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13550 SW 122ND AVENUE 13550 SW 122ND AVE T I TIGARD R D MASTER PERMIT CITY ®F PERMIT M MST2003-OC399 DEVELOPMENT SERVICES DATE ISSUED: 9!15/03 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 13550 SW 122ND AVE PARCEL: 2S103CC-10300 SUBDIVISION: WHISTLER'S WALK ZONING- R-4.5 BLOCK: LOT: 050 JURISDICTION: TIG REMARKS Construction of new SF detached residence. BUILDING REISSUE: DM164 STORIES: 2 FLOOR AREAS — REQUIRED SETBACK`_ REQUIRED CLASS OF WORK: NEW HEIGHT: 23 FIRST 1,440 of BASEMENT: sl� LEFT: 5 SMOKC DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,595 of GARAGE: 406 sr FRONT: 7i PARKING SPACES: TYPE OF CONST: 5N "WELLING UNITS: 1 THIP' e1 RIGHT. s 00969 OCCUPANCY GRP: R3 BDRM: � BATH: 3 TOTAL 3,035 of VALUE: 282 REAR: 15 PLUMBING SINKS: I WATER CLOSETS: 3 WASHING MACH. I LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRA"'9: 1 CATCH BASINS: TUBISHOWERS: 3 GARBAGE DISP. I WAT--R HEATERS: WATEP LINGS: 100 POKFLIV PREVNT'R: GREASE TRAPS: OTHER FIXTURES: 0 MECHANICAL _ FUEL TYPES FURN<100K: BO!LICMP<3HP: VENT FANS: 4 CLOTHES DRYER: 1 (;AS FURN�-100K: I UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP. btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL _ RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MIS`-:..LANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 200 seV WISVC OR FDR: PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 8008F: 5 201 - 400 amp: 201 400 rnp: tat WIO 8VCIF OR: SIGNICUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 - 000 amp: EAADDI.BR CIR: SIGNALIPANEL: IN PLANT: MANU HMISVCIFDR: 601 1000 amp: not-amps-1000v: MINOR LABEL: 1000-am poll: PLAN REVIEW SECTION Reconnf .SIV' --4 RES UNITS: SVilIFDR--725 A- >BOC V NCMINAL: CLS AREAISPC OCC. ELECTRICAL RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 6 STEREO: VALUUM SYSTEM kUDIO 6 STEREO: FIRE ALARM. INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/,.IRIG: PROTECTIVE SIGkL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL OTHR: HVAC DATA/TELE COMM: NURSE CALLS: TOTAL N SY57EMS: TOTAL FEES: $ 5,446.57 Owner: Contractor: This permit is subject to the regulations contained in the FiON I IDRISSE'TTE HOMES DON MORISSETTE HOMES INC Tigard Municipal Code,State of OR. Specialty Codes and 4230 GALEWOOD ST 4230 GALEWOOD ST,STE 100 all other applicable laws. All work will be done In STE 100 LAKE OSWEGO,OR 97035 accordance with approved plans. This permit will expire if L/.KE OSW EGO,OR 97035 work Is not stjrted 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: Phone: Oregon Utility Notification Center. Those rules are set 5(13-387-7538 forth In OAR 952-001-0010 through 952-001-0080. You Ree 8: Ill 3R7�7S553tlIt may obtain copios of these rules or direct questions to O11NC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Mechanica Plumb Top Out Exterior Sheathing Ins( Rain drain Insp ElecMcal Final Sewer Inspection Underfloor Insulation Electrical Service Low Voltage Storm drain Insp Mechanical Final Footing Insp Crawl Drain/Backwater Electrical Rough In Gas Line Insp Water Line Insp Plumb Final Foundation Insp PLM/Llnderfloor Framing Insp Gas Fireplace Water Service.Insp Building Final Post/Beam Structural Mechanical Insp Shear Wall Insp InstiWion Insp Appr/Sdwlk Insp r" e-7 2 Issued By \- Permittl>e Signature Call (50::)639.4175 by 7:00 p.m. for an Inspection heeded the next business day i MASTER PERMIT CITYY O F T I G AR PERMIT#: MS-i'2003-00399 DEVE{L®F'MEAT SERVICES DATE ISSUED: 9115103 13125 SVV Hall Blvd.,T;,_-3rd, OR 97223 (503) 639-4171 PARCEL: 2S103CC-10300 SITE ADDRESS: 13550 SW 122ND AVE ZONING: R-4.5 SUBDIVISION: WHISTLER'S WALK LOT: 050 JURISDICTION: TIG BLOCK: REMARKS: Construction of new SF detached residen e. BUILDING__ --- REQUIRED SETBACKS HEIGHT: REQUIRED STORIES: 2 FLOOR AREAS _ - REISSUE: DM164 of LEFT: 5 SMOKE DETECTORS: Y HT: 2's F".IST' 1.440 of BASEMENT: CLASS OF WORK: NEWGARAGE: 405 of FRONT: 20 PARKING SPACE .'TYPE OF USE: SF FLOOR LOAD: 4U SECOND: 1,595 sr Twnn ar RIGHT: 5 TYPE OF CONST: 5N DWELLING UNITS: t TOTAL: 3,035 of VALUE: 292 989.00 REAR: 15 OCCUPANCY GRP: R3 BDRM: 5 BATH: PLUMBING RAIN DRAIN: 100 TRAPS' SEWER LINES. SINKS: 1 WATER CLOSETS: 3 WASHING.MACH: t LAUNDRY TRAYS: ' J SF RAIN DRAINS: 1 CATCH BASINS. LAVATORIES: 4 DISHWASHERS: 1 FLOUR DRAINS: tOn BCKFLW PREVNTR: GREASE TRAPS G ' AHBAGE DISP: 1 WATER HEATERS: I WATER LINES. TUBISHOWERS: � OTHER FIXTURES MECHANICAL -- FURN<100K: BOILIGMP<]HP: VENT FANS: 4 CLOTHES DRYER: I FUEL TYPES ,IOUDS: t OTHER UNITS: I FURN»100K: 1 UNIT HEATERS: OAS GAS OUTLETS: � MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: ELECTRICAL MISCELI. IONS 7EMPSRVC?FF.EUERS ORANCHCIRCUITSANFOUS ADD'L INSPECT------•`�-'• RESIDENTIAL UNIT SERVICE FEEDER__• _ o . 20o amp.. WIaVC OR FDR: PUMPgRRtGATION: PFR INSPECTION: 1000 SF OR LESS: 1 0 200 amp: PER HOUR: 201 40o tnP 1st Wb 9VCIFDR• SIGN:OUT LIN LT: EA ADO'L 500SF: 5 201 400 amp' EAADOL BR CIR:4111 �o 3"'P,p SIGNALIPANEL. IN PLANT: LIMITED ENERGY: 401 600 smo: MINOR LABEL: MANU HMISVCIFDp. 601 1000 amp: fiot.amps•loonw 1000+amplvolt: PLAN REVIEW SECTION - Reconnect only: —4 RES UNITS: SVCIFDR>•225 A.: i >000 V NOMINAL: CLS AREA/SPC OCC. ELECTRICAL•RESTRICTED ENERGY '—`�— �-�- � B.COMMERCIAL A SF RESIDENTIAL FIRE ALARM: INTERCOMIPAGING- OUTDOOR LNDSC LT- AUDIO . UM SYSTEM: AUDIO 6 STEREO: AUDIO 6 STEREO: BOILER:TH: HVAC: LANDSCAPEIIRRIG. PROTECT IVE 91GNL: BURGLAR ALARM: OMEDICAL! OTHR: CLOCK: INSTRUMENTATION: GARAGE OPENER.. NURSE CALLS: ioTAL a SYSTEMS: HVAC: UATAlTELE COMM: TOTAL FEES: $ 5,446.57 Owner. Contractor: This permit is subject to the regulations contained in the DON MORISbt I TE HOMES DON MORISSETTE HOMES INC Tigard Municipal Code,State of OR. Specialty Codes and DON MORISb I T ST 4230 GALEV,GOC)ST,STE 100 all other applicable laws. All work will be done In LAKE OSWEGO,OR 97035 accordance with approved plans. This permit will expire if STE 100 work is not started within 180 days of issuance,or If the LAKE OSWEGO,OR 97035 work is suspended fol more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted 5y the Oregon Utility Nutification Center. Those rules are set Phone: Phots' 503-387-7538 ggpp forth In OAR 952-001-0010 through 952-001-0080. You R•oa L1 38737 OUNobtain C by callinig(503)248r1987�r direct questions to REQUIRED INSPECTIONS Plumb Top Out Exterior Sheathrny Inst Rain dr;,-n In.;p Electrical Final Erosion Control Insp 81 PosUBeam Mechanical Storm drain Insp Mechanical Final Sewer Inspection Underfloor inyuiation Electrical Service Low Voltage Water Line Insp Plumb Final Footing Insp Crawl Drain/Backwater Electrical Rough In Gas Line Insp Water Service Insp Building Final Framing Insp Gas Fireplace Foundation Insp PLM/UnderfloorShear Wall Insp Insulation Insp Appr/Sdwlk Insp Post/Beam Structural Mechanical Insp — y <- Permittee Signature Issued By . — Call (503) 639-4175 by 7:00 p.m. for an inspection deeded the next business day iiiaaeaa,rJ CITE' OF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2003-00303 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/15/03 SITE ADDRESS; 13550 SW 122ND AVE PARCEL: 2S103CC-10300 SUBDIVISION: WIIISTI-LR'S �kALK ZONING: R-4.5 BLOCK: LOT: usu JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UV"TS: 1 TYPE OF USE: SF NO. OF BUILr INGS: INSTALL TYPE: LTPSWR IMPERV SUP:-ACE: Remarks: Construction of new SF detached residence. Owner: — -- -- FEES _ DON MORISSETTE HOMES Description Date Amount 4230 GALEWOOD ST STE 100 1SWUSA]Swr Connect 9/15/03 $2,400.00 LAKE OSWEGO, OR 97035 [SWUSA]Swr Connect 9/15/03 $0.00 Phone: 503-387-7538 [SWINSP]Swr Inspect 9/15/03 $35.00 (SWINSP) S"r Inspect 9/15/03 $0.00 Contractor: �. � $2,435.00 Phone: Reg #: Required Inspections This Applicant agrees to comply wits► 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 byt't� --;f r Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day t.iv3 -oU�� Building Permit Application ,G 1 — Uate rc�clued:' !: Permit no.: '- city of �igard L..1 - -- Address: i 1125 SW Nall Blvd,Tigard.OR 97223 Prolect/appl.no. __- Expire date: Ci ry njrigard n "..,�, 639--117! JUL 3 u, 7.003 Dat,: By:r' I' Recciptno.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: CITY OF TIGARD1&2familY Simple le Qrin lex p ;Job 18i 2 family dwelling or accessory U Commercial/industrial 0 Multi-family &New construction U Demolition Addition/alteration/roplacement IJ Tenant improvement U Fire sprinkler/alarm U Other: address: r ' , Bldg.no.: Suite no.: Lot: Block: Subdivision: L, e Tax map/tax lot/account no.: _ J Project name: tt_ Description and location of work on premises/special conditions: __-__ _ — 04' ('111-11KIASU OU N 11-It [011 NPEWAL 11 Mailing address: L'ti'C _ 1 &2 family dwelling: Statc�i ZIP: ' City: � �! Valuation of work........................................ $ � Phone: " - F'ax: -mail: No.of bedrooms/baths................................. fl,.vner's representative: 14-7 G-t Y_j i�_ Total number of floors........_....................... Phone: Fax: E-mail: New dwelling are,(sq. ft.) .......................... j Gamge/carpott a,, (sq. ft.) ........................ Name: mCovered porch area(sq, ft.) ......................... Mailing address: `_ .PY"1 Z — _ Deck area(sq.ft.) ........................................ _ - ---- �. Other structure area(s ft. City: State: ZIF. )......................... Phone: CommerclaiiindustriaUmulti-family: 1 1 Valuation of work........................................ $— _ Existing bldg.area(sq.ft.) .......................... Business name: I 1 _ ' Address: ; � New bldg.area(sq.ft.)................................ City: State: ZIP: Number of stories........................................ Phone: Fax: E-mail: Type of cunstruction.................................... — CCB no.: - — Occupancy group(s): Existing: _ _ New: City/metro lic.no.: Notice:All contractors and subcontractors art:required to he 14 w ij.107 17 with the Oregon Construction Contractors Board under Name: L �(' provisions of ORS 701 and may be required to be licensed in the Address: C4.� 'rte L� 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: Name: 1contact lx:rson: Fees due upon application ........................... $_ Address: Date received: City: i State: ZIP: Amount received ......................................... S Phone: Fax: E-mitil: Please refer to fee schedule. 1 hereby certify I have read and examined this application and Ute Not atl jurisdictions accep credit cards.Weise call iuridirtion for more Information. attached checklist. All rovisfans of I ws and i�inances governing this U visa o Mastercard work will hei2jgf�lil . cified iNereifn 4Aot. )l/, ,� Credo red numt,er _—____ _ E P iret AUthorl7.Cd C Name of cardlioldet as rhown an credit card Print name: 1 K — Cardboldet sl tore S Amciw— Notice: Phis permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 44G-461.1(IYt16COM) One-and Two-Family Dwelling Building Permit Application Checklist FReerencenu.: Associated permits: City of Tigard City of Tigard ❑faectrrcal ❑f> lurnhmg O Mechanical Address: 13125 SW Hall Blvd,Tigard,04 97223 U Other: _ Phone: (503) 639-1171 — Fax: (503) 598-196() 1 Land use actions completed.See jurisdiction criteria for concurrent reviews. 2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc. 3 Verification of approved platilot. 4 Fire district approval required. 5 Septic system permit or authorization for remodel.Existing system capacity 6 Sewer permit. 7 Water district approval. S Soils report.Must carry original applicable stamp and signature on file or with application. 9 Erosion control U plan U 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 cress references between plan location and details. Plan review cannot be completed t/ if copyright violations exist. J� I 1 Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;pmpetty comer elevations(if there is more than a 4-11.elevation differential,plan must show contour lines at 2-R.intervals);location of easements and driveway;footprint of structure(including decks);location of wellstseptic systems;utility locations;direction indicator,lot area;building coverage area;percentage of covero e;impervious res;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 axtures,balconies and decks 30 inches above grade,etc. 14 Cross section(%)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 he required to clearly portray construction.Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs, fireplace construction, thermal insulation,etc. 15 Elevation views.Provide elevations for new construction;minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for non-prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floorlroof framing.Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing locations.Show attic ventilation. 18 Basement and retaining walls.Provide cross sections and details showing placement of rehar. For engineered I 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 beant/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or architect licensed in Oregon and shall be shown to be applicable to the project under review, 23 Five(5)site plans are required for Item 1 I above. Site plans must be 8-1/2"x I I"or l 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 he in blue or black ink. Red ink is reserved for department use only. 4/0.1614 nWNCOMt r CITU Mechanical Peanut App ' /l Date received: Permit no.: / 9' (/ City of Tigar S �� ' oject/appl.no.: Expire date: Address: 13125 SW Hall ', (;i �" 23 ate issued: By: Reccipt no.: _ City of Tigard / I'� 5 '- Phone: (503) 639-4171 j 70 3 /1,t Case file no.: Payment type: Fax: (503) 598-1960 �U�. l" A.� _'5 — � rnit no.: Land use approval: U 1 &2 family dwelling or accessory Q Commercial/industnal 0 Multi-family U Tenant improvement flew construction 0 Add itiotdalter tiott/trplacement Ll Other. II 1 1 Iff 1 1 1 �. A Indicate equipment quantities in boxes below.Indicate the dollar Job address: value of all mechanical materials,equipment,ichor,overhead, Bldg.no.: Suite no.: profit.Value$ _----- ' Tax map/tax lot/account no.: 'See checklist for important application information and 1.0t: Block: Subdivision: jurisdiction's fee schedule for residential permit fee. Project name: 1 City/cuunty: ZIP: 1 t 1 1 1 1 171' Description and location of work on premises: - >ree(ea.) TotW Description Res-only Res.only Est,date of completion/inspection: AC: Tenant improvement or change of use: Air handlin unit _—CF-- Is existing space heated or conditioned?U Yes U No con Womng(site plan requtr ) Is existing space insulated?O Iteration o existing,,H system Yes ❑No of er/compressors U, State boiler permit no.: B : t HP Tons usiness nameBTU/ll — ireismo c am rs/ uct smo.e electors _ Address: cat um (site City: Li State, ZIP: nsta rep ace rnac urner Phone: Fax: E-mail: Including ductwork/vent liner a Yes 0 No CCB no.: nsta rep aca)re ocate caters-t,uspen e wall•or floor mounted City/metro lie. no.:N/A ent ora (once o rr than urnace Name(please print): - �� '� a erat on: Absorption units__---- HPU ,H Chillers— HP Name: 16-liaCompressors Address: C onmenta a0 usus(an �entilauon: City: State: ZIP` Appliance vent _ E-mail: ryere gust Phone: Fax. Hoods, ype res. tc a a at hood fire suppression system Exhaust fan with stn le dL.t(bath fans) ---- Name: gust s stem a art ore teaUn or Mailing address: ) (/L ue p p ng and distrIbu(Ion(up to out els) _ State, ZIP J _ Type LPG NG Oil City: — Fax E-mail: ue tin eac a ilio-naf over• out els F Phone: 7- Process p p ng(schcmatic require ) Number of outlets Name: _— ter d app ince or equ pment: - Decorative f rept ice Address: — nsert-type i--------- Cit% - State: ?.IP stovelpe etatove -mail: Phone: Fay er. 5 App(kant's slgnatu Date: t ler. Permit fee.....................S N..a0)undicuoru w"pr credlr car&.pteare call lur{dlcuon forme mfermmon Notice:This permit application Minimum fee..............••$ O Visa ❑MasterCard etpires if a permit is not obtained plan review(al __-. %) S Credit card numberHapire- within 180 days after it has been State surcharge(8%) ....$ accepted as complete. TOTAL .......................S r----- Name of ca, of r u owo one it c s 4*).4617(6Vn'COM) Crdl+olda ri`nHurt�-_ Amouni' - Plumbing;Permit Application Date rcceived. Permit no-:! City of Tigard .21 Sewer permit no.: I Auilding permit no.: Address; I�i25 SWI . ^ iE <_.� . redatc: City of Tigard Phone: (503) 639-41;` Prolact/appl.ro.: Expire Fax: (503) 598-1960 AUL ,� , 7003 Date issued. Ey: Receipt no.: rose file no. Paymentrype. Land use approval: i.i „ r---- tis, a' ;13 &2 family dwelling or accessory U Commercial/industmil Q Multi-family 0 Tenant improvement New construction ❑Addition/alteration/replacement Pxxi service D Outer. M= t t a 411611 � � � ., � .N � • i_, Description Qty. Fee(ea.) Total address: �." i 1—= Nerr 1-and?-[amIIy drrllings only:g.no.: Suite no.Y_ (iuctudes100ft.foreachlrtiliryconnecrion) Tax map/tax lot/account no.: _ SFR(1)bath Lot ) Block: Subdivision: �. V SFR(2)bath SFR(3)bath Project name: — City/county: ZIP: Each addiuunal badilkitchen Description and location of work on premises: _ Siteutilities: Catch basin/area drain _ -- ---- =— DrywellsAeach line/trench drain Est. date Footing drain(no.lin. ft.) Manufactured home utilities Business name: ) _L t Hh I Manholes — Address: Rain drain connector _ City State ZIP Sanitary sewer(no.lin. ft.) E-mail: Storm sewer(no.lin. ft.l Phone: -••�' Fax: Water servl�-c trio. lin.ft.) � CCB no.: [L��Z Ll—7 Plumb. bus. reg.no: — Fmture or item: Ciryimetro lic. no.:N,A Absorption valve Contractor's representative signatureBack tluw pre venter Print name: P' ua+�"� Backwater valve_ Basins/lavatory' 1 Clothes washer Dishwasher Address: t� vitf nrikine gaunt ints) City: _ State: TZIP, Electors/sump Phone: Fax: E-mail: FExpansion tank Fixture sewer cap Floor drains/floor strilm tib Name(print): Gaibage disposal Mailing address T� Hose bibb City State ZIP: Ice maker Phone: - —Tax: 7-710 E-mail: Interceptor/grease trap Ownrr inrralladonires/denda/mainropmance only: The actual installation Pnmensi will be made by me or the maintenance and repair made by my regular Roof drain(commercial 1 employee on the properr I own as per ORS Chapter 447 Sink-tsl, basintsi, lays(s) Owner's si nature Date: Sump 1111011111111111 Tubs shower/0. .aer pan _ Unnal Name Water closet Water heater _ State: ZIP: other Phone: � Fax Email. Total h? Minimum fee................S Not all iunt.Lcuont zcept cmi1it c.irdt,please all iunrLcuoe fa mune nfomWion Notice-This permit application plan review(at _ %) s Q Yisa ❑MmterCard _L�_ expires if a permit is not obtained S -- within 180 days after it has been State surcharge(8W) .--------- C.edlt crtd number Ex )ret p accepted as complete. TOTAL ....................... NUM NaI afdhui�iet L t1100n au crtdn card f - cardholder lirm3lure Amwn1 t0- 616'�rOa.CUM 1 Electrical Permit Application Date received: Frrmit no't�J 1. City of Tigard Project/appl.no.: Expire date: Cityojrigord Address: 13125 SW Nall Blv Q�3� Uate issued: Ff.y: —TReceipt no.: Phone: (503) 639-4171 � .� `�I ---- Fax: (503) 598-1960 ' Case file no.: Payment type: Land use approval: O 1 do 2 family dwelling or accessory Q�( PiSl/industrial Ll Multi-family 0 Tenant improvement New construction C]l Addition/alteratiun/replacernent Cl Other.- _ ❑Partial It SITE INFORMATION Job address: J � Y', Mg.no.: 11,uitc no.: -1 ax map/tax lot/account no.: Lot: r" Block: Subdivision: (!L , _-- Project name: I Description and location of work on premises: Estimated date of completion/inspection: tl Job no: I'n' � ��L Drscripticn Qtr. (ea.) Total Business name: no.Invp New residentW-virWJe or multifamily per Address: ) dwetWiguruL lncludesauach-drange. City: State: ZIP: -22 Service included: Phone: 1j- l Fax: E-mail: lino sq.ft.or less 4 Each additional 500 sq.ft.or portion thereof CCB no.: Elec. bus. lie.no: Uffutedenergy,residential C° —. - Urr_ d i dermal Z Each manufactured home or modular dwelling arum o su ervisin electrician(required) Dane Service and/or feeder _ — 2 Sup elect name(print 1 _ License no Senicesorfeeders-Installation, alteration or relocation: 200 amps or less 2 Name (print): It 201 amps to 400 amps 2 401 amps to 600 ams 2 Mailing address: 1/ 1� 601am;sto1000amps _ 2 City: c r SlatC ZIP: ) SF 2 _ Phone: - Fax: -� -mail: Reconectonly I Owner Installation:-The installation is being made on property I o%%n Temporary services or feeder- which is not intended for sale, lease.rent,or exchange according to butallation,alteration.ormlocation: 200 amps or less ORS 447,455,479,670, 701. _ 2 201 amps to 400amps _ Owner's si nature: — nate: 401 w MO amps 2 J a a. Branch cb aahs-oew,alter stlen, or extension per panel: Name: _ A. Fee for t ranch circuits with purchase of Address: service of:ewer fee.each branch circuit 2 City: S(ater I ZIP: B. Fee for branch circuies without purchase - - - - - of service or feeder fee,first branch circuit: 2 Phone' Fax: E-mail: Fach additional branch circuit: d i Misc.(Seniceov feedernot Included): O Service over 725 amps cnrnmercial U Ifealth-care facility Each pump or irrigation circle 2_— O Service over 320 amps-rating of 1&2 O Hazardous locauon Each sign of outline h hum fanulydwellings O Building over 10,000 square feet four or Signal circuits)or a limited energy panel, O Syso-m over 600 volts nominal more residential units in one structure alteration,or extension' 2 O Building over three stones U Feeder.400 amps or more *Description _ O Occupant load over 99 persons O Manufactured structures or RV park Each additional Inspection over the allowable in any of the above: O Egress(lightingplan O(cher --- Per inspection �r 7-1-7- Submit_seta,)f plan+with +ny orthe above. Invesugationfee The above are not applicable to tetnlwrary construction service. Other Na all lunaficuau acap credli cads,plr,se call juriadlcuoo a■more lnfomuuon Notice:This permit application Permit fee.....................S O Visa O MasterCud expires if a permit is not obtained Plan review(at _ %) S Credii card number / / within 180 days after it has been State surcharge(8%) ....$ Exp1fes accepted as complete. TOTAL .......................$ None of cardholder u shown on c it card _ S Cardholder signature Amount 44o-4615(&U OM) 08/13/2003 11:58 503-387-7517 VENTURE PAGE 03 DON - MORISSETTE (QBE : 2820 a " 1 ® i 'MC O A P 0 R . T M D LOT: 50 a a o G A L s R O 0 D 6 z R r m T � r. s oswaao, OX LOT: osoae DATE: 07/15/2003 sos) ees - sees ► A _ (e03) 367 - ss 1 s PROPERTY: 1lIII3TLER'9—11rALK CITY. TIGARD SCALE; 1"=20' PLAN No.- 164 L•311' p STANDARD ELEVATION I n I (L a I RECEIVE !!1 ,.. •d AUG z ' S I v I y _ CITY OP- TIGaRa 31a 0\ ,,?,,� + l�I, I a ILpING DIVISION C14 41 40d cer ger. • 1 �� '. :� ,►, FEE. 32D' 1 v• I 3 bdnn. Z 1/2 bath '., • '�� FF E. 3225' J-1 15 s r �- — lZbmeL•�2r ��IOEIMI=TIT K LOT COVERAGE LEGEND LOT AKEA (6,031st SD FT ISUILDING AREA 2,034 50 FT L OT psm PERCENT40E! 211% o ---V ACEIR 9Ul�Wl • RtD Wert,[ h9A9 eat. Ft. e CITYOF T I GA R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003-00633 13125 SW Hall Blvd., Tigard, OR 97223 (503[ 639-4171 DATE ISSUED: 12/22/03 PARCEL: 2S103CC-10300 SITE ADDRESS: 13550 SW 122ND AVE SUBDIVISION: WHISTLER'S WALK ZONING: R-4.5 BLOCK: LOT: 050 JLIRISDiCTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOB:Lc HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES _ LAUD )RY TRAYS: SF RAIN DRAINS: SINKS: Y URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: It WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Install irrigation backflow preventer. Owner: — FEES_ _ Description Date Amount DON MORISSETTE HOMES —_ -- 4230 GALEWOOD ST [PLUMB] Perinit Fee 12/22/03 $36.25 STE 100 [TAX] 8%Stott 121122/0 3 $2.90 LAKE OSWEGO, OR 97035 Total Y� $39.15 Phone : 503-387-7538 Contractor: LANDSCAPE OREGON, INC. 12200 SW MYSLONY RD. TUALATIN, OR 97062 REQUIRED INSPECTIONS Phone : 503-692-5945 1<P/Backflow Preventer Final Inspection Reg #: LIC LCIS: 7804 PLM ALL PHASES-PLL 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 pil,,; This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0100. You may obtsin copies of these rules or direct questions to OUNC by calling (503) 246-6699. Issued By: <.— Allt 11 Permittee Signature: -',J'? J Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day ilF, 1 U3 1 (1: 50a dan edmonds 503-692-0768 p. 1 ly Plumbing Permit Application Received t h OFFICE USE �' DoteJli : �� a` �T �eA7 Plumbing 'l-yl• U� Permit No.: „- y t Planning Approval Sewer City of Tigar. G� _k {••" Dale/B : _ Permit No. 13125 SW Hall Blv Pian Review Other DatcTigard,Oregon 97223 qq �q3 Post-Re Permit Use Phone: 503-639-4171 FAC419 .196 Post-Review Case Use U _Dada : case No.: Internet ww.i.ci.tigardl_o � Contact Juris.; See Page 2 for 24-hour Inspection Rey6E�t•' "'' Namc/Mcthod 7 1 Sopplemental Information. TYPE OF WORK _ _FEE" SCHEDULE(for spmlal Information use clieckdst New construction Demolition - Description Qtr- FeC(pJ Total Addition/alterution/Te lacement n Other: Nemv I-&2-family,dwellings CATEGORY OF CONSTRUCTION (Includes 100 R.for each utile 'connection 1 &2- arnily dwelling. Commercial/Industrial SFR(1)bath 249.20 SFR 2 bath _ 350.00 A Acessory Building Multi-Famil sFR(3)bath 399.00 Master Builder Other: Each additional bath/kitchen 45.00 JOB SITE INFORMATION and LOCATION Fire Rrinkler-sq.ft.: Pa e2 Job site address 3 554) SQL-'iJ�� /��_ SitteUtiiities Suite#: Bld /�/� #: Catch basin/ama drain 16.60 Pro•ect Name(.(,' �� Cr1 �L�QL LU ell leach line/trench drain 16.60 Footing drain no.linear ft Page 2 Cross street/Directions to job site: Manufactured home utilities 110.00 S ^`� % ; Manholm 16.60 Rain drain connector 16.60 _ Sanitary sewer no.linear ft.) Pa e2 Subdivision 4L.)hiS't/V'S LC)g� Storm sewer(no.linear ft.) Pa e2 Tax ma / arcel th /i SS S Water service no.linear ft. Pa e 2 Fixture or Item DESCRIPTION OF WORK Absorption valve 16.60 LOX14 S e`049 L -4&.,t e-4c{90t t) G(t'.t3 I C e" Backflow prcventer Page 2 '- _ _ Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 PROPFRTY OWNER TENANTDrinking fountain 16.60 - --- Ejectors/sump 16.60 Name: L)gW M Cry 1� kkrmC_$ _ Ex ansion tank 16.60 Address:4 .S_lIJ qC1L4t"-L-)C)0 CL.) Fixture/sewer cap 16.60 _ ^Cit /State/Zip.. tP_ 0,K-LQt Q_1L).3S Floor drain/floorsink/hub 16.60 ----L ---J Garbage disposal 16.60 Phone:: Fax: Hose bib 16.60 PPLICANT CONT_ACT PERSON Ice maker 16.60 Name: U1 "Zoo-rrmo Inter or/ "R 16.60 Address:!dao M4S VYI( LLD Medical gas-value: S Pae 2 Cil /Statc_/Zip - Primcr 16.60 Roof drain commercial 16.60 PhoneSD3 (a%- -Sof 45 Fax.-SOB b9 a.- 0710 9 Sink/basin/lavatory 16.60 1-�-mail: Tub/shower/shower Lmn 16.60 CONTRACTOR Urinal 16.60 Business Name: La ryt.1!2= O rz-9�_ -zr.j� Water closet 16.60 Address: l �oow- _1��- - Other ter 16.60 City/State/Zip:-im_� ^_ q,7c Other. --� PhoneSa3 &dLg- S1 4 5 Fax!3)3( Ya - Orlilo R Plumbinp Permit Fey .27. CCB Lic. #: "7ffVr-{ Plumb. LicA Subtotal S Minimum Permit Fee$72.50 S Aulhorizcd 3(n •�•S Signature., � Residenliul Backflow Minimum Fee 536.25 . G�'f- Y.c oate1• 1� �.3 - flan Review(25%of Permit Fee S tCaar reV State Stueha a s%of Permit Fee - I (Please print name) - TOTAL PERMIT FEIi S� / Notice: This permit applieat ee expires Ira permit is not obtained within All new commerriat buildings require 2 set-6 of plana with Isometric or 180 days-Iter It has been accepted as complete. riser diagram for plan review. 'Fro mrthodniogy tet by'Trl-County NuildInR industry Service hoard. CITY OF TIGARD 24-Hour BUILDING Inspection Lin.:. (503)639-4175 !NSPECTION DIVISION Business Line: (503)639-4171 MST _ r - BLIP Received I 1`- i y Date Requested L7 AM--PM BLIP Location /� Z Z Z-vt � j _ Suite MEC Contact Person l Ph( `�U ) to 92 -S-''y5 Contractor Ph e R BUILDING Tenant/Owner ELC Footing Foundation Accass: ELC Ftg Drain Crawl Drain ELF! _--___- Slab inspection Notes: SIT Post& Beam Shear Anchors Ext Sheath/Shear _ Int Sheath/Shear -- - - — Framing -- ------ Insulation - --- Drywall Nailing _ Firewall Fire Sprinkler Sprinkler Fire Alarm Susp'd Cei'ing ---- Roof --_-_- -- Other: Final PASS PART FAIL PLUMBING——-- -- --_ Post& Beam Under Slab Rough-In Water Service Sanitary Sewer — Rain Drains Catch Basin/Minh,le Storm Drain Shower Pan :/1'2'L1� A$ PART FAIL HANIC_A_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$�_ __ required before next inspection. Pay at City Hall, 13125 SW Hall Rlvd PASS PART FAIL [-] SITE Please call for reinspection RE: — _ Unable to inspect--no rircess Fire Supply Line ADA Approach/Sidewalk pots - Inspector --- -y2 Ext_— other: Final PART FAIL DO NOT REMOVE this In%pection record from the Job site. PA CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 �MSt i — %-� INSPECTION DIVISION Business Line: (503)639-4171 aA _.!! BLIP Received �` . �y Date Requested AM__ — PM BUP Location __ / .� J �� / Z2��47 �-� _ Suite MEC Contact Person Ph PLM G' -- ��' PLM _._.. Contractor ------ 1 t.1-� _ Ph ( -) SWR -__---- -- Tenant/Owner _ _ _ _ ELC Footing ELC Foundation Access: -T""--- -- - Ftg Drain ELR Crawl Drain -- ----- --- Slab Inspection Notpq: SIT Post& Beam -- — Shear Anchors Ext Sheath/Shear Int Sheath/Shoar -- -�-- ------ - Framing Insulation Drywall Nailing ---- - -_--Firewall Fix Sprinkler -- -__ Fire Alarm Susp'd Ceiling - ------ ----- -- -- Roof �tr: - - - -- - -- FI PA PART FAIL - - -- _ ------- Post& Beam --- Under Slab -- - - - -- - Rough-In Water Servic© --- -- --- --- Sar,itary Sewer Rain Drains Catch Basin/Manhole Storm Drain - - Shower Pan I - --- - �-- - -- - 01her: -.__. ----- -- - — — ( PASS LPART FAIL - - - Post R Beam _— Rough-in - - - - - ------- __ Gas Line - Smoke Dampers - - mal ?' PART TAIL Service - - - -- Rough-in UG/Slab - - - - Low Voltage For Altutk - - - 1 L-1 Reinspection lee of$_ required b«;fore next inspection. Pay at City Hall, 13125 SW Hall Blvd. ASS_ PART FAIL 704i_ - [_1 Please call fcr reinspection RE:- - -_ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk. I bots -� � ��' C � Inspector ` -� �Ext Other. Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL I J. AAAAAAAAAAAAAAAAAAAAAAAAA.&�AA,A AAAAAAAAAAAA�� 4 `� ► : ► 4 ► 4 l" ► : �� ' r ► 1 �''a a ► 4 4 � y ► 4 ro z ► : d ► 4 4 I ► 4 vrD ► r ... n �' ► ° ... . N o ra ► t Z RIO- 4 4 •. cro 4 V a a� ► . -- 4 , C7 , ► „' ► 4 > 9 ► n �, ° �' ► ry vBoo. rt ► � \ tw � '''' o ► 44 ry ' I� ► : loo.44 r 41 © ► 01. 44 44 �► ► �FVVTVVVTVVTsVVTVVVVVVVVTTVVVVVVVVTVTVVVVVVVvI O O -- Q O -9 rz w 4 CL c S � c- 0. r IN Is w H n C r a �o H � O A O 0 ti a � v O � z 5 a C a'