13535 SW 124TH AVENUE 1:,535 SW 124'" Avenue
CITY OF TIGARD 2A.-Hour
Ins ection Line: 503 639-4175 `�
BUILDING P ( ) MST -� - `% `�'`� J/�'�
IN >PECTION DIVISION Business Line: (503)639-4171 - ---
BLIP ------- —
Remived Date Requested _ f? AM---- PN -_-_.____ BLIP
Location —� L of �"`- Suite------,— MEC -�__—___T_. _
Contact Person Ph(— ) � _ �� �s PLM
Contractor Ph( _) _ SWR
BUILDING Tenant/Owner _— ELC,
Footing
Founoation Access: L SLC -
Ftp Drain 0 SLR
Crawl Drain
Slab Inspection Notes: 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: _
r PAS
RFAIL
- - -- - -.-
_
eam
: der Slab
Rough-In —
Water Service - -- ------- -- _-- --_
Sanitary Sewer
Rain Drains - - -- -
Catch Basin/Manhole
Storm Drain -------
Shower Pan
OthaL --
PART' FAIL - -- - -----
MECHANICAL
Pr d& Beam -- - —
Rough-In
Gas line
Smoke Ua,roers
AS PRT FAP_ --
L --
Service -------
Rough-In
UG/Slab
Low Voltage —- ---..---------
Fir rm
4%��S
Reinspection tee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
__ _ — LJ Please call for reinspection RE:_— __- _ -_ rj Unable to inspect-no access
Fire Supply Line
ADA Rrwt� C Z 3 A
Approach/Sidewaik 3 Inspector Ext
O!her:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
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CITY OF TIGARD 24-Hour
BUILDING Inspection Line: 3 4175
INSPECTION DIVISION Business Lin 39-4171 MST
BUP
Recsived Date Requested ( AM— 3 PM BUP
Location _ 1 3 .� S a *,-. MEC
Contact Person ��'?"-J Ph 14-4 PLM
Contractor _ --_ Ph(_ ) SWR
BUILDING ienant/Owner _._�-�_— ELC
Footing
Foundation Access: ELC
Ftg Drain ELR _
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors ----
Ext Sheath/Shear
Int Sheath/Shear � -` �� e L,n
Framingy U �-
CL4w
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm � .�
Susp'd CoilingRoof
Other:
-�-�
Other: - -�
Final
PASS PART FAIL_ -
PLUMBING
Post A Beam
Under Slab
Rough-In
Water Service --- - -_ -
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain --- ---- - -- ---
Shower Pan
Other: -- �
fin •
S PART FAIL ---- ---^-- -IREMANICAL
Post 8 Beam -----
Rough-In ---
Gas Line
Smoke Dampers --
Final
PASS PART FAIL
ELECTRICAL
Service _- _-�_--- -•-. -•-----__ --.
Rough-In
UG/Slab -- -
Low Voltaga
Fire Alarm -� -
Final Reinspection fee of$_ r uired before next Ins
PASS PART FAIL p pectlon. Pay at City Hall, 13125 SW Hell Blvd.
SITE please call for reinspection RE:_ _-- Unable to Inspect-no access
Fire Supply Line =i �D
ADA Date
'���JJJ�I/
Approach/Sidewalk __-_.� - Inspector ixt-_
Other:
Final - - DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY ®F ! I G A R D MASTER PERMIT
PERMIT#: MST2003-00010
DEVELOPMENT SERVICES DATE ISSUED: 2/11/03
13'125 SW Hall Blvd., T:gard, OR 97223 (503) 639-4171
SITE ADDRESS: 13535 SW 124TH AVE PARCEL: 2S103CC-05400
SUBDIVISION: WHIS-FLER'S WALK ZONING: R-4.S
BLOCK: LOT: 001 JURISDICTION: TIG
REMARKS: C
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRE)
CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,443 at BASEMENT: at LEFT: 5 SMOKE DETECTORS 'r
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,388 at GARAGE: 821 at FRONT: a PARKING SPACES:
TYPE OF CONST: 5N DWELLING UNITS: I rMF of RIGHT:
OCCUPANCY GRP: R3 BVALUE: 281,918.50
ORM: 4 BATH: 7 TOTAL: 2,827 a} REAR: J4
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: CATCH BASINS:
TUBISHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES.
MECHANICAL
FUEL TYPES FURN<10JK: BOIUCMP c 3HP: VENT FANS: 4 CLOTHES DRYER: I
GAS FURN>■1100K: I UNIT HEATERS: HOODS- 1 OTHER UNITS: 1
MAXINP: btu FLOORFURNANCES: VENTS: 1 WOODSTOVES: GC80UTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS _BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 •200 anip: 0 200 amp: WISVC OR FOR: PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 5 201 MO amp: 201 400 amp tat W/O SVC/FDR: SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 -000 amp: 401 - 800 wnp: EAADDL BR CIR: SIGNAUPANEL: IN PLANT:
MANU HMISVCIFDF,: 801 1000 amp: 601-amps-1 Wow MINOR LABEL:
1000+amolvolt:
PLAN REVIEW SECTION
Reconnectont�:
>•4 RES UNITS: SVCIFDR ?2S A.: >800 V NOMINAL: CLS AREAISPC.OCC.
ELECTRICAL-RESTRt'.TED ENERGY
A.SF RESIDENTIAL _ _ B.COMMERCIAL _
AUDIO 8 STEREO: VACUUI4 SYSTEM AUDIO 6 STEREO: FIRE ALARM: INTERCOWPAGING OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH BOILER HVAC. LAND3CAPEJIRRIG PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL OTHR.
HVAC: DATA(TELE COMM: NURSE CALLS TOTAL 0 SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 5,249.21
This permit is subject to the regulations contained in the
DON MORISSETTE HOMES DON MORISSETTE HOMES Tigard Municipal Code,State of OR Specialty Codes and
4230 GALEWOOD ST 4230 GALEWOOD STREET all other applicable laws. All work will be none in
STE 100 SUITE 100 accordance W. approved plays. This permit will expire If
LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 work Is not started within 180 days of Issuance,or if the
work Is susrlenr,ed for more than 160 days. ATTENTION:
Oregon law requires you to follow rules adopted by the
Phone: 503-387-7538 Phone: Oregon Uti0y Notification Center. Those rules are set
so 387-7 g forth In OAR)52-001.0010 through 952.001.0080. You
Rep N: LI 353 may obtain copies of these rules or direct questions to
OUNC by calling(503)248-19157.
REQUIRED INSPECTIONS
Erosion Control Insp 81 Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Plumb Final
Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathi.,g Ins;: Rain drain Insp Final inspection
Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp
Foundation Insp Footing/Foundation Dr Electrical Rough In Gas Line Insp Electrical Final
Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Mechanical Final
Issued By : Permittee Signature
Call (503) 639 4175 by 7:00 p.ln. for an inspection needed the next business day
CITYOF TIGARD SEW-R CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2003-00013
13125 SN Hall Blvd., Tigard, OR 97223 (503) 639-4171
DATE 15SUED: 2/11/03
PARCEL: 2S 103CC-05400
SITE ADDRESS; 13535 SW 124TH AVE
SUBDIVISION: WHISTLER'S WALK ZONING It-1
BLOCK: LOT: 001 JURISDICTION: I !(I
TENANT NAME:
USA NO: FIXTURE UNITS:
DWELLING UNITS:
CLASS OF WORK: NEW 1
TYPE OF USE: SF NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: S
Owner: -- FEES
DON MORISSETTE HOMES Description Date Amount
4230 GALEWOOD ST --
STE 100 [SWUSA]SwrConnect 2/11/03 $2,300.00
LAKE OSWEGO,OR 97035 [SWUSA]Saar Connect 2/11/03 $0.00
Phone: 503-387-7538 [SWINSP]Slkr Inspect 2/11/03 $35.00
S W INSP] Sw'r Inspect 2111/03 $0.00
Contractor: Total $2.335.00
Phor.a.
Reg#:
Required Inspections _
This Applicant agrees to comply with all the rules and regulations of the Clear, Water Services. The permit expires 180
days from the date issued. The tctal 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 feel in all directions from the distance given. If not so located,the installer shall purchase a"Tap and Side Sewer" Perm
Issued by: i /� , Pprrnittee Signature:
Call (503)539-4175 by 7:00 P.M. for an inspection needed ttie next business day
i
00613
Building]Permit Application
City Wr ■ igard RECEIVED
11,),t,received: I q-0� Permit no.: �,'�� DUc7/
Address: 13125"W Hall Blvd,Tigard, '.": 97223 Project/appl.no.: Expire date:
City nj77gard -�
Phone: (503) 6.;y-4!71 �AN (� y 2003 Date issued: —__ By: �r Receiptno.:
Fax: (503) 594-19fi')
(i1T�t' OF f I�iARCJ "1 Case file no.: Payment type:
' ., _
Land use approval: --B#-PNG 4SQN I&2 family:Simple Lomplex:
1
U I &2 ramtly dwelling or accessory U l ominercial/industnal U Multi-family I&New construct:nn 0 Demolition
U Addition/isltcration/replacement LI Tenant improvement U Fire sprinkler/alarm U Other.
li 1 1
lob address: �' 7 �'V �- Bldg.no.: _ Suite no.:
Lot: Block: Subdivision: 1 ( J Tax map/tax lot/account no.:
Project name:
Description and location of work on premises/special conditions: LQ.ty) `� L/ �� [l�L+'C-�-
OWNER
N:uric: 1 Y "rj- 'ti'1t�1` r
Mailing rddress: L'�" 1 &2 family dwelling:
City: Stated ZIP: ) ..........
Phone:. - � Fax: 7 -mail: ..........
Owner's representative: j Gs-t r I r� p
Phone: Fax: E-mail -0- .--� a�..>z...-L—. •••••••,••
Name: 1
Coo( ..........
Mailing address: /OP,c.. .......... 1��`-
City: State: ZIP: —
Phone: . Fax: I E-mail: '
Valuation of work........................................ $
Existing bldg.area(sq.ft.) ..... .................
Business name:
_ � •�� -�-�-- New bldg.arca(sq.ft.)...........
Address- -i'Y _-�� INf - ---
' Number of stones
__.
City: State: ZIP: -�
-- .- --- T of construction...............
Phone: - Fax E-mail: _
Type Occupancy group(s):
CCB no.: New:
City/mew lic.no.: Notice: 41l contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
Nance (,l 1 „ _ , — provisions of ORS 701 and may be required to be licensed in the
Address: J -N .jurisdiction where work is being performed.If the•tpp!ieant is
City: State: 'LIP: - exempt from licensing,the following rems,;a applies:
Contact person: Plan no.: - — —
Phone: I Fax. - E-mail ---�
Name: t 1,ntaci lK r. ..r Fees due upon application ........................... $
Address: - — Date received:
City: State: Amount received ......................................... $
Phone: Fax: E-mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Nd All Jurisdictions occ W=&i cards,pleae call jundkUon for nwm Worm ian.
attached checklist. A ,jlpimvisions of I ws and of Jinanc es governing this U Baa 0 M���
work will be cc Tipl i wt whether. cifred(ereA� c•rei.,card numberL__
Authorized sl Hato r ��,(,. {,�� Man*ad w;tnoldr.u rr�•n on r era
f S
Print name: t l"� --—� dear tilimu a-` A�m
Notice:This permit apl plication expires if a permit is not obtained within I SU da),atter it has been accepted as complete. 440-4613(daocoM)
Electrical Permit Appliication
_ [:ate received: Perrtitno.
City Of Tigard Prolect/appl.no_ Expire date.
Address: 13125 SW Hall Blvd,Tigard,OR 97223 parr,issued: Ry: Recnptno.:
City of Tigard —
Phone: (503) 6394171 Case file no.: Payn..nt type:
Fax: (503) 598-1960 --
Land use approval:
1 51'
❑ Mulu-family O'renant improvement
7kUl family dwelling or accessory U CommcreiaUindustrial Yonstruction O Addition/alteratiordreplacement O Other.____ O Partia
Job address: �Sul
LO
Bldg.no.: Suite no.: Tax reap/tax lot/account no.:
Block: division: ---
Project name: Description and location of work on premises: _
Estimated date of completionfinspection:
I
Fee Max
Job no: Description Qty. (ea.) Total no.insp
Business name: New•rsidendal-sia Ieornolo-termly!tar
Address: - dwrBingunit.includes attached gar-ice
City: State: 71 P: service Included: - --
1000 sq f.or leas _ 4
Phone: ,j I Fax: E-mail: Each additional 500 sq.ft or rtio t thereof
CCB no.: Elec.bus. lic. no: Urnitedenergy.residerual
CLimited energy,non-residential 2
— Limn
Each manufactured home or moiula dwelling
2
orure o supervisor eteefrician(required) _ Date Service and/or feeder
, � Services or feeders-Installs Jon,
sup elect name(print) 1 _ — l.icenseno alteration orrelocmtion:
2
200 amps or less
201 amps to 400 amps _ 2
Name (print): 401 amps to trop amps-- 2
Mailing address: 11 601 amps to 1000 amps 2 -
City: -, Stale ZIP: Over 1000 amps or volt_
z
Q, Reconnect only
Phone: - - Fax: mail: —
Tempnrary services or feeders-
Owner installation:The installation is being made on property I own Installation,altendon,orrelocation-
which is no, intended for sale, lease,rent,or exchange according to 200 amps or leas — 2
ORS 447.455,479,670,701. 201 amps to 400 reps
Owner's signature: Date: 401 to 600 em s
7-- S
Branch circwits-new,alleralaoa,or extension per panelName: A. Fee for branch circuits with purchase of 2
Address: service or feeder fee`each branch circuit-- : Z.IP: B. Fa for branch ctteuitt without purchase 2
City: - ofservice or feeder fee,.`first branch circuit:E-mall: Each additional branchcircUA:
Mise.(Senice or feeder not Included): 2
Each pumpor irrigation circle 2 —
U Service over 225 anps•comnxrcnd U Health cue facility Each sign or outline lighting - 2
O Service over 320 amps-rating or 1 k2 U Hazardous location 5i nal circuit(s)or a limited anergy panel.
family dwellings O Building over 10,000 square feet four or L 2
O System ovet600 volts nominal more residential units in one structure alteration,or extension*
U Building over three stories O Feeders,400 imps or more *Description
tion
O Occupant Ibad over 99 persons U Manufacture[swctures or RV park Each additional Inspection over the allowable If my of theT_r above:
U Egress/lighungplan O Other. - Per inspection
Submll_,sets or plans with any of the above. Investigation fee
Th
I�- e above are not applicable to temporary construction service. other _ _
Permit fee.....................S
Ne Ali lurtswcuons accept teeth carr+. please call Jurisdiction for snore information Notice:This permit application Plan inview(at-15-%) $
O Vlsa U MasterCard within
if a permit is not obtained 1 ,
within Igo days after it has bear State surcharge(8%) .,..$
Credit card number --- TOTAL . ......S
accepted as complete. ••••••'""""'Now Iden a vruun c' t��^ s
- Amount ` \ 410615(M-OM)
Cardhdder tl attire _ ---.- �
Mechanical Permit Application
Date received: Permit no.:t67.Wj I)— I)
City of Tigard I ProjecUappl.no.._- Expire date:
City,ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: Ry: pt no.: _
Phone: (503) 639-4171 --
Fax: (503) 598-1960 Case file no.:_ Payment type:- -_
Land use approval: Building permit no :
TYPE OF PER311t
U I &2 family dwelling or accessory LI Conunerciaihndusui:d Cl Multi-family U Tenant improvement
dew construction U Add itiorL/alteration/replace ment U Other:
JOJIJ SITE INFORNIATION1 ( 1 !
Job address: t"7 L. Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: Suite no.: value of all mechanical materials,equipment,labor,overhead,
Tax mapltax lot/account no.: profit.Value S
Lot: r3lock: Subdivision: 4ti Li V
'See checklist for important application information and
Project name: VL,f� l jurisdiction's fee schedule for residential permit fee.
City/county: ZIP: ! sa!
Descripdou and location of work on premises: _ 1
Pee(ea.) Total
Est.date of compietion/inspection: -` Desciiption shy. Res.ouly Rcs.only
Tenant improvement or change of use: hen
Air handling unit CFM
Is existing space heated or conditioned?0 Yes U No Air con dunning(site plan requtr )
Is existing space insulated?❑Yes 0 No A terMon o existing g H system
�oilcr compressors
State boiler pernut no.:
Business name.. �� t ( HP ^—Tons BTU/lI
Address: �. _ _ ire/smoke dampers/ act smoke detectors
City: State 7.IP: eat pump(site plan required)
Phone: Fax: Email: nstat repa"furnace-TburnerBT /
TT-
Including ductwork/vent liner O Yes O No
CCB no.: ' __ nstal rep ac re vcate eaters-suspende ,
City/metro lic. no.. N/A wall,or floor mounted _
Name(please print). env Mora iance at1her an urnace
kefrigei--tion:
AbsorFUon units— _ BTU/li
Name: Chillers HP - -.--
Address: , - — Compressors IIP _
- Eortrolimental exhaust and ventilation:
City:_ I State: ZIP: Appliance vent
Phone. Fax: E-mail: Dry-erexhaust
-Floods,Type s. tc en/haamat
hood fire sr pression system
Name: ,f1 Exhaust f: with single duct(bath fans)
Mailing address: ) r5n, N,' aust• item apart ftom heating_orA L
u! p p g anti ti t ut on(up o outlets)
City: State ZIP Ty LPG -_ NG Oil
Phune: - Fax: E-mail: ue pipineachadditionalidditional over 4 outlets
is
rocesspiping(schematicrequired)
Number of outlets -
Name: Other Wed appliance or equ pment:
Address _ Decorativefirepla-e
State: ~IP: nseIx
Phone — Fay. .mail: Woodstov peT(etstove
Other:
Applicant's signori -- Date: _ Other.
Namc(prntl:
Permit fee
Not W)unxLct•oru accept credit cask.Platte call)unsd cion ror mar mhornuuan ................ -
Notice:This permit application Minimum feeee $................S
O Visa ❑MuterCard expires if a permit is not obtained
Credit card number - - L - within ISO days after it has been Plan review(at _ %) $
accepted ascom.tete. Stare surcharge(8%) ....S
Nurse urdbol r u sbowa one n c S TOTAL .
Cardholder risrtuurt Amount 4444617 I&OYCOM)
� 1
Plumbing Permit Applicatio>ri
Date received: Permitno.:�}I��� 0,q)D
CTigard Of 1 iga` rd Sewer permit no.. Building permit no.:
Address: 13125 SW Hall Blvd.Tigard,OR 97223 Projecdappl.no.. Expire dare:
CityojTigvrd phone: (503) 639-4171
Fax: (503) 598-1960 Datr.issued: By: Receipt no.:
Case file no.: Payment type:
Land use approval: ______.^ - —
® 1
I &.2 family dwelli;ng(o),,acccssory0 Commercial/industrial 0 Multi-family 0 Tenant impruvement
Jew construction 0 Ad'liuon/alterauon/replacernent ❑Food service 0 Other.1�c DescriptionQty Pee(e3•) Total
Job address: 1 • New 1-and 2-family dwellings only:
Bldg. no.: _ Suite no.: (includes 100 ft.lbeeach utithyconnection)
Tax ma /tax lot/account no.: SFR(1)bath 1
Lot Block: Subdivision: t-1 SFR(2)bath
Project name: SFR(3)bath
City/county:
ZIP: Each additional bath/kitchen
Description and location of work on pn::mises: _ SheutWdes:
Catch basin/area drain
Drywellsileach line/trench drain
Est date olcornpletionlinspection: Foolingdrun(no.lin.ft.)
Manufactured home utilities
Business name. L Manholes
Address: Rain drain connector
State ZIP: Sanitary sewer(no. lin. ft.)
City: Storm sewer(no.lin.ft.) _
Phone: •f Fax: E-mail: Water service(no.lin.ft.)
CCB no.: 7 Lj Plumb. bus. reg. no: Fixture or item:
City/metro lic. no.:N/A Absorption valve
Contractor's representative signature �' Back flow preventer
Print name: NV IU Backwater valve —�
Basins/lavatory r
Clothes washer _ —
Narre: Dishwasher
Address: 1< V
Dirinking fountain(s)
City State: ZIP: Ejectors/sumn _
Phnne Fax: E-mail: Expansion UIK
Fixture/sewer cap
Floor drains/floor sinks/hub
Name (print): Garbage disposal
M-tiling address: r Hose bibb —
City: L.D , State ZIP: Ice maker
Phone: - Fax 7-7" E-mail: Interceptor/grease tet
Owner instailadrrn/retldendal maintenance only: The actual installation Pnmer(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),basing),lays(s)
Owner's signature: Date: um
Tubs/showcr/shower pan —�
Unnal
Name: _ _-- Water closet —
Address: _ Water heater
C;ty _ State: ZIP_ Other. S ,�
E-mail: Total _
Nlinimum feet ;..............$ _-----z
Na VI luntuLcuonr ueq credit eudr,pleam call lunvLcuan ra are roro�mauon Notice-1?us permit application Plan review(at � 96) S 1e1� l97
0 Vila 0 MasterCard expires if a permit is not obtained 1
Credit card numlrr State surcharge(8°b) ••••S
within 180 days after it has been Sr' 0,fd
cp re+ TOTAL ...........
accepted as complete. """""
Nuns L4.v.fholdrr to riw�rri oa.:taLt cud s J �^1
Cudhol ler uln.ture Amount / ax)-v,16 16t(K oM!
CLBir
February'1,2003
Don Morissette Homes
4230 Galewood Street#100
Lake Oswego, OR 64035
Attention: Dena Fitzpa(rick
Subject: City of Tigard - Residential Plan RevicA, - 13535 SW 124t1i Avenue
CLAIR Project No.: 1069-011
Permit No.: MST2003-00010
CLAIR has completed the plan review on the above-mentioned project on behalf of the City of
Salem (COS). CLAIR recarnmends approval of the project for permit to construct. CLAIR
has reviewed the reference documents attached and found them to be ir general compliance with
the attached reference standards and codes.
CLAIR requests that the permit applicant/desilmer respond to each comment in the checklist.
This response should be forwarded to the inspector prior to construction.
Should you require explanation and/or clarification of any of the items noted in the attached plan
review document, please do not hesitate to contact me at (541) 758-1302, or by email at
;iclairGi+claireunTpanv•cc►ni.
RespectFiilly Subrinitlpd,
AIan J. lair, CBO
Plans Examiner
Cc: Gary Lampclla, City of Tigard
Gayland Forsberg, Don Morissette Homes
CLAIR project file 1069-011
Attachments: Attachment #'I - Codes and Standar.,s
Attachment #2 - Submittal log
Attachment #3 -- Plan Review Document
Attachment #4 - Apl lication Checklist
•BUILDING CODE CONSULTANTS •ARCHITECTS •ENGINEERS - INSPECTION TESTING SERVICES
i
air cLair
City of Tigard—Residential Plan Reviv
February 7,2003
1069-011
Wage 2
.ATTACHMENT#1 —CODES AND STANDARDS
State of Oregon 2000 ed One and Two FamilyDwelling elhn�, Specialty Code(OTFUSC)
ATTACHMENT#2—SUBMITTAL LOG
Our plan review comments are based on the following submitted construction documents:
M
1/24/03 1/9/03
City of Tigard 1000N/A 'Ingle family residential dwelling Wilding
— 1 Permit,plumbing permit,mechanical
1/24/03 1/6/03 and electrical N-+Telt,
City of Tigard �M
1001 1M
4 2/'/03 Lot coverage drawing,
1/24/03 2/22/00 !-- _
City of Tigard 1002 Fireplace lnfortnation,energy 4 2/7/03 calculations,truss calculatio splaler'lath rtccal
calculations.
1/24103 1/G/03 Full size drawings including exterior elevation,
City cf Tigard 1003 Partially main floor
_ 4 Superc;eded plan,crosspsection plan,detar floor ils floor oorrfration
m ng
2/7/03 plan,floor framing details,roof framin
_2c7iO3 Don M ftcr Homes shear details eneral 9 plan,
_ 1004 �c�i►genas _
4 2/7/03 Foundation plan,floor framing plan,roof
.i7/03 —� framing plan,shear dstalls.
Don Morissettu Homes 1005 4 2/7/03
Seismic Analysis. ---
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One- and Two-Family Dwelling
Building Permit Application Checklist Reference no.:
�+ Associated pertnits
Cit Ti�T
('ir;n�Tlgard of Tigard JOEICc[rical 3011lnnl, p 'lYMcchanlc;ll
Address: 13125 SW Hall Blvd,Tigard,OR 97223 lthen _
Phone: (503) 639-4171 L
Fax: (503) 598-1960 .Iwll �S�iZoD3 •��o
ME FOLLOWING 1UIRED FOR PLAN REVEW 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 plat/lot.
4 Fire district approval required.
S 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 Ll plan U permit required.Include drainage-way protection,silt fence design and location of
catch-basin protection,etc.
10 3 Complete sets of legible plans.Must be drawn to scale,showing conformance to applic.nble 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 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 4-fl,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 */
si7.e anti tucalfull. _ J�
13 Floor plans.Show all dimensions,room identification,window size,location of smoke detectors, water heater, v
furnace, ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. T
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 root 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 path analysis provide specifications and calculations in engineering standards, — I
17 Floor/roof framing.Provide plans for all flours/roof assemblies,indicating member sizing,spacing,and bearing v
locations.Show attic ventilation. l�
18 Basement and retaining walls.Pr,n+ide cross sections and details showing placement of rebar. For engineered
systems,see item 22,"Ener',,calculations."
19 Beam calcubations, Pmvrde two sets of calculations using current code design values for till beams and multiple joists
Wrr1 10 feel long.:rd/or any heart/joist carrying a nun-uniform load.
2() Manufactured Boor/roof truss design details.
21 Fliergy Code compliance. Identify the prescriptive path or provide calculations.A gas-piping schematic is required �/
I,a hila or nl[mre applttrnceti. _ _ l%
22 Fugineer's calculations. When required or provided,(i.e.,shear will,roof Cross)shall he stamped by;In rngincer of
Orchm-L I lit ipwd nl I)rcgon and ,hall he %him n In he aptmhl rnblr to Ihr pr trct undrf rrvu•w
,
23 Five(5)site plans are required for Item I I above. Site plans trust rc S-1/2"x I"or I I"x 17".
24 Two(2)sets each are required for Items 16, 19, 20&22 above.
25 Buildiny plans shall not contain red lines or tape-ons. "Mirrored"building plans will he not accepted. _
26 "Reversed"building plans must meet criteria outlined in the Permit& System Development Fees document.
27 "Drawn to scale" indicates standard architect or engineer scale. ! X f
28 Site plan to include lice site.type&location per approved project street tree plan 01'applicable),and COT Street Tree List.
Checklist must he completed before plan review start date. Minor changes or notes rn submitted plans may he in blue or black ink.
Red ink is reserved for department use only. 4411.4x14(OMCoM)
CITYOF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICESPERMIT#: PLM2003-00125
DATE ISSUED: 4/7/03
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S103CC-05400
SITE ADDRESS: 13535 SW 124TH AVE ZONING: R-4.5
SUBDIVISION: WHISTLER'S WALK JURISDICTION: TIG
BLOCK: _ LOT: 001 —
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1
FLOOR DRAINS; TRAPS:
OCCUPANCY GRP: R3
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 residential backflow preventer. — - —
FEES
Owner: Description Date Amount
DON MORISSETTE HOMES 11,I.1 imlil 1'rrmit I'l`l' 4/7/03 Ss6.25
4230 GALEWOOD S1 I I'AN I s"„ State Tax 4/7/03 $2.97 _
STE '100
LAKE OSWEGO, OR 97035 _Total_ Y $+39.15
Phone : 5113..397-7539
Contractor:
LANDSCAPE OREGON, INC
12200 SW MYSLONY RD.
TUALATIN, OR 97062 REQUIRED INSPECTIONS
RP/Backflow Preventer
Phone : 503-692-5945 Final Inspection
Reg #: I'I.M 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 plans.
This permit will expire if work is not started within 180 days of issuance, or if work is st.Ispended for more
than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0100.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-6699.
Issued By:
Permittee Signature: /( 7 ' �.{' y L
Call (503) 639-4175 by 7:00 P.M for an inspection needed the next business day
Apr 03 03 03: 48p dan edmonds 503-692-0768 p. 2
1lvilc,
Plumhinp- Per t--A�Cll
a;a� ;7-�--� Received Plumbint, `�U��J -
�/ � I.._ t... _Do;c/Ly y -r L� Permit Na.:r
y Planning Approval sewn'
City of Tigard Date/By: Permit No.: _
13125 SW Hall Blvd. APR 0 3 2003 Plan Review Other
Tig;.trd,Oregon 97223
Post-Date/By:: Permit No.:
i hone: 503-639-11.7 l Fax:, Y5 1958AF'' Date/ y: tand Use
(�IV�SI. �, Date/8v: Case Nr..
Interncl• www.ci.tigard.or.ds Contact luno: SeoPagc2for
24-hour lospection Request: 503-639-4175 Name/Method: upplemental Information.
TYPE OF_WO_ RK _ FEE*SCHEDULE(for special Information use checklist)
New construction r_ Dt:molitiun Description - Qty. Feo(an.) Total
New I.&2-family dwellings
Addition/alterationlreplacement Other:_ (includes loo ft.for each u ility connection) r_
CATEGORY OF CONSTRUCTION SFR 1 beth 249.20
I &2-Farnily dwelli_ng, _1. Cornmercial/Industrial SFR 2 bath 350.00
Accessory I3uildin [_Multi-Family SFR 3 bath 399.00
Master Builder Other. Each additional bath/kitchen d5.00
_ SITE INFORMATION and LOCATION Firesprinkler-sq. R.: Pa e 2
JG8 SI
Job site address: 35 ,S tV /� r'}� z Site Utilities
Suite #: T Bldg_/Apt.#: __ Catch basin area drain 16.60
Dr well/leach line/trench drain 16.60
Project Name: L011IS-ffe/Y U-& C.UT Footing drain no.linear fl. Page 2
-Cross street/Directions to job site: I Manufactured home utilities 1 10.60
Llf_ LA;)'ta&+1 ee:s L6 fv_ Manholes _ 16.60
;t ei f iia i��GtLa.0 / �GhCtC•v -". Rain drain connector 16.60
,, `Z�! t1� ,� / Sanitar sewer no.linear ft. Pae 2S44
Ll t:lti4:!Y'/� 'xT - Lot#:(�;� Storm sewer(no.linear ft,) Page 2
Subdivision:
Water service no.linear fY, Pame 2
Tax ma / arcel#: _ Fixture or Item
DESCRIPTION OF WORK _ Absorption valve 16.6U
Lu41t 41 t i' 11- ,I q61 hr~Vl_ 1" C C Backflow preventer page 2 d7 5
Backwator_valve 16.60
Clothes washer _ 16.60
--- Dishwasher 16.60
Drinking fountain 16.60 _
PROPERTY OWNER TENANT Ejectors/sump 16.60
Name: 4M M61- tl'I SS E -5 Ex ansion tank 16.60
Address: (:_ = Cull U. C C.(:l` 5.Lr Fixture/sewer cap 16.60
CiFloor drain/floor sink/hub 16.60
ty/State/ZI : Ca&_Ci.,l+e0 C� G4 `17 Garbage disposal 16.60 _
Phone: I Fax: hose bib 16.60 _
PPLICANTCONTACT PERSON Ice maker 16.60 _
N1n1C: r�tl .1nr � Irl rcctoqrcase_!!a1_ 16.60
Address: ]i�YLGG f 5�k, it 1U!i10114 IZU Medical gas-value:-1 _ P16 2
Primer
City/State/Zi :- p ct It Roordruin(commcrciuI2 16.60
Phone.'2,Q+ Imo ' �a'�'-!� Fax: r�3 �^5�� "L'��� Sink/basin/lavatory _ 16.60 _
E-mail: _ Tub/shower/shower an _ 16.60
CONTRACTOR Urinal 16.60
Water closet 16.60
Business Name: j,.�CWlu�SC T�.p cre'q«�- 7C►s,_ Water licater 16.60
Address: CCS 4.1-t) mtaI lL I�11>/ -� _ Other:
City/State/Zip: -1-7k4.V-a-I`7/t- Off- � 76er_:. _ other.
Phone: SLe 1.;q.Z-S9y5 Fax: yZ3 &±Q -o9-Ft'lumbinePermit Fees*
_ _ Subtotal S
L.gCB Lir, # r7kC Pluinb. LicA - Minimum Permit Fee 512.50 S
Authorized Residential Backflow Minimum Fee$36.25 34'
Signature:__ _ ��L'l,t �T Date:�"� �-G-� Plan Review 2.5%of Permit FS!eL. S
t SBC State Surcharge 8%of Pennil Fee i. R, 9C
1� Jff_-'T(Please pnnt name) _ _ TOTAL PERMIT FEE S
Notice: 'rhis permit application expires 11 a permit is not obtained within All new commercial buildings require 2 sets of plans with isometric or
180 days after It has been accepted as complete. riser diagram for pian review.
'Fee methodoingy set by Tri-County Ilullding Industry Semite Iloard.
i\DstslPennit FurnuV'hnPenniiApp.doc 01/03