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13730 SW NORTHAM DR
CITY O F T I G A R D PLUMBING PERMIT _
DEVELOPMENT SERVICES PERMIT 0: PLM2000-00377.
13125 SW Hall Blvd.,Tigard, OR 97223 '5113)639-4171 DATE ISSUED: 1015100
SITE ADDRESS: 13730 SW NORTHVIEW DR
PARCEL: 2S 104BA-14100
SUBDIVISION: CASTLE HILL NO. 3 ZONING: R-12
BLOCK: LOT: ')71 JURISDICTION: TIG
CLASS OF WORK: OTR GARBAGE DISPOSALS. MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: R3 PLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: It
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Installation of residential backflow prevention device. _
Owner FEES
— Type By Date Amount Receipt
, VA
JOSHIRAD + e---
P SHIVA HAM, ASMITA PRMT CTR 1015100 $36.25 27200000000
13730 SW NORTHVIEW DR 5PCT CTR 1015/00 $2.90 ' 1200000000
TIGARD, OR 97223 � Total $39.15
Phone 1:
Contractor:
OWNER
REQUIRED INSPECTIONS
Phone 1: RP/Backflow Preventer
Reg#: Final Inspection
IL
ac
This permit is issued subject to the regulat;ons container' in the Ti,ard Municipal Code, State of OR.
m
Specialty Codes and all other applicable laws. All :ork w;Il be done in accordance with approved plans.
t9 P tY Pp � PP
A This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 da; 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 952-0001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
la?ueBy: (�. ,( Permittee Signature: `!
Call (503)639-4175 by 7:00 P.M.for an Inspection needed the next business day
M. '
Plumbing Permit Application
(,qCa -- Date received: IV-5-00 Permit no.:�aNha0- 0�7
City of Tigard it no.: Building permit no.:
pew
Address: 13125 SW Ball Blvd,Tigard,OR 97223 Sewer
CitvofTigard phone: (503) 639-4171 Project/appl.no.: Expire date:
Fax: (503) 598-1960 Date issued: By: Receipt no.:
Iand use approval: _ — ase file no.: Payment type:
I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement
U New construction U Add ition/al teration/replacemenI U Food service U Other:
Job address: 13 3 C S 4r t110R'I4V.fE W DR Description Qt . Fee(ea.) Total
Bldg.no.: - _ Suite no.: -
New 1-and 2-family dwellings only:
Tax map/tax lot/account no.: — (includes 100 It.for each utility connection)
SFR(1)bath
Lot: Block: Subdivision: CAs-T LEN i LL SFR(2)bath —----_ --
Project name: -- SFR(3)bath
City/county: T I G A f'_ ZIP: _4 4?_23 Each additional batll/kitchen
Description and location of work on premises:.SVR14KLC_Yom_ Siteutllliles:
5 {c3 0 Catch basi-/arca drain
Est.date of completion/inspection: A 0j 2 C17-Z) Drywells/leach line/trench drain
Footing dnl;n(no.lin.ft.)
Manufa';p.red home utilities
Business name: T t Manholes
Address: __ Rain drain connector
City: State: LIP: _ Sanitary (no.lin.ft.)
Phone: I E-mail: Storm sewer(no.lin.ft.) _
CCB no.: Plumb.bus.rcg.no: Water service(no.lin.ft.)
City/metro lic.no.: Fixture or kem:
_Abstion valve
C,atractor's representative signature: --k --
Print name: Date: Back(low pr p
Backwater valalveve _
Basins/lavatory _
Name: V AR AD TOSt-t 1 Clothes washer
Address: Dishwasher -
Drin}ing fourtain(s)
City: T SG A RO State:69 ZIP: 11-2 2.-3
C(,c - E'ect yrs/sump
Phone: -
J)S24-S}t Fax: E-mail: Fx rAnsion tank
Fixture/sewer cap
Name(print): SAME 14. A tri[ Floor drains/floor sinks/hub
Mailing address: ----- -- Garbage disposal
ti: ^bibb
City: ____1
State: ZIP_ Ice maker
IL Phone: Fax: I E-mail: Intercetor/grease trap
Ir Owner installation/residential maintenance only: The actual installation Primer(s) _
� will he made by me or the maintenance and repair made by my regular Roof drain(commercial)
U) employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s)
Owner's signature: Date: SommeED _
'a Tubs/shower/shower an
Urinal
(j Name: Water closet
W Address: - - _--
a ______._ ___ Water heater
City: State: _A ZIP: Other:
Phone: Fax: _ E-mail: Total
Not all Jurisdictions accept credit cards,please call Jurisdiction for more Information. Minimum fee................$
Notice:This permit application
L)visa U MasterCard Plan review(at _ 91.) $expires if a permit is not obtained
Credit card number:_ _ —1—L- within 180 days after it has been State surcharge(8%)....$
Expirer TOTAL .......$
'ame M cardltol u ahmvn m credit card accepted as tx)mplete. ................
S
Cardlalder altnattrre Amami 44"16(66VVM)
PLEAV.C4MPLF-U:
FIXTURES (individual) ay PCeti, Total ----- - - --
Flatun Typa Quantity b h Work PiAormed
Sink .6.60 Mo. Re" onmvedicapped
Lavatory 16.60 Lavatory
--
Tub or Tub/Shower Comb 16.60 Tubof _
Tub a TuWSlwwer Combination
Shower Only 16.60 Show;r Only - -_
Water Closet
Water Closet _ 16.60
Urinal_
Urinal 16.60 Dishwasher -- - -_- -
Dishwasher -- - 16.60 Garbs�e[Nsposal-- -- -
Laundry Room Tray ,
Garbage Disposal 16.60 Washing Machine
LaundryTray 16.6C Floor Drain/Floor Sink 2"_
3'
Washing Machine 1G 60 - -- 4'
Floor Drain/Floor Sir 2' --�� 16.60 Water Heater
3• -- 16.60 Other Fixturer(Spneeify) _
4' 16.60 --
Water Heater O amversion O like kind 16.60 - - --- -
Gas piping re uires s se Grate mechanical ermit.
MFG Home New Water,eryce 46.40 -- 4-" -
MFG Home New San/Storm Sewer 40.40
_ COMMENTS RE OA IN(i ABOVE:
Hose Bibs 16.60
Roof Drains 16.60 -
Drinking Fountain 16-M, +�
other Fixtures(Specify) 21.75 _
Sewer-1 st 100' 55.00
Sewer•eaU,additional 100' 46.40
Water Service-1st 100' 55.6
02
Water Service-each additional 200' _ 4 0
Storm 6 RaM Drain-1st 100' X5.00
Storm 6 Rain Drain-each additional 100' 46.40
Commercial Back Flow Prevention Device 46.40
Residential Backflow Prevention Device' 27.55
Catrh Basin 16.60
Insp.of Existing Plumbing or Specially Request 72.50
Ins lionsrlhr
Rain Df sin,single family dwelling I 65.25
Grease Traps 16.60
QUANT,AY TOTAL
Isometric or riser diagram is required If Ou Ry Total Is >9 '.
'SUBTOTAL F' 1
d - 8%SURCHARGE 't1,
~ "'PLAN REVIEW 26%OF SUBTOTAL
Required only If fixture qty.Idol Is>9 Y.>:
TOTAL :
J -
m •MinimPff par'mIt too is 372.50+a% except Reskfenttal Bacldbw,Preventbn
0 DevfEe,which is$36.25+e%wmha%e.,
W --AH'14&w Commarclal Buildings r9rprie plans with Isometric or riser diagram and plan review.
r<
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-41'ro' Besinessslne: 638-4171
• ; " BMP _
__—Date Requested ��) AM PM BLD _
Location 137 /Var-Ad/;,.) D✓' Suite MEC
Contact Person — Ph Y 3-7 a 7 PLM O —G ✓J7 Z
Contractor Ph SWR
BUILDING Y Tenant/Owner ELC _
Retaining Wall ELR
Footing ACce3s: / - -
Foundation :� FPS
Fig Drain 8GN
Crawl Drain Inspection Notes:
Slab 31T
Post&Beam
Ext Sheath/Shear
Int SheathlShear
Framing ----_-- —--
Insulation
Drywall Nallsng —
Firewall
Fire Sdrinkler
Fire I,larm
Susp'C Ceiling
Roof
Misc: --
Final
P ART FAIL ---
PLUM !'
Bea —
Under Slab
Top Out
Water S"ic
Sanitary Sewer
IRain Drains
Fi - - --i - —
AS PART FAIL
ANICAL
Post& Beam - -- --- -
Rough In
Gas Line ---- - -
Smoke Dampers
Final --
PASS PART FAIL
ELECTRICALQ. Service
Rough In --� /� �---- �-
t~/1' UG/Slab V
Low Voltage -- --
J Fire Alarm _
Final
PASS PART FAIL _ -
u�i SITE --`--
"t Backfill/Grading
Sanitary Sewer
Storm Drain [ ]RelnFpectioa fee of$—.__-_ requiuM before next inspectsnn Pay at City Nall, 13125 SW Hall Blvd
Catch Basin i
Please call for reinspection RE: 1 Unable to Ins
Fire Supply Line [ ) P _ _.— l pact-no ass
ADA }� �•�
Approach/Sidewalk Inspector Ext
Other Date Ifij(J Intip
---�-----r--- -
Final
PASS PART FAIL DO NOT REMOVE this Inspoctlont rocetd from Vie Job alto.
CITY OF TIGARD
DEVELOPMENT SERVICES
131:5 SMV Holt Blvd.,TWA OR 97223 (50.9)6*I1T1
CERTIFICATE OF
OCCUPANCY
PERMIT IF. . . . . . . t MST96-0536
DATE ISSUEDt 04/09/97
PARCEL: 25104BA--14100
SITE ADDRESS. . . : 13730 SW NORTHVIEW DP
SUBDIVISION. . . . t CASTLE H 11.L NO. 3 ZON I NG t R--l 2 PD
BLOCK. . . . . . . . . . t LOT. . . . . . . . . . . . . t171 JURISDICTIONt
CLA55 OF WORK. tNEW
TYPE OF USE. . . t 5F
TYPE OF CONSTRt5N
OCCUPANCY GRP. sR3
OCCUPANCY LOADt2
ltemar N s t PATH 1
Own er t --
DON MORISSETTE HOMES
5000 5W MEADOWS RD
1-ARE OSWEGO OP 97035
Phone. Nt 6EO--7538
COntractor-t
nJN MORISSETTE HOMES
5000 SW MEADOWS RD
SUITE 151
LAKE OSWEGO OR 97035
Phone Mt 680--7536
Req *. . t .39533
This Certificate grants occupancy of the above referenced building or portion
thereof and confirms that the building has been inspected for r.omplianr_e with
the State of Oregon Specialty Codes for the group, occupancy, and uga under
which the referenced pe)-mit was issued. t
a
/ I1
W BUILDING INSPECTOR _DING OFFICIAL
L
m POST IN CON17;P T(M)l 1c: F l.F10E:
I,7
W
J
Page No. 11 CASE HISTORY FOR CASE NO.: 1111196-0536
DON MORISSETTE HODS
13730 SW NORTHVIEW DR
07/22/97
Action Description Req/ Schd/ End/ Action Was Diap By Update Upd
code Sent Done Done Date By
------- --------------------- -------- ------------------------------- .... ... ........ ...
MSTADOS Application received / / ! / 11/20/96 PASS JDA 11/22/96 JD
MSTA008 Permit Created / / / ! 11/22/96 PASS JSD 11/22/96 JO
MSTA010 Check for prcl. restrict. / / / / 11/22/96 PASS JSD 11/22/96 JD
NSTA012 Plans routed to Plans Examiner / / / / 11/22/96 PASS JSD 11/22/96 JD
PSTA026 Plans approved by Plans Exmr / / / / 11/25/% PASS RT 11/25/96 BT2
NSTA030 Reviewed plans routed to DOTS / / / / 11/25/96 PASS RT 11/2S/% 272
MSTA000 (f) Ready to issue / / / / 12/02/96 Need Plumber's board license. PASS JID 12/02/96 PHN
NSTA092 (F) Issue cambinution perMit / / / / 12/10/96 PASS 0 12/10/06 BON
NSTA095 issue plumbing signature form / / / / 12/30/96 RECD JT 12/30/96 JT
MSTA097 Issue electric Ognsture form / / / / 01/06/97 RECD JT 01/06/97 JT
MSTAMS Footing Insp / / / / 12/12/96 USA 12-11 PASS RS 12/12/96 *a
MSTA706 Foundation Insp / / / / 12/12/96 PASS RN 12/12/96 ke
MSTA710 Post/Boom Structural / / / / 12/31/96 APP GS 12/31/96 GES
MSTA711 Post/Seem Mechanical / / / / 12/31/96 APP 05 12/31/96 GES
MSTA717 PLM/Underfloor / / / / 12/31/96 APP GS 12/31/% GES
NSTA720 Mechanical insp / / / / 02/10/97 see frame DIS GS 02/10/97 GES
MSTrt720 Mechanical Insp / / / / 02/12097 pending- tool ratum air thru hole PASS RB 02/12/97 RB
penetration; removs exhaust vent not to
be used;
MSTA722 Plumb Top Out / / / / 02/13/97 APP C5 0211319T GER
MSTA723 Electrical Service / / / / 02/10/97 APP GS 02/10/97 GES
NSTA724 Electrical Rough in / / / / 02/10/97 fan boxes in fm rm and mstr bdtw APP GS 02/lb!97 GES
PSTA725 Framing Insp 0% 0 / / 02/10/97 fireblk par cell at ext well; connect Dig GS J2/10/97 GCS
fan vents; reinforce bottom of stair
jacks; commpl frame of firepl unit; teal
Joists of return ai plenum backing f-r
Q. tubs edges; reinforce bottom edges of (r
aand frt bdrm rafters; ventilate lr and
frr bdrm rafter aWas;
NSTA725 Framing Insp / / / / 02/12/97 no pltsbing top outl moth issues; PEND RB 04/04/97 RB
NSTA726 Shear Wall insp / / / / 01/21/97 pending- tighten hd's at garage wings; PASS RB 01/21/97 RB
complete nailing of otrops rt sick of
tfvfngroom wing
NSTA735 Gas Line insp / / / / 02/1f,;g7 APP GS 04/04/97 RB
IISTA710 Insulation Insp / / / / 02/12/97 meth issues; framing issue; fireatop PEND RB 04/04/97 RB
thru penetrations; provide a vapor
barrier where missed; U value > .:o
(.50) window units in upstairs badre.
e Page No. 2 CASE HISTORY FOR CASE YO.: NIT96-0536
DOH MORISSETTE HOMES
13750 SW NORTMVIEW DR
07/22/97
Action Description R"/ Sebd/ End/ Action Notes Disp 1y Update Upd
Code Sent Done Done Date By
------- -----------------------------.. ........ ........ ........ ....................................... ---- ... ........ ---
NSTA745 Gyp Board Inap / / / / 02/25/97 APP KS 02/25/97 KU
NSTA755 Rain drain Insp / / / / 12/16/96 PASS NS 12/17/% MRS
NOTA760 Water Line Insp / / / / 12/16/96 PASS NS IV17/% NRS
NSTA765 Appr/Sdrlk Insp / / / / 02/28/97 OK. PASS PI 03/04/97 KAS
NSTA790 Electrical Final / / / / 04/03/97 APP OS 05/28/97 J•N
MSTAM Mechanical Final / / / / 04/04/97 PASS R1 04/07/97 RS
PSTA795 Mechanical Final / / / / 04/08/97 PASS R1 04/08/97 RS
NSTA797 Plumb Final / / / / 04/03/97 ^ASS MS Or.144/97 MRS
NSTA799 Building Finst / / / / 04/04/97 VERIFY u-RATIMO FOR WINDOWS Al L.R. -: FAIL 111 0./07/97 RS
UPSTAIRS 1EDRM;
VENT WELL AT MAIN ENTRY;
COVER RAIN DRAIN AT MAIN ENTRY;
FINAL ORA11E/9LOPE- OWN BIDE;
LAP VAPOR BARRIER IN CRAWL.
NSTA799 Building Final / / / / 04/08/97 PASS 111 04/08/97 R1
MBTA960 (F) Issue Cert. of Occupancy / / / / 04/08/97 exiled 7-22-97 07/22/97 SW
MSTA970 Case Finaled / / / / 04/08/97 PASS 11 04/08/97 RA
NST1708 Erosion Control / / / / 04/04/97 PASS USA 04/07/974
W�
J
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 9722:3
IMPORTANT PERMIT NOTICE
A & R PLUMBING INC
2967 SE MAPLE ST
HILLSBORO OR 97123
Plumbing Signature Form
Permit # . . . . : MST96-0536
Date Issued. : 12/10/96
Parcel . . . . . . . 2S104BA-14100
Site Address : 13730 SW NORTHVIEW DR
Subdivision. : CASTLE HILL NO.3
Block. . . . . . . . Lot : 171
Zoning. . . . . . . R-12 PD
Remarks :
PATH I
Your company has been indicated as the plumbing contractor for the permit indicated above. In order
for the plumbing permit to be valid, please have the appropriate individual from your company sign
below and return this Plumbing Signatum Form prior to the start of work. No plumbing inspections
will be authorized until this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER: PLUMBING CONTRACTOR:
DON MORISSETTr HOMES A & R PLUMBING INC
5000 SW MEADOWS RD 2967 SE MAPLE ST
LAKE OSWEGO OR 97035 HILLSBORO OR 97123
i Phone # : 620-7538 Phone # :
i
Reg # . . : 042286
X.
Signature of Authcrized Plumber
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639-4171, ext. #310
CITY OF TIGARD
13125 S.W. FIALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
CITY ELECTRIC & SUPPLY CO
8070 SW NIN *:S
BEAVERTON OR 97008
Electrical Signature Farm
Permit # . . . . : NST96-0536
Date Issued. : 12/10/96
Parcel . . . . . . : 2S104BA-14100
Site Address : 13730 SW NORTHVIEW DR
Subdivision. : CASTLE HILL NO.3
Block. . . . . . . . Lot : 171
Zoning. . . . . . . R-12 PD
Nomarks:
PkTA I
Your company has been indicated as the electrical contractor for the permit indicated above. In
order for the electrical permit to be valid, the signature of the supervising electrician
is required.
Please have the appropriate individual from your company sign below and return this Electrical
Signature Form prior to the start of work. No electrical inspections will be authorized until
this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER : ELECTRICAL CONTRACTOR:
DON MORISSETTE HOMFS CITY ELECTRIC & SUPPLY CO
5000 SW MEADOWS RD 8070 .'W NIMBUS
O.
a LAKE OSWEGO OR 97035 BEAVERTON OR 97008
Phone # : 620-7538 Phone # :
Reg # . . : 42422
x
Signature o upervisi ng Electrician
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639-X41-11, ext. #310
CITY QF TIGARD
DEVELOPMENT SERVICES MASTER PERMIT
. . . . . z M:,T96-0536
1125 SW Ha11 Blni,T1�ri,OR H)7723 (503)439,1171 PERMIT #. , ,DATE ISSUED: 1 2/10/96
PARCEL.x 2S 104BA-14100
SITE ADDRESS. . . : 13 730 SW NORTHV I EW DR ,. *ir:*n•w►!rv»r:Np n+.y..
SUBDIVISION. . . . : CAS TI.-E HILI_. NO. 3 ZONING: R-12 PD
BI-OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .. 171
Remarks: PATH I
BUILDING --_-----__ _ ----
REISSUE: STORIES.......: 2 FLOOR AREAS-------- BASEMENT...: 0 if REQUIRED SETBACKS--- IIEAUIRED---
CLASS OF WOW.-NEW HEIGHT........: 23 FIRST....: 1340 if GARAGE.....: 417 if LETT..........: 5 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 1020 if FRONT.......... 28 PARKING SPACES: 1
TYPE OF CONST,:5N DWELLING UNITS: 1 FINESTENT: 0 if RIGHT.........: 5
OCCUPANCY GRP.:R3 BON: 4 BATH: 3 TOTAL---: 2360 s VALUE-1- 165257 REAR..........: 24
-- --- -- PLl1BINF ----. --
SINKS.........: 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LP/.1lDRY TRAYS.: 0 RAIN DRAIN ft: II TRAPS.........:
LAVATORIES....: 4 D!SHWASHERS...a 1 FLOOR DRAINS..: I raff LINE ft: I SF RAIN DRAINSt I CATCH BAGINS..:
TUB/SHOWERS...: 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE_ ft: 10 BCKFLW PREVNTR: i GREABE TRAPS..: 0
OTHER FIXTURES: I
-- -- ------------------- -------------------------- MCCHAMICAL --------------
FUEL TYPES FURN ( 10111 ..: I BOIL/CNP :'MHP: I VENT FANS.....s 4 CLOTHES DRYERS: I
/GAS/ / / FURN )=100K ..: 1 UNIT RATERS..: I HOODS.........: 1 OTHER U11S...: 1
MAX INP.: 0 BTU FLOOR FURNACES: I VENTS..........- I WUODSTOVEIL...s I BIS OUTLETS...: t
------------------------------------------------- --- ELECTRICAL --
--RESIDENTIAL UNIT— ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANC11 CIRCUITS-- ---AISCELLA1EOUS--- -ADD'L INWECTIONG--
IF* 5F OR LESS: I 0 - 200 amp..: 0 0 - 210 amp..: 9 W/SVC OR FDR.,: 0 PUP/IRRIGATION: I PER INSPECTION: 0
EA ADD'L 50 SF.: 4 201 - 400 amp..: 0 201 - 400 amp..: I 1st WiO SVC/FDR: I SIGN/C'JT LIN LT: 0 PER HOW......1 0
LIMITED ENERGY.: 8 401 - 600 asp..: 0 401 - 600 a.mp..: I EA ADDL BR LIR: 0 SIW/PANEL....- I IN PLANT......: I
MANE HM;5VCiFDR: 8 601 - 1001 amp.: 0 601+a9ps-1001 v: I MINOR LABEL -11s I s
111/+ amp/volt.: P -------- -------------------- PLAN REVIEW SECTION — - .. 1. ------
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)-225 A.: > 60 V NOMINAL: CLS AREA/SRC OCC:
------------------- _-__-_- -------- ELECTRICAL - RESTRICTED ENERGY ---- — --__-_—_—
A. SF RESIDENTIAL B. COMMERCIAL - --_ _-__r_ --. ---------
AUDIO & STEREO.: VACUUM SYSTEM..: PUDIO t STEREO.: FIRE ALARM....... INTERCOM/PAGING: MOOR LN)SC LT:
BURGLAR ALARM..: OTH: :: X BOILER.,........ HVAC............- LANIR PE/IRRIG: PFMTIVE SIGNL:
GARAGE OPENER..: CLOCK........... INSTRUMENTATION- MEDICAL......,.: OTHR: ::
HVAC...........: DATA/TELE CONN.: ,�,...,,, ..�rryN,+ ri*„ NURSE CALLS....: TOTAL 1 SYSTENSs I
Owner: ------------------- ------- ---Contractor; --------------- -- ------ 1u?Al FEES.-! 4607.93
DON NIRISSETTE HONES DON MDRISSETT4: HOMES
5001 SW MEADOWS RD 500 SW MEADOWS RD
SUITE 151
LAKE MOO OR 97035 LAKE 05WE90 OR 97135
Phone 1: 620-7539 Phone 1: 620 7538
Reg C.: 35533
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of lt^e. Specialty Codes and all other
fa
0 applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 181
W days of issuance, or if Murk is suspended for @ore than 18HI days.
-a -----...-------------------- -----__ - ------ ------ REQUIRED INSPECTIONG - ------
Footing Insp PILI/Underfloor Framing Insp Gas Fireplace Water Service In Building Final
Foundation Insp Mechanical Insp Siear Wall Insp Insulation Insp Appy/4s'&elk Insp Erosion Control
Past/Beam Struct Plumb Top Out Low Voltage 040:, Gyp Board Insp Electrical Final _
Post/Beam Meehan Electrical Servi Fireplace Insp Rain drain Insp Mechanical Final _
Crawl Drain Electrical Rough Gas Line Insp Water Line Insp P1 Final
Permittee signature: Issued By: -
Call far inspection - 639--4175
CITY OF T "FWE'R CONNECTION
DEVELOPMENT SERVICES PERMIT
13125 SW HAII Blvd.,llgArd,OR 9M23 (503)b3DA171 PERMIT`'tt. . . . . . . : SWR96-0'541
DATE ISSUED: 12/10/96
SITE ADDRESS. . . : 13730 SW NORTHVIEW DR PARCE'l_i "s11ID4BA-14100
SUBDIVISION. . . . : CASTLE HILL NO. 3 1CI,q:1NC: R-12 PO
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 1.71
----------------------------------------
TENANT NAME. . . . . :DON MORISSE:TTE HOMES
USA NO. r . . . . . . . . : '+ FIX TURK UNITS. . . s 0
CLASS OF WORK. . . :NEWrr , DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF al#, , r�.. NO. OF BU I LD I N88: 1 .64V4-
!NSTALL_ TYPE. . . . :BUSWR IMPERV SURFACE: 0 s►f
Remarks : PATH I "e "
Owner: -------------------------------------------------- FEES -------•---------
DON MORISSET'TE_ HOMES type amount by date rept
5000 SW MEADOWS RD :, tg PRMT # 2200. 00 B 12/10/96 96-287508
LAKE OSWEGO OR 97035
INSP 1 35. 100 B 12 ''0/9696-287508
,
Phone #: 620--7538
Contractor. _._------_—_--_--_----------_—_------
CONTRACTOR NOT ON FILE �.
---------- ----- ----------------------
Phone #: s 2235. 00 TOTAL
Reg #. . .-
- ------
This Applicant agrees to coaply with all the rules and rywlatione REOUIRED INSPECTIONS
So�:wr i.�epection _
of the UnifiW Sewage Agency. The peroit expires 10 dare from
the date issued. The total aoount paid will be forfeited if the —
peroit expires. The Agency does net guarantee Mm anwaey of the - - -
side stwer later.,ls. If the sewer is net located at the wasurompt
given, the installer shall prospect 3 feet in all directions fres _
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Persit and the Agency will install a lateral.
Permittee Si i,at�_irP : _
IL Issued By:
~
Call for inspection — 639-4175
W
J
Plan Check o S�
CITY OF TIGARD Residential Building Permit Application Recd By
13125 SW HALL BLVD. New Construction Additions or Alterations Date Ret
TIGARDr OR 97223 Single Family Detached or Attached Data to P.E. -
1,503) 1639-4171 pate to DST-t/-2S=4t
Print or Type Pormit s s
Incomplete or illegible applications will not be accepted Called
Name of Subdtviewn Lot• Nwe
Job (, ? 1� ?� / Architect M, Address
Address
v l�`� l t cityisaa
I tame _ C? �
Owner Mailing Address
cityi to ?fir a non. Engineer
L_,i". / cME
�s z
Name "1 97 P _ 7
! General Desalbe woo-, new• addition O aKeratlon O repair h
Contractor ailing Address to be done:
fyvN Hs Additional Descriptbn of Work:
itylState hone
O oUn Cons C nt Board Lic, D
Attach Copy of f'!��eCt �J
' Current CD usi Tax or Me K Exp. L
q Valr.ation
`---uc y
Lo
Name NEW CONSTRUCTION ONLY:
Name
Mechanical CCS Sq.Ft. House: Sq.f .Garage:
Sub- Mailing Address v-�5
Contractor I Comer Lot Yes o Fla Lot Yes [Vq
City ist z ph� check one) check one) x
1 II Restricted Audio/stereo Burglar
Greg n Const C nt.Board Lic.M .Date Energy System Alarm
Attach Copy of q 7 Gara
Current CUT usinsaa Tax or Metro* Installation ge Door HVAC
Licenses I ��I I ro Opener Systems
Name (check all that Other: -
Plumbing E PYLA--t6 t4 - a l
Sub- Mailing Address Will the electrical subcontractor wire for all s No
Contractor l restricted energy installations?
city/state Zio - P o.e Has the Subdivision Plat recorded? N/A y9s No
aConst.Cont.Board Lic.1F p. Reissue of MST* Solar Compliance ,J
Attach Copy of l��? -/ - l Calculation Attached)
Current PI—bino Lir d ExD.pa a I hereby acknowledge that I have road this applkmftn,that tho
LicensesI Hyl}, t(!1� 4 " information given is correct,that I am the owner or authorized agent of
COT Business Tax or Metro A Exp.Date the owner,arid that plans submitted are in compliance with Oregon
J �f State laws.
m I Name l! l Xu�
of dA nt �� Date '�
Electrical t 1t-1 � �
W ` Contact Person Name Pho
'-'t I Sub- Mailing Address
Contractor 71,0 IIf'I�jV� FOR OFFICIE U4EPNLY.
ity/S to M Zi Phone P at0 Ma L#:
l- 1 /J
O on C ns C nt.Board Lic.0 Exp Do G r
Attach Copy of �� �D Setba s zone, Solar.
current Fm
al Lic.a Ex Da ��
Licensesa 2'� l(� I sirms Tax or M 0 Engineering Approval: Planning Approval: TIF:
a t -9�7
;blmstapp.doc �'
w
Permit# Account Description Ammt Amt" Pd. @at. Due
�rtyi�ilc-l�`'�(MST. Permit (BUILD)
Plumb. Permit (PLUMB) zz ✓ ZZS.
Mech. Permit (MECH) —A5. u ✓
ELC/ELR Permit (ELPRMT) 250, ✓ 250.
State Tax (TAX) SS.it V/ ITS,90
Bldg: x9.90 ✓
Plumb: i 1,is v
Mech: Z.y� ✓
/ELR:
Plan Check
MST: 367.oB {-se, (BUPPI_N) 0
Plumb: PLMPLN)
Mech:
c I1SC Pc i.►
CDC Review
( )
_ Sewer Connection (SVS. A) zyun, �- Liar,, •:
Sewer Inspection ( INSP) ss,•- U/
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R)
IL Mass Transit TIF (fIF-MT) iLa, �' Ute, ^i
Water Quality (WQUAL) -- - ---- - - ____--
Water Quantity (WQUANT) /00, /a,,
a3
Erosion Control Permit (ERPRMT) 64. v� , tt
Erosion Planck/USA (ERPLAN) 4. rj0.i:_
Erosion Planck/COT (EROSN) 20.M 20.
i'
Fire Life Safety (FLS)
TOTALS:
1:%dstslmstapp.d0c
Rev 7.18