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13645 SW HATHAWAY TERRACE I r c 13645 SW Hathaway Terrace 1 I f� rj i v LU i 0 1 uj ci 1 F- LU _ i� wcc LAI ! I- ui W y W �o I k� r CITY OF TIGAIRD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST 4�-�U BLIP Received /7a 2f Date Requested_ _ AM _ PM__—_ BLIP - _ l Location 3 . SALU /4F (/ - _Suite MEC — Contact Person _ Ph(_ ) 96!2r-57�7 PLM Contractor.__ _ Ph(, ) SWR BUILDING Tenant/Owner - _ ELC Footing Foundation Ftg Drain ACC6 aS: EL(' Crawl Drain ELR -_—__ _ - -- --- Slab Inspection Notes: SIT Post&Beam _ Shear Anchors Ext Sheath/Shear Int Sheath/Shear — Framing Insuiation Drywall Nailing — Firewall Fire Sprfikler Fire Alarm Susp'd Ceiling -- - -- -- _— Roof Other: --- - u- - Final -._--- ---- PASS PART FAIL 1111 Post& Beam Under Slab Rough-In Water Service Sanitary Sewer R,►in Drains -- -- ------ - — _ — Catch Basin/Manhole Storm Dram — --- - Shower Pa Other: _ - -- c„ Z-StFAIL --- -- — ___RNICA_L Post&Beam —~- - Rough-In Gas line Smoke Dampers Final PASS PART_FAIL_ ---- - ----- ---- ----- - ELECTRICAL Service - _- -------- - - Rough-In UG/Slab r Low Voltage - Fire Alarm Final Reinspection fee of$w_—_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: -_ C 1 Unable to inspect -no access Fire Supply Line �1 ADA ' -3 • 'Y ! ; ,_�---_ Approach/Sidewalk Date ellInspA,ctor ��-�.'_`_. Ext __-- Other: Final DO NOT REMOVE 11116 Inspection rocord from t4a Job site. PASS PART FAIL \ CITY OF T I GA R D __—_ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PLM2003-00151 13125 SW Hall Bivd., Tigard, OR 97223 (503) 639-4171 DATE ISSUEU: 4/22/03 SITE ADDRESS: 13645 SW HATHAWAY TERR PARCEL: 2S103CC-07600 SUBDIVISION: WHISTLER'S WALK -CONING: R-4.5 BLOCK: LOT: 023 JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP•. R3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: ---------FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: UkINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: It WATER CLOSETS: V* ,ATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of irrigation backflow prsventer. _ Owner•. -.__-_- _ V FEES ----- '- DON MORISSETTE HOMES Description Date Amount 4230 GALEWOOD ST I11I.1,A11il Permit Fee 4/22/03 $36.25 STE 100 I I'n N 18 State'I ax 4/22/03 $2.90 LAKE OSWEGO, OR 97035 Total $39.15 Phone : 503.387-7538 Contractor: LANDSCAPE OREGON, INC. 1.^_200 SW MYSLONY RD. TUALATIN, OR 97062 REQUIRED INSPECTIONS Phone : 503-692-5945 RP/Backflow Preventer Final Inspection Reg#: PI M 7804 I This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Coders 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: Oregcn 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. Issued By: Permittee Signature:_ Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the next business day Apr 21 03 11 : 59a dan edmands 503-692-076H P- " P.wuxrIbing Permit Application M 11a®■■■� Received Plumbing Permit No City of Tigard Planning Approval Sewer 13125 SW Hall Blvd. Dat Permit Permit No. Tigard,Oregon 97223 Plan Review other Dote/B Permit Nu Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use Internet: www.ci.tigardmr.us Date/B : Case No.. 24-hour Inspection R.equcst. 543.639-4175 Contact Juris.: Sce Nage 2 for — Nnme/Method: _ I Supplenlental information. TYPE OF WORK FEE*SCHEDULE(fors ectal information use checklist New construction Demolition --—Description Qty. Fcc(ca.) Total Addition/alteratiun/re lacelr►ent Other: _ New F&2-tantlly dwellings CATEGORY OF CONSTRUCTION htcludes t 00 ft,for each unlit connection 1 lie 2-Family dwelling Commercial/Industrial SFR 1 at 249.20 Accessory Building Multi-Family SFR 2 bath 3so.00 Master Builder — SFR 3 bath - 39900 Other; Hach additional bath/kitchen JOB SITE 1NFOI2MATION and LOCATION 45.00 Fite s rinkler-s .ft.: Page'? Job site address:/3(�YS_SIV_/�/}I•j.�-jtW,4� M74e Site Utilities Suite #: Rld ./A t.#: Catch businlarea drain 16.60 Pro'ect Name: UlhiSf- E.rS al" Dr clllleach line/trench drain 16.60 — �_ t+C. �1 Ll�r Cross street/Directions to job site: —' Fuutin drain no,HrLe _ _ILRL pa,e 2 } /.;i-/�� -3 S(.l? �►S�'(r.iS [��r. Manufactured home utilities 110.00 S,� � Manholes - IG.6r -�(�� t�1�s-i r- --r1' Rain drain connector 16.61' •J Sanitar sewer no, linear ft.) _ Subdivision:1114- .I'- -- (VOLj k, Lot Stornisewer no,linear ft. Pa e 2 Pa e 2 Tax ma / arcel#: Water service no. linear ft. Pa e 2 _DESCRIPTIQN OF WORK Fixture or Item uC/Ckl GI P Uf Absoc tion valve 16.60 sacktlow reventer Pa c2 oZ' Backwater valve 1660 Clothes washer !6.60 -'� Dishwasher 16.60 PROPERTY 0WNE12 TENANT Drinkin fountain 16.60 E'ectors/sump 16.60 Name: /� i sA _� Ex ansiun tank 16.60 Address: a,�, S `e' _ 16.60 .y.�.�c_. �{�PCV Fixture/sewerca City/State/Zip: ct ,;, t'' laurdrain/floor sink/hub 16.6p Phone:Su3 3S� :7ictQ;� Garba c dis osal 16.60 PPLICANT CT PERSON Hose bib _ I6.60 /� Ire-maker 16,60 Name:jal C�1._ W'KtuJ 1=-- — --Ll- -1 4ts�`a� t fn Interceptor/ tease tra 16.GU Address. 1 --L,).00-- r�C'O .`i 11' rY�us t tm i Medical as-value: S pa c2 City/State/Zip: ? 'fQ afiti jiL t�'101n 1� Primer 16.60 Phone: u3 I- )I- r_0 1. FinolNa ii commercial 16.60 �090� 'O to Sink/basin/lavato 16.60 E-mail: Tub/shower/shower pan 16.60 ��. CONTRACTOR Urinal 16.60 _Dusiness Name:Lj?VSL .,n4_ LrC_- i Water closet 16.60 Address: /gyp StBJ mL Water heater 0 _,� 16.60 City/State/Zip:;tL pt;�irti 'O(Z �� Other. Other: PhoneS�3 ro _ Fax: _ --- °� �� (DYo Plumbin Permit Fees* CCB Lic. #: ?�Ot _ Plumb. Lic.#: Subtotal S Authorized — Minimum Permit Fee 572.50 S Signature: .( i- > e. :, ,>�_03 Residential Backflow Minimum Fee 536.25 •34.-;Zs Plan Review 25%of Permit Fce S State Surchar a 8%of Permit Fee TOTAL PERMIT FEE Notice: This permit application expires ira permit is not obtained within All new eoml buildings require 2 seta of plana with laometrfc or 1110 days atter It has been accepted as complete. riser _ rlaer diagrafor p m for plan review. 'Fee methodology set by Irl-County Building Industry Servlct Board. rMsts\Permit Fortm\PimPermit\pp.doc 01/03 EM CLaII"" February 14, 2003 Don Morissette Homes 4230 Galewood Street #100 Lake Oswego, OR 64035 Attention: Dena Fitzpatrick Subject: City of Tigard— Residential Ilan Revim - 136453W Hathaway Terr. CLAIR Project No.: 1069-010 Permit No.: MST2003-011009 CLAIR has completed the plan review on the above-mentioned project on behalf of the City of Salem (COS). C'_,AIR 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 permit applicant/designer respond to each comment in the checklist. This response should be forwarded to the inspector prior to construction. Should you require explanation and/ol cl• rification 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 aclair ci;clairccmmvan• .coin. Respectfully Submitted, Aq&_ Allan f. Clair, CBO Plans Examiner Cc: Gary Lampella, City of Tigard Gayland Forsberg, Don Morissette Homes CLAIR project file 1069-010 Attavhments: Attachment #1 - Codes and Standards Attachment#2 - Submittal log Attachment #3 — Plan Review Document Attachment#4— Application Checklist •RUItDING CODE CVNSULTANTS -ARCH I TECTS - ENGINEERS • INSPECTION NESTING SERVICES I� www c1wtcnmpFmy rnm Es cLair City of Tigard Residential Plan Review February 14,2003 1069-G10 Page 2 ATTACHMENT#1 —CODES AN'j STANDARDS State of Oregon 2000 ed One and Two Family Dwelling Specialty Code(OTFDSC) ATTACHMENT#2—SUBMITTAL LOG Our plan review cornments are based on the following submitted construction documents: Dille :From- CLAIR Relew Description Single family residential dwelling bullding 1/24/03 1/9103 City of Tigard 1000 1 N/A permit,plumbing permit,mechanical permit, and electrical permit. 1/24103 1/9/03 City of Tigard 1001 4 Superceded Lot coverage drawing. Fireplace information,energy path,vertical 1 1/24/03 2/22/02 City of Tigard 1002 4 2/14/03 calculations,truss caiculatons,lateral calculations. Full size drawings Including exterior elevation, 2/14/03 main floor plan,upper floor plan,foundation 1/24/03 1/6/03 City of Tigard 1003 4 Partially plan,cross section plan,details,floor framing Surerceded plan,floor framing details,roof framing plan, shear details eneral requirements. 217/03 1/7/03 Don Morissette Homes 1004 4 2/14/03 Lot coverage drawing,seismic analysis,and calculations. Full size drawings Including exterior elevation plan(page 1 &2),main floor plan,upper floor 2/11/03 1/7/03 Don Morissette Homes 1005 4 2/14/03 plan,foundation plan,cross section plan,floor framing plan,roof framing plan,shear details (pone 1 &2. 2/11/03 2/10/03 Don Morissette Homes 1006 I N/A Plan review comment responses. 2/11/03 2/7/03 Don Morissette Homes 1007 4 2!14/03 Garage portal&hold downs at Interior walls. MASTER PERMIT CITYOF TI GA R`D PERMIT#: MST2003-00009 DEVELOPMENT SERVICES DATE ISSUED: 2/20/03 131?5 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 SITE ADDRESS: 13645 SW HATHAWAY 1 ERR PARCEL: 2S103CC-07600 SUB01VISION: WHISTLER'S WALK ZONING: R-4.5 BLOCK: LOT: 023 JURISDICTION: TIG REMARKS: NEW ar BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS _ REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: n<+ st BASEMENT: of LEFT: SMOKE DETECTORS: Y T YPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.705 of GARAGE: 411 of FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: I THRD of RIGHT: 15 30017. OCCUPANCY ORP: R3 BDRM: 5 BATH: 3 TOTAL: 3,324 of VALUE: 319, REAR: 20 PLUMBING SINKS: I WATER CLOSETS 3 WASHING MACH. I LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: I FLOOR EIRAINS SEWER LINES: 11;0 SF RAIN DRAINS: 1 CATCH BASINS: TUBISHOWERS: 3 GARBAGE UISP: I WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR. 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN c 100K: 1301LJCMP t IMP: VENT FANS: 5 CLOTHES ORYER: I GAS FURN>010K: 1 UNIT HEATERS: HOODS: I OTHER UNITS: 1 MAX INP btu FLOOR FURNANCES: VENTS. t WCOOSTOVES: OAS OUTLETS: I SLECTRICAI. RESIDENTIAL UNIT SERVICE FEEDER _TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADO'L INSPhCTIONS 1000 SF OR LESS: 1 0 -1150 amp. 0 -200 amp W/SVC OR FDR: PUMP/1RRIGATIOW PER INSPECTION: EA AUD'L 8003F: 6 201 400 amp: 201 - 400 arnp 1st W/O SVC/FDR: SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 800 amp: 401 - Doo amp: EAADDL BR CIR: SIGNALIPANEL: IN PLANT: MANU HM/SVC/FDR: 901 1000 amp: 601+mpa•1000v: MINOR LABEL: 1000+amp/volt PLAN REVIEWSECTION Reconnect only: >+4 RES UNITS: 9VCIFDn>=228 A. >800 V NOMINAL: CLS AREA/SPC OCC: _ ELECTRICAL•RESTRICTED ENERGY _ A.SF RESIDENTIAL R,COMMERCIAL. _ AUDIO&STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT BURGLAR ALARM: OTH. BOILER: HVAC: LANDSCAPENRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR HVAC: DATA/TELE COMM: NURSE CALLS. TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 5,624.92 This permit Is subject to the regulations contained in the DON MORISSETTE HOMES D0I4 MORISSETTE HOMES Tigard Municipal Code,State o►OR. Specialty Codns and 4230 GALEWOOD ST 4230 GALEWOOD STREET all other applicable laws. All work will be done in STE 100 SUITE 100 accordance with approved plans. This permit wP expire If LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 work is not started within 180 days of issuance,c if tha work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Phone: 50.1-.187-7538 Phone: Oregon Utility Notification Center. Those rules are set ()3 forth in OAR 952-001-0010 through 952-001-0080. You Reg Ir 1C ? 737 may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Etosion Control Insp 4 Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Sewer Inspection Underfloor insulation Plumb Top Out Fxterior Sheathing Ins; Rain drain Insp Plumb Final Footing Insp Crawl Drain/B7,ckwater Electrical Service I.ow Voltage Water Line Insp Final inspection Foundation Insp Footing/Foundation Dr; Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Electrical Final Issued y : "` Permiti.ee Signature Ca;: (503) 639-4175 by 7:00 p.m. for an 'nspection neaded the next business day CITE( GF TIGARD _ ,EWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: S1NR2003-00014 13125 Silk Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/20/03 SITE ADDRESS; 1364 SW HATHAWAY TERR PARCEL: 2S103CC-07600 SUBDIVISION: WIIISTI-Fk'S WAIX ZONING: R-4.5 BLOCK: LOT: u23 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: Sfivtot dpoJtJ f d00�.1 Owner: epi, df.w dfG -- — -- --- - -- - _ __ FEES DON MORISSETTE HOMES Description Date Amount 4230 GALEWOOD ST P STE 100 1SWUSAJ SwrC'onncct 2/20/03 $2,300.00 LAKE OSWEGO,OR 07035 1SWUSAJ Swr Connect 2/20/03 $0.00 Phone: 503-387-7535 1SWINS111 Swr inspect 2/20/03 $35.00 JSWINSPJ Swr Inspect 2/20/03 $0.00 Contractor: Total $2,335.00 Phone: Reg #: Required Inspections This Applicant agrees to comply wth 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 hermit expires. The Aqency 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 ail directions from the distance given. If not so located,the installer shall purchase a "Tap and Side Sewer' Perm Issued by: .ti Permittee Signature: _ �.1. g Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day _Bviffdhng Permit Application City of rl 1 `, {- Date received: Perrnit no.:(, 71 i a _ Coy of Tigard Address: 13125 S ► �1►Gg1tt�"7223 �ojecdappl.no.: Expire date: Phone: (503) 639-4171 Date issued: By: )r Receipt no.: Fax: (503)598-1960 JAN () ,) ,� Case file no.: Payment t 2003 y ype: _ Land use approv ` 1&2 family:Simple Complex: !✓'� ;ob &2 family dwelling or accessory Ll Commercial/industrial D Multi-family � conswction l]Demoliti,ndditionlalteration/renlaccment U Tenant improvement ❑Fire sprinkier/alar lther:ddress: ( , < < \j jC.� Bldg.no.: Suite no.: Lot: Block: Subdivision: �. ( : 7 �,�.( Tax mgr uax lot/account no.;_`- Project name- / " Descript-'on and location of work on premises/special conditions: Name: Y iLj 1'le�� 1� Mailing address: I,L' 1 do 2 family dwelling: City: State:Lr ZIP: ) Valuation of work....................................•... $qU Phone: - Fax: -7 -mail: No.of bedrooms/baths................................. Owner's representative: I G't VEIL - Total number of floors............................. . , Phone: Fax: E-mail: New dwelling area(sq. ft.) ...?..7..>?.... v , Garage/carport area(sq.ft.).......,1 ..�..il....... -- Name: j - Covered porch area(sq.ft.) .....�• ...!f.......... — -- Mailing address: L�. r V Deck arca(sq.ft.)..................................... .. --- City: State: ZIP: Other stricture area(s . ft.)......................... Phone: Fax: E-mail: Commerciallindustrial/multi-family: Valuation of work............................•........... $ Business name: ��� Existing bldg.area(sq.ft.) ................... ..... Addres� .Z �, New bldg.area(sq. ft.) ............. ...... ...... .. Number of stories ........... - City: State: ZIP: "" Phone: i ax: Email: Type of construction............... ............ ..... CCB no.: �- Occupancy group(s): Existing. New: City/metro lic.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: L t 1 Y provisions of ORS 701 and may be required to be licensed in the Address: r CL.5 iurisdiction 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: Please refer to fee schedule. I hereby certify I have read and examined this application and the Nd all junalictioru an«p cfM[c,ds,pkv call jurisdiction for more Information attached checklist. Allrovisions of I ws and oldina/nces governing this u visa o Mastercard work will be comp) wt ,whe,'rer cificd tlerrA t. C•tedl'car,numhu Authorized si natu T t 1 -- �7 e►rarer Name of cardholder u shown on credit card Print name:_ — f I l X,� -- s Cardholder Nputure Am-sat Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted as complete. (&%VOM) One-and Two-Fan ily Dwelling Building Permit Application Ch�ecklz t AssoAssocicineeno.: CitynJ7i�;urd Ciof Tigard 0trtipermits: `J g O Electrical ❑Plumbing O Mechanical Address: 13125 SW Hall Blvd,Tirard,OR 977,1 UOther: _ Phone: (503) 639-4171 =----- Fax: (503) 598-1960 1 Land use actions completed.See jurisdiction criteria for concurrent reviews. 2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc. 3 Verification of approved platllot. 4 Fire district approval required. _ 5 Septic system permit or authenzation for remodel.E.tisting system rapacity 6 Sewer permit. 7 Water district approval. 8 Soils report.Must carry original applicable stamp and signature on file or with application. 9 Erosion control J plan J permit required.Include drainage-way protection,silt fence design and location of catch-hasin protection,etc. 10 3 Complete sets of legible pLns.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 I Sitelplot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if there is more than a 44 elevation differential,plan must show contour lines at 24 intervals),location of easements and driveway:footprint of structure(including decks);location of well systems:utility locations;direction indicator,lot area:building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan.Show dimensions,anchor bolts,arty hold-down,and reinforcing pads,connection details.vent size and locution. 13 Floor plans.Show all dimensions,room identification,window sire,location of smoke detectors,water heater, furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches abo%2 grade,etc. 1T 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 construcden, thermal insulation,etc. 15 Elevation views.Provide elevations for new construction;minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plats.Must indicate details and locations;for non-prescriptive path analysis provide specificaf ins and calculations to engineering standards. 17 Floor/roof framing.Provide plans for all flnors/roof assemblies,indicating member sizing,spacing,and hearing locations.Show attic ventilation. 18 Basement ars retaining walls.Provide cross sections and details showing placement of rebar.For engineered eystems,see item 22,"Engineer's calculations." 19 Beam calculations.Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any heam/joist carrying a non-uniform load. 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 Jregon and shall he shown to tw applicable to the project under review. 23 Five(5)site plans are required for Item 1 I above. Site plans roust be 8-1/2" x 11"or 1 I" x 17". 24 Two(2)sets each are required for Items 16, 19,20&22 aboc 25 Building plans shall not contain red lines or tape-ons. 26 No rolled,reversed or mirrored building planswill be accepted. 27 28 _- J Checklist must be 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. 44a4614 a;rtpWOW NT,chanicai Perrr 7t Application - _ Datereceuved: Permit no.: _ y' Lig G :..• City of Tigard Project/appl.no.: Expiredate: city(if ngard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Phone: (503) 639-4171 Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Building pernut no.: U I &2 famtl.,dwelling or accessory 0 Commercial/industrial U Muld-family U Tenant improvement ,Y,New construction O Addition/alteration/replacement U Other. 1 1t SITE INFORNIATIONr 1 Job address: �� << > �, ' b L1,�i{. Indicate equipment quantities in boxes below. Indicate the dollz Bldg.no.: Suite no _ value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/acaount no.; profit.Value$ Lot: Block: Subdivision: �.+� 7 *See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. city/county: ZIP: t s 1 C escrihtion and lut:atiun of work on premises: s ot1=t i V" s:' 1 "1460►a 't1 �Eiz__ Fee(es.) Total Est.date of completion/inspection: Description Re-. only Res.only Tenant improvement or change of use: An' Is existingace heated or conditioned?O Yes ❑No Air handling unit —CFM---- space Air conditioning(site p an require Is existing space insulated?U Yes ❑No Alteration of existing HVAC system Boder/compressors Business name: C State boiler permit no.: I HP Tons BTU/tl Address: ire/smo c dampers/ uct smoke detectors City: L l State ZIP: a eat pump(site plan uired) Phone: Fax: I E-mail: nT stall/replace rnac timer Including ductwork/vent liner 0 Yes 0 No CCB no.: -2L nstalreplace/reocateheaters-suspended. City/metro sic. no.:N/A wall,or floor mounted Name(please print): Vent orappliance other an furnace e erasion: Absorption units _ KUM Name: r `,, tt C— Chillers _ HP Address: GI �% Compressors _ HP ' "Ornamental a tsustae Tt r-nt at nn: City: _ State: ZIP: Appliance vent Phone: Tax: E-mail: ryerex gust loods,Type res. tc a azmat hood fire suppression system Name: �% ' Exhaust fan with single duct(bath fans) Mailing address: ) r�,' lust systema art fiom he: or AC x tie Pp gas dist utlon(up to nut els) City: titate ZIP j1�� Type: .______LPG _ NO Oil Phone: 7- Fax: E-mail: Fuel i ing each additional over 4 outlets Process piping tschemnuctequtred) Name: Number of outlets ter limid appliance or eqt:pment: Address' _ Decorative fireplace City State: - ZIP: nsert-type _ Ptwne _ Fax: E:-mail: o stove/pelletstov. ,..�.�. Other: Applicant'ssrhrraru" a nate: L Ot el- Name(print): _ Nd all jurttdlcUoru tcep credit cards,pleare cull junuLcunn fn rxvc in(mr+atian. Permit fee..................... Notice:This permit application Minimum fee................S O Visa ❑MasterCard expire S a pennit is not obtained Cmdil er.,J number __ _ _._ a/__l.— r. .Plan review(at _ $ — Fsp1fef with.n Igo days after it has been State surcharge(8%) ....S _- Nor cardhulda.rr �h...on credo cud "- accepted as complete. s TOTAL .......................$ .me --_ l Cardholder rigtatute Amount 4�b�6f1!<!r.tOM) Plumbing Permit Applieatio,n Date received: Permit no.:AK,) City of Tigard Sewer permit no.: Building permit no.: Address: 13 12 5 SW Hall Blvd.Tigard.OR 97223 Projectiappl,no,; Expiredate: CiryujTigard Phone: (503) 639-4171 Fax: (503) 598-1960 Date issued: By: 7 Rveiptno.: Land use approval: Case file no.: Payment type: ;Job 2 family dwelling or accessory 0 Commercial/industrial n Mulu-family U Tenant imprr.ement w construction G1 Add itirjn/.�lterationlreplacement U Fc.od service ❑Other: r , r a t t t t t dress: �>��� 1/ l (,4.i�.L description Fee(em) Total Bldg. no.: Suite no.: New I-and 2-family dwellings only: (includes loon.for each utility connection) Tax map/tax lotlaccount no.: SFR(1)bath Lou Hiock: Subdivision: I- r� SFR(2)bath Project name: V SFR(3)bath City/county: Z(p: _ Each additional batttlkitchen Description and location of Nork on premises: aet baste C / Catch basin/area drL . Esu date of comp{etion'inspection: Drywellslleach lineArench drain Fnot-rwd- drain(no.lin. ft.) tifanufac%red home utilities Business name• nh _.`- L L aoles Address: — Rain drain connector City: State. ZIP: Sanitary sewer(no.lin. ft.) E-mail: Storm sewer(no,lin. fu) Phone; ::!iL Fax: Water service(no.lin.ft.) CCB no.: t� Plumb. bus. reg.no: _ Fixture or Item: City/metro tic. no.:N/A Absorption valve Contractor's representative signature J.6� !PBack flow oreventer Print name: Pc U Backwater valve Basins/lavatory Clothes washer Dishwasher Address: �^r'i rti � � C.Ir " Dnrticing fourimun(s) City: State: ZIP: E ectors/sump Phone: fTF -mail Expansion tank Fixt.lre/sewer cap _ Floor drains/floor sinks/hub Name(print): - I ` Garbage disposal — Mailing address: Hose bibb City. tate P.C7 C�jr=j Ice maker Phone Fax: ") 7(G1 E-mail: interceptodgrea a trap Owner insraUatfon/residennal maintenance only: Thi: actual installation Pnmensl will be made b� me or the maintenance and repair made by try regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s),basinisl, lays(s) Owner'; signature: _ Date: Sump Tubs'sho%cdshuuer pan Urinal —� Name: Water closet Address: cr heater Cit} , State: ZIP: Wier . Tubal Phone: Fax: r�mui{: Nlinimum fee................S Nd aft IunxLcuotttr accept emit cards,please call lunstitcuon rm mae mitxtnativn Noti_c:This permit application Plan review(at _,,,- 5b) S O Visa O MasterCard expires if a permit is not obtained Credit card number _47p-., within 180 ds)s after it has been State surcharge(8%) ....S accepted as complete. Nano�f cYdholtkr v rttnwn on cre.ltt card S 440-4616!60M OMI Cardholder rtltnature Am hell Electrical Permit Application Date received; Permit no.f)� City of Tigard Project/appl.no.; Expire date. City grigord Address: 13125 SW Hall Blvd,Tigard,OR 9723 Phone: (503) 639.4171 Date issued: By: Receipt no. Fax: (503) 598-1960 Case file no.: Payment type: Land use aprroval: —J 1 ' O I &2 family dwelling or accessory Q Commercial/indusLial O Multi-family 0 Tenant improver"" New construction O Addiuon/alteration/replacement ❑Other. _ ❑Partial JOBSIVNIFORNIAT19N lob adds U ' �" v" 1. ' BJd9.no.: Suite no. Tax map/tax lot/account no.: Lot: Block: - Subdivision: k Q,y� V✓ l i - -- Projectname: Description and hx;tion of work on premises: -- Estimated date of com letion/ins coon: — --� —-- 1 Job no, ree Max Business name: C, Description "Y• (ea.) Total no.Insp Address: New residential•single or multi-tamily per 111 d militigunit.Includes attached gangr. City; '��S State: LIP: 7 Servlc.Included: Phone:L{1�Jj I Fax: E-mail: 1000sy ft or less 4 CCB no,: .y _]*,�, Elec. bus, lie. no: Each addiuonal 500 sq.ft.or portion thereof _ l�nuted energy,residential 2 C• Lumted energy,non-residential 2 � Fach manufactured home or modular dwelling arum o supenrsrn rfrcr►frlan(►r ulrrd) Date Service and/or feeder 2 Sup elect name(print) 1 l ianseno Serricesorfeeders-Installation, alteration or rrloutlon: 200 amps or less 2 Name(print). t c 2Ulampsto400amps 2 401 amps to 600 amps 2 Mailing address: 601 amps tc 1000 amps 2 City: L. State _ LIP: �— over 1000vnpsorvolts 2 Phone: - Fax; l -"7, -mail: Reconnectonly I Owner installation: the installation is being made on property I ,wv n Temporary services or feeders- - which is not intended for sale, lease, rent,or exchange according to installation,aitention,orrelocation- ORS 447,455,479,670, 701. 200 amps or less 2 201 amps to 400 amps 2 Owner's signature: Date: 401 to 600 ams — - 2 Branch circuits-nen,alteration, Name: or extension per panel: A Fee for branch circuits with purchase of Address: _ service or feeder fee,each branch circuit 2 City: State: ZIP: © Fee for branch circuits without purchase Phone: Fax: E-mail: of service or feeder fee,first branch circuit: 2 Each addtuonal branch cu.uit: PLAN REVIEW(Please check all It'hat apply) M Lsc.(Service or feeder not Included): O Service over 225 amps-commercial O Health-carr tai rain Each pump or irrigation circle _ 2 O Service over 320 amps-rating of 1&2 O Hamrdous locauun Each sign or out.the lighung _ 2 farnilydwellings O Building over 10,000 square feet four or Signal circuits)cr a limited energy pm:el. __ O System over 600 volts nominal mon,residential uruts in one structure alteration,or extension• 2 O Building over free stories O Fe ders,400 amps or more 'Description _ _ -- O Occupant load nver ;-nuns ❑Manufactured strictures or RV park Each additional Inspection over the allowable In any of the above: O Egress/lighungplan ❑Other. Per inspection Submit—sets of plan with any of the at'-ove. Investigation fee The abo re are not applicable to tempe rary constivction service. Other �— rNa all tunsdicuons accept credit card pie.ue call jufiwktion rot mae Inform t on. Notice:This permit application Permit fee........... .........S ❑ .;A ❑bi.,sterCard � expires if a permit is not obtained Plan review(at -_ 96 $ _ Crrdii card number, I / within ISO days aRc, .,has been State surcharge(8%)....$ Name d cardholder as tbown on credit card Fxpiret accepted as complete. TOTAL ......................$ _ S Cz _aider signature Amount 4417-4615(6MCOM) ! ► i w ► t � o ► ! L 1 ► ti o ,, �► `� � �n � w w ► b4 ,w ! l v p ► N I ► pollU v ► ! ;r ► ! ► L a Ci I 4 r_ C6 �f; 71 -»� C o 4. I o o I O ro A �1 A � A ^� A 7 Y CITY OF TIGA,RD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISIONBusiness Line: (503)639-4171 NIST BUP ---- Received ' Datee ue ted y -- AM _ PPI -- BUP Location /'�ro yS '",11,.,rA,,r.* Suite MEC Contact Person Ph( _) �'y! -_ PLM Contractor _ - —� Ph(--) __ SWR Tenant/Owrer Footing LC _ -- -- Foundation -Access: ELC tg Drain Crawl Drain ELF! - Slab Inspection Notes: — SIT Post& Beam i - - Shear Anchors - - - Ext Sheath/Shear Int Sheath/Shear Framing Insulation -- Drywall Nailing - -- Firewall - Fire Sprirkler ---. -- - Fire Alarm Susp'd Ceiling -- _- Roo' -- Ot S PART FAIL --_--- Post&Beam Under Slao Rough-In Water Service Sanitary Sewer ain Drains Catch Basin/Manhole Storm Drain - hower Pan O er: _ i na PART FAIL Post& Bearn --- - Rough-In Gas Line Smoke Dampers S PART FAIL L Servica —- hough-In 11G/Slab --- - Low Voltage F Alarm t 88 PART FAR- � Reinspection fee cif required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. Please call for reinspection RE: — ❑ Unable to inspect-no access Fire ;apply Line — ADA L Appro-3ch/Sidow.ill gate zy� InapmAor _Ext Other: - FI;r".aI DO NOT REMOVE thl!i Inspectlor,, record from the job site. PASS PART FAIL