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12462 SW ASPEN RIDGE DR
Electrical Permit ,4Plie7tion M, I M
Received Electrical
Date/By: ---Permit No.
City of Tigard Planning Approval Sign
13125 SW Hall Blvd,
Date/By- Permit No..
Plan Review Other
Tigard,Oregon 97223 Date/By: Permit No.
Phone: 503-639-4171 Fax: 503-598-1960 Post-Review land Use -
Internet: www.Ci.tigard.or.us -Date/By: Case No.:
24-hour Inspection Request: 503-639-4175 Contact 3urtis.: ti,,e Page 2 for --
Name/Method Su amental Information.
TYPE OF WORK _ PLAN REVIEW Please check all that apply) _
New construction _ Demolition Service over 225 amps- ❑health-care facility
Add ill on/aIteration/'re lacement Other: commercial ❑Ilazardous location
CATEGORl'OF CONSTRUCTION ❑Service over 32C amps-rating of ❑Building over 10,000 square feet.
I&2 family dwellings your or more residential units to
& 2-Family dwellir� Comlrereial/Industrial ❑System over 6()s•ctts nominal one structure
❑Building over three stories ❑F-cdcrs,400 ams or more
Accessory Buildin t
Multi-Family I p❑Occupant load over 99 persons ❑Manufoctured structures nr RV park
Master BuilderOther: ❑F.gress,lighling plan I ❑Other
JOB SITE INFORMATION and LOCATION Submit sets of plans with ane of the abo,e.
Job site address 5' The ahoFEE*SCHEDULE
se are not applicable to tem orae construcliou service.
W -- � �t _
Suite#: Bld ./A t.#: Number of ins ections err ermit allowed
Pro3ect Name: — Descripilan I Qty I Fee lea.i Total
Cross street/Directions to job site: d,,(L.,,, a,� n New resldentiakluKle or multi-family per
d ?!f1/ l� dwelling unit.Includes attached mirage.
Service Included:
1000 sq ff or less 145.15 4
Each additional 510 sq.tl or portion thereof 33.40 1
Subdivision: Q��t/_�— Lot#: 5 Limited ener ,residential 75,00 2
Limited energy,non residential 75.00 2
Tax ma / arcel #: Each manufactured home or❑modular dwelling
DESCRIPTION OF WORK service and or feeder 90.90 2
( .../ �. Services or feeders-Installation,
"V ,,- '1 a�✓ alteration or relocation:
200 amps or less 80.311 2
— �- ----- 201 amps to 400 amps 10685 2
a%I amps to 600 amps 160.60 2
PROPERTY OWNER -TENANT _ 601 amvsi,: 1000 amps 280.60 2
Name: p^/ 155 Over 1000 amps or volts `_ 454.65 2
Ll�_rCi 0 M C5 JAi C Reconnect only 66.85 2
Address: Y 2 3 6 �G,� �,i/�� ane w emporary services or feeders-installation,
Cit /State/7-i alteration,or rolocatioo:
--Y p' L±t��_ N[1 �.-. �R. '?-2035 200 amps or less 66.85 I
Phone: S t�3 �_7 Fax: 503 — 34Y7-'�(,/ 201.n1 ter,amps _ - 100.30 z
APP
41,1 to 600 am s LICANT CONTACT PERSON _ 133.73
Branch circuits-new,allerall•m or
Name: _ extension per parcel:
Address. A.Fee for branch circuits with pure ,e of
-- ---- - service or feeder fee,each brancl rcuit 6.65 _ 2-
City/state/Zip:
Cit /State/ZI : B Fee for branch circuits without-F hese of -
service or feeder fee,first brancl curt 46.85 2
Phone: FaX: _ Each additional branch circuit b.b5 2
E-mail: Misc.(Service or feeder not included)
CONTRACTOR Each pump or irrigation circle _ 5340 2
-- --- Each sipor ovtbne lighhnm 53.40 2
Job NO:_2q-3-1 Signal circuil(s)or a limited energy panel, -
Business Name: , LL� alteration,or extension Page 2 - 2
Description
Address:
9� Faeh additional inspection user the alluwahle In all of the ahose:
City/State/Zip: ALMA Q
Phone: 'Sd Per inspection per hour(min. I hour 02 50 _
� " - G� Fax: 5o j -X93 9 y Invesh mono fee.
CCB LIc. #: LIC. #: 3 Other:
Supervising electrician ENdrlal Permit Fm*
' Subtotal 5
si ature re wired: Plan Review 125%of Permit Fre) I S
Print Name: Ob ic. LState Surc• ar a(806 of Permit Fee) S
_ TOTAL PERMIT FEE S
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 methodology set hs Tri-(ounty Building Industry Service Board.
(Plruse print name) --
i'Dsts`,Permit Forms ElcPernntApp doc 01.03
Lworical Perm t 1[>Llication - CUN of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY: _
Fee for all systems............................................................ $75.00
Check Type of Work Involved:
F] Audio and Stereo Systems*
LlBurglar Alarm
❑ Oarage Door Opener*
11caong,Ventilation and Air Conditioning System*
Vacuum Systems*
Other
COMMERCIAL WORK ONLY: _
Feefor each s)�iem.......................................................... $75.00
(SFE OAR 918-200-200)
Check Type of Work Involved:
Audio and Stereo Systema
n Boiler Controls
Clock Systems
Data Telecommunication Installation
Fire Alarm Installation
IIVAC
F-1 Instrumentation
Intercom and Paging Systems
LJ Landscape Irrigation Control*
Medical
Nurse Calls
Outdoor Landscape Lighting*
17 Protective Signaling
Other—.-.__-- —.--- --
__Number of Systems
* No licenses are required. Licenses are required for all
other installations
i',Dsts\Pcrtnit Forms�Etc Permt tAppPg2 doc 01 03
_ J
CITY OF TIGARD �.4-11lour
BUILDING Inspection Line: (503) 639-075 MST _.
INSPECTION DIVISION Business Line: (503) 635-4171
BUP � ------- ---
Received ��_ j 1. Date Requested - 2��� AM ____ ___ PM BLIP
Location .- /Z =� _Suite MEC ----- ---- ------
Contact Person
Contractor ----- Ph (- ---1 -- -- --- -- SWR
BUILDING TenanVOwner ____ ELC _
Footing ELC
Foundation Access:
Fig Drain ELR __-_.--
Crawl Drain -- -- -' SIT
Slab Inspection Notes - --
Post&Beam -
Shear Anchors
Ext Sheath/Shear ----- - - -----
Int Sheath/Shear
Framing -- -
Insulation
Drywall Nailing - -- --- -
Firewall
Fire Sprinkler --
Fire Alarm
Susp'd Ceiling -
Roof _
Other:.
Final -_ --- -
PASS PART FAIL
_PLUMBING -
Post&Beam
Under Slab - ---- -
Rough-In
Water Service - --_
Sanitary Sewor
Rain Drains - -
Catch Basin/Manhole
Storm Drain - - --- --- --
[ZShlower- n
r:
FLIVS PART FAIL -
MECHANICAL _-_-- --_-- ------ -- --
Post&Beam --
Rough-In ,-.-...-- ---- - -- ---- -
Gas Line
Smoke Dampers - -____ .--------..-----_--.------ _._ ----- ---- --
Final -_
PASS PART FAIL --- "--
ELECTRICAL -
Service - -- -------- _-.
Rough-In --
UG/Slab
Low Voltage �- ----- - - ---_----
Fire Alarm
Final Reinspection fee of$__ --__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 Lind
ADA ���- -- Ext --- --
Approach/Sidewalk --- -� -- Insp�ct0 -__--
Other:
Final DO NOT REMOVE this Inspectlova record from the Job site.
PASS HART FAIL
CITY OF TIGA,RD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST 3
INSPECTION DIVISION Business Line: (503)639-4171
BUP —
Received __ Uate Requested `"Z (�Q AM PM BUP
Location — eZ_ Suite_ MEC _
Contact Person Ph PLM
Contractor _ _ Ph(— ) SWR -_
BUILDING Tenant/Owner _ _ ELC -
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT _
Post&Beam _
Shear Anchors — -- —_
Ext Sheath/Shear
Int Sheath/Shear
Framing —
Insulation - (�
Drywall Nailing
Firewall
Fire Sprinkler ---�-- — •—�—_
Fire Alarm �� Q�•q J Q ��� O�
Susp'd Ceiling
Roof
Other:
Final _
PASS PART FAIL - ���-
PLUM_BINC _ N '� p� j W1 c�
Post& Beam (� -
Under Slab
Rough-In — --
Water Service
Sanitary Sewer — —
Rain Drains
Catch Basin r Manhole — —
Storm Drain --- _
Shower Pan
Other _s - ---— - --- ---
Final
PASS PART FAIL --
MECHANICAL
Post 8 Beam - -
Rough-In
Gas Line -"
Smoke Dampers -- —
Final —
PASS PART FAIL - -
ELEC_TRICAL
—
Rough-In _
UG/Slab - ---
Low Voltage _
Fir arm - -
8 PART FAIL Reinspection tee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE V Please call for reinspection RE: Unable to Inspect-no access
Fire Supply Line
ADA Z�
Approach/Sidewalk
Other:
Final — DO NOT REMOVE this InopooOon r000rd from the job aft.
PASS PART FAIL
r
CITY OF TIGARD 24-Hour _
BUILDING Inspection Line: (503)639-4175 o S
INSPECTION DIVISION Business Line: (503) 639-4171
BUP
Received2` pate Requested ,'� `-PQM___— PM -- - BUP - ----._--._- -.
Location _—_12-V f2?_ �� �`-�g���Suite ___ MEC
PLM
� �� _
Contact Person //)) � Ph( 1 -�— ----------- ---
Contractor __.-�1 — Ph( ) _ SWR -- ----- --_ -. _
BUILDINGTenant/Owner . _---__- ---- ELC
Footing ELC - - --
Foundation Access:
F1g Drain ELFI _
Crawl Drain SIT
Slab Inspection Notes: - -
Post& Beam -_ -- --- -
Shear Anchors
Ext Sheath/Shear -
Int Sheath/Shear
raming - - - — - --- - -
Insulation
Drywall Nailing -�-
Firewall eq _
Fire Sprinkler _
Fire Alarm �.; ,•.r
Susp'd Ceding
Roof
Other:
Final �1v'
PASS PART FAIL
PLUMBING
Post& Beam
Under Slab --- - —
Rough-In
Water Service --- -
Sanitary Sewer
Rain Drains -- --
ICatch Basin/Manhole
Storm Drain
Shower Pen
- --TS PART_ FAIL J
MECHANICAL
Post&Beam
Rough-In --- -
Gas Line
Smoke Dampers - -- - —
Final
PASS PART FAIL
ELECTRICAL
Service --- ----�-- — -
Rough-In
UG/Slab
Low Voltage _
Fire Alarm
Final Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hail Blvd.
PASS PART FAIL
SITE _ [� Please call for rein ection RE:eUnable to irspect-no access
Fire Supply LineADA
Approach/Sidewalk Dat y - Inspector Ext
_L�!� _
Other:
Final DO 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 -
INSPE_TION DIVISION Business Line: (503) 639-4171 BLIP
Receive' Date Requested 3 AM_- - PM -_ -____ BL)"
Location Suite MEC -----
Contact Person ..___ ---- Ph(_— -.-) 1- PLM _
Contractor ___ —_- _-- Ph(---_ --) SWR
BUILDING Tenant/Owner ___ ELC _ -------
Footing -- ELC
Foundation Access:
Ftg Drain ELF!
Crawl Drain SIT
Slab Inspection Notes: - -
Post&Beam ----
Shear Anchors
Ext Shoath/Shear — ---- -
Int Sheath/Shear ���,`��
Framing �31 c_i7�i e"d t, P—..�� i -
Insulation
Drtwall Nailing —
Firewall _
Fire Sprinkler --
Fire Alarm
Susp'd Ceiling `--
Roof _ — --- --
rV
Ina
SSART FAIL
MBING -- -- ----
Poe &Beam
Under Slab -- - —
Rough-In
Water Service ----- ----
Sanitary Sewer
Rain Drains --�
Catch Basin/Manhole
Storm Drain - — -
Shower Pan
Other:.-- _T-- — -- ---
Final
PASS PART FAIL_
MECHANICAL _— - -- - - -
Post&Beam
Rough-In — -
Gas Line
S e Dampers - -
Final
Aft", --�RT FAIL_ -
ELECTRICAL --
Service
Rough-In _ — -
UG/Slab
Low Voltage -- --- - -
Fire Alarm
Final ❑ Reinspection fee of$ --required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL �--I
SITE F-1Pleasecall for reinspection RE-__ LJ Urable to Inspect-no access
Fire Supply Line
ADAApproach/Sidewalk Date ?- 4_ Inspector --- --- ---RM
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
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CITYOF TIGARD PLUMBING PERMIT
DEVELOPMEI,'T SERVICES PERMIT#: PLM2004-00075
13125 SW Hall Blvd., T:Ua.d, OR 97223 (503) 639-4171
DATE ISSUED: 7.119/04
PARCEL: 2S 110BC-08400
SITE ADDRESS: 1X462 SW ASPEN RIDGE UR
SUBDIVISION: THORNWOOD ZONING: R-7
BLOCK: LOT: 055 JURISDICTION: TIC;
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF LIS': 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: Installation of residential backflow prevention device for irrigation.
FEES
Owner:
- description Date Amount
DON MORiSSETTE HOMES INC
4230 GALEWOOD ST#100 i l'LUMIiI Permit I cc 2/19I04 $36.25
LAKE OSWEGO, OR 97035 1 11X1 8"-"„titan ti111c1mrl 2/19/04 $2.90
Total $39.15
Phone : 503-387-75.18
Contractor:
LANDSCAPE OREGON, INC.
12200 SW MYSLONY RD.
TUALATIN, OR 97062 REQUIRED INSPECTIONS
RP/Backflow Preventer
Phone : 7,03-612-5945 Final Inspection
Reg #: I H 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
�. h' - -
Is ued B 0 � .__�1'f� Permit ee Signature:
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
Feb H 04 11 : '_15a dan Edmonds 503-692-0768 p • 2
Ing peRrcciwm
DaLdI3 Permit No.:Z1
Planning A ro (
�
Sewer
City of Tigard FEB
D w ---. 0lhertN --
13125 SW Hall Blvd. FEB,J R 2004 DOWDY: PamitNo.:
Tigard,Oregon 97223 Po.-t.Rrvlew ---� Land Use
Phone: 503-639-4171 Fax: 5"CO60pawoy
Case No.:
:
Internet: www.ci.tigard.oT.us'A111LDING i Contact see Page2for
24-hour Inspection Request: 503-639-4175 r?arwe�ect+od:-_ -�•.. sn Icmcr121 Information.
TYPE OF WORK _
FEE*SCHEDULE(fors special information use checklist
DCInOliLtOn Dcscriptioo��_Qa• PK(p) Total
New construction _ _ New t-&2-family.dwellings
t�ddlttOI✓a1tL7atlOfl/re�L7CCinent Umr__----- Inclu'des 100 R.fureaih v'': �coancdioa10
. CATEGORY OF CONSTRUCTION 249.20
SFR tenth
1 &Z-Famil dweUin Cotnrncr*cial/Industrial SFR 2 bath _ 350.00
Accessory Building Multi-Fami� SFR 3 baL_•_- 399.00
Master Builder _ �r7ther: _ Fath additional badt/kitalten 4S
.LOB SITE INFORMATION and LOCATION - Fire nkler; ft.: Pa e 2
si atm
Catch
Job site address- yG SLU R e_ basin/aret drain IG.60
Suite#: Drywellfleach linettrcnch drain 16'60
ProjecFooting drain no.linear ft.) Pa e 2
Cross strcet/Directions to job site: Manu.actured home utilities 110.00
Manholes 16.60
Rain drain connector _ 16.60
Soni sewtx(no.linear fL)- _ Pte?
--- Lot#: S5 Storm sewer(no.linear FL) Page 2
Subdivision: '1?1prr7t CJ00�_ Waterservice(no.linear_t� Page 2
Tax lna / cel#: to SCD d�r Ffoure or Item
DESCRIM'ION OF WORK
Absuiption valve 16.60
5C G -(. "Cir-70u-) GCw l e e) anckflow r�eventer P e z
--- Backwater valve 16.60
Clothes washer 16.60
-- - Dishwashc_r 16.60
Drinkin&Cotuttain - 16.60
_ROPERTX OWNER TENANT Eiedqrs/sump 16.60
Name: Er_ -_._--- Entxiansion tank__ 16.60
Address:L}A 30 Std Fixtutc/sewer cap 16.60
Floor rimmi9oor sink/bub 16.60
Ci /State/Zi : l-OV-e O �t7 �' image disposal 16.60
Phone: Fax: _ Hose bib 16.60
PPLiCAN I Q,CONTACT.TfiiSMAN Ice maker 16.60 _
Intac tor/ trap .60
Name:��J r� J 0-rrt►tt:) � _ .- 16 _---
Address:In o I'1� lC1ri (ZQ Medical gas-value: S Page 2 _
Printer 16.60
CI /Statr/Zip:_r1&4t11.5h n- 0K "7 Q(oa- Roof drain(commercial) 16.60
Phoned (o9a- -S94SF.1 Sba 16q a.- 0716 Sink/bdsin/lavatoty 116.60
E-mail: Tub/shower/shower pan 16.60
CONTRACTOR urinal 16.60
16-60
Business Name: (a_1r14SCrk1CW_ Q MI dr% Walcr closet
Wattir heater
Address: J D D-fro &u Otho:
Ci /StatdZl : a7Oto 2- Other.
Phone:Sta3 -544 a` FaxSD3 a- 6g1v PlttmbM ptermi-burw ' .;1 5
CCB Llc. #: -VEL 1 Plumb. Lic.#: Minimum Permit Fee S72.50 5
Authorized atureResidential Backflow Minim 'Feeum $36.25 3�0 ' .1-SSign � �-� _ Date Plan Review(25'X.of Permit Fee S
en �_^` State Surcharge(SSG of Patnit Ftx S '�
(Pleat print nave) TOTAL.PERMIT LRE S� -
Notiee: Tbis permit application expires it a permit is not obtained wAbin All mea contmencial buildings require 2 sets a(pl2m with Isometric or
180 days atter It has been acreptei as romplrW rater dapam far plan rrv+ew.
*Per metbedolow set by'r'ri 4'eunty nuilding Industry Service Beard
i
CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2003-00406
DEVELOPMENT SERVICES DATE ISSUED: 1114!03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 1462 SW ASPEN RIDGE. DR PARCEL: 2S110BC-08400
SUBDIVISION: THORNWOOD ZONING: R-7
BLOCK: LOT: 05i JURISDICTION: Il(;
REMARKS: New SF detached, Path 1.
BUILDING
REISSUE: DM170 STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1 570 st BASEMENT 420 sf LEFT: 5 SMOKE DETECTORS: Y
i
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,620 st GARAGE sf FRONT: 15 PARKING SPACES:
T'PE OF CONST: 5N DWELLING UNITS: I Tlsap of RIGHT. 5
OCCUPANCY GRP: R3 13DRM: 4 BATH: 3 TOTAL: 3.190 94 VALUE REAR 15
PLUMBING —3-771
3-771 Y 7q
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 3 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUBISHOWERS. 3 GARBAGE DISP: 1 WATER HEATERS: WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<100K: BOILICMP<3HP: VENT FANS: 4 CLOTHES DRYER: I
1.A5 FURN>=110014: 1 UNIT HEATERS: HOODS: I OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 4
ELECTRILAL
RESIDENTIAL UNIT SERVICE FEEDER TUMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 -200 anip: 0 -200 amp. W/SVC OR FOR: PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 1 201 - 400 amp: 201 - 400 amp 191 W/O SVC/F DR: SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 600 amp: 401 600 amp EAADDL SR CIR: SIGNAL/PANEL: IN PLANT:
MANU HM/SVCIFDW 601 1000 amp: 601-amps-1000V MINOR LABEL:
1000•amolvoll:
PLAN REVIEW SECTION
Reconnect only:
>=4 RES UNITS: SVC/FDR>=225 A. >600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO&STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATAITELE COMMNURSE CALLS: TOTAL s SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 6,399.47
DON MORISSETTE HOMES INC DON MORISSETTE HOMES INC This permit Is subject to the regulations contained in the
Tigard Municipa Code,Stale of OR. Specialty Codes and
4230 GALEWOOD ST#100 4230 GALEWOOD ST,STE 100 'other applicable laws. All work will be done In
LAKE OSWEGO,OR 97035 LAKE OSWEGO.OR 97035 accordance with approved plans. This penult will expire if
work is not started within 180 days of issuance,or If the
work is suspended for more than 180 days. ATTENTION:
Oregon law requires you to follow rules adopted by the
Phone: 503-387-7538 Phone: Oregon Utility Notification Center. Those rules are set
5p3
387 7 g forth in OAR 952-001-0010 through 952-001-0080. You
Reo w i lC .17M
53 may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Erosion Control Insp 8- Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp ApprlSdwik Insp l
Grading Inspection Post/Beam Mechanica Plumb Top Out Exterior Sheathing Insl 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 PIL'mb Final
Foundation Insp PLM/Underfloor Framing Insp Gas Fireplace Water Service Insp Building Final I
Issued By : _( _ 2L Permittee Signature :Ai_ — —
__ Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day
� ��`�/ n� T�� /� �® � SEWER CONNECTION PERMIT
1 LJ 1 /`1 PERMIT#: SUVR2003-00307
DEV71CIPMENT SERVICES
DATE ISSUED: 11/4/03
13125 SW Ha' Blvd., Tigard, OR 97223 (503) 639-4171
SE E ADDRESS; 12462 S'�N ASPEN RIDGE DR PARCEL: 2S 110BC-08400
)UBD1'ISION: THC)RNW001> ZONING: R-7
LOT: ns� JURISDICTION: TIG
1 ENANT NAME:
USA NO: FIXTURE UNITS:
CLAc)S OF WORK: NEIN DWELLING UNITS: 1
.f YPF OF USE: SF NO. OF BUILDINGS:
INF- 'AI.I_ TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection for new SF
,jwner: — - - - FEES-- --- -- —
DON MORISSETTE HOMES INC Description Date Amount
4230 GALEWOOD ST#100
LAKE OSWEG(.), OR 97035 [SWUSAj .Swr Connect 11/4/03 $2,400.00
JSWUSAJ Swr Connect 11/4/03 $0.00
Phone: 503-387-7538 [SWINSP]Swr I. •)ect 11/4/03 $35.00
[SWINSP] Swr Inspect 11/4/03 $0.00
Contractor:
----- -- Total $2,435.00
Phone:
Reg #:
1
Required Inspections
This Applicant agrees to comply with all the rules and reg-, la►ions 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 accur-icy of the side sewer laterals. If the sewer is not lu, ated at the measurement given, the installer shall prospect
J feet in all directions from the distance give,. If not so loc I the installer shall purchase a "Tap and Side Sewer" Perm
Issued by: 41 ( Permittee Signature: V'
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
One-and Two-Family Dwelling
Building Permit Application Checklist Reference no.:
Associated permits:
City n('Ti�nrri City of Tigard ❑Electrical ❑Plumbing O Mechanical
Address: 13125 SW Hall Blvd,Tigard,04 97223 U Other:
Phone: (5031 639-4171
Fax: (503) 598-1960
1 Land use actions completed.See jurisdiction ct item for concurrent reviews.
2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc.
_3 Verification of approved platAot.
4 Firedistrict_ a _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.
'? Erosion control J plan ❑pen»it required. Include dt.dnage-way protection,silt fence design and location of
_catch-basin protection,etc.
10 3 Complete sets of legible plans.Must be drawn to scale,showing conformance to applicable local and state
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed t/
if copynght violations exist.
I 1 Siteiplot plan drawn to sr+tle.The plan must show lot and building setback dimensions;property comer elevations(if
there is more than a 4-11.eievation differential,plan must show contour lines at 2-ft.intervals);location of easement-,and
driveway;footprint of structure(including decks);location of w,.11s/septic systems;utility locations;direction indicatar,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,ven'.
size and location.
13 Floor plans.Show all dimensions,room identification,window sire,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,joLLS,s;tb-floor,
wall construction,roof construction. More thA one cross section may be required to clearly portray constnjcdon.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;minimum of two elevations for additions and remodels.
Exterior elevation.,must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Ful' size sheet addendums showing foundation elevations with cross references are acceptable.
16 Watl bracing(prescriptive path)And/or lateral analysis plans.Must indicate details and locations;for
_ non-prescriptive path analysis provide specifications and calculations to engineering. standards.
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and hearing
locations.Show attic ventilation.
18 Basement vnd retaining walls.Provide cross sections and details showing placement of rebar.For engineered
systems,see mein 21,"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 andlor 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 mote r,,)pliances. _ _
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss!shall he stamped by an engineer or
architect licensed in Oregon and shall be shown to be applicable to the project under review.
23 Five(5)site plans are required for Item I 1 above. Site plans mus: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 resen•ed for department use only. 4*o-4614 r6,vtvcoMt
Mechanical Permit Applicatioa
7Buflding
City of Tigard ., Expire ate:
CityojTigard Address: 13125 SW Hall 131vd,Tigard, 1�� By: Rec......Phone: (503) 639-4171 ffECtFax: (503) 598-1960 Payment type:Land use approval: �_� 3 +trio.:
❑ l &2 family !welling or accessory ❑Comm t#WCfti,1Vl8W)N LJMulti-family ❑Tenant improvement
XNew
construction C] Addition/alteration/replacement LI Other: _—_—
JOB SITE INFORMATION 1 / SCIIEDULE
Job address: L I G( Indicate equipment quantities in boxes below. Indicate the dollar
Blog.no.: guite no.: value of all mechanical materials,equipment labor,overhead,
Tax map/tax lot/account no.: profit. Value S_ '
Lot: C C Block: I Subdivision: ^.� 'See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee. J
City/county: ZIP:
Description and location of work on premises:
Fee(ea) To(Al
Est.date of completion/inspection: Description _ Qty. Rei-only Res.only
Tena,�t improvement or change, ' iso: If VAC:
[s existing space heated •:'itioned?❑ 'fes ❑No Air handling unit CFht
Air conditioning(site plan required) _
Is existing space insulated'? 'i'es ❑No Ate;auon o existing HVACsystemNTLCI[AN ICA 1, CON I I RAC-1 OR
Boiler/compressors
Business name: [ State boiler permit no.:
i 6 HP Tons_ BTU/If
Address: (—" irelsmoke dampers/duct smoke detectors _
City: � L! State: ZIP: eat pump(site plan required)
Phone: Fax: E-mail: nsta /replace rnac urner U/H
i — Including ductwork/vent liner 0 Yes 7 No
CCB no.: t= — nstal repacdrelocate heaters—suspende ,
City/metro lic. no.:N A wall,or floor mounted
Name(please print): 1 �, (� — ent for ao lance other than urnace
Refrigeration:
Absorption units BTII/H
Name. `"G L L- _ Chillers —__ HP —_
Address ` Compressors— HP
t Eavironmental exhaust and ventilation:
City: State: ZIP__ Appliance vent
Phone: Fax E-mail: Dryerexhamt
Hoods,T viv I/II/res.lute,. a—bazmat
hood vire suppression system --
Name: ��' ' Exhaust fan with single duct(bath fans)
Mailing address: ) �,' Exhaust system apart from heating or AC
State' ZIP )" k Uel piping and distribul on(uf to 4 outlets)
City
a x 3s Type _ _LPG NG Oil
Phone: 7- - �F�� E-mai': uel pipinv each additional over 4 outlets
Process piping(schematic required) —_
Name. Number of outlets _
Other Igied app ani ceoregt pment:
Address: Decorative fireplace
City -- -- State: ZIP Insert-type
Phone: Fax: 4,,E.mail: o stovelpelletstove _
14
er: ------ ---
' .4ppiiranf's signaru Date: )' Ul er.
Name(print):
Na all jurisdicuoruLeptscup credit cards,please call jurisdiction for re mrmm mom Permit fee..................... _—_--
O visa O MasterCardcNotice:This permit application Minimum fee................$
Credit card number _�__ expires if a permit is not obtained Plan review(at — %) $ _
— — Expires within 190 days after it has been State surcharge(8%) ....S
Nune of cardholder as shown on credit card s accepted as complete.
TOTAL ..... .................$ _
-- Cardhnldet signature Amount 440-4617(WWOM)
Plumbing Permit Application
-- Date received: Permitno.: t(
City of Tigard Sewer perrrut no.. Building permit no.:
Address: 13125 SW Hall Blvd.Tigard.OR 97223 --
City of Tigard Ik
Phone: (503) 639 7 o)ect/appl,no Expire date:
Fax: (503) 598-196 �CEIVEC) I Date issued: By' )t no.:
Land use approval: — Vase file nu.. Payment type:
1 �' t
O 1 &2 family dwellit,;or accessoQITY GF0dgj11160a1/industnal O Mulu-family 0 Tenant improvement
'Yew cunstruction BUILDlKF:OWWtf K Werauon/replacement J Food Service 0 Other. _
.1101113 SdE INFORIL%TION >ll
lob address: �j Descripdon Qty.1 Fee(p•) Total
New I-and 3-family dwellings only:
Bldg. no.: ���Sut,no.: — (includes 100 ft.for rach utility connection)
Tax reap/tax lot/account no.: SFR(1)bath _
Lot - Block: Sutxlivision:cTTW r\Vv SFR(2)bath
Project name: SFR(3)bath _
City/county: ZIP: Each additional badv1di,chen
Description and location of work on premises: Site utilities:
Catch basin/area drain
Est date of completiottlDrywellsileach lineltrench drain
nspection:
Footing drain(no.lin. ft.)
Manufacrured home utilities _
Business name I IL i h'L3I 1` (_-1 Manholes
Address: i Rain drain connector
Sancta sewer(no.tin. ft.)
Cir: state, ZIP: _ Sanitary _ -
Phone --1 l Fix: E-mail: Stone sewer(no, lin. ft.) _
rV iter ser4ce(no.lin. ft.)
CCB no : � � '��- Plumb. bus. reg. no: r—
FLrture or item:
Cityimetro lic. no.:N,A /�/�\\ Absorption valve
Contractors representative signature� �Li Back flow preventer
Print Carle. U Backwater valve
Basins/lavatory
Clothes washer
Name:`�{� -� S���I +�� _-- Dishwasher
Address: >~ "V Dnnkine fountain(s)
Cits' I State: ZIP: Electors/sump _
CL
Phone Fax: E-mail: Bx ansion tank
Fitturrlsewer cap
Floor drains/floor sinks/hub _
Name iprint): [ �- Garbage disposal _ —
btai!ing address. Hose btbb _
City 1 State ZIP: Ice maker
-Phone: - Fix: l-7(GI Email: Interceptor/grease trap —
O+vner installationiresidendal 'maintenance only: The actual installation Pnmen s) _
will be made by me or the maintenance and repair made by my regular Roof drain(commercial)
employee on the property I own as per ORS Chapter 447 Sirtkw,basints). lays(s)
Owner's si nature: Date Sump
-
"I. -" Tubs/shower/shower
Unnal -
Name: Water:luset _
Address: Water heater _
Cit. I State: Z1P: Other -- _
Phone Fix: E moil: notal
Minimum fee................S
Na 3111un"cuom seep emit cardsplease ca)t)unsdicuon for nrxe infortruuon Notice:This permit application % S
Plan review(at — )
Q Visa 0 Mastercard ! expires if a permits not obtained
C- S -
edn:3rd,imStale surcharge(8"0) ....
her Eap fen accepted as within ISO dans ager it has leen TOTAL ..surcharge
..... c) ....S
complete.
NOW �/cardAolder v rhoWn oa credo card
t.YG'IOIQeI urn3iure s Amount 440-4616(6DOCOM)
DON • MORISSETTE OBE : 2932
soxsa 14CO2P02AT2D LOT: 55
ISO a
eTo►Ni oia
LAKs 08WX00- f 970aDATE: 07/22/2003
(eoe) aeT - Taee rAi ( o ) aey
- 76 16 PROPERTY: THORN1100D
1 CITY: TIGARD
SCALE: 1"=20'
PLAN No.: 170
... ... .._. .,, OPTION 2 ELEVATION
�\ 468'
46
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46C
..6
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ash\ a ,��' ,�•i \ s �`!, � � � _, ��g
45A 0 OA
lei
RECEIVED
d'
6C�E
a
JILL 3 1 781
sm'
CITY tlF Ti -ARD
\ m _ Bt)IIAIN(3 DIVISION
LEGEND _ LOT COVERAGE
L-CT AREA: 5,00E 50, FT. LOT X55
BUILDING AREA: 2,146 5Q. FT. S�Qm eq. ��•
o ---GrREE' TREES 5FE PERCENTAGE Ally%
RECCRCEC "LAr
FCR 5,ZE5 -SNC -=ES
CITY 0 TK',- D- SITE PLAN REVIEW
BUILDING PERMIT NC),: -
PI,ANNING DIVISION:
Not A rued
Required SetQks: �, Al�prkived (3 pF
�� Street Side.
side: 1�
Frow 3 (•itraL,r Rear:
Vise Approved Q Not Approved
i.etter Requiml ❑ Yep (}kNu
] R, rived
f3 : anai:._8�U 3
F.NI;INE ;Itl [)EPA 0 MEN 1 :
Actual slope: 17 % V5 Approved ❑ Not Approved
Site PI ITAPProved N t Approved
� [h►ie: 8 S o3
Nut�S: Ho» , s
�is j6sE2, ?
I
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