Case File I
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12456 SW ASPEN RIDGE DRIVE
Electrical Permit ApplicationON'
—'
"Dateceived: P.,no.M!0
t1�1L [�
City of Tigard Project/appl.no.: Expire date:
CiryojTigard Address: 13125 SW flail Blvd,R� �� Date issued: By: Rete^iptno,: —
Phone: (503) 639.4171 'VED Case file no.: Payment type:
Fax: (503) 598-1960 JUL ej .
Land use approval: — 2003
t
1 &2 family dwelling or accessory 0 Cornmrc
ei n"JWPAl O Multi-family O'Tenant improvement
LVVNew cunstrucuon 0 Addition/alteration/replacement U Other: ❑Partial
jog SITE INFORMATION
Job address: ti 41 , Bldg•ao.: Suite no.: Tax map/tax lot/account no.:
fAl:£ - Plock: Subdivis on: 1'�V1-J C-- ------- -.-
Project name: Description and location of work on premises:
Estimated date of completiorJnspection:
t
Fee Max
,
Description Total no.lrtspJob no: h
Business name: 1 New resi&entdai-single or muni-family PerAddress: dwelling tatit.InCludnanarheogarage-
ty State: 7.*-
Ci Sesvice includedt'100 sq.ft.or Icss4Phone: of' I Fax: E-mail_ Foch weluonal 500 sq.ft.or portion thereof
CCB nu.: Elec. bus. Ile. no: Unitedenergy,residential
2 -
C: r, Urnitedcnergy,non-residenual _ _-
-��— Eachmanufactured home or modular dwelling
_
Se
rvice and/or feeder 2
arurr of st,,ervisinl electrician(required) Date
License no 'l Services or feeders-Installation,
sup elect name i pant: i �` Alteration or relocation:
200 amps or less 2
20I amps to 400 amps 2
Name (print): ' 401 amps to 600 amps 2
Mailine addr"ss: _ 601 Amps to 1000 amps _
Citi. . ZI i: aver 1000 amps or volts _ 2
- —
Vr State mail: Rec ruiectonly 1
Phone: - Fax: mail:
services or feeders-
Owner installation:The installation is being made on property I own installatim alteration,ortelocadon:
which is not intended for sale, lease, rent,or exchange according to 200 amps or lea __ 2
ORS 447,455,479,670, 701. 201 amps to-40U,.tips _ 2
— z
O�%ner's signature: Date: 40110 600 amps —
w I a Branch circuits new,alteration.
or:xlension per panel:
Name: A- Fee for branch circuits with purchase of 2
Ad cress: service or feeder fee,each brain n c .-it
state- ZIP:
B Fee for brand,circuits without pt .iiue 2
City: j? 1`IP' - circuit: _
_ of service or feeder fee,first bran
Phone: -� --- Fax: E-mail: Facharlditionalbranchcircuit:�—
Misc.(Serviceorfeedernotlnclut 1:
i Each pump or irrigation circle — 2
O Service over 225 amps-commercial O Healthcare facduy Each sign or outline lighting 2
O Service over 320 amps rating of I&I O Hazardous location Signal circuits)or s limited energy panel.
familydwellings 0 Building over 10,000 square feet four or g 2
0 Systen over 600 volts r aminal more residentiaiunits inone structure alterauon,orextension*
Q Building over three stones O Feeders.400 amps or more *Description, -
O Ckcupant load over 99 persons U Mamufactut tol structures or RV park Each additional bsspection over the allowable in vey of the above:
U EgiessAighting plan O Other Per inspection — -Tr^-
5ubmit—_sets of plans ivilb any of the above. In�csugatior fee
rdicuoru acap credit cy please�t i� —
_ -- Permit fee.....................$
_ ----
The above are notapplicable to temporary eoruituelion service. Other
Pet
Na all tori jurisdiction f«m xe infofrnauori Notice:This permit application Plan review(at %)
U VISA L3 MasterCard expires if a permit not obtained St to surcharge(8%) ....$ _
Credir card euml+a / / within 180 days after it has been
-- - Etpues
accepted as complete. TOTAL ....................... -
Name of cardholder As sbown on credit card S
411-46I5(fa-OOCOM)
Cardholder riprature
Plumbing Permit Application
FDaterecerved: Permitno�
City o f Tigard Sewer rrrut no. Building permit no.:
Address: 13125 SW Hall Blvd. --—
Ciry of Tigard Phone: (503) 639-4 17 1 �D P-olect/appl.no.. Expire date –
Fax: (503) 598-1960 )Ul + Date issued: By: Receipt no.:
2003 Case file no. Paymeat type:
Land use approval:
O 18c 2 family dwelling or accessory U Commercial/industri 0 'ylufti-family Q Ten,utt improvement
�i1ew conswction A idition/alteraborYmplacement O F,xxl service 0 Otht e —
C l Description • F- -A.) Total
Job a ldress: L t w ( New l-and Z-family dweWngs only:
Bldg.no.: S ite no.: (Includes 100 n.for each utility connection)
Tax map/tax lot/account no.: SFR(1) bath _
Lot Block Subdivision: SFR(2)bath
Project name: SFR(3)bath
City/county: ZIP Each additional ba schen
Description and location of work on premises: Site utilities:
Catch basin/area drain
ESL date of_ornpletior>lnspectien: Drywellstleach lineitrench drain
Footing drain(no. lin. ft.)
Manufactured home utilities
Business nam'• L `I" Manholes
Address: Rain drain connector
City State ZIP: Sanitary sewer(no.lin. ft.)
E-mail: Stone sewer(no.lin. ft.)
Phone: f Fax: E-mail: Water service(no.lin. ft.)
CCA no.: �- Plumb.bus, reg. no - Flrture or item:
City/metro lic. no.: *irA Absorption valve
Contractor's representative signature Back Clow preventer
Print:tame: I u Backwater valve
tRa Basins/lavatory
Clothes washer
Names I ►-� Dishwasher
Address: e 1c Dnrtking fountain(s)
State: ZIP: . _ Ejectors/sump
?hone: Fax: E-mail: Expansion tank
Fixture/sewer cap
Floor drains/floor sinks/hub
Name I print): Garbzge disposal
Mailing address. , r Hose bibb
City _ ') State ZIP Ice maker --
Phone: - Fax: 17-7kl E-mail: Interceptor/grease trap _ _�•-�—
Owner ins(aUationiresidenrial maintenance only: Tae actual installa,.ion Pnmens)
will be made b% me or the maintenance and repair made by my regular Roof drain(commercial)
employee on the properr• I ;r%cn as per ORS Chapter 447 Sirt):(sl,basin(s). lays(s)
Owner's Si nature: Date: Sump _
rubs/shower/shower pan
Unnal -
Name Water closet
Address- __ Water heater —_
City I state: ZIP: _ Usher ---
Phone -i�Fax: E-muil: Total
• Minimum fee................ _...
Not all iurodreuom.,IN;rcdii lards.please Calc run"Cuon Gx more mromuuar. Notice:This permit applicationS
Plan review(at _ )
Q vsa O StasterCard expires if a permit is not obtained State surcharge(8%) .•••S
C.edit;xd number --J--�— within 180 days after it has bren
eaprtn TOTAL ..S _------
accepted as complete. ....................
Nartlt a(arlAolder u Nown on credo card
S
--- Cadhoidu ulnarure Amuum Jab-+616lydSCOMu
Mechanical Peri ` lication
] Date received: _ _ Permit no�, Cd
City of 'Tigard vv Project/appl.no.. Expire date:
City n/Tigard Address: 13125 SW Hall Blvd,T'iga (LORj9p2Q� Date issued: By: Receiptno.:
Phone: (503) 639-4171
Fax: (503) 598-1960 CITY OF Tf Case file no.. Payment type_
BUILDING pIVAflD Budding perms no a
Land use approval: -�S,IGAI_--
0 1 &2 family dwelling or accessory 0 CommerciaUindustriai U Multi-family O'Tenant improvement
Jew construction 0 Addition/alteration replacement ❑Other:,im
MEN
JOB SITE INFORMATION COM5ItRC1AL,VALVAT1ONSCHEDULE
!ob address: C 1 Indicate equipment quantities in boxeq below. Indicate the dollar
Bldg. no.: S ire no.: value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.: profit.Value$ --
Lot: 7D'l IBlock: Subdivision: •See checklist for important applit. it,m 011ormation and
Project name: jurisdiction's fee schedule for resident:.; permit fcr.
City/county: ZIP: _ 1 I x
Description and location of work on premises: d 1 I t l Id IXI
Est.date of completion/inspection: Description Qty. Rcs.otily Res.otily
AC:
Tenant improvement or change of use: Air handling unit CFM _
Is existing space heated or conditioned?0 Yes O No Air conditioning(site plan require ) _
Is existing space insulated?U Yes 0 No Alteration of existing HVAL system _
T Buyer/compressors
State boiler permit no.:
Business name: - .k -- HP Tams BTUfH _
Address: [" ire/smo a amper uct smo a detectors _
City: L��� ^, _State: Z[P: eat pump site p an requir
Phone: Fax: �— E-mail:r Inswl u repass fu mace/ urner T /
including ductwork/vent liner 0 Yes Cl No
CCB no.: InstalUreplacJre Deere eaters-suspen e
City/metro lic. no.: N/A wall,or floor mounted _
FI
Name(please print): _ t Vent for appliance other an furnace
Refrigeration:
• " Absorption units 81'UM
Name: `� � (� Chillers HP _
Address: i — Com ressors HP
G l Environmental exhaust an ventilation:
City: State: ZIP: Appliance vent
Phone: Fax: E-mail: Dryere:haust _
Dols,Type U res.lutclte azmat
hoof fire!uppressi-n system ---
Name: 1 Exhaust fan will,single duct(bath fans)
AC
Mailing address: ) V1<,' �t oust_s stem apart rom satin or
tie p ping and distributkon�(up to outlets)
City: State ZIPQ tNumber
_LPG NG —_ Oil
Phone: )' Fa E-mail: each
a ditiona over out ets
piping(schematicrequired)
f outlets
Name: aed ppli nce or eeq meuip nt:
Address' e fireplace
Cit} State: ZIP:Phonc: Fax •mail: Woodet stove
- - Other
Applicant's slgrratuDate: Other.
Name(print): f� ; YLf LEYiI'r 1, /
Permitfee.....................$ .____----
Na an jurisdictions accept credit card,,vlesm cdl jurisdiction rm more inrnrilution Notice:This permit application
U Visa t7 Muter(:arti Minimum fee................$ __.--.--
e•pines if a permit is not obtained plan review(at __ %) $
_-------
Credit card number _ L
-- --- -L-- within Igo days after it has been
EApIftS > State surcharge(8%) ....S �-
- •-- accepted as complete.
Name of cardholder u shown on c it card s TOTAL .
$
Cardholdu uputtsc Announi 41pJ617(tiOtlCOMj
a,
-r, ►_T
Building Permit Application
E C E 11/E D
"Daterw=eived: r/ �1 04> Permit no.:WIA- I vlF-K c,--,
City of Tigard Project/appl.no.: Expire date:
CiryojTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223
Phone: (503) 639-4171 Date issued: y' Receipt no.:
Fax: (503) 598-1960 JUL is ��03 i' ` Case file no.: Payment type:
Land use approval: CITY OF TIGARD
1&2 family:Simple Complex:
4
1
U I &2 family dwelling or accessory O Commercial/industrial O Multi-family >CNew construction 0 Demolition r
U Addition/alteratiosJreplacement U Tenant improvement U Fire sprinkler/alarm O Other.
Job address: J K,� Bldg.no.: Suite no.: 4
1;tt: Block: Suhdivisi ax lot/account no.:
Protect name:
Description aid location of work on premises/special conditions: —
Y�
1.011 SPECIAL INFORIsIA11-110N, USE CUECKLIST
()I%NER (I I(),oil pjail,,%eptle c�oucllt i,sola r,.etc.)
Name:
Mailing address: ��,' I &2!amlly dwelling: ,.
City: State�t ZIP: ' Valuation of work........................................ $3
Phone: %, Fax: "7 mail: No. of bedrooms/baths................................. r
Owner's representative: �I G-t V I Total number of floors.................................
F:+x _ E-mail: New dwelling area(sq.ft.) .
Phone: ..... .
Oamge/carport area(sq.ft.)..........'V..�....
al Covered porch area(sq.ft.)
Name:
Deck area(sq.ft.)...................//.. �� /
Mailing address: - , Other s
Othtructure area
\r�C,V
City: _State: ZIP: ---4 —
Phone: Fax: E-mail: CommerciaUtndustrialimulli-family:
Valuation of work....................... .. ............. $
_ Existing bldg.area(sq.ft.) .......: .......
Business name: New bldg.area(sq.ft.)
Address: ' L Number of stories................ ...
.............. —
City: State: ZlP: Type of conswction
Phone: Fax: E-mail: ---- 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
Name: provisions of ORS 701 andmay be required to be licensed in the
- �: jurisdiction where work is being performed.If the applicant is
Address: Ml �h' �t exempt from licensing,the rollowing reason applies:
Cit State: 'LIP: !_ _ I
Contact person: __ Plan no.:
Phone: Fax E-mail:
Name: Contact person.: Fees due upon application ........................... $
Address: —�_— _ Date received:
Citv: State: ZIP: Amount received ................... ..................... $-------,--
Phone: 1=ax: Email: Please refer to fee schedule
1 hereby certify I have read and examined this application and the Not dl junxtictions¢cep ctedit cudr.please call iutisdiction for nywo infnrmation.
attached checklist. AlLprovisions of I ws and oidtnances governing this U visa o MasterCard
work will he comp) wt ,whether sl cified herein t creat card rwisit : �- _L_1_
`� I" Expires
Authorized si nalu �i. (l ' �� Narnc or cutthntder u Chown on credit card $
4� ----- -
Print name: 1L�-- CardW&f rip sture Amount
comp
Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted as colete. sutanl" OA1'
One-and Two-Family Dwelling
Building Permit Application Checklist Reference no.:
Associated permits:
City of Tigard ❑Electrical ❑Plumbing ❑Mechanical
Address: 131 SW Hall Blvd,Tigard,04 97221 p Other.
Phone: (503) 639-4171 —
Fax: (.901) 598-1960
IJIE 1 1 t 1 '
I Land toe actions completed.See jurisdiction criteria for concurrent reviews.
2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc.
3 Verification of approved plat/lot.
4 Eire district. approval required.
5 Septic system permit or authorization for remodel. Existing system capacity
6 Sewer permit.
7 Water district approval.
8 Solls report.Must carry original applicable stamp and signature on file or with application.
9 Erosion control Q 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 die plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed t/
if copyright violations exist.
11 Sltelpl'd plan drawn to scalt,..Thi pon ra st show lot and building setback dimensions;property%,)mer elevations(if
there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft intervaW,location of easements and
driveway.footprint of structure(including decks);location of wel:..,'septic systems:utility locations;direction indicator,lot
area,building coverage area;percentage of coverage;impervious are-i;existing structures on site;and surface drainage.
12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent
size and location.
13 Floor plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater,
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 Cross section(s)and details.Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-floor,
wall construction,roof construction.More than one cross section may be required to clearly portray construction.Show
details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs, v
fireplace construction, thermal insulation,etc. J�
15 Elevation views.Provide elevations for new construction;min-num of two elevations for additions and remodels.
Exterior elevations must reflect the actual grade if the change—grade is greater than four foot at building envelope.
Full-size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wail bracing(prescriptive path)and/or lateral analysis pians.Must indicate details and locations;for
non-prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor/roof framing.Provide plans for:JI floors/roof assemblies,indicating member sizing,spacing,and hearing
locations.Show attic ventilation. _
18 Basement and retaining walls.Provide cross sections and details showing placement of rebar. For engineered
systems,see item 22,"Engineer's calculations."
19 Beam calculations.Provide two sets of calculations using current code design values for all beams and multiple joists
over 10 feet lung and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design detaf?s.
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required
for four or more appliances.
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by as engineer or
architect licensed in Oregon and shall be shown to be applicable to the project under review. T1
M---- 111111 M Il[it 1[0)1 9161W -_-
23 Five(5)site plans are required for Item I 1 above. Site plans must be 8-I/2"x 11"or I1"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
Checklist must be coiapleted before plan review start date Minor changes or notes on submitted plans may be in blue or buck ink.
Red ink is reserved for department use only. 44GA14(boart:OM)
CITY
OF� TIGARw -- --`_ MASTER PERMIT
'D PERMIT#: MST2003-00405
DEVELOPMENT SERVICES DATE ISSUED: 10/27/03
13125 SVV Hall Blvd., Tigard, OR 97223 (503) 6394171
SITE ADDRESS: 12 '56 SW ASPEN RIDGE DR PARCEL: 2S1108C-08300
SUBDIVISION: THORNWOOD ZONING: R-7
BLOCK: LOT: 054 JURISDICTION: I PI
REMARKS: New SF detached, Path 1.
BUILDING
REISSUE: DM199 STORIES. 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED -�
CLASS OF WORK: NEW HEIGHT: 31 FIRST: 1,536 sf BASEMENT: 740 of LEFT: 6 SMOKE DETECTORS: Y'
TYPE OF USE: SF FLOOR LOAD: 41" SECOND: 1.664 sf GARAGE: 420 sf FRONT: 15 PARKING SPACES:
TYPE OF CONST: 5N DWELLING UNITS: 1 T14N, at kIGHT: 5
VALUE: 396,327.60
OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3,400 st REAR: 15
PLUMBING
SINKS: I WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: .4 DISHWASHERS: I rLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB/SHOWERS. 3 GARBAGE DISP: I WATER HEATERS: I WATER LINES: 100 BCKFLW I'REVNrR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<10OK: BOIUCMP<3HP: VENT FANS: 4 CLOTHES DRYER: 1
GAS FURN>•100K: 1 UNIT HEATERS: HOODS: OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: I WOODSTOVES: OAS OUTLETS: 4
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 -200 amp: 0 -200 amp WISVC OR FDR: PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L 5003F: 7 201 400 amp: 201 - 400 amp 1st W/O SVC/F DR: SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 600 amp401 000 amp EAADOL BR CIR: SIGNAUPANEL: IN PLANT:
MANU HMISVCIFDW 601 1000 amp: 601.amps.1000v MINOR LABEL:
1000.amp/volt: PLAN REVIEW SECTION
Reconnect onlV: >•4 RES UNITS: 9VCIFDR>=225 A.: >600 V NOMINAL: CLS AREAI3PC UCC.
ELECTRICAL.•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOWPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL:
I
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC. DATARELE COMM: NURSE CALLS. TOTAL N SYSTEMS:
TOTAL FEES: $ 6,562.48
Owner: Contractor: This permit is subject to the regulations contained in the
DON MORISSEITE HOMES INC DON MORISSETTE HOMES INC Tigard Municipal Code,State of OR. Specialty Codes and
4230 GALEWOOD ST#100 4230 GALEWOOD ST,STE 100 all other applicable laws. All work will be done in
LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 accordance with approved plans. This permit will expire ff
work Is not started within 180 days Of issuance, -r if the
work Is suspended for more than 180 days. ATTENTION:
Oregon law requires you to follow rules adopted by the
Phone: Oregon Utility Notification Center. Those rules are set
Phone: 503-387-7538
g� forth in OAR 952-001-0010 through 952-001-0080 You
Rey N: 387373 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 Insp3ction Underfloor Insulation Plumb Top Out Exterior Sheathing Insr Rain drain Insp Electrical Final
Footing 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
Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Water Service Insp Building Final
Issued By : lis- , Permittee Signature
Cali (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day
CITYOF TIGARD _SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2003-00306
13125 SW Hali Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/27/03
SITE ADDRESS; 12456 SW ASPEN RIDGE DR PARCEL: 2S110BC-08300
SUBDIVISION. THORNWOOD ZONING: R-7
BLOCK: LOT: 04 _ _ _ JURISDICTION: TIG _
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS:
INSTALL TYPE: LTl'SWR IMPERV SURFACE:
Remarks: Sewer connection for new SF
Owner:
�-
DON MORISSETTE HOMES INC FEES —
4230 GALEWOOD ST#100 Description Date Amount
LAKE OSWEGO, OR 97035 —
[SWUSA.] Swr Connect 10/27/03 $2,400.00
[SWUSA]Swr Connect 10/27/03 $0.00
Phone: 503-387-7538 �SWINSP] Swr Inspect 10/27/03 $3500
�SWINSP] Swr Inspect 10/27/03 $0.00
Contractor:
Total $2,435.00
Phone:
Reg#:
Required Inspecticns
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. Permittee Signature: .,,,-
Call
ignature:t,,,-Call (503) 639-4175 by 7:00 P.M. for an inspection needed the np' t business day
C�
-7 i --
DON • MORISSETTE OBE : 2931
Roms9 1NC0RP0RA •rID LOT: 64
4 2 8 0 CALI V 0 0 B S T IS IT 9 U IT 1 1 0 0
LAKs 09W9G0. 0 2 1 a 0 N g7c5a DATE: 7/23/03
(503) X07 - 759! 0 FAX (aoa) 007 - 7016 PROPERTY: THORNWOOD
CITY: TIGARD
SCALE: 1'=20"
PLAN No.: 199
STANDARD ELEVATION
!J
g'
464 \
467 \
45A460 \
454 456 \ t` ..t
452 \ �\ v V�
45m db5'
1� e
448
446 \� ® �'' \ - 1
44�444440 �►\1-� y ,X
\
438 .✓\j /
436 ,
436
oA
I
434 AC-234
\\ \\
�•St ` \a
431
430
\5 gvf- RECEIVED
JUL 31 1003
I
CITY OF TIGARD
LECsEND LOT COVERAGE BUILDING DIVISION
LOT A%SEA: 5,350 SGi. FT. LOT 4! 4
00 —STREET TREES SEE
BUILDING AREA: 2,1Ste. FT,
O —STREET TREES SEE PERCENTAGE: 40.1% 5,350 eq. ft.
RECORDED PLAT
FCR SIZES AND TTPE5
�sa��as
L
CITY UE TIGARU- SITE PLAN REVI 'NI
RUILDIN(i PLRMIT NO,: 7737,F
PLANNING DIVISION:
Required Setbacks- t)(Appro,,:• 1 '❑ Not Approved
ci
..v �11111`,111
M.. . inmi .1S • ,
F;tii, 1•.� .t, ULNA Itf�i��;
Actual Slope:KL % ANN,, Ll Nut Approv-d
Site Zlrfl: Approved ❑ Nf t Approved
Date: 8 S a
Nute�:
at 28 2003 9r2AAM GeopacLFIG Engineer-Ing, 1 503-598-87G5 P• 1 _ ___
GIU6
As11•W orld 011010011Null a01ut "s
InvIs1198110n-Design-CamMoction support
October 29,2003
Job No.00-494.5
A;tentbn Andrew Thomas
Venture ProWles, Inc,
4230 O ale'wood Street.Suite 100
lake Oewegc,OroW 07036
Fax No. (503)670-WQQ
RE: GR'OTECHNMCAI ENGINEER'S FOUNDATION EXCAVATION REVIEW
THORNWO00 WT 54
CfTY OF MA D,OPMOON
Reference; GeoPsofflc Englneerng Inc., Soil Engineer's Summary at Conclusion of Earthwork,
Thomwood City of Tigard, Oregon, doted Wain + 16, 2003.
3eoPeclflo Engineer, Jim Imrbrle, has visited the abovwre'ferenoed lot on OortcOv, 27"'. The purpose
of our visit was prlmarlfy to review the foundation excavatlon subgrede, a :"ding proximity to
existing slope facers and terraoe cub 5recifiv foundation design reoommendatlons wore presented In
the report, referenced above. The nearest agaoe^t footing wool ;downslope) end for the subject
rezdorr_*In approximately S feet from ttie nstural slope fsoe which is approximately 40 percent grade
for about 18 fust. The west (lower) end of to v excavation s below the base of Via 1111 slops.
The foo"ng subgrade generally consisted of englneered fill on tre front embankr-ikent ars; natural sods
at the loymet (roar) portion of the home. Both soil types probed stiff to very stiff. The current
suagrade to oor*dwW adequate for sproad foundation support. Based on our observations, the
foundetlon subgrade and excavat on setbsoks should be acceptable for support of the proposed
single-fLrr+ltj home. No deck footing subgrades woke observed. Some retaln!ng wells are n*Wod In
P-16 middle of the home to roWn tall vertical cuts and some back IIIIng will be neote3ary
Our www(scope for thus phases of geotechnical revlew, pertains to fuundat on bearing condll�ons only
and Is limned to the conditions exletlng and exposed at the ffine of our sibs visits If you have any
further questions, please call.
t9lncerely,
G"PsoMo Enpirte.ring,Ina.
t3?�� K NON, \
/tee
4743
Jan»s 0. Ir,brie, PS,C.E.Q. EGON
Gcoteohnbal EngineerP3.7312 SW Durham Road ? M Tel(6113)Sill-6446
Perthrl4 Oregon 672 4 POM(SW)5964M
Rpr 22 04 10: 30a dan edmonds 503-692-0768 p. 2
KWW20-9PermitAppbcatiun
1 Plm tibing
Pity mi
of Tigard % p ��` Pcrt No..?/,"J)
Plaaying A rat, sewer
13125 SW Hall Blvd- Dwt;Yy:
eTMI No
'i8aid, Oregon 97223 Plan C{a cw nlhn -
.
Phone: 50:1-63 _133WRT Permit No.:
9-4171 Fax: 503-598-1960 -' ----
- an!I isetJx
Internet: www.ci.ligard.or.us Post_Review I t
Dalde� -
24-hour InsPec;tio-I Request: 503-639-4 Contxt -- Gac No:
NamdMollsarl: Juris•' See Page 2 for
+nor lemeatallurnrmatlon.
TYPE OF WORK - FFE'SC_HFDUI,IR(fora1at[nforwattoa use e6ecklist
New construction _ Demolition-
AdditimValteration/ -pescri tion _T�� -�--
reDlaCt:men[ Odler: r Fee(ea.) _ Total
New 1_.&2damlly.dwdlio --
CATECORY.OF CONS RUCTION :•.,: .- ' Indiides Igp R forescy n" �neetlon .
&2—Fa d dwellin Comm N ushial sFR(I)bath _
,]Accessory Building SFR 2 bath 249.20
Multi-Famil 359.00( ) _
[Master Builder Other: SFR 3bath - 399.00
JOB SITE INFORMATION alai!I.OGTION _ Each atWthon-1 batlr/kitcltcet
Fire nnkler- �: 45.00
Job site address: a�Sjo �----�,.�• •Pa c2
Suite#: Site UtUmb .
Bld JA L#: t aecit btagin/arra drain
Pr_ o07
�ect Narne:� -n eCt L - Sy Dy.vcll/Icach lindtrtnch drain 16.60
16.60
Cross strcet/])irections to job site: Footing in no.lint=ft.)
Manufactured home utilities �$e 2
S l C /2,,t L t( nI-7j-1 /�'-/�. Manholes --` 1 10.00
Rain drain connector -- _ 16.60 _-
16.60
Subdi tv is oris on1 Lam, " �` no.I sarm R page 9
Trac ma Lot#:.5 Starnt sewer no.linear R)
arcel#: Waterstsrvitx no.linear R. Pa e'
�:2C R� P c2�-
' Av , DESCRIPTION OF WORK -' Firtirse or�ttiiu __
f.•��I�vC G {/OLC.1 ._ Ai r .-_ valve
Wkfl ---"— 16,60
Pniwenler Pa c 1
----_ - nackwa.er valve a e 2
-- Clothes washer —
^�-- Dishwasher - 16.60
PROPERTY 01yNQR Drinkin Cou - 16.60
TENANT r .+.: -.H nisi' -
Name. Ut3Y� M(Plri -cctms/sump 16.60
_ 5�� -�'"�`$ Exp-ansion tank 16.60
Address:q�:�p SLO �,,c� ,00 CU 16.6u_
Ci /StatelZi :L.l V-e CI.0 u�e Futu�rJsewer ca�-
16.60
Phone: �( � Floor droit✓- floor sink/hub - 16.60
Fax: Gatba�edi�ml -- —`-
.APPL CI A' Hose bib = 16.60
CONTACT VERSO _
NXne:G�I(A'1 , nQ 'N tee maker `_ � -16.60 - -
In
Address:/�.�a: , n� 1urNA �. �G.6o -- --
Cl / tate/Zi Medit.•.I value: E - ----
?LI-QQCL�11� Ct 6}"70 �. Pruner ----__-_ __ -Fade 2
Phone3 (,9,2 -S�:l,S Ft�uc!,�3 Roof drain(oorrtmer�aj - 16.60
�4a_ o71Y ) - 16.60
E-trail: — Sink/bas,M—avatoDr -,�-
------__—_ 16.60
:' ON'I'ItAETOR
Tub✓shower%siwwa�an - -
� Urinal 16.G0
Business Name: (�yyu -- --
C _�U t L Qy� Warcr closet - --- 16.60
Address: ( a oo 16.60
U warn hc�tri-- —
Ci /StaWZi — other." - 16.60 -
Phones; Oulcr•
t1,3 /�i1�—a 5�y 5 Fax�3_(..�� -4?l0 •- ..
78(jt flb Permit Fedi. • S
Authoritxd Plumb.
LC-#: �� — _ subtotal s
Signaturr�L�1') � L y� U Minimum P-nnit Fee S7Z_SO S
Do'. t7" Rmidentiai Backflow Minimum Fee & .a
QI-/[IZC� Plan Review(25%oC Ptrrrrit Fee s-___'_
(Platt prim .ne)-- Slime Su a(SYr' _f P iI Fee S
�utlee Thte paras apptic"*P expires i,a Permit is not at twined wFtlslu 7 rA1-PE
fl0 days aRcr N has bora a l `- ---R---- REg 5 /
ecrptM"cab'
All r d e•oanercpl m rry gs require 2 WS of pleas with tsorrNric or
riser dueraan Frr Plan reHew.
'"Pee methodnlnri set by Tri-4`011nty Rullding Industry Snretoe gaab•
CITY OF TIGARD
PLUMBING PERMIT
DEV LOPMENT SERVICES PERMIT#: PLM2004-OC183
13125 SVI Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/23/2004
SITF ADDRESS: '1--,56 SW ASPEN RIDGE DR PARCEL: 2S110BC-08300
SiSDIVISION: THCRNV/OOD ZONING: R-7
_ BLOCK: LOT: 054 --_ JURISDICTION: TIG_
CLASS OF WORK: ')TR GARBAGE DISPOSALS: v MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPAVCY SRI': R,. FLOOR DRAINS: TRAPS:
STOKIES: WATER HEATERS: CATCH BASINS-
_ FIX1U_RES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTIIktS:
rUB/c:;iOWERS: SEWER LINE: ft
WATER CLOSETS- WATER LINE: ft
DISHY."%SHERS: RAIN DRAIN: ft
Remarks: Backflow preventer (irrigation).
OwnQr: _ ----_ FEES --
Description Date Amount
DON MORISSETTE HOMES INC
4230 GALEWOOD ST#100 1 I'L.l10141 11crniii Lcc 4/23/2004 $36.25
LAKE OSWEGO, OR 97035 1 AXI W/o Stale Surdwrl 4/23/2004 $2.90
_ Total � $39.15 --
Phone : 503-387-7538
Contractor:
LANDSCAPE OREGON, INC.
12200 SW MYSLONY RD
TUAL.ATIN, OR 97062
REQUIRED INSPECTIONS
Phone : 503-692-5945 RP/Backflow Preventer _
Final Inspection
Reg #: LIC 7804
This permit is issued subject to the regulationF Gniltained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable laws. PII work will be done in accordance with approved
planF This permit wili expire if work is not starte, Athin 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon ic,�, 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 ' y calling (503)
246-6699.
l �
Issued By: C<< {� `�rc_.f Permittee Signature: Cr)1 ('� a' i..I
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
CITY OF TIGARD 24-Hour _
BUILDING Inspection Line: (503)639-4175 MS�' �� d �->
INSPECTION DIVISION Business Line: (503)639-4171
BUP
Received - � ( Date Requested "6 —U AM— PM BLIP _
Location Suite_ --______—__ MEC --
Contact Person - c�fr-C Ph i--)= -F--.�.-_._^�L:{ ;ALM ------ --
Contractor Ph __. _...__ SWR ____---
BUILDING Tenant/Owner _ - -_____-_ _____-. --_._____. ELC
otin
------------
Fog ELC
------- -
Foundation Access:
Ftg Drain ELR ---_-- ----- -
Cravil D,ain
Slat, inspection Notes: SIT ------
Post& Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing -- -- -
Insulation
Drywall Nailing -- - — -— - --
Firewall
Fire Sprinkler -- --- -- - — -- -"- " -
Fire Alarm
Susp'd Ceiling --- -- - -- ----
Roof
Other: --- --- -- ------ --------
Final
PASS PART FAIL
PLUMBING_
Post&Bearn -�
Under Slab --- - -- -- -
Rough-In
Water Service ---------- - - --
Sanitary Sower
Hain Drains --------- -- - --
Catch Basin/Manhole
Storm Drain ---"-� -- ---
Shower Pan
Other: --- --- -------- - -- - --- - --- ----
Final -
PASS PART FAIL - ------- -_-_--.-__
- ---
MECHANICAL
Post& Beam --
Rough-In -_---- ---- --
Gas Line
Smoke Dampers -------_--
Final
PASS PART FAI- - -- - -- ----- - -- --- _
-t-—ilupicAll-
crvlee
Rough-In
UG/Slab
Low Voltage -- --- ---- - -------- ---_�_ —p- ------ ---- -
-Ftrg_1_Awm
F
PARI' FAIL D P.einspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hal Blvd.
A1E3S
SIT _ Please call for reinspection RE:_ _ EJ Unab'e to inspect -no access
Fire Supply Line?ADA -
Approach/Sidewalk Date _-�� G t Inspector C 1"�� I��Le Ext _
Other:
Final DO NOT REMOVE this Inspection record from the Joh site.
PASS PART FP Il.
l
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
'NSPECTION DIVISION Business Line: (503)639-4171 MST
_ BUP
Received 2 ( ' Date Requested J ���' AM -_ PM____ ____ BLIP
Location __ l2 VS 62j, !to----(, MEC
Contact Person -- ��/ ph( �) T�(3 PLM
Contractor _ Ph( ) r SWR
BUILDING Tenant/Ownpr _ ..__ ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain _ T _ - -- -- _--
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors - -
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing -
Firewall
Fire Sprinkler - -
Fire Alarm
Susp'd Coiling - -- -- ----- - -- --
Roof
Other: - -
Final - ----
PASS PART FJL
PLUMBING
Post&Beam —
Under Slab —.,-- -
Rough-In - -- -__---------- ---
Water Service -------
Sanitary Sewer
Rain Drains ----
Catch Basin/M2nhole _ �_-
Storm Drain - ---
Shov.er Pan
Otha. - - ----
f_
A _ PART FAIL —.. - --- -------- --- --- -- _ _
MECHANICAL
Post& Beam ---- ------_ -- ---
Rough-In --- --- - -- - ----- -
Gas Line
Smoke Dampers
Final
PASS_ PART-- FAIL --
ELECTRICAL
Service _ ------
Rough-In
UG/Slab
Low Voltage
Fire Alarm
Final -J Reinspection fee of$—_ _ required before next inspection Pay at City Hall. 13125 SW Hall Blvd
PASS PART FAIL
Please call for reinspection RE:_ _ �J Ur able to inspect-no access
Fire Supply Line �
ADA
Approach/Sidewalk Date-. Inspecto
Other: L -- - --- --- -- - - Fitt -- --
Find I'h NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
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CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST
I INSPECTION DIVISION Business Line: (503)639-4171
_ BLIP _
Received .__- �%� Da,eRequestadAM PM _ BLIP
Location z 2 (� ; 7 i Suites C, MEC
Contact Person ._____._ _ `^ / �'_ Ph( y L_-�� J PLM
Contractor _ _ PhSWR
BUILDING _ C 7enanVOwner - - _- - ELC
Footing
Foundation CLG --
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Poet&Beam
Shear Anchors - - --- -
Ext Sheath/Shear
Int Sheath/Shear
Framing _-_-__-
Insulation
Drywall Nailing
Firewall
Fire Sprinkler --- - - ------
Fire Alarm
Susp'd Ceiling -._---- --- -- - - ----- ------- -
Root
OlheL
--------------
------ - ---- --
Finplss_
PART FAIL - ---- ---------- -----PI-MBING
Post& Beam
Under Slab - - - --- -- -... - ----- ---
Rough-In
Water Service --------- --
Sanitary Sewer
Rain Drains - - -- - - -- ----- - -- - -- -
Catch Basin i Manhole
Storm Drain -- - - -- --
Shower Pan
Other: - - -- -- ---------------
Final
__PASS PART F)UL
MEC_H_A_NICAL
Post&Beam
Rough-In - ---------- -----___-_- -_._-------__.__ _.___--
Gas Line
ers
ZEEVC-TiRlICAL
RT FAIL - _-- ----- �..- -- --- _
Service _.._--�-- ------- ----- -
Rough-In
-------------- -
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of$_ -__required before next Inspection. Pay at City Hall, 13125 SW Hall B vd.
PASS PART FAIL
SITE F-] Please call for reinspection RE _ C Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date 1 "_ Inspe+ttotr �_ Ext
Other:
Final DO NOT REMOVE ti'Is Inspection rocord from t:xe jab site.
PASS PART FAIL
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CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171
BLIP _-- --
Received /1 - � � Date Requested AM PM BUP
Location ---__1 '' — � � '� '-����� Suite �� MEC
0 ) lG �` rPL
Contact Person Ph( — --- T M
Contractor.__ __ Ph( ) — —_.. SWR
BUILDING Tenant/Ow.npr __ ____.___ ELC
Footing - ---- - ELC - -
Foundation Access:
Fig Drain ELR -----_- --
Crawl Drain —
Slab Inspection Notes: SIT
Post& Beam ------ - -- -- - -- - ___ _
Shear Anchors
Ext Sheath/Shear --
Int Sheath/Shear
Framing -- - - -- --- - -
Insulation
Drywall Nailing ---- - - -- -- -- - - r=-----------
Firewall
Fire Sprinkler - -"-
Fire Alarm
Susp'd Ceiling - --
Roof / -- -- —__--
Other:-
Final
PASS PART FAIL - - -_ - ----1--
------FAIL
PLUMBING _-- _ -- - --- —
Post&Beam
Under Slab - - - - -- - —
Rough-In
Water Service ------ - - -- -�— ----
Sanitary Sewer _
Rain Drains - - - --
Catch Basin/Manhole
Storm Drain --
Shower Pen
Olher/' —- -- --
PART FAIL
MECHANICAL —
Post& Beam
Rough-In -- --- --- ----- ----
Gas Line
Smoke Dampers --- ---- -. _- --— - -
Final
PASS PART FAIL - - - ----- -- --- -
EL_ECTRICAL
Service ------ ------------------ —
Rough-In -- --
UG/Slab
Low Voltage ---
Fire Alarm
Final lI Reinspection fee of$__- ___..._______- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
§ITE - _ D Please call for reinspection RE: _ Unable to inspect-no access
Fire Supply Line -�
ADA
Date_ � � Inspector %' / Ext -_
Approach/Sidewalk
-
L
Other
Final DO NOT REMOVE this Inspection Zord from the Job site.
PASS PART FAIL
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