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CITY OF TIG�►RD ____ -- MASTS►� PE�:MIT _-
PERMIT#: MST2003-00291
DEVELOPMENT SERVICES DATE ISSUED: 7/28/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE AC DRESS: 13685 SW HATHAWAY TFRR PARCEL: 2S103CC-07800
SUBDIVISION: WHIST'LER'S WALK ZONING: R-4.'�
BLOCK: LOT: 025 JURISDICTION: illi
REMARKS: New S`= detached, Fath 1.
BUILDING
REISSUE: DM199 STORIES: 2 - FLOOR AREAS REQUIRED SETBACKS —_ REQUIRED
CLA35 OF WORK: NEW HEIGHT: 26 FIRST: 1,610 of BASEMENT: sr LEFT: 5 SMOKE DETECTORS. Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 16,990 of GARAGE. 640 of FRONT: 20 PARKING SPACES:
TYPE OF CONS,: EN DWELLING UNITS: 1 iHlRI) of RIGHT: 5
'
OCCUPANCY GRP: R! BORM: 4 BATH: 3 TOTAL VALUE339 699 00 20,600 sl REAR: 15
PLUMBING
SINKS: I WATER CLOSETS. I WASHING MACH: I LAUNDRY TRAYS: I RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS.. i FLOOR DPMNS. 0 SEWER LINES, 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUBISHOWERS: 3 GARB!;E DISP: I WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<100KSOIL/CMP<3HP: VENT FANS: 1 CLOTHES DRYER: 1
GAS FURN>r100K: I UNIT HEATERS: HOODS: 1 O I HER UNITS: I
MAX INP: btu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: 4
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDEn TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF GR LESS: 1 0 200 amp' 0 - 200 amp: WISVC OR FOR; PUMPIIRRIGATION. PER INSPECTION:
EA ADD'L 500GF: 7 201 - 400 amp 204 - 400smp, let W10 AV+CIFDR: SIGN/CUT LIN LT PER HOUR:
LIMITED F,1;VR11Y: 401 600 amp: 401 000 amp: EAADDI BR CIR SIGNAL/PANEL. IN PLANT:
MAMA HM.SVCIFDR: 6^,1 1000 amp: 601-a,nps-1000v: MINOR LABEL:
1000+amp/volt:
PLAN REVIEW SECTION
Reconnect only:
>•4 RES UNITS: SVCrcOR>=225 A.: >600 V NOMINAL: CLS AREAISPC vC.0
ELECTRICAL-RESTRICTED ENERGY
A 3F RECIDENTIAL _ a.COMMERCIAL
AUDIO 6 STEREO VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: 1NTERC)MIPAGING: OUTDOOR LNDSC LT
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSC<''EIIRRIG: PROTECTIVE SIGNL•
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR.
HVAC DATA7TELE COMM: NURSE CALLS TOTAL a 5•'STEMS:
Owner: Contractor: TOTAL FEES: $ 5,864.012
DON MORISSETI E HOMES DON MORISSETTE HOMES INC This permit isto the logulafions contained in the
4230 GALEWOOD STE t#100 4230 GALEWOOD ST,STE 100 Tigard Municipal
Code.
ode,State Specialty Codes and
all other applicable taws. All woo rkk will be done In
LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 accordance with approved plans. This permit wili expire If
work is not started within 180 days of issuance,or if the
work is suspended for more than 180 days. ATTENTION:
Oregon law requires you to follow rules adopted by the
Phone; 503-387-7538 Reg
Oregon LIN Ity Notification Center. Those ,Ule3 are set
forth in OAR 952-001-0010 through 952-001-0080. You
Rap N: i if 387i7� >?� may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Erosion Control Insp 8, Post/Beam Mechanica Plumb Top Out Exterior Sheathing Ins; Rain drvin Insp Appr/Sdw,4 Insp
Sewer Inspection Underfloor insulation Electrical Service Low Voltage Storm drain Insp Electrical F na
Footing Insp Crawl Drain/Backwater Electrical Rough In Gas Line Insp Roof Nailing Mechanical Final
Foundation insp PLM/Underfloor Framing Insp Gas Fireplace Water Line Insp Plumb Final
PP9VBeam Structural Mechanical Insp Shear Wall Insp Insulation Insp Water Service Insp Building Final
1 sued By : r '�� '� 1� Permittee Signature
(;all (503) 639-4175 by 7:00 p.n1. for an ;nspection needed the rixt business day
SEWER CONNECTION PERMIT
CITY OF T I C A R D _
DEVELOPMENT SERVICES PERMrr#: sooz2c
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/`12.8/08/03 i
SITE ADDRESS; 13685 SW HATHAWAY TERR PARCEL: 2S103CC-07800
SUBDIVISION: WHISTLER'S WAI h ZONING: K 4S
BLOCK: LOT: JURISDICTION: I
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS:
INSTAL[. TYPL: LTPSWR IMPERV SURFACE:
Remarks: New SF detached. Path 1.
Owner: __ —�—� FEES
DON MORISSETTE HOMES Description Date Amount
4230 GALEWOOD STE #10J _
LAKE OSWEGO,OR 9703:1 ISWUSAI Swr Connect 7/28/03 $2,400.00
1SWUSAJSwr Connect 7/28/03 $0.00
Phone: 503-387-7538 1SWINSPI Swr Inspect 7/28/03 $35.00
[SWINSI11 Swr Inspect 7/28/03 $0.00
Contractor:
------- Total $2,435.00
Phone:
Reg #:
Required Inspections
This Applicant agrees tc comply with all the rules and regulations of the Clean Water Services. The permit expires 180
days from the date iss-jed 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 directio;is from the distance given. If not so located,the installer shall purchase a"Tap and Side Sewer' Perm
i
1 • � rr
Issu by: � 1 r '1( CA,L Permittee Signature:
Call (503) 639-4175 by 7:06 P.M.for an inspection needed the next business day
CITY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2003-0052.5
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/30/03
SITE ADDRESS: 13685 SW HATHAWAY TERR PARCEL: 2S103CC-07800
SUBDIVI:iON: widisTLER'S WALK ZONING: 13-4 5
BLOCK: LOT: 025 JURISD' TION: TIG
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: R3 FLOOR DRAINS, TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES_ LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES-
TUB/SHOWERS:
IXTURESTUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Installation of residential backflow prevention device for irrigation.
Owner: ^`_ FEES —
Description Date Amount
DON MORISSETTE HOMES — --- -- ---
4230 GALEWOOD STE #100 1I'LU(t1131 Permit FCC 9/30/03 $36.25
LAKE OSWEGO, OR 97035 11,A\I !c titatr'Hix 9/30/03 $2.90
Total $39.15
Phone : 503-397-7539
Contractor:
LANDSCAPE OREGON, INC.
12200 SW MYSLONY RD.
TUALATIN, OR 97062
REQUIRED INSPECTIONS
Phone : 503-692-5945 RP/Backflow Preventer
Final Inspection
Reg #: PLM 7904
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 perrnit will expire if work is no�' started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION. Urtgon law requires you to follow rules adopted by the Oregon
Issued y: r�=� �i� �1^�i� Permittee Signature: _ .q —
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
U:f (KI: )HP dan edmonds 503 -692-0768 P- 2
' OFFICIEVS19 ONLY ,_
�.� bin Permit Application kcc ivcd Pi
uming ,��
. lkilciFfP i �y 0�=� A� PC it
Planning Approval Sewer
.:ityo� Tigard Uar
tdtiy-_ __ Pemit i jo.-
13125 SW Hall Blvd. pian itcvir.w P m
Tigud,Oregon 97223er
date-By__ _ Permit
Pc,st-;trvttw land Use
Phone: S 3-639-4171 Fax: 503-598-1960 Datc/H _ C se No.:
Internet: .ci.tigar(kor.us contact see Page 2 for --
24-hour inspection Request: 503-639.11175 Name/Mclhod: Su lemw!al In(ormatinn.
TYPE OF WORK FE E4 SCHEDULE(for!eeial lnfortnadoa use ehccldist)
ew construction Demolition DescriptionQty Fec(ta.) Total
New I-&2-fandly dwellings
Addikion/alteratian/replacement Other: 1. includes 100 R.for eaih u 1111ty connection
CATEGORYOF CONSTRUCTION SFR1)bath _249.20
I & -Familydwell in Commercial/Industriai SFR 2 bath 356.00
Acce so Buildin Multi-Family SFR 3 bath 399.00 ,
Mas r Builder _ Other: Eads additional bath kitchen 45.00
UB SITE WFORMATION and LOCATION Fire rinkler-sq.ft: page 2
Job site ddress: 3(085 S-w HOL-b\ Lva-t Tera
site valines
Catch basin/am drain 16..60
Suite#: I Bid ./A t.#: Drywell/leach line/trench drain 16.60
Proicct ame:w S-Hef-s l uCi t4c Lbr 15 Footing drain no.linear fl. Page 2
Cross street/Directions to job site: Manufactured home utilities 110.00
AJ (e-)-1 S /T
T '"- Manholes _ 16.60
Rain drain cnnncctor 16.60 Sanitat .sewer no.linear ft. Pg2 �t Storm sewer no.linear ft. PSubdivi ion:G7{�l,ys--/CI'S Lvej-14+r Lot P
Water se rice no.linear R
Ta.Y ma am• l#:: 1.,: Fli ure or Item
DESCRIPTION GF WORK' Absorption valve 116.60
; q p Aa- c fe lclo ) a of ace) Bat kflow revcnter Pa le 2
Oackwater valve 16.60
-� Clothes washer - 16.60
-- Dishwasher 16.60
Drinkin fountain 16.60
RO ,ERTV OWNER �TENANT _-_-_-_ G'ectors/sump - 16.60
NExpansion tmik 16.60
Addres .4;z 30 %_L0 &4Lt 4JL)00 to Flre/sewcr 16.60
Floor drain/door sink/hub 16.60
Ci /St te/Zt : L04U. x c1-1L5 Garba c dis sal 16.60
Phone: Fax: Hose bib 16.60 T -
PIIICANT CONTACT PERSON ice make 16.60
Interco tor/ rease t 16.60
Name: t:1'1 arrvu1 _ Pa c2
Addres :(� �d SW 1'11 an RDMedical gas-value: S
Primer 16.60
Ci /S te/Zip:-nA_a_t&11(C 16.60
Phone 3 VA_ -5945 I FaxSD3 69 a.- WIn Y Sink&asinnavatory 16.60
E-mail _ _Tub/shower/shower an 16.60
CONTRACTOR Urinal _ 16.60
Water closet 16.60
BUSinIS Water heater 16.6.0
Addre,s: 1;0aOo S __L� other.
Ci /S ate/Zl :-nA tL ' Other.
Phone t13 -S�yS. FaxSD3 (old _ _Ptnrunlne Pertnlc Fees• 5�
Plumb. Lic.#' -- ----- _ J�STubtotrklSCCB lc. #: ^] `-� •_�J Minimum Permit FeS
Authoriz nn/,�/ Residential Backflow Minimum F3�O '0�5
Signatu �3Date:l(�`ln3 Plan Review(25%of PeS
Surcharge(8%of PeS(Please print name) TOTAL PER
Notice: 1 his permit application expires tra permit is not obtained within All new commercial buildings require 2 sets or plans with isometric or
.90 days neer it has trees accepted as complete. riser diagram for plan review.
*Fee methodology set b7 Tri-County nuilding Industry Service Board.
CITY OF liGARD
Residential C 9rtificate of Occupancy
Permit No.: 2(Ze? -ao—"L Address:
Owner/Contractor: •' /S E'TJ __— -- — --
i
Date of Final Inspection: � �� Inspector:
This structure has been found to be in substantial compliance with the provisions of the State of Oregon One& Two Fa Lily Dwelling
S ecialt y Code and is hereb approved for occupancy.
i
i
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIR2__L_
ON Business Line: (503)639-4171 --
BLIP
Received _ Date Requested_ U122-22> _ AM PM _— BUP —
Location 2.1 (D {yr J�////,^, , 4-�L-i31a—��,�''��tltfe — MEC
Conlact Person --�2GLL� _ Ph( w3) 2-42 E3 PLM —_
Contractor— 400-1 w4YY1 S gAy Ph SWR
BUILDING _ Tenant/Owner _ _--__� ELC
Footing
Foundation Access: ELC _
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors —
Ext Sheath/Shear _—
Int Sheath/Shear , ty'Ek�_ G� O�
Framing ming -- _ . F�'t -moo v
Insulation
Drywall Nailinq
Firewall
Fire Sprinkler --- - -- --
Fire Alarm
Susp'd Ceiling - - -
Roof
Fina
S ,PART FAIL
- G - -- - - —
Post& Beam
Under Slab ---- --- -- -- -- --•--- -- -
Rough-In
Water Service - -------- ---- -----
Sanitary Sewer
Rain Drains - - — - ------
Catch Basin/Manhole
Storm Drain — - - -- --
Shower Pan
F(
PART FAIL �- --_-- --
M ANICAL _ --- —
Post&Beam
Rough-In --- --
Gas Line
Smww Dampers -- --
Fi
SS PART FAILIFLIM -- -- _.--- --
ICAL
Service
Rough-In -
UG/Slab
Low Voltage
Fire—Alarm
anal ❑ Reinspection fee of$ required before next inspection. Pay at C4Hall, 13125 SW Hall Blvd.
PART FAIL
Please call for reinspection RE: Unable to inspect-no access
Fire Supply Line
ADA
//,,
Approach/Sidewalk :its__Z 12 Inspeetor --_Ext-
Other:
Final DO NOT REMOVE thls InspecOon record from the job site.
PASS PART FAIL
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CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
0/� SUP _
Received Z°50 _! Date Requested - i017-7 AM _ PM ISUP
Location 1 2J S ate Suite- MEC —
Contact Person _— Ph( ) lag2^ 4<� LPL�—00,5-2
Contractor__ d �, 0_ — Ph( ) _ _ SWR
BUILDING _ Tenant/Owner _ _ _ _ ELC
Footing
Foundation Access: ELC
Fty 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 71 --
Fire Alarm
Susp'd Ceiling -- - ---
Roof
Other: —
Final 4
PASS PART FAIL - - '-
PLUMBING
Post R Beam
Under SlabRough-in
Water
Water Service -- -
Sanitary Sewer
Rain Drains —-
Catch Basin/Manhole
Storm Drain — ---- —
Shower Pan
Other:
Fi
AS PART FAIL - -�---- - - —
_WIKHANICAL
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 RF.: _ � Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date-� k Inspe w_ � Ext
Other:
Final ��— O NOT REMOVE this Inspection record from the job site.
PASS PART FAIL