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13770 SW 124TH AVENUE i 13770 SW 174"' Avenue www FROM FAX NO. Dec. 23 2001. 08.12PM P5 04 30 200-1 (18 07 FAT 503?,981DFl0 CITY OF TIGARD 1100: CITY OF 14IGARD 13125 SX. MALL BLVD, TIIGARD, OR 97223 IMPORTANT PERMIT NOTICE ANSPACH PLUMBING MARK A LAIN 11113$0 S FERGUSON ROAD OREGON CITY, OR 97045 Plumbing Signature Fonn Perrr,it#: MST2003.00059 Date Issued: 4/1;03 Parcel: 2S103CC-06600 Site Address: 13770 SW 124TH AVE 4ubdivisiom WHISTLER'S WALK Block: Lot, 013 JurisdiCtion: TIG Zoning: R-4.3 Remarks: Nev: SF detached, Path 1. YOLir company has been anul;.ated as the plumbing coidractor fcr the permit indicated abavrq ,i, voot for the plumbing pennit to be valid, please have the appropriate individual from yo4: company f;ign below anu ,-turn I his Plumbing Siyndture Form prof to the start of the work to t`w address abvvo, ATTN: Building Dlvr�ion. No plumbing inspections will be authorized until this cornirlatad form Is received OWNER. PLUMBING CONTRACTOR. DON MURISSETTE HOMES ANSPACH PLUMBING 4230 GW_FWOOD ST 0103 MARK A LAW LAKE OSWEGO, OR 97035 18380 S FERGUSON ROAD OREGON CITY, OR 97045 Phone# 503.387.7538 Phone 0: 503-253-8120 Req #: LIG 37735 PLM 3.429PB AN INK SIGNATURE IS REQUIRED ON THIS FORM x /A'V/ _ Si6neture of Authorize rmber I 11 you have any questions, please call 503.718.2435. CITY O F Y I G A R D MASTER PERMI PERMIT#: MST2003-00059 DEVELOPMENT SERVICES DATE ISSUED: 4/1/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 13770 Slat' 124TH AVE PARCEL: 2S103CC-06600 SUBDIVISION: WHISTLER'S WALK ZONING: R-4.5 BLOCK: LOT: ul{ JURISDICTION: Illi REMARKS: New SF detached, Path 1. BUILDING REISSUE: TORIES: 2 FLOOR AREAS REO'IIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 26 FIRST: I sl BASEMENT: s1 LEFT: I 1 SMOKE DETECTORS TYPP.OF USE: SF 1"LOOR LOAD: 40 SECOND I 1;11 sf GARAGE406 st FRONT 35 PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: I THIRIJ sl RIGHT 11 r 306,962 4 OCCUPANCY ORP: R3 BDRM: BATH: 3 TOTAL. i nVALUE.us sl REAR. s PLUMBING SINKS: 1 WATER CLOSETS 3 WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN: Ino TRAPS: LAVATORIES: 4 DISHWASHEW I FLOOR DRAINS: SEWER LINES 100 SF RAIN DRAINS: 1 CATCH BASINS. TUB/SHOWERS: 3 GARBAGE DISP: 1 WATER HEATEHS. I WATER L.INFS: lin, BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL.TYPES FURN c 100.1: BOIL/CMP c SHP: VENT FANS: 5 CLOTHES DRYER: 1 (_tnb FURN>000K: 1 UNIT HEATERS: HOODS: i OTHERUNhS: 1 MAX INP: btu FLOUR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL. RESIDENTIAL UNIT _ SERVICE FEEDER T?MP SRVCIFEEDERS BRANCH CIRCUIrS MISCELLANEOUS ADD'L INSPECTIONS_ 1000 aF OR LESS: 1 0 -200 amp: 0 200 amp: WISVC OR FDR: PUMPIIRRIGATION: PER INSPECTION. EA ADD'L 500SF: 6 201 400 amp, 101 400 amp: 1st WK)SVCIFDR: SIGNIOUT LIN LT: PER HOUR: LIMIT ED ENERGY: 401 600 amp: 401 600 amp: EAADDL BR CIR: SIGNAUPANEL: IN PLANT: MANU HMISVCIFDR: 601 1000 amp: 901+Impe.1000v: MINOR LABEL: 1000+amplvolt: PIAN REVIEW SECTION Reconnect only: —4 RES UNITS: SVCIFUR>•229 A.: >900 V NOMINAL: CLS AREA/SPC UCC' ELECTRICAL-RESTRICTED ENERGY A SF RESIDENTIAL _ 0.COMMERCIAL AUDIO A STEREO VACUUM SYSTEM: AUDIO d STEREO: FIRE ALARM INTERCOM/PAGING: OUTDOOR LNbSC LT: BURGLAR ALARM: OTE: BOILER: HVAC LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION MEDICAL: OTHR: HVA;. DATAITELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 5,775.09 DON MORISSETTE HOMES DON MORISSETTE HOMES INC This permit is subject to the regulations contained In the 4230 GALE%VOOD ST#100 4230 GALEWOOD ST,STE 100 Tigard Municipal Code,State o OR.k w Specialty Codes and LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 all other ce with a laws. All work Thiills be done it accordance with approved plana. This permit will expire H 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 followrules adopted by the Phone: 503_387-7538 Phone: Oregon Utility Notification Center. Those rules are set Sp3�387 7 g forth In OAR 952-001-0010 through 952-001-0980. You Re; n; IJI A% may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRFD INSPECTIONS Erosion Control Insp 8, Post/Beam Mechonica Mechanical Insp Shear Wall Irsp Insulation Insp Mechanical Final Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Inst Rain drain Insp Plumb Final Footing Inap Crawl Draln/Backwater Electrical Service Low Voltage Water Line Insp Final Inspection Foundation Insp Footing/Foundation Dr; Electrical Rough In Gas Line Insp AppNSdwlk Inap Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Electrical Final Issued By : f _ " Permittee Signatu i Call (503) 639-417 by 7.00 p in, for an Inspection needed the next business day SEWER PERMIT CITY OF TI^ARD / DEVELOPMENT SERVICES PERMIT#: 4/1/03 3-00052 DATE ISSUED: 4/1/03 13125 SW Hall Blvd., Tigara. OR 97223 (503) 639-4171 PARCEL: 2S 103CC-OEi600 SITE ADDRESS; 13770 SW 124TI-I AVE SUBDIVISION: WHISTLER'S WALK ZONINr iz_i.5 BLOCK: LOT: 013 __.� JURISDICTION. .ilc. TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELI 'NG UNITS: 1 TYPE OF USE: SF NO. OF ','UILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer co mwclion for i1(!w S1= Owner: —_-�- FEES 0')N MOP.ISSETTE ')MES Description � Date Amount 4230 GALEWOOD S I'#100 – -'-- LAKE OSWEGO,OR 97035 ISWUSA]Swr Connect 4/1/03 $2,300.00 [SWUSA]Swr Connect 4/1/03 $0.00 Phone: 503-387-7538 [SWINSP]Swr Inspect 4/1/03 $35.00 [SWINSP]Swr Inspect 4/1/03 $0.00 Contractor —�— Total $2,335.00 Phone: Reg #: Required inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the insta:ler shall prospect 3 feet in all directions from the distance given. If not so located,the installer shall purchase a "Tap and Side Sewer" Pear Issued by: � -� ' �C Permittee Signature: Call (503) 6S9-4175 by 7:00 P.M. for an inspection needed the next business day Building Permit Application � City of Tigar _ Date received: Q^ Permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: Expire date: C iry ,f'figard Phone: (503) 639-4171 r E6 o 7 �r O� Date issued: By: Receipt no.: 1 Fax: (303) 598-1960 Case file no.: Payment type: CITY OF TIGARD Land use approval:Rt III QING QIVISIQ / \ &2 family:Simple Complex: 0 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family , New construction 0 Demolition U Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other. _ Vi 1511 tole Job address: _20 tic ( 1r Bldg.no.: Suite no.: Lot: Block: Subdivision: J` ' Z i Tax map/tax lot/acco t no.: , Project name: Description and location of work on premises/special conditions: _ c Name: `� ^�"� f Y� (Ilo(illiliAllus�pliccao�city,solar,etc.) 5Z_ Mailing address: (,'�,• _ 1&2 family dwelling: �GL IGz r tl City: 5tate� ZIP: ' ! Valuation of work....................................... $ Phone: Fax: 7 mail: No.of bedrooms/baths................................. Owner's representative: �._. , __ 6t y"I Total nr '%r of floors................................. Phone: Fax: Email: New dwelling area(sq.ft.) .......................... Garage/carport area(sq.ft.) Name: ,Y Covered porch area(sq, ft.) ......................... Mailing address: Deck area(sq.ft.) ........................................ City: State: ZIP: Other structure area(sq. ft.)......................... _ Phone: Fax Email: Commercial/induatrlaUmulti-family: Valuation of work....................................(10011 ZU if W Existing bldg.area(sq.01k............... ........ Business name: New bldg.area(sq. ft.) ......... ... ............... Address: C741x1l ieL - Number of stories -- _ ZIP: ............... ...... ............. _ City: State: Type of construction.... .. �•• Fax: E-mail � ................... ....` PhCn --- _ Occupancy grourr Existin _ nu.: New: City/metro lie.n', . Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: t. ,�,�( provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed.If the applicant is Cit 'Starr: ZIP: exempt from licensing,the following reason applies: Contact person: Plan no.: —�— Phone: Fax: E-mail: — Name: Contact person: Fees due upon application ........................... $ Address: Date received: _ City: State: ZIP: Amount received ......................................... $ i Phone: _ Fax: Email: Please refer to fee schedule _ I hereby certify I have read and examined this application and the Not w iurl"dktlom weep, -dit^",pease call ltnisdIction ror mm infero attached checklist.AU-provisions of 1 ws and odinances governing this U Visa U MasterCard work will he co pi wr ,whether. cifieat IIep-A r",pot.2 Credit card number• _ Expires Authorized S natu, ' t v � ,�1.r(� • ._ ^`) --Naar of cAntholder as shown on credit canes- s Print name: Cardholder"r Am Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4404613 W kW tt.t One-and Two-Family Dwelling Building Permit Application Cheeklist Referenrero.: City of Tigard City of Tigard Associated permits: Address: 13125 SW Hall Blvd,Tigard,OR 97223 C3 Elecuical U Plumbing U Mechanical❑other. Phone: (503) 639-4171 Fax: (503) 598-1960 A 1111011 11111domtr 1 Land use actions completed,See jurisdiction criteria for concurrent rr•. -ws. 2 71)ning.Flood plain,solar balance points,seismic soils designation,historic district,etc. 3 Verification of approved plat/hit. _ -- 4 Fire district approval required. 5 Septic system permit or authorization for remodel. Existing system capacity 6 Sewer permit, 7 Watcr district approval. 8 Solls report.Must carry original applicable stamp and signature on file or with application. 9 Erosion control U plan U permit required. Include drainage-way protection,silt fence design and location of catch-basin protection,etc. 10 _L Complete seta of legible plans.Must be drawn to scale,showing conformance to applicable local and state building codes. lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. J` 1 I Ske/plot plan drawn to scale.'rhe plan must show lot and building setback dimensions;property comer elevations(if 1 there is mere than a O4 elevation differential,plan must show contour lines at 24 intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator,lot area;buildingcovers a area; percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size and location. 13 Floor plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater, furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details.Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-floor, wall construction,roof construction.More than one cross section may be required to clearly portray con.utrction.Show details of all wall and roof sheathing,roofing, roof slope,ceiling height,siding material,footings and foundation,stairs, fimQlace construction, thermal insulation,etc._ X 15 Elevation Hews.Provide elevations or 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 shed ad.iendums showing foundation elevations_with cross references are acceptable. Jt 16 Wall bracing(prescriptive path)and/or lateral uralysb plans.Must indicate details and locations;for non-prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing.Provide plans for all floors/roof assemblies,indicating olember sizing,specing,and bearing fixations.Show attic ventilation. 18 Basement and retaining walls.Provide cross sections and details showing placement of rebar. For engineered systems,see item 22,"Engineer's calculations." 19 Beam calculations.Provide tw-)sets of calculations using current code design values for;!rl beams and multiple joists over 10 feet long and/or any beam/jst canying 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 calculatloms.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. U IN 1111101%]11M 23 Five(5)site plans are required for Item I I above. Site plans must be 8-1/2"x I I"or I I"x 17". x 24 Two(2)sets cacti are required for Items 16, 19,20&22 above. 25 Building plans shall not contain red lines or tape-ons. _ 26 No rolled, reversed or mirrored building plans will be accepted. 27 ,8 Checklist must be cr-npleted before ;.Ian review start dart.. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is rest-ved for department use only. 44DA614(doacoM) ani�al�'ernnit Application Nlech _ Date received:� Permit no.: Project/appl.no.: Expire date: City of Tigard ---- Ac Iress: 13125 SW Hall Blvd.Tigard,OR 97223 Date issued: By: Receipt no City of Tigard Ph:ne: (503) 639-4171Case file no.: Payment type: Fax; (503)598-1960 Building permit no.: Land use approval: ---- � r TO &2 family dwelling or accessory O CommerciaUindustrial O Multi-family U Tenant improvement Q Addiuotdalteration/replacementO Other:ew construction l 1 t r ` ( ��._ � indicate equipment quanuurs in boxes below. Indicate the dollar Job address: -7 value of all mechanical materials,equipment.labor,overhead, Bidg. no.: Suite no.: prof'[.Value b _ -- Tax map/tax IoUaceountno.: Y *See checklist for important application information and Lot• t Block' Subdivision: l iuri-:diction's fee schedule for residential permit fee. Project name: v J t t Ci /county: ZIP: [ 1 I ltj t I IL Description and location of work on premises: Fee(") Total Ihscription ()ty. Rcs•only Res.00ly Est.date of completion/inspection: AL: CFM Tenant improvement or change of use: Air handling unit — Ai (site an required) Is existing space heated or conditioned?❑Yes 0 NO r con iuorungA terauon o existin Is existing spice insulated?0 Yes 0 No oera compressors State boiler permit no.: gTUM HP Tons - Business naT_ ireismo adampers/ uct smo a et:.ctors -- Address: Heat pump(site pan Re U red) _ - - City: LLI State: ZIP. nsta rep ace mac urner Phone: Fan: E-mail: Including ductwork/vent liner UYes O No CCB no.: t= nstal rep acdre ovate eaters suspende - — [2' will,or floor mounted City/metro lic. no.: N/A ent or a 'ante o er an urnace Naive(please print) C > - 1 e Brat on: gTUM _ --- Absorption units_—__--• HP Chillers Ntunc: ' HP 7 �`-�1�-]'`==-- Com ressors v onmenta ex utt an Ten(1.1 on, City: State: ZIP: APPliancevent - il: erexhaust Phone: Fax: E mas, t -�- Wil hood fire suppression system Exhaust fan with single duct(bath fans) __Name: 11 ausl s stem a art�cm heaun or -- Mailing address. ) �+ ,aci�p ng an . stri rut on(up to 4 out els) -- state 7.I P��C� t yp� LPG N(3 Oil City: -. - - I of g E mail Fu inn e-acditiona over out ets - Phone: 7" lax: rocesspiping(schemaucrequirtd) - Number of outlets _ _ _ - ter etTap ante or equ pmenl: Name: -- J a Decorativefircplace Address: — nsert-ty State: ZIP srov pc etstove Phone: Fax: E.•lnail: er: 4pplicant's signufu c _ Date: t er. Name 1 printl: permit fee.................... _---------- kaae calf jurisdiction for uriscmac infaimati Notice:This permit application Nn all luriadlcuonl auept chi cards,� iPe PP Minimum fee................ 0 Viso O MasterCard expires if a permit is not obtained plan review(at _ %) s cmdii card number _ -- apirn ` within IAO days after it has been State surcharge(696) ..••S ------ accepted as complete. TOTAL S one of cu of r u rhoWa on credo cud s 440-.4617(&MMM) _`. ---- Amount — Cudholder rianature Plumbing Permit Application Daterccstved: D�' Perntitno.: FltiT,ri'etz'�5� C4- of Tigard Address: : 125 SW Nall Blvd. Tigard, OR 97223 Sewer permit no.: Buildie.gpermit no.: CiryojTigard Phone: (503) 639.4171 Projecdappl.no.: Expi edatc: Fax- (503) 598-1960 Date issued: By: Receiptno. Ladd use approval' _ _ Case rile no.: Payment type: t O I &.2 family dwelling or accessory 0 Commercial/industrial 0 Multi-family C7 Tenant improvement INew construction 0 Addition/alteration/replacement 0 Food service 0 Other. jOBSIffiINFORMATIONat , Job address: -77 1�\lU ~ `�' Description Qty. Fee(ea.) Total Bldg.no.: Suite no.: - New I-and 2-family drverttngs only: (includes 100 n.for each utility connection) Tax leap/tax lot/account no.: SFR(1)bath LotI jBlock: I Subdivision:_ �( SFR(2)bath -- Project nam _ SFR(3)bath City/county: ZIP: Each addiuonal barh/kitchen Description and location of work on premises: _ Siteutilities: Catch basirUarea drain Est. 'late of completion/inspection: DrywellsAeach linettrench dram Footing drain(no, Iia. ft.) Manufactured home utilities Business name-, ;S,' L t--IB 1 Nu Manholes Address: Rain drain connector — (ity: State ZIP: Sanitary sewer(no.lin. ft.) Storm sewer(no.lin.ft.) Phone: -�"L Fax: E-mail: Water service(no.lin.ft.) CCB no.: I clo�"'j Plumb. bus. reg. no: Elxture or item: City/metro lic. no.: NIA Absorption valve _ Contractor's representative signature Back flow preve iter Print name: 1J ? backwater valve Basins/lavatory Name: Clothes washer � Dishwasher _ Address: 1r V DrimkinQ fountain(s) City: _ State: Z1P: Ejectors/sump_ Phone: Fax: E-mail: Expansion tank Fixture/sewer cap Floor dlams/floor sinks/hub _ Name(print): U'.� l�j`- � 1 Garbage disposal Mailing address: �r Hose bibb City , L State ZIP: Ice maker Phone: " - - Fax: -70 Email: Interceptor/grease trap Owner instaBadon/resfdendal maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(cornmercial) employee on the propem,1 own as per ORS Chapter 447. Sinktsl,basinls', lays(s) _ Owner's si nature: Date: Sump --rubs/shower/shower pan _ Unnal Name: _ Water closet Address: Water heater City State: Other. Phone: j Fax: Email: Total S _ Na VI ptnru xd,cuoaccept creditse cede,pleacall lunxhcuon For more,dorrrtauun NotieC:This pertnpermitMinimum fee................application Plan rc�1eW(at 9d) s 0 Visa O htutercud expires if a pertnit:. .ot obtained ( Credit card number _ / / within 180 dm after it has been State surcharge(8%) ....S Expires Name ur cardlwlJer ss t+7o+n wt a tt card accepted as complete. TOTAL .......................S -- S cardhoider sirxturse Amount 4.Y}J616 r6906"Mi Electrical Permit Application rate received: d_� Q 2, Puittit no.: City of Tigard Roject/appi.no.: --- Expire date: CiryojTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued. _ Sv_Vcceiptno.: Phone: (503) 6394 171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: TYPE OF PER1111T U I &2 family dwelling or accessory O Commercial/industrial Q Multi-family n Tenant improvement New construction ❑Addition/ai teration/re place ment 0 Other. t.i Partial JON s ' s Job address: 7-70 ---2►/v L`' Yr , I Bldg.no.: Suite no.: Tay map/tax lot/account no.: Lot: Block: Subdivision: VV`D CZ-( ---— Project __—__Project name: _ Description and Iceation of work on premises: Estimated date of completion/inspection: t Job no: Fee Max Business name: 1 Y Description Q4'- (n) Total no.Imp New residential-single or mufti familw per Address: FCIM - dwellingwsit.Includ%attached garage. City: State: I ZIP: Service Included:- Phone: J,- 1 Fax: E-mail: _ 1000 sq.ft.or less 4 _ Foch additional 500 sq.ft.or portion thereof _ CCB no.: Elec. bus.lic. Urrue nergy,residential 2 C' 7� Limited energy,non-residential 2 Each manufactured home or modular dwelling arure o supen-Istrif eieefrldw►(required) Date Service and/or feeder 2 Sup elect name l pont; ( Lu ease ria d Services or feeders-installation, alteralion or relocation: 200 Amps or less 2 Name (print I: t 201 amps to 400 amps _ 2 401 amps to 600 amps Mailing address: 601 amps to 1000 amps _ 2 2 City: Stat. ZIP: Over 1000 amps at volts l Phone: - Far: ) -� •mail: Reconnectonl Owner installation:The installation' s being made on property I own Temporary serum or feeders- which is not intended for sale, lease, rent,or exchange according to installation,alteration,orrelocation: 2 200 amps or less ORS 447,455,479.670,701. 1 201 amps to 400 amps _ 2 Owner's si nature: Orate: 1 401 to 600 amps 2 Branch circuits-new,alteration, or exterulo: per panel: Nasus: A. Ft-%r branch circuits with purchase of Address: v _ - service or feeder fee,each branch circuit 2 Citv: TSt1le ZIP: B Fee for branch circuits without purchase —•� -- - -- - it•r•ke',r feeder fee.first branch circuit: 2 r:nnc F;tx. I L•tna.h. lachaddiuonalbranchcircuit: Mbe.(Service or feeder not Included): O Service over 225 amps-commercial O Healthcare facility Each pump or irrigation circle 2 O Service over 320 amps-rating oft&2 O Hatvdous Ic:auon Each sign or outline Ii Ming tt2 family dwellings O Budding over 10,000 square fret four or Signal circuit(s)or a limited energy panel, O Svstem over 600 voits nominal more residential units in one suucture alteration,or extension' 2 O Building over three stones O Feeders,400 amps or mom 'Description: _ O occupant load over 99 person. O Manufacturad structures or kV park Facts additional bupection aver the allowable in any of the above: O EgressAighting plan O Other - _ -- Per inspection submit_sets of plans wilts any of the above. Investigation fee The above are not applicable to temporary construction service. Other Not all jurisdiahnns accept credit cards,pleas call jurisdiction for more information Notice:This permit application Permit fee.....................$ O Visa ❑MasterCard expires if s permit is noobtained Plan review(at -__-• %) $ _ Credit card number _�__. _ j j within I80 days after it has been State surcharge(8%)....$ accepted as complete. TOTAL Name of ursthoidet as showna on c 't ural Cardholder signature Amount N04611(&OWOM) DON - MORTSSETTE (QBE 2 '783 I N C O R P O R ATE D • eowss LOT: 13 a2 � o cwLENoon sT ><9 DATE: 1/27/03 LAKE OS • BG 0. O kEC6N 070�135 lor (50 ;3) 3137 - 75 38 FAX (s o 3) Z e 7 - 7 6 1 S PROPERTY: WHISTLER'S—WALK CITY: TIGARD RECEIVED SCALE. 1"=20' PLAN No.: 170 FEB Q 7 2003 OPTION 1 ELEVATION CITY OF TIGARD BUILDING DIVISION SO ml r4 1 1 m m m m C, ;, I0' PUBLIC lU lh' 1 I �UP SIDEWALK [EASEMENT lie,b1c. •j' .-.. 327 '-fir °9•'- - k. \\ \`DONCRETE MVELUAY - Z car gar. c" ` ♦3�A• -— \. \ FF.E. X34' - ` 331 - - T.^ 3,190 oCa. Ft. 4 bdrm. Z Irl bath A z FF.E. 334.5 m DECK 1 �\ \ ------------------� WA-ERS, \ i --------------------------- 3 T 335 1 -r 0 .S.W. 124th AVENUE LOT COVERAGE I-EGEND L07, AREA: 1,043 `)O FT. 2' ACEI' QUBRUl' LOT "13 BUILDING AREA: 2,146 SCS. FT' .�+-.-✓�// 'RED 'MAPLE' �ta�3� Sq, ft. , R'ERCENTAGE: 305% n CITY OF TIGARD PLUMBING PEPMIT DEVELOPMENT SERVICES PERMIT#: PLM2003-00222 DATE ISSUED: 5/27/03 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S1 U3CC-06600 SITE ADDRESS- 13770 SW 124TH AVE SUBDIVISION: WHISTLER'S V\'ALK ZONING: R 4.5 _BLOCK: LOT: 013 ____ _ __ JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW! PREVNTRS: 1 OCCUPANCY GR': R3 FLOOR DRAINS: TRAPS: STORIES: `N'kTER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS. SF RAIN DRAINS: �^ SINK'S URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER UNE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Install residential irrigation backflow preventer. _ FEES Owner: Description Date Amount DON MORISSETTE HOMES Ipl,UMBI Permit frr 5/27103 $36.25 4230 GALEWOOD ST#100 I /SKF OSWEGO, OR 97035 'TA XI 3 Statc"I ax 5/27/03 $2.90 Total $39.15 Phone : 503-387-7538 Contractor: LANDSCAPE OREGON, INC. 12200 SW MYSLONY RD. TUALATIN, OR 97062 REQUIRED INSPECTIONS RP/Backflow Preventer Phone : 503-692-5945 Sprinkler Final Reg#: PLM 7804 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of ON Specialty Codes and all other applicable laws. All work will be done in accordance with appr�;: - '; plaids. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0100. You may obtain copies of these ruies or direct questions to OUNC by calling (503) 246-6699. A Permittee Si nature �� 7 / Issued By: � .,._ ,G.<< ;_ n g � � ii'1 ' Call ;503) 639-4175 by 7:00 P.M. for an inspection needed the next business day �r��r flay 23 03 (ll : 18p dan edmonds 503-692-0768 p. 2 as FOIR OFFIMUSE ONLY Plumbig Perrnif" Ar)D ieation Received Plumbing Date/By: )l ., '7 Permit No ;0,9-3-001, Planning Approv,l Sewer City Of Tigard 12ate/13y. PennitNo.: 13125 SW Hall Blvd. l..i i t yr i tuAH� Plan Review Other Tigazd,Oregon 97223 DateJB Permit No.: _ PLAS� / IP1EF I G Post-Review -_ Land Use Phone: 503-639-4171 Fax: 3 1 Date/B••: Case No..' Internet: wtvw.ci.tigard.or.us Contact auris.: See Page 2 for 24-hour inspection Request: 503-639-4175 Name/Method: _ 5u Icmental Information. TYPE OF WORK FEE"SCHEDULE(for special information use checklist) New construction Demolition Total Description Rty. Fce(ea.) New 1-&2-family dwellings Addition/alteration/replacement V Othcr: (includes too ft.for each u 111ty connection _ CATEGORY OF CONSTRUCTION SFR 1 'bath 249.20 ( l &2-Family dwelling_ Commercial/Industrial SFR 2 bath 350.00 L-]Accessory Building ,Multi-Famil SFR 3 batt 399.00 Master_Builder Other: Each additional bath/kitchen 4ge 2 _ JOB SITE INFORMATION and LOCATION _ Fires rinklcr-sq,ft.: Pae 2 _ Job site address 3]�D J-•w� 1- r site Utilities Catch basin/arse drain 16.60 Suite : Bldg./Apt.#: _ Drywellilcach line/trench drain 16.60 Project Name: E__/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 Sanitaryft sewer no.linear . Pa e 2 --� 3 Storm sewer no linear ft. Pa e 2 Subdivision: / f.U��K 1 Lot#: Water service no linear ft. Pa c 2 Tax ma / ar,.Sl M Fixture or Item DESCRIPTION OF WORK Absorption valve 16.60 Backflow preventer Pae 2 �- Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 _ Drinking fnuntain 16.60 Pi:01'r OWNER TENANT Ejectors/sump16.60 NarrtP' - C3Yl /'1`l_�)'/S.S Cfit //Z•'Y>1e S Expansion tank 16.60 _Address:A�, �tLU �jGI uck c2Cic), Fixture/sewer ca 16.60 Floor drain/Floor sink/hub 16.60 Cit /State/lin:Ltl1� Od LIA C) �t 9 U3 Garbage disposal _ 16.60 Phone: Fax: Hose bib 16.60 APPLIL-,,;4T CONTACT PERSON Ice mnker 16.60 Name: f�E `SZr�'[`C-l.� _ Intercc tor/ Tease trap1G.60 Address:/�r3-00U Ll� Medical gas-value: S Pae 2 ' -�-- Printer 16.60 Cit /State/Zi Roof drain(commercial) 16.60 Phone:5v3 kq _,S9 q.Sl Fax:5E8 '1I,1 Sink/basin/lavatory 16.60 Tub/shower/shower pan 16.60 E-mail: -- Urinal 16.60 rf?If 1'RACTOk Water closet 1660 B., iness Name:(-1'AC1 S C d _ Ur-941n ZAQ Water heater _ 16.60 Address: y% Other. PLg44 �-I %. Lit /StatC/Zi _ Other: '7 _Pl -smbn lt al* rroneZ49� -S SFax:S t3IcJ1,R USubtotal S � Pl( �'BJ1C, #; umb. X.iC.#: Minimum Permit Fee$72.50 S Authorised Q� `� �t �� Residential Backflow Minimum Ft 6.2T5• G, . •Z S Signauirc,/tG _ at Plan Review 25%of Permil M S State Surcharge(6%or Permit Fee) S _.30 . (i,ieasc�priintt name) TOTAL PERMIT Notice. This permit application expires If•permit is not obtalned within All new commercial buildings require 2 sets of plans with isometric or 180 days ager It has been accepted as complete. riser*Fee methodologyram or plan set b xTrl•Count Building Industry Service bard. y Y a 00ststPertnit Forms\PImPermitApp,doc 01103 n H N p � w 7 � A ~ °n. /V ccon c ��,' D r1 e•W. ,nrD �0 s � N c � 3 G Q3 � R� \� ti 00 i ~" > ► �� ► t I % ► ,11 � d � ► CArb � � �' I ► � b �? C� cT ► i C) m ► z �» ► � lop. > „� CJ d �j O �' �, D ► - O ►+, o ► t I m ► i N ,� °� ► '4 0 ► t �' ► t i Q ► t ► t No. � j I I I ► ArvvvvvvivvVvvvVvvvvv♦vV'T'fvvvvvvvvvvvvvvvvvvv I CITY OF':iuA,RD 24-Hour BUILDING Inspection Line: (503)63W75 INSPECTION DIVISION Business Line: (503)W71 MST BUP Received Date Requested �2 AM___ PM _ BUP _ Location 7"7 D a I - pCtc- -- ,uite_ MEC -- Contact Person _ Ph Ph SWR f BUILDING Tenant/Owner ELC F ooting -�-— Foundation I ELC Ftg Drain Access: — _ - -- Crawl Drain ELR Slab Inspection Notes: SIT Post& Beam - Shear Anchors - _ -------- - -__ ------------ —__ - _ _ Ext Sheath/Shear _ Int Sheath/Shear — --- _ Framing - --- - Insulation Drywall Nailing -- -- - -__ Firewall -- Fire Sprinkler - ---. -_-- ire Alarm — Susp'd Coiling --- --•6 -- Roof h Other: — — -- Final ` r PASS PART FAIL - - --- PLUMBING - --- -- --- Post& 3eam - Under Slab -_ Rough-In -- -- Water Servire -- __-. Sanitary Sewer Raia Drains - - Catch Basin/Manhole Stone Drgin -Showerl,-an Other. - -- ASS PART _FAIL -- - ANICAL -- - Post$Beam - - Rough-In _ Gas Line Smoke Dampers - -- Final - PASS PART FAIL ELECTRICAL Service - Rough-In - - -- UG/Slab Low Voltage Fire Alarm —_-- .-- Final n Reinspectlon fee of$ required before next Ins PASS_ PART FAIL q pection. Pay at Cfty Hell, 13125 SW Hall Blvd. $ITE n Please call for reinspection RE:___ _ _ Unable to Inspect-no access Fire Supply Line ADA 1 ,, Approach/Sidewalk Data__ �,V'-�� Inspector Ext Other: Final _ DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-1-Iour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST 1_ BUP Received _._7 ��1 -._Date Requested- 3 AM_____ __- PM _ BUP _ Location Suite -------. MEC .------- Contact Person _ _ J � -_ Ph(.-"^� ' 7PLM Contractor Ph_ . ._ -------_____- _-- ---_- --___-_ Ph (_---___ _) -_-_ SWR UILD Tenant/Owner _ -.— ELC Footing ------- __._ Foundation ELC --- -- --- Ftg Drain Access: � P ELR Crawl Drain _--- --�- - slab Inspection Notes: SIT Post& Beam Shear Anchors ---------- Ext Sheath/Shear Int Sheath/Shear -- Framing - ------- --- Insulation Drywall Nailing Firewall Fire Sprinkler - --- - -- ----- Fire Alarm Susp'd Ceiling - Roof Other: -- - - - - ._ - -- - - ---- -- -- AS )?ART FAIL - - -- - Pos -- Under Slab ---- Hough-in Water Service Sanitary Sewer Rain Drains - -- -- -- -- - - - - - Catch Basin/Manhole Storm Drain Shower Pan Other. ASS T FAIL H NI L Post& Beam --T ] t% Rcugh-In - Gas Line Sm ke Dampers ---. __-- -- ------ -- -- -PAS PART FAIL - -- IC -- Service Rough-In UG/Slab - - - Low Voltage Fir term l PASS PART FAIL Relnspechon fee of$__ regaled before noxi inspection Pay at City Hall, 13125 SW Hall Blvd - - ___ [] Please call for reinspection RE: _ _-_ ( Unable to inshert no access Fire Supply Line ADA e Approach/Sidewalk p+•b - InspsetOr___ �� Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL r