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13575 SW 122ND AVENUE yd i F i. Y 1 A 13575 SW 122ND AVENUE CITY OF TIGA RD 24-Hour --7 BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP -- Received —__ _� _Date Requested—_ AM---- PM BUP Lccation 3 � 7S 1�• ✓Yt Suite ` d J MEC Contact Person — .� Ph( __) �� PLM Conti actor_ _-_-- — _--— Ph( ) -- SWR _-----_----- BUILDING --� Tenant/Owner -_ _�_—_ __ ELC Footing i ELC -----------_--- Foundatinn Accebs: Fig Ur;-,in FLFI -- Crawl Drain --- Slab Inspection NoteF. SsT Post 8 foam - - - — -- - - Shear Anchors Ext Sheath/Shear Int Sheith/Shear Framing - -- - -------- -- ------ - - Insulation Drywall Nailing --_- Firewall Fina Sprinkler -- - - - - ---- ----- ----- --- -- -- Fire Alarm Susp'd Ceiling Roof Other: Final � �J PASS PART FAIL PLUMBING ---- Post& Beam Under Slab - - Rough- Ie Water !dater Service - ---- Sanitary Sewer Rain Drains - - Catch Basin/Manhole --� Storm Drain Shower Pan Other: - — --_ Final ----------- PASS PART FAIL MECHANICAL —__ _ ---- -------_ - -------------- Post 8 Team Rough-in ---- --- ------ -- -- _--- —-- -- — -- — Gas Line Sr,oke Dampers --_-- F,nal PASS PART FAIL -- ——---... --- —--------- - ELECTRICAL Service— -- — ------___..— --- --_�-- — ----- Rough-In /t�v — ---- --- --- -- UG/Slab Low Voltage AP) -- Fire_ Alarm AS _PARFAIL Reinspection fee of$— required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. T SIE — Please call for reinspection RE:___ Unable to insoect -no access F ire Supply Lino ADA �.� /L Cx Approach/Sidewalk Date_�— Inspector ! Ext - Other: Final DO NOT REMOVE this inspection record from the job alte, PASS PART FAIL 1 fi1711�! CITY OF TIGARD 24-Hour BUILDING Inspection Line: +503)639-4175 MST _ ✓ �� INSPECTION DIVISION Business Line: (503) 639-4171 -- ---- S�_ BLIP Received 3 S Date Requested—_-1Z--L-- AM---_ PM __ _--- - BUP Location $ Z ;- -AW Suite MEC Contact Person -- Ph( __) u 3 PLM -- -----. Contractor Ph (---------) ------_�— SWR --- ---------------- BUILDING TenanUOwner _._ _ _-_ _._ _— ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing — Firewall Fire S.rinkler -- — - --- -- -- --- Fire Alarm Susp'd Ceiling -- -- - - - - Roof C F, Other: Final ---------�_—,_ PASS PART FAIL PLUMBING _ Post& Beam i Under Slab - ------ --- -- Rough-In Water Service ---- --- --- Sanitary Sewer Rein Drains - Cetcfi Basin/Manlole Storm Drain Shower Pan Othor.� � n ASS PART FAIL —CHAWCAL Post$Beam Rough-In Lias Line Smoke Dampers ------- --- ---- -- Final PASS PART FAIL ELECTRICAL Service -- Rough-In _ UO/Slab Low Voltage Fire Alarm Final Reinspection fee of$.. required before noxt Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE �_ — [-] Please call for reinsp9ctlon RE:r�_— [I Unable to inspect-no acces, Fire Supply Line ADA Date _ _ Ins Ext actor- s Approach/Sidewalk P -- -. Other: Final - DO NOT REMOVE this inspeefflon record from the Job site. PASS PART FAIL \ CITY OF 1 IGAR® MASTER PERMIT PERMIT#: MST2003-00177 DEVELOPMENT SERVICES DATE ISSUED: 6/2/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 SITE ADDRESS: 13575 SW 122ND P.VE PARCEL: 2S103CC-106120 SUBDIVISION: \NHISTLEK'S WALK ZONING: R-4.5 BLOCK: LOT: 0., JURISDICTION: TIG REMARKS: New SF detached dwelling. BUILDING _ REISSUE: DM147 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 28 FIRST: 1,650 at BASEMENT: of LEFT: 5 SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 850 of GARAGE: 466 of FRONT: 20 PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: 1 twac of IGHT: 5 00009 46, . OCCUPANCY GRP: R3 BDRM: 3 BATH: s TOTAL: 7.500 at VALUE: 2PEAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN. 100 TRAPS: LAVATORIES: 4 DISE 3HERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUBISHOWERS: 3 GARBAGE DISP: I WATER HEATERS: I WATER.LINES. 100 BChFLW PREVNI R: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<10OK: BOILICMP<31 W. VENT FANS: 4 CLOTHES DRYER: 1 GAS FURN>,100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS I WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFE.EDERS BRANCH CIRCUITS _CELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 -200 amp: o - 200 amp: WISVC OR FDR: r'IRRIGATION: PER INSPLCTION: EA ADD'L 300SF: 4 201 - 400 rnp: 201 - 400 amp: 1 at W/O RVCIF DR'. SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 $00 amp: 401 - 800 amp: EAADDL OR CIR: SIGNALIFANEL: IN PLANT: MANU HMISVCIFDR: 601 1000 Dnp: 601"amps-1000v: MINOR LABEL: 1000♦amplvolt PLAN REVIEW SCCTION Reconnect only a.4 RES UNITS: SVCIFDR>•225 A.: >600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY A.S°RESIDENTIAL B.COMMERCIAL AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO✓l STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURG..AR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATARELE COMM: NURSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 5,103.86 This permit is subject to the regulations contained In the DON MORISSETTE HOMES DON MORISSETTE HOMES INC Tigard Municipal Code,Stale of OR. Specialty Codes and 4230 GALEWOOD ST.#100 4230 GALEWOOD ST,STE 100 all other applicable laws. All work will be done in LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 accordance with approved plans. This permit will expire If work is not started within 180 days of issuance,or if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Phone: StJ�_T$7_7538 Phone: Oregon Utility Notification Center. Those rules are set ) forth In OAR 952-001-0010 through 952-001-0080. You Rap N: �fl '18737 i may obtain coplen of these rules or direct questions to L OUNC by calling(503)246.1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Mechanica Plumb Top Out Exterior Sheathing Insl Rain drain Insp Electrical Final Sewer Inspection Underfloor insulation Electrical Service Low Voltage Roof Nailing Mechanical Final Foo ng Insp Crawl Draln/Backwater Electrical Rough In Gas Line Insp Water Line Insp Plumb Final Foundation Insp PLM/Underfloor Framing Insp Gas Fireplace Water Service Insp Building Final Pnst/Beam Structural Mechanical Insp Shear Wa!I Insp Insulation Insp Appr/Sdwlk Insp t ,Lied B �a Permittee Signature Call (503) 639-4175 by 7:00 p.rn. for an inspection needed the next business day CITYOF TIGARD _ SEINER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2003-00140 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/2/03 PARCEL: 2S 103CC-10600 SITE ADDRESS; 13575 SW 122ND AVE SUBDIVISION: WHISTLER'S WALK ZONING: R-4.5 BLOCK: LOT: iii JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: L TPSVJR IMPERV SURFACE: Remarks: Sewer connection for new SF detached dwelling. Owner: _ FEES _ CION MORISSETTE HOMES Description Date Amount 4230 GALEWOOD ST. #100 LAKE OSWEGO,OR 97035 [SWUSA]Swr Connect 612/03 $2,300.00 (SWUSA]Swr Connect 6/2/03 $0.00 Phone: 503-387-7538 [SWINSP]Swr Inspect 6/2/03 $35.00 �SWINSP) Swr Inspect 6/2/03 $0.00 Contractor: _ 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 shal! purchase a "Tap and Side Sewer" Perm Issued by: L r dLtl Permittee Signature: Call (503)639-4175 by 7.00 P.M. for an Inspection needed the next business day r 3�-a3 w/'2003 -GO/y� ?IT- Building,-Permit Application s _- Datereceived: y�1. 7li? 7Expiredatc: it no.:,�.2OD -1"' City of Tigard fY,f ii Address: 13125 SW Hall Blvd,Ti OJt�7 Project/appl.no.:Ci a Tr ord — Phone: (S03) 639-4171 ate issued: Receipt no.: Fax: (503) 598-1960 i✓ITY OF TIUAR �I Case file no.: Payment type: Land use approval: BUILDING DIVISI 1&2 frmily:simple Complex: s I �Wml) dwelling or accessory 0 Commercial/indusnial ❑Multi family rVNew construction C]Demolition U Add ition/alteration/replacement 0 Tenant improvement 0 Fire sprinkler/alarm O Other. SITKINFORIVIATION Joli address: D < ' V�t— y _ Bldg.no.: Suite no. Lot: C- Block: Subdivision: r " Tax map/tax lottaccount no.: Project name: Description and location of work on premises/special conditions: Name: Mailing address: 1 & 2 fandly dwelling: City: State Lf ZIP:o ) Valuation of work...................................... $ Phone: Fax: 7 -mail: _ J T No.of bedrooms/baths........................... Owner's representative: -�r j Total number of floors................................. Phone: Fax: E-mNew dwelling wren(sq, ft.) ail: ` .......................... Garage/carport area(sq.ft.)......................... Name: Y I Covered porch area(sq,ft.) ......................... ! . Mailing address: 6-- C ,. Deck area(sq. ft.) ....................................... ---� City: I State:' ZIP: Other structure area(sq. ft.)......................... _ Phone: Fax: I I mad: Coinmereial/lndustrial/multi-family: Valuation of work........................................ $ Existing bldg.area(sq.ft.) .......................... Address: 1,K) Business name:_ -� , "1 New bldg.area(sq.ft.) Z- �. ............................... .----- City: State: ZIP: Numher of stories........................................ Fax; Type.of construction.................................... Phone: E-mail: — — -- (kcupancy group(s): Existing: CCB no.: no.: — New: City/metro lie. Notice-All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Nan• �l 'Y�—� y Z provisions of ORS 701 and may be required to be licensed in the AJdress l jurisdiction where work is being performed.If the applicant is City: _ State: ZII' exempt from licensing,the following reason applies: Contact person: _ Plan no. --- — — -- Phone: Fax. ;:-111:111. — Name: Contact person: _ Fees due upon application ........................... $ Address: Date received: City: State: Jim Amount received ......................................... $ _ Phone: Fax: I E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictlons accept credit cards,please cat Jurisdiction ror mom inrorttWion. attached checklist. rovisions of laws and%dinances governing this owsa 0 Mastercard work will he complW wTtk,whether cified ereAt. �7 Credn card number• Authorized si natu i�li {I!f7lo -- Expires Name of cartholdet u shown on c t card Print name: — s 2{X1. Cardholder siputtue - Amount Notice:This permit application expires if a permit is not obtained within IAO days after it has been accepted as complete. 4404613(WOOCOM) a One-and Two-Family Dwelling Building Permit Application Checklist Reference no.: Ciry offigardCity of Tigard Associated permits:Address: 13125 SW Hall Blvd,Tigard.OR 97223 O Electrical Ll Plumbing ❑Mechanical ❑Other. Phone: (503) 639-4171 Fax: (503) 598-1960 film 4111111KIII 11NOWUPIOLIKI oil 61301U111 I hand use actions completed.See jurisdiction criteria for concurrent reviews. 2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc. w 3 Verification of approved plat/lot. 4 Fire district appr4.al required. - 5 Septic system permit or authorization for remodel.Existing system capacity 6 Sewer permit. 7 Water district approval. 8 Soils report.Must carry original applicable stamp and signature on file or with application. 9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch-basin protection,etc. _ 10 3 Complete gets of legible pians.Must 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 t/ if copyright violations exist. J` 11 She/plot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if there is more than a 4-ft.elevation differential,plan must show contour lines at 2 ft intervals);location of easements and driveway;footprint of structure(including decks);location of 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 smoke detectors,water heater, furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details.Show all fuming-member 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, fireplace construction, thermal insulation,etc. x 15 Elevation views.ProviJe elevations for new construction;minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if Fhe change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for non- rescri live 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 d- ails 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 Iect long and/or any beanVjoist carrying a non-uniform load. 20 Manufactured floor/roof trues design details. 21 Energy Code compliance. Identify the prescriptive path or provide calculations.A gas-piping schematic is required for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,t,....truss)shall be stamped by an engineer or architect licensed in Oregon and shall be shown to he applicable to the project under review. 23 Five(5)site plans are required for Item I I above. Site plans must tie 8 1 1 of I I" x 17- 24 Two(2)sets each are required for Items 16, 19,20&22 above. 25 Building plans shall not contain red lines or tape-ons. 26 No rolled,reversed or mirrored building plans will be accepted. 27 28 — -- --- Checklist must be completed before plan review strut date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only, 4404614(WWOM) i Mechanical Permit Application Date received:V Permit n %J City of 'Fourd tt r Y Project/appl.no,: E.oiredate: City oJTigard Address: 13125 SW all Blj1v Date issued: By: -j_- RecC1Ptno.: Phone: (503) 6394171 Fax: (503) 598-1960 APR y 2003 Case file no.: Payment type: Building permit no.: Land use approval: . 2 family dwelling or accessory U CommerciaUindustrial U Multi-family U Tenant improvement Ul & f y g Y �("construction U Addition/al teration/mplacement — � l t � t 4at )ob address: - ' > Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: I Suite no.: value of all mechanical materials,equipment,labor,overhead, profit.Value$ Tax map/tax IoVaccount no.: -- LAC Block: Subdivision: d ,l(e j *See checklist for important application information and jurisdiction's fee schedule for residential permit fee. Project name: City/county: ZIP: t 1 s t s a Ia1 Description and location of work on premises: _ Fer(ea.) TotGl Descri on Qty. Res.only Res.only Est.date of completion/inspection: C: Tenant improvement or change of use: Air handling unit CFM Is existing space heated or conditioned?O Yes 0 NoAt- �r conauoni� ng(site p an required) _ Is existing space insulated?C1 Yes O No Alteration oexisting HA ,system oiler/compressors State boiler permit no.: Businc-, name HP ['ons BTU/H Addre r: irrJsmo a damper uct smo a detectors City: State- ZIP: zHeat pump(site—' pTrcWuu _ nstal rep ace tnacc i i i itter Phone: Fax: E-mail: Including ductwork/vent liner 0 Yes O No _ CCB no.: -__ nsta Urep acMrc ocate eaters-suspen ed, City/metro lic. no.:N/A wall,or floor mounted Name(please print): �'�� Vent fora tante other an furnace ._[ gent on: Absorption units __ BTU/I1 r--) Chillers------ HP — Name: Compressors _ HP Address: ` onrnenta a wst stn trent at on: City; State: — ZIP. _ Appliance vent phone: Fax: ' E-mail: Ttyerexhaust H6Qs,Type U 111tes. tc a azmat hood fire suppression system -- --- -- Exhaust fan with single duct(bath fans) Name: t(11 - Mailing address: ausi s stent a art om ea ng or ne piping and tt tit on up to outlets City: _ State ZIP ) Tytx: LPG NO Oil Phone: r 7- 'ax: E-mail: tic i in eat a itione over out ets rotemspiping(schematicrequtre ) Number of outlets Narre: Other listR appliance or c ry pmew: Address: Decorativefireplace City: I State: I ZIP' nsett-type_Woodslove/pe I let stove Phone: - - Fax F-mail: - er. A_pp/lranr'.t signaru t AW Date: _ i ter: Name(print) ' Permit fee.....................$ Not wi Jurtadicuotu accep credit cards,please call turf ulktion ra mag Information Notice:Thisrmit application PP ligation Minimum fee................$ _.-- U Visa U MasterCard expires if a permit is not obtained Credit card numbs ---I L— Plan review(al %) pwp1tes within IAO days after it has been State surcharge(8%) ....$ —. tine or o r u wn.n c it car accepted as complete. TOTAL .......................$ —,---- Cardholder aiytNute J Amount 4 GA617(&ko m) Plumbing Permit Application — Date received: City of Tigar4A EC E I V i,E D Sewcr hermit no.: - Building permit no. Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: Expire date: City of Tigard Phone: (503) 639-4171 APR 2003 Fax: (503) 599-1960 Date issued__ By: Receipt no CITY OF TIGARD Case fileno.: Payment type: Land use approval: ftit" —.- 1 ' O 1 &2 family dwelling or accessory O Commercial/industrial Cl Multi-fancily O Tenant improvement ew construction CI Addition/alteration/replacement O Food service. O tither. M qi ^�/ Description Qt • Fee(ea•) Total ` r ' Job address: I ✓ tiU IC9,/ —— New 1-and 2-family dwellings only: Bldg.no.: Suite no.: (includes loo ft.for each anility connection) Tax map/tax lot/account no.: SFR(1)bath _ Lot: Block: Subdivision: ti eti SFR(2)bath —.._ Project name: SER(3)bath City/county: ZIP: Each additional bath/kitchen Description and location of work on premises:_ Site utilities: :::_ Catch b3sin/atea drain -- wells/leach line/ttench drain Esq date of completion/inspection: Footin drain(no.lin. ft.) st Manufactured home utilities _ Business name. ` L Manholes Address: Rain drain connector SiLti sewer(no.lin.-..) State ZIP: Storm sewer(no.lin.ft.) one:: - I E-mail: _ Water service(no.lin.fQ CCB no.: -3 L Plumb.bus. reg. no: - Fixture or item: City/metro lic. no.:NiA Absorption valve Contractor's representative signature Back flow preventer Print name: u Backwater valve Basins/lavat,-ry Clothes washer Dishwasher Drinking foun0r,(s) City State: ZIP: E ectors/sum Ph( Fax: E-mail: Expansion tank FixtureJsev er cap z Floor drains/flt or sinks/hub _ Name(print): htll1 Garbage disposii - -- Mailing address: liose bibb _ — — City: . - State ZIP: Ice maker Phone: - Fax: 7 7(G1 E-mail: Interceptor/ tease np Owner installadon/resWrnd al maintenance only: The actual installation Primer(s) will be made bs me or the maintenance and repair made by my regular Roof drain(commercial) - employee on the property I own as per ORS Chapter 447. Sink(s),baain(s), lays(s) Owner's signature. Date: Sump Tubs/shower/shower an Unnal Name: _ Water closet Address: Water heater Cin �- State: ZIP: Other -- -- - Total Phone: Fax: Email: _ Minimum fee................$ No all lunsdrcuoru accep credit cards.please call/unsacuon fa mw e informauon Notice:This pITTTtit application Plan review(at %) $ ----- Q Visa v MasterCard expires if a permit is not obtained State surcharge(8%) .•••$ C.edit card number — ap1fe1 within 180 days after it has been TOTAL ........ .$ — accepted a,complete. ..........•••� Name of cardholder as shown oe credo card s Cxdhaldu ulrratur Amount ^� Electrical Permit Application — Uatereceived: —_ _ Permit i" -USt�:� -00 1'77 city of 'rigar(IR E+C E I V E D Projecdappl.no.: -- Expire date: City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 972 Date issued: IIy: Receipt no.: Phone: (503) 639-4171 Fax: (503)598-1960 APR y 2003 Case file no.: Payment type: Land use approval- CITY OF TIGARD TYPE OF PERMO ❑ 18c 2 family dwelling or accessory 0 Commercial/utdustrial ❑Multi family U Tenant improvement New construction 0 Addiuon/alteration/replacement ❑Other: _ ❑Paul 11 SITE INFORMATION Job address: r c-� �c3c �' Bldg.no.: Suite no.: Tax map/tax lot/account no.: Lot: c-? Block: Subdivision: - Project name: I Description and location of work on premises: Estimated date of completion/inspection: I Job no: I F« 1141-ax, 1 -- -Drscriplion Qty. (ea) Tonal no.insp Business name: New residen1W-single or mull!family per Address: dwelling urtit.includes attached prage. City: State: 71P: 2. Serviceincluded 1000 sq.ft.or less 4 - Phone: �j 1 Fax: E-mail: Each additional 500 sq.ft or portion thereof CCB no.: 1 Elec.bus.lic.no: Umitedenr•iy,resider ual 2 C Limited energy,non•r sidenual _ 2 — - Each manufactured 1.rme or modular dwelling Service and/or feeder 2 afore of supervisinj rferrrlrlan(required) Date Su elect name( rant) -) License no Servieesorfreders-Installation, P p alteration or relocation: 200 amps or las 2 201 amps to 400 amps 2 Name (print): - 401 amps to 600 amps 2 Mailing address: 11 601 amps to 1000 amps 2 _ City: ♦ State ZIP: Over 1000 unps or vola 2 _ Phone: - Fax: ) -_7 -mail: Reconnect unly 1 Owner insfalladon:The installation is heing made on property I own Temporary services or feeders- which is not intended for sale, lease, rent,or exchange according to In ctallatiun,alteration,or relocation:top amps or las 2 ORS 447,455,479,670.701. F201 amps to 400 amp, _ 2 Owner's signature: Date: 401 to 600 ems 2 Branch circuits n .,alteration, or ",I..on per f rel: Name: _ A. Fee for branch.irruits with purchase of Address: i service or feeder fee,ea.:h branch circuit 2 City: State: 1d P: B Fee for branch circuits without purchase of service or feeder fee,first branch circuit' 2 Phone: Fax: L' mall: Each additional branch circuit: PLAN Ijj:VjI.-,W(Pleasi clieck all that apply) Mbc.(Service or keder not included): Each pump or irrigation circle 2 U Service over 225 amrscommercid U Health-care(auhty 2 U Service over 320 amps-raring of 162 13HazArdaus location Each sign or outline lighting family dwellings U Building over 10,000 square feet four or Signal circult(s)or a limited energy purtel. U systemover 600 volts nominal more residential units in oo a structure altetation,or extension* - - 2 U Building overthree stories U Feelers,400 amps or more •Desert tion. — U Occupant load over 99 persons U Manufactured structures or R`/park Eich additional Inspection over the allowable W any of the above:_ U f:Frr_ss/lightingplan U Other - _--,- Pet inspection Submit—_sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. — Othrr _ -- — Pet�t►it fee.....................$ � Not all lutiadictiont accept credit cards,pieam call Juriwuction fa mme information' Notice:Ibis permit applicati(� Plan it freview(al �) U visa U MasterCard expires if a permit is not obtained Credit card number _ ,—t__L- within 190 days after it has been State surcharge(8%) ...$ lapiret accepted as complete. TOTAL .......................$ --- -—--Name or acv ho der u shown on crtdit c - - --- Cardholder signsWe i s Amount 4404615(60WOM) Y. L) ITER ENGINEERING, INC. Consultu•.g Engineering*Civil*StructUral*Environmental Engineering*Planning 922 N.Killingsworth St.-Suite: 1 A Telephone: (503)381-3749 Portland,OR 97217 Fax:(503)289-7775 USA Email :jaimelim@asianreporter.com Project Name Lot 53, Whistlers Walk Project Address 13575 SW 122nd Avenue Project Location _Tigard, Oregon Project Code DMH 147/2823 RECEIVED 4_J ! \Lr� APR ?- d 1003 oREGPY CITY OF TIGARD ` w BUILDING DIVISION 1 Y\\ EXCLUSION OF LIABILITIES I. DISCLAIMER AND RELEASE 1 L ! 3� " �¢ Buyer hereby waives, releases and renounces all warranties (express or implied),obligations and liabilities of United Engineering, Inc. and all ether rights and claims and all ether remedies against United Engineering, Inc. with respect to any nonconformity, improper installation, workmanship or material. 11. EXCLUSION OF CONSEQUENTIAL AND OTHER DAMAGES United Engineering, Inc. shall have no obligation of liability, whether arising in contract (including warranty),Tort (including active, passive, or imputed negligence) or otherwise, for loss or use, revenue or pr;!fiI, nr for any other incidental or consequential damage. Date: April 10, 2(1(13 United Engineering, Inc. Lot 53,Whistlers Walk.Tigard,Oregon.xls Page l DON • MORISSETTE OBE : 2823 3 S O H i 8 1 N C 0 B P 0 R A T° t D �. 555 4 8 3 0 ti A L 8 W 0 0 B 0 T R S E T DATE: '�/7/ LAKE 09IFIG0. OREGON 97035 03 ,sit(a 0 a) s e ; - 7 5 3 8 FAX (a 0 3) 3 8 7 - 7 a 15 PROPERTY: WHISTLER'S-WALK RECEIVED' CITY: �`� PLAN Na.: 147 APR y 2003 L?TION 1 ELEVATION CITY OF TIGARD BUILDING DIVISION zm'-®• 010 sI •a1tALK � I 315 W 31 I � � � J Lu i a I 0 It I A5I u ■J'' )71' / Q I I I I PI / I A, of CP-CKCK FIr i )- I 1 2 5mm rlq. ft. I I I Ifl I I in 2 V2 both _ L I FF.E_ 3225' �. -,.-1— - SAWS:466 N I . I N a bq- t y m' 2 car gar. FFE. 322' Yb. I ; 32 .^ LIN 1'-6• LEGEND 0 - 1-01" COVERAGE .Z LC• -�RE-. 6 E69 " LOT 453 3uILL'ING _REA. 2,294 SC: "-' (y¢+ eq, ft. , PERCENTAGE I CITY OF TIGA U- SITE, PLAN REVIUV / 7_ BIJILDIN �R- IT0.:I.1ST�oo3 R ,4 . PLANNING I�IVISIUN: roved ❑ Not Approveo, Require.d Setbaeks: ,6p"app tilde: Street tilde'. _ - Rear �� From. enc Visual Clearance' 2-APP [j Not Ai,pr"ve . U lent Maximum 13ui1dir4 Height . CWS Scrvi,;e Provider Letter Required: � Rer:i,e� N, B : EN ANE INC; DEPAK MFv I':pproved ►glut Approved % lt7 A ❑ Actual Slope: Approved ❑ Not Approved Site Plan: Harr: S 6 Notch, PLUMBING PERMIT OF TIGARD DEVELOPMENT SERVICES PERMIT#: PLM2003-002.85 1315 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/20/03 SITE ADDRESS: 13575 SW 122ND AVE PARCEL: 2S103CC-10600 SUBDIVISION: WHISTLER'S WALK ZONING: R-4.5 _ BLOCK: LOT: 053 JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPF OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: STORIES- WATER HEATERS: CATCH BASINS: FIXTUR-cS LAUNDRY TRAYS: SINK;• SF RAIN DRAINS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: 1ATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Install irrigation backflow preventer. Owner: FEES _ DON MORIS Description Date Amount SETTS HOMES 4230 GALEWOOD ST. #100 11'I.1 I-ire 6/20/03 $36.25 I-AKE OSWEGO, OR 97035 ITAXI 6/'20/03 $2.90 notal $39.15 Phone : sitz 18 -7;i�N, — Contractor: LANDSCAPE OREGON, INC. 12.200 SW MYSLONY RD. TUALATIN, OR 97062 _ REQUIRED INSPECTIONS Phone : 5n3-002-5945 RP/Backflow Preventer Reg#: 11I.ti1 7804 Final Inspection This permit is issued subject to the reg ilations 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 riot started within 180 days of issuance, or if work is suspended for more than 1.'0 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon G' Issued By: `�� /Zc_ ._ Permlttae Signature:_ Call (603)639-4175 by 7:00 P.M for an inspection needed the next business day c 1 18 03 01 : 12p dan edmonds 503-692-0768 4. 2 Pluirr.."Ang Permit Application FR OFFICE USE ONLYOPlumbing Tigard � Permit No I. 'I_ i i City U iI sl l d Planning Approval Sewer y g Date/By: _ Permit No.: 13125 SW Hall Blvd. Han Review Other Tigard,Oregon 97223 DatelBr_ _ Permit No-: Phone: 503-639-4171 Fax: 503-598-1960 Post---view land Use UaIG. Case No.. Internet: www.ci.tigard-onus ConLact Juris.. Page 2 for 24-hour Inspection Request: 503-639-4175 Namr,/Merhod: /1' S,,wicmental Information. _ 'TYPE OF WORK FEE'SCIIE D(JI,E(for special information use checklist)_ C_w construction _ Demolition Description Qty. i eec(ca.) I Total Addition/alteration/rM. lacemet Other: Now i.-&2-family dwellings _ CATEGORY OF CONSTRUCTION .(includes loo R.for each utilityconnection � I &2-Famil dwellin* Commer-ial/IndustrialJ SPR(I)bath _ 249.20 ----- y -- - --. SFR 2 bath 350.00 A�•cesso Buildin _Mu_Iti-Farm; _ �-"_e --_ SFR 3 bath _ 399.00 Master Builder Other: Each additional bath/kitchen 45.00 _ _ .i014 SITE INFORMATION and LOCATION Fire sprinkler-sq.fL - Pae 2 Job site address: /:3S7 S ,S.t-u ia.�"nCC O}L •C, _ Site Utilities - Suite_#: _- $ld�./A t.#/: Cutch basin/area drain _ 1 G6 0. --- Drnvcll/lcachlincftrcnchdrain IG.60 Project Name: I0'IS �� /C, ll^T S Fooling drain no.linear R.) Pa c2 Gross street/Directions to job site: Manufactured home utilities_ 1 1(1.00 LU /,j / _� T 11 1-'C M_anhules 16.60 _ Rain drain connector_ 16.60 - Sanitary sewer(nu.lineartom_ T Page 2 Subdivision: tV h e S*1elr S Wciii;_ L,pt#: S 3 Storm sewer(no.linear U__ -Pug.2 Tax map/parcel#:(a S5; /:S e,- Waters rvi;.c(no.line tr R:) __ P_age 2 V� - DESCRIPTION,OF WORK Fixture or ItemAbs) tion valve 16.60 C(S C r-Let7.tc_. :Err,Gf ea-717 67ir Backflow prcvcnter _- L Page.2 Backwater valve y -- 16.60 Clothes washer _ _ _ 16.60 Dishwasher _ 16.60 _ Drinking fountain _ _ 16.60 OPERTY OWNER -0-TENANT. Ejectors/sump 16.60 Name: j)C)-) 1k e_S Expansion tank _ -- 1660 Address: i!,;Q0 Sw G-'a c:k LUC'nr_Ct 1YlrA_0t Fixturdsewer cap _ 16.60 City/State/Zip: (1.gee 6S4_t r<qp C Aq 7o3,L Fluor drain/flour sink/hub 16.60 _ GatbaNc disposal __ 16.60 Ph nc: Fax: Ilose bib 16.60 PPLICANT No CONTACT PERSON ice maker 16.60 Name:d!!�j/ems X; ee &-tt) Interceptor/grease trap - 16.60 Address: pv S W I1'1 L/S f(JYl li !eQ Medical_gas-value: S _ Page 2 Cit /State/Zi -iT Primer - -16.60 _ P ?7� ��n j r �� Roof drain comrncrcialL 16.60 Phone` 9,- 59 Y'S Fax: 03-4,9. - Cu 7C,.P Sink/basin/lavato 16.60 _ E-mail: Tub/shower/shower pan 16.60 -CONTRACTOR - Urinal �- - 16.60 Business Name: �1dSC� Gj'�&» Water closet 16.60 Address:/,_7L�D 4-Wrlic S/cn i Rh Water heater --- 16.60 thcr: Ci /State/ZiP:-realaYiA- a U Other: Phone503 LOCIa - 5, 7qJ Fax: S013 (o`/;l -07(c Ptmmbing permit Fra. CC;{ ed #: �C-t� Plumb. Lic.#: Minimum Permit Fee$72 0l Authorized fi� _ BthAuthorized Residential Backflow Minimum F G. 3'(„• S Si natu � C/L c[- Plan Review 25%of Permit Fee S State Surcharge 8%of Pennit Fee S -J , O (Please print name) ___TOTAL PERMIT FFR _$_ 9- 1 _-. Nntlrr. This tK:rml•application eapirrs its permit it not nAtaircd within All new commercialp buildlnrequire 2 acts of plans with Isometric or 100 days alter it hu hern accepted as romplete. riser diagram for plan review. •Fer methadelory-I by Tri-County ituilding Industry Service Board. CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST -- INSPECTION DIVISION Business_Line: (503)639-4171 BUP ------ - Received _.__ Date Requested� �1 T— AM -- PM--- B�r-MEC — — Location Suite— _.— Contact Person __ —_ — ----- -- Ph ) — PLM ------ Contractor -- — Ph ----) ---— SWR — --- ._ _ ----- — - — BUILDING Tenant/Owner --- --___--- -- ELC -- —�— Footing J ELC _---- ----- Foundation Access: Ftg Drain ELR Crawl Drain -- SIT --- Slab Inspection Notes: _---- Post& Beam -------- -- _ F Shear Anchors Ext Sheath/Shear --- "--- Int Sheath/Shear Framing ------- Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm -- - —- ----------- — Susp'd Ceiling - - --- - Roof -- Other. -- Final ----- -- FASS PART FAIL PLU_M_BING -------- Post&Beam7e" _ Under Slab - Rough-In _ Water Servicc -- Sanitary Sewer -_ Rain Drains Catch Basin/Manhole — S►or^i Drain - Shower Pan 13, �- Other: _ I' ZAi-IN—IC-Al PART FAIL _ - -- - — — - Post&B3am Rough-In _ ---- --- - — Gas Line Smoke Dampers - Final PASS PART FAIL ELECTRICAL_-- _.------.---------_ __ -- Service Rough-In ----- --- -- — UG/Slab Low Voltage -- -- ----- - - - -- �- -- - - — Fire Alarm Final L__J Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. _PASS PART FAIL -- -- Unable to inspect-no access SITE Please call for reinspection HE -- Fire Supply Line ADA Approach'Sldewalk Date - Inspector Ext �_�--�� G.=� _ -- -_ -- Other: Final DO NOY REMOVE this inspection record from the job site. PASS PART FAIL r' CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BUP _ Received __ — Date Requested AM_ _ PM BUP Location - 7 S` /,—I-�, -_Jlt�—.._Suite MEC Contact Person —__ �c �e-� ph ( _) a -� PLM --- Contractor i _ _--_-_ Ph(_. _) _ SWR BUILDING Tenant/Owner ELC Footing --- - - Foundation ELC Ftg Drain Access: ———-- -- Crawl Drain ELR Slab Inspection Notes: SIT Post& Beam _- -- --- -Shear Anchors -- ---- - -_-- -- ---- Ext Sheath/Shear i— Int Sheath/Shear Framing ------._- -- --- - Insulation ---- -- --- ----------- Drywall Nailing -- Firewall -- -- ---- Fire Sprinkler --- -----.-- FireAlarm --------------- --- ------------------------- Susp'd Ceiling -- -- - Root -- ------ - -- Other: ---- - .---- - - PART FAIL _ --- - -- -.--- PLUMBING--- - --- ---- --- - -- ------ - - --Post -- &Beam -- - - - ------- __.—___—_-----.----_—__ Under Slab Rough-In -- Water Service - Sanitary Sewer -- Hain Drains - -- Gvtch Basin/Manhole --- --- Storm Drain - Shower Pan - Other: -- Final PASS PART FAIL - - - ------------ MECHANICAL ost & Beam -- -- --- -------.-- Rough-In ---- - --- Gas line ---- -- ------- - ------ ynp�Ce Dampers PAS _ PART FAIL - -_ LE_CTRICAL -Service Rough-In — - Rough-In - ---------- -- UG/Slab - Low Voltage ---- ----------- ------ Fire Alarm - - --- Final II - ------ - -- PASS PART FAIL -J Reinspection fee of$____-__-- required before next inspection Pay at City Hall, 13125 SW Hall Blvd SITE_ Please call for reinspection RE: _.--___ _- -- _ L Unable to inspect- no access Fire Supply Line ---- ADA Approach/Sidewalk Date _ _ _ Inapeetor Ext — - Other: - -- Onal DO NOT REMOVE this Inspection record from the Job site. 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