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13665 SW 124TH AVENUE 13665 SW 124"' Avenue CITY OF TIGARD 24-Hour _ Inspection Line. (593)639-4175 BUILDING INSPECTION DIVISION Business Line: (563)639-4172= MST BUP Received r to 3L9P Date Regjeste'd/ ? — I L ---_ AM_-- ------ PM-- --- BLIP i "wion __1 l/r! S� l� 7 _ Suite MEC Contact Person /� I�LrC — Ph( ) PLM ---.-- Contractor_ Ph( ) —_ —__ SWR UILDIN _— Tenant/Owner - ELC - _--_---_-- --- -- - Footing ELC Foundation Access: Ftg Drain EL R Crawl Drain Slab Inspection Notes: Sll — — Post&Beam 6 _ Shear Anchors Y_ o Ext Sheath/Shear _ — Int Sheath/Shear _ Framing --- - ------- — Insulation -- Drywall Nailing -- - -- Firewall J Fire Sprinkler -- - - - - Fire Alarm Susp'd Ceiling -- ----- --- - ��-7- - Roof Other:-- - ----- ` PASS PARTFAI �i PLUMBING Post&Beam Under Siab -- - - -- Rough-In _ Water Service - -z- ,� ----- Sanitary Sewe• Rain Drains �- - --- — Catch Basin/Manhole — ) Storm Drain Shower Pan Other:_- _ -- — Final PASS PART FAIL / RRES"ge am-In - Gas Line S e Dampers ---- -- - rn ASS �!'JART FAIL _ — -- _ TKICAL Service -— - Rough-In UG/Slab Low Voltage — Fire Alarm Final Reinspection fee of a —._._required j store next Inspection. Pay at Clty Hail, 13125 SW Hall Blvd. PASS PART FAIL SITE n Please call for reinspectlen ct:— - Unable to inspect-no access Fire Supply Line r `� ADA Do% Approach/Sidewalk _—_. - .._-_ Inspector Other: Final T DO NOT RF..MOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION business Line: (503)639-41 i 1 3�� BLIP _-- Received �G� I Z� - � Date Requested _ AM_�__-__ PPM_ _ BLIP Location _ r Sf �2� Suite------ MEC Contact Person �.a2 __-- --- rah( -) LS PLM ------ Contractor Ph(__ ) SWR BUILDING Tenant/Owner - - - - --- -- - ELC Footing Foundaf.on Access: ELC Ftg Drair, ELR Crawl Dra'n -- - Slab Inspection Notes: SIT _ _- Post&Beam Shear Anchors - -- Ext Sheath/Shear Int Sheath/Shear --- -- - - --- Framing Insulation Drywall hailing -- -- Firewall Fire Sprinkler - - -- - - = Fire Alarm Susp'd Ceiling — v Roof Other: ---- --- - Final ._-- P0"3S PART FAIL ` - Post& Beam �- Under Slab Rough-In Water Service Sanitary Gower Rain Drains - Catch Basin/Manhole Storm Drain ----- - -- - Shower Pan Othax.. `-- i PA PART FAIL ' HAWICAL Post& Beam Rough-In Gas I.ine Smoke Dampers --- -_ Final PASS PART FAIL ------- ---- ---- - ELE_CTRICAL Service --- Rough-In UG/Slab --- - - ------ --- - Low Voltage Fire Alarm Final L� Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL_ SITE _ ❑ Please call for reinspection RE: _ Linable to Inspect-no access Fire Supply Lino ADA Approach/Sidewalk Date Inspactor - --.—_ Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS FART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business tine: (503) 639-4171 MST BLIP --- -- -- ---- Received -----__.-_.-�Date Requested -5���- AM.-----__ PM-- BUP -----__.__ Location 1.��_(Q a� Y li`-E> Suite------ - MEC - ---- -- - - Contact 119rson _ _ _ Ph PLM Contractor --- -- — ---- Ph( ) _ NR - ------------ BUIL.DING Tenant/Owner ELC Footing - ELC -- ---- --- - Foundation Fig Drain Access: Crawl Drain ELR Slab Inspection Notes: SIT Post&Beam Shear Anchors - - --- --- - Ext Sheath/Shear i Int Sh�eath/Shear Framinq - Insulmion Drywall Nailing Fiiewail Fire Sprinkler - ---- __ -- -_.--- - -- - Fire Alarm Susp'd Ceiling - - - - Roof Other - - - SS ART FAIL - - PL BINGT �- Post&Beam Under Slab - - — - Rough-In -- - Water Service -anitary Sewer Rain Drains Catch Basin/Manhole Storm Drein Shower Pan Other: Final PASS PART FAIL - ---- - MECHANICAL Post&Beam Rough-In Gas Line Smoke Dampers Final _ --- — PASS PAPT FAIL ELECTRICAL — serv:^.e Rough-in - UG/Slab Low Voltage Fire Alarm Final Reinspection fee of$ required before next Ins PASS PART FAIL ---•— q pectlon. Pay at City Hall, 13125 3W Hall Blvd. SITE ( ] Please call for reinspection RE: m_ Unable to inspect-no access Fire Supply Line ADA. 3 Approach/Sidewalk bate ----- ------ Inspector (_,_ Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OFTIGi4RD — _ MASTER PERMIT PERMIT#: MST2003-00013 DEVELOPMENT SERVICES DATE ISSUED: 2/20/03 13125 SW Hall Blvd.,Tigard,OR 97223 (503) 639.4171 SITE ADDRESS: 13665 SW 124TH AVE PARCEL: 2S103CC-05900 SUBDIVISION: WHISTLER'S WALK ZONING: R-4.5 BLOCK: LOT: 006 JURISDICTi-)N: TIG REMARKS: NEbo S BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT. 2C, FIRST: 1 614 sf BASEMENI: sf LEFT: SMOKE DETECTORS: V TYPE OF USE* SF FLOOR LOAD: 41) SECOND: 1 163 sf GARAGE: 602 sf FRONT: PARKING SPACES: TYPE OF CONST: 6N DWELLING UNITS: I THRD sf RIGHT: OCCUPANCY GRP: R3 BURM: BATH: .i TOTAL: 7,7 at VALUE: 327,244.00 REAR: PLUMBING _ SINKS: 1 WATER CLOSERS: 3 WAStIING MACH: I LAUNDRY TRAYS: RAIN DRAIN. IDU TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: CATCH BASINS: TUBISHOWERS: 3 GARBAGE DISP: I WATER HEATERS: I WATER LINES: 100 BCKFL.W PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K I BOIL/CMP<]HP VEN�FANS: 5 CLOTHES DRYER: I 11`6 FURN>-100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP, hlu FLOOR FURNANCE& VENTS I WOODSTOVES: OAS OUTLETS: 6 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS _ MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 -200 amp: 1 0 206 amp: WISVC OR FOR PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF 5 201 - 400 amp: 201 - 400 amp: 1 St WILT SVC SIGMIOUT LIN LT: PER HOUR: LIMITED ENERGY. 401 600 amp. 401 - 600 amp: EAADDL BR CIR: SIONALIPANEL: IN PLANT: MANU HMISVCIFDR: 601 1000 amp: 601.nmrs-1000v: R+INOR LABEL: 1000•snip/volt PLAN REVIEW 9ECTIUIJ Reconnect onlV: a•4 RES UNITS: SVCIFDR>•225 A.: >600 V NOMINAL: CLS AREAISPC OC.:. ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO S STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAITELE COMM NURSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 5,664.60 This permit Is subject to the regulations contained IIT the DON MORISSETTF HOMES DON MOR13SETTE HOMES Tigard Municipal Code,State of OR. Specialty Codes and 4230 GALEWOOD ST#100 4230 GALEWOOD STREET all other applicable'aws. All work will be done in LAKE OSWEGO,OR 97035 SUITE 100 scLmrdance with approved plans. This ponnit will expire If LAKE OSWEGO,OR 97035 work Is nct started within 180 days of issuance,or If the work IS susp 111Jed for more than 180 days. ATTENTION: Oregon taw requires you to follow rules adopted by the Phone; 503-3R7-7538 Phone: Oregon Utility Notification Center. Those rules are set forth in OAR 95:!-001-0010 through 952.001-0080. You Reg 0: �(� 3I3737 l rTlay ribtah-c:;Nles of these rules or direct questions to OUNC b%, -ell Ing(503)246-1987. REQUIRED INSPECTIONS Frosiun Control Insp 8, Post/Beam Machanica Plumb Top Out Exterior Sheathing Inst `Nater Line Insp Plumb Final Sewer Inspection Underfloor Insulation Electrical Service Gas Line Insp Water Service Insp Building Final Fouling Insp Crawl Drain/Backwater Electrical Rough In Gas Fireplace Appr/Sdwlk Insp Foundation Insp ^LM/Underfloor Framing Insp Insulation Insp Electrical Final Post/Beam Structural Mechanical Insp Shear Wall Insp Rain drain Insp Mechanical Final Issued By : �`.L kJJ�� w� l -- Permittee Signature : __ _--- Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day SEWER PERMIT CITY OF TIGAR® DEVELOPMENT SERVICES PERMIT 4: S -00016 • 13125 SW Hall Blvd., 'rigarct. OR 97223 (503) 639-4171 DATE ISSUED: ?_/220/030/03 PARCEL: 2S 103CC-05900 SITE ADDRESS; 13665 SW 124TH AVE SUBDIVISION: WHISTLER'S WALE: ZONING: R-4.5 BLOCK- LOT: 006 JURISDICTION: TIG 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: S*:wast C— t�F-e-r iofJ Owner: 4ok nJ p-W 5c -- --- - FEES DON MORISSETTE HOMES Description Date Amount 4230 GALEWOOD ST#100 --------- - — -- LAKE OSWEGO,OR 97035 [SWUSA]Swr Connect 2/20/03 $2,300.00 1 SWUSA]Swr Connect 2/20/0 $0.00 Phone: 503-387-7538 [SWINSP]Swr Inspect 2/20/03 $35.00 [SWINSP]Swr Inspect 2/20/03 $0.00 Contractor: ----- Total $7.,335.00 Phone: Reg # Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from the date issued. 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 thF measurement given, the installer shall prosper, 3 feet In all directions from the distance given. If not so locatud,the in;.alter shall purchase a"Tap and Side Sewer" Perm Issuaa by• . J1 _ Permittee Signature: ' Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Building Permit Application Date received: City of 'Tigard ® Permitno. A', pLMO/3 t:x C;rynjTigani Address: 131':.5 SW Hall Blvd,Tigard,OR 97223 Projeet/appl.nire date: Phone: (503) 639-4171 Date issued: �, Receipt no.: :ax: (503) 598-1960 Cast fileno.: Payment type: Land use approval: —�_ I&2 family:Simple Complex 1 U I &2 family dwelling or accessory ❑Cornmercial/industrial ❑Multi-family >CNew construction ❑Demolition ❑Addition/alteration/replacement ❑Tenant improvement U Fire sprinkler/alarm ❑Other. 11110 Lillis Job address: I Bldg.no.: Suite no.: _ Lot: Block: Subdivision: t„ Lr , v"-_ \j& Tax map/tax lot/account no.: Project name: Description and location of work on premises/special conditions: Name: Y� Mailing address: �,' , I &2 family d.velling: Cit State 'LIP: ' Y� al. - Valuation of work........................................ $ Phone:. - c5- Fax: ' -7 mail: No.of bedrooms/baths................................. ?1. Owner's representative: I Total number of floors................................. Phone: Fax: Gmail: New dwelling area(sq.ft.) Garage/carport area(sq.ft.)......................... Name: lv 14 Covered porch area(sq. ft.) ...........I............. _ Mai lin—dal Deck area(sq. ft.)...... _ City: State: ZIP: Other structure area(sq.ft.)......................... Phone: ► :�, E-mail: Commercial/indmtrialimulti-family: 1 Valuation of work........................................ $ iness mune: m ft 10110111111111111 Existing bldg.area(sq. ft.) .......................... Aucu-in ss: Z r New bldg.area(sq. ft.) ............................... City: State: ZIP: Type of stories........................................ _ Type of construction.................................... Phone: Fax: E mail: Occupancy G e s Occupancy group(s): Ex;sdng: CCR _ City/metro lic. no.: Notice:All contractors and subcontractors are required to be ilia 111117 10 r licensed with the Oregon Construction Contractors Board under Name: LI i, lav_ provisions of ORS 701 and may be required to be licensed in the Address: � ��(�,� W L jurisdiction where work is being performed. If the applicant is Cit State: ZIP: exempt from licensing,the following reason applies: Contact person. Plan no.: -- -- Phone: Fax E-mail: ---_— --- . Name: Contactperson: Fees due upon application ........................... $ Address: _ _ Date received: _ City:. State: _ — ZIP: Amount received ......................................... $_ Phone: __ax: _ E-mail: Please refer to fee schedule. 1 hereby certify I have read and examined this application and the Not all Jurldwdons accept credit curia,please call Jundiction for mom InfomWion attached checklist. rovisions of I ws and o dmances governing this ❑visa ❑Maslercam work will be comp) wl ,whether ified�ereifr t. Credit cad number.._ 1.. I >tpirca Auth.)rized s natu t��� � None of lcet m drown on credit card Print name:. 4 z fX' ', ILy.`_ _ — ra"Molder sigulury �� $ Amount Notice:This pemlit application expires if a permit is not obtained within 190 days after it has been accepted as complete. 4404813(64XKOM) One-and Two-Family Dwelling ; Building Permit Application CheeldiSt R,1'.-...no.: Grvof7igard City of 'Tigard Associated permits: �J U Electrical U Plumbing U Mechanical Address: 13125 SW Hall siva,Tigard,OR 972123 U Other: Phone: (503) 639-4171 — 7ax: (503)598-1960 , _I Land use actions completed.See jurisdiction criteria for concurrent review,,. _ 2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc. 3 Verification of approved plat/lot. 4 Fire district. approval required. 5 Septic system permit or authorization for remodel. Existing systern canacity — 6 Sewer permit. - -! Water district approval. - 8 Soils report.Must carry original applicable stamp and signature on file or with application. 9 Eroslon control Q plan ❑permit required. Include drainage-way protection,silt fence design and location of catch-basin protection,etc. 10 _3 Complete sets of legible pians.Must be drawn to scale,showing conformance to applicable local and state building codes. lateral decivn 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�e completed k/ if copyright violations exist. J` 11 Sit dplot plan drawn to scale.The plan must show lot and building setback dimensions:property comer elevations(if there is more than a Oft.elevation ditTerendal,plan must show contour lines at 2-11.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator,lot area;building coverage.'ma;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 constriction,roof construction.More than one cross section may be required to clearly portray construction.Show details of sul wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings rnd foundation,stairs, fire lace construction, thermal insulation,etc. 15 Elevation views.Provide elevations for new construction;rninimom of two elevations for addition's 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::howing foundation elevations with cross references an:acceptable 1 e Wall bracing(prescriptive path)and/or lateral analysis pi ans..Must indicate details and locations;for non-prescriptive path analysis provide specifications and calculations to eng;neering standards. 17 I1oor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing locations.Shaw attic ventilation. 18 Basement and retaining walls.Provide cross sactions and details showing placement of rebar.For eneineered 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 bearn/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 I'or four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an envia%;er 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 he 8-1/2"x 11"or I I"x 17". x 24 Two(2)sets each are required fnr Items 16, 19,20&22 d6ove. 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 he completed before plar review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only. 4404614 t,urvr nMt • Application ,~ Mefchaiucal Permit Nate received: Permit no.: City of Tigard Pv ijecr/appl.no.: Expicr date: Ciry offigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: I Receipt no.: Phone: (503) 639-4171 Payment type: Fax: (503) 598-1960 Case file no.: Land use approval: Building permiapproval: - ---- 0 1 &2 family dwelling or accessory 0 Commercial/industrial J Multi-family ❑Tenant improvement X,Iew construction C] Addition/altetation/replacement 0 Other. - It 0 ' t 1 t 1 F dress: �j t r U� value equipment quantities in boxes below.Indicate the dollar Job ad Bldg.address: no. Suite no.: of all mechanical materials,equipment,labor,overhead, profit-Value$ Tax ma tax lot/account no.: Lot: Block: Subdivision: � L el ,.f'See chcck!ist for important application information and jurisdiction's fee schedule for residential permit fee. Project name: ZIP: t r City/county: � ,,� I 1 1 m « t�t Description and location of work on premises: Fee(ea.) Total Description Qty. Ra.only Res.ody Est.date of completion/inspectiott: _ HVAC: Tenant improvement or change of use: Air handling unit CFM _ Is existing space heated or conditioned?O Yes O No Air conditioning(site plan re )quire Is existing space insulated?IJ Yes C1 No A ieration of existing kiVACsYstem Boiler/compressors State boiler permit no.: Business name: I7 _ lip Tons BTUM Address: irdsmo c ampers/ductsmokedetectors City: L� State• 7_IP: eat pump(site pan required) — nstal replace umac urner U/ Phone: Fax: E-mail: --__— Including ductwork/vent liner O Yes Q No CCB no.: __ nsta Ureplacdre ocateheaters-suspen ed, City/metro lic. no.:N/A wall,or floor mounted ent�a tante o er than furnace Name(please print): [J'' (-- �-- e 'gesat on: Absorption units BTUM Name: `O 0-_ I-L__ Chillers---- HP — Com ressors HP Address: C�. v lonmental exhaust and vent at on: City: State: ZIP: Appliance vent Phone: Fax: E-mail: ryere gust oods,Type res. tc a azmat hood fire suppression system Name: dl ' Exhaust fan with single duct(bath fans) — Exhausts stem apart from heattn or A Mailing address: ) 01 _ uel piping ao distr .-'out(up to d outlets) City' State• ZIP Type: _LPG NG Oil _- Phone: 7- Fax: E-mail: rI ingeachad itiona over outlets Process piping(schematic required) Number of outlets Name; —_ ter appliance or equipincnt: Addres,: - -- Decorativefiteplace City - —_ - `--- - State: ZIP: nsert-ty — - stove/pe et stove Phone: Faa: 1 -mail: Other: Appllcant's signatu' Date. ter. -- Name(print): _Nair,- I 'i Permit fee. $ Not all iuris&ctions accept credit cards,ple"call iunxLcuon to mat inturnutlun. Notice:This permit application Minimum fee................$ —_ 0 Visa O MasterCard expires if a permit is not obtained Plan review(at _ `7b) S — Cttdit card number ---- !Expires within 180 days after it has been State surcharge(8W) ....S --- ---t7une of ur�r u sho-a on ctrdtt card accepted as complete. TOTAL .......................S __-- Cardlroltlet signature _ = Amount 4ad.a611(WWOM) Piumbing Permit Application Date received: Permit no.: City of Tigard Sewer pcmdt no.: Building permit no.: Address: 13125 SW Hall Blvd,3•pard.OR 97223 Project/appl.no.: Expire date: City ofTigard Phone: (503) 639-4171 Fax: (503) 598-1960 Date issued: i;y: Receipt no_ Cue file no.: ?ailment type: Land use approval: U CommtrcraUindustrial U Multi-family U Tenant improvement 1] 1 &2 fa;dwelling or accessory ew conU Addiuon/alterauon/rrplacement U Food serviceU Or};er: kvfDescription Qty. Fee(ea.) Total Job address: < <7� �` `--1—' New i and Z-fatuily dwellings only; Bldg. no.: Suite no.: _—_— (includes too fl.for each WRAYconnectioo) Tax map/Lu IoUaccount no.: SFR(1)bath LotBlock: Subdivision: l SFR(2)bath Project nae: 1 ,� SFR(3)bath m _ 'LIP: Each additional batlt/kitchen City/county: Description and location of work on premises: Catch basiti/ Catch Dasirt/area drain Drywells/leach line/uench drain — Est.date of completio�nspect on: Footing drain(no.lin. ft.) Manufacnired home utilities _ Business name' �j !,� Manholes Run drain connector - Address: Sant sewer(no.lin. ft.) Stat,:• ZIP: — City: Storm sewer(no.lin.ft.) Phone: -�' Fax: E-mail: Water service(no.lin.ft.) CCB no.: [ "��- Plumb.bus. reg.no: Flxttue or item: City/metro lic, no.:NIA Absorption valve -- Contractors r'presentauve signature Back Clow reventer Pnnt name: U Bacl.water valve_ - Basins/lavatory Clothes washer Dishwasher Address. CL1c V - Drinking fountain(s) City. I State: L1Y E)ectors/sum Phone: Fax: �E-mail Expansion tank Fixture/sewer ca — Floor dr-tuns/floor sinksthub Name (print): �'► _ Garbage disposal Mailing address:- Hose bibb City: 1 . State ZIP: Ice maker Phone: - Fax: G1 Email. Interco too/grease trap Owner instaUation,'raidentia/maintenance only: The actual installation 'rimers) will be made b% me or the maintenance and repair made by my regular Roof.train(commercial) employee on the property I own as per ORS Chapter 447 S mist,basln�sl,lays(s) Owner's si nature: Date _ TLbs/shower/shower pan Unnal Name: _ Water closet Address: Nater heater City State: ZIP' Other a — Phone. _ Fax: -1E•mail. Toll Minimum fee................S Nar dl 1unrlicrioru zxepr credn rvrdt,plrve till lun"cuon for mxe information Notice:This pennit application Plan review(at _- %) S O visa U MasterCud expires if a permit is not obtained State surcharge(8%) ....S Ciedu card number — EFp—�--�— within 180 da)5 after it has been TOTAL ......... S --- accepted as complete Now tit cardhalder L rhoen,-It"Bard _ 4jo-x616(&UW UM1 ll'ardh_�du uenai+rc Amount Electrical 1Pern it Application Date received: Permit no.: City of Tigard Project/appl.no.: Expire date: Address: 13125 SW Hall Blvd.Tigard,OR 97223 Date issued: By. Receipt no.: City of Tigard Phone: (503) 639-4171 Case file no.: Payment type: Fax: (503) 598-1960 Land use approval: t ❑ multi-family 0 Tcnant improvement ;C3 I &2 family dwelling or accessary D Commercial/industrial y ❑Partial New construction O Addition/altetation/replacement 0 Other._ _ 1 1 1 address: 1f `i°, Bldg.no.: Suite no.: 'fax map/tax lot/account no.: (At:— lock: Subdivision: Project name: Description and locauon of work on promises: Estimated date of t ompletion/inspe cdon: LEWE t 11 Fa Mrs Job no: _ tx«:ipdon Qty. (m) lotal no.irip Business name: New rsaidential-sirlgk or multi-fandly per Address: dwelling unit.Includes attached garage• Sery 000 City: State: "LIP: 1s included: -_� 1000 sq.ft.or less 4 Phone: Fax: E-mail: �j ' ( Each additional 500 sq.ft or portion thereof CCB no,: Elec. bus.lic. no: rgy,residential 2 C: Limited energy,non-residential 2 r Each manufactured home or modular dwelling 2 Date Service anNor(ceder aaureo/su ervrsm electrician(required) Services erfeeders-bu Motion, Sup elect name i print 1 V License no alteration or relocation: 200 amps or less 2 201 amps to 400 amps 2 Name (print): 1 a01 amps to 600 unps 2 Mailing address: �1) 601 amps to 1000 rim s z City: / State LIP: Over 1000 amps 7f Volta I- -s F- _ -mail: Reconnectonly Phone: Temporary services or feeden- Owner Installation:The installat on is being made on property I own uutalladon.■Iterstion,orteioadon: which is not intended for sale, lease,rent,or exchange according to 200 amps or less 2 z ORS 447,455,479,670,701. 201 amps to 400 amps — 2 Owners sl nature: Date: 401 to 600 amps I Snnch circuits-new,alteration, or extension per panel: Name: A. Fee for branch circuits with purchase of 2 -- -vice or feeder fee,each hrancl circuit Address: Stale: ZIP: 8. Etx for branch circuits without purchase 2 City: of service or feeder fee,first branch circuit: Phone: fax: E"mall' Each addiuonal branch circuit: Mise.(Service or feeder not Included): 2 U Health-care facility Each pumpor imgation circle 2 7(3f�an_.ij rvi a over 2.3 amps•commemial Each urn or outline lighting i«over 320 amps rating of Ide2 U Harardoguslocauon sae feet four or Signal circuit(s)or■limded energy paned. Iydwellmgs U Bwldin ova IO,000sy 2 stem over 600 volts norninul more residential units in one suuctum alteration,or eatensinn• - ❑Feeders,400 amps nr mere *Description — ❑Butldingovertiveestanes -- U Occupant load over 99 persons U Manufactured structures or RV parte Fach additlorwl Inspection over the allowable In anyr_e_ U FgrrssAightingplan U Other Permapecuon ' I_—�_—►- Submit_sets of plans with any of the above. Investigation fee _The above are not applicable to temporary construction service. otter Permit fee.....................$ — Not dl junWicuons accepr credit cads,please call jurisdkuoo rot ruse information Notice:This permit application Plan review(at .— %) S U Visa O MasterCard expires if a permit is not obtained State surcharge(8%` —.• Credit card numbr within ISO days after it hos been Expires accepted as complete. TOTAL ........ ...... .....$ ---- Hank d urdlwldtr u sbosva an c 1 essd -� _ Cardholder liptauro - Anwum "04615(b00iCOM' CC Lair February 14, 2003 Don Morissette Homes 4230 Galewood Street #100 Lake Oswego, OR 64035 Attention: Dena Fitzpatrick Subject: City of Tigard—Residential Plan Review— 13665 SW 124'1' Avenue CLAIR Project No.: 1069-008 Permit No.: MST2003-00013 CLAIR has completed the plan review on the above-mentioned project on behalf of the City of Salem (COS). CLAIR recommends approval of the project for permit to construct. CLAIR has reviewed the reference documents attached and found them to be in general compliance with the attached reference standards and codes. CLAIR requests that the permit applicant/designer respond to each comment in the checklist. This response should he forwarded to the inspector prior to construction. Should you require explanation and/or clarification of any of the items noted in the attached plan review document, please do not hesitate to contact me at (541) 758-1302, or by email at aclair(ihclairaompany.coni. Respectful lylubmitted, om/ N Ah,,m J. Clair, CBO Pl. Examiner Cc: Gary Lampells, City of Tigard Gayland Forsberg, Don Morissette Homes CLAIR project file 1069-008 Attachments. Attachment #1 -Codes and Standards Attachment #2 - Submittal log Attachment #3 — Plan Review Document Attachment #4—Application Checklist •BUILDING CODE CONSULTANTS -ARCHITECTS • ENGINEERS • INSPECTION+TESTING SERVI''.ES pi www Oils,comb,uiv 1.0111 Lair City of Tigard—Residential Plan Review February 14,2003 1069-008 Page 2 ATTACHMENT#1 —CODES AND STANDARDS State of Oregon 2000 ed One and Two Family Dwelling Specialty Code(OTFDSQ ATTACHMENT#2—SUBMITTAL LOG Our plan review comments are based on the following submitted construction documents: Dated EL I duic 1/24/03 1/10/03 City of Tigard 1000 1 N/A Building Permit for residential single family dwelling. 1/24/03 1/7/03 City of Tigard 1001 4 2/14/03 Lot coverage drawing. Fireplace Information,energy path,vertical 1/24/03 7/18/02 City of Tigard 1002 4 2/14/03 calculat.ins,truss calculations,lateral calculations. Full size drawings Including exterior .levation, 2/14/03 main floor plan,upper floor plan,foundation 1/24/03 1/6/03 City of Tigard 1003 4 Partislly plan,cross section plan,details,floor framing 5uperceded plan,floor framing details,roof framing plan, sheer dotails general requirements. 2/7/03 2/5/03 Don Moricsette Homes 1004 1 N/A Designer comment responses. 2/7/03 United Engineering 1005 4 2/14/03 Holdown at floor joist details and drawings. Full size drawings Including exterior elevation 2/10/03 1/6/03 Don Morlseette Homes 1006 4 2114/03 option 2(page 1 ✓f,2),main floor plan,upper floor plan,foundation plan,cross section plan, roof framing Ian and floor franiina plan. 2/11/03 2/7/03 Don Moris-iette Homes 1007 1 N/A Plan,roview comment responses. 2/11/03 2/7/03 Don Morlssette Homes 1008 4 N/A Garage portal&hold downs at Interior walls. CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 �y INSPECTION DIVISIONBusiness L;,.c (503)639-4171 MST BUP Received —Date Req jested l �—/ _.---- AM PM BUP Location 7. 1 `Suite v,v MEC Contact Person. Ph( ) �� r] o yS� PLM Contractor Ph( ) WR BUILDING Tenant/Owner _ _. ELC _ Frlotrng -.------ Foundation ELC _ Ftg Drain Access: �—� 17 Crawl Drain _ '"ry --�-C1 Slab Inspection Notes: SIT Post& Ream — --� Shear Anchors // Ext Sheath/Shear :'�/ / J Int Sheath/Shear — Framing _ In;ywalon O N, Drywall Nailing IO Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof -�_-- -- Other: -- - --- Final - PASS_ PART FAIL PLUMBINGi--_ --- Post Beam - Under Slab Rough-In ` Water Service Sanitary Sewer / Rain Drains _ Catch Basin i Manhole Storm Drain Shower Pan Other: - ---- - Final -+- PARS PART FAIL - MIECHANICAL Post 8 Bearn - Rough-In Gas Line - -—- ------------ - - Smoke Dampers Final PASS PART FAIL ervice ----- Rough-In UQLSlab w.ko-I.RiED Fire Alarm 7jinj� Reinspectionleeof$- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PAR_T FAIL S L_ Please call for reinspection RE: _ C� Unable to inspect-no access Fire Supply Line ADA CJ 2) Date Approach/Sidewalk f Inspector Ext Other: --- - -- - Final DO NOT REMOVE tale Inspection record from the Jt site. PASS PART FAIL CTRICAL CITYOF TIGARD R STRIC EDEN RIGY DEVELOPMENT SERVICES PERMIT#: ELR2003-00091 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 3/26/03 SITE ADDRESS: 13665 SW 124TH AVE PARCEL: 2S103CC-05900 SUBDIVISION: WHISTLER'S WALK ZONING: R-4.5 BLOCK: LOT: 006 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: v �� DON MORISSETTE HOMES QUADRANT SY&TEMS 4230 GALEWOOD S1 #100 PO BOX 14833 LAKE OSWEGO, OR 97035 PORTLAND, OR 97293 Phone: 503-387-7538 Phone: 234-5558 Reg #: MET 00002466 SUP 1211.1 LF LIC 96800 -- _ FEES ELF, 0604f71ekiInspections _Description Date Amount Low Voltage Inspection I ITRNITI LLR 1'l'ntI1I 3/26/0 $7500 Elect'I Final J 'AX I R State Tax 3/26/03 $6.00 Total $81.00 Phis 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 til 1ct_ 111-1 r"t� Permittee Signature eLJUL(1�l OWNER 114STALLATION ONLY rhe installation is being made on property I own which is not intended for sale, lease, or rent. OWPiER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: LICENSE NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day 03/2 /2003 '6:02 5032362322 QUADRANT SYSTEMS PF GE 0'-' Electrical PerndtApplication - - -- Drtcnceivcd:3 - -p3 ; prrnvitno:,��j.3 'x) City of Tigard Project/appl.no.: Expire riste: rjryof?'igard Address: 13125 SW N211 F31vd,Tigard,OR 97223 D,teissued: Bv;_J Receipt no,: F hone.: (503) 639-4171 --- Fax. (503) 59.4 1900 Case file no.: Paymenttype Land use approval: e --U 1 &2 family dwelling or accessory Q Comntercial/industriA U Multi family ❑'Tenant improvement --W New construction J Addition/alteration/replacement iJ 0thcr: U Partial INFORMATIONJOB SITE Job addtr-":13 L S,_, 7 ( dg.no.: Suite no.' T'ax ma /tax lot/account no.: Lot Block — Subdivision: 1.u1�tS+LEtt:s Wr>iL, Project name: Description and location of work on premises: b _ Estimated date of cnmpletioldinspectinn: N Job no: Fee Max 9usiness name:LLL��� ,t � s? De.r melon (ea) Tbtal no:lns ��-_--�}-�— -- fVewrrsidesrtlel-dapJeorasnitl-hnrllyper Addresca �, I 53 __ _ dwe�mM.lncludesrttwchedptrage. City:— State: f)` 'LIP: T��� Smloe�rcOW: Phone: 3�l-9u' Fax;,�3b �� F mail: _trxa sq.a or less _ a — j Each&dditiond 500%It erportion thereof f`C1R ruo._- - pec.bus,lie.no:2l� �v� -� Urnitodenergy,residential 2 City/metrolir•. n AlxY] QNlle`f Limitrdn ,non-m-idential 2 -,L t M e,33 Each marmfacrwtd home or modular dwelling sl attire of supervising clectriciao(trquired _ Date Service and/or feeder _ _ _ 2 Su ,elect nae print); �� _ Ucerrsen 1 SetAmsorfeedrra-luitallatlen, mc alteration or relocation: 200 amp or kat 1 .�. /t j C/•• (,$I %%r'� 201 ampr:to 401)arnpi 2 Name(punt): — - Mailin address• 401 amps to 6(a)amps -_ 2 g _ 601 arr:ps toIDon r-ps 7s 01r. Stat- 71P` Over low amps or VOILA Phone: Fax. E-mail; Reconowtonly - — 1 owner in_stallation:The,inglallation is Twing made on pmpcM, I own 7'emponrysetrices orteeden- which is not intended for gale,lease,rent,or exchangr.according to `eDeli't'^affnvflon,orrrtr>AMon: ORS 447,455,479,670,701. WAmpseclesa - 201 amps to 400 amps 2 Owner's signature: Date:` 401 to 6W am Arrant el"ift new,+Itentlom, ur ntrmlun per panel: _Name: A Fer farhrsnch cirrulu with pwrlunn of Address: aovicr.ur feeder fee,each brs"- circuit 2 City: Slade 71P -- -- 11 Foe for branch circuits without purchase -- o!tttrite nr feeder fee,fint bench circuit_ 2 Phone: Fax: E-mail: Each additional branch cimmit: Mbc.(Stake or feeder not Mcin.W): Servirr aver 225 amps mmrnervid ri Hrdtir-carefaeility 8aelt pump or irrigation circle _ 2 11 Service over 320 ar pra-ming of 1 d!2 C1 Hr[ardous lor:acn FJCh sign of outline lighting _ 2 — sHlydwellings d6uildingover 10.00square Poatbnror SI`nglcirrati(s)oralimited enertlyprtnel, U: 'estem over6W volts nominal more residential units in one structure dleruion.orextettalon• 2 O building over rlurr%imirs 9 Ferxlea.400Amps ormom •Dao_-i�tl�on•--_ -- U Occupant load nvrr 99 p-mina U Manufacturrel atructurrs or RV park Farb sad Minna)hWetlon nvrt Ihn ellnw+rtar In env of fhr alwvr: U FArrta/Iightingplsn U 0dim. -------- Perinspection Submit sets of plan+vdilb ao2 of the■bore. Investlggtlon lee 'Che above eine not applicable tofent�oeat7 eonsumctlon ttenice. <x1,er Na all Jadsdlet,ena a-rapt twilt Buds,pence call turldedoe for more IntorraMM. Notice This permit application Permit fee-. -. ..................$ U Via& U Masircard expires if it permit is not obtained Plan rev few(Rt _ %) $ credh Card euietwe. — t uhthin 190 days afar it has been State sumhulle(13%) ....$ "pin• screptedsscomplete CO1fAI. St— -Nuns—eT r u senrrn an Cmili erd ---——C orT okler sip atme �- - Assent— 41J4f 15(N%rVM) CITYOF TIGARD PLUMBING PERMIT 003-00172 DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED:PERMIT#: 5/2/03 PLM2PLM2 PARCEL: 2S 103CC-05900 SITE ADDRESS: 13665 SW 124TH AVE SUBDIVISION: WHISTLER'S WALK ZONING: R-4.5 BLOCK: LOT: 006 JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES. TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 9 OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CA"rCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Install irrigation backflow preventer. _ FEES Owner_ Description Date Amount DON MORISSETTE HOMES ---"- 4230 GALEWOOD ST#100 li-LUM611'ernut Fee 5/2/03 $36.25 LAKE OSWEGO, OR 97035 ITAX] 8"i State Tar 5/2/03 ___$2.90 Total $39.15 Phone : Contractor: LANDSCAPE OREGON, INC 12200 SW MYSLONY RD TUALATIN, OR 97062 REQUIPED INSPECTIONS RP/Backflow Preventer Phone : 503-692-5945 Sprinkler Final Reg #: 111_M 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 mole 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 obtain copies of these rules or direct questions to OUNC by calling (503) 246-6699. Issued By: 7 i �, Permittee Signature:_� �� `�, r.,._/1� �_1-IL � ,_ ---- Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day riaj O1 03 12: 21p dan edmands 503-G92-0768 p.. 2 PlurnhsnL Permit Application FOR OFFICE --- Receivedi �` Plumbing Date/B V Permit No.: Cityof Tigard Planning Approval sewer b Date/By: Permit No.: 13125 SW Mall Blvd. Plan Review Other Tigard,Oregon 97223 Dotc/Qy: Permit No.: Phone: 503-639-4171 Fax: 503-593-1960 Post-Review Land Use Date/By: Case No Internet: ��ww.ci.tigard.orfor contact i cis.: see rage� 24-hour Inspection Request: 503-639-4175 Contact tip tlemcntaIInformation. TYPE OF WORK W PEE"SCHEDULE(for s- ecial information use cbeckli t New construction Demolition 1)cscri tion t2ty. I Fce(ea.) I Total Addition/alteration/re lacement [j Other: New 1-&2-fatally dwelrings CATEGORY OF CONSTRUCTION includes 100 ft.for eoch utility connection - l &2-Family CommeSFR(1)bath 249.20 rcial/industrial SFR 2 both 350.00 ccessoty Building Multi-Famil SFR (3)bath 399.00 ff [� Master Builder Other: Each additional bath/kitchen 45.00 _ JOB SITE INFORMATION and LOCATION Firesprinkler-sq.ft.: pa-Re 2 Job site address:13L Site Utilities Suite #: Catch basin/area drain 16.60 D vell/leach line/trench drain 16.60 Project Name: i6fiCf S U,'0_C.�. 1.OT Footing drain no. linear t1.) Pae 2 Cross street/Directions to job site: Manufactured home utilities 110.00 _S LL.; 141 'r,r th'L ,� �rt.Ls Lli 41 I S}�l j 1 t_ r7 t, Manholes 16.60 _ c AA: 4a.?hlLl l`CLLR SA I� I a c/ 'til t� Rain drain connector 16.60 _ Sanitary st.wer no, linear ft. P e 2 f Subdivision: W �cst(� U1.1 f L Lot#: Storm sewer(no. linear fl.) Page 2 •Tax map/parcel#: Water service no. linear fl. Na e 2 _ DESCRIPTION OF WORK Fixture or Item - � Abso tion valve 16.60 oyo Cl E-L 1 Cee. Huckflow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.6+0 Drinking fountain 16.60 J3jROPERTY OWNER _ Tr.NAN'I' E ectors/sum 16.60 Name: DC-n mC7'l SJ�� C` Expansion tank - 16.60 Addres3��5LC' �QCE'•lL!G GGG Fixture/sewer cap 16.60 _ Cit /Staff:/ZI : �(,[k_r ,t t OR_ ;v' -T Floor drain floor simk/hub 16.60 -- Garba c disposal 16.60 Phune: _ Fax: Floss bib 16.60 _ APPLICANT r CONTACT PERSON _ Ice maker 16.60 - Naine: F}6/] Intercc tor/ reale trap 16.60 Address: ��=�5-CU �C)�L Mcdieal gas-value: $ Nae 2 Cit /State/Z1p ( G k- 9X41 Primer _ 16.60 Roof drain(commercial) _ J 10.60 Phan .SZ3 _S-�ry' Fax: Sv3 q7tolf Sink/basiNlavato 16.60 E-mail: Tub/shower/shower pun _ 16.60 CONTRACTOR- Urinal 16.6u Business Name: / � ,,�I Water closet - 16.60 Address:JaJ1tCC- 14V 11ni- -f/� Water heater I6.60 } Water -- Cit /State/7 i��L�I I Other r _ %�1)C,tel Other: Phone cod - S-Yy 5i_ Fax -0!?k, Plumbing!Permit Fees* CCA Lir, #: rMb Plumb. Lic.#: Subtotal s Authorized Mivirrium Pennit Fee$72.50 S Cisnatur •3� �� le:/ ��f� Residential Hackflow u.Minimum Fcc�1 t t!et) bate:��L�I �` ------- Plan Review(25%of Pemtit Fee) S C) State Surcharge 8%of Permit Fee 5 O (Please print nameI TOTAL PERMIT FEF, Notice: This permit application expires If_permit Is not ohsalned within All nen commercial buildings require 2 sets orpions with Isometric or 190 days after It has been accepted as complete riser diagrain for plan review. *Fee nsethodology set by Trl-County Building Industry Service Huard. i\UstsWermit Ferro\PlmPermltApp.doc 01/03 kAAAAAAAAA♦AAA,SAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA i � � o b ► Ell d rD n Q- ► � � � ► OX o, ► r� ► t loo. 4 F_ r ► V ► 4 n ! 4 � 4 cn r+, UP m ► ► 4 H U� o ► Cr1 mr�D o ~, ► 4 ► 4 l� , n ► -� `� o ► 4 i � �' ► ► I � 4 0 ► o : i I nG •� ri z � o o � a ' :f C 9 n 0 p C