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12390 SW THORNWOOD DRIVE 1 r, v i C 12390 SW THORNWOOD DRIVE arty OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST _ 66 2"o 2_ WSPECTION DIVISION Business Line: (503)639-4171 BLIP RFceivei Date Requested__ _____._1� _ AM _—Pr,4 BLIP _Location Os OC3!�--��I�VVY1 — Suite _ MEC Contact Person Ph( —) S�4 1 'Co�J5 PLM Contractor Da', �Y�-+ri`� _ _._ Ph(—) ___ SWR _. BUILDING ELC Footinq 'C £ G : Fourn+ation ELC _ Ftg Drain Access: ELR Crawl Drain -- Slab Inspection N,)tes: SIT -__ — Post&Beam Shear Anchors —-- —--- ---- — Ext Sheath/Shear Int Sheath/Shear Framing ---- -- --- -- _-- - Insulation Drywall Nailing --- - -- - Firewall Fire Sprinkler — --- Fire Alarm Susp'd Ceiling — - - Roof Other: Final PASS PART FAIL. -- PLUMBING Post& Beam Under Slab ---- ---- - . _ - - - - ----- Rough-In Water Service ---- _ Sanitary Sewer Rain Drains --- -- Catch Basin/Manhole Storm Drain Shower Pan Other: - Final _ T FAIL MECHANICAL- _ Post 6 Beam Rough-In (has Line Smoke Dampers final PASS PART FAIL - - - - -- --- - LECTRIC_AL _ UffiSlab Fire Alarm Final PART FAIL Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE Please call for reinspection RE: _ _ Unable to Inspect-no access Fire Sul,ply Line ADA i-' Approachi8k: :ralk Data _ Inspector 1! Ext Other: Final - 00 NOT REMOVE this Inspection record from the job site. PASS PART FAIL aQ top) c O � c i 0 � a O - a o � � w N' �• �� r0 N o a � 3 (' T S O Q i. x CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 �-rr INSPECTION DIVISION Business Line: (503) 639-4171 Received -_- Date Requested_ B U P 11/~C� M PM - B U P Location14 Suite_-_ .-_ MEG / ------ Contact Person _ Ph PLM Contractor � �1 (? —. Ph(__—) - —- ---- SWR UILDfN--a Tenant/Owner _ ELC — Foo -- — --- .� Foundation Access: ELC Fig Drain Crawl Drain ELA S'ab Inspection N—ote—s7 Sir Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing _ Insulation Drywall Nailing - - Firewall Fire Sprinkler -- Fire Alarm Susp'd Ceiling -- Roof Other: — -- - ART FAIL. P INCi Post ------ _ - Under Slab Rough-In Water Service Sanitary Sewer --- Rain Drains Catch Basin/Manhole Storm Drain — -------.______ Shower Pan - -- ------ - --- ------ __final !_-__---- —__ — --- -----_ $,S- -PA T FAIL — --- -- —.__ ----�� _ N Po 4.13 — — —- --. — — _— ----------- Rough-In Gas Line - --- ------ — — -- SDampers PART FAIL -- — _ Rough-In — UG/Slab Low Voltage Fire Alarm -- — ina PART FAIL Reinspection fee of$.�__ __required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. S ---__ Please call for reinspection RE:. __ Fire Supply Line _— __ Unable to inspect-no access -- ADA J Approach/Sidewalk Date --1-.�.G� llnspec�,or Other: Final - DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILT,ING Inspection Line: (505)099-4175 INSPECTIC,N DIVISION Business Line: (503)639-4171 MST / � _ BUP Received — Date Requested--1`� _ �— AM_ PM BLIP Location . 2 3 272 "nano( .Suite MEC Contact Person — -- Ph Contractor ecLdi2. CTJ2 Ph(_•__) SWR BUILDING Tenan;/Owner _ _ ELC Fooiing — Foundation Access: ELC — -- Ftg Drain ELR Crawl Drain -- Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/,,hear Int Sheath/Shear —-------- Framing Insulation -- ------—— -"--- -- Drywall Nailing Firewall - Fire Sprinkler �— Fire Alarm Susp'd Ceiling ----- �'� -- -- ---— Roof Other: Final — ----�-- -- PAS PART FAIL _ ----- — - — Post&Beam - ------- Under Slab Rough-In -- Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole —— — Storm Drain ------- - �" --- Shower Pan / SS PART FAIL --- -- -- ANICAL --- --- - - Post&Beam - -- Rough-In — — - - ---- -- Gas Line Smoke Dampers Final PASS PART FAIL -- ----- - ---- ELECTRICA'L Service - - ----- ---- --- --- _ Rough-In UG/Slab _ _ _..- Low Voltage -- Fire Alarm — - ^-------- — -- - Final u Reinspection fee of$ —required before next inspection. Pay at City Hell, 13125 SW Hall Blvd. PASS PART FAIL SITE— [� Please call for reinspection RE: --- Unable to Inspect-no access Fire Supply Line ADA p� / Approach/Sidewalk Data V % o -- Inspaator Other: _ _ _ Final - - DO NOT REMOVE this Inspection recond from the Job site. PASS PART FAIL CITYOF T I G A R® MASTER PERMIT PERMIT#: MST2003-00202 DEVELOPMENT SERVICES DATE ISSUED: 6/30/03 13125 SW Flail Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 12390 SVV THORNWOOD DR PARCEL.: 2S110BC-TS033 SUBDIVISION: THORNWOOD ZONING: R-7 BLOCK: LOT: U33 JURISDICTION: 116 REMARKS: Const. new SF detached residence. _ BUILDING REISSUE: 194 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 2'3 FIRST: 1,025 of BASEMENT: of LEFT: 5 SMOKE DETECTORS. Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,095 at GARAGE: 500 It FRONT: 15 PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: 1 rH11D: of RIGHT: 10 ?� OCCUPANCY GRP: R3 BDRM: 5 BATH: 4 TOTAL: 3.320 at VALUE: 3.6460U REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWE,4 LINES: 100 SF RAIN DRAINS: 1 CATCH BASINL. TUBISHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: i WATER LINES: +' BCKFLW PREVNTR: rREASE TRAPS: CTHER FIXTURES MECHANICAL FUEL TYPES FURN<100K: BOIL/CMP<3HP: VENT FANS: 4 CLOTHES DRYER: I GAS FURN�e100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS' 1 MAX INP btu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL.UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WIS VC OR FD R: PUMPIIRRIGATION: PER INSPECTION. EA ADD'L 5003F: 5 201 400 amp: 201 - 400 amp: 1 st WIO S VCIF OR, SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 600 r n: EA ADDL BR CIR: SIGNALIPANEL: IN PLANT: MANU HMISVCIFDR: 001 1000 amp: 90140mpa•1000V: MINOR LABEL: 1000+amplvolt: PLAN REVIEW SECTION Reconnect only: >-4 RES UNITS: SVCIFDR>•225 A.: 000 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL _ B.CGVIMERCIAL AUDIO&STEREO. VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT BURGLAR ALARM: 0TH: BOILER: HVAC: LANDSCAPEIIRRIO: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL a SYSTEMS. Owner: Contractor: TOTAL FEES: $ 6,052.32 This permit Is subject to the regulations contained in the DON MORISSETTE HOMES DON MORISSEiTE HOMES INC Tigard Municipal Code.State of OR Specialty Codes and 4230 GALEWOOD ST 4230 GALEWOOD ST,STE 100 all other applicable laws. All work will be done In STE 100 IAKE OSWEGO,OR 97035 accordance with approved plans This permit will expired LAKE OSWEGO.OR 97035 work is not started within 180 days of issuance,or if the work Is suspended for more then 180 days ATTENTION Oregon law requires you to follow rules adopted by the Phone: 503-387-7538 Phone: Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through 952-001.0080 You Reg M: 387 t7f may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987 REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Water Line Insp Grading Inspection Post/Beam Mechanics Plumb Top Out Exterior Sheathing Insl Gyp Board Insp Water Service Insp Sewer Inspection Underfloor Insulation Electrical Service Low Voltage Rain drain Insp Appr/Sdwlk Insp Footing Insp Crawl Drain/Backwater Electrical Rough In Gas Line Insp Storm drain Insp Electrical Final Foundatlon Insp PLM/Underfloor Framing Insp Gas Fireplace Roof Nailing Mechanical Final Issued By : Z7�l{_. c,��t. c �'i t.�t _______ Fermittne Signature Call (503) 639-4175 by 7:00 p.m for an inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2003-001E6 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/30/03 SITE ADDRESS; 12390 SW THORNWOOD DR PARCEL: 2S110BC-TS033 SUBDIVISION: THORNWO( .) ZONING: R-7 BLOCK: _ _ LOT: iii'— JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE KNITS: CLASS OF WORK NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IrAPERV SURFACE: Remarks: Sewer connection for new SF dwelling. Owner: ----- __ _ DON MORISSETTE HOMES FEES Descripticn — Date Amount 4230 GALEWOOD ST STE 100 1SWLSA]SwrConnect 6/30/03 $2,300.00 LAKF OSWEGO, OR 97035 [SWUSA]Swr Connect 6/30/03 $0.00 Phone: 503-387-7538 1SWINSI1J Swr Inspect 6/30/03 $35.00 Contractor: (SWINSPI Swr Inspect 6/30/03 $0.00 Total $2,335.00 Phone: Reg #: Required Inspections 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 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: ti_._ t_ .� / ; Permittee Signature: Call (503) 639-4175 by 7`00 P.M. for an inspection needed the next buainess day Z, ?: tj r So.e'3 MA✓ S 1►C.7 U(�3 � , Building Permit AppUrm ion � pity of Tigar(�� Date received: '1��•G?�'� Permit no./ - �,� Address: 13125 SW Hall Blvd,Tig �ojecUappl.no.: Expire date: CityofTigard phone: (503) 639-4171 Date issued: _ By Receiptno.: Fax: (503) 598-1960 MAY 1 y 2UO3 Case file no.. Payment type: Land use approval 'A FY OF TIGARD 1'k2 family:Simple Complex: r ❑ 18'2 family dwelling or accessory ❑Commercial/industrial ❑Multi family New construction ❑Demolition U Addition/alteration/repiacement U Tenant improvement ❑Fire sprinkler/alarm U Other. Joh address: (, '��" ) \. "Y n W � I Bldg.no.: Suite no.: Lot: /) Block: Subdivision: l�,t. Tax map/tax Iot/account no.:, /%(,r&' —'j Project name: -7 Description and location of work on premises/special conditions: Name: 't 'tC,� -�Y-�?�yy�� (Floodplalit,septic capacity4 solar,etc.) Mailing address: _ (,ti Q 4- 1 do 2 family dwelling: City: I State4 ZIP: C1, I Valuation of work........................................ $ Phone: Fax: 7 -mail: No.of bedrooms/baths................................. � Owner's rerresentative: i G ✓i ur Total number of floors................................. tNa : F:ix: E-mail: New dwellingareas ft. J ( q. ) .......................... Garage/carport area(sq. ft.) 1^ _ * `� Covered porch area(sq.ft.) ......................... g address �.Y� C Z v D:ck arca tsq, ft) ........................................ City: _ _ State: ZIP: Other structure area(sq.ft.)......................... Phone: Fax Email Commercial/induxtrial/multi-family: Valuation of work........................................ $ = Existing bldg.area(sq. ft.) .......................... Business name - New bldg.area(sq.ft.) Address: L2Mi Z City: State: ZIP: Number of stories ........................................ Phone: Fax: E-mail: Type of construction.................................... CCB no.: �-� Occupancy group(s): Existing: --___-- _ New: Ctty/metro lie.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: Y' t provisions of ORS 701 and may be required to be licensed in the Addre s: ��- _ ,v jurisdiction where work is bang performed. If the applicant is City: _ State: ZIP: exempt from licensing,the following reason applies: Contact person: Plan rn).: -- Phone: Fax: Email: —' Name: Contp:t p,;rson: Fees due upon application ........................... $ Address: Date received: _. City: State: ZIP: _ Amount received ......................................... $ Phone: Fax: E-trail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all junsdicdons accept credit carts,please call jurisdiction far mom infonnation. attached checklist.AlLprovisions of I ws and oinances governing this U Visa U Mastercard work will be coZ;_;_t-1 = whether, cified Here 1 r�tot._ j j Cndh card numlxt=_._._�- :�--�� p Authorized si O .y `y�I� Natne f cardholder a's shown on cmdn cardPint name: 4 t l�l 11�Jr. Canlholder ri6nature s Amount Notice:This permit application expire,if a permit is not obtained within 180 days after it has been accepted as complete. "04611 taRxvcOW One-and'I'wu-Family Dwelling Building Permit Application Checklist Reference no.: _ Ch .r ri ord Associated permits: 8 City of Tigard J Electrical U Plumbing U Mechanical Address: 13125 SW Hall Blvd,Tigard,OR 97223 ,Other: I P!ione: (503) 639-4171 — -' Fax: (-03) 598-1960 TIIE 1 1 I Land use actions completed.See jurisdiction criteria liar concurrent reviews. _ 2 Zoning.flood plain,solar balance points,seismic soils designation,historic district,etc. 3 Verificatlon of approved platllot. 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 rile or with application. _ 9 Erosion eonh•ol U plan J permit required.Include,drainage-way protection,silt fence design and location of catch-basin protection,c _. 10 3 Complete sets of legible plans.M-ist be drawn to scale,showing conformance to applicable local and state building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. _ _ I \ 11 Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if there is more than a 4 it.elevation differential,plan must show contour lines at 241.intervals);location of easements and driveway;footprint of structure(including de..ks);location or wells/septic systems;utility locations;direction indicator,lot area:building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan.Show dimensions.. anchor bolts,any hold-downs and reinforcing pads,connection details,vent size and location. _ 13 Floor plans.Show all dimensions,room identification,window size,location of sm,rke detectors,water heater, furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches abn,.e f.rrde,etc. 14 Cross section(s)and details.Show all framing-mernber sizes and spacing such as floor beams,headers,joists,sub-floor, wall construction,roof construction. More than one cross section may be required to clearly portray construction.Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs, fire lace construction, thermal insulation,etc. _ } 15 Elevation views.Provide elevations for new construction;minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at buildin, rvelope. Full-size sheet addendums showing foundation elevations with cross references arc accept. 16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for non-prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing.Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing locations.Show attic ventilation. _ 18 Basement and retaining walls.Provide cross sections and details showing placement of rebar.For engineered systems,see item 22,"Engineer's calculations." 19 Beam calculations.Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 21 Energy Code compliance.Identify the prescriptive path or provide calculations. A gas-piping schematic is required for four or more a liances. _ 22 Engineer's calculations.Wheir required or provided.(i.e.,shear wall,roof truss)shall be stamped by an engi.teer or `- architect licensed in Oregon and shall be shown to be applicable to the project under review. .11 111111ISDIC1110NAL SPECIFICS 23 Five(5)site plans are required for Item I 1 above. Site plans must be 8-1/2"x 1 I"or 11"x 17". )C ^ 24 Two(2)sets each are required for Items Io, 19,20&22 above. 25 Building plans shall not contain red lines or tape-ons. 26 No rolled,reversed or mirrored building pie will be accepted. 27 28 Checklist must be completed before plan review start date. Mtnc. changes or notes on submitted plans may he in blue or black ink. Red ink is reserved for department use only. 4*3-4614(60MCOM) Mechanical Permit Application Date received: Permit no.: City of Tigard Project/appl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: P.: Receipt no.: Fax. (503) 598-1960 Case file no. Payment type: Land use approval: Building permit no.: OF PER�11T ❑ I &2 family dwelling or accessory ❑Commercial/industrial ❑Multi-family U Tenant improvement XNew construction ❑Addition/altemtion/replacement O Other. =1071 1 Job address: * - Jif`�.( b^� 1 1 Indicate equipment quanuues to boxes below.Indicate the dollar Bldg.no.: _ Suite no.. value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value S Lot: Block: Subdivision: 'See checklist for important application information and Pmject name: jurisdiction's tee schedule for residential permit fee. City/county: ZIP' 111RIA-aw"114 Description and location of work on premises: JAlteration 1 a' r 1 1 Fee(ea.) Total Est.date of compleuon/inspection: Desai tlon Qty. Res-only Res.only Tenant improvement or-hange of use: handling unit CFM Is existing space heated or conditioned?❑Yes ❑Non iuoning site plan requtr )Is existing space insulated?❑Yes Cl No o existing HVAC system Boiler/compressors Business ,tur,:e: C State boiler permit no.: Ac.dress: HP Tons BTU/H Fa'stal e/smoke dampers/duct smoke erectors City: U State• ZIP: eat ump(site an required) Ph,ne: Fax: E-mail: rep I ace fu mac urner CC13 no.: r�t' Including ductwork/vent liner O Yes 0 No - ilnnstalUreplace/relocateheaters -suspene ,City/metro lie. no.: N/A l,ur floor mounted Name(phase print): _ E -�._ nt or appliance o er an urnacerigeration: sorption units BTU/14 Name: - � �s'`��, Chillers HP Address L �� ---"----�" Compressors— III' Cit - Environmentalexhaust an 1rennlarion: Y State: ZIP: Appliance vent Phone: Fax: E-mail ryerexhaust _ [sType res. tC en/ azmat ho(A fire suppression system Name: If1 ) Exhaust fan with single duct(bath fans) Mailing address: Li�,u24LJ Ehaust systema art from heating or AC. City: State LlP ) ue piping and distribution(up to 4 outlets) Phone:` 7" Fay: E-mail: Type.-LPG NO Oil uel j Ing eachadditional over 4 outlets rocessp p ng(schematic required) Name: Number of outlets -----_-- ter listed appliance or equipment: Address- Decorative fireplace Citi State: LIP: 5—senype _ — ` o stove! rhune ��----�F F-mail: peI-Tetstove Other: Applicant's slgnatu' u - Datc: J Ut er. Name(print): Na all jurtsdictlorucc accept credit cards,please call junsLcuon for mom inrxmaUan Permit fee..................... Notice:This permit application ❑Visa U MasterCard expirrs if a permit is not obtained Minimum fee................$ Credit card number _ _ _ —1-1Plan review(at _ %) $ _ Expires within 180 days after it has been State surcharge(8%) ....S None at cardholder u shown on mdst cad accepted as complete. TOTAL .......................S S _ _ Cardholder signature Amount 4104611(WWOM) Plumbing Permit Application_ _.. .._,. Date received: Permit no.: City of Tigard Sewer permit no.: Building perrnit no.. Address: 13125 SW Hall Blvd,Tigard,OR 97223 CityojTigard Phone: (503) 639-4171 Project/appi.no.: Expire date: Fax: (503) 598-1960 Date issued: _ BY Reccipt no.: _ Land use approval: _ Case file no.: Payment type: TYPE OF PERMIT ❑ I &2 family dwelling or accessory 0 Commercial/industrial O Multi-family ❑Tenant improvement ew construction U Addition/alteration/replacement ❑Food service U Other. 1 1 1 Job address: ��fi ) !-, )"\� Y r"\v`✓(`i iJ�� Description Qty. Fee(ea.) Total Bldg.no.: Suite no.: New I-and 2-family dwellings only: (includes 100 R.foreach utility connection) Tai map/tax lot/account no.: SFR(1)bath Lot Block: Subdivision: SFR(2)bath Project name: _ SFR(3)bath City/county: ZIP. Each addiLonal bath/kitchen Description and location of work on premises: Site er,,llltles: Catch basin/area drain Est.date of r�ompletion/inspection: DrywellsAcach line/trench drain Footing drain(no.lin. ft.) Manufactured home utilities Business name 1. Manholes Address: 111( Rain drain connector City: I State ZIP: Sanitary sewer(no.lin. ft.) Phone: . Fax: E-mail: Storm sewer(no.lin,fQ CCB r^.: � '" '-'j�. - Plumb.bus, reg.no: Water service(no.lin.ft.) City/metro tic. no.:N/A Fixture or Item: Absorption valve Contractor's representative signature''` s _ Back flow preventcr Print name: ` IU ' Backwater valve Basins/lavatory Clothes washer Dishwasher Address: G -,e- ia'�) CL��'ve Drinking fountain(s) City: State: ZIP: Ejectors/sump Phone: Fax: E-mail: Expansion tank Fixturelsewer cap Name(prints. , c_ _-r(� -� Moor drains/floor sinks hub -----� , • I, Garbage disposal Mailing address: Hose bihb City: Ice maker Phone: 1nterceptor/grease trap Owner installatioNresidenttal maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property'own as per ORS Chapter 447 Sink(s),basin(s). ays(s) Owner's si nature: Date: Sump Tubs/shower/shower pan lJnnal _ Name: Water closet Address: Water heater _ City: _ State: ZIP: Other: Phone: Fax: _ E•mail: Total No dl lunsdlcorxu accept credit cards,please can iunsdiclron fa fmxe mlomuhonMinimum fee................S Notice:This application ❑Visa O MasterCard expires if a peermitrmit is not obtained plan review(at _ %) $ Credit cud numberwithin 180 days after it has been State surcharge(8%) ....$ Name d crhe u slurwa on credit caro Gxpxe�— Y accepted as complete. TOTAL .......................$ --� aldhnl — — Cardholder signature Amwnt aJtFJ61b(647dCOM1 �_ b.0 DON • MORISSETTE H O H ! tit I N C O R P O R AT ! D 4 ! a0 0AL ! T00D 6T ! ! ! T 11VJ �'! d w�.fr.,3.•"PPOBE • 2^ 1O LA L ! 0a 'r9a0, OSla0N (50a) ae �' -- yeas PAZ (a0a) 3 $ t .. o a 1Q'" MAY 19 1.00: LOT: 33 DATE: 5/7/03 �oPROPERTY: THORNWOOD �I G/► `� •gyp 01 P(40ft T I G AR I CITY: TIGARD r Jam"• 1 11 _�� \UILO�N DIVISV SCALE: 1n=20'' PLAN No.: 194 Approtich OPTION 2 ELEVATION 4 4141 Concrete ry - L , eq 0 0 m M 41 AY El i8 sq. Ft. 3 car gar. ' \ FF E. 410' n \ \ 3,320 sq. ft. 5 bdr n. \ 2 1/2 bath FF.E_ 410.5' 6c , 4661 n �I� '©xi ;:�E GKK n 4C8 \450, \ LEGEND LOT GOVER,46iE .-,;�., -- --- .4 LOT 033 BUILCiNG .4KE" 2.35! 5C c' DO ticRrwERv FERCENTAGE 28% 8,414 sq. Ft. QE-- CAK M 0 a 1 � LL. TRICAL `^ CITY OF TIGARD RESC RICTEDPERMITENERGY RESTRICTED ENERGY PERMIT#: ELRL003 00235 DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/5/03 PARCEL: 25 i 10BC-TS033 SITE ADDRESS: 12300 SW THORNWOOD DR SUBDIVISION: THORNWOOD ZONING: R i BLOCK: LOT: 033 JURISDICTION: TIG Proiect Description: Security. aucliu anti satellite A.RESIDENTIAL B.COMMERCIAL _ AUDIO & STEREO: X AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: X BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: ALL ENCOMP : X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL# OF SYSTEMS: Owner:— — — Contractor: DCN P IORISSETTE HOMES OIJADRANT SYSTEMS 4230 GhLEWOOD ST PO BOX 14833 STE 100 PORI LAND, OR 97'03 LAKE OSWEGO,OR 97035 Phone: 503-397-7539 Phone: 234-5559 Reg #: MW-3 9 7 46111 4 6 6 SUI' 1211J1.1 LI(' 96900 FEES III R�+y1SfTb�tltnspections Description Date Amount Ceiling Cover Wall Cover �IiLI'RM'1 I,L.R I'crmit 8/5/03 $75.00 Elect'I Final ITAX) S"/,,Stutc'hix 8/5/03 $6.00 Total $81.00 This Permit is issued subject to the regulations containted in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be dune a;cordance with approved plans. This permit will expire if work is not staried 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 ��.P/yn/ YAC - __ Permittee Signature r OWNER INSTALLATION ONLY _The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: ------------__- -- DATE: ____ __-- CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ DATE: _ LICENSE NO: ------- — — �Call 639-4175 by 7:00 P.M.for an inspection needed the next business day 08/04/2003 09:119 5032362322 QUADRj4Nr SYST H', PAGE 02 !Electrical Permit Application �1C1�,�r o &l�t�ea, �_- y .inrc/Ay Planning Approval U Sign City of Tigard i)ate/By:_—� Perm t No 13125 SPS Hall Blvd, Plan Review 0 Tigard,Oregon 972.23 Da"X.. Permit No.: _ _ Post-Review Land Use Phone: 503-639-4171 Fax: 503-596.1960 DatdB ; Case No.: Inteluet: www.ci.tigzud.or.us Contact Ju,is See Pagc 2 for 24-how Tnspection Rcqucst-, 501-619-4175 Nsme/Methad Supplemental Inrormatlod.�— _ WN i. . , t ypp� New construction 11)t'rnOlIt1011 Setvicc Hutt ':ZS arttps• Health talc facility eammereiel ❑Hazardous location Addition/alteratimi/r laeenrent _ Other: rl Service over 320 amps-rating of O Build,np over 10,000 square tett, a, + "� 1 h 2 family dwellings four or marc resiftual units in System over Gori volts nominal one I &2-Famil dove lltr , Carrimereial/Industrial rc -- Building over thrre stories ❑Peederrs,era,4400 amps or more Accessory BuiW TI, Multi-Family ❑Occupant load river 99 persona ❑Manufactured structures or RV park Lj Tvlaster Builder Other: M Egress/lighting Plan L�other:__ _ Submit_seta of plans with any of the above. Am – The above are not applicable to temporary construct on Job site address: r a 3 L)0 Sw ilea W-2222. Suite#: Bldg./Apt•#: _ Number of Ina ectioae pcir penrilt allowed Pro'ect Nanle: nr,rsaon y Qb Fee(re.) rata) New reilential-iloglt or mulll tamely per + L + ctiDirections to job site: dwelling unit.Includes attached;arage. M7IS 4 U/g- a 44.<Cuj Servicalncluded: 10!20�or less 14515 4 Each additional 500 sq.A.or tlottion thereof 33.40 `--- – t.IrtuM4M residential 750 2 Subdivision: a ----- Lot M Limited Inenrrgy;non residential 75,00 _ 2 Tax Map/parcel#: Fach msnuActined Meme or modular dwelling il' r � iFyq service andtor feeder 90.90 lfiirtelE,`3a SrrvfreY or betters-Installatiou, alteration at telucatlnn: 100 amps or le3s90.30 2 201 amps to 400 amps 06 85 1 A01 amt's to 600 ems 160,60 2 601 ammo 1000 ampe 240.00 Over I MO mint"or vo to -- .65 2 Name: S S aid r Reeonneq ori 2 Address: Temporary sen Ices or feeders-Installation, alteration,or relocation: city/state/zip: _ 1(111 etnpr m lest - 661!5 I 101 amp+l0 40(1 amps________ too. 0 2 Vhnne:5�3 - �,l Fax: aoi to-6o0amps -__-__._ 1 2 Branch circuit%. new,alteration,or Name: _ N rctrnainn per panel: — -------- - — A Fee for branch circuits with ptuche-of service of feeder fee each branch ehcult 6.65 2 Llt /StatB/Z1 _ y B.Fee for branch circuits without purehale of —p_- service or fearer fee,chat branch circuit 46.65 2 I'11011C: Fax: _ Par:h additional branch circuit 6.65 1 2 F snail: Misc(Service or feeder not included) F.ach ptmt or irri ion elrole _ 5340 2 Fisch 8F or CO.iff li Nng ?- Job No: Sinal citcuit(e)nr a limited entry ponrl, -- a!tM-11-0_nLor.extM$ion — --- — -- Pare 2 Business Narne: Description;; Address: --- Each additional InspMicrover the allowable In an of the aboves City/State/Zip: --- _ .__ _ Pet ingwynon perhour m nit hourZ_ 6 Phone' Fax: Invea nation lee. — -- CCB Lic.#: _ Lic. Supervising electrician 71 /� - _ _ _ Subtotal 5 ai afore re ukcd: ( c•Ul _ — -Pian Review 25°/a n Permit me) S _ Print Nacre; Lic.#: (1.[i__ _ State Surcharge�B'/a of Per Fee) I $ TOTAL PERMIT rTE I S Authorizcd Notlett This permlt application etplrri if a permit Is not obtained within SignatuteDr%tyt Iso days after it has been avrepted as complete. !Vrr methodoloLl art l.v rrl-County Building,Induitty Srrvlrr Board. (Please print name) i:\Dab\Pomm t Fmw\ElcPemiItApp.doc 01/03 t Electrical Permit Application Planning Appro,,..i Sign City of Tigard Datctily__ Permit No- _ 13125 SW Hall Blvd. Plan Reviev Other Tigard,Oregon 97223 Date/ft: Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Datc/Post -,w Land Use ate/B. . _ cane No.: _ Internet: www.ci.tigard.onus Contact Julie.: See Page 2 for 24-hour inspection Request: 503-639-4175 Nume/Method: Supplemental Inliumation. C'Y _ TYPE OF WORK PLAN REVIEW Please thee:,all that appy Demolition Service over 225 amps- Health-cart facility �Edw construction ___— -- commercial Hazardous location tion/alteration/replacement Other: ❑Service over 320 amps-rating of ❑Building over 10,000 square feet, CATECORY_OF CONSTRUCTION I&2 family dwellings four or more residential units in ❑System over 600 volts nominal one structure I &2-Family dwelling Commercial/Industrial _ U Building over three stories ❑Feeders,400 amps or more Accessory B lain Multi-Family _ ❑Occupant load over 99 persons ❑Manufactured structures or RV park Master Builder Other: ❑F.gress/lighting plan ❑Other: _- Submit_,sets of plans with any of the above. JOB SITE INFORMATION and I OCATiONi The above are nut applicable to temporary construction service. Job site address: _FEE*SCHEDULE Suite M Bid ./A�t.#: _Number of ins ections er ermit allowed nescri lion QtyFee(ea.) Tatat Pro act Name: t�_110i� _ - New residential-single or multi-family per Cross street/Directions to job site: �c1�LMat,N dwelling unit,Includes attached garage. Service Included: 1000 sq ft.or less 145.15 4 Each additional 500 sq.ft.or portion thereof 33.40 1 —� Limited energy,residential 75.00 2 Subdivision::-K/N Q� l-Ot#: �3 ._ Limited ener non residential 75.00 2 Tax ma / arcei #: Each manufactured home or modular dwelling 2 service and/or feeder 90.90 DESCRIPTION OF WORK Services or feeders-Installation, alteration or relocation: --- - ----- 2W amps or less --- 80.30 2 - 201 amps w 400 amps — _ _ 106.85 2 401 amps to 600 ams 160• 60 2 601 em s to 1000 ams _ 240.60 2 PROPERTY OWNER TENANT Over IPJO amps or volts _ _ — 454.65 2 Name flYl S S Reconnect only - - 66.85 2 Address: d ALf j,�f� —_, Temporary services at feeders-installation. alteration,or relocation: 66.85 1 Cit /State/Zip: _ 200 amps or less 201 amps to 400 amps I W.30 2 Phone: 3 jt`7- � _ 'r"ax: 38 7 ?Li 5� 401 to 60x1—amps 133.75 2 APPLICANT CONTACT PERSON Branch circuits-new,alteration,or Name: — _ extension per panel: ------- A.Fee for branch circuits with purchase of 6.65 2 Address: service or feeder fee each branch circuit --- -- - - - B.Fee far branch circuits wit City/State/Zip: hout purchase of _ __ __,_- --_ service or feeder fee,first branch circuit 46.85 2 Phone: _ Fax:_____ ___ Bach additional branch circuit 6.65 2 1 _ Misc.(Service or feeder not included): Eachum or irri ation circle 33.40 2 E-mail: CONTRACTOR Each sign or outline lighting 53.40 2 ,lob NO: - Signal circuits)or a limited energy panel, 2 alteration or extension Pa °2 Business Name: _ Description: Address: P. ----- F,ach additional inspection over the allowable In an of the above: Cit /State/Zi 4 A �� Per inspection per hour(min. I hour) - -62.50 Phone: Imesti ation fee tether: --- --- CCB Lic.#: Li � Electrical Permit Fees* Supervising electrician Subtotal $ ature required: si�tt — Plan Review 25%of Permit Fee) S Print Name: ic. State 5urchar c 8%of Permit Fee S TOTAL PERMIT FEE S Authorized Notice: This permit application expires if a permit Is not obtained within Date: 180 days after it has been accepted as complete. Signature: _ _ - *Fee methodology set by Tri-County Building Industry Service Board. i:\Dsts\I'errnitForms\ElcPempitApp.doc 01/03 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT 1'EES: RESIDENTIAL WORK ONLY: Fee for all systems................ .......................................... $75.00 Check Type of Work Involved: F] Audio and Stereo Systems* llurglar Alai-in Garage Door Opener* Heating,Ventilation and Air Conditioning System* Vacuum Systems* other COMMERCIAL WORK ONLY: _ Feefor each system........................................................ $75.00 (SIT OAlt 918-260-260) Check Type of Work Involved: Audio and Stereo Systems Moiler Controls Clock Systems Data Telecommunication Installation Firc Alarm Installation HVAC Instrumentation Intercom and Paging Systems Landscape Irrigation Control* Medical Nurse Calls DOutdoor Landscape Lighting* LJ Prob:etrve Signaling Other ----—--- Number of Systems * ,No licenses are required. I.icensel. at c required Inn all other installations i\Dsts\Permit Forms\F..IcPermitAppPg2 doc 01103 CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003-00405 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/6/03 SITE ADDRESS: 12390 SW THORNWOOD DR PARCEL: 2S110BC-TS033 SUBDIVISION: THORNWOOD ZONING: R.-7 BLOCK: LOT: 033 JURISDICTION: TIG CLASS OF WORK: ALT CARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: _ _FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Install backflow preventer J FEES Owner: -- �� Description Date Amount DON MORISSETTE HOMES 4230 GALEWOOD ST I I'IJ '%tltI Pel 11111 l rr 816103 $36.25 STE 100 �1:�\ 4 tit,�ir 1,�� 8/5/03 $290 LAKE OSWEGO, OR 97035 Tot": $39.15 Phone : 503-397-7519 Contractor: LANDSCAPE OREGON, INC. 12200 SW MYSLONY RD. TUALATIN, OR 97062 REQUIRED INSPECTIONS RP/Backflow Preventer Phone : 503-692-5945 Reg #: IILM 7904 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 Flans. This permit will expire if work is not 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 r/ fJ� ermitt9ee Si- nature: Issued By: P �L� � _L~LLd Call (5113) by 7:00 P.M. for an inspection needed the next bu m ss day Rug-06- 03 10: 14a dan Pdmonds 50'3-69?-0768 -.. p. 4 PIvniLing Permit Application n�vW �,� • e+umwnx - ---_ _-_--�� UkatrA _ :�L? Ptamrt Planning Appmval Scwa i City of Tigard 11317,55 sat I lall 111v& Plan Review `nom Tigard,Oregon 97123 �� . Permit No.c_ Pest-Review Laird Mr Phone: 503-6394171 Fax: 503-598-1960 ,_.dgy CASC NO„ _ Intcrnct: www.ci_hgard or_u.. Contact -�-- Jscis. Sac 2 for 24-hour Inspection Request- 503 463914175 NarrtrlMethad: Su temmtai[ntormatlon. --_ TYPE OF WORK VW SCMMULZffQr!&Chd Worboadon use checklW L tru ew consction -- _Dernylition✓ _y Deseripdsn Qb• � ('�) Totnt i ..New.1- Vidil p.. _�AdditiocJaltcratolt/rP�alacetncnt Uttiter: aisdodws tom y otm co■aetxieo �_ CATEGORY OF.LIN45- RUCTION SFR- S1)Grath _ 249 20 I &2-Famil d� w- in J Cotnmercial/Industrial SFR q)b,,th --- 350.00 - [ Accessory Building Multi-Famil SFK(3)both -- 399.00 Master Builder_ []Other F �__.._. 45.00 _ JOB SITE RVFORMA'I ION acdLOCATiON Fire- cr-sg-R= °2 Job site address: i,3`0 •S ix, 7h6-rA u-kXi�( Dig Site ut ilt;es Suite#: _T -~ $I ASL#: Catch basin/area drain_ _ _ 16.60 _R!LH lincltratchdrain 16.60 Project Name: '� r1t_�o o�L 3� Food dram► no Imcar R Cross street/Uircx-tions to job site: °� -- -hun----- e ---- 1 _Manu[achuod twine utilities , 110.00 SLL (3-pt It m r o 94o Manholes- -�-_-, 16.60 -- Rain drain connector 16.60 Sanitay.sewcr�iw_Imnr - R�T� pa hT'/ Stomt sewer([to-linear R)Subdivsion water acrvioe no.lineaHJTaxmaP/ accl# !o � F7atnrr lir Willi _ •DESCRIPTION-OFMORK A_ x y 16.60 - _7,-r q 6X,-t7 Mn- - B;&ckflow evcntec ��'it' rLL/,/C' f✓ Sackwalcr valve ---_ 16.60 Qoihcs wasber _ 16.60 -- -- - Diirwashet 16.60 Ihilun__gtouotain -- 16.60 -- OPERTY DWEQN �TENANT." E•ectors/?UUE - 16.60 Name: a>7�Y tri-i ss c t fc� Ayn- q t e_s _ xa M_ rer�c -_ --- 16.60_ -- A.ddless_ x,30 SLU Ltd• � a- Fiututdsewer cap _ 16.60 -Cl /staterLl . L"e- CS.4&4 -< 0 0Ag7,a?y Floor drainifloorsinkAtub--- -_ 16.6,0 - �` crape ail__---_--_---- 16.60 Ph ne: F Hose Irtlr_ 16.60 P_PLICANT' - C'ONYACT+'rF.li.9E>!Y Ice naker _.__._�.. 16.60 Name:t-71e,,-) hr"ogx°dre' trap._---- - 16.60 Address: / t'�O[�w M 4 - eOy-1 M�d;nt �tx_s___ .----- P e 2 __..._ rit /staeeJ7.ip. cd[G�fir� 8/� Prmrer --- 16.60 _Y _ Roofgkzin - 16.60 Phone:S2'� le9a-�►9yS Fax:5a3 6911 - 07� Sine/_ *rtnavatory � -�- 16.60 E-mail: �1"ut�tnWCl`/s wwerJ=_!__ __ 16.60 CONTRACTOR ':' : ;-- _ « _. _--_.-__ 16.60 _ Business Name: L o&oi,(S ed p 2�. water cluset _-- -- _. 16.60 Addrm:I.P010O &W ^ 516 Pbwa[�tit ata �-�--- 16.60 t:Jther: Ci /Stale iPy1tegr 017 eJ G,,-, Other. -- -- - -- Phone:563_ Q(�a-_d:!4 Fax:5C43 P1umbingIerm1tF�* CCB Lic.#: rlFO Plumb.Lic.#: subtulal S - Minirrnun Permit Fee$72.50 S Authorized ReMdershal Backflow Mininturn Fent j Signa �Il_ �rLl�i.e�tlDailc- C3 Plan Review XofPermitFee) S -_ State Surge(8%of Permit Fee) $ 70 (Phase prim name) •t OTAL PERMIT FEE I S3 9. ! S : 'I - NoticeMs perrefl:yiphtatioo esq+im i[a permit Is not obtainw ed within AU awcnwmcMal bnildaMs require 2 sets of plans witY hometrk or 190 do"after it his firer a-reptrd err V"mIAerr. rifer d'u"M fir plans reviver. *Fee methodology set by rul-county Building Industry Service PourU.