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Permit CITY OF TIG MASTER PERMIT PERMIT #: MST2005 -00069 ,iitilit. DEVELOPMENT SERVICES DATE ISSUED: 4/20/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 109 DA -03500 SITE ADDRESS: 15403 SW GREENFIELD DR ZONING: R -7 SUBDIVISION: SUMMIT RIDGE LOT: 012 JURISDICTION: TIG Project Description: New SF detached. BUILDING REISSUE: DM170 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 27 FIRST: 1,570 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,620 sf GARAGE: 407 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 5 VALUE: 308,430.90 OCCUPANCY GRP: R3 BDRM: 5 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: 5 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: 6 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL 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: This permit is subject to the regulations contained in the Owner: Contractor: Tigard Municipal Code, State of OR. Specialty Codes DON MORISSETTE HOMES DON MORISSETTE COMMUNITIES LL and all other applicable laws. All work will be done in 4230 GALEWOOD ST 4230 GALEWOOD ST #100 accordance with approved plans. This permit will expire STE 100 LAKE OSWEGO, OR 97035 if work is not started within 180 days of issuance, or if the LAKE OSWEGO, OR 97035 work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules Phone: 503_387_7538 Phone: 503 adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or Reg #: LIC 162512 direct questions to OUNC by calling 503 - 246 -6699 or TOTAL FEES: $ 10,615.15 1 - 800 - 332 - 2344. REQUIRED ITEMS AND REPORTS Iss ed By : i ,i_ �a4—..• Permittee Signature : V a Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Buildim • Perla>A.f7' aT F OR OFFICE USE ONLY , • City Of Tigard Received ,.a /' I' PemutNo,: , ,,/ Q A n n Date/By: ���— _� �..r� l�o� �:(pJ 13125 SW Hall Blvd., Tiga1 .O 97221 LUU Plan Review Phone: 503.639.4171 Fax: 503.598.1960 yt "�n'N/ h �IPd�l i ��tik , Y Y• Date/By: Il tql L /' .26 -G s` Other Permi � to 5 - Inspection Line: 503.639.j y OF TIGARD Date Read /B Jails: ® See Attached Checklist for . � W I Internet: www.ci.tigat•d, .N G DIVISION Notified/Method: l °�_ c Supplemental Information _.: r., c- 1? i_... x.,.-,. ,.vc._- ,.....- �vw.....,,+...,. r... -4,.. � : .,..� .,. _.. .nL,. .... ;i i': _ _ - • . i__ -, .Z , ,,. . r, a ... n, a.. L ,kn ,„ ,.ry,. ( �,,. ,. a . 3 .x9 .x ,r �: � ,.:... 31 „k. ..: -_ ,:' + "':.. - .i:'H, _ .. r „�:�� - :.s'., e a_ ,.}:s...1 .7^,:t: nt,„ ..t., ., t:. �._5,. .':; .i'se ,r:. ..,.. 'YBE -. OF.. . ,.t�Rh;xt'• . !=t4 =- iRE .UII„.„,4DATAit}h AND ?2= EA1GIIhY DWELLI ..;Sj- ' tt¢. ::tai —' - •• yrs ♦.. �,;:,..,._,m. .;,..:.: ..,_,e,.,,,az-.._,�.,�_ :. ' -g: -,>.._ -.: ._.. . Y,...,Y §L- 3 nr �;.. ;. ., ; "ze,.., +h` ., .....,. rr. ,,.,i' .. ';F a_ ,, _., -.. _.- .ni'riirsi't_ c... .. �'rik; . ". .. .. ..r. ,. ...< r? N ew construction ❑ Demolition Permit fees* are based on the value of the work performed. VVV VVVT \\ Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the ,r.'. 4�z, work indicated on this application. 'u . ,T s3 " y=r x k�s = ` �'� ; ;�i: , PP a> CA <' !pF. , CONSTRUCTtO a . 'ki a .a „ _: ._; d� �.:] �'- 3'; uc;`'='° i3,»: �...,. v:` . ..... . .... .. �.....,<: "ax t. . .,..r`_2[;; . +:ins- ,..m1f.N- st,4.3c .._ �`6a,.; da- s: -,-- ., .... .,. ... ,. ., Valuation: $ ❑ 1- and 2- family dwelling . ❑ Commercial /industrial .. 6( - _44.0 . 1 t (4 . I 0 El Accessory building ❑ Multi - family Number of bedrooms: 1=� ❑ Master builder ❑ Other: Number of bathrooms: O, ➢. a: :,,.,, - ,r ;p y `: :: ;i4 ;gx .,.:,r..,� : % ;r,•a asi'Lka . , 7ry;e =t . _ • � 4A ^ = ;i- +h..,, ,,,v2. ":>�„ ? i , '�7:f1 »:i i'ft`'s'�'t. . "t '? . ryra'a i;.,ti ( ,;:o "i :,liL ,. t:r�"C rS,,..,r, .,;... 't +;.t $: 1., tr. t.•. - rWr,> ; rz -- Total number of floors: :.h., `:t,:: - , . :,a:JOB i iINFbItMAT;IOt, , lyDst QCA'raIOlVtt e , ov r ��i P. ,. ;;� ; ,.� ,. �,a., , "- ,r' ". :, .,, -„ .� :< „^ �«` -�3� a, :,t n t:�a•. �`r =: x?'t. �,:�•tss�p'fi'Sr,1a'- ,'.t�?IF'���t r.... .._v.. ,: .. n - u• 7arY:,? is.,<.:,..,_.., �7. .'eM1h�i...=,,..:..,...i.:Na�:>f _5 x..i't`I°.i•� =.'. +:i�nt: f.,bi.u1'l:th?'�'�`Ci�tiS�� <W. (ielc9 ;i i• .:.,l i'¢hfa. E. �.1.'a _ �...rS =,�•... akn Job site address: f 3 �� ? & Ley) � - New dwelling area: < 3 j 9.0 square feet City /State /ZIP: Garage /carport area: Z.4 (7 square feet Suite/bldg. /apt. no.: Project name: Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet ;p ", : tidag ,t; ".i�.3,c',3't�a•r,,:iR:xk�t 5 � ?aY ' ya' � 1": xt7:" a7�:i>�'.u��k:,::!'?'+.tt =� "4.�P t4 5 , .,.,.._ . �,... �':;�:: ,1tRE QUalito I A ,} OIVIMEI+;G`IAI:; US�imiECKL;IST; r'.,, .1 , ,ip..Mn�.' card t`= 'itt, ;,tvFoy, .i931 e7Y�x F. 't3,A.,2't,' 4,9,,o:i. 0,,N.I s Subdivision: ( 1l T(�r/1 1 2 \ (Q O Lot no.: k Permit fees* are based on the value of the work performed. Tax map /parcel no.: _ (J� Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the ” iiJ:.e';.1 'it*i; 1.. - � s' ; �i•Gya i�e'w '�+ ;'s , „, \„4 , 1 {. - - s =`a =',� :,b�:,.y s - `;DESCIUETION� ;OF�:. �,ORIC- x� =,;-t �: ~ :�,,.,�•i.� ::: Ott< work indicated on this application. , < =t "s�''it.`n:'Ya,lr `.. . ,, .,..'L,i4 Y,W�. i .. .1..4 .. 3 1, .. -i d ,...rP., . :,..Sa,::.+ Valuation: $ Existing building area: square feet . New building area: square feet .:'r:::.,', : i . tz,.t_ li.a+ +Alba.. ;2.s7.uiag gii...9k ?: ;i ',i:r { n.. r: .-c ; : ;: ,. t. ; -.,.> .,., r. n s.:-y. pi?:xis:J:f.Y =,- - _ _ , „ 7 = e ,< :, . , T, ; fi t , , , z; k,; e z 3 ,,;; ', : ,..r ,: , , y ;i x, : =:,?t�j ;;a't ;, ;sa S ., ,31.3 , ” 2 ROPrERT.Y -Iy NEW `t1 , " , , n k;t4,1 . 7j0 .. g.14. � .: = ; s T NAN; � om y . 1 ., gi ph , .∎' ^4 Number of stories: Name: ` - l: . CO , mu N t, t, t i .L., _.r Type of construction: Address: i Y '�a'� , , e b 1,. l.0 Occupancy groups: City /State /ZIIPyP::, L_$1 C VI. ( ' -) S Existing: ✓ 1 7 DV7 S7� ( ) d7 7/-0[5 New: Phone: � Fax: 1 .:. _ ;,��,, ;; ,�- r \ , , ;.ts. = +::= „c; �i ;, - cri: ;,.u. =a,,;:,.;,r=. ::.ar• r mst. .t.,r -., .r, .,t d ,,, .0 nt.. <. h� _ ..S.SF. , - a ,s,:,.�., t; »t�:.7 ;, ":1',- :!. >.1=:,,,, A ' is GONTACT:u. T�S.O - ,,ra,,, ; ,,. ,:,,m ... t E'F' + ; "•'F•�.� },gip.,. .:4 „, ;?,� ",- ,... <.. +; ,;a• _ : ... v. .-t � - ., ., ,, • , ,. ... .a., :t -. .. Y is .. r,_ ` T+ _ -..,. ,- ,:, .. .. ... �.,., ,. .". � - ;�, - °'lip _,:: 4� �tin }.� _ : p� � ;t }, ; u,- .:. , .n... _ _.. ,. _c,. , . ; ,., . . '+.l.. - . ,, . ... t .x�rY. >:.. .,. h� ._tl-n1, "wr t y..S ._ . , ...fh. r ,ak rz -. .. ,. ,ti.i l,«,U_'S!"„iJ, z6 t+:. -. - `?k= �,.nir = ^'?ea .,� -� r �� .. ,r . ,�: k "e?:• x,�:- is >�``:a,�y, "a._,, ,.:,�'J'r�,'.. ,.... ? .. - t.. ".:.. � . , - . ": "Ctzs "+ T Business name: 5 tS� e F � \ - e, All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) Fax: : ( ) E -mail: 'CONTRACFOR: I :' tr•t 1T "� ".. .- � S +� 1 e.. T : ° ,.. F -'Y,. =rz1 -. Business name:1 t as i; r _::e:: . *; : ::; ;;BUILDING. P,E121VIIT : iEEB , Add ress: � - raA ::;,. , ;, x a- .-. ?';= :>::;,; t�i,r . .............. ;,,.ray ;o,�.,„: _..,... - . , - ... Please refer to fee schedule. City /State /ZIP: Fees due upon application Phone: ( ) Fax:( ) CCB tic,: _ Amount received �/ Date received: Authorized signature: IC n �� ,K--� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: i V_ y \ I K. iCt Date: 31 / `l , l oG * Fee methodology set by Tri -County Building Industry Service Board. is \ Building \ Permits \BUP- PermitApp.doc 12/03 440- 4613T(11/02/COM/WBB) • Electrical Permit d4 WED , -- 7 FOROFEICE U ON ,.._, City of Tigard . n Date/By: PemutNo• 13 _ `1 25 SW Hall Blvd., Tigard, OR 97 V H 205 Y ` `� g Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Ai.,.., l'11 i Date/By: Permit: Inspection Line: 503.639.4175 CITY OF TIGARD ` II D ate Ready / By: ions' H See Page 2 for Internet: www.ci.tigard.or.us BUILDING DIVISION Notified/Method: Supplemental Information ���,, Ems .+. 1T -�.. ..� -'.+4, .3:. •. .lm.H•.b,±,.Z:a - �`1k - s ^Y.'1:..:' 3 }... ' %-v:'{' �J-. . ?.1w"�:^�� :. .,,:•�:_.- ar�•.. _...,.. _�. _.., -- ., TYPE.OR..W RK ._.>.��. =x::_ , PLAN, - ' ;RE V I E W ' = ^ � = ':: . kF' iz.— L.. O . ?.�= " "t +�. .lam! A �: r �: /': $ t :. S.` : L z.� . ;C "(�'s •M�• %. x :i ,....._ 'TY".�.e.t� � -'si: r -,� :SK: `: � :.:.a- ,'��:.e.y+3'i i.+':'£4F�5�, u. .t �t .3. rt .,. P"- - - ..,. •. *'a'Sii .v:':..:�F`s''e.� .:..e`.:� c.:•.., ,:._,.. . ... n :�.a •K f. � .a .. . New construct ❑ Addition/alteration/replacement Please check all that apply: ❑ Demolition ❑Other: ['Service over 225 amps, comm'l ❑ Hazardous location M _ ❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft., r ._ ,. CA'JEGORV IOF CONSTRUCTIOl r4,:i,iA of 1- and 2- family dwellings 4 or more new residential ❑ 1 -and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi - family ❑Master builder ❑Other: ['Building over three stories OFeeders, 400 amps or more a „•m :., , `r:,: -:, , >,- ,;,::.,,; ::.::;,:.: ": }:•,�•,,,. R,.,: :;:`,.;,• :; ,<:;:• . ❑Occupant load over 99 persons ['Manufactured structures or :u,. :,= RV °J. OB' ''SITE "3INF,OR1VIi�sPION�: °ANDS 1OCATIO •, �,;';�,,: ; • t ^� ^�i.�: _• :. *;_ <;: <r F N ' ❑Egress/lighting ark plan P ' 1J 5 ���er��e . :..,. ... ,.- ,.,,.,.. ....a.r.- ,�- .,- ; «,._..,,n:.' _- Ina ....c, ,,: .. •, z,. ..„'. �e ..,..ir Job no.: Job site addre � ❑Health -care facility ❑Othe 3 t� 1 r Submit 2 sets of plan with any of the above. City /State /ZIP: '� `✓ � The above are not applicable to temporary construction service. - ilia' °i }tt�K;pb4•e Y4:.I.i{x'iif�. J:z�:hj ':jta .¢,� ;s "Yli_. _ Suite /bldg. /apt. no.: Project name: t..!.,, / 1 . ltl,�, / :SPFEE, ,SCHEDULE, . x. Description I Qty. Fee. I Total I r+ Cross street/directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision:l n- , ` y V � I k k- 2 Lot no.: n Ea. add'1 500 sq. ft. or portion 33.40 I Tax map /parcel no.: l n Limited energy, residential 75.00 2 _ , _ Limited energy, non - residential 75.00 2 ' n a ;, ; DESCRI$TION iOF WORK i r i <r3 +' x r �.�. _„ � .�i.,r .,;�_ ::. r �:<, -., s., w ., -.... ,s�,� + . ,l `,...r�4.,�., s.��_ic�.r,r1�� Each manufactured or modular dwelling, service and /or feeder 90.90 2 Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 ., •: ��,,. , z,r..,.,`. .;,;3::; .ttk, ,xs` c4'.e: ,m .... ,,. wz;r 201 amps 106.85 2 Y '�, : , -1,, e,,..- €4 ,1..4, , ,et_,: i - t' ti:; .; : ,, s to 400 amps : � x ir � - x_s!..'>r• -e�, - r : t ,, {.yry > P P ' ;: P ,,; .. °PROE'ERT .. O�A, ' l x ,I.N •,. ,,: <:;.r. - ,t f, ,: . t T EN 'AN 'T. . x s � ,�, : ,; . -,.._ - ., ::. u- :w,ra.7 nor_ x ` t:,,. .. ���., > „�::ax:.4.w � a,, ... xT.`;{ t?,', i3� ; ?i ...,,. i�< a;,• v�ui�” 5 3�.` a; �. � ,s°',.Y:'!.�*:t'„t "` 401 amps to 600 amps 160.60 2 • Name: 11 a 0 •� ., Pi P b�5 Li t i 601 amps to 1,000 amps 240.60 2 Over 1 amps or volts 454.65 2 Address: LOW �,(,() ? �., 1 O � P /,� � j � J Reconnect onl 66.85 2 City /State /ZIP: Lai - V, G � � � Temporar s ervices or feeders installation, alteration, and /or I � f relocation Phone: ) �� - 6 r Fax: ) ?�- '(�J� - 7�� 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel .,tw , :9;- „ �. ,, •:rrd•�;,- = ,i:� S..aL,,: .,aa,rc `_.ate ,`:IY”' _r' A.Fee for branch circuits with 73, .<: . :4 `i,s';;,a c ,;; .s . «:t .....4 ® APFLTCANT >,- w.;; - z GOPis .., A T ..... SOIY .; s %:+ +.,.� service or feeder fee, each 6.65 2 Business name: branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, Address: each branch circuit 46.85 2 Each add'l branch circuit 6.65 2 City /State /ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( ) I Fax: : ( ) Sign or outline lighting 53.40 2 E -mail: Signal circuits) or limited- W ?fit: , - ,�. energy panel, alteration or t,. .� ;`CON`ERACTOR =. , k' ?<:!; " <'.., -- .,., .�c:s� ,.r gY P , . '� extension. Describe: Page 2 2 Business name: (' @ (2,61�L Address: C j L , sl t c --� -7 Each additional inspection over allowable in any of the above I G/ /11/n`./ C o -) Per inspection 62.50 City/State/ZIP: � ej /}ZIP: f il� T p � -3 Investigation per hour (I hr min) 62.50 Phone: (� / — ' t Fax: ( ) Industrial plant per hour 73.75 x}. cis":'- ji: R ` S EUE'CT?RIC "AL:; PERMl<T:�:FEES "t:` `:,x:: ;>� a.. CCB Lic.: -��0� Electrical Lic.i •� �(- , I Suprv. Lic.: �� Subtotal Suprv. Electrician signature, required: Plan review (25% of permit fee) �?��� State surcharge (8% of permit fee) Print name: C dA ,E� I Date: ?�I� U� TL --�� TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: * Fee methodology set by Tri- County Building industry Service Board . ** Number of inspections per permit allowed. i' \Building \Permits \ELC- PermitApp.doc 12/03 440.461 5T( I 0 /02 /COM /WEB .�� � ° E Mechanical Permit Ap t� -- - - - - -- -- - --.-- - r- FOR-oFFICEINE °ONLY- - 7- Received City of Tigard Date/By: Permit N .' _ 131:25 SW Hall Blvd., Tigard, OR 97223 MAR 0 8 2005 - r�° c�C�4 1-)1 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 /.,„,„ 1 , I fi Date/By: Other Permit: Inspection Line: 503,639.4175 t~:1 I T Date Ready /By: iuris: SI See Page 2 for Internet: www.ci.tigard.or.us CITY OF TIGAR Notified/Method: Supplemental Information BUILDING DIVISION aa'r . 't- .a .. T. -- _ ,. . ,» T [+L; . R� I ..- aaS'n , °• v.,.v. -.. ,.: r � � ,,,: ._ <- ..�.....,.� :.. �. > : .:,>„.:, _ . �,,. r 4 M1YI'ERCIAL.`<F" - z ;x„ ., it. ;t�� "` ,. °�i F1�E.„, ,SCHED.tJLFi;��tiJSECHECICLIST� -: '4 ,t.0. 'na>:i - v .o-,zgS. .+la:�.«5:,._,iC�et.Sw.:., - , ��. d<'::vY..a.. .e -..vv ... t.�.. ;. ^.itq.�. .'.•.�. .:1?!r. ..- ..a t.-- ..,- .: =Sf_. . _... ..r ,.Y : , ., ��.- .r: ... _ � v e l_� M1:._ 'i'`.t ..,....... `r�et.:t: `+. .... ,. -. ..- � ,. -� e . , n i t _: .a aaf isn M Mechanical permit fees* value se (rounded value t he :, work > N construction ❑Addition /alteration /replacement based the value o f the wor p ( d to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. '� - , Value: 4 .CA'I'EGOR•r iOr.,,. NST�RUGTIO - t,j s4 !i ' ' .'- ;.r.;; ..- .. � -:.... .. +, Nx.. :: -.. -.: �. .�r .u., =.,. -, n:.•-•;.. ^•::;....r .t... .. >, i - ... ,t ... .. _._, .:F _ i,..h:;.,. :1 ° "'aC - - .;_f-• =,: y . t° "';'RESIDENTI`AL EQUIPM'ENT / SYSTEM * � - �r�i - 4 ❑ I- and 2- family dwelling ❑ Commercial /industrial El Accessory building For specinl information use checklist. ,.,. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total JOB `SITE;'INFOR� lA SI a 'A1�iD, LOCATION �; ' i Heatin >`;a _��; �' ON.. � =; - , coolin ., .r. -: G"?. x�:,:,.,�:_. .:v. .:,.;;. �, - >; •.:. - -t."_ r,' � -.._ .• ., "..1. _,r. _ ,.t. .. 4•. ^5..'S e.- , i .... :. v Job site address: 1G3( �� ( ���_ � �{ Aiq Tres s to plan or showing placement) ) �� ` -I (requires site Ian showin lacement 14.00 City /State /ZIP: -���' � (/\N a, I Furnace 100,000 BTU (ducts /vents) 14.00 J Furnace 100,000+ BTU (ducts /vents) 17.90 Suite /bldg, /apt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or ' hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: C� ` Flue /vent for any of above 10.00 `f ��� I 2`� Lot no.: 1� Other: 10.00 Tax map /parcel no.: Other fuel appliances - •,•,u,':,..,a!k., T�t , .. �n ::='Y.':.,.n;:a: „a;�akNfiF''�1, `�•;i:°. :":�'; ; ;:h s15 c.. o a.r t::: ei,;'.x�, .'q�;y9'ix`` r ? }`'i "�`' ...0 t .a u, ; 4;` :t ot ,.,1.. •.µ'. - !�. ;b "� s= n .��. -�,=,- _,,�.t.�.�;• ;- 4s1�1<�.,:c Water heater 10.00 _;:t:} "42' :� - ' B SI, ESC' IZI�I ';+�4'IU''.rlr.,00•=i+„'.9,, t ] a'!'1 := rfr5 Pi• n :.t t.. s. -k: .. -. ti . i "... ., - .. s ';i4,cCe�_�'t -.. ro > =r, ;i ?.Ln'Yt.. -. afr. ,., .. ., 1:.. "__ rC' ° 1 �.,. A. %' }Pr- 53,'r- ...� ,` }„94.i ...:...'zy .1'N . , , t� »''AY+ , Gas fireplace 10.00 Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 ..,.. ,. ... ::,.r,,_, .. ..... >,.�,:;:rs. -+ �:flr >. ' e: ; �� �::;,; •,a::: .',,.� Chimney/liner/flue/vent 10.00 m ? 1 v Pt : ! la. ..f :• ni' **-"! 3i. ii PROPERTY;; : ©WNERi,' 4 ;1 . 1 a, - t ='TE1 =AN , .,E' ?t - , :. ,...�.. -. _._ ,.. „ ,a. - ., . ,-.: � z - - - _ ; ryr ��1 r_ ......,_,, , . n ,tt. fr. , ,.- ".., Other: 10.00 Name: \ A . ! ..: L� Environmental exhaust and ventilation Address: 0 (, / ' 1'' C 1- , l go Range hood /other kitchen l equipment 10.00 City /State /ZIP: : te, a- 64 ) Q 7 / Clothes dryer exhaust 10.00 I Single -duct exhaust (bathrooms, e Phone: --- aj Fax: ( 7 - 2 t I toilet compartments, utility rooms) 6.80 fg: ' �SS;..4- - ):.Ll; "51:' tj:t'i+ .•Ir' sr2.>5:': �.5.4��t. `cit%`.Yi `2k!` .. Y'. ,.;;' '•';n.:� # >��` ,' >r tiai;'>. �; .,.{��,.,' ?'�', ":�.,°�: ''l:t` .� � %i" - y >~. � P�;: ';;` � � "` wj °� s "'' a�i s "' ��`'`',�,,, ' - t - :AP:PI/ICA r ;,; ; -, T }: `' : si, is ' ' ® ,r M .�,;;:x ! Attic /crawlspace fans 10.00 s =. > �� - -.- ... , _.,.. .. ; , ��.,.,_..t,.>< l�r:.;5, :,t�.., , []r?,C, N. , I?ACiT;;'P L: - R$ON�.,:, �r.t, ;h.> '' > , � c,. .. sias...._.._,,1 .. �...,,.h,. ):�"�it�� r_ �_- �z' I S».....-.. x., t., r9t� .r >,n.i,.,:�.:.;ea;a<,t.a<rti rr ti =,.arc Business name: Other: 10,00 Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City /State /ZIP: Wall /suspended /unit heater Phone: ( ) I Fax: : ( ) Water heater Fireplace - E -mail: Range �i;i:l:.� e.i. i'..fY^�r:' t:.'ir>i, 1`rat 'CONTRACTOR•:, ?�k= '� .: Barbecue Business name: Yc 'C.L .'T dI, �� 0% Clothes dryer (gas) Vl ► /f' v`L Other: Address: /''� L 1 t .. ^ ;: . n 4._„ ./.. �:: -',- �,;.:; (,f t:,: F. � ,, 'MEGHANICAIRMIUFES ' TEE';- City /State /ZIP: Subtotal � Fax: ( ) x-- el • ¢i! }.r,i, �•: s+32s:,, l':t:'r , -; f, i iii_ •:�i +r t _ir...�.., r.... ,.: el - 20 Phone: J -�,. '7 - - � y 2 `I Minimum permit fee ($72.50) ,' J J Plan review (25% of permit fee) CCB lic.: (." State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: •., ' This permit application expires If a permit is not obtained within 180 days after it has been accepted as complete. Print name: V_C) C /r -I \ A I Date: Ng i b' * Fee methodology set by Tri- County Building Industry Service Board is \ Building \ Permits \MEC- PermitApp.dec 12/03 440 -4617T ( I I /02 /COM /WEE) RECEIVED Plumbing Permit Application 2005 FOR OFFICE USE ,ONLY , . ' ,• City f Tigard MAR 0 2005 Received y g an Date/By: Permit No.:ra,.- b- 5 - } i� 13125 SW Hall Blvd„ Tigard, OR 97223 Plan Review V ` (J Phone: 503.639.4171 Fax: 503.598.t6pY OF TIGARD // ttmmMIVPoI ° I +I� Date/By: Other Permit No.: 24- Hour Inspection Line: 503.639.481. � ILDING DIVISION e �' I .orris: See Page 2 for Internet: www.ci.tigard.or.us W Notifi d /Met od: Supplemental plemental Information :ems.., .,..'A'. .ii. a. k.�..�.. .xy..t a..., ., :. ..nt" ' "i. :.. . TYPE, OF a W,ORKT si:G.., �� ,. �.rz � sr�' sa a_ a�z, :.,, y :��• . ..., .; �,-_,.. ;. ,�_,......,,.,.... a.. ,.� .,,. a- .._..,...a.. ,..., ._ht.• ..,,,:ri -� "r.`ai >fl .FEE:.�.:SGHEDUIr .,„ ntk z ,- tiiw ,• r. ,<a,,,.. _. dry_ -,d.. .a, P' -�- - : ;;� -: ?:ap.,, I�New construction ❑ Demolition - For special information use checklist. 7 Description Qty. I Ea. Total ❑ Addition /alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) F ; CATEGORY OF CQNSTRUCTII)1V'l ; °l s A" '' t ? t - ?5 SFR (1) bath 249.20 ❑ 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 Each additional bath /kitchen 45.00 ❑ Master builder 0 Other: v,. -: „ Fire sprinkler ( .a. =,n =: ,, t ..w...:,- =z- IO ,,nev.. -- :, : spt• r sq. ft.) Page 2 2i;: .,; JOB' SITE: 1JV'FOR11h +ATION"rAND:r'LUGAT . -,, tssi'. `•" ��.� .F' -: ••' _ r S•,. r.t ., - � [a�X: i�,<l. x�Yi: , . . 4 ;,t4�. ,: ^L�•,w:.. °. _.,_ "� .:....: ... . .....:.. .:. .....:.... .. ��•.:sl�'x,�a:...o, ._.- - .•,.:.sa••,_ <,<. .,.y�_....: Site utilities Job site address: A l * �y -- Y a „i Cam � P e Dc Catch basin or area drain 16.60 City /State /ZIP: �(�, � (` ' 1 �� • Drywell, leach line, or trench drain 16.60 Suite /bldg, /apt. no.: 1 "` Project name: Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 Rain drain connector . 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision:` Cn x � 2‘ 9� I .Lot no.: 1 Water service (no. linear ft.: ) Page 2 Tax map /parcel no.: Fixture or item a:ki: -- :;,iti. :?::ot,,r' ` "a, *" t,,,,, -�+'J.„, ail".',, y'Y''.N•:rt,,x 't }�s} ":i=�:tiif:t'm.'a•,,tk.41 ^,t Absorption valve 16.60 ?:.s',?ir mry'���yii;� t +- - i,.i'.1" i;?` -;;r' �.•jy [. xti ].: _ /�..`; ;,.,, , iJS�:.,f ,. r:,�' . -f,, i i-,: m „),., : !A . :! ; ri , „D,ESCRIkmION „I.OF= "W " �.:t,:x,' {.-. - ,?,« . . . -... . ,� `rtt:.. . ;t - •� �a -c •. �,:,.,. ,, :r..;,t r *t: - _ =a�, ,,:� ��;; , .- �,.,,.,�, �a.�c „T,:.., ='w;�� .,, ^,r.a,..� .. 4,_:,.,,...< t- �...,.,., 3.. k:;. �a ,.��;�,.tT,- =- ,.,;��;�'_c,,:: Backflowpreventer Paget Backwater valve 16.60 • Clothes washer 16.60 Dishwasher 16.60 i � _ ,, .., :.. : s,•:_ : � ti -- _, , 'h° Drinking fountain 16.60 '.�`:'` - , 't�';,' i'. �.., .cS�? °,� �.xl *;v.�'; ■ "E` T",;�';:' �isr'. >r;`. '`;�': g ';.s %ci :i:,�x`;.;., '?:(,,, -- - k'`�..,.3•,.:t��rt t. Knzr'. t;h <,y:,' 'i %,t ® sPR©P,ERTY,=OW R,•,,.s,,,l;� - . •;ur: ,,•,t, :TEIVANT4a' ,, „. + _. - - „ "•T'C „•d- ..u .(�'; ,'4; !. ^��:;. - � .r -� .,.35 �' {5 ?:. . .:i�i" �tr. _ -:_ _ ,a _� :_.,. -, , Y .' _ z.rs:�' <.b�.,r. - A,,, �m .�a �r,n -. •are,.. _. Ejectors /sump 16.60 Name: Ikj\ , / ■ ' SPA InU ffie, (,L,((i Expansion tank 16.60 Address: '�0, - ,,,Le' I * GA . S e ,., l Fixture /sewer cap 16.60 City/State/ZIP: Floor drain /floor sink/hub 16.60 Phone: S17) .9,57 -7 027 Fax: ( ) 9 y ( S G ar b age di 16.60 .,ta , ;1: - : e ... : {;.°l -tii'% + -P � ;iP> 1 ,. •s . _ r t ; ;a _ n' ";+r:njai:;s "I';: ,t ;:a ;ir Hose bib 16.60 ++ . ®� APPLICANT ,'t• ^ - .; ,, . , s :, , a ,c,,,,..;:-, , .;' ` .,. ,s, A ', t '` d CON,`Te C R . iiiS01 a -._ .4s.t. 1v ^7., c;,. Nr . ,. tT'P - -. 9 Y+, , ,4h 1 -, ,. -�, x, r , - v,.., ;e8 ice maker 16.60 Business name: Interceptor /grease trap • 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City /State /ZIP: Roof drain (commercial) 16.60 Phone: ( ) I Fax: : ( ) Sink/basin /lavatory 16.60 • Tub /shower /shower pan 16.60 E -mail: _.,. 4V * >2 .. , aati .r:a, <, TPA ... - .%6 ,. '__ _,,,. ..0 #- '=�:- asANgti Water closet 16.60 Business name: �y� Water heater 16.60 Address: 1/ V 1 4�1.1� Other: �� Subtotal City /State /ZIP: ke C / / _ ( Minimum permit fee: $72.50 Phone: (5,)?,- )1 �/! /�� Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: """ ^llmbin ? Plan review (25% of permit fee) g Lic. no.: ��� State surcharge (8% of permit fee) Authorized signature TOTAL PERMIT FEE Print name: ,. P4---1 3m- t I Y Date: 3 j 1 ) 0 -`J This permit application expires if a permit is not obtained within !!! 180 days after it has been accepted as complete: °' *Fee methodology set by Tri- County Building Industry' Ser is \Bui ,ding \Pcrmils \PLM- PermitApp.doc 12/03 440- 4616T(10 /02 /COM/WEB) I y't.' .16��' • ' ', ^ " ' � , 'r! i . : r n idi d.'^f . s ".ti , I V 1 DI- il' STREET EE CERTI ... ® .p, ;� y, bs 1461 , A O wnerr ent for /i. C ,i, e L C (PLEASE PRINT) ` : (PERMIT HOL u A x .r. G s 1 Do here ' `' M. 0. Or- by�ce�rtif� t�l�'ati ��h� fol�:�owmg location Po- 1 meets, Ctyfi-gard/Washngton County Sµ^%:sk .. - (g4ai;* �nK ^" :::. a°"x^.Gn•9MNw- ?^'µS's, kw ">; ttas �'a`.'%sY5^a?,.'ae,+'Y? ® l and use and development standards for street tree installation. b. A ADDRESS: f S�yo3 co) Cv'e6of e I ,Ov t. ,, ® LOT: 12 SUBDIVISION: 5� no rye i 7 k• c R If' A o A BY: T DATE: 6-1 / r O Pi- A / 0,. RECEIVED BY. L �� _� DATE: g `1f . C A ® VYV!YY �' YY Y v yY �� yY YY r v " yy YV V V V YY YY yyy CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST2006-00069 13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: 4}20 }2005 Phone: (503) 639 -4171 / �a li Inspection Requests (24 Hrs.): (503) 639 -4175 `__.. INSPECTION WORKSHEET FOR DATE: 8/11/2005 TIME: 7 :09AM PAGE: 5 SITE ADDRESS: 15403 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 012 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF detached. OWNER: DON MORISSETTE HOMES, PHONE #: 503 - 387 -7538 CONTRACTOR: DON MORISSE I I E COMMUNITIES LLC PHONE #: 503.387 - 7538 Inspection Request Scheduled For: Date: 8/11/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 013366 -02 503 - 209-4837 N Corrections /Comments /Instructions: • • • PASS • PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS El FAIL E . LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspect. D ate: Phone #: (503) 718- CITY OF TIGARD i BUILDING DIVISION PERMIT #: MST2005 -00069 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4120)/ 005 Phone: (503) 639 -4171 � Inspection Requests (24 Hrs.): (503) 639 4175 __.. INSPECTION WORKSHEET FOR DATE: 8111/2005 TIME: 7 : 09AM PAGE: 4 SITE ADDRESS: 15403 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 012 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF detached. OWNER: DON MORISSETTE HOMES, PHONE #: 503 - 387 -7638 CONTRACTOR: DON MORISSETTE COMMUNITIES LLC• PHONE #: 603 -387 -7538 Inspection Request Scheduled For: Date: 8/11/2005 Pour Time: • Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 013366 -03 503 -209 -4837 N Corrections /Comments/ Instructions: • • I2 PASS 2 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL I/, ALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED Inspector: ■ Date: F// Phone #: (503) 718- __.r. CITY OF TIGARD , .7 ,.. BUILDING DIVISION ,,_ . . PERMIT #: MST/006-00069 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/20/2005 Phone: (503) 639-4171 ialik , , Allipliil Inspection Requests (24 Hrs.): (503) 639-4175 1 INSPECTION WORKSHEET FOR DATE: 8/11/2005 TIME: 7:09AM PAGE: 88 SITE ADDRESS: 15403 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 012 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF detached. ' OWNER: DON MORISSE I I E HOMES, PHONE #: 503-397.7530 CONTRACTOR: DON IvIORISSLi 1E COMMUNITIES LLC PHONE #: 503.391.7536 - t, Inspection Request Scheduled For: • Date: 8/11/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 013276-02 603-209-4837 N Corrections/Comments/Instructions: .- T - R._ 7 • 4 . • iltA/11) • _ . W PASS Ei - A RT I A L APPROVAL El CANCEL El NO ACCESS fl FAIL rA LL FOR INSPECTION if fl ADDITIONAL FEES ASSESSED Inspector: Date: — - Phone #: (503) 718- ‘.. . CITY OF TIGARD '' • BUILDING DIVISION . " PERMIT #: MST2005-00069 ' 13125 SW Hall Blvd., Tigard, OR 97223 Adi DATE ISSUED: 4/200005 Phone: (503) 639-4171 e,,,topil \ Inspection Requests (24 Hrs.): (503) 639-4175 ,A. 'I INSPECTION WORKSHEET FOR DATE: 8/10/2006 TIME: 7 PAGE: 2 SITE ADDRESS: 15403 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 012 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF detached. OWNER: DON MORISSETTE HOMES, . , PHONE #: 503.387-7639 CONTRACTOR: DON MORISSETTE COMMUNITIES LLC PHONE #: 503.3877538 Inspection Request Scheduled For: Date: 8/10/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 013276-03 503-209-4837 N Corrections/Comments/Instructions: . . • X PASS 0 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS pi FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: Cri VytA—.) k).----- Date: 5r) )0 i '01 Phone #: (503) 718-