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Permit CITY OF TIGARD MASTER PERMIT PERMIT #: MST2003 -00424 Ijii DEVELOPMENT SERVICES DATE ISSUED: 9/10/03 �� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 12426 SW ASPEN RIDGE DR PARCEL: 2S110BC -07800 SUBDIVISION: THORNWOOD ZONING: R -7 BLOCK: LOT: 049 JURISDICTION: TIG REMARKS: Const. new SF detached residence. BUILDING REISSUE: DM170 STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 30 FIRST: 1,570 sf BASEMENT: 798 sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,620 sf GARAGE: 406 sf FRONT: 15 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD. sf RIGHT: 5 VALUE: 388,898 00 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3,190 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: BOIL/CMP < 3HP: VENT FANS: 3 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: EA ADD'L 500SF: 7 201 - 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 HM/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: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,465.39 This permit is subject to the regulations contained in the DON MORISSETTE HOMES DON MORISSETTE HOMES INC Tigard Municipal Code, State of OR. Specialty Codes and 4230 GALEWOOD ST 4230 GALEWOOD ST, STE 100 all other applicable laws. All work will be done in STE 100 LAKE OSWEGO, OR 97035 accordance with approved plans. This permit will expire if LAKE OSWEGO, OR 97035 work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Phone: 503 387 - 7538 Phone: Oregon Utility Notification Center. Those rules are set 5 forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You Reg # LQ : 387 may obtain copies of these rules or direct questions to 1 OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Erosion Control Insp 8 Post/Beam Mechanical Mechanical Insp Shear Wall lnsp Insulation Insp Appr /Sdwlk Insp Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Insi Rain drain Insp Electrical Final Footing lnsp Crawl Drain /Backwater Electrical Service Low Voltage Storm drain Insp Mechanical Final Foundation Insp Footing /Foundation Dr Electrical Rough In Gas Line Insp Water Line lnsp Plumb Final Post/Beam Structural PLM /Underfloor Framing Insp Gas Fireplace Water Service Insp Building Final Issued By : � Permittee Signature : A__2------ Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day 003 are - . k.- City of Tigard r f j � Date received:f Perntit no. /�. j 0 � fa'� City of Tigard N. mai Address: 13125 SW Hall 131 Tigard, OR 97223 P'o1��appl.no.: Expire date: Phone: (503) 639 -4171 Date issued: By: i.V 13 Receipt no.: Fax: (503) 598 -1960 AUG O 2003 Case file no.: /,, Payment type: L use approval: CITY OF TIGARD 1 &2 family: Simple 1 ICS Complex: P.7 0 0 3 —# 0 I , re, s m e�i�ir nivlw.ro 1 � , ti,' ar a. , � - ' - ,i. ` 74 )1 3 i • TIl ' E ;O F P E R MI T `- - . • ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family e VNew construction ❑ Demolition ❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other: ,.'�= �^���°+"a„F. ,�F�,j -t!v*• ». ttf �+Rtt T - #.?. F � P `�,+ �,� °' -�tY i t d,1 � +�. x --+r�, py y .. µ � � �.. tt � �� � � � � �-J SIT I 1A Q � � „���.�.� a �� � " "��� a '�����° � `� � �" ,���i���,Y..u'�k -� ���'„� % _ �,���� � �:r'�- ��-- ��n�.`��..zs ��+.. T�...�,� s0-. '�. �{�. `� �. .!`�;:. �,� " ".�; „x '�,�r Job address: i i•, W 1. _ Bldg. no.: Suite no.: Lot: �. Block: Subdivisio i� h � �'��� Tax map /tax lot/account no.: , 5/r : _ ; c y Project name: f — Description and location of work on premises/special conditions: ZS //0 6C 07,P4ZY : ',_ t x : :i , ,,9WNI•.R , a 4 %Li 1_ ,fRIt *1- 104L`INFORIVI'i1T1 ' S f °; "r51 e l s ; s Y ' 'y' F, ' r'r d"'.��''�j� t ii ` . 0-p t �' ' , loo �latn;septtccapact[y,solar,ctc) x . Mailing address: `��y ' g 1 1 & 2 family dwelling: EMIllit EMIXA ZIP: ' 7 Valuation of work $ Phone:. r nftr�t" 't 's _fal_al ', No. of bedrooms/baths Owner's representative: , A � AM i _ Total number of floors r Phone: Fax E-mail: New dwelling area (sq. ft.) 1 i ' , C., � . APPLI , '. , , :igtZti . k >�rr4 u w - -,.— :-.. :t Jt v,: ;.� P Garage/carport area (sq. ft.) 1�. A . Covered porch area (sq. ft.) Mailing address: r g i , a Deck area (sq. ft.) City: State: ZIP: Other structure area (sq. ft.) Phone: Fax: E -mail: Commercial /industrial/multi- family: . ti r z;'., `t? _ 5• r i,.., : _:. Valuation of work $ , CONTRACTOR Business name: t Existing bldg. area (sq. ft.) ��� '-''� New bldg. area (sq. ft.) Addr ./E "r Number of stories City: State: ZIP: Type of construction Phone: Fax: E -mail: CCB no.: IFUIVUIIIMIIIIIIMIIIIIIMMIll Occupancy group(s): Existing: New: City /metro lic. no.: _ Notice: All contractors and subcontractors are required to be '•-. i _ ' ARCHITECT /DESIGNER ' licensed with the Oregon Construction Contractors Board under IIMMIAL il provisions of ORS 701 and may be required to be licensed in the • Address: jurisdiction where work is being performed. If the applicant is � ` Cl� exempt from licensing, the following reason applies: City: State: ZIP: Contact person: Plan no.: Phone: Fax: E -mail: E NGINEER 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 Not all jurisdictions accept credit cards, please call jurisdiction for more information. attached checklist. A . rovisions of I ws and o dinances governing this ❑ Visa ❑ MasterCard work will be compli win , whether cified 1ere i r�tot. / / Authorized Si:. /1 A ILA 3 Cre dit card number: au.: , ' / '2 : t � Name of cardholder as shown on credit card Expires Print name: • . f I ( K $ 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 (MroaCOM) One- and Two-Family Dwelling F a d s f- s: l' ^ ° ° ° Application Checklist Reference no.: x:94.1 I! Building Permit �p Associated permits: City of Tigard City of Tigard ❑ Electrical ❑ Plumbing ❑ Mechanical Address: 13125 SW Hall Blvd, Tigard, OR 97223 ❑ Other: Phone: (503) 639 -4171 Fax: (503) 598 -1960 ,.., ,TIiE TOLIOWING ITEI♦'IS,ARE 12EQUIRED�'FOR PLAN . REVIEW 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. 4 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. X 8 Soils report. Must carry original applicable stamp and signature on file or with application. 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch -basin protection, etc. 11 ( 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 t/ if copyright violations exist. J� 11 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. 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, X 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. ,X\ 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 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 (6r00/COM) r -QV , r, • • e • t -l r " �' � �°'- �' r" i�e' s� '�.�.`E.wi� y , Date received: Permit no.: Mechanical Permit A. lication i ,_ d }o : %- � , , i . Y • � Amts* aE � . / �Sfa � ‘,42,4 �"f *Ii' City Tigard Ti and Project/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall BlvdA'jt� arb 7R�Q 3 Phone: (503) 639 - 4171 u Date issued: By: Receipt no.: _ • Fax: (503) 598 -1960 CITY OF TIGARD Case file no.: Payment type: Land use approval: BUILDING DIVISION Building permit no. • • TYPEOF,PERMIT 1 Ft _ , ".; n,,E: ;- ' , 0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 Tenant improvement . • X New construction 0 Addition/alteration/replacement 0 Other. s "f - :c; .1 JORSITE INFORMATION J t, �s {r r .`' t = ;; : ,v .COMMERCIAL:YALUATION -- SCHEDULE ,, • . Job address: i �tp . • % " / , • Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: I Suite no.: value of all mechanical materials, equipment, labor, overhead, Tax map /tax lot/account no.: __ profit. Value $ Lot: al ' Block: Subdivision: 0 I\ » `See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City/county: ZIP: : 1. & ° 2 °FAMILY DWELLING PERMIT FEE:SCHEDULE'•;* Description and location of work on premises: AND . COMMERICAUINDUSIRIALEQUIPMENTSCHEDULE 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? Cl Yes 0 No Air handling unit CFM g P Air conditioning (site plan required) Is existing space insulated? 0 Yes 0 No Alteration of existing HVAC system MECPIANICAL . CONTRACTOR - . ' Boiler /compressors ��� State boiler permit no.: Business name: _ HP Tons BTU/H Address: D n Fire/smoke dampers/duct smoke detectors • City: Vro \ Li Y" State: ZIP: a Heat pump (site plan required) Phone ?_ - '35 FaX E -mail: . - Install/replacefurnace/burner BTU /H Including ductwork/vent liner 0 Yes 0 No CCB no.: 'F-j - 9 1 - 5(';r Install/replace/relocate heaters City/metro lic. no.: N/A wall, or floor mounted (please p rint ) : 1,17-1---- � Name (p . , rz- -t 10.AM {•-i-a-1. Vent for appliance other than furnace CONTACT PERSON Refrigeration: Absorption units BTU/H Name: - ' 1 rn Z i.E1___. Chillers HP Address: '1(� -� CIA \I�t Compressors HP � Environmental exhaust and ventilation: City: _ State: ZIP: • Appliance vent ■ Phone: Fax: E -mail: Dryer exhaust OWNER Hoods, Type I/ lures. kitchen/hazmat hood fire suppression system Name: _ Exhaust fan with single duct (bath fans) Mailin g address: / ar 1 Exhaust system apart from heating or AC , City: State' 1. 41 ZIPq - 7(1 5 Fuel piping and distribution (up to 4 outlets) Type: LPG NG Oil Phone:. y 7- .ice Fax: E -mail: Fuel piping each additional over 4 outlets ENGINEER ' . , Process piping (schematicrequired) Number of outlets Name: Other listed appliance or equipment: Address: Decorative fireplace City: I State: I ZIP: Insert - type Phone: Fax E -mail: Woodstoveipellet stove Other: Applicant's signatu" : , ,r Date: 07) Other. Name (print): .( ' , ' , / Not all jurisdictions accept credit cards, please call jurisdiction for mom information. Permit fee $ 0 Visa 0 MasterCard Notice: This permit application Minimum fee $ expires if a permit is not obtained Plan review (at _ %) card number: ( ) $ Expires within 180 days after it has been • accepted as complete. State surcharge (8 %) .... $ a cce Name of cardholder as shown on credit card p p $ TOTAL $ Cardholder signature Amount 440-4617 (6&00/COM) ^a 1s w 1. "" b7 '.. s-" ' �i e i r :',...:4-,."-- 1 i ,.., r � Plumb l g Permit Application � ' , � }i V; � -- � ,, +�j D::e;:o.: Permitnol� � __ 004_1 Clty Of i d R'^ ' ° Building permit no.: ,, �•It Tigard Address: 13125 SW Halt Blvd. Ttgard, OR 97223 ire date: City ofTigard Phone: (503) 639 -4171 PUS 0 7 2003 Project /appl. no.: �P Fax: (503) 598 -1960 ARD Date issued: By: Receiptno.: TIG CITY OF Land use approval: EUILeING nIVISION Case tile no.: Payment type: : , 2 - -.:: ,R. 4 , TYPE OF PERMIT - . 0 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement ►- New construction 0 Addition/alteration/replacement 0 Food service 0 Other. ' - JOB SITEINFORMATION . - FEE SCHUJVLE special'information use checklist)` ": . � �i , Description Qty. Fee(ea.) Total Job address: �� i New 1- and 2- family dwellings only: Bldg. no.: Suite o.: (inciudes 100 ft. for each utility connection) Tax map /tax lot/account no.: SFR (1) bath Nib Lot. ' Block: Subdivision: ri 7 SFR (2) bath Project name: SFR (3) bath City /county: 1 ZIP: Each additional bath/kitchen _ Description and location of work on premises: Site utilities: Catch basin/area drain Est_ date of completion/inspection: Drywells/leach line/trench drain -. Footing drain (no. lin. ft.) . :- - , I'LL IBING CON CI - Manufactured home utilities Business name: 1p, X 71 L e Manholes Address: ') . ) ` , • Rain drain connector l �. ■ ∎ �� ZIP: Sanitary sewer (no. lin. ft.) City: r1J�at Storm sewer (no. lin. ft.) • one: y ��� Fax: E-mail: ; ,, Water service (no. lin. ft.) CCB no.: [ ."40' ."40' 1, - Plumb. bus. reg. no: e+. V 1 Fixture or item: City/metro lac. no.: N/A Absorption valve Contractor's representative signature _ ii Back flow preventer • 12111 • / .. a Backwater valve - _ -- C't)NTACI PERSON .. ... Basins/lavatory \ ' 1` Clothes washer Name: l {�-� ���� {� I Dishwasher Address: ' * i . 0 0 , ,Ni Drinking fountain(s) City: I State: ZIP: Ejectors/sump Phone: 1 Fax: E -mail: Expansion tank Fixture/sewer cap Floor drains/floor sinks/hub Name (print): \ ;.t,,A k--Ar- tS :alt t L` .. Garbage disposal Mailing address: [ - 1 Pq___PiVT III • Hose bibb City: L-1). State , ZIP :C/ ) Ice maker Phone: j • - i3/ Fax: *.7-70 . 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.. 1 State: I ZIP: Other • Phone: T Fax: I E -mail: Total Minimum fee........... o -• $ Na all jun s.'.icuorts accept credit cards, please call jurisdiction far more m(ormatioa. Notice: This permit application Plan review (at _ %) C Visa 0 MasterCard / / expires if a permit is not obtained State surcharge (8 %) . - -• r C.eilir card number. w ithin I30 days after it has been Expires TOTAL $ s— accepted as complete. Name of cardholder as shown on cretin card Cardholder signature S Amount 4.30 -1616 (6CGC.'OM) I Electrical Permit Application Date received: Permit no. y 72003 --bid i1, ,;j 1 City of TigardRECE IVE[ ; pp p Pro ect/a 1. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 972 Date issued: By: Receipt no.: Phone: (503) 639 -4171 AU o '�. 20 Case file no.: Payment type: Fax: (503) 598 -1960 JJ Land use approval: B UILD I NG uiG l zr . . m •. T YPE OFy,PE ° - .. ; _' I,. _ .�,- .,:, 4i, ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial 0 Multi - family 0 Tenant improvement ►' New construction 0 Addition/alteration /replacement 0 Other. Cl Partial t t v i `M y „ y -h�.'� ALt F } 1: a 1 ' ; 4 y� - 'R+�F 4 << -' ' `- i r,„. ; ' , t t , ? ._ STTE.INFORMATION ° 3. . Job address: . „ s L 14I' 14 TM ,BIBldg. no.: Suite no.: Tax map /tax lot/account no.: Lot: Lill Block: Subdivisio : �� Project name: Description and location of work on premises: Estimated date of completion/inspection: • - CONFRi\CiOR - APPLIC'ATIOW .," ,, .. FEE SCHEDULE -- . Job no: • '� Fee Max Description Qty. (ea) Total no. Insp � —..■ - New residential - single or multi- family per Address: rj / ` . � �` ��t dwelling unit. includes attached garage IIM - ' EEIVV ZIP: a. 4,---... Service included: Phone: 1000 sq. ft. or less 4 ti ( Fax: Email: Each additional 500 sq. ft or portion thereof no.: Elec. bus. lic. no: - Limited energy, residential 2 C' Limited energy, non- residential 2 Each manufactured home or modular dwelling ■■. nature of supervising electrician (required) Date ?AI dap Service and/or feeder 2 Q 1 alte ion feeders installation, Sup elect name (print): 1111 . ! 1 , w 2 License no: • alte or relocation: ` , - , . • ;--i. ' `. �.#' •• i ,h. ° " 200ampsorIess 2 :PRON. R; IY (T�bNGR °�` .� � '� 201 amps to 400 amps 2 Name (pant ): 4. l VII IlLuirer 401 amps to 600 amps 2 Mailing address: W E). S. a JO 601 amps to 1000 amps 2 City: c • ' ZIP: t __ Over 1000 amps or volts _ 2 Phone: ,�4 411 . Ma Reconnect only _ 1 Owner installation: The installation is being made onproperty I g wn Temporary services or feeders - IT" . which is not intended for sale, lease, rent, or exchange e accordin to installation, alteration, or relocation: 200 amps or less 2 ORS 447, 455, 379, 670, 701. 201 amps to 400 amps 2 Owner's signature: Date: 401 to 600 snips ___ 2 - ENGINEER , 2;.; 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: State: 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): ■■ O Service over 225 amps- commercial 0 Health-care facility Each pump or irrigation circle 2 O Service over 320 amps - rating of 1&2 0 Hazardous location Each signor outline lighting ___ 2 family dwellings 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, aill- 2 O System over 600 volts nominal more residential units in one structure alteration, or extension* 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: O Egress/lighting plan 0 Other: Per inspection __ Submit _ sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Permit fee $ Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application $ 0 Visa 0 MasterCard expires if a permit is not obtained Plan review (at _ %) Credit card number / / 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 440 -4615 (&03COM) 16- AIAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAA,AAN V A ■ • • tt- • I. , ■ , STREET TREE CERTIFICATION . . . . . i 1 • . ,ii • . i• 1, ANPay eurietihoel , Owner/Agent for AM • *mei. 4 'LEASE PRIM) (PERMIT HOLDER) i 1 • ■ • O■ A Do hereby certify that the following location A A meets City of Tigard/Washington County : A 1 A ■ . A land use and development standards for street tree installation. O• I ■ ADDRESS: Mt/Z6 , 30) . Aspeli /2P 1 IC Ore : A • LOT: - ' SUBDIVISION: aliloemeloot) , . BY: a - T.:444... - DATE: .3 • AC • Cifif , ■ ' ■ • A ktiCEIVED BY: . D A' I '11_.: •• . /1TTVTTTITYTTTT1TYTTTTITTIV.YYTTTYTTTTPYTYTYVVYYTTYVVYYTYTTYTTITYlk CITY 07 TIGARD 24 -Hour BUILDING 0 Inspection Line: (503) 639 -4175 0 M 3 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received 6 ` ate Requested 23 AM PM BUP Location / Zei 24 .' Suite MEC Contact Person /Ya Ph ) PLM Contractor Ph ( ) SWR BUILDING /2« Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath/Shear R � I /� /� �i / Framing 'f� ! -7 Insulation Drywall Nailing Firewall 41;r4.-4 l \ C �� -- R � Fire Sprinkler ' Fire Alarm Susp'd Ceiling / �� Roof - v\ 2-1=20 � — UCH ©/ Kam/ 47 • • r r�i ), . e e2 \ PART FAIL 1 BING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: W � \ Final / �" PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13 2,5_SW-Hall "" PASS PART FAIL SITE ri Please call for reinspection RE: Unable to inspect - no access Fire Supply Line t TS7 �� ADA Approach/Sidewalk Date Inspect° Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL Mar 18 2004 3:43PM GeoPacific Engineering, I 503 - 598 -8705 p.1 /137;2 0o3 - zz- • /. `f, 62 6i'✓4}Sr J Fi x D, G�oP it Eragineenng, Inc. Real -World Geotechnical Solutions Investigation • Design • Construction Support March 18, 2004 Project No. 00 -4945 Venture Properties 4230 Galewood Street, Ste. 100 Lake Oswego, Oregon 97035 Fax No. (503)670 -9099 Copy: Matt Har rell City of Tiga F 5 0 3 .684 -7297 RE: FINAL WALL E GINS NIMARY THORNWOOD'— LOTS 49, AND 51 TIGARD, ORE'S Reference: GeoRaci, c Engineering, Inc., Soldier Pile Wall Designs, Thornwood — ots 49 , 51, Revised December 12, 2003. GeoPacific Engineer, Jim Imbrie, visited the site periodically to review construction of the retaining walls in the rear yards of the above - referenced lots. The Walls were designed and presented in the above referenced report In order to alleviate building height restrictions. The wall design was slightly modified using helical anchors in place of Manta Ray earth anchors: for Improved lateral support: otherwise, pipe type and lengths, channel steel type, and welding were In conformance with the design. Based on our observations, it is our opinion that the wall as- constructed generally conforms to our design and is adequate for the retaining the observed conditions. Our work scope pertains to the conditions existing and exposed at the time of our site visit and to the standards of practice of soil engineering. No warranty is herein expressed or implied. This report was prepared for Venture Properties only and is not to be relied upon by third parties without consulting GeoPacific Engineering, Inc. Sincerely, GEOPACIFIC ENGINEERING, INC. c p . " . OGINE6 14743 . J OREGON James D. Imbrie, P.E., C.E.G. Principal Geotechnical Engineer 7312 SW Durham Road Tel (503) 598 -8445 Portland, Oregon 87224 Fax (503) 598 -8705 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503 . , -4175 40 3-60 5 (z4 INSPECTIOC DIVISION Business Line: (504) 6c 4171 T BUP Received // 7 ' i7 Dat Requested 3 - r rr D AM PM BUP Location /.2 V Zoo e Wg.e Suite MEC Contact Person Ph ( L4' PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Ftg Drain Access: v /L/� ELR Crawl Drain I Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear i We `, �- G 77 Framing ., s 1 � ; �. Insulation . \`T• '3 f �' Drywall Nailing `/ Firewall - - 2 --2,0-0 / — 0000 I LM (- 0` I, Fire Sprinkler Fire Alarm e..)Sl .. 72-'O9 — GUo - 5c CO; WILLA) Susp'd Ceiling I ff�� n - Roof ( -j m J et �> 3KCam� ^ v U,A -- er 2-) C5 -(-.) , -t-•/ 2,_ • ASS PART V\ . PLUMBING 4 " 4S 0.— U & Beam - f _ 1 I�i.' Under Slab , .1........ w -- . -. � / i -�d L Rough -In �i� I 7�L�o t ( 1/ Water Service _ cl-A - f � " n �_� L�v� Sanitary Sewer 1 Nj 4 a l.19 --rC CLc C)--c Ara �L � , Rain Drains Catch Basin / Manhole ' " - \ Storm Drain ` ∎L . Cit../L) � GzJ Shower Pan A 2 - , Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Sm. ke Dampers 40 PART FAIL E RICA L Service Rough -In UG /Slab Low Voltage Fire Alarm Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line � A ADA Date — ) I D Inspector \/ V' Ext Approach /Sidewalk Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL • CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 elP . 00 aV INSPECTION DIVISION Business Line: (503) 639 -4171 (� V � BUP Received -'� 7 � Date Requested 3- 1 � ^ • 4 7 1 AM PM BUP Location 2- _'! Suite MEC Contact Person ogG% Ph _ ) / — </f.3 PLM Contractor Ph ( ) SWR 0 BUILDING Tenant/Owner ELC Footing • Foundation ELC Access: 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 Sprinkler Fire Alarm a Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PAS PART FAIL E E CTRICAL ervice Rough -In UG /Slab Low Voltage Final P ART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. S + El Please call for reinspection RE: Unable to inspect – no access Fire Supply Line ADA 4 I � Approach /Sidewalk Date - 6-- D Inspector �� �w Ext Other. Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL