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12350 SW KELLY LANE N W O CNC C m r r r z 12350 SW KELLY LN CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 3- INSPECTION DIVISION Business Line: (503)639-4171 MST BUIP Received Date Requested AM------- PM BUP Location Suiie____ MEC Contact PersonPh Pi-m Contractor Ph FWR BUILDING Tenant/Owner ------ ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Shoath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - Roof Other: Final PASS PART FAIL Post&Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin i Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post&Beam Rough-In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough-In UG/Slab Low Voltage Fire Alarm omq& PART FAIL LJ Reinspection tee of s tequirb-1 before next inspection. Pay at City Hall, 3125 SW Hall Blvd. J-] Please call for reinspection RE. Unable to inspect--nois cess Fire Supply Line ADA Approach/Sidewalk Date Inspector G-AR. -V V) L-C Ext Other U Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL ►AAAAAA.AAAAAAA.AAA.A♦AAAA.AA.",AAA.AlAAAAA A♦AAAAA-J Q > rrl C � Vi t �, } t� ► ._ bp. r \ i► *zLlo y r v " ► ► d > y -- ► ► A o r � �► i � I► i ' I► � ' I 1► / I CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 S LiT-7- �5 OUP Received Date Request d 13UP Location z 2-_L'-s Suite MEC Contact Person ------- Ph PLM Contractor Ph SWR BUILDING TenantlOwner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear 4 Framing - 7-- e) 4- 44,57 . Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Final j�SS Ss_, PART FAIL— 81ING Post&Beam Under Slab Rough-in Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole. Storm Drain Shower Pan Other: Final - PASS—PART FAIL MECHANICAL Post&Beam Rough-In Gas Line I Smoke ampere Final PART FAIL - - ELECTRICAL Service Rough-In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of required WfOre;mxt insporlion Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE F] Please call for reinspection RE: Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Deb704 inspector Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 3_7 INSPECTION DIVISION Business Line: (503) 639-4171 BUII Received �1140 41� 1Z. Date Requested _!�?_-7�0_qAM____PM BUP Location -Suite MEC Contact Person Ph(---) qY3 7 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Footing Foundation AccessELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL. PLUMBING Post& Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan WF PART FAIL16A_L Post&Beam Rough-in Gas Line Smoke Dampers Final PASS PART FAIL - ELECTRICAL Service Rough-in UG/Slab Low Voltage Fire Alarm Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd PASS PART FAIL SITE Please call for reinspection RE: Unable to Inspect-no access FiADAre Supply Line /7/ Approach/Sidewalk Date h Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIOARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST _ INSPECTION DIVISION Business Line: (503) 639-4171 — --- BUP Received _ _ -___ Date Requesied AM__-_-_— PM _ _ BUP Locations ��_.._.__ _—Suite_�� MEC Contact Person _- _ Ph PLM1 s � Contractor— ,/S _ Ph SWR BUILDING Tenant/Owner _ _—_ ELC Footing _ ELC Foundation Access: Ftg Drain ELR Crawl Drain _ Slab Inspection Notes: SIT Post&Beam Shear Anchors _-__- Ext Sheath/Shear Int Sheath/Shear Framing - ---- - -- - - -- — Insulation Drywall Nailing - -- - -- - ---- - ---- Firewall Fire Sprinkler - -- - -- Fire Alarm Susp'd Ceiling - - --- ----- -- Roof -� Other: - -- Final PASS PART FAIL Post& Beam j Under Slab Rough-In Water Service — --- — — Sanitary Sewer Rain Drains --�-- - Catch Basin/Manhole Storm Drain --_-- Shower n iF` (/ P PART FAIL"At -- -------------- CHANICAL — Post&Beam Rough-In - - Gas Line Smoke Dampers Final PASS PART FAIL. -- - ---- _ ELECTRICAL Service -- ---- ------- - - Rough-In UG/Slab - - --- ---- _ Low Voltage Fire Alarm ---------- - - ---- -- — Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall 910 PASS PART FAIL SITE _ C-] Please call for reinspection RE: F_ Unable to inspect - no access Firs Supply Line ADA Approach/Sidewalk Qete - -{�--t-- Inspector� Ext Other:_ Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL. CITYu F T I GA R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2004-00145 zI. PW 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4,171 DATE ISSUED: 4/6/04 SITE ADDRESS: 12350 SW KELLY LN PARCEL: 2S 103CC-08200 SUBDIVISION: WHISTLER'S WALK ZONING: R-4.5 BLOCK: LOT: 02.9 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: 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: WArER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: BACKFLOW PREVENTER �J FEES Owner: -_ -- _— �— Description Date Amount DON MORISSETTE HOMO-S 4230 GALEWOOD ST I I'LUMBI Pcrnnl I cc 4/6/04 $36.25 STE 100 ITAXI 8 'm1c Smchmi 4/6/04 $2.90 LAKE OSWEGO, OR 97035 Total $39.15 Phone : 503-387-7538 Contractor: LANDSCAPE OREGON, INC. 12200 SW MYSLONY FAD. TUALATIN, OR 97062 REQUIRED INSPECTIONS Phone : 503.692-5945 RP/Backflow Preventer Reg#: LIC 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 Issued By: Permittee Signature: e-)q` rail (5073))6639--4175 by 7:00 P.M. for an inspection needed the next business day __/ flpr 05 04 03: 03P dan edmonds 503-692- 0768 P• 2 Plumbing Permit Application t�i"d , plumbing Datdo . Permit No -',4) . -0c� SewLT City of Tigard Dates�ppro�I Permit No.-. 13125 SW HAI Blvd. flan Review Other Tigaid,Oregon 97223 Ekum :. Permit Na Phone: 503-639-4171 Fa-.: 503-598.1960 Post-Review land Use Intemet: www.ciAigard.c..us "Ontmeecct - urrm- -,Sea Page 2 for 24-hour Inspection Reviml: 503-(394175 NamdMethod: Supplemental laformatlon. TYPE OF WORK FEE*.S('MWULE(fors exlahiufotiaadon ase checklisit) New const mction -MrDemolition Description Qty. Fee(ea) Total Addition/alterati t:placement I EJ Other: New J1-&2-famllyArteULugs _ CATECOR.Y.OF CONSTRUCTION. _�dada 100 It.roe sere h strut coasection) 1 2-Famllllin CommerciaUlndustrial SFR(1).bath - 24920 Ywe ---- SFR buh 350.W' ( ccesso Building Multi-Family SFR 3 bath- -- --� 399.00 ❑Master Builder R fdiiier: Eadt additional bath/kitchen _ 45.00 JOB SITE 114FORMATION and LOCATION Fire nklcr- .R.: Page 2 _ Job site address: / S G Stat.' i<t Site Utilities Suite#: -=BIdgJApt 4 C"b=Wwca drain 16.60 Myy dVkach lineArench drain 16.60 _ Project Name:i.0 h►S t!t'� W 0- IG Lt i L`% --_ t ortin drain oo-linear tt Page 2 Cross street/Uirectionslto job site: M�� om utilities 110.00 (,k-1 I %- I fi �`L1 Manholes 16.60 Rain drain connector 16.60 _ _-2-Y 1441Y Wwer no.linear R. _ le Subdiv-sion: lLU VN, � .` LOOS_k�[.ot#: =� Ste'rm sewer(oo.Iinear fl.Tax trap/parcel#: (p C ' /j Water service(no.Imes>ur ft _ �'-' Fixture of-Item DFS4:RIPTION OF WORK Absorption valve 16.60_ LL!!1QS G Gt�C'lG�I�u) G(U 1 C(. Backflow pMLcnter _� Pae 2 i Paekrvain valve 16.60 Clod=washer --..� 16.60 _--- ,TT_--. Dishwasher --- 16.60 - Dtt fountain I G.GO PROPERTY OWNER TENANT Britildinkiri/ 16.60 Name: pW____n _SErIS�4 k. 1-k�Ylc s- _B_xpatsion tank - _ --- 16.60 Address%: A 3O Sl.0_ t�y.�WQO � - Fixturdsewer cap 16.60 Cl /State/Zi :LIYV-£_ CSS u t j C17Ca3s Floor drain/floor cirdu'htrb 16.60 - --P - Gar) a dispatiA 16.60 Phone: __- Fax: Hose bib 16.6G PLICANT CON'I'ACT�_OLV to maker - - 16.60 ----- Name::EJ I(Arl aS a-t-►'D L(_3 _ _ tnlesz toretrap 16.60 x,10 Q be.� -/'yl [(�yI -R� - Morh'tal Attu-value: S �- Page 2 Address. _ Ci /State/Zip:-(l,t._ dJ-%p,: primw - 16.60 -- Roofdfa6l(corluncroialL 16.60 PhoneSb3 to%-. YILLS I FaxSA3 log al- 071b 17 Sinklbesin/lavaw _ 16.60 E-mail _ Tub/shower/shower pan 16.60 COMT.AACTOR _. � �.. .__ urinaA �-- _ 16.60 BusinessName: W� cAoset 16.60 Address: Wata heae16.60 Other:_ Ci /State%L 'MLi 4o-#Zr R (>'�. _ Oth . Phone � SR --_- biogPetitPeep 7. S CCB Lic_ #: -79Vq Pltunb.Llc.#: - - stibtolal s _ Authorized �J ---! Minifnutn Permit Pae 577-50 S 5ignnturJr ��G �� Z�1X L? Date:L C /r�q Residential Backnow Minimum Fee$36.25 _ / �_-- Plan Review 25%oi_Permit Fee s State Surcharge(SV.ofpamit Fee nam (Please print e) TOTAL P6_RMrr FEL► S � /y N"nca: Thin permit appttrattas e:plres It a permit is net obtaiaed within All.err cemmereial buildtap require 2 aehr or plans with isometric or 1Ii0 days after It has been accepted as enmpleir_ riser dlaamrn for plan review. •Fro ruethedele"sat by Tri-County Building Industry Ser-Oce Board. CITY O� �� MASTER PERMIT PERMIT#: MST2003-00522 [DEVELOPMENT SERVICES DATE ISSUED: 12/2/03 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 12350 SW KELLY LN PARCEL: 2S'103CC-08200 SUBDIVISION: WHISTLER'S WALK ZONING: R-4.5 BLOCK: LOT: 021) JURISDICTION: I1(i REMARKS: Constof new SF detached residence. BUILDING REISSUE: DM198 STORIES: _ FLOOR AREAS REQUIREO SETBACKS_ REQUIRED CLASS OF WORK: NEW HEIGHT: 2a FIRST: I I sl BASEMENT. %I LEFT SMOKE DETECTORS Y TYPE OF USE: SF FLOOR LOADSECOND: I nnn 51 GARAGE. 683 sl FRONT: 20 PARKING SPACES 2 TYPE OF CONST: 5N DWELLING UNITS: I rHIR) S RIGHT: 10233. : OCCUPANCY GRP: R3 BDRM. 4 BATH: 7 TCITAI r�5i7 sl VALUE263, REAR: 15 _ PLUMBING SINKS: I WATER CLOSETS I WASHING MACH: LAUNDRY TRAYS: RAIN".AIN: Inn TRAPS'. LAVATORIES. DISHWASHERS I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: I CATCH BASINS. TUB/SHOWERS GARRAGE DISE' I WATER HEATERS: I WATER LINBS: 100 BCKFLW PREVNTR: GREASE TRAPS. OTHER FIXTURES MECHANICAL FUEL TYPES FURN<100K. BOILICMP<3HP: VENT FANS: n CLOTHES DRYER: I n FURN—100K I UNIT HEATERS HOOD&, 1 OTHER UNITS. I MAX INP. btu FLOOR FURNANCES: VENTS. I WOODSTOVE-0. GAS OUTLETS. I ELECTRICAL RESIDENTIAL UNIT _ SERVICE FEEDER TEMP SRVC!FEEDERS BRANCH CIRCUITS MISCELLANEOUS _ ADD'L 114SPECTIONS 1000 SF OR LESS'. 1 0 - 200 amp: 0 - 200 amp: W/SVC OR rOR. PUMPIIRRIGATION: PER INSPECTION, EA ADD'L 5005F: 201 - 400 amp 201 - 400 amp: 1st WIO SVC4 OR SIGN/OUT LIN LT: PER HOUR. LIMITED ENERGY 401 - 600 amp 401 600 amp: FAADUI.RR CIR SIGNALIPANEL IN PLANT: MANU HMISVC/FDR: 601 - 1000 amp: 601-amps-1000V: MINOR LABEL: 10004 amu'volt FLAN REVIEW SECTION _ Reconnect only. >=4 RES UNITSSVCIFDR>=225 A >600 V NOMINAL. CLS AREA/SPC OCC: ' .. ELECTRICAL•REST RICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO R STEREO. VACUUM SYSTEM. AUDIO&STEREO. FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGL AR ALARM OTH- BOILER. HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL GARAGE OPENER: CLOCK. INSTRUMENTATION: MEDICAL. OTHR: HVAC'. DATA/TELE COMM NUPSE CALLS. TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 5,253.42 DON MORISSETTE HOMES DON MORISSETTE HOMES INC This d Municipal c al Code, , the regulations SpeciContalty Co in the 4230 GALEWOOD ST 4230 GALEWOOD ST,STE 100 Tigard Municipal Cade,State o OR. Specialty Codes and STE 100 LAKE OSWEGO.OR 97035 all cordoAher applicable laws. All work will be done it accordance with approved plans. This permit will expire 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 Phone: 503-387-1538 Phone: Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through 952-001-0080. You Reg N: �I 387 t7 may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erasion Control Insp 84 Post/Beam Structural Mechal,Ical Insp Shear Wall Insp Insulation Insp Water Service Insp Grading Inspection Post/Beam Mechanica Plumb Top Out Exterior Sheathing Inst 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 Issued By : �� --=p--- •Q ' Permittee Signature : __ - Call (503) 649-4175 by 7:00 p.m. far an inspection needed the nex: business day CITYOF TIGARD 'EWER CONNECTION PERMIT— DEVELOPMENT SERVICES PERMIT#: SWR2003-00386 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/2/03 SITE ADDRESS; 12350 SW KEI_L.Y LN PARCEL: 2S103CC-08200 SUBDIVISION: WHISTI-FICS W,\I.K ZONING: 1l4,5 BLOCK: LOT: 029 JURISDICTION: TI( 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 permit for new SF dwelling. Owner: — -- _— FEES _ DON MORISSETTE HOMES 4230 GALEWOOD ST Description Date Amount STE 100 S W 11SA J Sv%r Conned 12/2/03 $2,400.00 LAKE OSWEGO, OR 97035 1SWUSAJ S%%r Connect 12/2/03 $0.00 Phone: 503-3217-7538 1SWINSPJ S%kr Inspect 12/2/03 $35.00 Contractor. 1SWINS111 Sv„ Inspect 12/2/03 $0.00 — —_ _ -- Total $2,435.00 Phone: Reg#: Required Inspections This Applicant agrees to comply with all the r )s 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: -- —t�`w— �. _ --- Permittee Signature: �� `'�------- Call (503) 39-4175 by 7:00 P.M. for an inspection needed the next business day Buildinb Permit Application City of Ti > .CEIVED Daterecetved: /D Gam— Pertnitnu.:(1t5j Address: 13125 SW Nall Blvd,Tigard,OR 97223 1'rolcct/appl.no.: Expire date: City of Tigard Phone: (503) 639-417NOV '. () ?001 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no. Payment type: Land use approv t QTY Ui. 1 IUAHDILfanuly:Supple Complex: 11VIS10" U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family ,,&New construction U Demolition U Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other: job adess: l L Bldg. no.: Suite no.: Lot: Block: Subdivision: Tax map/tax lot/account no.: XX_-Q Q Project name: C' Description and location of work on premises/special conditions: 4 a L (,>,,' UOR SPI.1 IM, IN1,01011%I ION, USF 11111101ST Mailing address: - — do I2 family dwelling: City: StateC.i ZIP:: , x Valuation of work........................................ $ Phone: ^` Fax: ) .)-7 -marl: No.of bedrooms/baths................................. - Owner's representative: /,'y-1 r t_K Total number of floors................................. hone: F. iE- New dLL illlil`l area(sq. R,) .......................... _ Garage/carport arca(sq.ft.)......................... -�—- rM.ailiFng Covered porch area(sq.ft.) ........................ ss: (Z Deck area(sq. ft.) ..................................... .. ---v: State: ZIP: ether structure arra(sq. ft.)............. ........... Phone: Far (:•mail: CommerciaUbtidu9trial/multi-family: Valuation of work........................................ $ _ Business name Existing bldg.area(sq.ft.) .......................... Address: a --- New bldg.area(sq.R.)..............I................. ---- City: State: ZIP: Number of stones........................................ _ -- Type of construction.................................... Phone: F_ax: E-mail: CCB no.: Occupancy group(s): Existing: --- New: City/metro lie,no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: u l _�-, y� provisions of ORS 701 and may be required to be licensed in th Address: ��. ,� jurisdiction where work is being performed. If the applicant is City: State: ZIP: exempt from licensing,the following reason applies: Contact person: Plan no.: — -- -- Phone: Fax: E-mail: -- - - - -- Name: _ Coma' i person: Fees due upon application ........................... $ Address: ^� Date received: City: State: Z.[P: Amount received ......................................... $ _ Phone: Fax: E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not UI Jurisdlcuom accept credit cards,please call juriulictlon for more informWan. attached checklist. rovisions of I ws and Credit card number:i dinances governing this O Visa ❑MasterCard work will be comp) w ,whether cifieci creift t. �, - v 11 Au'horized si pato T(,� Name o.cardholder as shown on credit cwd J __ __ _S _ Print name: 4 f t.4l f ( L — _Cardholder signature Y Amouni Notice:This permit application expires if a permit is not obtained within 180 days atter it has been rceepled as complete. 440.4613(6on"COM) One-and Two-Family Dwelling Building Permit Application Checklist Reference no.: CiryojTigard Ci of Ti std Associated permits: ty g ❑Electrical ❑Plumbing O Mechanical Address: 13125 SW Hall Blvd,Tigard,OR 97223 Ll Other: Phone: (503) 639-4171 Fax: (503) 59F :'RO U Ves No N/A1 Land use actions completed.See jurisdiction criteria for concurrent reviews. 2 Zoning. Flood plain,solar balance points.seismic sola designation.historic district,etc. _ 3 Verification of approved platflot. _ 4 Fire district _ approval required. _ 5 Septic system permit orauthorization for remodel. Existing system capacity_ 6 Sewer permit. 7 Water district approval. S Soils report.Must cavy original applicable stamp and signature on file or with application. 9 Erosion control ❑plan O permit required. Include drainage-way protection,silt fence design and location of catch-basin protection,etc. 10 3 Complete sets of legible plans.Must be drawn to scale,showing conformance to applicable local and state building codes.Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. K _ I 1 Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if there is mote than a Oft.elevation differential,plan must show contmir lines at 24 intervals):location of easements and driveway:faxprint of structure(including decks);location of wells/sepffc systems:utility locations;direction indicator,lot area:building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size and location. 13 Floor plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater, furnace, ventilation fans,plumbing fixtures,balconies and decks 30 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, Y fireplace construction, thermal insulation,etc. 15 Elevation views.Provide elevations for new construction;minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cruas references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plass. 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 and retaining walls. Provide cross sections and details showing placement of rebar. Fur engineered systems,see item 22,"Engineer's calculations." 19 Beam calculations.Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any beam/joist carrying a non-uniform load. _ 20 Manufactured noon/roof truss design details. _ _. 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required for four or more appliances. _ 22 Engineer's calculations. When required or provided,(i,c.,shear wall,roof truss)shall he stamped by an engineer or !l architect licensed in Oregon and shall be shown to he applic.Ae to the project under review. 23 Five(5)site plans are required for Item I 1 abol e. Site plans narst be 8-1/2"x 11"or I I"x 17". _ 24 Two(2)sets each are required for Items 16, 19,20&22 above. 25 Building plans shall not contain red lines or tape-ons. 26 No rolled, reversed or mirrored building plans will be accepted. 4 27 28 Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may lie in blue or black ink. Red ink is reserved for department use only. 4404614(eMCOM) Mechanical Permit,A cation MUatereceived: Permit no. City of Z I—� y Project/appl.no.: Expire date: City c ngard Address: 13125 SW Hall l j ,)TiSwO,QR 97223 U Date iss,ed: By: Receipt no. Phone: (503) 639-4171 Fax: (503) 598-1960Case file no.: Payment type: - GIl'Y OF I I(aAF3L7 Building permit no.: Land use approval: ,;;fir r,tr.lr, r IVI`,IC`^ _ TYPE OF PERMIT O I &2 family dwelling or accessory G Commercial/industrial O Multi-family O'Ienant improvement XVew construction O Add Ition/alteration/replacement O Other: O: SITE INFORMATION COMMERCIALI Job address: LLA Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: Suiten .' value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit. Value$ Lot: Block: Subdivision: 4 `See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City/county: ZIP: IS Description and location of work on premises: t s t t ' r Fee(m) Total Est.date of completion/inspection: Desai on Qty Res only Res.only Tenant improvement or change of use: VAC: Is ezistin space heated or conditioned'?U Yes El No Air handling unit CFM r_ g P' Air con itionfag(site plan requrrt ) _ Is existing space insulated?Q Yes O No I A terauon of existing HVAC system o� iler/compressors Business name: State boiler permit no,: I 14P Tons BTL711 Address: (^ Fire/smoke damper uct smoke detectors City: Lli State� ZIP: eat pump(sue plan required) Phone: Fax, I E-mail: nstal repacefurnacelbumer Including ductwork/vent liner O Yes O No CC$ no.: Install/replace/relocatereaters-suspen e , City/metro lic. no.:N/A wall,or floor mounted _ Name(please print): C '� � �( _ ent ora +anceo �r an furnace e igeral on: Absorption units BTU/H Name: El L.- Chillers __ HP Address- Col m ressors, HP •ironmental a tut an ventflation: Cita State: ZIP: Appliance vent _^ Phone: Fax E-mail: erez gust Hoods,Type 11res.kite en/hazmat hood fire suppression system - Name: y-� ' Exhaust fan with single duct(bath fans) _ Mailing address: ) �' yX .xhaust system apart from heating or AC ne piping an distribution(up to 4 outlets) City: titate ZIP J Type: __LPG _-_ NO Oil Phone: Fay E-mail Fuel piping each adr itiona over 4outlets roctesspiping(schematicrequired) Name: Number of outlets ter lista app ane or equ pmenl Address: Decorative fireplace Cit} State: ZIP: Tnsen-type ----- -- '-- Woodstove/peIIetstove Photic _ Fax: Email: _ Other: Applicant's sign atfu Date: - ✓ Ut era _ _ int) Yi f Name(print): Not all unsdictions accept credit cards,please call)unulictinn rot more 1W1_, tion. Permit fee ................$ Notice:This permit application Minimum feeee................$ O Visa O MasterCard expires if a permit is not obtained Credit cad number within 180 days atter it has been Plan review(at _ 96) $ —" Expires >' State sur'-harge(8%)....S Nome of cardholder u shown on credit c s accepted m complete. V TOTAL .......................S Cudholder s rAlure Amount 440-4617(&MCOM) Plumbing Permit:application -City of Tiga;d WED Date received: Permit no.: 1 -- Sewer pernut i,..,. Building permit no.: Address: 13125 SW Hall Blvd.Tilgard,OR 97223 — Cay ofTigard Phone: (503) 639.4171 j�' t' J,!i Projectlappl.cn.. Expire date: Fax: (503) 598-1960 Dare issued: By: Receipt no.: GiTY OF ,rIGARD rase tilt no. Payment type: Land use approval: _ 11 �i.r;IVIE)If9ti- sid O 13c family dwelling or accessory U Commercmi/indusuial 0 Nluki-family ❑Tenant improvement New con suticuon 0 Addition/alteration/replacement ❑Food service O Other. 1 . SrFE tNFOFLMATIONa tULE(for special informal C Desert tion l Fee ea. Total lob address. - New 1•and 2-family dwellings only: Bldg. no . suit'! (includes 100 fl.for each utility connection) Tax ma /tax lot/account no.: SFR(1)bath _ L,ot_ Block: Suixiivislon �, `-1 SFR(2)hath Project name: SFR(3)bath City/county: ZIP: — Each addiuonal bathilutchen _ _ Description and fixSite utilities:ation of work on premises:-_.A— ('arch basin/area drain &-L date of co,mpletio�nspection: DrywelL�leach IineJvench drain —� Fooung drain(no. lin. ft ) _� I Manufactured home utilities Business name: I Manholes _ Address: [ _� Rmn drain connector City State ZIP S uutar+ sewer(no.lin. ft.) '`- Storm sewer(no.lin. ft ) Phone: -1" Fax: J E-mail: Water ien•lce inn.lin. ft.i I CCB no [cmb, bus, reg. no: — FLrture or item: Cityime ro tic. no.: NiA °° Absorption valve Contractor's representative signature'._ Back llow prevcriter Print name: U ' Backw.•-r valve i3asi 1avatury Clothes washes Name. ti Dishwasher _ J Address: Dnnline fountain(s) _ Cit" _ __�Sta<c:, TZIP. Electors/iump — Phone Fax: Email: Expansion tank _ Fixturelsewer ca Floor drains/floor sinks/hub Name (print): r Garbage disposal Mailing address: T Hose btbb City: l State , ZIP:C ��Z 5, lcc maker .Fax E-mail: Interceptor/ ease trip Owner insradariun,residendai maintenance only: The actual installation Primers) i will be made by me or the maintenance and repair made by my regular Roof drain(commercial) _ employee on the proper I oven as per ORS Chapter 447. Sinktsl,basin(si. lays(s) � _- Owner's signature Date: Sump _ Tubs/shower/shower pan _ Unnal �— Name _ Water-luset Andress: Water heater — Cir. State: ZIP. Other. Total Phone. x: Email: Fa Na all uns,itatons zu Minimum fee................$ — pr crethi suds.please can iunsdicuon fnr mme mfontucun. Notice:This permit applicaticn t Plan revie�.v(at — `'�) C Visa o M33tercard expires if a permit is not obtained State surcharge(8"o) $ - C.edil cud number Expel — within 180 days afler it has been accepted�complete. TOTAL ................... ...S hare jf a . rdwldet a dfown on.rn ,c.vd s C.vuhoider a/narum Amount it0-�hl61tHACnA1l Electrical Permit A tlication L'La' Datereceived_ Permit no.: l;;y City of Tigard ��l�~ °° Projecdappl.no.: - Expiredate: City nfTigard Address: 13125 SW Hall Blvd,Tigard,OR 97723 Date issued: - By: 71 Receipt no.: Phone: (503) 6393171 Casa file no.: Paymenttypc: Fax: (503) 598-1960 CITY C)F TIGl1.9D Land use approval: I IILDING 01 O 1 8c, fatnily dwelling or accessory O Cominercial/industrial U Multi-family O Tenant improvement New construction C-1 Addition/alteratiori/replacement U Other. U Partial It 1 Job address: ��/�� E'� Bldg. Suite no.: _ __ Tax map/tax lot/account no.: Lot: Block: Subdivision: J V I_J Project name: _ Desctiption and location of work on premises: Estimated date of completion/inspection: FEE SCIIEDULE CON I RACI(M \1111V WA I WN Job no Fee lllaur -- Description (ca) Total no.las Business name: t�Z�-L - 1 � New residentiMin it.i -ludas tt ched family Per Address: � "��T dwellinRsusitlncludaatWchedgnrage. City: L� Mate: ZIP Serriabscluded Phone 1000 sq.ft.or less 4 P —. � I Far. Email -- i Each additional SW sq.ft or portion thereof CCB no. Z� Elec. bus. lie. no: �'I !�m,teilenergy,residential 2 C — Limned energy,non-residenual 2 Each manufactured home or modular dwelling nmurr_w curer,rsrnq elecf►ielan(requlred) Date Service and/or feeder 2 License nu? C -servtca or(riders-lnctallsliun. Sup elect nameipnno 1 �� alteration or relocation: 200 amps or less _ 2 r 201 amps to 400 amps2 Name (printr ` 401 amps to 600 amps _ 2 :ailing address: 60I amps to 1000 amps _ 2 City: L Z, State Over IWOainprorvolts 2 Phone: -T Far: --7L, -mail: Reconnect only I Owner instnflation•the installation is being made on progeny I own Temponryservicesorfeeders- instaliation altention.orrelocation: which is not inlC'1dCd hid Stllc, Irasc, rent. Or cxchanke according to 'W amps or less 2 ORS 147, 355,474,670, 701. 2 oi Amps to 400 amps —_ 2 Owner's si nature: Date: 1 401 to 600 amps 2 a I Branch circuits-nen,alteration, or extension per panel: Name: K Fee for branch circuits with purchase of Addre>s' service or feeder fee,each branch circuit 2 ` zip: B Fee for branch circuits without purchase City: 5L1[e of service or feeder fer,first branch circuit Phone: Fax: E-mail: Each additional branch circuli _ 71n W1 On M tsc.(Service or feeder not Included): Each pump or imgation circle 2 O Service over 225 amps-cnmrmrcinl U Health-care facility -- 2 U Service over 320 amps ruing of 1&2 U Hazardous locauon Each sign or outfine lighting farmly dwellings U Building over 10.0(K)square feet four or Signil circuit(s)or a limited energy panel. U System over 600 volts nominal more residential units in one structure alteration,or extension' ? O Building over three stories U Feeders,400 amps or more •Desch tion: — U occupant load over Q9 arsons U Manufactured structures or RV parA Each additional inspection over the allowable In any of the alcove: U Egrr_;Jlighungplan U Other ---. --.— -- Pe.inspection submit_sets of plaits with any of the above. Invesugation fee The above are not applicable to temporary construction service. Other _— Permit fee.....................S --- NN all lurtsdicticxrs accels crenht cards.please call junsdictron for rraxe mlrxmution Notice:This pemitt application U Visa U MasterCard expires if a permit is not obtained Plan review(at _, %) $ _—.- Ctedir card aumher within 180 clays after it has been State surcharge(8%) ....$ Expires accepted as complete. TOTAL .......................S —Name of cardholder u shown on crnilt card -- —-- Carahulder signatures Amarum 440-4615(WW,OM) o DON • MORISSETTE OBE - 2799 V� HouleI N C o • T o N A T ! 9 4A a0 0 A L 2 W 0 0 D 8 T A 2 2 T LOT: 29 Lete oewsao. 0 ■ sa0N o7' oaa DATE: 1Q/14/09 (a o a) a a s - 7538 PAZ (a o a) a s - 76 i a PROPERTY: WHISTLER'S—WALK UITY: TIGARL) SCALE: 1"=20' PLAN No.: 198A OPTION 2 ELEVATION 12350 3UJ KELLY' LANE � 104 Dl mueuc—, 4, °d SIDEWALK ;t -_- EASEMENT 0 % Tri' 911,2' �, 11 ,3 32"0. A 325, 326 321 21oBm sq. ft. 3 car ear. 4 beth FF E. 348^ 330 � n g 331 32 � 333 \�33Fd 339; X '33' V s, 49.13' sus 3s� LEGEND LOT CA"MAGE LOT ARE4•: C--Cl SQ. FT., ACER RUBRUM BUILDINCI G¢�:: e' $Q. F?. LO? 41° , l`�/J ,RED MAPLE PERCENTAGE 2 .. 10 30 1 eq. ft. _ CITY OF TIGARD- SITE PIAN REVIEW ' BUILUINfi PHINIFTNO.JryS PLANNING DIVISION, : ��nCVGl\/�D Required Setbacks: .®'Approved ❑ N,,4 Approved \I Side: ._.•;,L Street Side: '` From. .ckL Garape: _ Renr•; 'AL NOV 10 2003 W-mal Clearrr,rre: 0 Approved Cl Not Approved CITY OF TIGARD N'Inxiti um Flt -will„• ;k,-Igtot• A-0 feet BUILDING DIVISION uier Letter ILe%.16WCLI: 0 YCS No ❑ Received Date: // - f 3 y 3 (N1_i DHIAK I MEN-1 : M* ACtual Sl0pe:: A % M Approved ❑ Not Approved Site Play: / Approved ❑ Not pproved Nows: ELECTRICAL - CITY OF TIGARD RESTRICTEDENERIGY DEVELOPMENT SERVICES PERMIT#: ELR2004.00027 13125 SW Hall Blvd.,Ticlard, OR 97223 (503) 639-4171 DATE ISSUED: 2/9/04 (E ADDRESS: 12350 SW KELLY LN PARCEL: 2S103CC-08200 SUBDIVISION: WHISTLER'S WALK ZONING: R-4.5 BLOCK: LOT: 029 JURISDICTION: TiG Proiect Description: All encompassing low voltage. A. RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: X AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: X BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: X CLOCK: MEDICAL: HVAC: X DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: X FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: ALL ENCOMP : X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: Owner: Contractor: DON MORISSETTE HOMES QUADRANT SYSTEMS 4230 GALEWOOD ST PO BOX 14833 STE 100 PORTLAND, OR 97293 LAKE OSWEGO, OR 97035 Phone: 503-387-7538 Phone: 503-397.7518 Reg #: SE34-555821 lJLE 11C 96806 I] I 26-565('1.1.: FEES Required Inspections _ Description Date Amount Low Voltage Inspecti%m -1 [El,l,R%l I I F[ It I'.inui 2/9/04 $75.1") F I tiAk-- 1 NCTIL) [TAX] R' State 2/9/04 $6.00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246-6699 Issued by �` < < �, ; � LI LL Permittee Signature Cc.: II i L 1 OWNER INSTALLATION ONLY The installation is being made on property I own which is ,iot intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ _ _ _ DATE: L,CENSE NO: i Call 639-4175 by 7:00 P.M. for an inspection needed the next business day IG/2004 15: 19 5032362322 QUADRANT SYSTEMS PAGE 02 tricot Permit ApplicationReceivcd Electrical - --- 'Date/By-4 ? . , PermitNwe , 10'1 ,'Z- Planning ,' ;its of Tigard a Planning Approval Sign batdB : Pcmtit No.: 3125 SW Hall Blvd. �.` v Plan Review _ Otlicr i igard,Oregon 97223 Permit No,: _ 'hone: 503-639-4171 % 598-19�i� Post-Review Land Use Case No.: intemct: wNvw.ci.Ngard.o ,u9 Contact Ju_ns Fee Page 2 for 24-hour inspection Y.equest 50 -�9 J�73t� \\l, NamcMtethod: Supplemental fnfnrmatlod. New construction Demolition _ Service over 225 amps- licalth-care facility r-ommercial LJ Hazardous location Additian/alteration/re lacemerlt ❑ Ot11Cr: r Service over 320 amps-rating of C]Building over 10,000 square feet, r•;f1 ti ' 4i' a "' 'r% 1 e4 2 family dwellings four or marc rcaidenlial units in 1 c4, 2-Family d)yellin& Comincrcial/ltldustrial ❑System over 600 volts nominal one strueturc -- ❑Wilding over three stories ❑feeders,400 amps or more AccessBuildin Multi-Famll 2�_ — y ❑Occupant load over 99 perxann p Manufactured structures of 1tV park Master Builder Other: ❑L-grr"s/lighting plan [i Other: r t Submit_sets of plant with any of the above. The above are not a iicabie to tem orarz tonstructlon service. lob site address: at_•.J_ Suite#: Fla.//Apt.#, _ Number of inspec on!"erkqmlt allowed Project Name: _rrlo!� t+4> _s _ A•serlptton Qty Feetes.) Total Cross strcet/L�irectiots to ob site: New resldentW.single or mulll-family per 1 dwelling au1L Includes attached garage. Service locluded: S 1000$4.rt or Icss 145.15 _ 4 Lach additivnnl 500 sel.ti.or portion dtarcof 33. 0 1 - _ , 7--'--ti UI Limited cn tcsidential 75.00 Subdivision: ULh ST I F'.l ct�`�, Lot#: Limited energy,non residential __75,00 2 Tax ma / arcel #: Foch manufactured home or modular dwelling service and/or feeder 90.90 l Services or feeders-Installation, - I�rw0.ra l .n t 4[ �� aileratlata or relotatbn: -- 200 amps or less 80.3_0_ 2 101 amps to 400 amps 106.85 2 401 aurp9 to 600 Amps 160.60 2 A , (PCI amps to 1000 amps - —-- - 240.60 1 Over 1000 amps or volts454,65 2 Name: ti n M7 SCA q44 Erna Rcconntct Only _ _ 66.85 2 Address: Temporary services or(ceders-inAnflalion, alteration,or relocolloni Cit /Stat_ e�Ztp: _ _— 200 Amps or lett _ 66 85 1 Phone:Sri Pax: 201 am to 400_amps _-100,30 2 40110 600 ams 133.75 2 - ' MANEW1- Branch circuits-new,niteratfon,or Name: extension prr panel: —-- —� - - - - Ar Fee(br bench cirrtdts with purchase or Addiess. _ _ _- service at feeder fee,each branch eircuit G 65 - 2 Cit /State/Zl l: S.Fee t'or branch circuits without p,uchane or ---- - - - - service or feeder fee,rirst txvtch circuit46.85 _ 2 _Phone: FBS Gch additional branch circuit _ 6.65 _-_ 2_ E-mail: Misc(senvica or fecdcr not included) Qach pu,n,!ITU�Vaon Circle 51.40 2 _E!Lh_sijfr err outline lighting 53.40 - 2 Job No: 3 i-Rsignal clrcuit(s)ora limited energy panel, Business Name:Qtu-��j ;-4nt - alteration,Or_eul_ension Par - -- 2 Description Address: � � Each additional inspection over the allowable In anJ�of the sbm�e:_..— - Cit /State/Zip: ��. ( `��Z��''Z_ _ Per i�crian per buur min, I hour G2,.S0 Phone: S�3 ,134-� '— Fax 5a3 �3� a.3 I_ -_ 11tvestiptionfee! _— CCR Lic.#. "AWA Lic. #: Supervising clectJlclaliv, Subtotal S 76-W_- s.i afire required: ✓�%l r Ll �i t->' flail Review(25%of Permit Fcc) Print Name: �N t>• Lic. #: ( l Statc Sutchaw 13%of Permit Fee S — �� — — TOTAL PERMIT FEE I s i 60 Authorizedl[ otlec: Thls permit application expires fira permit is not nhtsined within Dole: ""'s t1 � 180 days ager It hax been Accepted as completr. - *Fre methodolory set by Tri County fluilding lndustrr Scrvlcr Flnard. ------ (Ple3sc.print name) ,.1Dst51,Pcmtit rorms\PlePermitApp doe n11n3 1 CITY OF TIOARD Residential Certificate off' Occupancy Permit No.: ;?et?� —/'�,Sr Z Address: Owner/Contractor: __; Date of Final Inspection: �L- .-p¢— Inspector: r % 'f'his structure has been found to be in substantial compliance with the provisions of the,State ol Oregon One& Two Family Owelling _. wcialty Code and is hereby approved for occupancy.