Permit CITY OF TIGARD
DEVELOPMENT SERVICES MASTER PERMIT
PERMIT #: MST2003 -00409
DATE ISSUED: 10/2/03
�l � ' i
- 411 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 12444 SW ASPEN RIDGE DR PARCEL: 2S110BC - 08100
SUBDIVISION: THORNWOOD ZONING: R -7
BLOCK: LOT: 052 JURISDICTION: TIG
REMARKS: New SF detached, Path 1.
BUILDING
REISSUE: DM185 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 32 FIRST: 1,440 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,450 sf GARAGE: 542 sf FRONT: 15 PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5
VALUE: 290,252.80
OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 2.890 sf REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 4 CLOTHES DRYER: 1
GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION:
EAADD'L 500SF: 5 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EAADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU KM/SVC /FDR: 601 - 1000 amp: 601 +amps 1000v: MINOR LABEL:
1000+ amp /volt :
PLAN REVIEW SECTION
Reconnect only:
>=4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEJIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 5,708.25
DON MORISSETTE HOMES INC DON MORISSETTE HOMES INC T perm
Mu n is subject
Code, C o to the regulations ec C o in the
al
4230 GALEWOOD ST #100 4230 GALEWOOD ST, STE 100 ode, State odee s and
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 all otther r applicable p laws. All work will will l b by e d o n e C done i
accordance with approved plans. This perm itwillexpire if
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: 503 387 - 7538 Phone: Oregon Utility Notification Center. Those rules are set
W-387 forth in OAR 952 -001 -0010 through 952 - 001 -0080. You
Reg #: 37 may obtain copies of these rules or direct questions to
OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Erosion Control lnsp 8 Post/Beam Mechanical Mechanical Insp Shear Wall lnsp Insulation lnsp Electrical Final
Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Insr Rain drain Insp Mechanical Final
Footing lnsp Crawl Drain /Backwater Electrical Service Low Voltage Water Line lnsp Plumb Final
Foundation Insp Footing /Foundation Dr; Electrical Rough In Gas Line Insp Water Service Insp Building Final
Post/Beam Structural PLM /Underfloor Framing Insp Gas Fireplace Appr /Sdwlk lnsp
P-
1��
Issued By : �� ■i ce: . _ _� Permittee Signature :
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
I riz 8/--
TG PT 1 �C -� 3 030,h6 —0056
, A Building Permit Application .. {
Date received: e 1 0 Permit no r 0
,,I-:',a City of Tigard l
4.
,{- ' Al
= Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 •-S) Phone: (503) 639 -4171 Date issued: By: I Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type: Q
1 & 2famil Simple Complex: Land use approval: / family: p p �' r-.) j
TYPE OF P ER111T
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ,'New construction ❑ Demolition
' t
❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
, =mo .IOII SITE INFORMATION �--y
/ Job
��,.� 111
1 y Ej ) : ► ' ,o,- ) Bldg. no.: Suite no.:
Lot: e7 Block: ISubdivi on: h L 7� d I Tax map/tax lot/account no.:
Project name:
Description and location of work on premises/special conditions:
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: *V�i11 r�TG�r m' t ' (Iloodplain, septic capacity, solar, etc.)
y � n .i<
Mailing address: '� l graimart I & 2 family dwelling:
City: ; , , State1t'A ZIP: 17) . Valuation of work $ 0 2 S2 ,
Phone: - - 2- ")'E5 Fax:-2) - /-7,,, . -mail: No. of bedrooms/baths c� f 0
Owner's representative: , A'. j V Cut v Total number of floors 3
Phone: Fax: E -mail: New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
Name: ; �' „�a ' Covered porch area (sq. ft.) 1r Z
Mailing address: a a Deck area (sq. ft.) 'i/V O
City: State: 1 ZIP: Other structure area (sq. ft.) --
Phone: Fax: E -mail: Commercial /industrial/multi- family:
CONTRACTOR Valuation of work $
fol�a Existing bldg. area (sq. ft.)
Business name: �,i L d New bldg. area (sq. ft.) _
Address: AWE_ Akil
Number of stories
City: State: ZIP: Type of construction
Phone: 1 Fax: (E -mail:
CCB no.: Occupancy group(s): Existing:
New:
City/metro lie. no.: Notice: All contractors and subcontractors are required to be
ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: Cie/AA J fillualk provisions of ORS 701 and may be required to be licensed in the
Address: c 4-s CL)) ( t t jurisdiction where work is being performed. If the applicant is
City: State: 1 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: IMP: Amount received $
Phone: (Fax: 1E-mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. A • rovisions of 1 ws and ordinances governing this ❑ Visa ❑ MasterCard
work will be compl • . wr. whether cified lierei rrr I Credit card number: / /
'( �-- /^ ►�, Expires
Authorized sly atu - / i L V � e: (�C / Name of cardholder as shown on credit card
.i i f i ( $
Print name:
' -'1�"" '� Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (broacoM)
J
One- and Two - Family Dwelling
' ' ' Checklist Reference no :
Building Permit Application
CuyofTigard City o f Tigard Associated permits:
ty g ❑ Electrical ❑ Plumbing O Mechanical
Address: 13125 SW Hall Blvd, Tigard, OR 97223 ❑ Other
Phone: (503) 639 -4171 1
Fax: (503) 598 -1960
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
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 plat/lot.
4 Fire 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 stamp and signature on file or with application. j(
9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of
catch -basin protection, etc.
10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed
if copyright violations exist. J�
I 1 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if
there is more than a 4-ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and
driveway; footprint of structure (including decks); location of wells/septic systems; utility locations; direction indicator, lot ` ,�
area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. ` x `
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.
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 construction, 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 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 1
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.
JURISDICTIONAL SPECIFICS
23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ".
_ 24 Two (2) sets each are required for Items 16, 19, 20 & 22 above.
25 Building plans shall not contain red lines or tape -ons.
26 No rolled, reversed or mirrored building plans will be accepted.
27
28 •
Checklist must 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. 440-4614 (6/00/COM)
•
A Mechanical Permit Application s ; ,,� :`.
* Date re ceived: Permit no.: t'7' r, . 3 -t '1'J , ,
ma y,
' � City of Tigard Project/appl. no.: Expire date:
• City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 - 4171 Date issued: By: Receipt no.: _
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: Buildingpermicno.:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ Tenant improvement
XIew construction ❑ Addition/alteration/replacement 0 Other.
JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE
. Job address: 0, tMMIIll► / Indicate equipment quantities in boxes below. Indicate the dollar
o
Bldg. no.: S ire no.: value of all mechanical materials, equipment, labor, overhead,
Tax map /tax lot/account no.: profit. Value $ •
Lot: C%5; _ 'Block: ISubdivision:' }C'( kA_J 'See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee.
City/county: I ZIP: 1 & 2 FAMILY DWELLING PERMIT FEE SCHEDULE `,
Description and location of work on premises: AND COMMERICAL/INDUSTRIAL EQUIPMENTSCHEDULE
Fee(ea.) Total
Est. date of completion /inspection: Description Qty. Res. only Res. only
Tenant improvement or change of use: HVAC: •
Is existing space heated or conditioned? 0 Yes ❑ N o Air handling unit CFM
g P Air conditioning (site plan required)
Is existing space insulated? 0 Yes 0 No _ Alteration of existing HVAC system
MECHANICAL CONTRACTOR Boiler /compressors
State boiler permit no.:
Business name: s Va 6 4 �I , CO _ - HP Tons BTU/H
Address: n n Fire/smoke dampers/duct smoke detectors
City : tit Lt State:(1 ' "� J
ZIP: � Heat pump (site plan required)
Phone: . - "j1 Fax: E -mail: Install/replace furnace/burner BTU /H
Including ductwork/vent liner ❑ Yes CI No
CCB no.: 'F ) Install/replace/relocate heaters - suspended,
City/metro lic. no.: N/A wall, or floor mounted
Name (please print): • C r�- 1 �jdm t•-tEL__L._ Vent for appliance other than furnace
CONTACT PERSON Refrigeration:
Absorption units BTU/H
Name: ° I dzi.A [,_, Chillers HP
Address: Compressors HP `_
L IA C' i - Environmental exhaust and ventilation:
City: State: ZIP: Appliance vent
Phone: Fax: E -mail: Dryer exhaust
OWNER Hoods, Type 1/ lures. kitchen/hazmat
hood fire suppression system
Name: 4 �JL Exhaust fan with single duct (bath fans)
Mailing address: r T Exhaust system apart from heating or AC
.� Fuel piping and distribution (up to 4 outlets)
City: State ZIPGt x)j Type: LPG NG Oil
Phone:. 7 _ Fax: E -mail: Fuel piping each additional over 4 outlets
ENGINEER Process piping (schematic required)
Number of outlets
Name:
Other listed appliance or equipment:
Address: Decorative fireplace
City: I State: I ZIP: Insert - type
Phone: Fax: E -mail:
Woodstove/pellet stove
Other:
Applicant's signaler" : � � , ��� Date: Slim ' Other
Name (print): (.i. Yl f bqj { q s (• /
T
Not all jurisdictions accept credit cards. please call jurisdiction for more information. Permit fee $
0 Visa 0 MasterCard Not Th permit application Minimum fee $
Credit card number: /
expires if a permit is not obtained Plan review ( at % ) $
Expires within 180 days after it has been
State surcharge (8 %) .... $
Name of cardholder as shown on credit card accepted as complete.
$ TOTAL $
Cardholder signature Amount 440-4617 (6. X COM)
,
Date received: Permit no.:tkr., ff O ,,
t.,tfj City of Tigard Sewer permit no.: Building permit no.:
Address: 13125 SW Hall Blvd. Tigard, OR 97223 Project/appl. no.: Expire date:
CiryofTigard Phone: (503) 639 -4171
Fax: (503) 598 -1960 Date issued: By: Receipt no.:
Land use approval: Case file no.: Payment type:
TYPE OF PERMIT
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement
►: ew construction Cl Addition/alteration/replacement 0 Food service 0 Other.
JOB SEFEINFORMATION FEE SCHEDULE (for special information use checklist)
f i Description Qty. Fee(ea.) Total
Job address: �� �7�i� New 1- and 2- family dwellings only:
Bldg. no.: Suite no.: (includes 100 ft. for each utility connection)
Tax map /tax lot/account no.: SFR (1) bath
Lot Block: Subdivision. �i� SFR (2) bath
III
Project name: SFR (3) bath
City /county: ZIP: Each additional bath/kitchen
Description and location of work on premises: Site utilities:
Catch basin/area drain I
Est- date of completion inspection: Drywellsileach line/trench drain
Footing drain (no. lin. ft.) .111
Business CONTRACTOR Manufactured home utilities
Business name: IN, � 7 L i Manholes
Address: �� 0 Rain drain connector M
� cia - �. ilmei Sanitary sewer (no. lin. ft.) IN
Storm sewer (no. lin. ft.) MI
Phone: y 1— I Fax: � Water service (no. lin. ft.)
: no.: �� - 7 l.- Plumb. bus. reg. no:
�► F ixtur e or it
City/metro lic. no.: NiA Absorpt valve
I
Contractor's representative signature ��✓(/ Back flow preventer
•�E • i MM��7 Backwater valve
CONT I'LRSON Basins/lavatory -
` Clothes washer
•
Name: f\•-- , ■ ' N Dishwasher
Address: aA i • b 1c , ,Ni Drinking fountain(s) OM
City: I State: ZIP: Ejectors/sump
Phone: Fax: E -mail: Expansion tank
OWNER Fixture/sewer cap
,yam Floor drains/floor sinks/hub
Name (print): AV_ t't` Ga rbage disposal =
Mailing address: i 1 Hose bibb =-
City: _ � ► ; igg ZIP: Weal" Ice maker - -=
Phone: I , - Fax: °W M E -mail: Interceptor /grease trap
Owner installation/residential maintenance only: The actual installation Primer(s)
will be made by me or the maintenance and repair made by my regular Roof drain (commercial)
employee on the property I own as per ORS Chapter 447. Sink(s), basin(s), lays(s)
Owner's signature: Date: Sump
ENGINEER. Tubs/shower /shower pan
Urinal
Name: Water closet
Address: Water heater
City: State: ZIP: Other.
Phone: Fax: E -mail: Total _ -_
� Minimum fee $
Na all lunsdicuotu accept credit cards, please call iurisdicuon r« more infomution. Notice: This permit application Plan review (at %) $
C Visa MasterCard expires if a permit is not obtained
Credit card number. / I w ithin 180 days after it has been State surcharge (8%) ,a) .... $ ----
Expires TOTAL $ -----
accepted as complete.
Name of cardholder as shown on credit card
$
Cardholder signature Amount „ ..O -4416 (M1o.COM)
Electrical Permit Application _.ar... ,.....r, . .. �.,..�w. M
Date received: ;t f 6 Permit no. p.496—eko /e
_ City of Tigard Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: By: Receipt no.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ Tenant improvement
►' New construction ❑ Addition/alteration/replacement ❑ Other. ❑ Partial
JOB SITE INFORMATION --
Job address: �-f'� ,>1N - v iz Av . j Bldg. no.: Suite no.: Tax map /tax lot/account no.:
Lot: ��9- IBlock: ISubdivision. t r
Project name: I Description and location of work on premises:
Estimated date of completion/inspection: .
CONI ILA(' I OR .\PI'LIC':\IION FEE SCHEDULE
Job no: 70 'I Fee Max
_ Business name: ( - ") FECTIL\ C, Description Qty. (ea.) Total no. btsp
New residential -single gle or multi- family per
Address: ' i'' ri/ _ • � ` seat • C" dwelling unit. Includes attached garage.
EN -M' Mardi ZIP: i Serrieeincluded:
Phone:I-4L)�j ! 'P: Fax: E -mail: 1000 sq. ft. or less 4
� , l ^ Eac additional 500 sq. ft or portion thereof
CCB no.: -f Elec. bus. lic. n lP (� L energy, residential 2
C Limited energy, non- residential 2
� � ) Each manufactured home or modular dwelling
nature of supervising electrician (required) Date T'/ _1 Service and/or feeder 2
Q Services or feeders— installation,
Sup. elect. name (print) . 1 A'� License no A I a alteration or relocation:
PROPERTY OWNER 200 amps or less 2
0 201 amps to 400 amps 2
Name (print): A tt.. ,
p ' « }��� 401 amps to 600 amps 2
Mailing address: A� Z( ! � ib ,. ; I �� yy�� 6 01 amps to 1000 amps 2
City: .., State -4 ZIP: - 26 Over 1000 amps or volts 2
Phone:)? /- ) Fax: ? -7&45E -mail: Reconnect only 1
Owner installation: The installation is being made on property I own Temporary services or feeders -
which is not intended for sale, lease, rent, or exchange according to installation, alteration, or relocation:
200 amps or less 2
ORS 447, 455, 479, 670, 701. 201 amps to 400 amps 2
Owner's signature: Date: 401 to 600 amps 2
ENGINEER Branch circuits - new, alteration,
or extension per panel:
Name: A. Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit 2
City: i State: I ZIP: B. Fee for branch circuits without purchase
of service or feeder fee, first branch circuit: 2
Phone: Fax: E-mail: Each additional branch circuit:
PLAN REVIEW (Please check all that apply) Misc. (Service or feeder not included):
❑ Service over 225 amps- commercial 0 Health-care facility Each pump or irrigation circle 2
❑ Service over 320 amps- rating of 1 &2 ❑ Hazardous location Each sign or outline lighting 2
family dwellings ❑ Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel,
O System over 600 volts nominal more residential units in one structure alteration, or extension* 2
O Building over three stories 0 Feeders, 400 amps or more *Description:
O Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable in any of the above:
❑ Egress/lighting plan ❑ Other Per inspection I I
Submit sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other
Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application Permit fee $
O Visa 0 MasterCard expires if a permit is not obtained Plan review (at _ %) $
Credit card number: I / within 180 days after it has been State surcharge (8%) .... $
Ex accepted as complete. TOTAL $
Name of cardholder as shown on credit card
S
Cardholder signature Amount 4404615 (6/00/COM)