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12260 SW HANCOCK COURT .J N V CD N C N a 0 n 77 0 0 c a� 12260 SW Hancock Couit CITY OF TIGARD 24,41(,ur BUILDING Impection Line: (503)639.4175 MST - -- ----- -- INSPECTION UIVISION Business Line: (503)639-4171 BUP 5' P Received _ -_—Date Requested_ -r�qAM PM -__ ___ BUP Location Suite MEC - Contact FersonPLM _Ph 3_.__- -- 1 Contractor---___- -- -- Ph( ) - SWR BUILDING Tenant/Owner __—_— -- _ __-----_.—_—_ ELC Fooling ELC Foundation Ftg Drain ACC@S T7, ELR ---------___-- Crawl Drain Slab Inspect;on Notes: SIT -- Post R Beam --- --------.-.-__ ..__ . _-_----_--__- Shear Anchors - ----- -- --- --- -- Ext Sheath/Shear Int Sheath/Shear Framing - - -- - - -- - - - - Insulation Drywall Nailing - _-- --------- __._ Firewall Fire Sprinkler _-- --_- Fire Alarm Susp'd G_ilin4 - ---- - - — _----�-_. --� Roof > Final PASS PART FAIL L - - ------------------- Post&Beam r' Under Slab _ - Rougn-In00, Water Service — Sanitary Sewer Rain Drains ---- - ---- ---- --- Catch Basin/ anhole Storm Orair ------�.-- ---- - - Shower n Other: PA PART FAIL HANiCAL Post&Beam --- Rough-In Gas'_ine v" Smoke Dampers �— Final --� PASS PART FAIL �--- - - -- - —�— E_LEC_TRICAL Service--___-- ----- --- --_ --- -- Rough-In _ UQ/Slat- �- e Low Voltage rue Alarm - Final -� Reinspection fee of$---_- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PARI Ift _FAIL__ 3 __ _- FI Please call for reinsp etion RE:__,_..� Unable to inspect-no access Fire Supply Line / ,1-17ADA L Approach/Sidewalk Dollar �� 4 Inrpector _ -- Ext Other -i Final DO NOT REMOVE this Inspect!un record from the job site. PASS PART FAIL. CITY OF TIGARD ,A, _ _—__PLUMBING PERMIT_ DEVELOPMENT SERVICES PERMIT #: PLM2003-00174 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/2/03 SITE ADDRESS: 12260 SW HANCOCK CT PARCEL: 2S103CC-11300 SUBDIVISION: WHISTLER'S WALK ZONING: R-4.5 BLOCK: LOT: 060 JURISDICTION: TIG CLASS OF WORK: CTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTR;): 1 OCCUPANCY GRP: R3 FLOUR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS- LAVATORIES: RAPSLAVATORIES: OTHER FIXTURES: TUBISHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Install irrigation backflow preventer. FEES _ Owner: — Description Date Amount DON MORISSETTE HOMES 4230 GALEWOOD ST (PLUMB] Permit I rr 5/2/03 $36.25 STE 100 ('I'AXi$°/ Stade I a\ 5/2/03 $2.90 LAKE OSWE=GO, OR 97035 l otal $39.15 Phone : 503-387-7538 Contractor: LANDSCAPE OREGON, INC. 12200 SVV MYSLONY RD. TUALATIN, OR 97062 REQUIRED INSPECTIONS RP/Backflow Preventer Phone : 503 692-5945 Final Insp,;ction Reg #: PLM 7804 This permit is issued subjeA 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 Utility Notification Center Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001.0100. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-6699. I Issued By: )a Permittee Signature: fn Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day May 01 03 12: 52p den edmands 503-692-0768 P. 2 !Iumbing PeL nit Application Received Plumbing DOWDY: r,P- permit Na /�f�1�0Q3-Od 7 City of T IVRrd Plunning Approval Sewer S/9y_ Permit No.: 13125 SW Hall;Avd. Plan Review Other Tigard,Oregon 97223 Date/dy. _, • Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Revicw land Use Internet: www.ci.tigard.ontts °1erdy Case Na: 24-hour Inspection Request- 503-639-4175 Contact furs.: See Pace 2 for p 9 Name/Method: I Supplemental information. TYPE OF WORK _ FEE*SCHEDULE(for special information use,-checklist) _ New construction Demolition Description city. Fec(ea.) Total ❑ Addition/alteration/replacement Other: New i..&2-family dwcllings _- CATEGORY OF CONSTRUCTION htcludes IUO ft.for each unlit y connccnon� I &2-1 anvil dwellingCoinmercial/lndustrial SFR(1)bath 249.20 _.._�__ -_ _ SFR(2)bath 350.00 Accessory Building Multi-Fame _ _ SFR 3 bath 399.00 Master Builder _ Other: V _ Much additional bath kitchen 45.00 _ JOB SITE iNFORtIVIATION and LOCATION Fire sprinkler- .ft.: Pae 2 Job site address: / 4r`U Sit~` /-ft +,I-��C. � I _ Site Utilities -� Suite #' _ Bldg./APLK Catch basin/area drain 16.60 D ell/leach line/trench drain_ 16.60 Project Name:Lt;hLi 4ferS L4_1el-C•1G G-10 Foohn drain no. linear ft.) Pa e 2 _ Cross street/Directions to job Site: Manufactured home utilities 110.00 ST Manholes 16.60 Rain drain connector 16.60 _ Sanitary sewer no,linear ft. Page 2 SubdivisiOlitV1t_�,i l" C)6-06��I.'0tt#:(r 0 Storm sewer no.linear ft.) Page 2_ Tax tris / nrccl #: Water service no, linear ft. Pare 2 DESC4IPTION OF WORK Fixture or Item '- I Absorption valve 16.60 L,G411 L�S (_�1�L�t'1.7r'1 C1y� _ Backflow preventer 1'a 7QC Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 PROPERTY OWNER��TENANT G cctors/sump 16.60Name; �YLr•17�Ysti-4°-{/� (�-CS y1`I(S _- Expansion tank _ 16,60 Address:4a.30 -SLL) Gt.I' Cf_e1C'C.d Fixture/sewer ca _ 16.60 Cit /State/7� 4 Le. t,Le Gi2 ` 7Q' Floor drain/floorsink/hub -_ 16.60 Garbage disposal 16.60 Phone: _� Fax: Hose bib - 16.60 E16ppl. CON'T'ACT.PERSON ice maker 16.60 Name: Elie.-)-��u notd tnterceptnr/grease trap 16.60 Address:(�a{�p �(� rn �C til je Medical gas-value: $ Pae 2 _`3='' YJ._ Printer 16.60 Cit / tate/Zi It(& �L. op 4'70 -- _Roof drain(commercial) 16.6() Pho -�(�Qa-Sy � y �F-. O�] Sink/basin/lavato 16.60 E-mail: Tub/showcr/shower pan 16.60 CONTRACTOR --� Urinal 16.60 Business Namc: at-;gs e ci .c, U e Water closet 16.60 Address: l�aC�a �--t � Water heater %1LO" n 4S c G IG,GO �_____ other: Cit /Stat%Zip,-nt 6LI'is i,L 012 r7CC- I Othcr: _ Phonoj_ -JYS r (,t, Plumbin Permit Fees*�� CCB ic. #:"780 Plumb. Lic* Subtotal S �- Authorized Minimum Permit Fee$72.50 S J , Signator Lr Gl LL-1'QD1c: �'/r Residential Backflow Minimum F •$36. 3 as- Pion Review 25%of Pertntt cc) 5 felState Surcharge(8%of i'emiit Fee S Q�/�!i✓�_�� zs�-------_----- --- - .� (Please print name) TOTAL PERMIT Notice: This permit application expires If a permit Is not obtained within All new commercial buildings require 2 sets of plans with Isometric or 180 days aner It l:at been accepted as complete, riser diagram for plan review. *Fee methodology act by Tri-Counly Building Industry Service Hoard. i:\Dsu\PcrmE!Fomis\PlmPermhApp.doc 01103 MAST ER PERMIT CITYOF TIGARD PERMIT#: MST2003- DEVELOPMEN T SERVICES DATE ISSUED: 3/13/03 13125 SW Hnil Blvd.,Tigard, OR 97223 (503) 6394171 PARCEL: 2S103CC-11300 SITE ADDRESS: 12260 SW HAN 'OCK CT ZONING: P-4.5 SUBDIVISION: WHISTLER'S\AALK JURISDICTION: 'I IG BLOCK: LOT: ()()I) REMARKS: New SF detached residence. BUILDING : v^ FLOOR AREAS REQUIRED SETBACKS _ REQUIRED RE TS JE STORIES: SMOKE DETECTORS: r CLASS OF WORK: NEW HEIGHT: 71 FIRST: 1.60N of BASEMENT: of LEFT: 5 TYPE OF USE: SF FLOCIR LOAD: SECOND 1 632 of GARAGE: 670 of FRONT: 20 PARKING SPACES: 2 THIRl1 of RIGHT•. 7 TYPE OF CONST: 8N DWELLING UNITS: TOTAL: 3.240 of VALUE: 315,641 00 REAR: 15 OCCUPANCY GRP: R3 BDRM: 6 BATH: 3 _ PLUMBING RAIN DRAIN: 100 TRAPS: SINKS: 1 WATER CLOSETS, 3 WASHING MACH: t LAUNDRY TRAYS: I SF RAIN DRAINS: 1 CATCH BASINS: LA"dTORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 TUBISHUWERS 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL _F1':l TYPES FURN<100K: BOIL/CMP<3HP: VENT FANS: 4 CLOTHES DRYER: I -- OAS FURN 1-1100K: 1 UNIT HEATERS: HUODS: OTHER UNITS: I MAX INP: btu FLOOR FURMANCES: VENTS: I WOODSTOVE3: GAS OUTLETS: I ELECTRICAL -- TEMP SRVCIFEEDERS BRANCH CIRCUITS_ MISCELLAN_EOUS ALD'L INSPECTIONS RESIDE:4TIAL UNIT SERVICE FEEDER _ !SER INSPECTION: 0 •200 any: 0 -200 arty: WISVC OR FOR: PUMPARRIGATION: 1000 SF OR LESS. I 201 • 400 amp' 2U1 - 400 amP_ tol W10 SVC IF DR: SICNIOUT LIN LT'. PER HOUR: EA ADV'L BOOSF: 5 IN PLANT: LIMITED ENERGY: 401 600 amp: 401 - 600 A-P EAADDI BR CIR: SIGNALIPANEL: MANU I+MISV,.IFDR: 001 1000 amp: 601+amp+•1000V: MINOR LABEL: 1000+amplvoll: PLAN REVIEW SECTION Reconnect OnR': >•4 RES UNITS: 3VCIFDR>*225 A.: >000 V NOMINAL: .LS AREA/SPC OCC. ELECTRICAL•RESTRICTED ENERGY 0.cuMMERCIAL A.SF RESIDENTIAL FIRE AtARM: INTERCOMIPAGING: OUTDOOR LNDBC LT: AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: HVAC: LANDSCAPFARRIG: PROTECTIVE S;GNL: BURGLAR ALARM: OTH: BOILER- CLOCK: INSTRUMENTATION, MEDICAL: OTHR: GARAGE OPENER: DATMELE COMM: NURSE CALLS: TOTAL N SYSTEMS: HVAC: TOTAL FEES: $ 5,669.35 Owner: Contractor: This permit is subject to the regulations contained in the DON MORISSETTE HOMES DON MORISSETTE HOMES INC I'Igard Municipal Code,State of OR. Specialty Codes and 4230 GALEWOOD ST 4230 GALEWOOD ST,STE 100 all other applicable laws. All work will be done in STE 100 LAKE OSWEGO,OR 97035 accordance with approved plans. This permit will expire If LAKE OSWEGO.OR 91035 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: Oregon Utility Notification Center. Those rules are set Phone: 503-197-7538 5Q forth in OAR 952-001-0010 through 952-001-0080. You Rap N' t I I l�'-367&7 n may obta, copies of these rules or diroct questions to OUNC by railing(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8 PosVBeam Mnchanlca Mechanical Insp Shear Well Insp Insulation Insp Mechanical Final Plumb Final Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheath Ing Inst Wet l Insp Final inspection Footing Insp Crawl Draint8ackwater Electrical Servicc Low Voltage Water Line k Int, Foundation Insp Footing'-oundalion Dr; Electrical Rough In Gas Line Insp App p hosuBeam Structural PLM/Unuetfloor Framing Insp Gas Flrenlace Electrical Final Issued By: i��k Permittee Sign%.ture Call (503) 639-4175 by 7:00 p.m. for an inspection deeded the next husiness day CITYOF TIGARD _ SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2003-00011 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/13/03 SITE ADDRESS; 12260 SW HANCOC:K CT PARCEL: 2S103CC-11300 SUBDIVISION: %VIIISTLER'S WALK ZONING: Ic-4.5 BLOCK: LOT: 060 JURISDICTION: 116 TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF. Owner: DON MORISSETTE HOMES FEES�— — 4230 GALEWOOD ST Description Date /mount STE 100 1SWUSAI Swr Connect 3/13/03 $2,300.00 LAKE OSWEGO, OR 97035 1SWUSAI SwrCbnnect 3/13/03 $0.00 Phone: 503-387-7538 [SWINSI'j Swr Inspect 3/13/03 $35.00 Contractor: 1511'INSI'l S�kr Inspect 3/13/03 $0.00 _- — Total $2,335.00 Phone: Reg#: f 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 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" Perm Issued by: Permittee Signature. J� Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the next business day Building Permit Amli ' City of Tigard Daterccerved: Permit nu.: , Address: 13125 SW flail Blvd,Ti ard, 2x3 PrajecVappl.no.: Expire date: Citvrr��ard g .�972U�3 Phone: (503) 639-4171 Date issued: By:l� 13txeipt no.: Fax: (503) 598-1960 CITY OF T IGAHu Case file no.: Payment type: Land use approval: BUILDING DIVISION Can family:Simple Complex: ❑ I &2 family dwelling or accessory 0 Commercial/industrial CJ Multi-family yCTNew c instruction ❑Demolition ❑Addition/alteration/replacement U'renani improvement is Fire sprinklethilarm 13 hher. i Job address: IY1 / (_ ` Bldg.no.: Suite no.: Lot: Block: Subdivisic3n: t Tax map/tax lotaccount no.: Project name: Description and location of work on premises/special conditions: Name: << ' Mailing address: L• 1 &2 family dw-Ming: City: State ZIP tC.. Valuation of work........................................ a Phone:.- Fax: 7 ` mail No.of bedrooms/baths................................. '+ Owner's representative: l 6-41(1 _o Total number of floors................................. Phone: Fax: E-mail: New dwelling area(sq, ft.) _ Garage/carport ama(sq.ft.)......................... C r Name: Y 7, Covered porch area(sq.ft.) ......................... Mailing address: Deck area(sq.ft.) ....................................... City: State: ZIP: Other structure area(sq.ft.)..........I.............. Phone: I 1-ax: I E-mail: -- CommerciaUladintriai/multi-family: Valuation of work........................................ $ Business name: - i4r, Existing bldg.area(sq.ft) .......................... -- New bid Address: �Yn.P LZ �., g•area(sq.ft.) ................................ - City: State: ZIP: Number of stories........................................ Phone: --- _i Type of construction................•................... Fax` E-mail: CCB no:_1 _ Occupancy group(s): Existing: City/mctro lie.no.: New: Notice:All contractors and subcontractors are required to be licensed with die Oregon Construction Contractors Board under Name: iy provisions of ORS 701 and may be required to be licensed in the Adds sc �L. jurisdiction where work is being performed.If the applicant is Ci State: ZIP: exempt from licensing,the following reason applies: Contact person: Plan no.: ---- —�.__ Phone: Fax: E-urail: Name: _ Contact person: Fees due upon application ......................... . $ Address: Date received: City: State: ZIP: Amount received .............. ....................... $ Phone: I r-arc: E-mail: V Please i_-ter to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards,please call junsdiction for mrxe informntlon. attached checklist. 4ris!ons of laws-and oldfinances governing this U visa U Mastercard work will he comp) 1 wt ,whether s1wined illemA t. Credit card numter si natu Authorized Y.i ._�. �c�• Name of cardlsolder u stwwn on credit cmd Print name: �f �' Cadtsdder dptattue _ Amount J Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted as complete. —440.4613(sacrron+) One- and Two-Family Dwelling Building Permit Application Checklist Reference no.: City aj7igard �City OAr ❑Electrical O Plumbing O Mechanical Associated petmits Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 O Other. Phone: (503) 639-4171 Fax: (503) 598-1960 t I Land use actions completed.See jurisdiction t oteria for concurrent reviews. w2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc. 3 Verification of approved platflot. - 4 Fire district approval required. 5 Septic system permit or authorizatior for remodel.Existing system capacity 6 Sewer permit. 7 Water district approval. 8 Solls report.Must carry original applicable startup and signature on file or with application. -- 9 Frosion control Q plan 0 permit required. Include drainage-way protection,silt fence design and location of catch-basin protection,etc. 10 3 Complete sets of legible plans.Must be drawn to scale,showing conformance to 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` I 1 Slte/plot pian drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if there is more than a 4-ft.elevation differential,plan must show contour lines at 2A intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator,lot area;building coverage tura;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 pians.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 zonstniction.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 mu!.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(prescelptive path)and/or hlteml analysis plans.Must indicate details and locations;for non-prescriptive path analysis provide specifications and calculations to engineering standards. tandards. 17 Floor/roof framing,Provide plana for all floors/roof assemblies,indicating member sizing,spacing,and hearing locations.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 /learn calculations.Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any bearn/joist carrying a non-uniform load. 20 ManufacK tred floor/roof ttyss design details. 21 Energy Code compliance. ldcntify the,prescriptive path 1r provide calculatinns. A gns-piping schematic is required for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall he stanined by an engineer o: architect licensed in Oregon and shall be shown to be applicable to the project under review. It ISDIVI IONAL SPECIFICS 23 Five(5)site plans are required for Item 11 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. 26 No rolled,reversed or mirrored building plans will be accepted. 27 28 - -- Checklist must he completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only. 440-4614(&MCOM) Mechanical 1'ernu kpplication -- 7rweiived: _ Permit no.: /d QJ_0001 City of Tigard Expire date:CiryojTigard Address: 13125 SW Hall Blvd,Tigard.OR �?223 —_--.-- Phone: (503) 639-4171 - By: Receipt no.: Fax: (503) 598-1960 Case file no. Payment type: Land use approval: Burldingncrmitno.:�- 1 T &2 family dwelling or accessory ❑Commercial industnal O Multi-family O Tenant improvement w construction O Addition/altemtion/replacement ❑Other. ( SUFE INFORMATIONeSCHEDUCE lob address: Indicate equiprnc nt quantities in boxes below.Indicate the dollar Bldg.no.: Suite no.: _ value of all mechanical materials,equipment,labor,overhead, Tax map/tax lotlaccount no.: profit.Value$ Lot: Block: Subdivision: 1 i, *See checklist for important applicat;on information and Project name: V " ' 1!!!_AZ s fee schedule for residential permit fee. City/county: ZIP: 1Description and location of work on premises: l x' Fee(s.) Total Est.date of compledoNinspection: Desi tion Qty Res•otdv Res.only Tenant improvement or change of use:Is existing space heated or conditioned?❑Yes ❑Nounit CFMIs existin s ace insulated?O Yes ❑No ng(site plan require )B P existing A system Boiler/compressors Business name: State boiler permit no.: lLll�\ll�. UP Tons BTU/H Address: _ tre/smo c amper uctsmoke detectors City: L� State Z1P: ea�`tpum (site plan uired) Phone: Fax: E-mail: nsta rep r.ce furnace/burner / Including ductwork/vent liner 13Yes❑No CCB no` 226? ' _ nsta replacetrelocate e`Ti aters-suspends • City/metro lic. no.:N/A wall,or floor mounted Name(please print): K06 ( I Vent for appliance other than furnace Refrigeration: own 0111401011 Absorption units_ _ BTIJ/Ff Name: '(- ��{—l"F__1�„r, Chillers_ HP Address �.�1�L — �� ressors-!= HP rinnseutal exhaust an ventilation: City: State: ZIP: ;D5ryerex anccvcnt Phone: Fax: E•mail: lust s, ype l/ 1/res.kitche azmat hood fire suppression system Name: �' ' Exhaust fan with single•fuer(bath fans) Mailing address: ) -Exhaust system apart from heating or AC ue piping an distribution(up to out ets) City: State LIP !'� Type: LPG NO Oil Phone: -)- Fax: I E-mail:- iTacha�iiu�oveii n rocess piping(sc ematic required) Number of outlets Name: __ ,_ Other lisi-ed app ance or equipment: Address: _ Decorative fireplace City: — — state: Insert-type — W6 stove/pelletstove Phone:: � Fax: '•moil: Other. Applku-11's stgnuru" r Date: t er. Name(print): 1 { 11(.it 7`1y(,..,_., Not all jurtsdicudu acctp crtrlit cards,please call Jundicuon ra rode rnfmnada". Permit fee................ ...$ 0 t W1 q MasterCard rd Notice:This permit application Minimum fee................$ _ L / expires if a permit is not obtained Credit card number plan review(at _ %) $ — -- Expire, within 180 days after it has been — accepted as complete. State surcharge.... ....$ Name of-ardtrolder a sbowr.on credit cud s P P TOTAL .............. ....$ C"rAder siputure Amount 410..1617 AM"M) Plumbing Permit App lication Date received: Prntait no.:fi _000 City of Tigard Sewer permit no.. Building permit no.'. Address: 13125$W Hall Blvd,Tigard.OR 97223 Pro)ect/appl.no.. Expire date: 1�,--- CityofTigard phone: (503) 639-4171 Date issued: By: Receipt no_` Fax: (503) 598-1960 — ICase rile no. Payment type: Land use approval: Te, 2 family dwelling or accessory O Commercial/industrial 0`Multi-family 0 Tenant improvement construction O Addiuon/alterauon/replacement ❑ Fa>l service D OtJler. It t a ali t f Description It . Fee(es. Total � ./' d_.• T Job address: , New I-and h-fatnLly dwellings only: Bldg.no.: suite no.: (includes 100 ft.for each udUtyeomlection) Tax map/tax lot/account no.: SFR(1)bath — Lot; Bloc'.: Subdivision: a r vl SFR(Lj bath Project name: U it SFR(3)bath — ZIP: Each additional bath/I tchen City/county: Site utilities: Description and location of-vork on premises: — Catch basin/area drain _ r welistileach line/trenc,t dram —_ Est.date of completion/inspection: Footing drain(no. lin.ft.) — — 1I� Manufactured home utilities Business name- L t R,1.1�a_._ Manholes -- _-- -- Rain drain connector Address: , Zlp, — 5anttary sewer City: State --- Storm sewer(no.lin. ft.) Phone: 1' Fax: E-mail: Waterservice(no.lin.ft.) CCB no.: - Z t- Plumb. bus. reg. no: — Mture or item: City/metro tic. no.:N/A Absorption valve — — — Contractor's representative signature BaA flow preventer _ Print Hanle: �� .{�_ U Backwater val_,e Basins/lavatory —_ Clothes washer — Name:. Dishwasher — Address: - Unnking fountainls) - City: State: ZIP: Electorsisump Phone: E-mail: Expansion tank Fixture sewer cap Floor drains/floor sinks/hub Name (print) �� -- Garbage disposal_ — Mailing address [._ Hose bibb -- State ZIP: Ice maker ---- City _� -) . _ Phone: - Fax: �-7V'GI E-mail: Interceptorigrease trap Owner insiaUadnn/residendat mninrenance only:The actual it illation Pnmens)J — will be made by me or the. maintenance and repair made by my regular Rtxrf drain(commercial) lavc(s) _-- employee on the propertyl own w per ORS Chapter 447. `1 mp r,hasintst, -- Owner's signature: _ Date: -- -- - _ Tubs/shower/shower_pan l!nnal Na,ie: __�-- --- -- Water closet -- Address: _--- l`i,ater heater State: ZIP: Other City - Total -- --- Fax: P -TE-mail. hone: ........ _ _ Minimum fee...... . — Not All tunsltcnons accept credit cods,pie w call tunuficuon for n+ure inlnmuucst Notice-This permit.application Plan review(at %) � — — O V113 0 MutetCard expires if a permit is not obtat,.A State surcharge(8%) ....$ Cri-dit cud number 1—.-�--- within 180 d'.a�s after it has!ren TOTAL $ — Expires.res . ....................... _— aCCCpled a5 C(Ff�Ietd:. N,vn_til:atdM>Id}er u dhuWn m credit card— s 44p.1616(6,00kOM.1 �Am writ Car..hotder umature _,_—,_--_. Electrical YermitApplication rDatemceived: 7F,7 no.:MM city of Tigard ppl.no.: date. City fT;gard Addrrss: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503)639-4171 Fax: (503) 598-1960 Case file no.. Payment type: Land use approval: — 17consuuction y dwelling or accessory U Commercial/industrial U Multi-fami!y ❑Tenant improvement U Addition/alteration/replacement o Other U Partial to stTE WFoRmATioN Job address: r Bldg.no.: Suite no.: Tax map/tax!ot/account no.: Lot: i Bhxk: Subdivision: yL y Project name: I Description and location of work on premises: Ssum-ted date of completion/inspection: _ t Job no: Fee Max Business name: , Description -_ Qts. (ea.) T(I no.(nap New residential-single or multi-farnity per Address: ) dwelling unit.Includes attach-d garage. City: state: ZIP: Senir.inchttled: Phone: �j- I Far: _ E-mail: loco sq.f<.or less 4 Each additional 500 sq.ft.or portio,thereof CCB no.: Elec. bus. lie. no: — Limited energy,residential _ 2 C' f Unit ed energy,non-residential -_ 2 - ---- Each manufactured home or modular dwelling stare o vats en rung t/tcrNclaAs(rt ulred) Dn[e Sem'ice and/or feeder 2 Senices or feeders-Installation, Sup elect name(p h License no � alk stionorrelocation: i 200 amps or less 2 Name (print): ` , 201 amps to 400 amps _ 2 40I amps to 600 amps _ 2 Mailing address: _ ti 601 amps to 1000 amps 2 City: �� State I 7_IP: Over1000amps orvolts 2 Phone: - Fax: -`7 -mail: -Reconnect only 1 Misner installation: "he installation is being made on property I own Temporary services or feeders- whiclh is not intendeu for sale, lease, rent,or exchange according to Installation,alteration,orreloratlon: ORS 447,455,479,670,701. 200 amps or less 2201 amps to 400 amps 2 _ Owner's si nature: Date: 1 401 to 600 Ams W 2 Branch circuits-new,alteration. or extension per panel: Name: -_ r A Fee for branch circaiu 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 branch circuit•, 2 Phone: Fax: Email: Each additional branch circuit: Pt�%N "VIEW(Please cheCk all (fiat apply) 11111111 eorfdrnta Misc.(Senlc ,: ❑Senate over 225 amps-commercial U llralthcarefacility Foch pumpor irrigation circle _ 2 C"Servirr over 17n amps-rating of I h? t-I liarardmu Incatlon Each sign or outline lighting _ 2 familydweilings U 9uilding over 10,00 square feet four or Signal circuit(s)or a limited energy panel. U System over 600 volts nominal more residential units in one structure alteration,or extension* 2 U Building over three stories ❑Feeders,400 amps or more 'Description _ U Occupant load over 99 persons U Manufactured structures or RV park Each additional hupection over the allowable In any of the above: U Egress/lightingplan U Other. ---- Perinspectid u _ Submit—sets or plans with any or the above. Invests aeon feu. The above are not applicable to temporary corwimetlon service. other Na all jurisdictions accept credit cards,please call jurisdiction for tante iofrxrnauort Notice:This permit application Permit fee.....................S U Visa U MasterCard expires if a permit is not obtained Plan review(at _, %) $ credit cud numlKr _ I / within 180 days ager it has been State surcharge(8%)....$ Expires accepted as complete. TUTALS _ _ ....................... Name of cardholder u shown on credit cad _ S Cardholder signature Amount 440.4615(601011COM) DON - ""AAO RISSETTE H O M = 8 I " C O B P 0 R A T 2 0 4110 OIC LIIV GO A 8TII: IT 8IIITI 1 00 L A I 0 8 w R Q O. 0 A i a 0 N Y 7 0 a a (aoa) aa7 - 7aae r � : (aca► ae •� - 7e1a OBE : -2830 LOT: 60 DATE: 12/30/2002 e/ PROPERTY: WHIS LER'S-VA X L CITY: TIGARD (J SCALE- 1"=20' PLAN No.: 170 OFTICN-•I ELEVATION s. w.: 1069 - 012 VED lob' P1JE. JAN ;; n . . 2003 1 Q Q1 me^ 6181 sq. rt. ` s: 3 cer gar. � J� FP.E. W951 Clair Company,Inc. By . 301. cX) 3I"no eq. rt. ` 2 1/2 beth FP.E. 313V 6 6 PLN ZiC vIE.L1f P. STAT ,fir l)REC30N 200 ITI U C7 NE A TWO AMILi DWELLI NEANU SPECIAL Ofk PIAN EVIEW 4^_.,A/ DOSS NOT AUT CDt�S _tl�I14I�..TQ c 9 FEOL AL.STAT+ IN VIOLAy{ OF E UR LU AL REGULATIONS,f(0 D 'S -' ITR I OESIGNE FROM ANY LIA�ILI R REQ / BY: i 9121' � .AIR OMFAPt 312 ?14 316 318 I LOT C.0Vr=RACsE LECsEND �j//IIIv�•�`\ ! LOT AREA: 9.111 5Q �' 1 LOT 060 BUILDING ARG A: 2,498 SG -__ 17 PERCENTAGE. 1-A o ---� ACER RJjeF,J1"' 1 15,III sq. Ft. RED MAPLE' O�h E cmr Laer February 14, 2003 t Dun Morissette Homes 4230 Galewood Street#100 Lake Oswego, OR 64035 Attention: Dena Fitipatrick Subject: City of Tigard- Residential Flan Review- 12260 SW Hancock (.orurt CLAIR Project No.: 1069-012 Permit No.: MST2003-00012 CLAIR has completed the plan review on the above-mentioned project on behalf of the City of Salem (COS). CLAIR recommends approval of the project for permit to construct. CLAIR has reviewed the reference documents attached and found them to be in general compliance with the attached reference standards and codes. CLAIR requests that the per .vt applicant/designer respond to each comment in thr checklist. This response should be forwarded to the inspector prior to construction. p P ! Should you re(Itiirc explanation and/or clarification of any of the items noted in the attached plan review document, please do not hesitate to contact me at (541) 758-1302., or by email at eclair ri�c�ircon�pany.con�. Res�ecdII y Submitted, /Man J. Clair, CBO Plans Examiner Cc: Gary Lampella, City of Tigard Gayland Forsberg, Don Morissette Homes CLAiR project file 1069-012 Attachments: Attachment#1 - Codes and Standards Attachment#2 - Submittal log Attachment#3 - Pian Review Document Attachment #4 Application Checklist •BUILDING CODE CONSULTANTS •ARCHITECTS - ENGINEERS • INSPECTION r TFSTINS SERVICES 575 NW Second Stteot Corvallis,OR 97330 tt 703 W i,I, vww.cloirentupany.rorn City of Tigard—Residential Plan Review ®r C L a ' r FLL)ruary 14,2003 ■Ilr 1069-012 E; Page 2 Ai-rACHMENT #1 —CODES AND STANDARDS State of Oregon 2000 ed One :.nd Two Family Dwelling Specialty Code(OTFDSC) ATTACHMENT#2—SUBMITTAL LOG Our plan review comments are based on the following submitted construction documents: Date CLAIR 4- Rel Nutoer Single family residential dwelling building F1/24/03 1/9/03 City of Tigard 1000 1 NIA permit. _ 1/24/03 12/30/02 City of Tigard 1001 4 2,''4103 I-ot coverage drawing. `– Fireplace information,energy path,vertical 1/24103 9118/99 City of Tigard 1002 4 2/14/03 calculations,truss calculations,lateral calculations. -- -- Full size drawings including exterior elevation, 2/14/03 main floor plan,upper floor plan,foundation ls,floor 1124101 12130:02 City of Tigard 1003 4 Superceded plan,floartlallv plan, o framing des section ltuils,roolf framing plan, framing shear details general requirements. 21710:3 Don Morissette Homes 1004 4 2/14/03 Calrulations and seismic analysis. —�-- —–" Full size drawings including exterior elevation plan(page 1 &2),main floor plan,upper floor 217103 12/30102 Don Morissette Homes 1005 4 2114/0? f aon,floor mingu of iframing,shear deton plan,cross ails(page 1 & 2 . 2111/03 217/03 Don Morissette Homes 1000 4 2.114/03 Garage portal&hold downs at interior walls. 2/11103 2111/03Don Morissette Homes 1007 1 N/A Plan review comment responses. CITY OF TIGARD 24-Hour BUILDING inspection Line: (503)639-4175 MST 20'2 C4 2— INSPECTION UIUISION Business Line: (503)639-4171 BUP _ Received __ Date Regquuested s .Oe 0 — AM-- PM - __- BUP Location �- -2 Co 0 — - - - - Suite__ MEC - - - - --- Contaci Person /L- � _ Ph( �__d_1�—=� PLM - Contractor Ph( ) --- SWR BUILDING Tenant/Owner —_-___—._ __.- ELC - Footing _.....—. ELr -- - - - Foundation Access Ftg Drain ELF! _-___--_ ------_---- 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 Coiling - Roof Other: Final PASS PART FAIL PLUMBING _ - Post&Beam - — Under Slab - -- -- — Rough-In Water Service - — Sanitay Sewer Rain Drains ---- ---_- Catch Basin/Manhole IStorm Drain --- - — — - — Shower Pan Other: — -_-- — `-- Final PASS PART FAIL _ — MECHANICAL Post&Beam _ Rough-In -- -- ---- --- -- ----- Gas Line Smoke Dampers -- Final PASS PAP.T FAIT_ — -- ----_ ELECTRICAL - Service Rough-In --- UG/Slab Low Voltage ---_-__ Fir Alarm �— _ PART FAIL Reinspection fee of$ required before next inspection. Pay at City Hall, 131.:;+SW Hall Blvd. g E _ (�] Please call for reinspection RE: Ur able!a Inspect-no access Fire Supply Line ADA Approach/Sidewalk Data...4 _ Inspsetc►r -�"-L s� - y - Other: IFinal _ DO NOT REMOVE this Inspection record from the fob site, PASS PANT FAIL- eo =' Flo ev Mo Coll 71 et LA A � � � t � 71 Lmrn O It ►AAAAAAA A♦AA ' &AAAAAAAAAAAAAA. ,AAAAAAAAAAAAA,AAA 4 ► �I w ► a 0 ► Q) ► (U _1 ► � o 4-' ►� 1 No. U CPO ► PO n 75 ► .� ► r ► w -r � pa fir• CITY OF TIGARD 24-hour BUILDING Inspection Lina: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BLIP __— Receive,f ._—_---_ Date Requested .. AM —_-_ PM____..___ BLIP Location ---j Z'2- 4' Suite- MEC Contact person �%z �o - Ph(- ) ��_�r� - PLM ---- - -- Contractor----_- _ ___--.--_-----__ _ - Ph (_--j -----------___ SWR .------- - BUILDING Tenant/Owne► --- _-__ -_----- --____------_-_- ELC -Footing ELC ---- �_ Foundation Access: ------- -____ Ftg Drain Crawl Drain ELR 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: ----..._ -- - -------- ----- --- - -- ---- ----- MIASS) PART FAILNG Post&Baam -�__-._-- UndQr Slab Rc,,gh-In -- ---- - Water Service. ------ —_ _ _ Sanitary Sewer -- Rain Drains Catch Basin/Manhole Storm Drain --- — -- --- -. --- Shower Pan tAN Other PART FAILICAL _--- Post&Beam _-_-- Rough-In --- - - ----.— _------- - Gas Line — - Smoke Dampers -- ----- ------ - ----- -- - - SS PART FAILE. ICAL -- Service -_ __- ---- --- - - _--- - - -- ---- --- Rough-In lJG/Slab Low voltage - Fite Alarm - - -- - ------------ - ----- --- Final L7 Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE --- [] Please call for reinspection RE: _ Unable to inspect- no access Fire Supply Line } Approach/Sidewalk Data - 5-- - L/�_/ InsPe^tor(' ` `�-- -_ . ®_ _-__ Ext __---_- Other: ___... -.--.._._-----_._- Final DO NOT RWOVE this Inspection record from the Job site. PASS PART FAIL