IOW amps _ 2 City: c s State LLI P: - Over 1000 amps or volts _ _ 2 Phone: - Fat: Reconnectonly _ t (honer installation:The installation is being made on property I own Temporary services or feeder or relocaNc,n:alteration, - which is not intended for sale, lease,rent,lir exchange according to Irutalladon, 2 200 amps or less _ _ ORS 447. 455.479,670, 701. 201&trips to 400 amps _ 2 Owner's signature: Date: 401 to 600 ams 2 11 lei I Branch circuits-new,alteration, or extension per panel: (dame: _ A. Fee for branch circuits with purcha.-of Address: service or feedc:fee,each branch circuit 2 City: State: _ ZIP: B Fee for branch circuits without purchase of service or feeder fee,tint branch circuit: 2 Phone: Fax E-m:jl: Each addiuonabranch circuit: i Misc.(Service or feeder not Included): 0 Service over 225 amps-commercial 0 Health-care facility Each pump or imgation circle __ 2 •Service over 320 amps-rating of 1 del O Hazardous location Each sign or outline lighting 2 farrulydwellings O Building over 10,000 square feet four or Signal circui(s)or a limited energy panel. •System over 600 volts nominal more residential units in one structure alteration,or extension' 2 ❑Building over three storlei 0 Feeden.400 amps or more 'Desert uon. 0 Occupant load over 99 persons 0 Manufactured stnictures or RV park Each additional Inspection over the allowable In any of the above: 0 Egressillghtingplan 0 Other. - Per inspecuon Submit__sels of plans with any of the above. Invesugation fee The above are not applicable to temporary construction service. Other _ Not all jurim icuons accept credit cards please call junudktion ror mom inforination Notice:11tis permit application Permit fee.....................S _ U Visa 0 MasterCard expires if a permit is not obtained Plan review(at _ %) $ —_ Credit card oumhe _��_ within 180 days after it has been State surcharge(8%) ....$ _ _ E`p 04 accepted as complete. TOTAL ....................... Name d cardholder u shown on credit card s — 440-4615 fbUrLCiJM) Crdhoider sijinsture Amount May 28, 2003 Don Morissette 42 30 Gatewood Street #100 Luke Oswego, OR 97035 RE: NEW SINGLE FAMILY DWELLING, LOT 32 (D WHISTLERS Prooct Information Building Permit: MST2003-00166 Construction Type: VN Addiess: 12250 SW Kt-Ily Lane Occupancy Type: R-3 Area: +,052 Sq Ft Stories: 2 The plan review vas perfbrmed under the State of Oregon Structural Specialt,., rode (OSSC) 1998 edition; the. State of Oregon One- and Two-Family Dwelling Specialty(OTFDSC) 2003 edition and the Tualatin Valley fire& Rescue Ordinance 99-01 (TVI'RQ9-01) 1999 edition. Hie submitted plans have been reviewed and the tbllowing information is required prior to issua..ce ofthe permit. I. Indicate smoke detectors on the first floor plan. 2. Ream calculations for Beam"A" require a 4 ply member and indicate connection criteria to be identified by LP. Provide the connection criteria. 3. Clarify load path from V5 and the connection to M5. 4. V4 loading exceeds th, capability of a 2 sided gypsum wall. Revise shear wall type. When submitting revised drawings or additional information, please attach a copy of the enclosed City of'Tigard, Letter of Transmittal. The letter of transmittal assists the City of Tigard in tracking and .„vicessing the documents. Respect f`u l l y, Brian Blalock, Senior Plans Examiner UNITED ENGINEERING, INC. Consulting Engineering*Civil *SIrUdUral *Eng ininnicntal Engineering*Planning 922 N. Killingsworth St.-Suite: 1 A Telephone;(503)381-3749 Portland,OR 97217 Fax:(503)289-7775 USA Email :jaimelim@asianreporter.com Project Name _ Lot 32, Whistlers Walk _ Project Address 12250 SW Kelley Lane Project Location Tigard, Oregon Project Code DMH 199/2802 w f EXCLUSION OF LIABILITI S I. DISCLA I M V R AND RELEASE Buyer hereby waives, releases and renounces all warranties (express or implied), obligations and liabilities of United Engineering, Inc. and all other rights and claims and all other remedies against United Engineering, Inc. with respect to any nonconformity, improper installation, workmanship or material. 11. EXCLUSION OF CONSEQUENTIAL AND OTHER DAMAGES United Engineering, Inc. shall have no obligation of liability; whether arising in contract (including warranty), Tort (including; active, passive, or imputed negligence) or otherwise, for loss or use, revenue or profit,or for any other incidental or consequential damage. Date: April 23, 2003 united Engineering, Inc Lot 32.Who leis Walk.Tigard.uregon,xls Page I 07/09/2003 14:24 503-387-7517 VENTURE PAGE 0..' DON • MORISSETTE L4DT: 32 soma • IMaos • oSAT20 4 a so 9 A L 3 W 0 0 D • Tssar DATE: 7/09//03 � • ss osysoo, o • 000 • � o • s '8—WAL[ '• o •) • • � - r • s • 1Ai �islots) • • r - � • � • 1PCY.R t!lTYTIGARD SCALE: 1"=E0' FLAN No.: 309 STANDARD ZILVATION 1225; 8W I MLLY LANE 3-12, 3 __• 1 � ia5 PUF- — ---I � /... _. _..�OI�fM�1V�♦ ,� - —I- --I- s I I I 4 ►o'-I b4' '. I I I I � ' IA'-o' I I ,M )i Ims 1 / I &e2 sq. M 934 I 3 Gr gar. 1I tmm p+D�ir_ f � rrt. 336D ( I I peoeer�inN E4�Gr+E^•? � Zo o' 4� ,.- 3316 ati bath ANG 5e EABEr'Fti- wxid •All : / I I 34C _._ 1 I 3I I i r 3A"- 3.1d- 340 -- _� LEGEND _ -- L7 ' WYEFA 6 SOT AFWQ A: 8938 gy 1 LOT 052 , BUILDING AM-A: 7.23@ 9a �.aEn r-ArLr-'LrPERCENTAGE 26 Olt, CCTV OF TIGA141) • SITE PLAN' 11FVIEW III 111,I)IN i PERNIFUNOTIS"'— PLANNING DIVISION: rt, e4 .S Rcyuihtd Setbacks: ,*-Approved ❑ Not Approxcd Side: `' Street Side: 1c) ("rent. '9-0 Garage: dy Renr: � S Vi:..talClearuncc. er-Appawed ❑ Not Appmlril Maximum fluilding Height- 35 f'ect CWS Ser-04:c Provider tetter Required: (] Ye. � Ail Rae. 3 EN(;IM I- INO i)I:I'AR1 ME.N f. 1� Acmal Slope:_,_% ❑ Approved ❑ Not Appro%wf Site flan: (Approved ❑ Not ApI)imed Nat.S: Hug 11 -13 12: 50p dan edmonds 503-692-0768 p. 4 FOR OFFICE USE ONLY ' Plumbing Permit Pitsnbitr6 , � r"`fi - PesmitNo.°�maoo3-o�Y�.t IgApproai _ wrrCi of Tigard AUG U __ _ _ eNa.: 131 SW Hall Blvd. U0'3 Other Ti d,Oregon 97223 rjaid �__._- Permit No. _ Phone: 503-639-417t Fax: 50 - r��A Pte`-It`"'ew >A"11h` I r, QaidQ-y Case Na.: Internet: wwtv.ei tigald�rr us )IV! t'lmtact -- loris= See Page 2 for 24-hour In etion Rrx utrst 503 619 4175 NarrdlNdtwd ser emental information. 1 -- --- -- 1'PI_ 'ME OF WORK S _ FEE.*SCHEDULE for special inform use checklist. __w-_ --- __ -- -- New I-dti Z-[ dweWo soe(eaj Taml �w construction Demolition �: a g _�•; _[_1 Addltion/altr:r�tion/r�>act mi A Other --- - CATEGORY OF.(ONSTRUC.TION� (Anxi dos 100 R.for esti otuit�eonnectln-1 _---; - bath 1 &2-Family dwellin C:ommerciaYindustrial _.� �...•- _- - SFR 2 bath - 35U.00 [_.]At:ccssor; Buildin Multi--Family sFR�I 399.00 --__ _ _ MaLlri Builder Other. Each additional bath/kiteben - 45.00 JOB SITE INFORMATION and LOCATION i:' Fire sprinkict__sw tt P e'2 -- - - - -- - Job siic atddress:�(d3`Z St-U ke-LI V [cup r. .. .: Site utilities- Suite#: Bl t.#: Catch bal;Wzma drain _ 16.60 Pro ect Name:ulY�1 rfC1 Gc l�-�k [c; 3 �lykw:h lindueothdrain► _ t6.60 .� s - Footitt&drain�tw. linear R_Z Pa e 2 --__ C:tGss s' net/Directions to job site: Manufactured home utilities _ l 10.00 _ I.94 S4- lqt Manholes_- - -- 16.60 Rain drain txumcctor 16.60 ---- ------ -- - ---- - Sati stwver(aro.holo fL) _ Page 1. - Starm sewer no_lutea R PAZ Sulxt.ivision:w_t�t s f/er.0 t:t�ctC �Lot#: 3 --- Tax rnap/pacm #: 6 Water saviee(no.linear @. F'a�c 2 _ _ .._-- _ Fttlsi c it'Item •DFSC`RWr10N.OF:WORK -__ _-- A bion valve -16.60 a C .7-AL-• 2 2-1 c�it10n- - --------- Uadti12!!�peventer Baitwala valve ----- 16.60_ (:1odws syasfxy 16.60 Dishwasher ----- - 16.60 - Drinkin�tounlitt 16.60 _.. OPERTY:OWI�R�_ DDTFWANT.' 16.60 - Name: pe-y) Mg) SS e_v girt e-S - -- rpt n cant---- 16.60 Address- �Za3. o Sj_0 < u_C. vcr�V • resat- Fixttue/scwex-ct��--- 16.60 City/State/Zip: LO-lee-_6S to -el-el 0�,�i'n3y Floor dranttl1wr sinkihub 16.60 -_ al 16.60 - - Ph ne: Fax. Hose bib -- - --=66.60 PLICANT _ _. - .. .. CorrrAc-rrsRst�rt. Ice maker - 16.60 Name:�]/���[t//LT7(� 1_ 6 - - 16.60 - Address: /�aa0 S u) •I'y1 Lt��QYI ! Modical gas-n1uec S --- Pa e 2 - .. - - ci /Stair PrM= 16.60 _- -_.�' Q7ll- O/Q._ _�! Roof rlrainS 16.60 Phone:5A3 layer_ 5--2 y-S I Fax:Sb3. 69CA ej Sirtk/basirJinvat - 16.60 _ _ E-mail: TaWs ower�'-ewer - 16.60 CONTItACTOR utinal 16.60 Business Name: dS r► GI'*' n � Water closei - +�_�_ -- :1660 - --00��ntu --- Water hcuer _ 16.60 Address:/ US �'h L $ n-n Rb, - -� Ci /State/Zl -_VUe Ag11 _ 10 U( -- OdKr_ _ Phone:503_!eRQ- - S9k Fax:S; �9a._-`o7 Plumbinp_Petaft rem --- CCB Lic. #: r rj U Plu ub.Lic.#: - --. _ - -- Subtotal s Aulhotis�od - --- - Min:.-tun Permit F.x rrzso s - Residential Backnow Minimum F 6 si�,tatut �'� le.-IL �.�,,fi-Tate: I 1���3 Pla.�Riew x or r�«otit rn s Smte SutdtatVe1tL%of i'e mit Fee S 1'O (Please print namel -�_ TOTAL PERMIT FEE S __357- is _ Notice: This permit application r� � +s lrm If a perR Is not obinhud rrtlWa AN new cnsserc3al�rrgairr 2 sits of plans with isometric or - 1 8ft days after it has bree acreptrd as enmplrtr. riser Awram aw plas tetetirw. *Fee methodology ret by TrWount} 11tiddiny Industry Sri vice Baird. CITY OF TIGARD _ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: P OU421 DATE ISSUED: 8/12/0312/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 638-4171 PARCEL: 2S 103CC-08500 SITE ADDRESS: 12250 SW KELLY L.N SUBDIVISION: WHISTLER'S WALK [.ONING: R-4.5 BLOCK: LOT: 032 r JURISDICYION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW pREVNTRS: 1 OCCUPANCY GRP: FLOOR DRAINS: -1 RAPS: STORIES: WATER HEATERS: CATCH BASINS: _ FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: 1 LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Install back flow preventer _ _ FEES _ Owner: Description Date Amount DON MORISSETTE HOMES �III I'%J141 I'I:rniit Lrr 8/12/03 $36.25 4230 GALEWOOD STE #100 IA N I 8%o state 8112/03 $2.90 LAKE OSWEGO, OR 97035 — — — Total $39.15 Phone : 503-387-753` Contractor: I.ANDSCAPE OREGON, INC. 12200 SW MYSLONY RD. TUALATIN, OR 97062 REQUIRED INSPECTIONS RP/Backficw Preventer Phone : 503-692.5945 Reg#: PLM 7`i114 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if w;orl: is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow ruses adopted by the Oregon Issued B f �y Permittee Signature: 'L Call (503 '639-4175 by 7:00 P.M. for an inspection needed the next b slness day i — ELECTRICAL PERMIT- CITY OF TIGARD RESTRICTED DEVELOPMENT SERVICES PERMIT#: ELR2003-00248 13125 SW Hall Blvd., Tiaard. OR 97223 (503) 639-4171 DATE ISSUED: 8/12/03 SITE ADDRESS: 12250 SW KELLY _N PARCEL: 2S103CC-08500 SUBDIVISION: WHISTLER'S WALK ZONING: R-4.5 BLOCK: LOT- 032 JURISDICTION: TIG Proiect Description: Audio/stereo A.RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: X AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: ALL ENCOMP : Y, HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: Owner: Contractor: DON MORISSETI E HOMES QUADRANT SYSTEMS 4230 GALEWOOD STE #100 PO BOX 14833 LAKE OSWEGO, OR 97035 PORTLAND, OR 97293 Phone: .nW-tti7-7�3ts Phone: 234-5558 Reg #: MET 00002466 SUP 1211.11 i' LIC 96800 FEES f LE, F4,bqM' bIfnspection6_ Description Date Amount Ceiling Cover I I VR NI l I I.L1t I)CI'ntil 8/12/03 — $75.00 Wall Cover Elect'I Final I I;\\ titcuc Tax 8/12/03 $6.00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specially Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is rr `. started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc Issued by � ' � - Permittee Signature vy OWNER INSTALLATION ONLY The installation is being made on property I own which is riot intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE:_ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ _ DATE:_ _ LICENSE NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day 08/11/200:1 .10:34 50:32352322 QUADRANT SYSTEM:'. � 1 ,��o F'AGF Electrical Peer `t� lie )ion Rccewed - Electrical i. 1 •' Dotdgy; Permit No L' 200 3- oZ y Planning Approvol sign City of Tigard o,U r ��1tiGNVO gate/py Pc It No.: - 13125 SW Hall Blvd, G\l�t `'' n�\)1S�Ot Plan Review - other Tigard,Oregon 97223 tiG Datelli : Permit No.: - Phone: 503-G39.4171 pax: 3D3-�98-1960 Pest-Rctnew Land Use DaWR Case No.: Intern .or,us et: www.W.ti srd -!Y' -� g Contact June-. Sec Pape 2 fer 24-hour Inspection Request: 503-639-4175 Hame/wtcthnd; supplernenUl information- r ,*'< ;A s ,,� :I 7, - orf y New eo,.-truclion Demolition Scrvicr over 221 arnps- ]Health-care Ihciiity eommerci.l Hazardous Addibon/alteraiion/r laeement Other: ams-rating ❑ .'I ❑Service over 320 ams-rating of Cl Building location ding ovor 10,000 square feel, I&2 family dwellings four or frtorc residential Unita in 1 &2-Famil dwela'n Commei cial/Int ustrial ❑System over 600 volts numinal one structure -�- Building over three slorics [_]Feeders,400 amps or mn Accesso BuildingM1Alti-Fflmil� U oceu •int load mer 99 ersone Manufactured stnictures or RV park 4iAastcr Builder Ot'heI: ❑Egress/lighting pian ©other: _ Submit_Refs of,•lana with any arthe above. The above are not� liesble to tem ora tonstm n service. Job site address: 12 IS o ;.r iCi tt�y�L n_rJ�. i;t - . Suitt:#: Bldg./Apt-0 _ Number of Ins ettian$per Dermit allowed Project Name: D rdplion _ - Qy Fet(ra.) Total Cruse street/Direct{ons t0 Ol site' Neta 0dentlal-slugle or mehl-family per dwe.- unit.Includes attached Garage, Servlt tailed: 10011 sem, ,•leu_ .,_ ___ 145.15 d Faeh additional 500 Rel ft,or -on thereyf_ 40 1 — (_tJ I Ss� Limitedcner residential Subdivision._ -�L0? -"�'t 1, _of#: mss► -----&--- - z _Limited nerlb note residritihil _ _ z T1, t ma /parcel#: Each maniZued home or modular dwelling ntavice snrVat feeder _ 90.90 2 Sa►vlcr-s nr roots a-installation, -A J--it i e"kK-<'j � sheratlon ur relocation: --U 2ma m less _ 80.30 2 ``p 4'a' - 10 00 o201 amps to400 Am-_-E'_ 106.85 �- 401 ampA rc G00 urr)rs - -- - 160,60 v 2 601 aW to i00a a_mks __ _ 240.60 2 )''lame: D11 (`n'��d5 Ove!1000,ampsnrvolts _! - 454,65 2 �`4"It Rteormrstonly66.65 Z Address: Temporary Rervlces yr feeders-Inrtallatlon, alteration,or relocation: CI /$tate/Zi - 241 amps or leu Phone:ScA - 3 Fq '35'_<.c' Fax: zoi strip,to Roo am_ __._____ __ -io0136 4411 M 6W am 133.75 1 flranch cirtulta-nrw,tlferaflon,or Name; ectenslon Fer panel; A.Fee for branch circuits with pirelime of Address: __ service in feeder fee,tach bintnch circuit _ 6.65 _ 2 City/.State/Zip' - H Fer dirt hunch circuitr without purchavr of Phone' �.gx service or feeder fee,first branch cimuit Bach additional bnrtch circuit _ 6.6.5 2 E-Mail: Miac.(Se"iu or frnfcr not rnclndol). Pach-mm or itri tion circle 5 .�0 _ 2 L Each!i'r or curlier lighting_ 53, _ 2 Job No: Sip3t cneuit(n)nr a limnrfl energy panel, Liter n extenr,nM - zBusiness Name: Description. - Address:7-3-63f- 14f-33 - Each additional Inset Ion over the allowable In an or the above: Cit / i�tbo-L.1--- or ` _17_. _3 - - Pa ifta 1�%tien per hour Lin. I 119ut26230 Phoncr �= �N !Mcr _ Pax: 5D3• p- eZj c�.cl- [ttvesti tion__f_ee: CCD Lic. 111: b — ,Supervising Supervising electrician/! ' r. _--- - Subtotal_ $ sionattue required: ✓ v�1 �/!✓i(,c Plan Review 25°r6 of Permit cc S Print Name._moi f�_ _Lic. #: 1';U( l 4— State urcha aM.of Permit Pee L t1� r TOTAL PERMIT FEE S i-LV Authorized \ 2 Notice 'dela prrmll application expli es if a permit b not obtained within Signature: �\ Date: I I 160 days after It ha.been st,rpted as crtmplete. �-� 'Fee methodulok•sof by l rl-County BuIIdIne Industry Service Word. ( letue print name) JADstsTvmlt Pnmr\iJcP mtltApp,doc 01103 CITY OF TIGARD 24-Hour BUILDING Inspection '.ine: ;503)639-4175 INSPECTION DIVISION Business Line: (503) 639-41 i'1 MST BLIP Received ____--- -- Date Requested— /-O-9 _ AM_ PM -___ BLIP _ Location __.__.�. 0 _ �� �y / -- ---- -- — (r_—=�"1 --- --- — _Suite — MEC Contact Person n -- Ph — (9 3 Contrac!or - _ ----- ----- ---- Ph( ---..) SWR BUILDING Tenant/Owner -- Footing - - - ----- - _----- -- ELC Foundation ELC Fig Drain ACC@SS: -___�_-.—.__ Crawl Drain _ ELR _ Slab Inspection Nates: SIT Post& Beam Shear Anchors Ext Sheath/Shear Sheath/Shear Int Sheath/Shear Framing ---- -- - ---- -- - Inculation -- - - Drywall Nailing - Firewall - -- -- - ---- -- -- Fire Sprinkler -- _ - -- Fire Alarm - ---------------- -- Susp'd Ceiling -.-- Roof Other:_ -__- Final - _ PASS PART FAIL PLUMBING -- --- -- Post"eam _ _ -- ---- -- --- _ Under Slab Rough-In - -- -- ----- -- Water Service - -_ Sanitary Sewer - --- - - -- - - -- -- - Rain Drains Catch Basin/Manhole — - -- ----- - -- -- Storm Drain ----- Shower Pan --� --- ----- __ Uth --- ASS PART FAIL --� NICAL - - Rough-In Gas Line - -- --- Smoke Dampers - PASS PART FAIL ELECTRICAL---.— _ _---- ----- -- _ _ Rough-In UG Slab -- _ Low Voltage Fire Alarm Final PASS PART FAIL -� Heinspection fee of$. required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE Please call for roinspectiort RE: Fire Supply Line --- Unable to inspect-no access ADA Approach/Sidewalk Dsft __ Ir spector Ext Other: - - Final �` O NO REMOVE this Inspection record from the fob site. PASS PART FAIL