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12240 SW HANCOCK COURT N N O {n C s . D z 0 0 X n 0 c i 9 i i a F 12240 SW HANCOCK COURT ,ISA►♦��,♦♦A A A A A A A A A A A A A AAAAA.AAAAAAAAAA AAAAA-A,, d `C � y a � ► .� V5 ► rD CD SS O r, ► t 1 rN cro ► --- i J n = ► � y rn � O � ► ton » ,�.. � CYC �;-.a ► � ` I► 441 44 ► • �rvvevvvvviivivi►v�i��vvwiv�vsrs:,=vvvvevwivvv-� J CITY OF TIGARD 24-Hour BUILDING Inspection twine: (503)639-4175 'MST 17 INSPECTION DIVISION Business Liroe: (503)639-4171 Received _ Date Requested-__-_( —_ AMBUP PM BUP — ----- Location _ 2-2- go .— a _V1__C0- .Suite —__-_ MEG Contact Person l ? Ph T3_7 PLM Contractor Ph(_- ) _ SWR BUILDING_ Tenant/Owner ELC Footing E LC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT - Post&Beam Sheat Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing - - -_ - Firewall Firs Sprinkler - -- - --- - Fire Alarm Susp'd Ceiling — - --- _ Roof PART FAIL PLUMBING Post&Beam Under Slab --- Rough-In Water Service -- - -- -- Sanitary Sewer Rain Drains - --- - - - - - Catch Basin/Manhole Storm Drain - - _---_�--_�T.— Shower!'dn &41 , ART FAIL - - CAL Post&Beam Rough-In -- Gas Line ISMA"ampers Final SS ) PART FAIL ICA!. ServicC - -- - Rough-In LIG/Slab Low Voltage F' m T IT �_A Reinspection fee of$_ required before next inspection. Pay at City Hell, +x125 SW Hall Blvd. ASS PART FAIL Please call for reinspection HE. --_ Unable to inspect-no access Fire Supply Line ADA /1-7 Approach/Sidewalk Date_ a .r � Inspector _4eLL J Ext Other Final DO NOT Rk-MOVE this inspection record from the job site 1°ASS PART FAIL CITY Ov TIGARD Residential Ce rt i f is aie O f' Occupant y Permit No.: .20y-�- OOI'I Address: /2 2- yO ,y C�/_ C r Owner/Contractor: ,r/Sf-7T7 Date of Final Inspection: Ip/4/63lnspector: This structure has been found to be in substantial compliance with the provisions of the State q/Oregon One& Two Family Dwelling Sperialty Cade and is hereby approved for occupancy. CITY OF TIGAwK D _ MASTER PERMIT PERMIT#: MST2003-00178 DEVELOPMENT SERVICES DATE !SSUED: 7/10/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 SITE. ADDRESS: 12240 SW HANCOCK CT PARCEL: 2S103CC-11400 SUBDIVISION: WHISTLER'S VIALK ZONING: R-4.5 BLOCK. LOT: 061 JURISDICTION: TIG REMARKS: New SF detached dwelling. BUILDING REISSUE: DM199 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 27 FIRST: 1,610 at BASEMENT: of LEFT; 5 SMOKE DETECTORS. t TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,790 at GARAGE: 530 of FRONT: 20 PARKING S,ACES TYPE OF CONST: 5N DWELLING UNITS: 1 THaD. at RIGHT: 5 OCCUPANCY GRP: nVALUE: 327,736.20 3 BDRM: 4 BATH: J TOTAL: 3,400 of REAR: is PLUMBING SINKS: I WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: I CATCH BASINS: TUBISHOWERS; 3 GARBAGE DISP: I WATER HEATERS: WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN-100K: BOILICMP<3HP: VENT FANS: 3 CLOTHES ORYER: I GAS FURN>•100K: 1 UNIT HEATERS: HOODS: I OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCFb: VENTS: WOOUSTCVES: GAS OUTI LrS: 4 ELECTRICAL RESIDLNTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FOR: PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 5003F: 6 201 400 amp: 201 - 400 amp: 1 at WIO SVCIF DR: SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 500 amp: 401 600 amp: EAADDL SR CIR: SIGNAL/PANEL: IN PLANT: MAN.HMISVCIFDR: 501 1000 amp: 601+ampa•1000v: MINOR LABFL: 1000+amplvotl PLAN REVIEW SECTION Reconnect only: >-1 RES UNITS: SVCIFDR>=2:°^_: >600 V NOMINAL. CLS AREA/SPC OCC ELECTRICAL•RESTRICTED ENER(Y A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT BURJLAR ALARM. OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNIL CARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 5,711.95 DON MORISSETTE HOMES DON MORISSETTE HOMES INC This permit Is subject to the regulations contained in the 4230 GALE WOOD ST ,#100 4230 GALEWOOD ST,STE 100 Tigard Municipal Code,State Specialty Codes and LAKE OSWEGO.OR 97035 LAKE OSWEGO,OR 97035 all other applicable laws All woo rkk will be done i accordance with approved plans. This permit will expired work is not started within 180 days of issuance,or if the work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rUles adopted by the Phone: r1U'�_'�87_75�g Phone: Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 952-001-0080 You Reg 6: ;3$7-3K7 ' may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987 REQt11R!:D INSPECTIONS Erosion Control Insp 8, Post/Beam Mechanica Plumb Top Out Exterior Sheathing Insl Rain drain Insp Electrical Final Sewer Inspection Underfloor Insuiation Electrical Service Low Voltage Roof Nalling Mechanical Final Footing Insp Crawl Drain/Backwater Electrical Rough In Gas Line Insp Water Line Insp Plumb Final Foundation Insp PLM/Underfloor Framing Insp Gas Fireplace Water Service Insp Building Final Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdwlk Insp Issued By : f f L G1 lc,rtr :: ) c 111 i — Permittee Signature :. — Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITYY of TIGARD _ SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2003-00141 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/10/03 PARCEL: 2S103CC-11400 SITE ADDRESS; 12240 SW HANCOCK CT SUBDIVISION: wIIIsn,ER'S WA K ZONING: R-4.5 BLOCK: LOT: 001 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: I_TPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF detached dwelling. Owner: _— ----- --_ _ FEES DON MORISSETTE HOMES Description Date Amount 4230 GALEWOOD ST., #100 -- — LAKE OSWEGO, OR 97035 1SWINSP]Swr Inspect 7/10/03 $35.00 ISWINSP] Swr Inspect 7/10/03 $0.00 Phone: 503-387-7538 1SWUSA] Swr Connect 7/10/03 $2,400.00 1SWUSA]Swr Connect 7/10/03 $0.00 Contractor: Total $2,435.00 Phone: Reg # Required Inspect;ons This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located. the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-6699. Issued by: % , _ , �� Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day � QT• 6"�-03 SWIZ,003 - M/Y" Building PqM#AR$Acation 1LJ--• - Date received: j 1 Q Permit no:/Jc 1,OtJ ..0 (City of Tigard - Address: 13125 SW Hall Bo�yydAa� p�1g7223 Project/appl.no.: Expire date: City of7igard rI �Tiq". %1 Date issued: B Phone: (503) 639-4171 y: Receipt no.: Fax: (503)598-1960 VITY OF 11GARD //n Case rile no.: Payment type: BUILDING DIVISION ( l&2famil Simple Complex: ` Land use approval r p ' t U I &2 family dwelling or accessory U Commercial/industnal U Multi-family &Ncw constructicm U Demolition U Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other: 'OQ SITE INFORMATION Job address: L�C) C-+ I Bldg. no.: Suite no.: Lot: Block: SubdivisionlWN��LZ Y`� Tax map/tax lot/account no.: Project name: Description and location of work on premisesispecial conditions: NFR 1:011 SPF('1AL INFORMATION. USE (AlUCKLIS-11" Name: ti �� t��`. � �I"1"^•:.r � , Mailing address: (,L'( - _ I & 2 family dwelling: City: State I ZIP:cqi ! Valuation of work........................................ $ Phone: - c ' Fax: 7 mail: No.of bedrooms/baths................................. Owner's representative: I C y I Total number of floors................................. Phone: Fax: E-mail: New dwelling aren(sq. ft.) .......................... Mal Garage/carport area(sq. ft.) Name: Y ( - Covered porch area(sq. ft.) .............I........... _., Deck area(sq.ft.) Mailing address: ' �' V ........................................ — Other structure area(s .ft.) City: State: ZIP: _ ......................... — Phone: Fax F-m;il: Commereiallindustrial/multi-family: Valuation of work........................................ $ _ Businr,s Existing bldg.ama(sq. ft.) .......................... Address: _ _ New bldg.area(sq.ft.) Z— Z _.�i 4 ................................ City: State: ZIP: Numher of stories........................................ Phunc: Fax: E-mail: Type of construction.................................... _ CCB no.: Occupancy group(s): Existing: ^ - New: City/metro lie no.: Notice:All contractors and subcontractors a.re required to be licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: e�+�4 �L Y (t;J- jurisdiction where work is being performed. If the applicant is City: I State: ZIP: exempt from licensing,the fallowing reason applies: Contact person: Plan no.: Phone: F•. -mail Fax: : Name: Contact person: Fees due upon application ........................... $ Address: _ _ _ Date received: City: State: ZIP: Amount received ........................................ $ Phone: Fax: E-mail: Please refer to fee schedule. 1 hereby certify I have read and examined tris application and the Not all jurisdictions veep credit cards,please call Juduliction for more Infotmntion. attached checklist. . rovisions of laiws and oEd�dnances governing this U visa U Mastercard work will be compheo wr ,whether io9cined liereA t. Credit earl number- Authorized umber AUthorlZed SI nahl%q nye!J✓�G�1 I Name of cardholder as shown on credit card s Print name: _ �l e f Z'1.11 I -�..__ s� Cardholder siputure Amount Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete 440-4613(twacoN11) One-and Two-Family Dwelling Building Permit Application Checklist 7Reference no.:d permits:CuvofTigard City of Tigard cal ❑Plumbing ❑Mechanical Address: 13125 SW flail Blvd,Tigard,OR 97223 O Other: _ Phone: (503) 639-4171 Fax: (503) 598-1900 I HE o tF()R PLAN REVIEW Yes No NIA 1 Land use actions completed.See junsd!ctiun 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. Existing system capacity 6 Sewer permit. Xf_ 7 Water district approval. 8 Soils report.Must carry original applicable stamp and signature on file or with application. _ 9 Erosion control 0 plan ❑permit required. Include drainage-way protection,silt fence design and location of catch-hasin protection,eic. 10 3 Complete sets 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 t/ if copyright violations exist. J� 11 Sitelplot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if there is mote than a 4-Il.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;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size and location. 13 Floor plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater, furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details.Show all 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 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 pa(h)and/or lateral analysis plans.Must indicate details and locations;for non-prescriptive path analysis provide specifications and calculations to en incering standards. 17 Floor/roof framing.Provide plans for all floors/roof assemblies,indicating member si,ing,spacing,and hearing locations.Show attic vcntitation. 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 two sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any heam/joist carrying a non-uniform load. X _ 20 Manufactured floor/roof truss design details. 11 Energy Code compliance.Identify the prescriptive path or provide calculations. A gas-piping schematic is required for four or more appliances. _ 22 Engineer's calculations.When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or an licensed in Oregon and shall be shown to be applicable to the project under review. 23 Five(5)site plans are required for Itent I I above. Site plans must be 8-1/2"x 11"or 1 I"x 17". 24 Two(2)sets each are required for Items 16, 19,20&22 above. 25 Building plans shall not contain red lines or tape-ons. I� 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. 140.4614(6MCOM) Mechanical Permit Application REFIVELT Dote received: Permitno.: St�200?-�oi78' CityCit of Tigard J - g Projecdappl.no.: Ezpiredate: City of Tigard Address: 13)25 SW Hall 131vd,Tig rd,O)1 7 � � Date issued: By: Receiptno.: Phone: (503) 639-4171 �M Fax: (503) 598-1960Case file no.: Payment type: (;►TY OF TIGAaU - -- Land use approval: BUILDING DIVISION Building permit no.: TYPE OF PERNOT U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-fancily U Tenant improvement XNew construction O Addition/alte:atiun/replacement U Other: JOB SITE INFORMATION 1 'CIAL VALUATION SCHEDULE Job address: -(,/ V1 ' C Indicate equipment quantities in boxes below.Indicate the dollar Bldg.no.: _ Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ L.ot: Blxk: I Subdivision: V' *See checklist for important application information and Project name: I jurisdiction's fee schedule for residential permit fee. City/county: ZIP: "j W'11 W Ntfallwalla"JIM Description and location of work on premises: 1010 101 011141VAll 111101 1 1 1 _ Fee(m) Total Est.date of completion/inspection: VACDescription Qly. Rm.only Res.only Tenant improvement or change of use: i handling Is existing space heated or conditioned?U Yes U No Air handling unit Ci Is existing space insulated?U Yes U No rcon conditioning(sitep anCsystem required) 8 P Alteration o existing system _ oiler/ecmpressors 610Business name: State boiler permit no.: I HP --Tons BTU/H Address: �_ _ _ -Firdampers/duct smo a electors City: LA'y State: ZIP: eat pump(site plan required) Phone: Fax: Email: nsta rep ace rnacefburner Including ductwork/vent liner O Yes U No CCB no.: I Instaillreplac eJre ocate heaters-suspended, City/metro lic. no.:N/A wall,or floor mounted Name(please print): t-L(� enter for ap fiance o er than furnace efngeration: Absorption units. BTU/H Name: ChillersHP Address: iCom ressors HP v rournenta ex oust an vent ilat on: Appliance vent Phone: Fax: F.-mail: ryerexhaust Hoods,Type res.kite a azmat hood fire suppression system Name: ,(� Exhaust fan with single duct(bath fans) Mailing address: gusts stem apart from heating or AC City: State ZIP ) ere piping and distribution(up to 4 outlets) Phone: — I. TYT's' LF`G NG oil _ 4 7 F ax: E-mai Fuelpiping eat a iuonal over 4 out ets r'cess piping(schematicrequired) Name: Number of outlets Address: ter st appliance or equipment'. Decorative fireplace _ Cite: � - State: ZIP:! nsert-type Woodstov pet etstove _ Phone: Fal:: 1F-mail- Odier: Applicant's signnru rf Date: Other: Name(print): x ��/ ��T` Not all jurisdictions Rapt credit cards,please call puisdiction for nxn inforsrutian Permit fee.....................$ — U Visa El MasterCard Notice:This permit application Winimum fee................$ Credil card number ��_ expires if a permit is not obtained plan review(at _- %) $ _ --- — Expires within 180 days after it has been ted as lateState surcharge(896)....$ Name of car u older thowo on credit card P P $ acct complete. TOTAL .......................$ Cardholdu signature Amount 410-4617(1500 .'OM) Plumbing Permit Applicafion - Date received: Permit no.: Sf� City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Bf lf\9// 3("� Cin of Tigard phone: (503) 639.4171 1 VV LLQ! Frojecdappl.no.: Expir^date: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: MAY I11 29031 Case rile no.; Payment type: 7&2 y dwelling or accessory ❑Commercial/industrial U Multi-family ❑Tenant improvement.uction ❑Addition/alteration/replacement 0 Food service 0 Other 11111111111P I t ;Ll I I ITT t , ITI I j a V7«,13111 it A T1 DescriptioQ Qty. Fee ea. Total Job address: c�tiCl t � New 1-and 2-f2mily dwellings only: Bldg. no.: Suite no.: (includes 100 ff.for each utility connection) Tax niap/tax lot/account no.: SFR(1)bath Lot ^ Block: Subdivision: �1 _� SFR(2)bath Project name: SFR(3)bath City/county: ZIP: Each additional badvkitchen Description and location of work on premises: Site utilities: Catch basin/area drain Drywells/leach linftin. ft.) drain E.'..date of completionfinspection: Pontine dram(no. Manufactured home utilities Business nameL )IN Manholes Address: Rain drain connector l Stat,!- ZIP: Sanitary sewer(no.lin.ft.) Storm sewer(no.lin.ft-) _ Phone 1 Fax: Email: Water service(no.lin.ft.) CCB no.: t '7��: Plumb. bus. reg.ri FIxture or item: City/metro lic. no.:N!A Absorption valve Contractor's representative signature _ !i�� aG-�'z Back flow revnner Print name: Qc U Backwater valve B asins/lavatory _. '' `` Clothes washer Name: I NE Dishwasher Address: 1i V Drinking fountain(s) City• State: ZIP: Ejectors/sump Phone: Fax: E-mail: FExpansion tank Fixture/sewer cap Floor drains/floor sinks/hub Name(print): /: tS Garbage isposal Mailing address: Hose bibb City: L 4-) State ZIP: Ice maker Phone: -" Far: 7--7ki E-mail: Intetceptor/grease trap (honer insrallation/residendal maintenance only: The acnlal installation Primer(s) will be made by 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),basin(s),lays(s) Owner's signature. Date: Sum - -- Tubs/shower/shower pan Unnal Name: Water closet Address: Water heater Cin State: ZIP: Other. Phone: E Fax: E-mail: Total Minimum fee................$ __---- Na all pu sdicuoru accept credit cards,please call lunsdicuon for mae inromman Notice:This permit application Plan review(at .— %) E Visa O MuterCard ' / expires if a permit is not obtained C.edit card number _ - within 180 days after it has beer Mate surcharge(8`?0) ....$ ------ accepted u complete. Name of rvdrroldn ud+own on ctedn cud Upires s i"16(600001,1 Cudhuldu si`natum Amount Electrical Permit Application "Dawcerved: Perrnitno•" ,UO 5'(101'7 City of Tigard Project/appl.no.: _ Expire date: Ciry ojTigard Address: 13125 SW Oi 1� v �g 23 Date issued: By: Receipt no.: Phone: (503) 639-4 7 Fax: (503) 598-1960 Case file n.: Payment type: Land use approval: MAY U 20U3 fYPE OF PERMIT ❑ 1 &2 family dwelling or accessory ❑Commercial/industrial ❑Multi-family ❑Tenant improvement New construction ❑Addition/alteration/replacement ❑Other: — ❑Partial It SITE INFORMATION Job address: G ) �1/�,' a L Bldg,no.: Suite no.: 1 Tax map/tax lot/account no.: Lot: L9 Block: Subdivision: %ti Project name: I Description and location or work on premises: Estimated date of completion/inspection: t Job no: Fee Nllx Irescription ptv. (ra.) Total nu.insp Business name: 1 Nen rnidential sirwje or muhi family per Address: ! ) r .� doellingunitincludes attached garage. city state: ZIP: sericeincluded: T (a 1000 sq.ft.or less 4 Vftone:4m " I Fax: E-mall: ch additional 500 sq.ft.or rtion thereof Elec,bus.lic.no:�(>-'r� V�udenergy,residential 2 Umited energy,non-residential 2� Each manufactured home or modular dwelling sa ervisin`electrician(required) Dato T Service and/or(ceder 2Services or feeders-Ltstallation, upeecamelpnnt) 1 1 icersern' allenlionorreloatlon: 200 amps or less 2 201 amps to 400 amps 2 Name (print): c 401 amps to 600 amps - 2 Mailing address: 1i 601 amps to 10%amps 2 City; L-,C), State ZIP_ Over 1000&nipsorvolts _ 2 1 Phone:-'±- O-/- Fax: -`� -mail: Reconnect only Owner Installation:The installation is being made on property I own Temporaryservitesorfeeden- Installation,alteration,or relocation: which is not intended for sale,lease,rent,or exchange according to 200antpsatless _ 2 ORS 447,455.479.670,701. 201 amps to 400 amps _ 2 Owner's signature: Date: dol to 600 ams 2 l Branch circuits-new,alteration, or extension per panel: Name: A. Fee for branch circuits with purchase of Address: service or feeder fee•each branch circuit 2 City: State: ZIP: B Fee for branch circuits without purchase of service or feeder fee,first b.anch circuit: 2 Phone: Fax: E-mail: Each additienalbranch ctrcuit: Misc.(Service or fader not Included): P Each um or irrigation circle 2 U Service over 225 amps conunercial U Health-care facility g 2 Service U over 320 amps-rating of 1&2 U Hazardous location Fach sign or outline lighting family dwellings U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel. U System over 600 volts nominal more residential units i one stmctum alteration,or extension* 2 O Building over three stories U Feeders,400 amps or more ODescri tion: U Occupant load over 99 persons U Manufactured structures or RV park FAch additional Inspection over the allowable in any of the above: L Fgmss/lit,htingplan ❑Other _ -- Per inspection Submit_sets of plans with an, or the alave. Invasugstionfee Ilse above are not applicable to tetnponry construction service. Other Permit fee.....................$ -- Na all juritdictioris accept credit cards•please call jurisdiction for nave information Notice'•Ulla permit not obtain Plan review(at — %) $ U Visa U MasterCard expires if a permit is not os been State �_�_ within 180 days after it ha been State surcharge(896)....$ - Credit card number --- Expires TOTAL S acceptedeswmplete. ••••••••••••••••••••"' Nana of cardholder as shown on c Jii card s Cardholder signature _ Amount 4404615(15MCOr.1 DON • MORISSETTE 4 G I11T 8 OtA ! ■ D OBE : 2831 1400 G1LtX00D dYtttS tIIltt 100 �.� L A [ t 0 8 11 t 0 0. 0 Rt G 0 II 9 7 0 3 6 (000) 087 - 7036 TAX (600) 387 - - 415 LOT: 61 DA'L'E: 04/24/2003 )PROPERTY: WHISTLER'S—WALK CITY: TIGARD �. eRcs cN cN-cc_ SCALE: 1"=20' ( � FLAN No.: 199 v ,ca I STANDARD ELEVATICN 309 o I ' I LPRIvATE 15.00' 3D-* I mc EASEMENT GCR BENEFI- Cr LCT5 S.. D 6621 5� I / I I S / I Z car gar. �s 400 eq. ft. �• � FPS. 310, ^ e 4 bdrm. i I ti Z 1/2 bath , r 1"FF. 314.5' tip N i W I i; flo o �4 nm Q' p I "1 '" I I I 4j7 �'_�• ,m�� LIQ Y OF I-IGARD BUILDING DIVISION 318' LOT COVERACiE LE'CiEND — LCT ARE-. aR=_ : ::&. _ .� aCEQ RUeRI LOT +161 FE<�=V'•:GE e REQ "'JF�c 7,250 eq. ft _. ,anu� wvyns�syc� w CITY OF TIGAKD- !:ITE PLAN REVIEW fi1411_f)tN(; Pt=kR31 r NO.: /`rSTaO 3 (%C 5 PLANNING DIVISION: Keyuired SelbaAs: Approlctt Aporos Side: Strect Side 115 5 Vi.,jial clearance: JR Apps--vd Not Ate,- Maximtnn Building rlcilclU __._ ic•:. (',WS Serviee provider Letter Rojillre't [] Yr• t:Nci1 N DI=.f`Al. I MENI: Actioul Shpc:-_% M-Apptoved Not Approved !iite Plan.: / (!I-Approved ❑ Not Approved Nute.s: CITY OF TI GAR D PLUMBING PERMIT _ DEVELOPME14T SERVICES PERMIT#: PLM2003-07420 13125 SW Hall 9Ivd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/12/03 SITE ADDRESS: 12240 5W HANCOCK CT PARCEL: 2S 103CC-11400 SUBDIVISION: WHISTLER'S WALK ZONING: R-4.5 BLOCK: LOT: 061 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBI.E HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRI' FLOOR DRAIN: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: v 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: Instal! back flow preventer _ Owner: FEES - �- Description Date Amount DON MORISSETTE HOMES 4230 GALEWOOD ST., #100 J I'I.UMBI I'crmi( Fee 8/12/03 $36.25 LAKE OSWEGO, OR 97035 11 VAXI H"',titatc Tax 8/12/03 $2.90 Total $39.15 Phone . S03-3S7-753x Contractor: LANDSCAPE OREGON, INC. 12200 SW MYSLONY RLI. TUALATIN, OR 57062 REQUIRED INSPECTIONS Phone : 503-692-5945 RP,'Backflow Preventer Reg#: III M 79,)4 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 suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon I^sued By: ( Permittee Signature: /� l . sd1LL�<=t'. Call (503) by 7:00 P.M. for an inspection needed the next bu 4neSs day Rug 11 03 12: 49p dan edmands Plumbing Pe.rni t Application �ivcd t P► g �4�0 Datcffi . � At Permit Nu. ��C�IV� p�ngppproval- -- sewer City of Tigard Pte`"° - -- 13125 SW Nall Blvd. � `Review t�tlrer Iigazd,l)cegon 97223 I ludo -_-- tit No.: Past-Review tmw use Phone: 501.639-4171 Flex: 503-598-1960 Cue No.: Intenict: www.ci.tigard_or.as t;i!Y OF 1'iG Qonhc+, loris.: atePagei for NartrJMeslrouf Sapptrnental Information. 24-hour Inspection Request: 503PNORW DIVISION -- TYPE OF W01M t'_. FEE•SCHEDULE or special information use checklist �w conshvction — —_Dt-serf tion _ Q1Y- Fee(es.i Total _ Detnolidon �_E—__ 1--- � _ New l &7-famiy dwelling} Additionlalteration/replacement A lag R-ren ear*at? rnonection - CATEGORYOF.CONSTSUCTION -: SFR 1 bade 249.20 _ I &2-Family dwelling Co_mmcrciaVIndusftW SFR z)bath - --- 350.00 - Acccsso�Huil Multi-F__y s—�ba�tl_-_ 399.00 blaster Builder j]Other Eacb additiotrtl b�itchcn as.oU JOS SITE INFORMATION and IAJUATION ._ _— Fite sprinkler-sq.R: P 2 Job site address: C�ayo SSU F4;1c��(V 6rfir4- �- _Sett Uttrties Cwch trasio/armt drain W16.6O suite : AdglApt#: D��h lineft�drainProject Name:LOKAS MrS (,M kf U7, Cni dliR Cross street/Uirections to jfab site: Manuttrrttued butne utilities Manholrs Rain drain corntector . _ Basilar rLsewerr�no.line�,L Page 2 _ Subdivision{_V1V,'S f/Grj_ Ucx>'�e Lot M (v1 5tor"19e""� n°'linear Pape �---: - W ottx service no.linwPape 2 Tax map/parcel M Lo SS i�S� truftum 4Iberu '•D6sSCRI?P,PrIrONG.0LF WORK t. - 16.60bsoitn valve Backflowpteventer e2— — Z1 S 5 _ 16 eEa� vaealve 660 taolLcs vrasha Dishwasher16.60 16.60 Ixin foaain L01P1V?,,RTnY'0WNKRTEwors/sturw 16.60 — — — Nae: Z)GY) YY)G7ri s.S tt�t ffr�-rr+�S _ 1 s n ttetlr __.--. — 16.60 m Address: ZW_4 Fittlnrelsewrr�' 16.60 -- �LV� � r '� � Floordrainflomsinkthub 16.60 Cit /State/Li : U,-1Cz 6S4.ut [3 01L�{7Q3y (',arbap�cdisg>xll� 16.60 — Fhanc: _ _ Fax: __ tlo;ae bit, _ _ - 16.60 _ 'PLK ANT NTAG'T'PSR ON. Ice maket 16.60 Name:[-7/c�4a'i o-eO -- ---- 16.60 .Address: /,�aOU s— LQ rn 6n Maiical—gas�valtt� S _Page --- pl� 16.60 — — 16.60 Rmfdtain(_nuornetcial)i — Phone---4Z% (AA -59SF6 Fax: G3 t_,i - 072, sink/bash9lavat — ifi.Go Tub/shower/shower pan 16.60 —� E-mail: r�� 16.60 Business Name: jjr rigi Dry n �,x; ~CONTRACTOR, writer d°see _— ►4.�a �__� Water heatcr 16.60 Address:/_X100 V_0 ^ stern Ci�StatelZip:J7,�a�.tz#trt. �- ------ - _- _ Phone>o3_(Qrl - 591 Fax:S[^3 (0 1.1 -o?ro rtatnb_�rl P Subwl�1+ a - -�-I -- - -- CCB Lic. #: Wn Plumb.Lic.#: --- - - _�_�.��-- _—. IVlittmaarn Perrrrit Fee 57250 S Authorined Residea_[tial llackflvw W rtimlm_lF t Plso Relriew(75%of Plwtnit Fee) S Ethel) State Sluynr eg (g%orCam: Fcc 5 I — t-- —.-- _ J__TOTAL_PF-P-'4R'FE (Prase,.:,rause) E -- Nerice: The,permit a"N"tion aspires its perrrsit is not abtahed within All new commercial b=BtUW require 2 sets or plans with isometric or 1110 days after it has been accepted:s complete riser ataBraaa for plan resiew. *Fee methodology s-t by'rri-County Building Industry sen-ler Donrd. • • .✓ir t i%.X04nLJ [4-flout BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BUP Received _- _. Date Requester!_� l 0=�-- AM_ PM -_ BUP Location MEC Contact Person Ph( ) S7 -- PLM r Do qA0 Contractor_. _._ Ph -_ -- � ) - — - - SWR - rBUILDING Tenant/Owner _- _ ELC Footing Foundation ELC -__...------_--__—^- Access: Ftg Drain ELR Crawl Drain L C7_ - Slab InspectionNotes: SIT __- Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing -_ Insulation Drywall Mailing Firewall Fire Sprinkler - -. -- - - ---- ---- - Fire Alarm Susp'd Ceiling - - - --- - - -- Roof Ccher:_ --- - --------- Final PASS PART FAIL 77 - -- - PLUMBING ell Post&Beam Under Slab Rough-In Water Service - - - Sanitary Seger Rain Drains - - Catch Basin/Manhole Storm Drain Shower Pan Other: -- - - - - - - - Fi P6 RT FAIL_ CNANICAL Post 8 Beam - - - — Rough-In Gas Line Smoke Dampers - - Final PASS PART FAIL - - -- - -- ELECTRICAL Service Rough-In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of srequired before next inspection. Pay at City Hall, 13125 SW Hall Blvd, PASS PART FAIL SITE l-1 Please call for einspection AE:— _ Unable to Inspect-no access Fire Supply Line ADA ,� Approach/Sidewalk D Inspector ut Other: Final _ DO NOT REr3OVE this inspection record frodii the fob As. PASS PART FAIL