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13625 SW HATHAWAY i ERRANCE
CITY
I TY O F T I G A R D ___-- MASTER PERMIT
(✓'
PERMIT#: MST2003-0031)8
DEVELOPMENT SERVICES DATE ISSUED: 8/7/03
13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171
SITE ADDRESS. 13625 SW HATHAWAY TERR PARCEL: 2S103CC-07500
SUBDIVISION: WHISTLER'S WALK ZONING: R-4.5
BLOCK: LOT: 022 JURISDICTION: TIG
REMARKS: New SF detached, Path 1.
BUILDING
REISSUE: 00,01139 STORIES: 2 _FLOOR AREAS REQUIPED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT FIRST: 1,777 of BASEMENT 0 LEFT: 5 SMOKE DETECTORS: r
TYPE OF USE: SF FLOOR LOAD: SECOND: 1,173 of GARAGE: 465 st FRONt: 20 °ARKING SPACES:
TYPE OF CONST: 5N DWELLING UNITS. T"RI) H RIGHT: 5
OCCUPANCY GRP! R3 BDRM 4 BnTH t TOTAL: 2.950 N VALUE: 263.679.50 REAR: Ie
PLUMBING _
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 0 RAIN DRAIN:,001 TRAPS:
LAVATORIES: 4 DISH,VASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS. CATCH BASINS:
TUBISHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS I WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
_ FUEL TYPES FURN,100K: BOILICMP-3HP: VENT FANS 4 CLOTHES DRYER: 1
LAS FURN>■100K: 1 UNIT HEATERS: HOODS: I OTHER UNITS: 1
MAX INP: btu FLUOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4
ELECTRICAL
RESID£NTIA1 UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS _ MISCELLANEOUS ADD'L INSPECTIONS
1000 SI OR LESS: 1 n In Imp: 0 200 amp: WISVC OR FOR: PUMPORRIGATION: PER INSPECTION:
EA ADD'L 500SF: 5 201 • 400 snp: 201 400 amp: tat WIO SVCIrDR SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 •600 amt: 401 600 amp: EAADDL.BR CIR: SIGNAL'PANEI: IN PLANT:
MANU HMISVCIFDR: 601 • 1000 amp: 601+amps-1000v: MINOR LABEL:
1000+amplvoll
PLAN nEVIEW SECTION
Reconnect only:
>•4 RES UNITS: SVCIFOR>=225 A: >600 V NOMINAL: CLS AREA!bi'
ELECTRICAL•RESTRICTEP ENERGY
_ A.SF RESIDENTIAL _ B.COMMERCIAL
AUDIO&STEREO VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOM/PAGING OUTDOOR LNDSC L r
BURGLAR Al ARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGr.L:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATAlTELE COMM: NURSE CALI S: TOTAL N SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 5,386.83
DON MORISSETI E HOMES INC DON MORIS SETTE HOMES INC This permit c subject to the regulations Speciacontalty
Co In Elle
4230 GALEWOOD STE#100 4230 GALEWOOD ST,STE 100 Tigard Municipal Code,State o k wOR. Specialty Codes and
LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 all other applicable laws. All work will be done
accordance with approved plans. This permit will expire H
work Is not started within 180 days of Issuance,or if the
work is suspended for more than 180 days. ATTENTION:
Oregon law requires you to follow rules adopteri by the
Phone: 503-38')-7538 Phone: Oregon Utility Notification Center. Those rules are set
I11 forth in OAR 952-001-0010 through 952-001-0080. You
Reg e: may obtain copies of these rules or direct questions to
()UNC by calling(503)246-1987.
REQUIRED INSPECTIr1NS
Erasion Control Insp 8, Po!;t/Beam Mnchanica Plumb Top Out Exterior Sheathing Insl Gyp Board Insp ApprlSdwlk Insp
Sewer Inspection Un1erfioor Irsulatlon Elect•Ical Service Low Voltage Rain drain Insp Electrical Final
Footing Insp Crawl Dralr'Backwater Electrical Rough In Gas Line Insp Storm drain Insp Mechanical Fil al
Foundation Insp PL[PLInderfloor Framing Insp Gas Fireplace Water Line Insp Plumb Final
Post/Beam Structural Mei:hani,;al Insp Shear Wall Insp Insulation Insp Water Service Insp Building Final
Issued By : �/' { /���� �*� �� Permittee Signature
Call (503) 839-4175 by 7:00 p.m. for an inspection needed the next business day
CITYOF TIGARD SEWER CONNECTION PERMIT
--
DEVELOPMENT SEPVICES PERMIT#: SWR2003-002 89
i.i125 SW Hail Blvd., Tigard, OR 97223 (503) 6'7P '171 DATE ISSUED: 8/7/03
SITE ADDRESS; 13625 SW HATHAWAY TERR PARCEL: 2S 103CC 075100
SUBDi`iISION: WHISTLER'S WALK ZONING: It V-
_ BLOCK: LOT: 11" ----.—.-- JURISDICTION: Ile,
TENANT NAME.
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS:
INSTALL TYPE: 1-1-PSWR WPERV SURFACE:
Remarks: Sewer connection for new SF
Owner: -- —_ ----------
DON MORISSETTE HOMES INC — FEES '-
4230 GALEWOOD STE #100 Description Date Amount
LAKE OSWEGO,OR 97035 ISt;JJSA J Swr Connect u/'7/03 $2,400.00
[SWUSA]Swr Connect 8/7/03 $0.00
Phone: 503-387-7538 [SWINSP]Swr Inspect 8/7/03 $35.00
[SWiNSP]Swr Inspect 8/7/03 $0.00
_ —� —� - Total $2,435.00
Phone:
Reg#:
Required Inspections
This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180
days from the date issued. The tots! amount paid will be forfeited If the permit expires. The Agency does not guarantee
the accuracy of the side sewer latc,rals, If the sewer is not located at the measurement given, the installer shall prospect
3 feet in all directions from the distance g'ven. If not so located,the installer shall purchase a "Tap and Side Sewer' Perm
Issued by: Permittee Signature: _ � 1
Call (503) 639-4175 by 7:00 P.M.for an ,.tspection needed the next business day
r
7
! �7 J
BuRdiug Permit Aplplicatloo cgwe 200.3 -00 2.8
City of Tigard Datereceived: ; ,� p3 Permitno,�.
y
Address: 13125 SW Hall Project/appl.no.: Expire date:
Citof Tigard
Phone: (503) 639-4171 date issued: Ry: Recctpt no.:
Fax: (503) 598-1960 �tll�j --
Case file no.: Payment type:
Land use approval: i l&2 family:Simple Complex:
U I &2 f:unily dwelling or accessory U Comntercial/industrial U Midis-family &New cons'.ructlon U Demolition
U Addition/.•tlteratiun/replacemcnt U Tenant improvement U Fire sprinkler/alarm 0 Mier.
Job address: l _ Bldg. no.: Snit_e no.: _
Lot JA I Block: Subdivision: G Fn,— Tax map/tax lot/account no.:
Project name: - - - ---
Description rnd location of work on premises/special conditions: —�
TO
Name: ti �'i ` ti'1Q�
Mailing address: �L' _ 1&2 family dwelling:
City: t I CIStated ZIP: Valuation of work........................................ 5 J
Phone: Fax --7 -mail• _ No.of bedrooms/baths................................. _
Owner's representative: I G v I Totai number of floors.................................
Phone: IF= E-mail: New dwelling area(sq.ft.) ..........................
Garape/carport area(sq.ft.)
.........................
Name: t * ( D_ — Covered porch area(sq.ft.) ............. ........... _
Mailing address: , ��. V Deck area(sq.ft.)........................................
��
City: State:_ ZIP: Other structure ama(s .ft.).........................
Phone: % . Fax: E-mail: Commercial/industrialimulti-family:
Valuationof work........................................ $
Existing bldg.area(sq. ft.) ...............�........ _
Business name:_ ---
AddresNew bldg.area(sq. ft.)
City: ......... _
Number of stories
State: ZIP: —- --Phone: Fax: E-mail: Type of construction.:'
..........................
CCB no.: �` Occupancy gmup(4 Existing: _.
New:
Metro lic.no.:
Notice:All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
Name: Lprovisions of ORS 701 and may be required to be licensed in the
Address: - , N jurisdiction where work is being performed. If the applicant is
City: State. ZIP: exempt from licensing,the following reason applies:
Contact person: _ Plan no.: -- — --
Phone: Fax: E-mail: ---- ---- -
Name: Contact person: Fees due upon application ........................... $
Address: Date received: __
City: _ State: ZIP: Amount received . .................................... $
Phone: _ Fax: E-mail: A Please refer to fee schedule.
I hereb. iertify I have read and examined this application and the net v)jurisdictions rapt credit cats,,pkaae call jurisdiction f«mom IrJarrtutltm.
atutched checklist, rovisions of I ws and o din inces governing this O Visa 0 MasterCard
Fork will be compl� w ,whether cified�ere(n1 y�tot.<7 / cmditt--dnmmhn:
Authorized si at u II ] Expires
4m Nu.w of cardhold"as shown on credit card
Print name: 7�r.�j t�� - c,ranala.i�ir,r.t.re Amount
Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. "0-4613(WWOM)
One-.and Two-Family Dwelling
Building Permit Application Checklist lReferiance no.:
City o 17City �-- �"--�- -- Associated permits:
of 8 of Tigard U Electrical U Plumbing U Mechanical
Address: 13125 SW Hall Blvd,Tigard,UF; 97223 U Other:
Phone: (503) 639-4171 —Fax: (503) 598-1960
I itt
1 Land use actions completed.See jurisdiction criteria for concurrent review;.
Zoning.flood plain,solar balance points,seismic soils designation,historic district,etc.
3 Verification of approved plaMit.
4 Firc district _^approval required.
5 Septic system permit or authorization for remodel. Existing system capacity _
6 Sewer permit. —
7 Water district approval.
_8 Soils report. Must carry original applicable swap and signature on file or with application.
9 Erosion control U plan U permit required.Include drainage-way protection,silt fence design and location of
catch-basin protection,etc.
10 _L Complete gets of legible plans. Must be drawn to scale,showing conformance to applicable local and state I
building codes. lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details.Plan review cannot be completed
if copyright violatirns exist. J`
11 Sitelplot plan derwn to scale.The plan must show lot and building setback dimensions;property corner elevations Of -
there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and
driveway:f mtpi,�t of structure(including c.ecks);location of wells/sepdc systems:udlity locations;direction indicator,lot
area;building 7,overage area;percentage of coverage;impervious area;existing structures on site;and surface drainage.
12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent
size and location.
13 Floor plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater,
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 50
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 constructir , thermal insulation,etc. _
15 Elevation views.Provide elevations for new construction;minimum of two elevations for additions and remodels.
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums showing foundation elevations with c-oss references are acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysis 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 bearing
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 calculations using current code design values for all beams and multiple joists
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details.
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required
for four or more appliances.
22 Engineer's calculations.When required or provided,(i.e.,shear wall,roof truss)shall he 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[tem 11 above. Site plans must be 8-1/2"x 1 I"or 1 I"x 17".
24 Two(2)sets each are required for items 16, 19,20&22 above.
25 Bvilding plans shall not contain red lines or tape--ons.
26 No rolled,reversed or mircned building plans .rill be accepted.
27 �-- -
28
Checklist must be completes 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. 4404614(&%COM)
Mechanical Permit Application
- Date received; Permit no.:i-�Ml
City of Tigard --� �VF
Projecdappl.no.: Expiredalc:
City fTigard Address: 1312.5 SW Hall Blvd,Tigard,OR 97223 — -- ---
Date issued: By: Rcccipt no.:
Phone: (503) 639-4171 JUL 1 y Z003 ------
Fax: (503) 598-1960Case file no.. — Payment type:
`,l TY
oFTIGARD
Land use approval: SUR 14j4 Building permit no
_.
t
O 1 &?.family dwelling or.c.cessory ❑Commercial/industnal ❑Multi-family U Tenant improvement
Aslew construction Ll Addition/alteration/repla,;ernent ❑Other:
10111 SI If:INI CONINIERCIAL VALUATION SCHEDULE
Job address: + Indicate equipmentquantities in N.xes below. Indicate the dollar
Bldg.no.: Suite no.: value of all mechanical materials,equipiaent,labor,overhead,
Tax map/tax IoNaccount no.: profit. Value$
Lot: Block: I Subdivision: \.4!- _t 'See checklist for important application information and
Project name: �, � jurisdiction's fee schedule for residential permit fee.
City/county: ZIP: X at t
Description and location of work on premises:
Est.date of completion/inspection: Description i cry. Res.only R",ouiv
Tena.0 improvement or change of use: VAC: --
Is existing space heated or conditioned?❑Yrs L No Air handling unit CFM
Air con iuoning(site plan reqjir
Is existing space insulated?O Yes Q No Alteration of existing l VA system - —
Boller/compressors
Business nam ,
State boiler permit no.:
HP Tons BTU/Il
Address: _ Fire/smoke dampers/duct smo a detectors
City: Li State ZIP: Heat pump(site plan uire )
Phone: Fax: E-mail: nsta rep ace rnac urncr /
Including ductwork/vent liner O Yes O No
CCB no.: I Instalreplacdrelocateheaters-suspended.
City/metro lic. no.: NIA wall,or floor mounted
Name(please print): Vent fc, appliance other- ian umace
eketal on:
Absorption unit.,_ BTU/11 _
Name: `VAGLL, Chillers HP
Address: , C1 r Compressors HP
onmentai exli2tw and ventilation:
Cit!: State: ZIP: Appl lance vent
Phone: Fax: E-mail: rycrexhaust
Hoods,Type V res.kuche azmat
hood fire suppression system
�Na�me: ��2 ' Exhaust fan with single duct(bath fans)
Mailing address: ) ' gust systema art from heating or A
City: State ZIP ) ue piping an distribution(up to outlets))
Phone: 7 Fvc: — Email: ?y LPG NO __ Oil
Fuelpiping each additional over 4 out els
rocesspiping(schematic requited)
NamNumber of outlets
e: --
-- - -----— — --- ter app ante or equipment:
Address: Decorative fireplace _
Cit): - tate: ZIP_ _— nsert-ty
Phone: .. Fax: •mail: Wo stovrlpelietstove _
Other:
5 - ,4Frlicam'% si Hutu -.1-1
Ltn tly D Other.
Name(print) Y! t I _
Not all jurisdictions accept credit cants,pleue call jurisdiction for more information Notice: Phis permit application Permit fee.....................$ —❑Visa ❑MasterCard expires if a permit is not obtained Minimum fee................$
Credit card number —_ —— Expires within 180 days eller it has been Plan review(at %) $ _
p State surcharge(8%) ....$
None o(cudholder as Mown on credit card accepted as complete.
_ t TOTAL .......................S _`---
Cardholder signature Amount
4141611(6A(L�'OM)
r
Plumbing Permit application
Uaterecetved:--- Permit no.:
1 City of Tigard D ,Sewer pernut no.. Ruilding permit no..
Address: 131:5 SW Hall Blv 1J) —
Ctry��/T:rnr1 � r1roject/appl.no.. Expire date:
Phone: ('03) 639-4171
Fax: (503) 598-1960 JUL I -, 7003 Date issued: By: Receiptno..
Land use approval: . CITY OE7IGAL-1(,l Case fae no: _ Payment type: --
O l 8t:2 famildwellinor accessory O Commerciallindustrial 0:Multi-family O Tenant improvement
�1�1
U Addition/alteration/mpiacement l7 Food service: LI Other:t a. M:I�It t r
Job address: ";o" n. Description_ Qty. Feefea-) Total
Bldg.no.: I Suite no.: New I.and l-family dwel1ing4 nnly:
(includes 100 R.foreach anility connertiou)
Tax map/tax lot/account no.: SFR(1)bath
Lot - Block: Sulxlivisivn: SFP (2)bath - ---- -- -
Project name: -TF-P,73)bath _
City/county: ZIP. - Each additional badvkitchen _
Description and;ocadon of work on premises: Site utilities:
_ Catch basin/area drain _
Drywellwleach line/trench drain
Est date of completio�nspection: Footing dr-,un(no. lin. ft.)
Manufactured home utilities
Business parr. t L Manholes
Address: '� ` R3jn dra'n -onnector
City State- ZIP: Sant sewer(no.lin. ft.)
Phone: -�' Fax: Email: Storm sewer(no. lin.ft.)
'��y"7 L r] Plumb. bus. reg. no: - meter e ser;i,:,- no. 'ice. it.)
CCB no.: I
�-� - FZrturor item:
City/metro lic. no.: N,A ,� Absorption valve
Contractors representative signature�'��� Bac flow nreventer
Print name: iu Backwater valve � I
Basins/lavatory
Name: Clothes washer
1 Dishwasher
Address: ���il,•� a_. ) Q1c�Yf �_ Dnaktng fountain(s)
City: - State: ZIP: Ejectors/sump
Phone: Fax: E-mail: Expansion tank
Fixture.'sewer ca
y� Floor drains/floor sinks(hub
Name (print): Garbage dispr:;ai
Mailing address 1 Hose bibb
Cirv: L. StateZIP: Ice maker
.7-7(G1 E-mail: ;nterceptor/ ease trap
Owner instnl/udon/resuvandu/maintenance On/y: The actual installation Pnmens) _
will be made b) me or the maintenance and repair made by my regularRoof drain(commercial)
employee on the property t own as per ORS Chapter 447. Sirti:tst•baslnts,lalays(s)
Owner's signature. Date: Sump
Tubs'shower/shower pan
Name-
Address
ame Address i— - _ 7ater heater
Cats — -1 State. I ZIP. _ Other
Phone: F a.e. Email: Total
Na W1)unrlicurxu aecept ctedn cods, leaf!�1 un%Wcuon rar rmxe mfonnmon p Minimum fee( ............. $
p 1 —1 Notice:This permit application Plan review(at °b) d --------
Q Visa Q ktasterCud expires if a permit is not obtained
C.edii card numwr ��L- within 180 days after it has been State surcharge(3"a) ....E
Expvaccepted as ef complete. ...........TOTAL ..........
Name><:.frdholder u thawn oo cmLl c.vd
S
Cardhoide(utnmwc Amount .r."16(606Coki)
1.
l
electrical hermit Application
-- Datereceived: Fermi tno.:
City of Tigard Project/appl.no.: Expiredate_—
CiryojTigard Address: 13125 SW Hall Blvdrnv1,dYQt? Date issued: By: Receiptau_
Phone: (503) 639-4171 4'�[[''��w (VED
Case Me no.: - Payment type:
Fax: (503) 598-191510
Land use;approval: JUL ;
❑ I &2 family dwelling or accessory 0 Commerce iii 1PN ❑Multi-family J Truant imllrovemcnt
New construction U A(lditioa/alteration/replacement L)Other. _ U Partial
308 SITE INFORMATION'
Pilo Job address: �;� e �,l �! Bid . no.: Suite no.: Tax map/tax lot/account no
Lot: Block: Subdivision: _ _—.—
Project name: Description and location of work on premises:
Estimated date of com letion/'tns tion:
1 i
Fie h1aL
Job no:
fkrcription Qty.I (ea) Total on.lusp
Business name: rliV;w residential.single sr multi-family per
Address: R2, dwelling unit.Inclydes xNched gprage.
City: State!Eaill IP. a-cSetvicrtnclntied
1000 aq.tL or less _ 4
Phone: 13 I Fax: Each additional500 sq.ft or portion thereof
CCB no.: Elec.bus, ti "—'- _ 2
Limited energy,residential
C Limited energy,non-residential 2
F.ash manufactured home or modular dvtvelllny
Det Service and/or feeder
mureojswpenrsing rlerfrician(required) _ Senlcesorfeeden-Installation,
___
Sup elect name i pnnn 1 Z t cense no`� alteration or relocation:
_200 amps or less 2
7 201 amps to 400 amps 2
iVame(print): - 1 = 401 amps to 600 amps 2
Mailing address: . ti 601 amps to 1000 amps 2
City: s State ZIP: Over 1000 amps or volts 2
Phone:= - F
mail: Reconnect only I
Owner installation:The installation is being made on property I own Temporary servi rs or feeders-
which is not intended for sale, lease,rent, or esInsiallatlon,alteration,or relocation:
200 according to 200 amps or less 2
ORS-147,455.4-9,670,701. 201 amps to 400 amps
Owner's signature: bate 401 to 600 amps _
�I► P 1 A a:�� Bunch circuits or w,dteratlon,
or ectetnslon pet Pawl:
NamC: A. Fee for branch circuits with purchase of
- service or feeder fee,each branch circuit
Address: _
City: State: ZIP: B Fee for branch circuits without purchase
_ of service or feeder fee,first branch circuit: _ 2
Phone: Fax: E-mail: Fachadditionalbranchcircuit:
Misc.(Service or feeder not Included):
Ea.h pump or irrigation circle 2
O Service over 225 amps-commercial U Healthcare facility 2
O Service over 320 amps •sting of 1 Art O Hazardous location Each signor ouJine lighting
familydwellings 0 Building ov!r 10,000 square feet four or Signal circuit(s)or a lin.ited energy panel.
L System over 600 volts nominal more residential units in one stn cture alteration,or extension'
2
O Building over three stories O Feelers,400 snips or more 'Description:
O Occupant load over 99 persons U Manufactured structures or RV pari Each additional Inspection over the allowable in any of the above:
0 Egress/lightingplan 0 Other -- (bring tion
Submit_sets of plans with any or the above. Investigation fee J
The above are not applicable to temporar construction service. Other
Permit fee.....................$ —Not all jurisdicum4 accept credit cards,please all jurisdiction t v mote information. Notice:•Iles permit appl;eation Plan review(at _ �) $
_
0 Visa O MasterCard expires if a permit is not obtained
Credit card number �_L_ within 180 days after it has been State surcharge(8%) ....$
Baphts accepted as complete. TOTAL. ----
Name d ardholdtr u shown on reedit card s
Ea dholdcr:)pets tie^_ Amou-1 440 a61S(6AtYCOM1
e
D
I� . 2rt 62ti
SON MORISSETTEOBF
HO :( t 9 INC0RP0RAT3D LUT: ?2
L 112 3 0 G A L E A O O D S T R E E T DATE: 8/13/03
Att 092 (30. ORRGON 11036
(a03) 3e 'r -. 753e FAX (a03) 3e7 -• 7615 PROPERTY: WHISTLER'S—WALK
CITY: TIGARD
SCALE: 1"=20'
PW4 Ido.: 139
STANDARD ELEVATION
/ \ •\;. sI qty a/
31ib' I 3
3 ll \off, \•
iii y/
j k \
4 bdrm.
21/2 bath
.WATT 468 bCl. ft.
d rdT(� -
�' � q '1 Cdr car. r E l4
3'3I FrE. 3rn�' vRt T
.�
i
I
-----
3-
'2' clovE
o 1470
LEC3END LOT COVERAGE t;ITY nc TIGA
LCT REA: I A13 4C. FT. ��"T1a bIVIS
BUIL%ING AREA: 1,045 SQ. FT.
o --2' AGER R:BFur PERe'ENTAGE 2710% `l tl3 eco. ft.
DREr, "APL.E'
_ CII X VV*rl(.ATZD - SRTF PLAN RF,V11'W
T',' A,vhf NIC, DIV!'91,0N.
p, .�llrtt'� tiNtl•�Ch" �'� .,,,,,,r:� rl N0 t nrovcd
SI le
Vi.c"I
4•."d(i?NGi'FtINCr~t) . �ktTMEN'1•
�ctrral ';►nGe ��-- Approved- - 6t AnpIrOved
Site Flan. C71 Approved [I Not Approved
-----"SIT PLA14 V1�W ..
5011 DING RMIT NO
PUANIN�e f)IVISlC1N' Mot Arnn,�ed
RewirrcO
Side — ao R.em
r ` p+ Anprovcd
Vronl oZD i.
`Jisual t:'lt:alrncr. ,�Nu
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13
CITY OF TIGARD __PLUMBING PERMIT
DEVELOPMENT SERVICES r'ERMIT#: PLM2003-00578
13125 SW Hall Blvd., Tigard, OR 9i24^.3 (b03) 639-4171 DATE ISSUED: 11/5/03
SITE ADDRESS: 13625 SW HATHAWAY TERR
PARCEL: 2S 103CC-07500
SUBDIVISION: WHISTLER'S WALK ZONING: R-4.5
BLOCK- LOT: 022 JURISDICTION: TIG
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HrAE SPACES:
TYPE OF USE: SF WASHING MACH: BACKFI_C aREVNTRS: 1
OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATER CATCH BASINS:
FIXTURES LAUNDRY TREYS: 3F RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS
LAVATORIES. OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Backflow prevention device for irrigation, _
-- ----- FEES - ---- —
Owner: -- - —
-- --' - Description Date Amount
DON MCRISSETTE HOMES INC
4230 GALEWOOD STE #100 [PLUMLt] Permit Fee 11/5/03 $36.25
LAKE OSWEGO,OR 97035 ITAX] 8 State Surcharl' 11/5/03 $2.90
Total $39.15
Phone : 503-387-7538
Contractor:
LANDSCAPE OREGON, INC.
12200 SW MYSLONY RD.
TUALATIN, OR 97062
REQUIRED INSPECTIONS
Phone : 503-692-5945 RP/Backflow Preventer
Final Inspection
Reg* LIC LCB: 7804
PLM ALL PttASFS - PLt
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: i_. lf (.X( Permittee Signature:
_. L Zz _..
Call (503) 63J.4175 by 7:00 P.M.for an inspection needed the next buFiness day
Nov 0:, 03 11 : 42a dan Pdmnnd-, 5Ci` 602-0768
p• 2
I'lumbau , Permit Application "+ '• : • _
-- • Received Plurnbing
EC/...' Date/nX: %i 5 Pcrmit No.: L s'—DO 5
'/""' �' t'lunninr,Approval Sewer
City of Tigard ECJ DatrJ[3v: _ permitNo.
1312'SW Haji Blvd. Plan Review—
- - Other y�
Tigard,Oregon 97223 `. Date/By:. - — Permit No.: _-_-
Phone: .503-639-4171 Fax: 503-598-!900 Post-Review J-fund Use
Ir,ttt:rnel: www.ci.tigard,or.uti CITY IContact �: sec Page z for
-•"--�
24-hour Inspection Request: 503-639- �1/6b11V_, mdwaa r V1S101y Name/Mcthod: �y — / /i'• 5a pleruenlal Information.
r TYPE OF WORK_ _ _ FEE"SCHEDULE(for special Information use checklist)
New construction I H . IDemolition Vv Description I Qty. I Fee(ea.) r Tutal
Addition/alteration/replact:ment Other: New 1-&2-family.dwellings
CATEGORY OF CONSTRUCTION. nctudes.100 R.for each ntili connection
�, ----
I &2-Family dwellingm
Cotnercial/Industrial SFR(1)bath 249.20SFR 7.)bath _ 350.20
cce'sso 13uildin Multi-Famil SFR(3)bath _ 399.00 _
Master Builder Other: Each additional bath/kitchen _ 45.U0
_ JOB SITE INFORMATION and LOCATION Fire sprinkler-sq. ft.: Pare
Job site address: 1 :;�S' S Ze f- a. uAj.�a 71E/t te6 site Uttunes
16.62
Catch basin/area drain
Suite#: Bld ./Apt.aX: _ _
S t� W��� C� D ell/leach line/trench drain _ 16.60
Project Name: ---JL- Footin drain no.linear R•) V Page 2
Cross street/Dircoons to job site: Manufactured home utilities 110.00
IZ-1 S7- Manholes 16.60
Rain drain connector 16.60
Sanitar••sewer no.Linear It Pa c 2
Subdivision:Wtji.SlyerSStorm sewer no linear ft.) Pape 2
Tax map/parcel#: toSr 6S Water service no.linear ft. Pa c 2
_ DESCRIPTION OF WORK _ Fixture or Item
Abso tion valve 16.60
Backflow rmvrnter Pege 7
_ Backwater valve 16.69
Clothes washer 16.60
--^
Dishwasher� 16.60
ROPERTY OWNER TENANT Un'nking fountain__ 16.60
Name: -- E�ectors/sum 16.60 _
Dan I� I S.TA't 1� �$ -Expansion tank 16.60
Address:
4�30 S.W (7t�LQu-r00fi� Fixture/srwerca - 16.60
Ci /State/Zip:!.!S-V-.P OS-tyCc]� �i7C S Floor draut/floor ainkAtuh 16.60
-- Garbage disposal _ 16.60
Phone: Fax: Itosc bib I6.60
PPLICANT CONTACT PERSON Ice maker T— 16.60 �-
Nanie: S�a.rrV LO Intercept ui/ eerie tom_ _
16.60
Address:1' _ 4 SW )1nqS40ykt4 KD Medicates-value: S _Page 2
Cit State/Zi :TL,LOA033hrl O 970(o�, Prin.-r - Ib_60
Roofdrain(commercial) 16.61:
PhoneSZ>3 (o%_ -Sri 4S Fax:903 b9 - o710 k Sink/basin/lavatorX 16.60
E-mail: Tuhtshower/shower pan 16.60
CONTRACTOR Urinal 16.60 -�
Business Name: L.&M CG _Q r?_,ey Water closet - 16.60
A;dress: (� D SirJ �y Water heater 16.60
l�ri�i l� (then
City/state/Zi _-T60— o-f-1 R�_ 'q�U�� _ other.
PhoneS'b3 - OW FaxSV3 (pg. _ 07(o Plumbing Permit Fees
CCB Lic.#: '7ffDq I Plumb. Lic.#: _ — --__ _ subtotal S 01
Authorized Minimum Permit Fee 572.50 S 3(4 . 5
Signature _ �'IJt�-YLDate:L OS: Residential Backflow Minimum Fee S36 25 _
�y Plan Review(25%of Permit Fee_ 5
`�ton G�r �-State Surcharge 8%of permit Fee S e2,
(Please print name) TOTAL PERMIT FEE I S .
Notice: 11th permit application expires it a permit is tint obtained witirin All oevr commercial buildiap require i sets of plans with isometric or
180 days after it has been nerepted as complete.
riser dlagratn for plan renew.
'Ft*methodology set by Tri-C'oonty Bullding Industry Service Board.
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C►TY O T'IGARD 24-Hour
BUILDING Inspection Line: t03
^ Line: (
)639-4175
INSPECTION DIVISION Business Lino: (503)639-4171 �� ---- -
N=ceived _ y r�'3� Requested . ��
/ BUP
� _
AM_--__-- PM _� BUP
-r-
I-ocatlon _ o �e2 a _ CLL 4-1 Gt w ITEC —
Contact Person __1�. --------_—. Ph PLM -_ —_--------`
Contractor L�L11 wt�_._---- — Ph(— ; _`-------.____—_ SWR ---------------_-_--
BUILDING Tenant/
Owner _--- — - -- ------- ELC
Footing �- - E1-(�
Foundation
Fty gain Access:
Crawl Drain E!-R
Slab Inspection Notes: SIT
Post& Bearn
Shear Anchors - ------- - - -_—--_ 1 - - - -- ---- -
Ext Shoath/Shear _ I
Int Sheath/Shear --
Framing
Insulation
Drywall Mailing - - - --- --- --- ---- - - - -Firewall
Fire
----- -- ---- - -
Fire Sprinkler -
Fire Alarm
Susp'd Ceding - - -------
Roof
Final
ASS PART FAIL - - - -- ------ --
Pcst R Beam --
Under Slab _.---------_--
-
Rough-In - - - -
Water Service --
Sanitary Sewer
Rain Drains -
Catch Basin/Manhole
Storm Drain ------
Shower Pan
Other: — - -
Fina
ASS PART FAIL --
ICdL -----
Post& Beam
Rough-In ---
Gas Linf-
mphe Dampers --
Final
ART FAIL --- -
_z4v=K_..`_
Service - -
Rough-In
UG/Slab
Low Voltage __-
Fire Alarm -- - ---
Final reinspection fee of$__ Pquired:r.forE next inspection. Pay at Cit. Hall, 1310,SW Hall Blvd.
SS ART _FAIL
_ -! Please call for reinspection RE:__ __ Unable to inspect-no access
Fire Supply Linc: _
ADA
Approach/Sidewalk
Other: Datr L1 > I1nrpactor
°T FAIL DO NOT REMOVE this I111spectlltinn rocord from the job site.
'
CITY 01P TIGARD 24-Hour
BUILDING Inspection Line: (503)635-4175
MST
INSPECTION DIVISION Business Lire: (503)639-4171
BLIP
Received —_ ` Date Regtieesttpd AM ------ PM---- ---- BUP -------------.
Location �r✓'--_Suite------ MEG --_---_--- _ --
l ' � �
Conlact Person -------___ -�C '^ __-- --_. Ph _--
Contractor—__- —_--_ -- --__ Ph (__—__-) _—_—_-- ___ SWR ___--
BUILDING Tenant/Owner _—_—_ _ _ _ __-- ELC
Footing ELC
Foundation �,.C(, �- --- -----.._�__-
Ftg Drain ELR
Crawl Drain -----
Slab Inspection Notes: SIT -- ----- -
Post& Beam -----._.-- --------------____- .—
Shear Anchors --�---
Ext Sheath/Shear
Int sheath/Shear
Framing -- -- -- - --- -�� -- - -
Insulation
Drywall Nailing -- --- - -- -- - ----- ----------
Firewall
Fire Sprink:er - -- - - -- - -
Fire Alarm j
Susr)'d Ceiling - - - ----f-- -- (��_ _------�- -- -- -- -
Roof / — --— ----------
Other ----
Final
PAS T FAIL-11L - --�-- - -"---' ---- ---- ___ _
UMB ___--
Beam --
Under Slab - - - - - --- - - -- -- --
Rough-In
Water Service - - -- - - - ---
Sanitary Sewer
Rain Drains -------_. - - ---- - ---------
Catch Basin Manhole
Storm Drain —
Shower Pa f
Other:— ------------- ------- - - -----
�&FinPART FAILNICAL -
Post& Beam--- -
Rough-In -- ----- - ----------- - _.�
Gas Line
Smoke Dampers ------- - ------ -- -
Final
PASS PART FAIL - - - - - - - - - - --
ELECTRICAL
Service
tough-In
UG/Slah
Lover Voltage -
1 Fire Alarm
Final Reinspection fee of s_ roquirnd before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL.
:iITE -- I Please call for reinspection RE:_— Unable to inspect-no access
Fire Supph,Line
ApF�rzarn/Sidewalk Dans-� ItnspNExt
ster ___ _-
Other.
Final O NOT REMOVE this hispectlon record from the joie site.
?A8.' PART FAIL