13794 SW MARCIA DRIVE 3AIU0 VIOUVW MS 66L£T
I
I �
w
y
H
a
Q
H
U
a
Kt
3
�n
d�
rn
13794 SW MARCIA DR
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
JARDINE PLUMBING
P O BOX 186
ESTACADA OR 97023
Plumbing Signature Form
Permit !l . . . . . MST96-0548
Date Issued. : 12/3.8/96
Parcel . . . . . . : 2S104BA-13200
Site Address : 13794 SW MARCIA DR
Subdivision. : CASTLE HILL NO. :i
Block. . . . . . . . Lot : 162
Zoning . . . . . . : R-12 PD
Remarks :
SF RESIDENTIAL, PATH 1
Your company has been indicated as the plumbing contractor for the permit indicated above. In Order
for the plumbing perrnit to be valid, please have the appropriate individual from your company sign
below and return this Plumbing Signature Form prior to the start of work. No plumbing inspections
wW be authorized until this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER: PLUMBING CONTRACTOR:
DON MORISSETTE HOMES JARDINE PLUMBING
5000 SW MEADOWS RD, #151 P 0 BOX 1.86
4. LAKE OSWEGO OR 97035 ESTACADA OR 97023
Phone # : 620-7538 Phone # :
Reg # . . : 1087 7
X
WSignature of Auth rized Plumber
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639-4171 , ext. #310
CITY OF TIGARD
13125 S.W. HALL. BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
CITY ELECTRIC & SUPPLY CO
8070 SW NIMBUS
BEAVARTON OR 97008
Electrical Signature Form
Permit # . . . . : MST96-0548
Date Issued. : 12/18/96
Parcel . . . . . . : 2S104BA•-13200
Site Address : 13794 SW MARCIA DR
Subdivision. : CASTLE HILL NO. 3
Block. . . . . . . . Lot : 162
Zoning. . . . . . : R-12 PD
Remarks :
SF RESIDENTIAL, PATH 1
Your company has been indicated as the electrical contractor for the permit indicated above. In
order for the electrical permit to be valid, the signature of the supervising electrician
is required.
Please have the appropriate individual from your company sign belov� and return this Electrical
Signature Form prior to the start of work. No electrical inspections will be authorized until
this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER : ELECTRICAL CONTRACTOR:
DON MORISSETTE HOMES CITY ELECTRIC & SUPPLY CO
IL 5000 SW MEADOWS RD, #151 8070 SW NIMBUS
IX
LAKE OSWEGO OR 97035 BEAVERTON OR 97008
N Phone # : 620-7538 Phone # :
Reg # . . : 42422
m
Signa-fu-re 6TSupervising Electrician
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639-4171 , ext. #310
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171
CERTIFICATE OF
OCCUPANCY
PERMIT #. . . . . . . t MST96-•0548
DATE ISSUEDt 04/11/97
PARCELt 2S1048A.-13200
SITE ADDRESS. . . t 13794 SW MARCIA DR
SUBDIVISION. . . . t CASTLE HILL NO. 3 20N I NG t R--12 PD
BLOCK. . . . . . . . . . t LOT. . . . . . . . . . . . . t162 JURIGDICTIUN:
-----------------------------------------------------------------------------------------
CLASS OF WORK. tNEW
TYPE OF USE. . . v9F
TYPE OF CONSTRt5N
OCCUPANCY GRP. tR3
OCCUPANCY LOADt2
Remarks : 9F KBIEffI t, NN 1
Owners
DUN MORISSETTE HOMES
5000 SW MEADOWS RD, #151
LAKs:: OSWEGO OR 97035
Phone #t 620-7536
Contractors
DON MORISSETTE HOMES
5000 SW MEADOWS RD
SUITE 151
LAKE OSWEGO OR 97035
Phone #a 620-7538
Reg #. . t 35533
This Certificate grants occupancy of the above referenced building or portion
thereof and confirms that the building has been ipert ed for compliance with
the State of Oregon Specialty Codesfor the grOL Occup .ncy, and use under-
which the ref rented permit was issued.
a
F" BUILDING INSPECTOR SUI kOF. — L
N
-� POST IN CONSPICUOUS PLACE
m �
W
,_!
Page No. 1 CASE HISTORY FOR CASE NO.: MST96-0548
DON MORISSET% HOMES
13794 SM MARCIA OR
07/22/97
A%_tion Cescription Req/ Schd/ End/ Action Notes Disp 9y Update Upd
Cock Sent Done Done Date By
MSTA005 Application received 12/17/96 / / 12/16/96 JMH 12/18/96 ON
MSTA008 Permit Created / / / / 12/17/96 JMH 12/17/96 J"H
MSTAOIO !.heck for prcl. restrict. / / / / 12/16/96 JMH 12/18/96 JON
MSTA012 Plans routed to Plans Examiner 12/17/96 / / 12117196 JMH 12/18/96 J"H
MSTA026 Plana approved by RPE / / / / 12117/96 PASS RT 12/17/96 BT2
MSTA030 Reviewed plans routed to DSTS / / / / 12/18/96 PASS RT 12/18/96 BT2
MSTA080 (F) Ready to ifisue / / / / 12118/96 JMH 12/18/96 J'H
MSTA092 (F) Issue combination permit / / / / 12/18/96 PASS ORA 12/18/96 ORA
MSTA095 Issue plumbing signature form / / / / 12/30/96 RECD JT 12/30/96 JT
MSTA097 Issue electric signature form / / / / 01/06/97 RECD JMT 01/06/97 JT
MST.A n, Footing Insp / / / / 12/19/96 APR GS 12/11/96 GES
MSTA706 Foundation Insp / / / / 12/19/96 APP GS 12/19/96 GLS
MSTA710 Post/Beam Struct-iral / / / / 01/02/96 APP GS 01/02/97 GES
MSTA711 Post/Ream Mechanical / / / / 01/02/96 APP GS 01/02/97 GES
"STA717 PLM/Underfloor / / / / 01/02/97 PASS MS 01/03/97 MRS
MSTA720 Mechanical Insp / / / / 02/14/97 block d seal and of return air; protect FAIL Re 02/18/97 Re
b-vent from Insulation w/in attic-
protect at throat of furnace; seal heat
registers w/tape; nail plate plumbing.
MSTA720 Mechanical Insp / / / / 02/18/97 incompleted issues FAIL RB 02/18/97 RB
MSTA72C Mechanical Insp / / / / 02/20/97 PASS Re 02/20/97 RB
ST Plumb Top Out ! / / / 02/14/97 n9 test on waste FAIL PIS 02/18197 MRS
water ok
MSTA722 Plumb Top out / / / / 02/19/97 PASS MS 02/19/97 MRS
MSTA723 Electrical Service / / / / 02/14/97 N/R GS 02/18/97 GES
MSTA723 Electrical Service / / / / 02/18/97 PASS MJR 02/18/97 MJR
MSTA724 Electrical Rough In / / / / 02/14/97 N/R GS 02/18/97 GES
MSTA724 Electrical Rough In / / / / 02/18/97 PASS MJR 02/18/97 MJR
4. MSTA725 Framing Insp / / / / 02/18/97 electrical failed; mach issues FAIL RB 02/18/97 RB
~ i MSTA7?5 Framing Insp / / / / 02120/97 PASS Re 02/20/97 Re
N
MSTA726 Shear Well Inap / / / / 01116/77 APP GS 01/16/97 GES
J MSTA735 Gas Line Insp / / ! / 02/14197 #x176126 PASS Re 02/18/97 Re
m
0 MSTA740 Insulation Insp / / / / 02/20/97 pending- firestop thru penetrations PASS Re 02/20/97 RA
W
MSTA745 Gyp Board Insp / / / / 02/27/97 PASS R8 02/27197 Re
MSTA755 Rain drain Insp / / / / 12/23/96 PASS MS 12/26/96 MRS
MSTA760 Water Line Insp / / / / 12/23/96 PASS MS 12/26/96 MRS
MSTA765 Appr/Sdwlk Insp / / / / 02/26/97 1. Board at spproacti to driveway. PASS PI 02/26/97 KAS
NSTA790 Electrical Final / / / / 04/11/97 PASS TLP 04/14/97 TLP
MSTA795 Mechanical Final / / / / 04/11/97 see building final this date FAIL RB 04/14/97 RR
'Pape No. 2 CASE HISTORY FOR CASE NO.: NST96-0548
DON MORISSETTE HOMES
13794 SW MARCIA DR
07/22/97
Action Description Req/ Schd/ End/ Action Notes iDi•P By Update Upd
Cods Sent Done Dona Date By
------- ------------------------------ -------- ------ ------------------ -------- - --- ------- ---
MSTA795 Mechanical Final / / / / 04/15/97 PASS R D4/15/97 RB
MSTA797 Plumb Final / / / / 04/11/9T PASS MS 04/14/97 MRS
MSTA799 Doltdino r;nal / / / / 04/11/97 use erosion; pas connector at fireplace FAIL RB '/14/97 RB
NSTA799 Buildi,yy Pinel / / / / 04/15/97 PASS RB 04/15197 RB
NSTA960 (F) Isms Cert. of Occupancy / / / / 04/11/97 mailed 7 7.2-97 07/22/97 S*W
MSTA970 Case Fineled / / / / 04/15/97 PASS RB n4/15/97 RB
NS16700 Erosion Control / / / / 04/15/97 PASS USA 04/15/97 RB
IL
oe:
rR
J_
_m
W
J
CITY OF TIGARD
DEVELOPMENT SERVICES MASTER PERMIT
F'ERMI1 MM. . . . . . . : MST96-0548
13125 SW Hall Blvd., Tigard,OR 97223 (Sal)639.4171 DATE ISSUED: 12/18/96
PARCEL: 2S104BA-13200
SITE ADDRESS. . . : 13794 SW MARCIA DR
SUBDIVISION. . . . : CASTLE HILL NO. 3 ZONING: R-12 PO
BLOC V1. . . . .. . . LOT. . . . . . . . . . . . . : 162
Remarks: SF RESIDENTIAL, PATH 1
----------- -------------------------------------------- BUILDING ---------------------------------
REISSUE: STORIES.......: 2 FLOOR AREAS --- -- BASEMENT...: 0 sf REQUIRED SETBACKS----- REQUIRED-------------
CLASS OF WURK.:NEW HEIGHT........: 22 FIRST....: 12@0 sf GARAGE.....: 426 sf LEFT..........: 5 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 1500 sf FRONT.........: 20 PARKING SPACES: 1
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 5
OCCUPANCY GRP.:R3 BDRM: 4 BATH: 3 TOTAL-----: 2700 sf VALIE.A: 188162 REAR..........: 42
--------------------_----------------------------------- PLUMBING ---M—_—.----- ------- ----- -- __—_--- -
---- -------------
SINKS.........: 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.......... 0
LAVATORIES....: 3 DISHWASHERS...: l FLOOR DRAINS..: 0 SEWER LINE ft: 0 Sr RAIN DRAINS: 1 CATCH BASINS..: 6
TUB/SHOWEPS...: 2 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKF1_W PREVNTR: 1 GREASE TRAPS—: 0
OTHER FIXTURES: 0
---------- ---- -------------------------- --- --- MECHANICAL ------ --------------------- ---
FUEL TYPES-------- FURN ( 100K ..: 0 BOIL/CMP l 3HP: 0 VENT FANS_.,: 4 CLOTHES DRYERS: t
/GAS/ / / FURN )=100K ..: 1 UNIT HEATERS,.: 0 HOODS.........: I OTHER UNITS...: I
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 1 GAS OUTLETS... t
--___-.•------_______— ----------------------__—_-- ELECTRICAL --------
--RE5IIf NTIAL UNIT--- --SERVICE/FEEDER --- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISLE11 OU5---- --ADD'L INSPECTIONS,—
1000 SF OR LESS: 1 0 - 200 amp..: 0 0 - 200 amp..: 0 W/SVC OR FOR—: 0 PUMP/IRRIGATION: 0 PFR INSPECTION: 0
EA ADD'L 5005F.: 5 201 - 400 amp..: 0 201 - 400 amp..: 0. 1st W/O SVC/mR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 - 600 asp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 916W/PANEL...: 0 IN PLANT......: 0
MANF HM/SVC/FDR: 0 601 - 1P00 asp.: 0 601+asps-1000 v: 0 MINOR Ln%L -10: 0
1000+ asp/volt.: 0 ------------------------------------ PLAN REVIEW SECTION ---------------_.._------_-_.-____--
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC:
------------------------------------------------------ ELECTRICAL -- RESTRICTEb ENERGY -----------------------------------------_-- --------
A. SF RESIDENTIAL------------------------- B. COMMERCIAL-------------------- -------------------------------------------------
AUDIO I STEREO.: VACUUM SYSTEM..: AUDIO 9 STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: X BOILER.........: HVAC...........: LANDSCAPE/IRRIS: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK,..........: INSTRUMENTATION: MEDICAL......... OTHR: :1
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL 1 SYSTEMS: 0
Owner: ---------------------------- - _Contractor: ------- ----- --- -- ------- TOTAL FEES:$ 3043.46
DON MORISSEITE HOMES DON MORiSSETTE HOMES
5000 5W MEADOWS RD, #151 5000 SW MEADOWS RD
SUITE 151
d LAKE OSWEGO OR 97035 LAKE OSWEGO OR 97035
OC Phone #: 620-7538 Phone 0: 620-7538
}) Reg C.: 35533
~ This permit is issued subject to the regulations contained in the Tigard Municipal Cnde, Stain of Ore. Specialty Codes and all other
"a applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180
m days of issuance, or if wot,k is suspended for sore than 180 days.
--- REQUIRED INSPECTIONS ------------------_ ----_.-_
_ Erosion Contol Post/Beam Meehan Electrical Servi Fireplace Insp Rain drain Insp Mechanical Final
Grading Inspecti Crawl Drain Electrical Rough Gas Line Insp Water Line Insp Plumb Final
Footing Insp PLM/Underfloor Framing Ins Gas Fireplace Water Service In Building Final
Foundation Insp Mechanical Insp shear p Insulation Insp _Aper Sdw14 Insp
Post/beam Struct Plumb Top 0 Gyp Board Insp Electri Final
Pe:,mittee ignal;1..it,P : MssUPd4�_ 7
,
Call for inspection -- 639-4175
CITY OF TIGARD SEWER CONNECTION
DEVELOPMENT SERVICES PERMIT
h4 a PERMIT #. . . . . . . : SWR96-0559
AMINM 13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 DATE ISSUED: 12/18/9E.
PARCELa ES104BA--1.3200
SITE ADDRESS. . . : 1:',794 SW MARC I A DR
SUBDIVISION. . . . : CASTLE HILL NO. 3 ZnNING: R-12 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 162
--------------------------------------------------------------------------------
TENANT NAME. . . . . :
IDSA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE..: 0 sf
Remarks: SF RF_SIDENTIAL, PATH 1
Owner ---------------------------------------------------------- FEES --------------
DON MORISSETTE HOMES type amount by date recpt
50010 SW MEADOWS RD, #151 PRMT f 2200. 00 DRA 12/18/96 96-287889
INSP f 35. 00 DRA 12/18/96 96-287889
LAKE OSWEGO OR 97035
Phone #: 620-7538
Contractor:
DUN MORISSETTE HOMES
5000 SW MEADOWS RD
SUITE 151
LAKE OSWEGO OR 97035 ---------------------------------.----
Phone #: 620-7538 f 2235. 00 TOTAL
Reg #. . . 35533
— ------ REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer 1rs[►ection
of the Unified Sewage Agency. The permit expires 184 days from _
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the aLruracy of the
Side sewer lattrals. If the sewer is not located at the veasurvernt
given, the installer shallprospectT _
g 3 feettn all directions from
the distance given. If not so located, the install hall purchase
a_ "Tap and Side. Sewer" Peewit and the Agen n all a lateral.
Pe I,roitf; ;iyn _ iii e :
d Ti
OC
W
U) I;�1 1. f(It i TIS jipct ion - 639-4175
j
m_
0
J
I
Plan Check#
CITY OF TIGARD Residential Building Permit Applicatior. Recd By
13125 SW HALL BLVD. New Construction Additions or AlterE tions Date RecIq
d , t' -
7GARD, OR 97223 1 Single Family Detached or Attached Date to P.E. 12-17--I'LL
(503) 639-4171 l Date to DST- (Z 0?=9�,I
//►) Print or Type Permit# `t
'�o( � r�Y
1` Incomplete or iCalled-(applications will not be accepted Iz_- I 5� ,9�i• q4� TTl►5r,y
�& L .
I Name of Subdivision Lot M Nagia
Job L L
_
Address Site Address MailingAddressss I���� i ,1 �
ame _ City/State iq, Ph e
Imo: (�
Owner Mailing Address _ S
Lty/Mate Z� Phane�� Engineer Mailing Address
(> ) I 1\6
_ Ci /S at ?Zip, Phone -7
Name _ �1
General h lr Describe work new• addition O alteration O repair O
Contractor Mailing Address to be done:
f--ANH SAdditional Description of Work:
fte i hone
I _
O on onst.C rtt.Board Lic. Date
Attach copy of j ,5 __ P,oject Q
Current COTAusir.e $
Tax or Mem# Exp.Date �/alUatlOn
Licenses �j �� _
Name NEW CONSTRUCTION ONLY:
Mechanical sq.Ft Hou. e: Sq.Ft.Garage:
Sub_ Mailing Address
Contractor I 'K-C-LD0. Comer Lot Yes No Flag Lot �nx
City/State Zi ono (check one) (check one)
} m �I.J�" ' I rj Restricted Audio/Stereo Burglar
Ore g n Const.C nt.Board Lic.# p.Date Energy System Alarm
Attach Copy of 2 ?jE q 7
Current COT Pusiness Tax or Metro# E t Installation Garage Door HVAC
Licenses �k I Opener Systems
Name (check all that Other:
Plumbing E �,t-tom apply_
Sub- Mailing Address Will the electrical subcontractor wire for all iis No
Contractor t restricted energy installations?
Citylstate Zip Phone Has the Subdivision Plat recorded? N/A s No
IL t- �
r Const.Cont.Board Lic.# p. ate Reissue of MST# Solar Compliance
f— --
N Attach Copy of I(J'Cj'71--) � "1 9(p I�)I- (Calculation's Attached) _
U) Current P-mtino Lir a -� Exp pate I hereby acknowledge that I have read this application,that the
�onses r"j I(L�,r Z-i J I f GJ information given is correct. that I am the owner or authorized agent of
J
COT Business Tax or Metro# Exp.Data the owner,and thatj"Fi submitted are in compliance with Oregon
State laws _
Name t Signatuft of giiiirmoAgent Date
W I Electrical Con ct Parton Name Phone
I
Sub- Mailing Address
Contractor ?)O-?o 11-7714NWH3u-)CD FOR OFFICE USE ONLY:
Zi Phone Plat# Me L#:fM�Iza-j
:
O on Cons Cont. Board Lic.# Exp Da
Attach Copy of Setbacks Zone: Solar.
Current Electrical Li p, (e_ 12- D
Licenses l f� ' •l l�-IG
qol Business Tax or Metra# E D t Engineering Approval: Planning Approval:_ TIF:
lrnstapp dor. (X-y-'- �� `�
' o _ _ °I I � "7
tsI
:rmit # Account Description Amont Amt" Pd. Bal. Due
MST. Permit (BUILD) Awl-Aa- 16ss. so
Plumb. Permit (PLUMB) 2zs,wo Z25. fta.
Mech. Permit (MECN) 45, 11-
ELC/ELR Permit (ELPRMT) Z 7s,a27
State Tax (rAX) �'p,0.3 Gp,p jr
Bldg: 2
Plumb: ,is
Mech: .)
ELC/ELR: a l --_
Plan Check
MST: ,#.ZOg f�o ( PLN) � � 50p� 220. aY
�a tti
Plumb: PI-Mel-N)
Mech: (MECPL //• t�
H•
CDC Review (LA NDUS) y0
swRg-vSsy Sewer Connection (SWUSA) 2 aU ,1,?dG,i'
Sewer Inspection (SWINSP)
Parks Dev Charge / PKSDC /0 JV
Residential TIF (TIF-R) _ 7
Mass Trans?t TIF (TIF-MT)
N Water Quality (WQUAL
m Water Quantity ( NQUANT) /Ute • /<iri.
W Erosidn Control Permit (EPPRMT)
Erosion Planck/USA (ERPLAN) c7
Erosion Planck/COT (EROSN) _p�w� *011fV
Fire Life Safety (FLS) 4P
TOTALS: � G�6 SOS--' _� 0Odsts 9tapp.doc
Rev1 ��(J L-D 1 U�1 �� •�,
'f
b