15302 SW OAK VALLEY TERRACE HM31 A311YA NaCl MS Zd£56
I
oc
W
r
IL Y iw M
co
Ul
J
t � i
1
Al�,*,-
?IP i I
^qyi 1
'tfIr
JUN SW OM VAUV"RR
CITY OF
TI C A R D PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT 0. PLM2005-00313
13125 SW Hall Blvd.,Tigard,OR 97223 503-639.4171 DATE ISSUED: 005
PARCEL: 2 2S 510 109DA-49900
SITE ADDRESS: 15302 SW OAK VALLEY TERR ZONING: R-7
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT: 088 JURISDICTION: TIG
Project Description: Install residential backflow prevention device.
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDkY TRAYS: SF RAIN DRAINS:
SINKS-, URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUBISHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
DON MORISSETTE COMMUNITIES, LLC Description Date Amount +~
4230 SW GALEWOOD ST 100
LAKE OSWEGO, OR 97034 [PL11M13J Permit Fee 7/14/2005 $36.25
[TAX]8%hate Surchart 7/14/2005 $2.90
Phone: 503-387-7538 Total $39.15
Contractor:
LANDSCAPE OREGON, INC.
12200 SW MYSLONY RD. REQUIRED ITEMS AND REPORTS
TUALATIN,OR 97062
Phone: 503-692-5945
Reg#: LIC 7804
f3.
F�
j This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.Specialty Codes
0D and all ot~er applicable laws. All work will be done in accordance with approved plans. This permit will expire if work Is
r,9 not started within 180 days of issuance,or if work is suspended for more than 180 days. V TTENTION: Oregon law
Lu
requires you to follow rules adopted by the Oregon Utility Notification Center. Those ru!es are net forth In OAR
952-0001 hrough OAR 952-0001-0100. You may obtain copies of these rules or direct questions to OUNC by
calling 3-246-6� 9 or 1 00-332-2344,
Issued .,Z Permittee Signal J ��
Call 503-639-4175 by 7:00 a.m.for an Inspection that business day.
This permit card shall be kept In a conspicuous place on the Job site until completion of the project.
Approved plans ars required on the job site at the time of each Inspection.
Buildiri�g Fixtures � � ' ► �
Plumbing Permit Appl!catlot
City of Tigard //`� I 'b!, Datah dS v Perndl No.:
13125 SW 11a11 Blvd.,Tigard,OR 97223 V'1-Y(- l Plan Review _
Phone: 503.639.4171 Fax: 503.593.1960 lull.�� / V nv� : Ocher Pennil No.
24-Hour Inspection Line: 503.639.4175Nr Ol day Rudy/By: B See Pete 1 for -�-
Inirmet: v ww ei.tigard onus tWvtitlsd/htethod ��� Supplvmm�W tarvracvdvn
TYPE OF WORK FEE* SCIIFDVLE
New construction -r❑Demolition -r For apeelrl intermerion use chm-kCa -
F
Description - _ Ea. _ Total
❑Addition/altentior✓rcplacemnnt -1❑Othor. Now I-2-hadly dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION_ SFR(1)both 249.20
I-and 2-family dwelling ❑Conmerciallindustrial SFR(2)bads 350.00
-' -�-�
El Accessory Accessory building 0 Multi-ft SFR(3)bath_ 399.00
_ I
❑Master builder ❑Other: Bach additional batiMtrhen 45.00
Fin sprinkler(__.eq.fL) Page x
JOB.SITE INFORMATION AND LOCATION _
site sprin paaht
Catch bor area drain _ 16.60 -- _
City/gtatevzlP: T/JYJ e'tk D tel Drywell,leach line,or trench drain - 16.60
Suitebldg./apt.no.: Project name: Su-MM t.4- rooting drain(no.friar It--, _ _Page 2 -
Manufkctural home utihtim _ 110.00
Cross street/directions to job site: - -
M.mholeg 16.60
Rain dram connector 16.60
Sanitary sewer(no linear It.:_� Page 2
--� Stoml sewer(no.linear It.: �_ - Page 2
Subdivision: ((/y)M G• �r Lot no.: Water servict(no.linear ft.: J -` Page 2 --
Tax map/parcel no.: i.t? -,S � A_s--- -Fitters or(teat
Absorptior valve 1660
- _ DESCRIPTION OF WORK --- Backflow Ineventer Page 2
Lands ... u i r-!' 0-4'7 C)71 bO r__jLr /11() cl )/ r P=kwater valve 16.60
Clothes washer 16.60
Dishwasher 16,60
Q PROPERTY OWNER ❑ TENANT Drinking fountain 16.60
Rjectow-utnp_ 16.60
Name: D01 Me,'V/ S S r f 0 f p f Rxpansion tank 16.60
Address: 4 'a.3 C. S LX j 6-nr't C tcl O Or' Fixture/sewer cap 16.60
City/StatdZiP:L-a k.c- Ci 1 a j e c (D P_ q'70-3 S Floor draft✓floor sink/hub - 16.60
Phone:( ) Fax:( 1 Garbage disposal 16.60
APPLICANTACT PERSON Hose bib _ 16.60
CONT --
, tee^tak`a t660
Business name:
��r11//. S r�. !x'r'GCJY1 rr7 r
C - interceptor/grease tttp 16.60
Contact name:
�i l Sn Gt y`YD-Lt s _ -- Medical gas(value 2 ) Page 2
Address. rnD Primer 16.60
a -
a City/State/�P:-t11 /2}r.� CQ. Ronf drain(camtrKreiat) 16.60
-I --
Fa :: Sink/basi0avotory 16.60Phone•e56;3)
--
Tub/dower/shower pen 16.60
E-mail: Utinal 16.60
_ CONTRACTOK -- Water closet 16.60
m Business name: Water hum16.60
w Address: �Jo �51�1 m Lr kr3 °dbr:
J - ---- - Subtotal -----�
City/State/ZIP: �Tul"A-t/'L G� _
Minimum permit Cee: 572.50
1 Phone:(5P3 s�x s Fax: Qa - 07(�f�' Residential backflow minimum ptnnit fm: 536.25 34o,
(--CB Lie. Flan review 02546 of permit fee)
7�� ]Plumbing Lit.no.: -_ �
Authnrimd siRrta "��� T_- State surch:rge(11%,31'permit fee) ! Q
TOTAL PERMIT FEE
Print name �L, ,d�� Dat• Thls permit application-expires If a permit Is not obtained,,Ithin
�� - �- ��� / 1110 days after It has been aecepteA a.template.
*Fee methodology set by Tri-County Building Indurny Service Board
iNnuildh.g�Prnn1MPLMF-PamitAppdoc IM 440a31RT(le/e2/C0WWFB)
2 -d 99L,D- 269- 609 U6113 dill?. =Zf2 sa Et IAC
CITY OF TIGARD
BUILDING DIVISION PERMIT#: PLM2005-00313
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 711412005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 63b-4175
INSPECTION WORKSHEET FOR DATE: 7/3y20Or TIME: 7:92AM, PAGE: 78
SITE ADDRESS: 16302SW OAK VAI-LEY TERR CLASS Cr: 'WORK:
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT#: ON TYPE OF USE:
PROJECT NAME: SUMMIT RIDGE NO. 2
DESCRIPTION: Install residential bellow prevention dwine.
OWNER: DON MORISSErTE COMMUNITIES, LLC, PHONE 0: An307-7538
CONTRACTOR: LANDSCAPE OREGON, INC. PHONE 0: r&r,.6!D2..6945
Inspection Request Scheduled For: Date: 712r�Ziif)5 Pour'Ime:
Code # Inspection Description Confin It Contact # Mrssago
399 Plumbing fine) 012010.02 503-6925945 N
Corrections/Comments Instructions:
ck -
a
PASS ❑ PARTIAL APPROVAL —[] CANCEL ❑ NO ACCESS
[] FAIL ❑ CALL FOR INSPECTION [] ADDITIONAL FEES ASSESSED
Inspector: o_._ " �'�f"_" Date:12" ��7—phone #: (503) 715-
1
CITY OF T I G A R D ___ MKaTER PERMIT
PERMIT#: MS'i'2005-00044
DEVELOPMENT SERVICES DATE ISSUED: 4/12/2005
13125 SW Hall Blvd.,Tigard, OR 97223 503-630-4!71 PARCEL: 2S109DA-SR2_88
SITE ADDRESS: 15302 SW OAK VALLEY TERR ZONING: 9-7
SUBDIVISION: SUMMIT RICGE NO 2 LOT: 088 JURISCICTION: 7"1Cd
Project Description: New SF detached
REISSUE: OM1700A2 T STORIES: 2 _ ~y FLOOR AREAS R_couIREoseraACKS REQLMRED
CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1,570 of BASEMENT: If Y r LEFT: 5 SMOKE DETECTnRS: y
TYPE OF USE.: SF FLOOR LOAD: 40 SECOND: 1,620 of GARAOE: 467 of FRONT 15 FARKING SPACES 2
TYPE OF CONST: 5N DWELLING UNITS: 1 Tm po of R;GHT: 5
571 70
OC:'UPANCY GRP: R! BORM: 4 MTN: 3 TOTAL: 3.1w of VALUE: 308, HEM: 15
PLUMOING-- _.,..-- —
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 L,AUP)DRY TRAYS: 1 RAIN DRAIN 100 TRAPS:
LAVATORIES: a fASHWAS1fERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: CATCH BASINS:
TUB/SHOWERS: 3 GARSAOF DIS', 1 WATER HEATERS: 1 WATER LINES: 1n0 BCKFL W PP.EVNTR- GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL.TYPES TURN<100K: BOIIJCMP,.SHP: VENT FANS- 5 CLOT HES URYER:�1
CAS FURN}NOOK: 1 UNTr HEATERS: 1+.0001: OYHER UNRS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OL-rLETS: 4
_ ELF.0 TRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS -MISCELLANEOUS ADO'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: .. 0 - 200 amp: WISbC OR FOR: P1WPIIRRK1ATk1N: -V .. PER INSPECTION:
FA ADD'L SOOSF: 5 201 400 amp: 701 -400 amp: 15l VMO SVOIND": SIGN/OUT LIN LT: PER I:OUR:
LIMITED ENERGY: 401 609 anm 411 t00 amp: MA AOIX WR CIR: SKINAUPANEL: IN PLANT:
MANU H)WSVCIFDR: 601 1000 amp 401+ampr•1000v. MINOR LABEL:
1(100+amplvpfl:
PLAN REVIEW SECTION
Roconnaat only: _ '••`— "'— """'—'
—4 RES UNITS: SVCIFDR>-226 A.: >600 V NOMINAL: CLS AREAISPC OCC:
ELECTRICAL-RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL r
AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: _ FIRE ALARM: INTERCOMlPAGFVG: OUTDOOR LNDSC LT:
BURGLAR ALARM: 0'H: BOILER: HVAr: LANDSCAPPARR1G: PROTECTWE SIGNL:
GARAGE OPENER: CLOCK- WSTRUMF.NTATIOW MEDICAL: OT'fR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL N SYSTEMS:
This permit is subject to the regulations contained in the
Owner: Contractor: Tigard Municipal Code,State of OR.Specialty Codas
DON MORISSETfE COMMUNITIES. LI DON MORISSETTE COMMUNITIES LL and ail other applicable laws All work will be done in
4230 SW GALEWOOD ST 100 423C GALEWOOD ST#100 accordance with approver! plans. This permit will expire,
LAKE OSWEGO, OR 97034 LAKE OSWEGO, OR 97035 if work is not started within 160 days of Issuance,or if the
work Is suspended for more than 180 mays.
0• ATTENTION: Oregon law requires you to follow rules
Phone: adopted br the Oregon Utility Notiflcatlun Center. Those
Phone: 503-387-7538 503-397-7538 rules are set forth in OAR 952-001-0010 through
952-001-0080. You may obtain copies of these rules or
TOTAL FEES: $ 10,601.83 Reg#: LTC 162512 direct questions to OUNC by calling 503-246-66%9 or
_ 1-80[}332-2344
m REQUIRED ITEMS AND REPORTS
Int Ersn Gntrl 681-4444
J Engineered solls
ell
Issued By : Permittee Signature
Call 503-639.4175 by 7:00 a.m.for an Inspection that business day.
This permit card shill be kept In a conspicuous place on the job site until completion of f,59 pmjec t.
Approvi d plans are required on the job site at the time of each Imspectk)n
CITY OF T I G A R D SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT #: SWR2005-00080
13125 SW Hall Blvd.,Tigard, OR 97223 503.839-0171 DATE ISSUED: 4/12/2005
PARCEL: 2S109DA-SR2 8
SITE ADDRESS; 15302 SW OAK VALLEY TERR ZONING: R-7
SUBDIVISION: SUMMITRIDGE NO.2 LOT: 098 JURISDICTION: TIG
Project Description: SF sewer connection
TENANT NAME:
CWS NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: t
TYPE OF USE: SF NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Owner: FEES �—
DON MORISSETTE COMMUNITIES, LLC Description __. Dat Amount
4230 SW GALEWOOD ST 100 -- - -
LAKE OSWEGO, OR 97034 [SWUSAI Swr Connection Fee 4/12/2005 $2,500.00
[SWINSPI Sewer Inspection Fee 4/12/2005 $35.00
Phone: 503-387-7538 Total` $2,535.00
Contractor:
REQUIRED ITEMS AND REPORTS
Phone:
Reg#:
This Applicant agmes to comply with all the rules and regulations of the Clean Water Services. The permit expires 180
days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee
the accuracy of the side sewer laterals If the sewer is not located at the measurement given, the installer shall prospect
3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer"
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 or 1-800-332-2344.
a � _
Issued by:� =. Permittee Signature: �'w.�
Cali 503-6394175 by 7:00 a.m. for an inipecilon that business day.
This permit card shall be kept In a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at rip time of each inspection.
Building Permit Ag>nikrit2ift I%A A\ /C r'1
City of'Tigard V C l� uet � ,��- Pe�,,,;t Nn.�,, �5_TA V
13125 SW Holl Blvd.,Tigard,OR 97223 Plan Review
LIAR 11 2005 MCI Perrrdd:
Phone: 503.639.4171 Fax: 503.596.19 DaeeQf : - G •C�S` (l�V
Inspection Una 503.639.4175 Date Rcady/Sy: lu•b. See Anaeheil Ciuekliat for
CITY OF TI(aAR.D
Internet: www.ci.ligard.or.us Notitie/Ma
dthod ---- _ Supplemental information`
Nrar construction ❑DWAIl l0A P t tYett gra on Mrs perlbMned.
Indicate the value(rounded to the net IM dollar)of all
❑Addition/alteratioWreplacontent 0 Odw- equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
Valuation: St el Cio
E] I-end 2-family dwelling ❑Com.,ercial/induttMU __
[IAccessory building ❑Multi-family Number of becltootr►a: ——�
❑Mettler builder ❑Other: Number of bathrooms:
Total member of floors:
Lift I
New dwelling area: square feet
City/Slatdt2w: �^ _ Oarage/carpon area•. 1.i. square fae4
Suite/bldg./apt.no.: Project name: — Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure arca: square fed
Subdivision:�� � r Lot no.: Permit fbm*am btrseed on value of alts walk
Tax map/parcel no.: indicate the value(roundlet!to the,nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
work indicated on this application. �—
Valuation: $
Existing building treat: square feet
New building Brea: square feet
Number of stories:
Name: pyrr—IM"W N (It. Type of construction:
Address_ r Occupancy getups:
City/State/L!P: .� U Existing: __ _
Phone:np Fax:(5�5)177k/�5 Now:
N
Business name: pal E K=> All eft olbrt Mid o oft"ired to be
Contact name. licensed with the Oregon Construction Contra;tors Board
-- -- under ORS 701 and msy he required to be licensed in the
IL Address: jurisdiction in which work is tieing performed.if lite
!� City/StstdZlP: applicant is exempt from licensing•the following reasons
apply:
Phone:( ) Fax::( )
E mail
(� Business name:
1-1s� Address: I;
-- ---- Marge refer to fee schedule
City/StatdZlP: ~—
Fees due upon application
Phone:( ) Fax:
CCB liox: Amount received —
/ Date received:
Authorized signature: J q ��r j This permit application expires If a permit Ib net ebtalned
r within 190 days eller It has been aerepti-d as complete.
Print name: I Date Q �� •
_-_--__ � � _� Fee methodology set by Tri-County Building!nehrotry
Service Board,
1,n„iedlng\Permin\nuP-Pemienppdoc 12103 441-461ITtttar2MMrWan)
Pilumhi_ np. Permi I 'an
City of Tigard Received
DatalBy: PerrNt raa.: ��
!3125 SW HaR Blvd.,Tigard,OR 972'23 pial Review —
Phone. 503,639.4171 Fax: 503.59 IQ�Q 1 Otter Permit No.
14•Hour Inspection tine: 503.639.4 �/Af �_ ���1) 6ate/e — --
Internet: www.ci.tigard onus Dme Ready/By. hair 0 See Pqe 2 for
_ Noufied/blethpood )g{ SuppkmeatnlInformation
"I
M 111r �•iin,��f ,�'�l dl���,"1
____ M,r, 'MIP1 ; 1'
New con,lruction q lJ I ] ING For special In ormadon use eheci lit
--- ----- - Description ' �Qtt��Ea. Total _
❑Addition/altereuon/replacemenl ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
SPR(1)bath 249.20
I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath i 350.00
❑ Accessory building ❑Multi-family Stet(3)bath 399.00
❑Master builderfJthet, Each additional bath/kitchen 45.00
Fires sprinkler
,� .� Fri t�_sq.ft.) Page 2
rr•; 77 r _
1' Site utilities
Job site addracs:1�G'�� non '� Un Catch basin or area drain 16.60
City/Slate/ZIP: Drywell,leach line,or trench drain 16.60
Suite/bldg./apt.no.: Project name: UMY1xYA t ,( Footing dein(no.linear If.:_� Page 2
i` � ' ` '
Cross street/directions to job site: V Manufactured home utilities 110.00
- ----- - Manholes 16.60
Rsin drain connector 16.60
Sanitary sewer(no.linear ft.:,� Page 2
Storm sewer(no.linear ft.:_�_ Page 2
Subdivision: _ _ Lot no.:iWater service(no.linear ft.:r_)_ Page 2 _
Fixture or Item
Tax map/parcel no.:
Absorption valve 16.60
! 1 i5 ''1 Backflow prevarter Pegs 2
Backwatm "give 16.60
Clothes washer 16.154)
y� {, Oishwaaher 16.60
�niti,%iutmtain 16.60
R. Y 44 �� T � ✓1=.
Nam Ejectors/sump 16.60
MM Ai • .., '�. Expansion tank _ 16.60
Address �1�IGi! �' ,, 1 CV Fixture/sewer cap 16.60
City/StateJZIP: - Floor drain/floor sink/hub 16.60
Phone ) 7 Fax: '� �� Garbage disposal _ 16.60
G APrt ttAr�T Hose bib 1660
--- - lee maker 16.60
Business name: ---
--- _ Interceptortgrease trap 16.60
Contact name: Medical gas(value:S ) Page 2
Address: Prinm _ 16.60
City/StatdzlP: ^� Roof drain(commercial) 16,60
Phone Sink/basin/lavatory 16.60
( ) Fax::( ) -- __
-- -
E-mail: Tub/shower/shower pan 16.60
+...,•ii �;f oS .u �nl e>t +nst-) r n a'A _., Urinal 16.60
�� �u �r Ohl u',a' 't� ? > Water closet 16.60
Business name: �( ^" Water heater 16.60
Address: _ Other:
City/State/ZIP: _ Y Subtotal
Minimum permit fee: S72.5C
Phone: ) Fax:( ) Residential backflowmitilmumpermlt fee: 536.25
CCB Lic.: hunbing Lic.no.: Plan review (259t,of permit fee)
Authorized signature R _ State surcharge(g%of permit fee)
TOTAL PERMIT FEE
Print name: Date: '4` � This permit application expires If a permit is not obtained within
-- 110 Jays alhr It has been aetepted as complete.
^Fee methodology set by Tri-County Building Industry Service Board.
i�nnilAina%Perrn:lrNPLM-PermNApp.doc It/al X111-'16161'(IM02HbM/WBB\
Electrical Permit AjWkaQjmv
• City of Tigard I ® p��B Permit No.:
13128 SW Hall Blvd.,7 iprd,OR 97323 Plan Review v�a
Phone: 503.639.41',l Fax: 503.598.194p It 11 2005 Date/By: Other Permit:
Inspection Unit: 503.639.4175 Date Ready/By: lads 0 Sec Past i fw -
Internet: www.ci.tiprd.or.us , Noti6eA/Mafhod: _ ��yyr�Sup-plernen'al Information
.. -•.__..;.-�l T l'bX
pow 4N
New construction o rep Wemcnt Plewa check all that apply:
❑Demolition ❑Other: ❑Service over 225 amps,comm') []Hazardous location
❑Service over 320 amps—rating ❑Buildng over 10,000 sq.ft.,
C/► iY O 'Utlllltll� ''`f`,, ': �)! of I-end 2-family dwellings 4 or more new residential
❑ I-and 2-family 'welling ❑Commercial/industrial []Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi-family ❑Master builder ❑Other: []Building over three amries ❑Feeders,400 amps or more
(]Occupant load over 99 persons ❑Manufactured structures or
❑Egreasllightingslan RV park
K��]1,c�1.��. — E]Health-care fissility ❑Other:
Job to: C Job este addreee: C C Submit J_nets of plans with any of the ibove.
City/State/ZIP: The above are not applicable to temporary construction service.
Suite/bidg./apt.no.: Project name: "rr
Dawr4tlan Vnr. he. Tnnal
Cross street/directions to job site: New reAdentiel single-or multi-family dwelling unit.
Includes attached prase.
1,000 sq.ft.or less _ 145.13 4
Subdivision: Lot no.: Ea.WWI 500 sq.ft.or portion 33.40 1
Tax map/parcel no Umited energy,residential 75.00 2
Limited energy,non-residential 75.00 2
Each manufactured or modular
dwelling,service and/or fbeder 90.90 1 1 2
Services or feeders Installation,alteration,andlor relocation
200 strips or lose 80.30 2
limps to 400.mp; 106.8s 2
r • 401 amps to 600 amps 160.60 z
Name: 601 11148 10 1,000 amp# 240.60 2
Address: qo l Over 1,000 amps or volts — _ 454.65 2
n Reconnect only 66.85 2
City/State/ZIP: / J!—n;o Temporary services or feeders Installation,altaradon,and/or
Phone: ) —�j Fax:4�) �— ��� 200 strelocaion
200 trips or leas 66.85 l
Owner Installation:This installation is being made on property that I own which is not 201 amps to 400 amps100.30 2
intended for Bale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 stripe to 600 amps ELI
133.75 1 J 2
Owner signature: — _ Date:_ Branch circuits—new,ahteratlon,or extension,per panel
MAN,r'qz''-,;;{b? !, ' A.Fee for branch Circuits with ---
` service or feeder fee,;+ch
Business name: branch circuit 6.65 2
-- B.Fee for branch circuits
Contact name: without service or feeder fee,
each branch circuit 45.85 2
Address: Poch WWI branch circuit6.65 2
City/State/ZIP: Miscellaneous(service or feeder not Included)
L Phone: Fax:
Pump or irrigation circle 53.40 ?
( ) :( ) _
CSign or outline lighting 53.40 2
_ E-mail: Signal circuit(s)or limited-
energy penal,alteration,or
~ Business m me extension.Describe: Page 2 2
Address: �) Each additional Inspection over allowable In any of the above
T— r 1 ' cs Per Inspection 62.50
uCity/State/ZIP: " - 3a-;7, e --
J ( �� Investigation per hour(I hr min) 62.30
Phone: 09 Pax:( ) Irdustrial lant per hour 73.75
CCB Lic.: Electrical Lic. Suprv.Lic.: Subtotal
.
Suprv. Electrician signature,required: — s Plan review(25%of►nermit feet
r State surcharge(11%of permit fes)
V�fi�iC.- Dat
Print name: e:?) �u O �_ _
TOTAL PERMIT",Z
Authorized signature: This WWI 4ppllcanoa expires If a perrrdt Is not obtained within 1110
days after If has been acrcpted se complete
Print name: Date: Pee mefhodoloay set Wfri-Counfv Buildinit Industry Servide Board
••Number of inspections per permit allowed.
I:tae1MigVWn%4dWLC-P@m*A#p.dee 12lel 440-46IST(10"CnMMM
Mechanical Permit A ,licaft
City of Tigard V �' D Received
Permit No.
131 a5 SW He1I Blvd.,Tigard,OR 97323
Plan Review
Phone: 507.639.4171 Fax. 503.598.19 Other Permit:
�R1AR I1 2005 v.te,V __
Inspection Line: 507.639.4175 Date ReadylAy IurN is 4ee Para for
Internet: www.ci.tigsrd.or.ua NotlfledRdofhnd: _ _ supplemontat Information
TY OF T'16ARD -- -- —
New construction ❑Addition/alteration/replacement Mechanical permit foes*are based on the value of the work
performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials, labor,overhead,and profit. -
� �► � �� Value :
NTA!YSTJek9•
❑ I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building -
❑Multi-family []Master builder ❑Other: Foripectallnjarmntion tuecherkll:l.
Description QIY. Er, Total
1$ �,IrVrG1Rr�II�ti' , {LLJe��t,.: Riyr t�4i`PS1'1�� 94k1:; HeatinYIceOnnl� _
i
]ob site address: Air conditioning or heat pump
,� vires site tp aint D
n show4cemenJ_ 14.00
City/State/ZIP: Pumace!0.000 3TULducWvents 14.00
Fumsce 100,000+ATl](ducwvenn 17.90
SuitePoldg./rpt.no.: Project name: On host pump 14.00
Cross street/directions to job site: Duct work 14.00 —_
Hydtonic hot water system 14.00
V _ Residential boiler(radiator or
h dranic) 14.00
-- — Unit heaters(Wel-type,not electric.),
in-wall,in due suspend__ etc, 1000 _
Flue/vent form of above 10.001
Subdivision., - Lot no.:_� - Othor i— 10.00
Tax map/parcel no.: Other foal appliances _
� . 1 Witter beater
10.00
an fireplace 10.00
Flue vent for water heater or gas _
fireplace 10.00
--- -- Los lighter 10.00
W eller stove _ 0.0D I
Wood flTpl ce/insert 10.0y0
4r ,r.;
r' A � , 1 , ehimneyniner/nurJvent, 10.00
'ti`I����i; L Yy
Other: 10.00
Name: f t Environmental exhaust and vendladoa_
Address: G I I'.ange hood/atner kitc}ron
S7uiptrrent 1 _ 10.00
City/State/Z1P: _ 0oihes dryer exhaust 10.00
,.. Single-duct exhaust(batthrooma,
Phone: - Fax: Wilel comptriments,utility,rooms) 6.80
I L ¢ 'rlh' ;� ; At ie/erawla ace ikns __ 10.00
Business name:
` Other: 10.00
—__ Fuel Pifull
Contact name: $5.40 for first fonr;$1.00 for each additlonal
W Address: Furnace
t~- --— -- - -- Osi heat nE
City/State/ZIP: Well/suspendedlunit heater
Phone:( ) !~ Fax::( � ) y Water heater
Pirf:plaoo
E-mail: Rand!
Ue d' t nti;
�l 4'�,�: .„�� + :.:��� fix-Y`Yr e7;�!1�1d:r�••$.- Barbecue _.._._
W Clothes d
._1 Business came:
Address:
v ML4
City/state/ZIP: Subintal� _Minimum permit fee(372.50)
Phone:W ' Fax:( ) Plan revk (ZS%of permit fee)
CCB lic.: '7-o52 State surcharge Y rge(8%of prm►R fee)
PI TOTAL PFRMIT P'FE
Authorized signature: Thlg permit applkattaa axllns If a permit h sot obtslnod within Ian
_ der attar h lass been aceeptad m romplefe.
(�Print name: Deter' Pee methn&loay get by Tri-County Buiidlna Induawr,Servler Board
1:tnieumnstPerrv*INMeC-rermtlArp,dm, 12103 44()461tt(11M2X nAAM)
DON • MORISSETTE OBE: 3534
■ 0m39 INCORPOeATSD 109
Agr oewlao oB�ta�011 67066 f
'WRLE�'1R . t o 1 0 PROPERTY: SUiWT--RIDGH
BE PER APPROVED Crff: TIGARD
DEVELOPMENT TREE PLAN RCAIX: 10020'
PLAN No.: 190
STANDARD ELAVATION
6-W. 15LACX WALNUT ST. RECEIVED
I 460 I I Aga MAR 11 2005
CITY OF TIGARD
BUILDING DIVISIO
r� p.•61 ISUR W,
-----------
� AI
Z 7
CL
r-, ILI
V �
> � � C u .ye"b
>- a z
C� C7 0 0
.my lot
J I
in a -v u g a w
Prs.46 t u^ ° <
4o'
/1160 45eIe
gL Ca
1 I Zz u `tUj J
V Q rZ C c; 9 ry "{ Z N
U. r �� eL
------- -------------- 454 00 GI. > � c. � to d N
i
TW 4
mu
1
B417D r`'
LECoEW LOT CO)MWCrE
LOT AREA: 5,319, SQ. FT. y(� rr !h►��
COUILDING AREA: 2,011 430. F1, LOT M�
, -----e.TREET TREES T.s.a. PERCENTAGE: 3&6%
CITY OF TIGAR*Lw
BUILDING DIVISION � PERMIT ti: MST200&00W
13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: 41121200r,
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503)839-4175
INSPECTION WORKSHEET FOR DATE: 811/2005 TIME: 7:05AM PAGE: 51
SITE ADDRESS: 15302 SW OAK VALLEY TERR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE NO 2 LOT 0: 0W TYPE OF USE:
PROJECT NAME: SUMMIT RIDGE NO. 2
DESCRIPTION: New Sr- detached 7121rM AC -Wed,
OWNER: DON MORIS~TEITE COMMUNITIES, LLC, PHONE#: 503 387-7538
CONTRACTOR: DON MORISSET"TE COMMUNITIES LLC PHONE # 603.387.7538
Inspection Request Scheduled For: Date: 671/20(K Pour Time:
Gode # Inspection Description Confirm # Contact # Message
299 Final inspection 012536.02 60310!1.4837 N
Corrections/Comments/Instructions:
M �Sv C. /-1-r-'.rz74
oc
K
J_
W
PASS PARTIAL. APPROVAL [] CANCEL ❑ NO ACCESS
❑ FAIL ` ALL FOR INSPECTION ❑ r%DDITIONAL FEES ASSESSED
Inspector: "�----...� Date: _ Phone #: (503) 718- __
CITY OF TIGARD
BUILDING DIVISION PERMIT#: M4T200&00W
13125 SW Hell Blvd.,Tigard, OR 97223 DATE ISSUED: 41171M
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 7/2912OD5 TIME: T07AM PAGE: 73
SITE ADDRESS: 15302 SW OAK VALLEY TERR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE NO, 2 LOT#: 088 TfPE OF USE:
PROJECT NAME: SUMMIT RIDGE NO. 2
DESCRIPTION: New SF Mw-hed 7121/200+x' AC added.
OWNER: DON MORISSElTE COMMUNITIES, LLC, PHONE #: gp3387-7&M
CONTRACTOR: DON MORISSE TTE COMMUNITIES LLC PHONE #: 5.387.7538
Inspection Request Scheduled For: Date: 7/29/2005 Four Time:
Coda # Inspection Description Confirm # Contact # Message
199 Electrical final 01243302 503209-4837 N
Corrections/Comme„ s/Instnictions-
1-7
o�
ir
PASS ❑ PA TIAL APPRO ❑ CANCEL ❑ NO ACCESS
FAIL ALL FO E�TK�N (] ADDITIO FEES ASSESSED
pectora __ Date:
d Phone #: {5A3� 71 � _
1
CITY OF TIGARD �
BUILDING DIVISION PERMIT#: MST200&00084
13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: 4j12I2W-
Phone: (503) 639.4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 7!29/2005 TIME: 7:p7AM PAGE: 74
SITE ADDRESS: 15302 SW OAK VALLEY TERR CLASS OF WORK:
SUBDIVISION: a)MMIT RIDGE NO. 2 LOT M: 008 TYPE OF USE:
PROJECT NAME: SUMMIT RICE NO. 2
DESCRIPTION: New SF detarhed il21rM AC added.
OWNER: D0I4 MORISSETTE COMMUNITIES, LLC, PHONE #: 5631-387-7638
CONTRACTOR: DON MORISSETTE COMMUNITIES LLC PHONE#: MM387-75M
Inspection Request Scheduled For: Date: 7/29120(Y5 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 01243301 503.208.4837 N
Corrections/Comments/Instructions:
Z Ae��-17
s
Ik. ^
c
SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAILr ADDITIONAL FEES ASSESSED
❑ .,ALL FOR INSPECTION C I N E T O ❑
Inspector: _-- — Date: _ Phone #: (503) 718-
7
CITY OF TIGARD
BUILDING DIVISION � PERMIT 0: MST20(&00W
13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: 4/12l20Ca5
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: 7:05AM PAGE: 52
SITE ADDRESS: 15302 SW OAK VALLEY TERR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT 0: ON TYPE OF USE:
PROJECT NAME: SUMMIT RIDGE NO 2
DESCRIPTION: New SF detaches! 7/21/2005 AC added.
OWNER: DON MORISSETTE COMMUNITIES, LLC, PHONE 0: SM387-7538
CONTRACTOR: DON MORISSE TE COMMUNITIES LLC PHONE a: 543387-7538
Inspection Request Scheduled For: Date: 8/1/2(105 Pour Time:
Code # Inspection Description Confirm # Contact # Message
6% Mechanical final 0'"''Q`11 5032094837 N
Corrections/Comments Instructions:
M
PASS PARTIAL APPROVAL F] CANCEL [] NO ACCESS
[] FAIL AL'L FOR INSPECTION F] ADDITIONAL FEES ASSESSED
. . 0�
Irlapector: �. '—wale: Phone #: (503) 718 _
e
o�
0
v
r
v � �
oi
O \
h
'n,a ♦ i7
O
L
c
Z U o C�
to
Lai
A
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAa,AAAAAAAAAAAAA A
w � �
. �+ ►
►
6 4 ►
'�
m gv °� ►
o o b �`' ►
o �
a ►
140.
FE
►
44 �* v O
a � o � ►
■il aC6v `� pia ►
ENO
� w ►
� aha ►
.4 ►
. a p
r«vvvvsvvvvvvvvvvvvvvvi
04/00/2005 17:32 5035988705 GEOPACIFIC EJINC PAGE 81
Real-World 0ootechnical SMU"fte
Investigation.Design a Construction Sup1mt
April S. 2008
Project No. 03-8183
Attentinn.Andy
Venturi# Properties,Inc.
4230 Galswood Street, Silte toe
Lake Ovwvgo,Oregon 9/u:fb
Rax No.603.870-9099
RE: $OIL ENGINEER'$REVIEW OF FOUNDATION EXCAVATION gul3opAp6
LOT$tea,68,AND 109 SUMMIT RIDGE
TIGARD•OREGON
Retsevnoss:
I.090Psclllc Englnaying Inc,,Geawchniost immstpelon,SUMPNt Ridge DeveWrnont.TeWrd,Oregon,dated May 12.
2007.
2.GooPeailV:Enpine+ring Inc.$ail end woo Engineves&srmery st OMC.usicn at Fardrvvo*,%wrnP Ridge Llevelupment
-Ph"*1,Tlperd.OFIC ,ReAssd January 21,2004(should able ME).
GeuPact is Engineer, Jim Imbrie, visited the silo today to review the foundation excavation subgredes on the
obove•refemmoed lots. The observed soils on Lot 55 ars modlurn stllf to stiff rative soil#and on tots 88 and
the hook o/Let 66 ore compact wn9ineorod fill consisting of clayey sift, with +mks 8vme mucking may be
required If the subgrade is lett exposed b) wet weather for a long duration, however the current subyredo Is
only damp. The foundation subgrodes are appropriately setback from the roar yard rookery ro0ining wals.
Used on our obsorviiiWs, it Is out opinion that the current fount lalicln subgrada arc► adequate fa spread
foundollon support to a maximum elbwable bearing pressure of 1.500 pef,
Oran work scope pertains to a gentechnicol engineer's fowdollon exctrvaNan review only and the conditions
93dating and oxposed at the time,of our site vial;. No dock"ng,Pett,or ether appurtenant structure
subFWas were observed. Our work was poriormod to the current local standards of practice, No other
werranty is herein expressed or Irnpiled. If you have any quealbns,please call.
Sincerely,
GooPecific Fnpineering,Inc.
IL 1���0 Rpt
F.a61NF�r� �o
7 14 fr
M James D. Irnbrle, P.E.,C.E.G. ORE
Gootechnieall Engineer