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13560 SW HATHAWAY TERRACE w U C� C) N r+ `C -1 m 0 ro 13560 5W Hathaway Terrace CITYOF T I iG A R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003-00221 DATE ISSUED: 5/27/03 13125 SW Hail Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S103CC-11800 SITE ADDRESS: 13560 SW HATHAWAY TLRR SUBDIVISION: WHISTL ER'S WALK ZONING: R 4.5 BLOCK: LOT: 065 _ _ JURISDICTION: TIG CLASS OF WORK: OTR GAR@AGE DISPOSALS. MOBILE HOME SPACES: TYPE OF DISE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: _ FIXT_URES _ LAUNDRY TRAYS: SF RAIN CRININS: SINKS: URINALS. GREASE TPAPS: LAVATORIES: OTHER FIXTURES: 'ruB/SHO!-VERS: SEWER LINE: ft WATER CLOSE rS: WA ER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Install residential irrigation backflow preventer. _ 41 FEES Owner: Description Datr Amount DON MORISSETTE HOMFS .. Mlil I'crnut I cc 5127/03 $36.25 4230 GALEWOC�D ST ITAXI „Statc'Iax 5/27/03 $2.90 STE 100 LAKE t)SVVEGO, OR 97035 Total $39.15 Phone : 903-387-7538 Contractor: -- LANDSCPFE OREGON, INC 12200 SW MYSLONY RD TUALATIN, OR 97062 REQUIRED INSPECTIONS R'P/Backflow Preventer Phone : 503 Sprinkler Final Reg#: I'1 tit 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 approve] 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 foJow 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 rLiles or direct questions to OUNC by calling (503) 246-6699. L Permittee SI nature:_ Issued By: _--- ` ..� - C' � g �..z � _ e—. Call (50' 1 639-4175 by 7:00 P.M. for an Inspection needed the next business day Mai 23 03 09: 01a dan edmonds s • � �[�i 3TL�i3'7_ Plumb:ng__Peranit Av jLftafioni Receiv,,, Plumbing / Date/By Permit No.: Planning Appro,ai Sewer City of Tigard Date/By: _ _ __ Permit No.: 13125 SW Hall Blvd. �;(`� ' C n f��i Review Other I \ C ID Due1E3 : Permit No.: Tigard,Oregon 97223 Post-Review Land Use Phone: 503-639-4171 flax: 503.593-1960 Date/By: Case No.: Internet: www.ci.tigard.or.us M Contact )oris.: Sec Fagt 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: Su Icmental Information. CITY OF CIGARU 3i_liLl]INr, n..� - -- TYPE OF WORK FEE"SCHEDULE for special information use checklist) Demolition Description Qty. Fcc(e'I Total NeW construction — New I-&2-family dwellings �I Addition/alteration/replacement other: includes 100 ft.for tach utllit connection _ CATEGORY OF CONSTRUCTION SF1L I bath 249.20 1 &2-Famil dwellin Commercial/Industrial SFR z bath 3 0.00 ccesso Build'n� Multi-Family SFR 3 buth Master Builder 399.0r -- Other: Each additional bath/kitchcn +4:•u�JOB SiTE INFORMATION and LO_CaTION Firesprinkler-sq.ft.: Pae 2 Site Utilities Job site address: S - 5(� 1-fCLf G u>U-L tL Catch basin/area drain 16.60 Suite#�_ _ BW ./A t.,/. _ D well/leach line/trench drain 16.60 C-' Pro ect Name:f-;h c St ief S U:U_LIC_-._Ll_.to ZS Footin drain no.linear ft. Pae l Z----- I I o.00 Cross street/I)trections to job site: Manufactured home utilities IG.GO Manholes 12- ire' tSanitary connector 16.60 ewer no.linear fl. Pae 2 er fno. 1in¢ar ti _ o e 2 ubdiviwion:W►t-iS'f-IerS ��•_ Lot#: Pa e 2 ice no.linear ft) Tax ma /parcel#: _ _ Fixture or Item DESCRIPT.ION OF WORK Absorption valve -� 16.60 Lt-#� I UY)i-120l.l_�`�Z�� Backflow reventer Pae 2 Backwater valve J 13.60 Clothes wasM 16.60 7ishwasher16.60 [�rin_king fou16.30 PROPERTY OWNER TENANT-- E cc:ors/sur _ 16.00 Expansion t16.60 Name:Dtrlrl 1'n��1'1_SSC._f' __ Z'�rS 16.60 �. 1 �� Fixture/sewe Address: �-1 a,3V SLS -X t0Ct Flour drain/floor sink/hub 16.60 Cit /State/Zi : 1-6tic e 0'r' --` C3 G — Garbe a dis osal 16.60 Phi _ Fax: Ilose bib _ 16.60 I'PI.ICANT-- cn+1TAr'r PERSON c cr _ 16.60 or/ re16.60 Name: fCI' {�/V'_J -- -- gas-value: 3dress' 1�a UL l ALU MWs(6ru � rner 16.60 Ciiy/State%�CL�.�t-t3�L_._v.�S._mss-_= ' 'toofdrain commercial 16.60 Phone:5�3 tea- S9_ FaXSU3 Ley �`7� �_�ink/basm/lavatory 16.30 i `tub/shower/shower pan 16.60 E-mail: Urinal 16.60 CONTRACTOR Water cioset 16.60 Business_Name: [,c1tr�Sect_ '. —��1 Water heater 16.60 Address:/540 C S L.o h-1 t Cn'IC R 0 Other: City/State/Zip"7Z.ttit-l?cX>�-'l. o� ��'7v , 02..E Other: 5113 9a t:)74,RffResidential Plumbin Pcrmft Fees• ar Phone:.5D3 �9a-s tU S Fax: Subtota► s CCB Lic, #: '7d'o Plumb. I_.ic.#: Minimum Permit Fee$72 ZO $ Authorized ackflow Minimum Fee 36Signature _ Date: n Review(25%of Permit ee S Surcharge 8/ of Permit 1-ce S 41(Please print name) TOTAL YElifltCT FEE S-XL-J S_— Notice: 'rhis permlt application expires If a permit is not obtained within All nrw commercial buildings require 2 sets of plans with isometric or ISO days after it has been accepted as complete. riser diagram for plan revitw. •Fee methodoloe set by Tri-County Building Industry Service Iloa+. i:\Dsts\PtrmitForrru\PlmPermitApp.doc 01103 / CELECTRICAL PERMIT OF TIGARD — RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2003-00118 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 4/17/03 LITE ADDRESS: 1356(` SW HATHAWAY TLRR PARCEL: 2S103CC-11800 SUBDIVISION: WHISTI-Ek'S WALK ZONING: R-4.5 BLOCK: LOT: 065 JURISDICTION: TIG Proiect Desciir)tion: Low eoltage residential all encompassing. A.RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: X AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: X BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: X CLOCK: MEDICAL: HVAC: X DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: X FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: ALL ENCOMP : X HVA(,: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER- TOTAL# OF SYSTEMS: Owner: Contractor: DON MORISSETTE HOMES BRINKS HOME SECURITY 4230 C�LEWOOD ST 8080 SW CIRRUS DR STE 100 BEAVERTON, OR 97008 LAKE OSWEGO, OR 97035 Phone: 503-387-7539 Phone: 503-387-7538 Reg #: NM7-64141W924 SbW-0574274LEA _ LIC 44421 _ FEES F,I„IF$dg4��41nspectioos Description _Date Amount Low Voltage Inspection IL'LI'RNI I I I I.R Pcrniil 4/17/03 $75.00 Elect'I Final ITA X19°bStatc'1'ux 4/17/03 $6.00 Total $81.00 This Pen-nit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This perniit will expire if work is not started within 180 days of Issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by he Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuE A---' e, Issued by e-e., Permittee Signature �ZAAIot OWNER INSTALLATION ONLY The installation is being made on property I own which Is not intended for sale, lease, Jr rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY _ ^_ SIGNATURE OF SUPR. ELEC'N __ _ _ _ DATE: LICENSE NG: _ Call 639-4175 by 7:00 P.M. for an inspection needed t�►e next business day Electrical Permit Application Dale received: V,3 Permit nu pp CTigard of Project/appl, no.: fi,lire date: _ Citgo/7q!r.l'o Nddress: 13125 SW I iall Blvd,•rigard,OR 97223 Date issued. Iyy Itcccipt no: I houc: (501) 639-4171 �—_— —� Fax. (SU3) 59A-19h0 Case file no. Payment type Lime) use approval: 1 l 8(2 family dwelling or accessory J CoIntnercial/industrial U Multi-family U Tenant improvement U Ncw constnirtion J.llldifi+nl';Ihcratiott/replaccmcnl U Other: U Partial Jnl�adds^ss: (� G� Bldg_no.: Suite no.: Tax map.'tax lot/account no,: � - LotSuhdtvjsi01 --- - .- 4 - Prl1l'r nnn)c: I I)csrriptinn and location of work on prrmisl' Ol� (�jr►'I ._ - I tiUncltcdilatr,�l �„n�jJctinn nf�j�irlu'n - 7"' 1 1 ' 1 ' t Job no: t lr �Iat Dewr{pnort Qb• Ica.l total no.imp Business nanle: r� _ 11t,IeWri Ne„reddentlnl-thagleormulll-famll. per Address: - �b 5r 31)r dnellingnnit.Includegoni htdgwroge. Ly StaIC' •LIP: Rervlcelnrhrded: cit � la_ �$_ I _IINIu sy 11.ur Icsv _ a Yhonc• /_/-/�, Fnx I muj _. -i� P-uch additional 50(1 sq 0.or rinliur thcrcul' _ _ CCB no.: 'l� lilec huti Ile.n0:--- u llvl�� l imffed energy, residential xx -16r- City!tnctro I .ill+ : I.united energy, non-residential Inch manufuctumi home ar modular 1,cLihng Signnturc of super„am ciccuiclAit Ircywlcdl )u c ticnlcc and/lir feeder - - 9rrsiretnrtreden-Inttellatlnn, Sup, elect n''nte Ipttrt I 1 "ow nn: („C allerotinn or telor>ttlani •{II{ 1111 amps or 2111 snips Io 400 amps 2 N;tIne 1pritit --- �_. _------ —_ — — 2 401 urn is to(100 ant s M tllalig MWICSS: )I amps l0 1111111 Amps __ (;Ity. Stdte. /I l'. - l lire I liK)amps lit volts ' Phone: - -- Fat I'•nlalj Itc+U Inect only—__�.___.. Owner installation: The installallon is being made on property I own m,ioll ilon,m tergilorfirrelo- Inrallallon,allcratlon,fir relocation: which Is not Inten(le(I fillsale.Lase,rent,or exchange accnrdinlP,to n;inq.:lir Ica ' ORS 447,455,479.(1711, 1111. `ill l N%ner's SIgnatnrc I i il,• till n,ono;I1111._--- f Itraltch circ lIN-nevi,nllerat{nn, or ettension per panel: Nan)C: _ A rec fou I,ranch enrolls with purchase of Address: srnire ar fecdct fee,each branch circuit - -- _ — ('jt �Stille: I YII' I! Pae for branch circuits without purchase s rlrst branch clrcun. Photic: I'ax: r .nil flint npplyl "•,rv+.lticr,it r or Ireder ,,It Included): ,veli urn it frit afion cirelc ' J St-mice over 225 angls-rnlmalerctal U 11c.1111, if,- I`.t.iI'l U scrocc over 3211 anips•ranng of 1&2 U 11;1/, '1-11% h,catitin ich ingn or outline lighting Lu.01) dwellings U lluilrlinl:over 10,M)square Iccl lour of ,[goal ,ircoo(c)or a lanitcd energy panel, U system over(1x)volts nominal mem•resi lrnu;il units in line slnI011re alteration, or ettcnsi m' '_— U nufldicg over three gIones Ij kcdcas,.tau;11711"lir nnire •I)esctiition U Occupant Inud over')',per;ons J Mnnufacaurcd sno+nacv lir 10'I,,uk Esichodd111nnal Impernon over the alloNable in an)attheahane U I`Itress1ighunF Id;n1 U I ulaet„_-__ Per inspection ---�-- Sobnrlt telt of plane with tiny or the above. Investigation fcc 7'I.e nbore lir •not opplirable to temporary c'onttruction teniae. Other — s 5' v - D Nita all jurieotfcu+ms wrcpi'foil rind,,please call lurndiuion fila n,c mG,rm,iomn Notice 1 his permil application Uvisa a UMaracrCArd rxlnrr. t1 permit is not obfatncd flan rl'tICW hal 1111111 ;x0 days atter it huts been Stale Surcharge(K'r"I S Lo Uc) ('redia card number __ — —_ _1.._.. _. . _ a 00 Fi xprcv 1.0 +►r.hr S :n cc-IM I, complete --J Nmnr ref cardhn�dct AA ebaaro an arc+q[ail'- s —.. ---�CnrJ�r,l'-(ice rignafurc Amaam ._ aan 4r�l s a,�r�r•r. MASTER PERMIT / CITY O F T I G A R D PERMIT#: MST2003-00('66 DEVELOPMENT SERVICES DATE. ISSUED: 3/14/03 13125 SW Hal! Blvo., Tigard, OR 97223 (5031639-4171 SITE ADDRESS: 13560 SW HATHAWAY TERR PARCEL: 2S103CC-11800 SUBDIVISION: WHISTLER'S WALK ZONING: R-4.5 BLOCK: LOT: 1165 JURISDICTION: TIG REMARKS: New SF delec,hed residence. BUILDING REISSUE: STORIES, 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 27 FIRST: 1,581 of BASEMENT: 0 of LEFT: 41 SMOKE.DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,500 of GARAGE: 634 of FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: SN DWELLING UNITS: 1 1Hf0 of RIGHT: 10 OCCUPANCY GRP: R3 BDRM: 5 VALUE: 313.935 70 BATH: 3 TOTAL. 3.190 el REAR: 32 PLUMBING _- SINKS: I WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS: I RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUBISHOWERS: 4 GARBAGE DISP 1 WATER HEATERS: 1 WATER LINES: IOC BCKFLW PREVNTR: i GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: SOIL/CMP<3HP: VENT FANS: 4 CLOTHES DRYER: 1 GAS FURN>000K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES' VENTS: I WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANI.H CIRCUITS MISCELLANEOUS ADO'L INSPECTIONS 1000 SF OR LESS: 1 0 •200 amp: O •200 am^ W/SVC OR FDR: PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 5008F: 6 2111 - 400 amp: 201 40 I amp: tat W/O SVCIFDR: SIGNIOUT LIN LT: PER HOUR: LIMITED ENEnGY: 401 600 amp: 401 600 hap: FAADDL BR CIR: SIGNALIPANEL: IN PLANT: MANU HMISVCIFDR: 801 1000 amp: 001-amps. oo0• MINOR LABEL: 1000+amplvolt: PLAN REVIEW SECTION Reconnect only: —4 RES UNITS: SVCIFOR1=228 A.: v 600 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO h STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT. BURGLAR ALARM 0TH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATArTELE COMM: NURSE CALLS: TOTAL#SYSTEMS: TOTAL FIFES: $ 5,658.67 Owner: Contractor: This permit Is subject to the regulations contained in the DON MCRISSE'TTE HOMES DON MORISSETTE HOMES INC Tigard Municipal Code,Stale of OR. Specialty Codes and 4230 GALE WOOD ST 4230 GALEWOOD ST,S rE 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 OSWEVCI,OR 97035 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: 503-387-7:38 forth In OAR 952-001-0010 through 952-001-0080. You Rao#: fl( t7 > may obtain copies of these rules or direct questions t0 OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Boom Mechanics Ftng Drain Bsm't Walls Framing Insp Gas Fireplace Electrical Final Sewer Inspection Underfloor Insulation Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Footing Insp Crawl Drain/Backwater Plumb Top Out Exterior Sheathing Ins{ Rain drain Insp Plumb Final Foundation Insp Footing/Foundation Dr; Electrical Service Low Voltage Water Line Insp Final Inspection Post/Beam Structural PLM/Underfloor Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Issued By : e"t __ _ PPnnittee Signature Call (F1,3) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITYOF TIGARD J SEWERCONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2003-00060 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 r)ATE I53UED: 3/14/03 SITE ADDRESS: 13560 SW HATHAWAY TERR Pi kCEL: 2S I03CC-11800 SUBDIVISION: WHISTLER'S WALK ZONING: R-4.5 BLOCK: LOT: 065 JURISDICTION: TIG 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 detached residence. Owner: _ DON MORISSETTE HOMES FEESDescri tion Date Amount 4230 GALEWOOD ST p STK 100 S�1-USAISwr Connect 3/14/03 $2,300.00 LAKE OSWEGO, OR 97035 JSWUSAJ Swr Connect 3/14/03 $0.00 Phone: 503-387-75 38 (SWINSPI Swr Inspect 3/14/03 $35.00 Contractor: ISWINSI'l Swr Inspect 3/14/03 $0.00 Total $2,337.00 Ph Reg #: Required Inspections I his Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from the date issued. The total amount pair;will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the 'gide sewer laterals. If the sr;wer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located,the installer shall purchase a "Tap and Side Sewer" Perm Issued by: �� , L Permittee Signature: Call (`;03) 639-417.5 by 7:00 P.M. for an inspection needed the next business day " duos - 60clo 'Building Permit Application Z\.6 - Datereceived� Permit no.✓f'�, City of Tigard [' Pro)ect/appl.no.: Expiredate: City r jTigard Address. 13125 S W liall,$lvtl�j tkll,�R_$712� Date issued: By: ` �` Receipt no.: Phone: (503) 639-41 kt- y Fax: (503) 598-1960 Case file no.: Payment type: 1 , 1&2 family:Simple Complex: Land use approval: O I &2 family dwelling or accessory dCommerciWindustriall U Multi-family ,WNew construe tion O Demolition ❑Addition/alteratiort/replacement ❑Tenant improvement 0 Fire sprinkier/alarm ❑Other. c. �: wlrt"fir Bldg_no.: Suite no.: Job address: Tax map/tax lot/:iccounI no.. l,ot: Block: Subdivision: Proje%t name: - -- Description and location of work on premises/special conditions: "- 'e- Nante: �" t ��` Mailing address: �,' 1&2 family dNellint;: Stated 'LIP: Valuation of work............... $ City / Phone: -mail: No.of bedrooms/baths................_............... - - Ownci:;representative; 1 C"t✓ Tomi number of floors.................. .............. -_- Phone: Fax: E-mail: New dwelling area(sq.ft.) ......................... -- _11111 1WAM Garage/carport area(sq.ft.)......f................. - Covered porch area(sq. ft.) ......................... - Name: `Y 1 - Deck.area(sq.ft.)........................................ Mailing address: ti inC� Other structure area(sq. ft.)......... .. City: State: '.1P: __ (' E-mail: nmmerclallhatdustriallmulti-fmily: Phone: Fax: Valuation of work $ Existing bldg.area(sq. ft.) .......... ............... _ Business name: 't 1 New bldg.area(sq. ft.) ............................... _------ Address: L Number of stories........................... .......... City: State: ZIP: Type of construction.................................... E-mail: .&n-,! Phone: Fax: flc::.,r.i::i: E:ci . -- y/metrc,lit.no,.71 Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may be required to be licensed in the Name: t.tA jurisdicti,rn where work is being performed.If we applicant is Address: Cts -- exAmpt from licensing,the following reason applies: I Cit State: ZIP: _- Contact person: Plan no.: Phone: Far.: E-mail: Contact person: Fees due upon application ........................... $_ Name: — Date received: -- Address: - ... $ City: State: ZIP: Amount received ...................................... - rax: E-mail: Please refer to fee schedule. phone: --,1 •- • _ -- I hereby certify 1 have read and examined this a:tplication and the Not allay t]Ma erCarcl 1 c� P1eae CW1 junWlctlon attached checklist.A�novisions of I ws and ovtnances governing this UVi card number0 Ms -- work will be compl e[1 v_ti ,whether, cififti ttere1{i1t r,}rot. rel' ` , _ Authorized sl natu ( grn� ,, N cudholdcr u shown on erdU card $ _ �� Cttd6ol r 41p�uwe Amown Print nc me: T 1 'Z' 4404613 t6A Notice:'i'his permit application expires if a permit is not obtained within 180 days after it has been accepted a.,.omplete. Orae-arid rI wo-Family Dwelling Buit'ding Permit Application Checklist Referenceno.: City of Tigard Cit of Tigard Associated permits: y anU Electrical O Plumbing ❑Mechanical Address: 13125 SW Hall Blvd.Tigard,OR 97223 U Other: Phone: (503) 6394171 Fax: (503) 598-1960 jW REQVIRED 1 land use actions completed.Seejursdiction criteria for concurrent reviews. 2 Zoning.Flood plain,solar balance points,seismic soils designation,historic disin,i..-i, 3 Verification ut approved platflot. 4 Fire district _approsrt required. x . 7 5 Septic system permit,-r authorization for remodel.Existing system capacity. 6 Sewer 7 Wat-r district approval. — ------------ - �� 8 Soils report. Nlust carry original applicable stamp and signature on file or with application. / 9 Erosion control ❑plan ❑permit required.Include drainage-way protection,silt`ence design and location of catch-basin protection,etc. 10 3 Complete sets of legible plans.Must be drawn to scale,showing conformance t; applicable local and state building codes.Lateral design details and conne-tions must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross reference, aetween plan location and details. Plan review cannot he 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 mart;than a 4-ft.elevation differential,plan must show contour lines at 24 intervals);loc:atfon of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator,lot area;building coverage ar a ;percentage of coverage;impervious area;existing structures on site,and surface drainage. 12 Foundation pian.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 he required to clearly portray constriction.Show details of all wall :I roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundat).rn,stairs, fireplace construction, thermal irsulation,etc. _ I S Elevation views,Provide elevations for new construction;minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade d'the change in jrtde is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. _ 16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for non- reser. rtt ive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing.Provide plans for all floors/roof assemhhes,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 Beam calculations. Provide two sets of cal,ulations using current axle design values for all beams and multiple juists over 10 feet'ong anrUor any beatn/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design detaUs. 21 Energy Code compliance. Identify the prescriptive path or provide calculations.A gas-piping schematic is required for four or more appliances. _ 22. Engineer's calculations.When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or architect licensed in Oregon and shall be shown to be applicable to the project under review. 23 Five(5)site plans are required for Item I I above. Site plans must he 8.1/2"x 11"or I I"x 17", h 24 Two(2)sets each are required for Items 16, 19,20&22 above. — 25 Building plans shall not contain red linrs or tape-ons. 26 No rolled, reversed or mirrored building plans will be accepted. 27 _ -- ig Checklist must be completed before plan reviev, start date. Minor changes or notes on submitted plans may be in bite or black ink. Red ink is reserved for department use only. esu(fiMCOM) Mechanical Pern ilt Application Datereceived: Permit nod o,- City City of Tigard Project/appl.no.: Expire date: City ofTigard Address: 13125 SW Hall Blvd.Tigard,OR 97223 Date issued: By: Recclpl no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: _ Payment type Land use approval: Building permit no.: ..i ❑ I &2 family dwelling or accessory ❑Conimerciallindt,strial O Multi-family O Tenant improvement X4ew construction ❑ Addition/a teration/replacement 0 Other. _. JOB SITE INFORNIATIONCORCIAL VALUATIONSCHEDULE Job address: Y I 1< 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$ — Lot: Block: Subdivisio,,. (` - "See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit tee. City/county: Al WN 1 x114 lia i I a 'I�► Description and location of work on premises: 7Ar 1 7t' t+� t ' I� t t _ Fec(es) ToW Est.date of completion/inspection: I�rcription . Resod Res.only Tenant improvement or change of use:Is existin ace nested or conditioned?0 Yes 0 No n CFM handling unit __^_ - B space A',conditioning(siteplanrequired) Is existing space insulated?O Yes 0 No •teration of existing H A''system Boiler/compressors Business name: Ar [ 1 State boiler permit no.: HP Tons B'^Utti Address: Fire/smoke dampersi uct smoke detectors _ City LI State• ZIP Feat pump(site plan required) Phone: Fac: - Email: Install/replace rnac urner / FT Including ductwork/vent liner O Yes Q No CCB no.: ?7i;)c- C_6 _ Insta replace/relocate heaters-suspen cd, City/metro lic. no.: N/A wall,or floor mounted Name(plrasr print): _�T__— Vent ora other than furnace e gemil on: Absorption units BTU/H Name: '��}� `►.lE-L L- Chillers HP Com ressors_ HP Address L Cly_ rW ;nvtrownental exhaust and ventilat ons City: _ State: _ 7..lP: Appliancevent Phone: Fax: J E-mail: erex aunt s, ypeUillres kitchen/hazmat hood fire suppression system - Name: Y� I Exhaust fan with single duct(bath fans) Mailing address: ) � N,' t3xhaust system apart from heatingor AC tie p p ng an t ut on(up to outlets) City: state 7.1P �/) _ �L Tylei LPG NO Oil _ Phone: Fax E-mail: Fuel pipingach additionsI over 4 oulTets recess piping(schematic required) Number of outlets Name:_ iii ter st appTance or e+tu pment: Address _ Decorative fireplace - City State 71P: nsert-type _ Phone: F'ax F•mail: Woodstove/pelleistove - Applicant's slgnafu Name(print): s' Y! t 11(il 1 fir' I Not All iunsdictiom accept credit cards,plvo call iunsdreuon for more Information. Permit fee.....................$ Notice:This permit application Minimum fee................S O Visa 17 MasterCard expires if a permit is not obtainedJ Credit card number __ -- within 180 days ager it has'xcn Plan review(at _ %) $ Elpires accepted as complete. State surcharge(8%) ....S None of c older u 3;n on credit card s TOTAL .......................$ �� Cardholder siptature !'Amount uo-461 t(NOWOM) Plumbing Permit Application Datereceived: Permit no.a I �� Cit of Tigard Y g Sewer permit no.: Budding permit no.: Address: 13125 SW Hall Blvd.Tigard,OR 97223 ---- City ojTigard Phone: (503) 639-4171 Prolect/appl.no.: _ Expire date: Fax: (503) 598-1960 Date issued: By:-'Receipt no.: Land use approval: Case file no.: Payment type: 111111111101M a 1 7�0 dwelling or accessory O CommerciaUindustnal O Multi-family U Tenan.improvement ruction O Addition/alterabon/replacement ❑Food service O Other. It SIn INFORMATIONa 1 tr special information Job address: � LL ( Desert tion Qty. Fee(ea.) Total Bldg.no.: Suite no. _ New 1-ane+2-family dweWags only: (includes 100 R.for each utlUty connecdon) Tax map/tax lot/account no.: �—�" SFR(1)bath Lot C_' Block: Subdivision: ��/vl�" SFR (2)bath _ Project name: t L _ SFR(3)bath _ City/county: ZIP: Each addiuonal uath/kitchen Description and location of work on premises: SiteutWdes: Catch basin/area drain Grywells/leach line/trench drain Est.date of completioarnspection: =EfFootin drain(no.lit►. ft.) Manufactured home utilities Business name L, Manholes Address: Rain drain connector — City: State ZIP: Sant sewer(no.lin.ft.) Phonc:(�� j 1-, Fax: E-mail: Storni sewer(no. lin.ft) CCB no.: L Plumb. bus. reg. no: - Water service tnu. lin.ft.) 1--- - nvtute or item: C:~„mc!:,: 'i_. no'. N A Absorption valve Contractor's representative signature Back tluw preventer P�int mune: O Backwater val%e Basinsllavatory Name: Clothes washer Dishwasher Address: r`. Dnnkine fountain(s) Cit, State: ZIP: Ejectors./sump — Phone Fax: E-mail: I Expansion tank Fixture.'sewer caN _ Rutr drs/floot sinksthub tJame (print) �� n _1�. atnC•.��; disposal - — Mailing address: Host:bib) City: > I state z1P:9 '�r7 Ice mak -- _ Phone: 'rFXV 7-J(Cf E-mail: Intercepter/grease trap Owner installationlresidendal maintenance only: The actual installation Pnmer(s) will be made by me or the maintenance and repair made by my regular Raif drain(commercial-) employee on the property I own as per ORS Chapter 44; Sink(s),basinls)• lays(s)— - Owner's signature: Date: Sump Tubs/shower/shower pan nnal Name_ Watercloset Address: ___ Water heater City: _ State ZiP: �_— Other - r Phone- T - -- Fax: Email: Total Na all)un"cuac ont cep,credit cards,pleate call)un"cuon rnr mune inhmmtuon Notice-This permit application NIlnlr'Um fee................E Q Visa ❑MuierCard expires if a permit is not obtained Plan review(at _ %) S _--------- Credit card number within 180 dayTOTAL .......................Ss after it has been State surcharge(8%) ...$ Eaptrn Name at cardholder u,ho»n on credit card accepted as complete —' S Cudholder it nature Amount 4r44616(60WOM) Electrical Permit Applica tion Datereceived: Permit no.: ,+ City of Tigard. Project/appl.no.: F.xpi edate: city gTigard Address: 13125 SW Hall Blvd,Tigard.OR 97223 Phone: (503) 639-4171 Date issued: gy: Receipt na Fax: (503) 598-1960 Case rile no.: Payment type-: Land use approval: _ t , "&2 dwelling or accessory O Commercial/industrial Cl Multi-family U Tenant improvement cuon U Addiuon/alteration/replacement U Other. U Partial J011 SF[E INFORMATION ress: e v Bldg,no.: Suite no.: T'ax map/tax lot/accou:a no.: f of: Block: Subdivision: \ �: f — Project name: Description and location tii work on premises: Esdinated date of c',mpletion/inspection"It SCHEDULE— Job no: fee M Business name: 1 rJ�scri ,ion Qty. (ea.) Total na.Insp H,dress: 4' New remdential-Ww*or mufti-family per dwelling unit.Includes attached garage. City: State: /.IP' Service included: Phone' I Far; E-mail: 1000 sq.ft.or less 4 CCB rnt. Elec. bus. tic. no: r� rZii addiuonal 100;q.R or portion thereof C: /} Limited energy,rc,idential 2 Limited energy,non residential 2 Each mmtufactured home or modular dwelling ature of supervissng el Service fact alreQ) Date Service and/or feeder 2 Sup elect name((r-nn 1 license nn a� Service iorfeeders-ismallatlon, alteration or relocation: 200 amps or less 2 Narne (print): ` 201 amps to 400 amps 2 Mailing address: 401 amps to 600 amps 2 ' 601 amps to lono amps City: - Statei Over 1000 amps or volts 2 - Phone.' mail: Recenneetoniv 1 Owner installation:The installation is being made on property I own Tempo-ary services or reeders- tvhich is not intended for sale, lease,rent,or exchange according to Inst'liation,alteration,orrelocation: ORS 447,455,479,670, 701. 2W amps or less _ 2 101 amps to 4W amps 2 Ow'ner's sl nature: _ Date: 401 to 6W amps 2 21 h 1 Branch circuits•new,alterallon, Name: or extension per panel: --•- --- A Fee for branch circuits with purchase of Address: _ service or reeder fee,each branch circuit 2 City: -Slate: ZIP: B Fee for branch circuits without purchase Phone' (ax: E rata,I: of service or feeder fee,first branch circuit: 2 Foch additional branch circ'rit: M isc.(Service or feeder not included): U Scrvi r over 225 amps-commercial U Health-care racthry Each pump or irrigation circle 2 U Servic•over 320 amps-rating of l&2 0 I larBrdous location Faeh sign or outline lighting 2 fanuly swellings 0 Building over 10.000 square feet four or Signal circuit(s)or a limited energy panel, USystem over 60trvoltsnominal more residential units in one structure alteration,or extension' 2 U Building over three stones 0 F.eders,400 amps or morr. •Desch tion U Occuprm load over 99 persons 0 Manufacturer,structures or RV park Each additional inspection uver th.-allowable In any of the above: U Egress/lightingplan U Other- Prr ms tion Submit_sets orplona with any of the above. Invesugation fee Tire above are not applicable to temporary construction service. other Not all jurisdiction,accept credit cards,please tail jurisdiction for more incarnation Notice:This permit application Permit fee.....................S Cl visa 0 MasterCard expires if a permit is not obtained Plan review(at _ %) $ . Credit card number _ / / within 180 days after it has been Statc surcharge(8%) ....$ rupires accepter+as complete. TOTAL . ...... S None o!canthol,fer u shown nn crcdir card """""' ""' _ S Cardholder signature - Amounr a•a?s615(bt7a�CCM; DON - 1MORISSETTE OBE : 2335 HOMES 1NC0RP0RA , ED IOT: 65 4 e 3 O G A 1, E W O Co D S T R F_ E T '�0 0`3 (SAO 3)E3 873-a y 3 e P AOXR (b o 3) 3 6 7 9 i s 3 5 DATE:1 a PROPERTY: WHISTLERS--WALK CITY: TIGARD SCALE: I"=20' PLAN No.: 170 OPTION 2 ELEVATION water / 2 B f a94 a" _- ——— — -v �JBWer duo -I-_ 4 V4,.._--- Jul dl 1 3,19fT sq. rt. I / 4 bdrm. ~ 7 1/2 beth ' F F E. 302' i� 11 ,30 3 car ger. \ ' 3Gj I A \ \ I C 2 \ \J LEGEND — - 9• \ . \ --- Img LE. o —2' AGER RUBRU' C`� ;: _ \ 75' AND- RED MAPLE' r SC PE `\ v•\ 1 L_01' COVEFZAGE LOT %5 I_OT AREA: � 11,41F3 SQ. FT. BUILCIN6 AREA: 2,460 SQ. FT. ��4�8 Sq. ft. PERCENTAGE: 21.4), CITY OF TIGARD 24-Hour Inspecti�•-n Line: (503) 639-4175 `a —nOC3 6 BUILDING IdSZ' INSPECTION DIVISION Business Line: W)639-4171 dllp %/32 _ Re ue3ted Ll -0I____�_ — AM_ PM -.__- FlUP Received Date -- - Location —_ '3�5 �1---- _-_Suite l�-��''c` — MSC - Contact Person h( —) �-== PLM -- Contractor _--_ Ph( ) SWR BUILDING ?enant/Owner __ ELC ---- - ------- ----- Footing EL Foundation jAccess: ELR Ftg Drain -.�.- Crawl Drain -'-� SIT Slab Inspection Notes: , `�� l � Post&Beam -- Shear Anchors _ Ext Sheath/Shear r■--- -'- _' - - Int Sheain/Shear - Framing Insulation � � jo C� U b r ` ` ey']i Lev,- Drywall Nailing Firewall Fire Sprinkler Fire Alarm _ Susp'd Ceiling 1 �► r�� `�( �q f 1 ` Roof i PASS PART AIL _PLUMBING _ - ----- Post&Beam Under Slab — �7 � o Rough-In Water Service I Sanitary Sewer Rain Drains - -` Catch Basin/Manhole Storm Drain n .0 Shower Pan - _-- �� C-9— — Final A FA:L Post&Bedri Rough In Gas Line Sinoke ampers -- -� PART FAIL _ ,TRICAL -- Service Rough-In -- - UG/Slab Low voltage - Fire Alarm Final EiReinspection fee of$__ required before next inspection. Pay at City Hall, 13125 SW Ball Blvd. PASS PART FAIL Please call for reinspection Unable to inspect--no access Fire Supply Line / ADA Date -- �1` C _ Inspector ____. _ Ext_. Approach/Sidewalk Other:__ --- Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL PERMIT NO.-2cxL3_ MEJ dOr i EROSION CONTROL INSPECTION REPORT .q. DATE 4v INSPECTOR JON ftGNGA- C1eanWater Services OWNER/PERMITEE 66oN #01 c'«t1e Our commitment is clear. SUBDIVISIGN uA%tlfyeJ 01'h LOT SITE ADDRESS.( .SUJ APPROVED FINAL INSPECTION TRIS SITE MEETS THE POST-CONSTRUCTION EROSION CONTROL REQUIREMENTS SET FORTH IN CLEAN WATER SERVICES RESOLUTION AND ORDER NOTE: IF POST-CONSTRUCTION EROSION CONTROL MEASURES ARE, STILL BEING EMPLOYED ON THIS SITE TO MEET CRITERIA FOR AN APPROVED FINAL fxTS 'ECTION, THE MEASURE(S) MUST REMAIN IN PLACE UNTIL LANDSCAPING IS COMPLETE � OR PERMANENT GROUND COVER IS ESTABLISHED. A COPY OF THE FINAL EROSION CONTROL INSPECTION REPORT MUST BE FORWARDED TO THE, NEW OWNER,AT WHICH TIME NEW OWNER ASSUMES THE RESPONMBILITY FOR MAINTENANCE, REPAIR AND "'tEMOVAL. OTHER----- THANK THER _ --THANK Y U FOR YOUR COOPER14 .TION! INSPECTOR- --- PHONE i , \AAAAAAAAAA4 A ,AAAAAAAAAAAA.AAA ' AAAAAAAAAAAAAA ► t ► A 010 ► .4 x ► ./ ! � 1 ® CSA w v y Q ► - X. 6.4 ► A -cs loo- 4-1 1 � poll ®I v U � Q ► v � � cn I► 44 ENO �+ ve V ► OIl w � � `►� G �y �I w ► 4 � m ► �/V1�7y1''VV�'IIVVVVo�'i�'VVr'VVVVVVV♦i ♦7V�VVVV7VVVV\ C7 C) b e n y V s � c C g 0 N a �- r0 ry " a s CA s 0 o R� n _ V a 3 , I kLAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA a ' ,04 -, ! �. - b ► 44 Poo. �J � Poo. ! d n Q- ► 4.4 o `� ► C/� n ► U0 , crQ rM ► o ► d v� i ► .• r ► ! � 414 oil. 44 �."� s w ' 44 ► ! I ► 44 ' crrY OF TIGA,RD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line; (503)639-4171 MST / BLIP - Received _ -______ _—_ bate Requested_---ice- __ AM_ _— PM - BLIP Location __—� f� ____- 144 Suite__- MEC Contact Person C___ — -- Ph( ) —___.__ __ - PLM Contractor (�Z"1�— Ph( —) ---- SWR BUILDING Tenant/Owner _--_ _�_ _-_ ELC - --- ------- Footing ELC Foundation ^,cess - - Fig 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 Ceiling - - Roof Other: - - Final PASS PART FAIL PLUMBING Post&Beam Under Slab - - -- Rough-In Water Service - Sanitary Sewer Rain Drains - Catch Basin/Manhole Storm Drain -- - -- -- Shower Pan Other: - — Final PASS PART FAIL --- ------ _ - - - - -- - MECHANICAL Post&Beam Rough-In Gas Line Smoke Dampers ---------- -- - ---- Final PASS PART_FAIL -- -- -_---- — -- ELECTRICAL Service -____ .. ---- - — --- ---- ---- ------- Rough-In - -- -- - --- — — ----- Ud/Slab Low Voltage Fire Alarm -.Final r�PART FAIL Reinspection fee of$—_—__— __required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. MA _ SITE _ [ ] Please call for reinspection RE:__.. _ -_ Unable to inspect-no access Fire Supply Line .�/ J ADA Approach/Sidewalk pats Inspector _� Q - --- - Other [111,11 DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDINI-A Inspection Line: (50L)z; -4175 MST INSPECTION DIVISION BusineE.s Line: (50 -4171 SUP Received __ Date Reque�lad__ _ . _AM__ __.PM BUP _ ---_ Location __ U — Suite MEC --_ --- - - Contact Person — Ph( ) — _ PLM C6 Contractor _-- -__ -_ ---__-- Ph SWR — _BUILDING _ Tenant/Owner _._.. ELC 7ootiny Foundation ELC - Access: Fig Drain ELR Crawl Drain Grab Inspection Notes. SIT — Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - - Insulation IDrywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -- --- - - - Roof Other: Final PASS PART FAIL PLUMBING most&Beam Under Slab -- -- Rough-In Water Scrrvlce -- - - - -- Sanitary Sewer Rain Drains - ---- -- - Catch Basin/Manhole Storm Drain -- -- -- --- - Shower Pan/ Other: VAPART FAILANICAL Inst&Beam Rough-In Gar Line Smoke Dampers --- -- - — - Final PASS PART FAIL -- ---- — -- -— ---- --- ELECTRICAL Service -- Rough-In UG/Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of$ _ e required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE-- El Please call for reinspection RE:—__ —_ U Unable to inspect-no access Fire Supp!y Line / ADA Approach/SidPwn!k ®ate - {{{��--�- —_- Insp•QtOf 1% - ,L�—_ Ext Other: � --- ---.__._. _. Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL