Permit MASTER PERMIT
CITY OF T I G A R D
PERMIT #: MST2004 -00070
l DEVELOPMENT SERVICES DATE ISSUED: 4/8/04
`�' ` VIII 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 12064 SW WHISTLER'S LP PARCEL: 2S103CD - WW273
SUBDIVISION: WHISTLER'S WALK NO. 2 ZONING: R -4.5
BLOCK: LOT: 073 JURISDICTION: TIG
REMARKS: New SF detached.
BUILDING
REISSUE DM190001 STORIES. 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK. NEW HEIGHT: 26 FIRST: 1,710 sf BASEMENT' sf LEFT: 5 SMOKE DETECTORS. Y
TYPE OF USE: SF FLOOR LOAD' 40 SECOND: 1,885 sf GARAGE 924 sf FRONT' 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD sf RIGHT. 5
VALUE: 355 60
OCCUPANCY GRP• R3 BDRM• 5 BATH: 3 TOTAL' 3.595 sf REAR: 15
PLUMBING
SINKS. 1 WATER CLOSETS' 3 WASHING MACH. 1 LAUNDRY TRAYS' 2 RAIN DRAIN. 100 TRAPS.
LAVATORIES' 5 DISHWASHERS 1 FLOOR DRAINS: SEWER LINES. 100 SF RAIN DRAINS: 1 CATCH BASINS.
TUB /SHOWERS. 4 GARBAGE DISP• 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS.
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOILICMP < 3HP: VENT FANS: 4 CLOTHES DRYER: 1
GAS FURN 5=100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 2
MAX INP: btu FLOOR FURNANCES: VENTS' 1 WOODSTOVES: GAS OUTLETS: 5
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: 8 201 - 400 amp' 201 - 400 amp. 1st W/O SVC/FDR. SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp' 401 - 600 amp' EAADDL 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:
Owner: Contractor: TOTAL FEES: $ 8,733.02
This permit
DON MORISSETTE HOMES DON MORISSETTE HOMES INC Mu c to the regulations contained Co I ode s and
the
4230 GALEWOOD ST 4230 GALEWOOD ST, STE 100 all other r applicable Code, State Spec
work w ill be done Specialty Codes
STE 100 LAKE OSWEGO, OR 97035 all other applicable l . All w
rov ok w i
LAKE OSWEGO, OR 97035 accordance with approved plans. This permit will expire 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 adopted by the
Phone: 503 387 - 7538 Phone: Oregon Utility Notification Center. Those rules are set
5p 3 � forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You
Reg #: LIC 38737 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 Insi Rain drain Insp Electrical Final
Sewer Inspection Underfloor insulation Electrical Service Low Voltage Storm drain Insp Mechanical Final
Footing lnsp Crawl Drain /Backwater Electrical Rough In Gas Line lnsp Water Line Insp Plumb Final
Foundation lnsp PLM /Underfloor Framing Insp Gas Fireplace Water Service Insp Building Final
PosUBeam Structural Mechanical Insp Shear Wall lnsp Insulation Insp Appr /Sdwlk Insp
Issued By : '_ . , / ►0 , Permittee Signature . _ i .1 A a I � L 4L I •
I
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
O 5wR. .,/ - co.,/
t ermit Application
,, A 22 10 Date receive / "Al Permit no.:Th5 raw _� e D:
X11 j'� __ City of >I<Y� Project/appl. no.: Expire date:
` , .
City of Tigard Address: 13 I , R D gard, OR 97223
Phone: (50$ 10 Date issued: Receipt no.:
Fax: (503$ -1060 Case file no.: Payment type:
Land use approval: 1 &2 family: Simple /A Complex: ._
T1 PE OF PERMIT
❑ 1 & 2 family dwelling or accessory 0 Commercial/industrial ❑ Multi- family j 'New construction ❑ Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION
Job address: 1. � THI �� ie �w
� �(�',A/ Bldg. no.: Suite no.:
Lot: Block: Subdivision: 1 V WFin ilm AI /�1r� Tax map /tax lot/account no.:
Project name:
Description and location of work on premises/special conditions:
_ OWNER F OR SPECIAL IiNFORM PION, USE CHECKLIST -
'� 'T �.�k. (Flood plain, septic capacity, solar, etc.) •
Mailing address: 'g�sl mi . 'Zs ' 1 & 2 family dwelling:
Esmirff cameY ZIP: linajpa Valuation of work $
Phone:. , rt I U , a No. of bedrooms/baths 6 �7
Owner's representative: , AM L A. i _ Total number of floors 17
Phone: Fax: E -mail: New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
•
Covered porch area (sq. ft.)
Mailing address: lL t _ Deck area (sq. ft.)
City: State: ZIP: Other structure area (sq. ft.)
Phone: Fax: E -mail: CommerclaUindustriaUmulti- family:
- CONTRACTOR.
Valuation of work..., $
� Existing bldg. area (sq. ft.)
1 a�1pfidall New bldg. area (sq. ft.)
Address: „ jTa
City: Number of stories
ity: State: ZIP:
Phone: Fax: E -mail:
Type of construction -
CCB no.: Occupancy group(s): Existing:
r New:
City/metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCIIITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
M=___ . , , provisions of ORS 701 and may be required to be licensed in the
� v
Address: _ ,' ' T P C .� jurisdiction 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 jurisdiction for more information.
attached checklist. • . rovisions of 1 ws and o dinances governing this O Visa C1 MasterCard -
work will be compl wt • whether ifted liemt•PrEt Credit card number /
n rii���J Expires
Print name: .
Authorized si u •
. � , > i A f e Name of cardholder as shown oo credit card $
!,_ss 7 4 K_ Card holder signature gnanae Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (6/00/COM)
•/
1 ,
One- and Two-Family Dwelling
' ' Permit Application Checklist Building Permit Application Chkli Reference no.:
Associated permits:
City of Tigard Cl of Tigard �J g ❑ Electrical ❑ Plumbing O Mechanical
Address: 13125 SW Hall Blvd, Tigard, OR 97223 O Other:
Phone: (503) 639 -4171
Fax: (503) 598 -1960
THE-FOLLOWING - ITEiI:S- ARE - REQUIRED- FOR - PL -AN- REVIEW Yes
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. )(
8 Soils report. Must carry original applicable stamp and signature on file or with application.
9 Erosion control 0 plan 0 permit required. Include drainage -way protection, silt fence design and location of , f
catch -basin protection, etc. J�
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 r/
if copyright violations exist. J�
11 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 -R 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. n
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 joists
over 10 feet long and/or any beam/joist carrying a non - uniform load. x
20 Manufactured floor /roof truss design details. • y
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 ari 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 (6r00/coM)
A
.
Mechanical Pe 't Application
� Date received: Permit no.• (900 6
City and kb
p, o g S Project/appl.no.: Expire date:
• City ofTigaga tes of Tigard
Address: 13125 SW Hall $jC igar , Q) 7�3 Date issued: By: Receipt no.: -
Phone: (503) 639 -4171 6
Fax: (503) 598-1968,,_ ?O C ase file no.: Payment type:
Land use approval: WA/ � ,./0 , o � Building permit no.:
• TYPE OF PERMIT
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement
,'Iew construction 0 Addition/alteration /replacement 0 Other. .
JOB SITE INFORMATION • COMMERCIAL VALUATION SCHEDULE -
Job address: m a ^� (,/ 011U 0 • 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: - 7 ` IBlock: I Subdivision: '\NAA..i. 'See checklist for important application information and
Project name: w� '- jurisdiction's fee schedule for residential permit fee.
City/county: I ZIP: 1 & 2 FAMILY DWELLING PERMIT FEE SCHEDULE -
Description and location of work on premises: AND COMMERICAIJINDUSTRIAL EQUIPMENTSCI IEDULE
Fee (en.) 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? 0 Yes 0' No Air handling unit CFM
g P Air conditioning (site plan required)
Is existing space insulated? 0 Yes 0 No Alteration of existing HVAC system —
MECHANICAL CONTRACTOR Baler /compressors
• State boiler permit no.:
�Slt�s� /�fi HP Tons BTU/H
Address: t fnr / M Fireismoke dampers/duct smoke detectors
r MEGAIIILI III Heat pump (site plan required)
'hone: _ Ji R Fax: E -mail: Install/replacefurnace/burner BTU /H
� Including ductwork/vent liner 0 Yes 0 No
CCB no.: • ?_f f' -XI) - Install/replace/relocate heaters - suspended,
City/metro lic. no.: N/A wall, or floor mounted
Name (please print): j p ` bag' NEL Vent for appliance other than furnace
CONTACT' PERSON Refrigeration:
Absorption units BTU/H
Name: '- (`1•.t Chillers HP
Address: Compressors HP
ac... ..a. 4�L Environmental exhaust and ventilation:
City: State: ZIP: Appliance vent
Phone: Fax: E -mail: Dryer exhaust
Hoods, Type U II/res. kitchen/hazmat
hood fire suppression system
Elnilln E il� Exhaust fan with single duct (bath fans)
Mailing address: III / h_ X 141 Exhaust system apart from heating or AC _
City: , „ , State IA ZIPR') Fuel piping and distribution (up to 4 outlets)
Type: LPG NG Oil
Phone: 27 _Am Fax: E -mail: Fuel piping each additional over 4 outlets
. `, ENGINEER Process piping (schematic required)
Number of outlets
Name: Other listed appliance or equipment:
Address: Decorative fireplace
City: I State: I ZIP: Insert - type _
Phone: Fax: E -mail: 1 ��;� Woodstove/pelletstove
g r..�L�f /J_ iI /JI/f� Other.
Applicant's si Hats D ate:
Name (print) ; , , 1 • •
Not all junsdictioas accept credit cards. please call junsdreuon for more information Permit fee $
Notice: This permit application Minimum fee $
0 Visa 0 MasterCard expires if a permit is not obtained
Credit card number. / / Plan review (at %) $
Expires within 180 days after it has been
State surcharge (8%) .... $
Name of cardholder as shown on credit card accepted as complete. TOTAL $
Cardholder signature Amount 440.4617 (6100/COM)
C .
•
P 'cation
„. A Plumbing - >') I ! 1 L4
y
Datereceived: - III G
lt i �• City of Tigard ,
�l�t y F Sewer perrtut no.: Building permit no.:
Address: 13125 SW Hall Blvd: -.a i i�
City of Ti and Project/appl. no.. Expire date:
ry 8 Phone: (503) 639-4171 car OF issued: By: Receipt no.:
Fax: (503) 598 -1960 BUILD ! NG D iV i S I N 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 SITE INFORMATION FEE SCHEDULE (for special information use Checklist)
I .� ,�1 fJ �, Description Qty. Fee(ea.) ' Total
Job address: n c (J( ,- _` > New 1- and 2- family dwellings only:
Bldg. no.: S uite no.: (includea 100 ft. for each utility connection)
Tax map /tax lot/account no.: L i SFR (1) bath
Lot: ,1 � 5 'Block: I Subdivision: V v 1 uJ SFR (2) bath
Project name: w 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 dram
- Footing drain (no. lin. ft.) ,
PLL'MIRING . CONTRACTOR Manufactured home utilities ■
Address: i /�
Business name: ` 7 L • Manholes
s� i Rain drain connector
ZIP: Sanitary sewer (no. tin. ft.)
City• it r� _ v� ► Storm sewer sewer
lin. ft )
Phone: y ■ --4— I Fax: E-mail: ,� Water service (no. lin. ft.)
CCB no.: [ "7 ‘--1 - ] Plumb. bus. reg. no: - - ; op Fixture or item:
City/metro tic. no.: N/A l / — Absorption valve
Contractor's representative signature `�.�/ Back flow preventer
Print name: • • / — I u • —. .../ 4 0 - Backwater valve
CONTACT PERSON Basins/lavatory
Clothes washer • •
Name:, � 1 {� ��I E Dishwasher
Address: A i / i p 1, . ,V - Drinking fountain(s)
City: l State: . ZIP: Ejectors/sump
Phone: ' Fax: E -mail: Expansion tank
'' •'._ OWNER - . Fixture/sewer cap
Floor drains/floor sinks/hub
Name (print) \ • 'al _�t� 1 G arbage disposal
Mailing address: 4 {� 2 --L L -1 PC1., Piv7 171 Hose bibb
City: L -D • State , ZIP:C/ - 70. j , Ice maker
Phone: f , - _ Fax: #11 , - 2- . 70 E -mail: Interceptor /grease trap
Owner installation/residential maintenance only: The actual installation Pnmer(s)
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. Sink(s), basin(s). lays(s) _
Owner's signature: Date: Sump
ENGINEER Tubs/shower /shower pan •
- - - Urinal
Name: ' Water closet _
Address Water heater
City I State: ZIP: Other.
Phone: I Fax: E -mail: ` Total I -
Minimum fee $
n Notice: Not all lusdscuon m
s accept c'ed'e cards, please call iunssLcuon far more infouuoa N This permit application Of
Plan review (at _ %) $
C Visa ❑ MasterCard expires if a permit is not obtained State surcharge (8%) •••• $
C.edit card number.
w ithin I80 d ays after it has be
Expires TOTAL S ____.--'
accepted as complete. •
Name of cardholder as shown oa credit card S
Cardholder signature Amouns 4404616 (6U0■COM)
A Electrical Permit !, -
Date received: Permit no.:06Det ,/ D 7
.4 1 . 4. ...1 I City of Tigard FEB
2 4 . Project/appl.no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97243?004 Date issued: By: I Receipt no.:
Phone: (503) 639 -4171 eU/ cm, OP T/ Case file no.: Payment type:
Fax: (503) 598 1960 �D ///G illy', RO •
Land use approval:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ Tenant improvement
6'. New construction ❑ Addition/alteration/replacement ❑ Other. ❑ Partial
- JOB SITE INFORMATION -
Job address: ..,4g Aiii��^ JI �j' 1t Bldg. no.: Suite no.: Tax map /tax lot/account no.:
Lot: ' Block: Subdivision: M `. e
Project name: Description and location of work on premises:
Estimated date of completion/inspection:
CONTRACTOR 1 \I'I'L;ICA FEE SCHEDULE . . - -,
J11 I t . Fee Max
G'
_ Business name: A a E(V - Description Qty. (ea.) Total no. [lisp New res idential - single or multi- family per
Address: i ip _ fr `` iser.1 �,���� ^ � c" - dwelling unit. Includes attached garage.
:ti AVM Service included:
Phone: m 7j - j , j Fax: E -mail: 1000 sq. ft or less 4
Each additional 500 sq. ft_ or portion thereof
: no.: _ Elec. bus. lic. no: • Limited energy, residential 2
C Limited energy, non- residential 2
Each manufactured home or modular dwelling
- nature of supervising electrician (required) Dat Service and/or feeder 2
�� Services or feeders —installation,
�ti
Sup elect- name (print) s 1 , Cf-- A ZA License no OZ alteration or relocation:
- PROPIiR'l`Y - O \VNIiR • . 200 amps or less 2
201 amps to 400 amps 2
Name (print): ` ...„ • rl( ►t.r! 401 amps to 600 amps 2
Mailing address: �1 ar to 1111 S. s 601 amps to 1000 amps 2
City: tip , State �y ZIP: 70 Over 1000 amps or volts 2
Phone:, , ,2 Fax: - -'7 'r -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: ( 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 0 Health -care facility Each pump or imgation circle 2
O Service over 320 amps- rating of 1&2 ❑ Hazardous location Each sign or 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, or extension* _ 2
O Building over three stories ❑ Feeders, 400 amps or more *Description:
O Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable in any of the above:
O Egress/lighting plan ❑ Other. Perinspccuon I I 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 jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application
O Visa 0 MasterCard expires if a permit is not obtained Plan review (at _ %) $
Credit card number: / / 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 (6rVO/COM)
r
CITY OF TIGARD Credit No.: 2004 -0001
Date Issued: 01/28/04
Engineering
- �'i'l 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.
developer) (name of
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 Whistler's 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.
er--1:3 P. 0 4-e..„ 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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(Pl.E/ISE PRIN 1) (PERMIT WADER)
H I
4.1 I )o held)) certify III .L die ((Mowing loc;it ion
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meets (it y of Iii' (I/Washington Count y
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i land tisc and development standards for st t eel tree instalktion.
. . ADDRESS: /.20_(eV 5 6.) t.4)1„:5fitic-s loop
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CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 �j�oD20
INSPECTION DIVISION Business Line: (503) 639 -4171 MST 4�a
BUP
Received 7/),( p . to Requested 7 /a a' AM PM BUP
Location • - dr■If - ' -u it e MEC
Contact Person G �� Ph • T' 17 PLM
Contractor Ph ( ) SWR
BUILDI Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear d
Framing -/ A _ r + " i- —
Insulation
Drywall Nailing • . � � . " s Ca
•
Firewall
Fire Sprinkler
Fire Alarm •
Susp'd Ceiling
Roof
O Pr:
inal
MO PART FAIL
P 1 MBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MELG —
Pos Beam
Rough -In /J
Gas Line f ��-
S • .e Dampers
PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab -
Low Voltage
Fire Alarm
Final El 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
Approach/Sidewalk Date 7-7,2- 114-- 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 ( 5/ -4-00. gU
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
/,
Received 7 4/ D . to Requested M PM BUP
Location ■•■ era' uite '/n MEC
Contact Person .� JPh ( / ) 0 3 7 PLM
Contractor Ph ( ) SWR
BUILDING. Tenant/Owner . EL
Footing C
Foundation Access: K T
Ftg Drain, LR ~ 6 3 V
Crawl Drain
Slab Inspection Notes: 1 1/4
Post & Beam Arsab
Shear Anchors id f
Ext Sheath/Shear i�
Int Sheath/Shear
Framing - 0..
Insulation
Drywall Nailing E . ' 11 �
���� lt.)a crob
Fire 16 10 Ci9v ,l
Sprinkler
Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PA PART FAIL
UMBI
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
ttI.r:
- ASS PART FAIL
M ANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
<EC €CTRICAA
S Mce
Rough -In
lab jet/ ow Voltag
Fire a
dal ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SS PART FAIL
SI 1=I Please call for reinspection RE: Unable to inspect - no access
Fire Supply Line
ADA - n 1
Approach /Sidewalk Date Inspector w `J Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
\ PASS PART FAIL
■` 1