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Permit a. ., CITY OF TI GARD MASTER PERMIT PERMIT #: MST2005 -00094 il�A . DEVELOPMENT SERVICES DATE ISSUED: 4/15/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S109DA -08700 SITE ADDRESS: 12950 SW SUMMIT RIDGE ST ZONING: R -7 SUBDIVISION: SUMMIT RIDGE LOT: 081 JURISDICTION: TIG Project Description: New SF detached. BUILDING REISSUE: DM17C STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1,488 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,512 sf GARAGE: 428 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 5 VALUE: 292 115.60 OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 3,000 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: 2 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: 2 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: WISVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 5 201 • 400 amp: 201 • 400 amp: 1st W/O SVC/FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 • 600 amp: 401 - 600 amp: 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: 503 387 - 7538 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: $ 10,410.88 1- 800 -332 -2344. REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Engineered soils Issued By : 2i, /? I1 Permittee Signature : y 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. Building Permit Application FOR OFFICE USE ONLY Received !!�� City of Tigard Date/By: 3 I t 1 I d5 6 P Permit No.:� 5 ra265 --eve) 9 13125 SW Hall Blvd., Tigard, OA 7223 Plan Revi (((( Inspection Phone: 503.639.4171 F k;;503. 90960 \ �',7 � � °� I � lit� ' Date/By: ( t #' c Other Pe he — coo C� Ins Line: 503.639.4175 • ' _ - -- ' \ -/ F` O h 1 p ,_•41- __� Date Ready/By: � Juris: Fill Attached Checklist for Internet: www.ci.tigard.or.us Notified/Method: y 7 - ( Supplemental Information -- .' -/°:, S g b' s , ‘AVe... TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING * ew I 1 l/ v l Permit fees* are based on the value of the work erformed. constructi D! n , Demolitio ( j .1, Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ I- and 2- family dwelling ❑ Commercial /industrial Valuation: $� 1 Q � (� ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: t 5 JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: \ 'y'\ x'1'J sW so'Mrn 1Jr p_xd e _ , New dwelling area: 073(^) square feet City/ State/ZIP: t CAC, Garage/carport area: Lia % square feet -1* 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 REQUIRED DATA: COMMERCIAL -USE CHECKLIST , Subdivision: U\ v Y l l ‘ /1 t� �I d I e Lot no� , Permit fees* are based on the value of the work performed. v 1 " Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ Existing building area: square feet 1 New building area: square feet ' PROPERTY OWNER ❑ TENANT Number of stories: r Name:`" C"""1" �; ft p e s Type of construction: 1� f' �-( r Address: �lt�l.� � ��� �1 . �� L [. Occupancy groups: City /State/ZIP: L 1 J - 7 1 r q/ 70 E7 Existin g: Phone: (5P) '.7- ) 7 /755?) Fax: ( A 3 ) 7 7 L 15 G l New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE ' Business name: j kezNe 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: CONTRACTOR . Business name: PC Nave, BUILDING PERMIT FEES* Address: Please refer to fee schedule City /State/ZIP: Phonc: ( ) Fax: Fees due upon application ( ) CCB lic.: i6� X7"2 Amount received • D ate received: Authorized signature: t _ gyp, ga� This permit a pplication expires if a permit is not obtained /�,��L/l i-zi within 180 days after it has been accepted as complete. Print name: I �� � � Date: 3 f 1 � r Fee methodology set by Tri -County Building Industry Service Board. i:\ Building \Permits \BUP- PermitApp.doe 12/03 440.4613T(1 I /02/C0M/WEB) Plumbing Permit Application FOR OFFICE USE ONLY City of Tigard Received Y ,c--- ,; , �'v� 4 . i , Date/By: Permit No.: (\S - - \ , 13125 SW Hall Blvd., Tigard, OR 97223 , IJ - � t Plan Review Phone: 503.639.4171 Fax: 503.598.1960 u /41.1400 Date/By: Other Permit No.: 24- Hour Inspection Line: 503.639.4175 ,� L1 61 1. Date Ready/By: Faris: Page .' � �°7 . y y: El Pa e 2 for Internet: www.ci.tigard.or.us ,, � �� -. I i,,,„ _ � Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE NgN construction C 9 D 1tSot -s� G��' For special information use checklist. � } � , ' _ - Description Qty E Total ❑ Addition/alteration/replacement Other: New 1 - 2 - family dwellings (includes 100 R. for each utility connection) CATEGORY OF CONSTRUCTION • 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 ❑ Master builder ❑Other: Each additional bath/kitchen 45.00 Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: I G A O S 3 J. <y yv\ II t R j e St - Catch basin or area drain 16.60 _ City /State/ZIP��CIL1 , 02 - Drywell, leach line, or trench drain 16.60 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 Subdivision: � ` y \�� t 'c ( ' l Lot no.: 1 Water service (no. linear ft.: ) Page 2 Tax map /parcel no.: _4 Fixture or Item Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 PROPERTY OWNER I Drinking fountain 16.60 ❑ TENA Ca.,,,,,,, � Ejectors/sump 16.60 16.60 Name: '.J r t,a>,...,,,�, o "A. - ,5 tL Lt� Expansion tank Address: vl, • 51e,..., ( Z Fixture/sewer cap 16.60 City /ZIP: V ChAieCp a 6i.'30 Floor drain /floor sink/hub 16.60 Garbage disposal 16.60 Phone:) �$ 7 Fax: ()� / 6:2( 0 APPLICANT 0 CONTACT PERSON Hose bib 16.60 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: ( ) Fax: : ( ) Sink/basin /lavatory 16.60 Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 CONTRACTOR. Water closet 16.60 Business name -� V m�� \(�( , n ✓\ Water heater 16.60 Address: i /(J ' �� n Other: City /State/ZIP: -7 V.keetL�/� C Subtotal ,., L ` f ` Minimum permit fee: $72.50 Phone: )( -- � Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: WS yip Ilimbing Lic. no.: 7 7 -- ,3,,v76 Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signature TOTAL PERMIT FEE Print name: J _ 3 1 IN Date:3f i (Di 0� 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 Service Board. i:\ Building \Permits \PLM- PermitApp.doc 12/03 440.4616T(10 /02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY ''A City of Tigard Received Date/By: Permit No.: 0,6 F __,n0 C/ Li 13125 SW Hall Blvd., Tigard, OR ?37223%- -- ,,, -, ,, Plan Review 6ti/ Z l t/ Phone: 503.639.4171 Fax: 503.59SJ -4697 Vi - D Ave !tv Date/By Other Permit: Inspection Line: 503.639.4175 - ' i J ilI Y _ Date Ready /By: Jura: 65 See Page 2 for Internet: www.ci.tigard.or.us n T; '-, • . Notified/Method: Supplemental Information - TYPE. OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST " ` ° ' R ' Mechanical permit fees* are based on the value of the work New construction - ©J Ad( �itiotl/aLEec4t�ipn/replacement p performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ El 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ Multi- family ❑ Master builder 11 Other: For specie! information use checklist. Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: Air conditioning or heat pump 1 q 5/'� J 5‘. hum k � 2 id c� e s� ; (requires site plan showing placement) 14.00 City /State/ZIP: t U Furnace 100,000 BTU (ducts/vents) 14.00 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:S� y�� R Lot no.: Flue/vent for any of above 10.00 "t Y 1 4 1 $ I Other: 10.00 Tax map /parcel no.: Other fuel appliances . DESCRIPTION OF WORK Water heater 10.00 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 Chimney /liner /flue/vent 10.00 PROPERTY � O � J Y ` W ❑ TENANT Name: \ v C.-t,.. 5 / , L�L- Other: 10.00 , •ti✓ „ " - f- Environmental exhaust and ventilation Address: V ,t / ) I' I /Q� Range hood /other kitchen J l equipment 10.00 City /State/ZIP: Or )O S Clothes dryer exhaust 10.00 ` Single -duct exhaust (bathrooms, Phone: --2----6q2 Fax: ( - 7 to I g toilet compartments, utility rooms) 6.80 ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 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: ( ) Fax: : ( ) Water heater E -mail: Fireplace Range • CONTRACTOR Barbecue /� ge..., 1 p �` ,,� , . n Clothes dryer (gas) Other: Business name: l ` VI /�(J ► (•C Po 1 Address: , Q� l^ In MECHANICAL PERMIT FEES* City /State/ZIP: `J Leib T `V ` c / I `L � �1 /l!/ LJ Subtotal 5 g ' Minimum permit fee ($72.50) Phone: 2 J /), I Fax: ( ) Plan review (25% of permit fee) CCB lic.: . tiv e7 State surcharge (8% of permit fee) � TOTAL PERMIT FEE Authorized si gnature: = � �0rJ This permit application expires if a permit Is not obtained within 180 days after It has been accepted as complete. Print name: 0 0 . \. O (,f Date: 3( 1(0 1 c . Fee methodology set by Tri- County Building Industry Service Board i:\Building \Permits \MEC- PermitApp.doc 12/03 440-4617T (I1 /02/COM/WEB) Electrical Permit Appig IV ED FOR OFFICE USE ONLY City of Tigard C R eceived Date/By: 13125 SW Hall Blvd., Tigard, OR 97223 Plan Permit No.: /4/61;9005...060 eview Phone: 503.639.4171 Fax: 503.598.196dUN 0 2 2005 140. : f'�I'"\ Date/By: Other Permit: Inspection Line: 503.639.4175 E, W Date Ready/By: Juris: 0 See Page 2 for Internet: www.ci.tigard.or.us CITY OFTIGARD Notified/Method: Supplemental Information IMOVIIIGIMSION PLAN REVIEW TX New construction - ❑ Addition/alteration /replacement Please check all that apply: ❑ Demolition ❑ Other: ❑Service over 225 amps, comm'l ['Hazardous location ❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential [$ 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 ['Feeders, 400 amps or more ❑Occupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park Job no.: 1 J Job site address: c, ✓ ,l 5/,Submit facility ❑Other: 35 1 2 / t� 7,N/ Se/ MM1 I e.1 / ,Submit 2 sets of plans with any of the above. City/State /ZIP: 149 frr I OR,. 9722:3 The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name: ,.4 FEE* SCHEDULE Q� / • sr. SYi evdig4 Description I Qty. I Fee. I Total I �� $ Cross street/directions to job site: 13 0 New residential single - or multi- family dwelling unit. /, 1 Includes attached garage. � Q 1,000 sq. ft. or less 145.15 4 Subdivision: $ v#4,4 I! 7, ,Jl . I Lot no.: g ft 1 Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: �I Limited energy, residential 75.00 2 Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK • Each manufactured or modular A / , r L dwelling, service and/or feeder 90.90 2 � 111E U5 e 14//0 A/9 Services or feeders installation, alteration, and /or relocation J 200 amps or less 80.30 2 Nt PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2 /' 401 amps to 600 amps 160.60 2 _ Name: 0OA) Nlof,s,sci - E t'd p1 e! A)1 r 5 601 amps to 1,000 amps 240.60 2 Address: yZ 3 0, CS�G't-E-t.U 6 �5�r �c� 5' / /QQ Over 1,000 amps or volts 454.65 2 /� �� Reconnect only 66.85 2 City/State /ZIP: j 'AC QSwE7 04 J 970 4'55 Temporary services or feeders installation, alteration, and /or relocation Phone: ( 5 a 3) ,,O p _ 7 53g 1 Fax: ( SZ 387 - ; 5-- 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 ❑ APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 Address: each branch circuit Each add'l branch circuit 6.65 2 City/State /ZIP: Miscellaneous (service or feeder not included) Phone: ( ) I Fax:: ( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or extension. Describe: Page 2 2 Business name: g 4�� °/ A ' 21c ��' Address: Q ' n Each additional inspection over allowable in any of the above • O ' / ✓ x 2 ^ 33 3 additional inspection 62.50 City/State /ZIP: h c M O71l j 6 4. 9 7 ' 5"Ze Investigation per hour (1 hr min) 62.50 Phone: (5 _ 3s - 10 46 I Fax: (5 ) ..- 6,?3 9/./ [L/y--- Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES* CCB Lic.: /'32ZZ2_ I Electrical Lic.: 11g3_d Supry Lic.: 33 5 Subtotal Suprv. Electrician signature, required: lif, / Plan review (25% of permit fee) -/L--3 Print name: , t / $/_ /"' a 4,, i Date: G/2/6 State surcharge (8% of permit fee) � ! r l � `� 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- PennitApp.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* ❑ 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 ❑ Boiler Controls • ❑ Clock Systems • ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC • ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ' ❑ Nurse Calls ❑ Outdoor Landscape Lighting* • . ❑ Protective Signaling • ❑ Other Total �mber of commercial systems: t. *No licenses are required. Licenses are required for all other installations . is Building \Permits\ELC- PennitApp.doc 04/03 Sep.20. 2005 11:02AM CLEAN WATER SERVICES 503 6814439 No.9232 P. 3 • Permit #:05 - 002'179 - 00 - PE CleanWatcr 01, , nspection Request Line; 503 -681 -4444 2550 SW Millsboro highway 4 hour notice required for aq inspections Hillsboro. UK 97123 Ph: (503) 6R1-3600 Project Name: SUMMIT RIDGE, LOT 82 Project Address: 12928 SW SUMMIT RIDGE ST Issued By: Nichole Vandetzanden Type: Sani /SWM Connection Issued: Jun 29, 2005 Single Family Expires: Dec 26, 2005 Project Description: THIS IS ONE OF 7 LOTS THAT TIGARD MISTAKENLY ISSUED PERMITS FOR. THIS PERMIT IS BEING SET UP WITHOUT FEES. TIGARD HAS ALREADY COLLECTED FEES AND THEY SENT THE CHECK COVERING WHAT WE WOULD HAVE CHARGED TO SUE REYNOLDS. Owner Applicant Contractor DON MOK1SSEi'rl l HOMES INC. DON MORISSF.TTF HOMES INC NONE 4230 UAl.tiw();)I) #100 4230 GALEWOOD #100 LAKE: OSWEGO OR 97035 LAKE OSWEGO OR 97035 Number of Equivalent Fixmrc Units (FU) 16 Number of Sq Ft. 2640 rretment I'lunt Durham Water District Tigard TOTAL I HEREBY CERTIFY TTHA7' .. HE ABOVE INFORMATION IS CORRECT. SIGNATURE: Date: DON MORISSETTE HOMES INC A67;2,76 -Uc,o9f c\ . ®AAAAAAAAAAAAAAIAAAAAAA®®®® AAAAAA®® ® ®®®®® ® ®®® 4 E. E. T EET TREE CERTIFICATION S R .. ® i . E. 4 / ') 0- I, l4 ( ( ('L �-Te , n er / \ gent for ,ami or L 44,,ww4,4)416s /Lc ', EASE PRINT) (PERMIT HOLDER) 4 / Di :' �t -: ® //(,_,,,_,,z ; i • 7' ,' .. i , Po- ® Do hereby_ certify iha.t th4` foll location ® �� i L i ? - ' \ � -s r 1 ',t l i. A meets ty (iff iga XTa n gton k ounty 0. ® - ® land use and development standards for street tree installation. 0. I A ADDRESS: /2/50 S1, 51,, As m, r Loo Sr. LOT: $i SUBDIVISION: 5,...,4,...,74- Ai 44 4 pl. 4 .. BY: � asow DATE: 1- Z 6 -oc 1 0. 4 0. RECEIVED BY: ilIP:MIMMft■ DATE: 7-2c-o g ® VVVVVVVVVVVVVVVV ®®�.T E' ®®®®® ®®® ® ®®® ® VVVVVVVVVVV1 CITY OF TIGARD - . 1 BUILDING DIVISION PERMIT # : MST2005 -00094 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: . 4/15,/2005 Phone: (503) 639 - 4171 � +tiraL�4 4.1±; i� il . Inspection Requests (24 Hrs.): (503) 639 -4175 _'- .. INSPECTION WORKSHEET FOR DATE: 7/26/2005 TIME: 7 : Q7AM PAGE: 2 SITE ADDRESS: 12950 SW SUMMIT RIDGE ST CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 081 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF detached. OWNER: DON MORISSETTE COMMUNITIES LLC, PHONE #: 503- 387 -7538 CONTRACTOR: DON MORISSETTE COMMUNITIES LLC PHONE #: 503.387 -7538 Inspection Request Scheduled For: Date: 7/26/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 012166 -08 503 -209 -4837 N Corrections /Comments /Instructions: • / • . SS 0 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL / ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- r CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-0009t1 13125 SW Hall Blvd.,pTigard, OR 97223 DATE ISSUED: -, 4/15/20014 Phone: (503) 639 -4171 � III ,ti Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/27/2005 TIME: 7 :15AM PAGE: 18 SITE ADDRESS: 12950 SW SUMMIT RIDGE ST CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 061 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF detached. OWNER: DON MORISSETTE COMMUNITIES LLC, PHONE #: 503 -7538 CONTRACTOR: DON MORISSETTE COMMUNITIES LLC PHONE #: 503.387 -7538 Inspection Request Scheduled For: Date: 7/27/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 012237 -06 503-209 -4837 N Corrections/Comments/Instructions: , O ade 4 - , / — 7-6' 1I c ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 7_ 27-05 Phone #: (503) 718-