15458 SW OAK VALLEY TERRACE IIH31 A311VA Nd0 MS 80%
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15458 SW OAK VALLEY TERR
�� �� �'���� MASTER PERMIT
PERMIT*: MST2005-00115
DEVELOPMENT SERVICES DATE ISSUED: 5/16/2005
13125 SW Hall Blvd.,Tigard, OR 97223 503-6194171
PARCEL: 25i09DA-SR2 94
SITE ADDRESS: 15458 SW OAK VALLI✓Y TERR ZONING: R-7 _
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT: 094 JURISDICTION: TIG
Project Description: New SF.
BUILDING
REISSUE: OMt7t1 STORIES: 2 FLOORAREAS P REQL6REDSETBACKG REQUIRED
CLASS Of WORK. NFW HEIGHT: 25 FIRST: 1,570 of BASEMENT: of� LEFT: 5 SMOKE DETECTORS: Y V
TYPE OF UWE: SF FLOOR LOAD: 40 SECOND: 1,620 of GARAGE: 407 of FRONT: +5 PARKINL.SPACES: 2
TYPE OF CONST. 5N DWELLING UNITS: 1 rMO, of RIGHT: 5
OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3,190 of VALUE: 3011,364 50 PEAR: +`
PLUMBING
SINKS. 1 WAT,-R CLOSETS: 3 WASHING MACH: 1 I AUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER ONES: 100 SF RAIN DRAINS: 1 CATCII RAISINS:
TUDISHOWERS: 3 OARSAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 eCKFLW PREVNTR GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<10011: BOIUCMP<3HP: VM FANS: 5 T CLOTHES DRYER: 1
GAS FURN>-100K: 1 UNIT HEATERS: HOODS: 1 OTHER OHM$: 1
MAX INP: blu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: OAS OUTLETS: 4
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIrEEDERS BRANCH MCUITB NASCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 - 200amp: a 2110 amp: WISVC OR TOR: PUMPIIRRIGArION: PER INSPECTION:
EA ADD'L 500SF: 9 201 - 400 amp: 201 400 amp: 1a/woovaFOR: SIGNIOUT LIN LT: PER HOUR:
'..IMITF.D ENERGY: 401 000 amp: U+: 600 amp: EA ADM SR OR: SIGNAL/PANEL: IN PL;A"
MA VU IAWSVCIFDR 401 - 1000 amp: SO/+aMPoA000r. MINOR LAREL:
1000-onVIYOfl
FLAN REVIEW SECTION
Rocpnnasl nniv:
1-4 RES UNITS: SVCIFDR>-2211 A.: >609 V NOMINAL: CIA AREAISPC OCC:
ELECTRICAL•RESTRICTED ENERGY _
A.SF RESIDENTIAL B,COMMERCIAL
AUDIO S STEREO: VACUUM SYSTEM: AUDI3!STEREO: FIRE ALARM: INTERCOWPAGINO: OUTDOOR LNDSC LT:
BURGLAR.ALARM: OTH: BOILER: HVAC: I.ANDSCAP"P,RIG. PROTECTIVE SIONL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA7TELE COMM: NURSE CA!-LS: TOTAL 0 SYSTEMS:
Owner. Contractor: This permit is subject to the regulations contained in the
Tigard Municipal Code,State of OR Specialty Codes
DON MORISSM- E COMMUNITIES LL DON MORISSETTE COMMUNITIES LL and all other applicable laws. All work will be done in
4230 GAI_EWOOD ST#100 4230 GALEWOOD ST 0100 accordance with sWroved plans. This permit will expire
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 970?5 if work is not started within 180 do ys of Issuance,or if the
work is suspended for more than 180 days.
Q ATTENTION: Orngon law rAquires you to follow rales
a Phone: 503-387-7538 Phone: 503-357-7538 adopted by the Oregon Utility No"rAdlon Center Those
N rules are yet forth In OAR 952-001-0010 through
952-001-0080. You may cbtel..copies of theoe rules or
Ree#: LIC 162512 direct questions to OUNC by calling 503-246-6699 or
TOTAL FEES: $ 10,615.15 1-600-3?2-2344.
LO REQUIRED ITEMS AND REPORTS
__
W Ersn Cntrl 681-4444
--� Engineered soils
Issued By : ,(/ /'�u_ _ Permittee Signature ::., _
Call 503-6394175 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 eonrletlon of the project.
Approved plans are required on the job site at the time of each Inspoctlon.
CITYITY O F T N G A R D ^ SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2005-00114
13125 SW Hall Blvd.,Tigard,OR 97223 503-6394171 DATE ISSUED: 5/16/2005
PARCEL: 2S109DA-SR2 9
SITE ADDRESS; 15458 SW OAK VALLEY"TERR ZONING: R-7
SUBDIVISION: SUMMIT RIDGE NO.2 LOT: 094 JURISDICTION: TIG
Project Description: New SF sewer connection.
TENANT NAME:
CWS NO: FIXTURE UNITE-
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Owner: FEES
DON MORISSETTE COMMUNITIES LLC Description Date � Amount
4230 GALEWOOD ST# 100 -__
LAKE OSWEGO, OR 97035 [SWUSAI Swr Ccm+nection Fee 5/16/2005 $2,500.00
[SWINSPI Sewer Inspection Fee 5/1612005 $35.00
Phone: 503-387-7538 Total $2,535.00
Contractor:
REQUIRED ITEMS AND REPORTS _
Rhone:
Reg#:
p, This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180
days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee
the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect
3 feet in all directions from the distance given. if not so located, the installer shail 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.
J
Issued by: _
�i Permittee Signature:
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 are required on the job site at the time of each Inspection.
building Permit A>ddZ19 A—M vEd
City of SW
aryl 7D.WD
Pe�mitrM.�� �'13125 SW Nall Blvd.,Tigard,OR 9723�}� L Phm.e 303 639.4171 Fax: 503.598.1960 K Z0Q 1 CNhtr Pen tiY �lnspe^tion Linc.: 503.639.4175 CITY OFTiGARO y g«AttrckrdChtrkttatfor
Internet: wwv,ci.tig>.A.or.us td:y " Sappkmeat*l Information
RUILDING DIVISION W/
New construction �^ ❑Demolition Permit fees*are basal on the value of the wart performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application. —_
❑ I"and 2-family dwelling ❑Cotnmercial/industrial Valuation:
❑Accessory building ❑Multi-family Number of bedrooms: 4
❑Master builder —� ❑Other: Numbs of bathrooms: �—
t , Tots]number of floors•
Job site address: New dwelling ares-, C,/� _square feet
CitylStste/Zip; ��� ) Garage/carport area: Ll_— sr,uere feet
NJ
Suite/bldg./apt.no.: Project name: Covered aorch siva: �� squarry feet _
Cruss street/directia_.r to job site: Deck area; square fent
_ Other structure arm: square feet
111111111
Subdivision:_-L Xl AM�}-,_ — let no.: Permit fees*are basad on the valee of the work performer..
Tax map/parcel no.: Indicate the value(munded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for t,ie
work indicated on this n lication,. _
Valuation: S
Existing building arm: _ square feet
New building area. square feet
Number of stead(1j:
Name: 1 5� tJt� Type of construction: --_�
Address` 1; � r\t.dNM
�_�� �.�. 1 Occupancy groups:
City/stale/ZIP: e U Existing:
Phone:55 Fax: ) — _-7iol New:
Business name: t- -� - --
All contractors end subcontractors an required to be
Contact name: — licensed w4h the Oregon Construction Contractors Board
under ORS 701 and may he required to he licensed in the
Address: jurisdiction in which work is being performed.If the
City/State/ZIP: applicant is exempt}torn licensing,the following reasons
Phone:( ) Fax: appy:
E-mail: --
Business name:4�
Address: i" .tA
City/State/ZIP: -- — _ Mesar refer tn,Jee Schedule. `-
--- — Pees due upon applicatimt
Phone:( ) Fax:( )
CCB lie,:! - --- Amount received
' �- Date received:
Authorized signature: •Thh permit appllcstlon expires Ira pas snit Ir not obtained
within'NO days dt er It hag h sen accepted as complete.
Print name: 1 Dl
r ata; Q �—_I Fer,methodology set by Tri-County Mudding Industry
^rvice Board.
-M.11dMp\Pem*s\8UP-Pai App&e 1210 140•4613r(IIMMICOWWBe)
Plui4ibini! Permit Ap %p1%.0IVE
City of Tigard Received
13125 SW Hall Blvd,,Tigard,OR 97223 De1em — — Permit No.
1t 2QU Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 A U 1 U Other Permit No.:
Date/By: __
24-Hour Inspection Line: 503,639 4175 CITY OF r(GA – — —
Internet: www.ci.tigard.or.us Date Ready/By: 1wA M See Page 2 for
MA i.A VotiOed/Melhod: Supplemental Information_.–__ •r� ,s:,. � �r� t���'^ Vit.. M`r� � �'�'j t J�,. � ��" ! � �'�t In y �:
New construction ❑nemolition For special fn ermwdon use check(lsf. _
— --- Den T Qty Ea. Total
❑Addition/alteration/replacement []Other: New 1sai tio-2_forily dwelling;includes 100 R.for each utility con ection)
t?>A I' Ci
� fJRY OPCt1Ff 'g ' µh1 f SFR/I)bath 2.49.20
❑ l-and 2-family dwelling ❑Commercisi/induatrial SFR(2)badt 350.00
❑Accessory building ❑Multi-family ~� SFR(3)bath 399.00
]Master builder r)Other: Each additional bath/kitchen 45.00
�Yi ; TRM/R1t?! 'rin �91'ry 'r f Fire sprinkler L_sq R.)_ Page l
Site utilities
Job site address: G p'0 - V 4)�+��� _ Cy,Y, Catch basin or arra drain 16.60
City/Stale/Z)P: t v Drywell,leach line,or trench drain 16.60
Suite/bldg./apt.no.: Project name: Footing drain(no.linear It.: ) Page 2
— -- Manufactured h�mc utilities 110.GO
Cross strcet/dirxtions to job site: .---
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer(no.linear fl.:�) Page 2
Storm sewer'no.linear It.:_ Page 2 —
{ linear i
r service(no. near It.: _� Page 2 ---
Subdivision: Wate
r Lot no.: -
��— - Fixture or Item
Tax map/parcel no
--- —--r------T Absorption valve 16.60
U&9C1tIP'CIOI�1 ---
---- Backflow tmventer Page 1
Backwater valve i 6.60
Clothes washer 16.60 -�
Dishwasher 16.60
PROPRR'1'3C OWN*
. •r ,z , • Drinking fountain _ 16.60
— � �
Name: Ejectors/sump 16.60
V� ( Expansion lank 1660
Address:!92WLU cap 16.60
City/State/ZIP: �`• — Floor drain/floor sink/hub 16,60 ^--
Phone:F-V?) Fax: i� ?/J Garbage disposal 16.60
Hose bib 16.60
Ice maker 16.60
Business name: --
Interceptor/grease trap 16.60
Contact name: Medical gas(value:S ) Page 2
4, Address: Primer 16.60
a City/Statelzip: Roof drain(commercial) 16.60
F- _
Phone:( ) Fax::( ) Sink/basin/lavatory 16.60
-
E-mail: Tub/shower/shower pan — 16.60
• �, ��,� Urinal 16.60
m •'r r}'* r Mro+ Water closet 16.60
r. 1 � r.
'/ a
Business name: r 'Y� Water hear•'r -_ 16.60
-I Address: Other:
City/State/ZIP: _—_ Subtotal
Minimum permit fee: $72.50
Phone: Pax:( ) Residential backflow minimum -it fee: 536.25 —
CCB Lic.: 0 �1, -y Inmbing Lic.no.: Plan review (25%of perrsit time)
Authorized signature-� j s; State surchatge(8Y4 of permit f•t) —
TOTAL PERMIT FEE
Print name: ,,_ 1 Date: This permit application expires it a permit is not obtained within
180 days after It has been accepted as complete.
'Fee methodnlogy set by Tri-County Huilding Industry Service Board.
i lauildingtrc.merlPLM-PemWtApp doc 12K13 ago-1616r(I(1fi2/CnMJwnB)
M chanical Permit Application
City offigard Received
13125 SW Hall Illvd.,Tigard,OR 97 �`.1 PlanDately: Pemnt
Phone: 503.639.4171 Fax: 503.598�' y L Pon Review 01het Nernrit: J L
Inspection Line: 503.639.4175 Date/Re
Dale Rarly/Hy: lura Bl See Prat 2 for
►atemet: www.cLllgsrd.or.us APR U 1200 Notiaed'Method:
SpPkmeauf Information^ _
isT
New construction ❑ ihorhelteration/replacement Mechanical permit fomes•aro based on the value of the work
❑Demolition El Other: performed.Indicate thr.value(rounded to the nearest dollar)of all
rrachanical rrraterials,equiptrrentt labor,overhead,andptnfit.
Value:$ _
❑ I-and 2-farnily dwelling ❑Commercial/industrial ❑Accessory building
,`..
❑Multi-family ❑Master builder ❑Other: — For special lnjormn,Yon_use cheeVisr.
Description_ �I t . @a. L Total
JOB BITE WIrC1It1VIAit'IQ0,t,f Heath cooling
Job site address: I V Q `Q YT Air conditioning or heat pump
(requires site plan showing placetnenC 14.00
City/State/ZIP: Fumace 100,000 BTJ dwtdvems 14.00
Furnace 100,000+BTU(ductaivenp 17.90
Suite/bldg./apt.no.: Projor e't name: ----L _
Gan heat nuns` _14.00 —
Cross street/direction to job site: Duct work 14.00
"—
Hydronic hot water system 14.00
_ Residential boiler(radiator or
h is 14.01)
Unit haters(fuel-type,not electric), —
in-wall in-duct suspended,etc. 10.00
r'
Subdivision: Fluelventfor any of above_ 10.00 _--
t no: q�
other: 10.00 _
T ax map/parcel no.: V Other fray i lienees
i Water heater ^0 10.00
Gas fire *e 10.00
--i T Flus:vent for water hater or gas - —
fi lace10.00
— --— Lot;lighter(gas) _ 10.00 ---—
�.-_ Wood/pellet stove :0.00
Wood fireplace/insert - 10.00
Qpy ! Chime /liner/flue/vent 10.00 ----
1 a 1 ! f
Name: Other: _
\ t�m Environmental exhaust and ventilation
' Range hood/other kitchen
Address: e u ment 10,00
City/State/ZIP: Clothes dryer exhaust 10.00
Phone: — Pax:( Single-duct exhaust(bathrmrnm, _
" ,, toilet cortlpar..--ants,utility mons 6.80
Attic/cra!!Lh2ace fans _ 10.00
Other: 1 o.00
Business nine: —
Fuel plpl"
Contact name: $5.40 for first four,$1.00 for each additional
Address: Furnace,etc.
ce C9ty/state/zIP: _ _ W■ui ut U ded/unit hater
Phone:( ) Fax::( ) — Water heater
E-mail:
0 Ci Barbecue
{ _
.J Business name: I jJ r Clothes d was)
Addreas: ( �^ tither:
4,
City/State/ZIP: `� _- Subtotal
Miniratin permit fee($72.50)
Phone: _ Faxi( � ) Plan*eview(251%ofpermit fee) _—
CCB tic.: V State surcharge(9%of permit fee)
TOTAL PERMIT FEE
Authorized signature: Ther permit appliraMon esPrree If a Riwi h not obtained within Taft
--� �— days after It iue been accepted as complete.
net r
Pte rnettH doinxy set by Tri-Colmty Building Indtetry Service Acartl
i\building\P—trent—i`\\M-aC-PermhhAppdoc 12101 44"617T(11/eL(0MIWPa)
DON . MORISSETTE
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QQr • '_ �'`a, � 06) a17 •- r • ! A 7A1 a C) 107 - 76 i e
o�� ,,► '♦ 436\ O BE: 3500
LOT4 r r 486+ 136 ,,,,�MMMM4444 : 94
:..V; ., y ., DAT»: ig/19/06
PROPETi" . S1IJ1[lliT.T-RIDG1
.. T_• '•�, ,' r. i/�',..; arm: TIGAM'
k . A349 SCAM: 1"=40,10�
PLAN No,: 170
43t'' �, OPTI0N-� ELTh9ATION
of.. r 2
.36 z 432
RECEIVED
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CITY
OF 7-IGARD
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LEGEND
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-STREET 1R.EE5 4010
ACEI TFSINCATUM X
'PACIFIC SUN9FT MAPLE'
LOT COVERAGE
Tw est _+ne 1 , N +: 40bNti►w ;
LOT AREA: 12,219 5th. FT. 3w �.. •�" i e
BUILDING AREA: 2,352 50. FT. 3�
•A '.. 1.'•c !• ' • .
PERCENTAGE: Ig.296
0»
40
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CITY OF TIGARD - SITE PLAN REVIEW
M111,I)ING PERMIT
PLANNING DIVISION:
Required Setharks: 91%Approved 0 Not Ahl-1rutied
Side: ,� St et Side• La—
From. ._ (inrage: I.. Rear �-
sual Clearance: MA provrd �1 Not ,\pproved
Maximum 3ktildina Nei lir.� tees
Provider i.:ifer Required: ('_J Yep: C)tNu
Date:
DEPARThIFN I:
Actual Slope:..% �Approve�l ❑ Not Approved
Site Plan: Approved ❑ Not Ap roved
DO
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Electrical Permit AWEW Fation I V ED
City of Tigard i nate/By: 7—-7 0 '➢ 'Z ,
V 1 n •7 Permit No:�S��I{U c�C)J /
13125 SW Hall Blvd.,^,Ypres,OR 97223 200 Plan R4view Other Permit. Ll
Phone: 503.639.4171 Fax: 303.598.19MI-y O� rIGAH D,=y
inspection Line: 503.539.4173 Date Ready/By: luw ® see Pa;e 2 for
Internet: www.ci.dgud.or.us BUILDING DIVIS1 Notitied/Motbod: ISupplemental Information
New construction ❑Addition/alteration/replect anent Plettae check all that apply:
❑Dernoliti+3n ❑Other. []Service over 225 amps,comm'1 (]Hazardous location
❑Service over 320 amps-rating ❑Buildng over 10,000 sq.R.,
of 1-and 2-family dwellings 4 or more new residential
1-end 2-family dwelling ❑Commereial/industrial [�Accessory building ❑System over 600 volts nominal units in one structure
❑Multi-fatnil ❑Mester builder ❑OthCr: ❑Building over three stories ❑Feeders,400 amps or more
❑Occupant load over 99 pers,ms []Manufactured snructures or
❑Egress/lighting plan RV park
Job no.'. 56Job Bite oddness: ' !'�G �t( y 1� ; ]Health care facility ❑Other. _
S a G s� •-- �. ' Y�Submit 1_seta of plana with any of the above.
City/State/ZIP: .�0 The above,are not applicable to temporary construction service.
Suite/bldg./apt.no.: P ojed name:
_Y!tSL Description Qry•
Cross street/directions to job site: BaFF• e _ New residential single-or multi-family dwelling unit.
Includes attached garage.
1,000 sq.ft.or leas 145.15 4
Subdivision: ,M-`� t' A� Lot no.: 71
Ea.add'I 500 aq.ft.or portion 33.40 1
Tax msp/parcal no.: Limited energy,residential 75.00 2
Limited energy,non-residential 75.00 2
Path manufactured or modular
�/ dwellir service and/or feeder 90.90 2
Semices or feeders installation,alteration,and/or revocation
200 amps or less 80.30 2
201 amps to 400 strips 106.85 2
_ 401 amps to 600 amps 160.60 2
Name: a 601 amps to 1,000 snips 24060 2
Address: 423 0f�A C�- �.,o an saw—i .-s 106 Over 1,000+urns or volts 454.65 ,- 2
Reconnect only 66.85 2
City/State/ZIP: 03 Temporary services or feeders Installation,alteration,and/or
Phone:(50' 3)
Fax: relocadon
) 200 arts or less 66.85 1
Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 10030 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 600 amps 133.75 2
Owner signature- Date: Branch circuits-new,adter:Ne n,or azteaslon,par panel
A.Fee for branch circuits with
Business service or feeder fee,each 6.65 2
branch circuit
Contact IIaftle: B.Fee for branch circuits
without service or feeder fee, 46.85 2
Address: each branch circuit _
Each add'i branch circuit 6.65 --r H2
City/State/ZIP: Miscellaneous(service or feeder not lndudwo _
Pump kyr irrigation circle 53.40 T? �I
Phone:( ) Fax: :( )
E-mail: Sign or outline lighting 53.40 2
1
Signal cinvit(s)or limited—
energy Psatel,alteration,or
extension.Describe: Page 2 2
Business name: extension.
c .
l Address: t 2Qdk 233 d Esch additional Inspection over allowable In any of the abrve
- R� Per inspection 62.50 _
J City/State/ZIP: '117 SZ A4 a AZ P reo invpt4ption per hour(1 br min) 62.50
Phone: /3)s 4 24Y Fax:b1b3) (aq'3,��f`,f f industrial lent hour 73.75
CCB Lic.: Electrical Lic.:'3 1 ( Suprv.Lic.: S Subtotal
Suprv.Electrician signature,required: Plan review(25%of permit fee)
J
Print nem: Date:
State surcharge(11%of permit fee)
"r .-- —__
TOTAL PERMIT FEE
Authorized signature: Thle pe&•mit application expires Ifs permit Is not obtained within 1110
days after It he,boon accepted to complete
Print IIarne: Date: Fee methodology set by Tri-County Building Industry Service Board
••Number of int2ections per permit allowed.
iABuildinjkPermiis&C-PnmaApp.doc 12103 No-as13T(10ID2.,comf P.11
Electrical Permit Application - City of Tigard'
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
Fee for a residential systems combined........ $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating,Ventilation and Air Conditioning
System*
❑ Vacuum Systems*
❑ Other:
Fee for each commercial system....................... $75.00
(SEE OAR 918-260-260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
Data Telecommunication Instailation
❑ Fire Alarm Installation
❑ HVAC
❑ instrumentation
4 ❑ Intercom and Paging Systems
0.
�- C Landscape Irrigi;ion Control*
J ❑ Medical
FD ❑ Nurse Calls
-� ❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems: _
*No U.enses are required. Licenses are rc julred
for all other installations
i\Buildin�\Pcrniin\PT_C-MmftApp d-04/01
CITY OF T I GA R® ELECTRICAL RESTRICTED ENERGY PEF#An
DEVELOPMENT SERVICES PERMIT 0: ELR2005-00181
13125 SW Hall Blvd.,Tigard, OR 87223 503-639-4+71 DATE ISSUED: 7/6/2005
PARCEL: 2S 109DA-10500
SITE ADDRESS: 15458 SW OAK VAL'_EY TERR ZONING: R-7
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT: 094 JURISDICTION: TIG
Project Descriptio-1: All encompassing low vc„age.
A.RESIDENTIAL B.COMMERCIAL
AUDIO S STEREO: X AUDIO&STEREO: INTERCOM S PAGING:
BURGLAR ALARM: X BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: X CLOCK: MEDICAL:
HVAC: X DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: X FIRE ALARM: OUTDOOk LANDSC LITE:
OTHER: ALL EP"r'OMP : X HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL#OF SYSTEMS;
Owner: Contractor:
DON MORISSETTE_ COMMUNITIES LLC GENESIS HOME TECHNOLOGIES
4230 GALEWOOD ST# 100 8104 SW NIMBUS AVE#4A
LAKE OSWEGO, OR 97035 BEAVERTON, OR 97008
Phone: 503-387-7538 Phone: 503-643.-1704
Reg#: LIC 128098
ELE 26-989CLE
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 7/6/2005 $75.00_ -
[TAX]8%,State Surcharl 7/6/2005 $6.00
Total $81.00
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 work i3 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 952.4001-0010
through OAR 95 1-0100. Yotobtain copies of these rules or dined questions to OUNC at 503-246-6699.
a Issued By: �� Permittee Signature: )-i 11
a
OWNER INSTALLATION ONLY
The installation Is being made on property I own which Is not Intended for sale, lease, or rent.
m OWNER'S SIGNATURE: _A DATE:__,
C9
UJ
CONTRACt'OR INSTALLATION ONLY _
SIGNATURE OF SUPR. ELEC'N _ DATE: _
LICENSE NO:
Call 503-639.4175 by 7:00 a.m.for an Inspection that business day.
This permit cares shall be kept in a conspicuous place nn the job site until completion of the project.
Approved plans are required on the job site at the time of each Inspection.
4t5 2005 12: , SCENESJ S HOME TECHNOLOGIES 5036433300 p. 1
City TIprd � ,
Pblons: 01.639.41171 rF4S03.M 190._LI 0U
20U5 � o/S owrtar,rp:
Inopection Lira: SMA)PA175 -----
lam mi: www.ol.dBsrd.or.w CITY OF TIGAFI_, xpdgNyya blrsoeewe
AW
Now construction 0 Addidon/sllendodreplaommm c to Wly:
lltvloe over 225
flanrolitlon Olber: ❑service aver 320 a" reftaaam•1 over
I% e
of t-end 1-fon:f *Ml over bald sq.l
b' ince 4 or norm rto�r raelderrtitl
1-add Z4110114 d"Herg Coa11MMI d/iedtrs11W OAccoesorybullft CISye:nn over 600 waft sandal unite in cru vernnium
MWft tiatll Master builder El Other: ❑Building our rbrsoseerlet (3peedem 400 anp6 or more
VOmPont bad ova 99Persons (3Mene(Yoaaed Aructura or
❑2rose/lighting plop RV port
Job no.: Job site tddrns: Ua�l - Caiae6II0144 n Willy Dottier
Submit.1 ode at phn vrldr my of dim*on,
City/sudc" IP: 7-114irThe Of"We not g010 bb b isepaery amerruglan twvice•
Sulta/bldg./apt,no.: I Ieraim nerve;
0wr r. tr6 twr
Cron dreet/directlona to job site: Now resides eW stn a•orusitti-6mly dwdit INIL
Isdada sttsebd pngL
I,400 •R.or Iso 143.1 S 4
Bubdlvitlon: (� : Ee,edd'I 300 sq.9.or 313.40 I
Imt m i rro.: L! rrtdea"d 75.00 =
L inflod own,WmakwIeWd 75.00 2
a roo Wer
i
Serviess or lltNen hehUatlasr aaehr nt4aMa
/• 200 aai or lees 10.30 2
201 io 400 a r 106.113 2
401 am to 600 segs , 160.60 2
Nom' ® 601 am to i 000 amp 240.60 2
Addteaa: Oar t or vela 454.63 2
City/ft"WZIP: Romoned 66.11! 3
s�• ,3 . f[a7i Q '� aae/ae+0ry a or ■ psis ow a,sedpw
Phone: ., Pax:( ) MID6008""
Oansr Intalhrtbal This fns on g merle on prt>p,et<y that r own w t not b 400 100.30 x
Intcnaed fbr 0019,1400,rent.or mtchw tM according to ORS 447,449,670,aid 701. 137.7! 7
Uevrur signature: _ Dsln: promb dreadte-now slttntMrs,or amwe ka.I er and
A.Fee woo
cervico or Roder Poe,each
Business rums: bmwh 6.63 2
Contact nems: Fee fbt brench aftufts
wlsteut■orvfce a pedes fbe. 46.83 2
Address: akcuk
Each oddri brentch o(rotrt 6.63
rity/SaowzIP: Mkaaga eves urrfaa or Ned sr not tnd
Phone:( ) Fax::( ) Purnp or iniffistim ofitole 33.40 2
81 or oulllse 33.40 2
E-mall: NishM o e)a linshod.
own Poll.ahentlon,or
Btmlean nerve: exegreIM Dean*: Pap 2 2
Addrpet, -., — _ —•— — _ _ —_ .__. Beth"McCaw jorpediee am sraw"ah e M any of rtes aberr
city, GENESIS HOME TECHNOLOGIES P*fimpection
Ift"otwellion Par morn xrmgi 62 5o
i 9104 9W Nimbus Ave. 04A sommrbrt, OR 97008 -- 111 qpini-w-boat I 73.7
Pho¢ Pnn•60 9-1704 Fax- 509-843.3500
CCF CCB 128008,•,CLE28-989, it
7886,1LE plain eaview(2$%ofWWt 0)
Print twee: ) ,�_jam_ tlwe (w atpermdt lb)fr)
Authorized tivwfte: T TOTAL F= O0
_ p"ft r�aeedea'— ee ■~1e wt e
Print name: Dob: r dq'6■=h hM MO Implied o sgMie
!tie serhedrrray at by Trf4mly javagi res rohmy riuvin Wesal
• Number of ler I lemr p r ionpo elfe.rut.
rul�wrwrm,�.cv��s���tw duce 4rawu>tiraetxoetrauta
R
CITY OF TIGAR® PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2005-00,424
13125 SW Hall Blvd.,Tigard,OR 97223 503-639-4171 DATE ISSUED: 9/2/2005
PARCEL: 2S 109DA-10500
SITE ADDRESS: 15458 SW OAK VALLEY TERR ZONING: R-7
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT: 094 .JURISDICTION: TIG
Project Description: Backflow preventer for irrigation.
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: R.3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAY& SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
DON MORISSETTE COMMUNITIES LLC Description Date Amount
4250 GALEWOOD ST " 100 ___ _
LAKE OSWEGO,OR 17035 [PLUMB]Permit Fee 9/2/20U5 $36.25
[TAX]8%State Surcha 9/2/2005 $2.90
Phone: 503-387-7538 Total $39.15
Contractor:
LANDSCAPE OREGON, INC.
12200 SW"YSLONY RD.
TUALATIN,OR 97062 REQUIRED ITEMS AND REPORTS
Phone: 503-692-5945
Reg M LIC 7804
This permit is issued subject to the regulations contain3d 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 clays 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 952-0001-0010 through OAR 952-0001-0100. You may obtain copies of
these rules or direct questions to OUNC by calling 503-246-6699 or 1-800-332-2344.
Issued By +� r/� ,,co Permittee Signature:
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 th+:projeut.
Approved pians are required on the job site st ti-,time of mach Inspection.
Building Fixtures
Plumbing Permit Aupl�t�i
City of Tigard "' �' Itaoeited
f _ Permit?fo.. O �GOI!`
13115 5W Hall Blvd.,Tigard,OR 97223 I]a" :t �Onr plan Ra��ery (,
Phone: 503.639.4171 Fax. 503.598.1460 UJ Mn R 0111W Permit No.
24-Hour Inspection Line: 503.639.417! Date
Internee www.ci.tigsrd.w.us CfrY QF Ready/By; 0&a Paas 2 ter
_ rIG , Nodtkd/Method: 3appMnnnull Information
TYPIZ _0 RkNIS10N. FEE' SCHEDULE
New construction Demolition For speelol4t ormorfon Jose checNIV.
Desai ion S( PA. - Total
❑Addition/alteration/replacement �]Other. Now A-2-romily dwellings(includes 100(t.for each ut liry connection)
CATEGORY OF CONSTRUCTION SFR(I)bath 249.20
-and 2-family dwelling 01 Commercial/industrial SFR(2)bath 350.00
❑Accessory building ❑Multi-family SFR(3)bath 399.00
❑Noster builder Each additional bath/kitchen 45.00
El Other: Fin sprinkler(_,,,e,sq.(t.) Page 2
JOII Srr)d INFORMA7Site utllltles -1I
Job site address: s4 51? S Wn[,UN AND LOCATION y-sr, Catch basin or area drain 16.60
City/5tate/ZfP: j Gam -,(- Q-IDY- v��� Dryviell,leach line,or trerxh drialn 16.60
Suite/bldg./apt.no.: Prtj�t ria --I- Footing drain(no.lutea(t.:_� Page 2
Manufactured home utilities 110.00
Cross street/directions to job site.
Manholes 16.60
Rain drain connector 16.60
_ Sanitary sewer(no,linear ft: __) Page 2
Storm sewer(no.linear R.:�) Page 2
Subdivision: L. Water service(no.linear ft,:. Page 2
Tax map/parcel no.: kQ 5 s A ---s Fixture or Itom
Absorption valve 16.60
- D@SCR IOr OF WORK 'sJ Backflow provenlet - Pape 2
-�4+��G/•� :! % e/ /� �C>3'1 ��/_t-(F f�t' (1 C' ;/ y Backwater valve 16.60
Clothes washer 1660
- Dishwasher 16.60
PROP RRTY OWNILR L] TENANT Thinking fountain 16.60
FaecioratnnW 16.60
Expansion tank 16.60 i
Address: V,�3 L S W (-Ili.(C 1,C)U oc'( Fixt un/sewer cap _ _ 16.60
City/State/ZiP:(_4: k C e< o 0k. 'f I J"3 S Floor drain/floor sink/hub 16.60
Phone:( ) Pax:( ) Garbage disposal 16.6]
APPLICANT ACT PERSON Hae bib - 16.60
business nacre: / Ice maker 1660
�1 l�C,. S .0 t; Ur'r Interceptor/grease trap 16.60
Contact name: + 0 ii
+1� ,'7 ' 'e'` Medial gw(value:S ) Page 2
Addreas: a D U (f) L4 Primer - 16.60 _
City/State/ZIP: (,(f(� �. ✓ �G• ,�� Roof drain(commercial) 16.60
(i _
Phone:($11.7) (i'�/ �fC�� Fax::(ae�. �•Q,� -�.'�J(� Sink/basin/lavatory 16.60
r - lLb/ahowrr/shower pan � +16.60
E-mail: Urinal 16.60
CONTRACTOR _ Water closet 16.60
Hush. ,name �5� t_ �-_'Uyrn y�G Water heater 16.60 -
{II Address: %,��tJC� �/ `! =L? _ Other
J City/State/ZIP: t� A j0J0- `f 70(0-�' _ Subbotal
/� Minimum permit fee: S72-50
Phone:( ;3) �t�a S Fax: a3) e0 9d .. 07, 5 ' Residential backflow minirnu, m hermit Ibe: 336.23 Ct% XV
l�lU Plumbin Lie.no.: - Plan review (25%of permit fee
CCB Lic.: ? g __ )
Crane surcharge{11�b of permit fee) �-
Authorized stgna a1 / ,, TOTAL PERMIT_FEE 3q, /S'
Print name.a�L�� �� 1 � Dal - This permlt application exi•Ires If a permit is not obtalned,,Ithin
180 days after It has brew accepted or complete.
*Fee methodology set by Tri-County Ruildind Industry Service Hoard
i�nuildinalPerred\sLMF-Pr. Mpp-tic 12107 44e•4e1e(1M21C0WWRM
Z •d J99L0-Z69-EOS U61 [3 W*0 :90 50 99 !nd
I
C11Y OF TIGARD
BUILDING DIVISION PERMIT y: PLM2WS-00424
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: °,/7/2005
Phone: (593) 632-4171
Inspection Requests (24 Hrs.): (503) 63-4175
INSPECTION WORKSHEET FOR DATE: 51012/2005 TIME: 7.04AM PAGE: 94
SITE ADDRESS: 15458 SW OAK VALLEY TERR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT 091 TYPE OF USE:
PROJECT NAME: SUMMIT RIDGE NO. 2
DESCRIPTION: Barlow fxevanter for irrigation.
OWNER: DON MORISSETTE COMMUNISES LLC, PHONE #: 5033307-7538
CONTRACTOR: LANDSCAPE OREGON, INC. PHONE 4: 6aa12-5W6
Inspection Request Scheduled For: Datt 9112J2005 Pour Time:
Code H Inspection Description ConfirM # Contact # Message
391 Plumbing final 605468-M 503^692-5946 N
Corrections/Comments/Instructions:
(PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
[]\FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ Date: _ Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT 0: MST2006-00115
10 125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: SItfJ200�
Phone: (503) 639-4171
Inspection Requests (24 Hrs.)- (503) 639-4175
INSPECTION WORKSHEET FOR DATE. 9/23/2005 TIME: 7.07AM PAGE: 39
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 15459 SW OAK VALLEY TERR LOT�, TYPE OF USE:
PROJECT NAME: SUMMIT RIDGE.NO, 2 1144
DESCRIPTION: SUMMIT RIDGE NO. 2
New SF.
OWNER: DON MORIS131 TTE COMMUNITIES LLC, PHONE#: 503.387.7538
CONTRACTOR: [XON MORISS ..- COMMUNITIES LLC PHONE k. 503.307-7:039
Inspection Request Scheduled For: Date: 3/23/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
2!99 Final inspeMion 016474-02 503-209-4837 Y AM
Corrections/Comments/Instructions:
a
Lu
_j 1h tn
PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL_ �L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ~-`` — nam, Phone #: (503) 718-
CITY OF TIG ARD I*
BUILDING DIV'31UN PERMIT #: NIST2005.00115
13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: 5116/T00b
Phone: (503) 639-4171
Inspection Requests (24 Hrs,): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 9/2112006 TIME: 7:03AM PAGE: 29
SITE ADDRESS: CLASS OF WORK:
1i'.�58 S`W OAK VALLEY TFRR
SUBDIVISION: SUMMIT RIDGE.NO. 2 LOT #: 094 TYPE OF USE:
PROJECT NAME: SUMMIT RIDGE NO.
DESCRIPTION: Ne%v SF.
OWNER: DON MORWE'TTE COMMUNITIES LLC, PHONE #: F,03-387-7538
CONTRACTOR: DON MORISSi-:TTC COMMUNITIES LLC
RHONE #: 603-387-7538
Inspection Request Scheduled For: Date: 9/21/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrival final 016255.03 503-21144837 N
Corrections/Comments/Instructions:
IL
0�
M
m
Iw
PASS ❑ PARTIAL APPROVAL ❑ CANCEL L NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ ,y4� __ Date: ��7--_ Phone k (503) 718-• 44fi--
r
CITY OF TIGARD 0
BUILDING DIVISION PERMIT k: MST2i]Vr00115
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5(16/
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTIOry WORKSHEET FOR DATE: W2�2001� TIME: 12AM PAGE: 57
SITE ADDRESS: 1CLASS OF WORK:
SUBDIVISION: 54513.iW OAK VALLEY TERR LOT M: TYPE OF USE:
PROJECT NAME: SUMMIT RIDGE NO. 2 0'.94
DESCRIPTION: SUMMIT RICX;E NO. 2
New SF
OWNER: PHONE #:
CONTRACTOR: DON MORIS�TTE COMMUNITIES LLC, PHONE N: 503387 7538
DON MORISSME COMMUNITIES LLC 503387-7538
Inspection Request Scheduled For: Date: 5172/2005 Pour Tirng):
Code # Inspection Description Confirm # Contact 0 Message
399, Plumbing fir a! 0163630/ 5037.09.4837 N
Corrections/Commonts/Instructions:
CL
F-
m
w
] PASS (_] PARTIAL APPROVAI ❑ CANCEL ❑ NO ACCESS
IJ FAIL (] CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: —_- —__� Date:=�, Phone #: (603) 718-
CITY OF TIGARD
BUILDINta DIVISION PERMIT #: MST20f)rs-00115
13125 SW Nall Bivd.,Tigaid, OR 97223 DATE ISSUED: 5f161201M
Phone: (503) 639-4171
Inspection Requests (24 Mrs.): (503) 639-4175
INSPECTION WORKSHEEI FOR DATE: W2312005 TIME: 7-07AM PAGE: 42
SITE ADDRESS: CLASS OF WORE:
15458 SIN OAK VALLEY TERR
SUBDIVISION: SUMMIT RIDGE NO, 2 LOT#: 041 TYPE OF USE:
PROJECT NAME: SUMMIT RIDGE NO. 2
DESCRIPTION: Now SF
OWNER: PHONE #:
CONTRACTOR: DON MORI:kSFTTF_COMMUNITIES LLC, PHONE M: 503.387-7538
DON MORISSETTE COMMUNITIES LLC 66367-7538
Inspection Request Scheduled For: Date: 9123/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 016474-01 603-209,4837 N
Corrections/Comments/Instructions:
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�ZPASS ARI IAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL -' C -,fFOR INSPECTION ❑ ADDITIONAL. FEES ASSESSED
Inspector: -- ate: Phone #: (603) 718-
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