Loading...
Permit C ITY OF T I (� A R D MASTER PERMIT PERMIT #: MST2005 -00015 141 DEVELOPMENT SERVICES DATE ISSUED: 3/31/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S109DA -SR014 SITE ADDRESS: 15457 SW GREENFIELD DR ZONING: R -7 SUBDIVISION: SUMMIT RIDGE LOT: 014 JURISDICTION: TIG Project Description: New SF. BUILDING REISSUE: DM250 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 23 FIRST: 1,563 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,430 sf GARAGE: 654 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 5 VALUE: 294,304.60 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2,993 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 BGKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL /CMP < 3HP: 1 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: 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 COMMUNITIES LL DON MORISSETTE COMMUNITIES LL and all other applicable laws. All work will be done in 4230 GALEWOOD ST # 100 4230 GALEWOOD ST #100 accordance with approved plans. This permit will expire LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 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 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: $ 8,606.22 1 - 800 - 332 - 2344. REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Engineered soils Issued By : Z7 2 ? Permittee Signature : 1-7 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. . Buildii 2 Permit Application FOR`OFFICE US City of Tigard ® ` Received 1 Pe N 13125 SW Hall Blvd., Tigard, OR 97 roc) �t Date/By: V/ � �,j �� �`�„ S �7 �� �'d`� Plan Review � � q �t� O Phone: 503.639.4171 Fax: 503.598, r,9.':t /e4,mNiM, 1 I DaDate/By: /V1AV 5 '.7 --p.5 Other Permit)W l7d4/5.1 Inspection Line: 503.639.4175 13 , ,.._,.. ► _ �_ Date Ready /By: Juris: r 10 See Attached Checklist for Internet: www.ci.tigat'd.or,us AN 1 a � Notified/Method: ., pZ� �) j / v Supplemental Information ,[t t'.. -.,'rt �,. •. Y4. .r. ,w ,.�i`+ '3'3t' ':' : *.y.h.� ..,7' F:1+ - ( J?�� Q- flk?!:, ,. y :. tiY :: `S,??'tFe a4)�4X=°' au: {^.tx- .,::.ems-:. __ ! s,. -tx. u•„?:t -. .i- uA. ,�.,- - , 'i(,,w_ <i:ra'ja" mr,'f ..,�, I - _ - :l:�. 1 ^: ..t.2.� -u _ =.ii �:}; fir - - 11, < :" ; x ..�. 4 n l{ ,1,; t• �DVU �liliING�= a «w.. „...: ,'E'O ,a x . RE UIRED DAIP;; AND 2 =, ,,AIIliY E ya - '��.'.£' " :i,iv - ' . �!l- k "- �''r�' 'g!i� -. t°: 1 .:,t !_ •,rr :`. �:, Y. " I': k 't ire , - S - _.. F,, ,�r...rs,k , ;�;. +`',s,. l't .,._ -.. {.�i,.... a . , ,.t., ,..- _,' °..St- v;'�`i: �. "�,,'��';, . 5=; �i :� °�r =- -. =.'�.fFw�x` -: . < . . � r.::• ._ b ' k..t��f, °`�� u. - !. ,t..:.c.' ?Ri" „ q5,?.:� +:+3';i : €,'. "i'4.�a'i .... €�tsNF - - New construction ntsiition Permit fees* are based on the value of the work performed. l aU i• ' - Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the �;.�:,: - - -,a: _- ._, . ,,., �, -, +'f' 'rt.,n °µ :ss.a °��'A ;r;: ,_!� i work indicated on this application • o =a,,,: , ; :%, ,, : kCA :;Cti' GO 'Y t ,, TI . . ,, x. , 1 (i IR S ..._ + � , t :�. c?�.: e:;.,.,�' + +; �. ,,,E,�< ,, <iJ �r ":t.:.r: <x>a .i,:�rzt._ <:... # }� :. zf,' u �' �" a' �' 4' ft; �._ F, n- 1, i�k�=: i, 1,>. �?. �,-- �:.._„., �..--, N�«.:,.,,.__. a. r.t„ rr: �, rA�,::.•:, �;= x5 ��iv .,:'H:.�E,.kdh•�. �er:��:;., _. ' Valuation: $ ❑ 1- and 2- family dwelling ❑ Commercial /industrial I ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: ) - ;."A-. ^, €�:a.: e:h rNS '�:'fi �,hrC:iYb �l:�a -rtX:;`7t.;^'z.1e.i'A;.smt , .'"r'%;NR,lII. Y:? ^n0'E'r: i`.I +i .':,.`3yEJ:` - ; .. , I "' Jif: "'h ;:C 'H:lt. +:�j TM'w': € "'� 0 ,' l,rzs ,n. .,t. ,;!! t / , rn,`,�', '; 1._c. �t fa ; e ,, ra.; i number of floors `` ,., = a: .°;° � it nnt'Z ( }INa+ORIVIA,TI©1 i AlyD;iL®C`AT,I A 4�.`�.., `„ ,.' Total num rF=:" t '.�' >;i44'a.,-- .:i:ws� +hr.:�_ ' n°,: f' ��"+ sl, Y! rxra' n;:; 31�i?• id�4°+ �': �+ �4L# 7hUS"" S' L'^ x72:�4,5.P, +sG' {Vt� , ";.r;. "- ^l 4ri� - ,SUTu�i� -� _ ',�'.' c�fC� Job site address: k � G �� ` New dwelling area: �0 square feet City /State/ZIP: ✓ Garage /carport area: 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 y . ,'M7'�iL,ail'i,f'92affi iv` n- «�t;a:_E'�'r` +C „cil5:it'h.:' ` i?:t`^i7`'iF3.5 K'i• 3t ... .� .:�: ,.,;... / A� �(�/� x i itta iiiiii 'D;pi: A' C ®MIVIE RCI ; 1�15tk CHECKLISTf't Subdivision: C / V ►l i Sl • VY �a Lot ,r..,....„. a,,,,, „,s,,";t!',#t.„, .r. .. ..„4,.: ,,,,:,,,... „,:• car ;,. „av1r. ,:. :, „q.„,„,„, „,„„:rf'rr:tc.v, ot no.: 'IL Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all Y,t`•i:E.rt(Yequipment, materials, labor, overhead, and the profit for the ,':G'= c.,.>.•:wtx,.0,: fp ^i'i+;,Y:'T: *!.s” ,i,',4'.,vR4:3Pt:';k;,t 's;ry.r.;rr'M.IYSf.*.`,`,', , .,r fa 3'�it"+';'i;' P,:rRt=.4;zSr ":,` '• i, {� + <. "tr�.?;'l.S. =tyrs, - " " ^,4d r �.�'•1', ± , .�+",. .t., r ^e '.�u., ., §k - . ,g - .` >��< -�” ,sir' ?” - � � •,':;, ",�.'. •,ti E' work indicated on this application. "f ' J , lar, , a.- - i ,. DESCRIPTIO .,F �,. 4 „tt.. - 0 ,' k lii ::' PP ..,.h$._ .:t -:t .. .., .�.. ..,lx, iix�.n��i i z., ..iu ". n 6. .,g,,.� `i�r'.; ':'YSA:... w " =iR''.s �}:1. ^'='�::y:i .. S- x .55?lr•:�: rf;L'; <b' � z. ,-rn "`v7 a... .,�h. .�,.. .y.;t:. ,li },'-5. i ; ,_p:;t. ,:. .< ._ � . __ .... ., -. - .�'s5',''•'�; ^..- c.�v`: ,s.'� . ,._ .,. � ,�,, n, vet t'- . _ .x �,..� ,ter.. -.a 7�:, 4r:. -, ., .. • Valuation: $ Existing building area: square feet New building area: square feet - - . m, t9=, a: L':; d. 3, w: +i +.:4if:Xfi'iiti44,:C:Sr� " "bix ?. � - :::Ss-Sdr -�' _- a , -Y. - :«.,. .?:•,acE,lEi "a= ';eww�t °u":is -�P 4> '''�" ?pr'a '':. r N , t'i,,'ia l i w „, ,r�r7,,: ? 5i • 5 lil i' T v`I ";i ,3i,: +B ,, ;; ` % '�:� � r „:tERdP,ERTkl'r® N,D u ia' ,r. & - �f � . ` , �';� t ., r � ^r�r.. a � ; '•fr ; ca „� += Number of stories: .. .,.,:r:; .,, ndlli ” alSS” s- a, �,• tzK: aY+ �: m'-.':^.” �1;: i�f � aSt. � Rx;, ns, �. �1?,`; u+ rY- ,._r:c �s.�_,tk':�r:�.t3��k`,.: � }�t�r�:i;Ir �.- .C�.€z'x'v�t sa;.?'3�!:�'.I ��t�•, f;:,.S}s.����s;' -. Name: - '��1 0 GC1 M M u K r1 ! 1 L •C Type of construction: Address: 1-1a..2.00 (, ) € ( L - . r C Occupancy groups: City /State/ZIP: L,I -e t 1 0(s, q - 20 35 Existing: .. Phone: (�:Y/ ✓) 9-0W ° 2 Fax: (�,�/�j) / '7 New: . - - - * ^;r„ �;.•� .�Eh`r' ;r;�r'it`�u. ...s��sa; z:;, '.;::s.tn _,,.:�,� d ��. t ,�.. i,�, ..' , -:., -„ . ,• , r :;, :, .. .. :.t ...,d .,. „.. , • -s � r'r, r +;� � A ,_w •'rte : „_• - �: -: >. ,f . 7 ...r s t a 1 } '`�" t „ .:�JriF, „ '4, ��� ro„ 'r sa',; .,.�',,.r „t , :.M.S ,a� =- -!'N ". '- ?'taa'.+ : i. .- 1 r <�,.,�,.,,,<r =.t. .il �.,M ,fi'. - iii : v §. `i .a,�.. , : } "�= t.., 'IwiK';7' t N;,r4�;a.:� tr•;• ;,�, r.,l.rr}} SAP CAN ,I.,,?z�r,u. ,.��,; ,�;��:: =: .QONTA/�: T` PT!; 1�'.aitd. :i �,� M�, } v.t:t.;� ;�A , C. -,S � ,T, -�YG 1. � , C htss R,7o '.'. /5A, d r.i F�'• :.fi:: :>�,• {FPi'" . , , 9 0 "1 . 1G.. S 4.'• =-� -:r: N - �' �.'Q. 0' s: Y .tea. ..� ? -u A .. t T:s+ n,'.. ;. :' '., -,. �,...�.��. r.� ...,..,w +, -. �..ta,j::�°::ar, \��n <1r:,. .r_,r`a,., .,=,. :rt:�a�.,.w.�,,,,,.,'�."'�,�ti< �•�,a`l'. ,.s. `.a. .�'NOlI1IG .z.. . .,.. .: � ......- x ..,,:•i., r.�'�Y.,,n w... t�C: ?�h`�i'i£.i'v,�:ifC.: : = ''�tY• .. .:`i f_�i.�::'.i �.��i- �';t',�:i,'�:� : ,, '''; Business name: 5 wie ' _�/ �w - Y: u -;: : ti:1 L/V 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: ti! <n _i: t`! " "i . A " .ice '. -,. y ;. - p i= a:::'Ata :: -t .1.', GtNPR ;;PO r. .. °2 ":'. _a ... ,... -. s ... .. . ..... ...:je•.: i.'.'., -,a<. ,.,. y= .'afN.i4n U:':sI'.T,i'.., !:6S ?�'3n t,�:;�...,......i:is:l� :. ...,.._- �K._:�, r, .:. _.- i's9_::�.E,: €�' „'.4 Business name: �y _s;:, -s ,,u:< ,�:;,,;,-; .. _ l� <��'��/l/' `ct' '; - ' . }•r't mp,RTERIYIIT�oF. pp . *• Address: ,r,3M1? �” fari r ,z;'tmn,;`t';cnr,:�a :..: ......: . =`r: < •�•. ° 1, ?.; ,C�t- `- v ?:�>::i•i: Please refer to fee schedule, City /State /ZIP: Fees due upon application Phone: ( ) Fax: ( ) CCB lie,: - '7 Amount received Date received: Authorized signature:bk gy p; / U� � �ft-� This permit application expires if a permit is not obtained ii within 180 days after it has been accepted as complete. Print name: 1♦ I'TZ 6, Date: I ! zilo J * Fee methodology set by Tri -County Building Industry 111 Service Board. is \building \Permits \BUP- PermitApp.doc 12/03 440- 4013T(I I /02 /COM /WEB) Mechanical Permit Application t FOR orFI USE ONLY , City of Tigard Received DDate/By: Permit No.:�J/J 5 _ G_ ' S 1312'5 SW Hall Blvd., Tigard, OR 97223 Plan Review / , O� �J� � Phone: 503.639.4171 Fax: 503.598.1960 //rs t# Date/By: Other Permit: inspection Line: 503.639.4175 ., ' lli y _ 1 Date Ready/By: Juris: See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information y _ . y -., v -'°�z :'rte:'.. �, - t = - rt - � E`''�OFi +WO ,�:; .,.�.- ._s�- =;�: ri:R,, �:FE .:E, =.�• �_E - - GICLIST:, =' �`:.:;:1 >..� . a . � , GIAL E.r�•SGF1ED.iJI! I1S CI3'E d. ... .-.,: i. .a. .. TK`. � _.I.::)...;}h.'i A•FS.� <.- �:�.:. :. .. ,,.�= .. _ w�e.!lr::l"i 5l �'-'( 1k: W',..' ��v , :::::Y- 'xd_:...,.r.i- !,�Ye::. �.ti.r•i:: z:9. :� J:':•:.;E'::.•.s . ": _. r:.ai :v1. .. ._: •� _•.- New construction ❑ Addition /alteration /replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. e•,'wr ri;'f` +. :, 1., <a,. Value: ,.. ,CAE["IIGORY , = OF '` GONSTRUCSrIO :_ . ' ' _:: . _.. .... . �`� ;;REBID .. .... . . . ... .. .. ..... �_, ., .. . .. : �:,.. ENTIIAL' E'Q UI PMENTi•'% S Y S TEMS' FEES* = ❑ I- and 2- family dwelling ❑ Commercial /industrial El Accessory building ? " is ° ' For special information use checklist. ❑ Multi - family CI Master builder ❑ Other: esc ...,:_ti.- .;.- ,_,.,:,,:,- Qty. Ea. Total ;.5 .,n, - �[:, u . A.' :, $s`ilvi:t;:: ,::•;vF:Ft%t ;,� *: ``t Description ,c,. .� %* 't - {_� I _ - r.� - Y : .,... ;; . 3 ,JO, ,, E ;INF AT : LOCATION '- :, ., ,,, . :��, se'`. ,,.�> ';i�'.i. Hea coolin ., - . .. :... . .•,:,:: .. > _.. - Vi Job site ° , address: A ���,. k conditioning L D�. Air con pump placement) Sl��' / (requires site Ian showing 14.00 City /State/ZIP: 1� Furnace 100,000 BTU (ducts /vents) 14.00 t� ( v Furnace 100,000+ BTU (ducts vents) 17.90 Suite /bldg. /apt. no.: 1 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: t no,: Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances i::=:+:•`.?':,;t ,;:. °:::T:.�:' P 1Aj ?::; :..-; ;: _ ,.,:i .'§" . -a•:' i p' , . :::i' P._ N ,!`•!S.l•�::iY` .:, iVnld,. ti+ a`:: r+ z:.. �, ��:: i;,,:.•:. i .�.:Cf:r���= L•.•!.i':�.4.y�d:Iq Water heater r> :;,, ^„ '• .;:;:, rw=:; iy., > ,. ` ..f. ,R, ,:,, ,. >. ,. ,Y : 10.00 ,,,N g, -'DESCRIPz S•. pFy ,®p�*�},,M '44.- ,.. s+z=,hx.,- �:t+T .�T�:i.� - ;•d ,. .o, -,'i`i � �_,. . - a +�, -,}T,, <,5 ^,,.. ,:,5 "{;e,, u:*.. �.� ».i.. -ter'+ 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 : ,;il .:. ...,,.:,,�;:• i :R }; ; :iz - : : - :Ar >= Chimney/liner/flue/vent /liner /flue /vent 10.00 '�1,�u„ 148.. +. ll' srG' 2g•iF` - •���`N ; _ �z?;'.-c° y is' PROPERTY;':OWNER t,:..)1 k=``` j :�_- ;.,�. :-:; s „(i?T,E I _,: •- �; % n:r,? . s'. .. .. •,. y: �.-.- t�3.- �,*,,::... T,, �S4,.:. z? :;:..,,.TS,::c��;�^'M.�:,.,,t �'= ���, vn�a., u,> M- s n� r•. _�re�m� *:.•�x..:°: �-� °" " y ���� Other: 10.00 Name: \ 1 �JV , \IV %ivi - kel.. ) Ut _ Environmental exhaust and ventilation Address: / 11 V Range hood /other kitchen DO ' �`, 1 equipment 10.00 City /State /ZIP: ' I �� ^rte � a ) Q 7 Clothes dryer exhaust 10.00 f Single-duct exhaust (bathrooms, Phone: - c q2 Fax: ( �`� '7 (01 toilet compartments, utility rooms) 6.80 fir" ::44 :(ie�u�i - •�:tP`'.:M{I!3 : : r3 •iY"�. d•l�nW,l•.Fi'r •iY: IYJS.�S�i.ISfi �' , •,l:k '' vs' - Z.xk Y (zrc tS 4.lv.[:� ",:�. % ' � �,�M• #yX ,.�. + , .i ,.,' i. :: : ci 1` p• ^' . ; • : a ,. / "F;', =t�; z , �s�r, • ^ ow , g - _ ,e� t,, S ( Attic/crawlspace fans 10.00 >: >; 1 ; ®t;.APPLI A 1A1 : :fi ._, ::r, t `„ �h=7:° _ .:a } P .�:,.E:; . _.....a ,. �,_....:.., o•. �',. ��n: �t. �; ��:.... ��s�{!:...,. �SY' x' i::. �..., �"-..+ �u4. a.-•.:•! ao.+ s. d.- q.. c, �y�., nt,, :,i,.,t�i5fi�,.��a�va- 'n.'.*.�?( Business name: 1 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 E -mail: Fireplace Range - t 'CONTRA i � «3 - -„ ' : r� ��`�_ +:'� Barbecue f, ., ,, _... _.," n: 1ti:, r. x::. Vl. wpY 4 .t. ........ ..�i 4.; :"• Business name: (11 . t f) 7t- V a � c /JL I %/ erg i �7 U'l r `{.�' �`LM� �(X� Clothes dryer (gas) Other: Address: L 1 1 Po k �l�a` ; !}j^'• zkSY : ' " d41`tfi�•N : ,:-"; �'j1}� _ �V I / :;: -"i<'"•t; =1VLECI ANICAT PERiVIPP- t . , « °' s ^ : � 1' \ V v t 1 0I� -2 lY :.<, :,.; . ,r btotal . ,., M . ' : .: . . _.v... V L City /State /ZIP: , T P Subtotal Phone: ( � '. � I Fax: ( ) Minimum permit fee ($72.5 Plan review (25% of permit fee) ) CCB lie.: .� J State surcharge (8% of permit fee) � / L 1 /' TOTAL PERMIT FEE Authorized signature: ''�i 'me This permit application expires if a permit is not obtained within 180 _ .. g � loos aster y has been accepted as complete. Print name: � t l �,�t ���' Date: � * Fee methodology set by Tri- County Building Industry Service Board is \ Building \ Permits \MEC- PermitApp.doc 12/03 440 -4617T ( I I /o2 /COM /WEB) . - Plumbing Permit Application - FOR OFFICE U ONLY City of Tigard • Received Date/By: Permit No.:/yf r_l/cO- c/-Or I'5 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review (J��''� Phone: 503.639.4171 Fax: 503.598.1960 /ivilll & Date/By: Other Permit No.: 24- Hour Inspection Line: 503.639.4175 „ �. Juris: Internet: www.ci.tigard,or.us .. Notified/Method: ed//Met o: hod: S d See Pent upplemental l for Met Supplemental Information 4 .d : m om__ 5 � j :,� �� : :>H 'mot. ¢ .te r - - <. .3'- s' . � =- t~: - OFD � W,ORI�:' - 2'i�...x.. «'... t <._., ..r: _ -� - v.�.. . �;.` . ,� -�. �^:ar. '1.. +REE:...•SCIiEDiTIsE!.. - �_ :.�: ,� a - -... �- r4r�4;.�r..c.�t: -".� - .;�:..�: ' --a: .:sr, s= i}:`i''h�,. .t,, nt ��_r�- �:�,.��;�.,,. • :�l',x � =F..,: �:�.�.�:ia -+ <t.,. :�..•._..:..�._...- ,r>r,.,.x ..�..,:.. :,..,.•:v,,...:�, .;, .:. ..:..: ........ •- , _ `i >• . = �..a .F, •:5:.. ,,. < - >,.._e, ..r.._:.., m�. ,,. - .. n. _ ., -.. ... /,.:.., -. _i. . _.. r . - _... . - -_ _..:: �' {>r rte, .: e,r - . > . .. 4r, � . - . -.... .�.. •.....:.I:ff�' ._3 _,x'��' =� ,�.....,, , a '° .:.:;:.� . .. p r�s _'r•.a; t-.n: -..ate �<ssa . - -. ,� � - I�New construction El Demolition For special information use checklist. Y Description Qty. Ea, Total ❑ Addition /alteration/replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) c ' t CATEGORY O� F; C : : - . f :. r . :a: -4, SFR 1 4 'x:.-1 j f`. IC.. ., i � <`E�9,' ,,, j 's�'3: ...C:_ "�.V,' ( ) bath .20 2 9 n ..- �.._. ./,.1. >:- . - -rt, ... .,a ...,.- ... .. a ,:+ -:.. -. t„ �._ r.., y:. r.,. n` rwtia' r /f- GM:sA1: {?1�.4�_.�.,__...v: C,dS+l_::...- ..�'c�� ❑ 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ID Accessory building ID Multi-family SFR (3) bath 399.00 Each additional bath /kitchen 45.00 ❑ Master builder ❑ Other: . „,1• :;�. _ :, .• {` , .: ,�.. = -•r:;/ :1' !< fi aNr,',m» w. , Fire sprinkler ( sq. ft.) Page 2 . . t „ ? f3.'r: =a 4) :, %,i� t t' � - m ; � �� r R i @' ,. Fm , # : y ... , .,° r .:;3, i r *}',j££ •`= a"4':';. s,: ' ', ' ?: ;JOI3;8'iT,; :A IN FOR MAT IOI :.AND.�L OCe1T)�ON " :1A. i ;x,t,,: - .,. tC ir,., -,1 , .,. . � ?,'�ti° _- - .` ?n;..�,t'.. *`at.: , a_ sxAr'r -..� >a; =y r;- x�r�.r. �•/n:_, .,... - SI util Job site address 1 r�' i �� a 1� �.� Catch basin or area drain 16.60 City /State /ZIP: 6 � Drywell, leach line, or trench drain 16.60 Or Suite /bldg. /apt. no.: 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 rn(r�� w� Lot no.: Water service (no. linear ft.: ) Page 2 Subdivision: Tax map /parcel no.: mx ure,or ► em k• ; - ; k ={ , izsz;ar ;W t „ - :,. ; ,' xs, •; ;_ :,},fit, , z. t :` -�:,r,+t,::,, ,,,. Absorption valve 16.60 ,. , ;a . " fi i T l,: `Vh" ,} ; >, (�;° - '}': .: z t: t j -: ', a t. ''`rkT ,_ :.i o r-, 4 ti;k ;l - ; ; ; ,t :.,, . , t t i ,,. , ;; �D ES.OR, ,, ".R'40I I{ r'r:- i, :,1, ;�3 �..- f :.;t .: , :•.: �. _- ..,.,. -: ;; r',,.,. F�3y. e: ,E,{ "i.;<:,�,x�:,)�i11:N,,: =e!s ^•:•;.,.. ..G ,,:.- .i;6;�-a u >:,.... >a :•t e , y ,n.'�;'!`.`� -s'i;� �;`���Y %' f ' E� o ,•�ti�fi!,.,,Ek ,i<<t:. r v •,.,:•,,�,,,-- „=�z, �, , u, � .,..n� �, .: N �,. /,�' -.:. ��. ,s_.., try "h._�>L:_.�.�_,_::.�,: -..9 Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 • Dishwasher 16.60 ::> - o,. _ „,t,':. ,_,,,,, ,,s':.,,:, ,'<;,• v, =x.,:' :,x; ;i :,: =s' / , :r Drinking rn fountain 16.60 G , "£` �} .;a ; ,µ , , T. *`` -. "': (?S,,;S n se, l q. i :. g. Fdii "i v § ' , , u p,. ... 0 4 ry �:,,,ts ' g _ gin : r..It1 O P•,ER fi; Ya: d , .. .�v -.��,•;,<',X: :�; •N' S� ? � = cxr.�:�: 'ilv : .�.,�,. ie ::. ,,, .B,1: [ •=NF:, G:`tt xd a . f ,'Pit i , r ,a r . °1 x-t?'• :,, k'; ❑ ,2 Fr I „i3 , y * ,, i; , . e•ia °'i _ ,.. ,.l*xst3:,�;.._.,. ._ _.v.mu,.. u {. a.,..:_ ..xtl�,,�..�,4s<.r-.. {:- '�xrv. St'tvi '.a;h,. -_�. �`'.�a' . >,.. :§ :•m " ''` � � �i,� t „ •,. Ejectors /sump 16.60 Name: C'Jv�_ >_ i,� ' impl /t-( . Expansion tank 16.60 Address:1 -o fit.. e, "' � / , �,, I Fixture /sewer cap 16.60 City/State /ZIP: L _ Floor drain /floor sink/hub 16.60 Phone: l�) . •-. 7 Fax: ()9j) (r l S Garbage disposal 16.60 �:,s _ - 1, zs:.c : �>v':,- - ;::,�..,., ,, x�, ; t a .;'i = c. - - ax: z'�:cs', � �ra,� ;r • ^ •,xr�. „r ,;,., Hose bib 16.60 .,.t ^`, '� his "�ts g -. t` •i.''j1i. T E ,- , ^� - n,.d.. ' , b, ? 1 r,a s;APP�TI < �. ::7;uta n::- , } ,1}'. w , r, -: f " "' ;k , ;�+:._ „a an;� c pie,., , ❑ -, C T' +; , �;k' x , :t .' - ; ? ❑. R $Ot ,t , .'0Q, , ,:i, -11 ,.,. ....� ..... . ,. ...i'.)' ? ?:2,? +.;3 ".4 •: ... . -.1 `liy� v „R +.:, r �i�,+- ,�;SY ;.'%k '�• ,.,}_+., 1.. - `1::. ,,.,E:. ,�,_t...._,�,- , , ...,'* r9, ?: �_..,:,-.,.,.. �. ��..., ....:: rF;<.r,',...;: x.:: ,,,.re Ice maker 16.60 Business name: Interceptor /grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 Cily /State/ZIP: Roof drain (commercial) 16.60 Phone: ( ) I Fax:: ( ) Sink/basin /lavatory 16.60 Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 °iri>^'.?+i..;.: :'"1.'. :, c3h;:. - r!1;45.,.ri�U,:d'" v'ik %i` :;: yry.;.= d; gr,vu;�a:f "5 "x.S`.t:' ^- .,�v: +t ;ru,. Water closet 16 .:m �, `ai "s CONTrIi�AGTOR'I::'1: �` :,,�t. =, +.. ..�. '�i \�" _ za �" } {T.ry 4iYry •4..t';.?rc.';•¢n '- p "'sn,- _y _.., �.. ,r. =�. - �: >x4., , �_s ?s: 0 _.. ! ., '- _Ii ;4• -. r.} . , r. ._r ... v.x �': b'-: 4�> J,?. r. q •�i:,�:'.__...v,.,...e „3.,...a. Business name: 'j "w y ` ? t ^ � � Water heater 16.60 Address: /(J ' Va ✓} Other: � ---r -/ x.�„�'t:�-L•x`/ Subtotal City /State /ZIP: ( �' Minimum permit fee: $72,50 Phone: 5, -' ../t 3 Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lie.: L Ueb-7e-f •-7 ' hmrbing Lie. no.: ?� -- 'J po Plan review (25% of permit fee) Authorized signature w State surcharge (8% of permit fee) � 1 TOTAL PERMIT FEE Print name: .. 1`- i � 3 - '�t I\ Date: l r f This permit application expires if a permit is not obtained within It 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. i:\ Building \Pernmits \PLM- PermitApp.doc 12/03 440- 4616T(I0 /02 /COM /WEB) Electrical Permit ] Aftpl _c tiom .yORO FFICEUSEONLY -° . - A . .. •.. • .. City of Tigard U �' to t v E ® Received Permit No: . �,yt �j — /�}��J y g DaDate/By: pe ire![/o/ `�'."' I -J 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Ili.'" ) 2005 dap • Other Permit: Phone: 503.639.4171 Fax: 503.598:`1960 JJ � I + Date/By: Inspection Line: 503.639.4175 .„ q ' �.I I Date ReadyBy: 1uris: H See 'Page 2 for Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: Supplemental Information BUILDS[ PEE3 ' 0' PLAN REVIEW rg New construction ❑ Addition/alteration/replacement Please check all that apply: ■ DRazardous location ❑ Demolition ❑ Other: EService over 1 amps IDBuildng over 1 000 CATEGORY OF CONSTRUCTION of 1- and 2-family dwellings 4 or more new residential 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ■ 600 volts nominal ❑ Multi- family Ell Master builder ■ 1 • ■ 1 amps or more El ['Occupant load over 99 persons EManufactured structures or JOB SITE INFORMATION AND LOCATION ■ _ • , RV park Job no.: b Job site address: ' z " U 5 5W 6-y )rl D,, , Submit 2 sets of plans with any of the above. City/State /ZIP: 1— r y k 10E4 77223 '• - • • temporary FEE* SCHEDULE - Suite/bldg. /apt. no.: Project name: ,) (iv hors SS + L : Description • / New residential single or multi dwelling unit. Cross street/directions to job site: B E *1-- ig f Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: 5 u - � "{1 et /„ Lot no.: 1 LI Ea. add'I 11 sq. ft. or portion 33.40 _© residential Limited energy, 11 Tax map /parcel no.: Limited energy, non-residential 11 DESCRIPTION OF WORK manufactured or modular . dwellin , service and/or feeder 90.90 2 N ek) Is. et/ c LAd a / ire,- Services or feeders installation, alteration, and/or relocation PLNW :1 PROPERTY OWNER ❑ TENANT 1 1 amps to 611 amps •1 ,1 Name: ps amps II 240 61 - 2 Address: P 6 iti . )4 ayt.5- -��.. .1 • • /6 111 amps ' volts 423 6 �PWM79 5 - . 50-17E-, a Reconnect only 66.85 2 City/State /ZIP: 1 � rl�F d S rw G 12, `]763 L Temporary services or feeders installation, alteration, and/or relocation Phone: 563 ) .387 - 7s-33, Fax: ( 5 6 3 ) S57 '--74 /S 11 amps or Owner installation: This installation is being made on property that I own which is not 201 amps to 411 amps 100.30 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 70L 401 amps to • 11 amps 133.75 2 Owner signature: Date: alteration, or extension, per panel El APPLICANT ❑ CONTACT PERSON A. Fee for branch service or -, B 6.65 2 usiness name: branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 each branch circuit Address: Each add'l branch 6.65 City/State /ZIP: Miscellaneous (service or feeder not included) p or irrigation 1 Phone: ( ) Fax: : ( ) Sign or outline lighting 53.40 2 E -mail: SignM circuit(s) or limited- CONTRACTOR alteration extension. Describe: Page 2 2 Business name: /� r . , ��� � L LC_ Address: 4 4 4 Per inspection 1.11 62.50 - City/State /ZIP: / erM d b GPI 17 7S-z, Investigation per hour (1 hr min) = 62.50 - Industrial • 73.75 Fax: ( _ - Phone: (563) 3s--b_ et, 27 I 563) C9 `�, — 5/4/� ELECTRICAL PERMIT FEES* CCB Lic.: • Electrical Lic.3c�_ ii _ Suprv. Lic.: - Subtotal Suprv. Electrician signature, required: ' . of permit fee) State surcharge ermit Print name: Italy 9 /- 34 op / 4 _, A ) Date: 5 2 5* 65- : of • - 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 \Petmits\ELC- PermitApp.doc 12/03 440- 4615T(10 /02 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined $75.00 Check Type of Work Involved: Audio and Stereo Systems* Burglar Alarm Garage Door Opener* n Heating, Ventilation and Air Conditioning System* Vacuum Systems* • Other: COMMERCIAL WORK ONLY: Fee for each commercial system $75.00 (SEE OAR 918 - 260 -260) Check Type of Work Involved: Audio and Stereo Systems n Boiler Controls Clock Systems Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation n Intercom and Paging Systems ❑ Landscape Irrigation Control* n Medical Ti Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling n Other Total number of commercial systems: • *No licenses are required. Licenses are required • for all other installations i:\Building\Permits\ELC- PermitApp.doc 04/03 /'-f s ; aCV5- 0 /5 AAA, AAAAA . ,, AA = iAAAAAA,AAAA,,c AAA® A AA AAAA _, 4 1 STREET TREE CERTIFICATION .. .. ®/ r I, 7 gwY (, � p� , y caner /A gent for Dc...? 1'l�(,u„.rssE7T 6,.. . L L C . rt: (PLEASE PRINT) (PERMIT HOLDER 1 RA- 4 1 Do coyr y t hasg e f o li lowin l ocation 0. meets ✓ F" � .l i Cty o T Bard/ . ' " Y ounty �X1 ashny on .` ". °:r a r_ f"±,r: x.: zer« .- :;m=xarn,<»,rzxd:wyrta.M^"'�e= rr,..w..:�z -A l and use and development standards for street tree installation. go- 4 0p- Ds- 1 ADDRESS: JSys cr,✓ /L 160_ Dv- 0 › LOT: ) Li SUBDIVISION: S ,,n,�„-,)— ,, ;of e Or- 4 AO _ BY: AIIII �► DATE: - 1 - 05 41pr, 0- 1 RECEIVED BY: DATE: Ak irk A "yyyVVVVVVyyyyyy 1VVVVVY v =}VY VVVVVVVVVVVVVVY ® yyy ' . VVVVVVN i CITY OF TIGARD ,_ - t BUILDING DIVISION PERMIT #: MST2005- 00015 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/31/2005 Phone: (503) 639 -4171 ' ".q� .. Inspection Requests (24 Hrs.): (503) 639 -4175 „..'i INSPECTION WORKSHEET FOR DATE: 8/2/2006 TIME: 7 :03AM PAGE: 5 SITE ADDRESS: 15457 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 014 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF. 7/21/05 AC added. OWNER: DON MORISSET1E COMMUNITIES LLC, PHONE #: 503 -387 -7536 CONTRACTOR: DON MORISSETTE COMMUNITIES LLC PHONE #: 503 - 387 - 75538 Inspection Request Scheduled For: Date: 8/2/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 012635 -02 503 -209 -4837 Y Corrections /Comments /Instructions: 2 ��P ` /j, &2 ' c77O/v Az sT �---- r ?'—/ —GA PA SS ❑ PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS ❑ FAIL III CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- CITY OF TIGARD _ s. BUILDING DIVISION PERMIT #: MST2005 -00015 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/3/12006 Phone: (503) 639 -4171 irfl�npD Inspection Requests (24 Hrs.): (503) 639 -4175 '__.. INSPECTION WORKSHEET FOR DATE: 8/2/2005 TIME: 7:03AM PAGE: 6 SITE ADDRESS: 15457 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 014 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF. 7/21/05 AC added. OWNER: DON MORISSETTE COMMUNITIES LLC, PHONE #: 503 -387 -7538 CONTRACTOR: DON MORISSETTE COMMUNITIES LLC PHONE #: 5Q3.387 -7538 Inspection Request Scheduled For: Date: 8/2/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 012635-01 503 - 209 -4837 N Corrections/Comments/Instructions: / +i�� , -- - > `� C / -./ %I S F— /—o • I P‹) SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL El, CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 4 Inspector: / , i ` Date: ? _0 C. Phone #: (503) 718- • OF TIGARD , BUILDING DIVISION PERMIT #: MST2005.00015 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/31/2005 Phone: (503) 639 -4171 Aa @ ��r�p� Inspection Requests (24 Hrs.): (503) 639 -4175 ... INSPECTION WORKSHEET FOR DATE: 7/29/2005 TIME: 7:07AM PAGE: 4 SITE ADDRESS: 15457 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 014 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF. 7/21/05 AC added. ��� `� OWNER: DON MORISSL I 1E COMMUNITIES LLC, !-� PHONE #: 503- 387 -7538 CONTRACTOR: DON MORISSETTE COMMUNITIES LLC PHONE #: 503.397 -7538 Inspection Request Scheduled For: Date: 7/29/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 012467 -01 503 - 209.4837 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL _ ❑ NO ACCESS ❑ FAIL ❑ c LL FO' : CTION ❑ ADDITIONAL FEES ' SSESSED Inspector: Date: � Phone #: (503) >° p J ) 71 CITY OF TIGARD (- BUILDING DIVISION #: MST205 0001�a 13125 SW Hall Blvd., Tigard, OR 97223 411,,,,,, DATE ISSUED: 3/31/2005 Phone: (503) 639 -4171 4 J# 1 ;itill1 i � l ' Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/1/2005 TIME: 7:05AM PAGE: 50 SITE ADDRESS: 15457 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 014 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF. 7/21/05 AC added. OWNER: DON MORISSti IE COMMUNITIES LLC, PHONE #: 503 - 387 -7538 CONTRACTOR: DON MORISSETTE COMMUNITIES LLC PHONE #: 503 -387 -7538 Inspection Request Scheduled For: Date: 8/112006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 012538 -03 503 - 209-4837 N Corrections /Comments/ Instructions: Imo♦ PASS P TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS El FAIL F ALL FOR INSPECTION 11 ADDITIONAL FEES ASSESSED e / ' 0/---- I Inspect& Da -. Phone #: (503) 718- CITY OF TIGARD • , \ i BUILDING DIVISION PERMIT #: MST 00S -00015 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/31/2005 Phone: (503) 639 -4171 kw g li� Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 7/29/2005 TIME: 7 :07AM PAGE: 72 SITE ADDRESS: 15457 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 014 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF. 7/21/05 AC added. OWNER: DON MORISSETTE COMMUNITIES LLC, PHONE #: 603-3674536 CONTRACTOR: DON MORISSETTE COMMUNITIES LLC PHONE #: 503 -387 -7538 Inspection Request Scheduled For: Date: 7/29/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 012433-03 503 -209 -4837 N Corrections /Comments /Instructions: • `PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION - ADDITIONAL FEES ASSESSED Inspector: Dade: . Phone #: (503) 718 - ivy