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Case File j r N W O O y m z v m v f � r l I .2:160 SW ASPEN RIDGE DR 1 ....... ........... ... CITY OF TIGARD 24-Hor-tr BUILDING Inspection I.!ne: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 / BUP - - --- Received Date Requosted (D 0�3 -- AM - - - PM -_-_ BUIP _— Location -2 a -Suite - MEC - - ------ - Contact Person -- —- Ph 7 PLM - -- -- Contractor __ BUILDINGS renant/Ownei _.._ —_ ELC Footing ELC --- ----- Foundation Access: Ftg Drain ELR Crawl Dram �.._ Slab Inspection Notes: SIT Post&Beam Shear Anchnnr Ext Sh sdth/Shear :•rt Sheath/Shear - Frbming Insulation Drywall Nailing -- - Firewall Fire Sprinkle, Fire Alarm L ( 7 �Q Susp'd Ceiling --�-.��' --� em.-Q- Roof Other: — — —--- -- Final — �? V&_sem PASS .. PART_ FAIL - - -- ----- Post& Beam Under Slab -- Rough-In Water Service - Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain - -- Shower Pan 2of A PART FAIL_ - --- _MECHANICAL Post&Beam Ror:•ih-In -__- Gas Line Smoke Dampers Final PASS ART_ FAIL - - --- - - AL Service Rough-In UG/Slab Low Voltage Fire Alarm PART FAIL El Reinspection fee of� _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE _ _-� Please call for reinspection RE:. j Unable to inspect-no access Fire Supply Line ADA 2,5� _ L o � //'''� Approach/Sidewalk. net• Inspector 5, ' Ext -_ Other. Final DO NOT REMOVE this Ilnspaction record from the job site. PASS PART FAIL 1 Mar 30 2004 6; 08PM GenPacific Fn6ineer: ng 1 503 -59H-H'705 P. 1 oo�saLalsV Reel-World Goolschnical Solutions March 30, 2004 Investigation, l-ConstrucliOn Support Job No. 004945 Attention; Andrew Thomas Venture Properties, Inc. 4230 Gatewood Street, Suite 10o Lake Oswego, Oregon 97035 Fax No. (503)670-9099 RE: GEOTECHNICAL ENGINEER'S FOUNDATION EXCAVATION REVIEW THORNWOOD LOT 46 CITY OF 71GARD, ORt=vON i Reference: GeoPacific Engineering Inc., Soil Engineer's Summary at Conclusion of Earthwork, Thornwood City of Tigard, Oregon, dated March 16 2003. GeoPaofic Engineer, Jim Imbrie, has visited lot number 46 today and or previous days. The aurpose of our visit was primarily to review the foundation excavat on subgrade, arta footing prcxlmlty to the rock wall. The excavation was deepened several feat to reacn adequate bearing soils and to pet below the rock wall zone of Influence. Two feet of(x)ripacted gravel was replaced, coinpaclo,!, and tested for density, the compaction was a minimum of 95 percent max mum dry density. The forting subgrade generally consisted of engineered fill that probed stiff to very stiff. The current subgrade is considered adequate for spread foundation support Based on our observations, the foundation subgrade and excavation setbacks should be acceptable for support of the propcsed single-family home. Rear .column footing excavations were also ot;served and considered adequate. Our work scope for this phase of geotechnical review peria ns to foundation bearing conditions only and is limited to the conditiors existing and exposed at the time of ou,site visits This repot. 18 for Dor Morlssette Homes only and information herein should not be relied upon by others without consulting GeoPaclfic Engineering, Inc. If you have any further questicns, please call. Sincerely, GeoPaclflc Engineering, Inc. PP 'Ica�'Ica 4� 14 ~ OREGON ,lames D. Imbrie, P E , C.E G. Geotechnical Eng neer q� -'i")4. 7312 SW Durham Road Tel 1503) 59848445 Portland, Aragon 97224 Fax ;W3) 3138-8705 l ,I•l0.♦♦�11��.f►..�i►��o� I► ♦�1�J.� UJ►rI.A,1��IIr �I It' Ilol- �I ~ 1J\.01 Emil I► 41 lop- lop.= �j _ r I I ► K do 441 i - '77- E - I► u `� ► 1 -� ro() � Ir x �`r 7�TAT T T TT TT•TT•TTTTT'o'T T T T'!'T TTTTTTT T TTr'TTT TTT�b. .ter.. CITY SOF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MSTp�U�`�L_ 6 L SUP --- ----- Received -_ _/— Date quested ___ a�_ .. AM __- _ __ _—�IP,M�— BLIP Location _ rOtJ __ v Suite_-_ /`�-------- MEC 7p 2 Contact Person h ( (�_ 0✓7- PLM Contractor __ —_- - --_— Ph ( ) SWR -- BUILDING Tenant/Owner _ - ____--_ ELC FootingELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Nrtes! 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: __ - ina S _PART_ FAIL PLUMBING —-- -- --- -- - -- -- -- --- —------ Post& Beam Undar Slab —- --—---— ----- ----—---- -- ------ - ----- --- Rough-In Water Service - _ _ -- - -------- — -_ Sanitary Sewer Rain Drains --- - — ---- --- — --—..__. Catch Banin/Manhole Storm Drain — -- — --- ------ Shower Pan Other: ---- ---- -- --- ---- --- Final —--- —_.-. PASS PART FAIL ---"— — — — __--- MECHANICAL — Post& Beam Rough-In — - -- -- - — Gas Line S 2TRICAL mpers -- ---- -- ----- 1-n PART FAIL _ �— Seryice Rough-In — -- - — — UG/Slab Low Voltage ---- ----------------- --- -- ----- Fire Alarm Final Reinspection fee of$.__ ___..required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: _. Unable to inspect-no access Fire Supply Line ADA D - ' Inspector . -- Approach/Sidewalk Date - G � ItExt--- Other: __ Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUI ING Inspection Line: (503)639-4175 MST INSPEPMN DIVISION Business Line: (503) 639-4171 BLIP Received --Date Requested1-- AM_Z�1_\ PM BUP -_-- Location '� �'�-' = Suite MEC Contact Person 4' h( ELI 2&& y -cp 6�-7 Contractor _ — Ph( —) SWR - -_ BUILDING Tenant/Owner �— __— __ ELC Footing ELC _ - _--- Foundation Access: Ftg Drain ELR Crawl Drain SIT Slab Inspection Notes: - Post&Beam --- -- -- -- Shear Anchors Ext Sheath/Shear -- Int Sheath/Shear _- Framing ��-- -- Insulation Drywall Nailirig - Firewall Fire Sprinkler - - - - Fire Alarm Susp'd Ceiling -- - - -- - Roof Final __-- PASS PART FAIL — P -Mal -+r— Pos earn 4 . Under Slab Rough-In Water Service -- Sanitary Sewer _ Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: ! n __ - PART FAIL CHANICA_L __ --- Post& Beam Rough-In - ---- - Gas Line Smoke Dampers - - Final PASS PART FAIL - ELECTRICAL_ Service Rough-In -- UG/Slab Low Voltage - Fire Alarm Final Reinspection fee of$_�__ required before next inspection. Pay at Cay Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE:__ n Unable to inspect-no access Fire Supply Line VL 1 }� Ext- Approach/SidewalL Date - / ' Inspector Other _ __ Fina; DO 140T REMOVE this Inspection record from th,9 job site. PASS PART FAIL I I i � c c c v ° O V 0 LA l � c C V J .PJ 7a � a y O 7 v l y V G L C � � L v C C � r . I ®1 T I G�"1 R® -- MASTER PERMIT CITY PERMIT#: MS T'2004-00040 DEVELOPMENT SERVICES DATE ISSUED: 3/30/04 a am 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 12366 SW ASPEN RIDGE DR PARCEL: 2S110BC-07500 SUBDIVISION: FHORNWOOU ZONING: R-7 BLOCK: LOT: 046 .JURISDICTION: Ill REMARKS: New SF detached residence. BUILDING REISSUE: DM184A STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 20 FIRST: 1.460 of BASEMENT: 3151, sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1 690 of GARAGE: 437 of FRONT: 15 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: 1 TWIN) at RIGHT: 5 14510 : . OCCUPANCY GRP: R3 BDRM: 3 BATH: 4 TOTAL: 3150 of VALUE910. REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAM: 100 TRAPS: LAVATORIES: 6 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUSISHOWERS: GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: BOILICMP<THP: VENT FANS: 4 CLOTHES DRYER: 1 n FURN>•100K: I UNIT HEATERS: HOODS: OTHER UNITS: 2 MAX INP btu FLOOR FURNANCES: VENTS: 1 V.00DST7VES: GAS OUTLETS: 5 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDRR TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 -400 amp: 0 - 200 amp: WISVC OR FOR PUMPIIRRIGATION: PER INSPECTION: FA ADD'L 500SF: 6 401 400 amp: 201 - 400 amp: tat W/O SVCIF DR SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 •B00 amp: 401 900 amp EAADDL BR CIR: SIGNALIPANEL: IN PLANT: MANU HWSVCIFDR $01 1000 amp: 601+an- 000V MINOR LABEL: 1000+ampivolt PLAN REVIEW SECTION Reconnect onIV: >=4 RFS UNI rS: SVCIFDR>=225 A.: >000 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: MVAC: LANDSCAPEIIRRIG• PROTECTIVE SIGNL: GARAGE OPENER: CLOCK. INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,082.61 DON MORISSETTE HOMES DON MORISSETTE HOMES INC This permit t to the regulations contained In the 4230 GALEINOOD ST 4230 GALEWOOD ST,STE 100 Tigard Municipal Code,State OR. Specialty Codes and STE 100 LAKE OSWEGO,OR 97035 all other applicable laws. All woo rk will be done LAKE OSWEGO,OR 97035 accordance with approved plans. This permit will expire H 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 1,1e Phone: 503-387-7538 Phone: Oregon Utility Notification Center. Those rules are set 3- forth in OAR 952-001-0010 through 952-001-0080. You RBBB: LIgpC 387-781 may obtain copies of these rules or direct questions to 3 ... OIINC by Calling(503)246-1987. REQUIRED INSPECTIONS Ersn Child 6814444 PosUlleam Structural Mechanical Insp Shear Wall Insp Insulation Insp Appr/SdWk Insp Grading Inspection Post/Btam Mechanica Plumb Top Out Exterior Sheathing Inst Rain drain Insp Electrical Final Sewer Inspection Underfloor insulation Electrical Service Low Voltage Storm drain Insp 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 Issued By '.• 116-0. z-r, =t _ Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2004-00041 13125 SW Hal, Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/:30/04 SITE ADDRESS; 12360 SW ASPEN RIDGE DR PARCEL: 2SI lOBC;-07500 SUBDIVISION: THORNWOOD ZONING: It-- BLOCK: LOT: 046 JURISDICTION: I [([ —� TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: IMPERV SURFACE: Remarks: New SF detached residence. Owner: FEES_ DON MORISSETTE HOMES 4230 GALEWOOD ST Description Date Amount STE 100 [SWUSA]Swr Connect 3/30/04 $2,400.00 LAKE OSWEGO, OR 97035 [SWUSA]Swr Connect 3/30/04 $0.00 Phone: 503-387-7538 [SWINSPI Swr Inspect 3/30/04 $35.00 [SWINSPJ Swr Inspect 3/30/04 $0.00 Contractor: — Total $2,435.00 Phone: Reg#: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a 'Tap and Side Sewer' Perm Issued by: --4w L'- t _ Permittee Signature: — - Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day 1RE �V io 91 Building Perna pp tion Date received:,,''_ ��''J permit no.:{1/1�5"- l] City of Tigard _— I ac'x�Y-oxo y Project/appl.no.: Expire date: Address: 13125 SW Aall..BWd.Tigitt��J14';97223 — City offigard Date issued: Receipt no.: Phone: (503) 639••4171iI1I1_DING DIVISION -- Fax: (503) 598-1960 Case file no.: Payment type: c" Land use approval: _ _- 1&�family:Simple - 4% Complex: 7— J I &2 family dwelling or accessory U Comn :rcial/indu.sti ml U Multi latnily New constriction U Demolition U Addition/alteration/replacement U Tenar .improvcnx•nl U Fire sprinkler/alarm U Other: Job address: 1 (/� Bldg.no.: suite no.: ,' Block: Subdivi ion: i Tax map/tax lot/account no.: Project name: Description and location of work on prem;ses/special conditions:-_ NHI solar. Mailing address: I tit 2 family dwelling: City: C, Valuation of work........................................ $ _ 1 - ,. -Fax. ) -7 -mail: No.of bedrooms/baths................................. Owner's representatives lncC. Total number of floors................................. (� ) Phone: Fax: E-mail: New dwelling area(sq. ft.) Garage/carport area(sq.ft.)......................... -- Name: Covered porch area(sq.ft.) �.---- Y1 Mailing address: Deck area(sq. ft.) ........................................ _---- City: State: �zl : Other structure area(sq. ft.)................ ........ Phone: Fax: E-mail: � Commerciai/industrial/multi-family: Valuationof work...r.................................... $ — Existing bldg.area(sq.ft.) .......................... Business name: UVIn VV Addres1 � — New bldg.area(sq. ft.) s: Z � ................................ State: ZIP: – Number of stories........................................ ,-- City: Type of construction — — TE-mail. .................................... _ -- Phone: Fax: Occupancy group(s): Existing: CCB no.: New: City/metro lic.no.: Notice:All contractors and subcontractors are required to be All licensed with the Oregon Construction Contmctors Board ui..'!r (Manic: provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed. If the applicant is Cit : State; Zlp: — exempt from licensing,the following reasc,:applies: Contact person: Plan no.: —N— Phone: Fax: {,mne: Contact person: Fees due upon application ........................... $ Address: Date received: City: – State: Z1P: Amount received ......................................... $ Phone: Fax: Email: Please refer to fee schedule. I hereby certify I have read and examined this application and the Nd all Jurisdictions,rept credit tarda,please cart Jurisdiction for more informuion- attached checklist.A rovisions of I ws and o ciinafnces governing this ❑visa U MasterCard work will bt tom I wt ,whether cified flerer•1 t. / Credit card nutnbcr —�._----.. p t✓ i� - Expires Authorized si atu, - ' ry}l Name at cardiholdr,a,shown on cred+.card $ Print name: l G�{�S� t1�i.�—___ cxdholder aiRnuarr Amount Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted as complete. 4404613(60000M) One-and'fwo-Family Dv -elling Building Permit Application Checklist Reference no. ('icy of Tigard Associated permits: U Electrical Q Piambing O Mechanical Address: 13125 SW Hall Blvd,Tigard,OR 97223 OOther: Phone: (503) 639-4171 — Fax: (503)598.1960 THE F01,11,01%rING MINE UQUIRWIFOR PLAN REVIEW' I Land use actions completed.See jurisdiction criteria for concuffent reviews. 2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc. — 3 Verification of approved platflot. 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 LI 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 he completed if copyright violations exist. J` I I Sitelplot plan drawn to scale.'rhe plan must show lot and building setback dimensions;property coy er -.Ievations(if there is more than a Oft,elevation differential,plan must show contour lines at 24 intervals);locad.,.,of easements and driveway;footprint of structure(including decks);Io.ation of wells/sepdc 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-clowns and reinforcing pads,connection details vent si.:e 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 detalls.Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-floor, wall cons:!uction,roof construclion_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,stain, 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 brtteing(prescriptive path)andlor lateral analysis plans.Must indicate details and locations;for — non-prescriptive path analysis provide specifications and calculations to engineering standau-is. 17 Floor/roof framing.Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and hearing locations.Show attic ventilation. �C 18 Basement and retaining walla.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 ,ode design values for all beams and multiple joists 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 Englneer's catcuiatic.m.When required or provided.(i.e.,shear wall,roof truss)shall be stan►ped by an engineer or :chitect licensed in Oregon and shall be shown to be applicable to the project under review. 23 Five(5)si a plans are required for Item 1 I above. Sit,: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 line!,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 blar.k ink. Red ink is reserved for department use only. 4*YMu(Moicost) Mechanical Pernut A plication RECEIVED Date received: Permit no.W O T �, ; /- g City of Tigard — — 'J Projecdappl.no.: Expire date: City ofTigard Address: 13125 SW Hall Blvd) 'Aat4,PR2� 23 -- _ Phone: (503) 639-4171 Date issued: By: _ Reccipt no.: Fax: (503) 598-1960 CITY OF TICiARD Care file no.. Payment type: _ Land use approval: BUILDING DIVISlora Building permit no.: TYPE OF PERN11i O I &2 family dwelling or accessory n CommerciaUindustnal !Multi-family U Tenant improvement XNew construction O Additior-/alteration/replacement CJ(hher 11 1 ' 1KIWM 1 Job address: - ` . k 'I Y 1 Y Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: ite no.: value of all mechanical materials,equipment,labor,overhead, Tax ma lot/account no,: profit. Value$ Lot: f r, Block: Subdivision: �� 'See checklist for important application information and Project name: luridictiun's lee schedule for residential perniit fee. City/county: _ ZIP: —_ t a �t Description and location of work on premises: 1 010 10 131' 111 111j Fill 9 X11111100 113111 Fee(m) Tota Est.date of completion/inspection: Description Qty. Res.only Res.only Tenant improvement or change of use: AC: Air — Is existing space heated or conditioned?0 Yes ❑No ' handlin unit _CFM conditioning(site plan require ) -- -- Is existing space insulated?0 Yes O No Alteration of existing A system - -- - -- -go r/comprossors - - Business name: [ � State boiler permit no.: tip Tons BTU/ll Addreis: ire/smo a ampers/ uct smoke detectors Cit): LI Statr ZIP: eat pump(site plan required) Phone: z.• Far: I E-mail: nsta rep aceimacelbumer B Tu/-rF- CCB no.. Including ductwork/vent liner O Yes O No nstalUrep ace/re locate heaters-suspended, City/metro lic. no.:N/A wall,or floor mounted Name(please print) Vent forappliance other than furnace efiigerat on: Absorption units BTUM Name: lJ Chillers_--- HP ---- �` �_L L_. Address: , G �L r Compressors lip nHrotuaenta exhaust an ventilation: City: State: ZIP: Appliance vent Phone: Fax. E-mail: ryere gust Hoods,Type res. tc a azmat -- hood fire suppression system Name: V ° _ Exhaust fan with single duct(bath fans) Mailing address:_ ) ' gusts stem apart from heating or AC City: Istate LI PR x►�j� Zuel piping a�ind distribution(up to outlets) Phone: pj _� t Type: LPG __ NG 0d _ l at. E-mail: in each additional—over-3 out..as rocess piping(schematic required) Name. Number of outlets Address: ter appliance or equipment: _ ___ Decorative fireplace Cit}. State _Ti_1F nsert-ty Phone: - Fxx 1P.mail: o stove/pe let stove UtTi Applicant's signors' Ut err Name(print): • , , --L-�.1-Y-: t Da, r t !/__ _ Nor all iunsdicuom accept credit cards,please call pmsdictiootarsi more trdormauon Notice:This Permit fee.....................$ permit application O Visa O MurerCud Minimum fee................$ _ - Ll expires if a permit is not obtained Plan review(at _ %) $ Credit card number within ISO days after it has been Expires Name or cudholder u shown on credit cud accepted as complete. State surcharge(8%) ....S — f _ TOTAL ... ...................S Cardholder sipsture Amount _ a404617 t6UWCOM) Plumbing Cation rr ��ll Datereceived: Perrrut no.: City of Tigar AN 3 1� t7R 97 .3 Sewer pernut no.: Building permit no.: E,•.dress: 13 12 5 SW H�81vd.TI$aM 2'' Ctry„J T�gcr'1 Ph ane: (503) 639-417 PrajeeVappl.no.: Expire date: CITY OF TIGARD Date issued: By Rec:ci t no.: F r: (503) 598-196%UILDING DIVISION - ' p Lard us,- approval: _ ___ Cue rile no.: Payment type: E all t 3 O 1 &2 family dwelling o.accessory C Commercial/industnal C1 'tulu family O Tenant improvement Ve^r construction ❑ Addiuon/aiterauon/replacement Q Food service O Other. t !N t a M;Iii r Job address: `� ` 7y11r1 I I Description Qtv. Fee(ea.) Total �— New l-and 2-family dwellings only: Bldg.no.: Site no : (includes 100 R.foreach utility connection) Tax ma/tax IoVaccount no.: SFR(1)bath _ L t �tTla k: Suxliviston: r SFR(2)bath Project name: SFR(3)bath C:'v/count}•: ZIP Each additional badVkitchen —_ I _ Description and location of work on premises: Siteutilides: Catch basin/area drain Est dace of completion,"nspection: Drywells/leach lineltrench drain _ Fooun drain(no. lin. ft.) HIRM111 I Manufactured home utilities Business game. �L ` �111�— Manholes Address: Rain drain connector City; State ZIP: _ Sanitary sewer(no. lin. ft.) _ Phone: -<' Fax: E-mail: Storm sewer(no. lin.ft.) Water service(no. lin.ft.) _ CCB no.: T Z Plumb. bus. reg. no - fl e or item: City/metro lic. no.:N,A Absorption valve _ Contractor's representative signature % Back flow pre•:enter _ —1 Print name: lu ` Backwater valve Basins/lavatory Name: 1 `'� �,��I Clothes washer S „� �._ Dishwasher Address: Dnnkine fountain(s) City I State: ZIP: Elecrorsisump _ Phone: Fax: E-mail: Expansion tank Fixture/sewer ca Floor drains/tloor sinks/hub _ —J Name(print): `� � Garbage disposal _ Mailin¢ address: T Hose bibb City. .11 State ZIP: Ice maker Phone: - Fax: 7-7(�i E-mail: Interceptor/grease trap Owner installadonlresidendal nwinrenance only: The actual installation Primens) will be made b% me or the maintenance and repair made by my regular Roof drain(commercial) —• employee on the property 1 own as per ORS Chapter 147. Sink15).basin(s), lays(s) _ Owner's si nature: Date: SL"ip T'ubs'shower.1shower pan Unn,l Name: _ Water closet Address: Water heater Cit} State: I ' P. Other. Phone: Fax: E m tt' Total Na All uns.Lntoru xce cmfit crdt. tease call unal+cuun fa m.xenform_uon Minimum fee................S r v i Notice:This permit application Plan review(at — %) S �— C Visa O kimterCmd / expires if a permit is not obuined State surcharge 0%) S C.edit;rd number —_ 8rp r•r within 180 days after it has'„+een _ accepted as complete. TOTAL ......................S Name I ardMildet u 00.n oar Credit card Crdrotdu u�natye s Amuunr aao.a616(&OW0M) DON • MORISSETTE OBE ; 2923 20113 19CO2F0 ■ AT2 LOT: 48 1mriAKB 10sisoo. eT0a2aolllQl �970 DATE: 01/22/2003 1 7 - 7 5 3 0 FAX (5 0 3) 3 5 7 - 7 5 1 5 PROPERTY: THORNAOOD CITY: TIGARD -ALE: ,is= 20' PLAN No.: 184 STANDARD ELEVATION ,.. . 12360 S (l, RIC i 1:>FZ 4.w Ln n �I I broach - If.Q` 444 - 442 440 __ ' 31 1 ft �- -car A38_ FF E. 443' ------ - - r{/ "`' 4lfo r` - 3,045 sq. ft: - 434 3 bdrm. ._ r hath FF.E. 4445' - 432 17_g• s,? I oro�ian edtrol 429' Y � 1 LA F7 N—r.O . 424.0' 8.0' LEGEND _ LOT CON_ERACsE STREET TREES SEE LOT AREA: 5 332 5G. F- LOT 046 Do `RECORDED PLAT BUILDING AREA: 2,»34 90. FT 5,332 sq- ft. FOR SIZE5 AND TYPE PERCENTAGE! 45.6% r-------r;,�, o F`A R_n_ S_ 'I_, r:L PLAN F:w ---____ - l,,, rReq,tired PLK NO .m4NII n VISION: Aroved [ Not Appr��lved ��;/�' Setbacks: pp J / ide: _.�.— Street Side:q/�/ ront. _.yL�- c ,�r.:ige: �. Rear A� ovee C�j� 1�Dy Visual Clearance: � � t'ect n/��. Tic;gq� MWS Service Height' a/ eider letter Itequired- C3 K"eived N�, V�,S/n� Date: Z 1:1 (,INEERINU DEPARTMENT: Not A� rived Actual Slope:.- Approved ❑ I P �ptrprr�cd O Not Approved Site Plan: Date D B -- CITY' OF TIGARD ELECTRICAL - RESTRICTED ENER ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2004-00118 13125 SW Hall Blvd., Tigard, OR 97223 (503) F°9 4171 DATE ISSUED: 5/4/2004 PARCEL: 2S110BC-07500 SITE ADDRESS: 12360 SW ASPEN RIDGE DR SUBDIVISION: fHORNWOOD ZONING: R-7 BLOCK: LOT: 046 JURISDICTION: TIG Proiect Description: Low Voltage all encompassing. A.RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: X AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: X BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: X CLOCK: MEDICAL: HVAC: X DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: X FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: ALL ENCOMP : X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: _ _— TOTAL#OF SYSTEMS: __ Owner: Contractor: DON MORISSETTE HOMES PACIFIC WEST DEVELOPMENT 4230 GALEWOOD ST 8900 SW BURNHAM ST. STE 100 SUITE 14 LAKE OSWEGO, OR 97035 TIGARD, OR 97223 Phone: 503-387-7538 Phone: 503-3x7-7538 Reg#: 1.5113-572.43rt196CLE LIC 68481 Sul' 10041.FA FEES Required Inspections T Description Date Amount Low Voltage Inspection 1 I I.I'RM1'j la.lt I'Ll-mil 5/4/2004 $75.00 Elect'I Final 1 AX1 9%,Static Surclmrl 5/4/2004 $6.00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. T its 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 rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 100. You may obt,* copies of these rules or direct questions to OUNC at(503)246-6699. Issued bytG7!� � J Permittee Signature J\ OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE:---. CONTRACTOR INSTALLATION ONLY _ SIGNATURE OF SUPR. ELEC'N _ _ _ DATE:_ LICENSE NO: _.— Call 639-6175 by 7:00 P.M. for an inspection needed the next business day ctrical Permit Application .aty of Tigard Rete/By / Permit No I)aterFl ) L 1125 SW Hall Blvd., figerd.OR 97223 Plan ReviefilOcher Permit 503.639.4171 Fax: 503.598.1960 Itete/By inspection Line: 503.639.4175 Date Ready/ray Juni 0 See Paae 2 for Internet, www ci.tigard.or.us Notified/Method Supplemental Information TYPE OF WORK PLAN REVIEW ®New construction ❑ Addition/alteration/replacement Please check all that uppIN L-1 Demolition Demolition ❑Other: ❑Service over 225 amps,comm] ❑I Itvatrdous location ❑Service over 320 amps rating ❑Buddng over 10,(NX)sq 11, CATEGORY OF CONSTRUCTION of 1-and 2-family dwellings 4 or more new residential ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building []System over 600 volts nominal units in one ,uucturc El Multi-family Master builder Other: []Building over three stories ❑Feeders,400 amps or more - ❑OLcupant load over 99 persons ❑Manufactured structures or JOS Rk"E INFORMATION AND LOCATION ❑I?grecs/lighting plan RV park/ Job no.: Job site address: 12.500 SW Aspen Ridge Dr ❑Ilealth care litcility []Other: -- Submit 2 sets of plans with any of the above. City/State/'LIP:Tigard,OR 97224 -- - --- - 1'he above are not applicable to lemporary construction service - -------� - _ FEE* SCHEDULE Suite/bldg./apt.no.: Protect name:Thornwood--Don Morrisette usscrtrnros ot.. kee. 1n�at Cross street/dircetions to Job site:99W to Bull Mountain,south on SW Aspen Ridge New residential single-or multi-family dwelling unit. n. ----- Includes attached garage. 1,000 sq.ft.or less 145.15 4 Subdivision: Lot no.:46 Ea.add'1 500 sqft.or portion 3340 1 1 ax map/parcel no.: -�-- -`--- -- ---- -- Limited energy_residential 75.00 2 _-. Limited energy,non-residential 75.00 2 DiCd[:RIPTION OF WORK _ Each manufactured or modulw / dwelling,service and/or feeder 90.90 2 �- _ LT✓ C , N ----_-__ Services or feeders Installation,alteration,and/or relocation 1, 200 amps or less 80.30 2 ❑ PROPERTY OWNER -� ❑ TENANT 201 amps to 400 amps I06.85 2 - --- -�� -- -- 401 amps to 600 amps 160.60 2 Name: LC;7-I��.J j -- 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 - Reconnect only 66.85 2 City/State/ZIP: Temporary services or feeders installation,alteration,and/or - relocation Phone:( ) fav:1 1 ---� 2(X)amps or less 66.85 1 Owner installation:"I'his installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale.lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 600 amps 133.75 2 Owner signature:_ _ _Date: Bnhch circuits-new,alteration,or extension,per panel [] APPLICANT �- j❑ CONTACT PERE4014 A.Fee for branch circuits with service or feeder fee,each Business name: branch circuit 6.63 2 -- - - - - - B.Fee Ibr branch circuits Contact name: without service or feeder fee, ------ -- ---- ------ 4685 2 Address: each branch circuit Fach add'I branch circuit 665 2 City/State/?.IP: Miscellaneous(service or feeder not included) Phone:( ) Fax: :( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 Signal circuit(s)or limited-CONTRACTOR energy panel,alteration,or extension Oescribe Business name:Pacific West Development voice/data/caiv cabling Page 2 2 Address:8900 S.W.burnham Street,Suite E-14 - __ Each additional Inspection over allowable In any or the above City/State/ZIP:Tigard,Oregon 97223 Per inspection — 62.50 Phone:1303)372-3072 — — Fax:(103)624-9080 Investigation per hour(1 In min) 62.50 Indus tn_al plant per hour 73.75 CCB Lic.: 68481 Electrical L' .: 36-96 CLF Suprv.Lic.: 1004 LEA - ELECTRICAL PL�RINR ------ -- Suprv.Electrician signature,required. Subtotal - -- -- -Plan review(25%of permit fee) Print name: 1 yy.t 2 Date: 4-30-2004 ----- State surcharge(8°h of permit fee) 41 Authorized signature: - C TOTAL.PERMIT PEP, '5 / -- Thb permit application espfres if a permit is not nbodned within ISO Print name: 18IC: daN,atter It has been accepted as to ipkte . .-----� • 1•wmnlh,vL,ln.,.�.,F.a rn-!'nnma mul.l- .. .,,,r.[rrur�n„arrl 1 Electrical Permit Application Received I , Datu'By: I'ermu Na: City of Ti Planning Approval Sign DateE I� /E D Plan R : Permit No.: 13125 SW Hall �•./LL�_ �/ Plan Review — Other Tigard,Oregon 97223 Date/By: Permit No.: Phone: 503-639-4171' Fax: 5P0098-1960 Post-Review Land Use — - -- ^ Date,B : Case No.: Internet: www.Ci.ti ard.or.us Contact is.: See Page 2 for 24-hour[nspe: IX�gq1 $t: I�aFbt�.9-4175 Nerrx%Method. Supplemental Information. � ILDING DIVISI01v TYPE OF WORK PLAN REVIEW Please check all that Apply) New construction 10 Demolition Service over 225 amps- I Icalth-care facility ❑ _Add ition/alteration/replacement commercial Hazardous location Other: ❑Service over 320 amps-rating of ❑Building over 10,000 square feet, CATEGORY OF CONSTRUCTION I&2 family dwellings four or more residential units in I & 2-Family dwelling Commercial/Industrial ❑System over 600 volts nominal one structure El Building over three stories C3 Feeders,40t1 amps or more Accessory BUlldln�'_ MUIti-Family —_ ❑Occupant load over 99 persons ❑Manufactured structures or RV park Master Builder F1 Other: ❑F.gress1ighting plan ❑Other JOB SITE INFORMATION and LOCATION Submit_sets of 41ans with any of the above. The above are not• licable to tem orary construction service. Job site address: / FEE*SCHEDULE Suite #: Bld r./A t.#: INumber of Ins ections per permit allowed Project Name 'Ve'vf3 Description Qty Fee(es.► I Total Cross street/Directions to job site: New residential-tinkle°r muiti-family per n8��` r>� � dwelling unit.Includes attached garage. Service included: 1000 sq it or less 145.15 4 Each additional 5(10 sq.ft.or portion thereof 33.40 1 Subdivision: C `i r LOt#: Limited energy,residential MOO -- 2 �+ Limited energy,non residential 75.11(1 2 Tax map/parcel #: Each manufactured home or modular dwelling DESCRIPTION OF WORK service and-or feeder 90.90 2 --" Service+or feeders-Installation, alteration or relocation: 200 amps or less - 80.30 ____ 2 ---— 201 ams to 41A)ams _ 106,85 2 _ 401 ams to 600 ams 160.60 - - 2 PROPERTY OWNER TENANT 601 amps to 10110 ams 240.60 2 Over 10011 amps or volts 45465 2 Name: 000J Ori-s 5e7T',l_ &_dem //l1 _ Reconnect onl ---- -- 66.85 2 Address: LIZ30&4LC_Zt t_�'1`- ,50irV 166 Temporary services or feeders-installation. Cit /State/Z�_ 47 alteration,or relocation: y LAKE �W��`� 200 amps or less 66,85 I Phone: P,- 3217- S' 7j Fax: V3.- �� 7G/ 201 amps to±X) mpg --�-- 10030 2 401 to 600 ams 133 75 2 APPLICANT CONTACT PERSON Branch circuits-ness,alteration.or Name: extension per panel: Address: A Fee fur branch circuits w nh purchase of i� sen ice or feeder fee,each branch circuit 6.65 2 City/State/Zip: B.Fee for branch circuits without purchase of service or feeder fee,first branch circuit 46 95 2 Phone: Fax: Each additional branch circuit b(15 2 E-mail: 'Aisc.iSenlce or feeder not included) CONTRACTOR Each pump,or irrigation circle 53.40 2 ��) � --- Each signh or outline lighting __ _ 53.40 2 Job No: �! Signal circuits)or a limned energy panel. Business Naine: r alteration,or extension Page: 2 - a _ Description - - Address: D r nf3 OJc G c j Cit /State`ZIp �- 9-� "� F.ach additional Inspection over the allowable in any of the ahove: Per inspection per hour(mm I hour)_ 62.50 Phone: -*2,-3,5 X211 I Fax:.543 - �Jqq Investigation fee - - CCB Lic. #: 7' Lic. #:_3 L/- y/rr_ Other. Supervising electrician , Electrical Permit Fees* _ Subtotal S _ signature required: e (� Plan Review t25%of Pemnt Feel 5 — Print Name: L Add �►' IC. _ L State Surcharge 18°0 of Permit Fee S -�T TOTAL PERMIT FEE I S Authorized Notice: Thi-permit application.xpires if a permit Is not obtained within ` Signature — Date._ 180 days after It has been accepted as complete. 'Fee mcthodoloks set by Tri-(bunts Building Industry Service Board. i I'lease print name) i'Dsts\Perrmt Forms LlePermitAppdm 01 03 Electrical Permit Application - Cite of"Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL %CORK ONLY: Fee for all ssstems............................................................ $75.00 Check Typr of Work Inaol%ed: RAudio and Stereo Systcnls* ❑ Burglar Alarm (iarage Door Opener* I leanng,Ventilation and Air Conditioning System* F] Vacuum Systems* Other _�— COMMERCIAL WORK ONLY: Feefor each system.......................................................... $75.00 (SEE OAR 919-200-200 i Check Type of Work lmohed: ❑ Audio and Stereo Systems Boiler Controls 0 Clock Systems Data Telecommunication Installation I Fire Alarm Installation HVAC 0 Instrumentation Intercom and Paging Systems ElLandscape Irrigation Control''' D Medical Nurse Calls Outdoor Landscape Lighting* Protectirr-Signaling Other —_–� — Number of Systems * No licenses are required. Licenses are required for all other installations i`,Dsts\Permit Fcmns\ElcPermitAppPg2 doc 01,103 CITY OF TIOARD PLUMBING PERMIT PERMIT#: PLM2004-00277 DEVELOPMENT SERVICES DATE ISSUED: 6/21/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S11013C-07500 SITE ADDRESS: 12360 SW ASPEN RIDGE DR ZONING: R-7 SUBDIVISION: THORNWOOD JURISD:"TION: TIG BLOCK: LOT: 046 CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DkAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Backflow preventer install. _ — — FEES Owner: — Description Date Amount - DON MORISSETTE HOMES �PLlIM131 Permit I cc 6/21/2004 $36.25 4230 GALEWOOD ST TnX1 911,State Surcharl 6121/2004 $2.90 STE 100 - -- LAKE OSWEGO, OR 97035 _ Total $39.15 Phone : 503-397-7539 Contractor: LANDSCAPE OREGON, INC. 12200 SW MYSLONY RD. fI IALATIN, OR 97062 REQUIRED INSPECTIONS Final Inspection Phone : 5113-692-5945 Reg #: I Il' 79114 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. 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 rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR X952-0001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-6699. �Issued By. Permittee Signature: t ti r� Call (503) 639-4175 by 7:00 P.M.for an inspection needed the next business day . 14a dan edmonds 503 E;92-076H P F' -permit A -licatiolm Plumbin6c Pdutit Sri k1l► - Plmnin& 1 �� City of Tigardpe""',N0. Pum Review Other _ 1 3125 SW Hall Blvd- IfudHf=• --_ Pen it N0_ r1prd,Oregon 97223 Paer-tteview casLand Usc 14m- Phunc: 503-639-417loris.1 Fax: 503-598-1960 ps i u-i' ri -- C:wsdct _, �(-Ser Pie l for Internal: www.�i.tigudmms Sopnlemeatallmferu-!!!!w 24-hour lnspcetiDR Regtwst-- 503fi394175 r SCHF MLE fif6iforwiilEOu i dAist W0R1G' •,;i' rotsl ' roolition Description Dc t .New construction - - ries' &�Yfay.dw!d1 ]Addition/altlaration/r,cplaccrtirt _ Ott>er- -•• - Isoti i �.a `�•.+ p _ UCI3ON. .`;,-: 24916 CATEGORY OF.CONSirR _�.•, SFR(I be& � --- 1 &2-Famil dwelling_- CtxnmcfciaUindustrial SFR bath J._ 35troo -�_ 399.00 AcAx ry_Buildin Z-- Multi-Fames Sim j!j{�- --- 45.00 Master Builder -fli Other _ Cadr ztidititrual 6atlrfkilrhar -.. --- JO�t 31TE'INFORMATION and LOCATION Fire nkW- tt -Pa c l Job site address/ -�;3 ��_ f' e 1- e. !�/ tl 0 31� 16.60 , Suite_ #:-- B1d�1APt-#- DrywclUlracl,lkwitrsnc6 drain _ _...__ -- -- 16.60 _M Fnaiug,_drain(nno-linter Q) _ _ p2 _ Cross stree.tlDir Urns to job site: wbmndatmrcd home utiufics 110.00 Man ales -- __- _ _ 16.60 16.60 Rain drain connector - SaR/im -irk--�rocar[L P 2 Lot#: sewer Waw fi cwN_ pale-2 Subdivision 3-11L)Yin_u. i Wawservice am linear R Pa e2 _ Tax rnap/pa_rccl P. _ I+pftiue orltem .'` �- -,DR.4CZtI1''1�(IDl1V'OF:WdRK ire 16.60 .�' Brddlow er J - ^ESE BodkT ater valve 16.60 C3adlts washer W60 _- - Dish•Inslrer 16.60 Rtinlomg fvundaim - l6 60 _ OPELtTY OVt/lY6R� _ g- v R16.60 C EttS 16.60 Name: Dpy 11L� 16.60 -- Ad, :S!! 3o Std C�a Lx u'oo CA-> Futurd�Cap _.-- - - -_ Floor drai fflmr si*)bub 16.60 _-- City/StatrJ2ip:Ln{le C>S� �17U3S__ a � 16.60 - Phone: _ Fax: Hose bib 16.60 _ PGICAIVTV- •COI�ITACTr___, Ice raker - _ 16.60 --- 4f"Yfil.tJ _16.60 - f P 2 Name:��•�!'1_�-------- Medi® -value; s_- Address:I>>n aI1J rrttlt7r�u IQD -16.60 `- Cit /ittatelzip--1.1 kA 11 it n n 12 to Roof dn� raic nncni) _ 1E.60 _ PboneSU3 te4a-- -Sq'-1 9 � 16.60� Jdn _F - - Itrblslwwer/sboweT�a 16-60 B-IDSl1: 16.60 „,�_, Wager closet 16.60 Business Namev�ds�e� �_<<-�_� waw mor ��_ - -- _- 1660 Address: I a s 1��_ 7 t ��b Otiv er. Ci /StatelZR-_�c w: ,,•.•• ; _.ti'hrsnliinlgPd>wkFees' PhoneSa3 5�'_I-s- _&L Fax�3 fo�/d�=_Q�/!o sCCD I.ie. #: -790,i Lll ji%ab. Lie A Meeuu,PrnnR Fee SV-50 s 3 S Authnrimd -__ Reskbml BlIc aff Minim=Foe 336.25 -__--__- - Sig>rsum L`1_t��-- fate l �(_ t -T Plan Review(25%0f1'eru*Few) S ___ tP t oarnej _ TcrrALL PBRMIT FIM wt¢r iromm!trir or 14eghm This pnmU ie apoem n eVares N a persalt is net ohc�im within Afl mew ew�merets l Od1�vSs rrRnirr 7 sets of plsms ISO days after It psis bees secriplad as eompletr- riser Matfars for ptaa reylrw_ -Wee metheiii sd br Tri-Ceancy lluildme IRMstr]Sesvia Rasrd. 1 14a dan edmonds bC),i-(;q2- Cl'7FN • • TWOUNSIM91 g PprmitApplication {,j=„ed Ptumb,n�, y Ptemins al 3csacl city of TigardOthe )17-5 sw Hall Blvd_ Pian Review Peram IJatdBF• ertttit J'igard,Oregon 97273 Pcot_Ktriew Land Use f')ione: 503-639-4171 Fax: 503-5913-1960 IktdB� csseNn _ Jntcrmt. WWW.Ct_tig2WdXWA S Contact --- — )iris - -See Pnv 2 rar )4-hotu hLspection Request: 503-639-4175 tRcrin ---�--_ So gm enrol la[oruratioa — TYP$OF WORK :'Fg$+SCEIElyiIIG4� fir _ ftitmatloo orris erKlfit' Ncw consRw�:tion Demolit Ln P��) T� Addition/aIb anon/^ lacir[ler{i 01her. 1Vety 8t2-i+oi!>I: ,�- � _ CATEGORY OFCONS'1RUCIYON ,:6"+ =;:.,�;�. SFRR�isath -�__--_ -_ 2A9.20 1 &2-Family dwellin Commemial/Industrial SFR(2) , - ,_— _ 350.00 ��ccessog Builth y Multi-F�amilY sFR(3)batlh 399-00 Master Builder' Other. Eaeb additional battWistchm 45.00 _ JOB 3 II IFURMATLON l LOCATION::__ Y Fut•. "Hider- R: Z S Job site address: / U .S l ti AS CA Qi d Suite#__ Bld �t bxsb damdrain 16.60 Dgwrli 1ex6 linvIttea*drain 16-60 Prom t Nume: ZhLrYn 11-c pct . tear Food ee,drain(nu.liweor& I Page 2 Crus;sti ceMirmiions to job site: 1Bantrfacoiacd borne utt'littes / Missiles _ _ 16.60 nI1 I � 7-v, Rain cir�ia c�anector_- �— - 16.60 _ - Sn►itaTv sewerloo-lnmr_ (L) age2 - - Subdivision:T-1 L)Y n ZT7,:rte Lot#: ' Storm server Otto.lineal ft. ___- 2 -- -- — Water service aa.;;roes RZ Pa c 2 Tttx rna�/parcal#: _ - 'INf>ttnre oi-1[ern � . _ :'.-DF.SC-RL{+' 0m OFFW'ORK ;t ° valrx � 16.60 _ L[UlctSCGt _ .�G ltl+r) f�u�/.Ct?, 13ndcAoW ptreyellter ------ �- 2 rZ'7- Baekwahm valve 16-60 Ckdres wrashm—_ ----- 16.60 Dishvndxx - 16.60 _ Drinddngfotadaifi �— 16.60 ------ ROPEItTYOWNBQ 'i'gNA1V r" - - E cd 16.60 Name. isS�¢ e^�i�11nt;•S "a�s�"'� ._— -- 16.-60 AddressA;XBO Saul Fixtrrrtrwm5cap _ _ 16.60 15.60 C'.ity/Statte/�^I,O�IC t C.1S-t r-►+C 6 �17f� -- Ioar drain/floor;sinkAmb 1660_ ~j -- _ - Phone: Fax: Hew bib 16,60 _ PP-LIC�UVT CUMI ACI'1'ER.90N' ^`;:,: hoe maker _----- - 16A60 Name: � p0 -re I - I plodrremse ft2p - 16.60 Address-ID--'00 sC rn Medical tis-voltam S P16.G0 - - Cr_i /StatPJZ�_�1 _D!t¢►n O tR q'70 to L .-- Roof drain naannual) `'--- - 16.60 Phone9-�3 (e9a- -.SR sizmoasie ng.aLor, — 16.60 E-mail: Tub//shawedshowerpan -- -- 16.60_ 'CONTRACTOR _ Urinal -----_�_- 16.60 Business Name: p-nd,tCc'tig„ O Kd^�' war Gio_ +— A�__ _—____ 16-A) ------ Water healer- WO Addresr�lasUo � c� nth _ R- -- - -- City/State lZip:-TUARn-#-►;._ R- -- Phonesb3 (q_ Sg`i 5' Fax�3 lo9'd�a�� • Pt ssitk Fexsi* .' ! .SS -- Subtotal S 7ffDq Plumb. Lic-#: �-` nrmn Permit Fete S77-50 S -- AQrthnrme, r 0 __ 1 CzW D",41 (1 R�iddotiW Bad[17 Fee$3625 =- S! rryature- r[}T{J�L _ Plan RAVkW of Peron Fee S _ t'_l7Qr /1l — -- --- ---��'>tnc 8'Jo ofYtsrmi Fee --.- (Plase pri"t'nme) _ TOTAL PLR&HT FEE S �- nlsrlca-_ This permN ap�{"icsiien hires{[a perraI-is net obtained+tints• Agnew cammoervint baadlo4es vegoire 7 sets of plias with 1—netsir ar I M days after it Mas bees ate"Ned ss eootplet- riser d laomm tint pt m rt*iew. *Fee nMbedelegy set by Tri Ceentr BuiWWW IsdaWy STrvfcr Beard. d CITY OF TIGARD 24-Hour Inspection Line: (503)639-4175 BUILDING MST INr,PFr TIf)N M1101n"i BusinessLine: (503) 639-4171 BUP -- Received , Date Rquerzted �' AM—�— PM_-____. BLIP Location ��'- �L � �` uite MEC22 -- ---- - Contact Person Ph(--) PLM ---------.. Contractor --_-- _ Ph (- ) -- SWR BUILDING -------_-- BUILDING Tenant/Owner ---__.— ____�- ELC Footing ELC Foundation Access: Ftg Drain ELR -- Crawl Drain Slab Inspection Notes: SIT Inst& Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear �J Framing Insulation Drywall Nailing -- -- - - -- — ------ Firewall Fire Sprinkler -------- _ - - - --- , Fire Alarm Susp'd Ceiling - ---- Roof --Roof _ Other. -- - --- --- -_. Final �;PAS@5__PART FAILU __G -- - -- -- -- - - - - -- - - - Post& 3eam Under Slab - ---- -- - - -- Rough-In Warr Service -- ---- Sanitary Sewer Rain Drains -- -- -_----- --- --- Catch Basin/Manhole Storm Drain - -- --- ------ — - -- - - Shower Pan OtherLANICAL ----- ----- -------- ---- ------ ii PART FAIL -- - --- - - - ---- -- -- Post& Beam Rough-In --- ----------- - - Gas Line Smoke Dampers ---- -- ---- -- Final PASS --PAR FAIL --- ---- - ------ - ----- ELEC�CA wA Rough-In - M �K��--� S L-IE I is G-C-T 1 ON t1G/Slab Low Voltage - �re_QLarm , `Final Reinspection fee of$ _ _ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. P__S PART( FAIL - SITE _- ❑ Please cal,for reinspectiun 11E Unable to inspect- no access Fire Supply Line ADA � �\ I � � Ext - Approach/Sidewalk Date �1 Lq. -- nspoCtor 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 — INSPECTION DIVISION Business Line: (503)639-4171 BLIP � YReceived — - _Date Requested_ _ ` AM—_-. PM BUP ----- Location —_ _ � ,�% suite MEC ILy Contact Person Ph PLM — Contractor—_ —_--. Ph( ) SWR - _BUILDING Tenant/Owner __. —._ ELC Footing - -- ELC Foundation Access: Fig Drain ELR _ __— Crawl Drain - SIT Slab Inspection Notes: -� - Post&Beam ----- - ---...-------- - ____ �'� Shear Anchors — Ext Sheath/Shear Int Sheath/Shear Framing - -- - - -- - Insulation _ Drywall Nailing ----- — -- -- -`- ,i 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 ---- MECH_ANICAL _ --.- --- ----- --- - - __— Post&Beam Rough-In - --- - - --- --- ------ Gas Line Smoke Dampers ----- - - - - -- -- Final PASS PART FAIL - - ---- ------- ELEC_TRICAL ------ - ------ -- -- - --- --- -- Service Rough-In _-___-- - --- -- -- UG/Slab LowVoltage `.__..----- ____---. ._ __._._-._ —_..-__ ----------------- ---- Fire Alarm -h ❑ Reinspection fee of$ _-_ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL _ SITE Please call for reinspection RE:_ - _._____.-..__ C Unable t i spec t -no access Fire Supply Line I ADA Approach/Sidewalk Date O Insnpector — - - ----Ext ------ Other Final DO NOT REMOVE this Inspection r cord from the job site. PASS PART FAIL � 1 Oct 10 2003 4: 00PM GeoPaciFic Engineering, I 503-598- 8'?131-) v . l B�Pif Rest-World Geotechnical Wutlons October 10, 2003 Invsstipetion•Design•Construction Support Job No. 00-4945 Attentiwi: Andrew Thomas Venture Properties, Inc. 4230 Geldwood Street, Suite 100 Lake Oswego, Oregon 97035 Fax No. (503)6'70-9099 HE: GEOTECHNICAL ENGINEER'S FOUNDATION EXCAVATION REVIEW THORNWOOD LOT 53 CITY OF TIGARD, OREGON Reference: GeoPecific Engineering Inc., SO Engineer's Summary at Conclusion of Eartnwork, Thornwood City of Tigard, Oregon, dated March 16,2003, GeoPacltic Engineer, Jim Imbrle, has v:,sited the ab ove-referenced lot on October 10`x. The purpose of our visit was prlfnarily to review the foundatian excavation s.:bgrade, and footing prcx,mity to existing slope faces and terrace cuts. Specific foundation design recornme,tdatlons we•a presented in the report referenced above. The r,earest adjacent footing west (downslope) end bur ;he suo)ect residence is approximately 6 feet from ;he natural slope face which is approximately 40 parcurt grade for about 15 feet. The wes (lower) end of the excavation is below the base of the fill slopra. The footing subgrade generally consisted of engineered ill on the front embankment and natural soils at the lowest (rear) portion of the horse. Both soil types probes stiff to very sh1t. The current subgrade is considered adequate for spread faundatlon support. Rased on our observations, tree foundation subgrade and excavation setbacks should be acceptable for sunpo,t of the proposed single-family home. No dock footing sutgrades were observed. Some retalning wells are needed in the middle of the home to attain tall vertical cuss ar:j some backfilling wll be necessary. OU,work scope for this phat o of geotechnical review pertains to foundati7n bearing conciticns only and is limited to the condlt,ons existing and exposed at the time of our site visits. If you have any further questions, please call, Sincerely, GooPacific Engineering,Inc. "'rPfl .,14743 �1 f�P 4w James D. Imhrie, P.E., C.E. OR AON Geotechnic_; Engineer ~UY ta! 19°�� 7312 SW Durham Road 0_ I�"""�' -01(503) 598-8445 Portland, OreVn 97224 Fax(303)598-8705 w WINSTEAD AND ASSOCIATES ARCHITECTURE AND BUILDING CODE SERVICES, PC. Phone:503-723-8(H)3 703 Main Street Fax 503-723-0578 Oregon City,Oregon 97045 F ma il:cndeexpertur msn,cum INSPECTION STAFF STEPHEN WINSTEAD CEO 703 Main St. Oregon City, 97045 Office 503.723.8003 ACF Plans Examiner, ABC Inspector, R.O. ROBERT L. MENDENHAL.L OPERATIONS MANAGER. 703 Main St. Oregon City, 97045 Office 503.723.8003 ACF Plans Examiner, AC Structural Inspector, Mill, PCI, B.O. w RIC14 MORSE AC Electrical RON STORZBACH AC Plans Examiner, AC Structural, (' Mechanical. Mill GEORGE HEIMOS AC Plumbing TONY TAMERIUS ABC Structural, Mechanical, MITI WNSTEAD AND ASSOCIATES H E C E I V E t-) ARCHITF.CTUh—AND BUILDING CODE SERVICES, r%.. P O.Box 2198 Phone:503-723-'003 r l ! Oregon City,Oregm 07045 Fax.503-72M231 CITY OF TIGArsU gl_(II_DI�IC; hl�/ISIr,�� hATE RECEIVED�►�'� '� 4- _— PERMIT # VCZW? if-1,0Q4n-tPHONE CONTRACTORS _�SSt3�� IAC--TENA^�TNAME LOCATION I&4s9�—�S �J h�.. _ BLDG # _ SUITE BUlLDIt ; PLUMBING MECHANICAL ELECML(�,1_L ❑ SITE A TILT-UP PNLS ❑ POST/BEAM ❑UNDERGROUND/SLAB LI TEMPSERV. ❑ FOOTING ❑DRYWALL ❑UNDERGROUND/SLAB❑POSTBEAM ❑UNDERGROUND/SLAB ❑CONC. WALL. ❑CEILINC ❑TOP OUT ❑ROUGH 0 SPECIAIBONPING/GROUNDING ❑ SLAB ❑SIDE/APP ❑ SANITARY SEWER ❑FIREDAMPERS ❑ROUGH ❑>K§ONRY ❑EROSION ❑STORM SEWER ❑GASPIPING ❑GROUNDFAUL.TPKOTE(TION M_POSTBEAM ❑FIRE LINES ❑RAIN DRAIN ❑HOOD/DUCT ❑FFEDER ❑ SHEARWALLS ❑FIRE.SPRINK. ❑CRAWL/FOUN.DRAIN ❑WOODSTOVE ❑SFRVKE ❑ROOFING ❑FIREALARM ❑WATER SERVICE ❑FIREPLACT,, ❑LOWVOLTAGE ❑ FRAMING ❑FINAL ❑BACK FLOW PREY. ❑HEATPUMP ❑MINOR LABEL ❑ INSULATION ❑Fj4AL EROSN ❑CAP OFF ❑REFRIGERATION ❑ ❑ _�- ---._ ❑ ..- ----_�_�- ❑ ._ ❑FINAL ❑FINAL 0 FINAL DAY REQUESTED MON TUES WED THUR FRI SAT/SUN LA 't - [APPROVE ❑ DI REIN I'ECTION REQUIRED T)ATF - , ---- INSPECTOR -- --- - ALrF, f OF \AA�AALI�AAI.AI►. �.► ' AAAAAA.AAJ . A, A �I ► it 4141 i► lop- 41 .I ` ► K l► i► .. l I r I► � TTS � `' � = � '► _ i► lop, • ` I� W �� - ► I: lop- 00 4' ► 41 ►I = l► -/� I► I► 11 G l► I. J�� Tr TVTTT"Tv r TTVTTTT7rT��1, CITY OF TIGARD 24-Hour i BUILDING Inspection Line: (503)639-4175 ' INSPECTION DIVISION Business Line: (503) 639-4171 MST BUP Received Date Requested AM —__—_,PM— BUP —_— — Location �� l� �' L suitMEC Contact Person ,t� PLM Contractor Ph( ) _ SWR —_-- BUILDING _ Tenant/Owner . _ __ _ ELC Footing ELC Foundation Access: Fig Drain ELR Crawl Drain Slab Inspection Notes: SIT Post 6 Beam ---— --- -- ----- Shear Anchors ---- ---- ---- -- -- Ext Sheath/Shear _ Int Sheath/Shear ffv Framing r� F E7�2[ —�i..s h L--_ A.P(�� __7= �� = � ----- Insulation Drywall Nailing ---- - - ---- ------ ... --- Firewall Fire Sprinkler — ---.__ -------- - ------ Fire Alarm Susp'd Ceiling - - - - ---_ - Root Other. � ---- -- -- --_- --- �_._ t Final PASS PART FAIL ---- ----------- ----__ --.. - -- PLUNIBING -- ----.------- Post&Beam Under Slab ------- - ---- ----- - - - Rough-In Water Service -- -- — ---- ------_.____ _.- -_-- Sanitary Sewer Rain Drains ------ - - - - -- ----- r.:aich Basin/Manhole 6torm Drain ---- - - — ----- Shower Pan Other: - -- — -------- - - -- — --------------- Final - -- _.- ___ — ---- ----------- -- PASS PART FAIL MECHANICAL___ Post S Beam Rough-In -- Gas Line Smoke Dampers -----_- — — - - ------- -- --- - 1 inal A PART FAIL --___._------------___-- -_--_ ECTRICAL -- — ----- --... - -------------------- —.- ------- Service Rough-In UG/Slab Low Voltage - -------- -------- — - --- _.. Fire Alarm ----- -�-------- Final � Reinspection fee of$ requued before next inspection. Pay at City Hall, 13125 SW Nall Blvd. PASS PAR'. FAIL gl-T� (] Please call for reinspection RE ___ [� Unable to inspect - no access Fire Supply LineADA -� Approach/Sidewalk Date f C S� Inspector Ext .� Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL k I N p 71 a Con n 0 O CC—L a v. rD h • l Q \ V o � OA I C � J �e � r 'r Q C 3 CITY OF TIGARD _ MASTER PERMIT PERMIT#: MST2003.00404 DEVELOPMENT SERVICES DATE ISSUED: 10/14/03 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 12450 SW ASPEN RIDGE DR PARCEL: 2S110BC-08200 SUBDIVISION: THORNWOOD ZONING: R-7 BLOCK: LOT: OS3 JURISDICTION: I'll i REMARKS: New SF detached, Path 1. BUILDING REISSUE: DM104 STORIES: i FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT .. FIRST. 1 Cdr. st BASEMENT: sl LEFT: ti SMOKE DETECTORS TYPE OF USE: SF FLOOR LOAD: W SECOND: 1 19± at GARAGE: 47S at FRONT: I`, PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: I TINRD sl RIGHT. VALUE: -,y9 ,7 S11 OCCUPANCY GRP: R3 BDRM. .I BATH 4 TOTAL. 1.04" sl REAR. PLUMBING SINKS: I WArER CLOSETS: 4 WASHING MACH: I LAUNDRY TRAYS RAIN DRAIN: 100 TRAPS. t AVATORIES: 5 DISHWASHERS: 1 FLOOH DRAINS: SEWER LINTS. IW) SF RAIN DRAINS: I CATCH BASINS. I`UBISHOWERS: 4 GARBAGE DISP: I WATER HEATERS: ' WATER LINES 100 BCKFLW PREVNTR. GREASE TRAPS, OTHER FIXTURES. MECHANICAL _ FUEL TYPES _ FURN<100K. BOILICMP<NHP: VENT FANS: > CLOTHES DRYER: I ns FURN—100K: I UNIT HEATERS HOODS OTHER UNITS: I MAX INP: blu FLOOR FURNANCES. VENTS: ! WOODSTOVES GAS OUTI ETSI ELECTRICAL. RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS _ 1000 SF OR LESS: 1 0 - 200 amp 0 - 200 amp- W/SVC OR FU R PUMPIIRRIGATION: PER INSPECTION - EAADD'L 500SF: 5 201 400 amp 201 400 arnp. let W10 SVCIF DR .SIGNIOUT LIN LT: PER HOUR LIMITED ENERGY: 401 600 amp: 401 - 600 amp. EAADDL BR CIR SIGNAL/PANEL IN PLANT. MANU HM/SVCIFDR: 601 1000 amp: 601.amps-1000v- MINOR LABEL: 1000+anlplvoll PLAN REVIEW SECTION Reconnect only, =4 RES UNITS SVCIFDR>=725 A >600 V NOMINAL: CLS ARtiJSPC OCC. ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO B STEREO: VACUUM SYSTEM. AUDIO B STEREO: FIRE ALARM INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH, BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL GARAGE OPENER, CLOCK: INSTRUMENTATION: MEDICAL: OTHR. HVAC DATAfTELE COMM: NURSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 5,824.13 DON MORISSETTE HOMES INC DON MORISSETfE HOMES INC This permit is subject to the regulations contained In the 4230 GALEWOOD ST#100 4230 GALEWOOD ST,STE 100 Tigard Municipal Code,State OR. Specialty Codes and LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 all other applicable laws. All woo rk will be done it accordance with approved plans. This permit will expire H 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: 501 387-75313 Phone: Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 952-001-0080. You Rip N: L 1 387�15_� may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdwlk Insp Sewer Inspection Underfloor insulation Dlumb'rop Out Exterior Sheathing Insl Rain drain Insp Electrical Final Fooling Insp Crawl Drain/Backwater Electrical Service Low Voltage Storm drain Insp Mechanical Final Foundation Insp Footing/Foundation Dr; Electrical Rough In Gas Line Insp Water Line Insp Plumb Final Postr'Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Water Service Insp Building Final / )/ 1—N Issued By : µn _eL-_ {_-`_ Permittee Signature �� v'~ Call (503) 639-4115 by 7:00 p.nT. for an inspection needed the next business day i CITYOF TIG_ ARD SEWER CONNECTION PERMIT DEVELOPMENT' ScRVICES PERMIT#: SWR2003-00305 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: -10/14/03 PARCEL: 2S 11013C-08200 SITE ADDRESS; 12450 SW ASPEN RIDGE DR SUBDIVISION: TII()RNW001) ZONING: It-7 BLOCK: LOT: 053 _ JURISDICTION: IIc TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: Lf-PSWR IMPERV SURFACE: Remarks: Sewer connection for r,ew SF Owner: FEES DON MORISSETTE HOMES INC Description Date Amount 4230 GALEWOOD ST #100 — - LAKE OSWEGO, OR 97035 1SWUSAJ Swr Connect 10/14/03 $2,400.00 1 SWUSAJ Swr Connect 10/14/03 $0.00 Phone: 503-387-7538 ISWINSPJ Swr Inspect 10/14/03 $35.00 1SWINS111 S\rr Inspect 10/14/03 $0.00 Contractor: -- i - -- Total $2,435.00 Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the Gide sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located,the installer shall purchase a "Tap and Side Sewer' Perm Issued by: _� _ Permittee Signature: i Call (503) 639-4175 by 7:00 P.M. for an inspection neede6 the next business day rtG ,IST i Build:ag Permit Application 7a, , eived: / �IIA'3 PermitCity of Tigardappl.no.: Expire date: CirynjTigard Address: 1312��Ive�,Tlgalid;OR 9722; - Phone: (503) 6 1 Date issued: y' ,p/% Receipt no.: Fax: (503) 598-1960,• �1u3 Case file no.: Payment type: Land use apprav�I �y 1&2 family:Simple Complex: �- U I &2 family dwelling or accessory U Commercial/industrial U Muiti-family &New construction U Demolition U Addition/aheration/replacement U Tenant improvement U Fire sprinkler/alarni U Other 4' Job address: 1 1 ( BWg.no.: _ _Suite no.: Lot Block: Subdivisto ol-T)LTax map/tax lot/account no.: Project name: _ Description and location of work on premises/special conditions: Mailing address: I r LV _ �. 1 &2 family dwelling: ; City: StateLt ZIP: Valuation of work........................................ $ Phone: Fax: -mail: No.of bedrooms/baths................................. `.1 _r� Owner's representative: C k tr l ,r_ Total number of floors..................>j......... > Phone: Fax: E-mail: New dwelling area(sq.ft.) .......................... Garage/carport area(sq.ft.)......................... Name: ,Y 1 Covered porch area(sq.ft.) ......................... _ Mailing address. (Z Deck area(sq. ft.) .. - - --� - J' r Other structure area(s It City: State: _ Z.P: y• Phone: Fax: E-mail: CommercioUindustrial/multi-family: Valuation of work........................................ $ Business name: -� - Existing bldg.area(sq.ft.) .......................... New bldg.area(sq.R.) ................................ --,-Address: C'L City: State: ;LIP: Number of stories.................................... Type of construction.............. Phone: Fax: E-mail,: . .......... ....... G Occupancy group(s): Existing: CCB no.: � — — - - New: _ City/metro lic.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under NarnC7 .,(" o provisions of ORS 701 and may be required to be licensed in the Address: i�� (, 7— jurisdictirr 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: — -- _ Name: Contact person: Fees due upon application ........................... $ Address: Date received: — City: State: Z1P: Amount received .............. .......................... $ Phone: Fax: I E-mail: Please refer to fee schedule. I hereby certify I have r-ad and examined this application and the Not al jurbdicdom accept credit cards,pieax call iunsdicnon for more information attached checklist.A rovisions of I ws and o dinances governing this ❑visa 0MasterCud work will be comp) wi ,whether cified�erein t._ credit card number Ha jl v v+ res Authorized si atU f t.te ' I�-_7 Name of cardholder u shown on credit card -- ( n jy� f Pronam e: 4 nae: .� Cardholder siputuc Amount Notice:This permit appl.cation expires if a permit is not obtained within I FO days ager it has been accepted as complete. 4404613(6000rCOM) One-and Two-Family Dwelling ��- Building Permit Application Checklist ILI ferencenoo Ci o Ti and ssuciatedpermits: ty � g City of 'Tigard Electrical U Plumbing U Mechanical Address: 13125 SW Hall Blvd,Tigard,OR 9i22' J Other: , Phone: (503) 6394171 -- Fax. (503) 598-1960 TIIE FOLLOWING 1 [end use actions completed.See jurisdiction criteria for concurrent reviews. 2 loning.Flood plain,solar balance points,seismic scils designation,historic district,etc 3 Verification of approved plat/lot. 4 Fire district_ _approval required. 5 Septic system permit or auth,irization 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 11 plan ❑permit required. Include drainage-way protection,silt fence design and location of _catch-basin prc,ection,etc. 10 —L 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 he completed t/ if copyright violations exist. I J` _Fl Siteiplot plan drawn to scale.The plan must show lot and building setback dimensions;pruperty comer elevations(if there is more than a O4 elevation differendal,plan must show contour lines at 24 intervals);location of easements and driveway;footprint of structure(including decks);location of welWseptic 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 irches 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 analyst+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 welts.Ptuvide cross sections and details showing placement of rehar. 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 anv beam/joisl carrying a non-uniform load. 20 Manufactured floor/row, o rens design details. 21 Energy('ode compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required lot four or more appi;:.,_yes. 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. JURISDIi-1110NAL 1 Five(5)site plans arc required for Item I I above. Site plans must be 8-1/2"x 11"or I I"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 the^^^s or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only. 440-4614 tbaacoM) Mechanical Permit Application 7Dateelved: Permitno.: F - ' ,�I-City of Tigard /appl.no.: Expiredate: City of Tigard Addres : 13125 SW Hall Blvd,Tigard,OR 9722sued: By: pt no.: Phone: (503) 639-4171 C Fax: (503) 598-1960 RIP- Case file no.: i Payment type: Land use approval: _ Building permit no.: r , x 0 I &2 family dwelling or ac-essory 0 Co 0 Multi-family 0 Tenant lnipiovrmrnt Jew construction 0 At� teration/l�placement 0 Other: _ —_� Ii SITE INFORNIATIONt 1SCHEDULE Job address: Indicate equipment quanuties in boxes below. Indicate the dollar Bldg. no.: Su ee na.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ Lot: ubd Block: Sivision: AnaV1.Y "See checklist for important application infolmation and Project name: jurisdiction s fee schedule for residential permit fee. City/county: ZIP: t 1 Description and location of work on premises: _ It t I s Elm Fee(m) Total Est.date of compleuon/inspecuon: _ Description Qty. Res.only Res.only Tenant improvement or change of use: ham Is existingspace heated or conditioned?O Yes 0 No Air handling unit CFM Air conditioning(site plan required) Is existing space insulated!O Yes ❑No I Alteration of existing HVAC system _ oiler/compressors State boiler permit no.: Business name: HP Tons BTU/14 Address: iretsmo e dd� ampers/duct smoke detectors _ City: Ll State• zIP: Heat pump(site plan required) Phone: Fax: E-mail: nsta rep ace furnace/bumer__ — Including ductwork/vent liner O Yes O No CCB no.: _ nstall/replace/relocate eaters-suspen ed, City/metro lic. no.:N/A wall,or floor mounted Name(please print). r, t- N -7 ent forappliance other than furnace Refrigeration: Absorption units BTU/H Namc - — Chillers HP - Compressors HP Arjrl CL Environmental exhaust ventilation: Cit%. I state: ZIP: Appliance vent _ Phunr —— Fax: E-mail: Dryerexhaust oods,Type I/lures. tc en/hazmat hood fire suppression system — — Name: �2 1 Exhaust fan with single duct(bath fans) Mailing address:/� ' _. VL Ethaust system a art from eatin or AC Fuelpiping an tribution(up to 4 outlets) City: State LIP 1� Type: LPG t eNG Oil --- Phone 7 T F a, E-mail: Fuel i to each additional over 4 outs rocesspiping(schematicrequired) Name Number of outlets — or tst appliance or equipment: De Address: � Decorative fireplace City: state Inserl-type - oodstove/pelletstove Phone: -mail: — - -- - - Other: .4ppllcnnt_s stgnaru_ Date: L' Ut eta V 1 Name(print): � ---�-- I ...$ Nor all jurisdictions accept credit cants,please call lunsdtcuon for more information. Permit fee.................. —— Notice:This permit application Minimum fee................S ❑visa O MasterCard expires if a permit is no' obtained Credit card number Expir s within 180 days after it has been Plan review(at _ °b) S ted as tete. State surcharge(896) ....S Num Naor cardholder n shown on credit c•ud — s accepted complete. TOTAL .......................S Cardholder sigrsture Amount 440-4617(myll(i Flunnbinl, Permit Application Date received: Perntitno.: �� ty(. 0 City of Tigard ;ewer Ixrrrut no.. Building permit no.. Address: 13125 SW Hall Blvd.Tigard.OR 972_3 -- -- City njTigarl ProLecUappl.no.. Expire date: Phone: (503) 639-4171 Fax: (503) 598-1960 FtFrT ED Date issued: BY — Rxeiptno.: Land use approval. 1 --- Cue file no Paymentrype. IL t �t 7&2 ly dwelling or accessory ��pKrllndstti>austnO 'Multi-family O Tenant improvementuction DjAj&WWllEiWNVreplaceme, O Food service O Other. JOB t MNL%Tlt)N FEE SCMMU'LIE Job address: C Descri don Fee(ca•) Total Bldg.no.: Sut a no.: New 1-and 24=dy dweWngs only: (Includes 100 R.for each udlity coonecdoa) Tax map/tax lot/account no.: SFR(1)bath _ Lot -7 Bla k: jSubdivision: (n SFR(2)bath Project name: SFR(3)bath City/county: Each additional bativ1utchea I Description and location of work on premises: SiteutWdes: I Cat:h basin/area drain Est date of completia�nspecdon: Drywellslleach line/trench drain Footing drain(no.lin. ft.) Manufactured home utilities Business name• t ` �_ Manholes Address• Rain drain connector City State ZIP Sanitary sewer(no. lin.ft.) Phone: -� Fax: E-mail: Storm sewer(no. lin.ft.) Water service(no.lin.ft.) CCB no.: L Plumb, bus. reg. no Future or item: City/metro lic. no.. N,A _ Absorption valve Contractors representative signature Back flow reventer Print name: I U Backwater valve _ �l Ba_sinsdavator� washer __ Clothes Name: _ Dishwasher Address: 1rYVf' — Dnnl:inQ fountain(s) Citi State, Z!P Ejectors/sump Phone: Fax. E-mail j Expansion tank _ Fixturelsewer cap Floor drains/floor sinks/hub Name (print): C-� F-�r�l�`- +� Garbage disposal Mailing address: , Hose bibb City . •l State P:C1 Ice maker Phone: :27-- Fax: 7--)kl F•mail: Interceptor! ease trap 1 U•Nner insta(lanon/residential maintenance onli.: The actual Installation Pnmens) will be matte b,. me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per(QRS Chapter 34' Sink(s), basintsl, lays(s) _ — Owner's si nature Date: Sump — - Tubs'shower/shower pan _ L trial Name: Water closet Address: W ater heater -- 71 TI — State) ZIP: Other I Phone. fax: Email. Total review(at Not Al lun"cuatu xcepi cr-d;j cods,please talc iunsticuon for mote mrortruuan Plan Fee................ $ — Notice:This permit application ur — `6) S C Visa O Nasterc.rrd expires if a permit is not obtained State surcharge --- C.edil cud number —1---L- within 180 days after it has been TOTAL ... S ___-- accepted as complete •..4............. Nartse�!arlwlJn u sAOWn ao cl!llii cud CLetwde,sgn1l im s Am—ni 4.*j6l6 1bMMM) DON • MORISSETTE OBE : 2930 a 0 m 1 5 1 N c 0 a P 0 R A T 2 D 4ISO 0ALIT000 8T111T 8oITS 100 LOT: 53 16A11 08s100. 02100N 87036 DATE•° 7/27/03 (603) 387 - 7530 FAX (503) 367 - 7816 PROPERTY: TSnRN1f00D CITY: TIGARD SCALE: 1"=20' PLAN No.: 184 STANDARD ELEVATION 4 446 444 44 yf"y / D R 4F9 //436 \\ e. 435-f34 lt bcar \ g9g 437 \ \ FF.E. ci s ail s \ \ 430 F \ 45 so. Pt. gfl� M` 4�bdrm. m'm 0 \g �. 3/2 bath R R FF.E. 459.5' ❑ e n V/ �► -/� fie, 424' RECEIVED JUL 3 1 2003 CITY OF TIGARD LECsEND LOT COVERACsE BUILDING DIVISION -- LOT AREA. 5.350 SO. F* LOT X53 BUILDING AREA: 2,432 SO. FT. 5,350 5q. Ft. o STREET TREES. SEE PERCENTAGE: 45.5% RECORDED FLAT FOR SIZES AND T•r10E5 J "'0 C'ITY Ofr TIGARI) .,SITE PLAN UfNI N C�) BUILDING PLXMIT NO:. -� PLANNING DIvltilON: c' Required '+-:tback, Appt-t tiro (� Not Approved s Side rror Rear: _ S Visual 1 ,Approved i.1 Not Approved C.%VS "k n Yes IANL :NCiEltltitt Actual Slope: °a piuved ❑ Not Approved Site Plan: pproved N t Approved te: F s 3 IVrtr>,: L UNITED ENGINEERING, INC. Consulting Engineering*Civil " Structural * Environmental Engineering*Planning 922 N. Killingsworth St.-Suite: 1 A Telephone:(503)381-3749 Portland,OR 97217 Fax: (503)289-7775 USA Email :.jaimelim@asiani-eporter.com Project Name Lot 53, Thornwood Project Address 12450 SW Aspen Ridge Drive Project Location Tigard, Oregon Project Code DMH 18H /2930 t 0 ; l 14 NO /4s� EXCLUSIONIOF LIABILITIES I. DISCLAIMER AND RELEASE Buyer hereby waives, releases and renounces all warranties (express or implied), obligations and liabilities of United Engineering, Inc. and all ether rights and claims and all other remedies against United Engineering, Inc. with respect to any nonconformity, improper installation, workmanship or material. 11. EXCLUSION OF CONSEQUENTIAL AND OTHER DAMAGES United Engineering, Inc. shat' have no obligation of liability, whether arising; in contract (including warranty),Tort (including active, passive,or imputed neglig— for loss or use, revenue or profit,or for any other incidental or consequBT- V Date: July 28, 2003 JUL 1 2003 CITY OF TIGARD BUILDING DIVISION United Engineering, Inc. Lot 53.Thornwood.Tigr.rd.Oregon.xls Page I Electrical Permit Application 1� ' V Recei,rJ City of Tigard 5�� I nett n, 13125 SW Hall w%It,'rigard,OR 972 U Giber Permit. Phone: 503 631)4171 Fax, 503 598 10160 � l,atu Ii Inspection I me 503 639.4175 Uaic RueJy ey min ® see Pule 2 for Internet: ww,t ci.ugard or us � �Jr� ailed\IenwJ supplemental larnrmallun- TYPE {'(case check all thw apply PLAN REVIEW Nw'econstruction ❑Additi literan ❑ on replacement Serttcc otrr '_ _ 5 ammm ps,cu 'I ❑Ila[•rrduus lucuuun F1Demolition ❑Other ❑Scr,lce otci '.0 amp+ ruling ❑1)uildng u,er 10,01M.N4 It. CATEGORY OF CONSTRUCTION of I-and tan ly dNelhngs 4 Lit more 110%1.%Idcntiu! []System user 600 volts nominal units in one structure I and? family dwelling ❑Commercial industrial ❑ Accessory building ❑Building over three stories ❑Feeders,400 umps tit,more ❑ Multi-Iamlly C] Master builder ❑Other: _ []Occupant loud over 99 persons ❑'vtunul'acttued stiuchtres or El I- RV park JOB SITE INFORMATInN AND LOCATION I ❑Ileallh•care facility ❑Other Job no.: q 30- 1 Job site address: l� AsP _. Submit 1.sets ul'pluns tvuh um of the ubme City/State'Z.IP:- �J/ I ht aI,U1c al'c not uppllcuhlc tar Il'mpUfary l'r1U11(Il'ilutt,rt,ice FEE' SCHEDULE Suitc,bldg.iapt.no.: Project name: &V Marl _ 0turipunn 4r. _►ee Dual hons to Job site: Neµresidential single- Cross streer'direcor ntult{-family dt,clllnt unit. �Jl �� -- Includes attached gurage. _ 1,000 sy It ur Icss _ 145 15 _ 4 Subdivision_ dW wQ0 p Lot no.: 53 Fu udd'I 500 sq ft or portion 33 Jti I -- Limited energy,re;idermal 75.uu 2 Tax map/parcel no. Limited energy,nun-residential 75 lr) 2 DESCRIPTION OF WORK Each nwnufacturcd or modular Jucihn •scrvlcc and or tecdcr t)0 90 1_2 Sertices or I!eders Installation,Alteration,and/or relocation 200 amps or Ic,., 80 30 1 -- 201 amps a,400 amps 100M5 2 rP A ❑ PROPERTY OWNER ❑ ,T — 401 amps to 600 umps 160 00 2 Name: � -- !NC 601 umps 6t LOou umps 241)lto 2 � I Cher 1,001)amps ur volts 454 65 Address: 5 _�r Z Reconnect only 66.135 -' C ity'State'ZIP _ AK C05kTemporary services or feeders Installatlon.Alteration.and/or relocation _ Phone: (503 ► -'� �Z S` Fax.(503 1 8 7 21NJ Amps or less 66.85 I Owner Installation:This installation is being made on property that I own which is not 201 amps a:400 amps IIN)tit '- intended for sale,lease,rent•or exchange,according to ORS 447,449,Glu,and 701 401 umps to 600 umps 133 75 ! ' Owner signature Date: Branch circuits-neµ.Alterotlun,or extension,tier panel C] APPLICANT ❑ CONTACT PER-90 A Fce fur branch circuits nidi scrttcc ur I'cedcr I•ce•each 6 b5 2 Business name. II blanch cmcutl 11 Fee lo,branch circuits Contact name: it ithow service or feeder Ice, 408" I , each branch circuit Address _ _ Each udd'I hranch circuit 6.65 2 ('rty State/ZIP: _ Miscellaneous(service or feeder not included) 11,tmp or Irrigation circle 53411 2 Phone:( ► Fax: 1 1 Sign ur outline lighting 53 4o I E-mail: ----- —' Stgnul circurtUl ur limited- ' — CUNTRAC TOR energy panel.alteration.or — �� cslrnsnm hcscribe I'ul=e= '- Business name: I Each additional Inspection over allowable In am nr the A`Im*e Address:_ /y �ek_ ,rj� / Pet inslicc:Ion 62 50 CaN State ZIP Y� Q � - Imesugauon per hour 11 hr mala 02 Sit Industrial plant per hour Phone:1G Z if Fax 1,'VjI . ELECTRICALPF.RNtil' FIEFS CCB Lie I Electrical Lic Supry Lic.: L( _ suba,ml� _ ---- ) Supm. Electrician signature,rNuired flan tc,Ic,t :5" of perttnt feet Slate surcharge is-,,ofpermit feel Print nameLAID-6 —J IID _ ]///{� TOTAL PFR%IIT FF.F. -- Authorised signature/ chit permit apnnuAtiun a Piret If A permll Is mol nlnaurrd �_ ---r----- ---- ---- dA,s After II ha%beta Accepted as complete Print name - --� -- Date Fee 11willodotngo +c,1•, 1 it t,runt•.19uildmg Induct, "r. 'C rt..nd ••"uniberofInspections ptrpur.•••;+cloaca Huddm'Permit FI.('Prmnlppd i_^r a i••�r :.,,:Ctr'•INrN Electrical Permit Application - City of Tigarl Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combin(d........ 575.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage I)oor Opener* Heating. Vcnlilatnui and All ( ttnditiunmg Systt -m'" ❑ Vacuum Systems* ❑ Other. COMMERCIAL WORK ONLY: _ Fee for each commercial system....................... $75.00 (Sl-.'E OAR 918-260-260) Cheek Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation [J Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom azul Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of cnmmercial sy stems *No licenses are required. License, are required for all other installations Budding Permnl BLC.PermnApp Ix 14-9 I' CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171BUP _ Received —__ ____ --____ Date Requested._._—f- 7 AM PM BUP — Location Sui 14Q'_?. _- MEC -- ------ -- Contact 11,--,on -- -- ---- Ph( -) -�a =� �� PLM r d 0 Contractor __.__ __- _____ __ ___ Ph(— ) _- __ SWR BUILDING Tenant/Owner -.T_T__-_ __- — ____-- ELC Footing Foundation ELC Access: ------� Fig Drain ELR _._-- Crawl Drain _. Slab Inspection Notes: SIT Post&Beam Shear AnchorsExt Sheath/Shear Sheath/Shear Int Sheath/Shear Framing ----- Insulation Drywall Nailing - -- -- Firewall Fire Sprinkler -- - --- Fire Alarm Susp'd Ceiling ---�-- — - -- — - -- Roof Other: - — — ---- _ Final PASS _PART FAIL - PLUMBING_- Post& Beam �- Under Slab --- ---- Rough-In Water Service ---- -- — - - Sanitary Sealer Rain Drains — -- --- ----- -- Catch Basin/Mani ole Storm Drain --- -- ----- - - Show Other: Pan SCHAMPART FAILNICAL Post& Beam Rough-In ------ ---- ------ -- _. Gas Lire Smoke Dampers Final PASS PART FAIL — - ----------- -- -- -- -- - - ELECTRICAL Service -_--- Rough-in ------ ----- -------- - - -- ------- UG/Slab Low Voltage -------- --- ---------- - ----- ------- --- - Fire Alarm Final Reinspection fee of$__ required before next inspection. Pay at City Hall, 13125 SW Hall B;vd. PASS PART FAIL SITE - Please call for reinspection RE:___ ____ F1 Unable to inspect-no access Fire Supply Line ADA ' Approach/Sldewalk Date Inspector _ — _-- Ext - -- Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL I I CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2004-00312 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/6/2004 SITE ADDRESS: 12450 SW ASPEN RIDGE DR PARCEL: 2S 110BC-08200 SUBDIVISION: THORNWOOD ZONING: R-7 BLOCK: LOT: 053 JURISDIC11ON: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remark Irrigation backflow device. _ F FEES Owner: -- --- — `-�— Description Date Amount DON MORISSETTE HOMES INC --- 4230 GALEWOOD ST#100 I I'Lt I h1131 1'crnii1 I cc 7/6/2004 $36.25 LAKE OSWEGO, OR 97031") (TAXI 89/0 State Surcharl 7/6/2004 $290 Total $39.15 Phone : 503-387-7538 Contractor: LANDSCAPE OREGON, INC. 12200 SW MYSLONY RD. TUALATIN, OR 97062 REQUIRED INSPECTIONS RP/Backflow Preventer � v Phone : 503-692-5945 Final Inspection Reg #: I I(' 7804 This permit is issued subject to the regulations contained in the Tigard Municipal Code State of OR. Specialty Codes and all other applicable laws. 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 rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-6699. Issued By: — _ tom: Permittee Signature:_� ' �,� (� 7�► Call (503) 639-4175 by 7:00 r.M. for an inspection needed the next business day Jul 01 04 12: 20p dan edmonds 503-692-0766 P. 2 B 11 g 1"xtures ur Permit AlgjR ii-afigin Plumbing FOR OFFICE USE ONLY City of Tigard mt_�JMVF Penrur No * a 13125 SW Hall Blvd.,Tigard,OR 97223 ,� V03/ I- Plan Reviesf / Phone! 503.639.4171 Fax: 503.5".196U Other Permit No 24-Hour IniMection Line: 503.639.41750 Date Rcadyttly; See Page 2 for J Internet: www.ci.tiprd.or.ux Supplemental Information.......... Atwie New construction []Demolition For gpirelief information mire checklist. N — --jfo DescriptionF27-T I []pAddition/ithiwaticintreplacement 0 Other: New I-Morally dwellings(includes 100 R.for each utility connection) ON SFR(1)bath 249.20 I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 350.00 ❑Accessory building 0 Multi-family SFR(3)bath 399.00 `-- Each additional badAitchm 45.00 E]Master budder El Other; W. Fire sprinkJcr L_eq ft.) Page 2 m7ak" C)t ,77 Site utulties Job site address: P11SQ Catch basin or area drain 16.60 city/stawztP.--n�y&A/;e_ io,0— 7 Drywell,leach line,or trench drain 1660 Suite/bldgJapt.no.: Project nanie: Fooling drain(no linear ft.: Page 2 Manufactured home utilities 11000 Cross street/directions toijob site: Manholes 1660 -SLu /3 LA_(_( MTN IQ) Pain drain connector 16 60 Sanitary sewer(no.hiiew ft.: Page 2 Storm sewer(no.linear ft.:___J Page 2 S ubdi vision:-ry)C-yn LL , A_ Lot no.:5�3 Water service(no.linear ft: Page 2 Fixture or Item Tax map/parcel no. (p Absorption valve 16.60 Backilow preventer Page 2 ho_-ejk-_t1vL(J 1 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 Ejectors/sump 16.60 Name: b oi I-n(,,)-I s s /yoyExpansion tank 16.60 _oe--s Address: LU e IL g-)C) L Fixt ire/sewer cup 16.60 CitY1StatC1zlP;L_,f;,_/<'C_ C)S L��o 0 rl Floor drain/floor sink/hub 16.60 Phone: Fax: Garbage disposal 16.60 diose bib 16.60 Ice tanker16-60 Business name: 611_t�4?011 7- Interceptor/grease"p 16.60 1p'U. Contact name: 's, Mediral gas(value;S Page 2 Address: Prima 16.60 I LJ C; tatefzlP:11,Lga_f1A_ cLiL - Roo'drain(commercial) 1660 (50 3) 9z-�4—S_!�Y 5 t q 174c,—T Sink/basin/lavatory 16.60 ie; Tub/showertshower pan 16.60 nail! Urinal 16.60 `77.7" 7n T Water closet 16.60 Business name! Water heater -766-0 Address: Other: Subtotal City/State/zIll: 71ta-1ZL?-?rA '4704 0- Minimum permit fee,472-50 Phone-6W.3) &!& S-9111�5- Fax:9503) (P`96? 07(a g• _JResidential backflow minimum permit Cee; 536.23 fi L/ CCB Lic.: 7 Fri L) Plumbing Lic.nu.: Plan review (25%of permit fee) State surcharge(11%of permit fee) Authorized zea-l'tew TOTAL PERM IT FEE Print rukmej5KI/e4 D 11614 '"11%permit applicatioti expires If a permit Is not obtained within L—.t�_71 180 days alter It has born accepted as complete- *Vte melhodrflnRv v-.1 by Tri-( itinm D,.iilding',idustry Service RwNrd L