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12255 SW HANCOCK COURT N N (T' in Z n O n 0 O c •i -•r 1225! SW HANCOCK COURT CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST - - - --- - _ INSPECTION DIVISION Business Line: (503) 639-4171 BUP - o� Received __ t Date Requested— Z2--__AM PM_--_.._. BLIP - Location l 2-- 2- d��C 0r_' �e Suite—_ —/ MEcC�, Contact Person _ Ph PIL Cortractor__— L s c _ _ Ph(. ) _ __—___—__ SWR _— BUILDING Tenant/Owner _ _ _ __.-....-___.__ ELC Footing ELr Foundation Access: J - - -- --- Fog Drain ELF! Crawl Drain — Slab 1nbpection Notes: , / /►� �/�� SIT Post&Beam ---- - - -!`�� 6C_ `C L�Sd1_ :l, - Shear A ichors Ext Sheath/Shear Int Sheath/Shear Framing ------ -- - . ------ ----_ - - Insulation Drywall Nailing -- Firewall Fire Sprinkler ----- -- - -- Fire Alarm Susp'd Ceiling -- -- Roof Other: Final N --RAFT FAIL ---. ` --- G --- ---- --- PLU _G — -- —--- --- Post&Beam Under Slab ---__.. -- - Rough-In Water Service —-- -- - Sanitary Sewer Rain Drains - C Arh Basin/Manhole Storm Drain Shower Pan Other: Final _--- F'A8"' PART _FAIL -j MEGKANICAL Past R Seam Rough-In — -- ------ Caa Line Smoke Dampers Final PASS PART FAIL — _ -------- - - ------ --- -- --------�—_ ELECTRICAL Service ---------�------� ROUgh-In UG/Slab Low Voltage - -------- -- ---------- -- ---- — Fire Alarm Final Cl Reinspection fee of$ _--___ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE — C] Please call for reinspection RE: -___.____--_ — Unable to inspect-no access Fire Supply Line I /( !rispecter Ext ADA Date 1 _1) f�'1� A�� roa�^h/Sidewalk ---� ---- Omer: 11ra1 DO NOT REMOVE thla Iraspection record from the Job site. !4SS PART FAIL CITY OF TIGARD 24-4our BUILDING .1i.spection Line: (503) 539-4175 INSPECTION DIVISION Business Line: (503)6a9-4171 �MST SUP -- - Received _ !� _ Date Req ested__ � l Location AM_—_ - PM SUN Location —/ 2 2 S r —i ----- �:1�L9_��__L ------Suite-- _. MEC Contact Person �----- Ph PLM Contractor Q� �- -_ -- Ph 1----.----) ---- SWR BUILDING Tenant/Owner ___- -___—_.____. ____—_— —_—� ELC Footing Foundation -- ELC Ftg Drain Access: Crawl Drain _ ELR Slab Inspection Notes: _ SIT Port&Bear,I Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - ----- Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -- -- _—^_---- Roof Fin r ING --_------- Under Slab Rough-In ~---- -- ----- —.— -- Water Service Sanitary Sewer ------------- Rain Drains Catch Basin/Manhole — _Storm Drain Drain - - --- Shower Pan -- — -- --- _— Fin S PikRT FAIL -- - NIfMAL Pos'_R Beam — Rou h-In Gas Line _ U T-- - Dampers - 7't C Fina % —-- S PART FAIL -- — ICAL Service -- ---- . - - Rough-In Ue,/Slab ---. Low Voltage _ - --- .................._..__...._ ---------- ._.....--_-._.._.. F' arm ..--- __----------- p Final I Reins action fee of$ _ PART FAIL �� —required before next inspection. Pay at City!-tall, 13125 SW Hall Blvd. Please call for reinspection — [,-1 Unable to inspect-no access Fire Supply Line ADA Date (/�& ,7.�v Approach/SidewalkInopacfar — -- Ext - --- Other:FilialDODO NOT REMOVE this Inspection record from the job site. PASS PANT FAIL yam• T N .+ � O I R' .R w c C; Gra b a \ J o y N � n v N O � t9 4 �D L V l� 3 'p z 6 v x �o x I CITY OF T I G A R® __ ^MAaI'ER PERMIT PFRMIT#: MST2003-00185 DEVELOPMENT SERVICES DATE ISSUED: 7/9103 - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 122.55 SW HANCOCK CT PARCEL: 2S103CC-1160J SUBDIVISION: WHISTLER'S W +LK ZONING: R-4.5 BLOCK: LOT: uit, JURISDICTION: TiG REMARKS: New SF detachF d dwelling. BUILDING REISSUE: D10165A STORIES: 2 FLOOR AREAS — REQUIRED SETBACKS REGIA,ED CLASS OF WORK: NEW HEIGHT: 22 FIRST, 1,460 of BASEMENT et LEFT: 5 SMOKE DETECTORS, TYPE OF USE: SF FLOOR LOAD: 40 SECOND. 1,540 of GARAGE 596 of FRONT: 15 PARKING SPACES TYPE-OF CONST: 5N DWELLING UNITS: I THW of RIGHT: 5 OCCUPANCY GRP: RJ eDRM: 4 HATH: J TOTAL: 3AVALUE 295,052.6000 of 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS. RAIN DRAIN: 100 rRAPb. LAVATORIES: 5 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUBISIIOWERS: 3 GAR13AGE DISP: I WATER HEATERS I WATER LINES: 100 SCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN TOOK: BOIIJCMP,1HF. VENT FANS: 2 CLOTHES DRYER: I G"S FURN—100K. I UNIT HEATERS HOODS: I OTHER UNITS: 1 MAX INP hfm FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL _ RESIDENTIAL UNIT SERVICE rGEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 3F 1R LESS: 1 0 -200 amp. a - 2.3 amp W1SVC OR FD R: PUMPIIRRIGATION: PER INSPECTION: EA ADDT 500SF: 6 201 400 atnp 201 - 400 amp: 1n WA)SVCtFOW SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 40'. 600 amp: 401 - (1130 amp: EAADOL SR CIP.: SIGNAUPANEL: IN PLANT: MA,JU HMISVCIFDR: 6D1 - 1000 amp. 6014 amps-1000v: MINOR LASE'-: 1000+amplvell PLAN REVIEW SECTION Reconnect aniv: >=4 RES UNITS: SVCIFDR>e225 A.•. >800 V NOMINAL: CLS AREA/EPC OCC. _ ELECTRICAL-HESTRICTED ENERGY -� A.Sr RESIDENTIAL _ r B.COMMERCIAL AUDIO&STEREO VACUUM SYSTEM: AUDIO&STEREO: TIRE ALARM, INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM. OTH. BOIL°R: HVAC: LANDSCAPE1IRR1G: PROTECTIVE SIGNL,. GARAGEoFENER: CLOCK INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAITELE COMM. NURSE CALLS: TOTAL#SYSTEMS: Owner: Contractor: TOTAL FEES: $ 5,487.93 This permit Is subject to the regulations contained in the DON MORISSETTE HOMES DON MOP,ISSETTE HOMES INC 4230 GALEWOOD ST.,#100 4230 GALEWOOD ST,STE 100 Tigard Municipal Code,State w Specialty Codes and all other applicable laws All woo rkk will be dune In LAKE OSWEGO.OR 97035 LAKE OSWEGO,OR 97035 accordance with approved plans. This permit will expire if work Is not started within 180 days of issuance,or if the work Is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Ptro".° 503 3R7-7538 Phone: Oregon Utility Notification Center. Those rules are set Sp3 forth in OAR 952.001-0010 through 952-001-0080. You Re0#: i iC-3$77SSt r�3y obtain copies of these rules or direct questions to OUNC by calling(..03)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 13 Post/Beam Mechanlre Plumb Tap Out Exterior Sheathing Inst Gyp Board Insp AppriSdwlk Insp Sewer Inspection Underfloor insulation Electrical Service Low Voltage Rain drain Insp Electrical Final Footing Insp Crawl Drain/Backwater Electrical Rough In Gas Line Insp Roof Nailing Mechanical Final Foundation Insp PLM/Underfloor Framing Insp Gas Fireplace Water Line Insp Plumb Final PGSUB I Mechanical Insp Shear Wall Insp Insula!'^^Insp Water Service Insp Building Final Icsued'By : /� f Pernlittee Siunature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMiT DEVELOPMENT SERVICES PERMIT#: SWR2003-00146 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/9/03 SITE ADDRESS; 12255 SW HANCOCK CT PARCEL: 2S103CC-11600 SUBDIVISION: WHISTLER'S WALK ZONING: R-4.5 BLOCK: LOT: 063 JURISDICTION: HG TENANT NAME: USA NO: FIXTURE- UNITS: CLASS OF WORK: NEVA DWELLING UNITS: 1 TYPE OF USE: SF NO. OF 131.111-DINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF detached dwelling. Owner: � - ------- -- _ FEES DON MORISSETTE HOMES Description Date vAmount 42x0 GAL EWOOD ST., #100 LAKE OSWEGO,OR 97035 �SWINSP]Swr Inspect 7/9/03 $35.00 �SWINSP] Swr Inspect 7/9/03 $O.Of, Phone: 503-387-7538 1SWUSA]Swr Connect 7/9/03 $11.400.00 SWI,ISA]Swr Connect 7/9/03 $0,00 Contractor: - --� Total $2,435.00 Phone: Reg#: Requir4d Inspections This Applicant aqi-ees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from the cute 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 distant* given. If not so located,the installer shall purchase a"Tap and Side Sewer" Perm .4. L �r 0// �? Iss d by: �, Z' Permittee Signature:� __- — Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the next business clay (A3 Building Permit Application Date received: y 'q 0 Permit no.?t f �c- �ity of Tigard .`V dR #- Project/appl.:ao.: Expire date: City ofTigard Address: 13125 SW Hall 1 t 9 Phone: (503) 639-4171 � � Date issued: By:-� Receipt no.: Fax: (503) 598 1960 APR 2 9 2003 Case file no. Payment type: Land use approval ' rY OF 1 IGARD1&2 family:simple Complex: O l &2 family dwelling or accessory U Commercial/industrial U Multi-family ,,&New construction U Demolition U AddidorL/altemdon/replacement U Tenant improvement U Fire sprinkler/alarm U Other: Job address: t.-a_ �' YY k Bldg.no.: Suite no.: Lot: Block: ISubdivision: '2 - C y — fax map/:ax lot/account no.: .2S/03� Project name: A'- y S __ Description and location of work on premises/special conditions. Name: Mailing address �,• , 1 &2 fandly dwelling: City: , Stated ZIP: Cj Valuaticn of work.............. Phone: G Fax: 7 mail: No.of bedrooms/baths................................. �• � Owner's representative: �_ 1 �C�-t V I Total number of floors..........................•.....• _ Phone: Fax: E-mail: New dwelling area(sq.ft. Garage/carport area(sq.ft.) r [� Name: � I - " Covered porch area(sq.K.) ......................... Mailing address: � (.1. 1t -__— Deck area(sq.ft.) ........................•............... ---_— City: State: ZIP: Other structure area(sq.ft.)......................... Phone: Fax E-mail: Commereialllndustrial/multl-family: vislgt Valuation of work.................................... ... $ ------- Business name: - Existing bldg.area(sq.ft.) .......................... V i New Addss: bldg.area(sq.ft.) re4 —_-- City: State: ZIP: Number of stories........................................ _ Phone: Fax: Email: Type of construction..........................•......... — ----- -- Occupancy group(s): Existing: CCB no.: New: City/metro lir.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: y l � , A� provisions of ORS 701 and may be required to be licensed in the Address: _ ��. CL 3N -- jurisdiction where work is being performed. If the applicant is City: State: ZIP: exempt from licensing,the following reason applies: M Contact person_: Plan no.: Phone: Fax: E-mail: - Name: Contact person: Fees due upon application ........................... $ Address: _ Date received: City: _ State: IZIP: Amount received ................. ....................... $ Phone: Fax: I E-mail: Please refer to fee schedule. 1 hereby certify I have read and examined this application and the Not dl Jurisdictions accept credit cardv,please call jurisdiction fm.nore infonnstion. attached checklist. rovisions of 1 ws and o dinances governing this Uvisa O MasterCard work will be compl� wl ,whether skirled�ereArajtot. / Credit card number t✓ : 7 — mExpires Authorized 'ii atu � Nae of cardholder as shown on credit card-- Print name: 4 i{. f"F t f -, --- s t Ctdholder tlputure Amoual Noticc:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete.. 440.413(raoofCOM) !�j One-and Two-Family Dwelling Building Permit Application Checklist rReleencenrLo.:Civ of7iand ' City of Tigard O Electrical O Plumbing ❑Mechanical Address: 13125 SW Hall Blvd,Tigard,OR 97223 U Other: `J Phone: (503)639-4171 Fax: (503) 598-1960 r _1 Land use actions completed.See jurisdiction criteria for concurrent reviews. _ 2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc. 3 Verification of approved plat lot. 4 Fire district approval required. L65 Septic system permit or authorization for remodel.Existing system capacity Sewer permit. 7 Water district approval. 8 Soils report.Must entry original applicable stamp and signature on file or with application. 9 Erosion control J plan U permit required. Include drainage-way protection,silt fence design and location of catch-basin protection,etc. 10 _. Complete sets of legible plans.Must be drawn to scale,showing conformance to applicable local and state building codeF.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` I T Sitelplot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if their is more than a 44 elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator,lot area,building coverage area;percentage of coverage;impervious area,existing structures on site;and surface drainage._ 12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent 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 gtadc,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 th_-chane in orad:is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevatious with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral auslysis 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 member sizing,spacing,and hearing locations.Shom,attic ventilation. 18 Basement and retaining walls.Provide cross sections and details showing placement of rebar.For engineered systams,see item 22,"Engineer's calculations." 19 Beam calculations.Provide two sets of calculations using current code design values fur,ill beams and multiple joists over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof trwis design details. V, - 21 Energy Code compliance. Identify the prescriptive path or provide calculations.A gas-piping schematic is required fur four ur more appliances. 22 1?nt;ineer's calculations.When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or —f architect licensed in Oregon and shall be shown to he applicable to the project under review. 23 Hrve(5)site plans are required for Item I 1 above. Site plans must be 8-1/2"x I1"or 11"x 17". �( 24 Two(2)sets each are required fut 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 mny be in blue or black ink. Red ink is reserved for department use only. aui-4614(&%Cont) Mechanical Permit Application —�-- p T •/ D Datereceived: Permitno.- City of Tigard Project/appl.no.: Expire date: CiryofTigard Address: 13125 SW Hall Blvd, ) Date issued: By: Receipt nu Phone- (503) 639-4171 I \ 7 Fax: (503) 598-1960 vITY OF TIGARU Casefileno.: Payment type: UIMINr DIVISION Auildingperrnitno.: Land use approval _ e ❑ 1 &2 family dwelling or accessory ❑Commercial/industrial U Multi-family ❑Tenant improvemcnt Wlew construction ❑Addition/altemtion/replace.ment J Otlier: II S ITE IN FORMATION Job address: j_ �' _ [ -r Indicate equipment quantities in boxes Wow.Indicate the dollar Bldg.no.: Suite,no.: value of alt mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ Lot: Block: Subdivision: ,,1 C,1 G i`7 'See checklist for important application information and Project name: jtrrisdiction's fee schedule for residential permit fee. City/county: ZIP: 1 1 r Description and location of work on premises:_ - I to I D 1 `t 1� 11 Fee(ea.) Total Est.date of completiontinspection: llru:iption . Res.00l Res.only Tenant improvement or change of use: AC' Is existingspace heated or conditioned?❑Yes ❑No Air handling unit —.CFM-- Is P rationing(site p an regotr ) Is existing space insulated't U Yes U No Alteration of existing HVAU system moiler compressors Business name: t State boiler permit no.: I HP Tons BTU/H Address: ire/smoke omm duct smoke detectors City: LLVN _ I Stale 611r,I"ZIP: Heat pump(site plan required) _ Phone: Fac: F mail; nsta rep ace umac timer=_ T / CCB no.: _ Including ductwork/vent liner❑Yes O No _ — j Install/replace/relocate eaters-suspended, City/metro tic. no.:N/A wall,or flrmr mountod Name(please print): Vent fora liance other an furnace Refrigeration: Absorption units __ BTUM _ Name: `�A -- Chillers,__ HP Address: i �� Compressors HP Cit State: ZIP: onmenta exhaust an ,rent ation: City: _-- Appliance vent "Name: Fax: E-mail: ere oust s,Type res.kitcbe azmat hood fire suppression system —_ �1 _ Exhaust fan with single duct(bath fans) Mailing address: Uhaust system apart from headn or AC Cay: State Z1P )' rte piping andistribution(up to outlets) Type: _LPC; NO .__Oil Phone: 7- Fax: F-mail' I Fuclpiping each additional over 4 outlets rovesspiping(schen.dticrequire ) _ Name: Number of outlets _ Address: -- — ter listed appliance or equ pment: _ Decorative fireplace City: __ State: ZIP: Insert-type _ Phone: Fax: .mail: stov palpel e _ ser. Applicant's signaru' ,y�'" ,� Date: is ter. --- Name(print): 1111 Li--�—_ Na.all Jurisd cions accept credit cards,please call Juriulictioo for more InformationNotice:This permit application Permit fee..................... mism r Vita Cl MasterCard sprrcs expiresith n 110 days after it is not been Plant review e(at ._-__ %) S Crede card numbs. __ �.J_ accepted as complete. State surcharge(F%) ....$ Name of cardrwlder u s—fiowa on ereilh card P P s TOTAL.......................$ +- Ca order sigtaturc Amount 4141617(6/l1arCOM) Plumbing Prffl_t Alication Tigard Dateieceived: Prmriitno City Of 1 Sr,20G�'Q,7/rP� ill'I� Sewer permit no.: Building permit no.: City of Tigard Phone: (503) 639.4171 `' Address: 13125 SW Hall Blv ar�d �17 23 ��1RQUJ Project/appl.no.: Expire date: Fax: (503) 598-1960 CITY OF TIGARD Date issued: By: Receiptno.: 13UILM,-r: ')IVISIOi�J Case rile -� Paymentty Land use approval: tx: 1 7�4,w ily dwelling or accessory 0 CommerciaUindustrial ❑Midd-family U Tenant improvement truction O Addidon/alteration/mplacemeni O Food service 0 Other. 1 : sirm INFORMATIONEt r t t s Job address: Dyy CA , Description . Fee(ea. Total Bldg.no.: _ Suite no.: — New 1•and 2-family dwellings only: Tax map/tax lot/account no.: (includes 100 ft.foreach utility connection) Lot. SFR(1)bath _-- ^--- Block: Subdivision:_ 7 SFR(2)bath_ Project name: SFR(3)bath _ -- City/couity: ZIP: _ Each aduitional badv*kitchen Description and location of work on premises: SiteutWdes: _ Catch basin/area drain Est.date of completionrinspectiun: Dryv,ells/leach line/trench drain Footing drain(no.lin. ft.) Manufactured home utilities Business name: �� L l,) ��j I�(� Manholes Address: Lo Rain drain connector City: _ State LIP: Sanitary sewer(no.lin. ft.) Phone: Stor -1- Fax: Email: m sewer(no.lin.ft j _ CCB no.: Z Plumb. bus. reg,no: - Water service(no.lin.ft.) City/metro lic. no.:N/A Fixture or item: Contractor's representative signature ' Absorption valve Back flow preventer Ptirtt ntune: U Backwater valve Basinsstavatory Name: Oothes washer - Address: Dishwasher V Drinking fountain(s) City: �Fax: ate: ZIP: Ejector5/sump _ Phone: E-mail: Expansion tank Fixture/sewer cap Name(print): S Floor drains/floor sink ub -� — Garbage disposal _ Mailing address. Hose bibb City' State , ZIP: Ice maker Phone: - Fax:- ,7-7kj E-mail: Interceptor/grea a trap Owner installatiordresidenda/maintenance only: The actual installation Pnmer(s) will be made by me or the ,maintenance and repair made by m) regular Roof drain(commercia)) _ employee on the property I own as per ORS Chapter 447. Sinkw, basin(s),lays(s) _ Owner's si nature _ Date: Sum _ Tubs/sho%�er%shower pan U ri nal Name: _ Water closet Address: -_ Water heater Cin _ State: ZiP: Other Phone: i Fax: Email Total Na 2,11 iurisdicurvu accept credit cards,place WI iuns6cuon fa mat mfomuum -- Minimum fee................ Notice:This permit application O via 0 MasterCard Plan review(at _ %) $ C. / ! expires if a permit is not ot+wined edit care number within 180 days after it has tier State surcharge(8%d) ...S Expires Name of cwtltolikt o thown'oo nedn cud accepted as complete TOTAL .......................S 1 f —�_- Cxdhuldet silnuum Amount Electrical Permit Applic.-itic�n I V E D Date received: Permit no.: City of Tiga Project/appl no.: Expire date: CiryojTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 6394171 �p� - 9 200 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case rile no.: Payment type: Land use approval- GI-iO F TIGARU H� u—�- u _ FT: V4 C1 1 &2 family dwelling or accessory U Gmmnmerciai/mdustrial O MuIU-family New construction ❑Addition/alteraiion/replaccmen( O Other: y C7 Tenant improvement — _ �I inial II Joh address: �^ � Bldg.no.: Suitc no,: Tax map/lax I( Uac,,tunl nu.: Lot: Bio k: _ Subdivision: V - ( --- - _- - Rvject name: Description and location of work on premises— ------ Estimated date of completion/inspection: _ I �C—_ �I �t I �t �4 Job no: I M Business name: - - !re i1 i�x Dcscrilion Qty. (ea.) Total na.Ins Address: �— - - Ne"residential-sirtgkarmulU-famuyper C.'t7,' drrciling unit.Includes attached gar.ge. �. State: 7.I P: Serviceincluded: Phone: Il aj- j Flaw: F-mail: 1000 sq.ft.or less _ 4 C'CB no.:: Elec. bus, tic.n0: Each additionn1500 sq.fL or portion thereof "— C: Limited energy,residential —2 _ Untitedenergy,non-maidendi -Z-- / _ Y Each manufactured home or modular dwelling arure ojaupervttrn$efecrrftlan(required) Date Service and/or feeder Sup elect name(pnml r - IN no a Servicesorreeders-btstallation, 2 alteration or relocation: 200 amps or leas -- Name (print): � � •� l 201 ampsto4W 2 amps 2 Mailing address: '� 401 amps to 6W amps_-- 2 City: 601 am,s to IoW amps — 2 t State LIP: ) C Over 1000 amps or volts -- Phone: - Fax: -� mail: Reconna:tord - - - 2 which is not intended for ,ale, lease, rent,or exchange accordin - Owner installation:The installation is being made on property To wn Temporary es po ry servicor feeders- -- � g to iurtAilation,alteration,orrelocation: ORS 447,455,479,670,701. 200 imps or less 2 Owner's signature: 201 amps 10 4-00..ps — 2 _ Date: 401 to 600 ams _ 2 -1 6rrnch circuits-nen,alteration, _ Name: or extension per panel: Address: - `-- A Fee for branch circuits with purchase of ---- service or feeder fee,each branch circuit 2 City. Stale: 7,(p: B. Fee for branch circuits without purchase Phone: Fish E-mail: of service or feeder fee,first branch circuit: 2 Eaca additional branch circuit: -- Misc.(.Service or feeder not included): U Service over 12-5 amps-commercial U Health-Are facility Each pump or Irrigation circle _ O Service over 320 amps-rating of 1&2 ❑Hazardous location Esch sign or outline li Ming2 familv,iwellings .2_ O Building over 10,000 square feet four or Signal circuits)or a limited energy panel, L7 S,,atrmover 500 volts nontnal more residential units in one structure alteration,or extension• U Building over three stories ❑Feeders.4W amps or more --- 2 O Occupant load over 99 persons U Manufactured structures or RV par►: De E Uom: O Egress/lightingplan O Other Fich additional bs,peclion of cr thec alinwable In any of the abov'. SubtnU"—_sets of plans with any of the above. per inspection 1be above are not Applicable licable to tem IrrvesUgation fee —1— ,P temporary construction service. Otter Not all juri"cuom accept creriit cards,pl"w call jurisdiction rat Pare information. Notice:'Mls permit application Permit fee..................... -- O Visa I7 MasterCard expires if a permit is not obtained Plan review(al — %) cmdit card number: _ / / within 180 days after it has been State surcharge(8%)....$ Expires Name PF�er v abowe on cit accepted as complete, TOTAL ....................... �- r�-- �Cudholder si_ptature "s Amount 440-4415(60WOM) l CITYCITYOF TIGARD _ PLUMBING PERMIT PERMIT#: PLM2003-00423 i.,EVEi._OPMEN�TIGARD 13125 SW Hall Blvd., Tit 3, 1 OR 97223 (503) 639-4171 DATE ISSUED: 8/12/03 CITE ADDRESS: 12255 SW HANCOCK CT PARCEL: 2S r03CC-11600 ".1SION: WHISTLER'SWALK ZONING: R-4.5 BL(.)C.K: LOT: 063 JURISDICTION: TIG CLASS OF WORK: A4 GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH- BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: FLCO? DRAINS: TRAPS: STORIES: WATER 1•+EATERS: CATCH BASINS- FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: — URiNALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Rirrarks: Install back flow preventer _ Owner: — _ FEES— -- Description Date Amount DON MORISSETTE HOMES 4230 GAL LWOO D ST., #100 ITAXi 8';i,StateTax 8/12/03 $2.90 LAKE OSWEGO,OR 97035 [PLUMB] Permit Fee 8/12/03 $36.25 Total $39.15 Phone : 503-387-7538 r Contractor: LANDSCAPE OREGON, INC. 12200 SW MYSLONY Rr?. TUALATIN, OR 97062 REQUIRED INSPECTIONS Phone : 503-692-5945 RP/Backflow Preventer Reg #: III %l 7804 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 Issued By �,y.�. � _. _ Permittee Signature: Call (503)639-4175 by 7:00 P.M. for an Insf•sctiori needed the next busihes day I DON - MORISSETTE APR 29 1003 HES E0 L L E N 0 0 0 8 T R E E TO B II I RE 1 0 0 CITY OF TIGARD L 0 It3 5 7 8 7 5 3 5 Y I ' R E 0 0 N 9 7 0 3 0 �i1( ' I'1 (503) 387 - 7615 OBE . 28313 Ei.-310 LO]•• 63 'tel DATE- 04/23/2003 � PROPERTY: IIfIISTLER'S-I/AIs i y =.. CITY: TIOARD SCALE;: 1"=20' I PLAN No.: 165A _ j10 STANDARD ELEVAI!CN i r. I LOT COVERAGE: p1 lI LOT AREA: ?III Ste. r-I-. 309 1 L �� BUILCING AREA'- :, 4 90, FT, PERCENTAGE 13°4e 'leis1 f 1 / 14 -a 3,004) eq, ft. ., 2�• � .../ 3 beth FrF. 301B, '�Q U I � 6 r0 596 eq, ft. I 1 { x 3 car ger. 9 I 1 PSE. 305 J�___ i8`n' _� .n �•- 95��r \� C- ..•�. Starr,, � LEGEND el i - _" ptwEUS CaLL.ERr'GNA � 4r�.�'Ex19TINE-L•303G TREES 9Ed1� ' C«rANTtCLEER=FAR' C,:_/.� TO REMAIN Zb'� LCr7T '�63 9,111 eco. ft. - r_� CITY OE TICARR -:-►ITF. PI.,AN ItEVIk:W BU4.UING PERMIT T`.'().: �1 u2dd 06/-PIS' PLANNING DIVISION. R (4 ,5 Rel,uired Setbacks: ,U Approved ❑ Not Approv�:d Side: ,,r _ Street Side: !S 1-com. ,d�.L_ Garape jj�V Rear: J-5 Vi�uhi Cfearance: .f A1)pr,wrr) [] Not Approved Max fill Nuildinu Height, tent ove Nrowider Letter Required: [3 Yes XNo ❑ Received Dale: 5' " -o 3 FE N G I N I .RIN( [;11AR'IN9E.N'F: Actual Slope: �p proved 13Not Approved Site Plan: IP- 1vroved ❑ v► Approved hate: IF 670 i; N rn": CITY OF 1 I GAR D __ __ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003-00423 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-4171 DATE ISSUED: 8'12/03 SITE ADDRESS: 12255 SW HANCOCK CT PARCEL: 2S103CC-11600 SUBDIVISION: WHISTLERS WALK 'ZONING: R-4.5 BLOCK: LOT: 063 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME :iPACLS: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTPS: 1 OCCUPANCY GRP: FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: —� SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Install bark flew preventer `^ _ FEES Owner: --A- - —' --�'— ---- Description v Date Amount DON MORISSETTE HOMES 4230 GALEWOOD ST., #100 IlFAX 1 8 State Fax 8/12/03 $2.90 LAKE OSWEGO, OR 97035 11'I.I 1MI31 PCI.1110 I cc 8/12!03 $36.25 Total $39.15 I Phone : 503-387-7538 Contractor: LANDSCAPE OREGON, IN%,. 12200 SW MYSLONY RD, TUAL.ATIN, OR 97062 REQUIRED INSPECTIONS Phone : 503-692-5945 RP/Backflow Preventer — Reg#: I'LM 7804 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in, accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to fallow rules adopted by the Oregon Issued By: dr7'fr _ � Permittee Signature: , 1 - - ;Y-' Call (503)639-4175 by 7:00 P.M. fot an Inspection needed the next busihes, day fi ,0 1 03 12: 20P clan �-dmnnds 503-692-0768 p. c' Plujubi>g_P'ern K ''' rtm-ing Approval Sewer City of Tigard u„ _ ___-- PcrtrntNa_: __- 13125 SW Hall Blvd AUG .1 1 2001 PLm-'� O11i� 04th--- Pextrit No.: Cigerd,Otegon 97221 Past-Review i�urtl llse Phone: 51)3-639-4171 Fax: 5 IMARD v -____- Casa Nom• Internet: www.ci.tii�ard-or.us'3UILDINC cvrt�t loris-- sec Pate ,for ^4-hour 1nspwbon Rcquest 503-639-4175 NandMahnd:_ - .__ _ SnfPL-eplat tnlotmatiaa. SCUE_DULE(for special inforrmtiun nt.ecbeddLst) -- ---_ ]7eQ10iitit)n Descriptian -�t2tY• Fee(m.) Toto! 1cw construction New 1-&2 dae111n� Addititonlalteca orir ►k�cetrntlt [�Com: _�ja&; to C,EiE iia we.e�t:aoi -,.CATEGORY O'd CONSP)�DL ULUN 249.20 _ �- CJonmerciaUlndusIrW SFR��ba<h-- 350.00 &2-Fami►y darellin a, tL-' St R(2)bRIh 1�Accessor B►,ildua .-Family SFR�3Zbalh399.00 -..____r__-.__� _-Master$wilder : Each addriianal baddkitrr�a, - 45.00 _- JOR SITSR- ORMATION aadLOCA'nQN Firc�ttidda -A Job site addrm: S 1 i d+K u c� Skl Ufjlitirs. `0 G'atrh basin/area drain _ ' Suitt:#: _ _ Bid Apt-#: -� pt Uteach lincrtrtudt drain, A Pro'ect Name:(,1;ju S 1 tri L t%�i1 (_Cdr �'3 Fu fiLfi m(m-linear R) Pa c 2 Cross str+eet/Ditections to job site: Mnmtfsctu. d home tui[ities _ - 110.00 -, Manholes i 16.60 Pain drain conna�or _ 16.60 Sztaihatpg-wtx- o_i�eat R�� .e2 --- Su_bdivision tl%h.517trs W Lot Storm see`(w- -1'neaw^ Water setvicr litreu 8.) 2 Tax map/parcel#: _ _ Filtin�totr,Ibaai -- •DESCRIPTION.OF WORK._ -- A salve - - 16.60 Ba"ow��:�ratber e 2 �'7 SS [�twats wdve 16.60 -��GRU CC.L-U%C t✓ --- - - �l��_j,a 16.60 - --- ___ -- MsInwosher _.-_. - _ 16.50 _ _--._-- Drink3rt�totuttni,t-_ - 16.61. --- OPERIY_OWNER :".: - TENANT' I='txtordsatrrt _ 16.60 NamC X611 mllri ss c� Hrm>~s -- rFixturdscwmcap E, tank -- - 16.60 _ Ae.dresS 2fa3o SLU Cxz UI-Oc zLb V rrA--t`_ 16.60Cit /Statatz 1-"e- 6 crc d U4-{17e%341 l „ckamwfloo,stnkthub_- _16.60 _-_ (3atbe c ;;,�asaj ;6.60 Phone: Fax: _ How bpt - 16.60 PLICAI'rT'.' '-;:. CONTACT;PBR,SON. [oe maker -- _ T - 16.60 _ Name:4!!�j/ 16.60 ---- Address: l� Db S W m B1'1 1�0 Modicai gas-value s _-_-___ Powe 1 _ .T C�/Stn.'-err--7u"AAFi n -�L �„L. r"-fd -- i 6.60 _ RQofdramSaasumertattl) Phone:-�X3 U9-1-5-7Y6 IFax:SO3 (d9-1 6'76 siokibasiwu"� -- 16.60 E-mail: - Tt4 hMvi er/sbonuer tau --- -16.60 _ Uriaal �_�-.__. ._� 16.60 --- 16.60 Businm Name: /fir dS er px D� G» T-n Water� - - 16.60 Address:/,-Q00s W ^cl s!an ( PJ) Odor. - -- Cl /Shde/zi -7u&ta#lA- O1z- C /tJ&J-, Odker. - Phone563 qOL - S qti I Fax:5Cx3 G.%l2 -ov(p Plir.tbiag Ptrotlt Fecst CCD Lia#: �O t{ P111mb.Lic.#: ------ subt*l s - Authn,ized Minkrawn Permit Fee 57730 S Rt sithatial Backflow Minir sura F 3(0 0�5 LD - Plan Review moo[Patnit Fee _ StsiC S_ 9%of Permit Fee (Ftp paint nnnej - -TOTAL PERMIT my, S 9 Notice: This pernnt appBeaHss e V iris if a Perrvdt r"Moehtnined within All sew daae,:ird hmAjiwp rt gwiR 2 w."or punt�dtli lvametrie air IRO days after I,hat bees accepted as eeenpleir rtaer dbvuvr for Ph"•e7le`►. *Fee rnethodolor_y set by TH-County Building Industry Service Board.