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Case File I � - J N W 00 ,,C^^ V/ r 'D m z X 0 G) m rn �I II i v 12380 SW ASPEN RIDGE DRIVE / CITY OF T I V A R D MASTER PERM'.T PERMIT#: 8/12/0103 00363 DEVELOPMENT SERVIr.E3 DATE ISSUED: 8112/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 12380 SW ASPEN RIDC F DR PARCEL. 2S1 1013C-07600 SUBDIVISION: THORN'WOOD ZONING: R ' BLOCK: LOT: 047 JURISDICIIUN: Ii(; REMARKS: Construction of new SF detached residence. BUILDING REISSUE: DM157 STURIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK. NEW HEIGHT: 25 FIRST: 1,295 at BASEMENT: 1,068 of LEFT. SMOKE DETECTORS. Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.476 at GARAGE: 481 of FRONT: 15 PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: 1 THND at RIGHT 5.90 OCCUPANCY GRP: R7 BDRi�: .7 BATH: 3 TO'iAL: 2,771 at VALUE: 371,22REAR: 155 PLUMBING SINKS, WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: 1 Rf IN DR"1N: 100 TRAPS: LAVATORIES: 6 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN ORAINS: 1 CATCH BASINS: TUB/SMJWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN c 110014: BOILICMP c 3HP: VENT FANS: 6 CLOTHES DRYER: 1 to FURN>.100K: 1 UNIT HEATERS: HOODS: I OTHER UNITS: 1 MA.'INP: blu rLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP ERVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 aenp: 0 -200 amp: WlSVC OR FDR: PUMPIIRRIGATION: PER INSPECTION EA ADD'L 5005F: 7 20' - 400 amp: 201 - 4on alnp. 1H WIO 8VC/FDR. SIGNIOUT LIN LT: PER HOUR LIMITED ENERGY: 401 600 amp: 401 600 amp: EAADDL BR CIR: SIGNAL/PANEL: IN PLANT. MANC 'MIEVCIFDR. 601 - 1000 amp: 601+an,pe-1000v MINOR LABEL: 1 1000+amolvolt: FLAN REVIEW SECTION Reconnect only: -- --�— >-4 RES UNITS: SVCIFDR>=225 A.: >600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY _ A.SF RESIDENTIAL B.COMMERCIAL AUDIO B STEREO VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM. OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAITELE COMM: NURSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TO'I`AL FEES: $ 6,422.79 DON MORISSETTE HOMES DON MORISSETTE HOMES INC This hperlrnl Is subject to the regulations contained in the 4230 GALEWOOD ST 4230 GALEWOOD ST,STE 100 all igard Municipal Code,Stale o k wOR. Specialty Codes and STE 100 LAKE OSWEGO,OR 97035 all other applicable laws. All work will be done it LAKE OSWEGO,OR '' 035 accordance with approved pis-i. This permit will expire If work is not started within 180 lys of Issuance,or if the work is suspended for more tl 1 180 days. ATTENTION: Oregon law requires you to fc w rules adopted by the Phone: 503-387-7538 Phone: Oregon Utility Notification Ce' r. Those rules a e set 5 3forth In OAR 952-001-0010 0 ..ugh 952-001-008). You Reg 0: L7C-3873AA St may obtain copies of these rules or direct questio is to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, PosUBeam Mechaoica Plumb Top Out Exterior Sheathing Inst Gyp Board Insp Appr/Sdwlk Insp Sewer Inspection Underfiool Insulation Electrical Service Low Voltage Rain drain Insp Electrical Final Footing Insp Crawl Drain/Backwater Electrical Rough In Gas Line Insp Storm drain Insp Mechanical Final Foundation Insp PLM/Underfloor Framing Insp Gas Fireplace Water Line Insp Plumb Final Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Water Service Insp Building Final Issued By i 12.za Permittee Signature Call (503) 639-4175 by 7:00 f1.m. for ar, inspection needed the next business day CITY OF TIGARD MASTER PERMIT PERMIT#: MST2003-00363 10 DEVELOPMENT SERVICES DATE ISSUED: 8/12/03 —0- 13125 SW Hall BI Id , Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 12360 SW ASPEN RIDGE DR PARCEL: 2S11013C-07600 SUBDIVISION: THORNWOOD ZONING: K BLOCK: LOT: 047 JURISDICTION: 1 III ' REMARKS: Construction of new SF detached residence. BUILDING REISSUE: DM15,' STORIES: 2 FLOOR AREAS REQUIRED SETBACKS I,EQUIRED _ CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1.295 of BASEMENT: 1.066 f LEFT: 5 SMOKE DETECTORS: 'r TYPE OF USE: SF FLOOR LOAD: 40 SECOND. 1.476 of GARAGE: 461 of FRONT: 15 PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: 1 TMPD of RIGHT: VALUE: 771,225.90 ` OCCUPANCY GRP: C9 BDRM: BATH: 3 TOTAL: 2 771 of REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS* 4 WASHING MACH. 1 LAUNDRY TRAYS,: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 6 DISHWASHERS: 1 FLOOR DRAINS: SEWtR L."FS: 100 SF RAIN DRAINS: 1 CATCH BASINS. TUSISHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS. OTHER FIXTURES: MECHANICAL rUEL.TYPES FURN c 100K: BOILICMP<AHP: VENT FANS: 5 CLOTHES DRYER: 1 FURN>=100K: 1 UNIT HEATERS: HOODS: ' OTHEf')NITS: 1 MAX INP. blu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS _ MISCELLANEOUS ADD'L INSPECTIONS 1000 SF On LESS: 1 0 -200 amp. 0 -200 ampWISVC OR FDR: PUMPnRRIGATION: PER INSPECTION: EA ADD'L SOOSF. 201 400 anp. 201 400 anp 1a W,O SVC Ir DR: SIGN OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 -600 amp'. 401 600 amp. EAADDL EIR CIR- SIGNALIPANEL: IN PLANT. MANU HMISVCIFDR: 601 1000 amp 601+ernp8-1000V. MINOR LABEL: 1000+amplvolt PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS: SVCIFDR>=225 A.: >900 V NOMINAL: CLS AREAISPC OCC. _ ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL_ B.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNOSC LT, BURGLAR ALARM OTH. BOILER: HVAC LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION. MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,422.79 DON MORISSETTE HOMES DON MORISSETTE HOMES INC This permit is subject to the regulations contained in the 4230 GALEWOOD ST 4230 GALEWOOD ST,STE 100 Tigard Municipal Code,State OR. Specialty Codes and STE 100 LAKE OSWEGO,OR 97035 all other applicable laws. All work Th be done i accordance with approved plans. This permit will expir- If LAKE OSWEGO,OR 97035 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 aflorle: 503-387-7538 Phone' Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 952-001-0080. You 19� 387375 $ may obtain copies of these rules or direct questions to Roo R0` l OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Guntrol Insp 8• Post/Beam Mechanica Plumb Top Out Exterior Sheathing Insl Gyp Board Insp Appr/Sdwlk Insp Sewer Inspection Underfloor insulation Electrical Service Low Voltage Rain drain Insp Electrical Final Footing Insp Crawl Drain/Backwater Electrical Rough In Gas Line Insp Storm drain Insp Mechanical Final Foundation Insp PLM/Underfloor Framing Insp Gas Fireplace Water Line Insp Plumb Final Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Water Service Insp Building Final Issued By : Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITYOF I I GA R D SEINE R CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2003-00292 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/12/03 SITE ADDRESS; 12380 SW ASPEN RIDGE DR PARCEL: 2S 110BC-07600 SUBDIVISION: TIJORNWOOD ZONING: R-7 BLOCK: LOT: 047 JURISDICTION: I'lG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF detached Owner: FEES DON MORISSETTE HOMES 4230 GALEWOOD ST Description Date Amount STE 100 1SWUSA]Saar Connect 8/12/03 $2,400.00 LAKE OSWEGO,OR 97035 1 ;\\'USA]S�%r Connect 8/12/03 $0.00 Phone: 503-387-7538 1SWINSP] S\%r Inspect 8/12/03 $35.00 ISWINSPI S\%r Ina,ecl 8/12/03 $0.00 Contractor: - Total 62,438.00 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. T e 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 bya_,�4, a „ �,�� -e Permittee Signature* Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business dray 70 Building Per tion / ._ 1.., Date received: ��;I"", Permit no.: � City of Tigard City n/Tigard Address: 13125 SW Hall Blvd,TfQard,01R Projecr/appl.no.: Exp.redate: Phone: (503) 6394171 Date issued: Ry: ` fit) Receiptno.: Fax: (503) 598-1960 CITY OFTIGARD Case file no.: Payment type: Land use approval: AUILDING DIVISION/��^ jgcy family:Simple Complex: v U I &2 family dwelling or accessory U Commercial/industrial U Multi-family ,&New construction O Demolition U Addition/alteration/replacement U Tenant improvement U Fire sprinkler/aiarm U Other: _ Job ress: l^ c > Bldg.no.: Suite no.: Lo Block: Subdivis on: Z)CA --- Tax map/tax lot/account no.: PIN 'act n Description and location of work on premise:dspecial conditions: Name- Y Mailing address: (,�, 1 &2 family dwelling: t City: State:(_ ZIP: Valuation of work........................................ $ 7 c Z i Phone: f No of';,i, ms/baths.....a:.::.....`,�............... ' —_-- C,v,ie-'sn, •:sewat; T,ttti number Phone: Fax: =F'-4a—il j New dwelling area(sq.ft.) .......................... 7 r rcamort area(sq.ft.) _ Y 1 Covered porch area(sq.ft.) ....�....Z Name: ............ Mailing address l C�. �� Deck area(sq.ft.)........, ...zGo.............. City: State: ZIP: Other structure area(sq.ft.).1...............:........ Phone: 1 ax f m:ul: CommereiaUlnda9trial/multi-family: IF.'f 011[11 Valuation of work.............../Existing: .... $ ---- Business name: 1 Existing bldg. area(sq. ft.) . ..... Address: New bldg.area(sq.ft.)....... ..... --__-- City: State: ZIP: Number of stories............... .... Phone: Fax: E-mail: Type of construction......... Occupancy group(s): Existing: CCB no. ��-- — New: -------- Citv/m — Notice:All contractors and subcontractors are required to be tj 1 �^ licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may be required to be licensed in the Address: ��. jwisdicdon where work is being performed. If the applicant is CitX: State 'LIP: 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: ZIP: Amount received ......................................... S Phone: Fax: E-mail: Please reler to fee schedule. I hereby certify I have read and examined this application and the Not all juri,dictiom wcM credit card, pleaw cdl jurisdicton fa mm information. attached checklist. A rovisions of I ws and ofdinances governing this U visa U Mastercard work will be complied with,whether cified ereA I Credit card number: Authorized si n + l ! G Name of cardhAder u rhawn on credit card + L.�C41 f S Print name- 1 - — Cardholder dgnutue At>tarai Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted as complete. 44tN613(600WOM) Cine-and Two-Family Dwelling Building Ptrmit Application Checklist Reference no.: City of TigardpitAssociated permits: y of Tigard l]Electrical O Plumbing O Mechanical Address: 13125 SW Hall lilvd,"Pinard,0IJ 97,'.23U EleOthctrical Phone: (503) 639-4171 Fax: (503) 599-1960 JuIN1 1 ' 1,1001*1 ilia 1 Land use actions completed.See jurisdiction criteria for concurrent reviews. 2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc. 3 Verification rf approved plattlot. 4 Fire district approval required. 5 Septic system permit or authorization for remodel.Existing system capacity 6 Sewer permit. 7 Water district approval. 8 Sofia report.Must carry original applicable stamp and signature on file or with application. _ 9 Erosien control 0 plan U permit required.Include drainage-way protection,silt fence design and location of catch-hasin 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 if copyright violations exist. J� 11 Sitelplot plan drawn to scale.The plan must show lot and buildin;setback dimensions;property comer elevations(if there is 1 note than a 4-11.elevatit,n 4if..-renuw,plan must show contour lines at 24 intervals);location of easements and dri%rwnv:footprint of structure i including decksr location of wells/sepbe systems;utility locations;direction indicator,lot u_:,,building coverage-=a,percenurge of coverage:icipen wus,uea;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. j 13 Floor plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater, I furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and detr'Is.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, Y fireplace construction, thermal insulation,etc. 15 Elevation views.Provide elevations for new construction;minimun,of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change 1 grade is greater than four foot at building envelope. _ Full-size sheet addendums showing foundation elevations witi, ,mss references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for non-prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing.Provide plans for all tloors/r(x)f assemblies.indicating member.sizing,spacing,and heating locations.Show attic ventilation. 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 tv 1 sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any beam/joist carrying a non•uniform load. 20 Manufactured floor/roof truss desiirn details. 21 Energy Code compliance. Ide);tif_v t14c prescriptive path or provide calculations.A ;as-piping schematic is required for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)sh ill he stamped by an engineer or architect licensed in Oregon and shall be shown to he applicable to the project under review. .11 11ANDU-111101AIll SPECIFICS' 23 Five(5):rife plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 1 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 changes or notes on submitted plans may be in blue or black ink. Red ink is raserved for department use only. 4404614 cGAWOM) Mechanical PF* ion '^ Date received: Permit no.: City of Tigard Project/appl.no.: Expire date: CityojTigord Address: 13125 SW Hall Blvd,tjLudkil 4d Date issued: By: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 :.1TY OF TIUARD Case file no.: Payment type: 14OLDINGDIVISION Building permit no.: Land use approval: TYPE OF O 1 &2 family dwelling or accessory O Contmercial/industrial O Multi-family O Tenant improvement XNew construction O Add ition/alteration/replacement O Other. � t � ' 1 7 f Joh address: t ' Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: Su a no.: value of all mechanical materials,equipment,labor,overhead, Tax ma /;.ax lot/account no.: profit Value$ _ Lot: Block: Subdivision: VA 'See checklist for important application information and Project name: jurisdiction's fee schr iu!^ for residential permit fee. City/county: ZIP: i ti f 1111 Description and location of work on premises: _ Fee(m) Total Est.date of completion/inspection: :lmaiptlon Qty. Res.only Resd h Air handling Tenant improvement or change of use: an CFM Is exisfin ace heated or conditioned?O Yes O No dling unit g space conditioning(site p an required) Is existing space insulated?O Yes O No Alteration of existing HVAC system Boiler/compressors State boiler permit no.: Business HP Tans—_-BTU/11 Address: "T Fire/smoke dampersiduct smoke detectors City L l State: ZIP: eat pump(site plan required) _ Phone: Fax E-mail: nN� rep ace urnar, urner Including ductwork/vent liner O Yes O No CCB no.: _ _ Instal I/repIace/relocate heaters-suspended, City/metro lic. no.:N/A � wall,or floor mounted Name(please print): (�LL C__ Vent ora liancen erthanfurnace "� C-- 1 e . gerat on: mxj�%'l all MUNI Absorption units_ BTU/H Name: ,`�,� - L- Chillers_ _ HP _ AddresCom rcssors HP ns onrnenta ex ust an venula- on: City: State: IziP: Appliance vent Phone Fax: E-mail: Dryere gust [foods, ype Iii Ithes.kitche azmat hood fire suppression system Name: ) Exhaust fan with single duct(bath fans) Mailing address: ) �,' — u.aust system apart rc heatin or Cit.,: Star LIP ) ue piping and (up to 4 outlets) Type: LPG NG Oil Phone: %' Fax: E-mail Fuel piping each additions over 4 out ets roctsspiping(schematicrequired) _ Name: Number of outlets _ Ther llsiiZ appliance or equipment: Address: __ Decorative fireplace City _- --�—� State _LIP: nsen-type Phone Fax: F•mail: o stovdpehststove Uffier. Applicant's signatu t- Date: � � >�il Ut er. Name(print): -t 1�tt 1 fir'1 Not all jurisdictions accept credit cods.please call jurisdiction for rnm information. Permit fee.....................$ U Visa Cl MasterCard Notice:This permit application Minimum fee................$ expires if a permit is not obtained Plan review(at _ 96) $ Credit card number _--- -�� Expires within Igo days after it has been State surcharge(8%) ....$ Name of cardholder u showo on credit card accepted as complete. $ 'TOTAL .......................$ Cardholder aisnaa re -- --Amount +40-4617(&MCOM) Plumbin Pei#$(A*Iki"tion 'I 1l i) Nr, Due received: Perrnit no.� � Ofl� - City of Tigard 'u� O Sewer pernutno.: - Bui' .ngpermitno.:— Address: 13125 SW HaJI Blvd.�! rd,T%P' 3 Prorect/appl.no.; Expire date: City of Tigard Phone: (503) 639-4171 (;IT OF OF Fax: (503) 598-1960 RUILDINC DIV1510h1 Dateissued: By: I Receipt no.; ase file no. Payment type: Lard use approval: -r — ;ew c 2 family dwelling or accessory 0 Commercial/industrial U Multi-family 0 Tenant improvement construction0 Addiuon/alteraaon/replacement 0 Food service ❑Other.Description . Fee(ea.) Total dress: — New l and 2-family dwellings only: Bldg.no.: Su• a no.: — (includes ln0 it.for r2ch utility connection) Tax map/tax lot/account no.: SFR(1)bath Lot Block: Subdivision: 1 NI'1 SFR(2)bath — I Project name: SFR(3)bath City/county: ZIP: Each addiuonal badVkitchen Description and location of work on premises: __ SiteutWdes: _ Catch basinlarea drain Drywells/leach line/trc.,ch drain Est.date of completion/inspection: momd Fooung drain(no.lin. ft.) _. newuntakIIIIIIIIIII Manufacnrred home utilities Business name LManhole: Address: Rain drain connector CityState ZIP Sanitary sewer(no.lin. ft.) E-mail: Storm sewer(no. lin.ft.; Phone: _ Fax: Water service(no.lin.ft.) CCB no.: l C��1 —] Plumb bus. reg. no - ) Fixture or item: Cityimetro lic. no.:N A ,/ tbsorpuon valve Contractors representative signaturedock Ilow presenter Print name: U ` i Backwater valve I Basins/lavatory Clothes washer I Name: �P �r��. Dishwasher Address: �C �� Dnn)ane foun[arnis) Citi State: ZIP: Ejectorsisump Phone Fax: E-mail: Expansion tank FixtureJsewer cap Floor drains/floor sinks/hub Name (print): �- Garbage disposal I Mailing address: Hose bibb Citv l State ZIP: Ice maker Phone: - Fax 7 ?{G1 Email: Interceptor',ease trap ---� Owner insmfladon/residendal maintenance only: 11te actual installation Pnmens) will be made b% me or the maintenance and repair made by my regular Roof drain(commercial) employee on the propet•ty I own u per ORS Chapter a47. Stnk(si.basintsi, lays(:) Owner's si nature Date: Sum MEMIJ Tubs shower/shower pan l:renal Name: _ — Water closet Address: Water heater Cit} State: ZIP: other Phone: Fax: E-mail: Total Minimum fee................$ Not 311 ur,"cuoru accept credit cards.pitaae;.ate sun"cuon fa mare infornaxion Notice:This permit applicau:n plan review(at _ %) S C VIaa O Mastercard expires if a permit is not obtained State surcharge(8%) S C.edit:ard number within 180 days after it has been accepted u:omplete Expires TOTAL Eap .......................S Nurse W carawider U aur+n oo cruW'Md! s - +rp.+6 16 1617pt'p S4 Cardhoider a curt Amours Eketrical Perr>rn Received Electrical DaWBv: _ _ Permit No.: City of TigardT Planning Approval Sign OCT .14 W.3 Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review -- - Other "— Tigard,Oregon 97223 Date/By: _ Permit No.: Phone: 503-639-4171Fa>� - �'� Post-Review -- Land Use ";C} Date/By: Case:!S'upp'1`emcotaI _ Internet: www.ci.tigard.or.us Contact June Pe 2 for 24-hour Inspection Request: 503-639-4175 Name/Method. llnformatlon. _ TYPE OF WORKv PLAN REVIEse check all that apply) New construction Demolition Service aver 225 amps- Health care facility commercial ❑Hazardous location Addition/alteration/replacement Other: ❑Service over 320 amps-rating of ❑Building over 10,000 square tcct, CATEGORY OF CONSTRUCTIONI&2 family dwellings four or more residential units in f—& 2-Family dwelling Commercial/Industrial C]System over 600 volts nominal one structure Accessory Budding Multi-Family ❑Feeders,400 amps or more _�_- ❑❑Building Occupant load over over three stories 99 persons ❑Manufactured structures or RV park Master Builder _Other: ❑Egressr1ighting plan ❑Other• _ JOB SITE INFORMATION and LOCATION Submit_sets of plans with any of the above. lob site address: j-)� The above are not applicable to temporary construction service. FEE*SCHEDULE Suite#: Bld ./A 1.#: _Number of Ins ections per Itermit allowed Project Name: eN/�ar/�se-r�� ,� G/t•J /1/ Description I Qty I Fee(ea.) roul tiew residentlul-sin le or multi-family per Cross street/Directions to job site: B Z� M ou g V A�•4ht1 � dwelling unit.Includes attache)garage. Service Included: 1100 sq.8.or less 145.15 4 Each additional 500 sq,R.or portion thereof 33.40 1 Subdivision: Lot#: Limited energy,residential _ 75.00 2 Limited energy,non residential 75,00 2 Tay: map/parcel #: Each manufactured home or modular dwelling DESCRIPTION OF WORK service and or feeder 90.90 2 ` Services or feeders-Installation, alteration or relocation: 2011 amps or less 30.3(' 2 --- -- - - — 201 amps to 400 amps 106.95 2 401 amps to 601 ams 160.60 2 PROPERTY OWNER TENANT 601 amps to 1000 amps 240,60 2 - Over 1000 amps or volts 454.65 2 Name: , Reconnect only 66,85 2 Address: y7S� ��}( 4JO J ' /.:e, Temporary services or feeders-Installation, Cit /Stave/Zi j f(K[(}rj((J tJ- alteration, le relocation: �_ _�� 200 amps or less 66.95 I Phone: 3 Fax: 3&7 - j 201 amps to 4(x1 ams ---IW.30 2 APPLICANT CONTACT PERSON 401 to 6(x1 ams 133.75 2 Ilranch circuits-new,alteration,or Name: _ extension per panel: Address: A.Fee for branch circuits with purchase of service or feeder fee,each branch circuit 6-6 5 2 City/State/Zip: 13.Fee for branch circuits without purchase o1 service or feeder fee,first branch circuit 46.85 2 Phone: Fax _ Each additional branch circuit 6.65 2 E-mail: __ Misc.(Service or feeder not included) C _ ONTRACTOR Each pump or imitation circle 53.40 2 Each sign or outline fighting 53.40 2 .lob NO: _ Signal circuits)or a limited energy panel, Business Name: alteration,or extension Pae 2 2 Address: Description. Cit /State/Z•ip' ,�L �[a •C Each additional Inspection over the allowable In anv of the above: � Per inspection per hour unm I hour) 62.50 Phone: 3 • �'(,� _ J Fax: &73 t14 Investigation fee: CCB Lie. #: - Other 317 tic. #: C- Electrical Permit Feu' Supervising electrician Subtotal i5 _ signature required: _ Plan Review(250 16 of Permit Fee S Print Name: L,�L z #; _ State Surcharge(80'o of Permit Fee 5 TOTAL PERMIT FEE I S Authorized Notice: This permit application expires If a permit Is not obtained within Signature: _ _ _ Date. _ —_ 180 days after it has been accepted as complete. *Fee methodololty set by Tri-County Bvllding Industry Service Board. (Please print name) r'Dsts;Termit Forms',ElcPenmtApp.doc 01 03 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RE:SIDEN"rIAL WORK ONLY: _ Feefor all systems............................................................ $75.00 Check'I'ype of%fork Ir.,olved: Audio and Stereo Systems* Burglar Alarm Garage Door Opener* El 1{eatiug.Ventilation and Air Conditioning System* 0 Vacuum Systems* F1 Other _ COMMERCIAL WORK ONLY: Feefor each system.......................................................... 575.00 (SEE OAR 91 9-260-260) Check Type or Work Involved: MAudio and S,ereo Systems Boiler Controls Clock Systems Data Telecommunication Installation Fire Alarm Installatiot. HVAC v Instrumentation r7 Intercom and Paging Systems 0 Landscape Irrigation Control* Medical Nurse Calls El Outdoor Landscape Lighting* Protective Signaling Other ---- Number of Systems * No"censes are required. Licenses are required for all other installations i:\Dsts\Permit Forms\ElcPermitAppPg2.doc 01103 , DON - MORISSETTE OBE : 2924 9 0 m 9 s INCORPORATED LOT: 47 4 2 3 0 G A L 8 w 0 0 D 9 T R 8 b T 9 U I T R 1 0 0 LA [ R 0911E G0, • 0RaG0N 97096 DATE: 3/2$/03 (603) 387 - 7638 FAX (603) 387 - 7916 / PROPERTY: THORIV�90f)D OPTION I ELEVATION /2.3,j SCALE: T1"AR 0' DAYLIGHT 5A5E71ENT 0 , PLAN No.: 157 r y r ^� O Od r 46 s.+ Q '7 0 448' _ Ohm sq. Ft. T 4 cAr gar. 43rc FF.F. 44b' y3c 5'Q, 2,171 sq. ft. f a0 FF E. 446-S' r A:6 -�� •e. r -.__._- , r � i f GARA6E HT: 44 6' A:: 422' -ti __ , MAIN FLOOR NT: 4465' 320 X' f' BASEMENT NT: 4375' Y / � �. ae e.,a a 418' -70.20+ 324 �. ---- RETAINING WAl•I_ LEGEND LOT COVERAGE -- LOT A1-,=' %. 6 52A SGS, FT. LOT 041 BUILDING AREA !S60 SGS. FT. —S'REET TREES SEE y ��24 sq. Ft. RECORDED FLAT PEEtCENTAGE 30-. FCR SIZES ANC TYPES CITY OF 'FIGARU - SITE PLAN REVIPA' RECEIVED fit iILDING PERM l I' NO.: S T 2:,t� : v( ' PLANNING DIVISION: R - 'r JUL 15 2003 Required Sethacks: gj�Approved ❑ Not Approved Side: Street Side: u k;ITY OF TIGARD From. ? t i:irage' a° Rear: 15 BUILDING DIVISION Visual Clearance: Qff Approved ❑ Not Approved Maximum Building Heighc 0 feet C'4d'S Service Providet Letter Required: [,3 Yes to No ❑ Received Date: v3 E:NtilNFt ING DE:PAR'I'MEW: Actual Slope: % [ Approved ❑ Not Approved Site Plan: (approved Q Not Approved Eiv: ^stetZ Date: -7/Zs a? Notes: I i ELECTRICAL PERMIT- � �� CITY Oc: TIGARD► RESTRICTED ENERGY DEVELOP,"AI:NT SERVICES PERMIT#: FLR2003-00:321) + 13125 SW Hall Blvo . Tigard. OR 97223 (503) G39-4171 DATE ISSUED: 10;17/03 ITE. ADDRESS: 12380 SW ASPEN RIDGE DR PARCEL: 2S110BC 07E300 St r `IVISION:THOPNWOOD ZONING: R-7 31_OCK: LOT: 047 JURISDICTION: TIG iiect ne cription: Low voltage for speaker wire. RESIDFAT+'AL _ B.COMMERCIAL _________ �AUDIr. IZ. CTEREO: X AUDIO & STEREO: INTERCOM & PAGING "URGLAP ALARM: X BOILER: LANDSCAPE/IRRIGAT: ARAGE OPENER: X CLOCK: MEDICAL: HV4C: X DATA/TELE COMM: NURSE CALLS: VACUUM SYS-r EM: X FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: ALL ENCOMP : X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#t OF SYSTEMS: _ Owner: Contractor: DON MORISSEITE HOMES DIvERSE COMMUNICATIONS 4230 GALEWOOD ST 54/1 N 14TH ST STE 100 ST HELENS, OR 91051 LAKE OSWEGO,OR 97035 Phone: 503-387-7538 Phone: 503-387-7538 Reg #: 1 1;11?-3664BE996 ILL 546CL.I _FEES Required Inspections Description Date Amount Low Voltage Inspection IFATRMTj LLR I'ermir 10/17/03 $75.00 Elect'I Final ITAXj 8%State Tax 10/17/03 $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 epproved 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 r- `-Ilow rules adopted by the Oregon Utility Notification Center, Those rules are set forth in OAR 952-001-0010 throuc r _ Permittee Signature Issued by _.t OWNER INSTALLATION ONLY The installatirn is being made on property I own which is not :itended for Gale, lease, or rent. OWNER'S SIGNATURE: DATE: _ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ DATE: LICENSE NO: Call 639-4175 by 7:00 P.M. for an Inspection needed the next business day 1 Electrical Permit Application -. —_---- _ Received C i Iccu�eal � ✓ Date/By ,r✓/� /7 Pcrnitt'J ,x�J� 3 7�J City of Tigard PlanningA neva Sign y g Date,,Uy Permit No. 13125 SW Hall Blvd. Plan Review Other ---- Tigard,Oregon 97223 Date!By Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 �,� Post-Review Land Use Date's : _ Case No. Internet: www.ci.tigard.or.us Contact tuns.. I see rage 2 for 24-hour Inspection Request: 503-639-4175 I Name/htethod: s i)Ienicatai Inlormacoo. TYPE OF N.'ORK PLAN REVIEW(Please check all that apply) _ — New construction Service over 225 amps- Health-care facility _ (7e_molition commercial ❑Hazardous location Addition/alteration/replacenlCtll 1 _Other: ❑Service over 320 amps-rating of ❑Building over 10,000 square feet. CATEGORY OF CONSTRUCTION I &1 family dwellings tour or more residential units to I & 2-Familv dwelling C OmmeCClaUlnduStrlal ❑System over 61)o volts nominal one structure ❑Building over three stories ❑Feeders,400 amps or more Accessory Building _Multi-Family _ ❑Occupant load over 99 persons ❑Manufactured structures or RVpark Master Builder EJ Other: ❑Egress lighting plan ❑Other — JOB SITE INFORMATION and LOCATION Submit__sets of plans with any of the above. I - — The above are not applicable to temporary construction service. Job site address: !.?3F o �G<,' _F�v i��i% FEE*SCHEDULE Suite #: Bldg./Apt, : Number of ins ectlons per per_mit allowed Project Name: Description Qi) Fee(to.) 7ot.l Cross street/Directions t0 Oh site: New residential-single fit nmltl-fainih per dwelling unit.Includes attached garage. Service Included: I(X)0 sq ft or less 145.15 4 Each additional 500 sq.Il.or portion thereof 33.40 1 Subdivision: _ Lot#: I imued encry residential 75.(N) __ 2 Limited energy,non residential 75 t8) 2 Tax map/parcel #: Each manufactured home or modular dwelling DESCRIPTION OF WORK service anti or 1'eeder 9090 2 _T1 Services or feeders-Installation, 1 N S r-A f� l-4�•� VO/140,4A z a t c i alteration or relocation: 2W im s or less __ _ 80.30 2 -- 201 am to 400 amps 106.85 2 401 amps to 61x)amps 160.60 2 PROPERTY OWNER TENANT 601 amps to 1000 amps 240.60 2 Over 101)0 amps or volts _ 454.65 '_ Name: _ _ Reconnect only 66.85 2 Address: Temporary services or feeders-installation. Alteration.or relocation: Cit /StY ate/Ztpr. _ 2Wamps or less 6685 I Phone: _ ---�-Fax: 201 amps w 400 amps _ 100.30 2 [A-PPLICANT CONTACT PERSON 401 to 6(x)ams 133?5 2 — Branch circuits-new,alteration,or Name: extension per panel: -� ------ A fee I'or branch circuits with purchase of Address: —_ 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 46.85 2 Phone: Fax: Each additional branch circuit 6.65 2- E-mail: ---- - ---- Mise(Service or feeder not included) CONTRAC TOR Each pomp or irrigation c::,le _ 53.40 1 2 — Each sign or outline fighting _5340_L_____ 2- Job No: 1�J S_.2 _ Signal circuit(s)or a limited cnergv panel. >7 t vE K C e alteration,or extension _ _ Pae 2 Business Name: 2 �,r• ��" ^'� t�3 Description Address: ,;vs /�:J 410 1e k 5�,; 3� �it /State/ZI i (�5 b o r o v ' ;� Lt! Each additional inspection over the allow tblr in am of the above: —_ Per inspection per hour(min. I hnum _ 6..SO Phone: Qi ' 440 - 9 v Fax: .577 k-90 xJ3 y7 investigation fee — _CCB Lic. #: /3 5_9`� Lic,#: ?f L E/4lf-q,�Za Other: — — Electrical Permit Fees* Supervising electrician -ell _ r Subtotal S 5 ' signature required: _ y ��/ _ PI to Review t2:5:%of Permit Fee) S Print Name:_ t -T,1 ie. #: _47y?, Z rA Stat:Surcharge 18 of Pemnt Feel S TOTAL PERNUT FEE I Sf Authorized Notice: This permit application expires If a permit is not obtained within Signature: _ _ _ Date: 180 dais after It has been accepted as complete. *Fee methodolog-v set bs tri-County Building Industr% Service Board. (Please print name) i'Dsts\Penril Ftmro\ElcPelmitApp 'nc 0103 1 Electrical Permit Application - City of Tigard . a Page 2 - Supplemental Information t LIMITED ENERGY PERMIT FEES. RESIDENTIAL WORK ONLY: i�ce for all systems............................................................ $75.00 Check Type of Work Involved: Audio and Stereo Systems* Burglar Alarm Garage Door Opener* Heating,Ventilation and Air Conditioning System* Vacuum Systems* Other i P� �I ('OMMERCIAL WORK ONLY: Feefor each system.......................................................... S75.00 (SEE OAR 918.260-160) CL.eck Type of Work Involved: Audio and Stereo Systems Boiler Controls Clock Systems uData Telecommunication Installation Fire Alarm Installation IIVAC Instrumentation Intercom and Paging Systems DLandscape Irrigation Control* Medical ElNurse Calls ❑ Outdoor Landscape Lighting* LJ Protecti%c Signaling L� Other Number of Systems * No licenses are required. Licenses are required for all other Inst-illations I'Dsts`,Permit Fortin E1cl'emutAppP92doc 01'03 CITY OF TIGARD 24-Hour a BUILDING Inspection Line: (501)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP --- Received —________�—Date Requested _�0 `2-1-- AM _._ _ PM _ BLIP -.- Location /?-bc—o— fie'"'- - --Suite--- MEC Contact Person —___�'a^^K __..-- ---- -- Ph 0 3 S(o 60 PLM -- Contractor -- — -- -- — Ph -- ) ----- _— SWR .- —_ --- rBUILDING Tenant/Owner ._.._-- — ---- ---- ---- ELC Footing ELC Foundation FInsoection : 3 — O O 3a-S Ftg Drain - Crawl Drain SIT -- Slab Notes:Post&Beam �----`'`=�-�� Shear Anchors V S l �i - Ext Sheath/Shear Int Sheath/Shear - Frarring Insulation Drywall Nailing - - r i rewall Fire Sprinkler - -- -- - Fire Alarm _ ------------ ---- 5usp'd Ceiling - _—�- - Root _ --- -- Other:-- -- ---- - -_.-. Final PASS PART FAIL Post& Beam _ _ _- Under Slab --- Rough-In - Water Service - Sanitary Sewer — ---- Rain Drains Catch Basin/Manhole —.---- - Storm Drain --- -- Shower Pan ----_-_-- --------- Other Final - - -- _PASS PART FAIL --- -- -- ME_C_H_ANICAL Post& Beam Rough-In - --- -- ----- -� Gas Line --- Smoke Dampers Final - PASS PART FAIL ELECTRICAL — _._— ---- -------- -- —-- — --- --- —- Service Rough-In _ _. --- ----- - ---- — -- UG/Slab -- Low Voltage --- r F Alarm r L� Reinspection fee of$__. required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. ASS PART FAIL --. — --- - � Please call for reinspection RE: Unable to insF :ct-no access- ----- ire Supply Line ADAOnto ��-- Inspector Ext Approach/Sidewalk - --- r_)ther Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF I I G A R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003-00637 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-41 71 DATE ISSUED: 12;22/03 SITE ADDRESS: 12380 SW ASPEN RIDGE DR PARCEL: 2S 1106C-07600 SUBDIVISION: THORNWOOD ZONING: R-7 BLOCK: LOT: 047 JURISDICTION: 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 Remarks: Install irrigation backflow preventer. _ FEES Owner: — - Description Date Amount DON MORISSETTE HOMES - ,1230 GALEWOOD ST IPLt;NIBJ Permit I er 12/22/03 $36.25 5TE 100 I I AXJ S"i State 12/22/03 $2.90 LAKE OSWEGO, OR 97035 Total $39.15 Phone : 503-387-7538 --�`- — Contractor: I-ANDSCAPE OREGON, INC 12200 SW MYSLONY RD fUALATIN OR 97062 REQUIRED INSPECTIONS Phone : 503-692-5945 RP/Backflow Preventer Final Inspection Reg #: LIC LCB: 7804 PLM ALL PHASES- PLL This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specially 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 rales adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0100. You may t1btain copies of these rules or direct questions to OUNC by calling (503) 246-6699. Issued BY: Permittee Signature: , Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day C-, 1 `1 C13 Ota: 43a don Pcimond s 503-652-0768 F 2 FOR I UNLY Plumb Permit A n _ Received �,? Plumbing — t L, rlonning Approval Sewn City of Tigard n Dntcfiy PcnnitNo.: 1312S SW Hall Blvd. �r`` 1 2�fl3 Plan Review Other - - ---- Tigard, Oregon 9722 G A� hauler --- - Permit No. PUSFRCVICW Load Use I'h11 one: 503-639171 Fax: t ¢9 1S pate Case No.: Internet: www.ci.tigard.or.us �1,nt1}N�p Contact turfs.: See rage 2 for 2d-hour inspection iZcyuest-- 5(73-o 7Y-4175 �Nante/Metlr�d _ '_J Supplemental information. TYPE OF WORK FEE•SCIIEDULE?or special Inrormation use checklist) New construction 17emolition Description Qty. Hee(ea.) Total New I-At 2-family dwellings Addition/alterat�on/re�lacem_ent__ Other: _ ,ndaaea too n,for i eb atllitr tonatc ion CATEGORY OF CONSTRUCTION SFR 1 bath 249.20 1 &2-Familydwelling_ Commercial/industrial SFR(2)bath 350.00 AccessoryBuilding Multi-Fami�y SFR(3)bath _ 3`9`9 W _ Master Builder ❑Other: Each additional bath/kitchcn 4500 _ JOB SITE INFORMATION and LOCATION Fire spnnklcr -M R-' g 2 Tog site address: IA3FO SW IK12eA- ��-+d� _ _ Site Utilities Suite#: —� lied /A L#: Catch basin arra drain 16.60 -�=-� br elUltrch IinJtrench drain _ 16.60 Project Name:7hff/i"0�(, C 0 T t't'`/ E Doha drain no.linear R - Cross street/Directions to job site: Manufactured home utilities 110.00 _ Manholes _ 16.60 Rain drain connector lG.6U Sanitary sewer no.linear ft.) Page 2 Subdivision:_-Tr) n UJ 00d- �i of#�4 Stoml sewer(nu.linear R.) Page 2 Water service(nn. linear R.) Tax ma /parcel#: 5—_�"-��0 �� ! F'ixtureorltem _ DESCRIP•I•ION OF WORKabsorption valve _ 16.60 LZ"&Ca C.chcr.y G(U3I( e) Backflow preventet - Pa e 2 Backwater valve 16.60 Clothes washer 16.60 -_ Dishwasher 16.60 _ Drinking fountain 16.60 JEFLK-OPERTY OWNER TENANT -5j--to sum Name: C)CM /1�(T ilk ,��_E�CtiY}t� _ Expansion tank _ 16.60 Address:4;Z 30 St,t` &,c ip-tAJ0Q CA-' Fixture/sewer cap _ 16.fJ Cl /State/Zi LQ'�t'. CS urG Cf-1(J. Fluor drain/(loor sink/hub 16.60 __- p' - - ) Garbage disposal 13.60 Phone: _ I rax- lion bib _-� 15.60 PPLICANT _ CONTACT PERSON __ Ice maker _ 16.60 S a4-7-tu, Interceptor/grease tra 16.60 Name: &,_1�CJ`l Address:l:.Z 00 4"0 rn4S4UnQ rZ0_ -Primer i gas-value_i _ _Pae 2 - _ 16.60 City/Stale/Zip:-RA-OAall r\. t7 A y'd(4 a_-_- Roofmtn oomrnerctal) 16.60 PhoneSa3 toga. -S'i LI-51 FaxS. 53 iv9 a_01710 9 Sink/basin/lavatory -- 16.60 E-mail: Tub/shower/shower pan _ _ 16.60 CONTRACTOR __ _Urinal 16.60 Business Name: (�.ndSC' Of'C dye T--�(,1 Water heatecloser _ __ 16.60 /-� �----- Water heater _ _ —.- Address: 1.)a00 _j'1 %AMA,4 9D Other_ City/State/Zip:-Muka-*xr,_ R_ _'4-106'a- _ Other: _ --- - Phone_Sa33 (cfi?a- SV Fax (p9� - Q��o _Plwnbing Permit Fees' CCB Lic. #: -780`4 Plumb. Lic.# _ --- — -s"b`�tal Minimum Permit Fec ST2.50 S natur �� c Authorized -�;, t Residential Backflow Minimum Fee 536.25 Si �� _ dare:.a 1 1 s � 03 Plan Review(25"/e of Permit f•-ee) -s i Ell ar reu Ctatc Surc112T&c 8°h of P,-Amit Fcc S Cy C1 - TOTAL PERMIT FEE S____.3.-KJ '5-- Notice: this permit application erpires Ira per,nit is not obtained withlo All new eommtreial buildings require 2 sets or plans WPI';:::rt-,I-Ir�r Igo days after it has hern accepted as coneplete. riser diagram for plan review. •Fee methedobgy set by Tri t'ouoty Building Industry service Hoard. 0 0 a � _ n S .7 a (� O I�_V O �\ ?� y w �, o lip sc n c � ti � r s i CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 _ BUP --_--T-- Received —_.__ ____.-_ Date Requested .-� - /__ AM --nn PM--__ BLIP Location _-VO A A A_ \ . —_Suite �L MEC Contact Person _--- -- ---- _--._ Ph PLM _.__- ----- Contractor-----___-. -_-. .____ -- Ph ( ) . _-- --- SWR --____-- BUILDING Tenant/Owner ELS Footing ELC Foundation ACCe`;S: Ftg Drain ELR Crawl Drain Slab Inspection Note3: SIT -- _—_ Post& Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing --- -- -- .�— — ------ -- ----- -- Insulation Drywall Nailing ---_-__-- _-___-- -_-- - -- - ----- Firewall Fire Sprinkler ------- —-�- ----` ------- Fire Alarm Susp'd Ceding -- _-- ----- ------ --------_-_ -- -_ Root Other: --- --___- _---- ----------------_- ASS PART FAIL L--_-_-__ PG • __ _____ __ -- -------------------- ---- -�— --- -- Post&Beam ''-•'er Slab Rrnu h-In Water Service -- -- -- — -- - ------- Sanitary Sewer Rain Drains - — - ----�—^ Catch Basin/Manhole Storm Drain -- -- ---- ----- -- - --- ---- -- Shower Pan rna > _ SS PART FAIL MtCHXNICAL - -- -- ------- - --- — ------ ----- Post&Beam Rough-In - - - - -- -- -- ----- ---- Gas Line Smoke Dampers -- - - - -- --------- - - ---- ,•t, Fina ASS PART FAIL - --- _.-- - - -------- - ----- CAL- -- — Service Rough-In -- ---- - -- ---- -- -- -- ---- --- - ---- UG/Slab Low Voltage Fir larm l� Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. AS PART FAIL -- L Please call for reinspection RE:_ _.._-- _- ❑ Unable to inspect-no access Fire Supply Line 7 /I ADA Date _/C y Inspector 4 _'��.�ti Ext _._. Approach/Sidewalk Other Final DO NOT REMOVE this Inspection record from the Job -site. PASS PART FAIL _ — Z7 7 CL M ► rt J .� cT O ,Q O � > >�n rD Fes• � A d C7 �* O rD ;> > �+ n GrD O ..� rb � �► p O Y N C-t .d y R�i� ► PFVVVVVVV77 T 7VV MVV'b'TV'/1►TVVVVVVVVVVVVVVVV VVVV'4