Permit ,
CITY OF T I GA R D MASTER PERMIT PERMIT #: MST2004 -00038
1� DEVELOPMENT SERVICES DATE ISSUED: 2/20/04
'�� I � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 12345 SW WINTERVIEW DR ligallailla PARCEL: 2S110BC -03700
SUBDIVISION: THORNWOOD ZONING: R -
BLOCK: LOT: 008 JURISDICTION: TIG
REMARKS: New SF detached.
BUILDING
REISSUE: DM199AS STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1,610 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,790 sf GARAGE: 418 sf FRONT: 15 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 'hem sf RIGHT: 5
VALUE: 325.064 40
OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3.400 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: BOIL/CMP < 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: 6 201 - 400 amp. 201 - 400 amp: 1st W/O SVCIF DR: 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: $ 6,114.70
DON MORISSETTE HOMES DON MORISSETTE HOMES INC This permit is subject to the regulations contained in the
4230 GALEWOOD ST 4230 GALEWOOD ST, STE 100 Tigard Municipal Code, State of OR. Specialty Codes and
STE 100 LAKE OSWEGO, OR 97035 all other applicable laws. All work will be done in
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
forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You
Reg #: S 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 Insr Rain drain Insp Electrical Final
Sewer Inspection Underfloor insulation Electrical Service Low Voltage Storm drain lnsp Mechanical Final
Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Water Line Insp Plumb Final
Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Water Service Insp Building Final
Post/B tructur- Mechanical lnsp Shear Wall Insp Insulation Insp Appr /Sdwlk Insp
N
Is ued By : ` a 004 = — ,awd Permittee Signature : ‘-‘-2,.
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
. - , ' r n c)r 2- €) "`1.4tfl4 % r- ■ A. l - o60 0
. ° Building 1$ i tiOn •
Ci of Ti and
JAN 6 U 004 Datereceived. —,�i _ A Permit no.: Wra� .3 - A 0
,3 4_, '�I� g Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Halaigtakt 97223
Phone: (503) 639- 417J DIVISION Date issued: ' j &i Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: 1&2 family: Simple ' Complex:
'11 PE OF PERMIT
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family , New construction 0 Demolition
0 Addition/alteration/replacement 0 Tenant improvement 0 Fire sprinldedalarm 0 Other.
JOB SITE INFORMATION
ION
Job address: L .W,Mr0jWArt Bldg. no.: Suite no.:
Lot: ME Block: Subdivision: 011 Lftri Tax map/tax lot/account no.a5 O; -03
Project name: t
Description and location of work on premises/special conditions:
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
1 ,� 7 'f 1 .
(Floodplaiii, seplic capacity, solar, etc.)
Mailing address: ' ere s 1earaMii13='r4 1 & 2 family dwelling:
� WIL EM ZIP .301 Valuation of work $
Phone: . rQ1/�j gl No. of bedrooms/baths ___=72
Owner's representative: , OW i Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.) ,
APPLICANT Garage/carport area (sq. ft.) ' I 0
Covered porch area (sq. ft.)
Mailing address: • i a Lr a _ Deck area (sq. ft.)
City: State: ZIP: Other structure area (s.. ft.)
Phone: Fax: E -mail: Commercial/industrial/multi- family:
CONTRACTOR Valuation of work..., $
Business name: __ ��L p] a m
Existing bldg. area (sq. ft.)
New bldg. area (sq. ft.)
Address: Al v�� a.. I ra 11rMINIMIN111111111 Number of stories
City: State: ZIP: Type of construction
Phone: Fax: E -mail:
CCB no.: Occupancy group(s): Existing:
New:
City/metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under
c EIEW ..• :� provisions of ORS 701 and may be required to be licensed in the
Address: _ , j jurisdiction where work is being performed. If the applicant is
t7`s exempt from licensing, the following reason applies:
City: State: ZIP:
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 oldinances governing this Elvin 0 MasteiCard
work will be compl • wt • ' whether ified Here t. 1 I Credit card number / /
/�
Authorized Si a i /� A L �/ ' Name of of cardholder as shown on credit card
$ Expires
Print name: _ ./74142 l 7 L 1 t £. Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. - - - 440-4613 (6100/COM)
•
Alf‘ One - and Two - Family Dwelling
' Reference no.:
� Building Permit Application Checklist
Associated permits:
City of Tigard Cl of Tigard 'J g 0 Electrical 0 Plumbing 0 Mechanical
Address: 13125 SW Hall Blvd, Tigard, OR 97223 0 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.
•
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. y
9 Erosion control Cl plan 0 permit required. Include drainage -way protection, silt fence design and location of •
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 K
if copyright violations exist.
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 -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. J �
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. •
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 (6100/COM)
A 6T o 2Qz9 ` - -6
A Mechanical Permit Application
�`e ''Y•,,4 Date received: Permit no.:
I l • .
- .• .1 I^ City of Tlg aE EI
Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall vd, Tigard, OR 97223
Phone: (503) 639 -4171 JA i3 u 1004 Date issued: By: I Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval QTY OF TIGARD 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: j.jr Ts,' f 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: S AM Block: Subdivision % j rie 'See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee.
City/county: J ZIP: 1 & 2 FAMILY DWELLING PERMIT FIE SCHEDULE
Description and location of work on premises: AND COMMERICAL/INDUSTRIAL EQUIPMENTSCIIEDULE
Fee(ea.) Total
Est. date of completion /inspection: Description Qty. Res. only Res. only
Tenant improvement or change of use: Ii Air handling
Is existing space heated or conditioned? ❑ Yes ❑ N o Air handling unit CFM
g P Air conditioning (site plan required)
Is existing space insulated? ❑ Yes ❑ No _ Alteration of existing HVAC system
MECHANICAL CONTRACTOR Boiler /compressors
��}}�� �. State boiler permit no.:
Business name:
aIiMin!�fa I J HP Tons BTU/H
Address: tarlllEM Fire/smoke dampers/duct smoke detectors
EOM is �M eat pump (site plan required)
Phone: ,„Aup . ' a -mail: InstalUreplacefurnace/burner BTU /H
Including ductwork/vent liner O Yes U No
CCB no.: 'F--),9 - ;(--5(1) - Install/replace/relocate heaters- suspended,
City/metro lic. no.: N/A wall, or floor mounted
Name (please print): j p l 1 p11V ' t- E�L..... Vent for appliance other than furnace
CONTACT PERSON Refrigeration:
Absorption units BTU/H
Name: 0 `i , • Chillers HP
Address: Corn • ressors HP — �_ ♦ bl Environmental exhaust an vent
City: State: ZIP: Appliance vent
Phone: Fax: E -mail: Dryer exhaust
OWNER Hoods, Type U II/res. kitchen/hazmat
hood fire suppression system
Ean�.iu ' ' ��J,�1_ •>♦ Exhaust fan with single duct (bath fans)
Mailing address: g ��� ) 57 IBE�ITI1AG Exhaust system apart from heating or AC
Fuel piping and distribution (up to 4 outlets)
��� �� Type: LPG NG Oil
Phone: g�i4 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: 1 State: J ZIP: Insert - type
Phone: Fax: E -mail: VV Woodstove/pelletstove
g �iliri- IAJ Other:
r. Other ,
Applicant's si flats" � Date:
Name (print): kr 1 Y f I'(if'f1 I
P
Not all junsdicttons accept credit cards. please call lurisdtcuon for mom fomtation. Permit fee $
re
0 Visa ❑ MasterCard Notice: This permit application Minimum fee $
expires if a permit is not obtained Plan review (at %) $
Credit card numbs Ex i / w 1 d after it has been
een State surcharge (8 %) .... $
Name of cardholder as shown on credit card accepted as complete.
S TOTAL $
Cardholder signature Amount 440-5617 (61001C.'OM)
./Iii S - 0 35"
Plumbing iv cation
• t t Date received: Permit no.:
t _-ilt,ill' 13125 S alt P a P & permit w � Cl of 11 s`lI� Sewer t no.: Building permit no.:
Address: 13125 SW H d• ig 97223
City of Project/appl.no.: Expo date:
Phone: (503) 639 -417C ITYOFTIGARD
Fax: (503) 598 -1960 Date issued: By: Receiptno.:
BUILDING DIVISION
Land use approval: Cue file no.: Payment type:
TYPE OF PERMIT
0 l & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 Tenant improvement
►= ew construction 0 Addition/alteration /replacement 0 Food service 0 Other:
JOB SITE INFORMATION FEE SCHEDULE (for special information use checklist)
Job address: 1 ty S G t W ` ' , �i/Q D( ` Descri . tioo s • Fee(ea.) Total
New 1- and 2- family dwellings only
Bldg. no.: [Suite no.: (indudes 100 ft. for each utility connection)
Tax map/tax lot/account no.: — SFR (1) bath
Lot: AIM Block: Subdivision: 1M ► AKIAN 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'LU\IUING CONTRACTOR Manufactured home utilities
Business name: II, ` p L. i Manholes
Address: .��b�illril_• Rain drain connector
one: V1 ��•• State•d ZIP: Sanitary sewer (no. lin. ft.)
• -vim
one: y' r ;en Fax: E -mail: Storm sewer (no. lin. ft.)
;�oti Water service (no. lin. ft.)
Ki
no.: • "7 L _
Plumb. bus. reg. no: - 'Fixture or item:
City/metro lac. no.: N/A / �/ ! Absorption valve
Contractor's representative signature .-.// Back flow preventer I
•
jai i IPAP:" Backwater valve I
CONTACT PERSON Basins/lavatory
\ �1 , � -D 1 Clothes washer • • • •
Name: 1 ( �+ E Dishwasher
Address: _ A - - b lC . ,V - Drinking fountain(s)
City: State: ZIP: Ejectors/sump
Phone: Fax: E -mail: Expansion tank ,__
OWNER Fixture/sewer cap ,
Floor drains/floor sinks/hub
Name (print): tt . ' , - _art t a-�` Garbage disposal
g a- i��G ( • Ars r
Mailing address ' T 1 Hose bibb •
City: L. -) . State i6„g kadnipr��� Ice maker
Phone: 7 --i t Fax: .7 1 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
Tubs/shower /shower pan
ENGINGG[Z Urinal
Name: Water closet
Address: Water heater
City State: I ZIP: Other. .
Phone: Fax: E -mail: Total
Minimum fee $
Not all lunsdscuons accept credo cards. please call junsdicuon for more information Notice: This permit application
_ %)
0 visa G MasterCard / ! expires if a permit is not obuined Plan review (at
C.edit card number. w ithin 180 days after it has been State surcharge (8 %) ...• $ �—
Expires TOTAL S
accepted as complete ••
Name of cardholder as shown on cretin card S
Cardholder signature Amount
440—'616 (601CoN)
. 41, Electrical Permit Application
Date received: Permit no.: .
r.:, CEIVEC
!,L affil City of Ti Project/appl.no.: Expire date:
City of Tigard Address: 13125 SW Hili 6 i g 4R 97223 Date issued: By: I Receipt no.:
Phone: (503) 639-4174M" (UU4
Fax: (503) 598 -1960 Case file no.: Payment type:
TY OF TIGARD
Land use approNC DIVISION
TYPE OF PERMIT
❑ I & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family 0 Tenant improvement
v. New construction 0 Addition/alteration /replacement ❑ Other. ❑ Partial
JOB SITE INFORMATION
•
Job address: am oVAMMITME T IMT21 Bldg. no.: Suite no.: Tax map/tax lot/account no.: '
Lot: c) Block: Subdivision: # rAvujp a
Project name: I Description and location of work on premises:
Estimated date of completion/inspection:
.CONTRACTOR Al'i'l.itA PION FEE SCHEDULE
Job no: _ -77- Fee Max
Business name: C 4 �E'CV -' Description or Qty. (ea.) Total no. Imp ,
New residential - single or multi - family per
Address: . 0 I. �1` ttd't.. . E .../ dwelling unit. Includes attached garage.
City: Z : tei . Cillrifig ZIP: # — Service included:
Phone:4424.3 - I rte_ Fax: E -mail: 1000 sq. ft or less 4
�e�a G
Each additional 500 sq. ft or portion thereof
CCB no.: /y��, I Elec. bu s. lic. n o: Limited energy, residential 2
Limited energy, non - residential 2
Date "��� �'I Each manufactured home or modular dwelling 2
nature of supervising electrician (requir Service and/or feeder
Ltcenseno. Q ac Services or feeders— Installation,
Sup elect name (print) 1 1 �7 alteration or relocation:
200 amps or less 2
Name (print) : ► t ttJ � r r � 7 201 amps to 400 amps 2
rint
��/ yyy��� 401 a to 600 amps
Mailing address: 2 1 �I r9T•1 601 amps to 1000 amps 2
City: L.O, I State ZIP:9 » c, over 1000 amps or volts 2
Phone:? Fax:7 -7h15-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, 7 0 1 . 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: '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 . (Serviceorfeedernotincluded):
O Service over 225 amps - commercial 0 Health-care facility Each pump or irrigation circle 2
O Service over 320 amps - rating of 1&2 0 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 to one structure alteration, or extension' _ 2
O Building over three stories 0 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 0 Other. Per inspection 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
Not all jurisdictions accept credit cards, please call jurisdiction for more infomuuon. Notice: This permit application
Permit fee $
O Visa 0 MasterCard expires if a permit is not obtained Plan review (at _ %) $
Credit card numbs / / within 180 days after it has been State surcharge (8%) .... $
Expires accepted as complete. TOTAL $
Name of cardholder as shown on credit card
$
Cardholder signature Amount 440-4615 (6.V0 OM)
/ 0 -
���� �� ������ BUILDING PERMIT
At,
PERMIT #: BUP2003 -00115
�,�I,
DEVELOPMENT
g T r So SERVICES 1 DATE ISSUED: 3/14/03
PARCEL: 2S110BC -01000
SITE ADDRESS: 12400 SW BULL MOUNTAIN RD
SUBDIVISION: THORNWOOD ZONING: R -7
BLOCK: LIT: JURISDICTION: TIG
REISSUE: FLOy ' EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: - S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: W:
OCCUPANCY GRP: TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS . - ' REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 2,900.00 OY Remarks: Construction of 8' fence and retaining wall combination, located at the rear of lots • /, & 9.
Owner: Contractor:
VENTURE PROPERTIES, INC - DON MORISSETTE HOMES INC
4230 SW GALEWOOD ST., #100 4230 GALEWOOD ST, STE 100
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035
Phone:
Phone:
Reg #: 603- 387 - 753833
FEES . REQUIRED INSPECTIONS
•
Description Date Amount Foot/Found Insp
[BUILD] Permit Fee 3/14/03 $72.10 Masonry Insp
[TAX] 8% State Tax • 3/14/03 _ - $577 Final Inspection
[BUPPLN] Pln Rv . 3/14/03 $46.87
[ BUPPLN] Addl Pln Rv . 3/14/03 $62.50
•
Total $187.24 •
•
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. 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. ATTENTION: Oregon law
requires you.to follow the rules adopted by the Oregon Utility Notification Center. r Those rules are set forth in OAR .
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
— I- - - , . _
Issued By: �
Perm ittee t
Signature: , •
Call 639 -4175 by 7 p.m. for an inspection the next business day
t" t.
® ® ®eeeeeeeeeeee�:ei�
4eeslAe ® ® ® ® ® ® ® ® ® ® ® ® ®e� ® ®�► ®fie ®,�AAw�►A�► ®eases --- -___ r •
• S TREET
TREE CER ►
. ;
i 1 , Owncr /Agent for 0..J Ner %salt Les ■
(PL ASE PRINT)
i I,1,fY�C (PERMIT HOLDER) ►
1 ►
" 'i
1 .
I D o hereby certify that.the following location ■
A
A meets City of 1- igard /Washington County `
1 land use and development standards f or street tree installation. ■
•
I .
ADDRESS: j; 3 c S•/ &ir -1 -Far a: w ec 1
, A
• 1 SUBDIVISION: kiqr ^
BY: _ DATE: -)/'vJ
■
•
RECEIVED BY.
—
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•
CITY OF TIGARD 24 -Hour
BUILDING Inspection ine: ,(503) 639 -4175 • _ "
INSPECTION DIVISION Busines L n e: (503) 639 -4171 MST O�D(� Ol>D,
BUP
Received Date Requested a AM PM BUP
Location oZ 31/ �(/ � [Suite MEC
Contact Person Ph ( ) �� T S �? PLM
Contractor Ph ( ) SWR
BUILDING 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 •
Framing
Insulation eA)S‘
Drywall Nailing
Fire wall fw•beic-e(e(5-
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
�: 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
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 E Please call for reinspection RE: Unable to inspect – no access
Fire Supply Line
ADA
Approach/Sidewalk Date // / 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
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested "�"� - AM PM BUP
Location /Z 3 </_S 24:t :12AXJ 10 A -4..) Suite MEC
Contact Person )--tf Ph ( ) 92 59'q PLM
Contractor Ph ( ) SWR
BUILDING 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
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING `'e
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
•
Catch Basin / Manhole
Storm Drain
Shower Pan
0iir:�'
PART FAIL
HANICAL
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 El Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk De ��� Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection n . (503) 639 -4175 MSS —OV/ — 0 3 P
INSPECTION DIVISION Business ne: 03) 639 -4171
BUP
Received 3 e--7 4, Date Requested 5 — (() cw4 PM BUP
Location ! 2?) i i) / L! ,C.) Suite MEC
Contact Person Ph ( qb9- �---9 9 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Ina Sheath /Shear - a• t 3 ` ° F . �J , z`'i 1 (�
Framing 9� f� � z��. `7
Insulation N'"itt,r J�, �/ vv t � \\� �� v _ \ �
Drywall Nailing "� i`� N
Firewall Fire Sprinkler c�� d b(1
Fire Alarm ' — `
Susp'd Ceiling
Roof
Other:
Final
PA PART FAIL
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
.
'ASS PART
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PORT FAIL
I�€CTRIf
ervice
Rough -In
UG/Slab
Low Voltage PAS PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE Please call for reinspection RE: D Unable to inspect - no access
Fire Supply Line
ADA (SIB Ext
Approach/Sidewalk Date . ‘` IZ Inspector �� '�
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL