Permit • CITY OFTIGARD ,
Jun„ DEVELOPMENT SERVICES MASTER PERMIT
a,�f PERMIT # • MST96 -0508
_ / J - . � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 DATE ISSUED: 0 /07/97
PARCEL: 2S104BA -15600
SITE ADDRESS...: 13578 SW LIDEN DR
SUBDIVISION • CASTLE HILL N0.3 ZONING: R -12 PD
BLOCK • LOT •186
Remarks: Path 1
-- - - -- BUILDING — -- - -- - --
REISSUE: STORIES • 2 FLOOR AREAS - - - -- BASEMENT...: 0 sf REQUIRED SETBACKS— REQUIRED
CLASS OF WORK.:NEW HEIGHT • 22 FIRST • 1143 sf GARAGE • 430 sf LEFT : 5 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD : 40 SECOND...: 1457 sf FRONT : 20 PARKING SPACES: 0
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT : 5
OCCUPANCY GRP.:R3 BORN: 4 BATH: 3 TOTAL - - -: 2600 sf VALUE..$: 181542 REAR • 42
-- — - PLUMBING — --- --
SINKS : 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS : 0
LAVATORIES • 4 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB /SHOWERS...: 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 1'A BCKFLW PREVNTR: 1 GREASE TRAPS..: 0
OTHER FIXTURES: 0
— ---- - - - - -- - MECHRNICAL --------- -------- _ - - --- _ ---------- _ - - --- ---
FUEL TYPES FURN ( 1%1( ..: 0 BOIL /CMP ( 3HP: 0 VENT FANS • 4 CLOTHES DRYERS: 1
/GAS/ / / FURN ) =100K ..: 1 UNIT HEATERS..: 0 HOODS • 1 OTHER UNITS...: 1
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS : 0 WOODSTOVES • 0 GAS OUTLETS...: 1
- -- -------------------- - -- ELECTRICAL ---- -- - - - -- ---- ---- --
- RESIDENTIAL UNIT— -- SERVICE /FEEDER — --TEMP SRVC /FEEDERS— --- BRANCH CIRCUITS -- -- MISCELLANEOUS— - -RDD'L INSPECTIONS -
1m SF OR LESS: 1 0 - 200 amp..: 0 0 - 200 amp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 5 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR • 0
LIMITED ENERGY.: 0 401 - 6% amp..: 0 401 - . amp..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT • 0
MANF HM /SVC /FDR: 0 601 - 1000 amp.: 0 601 +amps -10% v: 0 MINOR LABEL -10: 0
1000+ amp /volt.: 0 ----------------------- PLAN REVIEW SECTION ----------------------- _
Reconnect only.: 0 )=4 RES UNITS..: SVC /FOR) =225 A.: ) V NOMINAL: CLS AREA /SPC OCC:
- --- - ----- - ---- - - - - -- — ELECTRICAL - RESTRICTED ENERGY --------- ------- - - - - -- ____ ___ -
A. SF RESIDENTIAL B. COMMERCIAL - - ---- - -- -- -- ---- --
AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: X BOILER HVAC LANDSCAPE/IRRI6: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK INSTRUMENTATION : MEDICAL OTHR: ..
HVAC • DATA /TELE COMM.: NURSE CALLS • TOTAL # SYSTEMS: 0
Owner: - - - -- - --- — Contractor: --- - -- --- TOTAL FEES:$ 3013.70
DON MORISSETTE HOMES DON MORISSETTE HOMES
5000 SW MEADOWS RD #151 5000 SW MEADOWS RD
SUITE 151
LAKE OSWEGO OR 97035 LAKE OSWEGO OR 97035
Phone #: 620-7538 Phone #: 620 -7538
Reg 8..: 35533
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180
days of issuance, or if work is suspended for more than 180 days.
_ —_ -- ----- REQUIRED INSPECTIONS ---------------------------------------------------------
Foot ing Insp PLM /Underfloor Framing Insp Gas Fireplace Water Service In Building Final
Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Appr /Sdwlk Insp Erosion Control
Post /Beam Struct Plumb Top Out Low Voltage Gyp Board Insp Electrical Final
Post /Beam Mechan Electrical Servi Fireplace Insp Rain drain Insp Mechanical Final
Crawl Drain Electrical Rough Gas Line , Insp n Water Line Insp Pl Final �,
Per�mittee Signature: ^� -C!\ Issued By • �wL. ILL tI,,,,
Call for inspection — 639 -4175
z
Plan Check # D - S R
CITY OF TIGARD Residential Building Permit Application Recd By .
13125 SW HALL BLVD. New Construction Additions or Alterations Date Recd lb -0-614
TIGARD, OR 97223 Single Family Detached or Attached Date to P.E. ll -1 4 - 10
(503) 639 -4171 Date to DST //- G
Print or Type Permit # St - q(0—
Called 11- 051 L
Incomplete or illegible applications will not be accepted
Name of Subdivision Lot # Name
Job _ ,6- - t0_. 0 1 3. l Mailing -.-C' VV L.�.
Architect ng Address
Address Si Address � rxi .1 M CD.
1 J Lt `- e_r � r. City/State � p ' P - h � onne
' am �)� N `� / (V. R S /^
Owner Mailing Address • p U 04 (,1 ki p C
J7y ,`"Al 1 17 • Engineer Mailing Address
City/State =-c7
fa / Zi 52 7 moble -1 g - ( 1a�c' { �� l ..} r C - r -;
L.0 ' 1 ` ^ C q �" '� - / l / / Sttattee 1l � CT 1�0Z`i 1 l Phoned
Name • i ib . d q7 2 ,()y'7005
I General I '*4 tOK1sr-EitE tiri-- to Describe work new O addition 0 alteration 0 repair 0
Contractor ailing Address to be done:
5� t, t bf S it-D. Additional Description of Work:
t y/Sete I iJ� dip_ hone NQ� �!-'l
• on oast C nt. Board Lic. Date
Attach Copy SS) .311(P( 0 Project $ . j • y0
Current COTBusiness Tax or Metro # Exp. Date Valuation tO
Licenses c / . ci L ?
Name NEW CONSTRUCTION ONLY:
Mechanical �� (a ) t��l �--1 P
Sq.Ft. House: Sq.Ft.Garage:
Sub- Mailing Address �w �f `
Contractor 11.. CSC -4. 42 .. a7, Corner Lot Yes No Flag Lot Yes No
City/State � p
Zi Phon (check one) (check one) x
r/��.r1�11 L7 l /015 - ?'I) 5 Restricted Audio /Stereo Burglar
preg�n Const. C nt. Board Lic.# p. Date Energy System Alarm
: Attach Copy or - 7 .( j , . 3 AI q 7 Installation Garage Door HVAC
Current COT Business Tax or Metro # Wu;
Licenses --- (('D- `O
(y . `Oil 19 t x Opener Systems
Name _ `>I( ^ (check all that Other.
Plumbing ` Pc P\ Vt,lorI jt 0 apply)
Sub- Mailing Add , - Will the electrical subcontractor wire for all Yes No
restricted energy installations?
Contractor (5 .• Has the Subdivision Plat recorded? N/A s No
Ci /State Zip Phone YP f
r ecoa Const. Cont. :oa • "c.# .gxp. to Reissue of MST# Solar Compliance
Attach Copy o CO ..., �j - 711 /q (Calculation Attached)
Current Pig um ino Lir s p. pate. I hereby acknowledge that I have read this application, that the
Licenses L- bo ._ t--f — • Pr. k 136 ' information given is correct, that I am the owner or authorized agent of
COT Busin - T c or Metro # Exp. Date the owner, and that plans submitted are in compliance with Oregon
L/ C{p - cf )(Dig - State laws.
Name t D
Electrical ( tit 4 Q_E� � C P erson N m e Phone
Sub- Mailing Address
i Contractor ' S O 7 0 ` ■\ 1 t•I L 1 OS FOR OFFICE USE ONLY: -
ig to Zi Phone Plat # Map/TL#: Tit Q on Cons Conk Board Lic.# Exp Da �-nn
Attach Copy of <2 r� e 9-• Lo ( Setbacks Z �� i / Zon: Solar: /
Current ectrical tic. # Ex Da
Licenses (t, - � � sal Di ram R- ►Z`rp
1/,C,oI Busin or tro.# D t Engine ring App val• Planning Approval: TIF:
sts\mstapp.doc - . 0 - 1 4 - t/ NtA
Earl-01#. Account Description Amount Amt. Pd. Bal. Due
m MST. Permit (BUILD) .451, vv 63 Y. --
Plumb. Permit (PLUMB) 0 ? 2 ) , w o2, , .2 u
" ' Mech. Permit (MECH) L1.C. v o Ul g
ELC /ELR Permit (ELPRMT) 2.7.<4' 73�'---- ✓'
State Tax (TAX) S9, i. 57, i.; ,
Bldg: 319 '/
Plumb: //.2c ✓
Mech: .2-7›, .2-7›, J 7
ELC /ELR: l� .
�v
Plan Check B
• (t4ii- l-01 MST: �"' W?MITT6p .(BUPPLN) 445/. 70 -SQ a / •7 0
Plumb: (PLMPLN)
__ ✓
Mech: (MECPLN) //, z r/. Z .1 v .
c t RAJ 7-0 , v 0
CDC Review
(LANDUS) I/O ,
SO4 - $/2 W
Sewer Connection (SUSA) CD
o ?u a .9Z/v0
Sewer Inspection (SWINSP) 3 ) 3 ,'
Parks Dev Charge (PKSDC) / 0 s / 05V ✓
Residential TIF (TIF -R) ` /OU C G__
Mass Transit TIF (TIF -MT)
Water Quality (WQUAL)
Water Quantity (WQUANT) /a U / v4i ✓
Erosion Control Permit (ERPRMT) 6 y 6i
Erosion Planck/USA (ERPLAN) t pn ra-r) .?0.4 V
Erosion Planck/COT (EROSN) c9v 0zi'd
Fire Life Safety (FLS)
TOTALS: &2q,.70 ZSb _ �`1 fer
i:ldstslmstapp.doc 0
Rev. 7/96
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.•
;••: Credit No:
• Date Issued.• :
TRAFFIC IMPACT. FED .:•
CREDIT VOUCHER •
IT:-.::.,
��f In accordance with the Traffic impact Fee Ordinance, Matrix Development Corporation \7
is entitled < <.(110-
'� f•_' itled to rn Traffic Impact Fee Credits that can be applied to TIF charges
on lots) 63 -131 of the Castle 1-ill No. '2 Development. The use of TIF credits _ . "`l`"
Av: ; ,� are subject to the rules and limitations of the TIF Ordinance. WARNING:,
This voucher must be presented at the time of Issuance of the Building Permit, or if deferral
: was granted issuance of an Occupancy Permit. c: "�'
:• ::
�:: ;::!
N.4:: :
MATRIX DEVELOPMENT CORPORATION hereby assigns all its right,
title and interest in and to that certain Traffic Impact Fee Credit to be granted ;2
upon the Issuance of a build ;gig permit for Lot ' • •r S.
CASTLE HILL NO. subdivision, Washington County, Oregon, �
CAST � 9 y, Ore to the order of.• ,,
Tin's 2S 13-1 � ; : ;
i•nmert of T ra`ic Impact Fee Credit ismade and given
this
OM.. day Cl(c)
MATRIX DEVELOPMENT CORPORATION
. an Oregon Corporation ,
Ey ' 1�� .
"' Title or Position :•
;�:
• .
l'i71:
;6:: fiil • .
ass
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Block Lot: 186
Zoning R -12 PD
Remarks:
Path 1
Your company has been indicated as the electrical contractor for the permit indicated above. In
order for the electrical permit to be valid, the signature of the supervising electrician
is required.
Please have the appropriate individual from your company sign below and return this Electrical -
Signature Form prior to the start of work. No electrical inspections will be authorized until
this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER: ELECTRICAL CONTRACTOR:
DON MORISSETTE HOMES CITY ELECTRIC & SUPPLY CO
5000 SW MEADOWS RD, #151 8070 SW NIMBUS
LAKE OSWEGO OR 97035 BEAVERTON OR 97008
Phone #: 620 -7538 Phone #:
Reg #..: 42422
X 3 s zs
Sig of Supervising Electrician
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639 -4171, ext. #310
5000 SW MEADOWS RD #151 P 0 BOX 186
LAKE OSWEGO OR 97035 ESTACADA OR 97023
Phone #: 620 -7538 Phone #:
Reg #..: 108747
X 1 <
Signature of Authorized Plumber
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639 -4171, ext. #310
p ,
CITY OF TIGARD BUILDING INSPECTION NOTIC:
, ) Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service k ! -• • ' L:
i Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing w'_
PIbg.Und /Flr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd.,
San. Sewer Gas Line Appr /Sdwlkri,
Other:
Date: A.M. P.M.. Entry:
Address: / 73 S 7 0 e`diVI� )) p�
Tenant: Ste: MST '�// o 4��d 0
BUP:
Con /Own: Z Li 3- b Zo 3 MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
, _ _,._
c„,,,,,„„ms_D
Insppector� Date: Z f7 j
_AP
- PROVED DISAPPROVED /CALL FOR REINSP. - CF CO