Permit ,1
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CITY OF T I G A R D MASTER PERMIT
PERMIT #: MST2004 -00141
t DEVELOPMENT SERVICES DATE ISSUED: 6/17/2004
I
° " --- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 12050 SW WHISTLER'S LP PARCEL: 2S103CC -11900
SUBDIVISION: WHISTLER'S WALK NO. 2 ZONING: R - 4.5
BLOCK: LOT: 066 JURISDICTION: TIG
REMARKS: New SF detached
BUILDING
REISSUE: DM17D STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 23 FIRST: 1,425 sf BASEMENT: sf LEFT: 10 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,575 sf GARAGE: 460 sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 THRD' sf RIGHT: 5
VALUE: 269 00
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: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 1
GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 5 201 - 400 amp: 201 - 400 amp: let W/O SVCJFDR: 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 REVIEWSECTION
Reconnect only:
> =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 8,054.25
DON MORISSETTE HOMES INC DON MORISSETTE HOMES INC This permit is subject to the regulations contained in the
4230 GALEWOOD STE #100 4230 GALEWOOD ST, STE 100 Tigard other laws. Code, ws. of A OR. ll work will b o ne i n
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 and all ra cer applicable ed p. Al. This permit done in
accordance with approved plans. This permi t will expire
if work is not started within 180 days of issuance, or if the
work is suspended for more than 180 days.
Phone: 503 387 - 7538 Phone: ATTENTION' Oregon law requires you to follow rules
387 •7 3g adopted by the Oregon Utility Notification Center. Those
Reg #: i.4 3555 rules are set forth in OAR 952 - 001 -0010 through
952 - 001 -0080. You may obtain copies of these rules or
direct questions to OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Ersn Cntrl 681 -4444 Post/Beam Mechanical Plumb Top Out Exterior Sheathing Ins F Gyp Board Insp Appr /Sdwlk Insp
Sewer Inspection Underfloor insulation Electrical Service Low Voltage Rain drain Insp Electrical Final
Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Storm drain Insp Mechanical Final
Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Water Line Insp Plumb Final
Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Water Service Insp Building Final
Issued By : IL 4.A_ i.� `_. Permittee Signature :
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
i)i i/- 01 e
' B ' Permit A 4f., ., ., Building fttion
�� EC i = ll�� Date received: g / Permit no.: f iy r ;c1 -7,0/4( � City of Tigarl
-
Address: 13125 SW Hall Blvd i Tigard, �Q t' 1.423
City of Tigard ° r D ate issued: By: Receipt Phone: (503) 639 - 4171 y: p no.: '
Fax: (503) 598 -1960 CITY OFTIGARD Case file no.: Payment type: .
Land use approval: BUILDING DIVISION 1&2 family: Simple Complex:
TYPE OF PERMIT •
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family , 'New construction ❑ Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION
Job + _i I N nPU (M/1111M Bldg. no.: Suite no.:
imam' Block: Subdivision: LA��i�T�.'r� Tax map /tax lot/account no.:
Eirmor
Description and location of work on premises/special conditions:
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST .•
' a ��; I . (Flood plain, septic capacity, solar, etc.)
Mailing address: l eralfiraragrriffilWilli I & 2 family dwelling:
IMINIEFAMMIIMMEMIO ZIP: ' . - ilVi Valuation of work $
Phone:. T"fb�""+� 21002111M. No. of bedrooms/baths — ,-3.
Owner's representative: , M Tj
I( _ Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.) I)
' i APPLICANT. Garage /carport area (sq. ft.) 4I 7
IIIMMEIMIUMPR i ' �� Covered porch area (sq. ft.)
Mailing address: ' L' a _ Deck area (sq. ft.)
City: State: ZIP: Other structure area (sq. ft.)
Phone: Fax: E -mail: Commercial/industrial /multi- family:
<'`i CONTIIJICTOIZ Valuation of work $
rommn Existing bldg. area (sq. ft.)
'_� ��� ��-`� New bldg. area (sq. ft.)
Address: .�
City: State: ZIP: Number of stories
Phone: Fax: E -mail: Type of construction
CCB no.: Occupancy group(s): Existing:
New:
City/metro lie. no.: Notice: All contractors and subcontractors are required to be
ARCHITECT/DESIGNER • licensed with the Oregon Construction Contractors Board under
provisions of ORS 701 and may be required to be licensed in the
Address: _,L y , c( '
j u ri sdiction where work is being performed. If the applicant is
City: State: ZIP: exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: Fax: E -mail:
• • ENGINEER •
Name: Contact person: Fees due upon application $
Address: Date received:
City: State: ZIP: Amount received $
Phone: Fax: E -mail: Please refer to fee schedule. '
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call junsdiction for more information.
attached checklist. A provisions of I ws and o dinances governing this ❑ Visa ❑ MasterCard
work will be complt - r wt , whether cifred Ji ere r �to t Credit card number: / /
4 � e. L� / > !f,
Authorized Si: atu .,' � � 1 f A � - L f � K d .. [ I / Name of cardholder as shown on credit card Expires
Print name: 1 at _ Tt' I ( y $
�"`� ,,_, Cardholder signature Amount
I ;.. , Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (&00/COM)
•
I r
One- and Two - Family Dwelling
,, Building Permit Application Checklist Reference no.:
Associated permits:
City of Tigard City of Tigard `J ❑ Electrical ❑ Plumbing ❑ Mechanical
Address: 13125 SW Hall Blvd, Tigard, OR 97223 ❑ Other:
Phone: (503) 639 -4171
Fax: (503) 598 -1960
- -THE - FOLLOWING -ITEMS ARE REQUIRED FOR PLAN REVIEW - Yes No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews.
2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. 4
3 Verification of approved plat/lot.
4 Fire district approval required.
5 Septic system permit or authorization for remodel. Existing system capacity
6 Sewer permit.
7 Water district approval. X -
8 Soils report. Must carry original applicable stamp and signature on file or with application.
9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of
catch -basin protection, etc.
10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed t/
if copyright violations exist. J�
I 1 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if
there is more than a 4-ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and
driveway; footprint of structure (including decks); location of wells/septic systems; utility locations; direction indicator, lot
area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage.
12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent
size and location.
13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater,
furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc.
14 Cross section(s) and details. Show all framing - member sizes and spacing such as floor beams, headers, joists, sub -floor,
wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show
details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs,
fireplace construction, thermal insulation, etc.
15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels.
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full -size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing (prescriptive path) and/or lateral analysis plans. Must indicate details and locations; for
non - prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor /roof framing. Provide plans for all floors/roof assemblies, indicating member sizing, spacing, and bearing
locations. Show attic ventilation. /�(\
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered
systems, see item 22, "Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple foists
over 10 feet long and/or any beam/joist carrying a non - uniform load. X
20 Manufactured floor /roof truss design details.
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required
for four or more appliances.
22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or
architect licensed in Oregon and shall be shown to be applicable to the project under review.
JURISDICTIONAL SPECIFICS . •
23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ".
24 Two (2) sets each are required for Items 16, 19, 20 & 22 above.
25 Building plans shall not contain red lines or tape -ons.
26 No rolled, reversed or mirrored building plans will be accepted.
27
28
Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink.
Red ink is reserved for department use only. 440 -4614 (M)0/COM)
, ., , .
Mechanical Permit Application - •
A
. Date received: Permit no. , io J`
City of Tigard ��
ty b Project/appl. no.: Expire date:
CiryofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: By: Receipt
Phone: (503) 639 - 4171
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: Building permit no.:
• TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ Tenant improvement •
,Iew construction ❑ Addition/alteration/replacement ❑ Other.
JOB SITE INFORMATION ' COMMERCIAL VALUATION SCHEDULE
Job address: ` /egra i /� � �a. Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: Suite no.: ' value of all mechanical materials, equipment, labor, overhead,
Tax map /tax lot/account no.: profit. Value $
Lot: Nem Block: Subdivision: 1 i 'See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee.
City/county: ZIP: I & 2 FAMILY DWELLING PERMIT FEE SCHEDULE -.,
Description and location of work on premises: AND COMMERICALIINDUSTRIAL EQUIPMENT SCHEDULE
Fee(ea.) Total
Est. date of completion /inspection: Description Qty. Res. only Res.only
Tenant improvement or change of use: HVAC: . •
Is existing space heated or conditioned? ❑ Yes ❑ No Air handling unit CFM
g P Au conditioning (site plan required) -
Is.existing space insulated? ❑ Yes ❑ No Alteration of existing HVAC system- -
o
MEGFInNIC.1L CnN "1 Rn_TOR : _ Boile ressors II■■
�MB State boiler permit no.:
D. HP Tons BTU/H
Address: dalrenb_ Fire/smoke dampers/duct smoke detectors .111
EMPW4vIIIIMMIIMIEMMEalaraMill Heat pump (site plan required) E
Phone: / . ' Fax E -mail:
Including ductwork /vent liner ❑ Yes ❑ No
CCB no.: —
o.: • Install/replace/relocate heaters—suspended, ■
City/metro lic. no.: N/A wall, or floor mounted
Name (please print): ni' i Vent for appliance other than furnace : ==
r . CONT,IC F -PLR Absorption Refrigeration.
�� Absotpuonunits BTU/H
Est t� I ` Chillers HP -
�t Compressors HP
Address:
�� Environmental exhaust and ventilation: 111
City: State: ZIP: Appliance vent
Phone: Fax: E-mail: Dryer exhaust NM
�
t ° O t1 N 1 R
Hoods, Type V 11/res. kitchen/hazmat ■__
� hood fire suppression system —_
_�.fu l� — - �� Exhaust fan with single duct (bath fans) -
Mailing address. i �� I ��—IEVI Exhaust system apart from heating or AC NE
NZWIMP111 Fuel piping and distribut (up to 4 outlets) 111
Type: LPG NG Oil
Phone: me Fax: E-mail: Fuel piping each additional over 4 outlets —_ —_
--i.-.t.',,,•.:: ti c ' I N G IN G F'R' Process piping (schematic required) M.
Number of outlets
Name: Other listed appliance or equipment:
III
Address Decorative fireplace
City: State: ZIP: Insert — type
Phone: MEM= E -mail Woodstove/pelletstove
I
Applicant's signatu":��,�, TATIMI- Date: 1 7�`j Other: Other 11111
Name (print) .' • , ' • • 7 MI
Not all lunsdreuons accept credit cards, please call luriscbction for more information Permit fee $
0 Visa 0 MasterCard Notice: This permit application Minimum fee $
expires if a permit is not obtained Plan review (at _ %) $
Credit card number Expires within 180 days after it has been
p State surcharge (8 %) .... $
Name of cardholder as shown on credit card accepted as complete.
$ TOTAL $
Cardholder signature Amount 440 -4617 (6AO/COM)
. ' Plumbing Permit Application -'
A Date received: Permit no }'1')r5po - (` 3
y• Building it no.:
h { i City of Tigard Sewer permit no.. g t
Address: 13125 SW Hall Blvd, Tigard, OR 97223
Ci Ti Proiect/appl. no.. Expire date:
ry o f Tigard Phone: (503) 639 -4171
Fax: (503) 598 -1960 Date issued: By: Receipt no.:
Case file no.: Payment type:
Land use approval:
TYPE OF PERMIT
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 Tenant improvement
►: New construction 0 Addition/alteration/replacement 0 Food service 0 Other.
.'. JOB SITEINFORMATION FEE SCHEDULE (for special ittfarmatianasechedtlist)'
Job 13 (U l .� `mgt ( Description Qty. Fee(ea.) Total
Bldg. address: 1.,..20C-• LJ New 1- and 2- family dwellings only:
Bldg. no.: l Suite no.: (includes 100 ft. for each utility connection)
Tax map /tax lot/account no.: _ SFR (1) bath
i
Lot: Block: Subdivision: .� ^1_�� SFR (2) bath
Project name: SFR (3) bath
City /county: I ZIP: Each additional bath/kitchen
_ Description and location of work on premises: Site utilities:
Catch basin/area drain
Est. date of completion/inspection: -- Drywells/leach line/trench drain
Footing drain (no. lin. ft.)
I'LUNI(3ING�'- ,CON'I ILACFOR' ' Manufactured home utilities
Business name: f.S, ,11/1 L i Manholes IIII
Address: %MIEN • Rain drain connector
�/i ZIP: Sanitary sewer (no. lin. ft.) MI
Phone: .v�
Phone: y 1 iii Fax: sewer (no. ulna ft.)
Fax: E-mail: Water service (no. lin. ft.) IIII
CCB no [ "' • •Z L Plumb. bus. reg. no:
'V - - Fixture or item:
City/metro lit. no.: N/A , Absorption valve
Contractor's representative signature Back flow preventer
Print name: ` ` — I U. ��rrt Backwater valve
CON'I A(. I' I'I:R'O\ Basins/lavatory
Name: •-
1 1 , lDI Clothes washer
Dishwasher
Address: sa l 0 i n ti _, ,v - Dnnking fountain(s)
City• I State: ZIP: Electors/sump
- Phone: [Fax: E -mail: Expansion tank
''' O \\' \ ;R . Fixture/sewer
- Floor drains /floor sinks/hub
Name (print): /`!� _��� Garbage disposal • Mailing address: e, H ose bibb
City: L _() . State ; ZIP :Cl - 70. = Ice maker
Phone: -?- F : 57' - 2(1SE -mail: Interceptor /grease trap
Owner installation/residential maintenance only: The actual installation Pnmer
will be made by me or the maintenance and repair made by my regular Roof drain (commercial)
employee on the property I own as per ORS Chapter 447. Stnk(s), basin(sl, lays(s)
Owner's signature. Date: Sump
Tubs/shower/shower pan
., E:NGINEE:R - Urinal
Name Water closet .
Address• Water heater
City I State: ZIP Other.
Phone I Fax: 1 E -ma Total
Minimum fee $
Na all jurisdictions accept credit cards, please call lunsdreuon for more mformauon Nonce • This permit application �o
Plan review (at _ ) S
C visa ❑ titastcrCard expires if a pe:smat is not obtained State surcharge (S ,o) .•
C.edu card number
Expires w ithin 180 days after It has been TOTAL ---
accepted u complete.
Name of cardholder as shown oa credit card
$ tp x616 (6AOR oMl
Cardholder signature Amount
1
Electrical Permit Application -
Datereceived: Permit no.: r , . „: r /OP
Villll� City of Tigard Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: By: Receipt no.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval:
. TYPE OF PERMIT .
❑ 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement
v. New construction 0 Addition/alteration /replacement 0 Other. 0 Partial
.- • JOB SITE INFORMATION - - Job address: r% AM Bldg. no.: Suite no.: Tax map /tax lot/account no.:
Lot: MINI Block: Subdivision: TV►�7.�^{ i
Project name: Description and location of work on premises:
Estimated date of completion/inspection:
'' .. CONTRACTOR API'I.ICA'I ION FEE SCHEDL>LE
Job no: ' Fee Max
Business name: •i 1 Description Qty. (ea.) Total no. map
- � - New residential - single or multifamily per
Address: " `` �ttC MI MMINI . d well i ng un Includes attached garage.
=' ' L 99tiiit! raeXdi Service included:
1000 sq. ft. or less 4
Phone:./++3 - I �.� Fax:
Each additional 500 sq ft or portion thereof
CCB no.: Elec. bus. IiC. no: "' y ,.� p� Limited energy, residential 2
C)/7_ ,_______________D Limited energy, non - residential 2
Each manufactured home or modular dwelling
nature of supervising electrician (required) Date Service and/or feeder 2
Sup elect name (print) 1 r Zj License no u. a Services orfeeders- installation,
A IL F- trite! alteration or relocation:
PROPERTY. RTY . OWNJ R - - • . 200 amps or less 2
• 201 amps to 400 amps 2
Name (print): ` Mr, • • 0/6 !w 401 amps to 600 amps 2
a
�tt
Mailing address: ,a ��i � c ' 1 601 amps to 1000 amps 2
City: . • t State sv ZIP: 70 Over 1000 amps or volts 2
Phone: ,'5% Fax: - ) - . I 's -mail: Reconnect only 1
Owner installation: The installation is being made on property I own Temporary services or feeders -
which is not intended for sale, lease, rent, or exchange according to installation, alteration, orrelocation: 2
200 amps or less
ORS 447, 455. 479, 670, 701. 201 amps to 400 amps 2
Owner's signature: Date: 401 to 600 amps 2
. ENGINEER - - Branch circuits - new, alteration,
or extension per panel:
Name: A. Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit 2
City: I State: I ZIP: B. Fee for branch circuits without purchase
of service or feeder fee, first branch circuit: 2
Phone: Fax: E-mail: -
Each additional branch circuit:
PLAN; REVIEW (Please check all, that apply) Misc. (Service or feeder not included):
O Service over 225 amps-commercial ❑ Health-care facility Each pump or imgauon circle 2
O Service over 320 amps - rating of 1 &2 0 Hazardous location Each signor outline lighting 2
, family dwellings 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel,
O System over 600 volts nominal more residential units in one structure alteration, orextension• 2
❑ Building over three stones ❑ Feeders, 400 amps or more •Descnption:
❑ Occupant load over 99 persons ❑ Manufactured structures or RV park Each additional inspection over the allowable in any of the above:
❑ Egress/Iighungplan 0 Other. Per inspection I I
Submit _ sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other
Permit fee $
Not all lunsdictions accept credit cards, please call junsdicuoo for more information Notice: This permit application Plan review (at _- %) $
❑ Visa ❑ MasterCard expires if a permit is not obtained
Credit card Dumber / / within 180 days after it has been State surcharge (8%) .... $
Expires accepted as complete. TOTAL $
Name of cardholder as shown on credit card
S
Cardholder signature Amount 440-4615 (6/0t1COM)
1
CITY OF TIGARD Credit No.: 2004 -0001
Date Issued: 01/28/04
Engineering
A ; iiti Authorization
— Date: 01/28/04
TRAFFIC IMPACT FEE
CREDIT VOUCHER Land Use
Casefile No.: SUB2003 -00004
In accordance with Ordinance 379 (Washington County Traffic Impact Fee Ordinance) Venture
Properties, Inc.
(name of
developer)
is entitled to $ 50,606.07 in Traffic Impact Fee Credits that can be applied to TIF charges for
development on lot(s) 1 - 29 of the Whistlers Walk 2 Development. The use of TIF credits are
subject to the rules and limitations of the TIF Ordinance which are listed on the back of this
voucher. 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.
3C—"iti P. 0c...
Director
Date Permit Numbers Lot Numbers Credit Used Balance
Beginning Balance $ 50,606.07
•
Balance carried forward to TIF Credit No.
• Ordinance 379 provides for an expiration 10 years from authorization.
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CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639 -4175 ��� Y1 00/ �
I • CT DIVISION Business Line: (503) 639 -4171
.7 BUP
4
Received Date e ue a AM PM BUP
Location / . ,, Suite MEC
Contact Person G ✓''�- / ' -E Ph ( ) ? 7 - 3 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC ,
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear w" ,
Framing ALAS -.��., 4. - `..i___ i ,_ - -
Insulation
Drywall Nailing = �•� ��!/I-- JL..:A� �ia�:a�a:� -
Firewall
Fire Sprinkler
Fire Alarm / i ._ A i •
Susp'd Ceiling -
Roof
Other:
Final
PASS _BART FAIL
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Oth - • y
QiV. PART FAIL
M CHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART' FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE j Please call for reinspection RE: 111 Unable to inspect - no access
Fire Supply Line
ADA l
Approach/Sidewalk Date • 9 I, 2.0 1A) K 17614-4--A Inspector 4 Ext
Other:
Final - DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF AMID 24 -Hour 1111 BUILDING Inspection Line: ($03) 659 -4175 ?o'7_ OU / t4/ cg) INN CTION DIVISION Business Line: (503) 639-4171 � BUP
Received /' r • 13 Date Request 9/Z4) A PM BUP
Location ? 5� �� S Suite MEC
Contact Person eel ev Ph ( ) 7 q a 3 7 PLM
Contracto Ph ( ) SWR
Tenant/Owner ELC
Footing • ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing *0 7 0 Li (M 41. r� �., M. 6\ er? ) .. Gc/ . q - 2 4 - 0 1-- '
Insulation
Drywall Nailing '� El m CT2r - 4 - n" 4 -/ G — 14
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Othe .
final
P ► S PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS ART FAIL
CHA AL
os Beam
Rough -In
Gas Line
S • - Dampers
i''.- PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: Unable to inspect - no access
Fire Supply Line
ADA — gy p_ p �-
Approach/Sidewalk ® Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 - MST :- 06 4 1(
INSPECTION DIVISION Business Line: - (503) 639 -4171
BUP
Received Date Requested /,° AM PM BUP
Location l oZ 6 S7) L2.) Suite MEC
Contact Person Ph ( ) („2D ?- tt 4 3 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC Access:
Ftg Drain Access: ELR s 0 0 k
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing •
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
-
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final — t)0 VD
PASS PART FAIL
ELECTRICAL
Service
Rough -In -
UG /S
Volta e
Fire Alarm
PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
TE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line /
ADA
Approach/Sidewalk Date 0 Inspector �•' Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL