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13595 SW 124TH AVENUE-1 13595 SW 124TH AVENUE CITY OF TI G A R a PLUMBING PERMIT DEVELOrIVIENT SERVICES PERMIT#: PLM2003-00427 PAL 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED 8/13/03 SITE ADDRESS: 13505 SW 124TH AVE PARCEL: 2S103CC-05700 SUBDIVISION: WHISTLER'S .^JA'_K ZONING: R-4.5 BLOCK: LO': 004 JURISDICTION: TIG CLI' SS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE" OF USE: SF WASHING MACH: PACKFLOW PREVNTRS: 1 OCCUPANCY GRP: FI OOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LA.VATOR;ES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATFR CLOSETS: WATER LINE: ft DISI-IWASHFRS: RAIN DRAIN: ft Remarks: Install back fiow preventer Owner: __ �_ _ FEES _ - -"� Descrlption Dzte Amount DUN MORISETTE HOMES — 4230 GALEWOOD ST. 4100 11'LUML1 Pcrnmt I"ec 8/13/03 $36.25 LAKE OSWEGO,OR 97035 I,rNX1 R"(,state'r,,• 8/13/03 $2.90 Total $39 15 Phone : 501-397-7538 —— Contractor: LANDSCAPE OREGON, INC, 12200 SW MYSLONY RD. TUALATIN, OR 97062 REQUIRED INSPECTIONS Phone : 503-692-5945 RP/Backflow Preventer Reg 1#: PLM 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 st?ried within 180 days of I-L3uance, or if work is suspended for more than 180 days. ATTENTION: vregon law requires you to follow rules adopted by the OrAgon Issued By: _�_ Permittee Sigrature: OF _ Q Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next bus ness day 71 Rug 13 03 07: 34a darn edmonds 503 6 72-0768 p. 2 Plumbing Permit Application Rive III No Plaming ApII sevmr _J F City of Tigard RE _C, V 13125 SW Hall Blvd. Peffnit No.-_­_...­____ Plan Review othff Tigard,Oregon 9TM DaidEly, Perumt No.. Phone: 503-639-4 171 Fax: 4A�599_1%0 Pint-Rcview Land USe! 1PL-met W-ww-Ci.fig;irdLor.uS . ___iC2-V0_ ARD contwt hris. See Page 2 1 4-hov. Lnspoetion ,:qucst (it 1014 KanW1%fCll*Jt;: Supplementni Infannstiora. 101t. 1 -TYPEOFWORK FZK*SCE1RDUL9-(%rS;;C_i�krerinaidenuse.iheddlst LiNew C 0111A=60n I Demolition Descsi Feqtma) is�_ � RAQ-0 Two, U Addjti 3n/allmation/MVlacelneut 0dier. ...N MOK n 161 Commerc Winbad 249.20 CATTI;ORY :*,.": 1welling it dusbW SUR(2)bath 350.00 ❑Accesso Building Mufti—Family :S399.00 NxasUT Builder "het': Facie add1itimial baMitchm-- 4-5.60 JOB SrrJE JNVnRfJVAKnON",dLOCA'noN J. Fire T—dw Page 7 Suite#: Site Utilitties Bid LAI: Catch basinfam drain --16.60-- Project Name I liniI cj�W L S 16.60 Cross strecVDirectiom,to job siw: !coling drain no-linear Page 2 -Mmutfactumd Manholes 110.00 Rain dram cumt__ r 16.60 60 no.I' Subdivision:(Ji Lot#-,Q Ll Stunn e 2 11 e 2 Tax mrcel#: Water Lm P -ice(00.lium ]�AC2 JF_ rTl(0)1`;.]0WW. 0RK- ------I.:-, 7e.-i A2/Bum j;C _L:;A7 07t— 16.60 Backflow,pt"0111ter -5;- - PaI 2 5 valve 16.60 aodws"shes � 16.60 Dishwasher 16.60 OPF KR Dliulcimlt rGWltain 16.60 �Name: DO)ih'etynrs/ yl Address: _t!pFision lank 16-60 16.60 qi!Y/Stay��� 6 1-0 0 Ace 743Y Floor chflow-sinkroub 16.60 Phone; q. ] Fax: L-2- 16.60 PLIC` PLICANT, Ilan tum:ACr, 16-60 Ice testerName:&_7 4"'944`_,r" 16.60 Address: 1!"��Obmw -value: S 16.60 Page 2 Cil /Stately Pfivv= --7UAtA*:7PL 16.60 Poordridn(coammmuw) Phone:-Sn3 Y6 Fax: 3 16.60 16.60 TubfshoweNshmrar� - _ 16.60 16.60 Business Name: LoCnd Ce waft Close! 16-60 Water bemer it, R-b Ci�Y/State/I ald:il vr_Y9_fo�r,-1 Phone 563 &JR ",r"m Few- _�nb Authorized MiS ninium Pel I Fee STZ30 S Minin 111115�1 lict Runium R-icw(25%!If!jxmit Fee S 3hu Stu Ke(8%of Permit Feel S N11fice: This p"cWt OPPOCAUSO"Fil4n IF a pernfle i.,eml btxiaeqf"jib, jj�AL_!�Z"T IEC 180 days after is has be" 1"l as cvmplrtr r. pul New 9-m—Vial hw&ftw-Vnkv 2 semsetplans with Immonetrie or risrr Wta*IM for PlI eplam. 'Fee methodology set by Tri-County Millding Industry Service Board. MASTER PERMIT CITYO F TI G A R D PERMIT#: IST2003-00175 DEVELOPMENT SERVICES DATE ISSUED: 6/9/03 13125 SW Nall Blvd., Tigard, OR 97223 (503) 639-4171 PA .CEL: 2S103CC-05700 SITE ADDRESS: 13595 SW 124TH AVE ZONING: 2 4.5 SUBDIVISION: WHISTLER'S WALK Jl RIS ZONING: R-4. BLOCK: LOT: 004 TIG REMARKS: New SF detached dwelling. BUILDING FLOOR AREAS REQUIRED SETBACKS__ REQUIRED REISSUE: DM1700A STORIES: 2 — SMOKE DETECTORS: Y CLASS OF WORK: NEW HEIGHT: 26 FIRST: 1,549 at BASEMENT: of LEFT: TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,641 at GARAGE: 684 at RIGHT: 15 PARKING SPACES: THRD al TYPE OF CONST: 5N DWELLING UNITS: 1 VALUE: 308,18540 REAR: 15 OCCUPANCY ORP: RJ BDRM: A BATH: TOTAL: 3.190 at PLUMBING RAIN DRAIN: 100 TRAPS' SINKS: 1 WATER CLOSET: 3 WASHING MACH: 1 LAU IDRY TRAYS: DISHWASHERS: SF RAIN DRAINS: 1 CATCH BASINS 1 FLOOR DRAINS: SEWER LINES: 100 LAVATORIES: 4 GREASE TRAPS. TUBISHOWERS. 3 GARBAGE DISP WATER HEA'ERS: 1 WATER LINES: 100 BCKFLW PREVNTR: OTHER FIXTURES: MECHANICAL FUEL TYPES FIIRN<100K: BOIUCMP<AHP: VENT FANS: 3 CLOTHES DRYER: I GAS FURN>•t00K: 1 UNIT HEATERS: HOODS: I OTHER UNITS: 1 MAX INP. btu FLOOR FURNANCES: VENTS: 1 WC GAS OUTLETS: 4 ELECTRICAL _ SERVICE FEEDER TEMP Si2VCIFEEDERS -- BRANCH CIH. •r MISCELLANEOUS ADD'L INSPECTIONS RESIDENTIAL UNIT - 0 - 200 atilt): 0 200 amp. WISVC OR FDR: PUMPIIRRIGATION: PER INSPECTION: 1000 SF OR LESS: 1 201 400 amp: 201 400 amp: tat WK)SVCIFDR: SIGNIOUT LIN LT: PER HOUR: FA ADD'L SOOSF: 6 IN PLANT: 401 600 amp: 401 600 anp. EAADDL BR CIW SIGNAUPANEL LIMITED ENERGY: MINOR LABEL: MANU 11MISVCIFDR: 801 - 1000 amu: 601+en1pa•1000v. 1000-ampNolt: PLAN REVIEW SECTION -- Reconnort only —4 RES UNITS: SVCIFnR>=225 A.: >600 V NOMINAL: CLS AREA/SPC OCC. ELECTRICAL•RESTRICTED ENERGY B.COMMERCIAL A.SF RESIDENTIAL AUDIO 8 STEREO. FIRE ALARM: INTERCOM/PAGING: OUl'DOGR LNDSC LT: AUDIO IL STEREO: VACUUM SYSTEM. BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: BURGLAR ALARM: OTH: MEDICAL: OTHR: GARAGE OPENER CLOCK: INS)RUMENTATION: DATARELE COMM: NURSE CALLS: TOTAL N SYSTEMS: HVAC. 'I'OTA'. FEES: $ 5,690.86 Owner: Contractor: 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 DON MORISS TT ST. ME#104230 GALEWOOD ST,STE 100 all other applyable laws. All work will be done In LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 accordance with approved plans. This permit will expire K work Is riot 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: Oregcn Utility Notification Center. Those rules are set Phone: 503_387_7538g forth In OAR 952-001-0010 through 952-001-0080. You awn: LIC 387375% may obtain copies of these rules or direct questions to OUNC by,;alling(503)246-1987. REQUIRED INSPECTIONS Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Appr/SdWk Insp Erosion Control Insp& Rain Exterior Sheathing Ins{ Grading Inspection Post/Beam t Beam Mechanica Plumb Top Out Roof Mechanical Final Sewer Inspection Underfloor Insulation Electrical Service Low Voltage g Electrical Rough In Gas Line Insp Water line Insp Plumb Final Footing Insp Crawl Drain/Backwater Weer Service Insp Building Final Foundation Insp PLM/Underfloor Framing Insp Gas Fireplace Permittee Signature Issued By :i'=`--5�'Lt-.C�.c�t/��Cr�/-+_t,�:1..1 Call (503) 639-4175 by 7:00 p.m. for an inspectio:, needed the next business day 1 CITYOF T I GA R D SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT 9: SWR2003-00138 13125 SW Mall Blvd.. Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/9/03 SITE ADDRESS; 13595 SW 124TH AVE PARCEL: 2S103CC-05700 SUBDIVISiON: WHISTI.LICS WALK ZONING: k-4.` BLOCK: LOT: 004 JURISDICTION: IT(I TENANT NAME: USA 110: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO, OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF detached dwell?ng. Owner: FEES DON MORISSETfE HOMES Description Date Amount 4230 GALEWOOD ST. #100 LAKE OSWEGO, OR 97035 [SWUSA]Swr Connect 6/9/03 $2,300.00 [SWUSA]Swr Connect 6/9/03 $0.00 Phone: 503-387-7538 [SWINSP]Swr Inspect 6/9/03 $35.00 [SWINSP)S�kr Inspect 6/9/03 $0.00 Contractor: Total $2,315.00 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 inst3ller shall prospect 3 feet in all directions from the distance given. If not so located,the installer shall purd ase a"Tap and Side Sewer" Perm Issued by: c G ' `� f�i _ l ` Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Building Permit Application City of Tigan�E�V E� Uatereeeived: v ?9 ,; Permit no.:/N,���Q 9 10019-5 Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.. Expire date: City of Tigard Phone: (503) 639-4171 APR Z y 20G3 - Date isaued: Bya/jf Receipt no.: Fax: (503) 598-1960 /G� Case rile no.: Paymenttypr,: Land use approvak�fl Y OF TI - 1&2 family:Simple Complex: 9F PEIUVI IT U I &2 family dwelling or accessory 0 Commercial/industrial U Multi-family XNew construction 0 Demolition 0 Addition/alteration/mplacement U Tenant improvement 0 Fire sprinkler/alarm U Other. Job address: Bldg.no.: Suite no.: Lot: C Block: Subdivision: Tax map/tax lot/account nU.: Project name: Description and location of work on premises/special conditions: Name: Y Mailing addresI&2 farnlly dwelling: City: , , jStatee_TjZIP: Cf ) Valuation of work....................•................... $� Phone: - Fax: 7- mail: No.of bedrooms/baths................................. Owner's representative: j Total number of floors................................. c- Phone: IF;Ix: E-mail: New dwelling trea(sq.ft.) .......................... I UU 1111 W11 Garage/carport area(sq.ft.)......................... _ Covered porch area(sq.ft.) ......................... ,daln�: i Mailing address: r Deck area(sq.ft.).......................•................ City: State: ZIP: Other structure ares(sq. ft.)......................... _ f'fnnn : Fax: F. mail: CommerclaUindusttilUmulti-family: Valuation of work.... ................................... $ Business name. - If Existing bldg.are-,.(sq.ft.) .......................... New bldg.area(,;q. ft.)................................ --- - Address: Numberof stories................................ City: state: zip: . . . Type of construction............................ . Phone: Fax: E-mail: ... --- - - Occupancy group(s): Existing: ❑u•: New: LAjIll) tro lic.no.: TNotice: contractors and subcontractors are required to be th the Oregon Construction Contractors Board under Name: cr --i6 701 and ma be re uired to be licensed in the e n v , 1 y (' Y qAddress: �1.—v �(,. where work is being performed. If die applicant is Cit State: ZIP: exempt from licensing,the following reason applies: Contact person: Plan no.: - - Phrin" Fax: E-mail: _ Name: Contact person: Fees due upon application .....................•..... $ Address: Date received: City Statc: ZIP: At .,unt received ................................... ..... Phone: Fax: E-mail: Please refer to fee schedule. I hereby certify 1 have read and examined this application and the Nor all fuNuficdom accept credit cards.Mese rail T.—Q, r-more Inrorerriom attached checklist. rovisions of I ws and 1 finances governing this ❑N9aa ❑MuterCanf work will be comp) wt ,w1hethi cifir:l HereA�(yAvt. �I Credit card number Authorized SI natu+ 1 t�Ir�•��� Name or cudlinl er m shown on cmdif crd i Print name: 41 1 r I I_L —^— Crdholder ai uta Amomi Notice This permit appl'_auon expires if a permit is not obtained within 180 days after it has been accepted as complete. 4164613(MCM Ml One-and Two-Family Dwelling � wilding Permit Application Checklist Referonceno.: ('�rl"u(1'i);,rr'l Lit of Tigard Ll permits: b G Electrical ❑Plumbing ❑Mechanical Address: 13125 SW Hall Blvd,Tigard,OR 97223 U Other: Phone: (503) 639-4171 Fax: (503) 598-1960 1 ! ' 1 FOR PIAN.RUVIEW Yes"' N 1 Land use aetiomi 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. __ _ 5 Septic system permit or authorization for remodel_E:xisting 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 ❑peririt 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 confoimance to applicable local and state building codes.Lateral design details and connections must he 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� I 1 She/plot plan drawn to scale.The plan must show lot and building setback dimensions;property corner elevations(if there is more than a 4-tt.elevation differential,plan must show contour lines at 24 intervals);location of easements and driveway;footprint of structure(including decks);I ation of wells/sepdc systems;utility locations;direction indicator,lot area;building coverage area;petaentage 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 end 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 sections)and details.Show all framing-member sizes and spacing ouch 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. 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 patb)and'sr lateral analysis plans.Must indicate details and locations;for non-prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing.Provide plans for all fl xrrs/roof assemblies,indcating member siting,spacing,and hearing laxations.Show attic ventilation. _ 18 Basement and retaining vvnW.Provide cross sections and details showing placement of rebar.For engineered systems,see item�2,"Engineer's calculations." 19 Ream calculations.Provide two sets of calculations using current code design values for all beams and multiple joist; over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 21 Energy Code compliance. Identify the prescriptive path or provide calculations A gas-piping schematic is required for four or more appliances. _ 22 Engineer's calculations.When required or provided,(i.e., --ar wall,roof truss)shall be stamped by an engineer or architect licensed in Oregon and shall be shown to be applicable!„the project un3er review. 23 Five(5)site plans are required for Item I 1 above. Site plans must be 8-1/2"x 11"or 11"x 17". 24 Two(2)sets each are re uired 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 start date. Minor changes or notes on submitted plans may he in blue or black ink. Red ink is reserved for department use only. 440.4614(60WOM) M echanical Per mit Application ��� Date received: Permit no.:�JS p - i� l,lf-., of Tiga. Project/appl.no.: Erdire date: City of I igard Address: 13125 SW Hall Blvd}�Tiga d oo�223 Date issued: iy: Receipt no.: _ Phone: (503) 639-4171 API( Payment Case file no.: type: Fax: (503) 598-1960 CITY OF TIGARD Building permit Land use approvaIA. UL;'1 U =$ION ❑Multi-farm! U Tenant improvement U 1 &7fwnilywelling or accessory ❑CommerciaUindustrial Y _ vIeon U Addition/altLration/replacement U Other: � __ _.__ - ` c c :II 1 11 r I t )\ ,��' Indicate equipment quantities in boxes below.Indicate the dollar Job address: �' ti ( - value of all mechanical materials;equipment.labor,overhead, Bldg.no.: Suite no.: profit,Value$ Tax ma tax lot/account no.: Lot: Block: Subdivision: 'See checklist for important application information and jurisdiction's fee schedule for residential permit fee. Projec'.name: -- - 1 « l City/county: ZIP: l► a Ix1 Description and location of or on premises:___ t'ee(c2.)j Total Description Q Resod Res.onl Est.date of completion/inspection: Tenant improvement or change of use: Air handling unit CFM Is existing space heated or conditioned?O Yes 0 No con Iuomng(sue p an regnir ) Is existing space insulated?U Y," UNI, terauon o ezisting A system oiler/compressors State boiler permit no.: I Business name: 1 lip _Tuns BTUM Address: (' it smo c anlper uct s a electors State, ZIP: eatpump(sueplaniequCrc ) -- CitY: jt lJ � nsta rep ace rear uiner 'FiTIt Phone: Fax: E-mail: Including ductwork/vent line: 7 Yes U*lo _ CCB no.: -Install/reat)ace/re orate c -suspen e , City/metro tic. no.:NIA v^ wall,or floor mounted ent ora fiance o er an furnace Name(please print): > : _. a era on: Absorption units _— BTUM Chillers _ lip Name: -�Cl-L, Com ressors Hp Address: ' v III.I.-I ex laust an rent tat on: City: State: ZIP: Appliance vent - E-mail: ere aust - Phone: Fax: c res. tc is enThazmat hood fire suppression system - Nam e: t(lVEY Exhaust fan with single duct(bath f3m) -- -niaust system apart From cacao%,# Mailing address: ) NU are p ping anTd t ut on(car to 4 oaTts) City State ZIP I Type LPG NO Oil Phone: �- Fax E-mail• are inn earn iuona over out els roressppng(schemalicrequire ) Number of outlets - - - Name: X er app anceorequ pment: Address Decorativefircplece nsert-t City: _ State: ZIP: stovdpe et dove Phone: Fox: •mail: er: S Applicant's sl(gnaru Date: ter: Name(print): �� � n, - ____'-�'- � Permit fee.....................$ _.---- Nd all juria&ctiom¢cert credit cards,please call Jurisdiction roc nttxe inromwlon Nolic.a:This permit application Minimum fee.•......•••••.•.s -- U Visa O MasterCard expires it a permit is not obtained plan review(at N %) S _------- credit cord number — - - .plrc, within ISO days after It has been Stare surcharge(8%) ....S -- accepted as complete. Name of cardbol r ushown metre it 14 TOTAL .......................$ = 416.1611(MCOM) Cardholder riaruturc Amount Plumbing Pernnirt Application `` �Datereceived: �_ Fe-rut no.: Cit of T '� �� EF Sewer t no.: Lidding permit no. Address: 13125 S�� H B6 Q .FMP223 t� CiryojTigard Phone: (5031 639-4171 Projecdbppl.no.; Expire date:_ Fax: (503) 598-1960 APR 1.003 Date issued: By: Receipt no.: Land use approvalcase rile no.: Payment type: 1 L\LOI 2 family dwelling or accessory 0 Commerciallindustrial 0 Multi-family C1Tenant improvement.w construction ❑Addition/altemdon/replacement 0 Food service O Other. 22 1 ; SM INFO"L%TIONFEE, r Job address: �_J` �� C�� �L� -, T t+� Description Qty. Fee(ea.) Total New 1-and 2-family dwellings only: Bldg. no.: Suite no.: (Includes 10011.for each utitity connection) 'fax map/tax :ot/account no.: SFR(1)bath Lot Block: Subdivision: SFR(2)bath Project name: _ SFR(3)bath City/county: ZIP: Each additional bath/kitchen Description and location of work on premises: Siteutilities: Catch basin/area drain _ Est date of completion/insp,ction: Drywells/leach line/trench drain Footing drain(no.lin.ft.) Manufactured home utilities Business name-. Manholes _ Address: Rain drain connector State- ZIP: Sanitary sewer(no.lin.ft.) Ctty Storm sewer(no.tits.ft.) Phone: -1 Fax: E-mail: Water service(no.lin.ft.) CCB no.: ""j Plumb.bus: reg.no: - Fixture or Item: City/metro lic. no.:N/A 711 Absorption valve Contractor's representative signature Backflow preventer Print name: U 9 Backwater valve Basins lavatory — Clothes washer Name: I fJ _ Dishwasher Address: ,V Drinking fountain(s) Citv State: ZIP: Ejectors/sump Phr n Fax F mail Expansion tank Fixture/sewer ca - Floor drains/floor sirtkOmb, Name(print) �' l `- � Garbage disposal Mailing address: 11,L— Hose bibb City.- State ZIP: X Ice maker Phone Fax: E-mail: Interco tor/ ease tra Owner InsraUarion/residendal maintenance only: The actual installation Pnmer(s) will be made hs me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property 1 own as per ORS Chapter 447. Sink(s), basin(s),lays(s) Owner's signature Date: Sum - Tubs/shower/shower pan Unnal Name Water closet Address: _ Water heater City. State ZIP: Other Phone: Fax: E-mail: Total Na ell lunsdreuan rcepr c"i cards.please c ll lundicuon for more mfamwon. Notice:Thi!permit application ----- Q visa ❑MasterCardaexpires if a permit is not obtained review(at %) $ined State surcharge(896) .•••$ _- C.edlr card number __ _ --/ / within 180 days after it has been _ eprres TOTAL accepted as complete.. ........... ""• Name of wtdfalder u shown on eraLr card s Cardholdu ulnNure AmuuN 1W r6161oM1 Iaectrical Permit Application Dale received: City of Tigard R E C E I V,[D Project/appl.no.: _ Expire date: -- City o)rTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: I Receipt no.: Phone: (503) 639-4i71 APR Z � 2003 Case rile no.: Payment type: Fax: (503) 598-1960 Land use approval: CITY OF TIUAHG t U I & 2 family dwelling or accessory O Commercial/inuustrial U Multi-family U Tenant improvement Nrw construction O Addition/alteration/replacement U Other: _ U Partial Ii INFORMATION Job address: � r j � t~ e , Bldg. Tax map/tax lot/account no.: U) Brock: Subdivision: -- Project narr:: Description and location of work on premises: Estimated date of completi-in inspection: [VAIN 11110 111 f Pee Max Job no: ca Total no.las � `.-.��� 14scription Qt ( ) Business name: 1. 1 (XV—\c, Nr"rr,A-ntial-single or multi family per Address: dwellinr unit.Inclwks attachid range. City: _iti...:: ZIP:Cl Servicehnclurkd: 4 1000 sq.ft.or less P110rIC: �j" I FtLY: E-mail: Each additional 500 sq.ft.or. thereof CCB no.: Elec.bus.lic.no: 19 _,� Limited energy,residential 2 C: Limited energy,non-residential 2 Each manufactured home or modular dwelling Service and/or feeder 2 azure�jofsupervstnP electrician fee ulred) Date `3 -- Services orfeeders-Installation, Sup elect name(print) 1 License no alteration or relocation: 200 amps or las 2 201 amps to 400 amps 2 Name (print): 1 c _ 2 40l amps to 600 amps Mailing address: 601 amps to 1000 amps _ 2 Clly:~ + Stale ZIP: Over 1000 amps or Volts 2 Reconnectoniy Phone: - Fxx: -"7 -mail. - I 'fempo'ary services or feeders- Owner fnsiallation:The installation is being made on property I own installation,alteration,orrelocation: which is not intended for sale, lease,rent,or exchange according to 200 annips or las 2 ORS 447,455,479,670, 701. 201 amps to 400 amps 2 — Owner's 91 nature: Dale: 401 to 600 ams 2 Branch circuits-ne",altera(ion, or extension per panel: Name: A. Fee for branch circuits with purchase of Address: - service or feeder fee,ea.:h branch circuit City: State: ZiP: B Fee for branch circuits without purchase of service or fader fee,first branch circuit: 2 Phone- Fn X: E-mail: Each additional branch circuit: Misc.(Service or feeder not included): Each pump or irrigation circle 2 ]Service over 225 amps commercial U Heallhrarefrcibty Each sign or outline lighting --- 2 U Set vice over 320 amps-rating of 1&2 ❑Hazardous location Signal circuil(s)or a limited energy panel, farnulydwellmgs UBuilding ovtr10,00(lsquare lectfour Or B O System over 600 vola nominal more residential units in one structure alteration,or extension• 2 U Building over three stories U Feeders,400 amps or more *Description _ U occupant load over 99 persons U Manufactured structures or RV park Each additional inspection over the dloviable In any of the�above: ❑Egress/lightingplan U Other - Perinspection —ry Submi: sets o r plans with rmy of the above. Inveatigation fee The above are nol applicable to temporary corsstruction service_ Other Permi! ire.... ...............5 _------- Not all ju:i+dictlutn scup credit cards,please call)arisdict'on nor nwre Ir.'orrnauon Notice This permit application Plan review(at _ %) 5 _ U visa U MasterCard expires if a permit is not obtained State surcharge(8%)....1; Credit card numbe . _I / - within 180 days after it has been Eaptre+ accepted as complete. TOTAL .......................S — _ Narne�ol r as shown on c it c s Cardholder sitrraturc Amaro u0 Ir,1S(6D�COM) I DON • MORISSETTE OBE : 27 4 I+ OUEs 1NC0RP0RATEO LOT: 4 4 2 7 0 G A Z E W O O D S T R E E T L A K E O 9 W S G 0, 0 R 6 G 0 N 9 7 0 3 8 DA'T'E: 4/2:'/03 Abr(603) 387 - 7538 PAX (e-re s Tp� V•IX— PROPERTY: WHISTLER'S—WALK CITY: TIGARD OPTION 2 THREE CAR GA�RA�GEN APR � y 2003 pLAN No.: '.70 CITY OF TIGARU BUILDING DIVISION 330' 328326' I` .r A 322' :,.,.,.• 3,n sq. Pt. — 9, / 2 lit beth % FF.E. 328' �'. :: Y. I 3 car ger. I WAY . ttr FF.E. 324' - a 338 I I _, �d, int I I i 326, Ln LEGEND l C) aC_� R F3R,." , _Ex 5-Nl, 'REES �' -- Fr 8"NG 'RETS •CES F_F' )) „J f C RE–" -C RE-A N LOT COVERAGE _ �F LOT 04 1,553 eq. r�.. Ir ITV OF TIGARD-SITE PLAN REVIEW BUILDINO PL RMIT NO.: PLANNING DIVISION: l�.5 Required Setbacks: h1 Approved ❑ Not Approved Sidi': Street Side: 15 Front. r Garage: —gLO— Rear: J5 Visual Clearance: Ap proved ❑ Not Approved Maximum Building Fleight• , reel CWS Service Provider Letter Required: ❑ Yes 10INS (► [] R�ceivNd t'.N: dA4 O.Cwle i Datc: t;NGINr. N(i IX-PARTMENT: Actual Slol,e: t '% Arliroved Q Not Approved Site Plan: Approved ❑ :cu,Approved N�►t,:s: ?4-n O A-S J t(Z- r w 4 -Tn r(cTt_.b U tc T-- CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST ----------- INSPECTION DIVISION Business L�-•.: (503)639-4171 SUP Receives! Date Reque fy4d �� _� AM PM __ BUP Location ��'��� S J Z�4 Suite _ MEC Contact Person ~,a �)---_-- Ph( —) PLM _. Contractor_ —______ - - Ph (—) _ SWR _ t� BUILDING Tenant/Owner _ _ ---- _ ELC © � Footing ELC _ _____ __ Foundation Access: Ftg Drain ELR — Crawi Drain - Slab Inspection Notes: SIT Post&Beam -- ._-- ----- - -- Shear Anchors Ex,Sheath/Shear Int Sheath/Shea! Framing --- --- -- - Insulation Drywall Nailing -- — --- - - - -- - Firewall Fire Sprinkler ✓ - --. -- - - ---- --- --- Fire Alarm Susp'd Ceiling - - - - Roof Other: �— ---- - - - - - Final PASS PART FAIL PLUMBING- - —__ - Post&Beam Under Slab -- --- _ - Rough-In Water Service Sanitary Sewer _ Rain Drain. Catch Basin/Manhole -- Storm Dra:i Shower Pan — Other:_ Fnal PASS PART_FALL MECHANICAL — Post& Beam— Rough-In - - -- - - - -- — - - -.--_ — - -- Gas Line Smoke Dampers - Final ART FAIL — CTRI — Service" Rough-In �� -- - --- — --- ---- — --- UG/Slab Low Voltage -- --- ----- ---- - — — Fire Alarm ina Reinspection fee of$. _required before ndxt inbp�,ction. Pey at City Hall, 13125 SW Hall Blvd. g�S PART FAIL — Please call for reinspection RE:__— _ Unable to inspect -no ar,cess Fire Surply Line 10/ ADA - __— Approach/Sidewalk Date — InSpec'�� Ext _ — Other -- Fim it DO NOT RENWVE this iwespection record from the Job site. L PASS PART FAIL SLAAAAAAAIAAAAAAAAAAAA_tii AAAAAAAAAAAAAAAAAAAAAAF i Q d ► 4, Q ► �' ► o , ► ril 01. J 0. ► '� lD C) ► . F.' _,A ► O44 P-4 �, I� z 44 Sv > loo 44 > » ► o ► �I l„ rb ► j ► L� rte, pop. FVVVVVVVVTVVTVVVVVVVTvvvvvvvvvvvvvvvvvvvvvvTI ► J: �? o a Q a. G O n :1 n er 'y S C 1'1 Q r I OF CIT' Inspection, Line (503)639-4175 ,3 BUIUILDINGING MST INSPECTION DIVISION Business Ont.. (503)639-4171 BUP — Receivad _____Date Requested —�'�` — AM— — —PM.— BUP _MEC Location — Location —_ f 3 S —�� — Suite -- Contact Person __ —� =.-- Ph (—) `i PLM _ ---- Contractor — _— — _ Ph (_-- ) -- SWR — BOILDING Tenant/Owner ___..__ — ELC _ -- Footing ---- -- ELC - ------- Foundation Access: Fig Drain ELR ------ Crawl Drain - - SIT — Slab Inspection Notes: —� Post&Beam -- ----— -- - ----------- Shear Anchors Lxt Sheath/Shear L ------ -- Int Sheath/Shear -- --- .__-- Framing Insulation -- ----__ Drywall Nailing - - Firewall _ ----- Fire Sprinkler _ - ------- ---- Fire Alarm _— Susp'd Ceiling - Roof -- ---- -- — __ ------- --- Othm 5S + RT FAIL NTI - -- -_ Pom Under Slab - -- - --------------_--Rough-In Water ------- Water Servico Sanitary Sewer Rain Drains Catch Basin!Manhole Storm Drain - Shower Pan ----- Other: ,Knalr _ -- ----- . -- - ...-- PART FAIL ANICAL - - - - -- — Post& Beam Rough-In --- -- Gas Line Smoke Dampers inalll PART FAIL Service - Rough-In - - .----------- ---- UG/Slab Low Voltage - -- -- ire r final L Reinspection fee of$_ -�_required before next inspection. Pay at City Hall, 131?5 SW Hall Blvd. AS PART FAIL. E - Please call for reinspection RE:- -_- --_ -, Unable to inspect-no access Fire Supply Line ADA I Approach/Sidewalk Datar 1 1 �� Inspector v `--- Ext --- Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: M 39-4175 MST INSPECTION DIVISION Business Line: 39-4171 ___-- BUP — — Received __--Date Requested $ Z" AM PM BUP Location _ — 1 2 S75 oZ _ Suite _ MEC Contact Person — Ph(_ ) _ PLM Contractor -- --- _- Ph (.- -) --- ___-- SWR BUILDING Tenant/Owner -_ _ —_—__—� __ ELC -Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain --__— Slab Inspection Notes: SIT Post& Beam - -- - - - - -------- _ Shear Anchors - -- Ext Sheath/Shear — Int Sheath/Shear Framing - - ---- ----...--- -- -_- - - --- Insulation Drywall flailing - -_ -------- -- ---- ------ - Firewall Fife Sprinkler --- _ _-- Fire Alarm Susp'd Ceiling - ---- _ -- Other: -- Other:---- _ ----- �- Final _ wr PASS PART FAIL ME3 PLUINF-1_ _ — – Post&Beam Under Slab -- ------ - - -- Rough-In Water Service Sanitary Sewer Rain Drains - - -- Catch Basin/Manhole _ Storm Drain ---`" Shoff ier Pan _ - Othar. A8 '1 PART FAIL - —- --- --- - - ---- -_ MECHANICAL -- Post a Beam Rough-In - _----- -- - ---- --- Gas Line Smoke Dampers Final PASS PART FAIL —------- ---- - -— --- —__._ ELECTRICAL Service - - ------ Rough-In - UG/Slab Low Voltage --- ----- -- ---- - Fire Alarm Final Reinspection tee of$ - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL 8ITE u Please call for reinspection RE: Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Dab-- 4-�C_� _ Inspoctor _--- Other. Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL