13750 SW 122ND AVENUE-1 i
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13760 8W 1 22nd Avenue
CITYOF TIGARD _ PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2003.00281
"'- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/20/03
SITE ADDRESS: 13750 5Nl 122ND AVE
PARCEL: 2S103CC-09000
SUBDIVISION: WHISTLER'S WALK ZONING: R-4.5
BLOCK. LOT: 037 JURISDICTION: TIG
CLASS OF WORK: OTR GARBAGE DISDOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: R3 FLOOP DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FiXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER I.INE: ft
VIATFR CI OSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks. Install irrigation backflow preventer.
f FEES - —
Owner: - _ --- -- ----
Description Date Amount
DON MORISSETTE HOMES _-`—��
I'
4230 GALEWOOD STE #100 L,UN1LiJ �'crmit Fcc 6/20/03 $36.25
LAKE OSWEGO, OR 9'1035 ITAXJ S Vo Sla0e'I'ax 6/20/03 $2.90
Total $39.15
Phone : 503-538-7538
Contractor:
L,'.NDSCAPE OREGON, INC.
12200 SW MYSLONY RD.
TUALATIN, OR 97062 REQUIRED INSPECTIONS
RP/3ackflow Preventer
Phone : 5r13 69� 15 Sp,inkler Final
Reg#: 111-M 8014
This permit is issued subject tc the regulations contained in the Tigard Municipal Code, State of OR.
Specialtv Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTi=NTION: Oregon law requires you to follow rules adopted by the Oregon
Issued 13 ;: _ Permittee Signature: —
Call (503) 639-41'5 by 7•(;0 P.M. for an Inspection needed the next business day
i � Jun IS 03 01 : 16p dan edmonds 503-692-0768 p, 4
I-iumbina Permit Awl cation Received i'lan�ing
Date/B '' Permit
Planning Approval Sewer
City of Tigard Date/By: Permit No.:
13125 SW Hail Blvd. Plan Keview Other -`
Tigard,Oregon 97223
-Date/13y: Permit No.:
Past-Review sand Use
Plione. 503-639-4171 Fax: 503-598-1960 DMC/By:_ Case No.: I
Internet: www.ci.tigard.or-s Contact I See Page 2 for
24-hour Inspection Request: 503-639-4175 NamefMtlhod: 1�� Su t lemental Information.
TYPE OF WORK FEE*SMIEDULE(for spacial information use'hecklist
L cW construction Demolition _ Description _y�ty _Fce(ca.) Total
Addition/alterallon/replacement Uther: New 1-&2-family dwr Ilings.
(includes 100 R.fo
CATEGORY OF.CONSTRUCTION SFR r each unlit coanaetton
il)bath � 249.20
�1 &2 Family dwelling Commercial/Industrial SFR(2)bath _ 350.00
Ac-cessory Building Multi-Family SFR(3)bath 399.00
Master Builder LJ Other: Each additional bath/kitchen _ 45.00
JOB SITE INFORMATION and I..00ATION - Fires rinkier-sq.R Page 2
Job site address: /317S0 SLt-1 11c/ 4-ve- Site Utilities
Catch basin/area drain 16.60
Suite#: Bld ./A t.#: Drywell/leach,line/trench drain 16.60
Project Name:U:/1,sf/rr S u% �� �'T �3 Footing drain(no.linear ft.) Pae 2
Cross street/Directions to job site:` Manufactured home utilities - 110.00 _
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer no.linear R. Pa c 2
Storm sewer(no.linear ft.) Page 2
Subdivision: u%lW S'�/eX S I L�[�C�t� Lot#. -__
Water service no.linear R. Pa e 2
Tax map/parcel#: -s A S Fixture or Item
'•DESCRIPTION.OF WORK Absorptiun valve 16.60
JwC/S e,"6. 7rr G ✓707L. Backilo_w preventer Page 2 X7. 55
[jc.cee- -,4i6r C�.LC�/t C- Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
Drinking fountain - 16.60
r�dPJtt�OPERTY OWNER TENANT E'cctors/sum._ 16,60
Nance: G'Y) M4-r-%s S cf f e- //T"e_s Expansion tank 16.60 --
Address: jf�.30 SL_l &Zt �yrr#.-, _Fixturetsewtr cap 16.60
C'it /State/Zi [1t-K.= 644(j< 0 O Q-G!7C'-3Y Floor drsin/floor sink/hub _ 16.60
_��-�- - Garbage disposal 16.60 -
P hone: Fax: Hose bib 16.50
PPLICANT CONTACT PEILSON Ice maker 16.60
Name: ]%t !t/ro-tt_1 Interco tor/ ease 16.60
Address: �Od W hi! 6 IP Medical ns-value: S _ Pa e 2 _
Cyt /State/zi Primer _ 16.60 _
P?LV 44Q-Y7I•l �- U Roof drain commercial 16.60
Phone:543 (04; -59 y S�Fax: 09 G,9o1 - u7tr Sink/basindlavato 16.60
E-Mail: Tub/shower/shower p!n 16.60 _
CONTRACTOR Urinal_ 16.60
Business Name. d-S t^ G!'��07) �saG water closet 16.60
�- E - - Water heater 16.60
Address:1,-U&C, ,SW /'yl GI•S/trnl-b Other: _
Ci /State/Zi :plc e)(0•,1, other. _ _
Phonc5o_33 �l ol• - 59Y Fax: 563 (el-1 -9 PlumbingPermit Fees•
CCA Lie.#: �u - Plumb. Lic.# - Subtotal S
Minimum Permit Fee 572.50 S
Authorize /kSd �r Residential Baekflo,• Minimum Fe �G j.2S
Signature:�'�-��6�- tt� Jim _1 O _ Plan Review 5%of Permit Fee S
State Sump c 8%of Permit Fee S o7 O
(Plcasr print name)
TOTAL PERMIT FEE I S
Notice: This permit appiitatlon ripires it a permit is not obtained within All new commercial buildings require 2 sets or pians with isometric or
180 days after it b.s horn necrpted as complete. riser diagram for plan review.
*Fee r udhodology tet by Tri-County Hulloing industry Service Board.
CITY OF TI Qom•;ARD MASTER PERMIT
PERMIT#: MST2003-00146
DEVELOPMENT SERVICES DATE ISSUED: 5/14/03
131.25 SW Hall Blvd.,Tigard, OR 972.23 (503) 639 4171
SITE ADDKESS: 13750 SW 122ND AVE PARCEL: 2S103CC-09000
SUBDIVISION: WHISTLER'S WALK ZONING: R-d.�
BLOCK: LOT: 037 JURISDICTION: 'II(
REMARKS: New SF detached, Path 1.
BUIL DING _
REISSUE: DM132 STORIES: 2 FLOOR AREAS RFQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1.0311 of BASEMENT: of L EFT: SMOKF DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,220 of GARAGE: 450 St FRONT: - HARKING SPACES
TYPE OF C014ST: 514 DWELL ING UNITS: 1 TMRD of RIGHT:
VALUE:
OCCUPANCY GRP: R3 BDRIAk 4 BATH: I TOTAL: ?.259 of REAR
PLUIIBING
SINKS: 1 WATER CLOSETS. 7 WASHING MACH: 1 LAUNDRY 1 RAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 'ISHWASHERS 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUBISHOWERS: 1 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFL.W PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<100K: BOIL/CMP c 3HP: VENT FANS: 3 CLOTHES DRYER 1
n, FURN>-100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUIT' J MISCELLANEOUS AC i'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp0 200 amp: WIBVC OR FDI PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 5005F: 4 201 - 4uu anp. 201 40q amp: tat W10 SVCIFDR: ^IGN/OUT LIN LT: PER HOUR:
LIMITEr)ENERGY: 401 - Sao amp: 401 - E00 amp: EAADOL BR CIR SIGNAUPANEL: IN PLANT.
MANU HMISVCIFDR. 1101 1000 amp: 001+ships-1000v: MINOR LABEL:
1000+amplvolt
II.AN REV IEI4 SECTION
Reconnect onto:
>-4 RES UNITS: 9VCIFDR>•225 A.: 800 V NOMINAL: CLS AREAISPC OCC:
ELECTRICAL-RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO&STEREO, VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOIWPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATAITELE COMM- NURSE CALLS: TOTAL 0 SYSTEMS:
Owner: contractor: TOTAL FEES: $ 4,921.10
This permit Is subject to the regulations contained In the
DON MORISSETTE HOMES DON MORISSETTE HOMES INC Tigard Municipal Code,State of OR Specialty Codes and
4230 GALEWOOD STE#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 b�the
Phone: 503 538-7538 Phone: Oregon Utility Notification Center. Those rules are set
forth In OAR 952-001-0010 through 952-001-0080. You
Reg M t7ii 3ff737A may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Eruslon Control Insp 8, Post/Boam Mechanica Plumb Top Out Exterior Sheathing Insl Rain drain Insp Electrical Final
Sealer Inspection Underfloor Insulation Electrical Service Low Voltage Roof Nailing Mechanical Final
Footing Insp Crawl Drain/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
Post 4" Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdwlk Insp
Iss ed By : — • , ' � Permittee Signature
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day
r
CITYOF TIGARDSEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2003-00123
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/14/03
PARCEL: 2S 103CC-09000
SITE ADDRESS; 13750 SW 122ND AVE
SUBDIVISION: WHISTLER'S WALK ZONING: It-,4.5
BLOCK: LOT: 037 —_ JURISDICTION: I'I(;
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK. NEW DWELLING UNITS: 1
TYPE OF US7: SF NO. OF BUILDINGS:
INSTALL TYPE: LTPSVVR IMPERV SURFACE:
Remarks: Sewer conn(,ction for new SF detached.
Owner: FEES
DON MORISSETTE HOMES ,,escn tion Date Amount
42.30 GALEWOOD STE #100 p - -----
LAKE OSWEGO, OR 97035 [SWUSA]Swr Connect 5/14/03 $2,300.00
[SWUSA]Swr Connect 5/14/03 $0.00
Phone: 503-538-7538 [SWINSP]Swr Inspect 5/14/03 $35.00
[SWINSP]Swr Inspect 5/14/03 $0.00
Contractor: --- -- -"
Total $2,335.00
Phone:
Reg #:
Required Inspectiotis
i-nis Applicant agrees to comply with all the rules and regulatiuns 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 guinrantee
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 Sever" Perm
Issued by: / � ' , i l k'�rL Permittee Signature'
Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the next business day
Building Permit Appllcatio
City of Tigard ;-� ,� — Date received: a_', Petmitno.:t��,�e��r_�o/y!
Address: 13125 SW Hail Blvd.Tig ard,OR 97223 ProjecUappl.no.:
CirynjTigar9 LY )
te:
_Phone: (503) W 4171Date issued: Rca:iptno.
Fax: (503) 598-1960 iJ C e file no.• CPaoymmelenxt
type:
n�/Land use approval: 2 family:Simple
P
O 1 &2 family dwelling or accessory U Commemial/industrial J Multi-family ><New construction U Demolition
U Addition/alteratiotn/replacem(�nt ❑Tenant improvement O Fire s,rinklei/alann U Other:
1
Job-add
— ress: �� �`.t L ,.., _Bldg.no.: Sui:c no.:
LBlock: Subdivision` Z_ ��` 'far map/tax lot/account no.: _
Project name: — -
Description and location of work on premises/special conditions:
Name: Y��
Mailing address: 01? t M�c 2 family dwelling:
City: ) State I ZIP: —1
Valuation of work......................... .............. $
7Phone: _ Fax: -Y -_mail: No.of bedrooms/baths.................................
Owner's representative:
_ I V 1 � Total number of floors.................................
Phone: Fax: Email: New dwelling area(sq.ft.)
0drage/catport area(sq.ft.)......................... _
Name:
Covered porch area(sq.ft.) .........................
Mailing address: Deck area(sq.ft.)........................................
City' I State: ZIP- Other structure area(sq. ft.).........................
Phone: I E-mail: Commer(-ia1/industrial/multi-family:
Valuation of work........................................ $
Business came: 1 - Existing bldg.area(sq, ft.) .......... ...............
Addres Z l_ New bldg.area(sq. ft.) ................................
City: State: I ZIP: Number of stories......... ..............................
Phr,ne: Fax: -mail: Type of construction.................................... _
CCB no.: �j %j Occupancy group(s): Existing:
tAdd�res��- I.
rlr ,li m, New:
Notice:All Contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
t. l r- � provisions of ORS 701 and may be required to be licensed in the
�4, jurisdiction where work is being performed. If the.applicant is
State: ZIP: exernpt from licensing,the following reason applies:
Contact person: Plan no.: --
Phone: Fax: E-mail: --
Name: Contact person: Fees due in u application
_Address: Fx PP ...........................$
Date received:
City: State: Z_IP: Amount received .................... $
Phone: Fax: E-mail Please refer to tee schedule.
I hemby certify I have read and examined this application and the Na all iwtxactl(ru accept credit cards,nreme call iuriadicdon for mom htfnr ad;
attached checklist. revisions of I ws and ) finances governing this U visa U MasterCard
work will be comp) w`itk,whether, cified Herelfi t. Credo card number—
Il i�l1n� --- —Lp
ratiirea
Authorized si natu ` mw or der u shown at cmdh card
Print name: { IA
� s
r ardho0er elFuaturc Amoum
Notice:This permit application expires if a permit is not obtained within I80 days after it has been accepted as complete. 44>46 1 J(~.DM)
One-and Two-Family Dwelling ®�
Building Permit Application Checklist Referonceno.:
---- —� Associated permits:
City of Tigard City of Tigard U Electrical ❑Plumbing O Mechanical
Address: 13125 SW Nall Blvd,Tigard,OR 97223 U Other:
Phone: (503) 639-417,
Fax: (503) 598-1960
t -PLANAMNIIE Yes No NIA
I Land use actions completed.See jurisdiction criteria for concurrent reviews.
2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc.
3 Verification of approved platilot.
4 Fire district _approval required.
5 Septic system permit or authorization for remodel.Existing system capacity
6 Sewer permit.
7 Waver district approval.
8 Soils report. Must carry original applicable stamp a,.d signature on file or with application.
9 Erosion control ❑plan U permit required.Include drainage-way protection,silt fence design and location of n/
catch-basin protection,etc. __ _
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and stale
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 com pleted
if copyright violations exist. K
-F
1 I Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if
there is more than a 44 elevation differential,plan must show contour lines at 2-ft.intervals);locrtion 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. _ _ 1
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 framing-member sizes and spacing such as floor beams,headers,joists,sub-floor,
wall construction,roof construction.More than one cross section may he 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.
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 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-prescriptive ath 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 mbar.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 non-uniform load.
20 Manufactured floor/roof truss desl n detalUx. _
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, roof truss)shall be stamped by an engineer or
architect licensed in Oregon and shall be shown to be applicable to the project under review.
23 Five(5)site plans are reuimd for Item i l above. Site plans must be 8-1/2"x 11"or 11"x 17". x
24 Two(2)sets each are required for Items 16, 19,20&22 above.
25 Huilding plans shall not contain red lines or tape-ons.
26 No rolled,reversers or mirrored building plants will be accepted. _
27 —
28
Checklist must be compleW before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink.
Red ink is reserved for department use -inly. "%-M14(&%roM)
Mechanical Permit Application
PDate received: Permit
City of Tigard Project/appl.no.: Expire date:
City of Tigard t%ddr-ss: 13125 SW Hall Blvd,Tigard,OR 97223
Phoo.c: (503) 639-4171 Date issued: By: Receipt no.: _
Fax: (503) 598-1960 Case file no.: Payment typ::
Land use approval: _- �_ Building permit no.:
TYPE OF PERMIT
0 1 &2 family dwelling or accessory 0 CommeiciaUindusirial 0 multi-family U Tenant improvement
X'Jcw cow;tn,cti on 0 Add ition/aiterauon/replacemenL Ottier,
JOB SITE INFORMATION1 1SCItEDULE
Job address: '562 -A t Indicate equipment quantities in boxes below. Indicate the dollar
value of all mechanical materials,equipment,labor,overhead,
� Bldg. no.: Suite no.: W P
Tax map/tax lot/account no.: profit.Value$
Lot: Blcxk: Subdivision: L jjun,
e checklist for important application information and
Project name: L� sdiction's fee schedule for residential permit fee.
City/county: Z1P: 1 a i' 1
Description and local: ;n •f work on premises: 1'T!tl' ' t 1 171 tt�tl
Fee(m) Total
Irst.date of completion/inspection: -RTDescription . Res.only Res.00ly
AC:
Tenant improvement or change of use: Air handling unit _ CFM
Is existing space heated or conditioned?O Yes U No Air conditioning(site plan required)
Is existing space inlulatcd?U Yes U No .—Alteration of existing 1-1 VAC system
Boiler/compressors
C State boiler permi(no.:
Business name: HP Tons__BTU/H
Address: tjol144 1 Fire/smoke dampers/duct smoke detectors
City: L>< Heat Fumn(site plan require ) ON _
Phone.1 Fax: E-mail: nsta rep ace turnac urn) /
Including ductwork/vent IdeFUVes O No
CCB no.: — _ nsta replace/relocateheaters-suspended.
City/metro lic. no.: N/A wall,or floor mounted
Name(please print): (� ent ora lance other than urnace
e geration:
Absorpuonunits_. BTU/H
Name: � � =1L. Chillers----- -- HP _ -
Address: ��� I Com ressors _ HP
�- ovirnttmeota exhaust an ventilation:
Citv. State: ;I_IP: _ A pIiancevent
Phone: Fax: E-mail: ryerex aust
s, ype 1 es._.itc a mat
hood fire suppress)
Name: f1 ) ' Exhaust fan with single duct(bath fans)
Mailing address: ) N,' aust system apart om heaun or
Cite: State 7..IP _K;5-5tie p p g an d t p to outlets,
Ty LPG N Oil
E-mail: _Tti;l Piping each ad er 4 outlets —
race=piping(schematicrequired)
Name: Numbet of outlets _ _
ter appliance orr equ pment:
Address: Decorative; replace
CII) - _ State: ZIP: nsen-ty
Phone: Fax: •mail:
off«stovdpe et stove
they:
Applicant's sign aru Date: ( ter.
Name(print— �' 1 t ��i/'/��' ! —
Not all jurisdictions accent cmdit cards,please cats(unsdictiol fix room Ini'n ation Permit fee.....................$
Notice:This permit application Minimum fee................$
a Visa Cl MasterCard expires if a permit Is not obtained
Cmlit cud number —_ s Ir/ within 18Q days ager It has been Plan review(at _ %) S
p State surcharge(8%)....S
Name nr�:.3i,oidrr u shown a,�redit�-y- accepted as complete. TOTAL .......$
CoOolder sipature Amouni 4164617(6 omm)
Electrical Permit Application
Date received: '/,-777777-7/77--r Permit no.:J, ,
City of Tigard Projecdappl.no.: Expire date:
City fTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Rmeipino.:
Phone: (503) 639-4171
Fax: (503) 598-1960 Case rile no.: Payment type:
Land use approval:
TYPE OF PEPI1T
0 1 &2 family dwelling or accessory 0 Commercial/industrial 0 Multi-family O Tenant improvement
New construction 0 Addition/alteration/replacement 0 Other. 0 Partial
r�.. O) srM INFORMATION
Job address 7' ) �7 �,I l ;�. Bldg.no.: Suite no.: Tau ma tax lot/account no.:
r` Lot: Block: Subdivision: tkj _I
Project name: Description and location of work on pm.nises:
Estimated date of compledon/inspection:
Joh no: Fee Max
Descrt tion Qty. (ea.) Total no,ins
Business name: L
per I
Address: ivellbtguadt Includesattached guaigNew residentlial-single or e
City: State: ZIP: Servicei"luded:
Phone: ,3- ► Far: E-mail: 1000sq.ft.orless v 4
Each additional 500 sq.It.or portion thereof
CCB no.: Elec. bus. tic, no: Unutr"denergy,residential 2
C' — trmited energy,non-residential 2
Each manufactured hoax or modular dwelling
elute o su ervrsrn eledrlelan(required) bate Service and/or feeder 2
Services or feeders–Installation,
Sup elect name i pant i 1 License no alteration or relocatlow
200 amps or less 2
Name (print) ` 201 amps to 400 amps 2
401 amps to 600 amps 2
Mailing address: 601 amps Io 1000 amps 2
City: . r State ZIP: Over 1000 amps or volts 2
Phone: Fat: ) –� -mail: Roconnectonl 1
Owner Installation:The installation is being made on propt. .y I own Temporary services or feeders-
Instwhich is not intended for sale, lease,rent,or exchange according to 200ampsor■henHon,orreloeatlon:
200 amps or less _ 2
ORS 447,455,479,670,701. 201 amps to 400 ams 2
Owner's signature: Date: 401(c 600 ams 2
Brunch circuits-new,alteration,
orextenslon per panel:
Name: .t Fee for branch circuits with purchase of
Address: service or feeder fee,each branch circuit 1.
City: State: ZIP: B I ee for branch circuits without purchase
—'— – i d ter.ice or feeder fee,first branch circuit: 2
Photic: rax: E-mail: Eich addrional branch circuit:
Id 1111A Misc.(Se'rice or feeder not Included):
7'QL"System
M
er 225 amps-ommercial O Healthore facility Each pump or imgation circle 2
er 320 amps-rating of 1 dr2 O Hazardous Incauon Each sign or outline lighting 2
farm dwellings 0 Building over 10,000 scluare feet four or Signal circuito)or a limited energy panel,
over 600 volts nominal more residential units in one structure
alteradun,or extension' 2
0 Building over three stories 0 Feeders,400 amps or more 'Description _
0 Occupant load over 99 persons Cl Manufactured structures or R V park FAch additional Inspection over the allowanyable In of the above:
0 Egressflightingplan 0 Other – –--- — Per inspection _
Submit_—_sets of plans with any of the above. Imeaugation fee
The above are not applicable to temporary construction service. Other
Not VI Juriwlicuons atop ciedli cards.please all jw::•ricuoo for rase+nfomuunn Notice:This pemut application
Permit fee ....................S
❑Visa 0 NfasterCard expires if a permit is not obtained Plan review(at — %) $
Credit card oumher �_ within ISO days after it has been State surcharge(8%) ....S
p+res accepted as complete. TOTAL .......................S
Name of urdfwlder iia shown on credit card
S
Cardholder signature Amount 4104615(60000MI
Plumbing Permit Application
Date received:�" " Permit no.: e/ zno
�.
City of Tigard Sewer pernut no.: Building permit no.:
Address: 13125 SW Hall Blvd.Tigard.OR 97223 -------
City(if Tigard phone: (503) 6394171 Projecuappl.no. Expire date: _-
Fat: (503) 598-1960 Date mued. By- — Receipt no.:
Land use approval: L
Case rile.no, Payment type:
0 1 &2 family dwelling or accessory 0 Commercial/industrial 0 Multi-family O Tenant improvement
ew construction ❑Addition/alteratiorr/r-tplacement ❑Food service 0 Other.
' joosrrEir4oRmATi0N 71 (forspecial information
t �C' j / De cn rdou Qty. Fee(ea.) Total
Job address: V xl --
Bldg.no.: Suite no.: New 1 and 2 fami:y dwellings only:
(includes loon.for each utility connection)
Tax map/wx lot/account no.: SFR(1)bash
Lot— Block: I Subdivision: 1.t Sh
Project name: - FR(3 bath
City/county: ZIP: tc a tuunal badu1itchen
Description and location of work on premises: _ Siteutilities:
_ Catch basinlarea drain _
D wells/leach line/trench drain
Est date of completionlinspertion: Footing drain(no.lin. ft.)
Manufactured home utilities _
Business name: �, �L �� Manholes
Address: Rain drain connector
City: State ZIP: Sani sewer(no.lin. ft.)
Phone: -�'L ;4,4F ax: Email: Storm sewer(no.lin. ft l
CCB no.: -?L Plumb.bus. reg.no: — Water service(no.lin.ft.)
Fixture or item:
City/metro lic. no.: NiA Absorption valve _
Contractor's representative signature Back flow reventer
Print name: Q U Backwater valve
Basins/lavatory _
P*1_1 ��� Clothes washer
Name:
,.� LI E--- --- Dishwasher _
Address: ry-e ixV Drinking fountain(s)
Cio, State- ZIP: Ejectors/st-m
-- - —-
Phone Fax: Email: I Expansion tank
Fixture/sPwer ca
Floor drainstfloor sinks/hub
Name (print): �- Garbage disposal
Mailing address: < Hose :ibb
City Ll State ZIP: C Ice iker
Fax: 7-7�, E-mail: Int oNgrea,e trap
Owner instailadon/re Wenda/maintenance only: The actual installation Prldnerls)
will be made by me or the maintenance and repair made by my regular Rt�ot drain(commercial)
emplovee on the propem I own as per ORS' Chapter 447. Sink(s),basin(sl, ays(s)
Owner's si nature. Date: Sump —
Tubs/shower/shower an
Unnal ---
Name: Water closet
Address: Water heaterCit} ZIP: Other.Phone. FTj�E-mail: Total
Na AI junrlicuoru accept emir carlh.pleas call)unalicuon for more mromuuon Notice 111rs permit applicaliun minimum fee................s _
O Visa O Maslercutl expires if a perm-t is not obtained Plan review(at _ 9b) S
Credit card number —-� L within 180 dais atter it has been State surcharge(8%) ....$
iptrel
_— accepted as complete. TOTAL .......................S .�--
Narne of cardholder Y Now"on credit cud
_ S _
Cudholdw it stare Amvuni ar0a616(6Ont oMl
n
May 5, 2003 \
Don Morissette CCff4Y0F
TIG/�RD
4230 Galewood Street#100I' ,�4Lake Oswego,SJR 97035 GON
RE:NEW SINGLE FAMILY DWELLING, LO;�.'7
Building Perrot: MST2003-00146 Construction 'l ype:
Address: 13750 SW 122"° Occupancy Type. R-3
Area: 2,708 Sq Ft Stories: 2
The plan review was performed under the State of Oregon Structural Specialty Code(OSSC) 1998 I
edition;the State of Oregon One- and Two-Family Dwelling Specialty and the Tualatin Valley Fire&
Rescue Ordinance 99-01 (TVFR99-01) 1999 edition. The submitted plans have been reviewed and
the following information is required prior to issuance of the permit.
1. There is an elevation difference of 5 feet between the Garage Finish Floor and the Main
Floor. Provide details tie landing and stairs at the garage/dwelling door.
• Response not accepted. A landing, minimum 3 feet by 3 feet, is required at the base
of the stairs. The furnace is in the landing. Revise and resubmit.
2. Trusses spanning from rcdr of house to front of house over Master Bedroom at the pop out
are too short.They are denoted as"F"of the truss detail and no girder truss or header appears
on the-,!3ns. Clarify truss support at the pop out.
• Response accepted
3. Note 20 on sheet S2 is referred to as a top plate splice. It appears to be a roof to wall shear
transfer detail. Re-label detail.
• Response accepted
FYI Sheet 8 does not designate a header over the opening between the Kitchen and the Dining. n
4 x 10 Header is required below the floor joist at this location. A 4 x 10 is also required over
the pocket door into the main floor toilet room.
• No response was required for this comment but thank you for revising the floor framing plan.
When submitting revised drawings or additional information. please,attach a copy of the enclosed
City of Tigard, Letter of Transmittal. The letter of transmittal assists the City of'f igard in tracking
and processing the documents.
Respectfully,
Brian Blalock,
Senior Plans Examiner
13125 SW Hall Blvd„ Tigard, OR 97223 (503)639-4171 TDD (503)684-2772 -- - —
DON • MORISSETTE OBE : 2 307
H O M B S I N C O R P O R A T u
4 2 3 0 G A L E W 0 0 D P 'r R H E T LOT: 37
L A K B 08W9G0, 0 R I G 0 N 9 ? 035 DATE: /A/03
(503) 387 - 7 '338 PAA (5n3) 3a7 — 70 ; B
PROPERTY: WHISTLER'S--WALK
CITY: TIGARD
SCALE: 1"=20'
PLAN No.: 132
STANDARD ELEVATION
RECEiVL
CYi,Y OF TIGAh
I 333
,� � 336 �.- .. .. BIJILQ►"' V - '�,
Jit 111c[c�, 3`35'
I � 337 ... .
338 339
340
' 1 e.ouc,comet. 341
t� i ., I X331 / �• �`�` 347'
�I+cBaty 45P 34®�'��� /
r- o,lv.wa
t--- - to I 1 i Gar gar.
3 . FF.E. 33 1'3 .im xi
0:
_ '
Parah GO
v
I ; +4 bdrm. `
4�*7 bath
I m OP.E. 3425' /
- 331 � � i 1333 +� ,-- ,' � 343'
342 343'
33
" 344'
ry.
V � 34.1
LOT COVERAGE
..__ LEGEN[7
LOT AREA
BUILDING AREA:
PERCENTAGE:
'G LOT "3-1
CITY OF TIGARD -SITE PLAN REVIEVfr'
BUILDING PERMIT NO.: 2
PLANNING DIVISION: "'
Required Set eks: M Approved ❑ Not Approve
Side: Street Side: --a- _
f=ront. -ZQ Garage .9,s1_ Rear:
Visual Clearance: [X Ap1ruvcd [3 Not Approvcd
Maximum Building; Height _sGfect
(. WS Service Proviklcr Lett:r Recli6red: Yes No
❑ tri ivc�l
tri
FNQNLERIN(i url'ARTMLIts i :
Actual Slope: 8 % �pprovcd [3 Not Appro%ed
Site Plurt: pnrc.;vcd [j N t Approved
Site
: x Date: S `?
Notre:
CITY OF TIG ARD 24-Hour
BUILDING Inspection Line: (503)639-4175 3--znc j
MST —ice—
INSPE(:TION DIVISION Business Line: (503)639-4171
BUP
G
Heceived ----Date Requested_. " a' !—_ AM_ PM--- BUP
. MEC
Location
Contact Person —__ _._---_– — Ph (--- ) �J 7 �`– PLM
Contractor_ �_�_. .. ----- Ph (—.—) — SWR -- --
BUILDING Tenant/Owner __.._.—__._. _-- -.— -- ELC ^_
Footing _ ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slah Inspection Notes: SIT
Post& Beam -- - ----.— ---- -- - -- -- _
Shear Anchors
Ext SheathiShear - ------ -- -
Int Sheath/Shear ,)1 �
Framing
>�%
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST ,
INSPECTION DIVISION Business Line: (503)639-4171 --
BUP _
Received Date Requested AM PM BUP
Location _1. 12- 7 Suite ____ _ MEC —
Contact Person i -�- —� Ph ( - -) _ 7 rZ PLM --
Contractor— _ Ph( ) _.- SWR �.
BUILDING Tenar owner ELC
Footing ELC
Foundation Access: —�
Fig Drain ELR _
Crawl Drain - ---
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors r -- _--- -� -- -- ___-- --- ---
Ixt Sh.lath/Shear
Int Sheath'Shear
F7ramin9 --- - - ------- ------
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm - _�
Susp'd Ceiling -- --
Roof
O ,
Other: '
Final
PASS PART FAIL -
PLUM"IING _
Post aBeam ----- --..-_— ---
Under Slab _
Rough-In
Water Service ------ ---
Sanitary Sewer
Hain Drains
Catch Basin/Manhole
Storm Drairz - - --
Shower Pan
Other: _ - - ---- _
1l —
PAPT _FAIL
M _HANICAL
Post&Beam ^�-
nough-In - -- - - - -- —
Gas Line
Smoke Dampers
Final
PASS PARTFAIL -- -- - - - -- - --- —
EL.ECTRICA—_
-
Service - - - ---_-
Rough-In
UG/Slab ---- -- --- - - --
Low Voltage
Fire Alarm
Final l Reinspection fee of$__- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE_ [] Please call for reinspection RE _ Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Dutra_ Inspector _ �'/ Ext -
Other:
Final DO NOT REMOVE this Inspection record from the Job isite.
1 PASS PART FAIL
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CITY OF TIGAiRD 24-Hour , C
BUILDING Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Business Line: (503)639-4171
SUP
Received Date Requested 1~ � AM _PM__ SUP
Location 3 So a a -n� &Ltf.--Suite MEC _—
Ph(��_) a _ PLM
Contact Person 1 --- -
Contractor—_ —_—__—_ _—_ Ph (—) SWR
BUILDING Tenant/Owner —-_— --__ _ __ ELC
Footing �J ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain -- SIT
Slab Inspection Notes: — —
Post&Beam
Shear Anchors
Ext Sheath/Shear - -
Int Sheath/Shear
Framing - --- — — — --
Insulation ¢�
Drywall Nailing
Firewall
Fire Sprinkler —
Fire Alarm _
Susp'd Ceiling
Roof _
Other:-_ _.__.___
Fin _ ---
A_ B I PART FAIL D C, , f
LLiMBING _ -----
Post& Beam ---- — eZ, 0^ /�t '714 9 �-
Under Slab — ---- --
Rough-In _
Water Service — -- —
Sanitary Sewer
Rain Drains - ----� - - i
Catch Basin/Manhole
Storm Drain -- -- --
Shower Pan
Other.
Final
PASS PART FAIL
MECHANICAL -
Post& Beam -
Rough-In - - - - -- —
Gas Line
Smoke Pampers - -- —
Final
PASS PAS. FAIL
ELECTRICAL
Service
Rough-In ----- -----
UG/Slab
Low Voltage - -
Fire Alarm
Final (� Reinspection fee of$__ - _- - required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd,
PASS PART FAIL_
Please call for reinspection RE: Unable to inspect-no access
Fire Supply Linef✓l'�
ADA
Approach/Sidewalk Date —_ _ __�nspector_ Ex! -
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIOARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST _
INSPECTION DIVISION Business Line: (503)639-4171
BLIP
Received _ _.- ��ate Rp quste.— —�' J✓___ AM—�___ PM --- BUP
Location _—__ _ Suite _ MEC
Contact Person __ __--- _ Ph( ) _ �~l�"4-f (T"_/E? PLM _
Contractor ------- ---------- Ph --) ------------ SWR - -----
BUILDING Tenant/Owner _—_- ___.__ -- _ ELC _�—
Footing T ELC
Foundation Access: -
Ftg Drain ELR
C•-A Drain _
Slab Inspection Notes: SIT
Post& Beam
Shear Anchors �---�---- -
Ext Sheath/Shear
Int Sheath/Shear
Framing -- --- - - - - - - ---- --- --- - ------- - - — -
Insulation
Drywall Nailing
Firewall ------- - - -- -
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling ---- ---- -- - ----- - -
Roof
Other: --- - -- — -- --
Final
PASS PART FAIL -
_ .--
Post&Beam
Under Slab -- ----- ---------- --
Rough-In
Water Service --- - ----- --
Sanitary Sewer
Rain Drains ---- -- -
Catch Basin/Manhole
Stone Drain —
Shower Pan
Other: —
Final _.-----------
PASS PART FALL f —
MECHANICA_L
Post&Beam
Rough-In -- -
Gas Line FC 1'e 0,
Smoke Dampers -- --- �..'-� —�-
Final ��---- - •1 -
PASS PART FAIL — --
ELECTRICAL
Service —
Rough-In J _�
UG/Slab
Lo,v Voltage _�/r C~/Z _------ - ----. —_
Fire Alarm
1 ^\ rr-�� Reinspection fee of$_._. required before next inspection. Pay at City Hall 13125 SW Hall Blvd.
PASS , ART FAIL L__I
Please call for reinspection RE: unable, to inspect -no access
Fire Supply Line
ADA Date ` 62 Inspector Ext
It
Approach/Sidewalk �>- — ----- - -
Other:
Final
DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour --
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
�-
Received r` � Date Requested_—_ � / BUP
— qM— pM BUP
Location i 7 cZ e:�.EJ /' ,/ �.,
y2 - Suite_ MEC
Contact Person - ----- --
-- _ Ph PLM
Contractor PI,
--- _ SWR
BUILDING_ Tenant/Owner —
Footir•,g ' - ELC
Fjundation ELC — --
Fig Drain Access: __—
Crawl Drain _ ELR
Slab Inspection Notes; --
Post& Beam SIT _
Shear Anchors ------ ---- - --- - _
Ext Sheath/Shear --------
Int Sheath/Shear
Framing ----- -
Insulation ----______--.-_ --- ----
Drywall Nailing - - - -
Firewall L
Fire Sprinkler --
Fire Alarm
Susp'd Coiling
Root
Other: ;✓��''
Final ---
PASS PART FAIL_ ---
Post& Beam --
Under Slab
Rough-In — -
Water Service
Sanitary Sewer _
Rain Drains
--
Catch Basin/Manhole
Storm Drain
Shower Pan
Other:
PAS$_PART FAIL - ---
MELHANICAL �----
Post& Beam --
Rough-In
Gas Line - -
-----
SmokeDampers -
Final - ------- -_
PASS PART FAIL - -� -------___.
Et.ECTRICAL -- -- --
Service -- --__--_
Roi .h-In - -
UG/Slab _
Low Voltage --
Fire Alarm
PASS PART FAIL Reinspection fee vi$ _ __-._ requited before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE — Please call for reinspection RE:
Fire Supply Line -- -- 1 Unable to inspect -no access
ADA
Approach/Sidewalk Date Inspector
Other:__
Final Ext
_
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
r