Permit ,
, A
CITY •OF TIGARD MASTER PERMIT
PERMIT #: MST2003 -00414
I DEVELOPMENT SERVICES DATE ISSUED: 9/4/03
�^°"'� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171
SITE ADDRESS: 12325 SW WINTERVIEW DR PARCEL: 2S110BC -03800
SUBDIVISION: THORNWOOD ZONING: R -
BLOCK: LOT: 009 JURISDICTION: TIG
REMARKS: New SF detached, Path 1.
BUILDING
REISSUE: DM132 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,016 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,242 sf GARAGE: 460 sf FRONT: 15 PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 TIARD sf RIGHT: 5
VALUE: 220,979 20
OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL• 2,258 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: 4 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 1 TEMP SRVC /FEEDERS BRANCH CIRCUITS • MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp. ' W/SVC OR FOR PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 4 201 - 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 8 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATAITELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 5,203.44
DON MORISSETTE HOMES DON MORISSETTE HOMES INC This permit is subject to the regulations contained in the
4230 GALEWOOD ST #100 4230 GALEWOOD ST, STE 100
Tigard other applicable Municipal Code, State work k w Specialty Codes and
n
a
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 all othplicable laws. All work will be done i
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 - 3875 Phone: Oregon Utility Notification Center. Those rules are set
5 forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You
Reg #: L k 387 may obtain copies of these rules or direct questions to
OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS •
Erosion Control Insp 8 Post/Beam Mechanical Plumb Top Out Exterior Sheathing Insr Gyp Board lnsp 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 lnsp Insulation Insp Water Service Insp Building Final
Issued By : �� Permittee Signature :
, Call '(503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
To - `t'y °3
'e2ao -cep ",/ -
AIR Building Permit AppinzatIon ,. iL M •
Date received: q ( D 3 Permit no.: p5T
` City f T ll ar 4/i , � -
--- g Project/appl. no.: Expire date: --,
City of Tigard Address: 13125 SW Hail Qua V
Phone: (503) 639 -4171 U 3 Date issued: By: I Receipt no.: QQ.
Fax: (503) 598 -1960 AUG V � 6 n ' - Case file no.: Payment type:
Land use approval• ZUO t en I &2 family: Simple Complex:
� / 1Y O • - `-C
t
. i, :;,,�:.. T11E. F Pt[RMM1IT , .,
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family r ,!CNew construction ❑ Demolition l
❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other.
JOB SITE INFORMATION
Job address: 1 • (-j / v■A ' - 1 • Bldg. no.: Suite no.:
Lot: • Block: Subdivision: Vo a wdir Tax map /tax lot/account no.:
Project name:
y_, :
Description and location of work on premises/special conditions:
,
OWNER ; . , - . ,. FOR SPECIAL INFORi11ATION, USE CHECKLIST
=I t, • r . ;�, — 2,, ,` ( Floodjn , solar; etc.) -,
Mailing address: Ar w __ /3� ran 1 & 2 family dwelling:
�W EMA ZIP: IRMO/ Valuation of work $
Phone:. ♦, WrigaNag, No. of bedrooms/baths
Owner's representative: , ,Wa is _ Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.)
.' APPLICANT Garage/carport area (sq. ft.) I/
CM 11♦ CL Covered porch area (sq. ft.)
Mailing address: , ,��- ( et- � Deck area (sq. ft.)
City: I State: I ZIP: Other structure area (sq. ft.)
Phone: Fax: E -mail: CommerciaUindustrial /multi - family:
CONTRACTOR Valuation of work $
• Existing bldg. area (sq. ft.)
f � 1 ��"� _ New bldg" area (sq. ft.)
Address: .41 L r Wa. Number of stories
City: State: Type of construction
Phone: I Fax: I E -mail:
CCB no.: 7D 5 C 2j " ?� 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
Name: C Lk lair.-�, I provisions of ORS 701 and may be required to be licensed in the
jurisdiction where work is being performed. If the applicant is
Address: G � . �� (Li) ��, G tt ,�' �V i✓� exempt from licensing, the following reason applies:
City: State: I 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: I Fax: I E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all junsdicnons accept credit cards, please call jurisdiction for more information.
attached checklist. • . rovisions of 1 ws and ojdinances governing this 0 Visa 0 MasterCard
work will be compl - • wt.., whether cifted lierei i t. Credit card number: / 1
1 046'1
Authorized si a atu. _ , i A e: Name of cardholder as shown on credit card
Print name: •+_t_ 2 (.'L $
Expires
1 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 (bvo✓COM)
One- and Two-Family Dwelling
._;.`►'�� Building Permit Application Checklist
Reference no
Associated permits:
City of Tigard City of Tigard 0 Electrical 0 Plumbing 0 Mechanical
Address: 13125 SW Hall Blvd, Tigard, OR 97223 0 Other:
Phone: (503) 639 -4171
Fax: (503) 598 -1960
• Tl1E. ITEMS ARE RE,QUIRED.FOR:PLAN!- REVIEW :.Yes - No . -N /A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. V
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.
9 Erosion control 0 plan CI 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�
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. 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. 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. J�
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."
Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists V
over 10 feet long and/or any beam/joist carrying a non - uniform load. /�
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.
,„, 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 ". x
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 (600/COM)
■Alb" •• • • :��� � i ,� � +i . '� , F �c l z �l �� Jh R � c ri�'s' -r r .r . � k ls
. , � Mechanical Permit Application ii k �....,.,.r�s f� L �,� ; ; :s :. ; ,., ,, ,w i Date received: Permit no.: �ain,1 - 00,101, l l I ECEIVE®
�,11,.�•
City of Tlga Project /appl.no.: Expire date:
City ofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: By: I Receipt no.: _
Phone: (503) 639 -4171 Pa 0 6 2.003)
Fax: (503) 598 - 1960 Case file no.: Payment type:
Land use approval: CITY OF TIGAR Building permit no.:
B UILDING DIVIS • ►
' , ` . OF PERMIT, T 1 p 51,• . .. t t,,,: } . .- .
❑ 1 & 2 family dwelling or accessory 0 Commercial/industrial ❑ Multi - family ❑ Tenant improvement
,Iew construction 0 Addition/alteration /replacement CI Other:
+ ,; , :;„1'72::',::,!' ;: ; :JOB SITE INFORMATION ", COMMERCIAL :VALUATION SCHEDULE,
Job address: A , 5 RIIIIII 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: Block: Subdivision: y,, b *See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee.
City/county: ZIP: , 1 & FAMILY DWELLING. PERMIT FEE .SCHEDULE,...
Description and location of work on premises: AND CoiV1t1'I>itImINDUSTRIAL EQUIPMENTSCILEDULE
Fee(ea.) Total
Est. date of completion/inspection: Description Qty. Res. only Res. only
•
Tenant improvement or change of use: IiVAC.
Is existing space heated or conditioned? CI Yes CI No Air handling unit CFM
g P Air conditioning (site plan required)
Is existing space insulated? ❑ Yes ❑ No Alteration of existing HVAC system
MEC {IANIC AL CONTRACTOR Boiler/compressors I
���}� State boiler permit no.:
�I�_�i� / /_6 �I.� HP Tons BTU/H
Address: ei��b Fire/smoke dampers/duct smoke detectors _
EineKoaN M ZIP: �� �ena Heat pump (site plan required) ■--
Phone:. - ' Fax E -mail: Install/replacefurnace/burner BTU /H
Including ductwork/vent liner 0 Yes 0 No
CCB no.: — Install/replace/relocate heaters-suspended, ■--
City/metro lic. no.: N/A wall, or floor mounted
Name (please print): VI, r Vent for appliance other than furnace MI
CONTACT PERSON •
. Refrigeration: II
- Absoorption on units BTU/FI
Name: � , . Chillers HP
Compressors HP MI
Address: 7 gia, �l Env exhaust and ventilation:
City: State: ZIP: Appliance vent
Phone: Fax: E -mail: Dryer exhaust
_ O W N ER Hoods, Type U lUres. kitchen/hazmat
hood fire suppression system
_—
��.tlf�► l� q glriR __ Exhaust fan with single duct (bath fans ) -
Mailing address: "nri / i W IIE'Il eid Faust system apart from healing or AC NI
Emitim mat
Fuel piping and distribution (up to 4 outlets) - -
� Type: LPG NG Oil
Phone: �2 Fax: E -mail: Fuel piping each additional over 4 outlets _
• ENGINEER i - Process piping (schematic required) MN
Name: Number of outlets
Other listed appliance or equipment:
II
Address: Decorative fireplace
City • State: ZIP. Insert - type II
Phone: Fax: E -mail: Woodstove/pelletstove
" :��, �, 0,, ��- Date: J �`-M
Applicant's signatu Other:
Name (print): .(• . 1 • ,
Not all lunsdicuons accept credit cards, please call lunsdrcu n
on for more intonation Permit fee $
0 Visa 0 MasterCard Not Th permit application Minimum fee $
expires if a permit is not obtained Plan review (at _ %) $
Credit card number )
Expires s w ithin 180 days after it has b (
p been surcharge (8 %) .... $
Name of cardholder as shown on credit card accepted as complete. TOTAL $
Cardholder signature Amount 440-4617 (6i06'COM)
gPer it pplicnti ®u ii
Plumbb� r
b
Datereceived: Permit no.: Vt, __•G23_0
. . City of Ti g ard
' 2E � permit t no.: Building permit no.:
Address: 13125 SW Hall Blvd R E0 ire date:
City ofTigard Phone: (503) 639 171 Project/appl. no.: Expire
Fax: (503) 598 -1960 AU0 0 b ?O(13 Date issued: By: Receiptno.:
Land use approval: Case file no.: Payment type:
t.:11 Y U1- I ItiAML)
.a , _ '...,":47'11.
.. 7 '1 vi' PERMIT ; _ . . • .
O 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 . ;' r° FEE SCHEDULE (for special information use checklist) •
Job address: = pr to • L rAV Dr- Description Qty Fee(ea.) Total
New 1- and 2- family dwellings only:
Bldg. no.: Suite no.: (includes 100 ft. for each utility connection)
Tax map /tax lot/account no.: ' " , SFR (1) bath
Lot l IBlock: ISubdivision: � V\.L4 a 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.)
— PLUMBING "CONTRACTOR Manufactured home utilities
Business name: ,y L. i Manholes
Rain drain connector
Address: , j�b1�� i }_
�'� ZI P: Sanitary sewer (no. lin. ft.)
City: .v� E-mail: Storm sewer (no. tin. ft.)
Phone: ,, I Fax: E
Water service (no. lin. ft.)
CCB no.: [ �± L( — Plumb. bus. reg. no: — ,
Water
or i
- ' tem:
City/metro lic. no.: N/A . , Absorption valve
Contractor's representative signature r Back flow preventer
Print name: , 1n� ` r 1 14 , Backwater valve I
. coNTAcr l LRSON• - Basins/lavatory
Clothes washer
Name: l �- s��D1 E Dishwasher
Address: j_'ry' ' . 2 0_,k, "(' . Dnnking fountains)
City: State: ZIP: Ejectors/sump
Phone: Fax: E -mail: Expansion tank ,
_. _a:r_• <. OWNER '• . Fixture/sewer cap
Floor drains/floor sinks/hub
Name (print): *A k—Ar`•eic- - Garbage disposal
- _ !,
Mailing address: • ' • ► a11 • Hose bibb
City: -D D . EtaNEML•liirittr[iriil Ice maker
. Phone: f . — J . I Fax: • ,7-70 UEEWIIIIIIIIIIIIIIIM 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
Unnal
Name: Water closet
Address: Water heater
City. I State: I ZIP: Other.
Phone: I Fax: I E -mail: Total I F
Notice: This permit application
Minimum fee $
Not all lurisdicuons accept credit cards. please call IunsiLcuon for mate mfa tsa
mat. To)
$ ..
0 Visa 0 MasterCard ard expires if a permit is not obtained Plan review (at State surcharge (8%) •••• $ �—
C.tdit card number. Expires w ithin 1 80 days after It has been $ �_
p accepted as complete. TOTAL
Name of cardholder as shown oa credit card
$ 4.40-1616 (6O0•CON)
Cardholdu signature -• Amount
• s' • 1 I r � .'J ��n , ' :,..,,,,,—;.:44.4:;,-.1-•-, r3P7 r ai- Electrical P �, ms s; r -,
Date received: Permit no.: 0 D3 ' O ft`
r 1;j; } ..:111' City of Tigard AAk (�\� 7` � I � Project/appl.no.: Expire date:
City of Tigard Address: 13125 SW Hall BI g'Md , OR 97 Date issued: By: Receipt no.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 CITY OF TIGARD Case file no.: Payment type:
BUILDING DI VISION
Land use approval:
'':� ` _ TYPE OF PER1tr1IT `r .
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement
►' New construction 0 Addition/alteration /replacement 0 Other. 0 Partial
n t-; i: •w
. "` c ' ` ;:���' '� � :, ."-` '':JOB SITE INFORMATION _ . � =� , r _ .
Job address: _ LA 't�1'• '. Bldg. no.: Suite no.: Tax map /tax lot/account no.:
Lot: Block: Subdivision:
Project name: Description and location' of work on premises:
Estimated date of completion/inspection:
CON► RAC I - OI( APPLICATION FEE SCHEDULE -
Job no: *4102 Fee Max
Description Qty. (ea.) Total no. hasp
-..4 ihI '—■ New residential -single or multi-famiy per
Address: 4. A. r� �` � dwelling unit. Includes attached garage.
EM t . _ _ .1 • ZIP: • . Service included:
Phone: ! i Fax: E -mail: 1000 sq. ftortess 4
� Each additional 500 sq. ft. or portion thereof __
: no.: __,,,00_11.5.131. Elec. • bus. tic. nO. .' - o�/ � Limited energy, residenual =Eli 2
C' Limited energy. non- residential ___ 2
..o
l Each manufactured home or modular dwelling ■11 .
nature of supervising electrician (required) Date / I (icj Service and/or feeder 2
Q
{ Serra feeders—installation, ... 2
Sup elect. name (print) _AIL 1 A 2l License no- I alteration tion or relocation:
� ,'. - I ' () \1 NI R' 200 amps or less
201 amps to 400 amps ___ 2
Name (print): 1. , • )ll�.111Ld • 40l amps to 600 amps _�� 2
Mailing address: � �� � �( �� , 601 amps to 1000 amps MIME 2
City: c • , _i a, �� Over 1000 amps or volts ME= 2
Phone: - ..,ry l v[ ,.T �mr Reconnect only MN= I
Owner installation: The installation is being made on property I gwn Temporary serncesorfeeders - II 2
which is not intended for sale, lease, rent, or exchange accordin to irutallation ,alteration
200 amps or less
ORS 447. 455, 479, 670, 701. 201 amps to 400 amps MEMO 2
Owner's signature: Date: 401 to 600 amps MEM 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: 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): 1111■
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 signor outline lighting. __ 2
family dwellings 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel. all
■ 2
O System over 600 volts nominal more residential units in one structure alteration, or extension
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/lighungplan 0 Other. Per inspection MINIM
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 jurisdicuons accept credit cards, please call Jurisdiction for more information Notice: This permit application
0 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 TOTAL $
accepted as comp
Name of cardholder as shown on credit card
$
Cardholder signature Amount 4404615 (6.V iCOM)
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CITY OF TIGARD
G A R D � BUILDING PERMIT
A C PERMIT #: BUP2003 00115
DATE ISSUED: 3/14/03
44- �•��, DEVELOPMENT SERVICES
. A„ 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S1106C -01000
SITE ADDRESS: 12400 SW BULL MOUNTAIN RD
SUBDIVISION: THORNWOOD G � ZONING: R -7
BLOCK: LOT. / JURISDICTION: TIG
REISSUE: FL r REAS 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 %�
Remarks: Construction of 8' fence and retaining wall combination, located_at the rear of lots 6, /�� -i &
try
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 #: 503- 387 - 755833 ,
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 $5.77 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. 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.
Issued By: — `' �-v _ 1 - -- —
—
Pe rm ittee >
Signature: C
•
Call 639 -4175 by 7 p.m. for an inspection the next business day
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST 3-6 c� a / t Lle
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received / Date Requested _,_ /1— a S AM PM BUP
Location L Z .3 2—.S �,(l��,vtl[�tcl .�� Suite MEC
Contact Person - Ph ( ) a ?--ca 37 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
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
- PART FAIL
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 0 Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line (/ "
ADA Inspector Ext
Approach/Sidewalk Data Ins p
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection4Line: 4503) 6394175 MST 3 -OCR `1
INSPECTION DIVISION - Business Line: (503) 639 -4171
BUP
Received Date Requested I f —�� AM PM BUP
Location Suite MEC
Contact Person — Ph ( ) � PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain r 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
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
PASS PART FAIL
ELECTRICAL
Service A , //
Rough -In Yv ' /
UG/Slab
Low Voltage L ' c 2- 3 - � -3o
Fire Alarm
Fina Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
S PART FAIL
SI E ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line �r
ADA Date lI 2 6
Approach/Sidewalk Inspector _ d ` ' Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
1 1