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13705 SW HATHAWAY TERRACE w i C x �C l�J N I 1 y 1 � A 1 1 7 3 ! l r f v 13705 SVN' HATHAwf !'I:R� CITY OF TIGARD ^HK D ELECTRICAL PERMIT T �, PERMIT#: ELC2004-00699 A DEVELOPMENT SERVICES DATE ISSUED: 11/2/2004 13125 SW Hall Blvd-Ticiard, OR 97223 (503) 639-4171 PARCEL: 2S103CC-07900 SITE ADDRESS: 13705 SW HATHAWAY TERR ZONING: R-4.5 SUBDIVISION: WHISTLER'S WALK BLOCK: LOT : 026 JURISDICTION: TIG Project Description: (1)brand,circuit for A/C. RESIDENTIAL UNIT_ TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: v 0 - 200 arnp:� PUMP/IRRIGA11ON: EACH ADD'L 500SF: 201 •• 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL. MAIJF HM/SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEELF.R BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION- 201 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 • 1000 amp: _ _ _ PLAN REVIEW SECTION 1000+ amp/volt: p ^>-4 RES UNITS: —� �>600 VOLT NOMINAL: Reconnect SVC/FDR—225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: KGOPMAN,DEVIN STAR ELECfRICAI_SERVICE 13105 SW HATHAWAY TERR PO BOX 1784 TIGARD,OR 97223 BEAVERTON,OR 97WF) Phone: 503-579-6701 Phone: 503-579-9201 Reg#: F:LE 26-963'' ------ - LIC 1.536127 FEES_ SUP 43135 Description Date Amount .. Required Inspections [ELPRMT] ELC Permit 11/2/21104 $46.85 _ (TAX]8%State Surcharge 11/;:/21104 $3.75 Elect'I Final Total $50.60 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) 246-66',9 or 1.800-332-2344. Issued By: � /� � _ Permit Signature: , OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _ _— _ DATE: _ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. EI_EC'N: _ __- DATE: I-I C E N S E NO: Cal! 639-4175 by 7.00pm for an inspectior, the next business day ■ Electrical Permit ,application City of,1 Igar(I [tweived L Hermit Nu. . . : Plan R 13125 SW Hall Blvd.,Tigard,OR 97223 elm Review v� Phone: 503 639.4171 Fax: 503.598.1960 Date/By: Other Permit: Inspection Linc: 503.639.4175 Date Ready/By: lu)/ ' 68 See Page 2 for Internet: www.ci.tigard.or.us NoIfied/:-f40d d: (V Supplemental Information TYPE OF WORK PLAN REVIEW ❑New construction ❑Addition/alldration/replacern nnjt Please check all that apply: ❑Demolition ❑Other: []Service over 225 amps,comrn'I ❑Hazardous location ❑Service over 320 amps-rating ❑Bttildng over 10,000 sq.ft., CATEGORY OF CONSTRUC'T'ION of 1-and 2-family dwellings 4 or more new residential I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building ❑System over 600 volts nominal units in one structure ❑Multi-family ❑Master builder ❑Other: ❑Building over three stories El Feeders,400 amps or more ❑Occupant load over 99 persons ❑Manufactured structures of JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park Job no.: Job site address: f ❑Health-care facility ❑Cther: _ Submit 2 sets of plans with any of the above. City/State/ZIP: "The above are not applicabl,:to temporary construction service. Suite/bldg./apt,no.: Project name. , _ EEE" SCHEDULE Description I Qty. IFee. Toler �' Cross street/directions to job site: New residential single-or multi-family dwellieg unit. Includes attached garage. 1,000 sq.ft.or less 145,15 4 Subdivision: Lot no.: Ea.add'I 500 sq.ft.or portion _ 33.40 1 --- Limited energy,residential 75.00 2 Tax mapiparcel no.. __- Limited energy,non-residential 75.00 2 DESCRIPTION OF WORK Ea,,h manufactured or modular dwelling,service and/or feeder 1 90.90 2 Services or feeders Installation,alteration,and/or relocation 200 amps or less 80.30 2 ❑ PROPERTY OWNER C3 TENANT 201 amps to 400 amps _ IQ6.65 2 401 amps to 600 amps 160.60 2 Name: o j "V1 A t,) vi5 U ) 60.:amps to 1,000 amps 240.6n 2 Address: LC2_(� �)�� A l r Over 1,000 amps or volts 454.65 2 L --+�1�1/-^iA C 9' Reconnect only 66.85 2 City/State/ZIP: Temporary services or feeders Installation,alteration,and/or Phone: ( l /� Fax:/0 /1 relocation )� --- l ) 200 amps or less_ _ _ 66.85 1 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps _ _ 100.30 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 600 amps 13?.75 2 Owner signature: _— Date: T. Branch circ uiq-new,alteration,or extension,per panel ❑ APPLICANT CONTACT PERSON A.Fee for branch circuits with It service or feeder fee,each 6.65 2 Business nartre: ^1 77Abranch circuit B.Fee for branch circuits ^ontact name: -� ` ,y,t 6' _ without service or feeder fee, { }1 ('j , — t each branch circuit i 46.85 2 Address: Each add'I branch circuit 6.65 2 City/State/M: A Q Miscellaneous(service or feeder not Included) Phone:( ) Pump or irrigation circle 53.40 21 _. Sign or outline lighting 53.40 2 E-mail: Signal circuit(s)or limited- CONTRACTOR energy panel,alteration,or Business name: �� Tp �� /'lc ��� �j�1.- C extension.Desrribe: Page 2 2 Address: �y � PyEach additional Inspeet!on over allowable In any of the above + —'�-`--•-"� --+e-f-- Per inspection �- 62.50 City/State/ ZIP: �'-�1 Y Q 0- .1 Investigation per hour(I hr nin) 62.50 Phone: �) t t"S� Fax:i ) Industrial plant per hour 73,75 -�� _ -�"--'-�--- ELECTRICAL PERMIT FEES" CCB Lic.: /y2 k�r r' Electrical Lic.:A444-3c Suprv.Lic.: c ' Subtotal Suprv.Electrician signature,required: �> z ,t �/� C Plan review(25%of permit fee) 17 Print name: `' 4 Dat —.— State surcharge(8%of permit fee) J rAz TOTAL PERMIT FEE '� 6 Authorized signature: This permit application expires If a permit Is not obtained within Igo days after it has been accepted as complete Print name: — Date: Fee methodology set by Tri-County Building Industry Service Board ••Number of inspections per permit allowed. I.taulldiniikhnniu\ELC•PermilAppdoc 12/01 4404615T(10102/COMMUI r Elect.,ical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: _ Fee for all residential systems combined........ $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: _COMMERCIAL WORK ONLY: _ Fee for each commercial system....................... $75.00 (SEE OAR 915-260-260) Chcck Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Tele,;ommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ OtIF^r Total number of commercial systems: _ *No licenses are required. Licenses are required for all other installations I\duildln#\PcmiuLLLC-PrmiMpp doc WUJ CITY OF TIGARD 24-Hour WILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business L ine: (503) 339-4171 MST - y G �'� Received - Date Requested �l — AM PM __ .______ BUP Location suite f 7�. Ac-�.t��C,c.� .� Suite ----- MEC ------- - - - - - Contact Person Ph(—) _ PLM Contractor _ Ph( ) -- --- SWR - - ELC, --`-- j BUILDING Tenant/Owner Footing ELC - - - Foundation Access: Ftg Drain ELR Crawl Drain ---- - - Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing ----- - - - Firewall Fire Sprinkler --- - - - - - Fire Alarm Susp'd Ceiling — -- ---- Roof Other: — - ------- ---- Final PASS PART FAIL -- { -_ PLUMBING Post&Beam 41 Under Slab Rough-In — Water Service - sanitary Sewer Rain Drains - --- --- Catch Basin/Manhole Storm Drain - -- Shower Pan Other. Final - ---- _PASS PART FAIL I -MECHANICAL Post&Beam Rough-in Gas Line Smoke Dampers - —. Final AW.._PART FAIL - -- ---- — EFEICA_ Service _ — Rough-In UG/Slab Low Voltage Fire Alarm - T_ FAIL Reinspection fee of$ —__required before next Inspectlo�� Pay at City Hall, 13125 SW Hall Blvd, ❑ Please call for reinspection RE:._ Unable to Inspect-no access Fire Supply Line ADA Approach/Sidewalk Data _ -_ Inspector cr- Ext - Other: xt -Other: Final DO NOT REMOVE this Inspection record ftom the Job site. PASS PART FAIL CITYOF T!GA R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2004-00057 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/10/04 SITEADDRESS: 13705 SW HATI-IAWAl' TFRR PARCEL: 2S 103CC-07900 SUBDIVISION: WHISTLER'S WALK ZONING: R-4 5 BLOCK: LOT: 02G JURISDICTION: TiG CLASS OF WORK- ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PRFVNTRS: 1 OCCUPANCY GRP: P3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY 'rRAYS: SF Rk IN 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 Owner: FEES —� DON MORISSETTE HOMES Description Date Amount 1230 G/,LEWOOD ST [PLLJMBi Permit I-cc 2/10/04 $36.25 S'i E 1'00 [TAX] 8%State 2/10/04 $2.90 LAKE OSWEGO, OR 97035 Total $39.15 Phone : 503-38',-7538 -— -- Contractor: LANDSCAPE OREGON, INC. 12200 SW MYSLONY RD. TUALATIN, OR 97062 REQUIRED INSPECTIONS Phone : 503-692-5945 RP/Backflow Preventer Final Inspection Reg #: LI(' 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. ATTENTIONS 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: _ r1,. c t✓/r . r Permittee Signature: ) cc ell II,Y Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day F Ph U ' 04 1 2: 1 Up dan odmonds 503-692-0768 p• 2 Plumbing Permit Application FOR OFFICE - I"Caved Plumbing- lumbi , DstNB - " /ol*� Permit Na:X01 .ty of Tigard RECEIVEDPlnr-nngApprovnl Sewer A Pe mit No.: 13125 S^.J Hall Blvd. Plat ReY1vw, Other Tigard,Oregon 97223 - Permit Nu__�_ Phone' 503-639"4171 Fax: 503-598-1960 Post-ttcvicw- land Use - bok/Fly:- -" - Case No.: _ InterrtetL www.ci.tigard.or.us �y Tl Contact -� Juris.; seepage Ito 24-hour Inspection Reyurst: Sr33 f3UILUl N _r t3UiL►11 �l Nahnd: ���__ 1ll Supplemental tnformallon. TYPE OF WORK_ - FEE"SCHE,Di)LE(for special ii►fotirlatlou use ehecklist) New Construction _ Demolition �^ Description - Qty. Fcr(ca.) Total Addition/alteration/ lacement Other: -- N(s,r l=&"z-fatility,dwetiln�s CATEGORY OF CUNSTRUI'TION. ndiidea'.ttl0 R.for each unlit 'cnnMedian) 1 &2-Family dwellingCornmer�ciaYindustrial SFR(I bath � 249.20 SFR Z bath __ 350.00 AccessoryBuildj Willi, SFR 3 bath 399,00 IJ Master Builder Qther: _ Each additional bvM&itchen 45.00 JOB SITE EMRMATION and LOCATION " Fire gdnklu-sq.ft: Page 2 Job site address: ja q,3 a ,�lL�.%4f, S1wtBlrlrs Suite#: _ Bld JA2t.#: Catch hr mm/area drain 16.60 Pro'ect Name: v�cocU- Loi SO D II/leactr IincJtrrnch drain 16.60 Footingdrain(no.linear�+ Page 2 Cross streetlDirections to job site: Manufactured home utilities 110.00 ,�I �' /r Manholes 16.60 t1)/ I nM' C40 Rain drain connector 16.60 _ -Sanitary sewn no.lintar R Page 2 Subdivision:7;w - Lot M. SU Storm scwerLno.linear R_) Taxi / arcel#: S j Water service no.linear R Pa e 2 DESCRIMCM OFMCIRK -- ' FIlt4ee or tem 1 LLL' gev L -rio 1 et eA-t LCe) Absorptionvalve IG.GO Back[low prevenevatte Pate Z ��`LSy Ba&%vater valve 16.60 Clothes wnshe; 16.60 -' Dishwasher 16.60 -� PROPERTY OWNER Drinking fontntaia 16,60 _ - TENANT' �_--- 'cttots/tau np 16.60 Name: p /yl(N� � �E ,,1 _ Expansion tank 16.60 Address: ;z 3O Sul &4I-0-Ls-JOO CLQ Fixture/sewer cap 16.60 Cit /State/Zip' L&k4 0S-tA-eg6 CfILGS Floor drain/iloorsink/hub _ 16.6u (3artrage cliatrosal_- 16.60 Phone: Fax. _ Hose bib 16.60 CONTACT PERSON Ice maker i 6.60 Name: Q lcn S4arrau> In rod tetra,Lp 16.60 - --- _ Address:I�.�1 ,Cw rn ant- 9D Moth"l gps-_value-, S _ Pa 2 Ci /$tate/Zip:T,ualo'h- O 970(p,Z, Primer 16.60 _PhoneSn3 to9:� -5945 FaxSOS Oa.- o7to p Roofd ain(mrrlercialL_ e 16.60 Siddbasin/lavatory 16.60 E-mail: TWshower/showerp-an 16.60 - _ CONTRACTOR Urinal 16.60 Business Name: J,A-ndd"� n Mr, t, Water closet _ 16.60 _T LT - Water heater Address: la-2Oo � cfn,,, _ 16.60 _ �-`y- t)ther: _City/State/Zip:->i(.LAAp. ;ti R_ •IO(n a- Other. PhoneSb3 (cq, S4 y S- Fax (R-1 -alto - r PlumbingPPcrntit Feer* a2- 5 CCB_Lic. #: `7t V LJ J Plumb.UcA __ Subtotml S Authorized Minimum Permit Fee 972.50 S �S SifiAMurc!,,& •« 'r) Residential Backflow Minimum Fee 536.25 3(" Plan Review 2.5%of Permit Fee $ a W _ State Surcharge i8"/e of Penrtit Fce) S o? (Place print came) -_- _-� FEC S PERM)'i' Notica: 'M'S permit aPPlle}tion WWI-if a Permit Is not obtained within Attu Inr TOTAL OTAL.rrgnlrc 2 sell of plans with ly--/ c or 180 dye after It has been aeecpled as complete_ riser dlapram for Plan review. *Fee mrlh0de109y Kel t>T Tri County Building luduvtry Service Board. ELECTRICAL PERMIT- / CITY OF TIGARD _ RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2003-00389 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 12/26/03 SITE ADDRESS: 13705 SW HATHAWAY TERR PARCEL: 2S103CC-07900 SUBDIVISION: WHISTLER'S WALK ZONING: R-4.5 BLOCK: LOT: 026 JURISDICTION: TIG Proiect Description: All encompassing low voltage. A. RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: X AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: X 30ILER: 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: 503-387-7538 Reg #: SD.A-55516211J1,E LIC 96806 _ ELE 26-565('1.1- FEES Required Inspections _ Description Date Amount Low Voltage Inspection 1I:1-IIRM'I') ELR Permit 12/26/03 $75.00 ITA X 18%State 12/26/03 $6.00 Total $81.00 This Permit is issued subject to the regulations contained in the T igard 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 throhgh OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246-6699. Issued by "Lii•'t i '---Gc-c O'L-A Permittee Signature fCf- OWNER INSTALLATION ONLY The Installation is being made on property I own which Is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: _ CONTRACTOR INSTAL LATION ONLY SIGNATURE OF SL)PR. ELEC'N LICENSE NCS: Call 639-4175 by 7-o0 P.M. for an inspection needed the next business day 12/26/2003 15:46 5032362322 QUADRANT SYSTEMS PAGE 04 L'iectri{Permit Ap licatic�>a ' __ R:ccivud �` G� r-Jechicil Det • 1 Permit No. City of Tigard Planning A Irov Sign! Datc/B : Pc it 13125 SW Hall Blvd. Plan Review other Tigard,Oregon 97223 Date/By: Permit No.: Phone; 503-639-4171 Fax: $03-598-1960 Post-Review Land Use Internet: wts'w,Ci.tigard.or U8 Datc/9 ' Case No,:Contact Juno.; sec rage 2 for �- N-hour inapaction Request: 503-639-4175 Name/Method: (_ 4u lemental infornta C: la;i!t. �u,r4• :�XtIiH �r x�rt~,.:' 1 ;�' i :'>3 .r .. WNW kms ,.t.,Ietl plt Ql�tit New construction I L J Demolition LJ1 Service ovcr 225 amps- Health-care facility B - comrncrcial Addition/altersttion/re laCement OthHazardous location er: ❑Service over 320 amps-rating of El Building over 10,000 square feet. ,� . ,, ;, rc ,r. 1 &2 family dwellings four or more residcntfal unite in 1 &2-Family dwelln7g rom_mercial,7ndustrial ❑Syatcm over 6170 vont nominal one seructurc [] [3 Building over three_stories ❑reeders,400 amps or more Accessory Building Multi-F'alntlr_ ®Occupant food over 99 pe sem Manufactured stnlctures or RV pork FJ Master BuilderOther: Fcmlightng plan Other Submit_Acts of plans with nny of tIle nbove. The above are nota Ifesble to ternporarx construction service Job site address 13­�05 Svc hCt t4Jn -f&r .�WWW 102 , ` ,1,.U -'E'lu•' 1115lr,.. Suite#: Bidg./Apt.#: _ Number of ius ectious er ermit allow_ ed I'ro pct Namlc: tlescrl titin Qty Ree(ea.) Tnul New residential-single or multi famf:y per Gross strCClUrection5 to Job site: dwelling atilt.Includes attached garage. Service Included- 1000 s .ft.or las 145.13 t 4 ach oddilioratl:0S sa IL or portion thereof 31.40i Subdivisiorl: OK LOt Limited em- ily,resfIgntill 75.00 limited energy,non res/ ent' '75.00 _ 2 Tax ma / arcel#: •nch manufactured home or modular dwelling - i'r __I- .� µ._ y 5c[ylceand/orfeeder 90,90 2 - Servlees or feeders-Installation, alteration or relocAllon- 29Q amps M ieH - $1),10 2 --- _ - 101 nm to 4 ---- _ - ----- an+ 106. ? 40;amps to 600 amps 160, 2 601 00 am s to 10amps 240.60 fiver II OOO ompd or!mltsyolts 5 2 Name: Reconnectonl - - -_------- 66,95 2 Address: Temporary services or rceders-Instutlation, ---' - --e%Li Cit alteration,or relocation. � L(Stat _. _ _---_---- _ __- 2rJ0 snips or lora 66.85 Phone- Fax; sot amps to 400 soros _? ru _ 401 to 600 em - 133.75 2 - ----- Ranch circuits-new,alteration,or 111 C - extension per panel: Address pwy A.fee for branch circuiLv with purchase of -_- _ service or feeder fee each branch circuit fi.GS 7 City/State/Zip: B.Fee or branch circuits without pure etc o - - - servirc or feeder fee,fire W110 circuit 46.83 _ 2 Phone; Z�j�; Fax:- _ Each additioro:branch cttealt __ 6, 3 2 E-mail; _ Mise(Service or fc er nm included). Each Pump Ximitation circle $3.40 1 • ' .' rh sign or outline i tip--_ Job No: i(Tat eiraufl(A)or a firr.1 coed rgy oehel, - �— - Bu51re99 Nan)e: � r1C• De!crlption: page 2 2 Address: 11W D_ —� Each additional Inspection over the allowable In an of the above: City/SttttelZip: C l�ll�taL YL A)a_9_3 — Per itis ctlon tatr hof(Will. !htrtrr) .30 1'110nP ^�� Fax: 3 [n Z [nvcstt non c: �� CCB Ll I Lit;. #: ILI/ L Other: RUH L - Supereising electricil i -------- Jitami subtotal 'i� UU si are re uired� t.G1 Zif�J" Plan Rcview g5%o>1-Pcrm- ii l:co _ Print Nam ! T-de,#_L2 / l C,/�—� State Surcharge(8%of Permit free I Is TOTAL PERMIT FEE Author zed Notice: This permit application erplres If a permit is not obtained wi�i-J SlgnatorC �_ _ __ Date:--- Igo days after It has been accepted■s complete. *Fee methodology ret by Trl-County Building industry Service Boord. (Please print nnmc) I:\DstiNtemtit'Points\EICPerm!:.Spp,doC 01/03 fl MASTER PERMIT CITY ! 1 ®F T I GA R D PERMIT#: IVIST2003-00511 � DEVELOPMENT SERVICES DATE ISSUED: 11/10/03 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 6394171 SITE ADDRESS: 13705 SW HATHAWAY TERR PARCEL: 2S103CC-07900 SUBDIVISION: WHISTLER'S WALK ZONING: R--t S BLOCK: LOT: 026 JURISDICTION: I I(, REMARKS: New SF detached BUILDING REISSUE: DM159 STORIES: _ FLOOR AREAS REQUIRED SETBACKSREQUIRED CLASS OF WORK. NEW HEIGHT: 24 FIRST: 1.;10 at BASEMENT. of LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.130 al GARAGE 630 of FRONT: 20 PARKING SPACES; TYPE OF CONST: 5N DWELLING UNITS: I Rpn of RIGHT: 5 6,232.40 OCCUPANCY ORP: R3 BDRM: 4 BATH: 3 TOTAL: iar) sl VALUE. 32REAR: 15 PLUMBING _ SINKS: I WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYSRAIN DRAIN: 101 TRAPS LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUBISHOWERS. 3 ,ARBAGE DISP• 1 WATER HEATERS: WATER LINES: 100 BCKFLW PREVHTR: GREASE TRAPS. MECHANICAL OTHER FIXTURES: FUEL TYPES FURN<100K: BOILtCMP :HP. VENT FANS: 3 CLOTHES DRYER: I FURN»1001(: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP btu FLOOR FURNANCES: VENTS: WOODSI'OVES; GAS OUTLETS: 4 ELECTRICAL RESiDEN?IAL UNIT SER.,ICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 •200 amp: 0 •200 amp: W/SVC OR FDR. PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 6 201 400 amp: 201 - 400 amp: tat WIO SVC/FDR SIGN/OUT!IN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 - 600 amp EAADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HMISVCIFDR: 001 1000 amp: 601+a,nps-I000v MINOR LABEL: 1000+amolvolt: PLAtI RFVIEW SECTION Reconnect only: ----- -4 RES UNITS: .SVCIFDR>=225 A.: >600 V NOMINAL: CLS AREA/SPC OCC, ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO ,TEREO: VACUUM SYSTEM: AUDIO&STEREO; FIRE ALARM: W TERCOMIPAGING: OUTDOOR LNDSC LT: BURG, R ALARM: 0TH: BOILER: MVAC: LANDSCAPEIIRRIG: PROTECTIVE SIONL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL OTHR: HVAC: OATA(TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor, TOTAL FEES: $ 5,741.33 DON MORISSETTE HOMES DON MORISSETTE HOMES INC This permit is subject to the regulations contained in the 4230 GALEWOOD ST 4230 GALEWOOD ST,STE 100 Tigard Municipal Code,Slate o OR. Specialty Codes and STE 100 LAKE OSWEGO,OR 97035 all other iceapplicablewith laws. All work will be done it LAKE OSWEGO,OR 97035 accordance with approved plans. This permit will Expire if work is riot started within 180 days of Issuance,or if the work Is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Phone: 503-387-7538 Phone: Oregon Utility Notification Center. Those rules are set ,5p3�387-7 forth in OAR 952-001-0010 through 952-001-0080. You Reg 0: LIC SAA may obtain copies of thess rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Underfloor Insulation Electrical Service Low Voltage Storm drain Insp Mechanical Final Footing Insp Crawl Draln/Backwater Electrical Rough In Gas Line Insp Water Line Irsp Plumb Final Foundatlon Insp PLM/Underfloor Framing Insp Gas Fireplace Water Service Insp Building Final Post/Bea TT Structural Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdwik Insp POst/Bealn Mechanica Plumu Top Out Extortor Sheathing Insf Rain drain Insp Electrical Final ISsubl By : �1v, Cc-f—V QCSC• V JCS Lfw� Permittee Sigr.ature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITYOF T I GA R D SEINER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2003-00378 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/10/03 SITE ADDRESS; 13705 SW HATHAWAY TERR PARCEL- 2S 103CC-07900 SUBDIVISION: WHISTLER'S WALK ZONING: R-4.5 BLOCK: LOT: 020 JURISDICTION: HG TENANT NAME: USA NO: FIXTURE UNIT: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF Owner: ---- - —----– ----------- _ FEES DON MORISSETTE HOMES 4230 GALEWOOD ST Description JDate Amount STE 100 [SWUSAJ Swr Connect 11/10/03 $2,400.00 LAKE OSWEGO,OR 97035 [SWUSAJ Swr Connect 11/10/03 $0.00 Phone: 503-387-7538 [SWINSP]Swr Inspect 11/10/03 $35.00 [SWINSP] Swr Inspect 11/10iO3 $0.00 Contractor: — --- _ -��-- Total $2,435.00 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 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 / 1 ��- Issued by: ,y(�l- �l ' �- 1~"_.— Permittee Signature: - --- Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next bueiness day A�� Building Permit Application_ I Niglio" City of Tigard Dtrterecd,ed A Permit no. Address: 13125 SW Hall Blvd,,ri ard,OR 9722.1 Pro)ectlappt••1o.: Expircdate: City of Tigard B Phone: (503) 639-4171 + Date issued: By: Receipt no.: Fax: (503) 598-1960 Case rile no.: Payment type: "y,�_ t&2 family:Simple Complex: Land use approval: U 1 &2 family dwelling or accessory ❑Commercial/induA 'a] ❑Multi-family &New construction O Demolition J Addision/alterdtion/replacement :]Trnant improvrmcnI U Fire sprinkler/alarm U Other. Job address: rI Bldg.no.: Suite no.: Lot: Block: Subdivision: J fax map/tax lot/account no.: Project name: — Description and location of won,on premises/special conditions: DU ;z Name: '� Y ' "ll' IN WN Mailing address: L' 4 =1M71,&2 family dwelling: City: State i Z1P: ationof work............... $ Phone: - Fax: -71-613-mail: .of hedrooms/baths................................. __ Owner's representative: ' _ I G''t v I L IL Total number of floors F t: !EA"'. New dwelling u d(sq.ft.) .......................... k t .v r ._..1tr;.. _.....a. .i.. c... asta?c.' ;t t" ...•a(sq. ft.) Name: Covered porch area(sq. ft.) ........................... Mailing address: A Deck area(sq. ft.) ...................................... City: State: ZIP: Other structure area(sq. ft.)......................... Phone: Fax: I E-mail: Commercial/industrial/multi-family: Valuation of work........................................ $ Business name: ; -j - Existing bldg.area(sq, ft.) .......................... _'— Address: (- New New bldg.area(sq ft.)................................ - CitY: State: ZIP: Number of stories................ -- Phone: Fax: E-mail: Type of construction.................................... _ Occupancy group(s): Existing: City/metro lic.no.: -- New: I Ella 1911 NILE 11FA 11 Notice:All contractors and subcontractors arc required to be licensed with the Oregon Construction Contractors Board under Name: L kay ,ly provisions of ORS 701 and may be required to he licensed in the Address: c �� C�, w 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: Name: Contact person: Fees due upon application ........................... $ AI'Aress: - _ Date received: _ City: State: ZIP: Amount received ....... $ Phone: Fax: IE-mail: Please refer to fee schedule. _ I hereby certify I have read and examined this application and the Na all jurisdictions accept credit cants,please earl prdstiction frr mom information. attached checklist.A rovisions of I ws and v dinanoes governing this U visa O MasterCard work will he comp) wt ,whether cifred hereA t. Credit card number Authorized st�natur V I I V Expires t Nark of cardholder v shown on credit card ' f'.1^.t:'"�R,' �,_4�1. 111•••^^^ � I�'I'} l S —' _ ZZdholder denature Amount 1`IoNc.:Tri•: -u t...not .1;ccJ " Jays atrc r it has heen accepted im complete. W)•tGl tt�rtxvcoMi t 0i _.- and'Two-Family Dwelling BuA] Ming PP Permit Application Checklist ;<eferenceno.: - - Associated permits: CityCiryofTiganl oTigard Ti gd O Electrical ❑Plumhing ❑Mechanicil Address: 13125 SW Hall Blva,Tigard,OR 97223 O Other: -J Phone: (503) 639-4171 Fax: (.J3) 598-1960 1 Land use actions completed.See jun diction criteria for concurrent reviews. _ 2 Zoning.Flood plain,solar balance points,seismic soils designation,histone distract,etc. 3 Verification of approved plat/lot. 4 Fire district approval required. 5 Septic system permit or authorization for remodel. Existing system capacity_—_- 6 Sewer permit. - --- — 7 Water district approval. - 8 Soils report. Must carry original applicable stamp and signature on file or with application. 9 Erosion control ❑plan ❑petrut required.Include drainage-way prote�.aon,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. Laterrl design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cro,,,. references between plan location and details.Plan review cannot be completed if copyright violations exist. J� I I Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway:footprint of structure(including decks);location of wells/septic systems:utility locations;direction indicator,lot area:building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. t 2 Foundation plan.Show dimensions, anchor bolts,any hold-downs and reinforcing pads,connection details,vent sire 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. 50 _ 1.1 Cross section(s)and details.Show all framing-member sizes and spacing such as floor!rams,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.Ptuvide 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. _ I o 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 Floor/roof 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 rebar. For 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 floor/roof truss design detaUs. 21 Energy Code compliance.Identify the prescrirtive path or provide cal.ulations.A gag-piping schematic is required for four or more appliances. 22 Engineer's calculations.When required or provided.(i.e.,shear wall,roof truss)shall he stamped by an engineer or architect licensed in Oregon and shall he shown to be applicable to the pr-pt under review. t 23 Five(5)site plans are requit. 'for Item 1 I above. 3ile plans must be 8-1/2"x !1"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. 27 _ 28 Checklist must be completed before plan review start date. Minor changes or nu.-g on submitted plans may be in blue or black ink. Red ink is reserved for department use only. 440-0614 oyooict,Ml Mechanical Permit Application Date received: Permit no.: .-W f City of Tigard ;.y Project/appl.no.: _ _ Expi,edate: Address: 1312.5 SW Ifall Blvd("�t ,09 971'.3....'.% City o(Tig�rd Date issued: EReceipt no.: Phone: (503) 639-4171 ---- Fax: (503) 598-1960 OCT 7003 Case file no.: Payment type: Land use approval: _ Building permit no.: r1_1 TV F U l &2 family dweGinh,or accessory U Commerciai/industrial 0 Multi-family O Tenant improvement �Ncw construction U Addition/alteration/replacement U other: -- --- 1 : ! 1 1 i t 1111 Job address: 1 t _ Indicate cquiprient quantities in 17oxes below. Indicate the dollar Prdg.no.: Suite no.: value of all mechanical materials,equipment,lalx)r,overhead, Tax ma tax lot/account no.: profit. Value$ _ Wt: y Boum Subdivision: 'See checklist for important application information and Project name: sdiction's fee schedule for residential permit fee. City/county: ZIP: 1 1 I Ix' ! / 7I �1 Description and location of work on premises: _ Fee(m) Total Description Qty. Rcs.only Res only Est.date of completion/inspection: TVAC: — Tenant improvement or change of use: Air handling unit CIFM 13 existing space heated or conditioned'?U Yes O No r conditioning(site p an requved) Is existing space insulated?U Yes U No Alteration o existing A system oiler/compressors NIE01ANIGNI. CONTRACTOR State boiler permit no.: Business name: 1 _ HP Tons BTU/H Address: �" irelsmoke darrpers/duct smoke detectors City; L! State' ZIP: eat pump(sue plan required) Install/replace rnace/burner__ Phone: E-mail: Including ductworklvent liner U Yes U No CCB no.: r��-� _ _ nstall/replace/relocate eaters-suspended City/metro lic. no.:Ni A _ wall,or floor mounted Name(please print): ��(�, Vent orappliance other than urnace e geration: Absorptionun,cs--._.______- BTU/H Name: ` V-AA C-1 L_ Chillers____.__` HP — Compressors _ HP Address: SIL — a tal exha onmentu �enttl t an ation: City; _tate: ZIP: Appliancevent `__ Phone: v Fax: E-mail: ryerexhaust _ — I s,Type res.kitchen/hazmat hood fire suppression system — Name: � 1; ' Exhaust fan with single duct(bath tans) �haust system apart from heating or KC Mailing address: tie pipIng an Ist tit on(up to out cis) City: State zip(? Type _,_LPG __ NG Oil Phone: 7, Fax: E-mail: Fuel piping each additional over 4 outlets rocess piping(schematicrequired) -- Number of outlets — Name: _ ter lHa appliance or equipment: Address: Decorative fireplace — - Cit} - _- State: ZIP: nsert-type _— Woodstovetpelletstove - Phone:�s E'ax: E-mail: Other: Applicant's sf�natu' Date: Other. Name, " ' Permit fee........... ~' Na all juti"etions acceq cretUt cards,please call jurisdiction for mom intormmion Notice,This permit application Minimum fee................ O Visa U MasterCard / expires if a permit is not obtained5 —_ Credit card number Plan review(at _ �) Expires within 1g0 days ager it has been State surcharge(8°k) .•••$ - - accepted as complete. TOTAII� . —carne ei cardholder as shows on cmdit cud s ......................$ _ -- Cardholder sianalum ATM-00n, 4.I(S-a517(6RX1K'OM) r Plumbing Permit 4pplicaliion Datereceived: Permit City of Tigard a Sewer perrrut no. — Building permit no.: Address: 13125 SW Hall BI �'+ CiryoJTigard Prolec Phone: (503) 639-4171 Jappl.no.. Expire due: Fax: (503) 598-1960 i, ''l� [D:a�teissurdle By !Payment type_:e pt no.: no. Land use approval: — -�- IGA , �kugg1 3, ;BIdg. 3c 2 family dwelling or accessory 0 Commercial/industrial O Multi-family 0 Tenant improvement ew constr�cuon 0 Addition/alteration/replacement ❑Food service 0 Other1 M �1 t t r tddre s: '.1 -7 � - Description Qty. Fee(es.) i[otal-3 Nen l-and 2-family dwellings only: no.: Suite no.: (includ.s 100 R.for,-acfi utilityconnection) Tax map/tax lot/account no.: SFR(1) bath _ Lot 1 Blc 7 Subdivision: S SFR r2)baui _ — Project name: SFR 3) badm City/cowity: ZIP: Each sddu.luna•I.,vtvlutchen Descnpuon and location of work on premises: Siteutilities. Catch"yin/:,rea drain -- Drvwellsjle,ch lineltrench Brun Est-date of completion/inspection: Footrnr+ rain(no. lin. ft.) —{f UKWIIIN�9_ WON Manufactured home uuhties Business name• _h- f-SAWL Manheles Address Rain drain connector City .i x 1 State ZlP Sanitary sewer(no. lin. R.) ,. E-mail: Storm sewer(no. lin. ft-) Phone "--,'L Firft.) Water servtc�i no lin. CCB no.: ^��- I Plumb.bus. reg. no: �-�--� F'i+cture or item: Cityimeun lie. no.: ti.A '� Absorption valve :ommctoes representative signature Back flow pre�:enter Print name: Ua Backwater valve - Basins/lavatcry Clothes washer Name:, K I!J� Dishwasher _ Address_ -YI � k "V Dnnlune founminis) _ J City I State: ZIP' Electors/sump _ - Phone: I Fir: E-mail: Expansion tank Fixture.'sewer cap Floor dr-amns/tloor sinks/hub r Name (pnntl - �-�(� `- � laarbaee disposal Mailing address: I Hose bibb _ City NO ZIP: Ice maker Phone: E-mail: nterceptodgn:ase trap _ Owner insraLladomresidendal mninrenance only: The actual installation Pnmerts) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) —_ employee on the l,ropem• I own as per ORS Chapter 447. Sink-(si,basin(s), lays(s) Owner's si nan.rDate: Sump e: _ Tubva"^wPdshower an - - ---- - ----- - Urinal - Name _ Water closet - Address. Water hearer City �J-- -- -_Ltate: ZIP: Other: Phony: Fa+c: �E-mail: Total —� --- Minimum fee..... .......... Not all lunxLcuron .wept c!edit suds,please al Junswcuon ror more mrtxmauon Notice:This permit application '70) f C soisa 0 MasterCard expires if a permit is not obuined Plan review(at c.edlt card number / within 180 days after it has been State surcharge(3 0) ... 5 F-xptrea TOTAL S accepted u cnmpletc. . .. ........ -- None�!:.u�ttotder ss tAown ria cteiLt cud l-udhatdcr uttta�urt s Amount- a.y}.V 16 160�'OMt C A Electrical Permit /application - jj `rj� Date received: PernrtitnO,: --WS! 2.1 V a City of Tigard AF-CEIVEL)EL) Project/appl.no.' Expire date: City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 pate issued: — By: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: AHD r 111111111 U 1 ' 110 1 rly dwelling or accessory n Commercial/industrial ❑Multi-family ❑Tenant improvement ruction ❑Additionl alteration/renI.icement ❑Other. U Partial 11014311OU"'IJ Jou address: F� _ Bld no. Suite no.: Tma /tax lot/account no.: �` �'� � ax map /tax Block: Subdivision: Project name: Description and location of work on premises: Estimated date of completion/'inspection: SaWDULE Job no: Derem Max scription Qty. (ea.) Total no.lnsp Business name: L New rrsidential-single or mute-family per Address: L d..ellingwtit.Inciud s attached garage. City: State: ZIP: Serviceincluded: 1000 sq.ft orlrss _ _4_ hone: �' ; 1 Fax: E-mail: Each additional 500 sq.ft or portion thereof _ CCB no.: Elec. bus. lic. no: Urrutedenergy.residenual _ 2 Each manufactured home or modular dwelling Service and/or feeder2 nture n�runm,rrnp tr rrichrn(requfr•d) Drive — J -- ----- G Servlcporfeeders-installauun, Sup elect nameipnnn 1 11�— ❑:enseno J ratlenllonorrelocation: 200 amps or less _ 2 201 amps to 400 amps 2 Name (print): � 401 amps to 600 amps --- 2 Mailing address: 601 amps to 1000 amps 2 Citi: c State ZIP: Over 1000 amps or volts _ _ 2 s I Phone: - Fax: --7- mail:_ Reconnect only Temporaryservires or'e eders- t)rvnerinstu!lallon:The installation is being made on property I own b►srallatlon,altetatton,of relocation: ch is not intended for sale, lease.rent,or exchange according to 2W amps or less i-_ 2 ORS 447,455,479,670,701. 201 amps to 400 amps _ Owner's si nature: Date: aolto600amps2 a _ 1 B Branch circuits-new,alteration, or extension per panel: Name: _ _ _ A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit ? CItV _ StatC: ZIP B Fee for branch cimuiu without purchase — of service or r eder fee.first branch circuit: — 2 Phunc'` F;tx, f m il: Each additional branch circuit Mesa(Service or feeder not Included): Each purr� g or irrigation circle 2 ❑Service over 225amps-cnnnterctal OHar ealth-ce(actuty p � •Service over 320 amps-rating of 1 del O Hazardous location Each sign or oudine.i hung _- family dwellings U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel. 2 U System over 600 volts non-dnal more residential units in one structure alteration,or extension' -- 0 Building over three stories ❑Feeders,400 amps or morr *Description. — - O Occupant loud over 99 persons U Manufactured structures or RV park Each additional Inspection over the allowable in any of the Above: O EgressAighting plan Q Other —. -- Per inspecuon Submit—sets of plans with any of the xWvr. Investigation fee The above are not applicable to temporary construction service. Other ,. .— Permit fee.....................$ -- Na ail)urisdictiotu arc:p credit can4,pleats tall jurisdiction 6c more information Notice:This permit application O Visa U MasterCard expires if a permit is not obtained Plan review(at __ e%) $ ---- Credit card ncmner, —_ �_(—_ within 180 days after it has been State surcharge(8%) ....$ ---— �"p1ft! accepted as complete. TOTAL •••.•••...S --- Name of,rdltolder As shown an credit caad s --- Cat,hclder si`nsture Amount 410�6I S((vVarCOM) l 411k(503) 307 DON e MORISSETTE ORS : 2796 8 0 m a 8 1NC08P08AT3D LOT: 2A 4 a a 0 O A L Z W O O D 4 T R Z ! T L ,� R ■ osw ■ a0, 0R8a0N 47036 DATE: 09/23/2009 - 7644 VAX (603) 347 - 7416 PROPERTY: lrffi3TLER'S—1►ALK CITY: TIGARD SCALE: i"=20' PLAN No.: 199 OPTION-1 ELEVATION 3 CAR GARAGE ��'•m' _ lu 318 ' I 104ID�d' 3t2' 3n O I I ' 4 bdrm. Z 1/2 bath Q ' _lPOT,ot_ al ' m - 1 al 630 4q. Pt. 3 car gar. 'S FFE. 315' 1. I I I , j� V N 76'-0' S•.®' I'•F' A i LEGEND LOT_W VERAGE r LOT AREA: 6 240 SQ. FT, EUII_DING AREA: 2,410 SQ, FT LOT il6 o GER ra,BRut+ PERCENT'GE: a 'REv r'.]PLE' 38.6-e 6,240 6Gl. ft. t CITY OF TIG A itil HUILDI J PFRMI "AN RV%1IF PLANN NCj DIVISH)N: Required 0 Align I 1�fdf:: sirret si(Ic. M ppro%;:() .15— - Visual �R . Mi1xi'll"In 111fik lin glicipla %-0T4:e Prot N(MI-J'ARI -Nif-VI . C2 Site Platy,, Ely- APProved O 0 Voved R E C DIV E D OCT ', 2 2003 GITY OF 1 iGARD BUILDING rW11SI0N �AAAAAAAA.&AAAAA AAAAAAAA AA .AAA,&.AAAAAAAALAAAAAA A i i7 No. i ► a � p ► p «r C -� o� N ► �. ^ I! Cy N p Emil t '.:� ► 1 I v ► �I ► J/'♦��'T'`I���1TTT�TTTTrTT�1►�TTTTT'ITTT�T7�TTT'r�eT'� CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MS -__-_�---- / BUP Receive /�-_-�(, Z / Date Requestted/ 3 __ AM' PM dUP Location __ _f 3 7D S_ _ /�u-� Suite- MEC Contact Person --- -- - ---- -- --- Ph(" --)D — Pi.M -------- Contractor ��_ - J ---- Ph (--- ) - ---------- SWR -- - -- -- - BUILDING TenanUOwner �- _ ___----. ELC Footing Foundation Access: ELC Ftg Drain EL.R Crawl Drain - Slab Inspection Nates SIT Post& Beam _1 Shear Anchors --- ---- -- -- -- Ext Sheath/Shear Int Sheath/Sheaf ---- - Framing Insulation Drywall Nailing - --- -- --- _ ---- ----- ----- .,.---- - - ---- Firewall Fire Sprinkler Fire Alarm ----_.____-- Susp'd Coiling - - --- - - _ - -- - - -- — - - -- - ---- - Roof Other: - - -- -- - ----- — Final SS PART FAIL PLUMBING_ - - -- Post& Beam -- Under Slab -- Rough-In Water Service Sanitary Sewer Rain Drains -- -- --- -- Catoh Basin/Manhole Storm Drain ------------ - — -- _ Shower Pan ;=W�IPART _ FAIL ---- --_..- _ ---- -- MECHNI_A_ C.4L Post R 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 E] Pl:,ase call for reinspection RE:- -__ --_ Unable to inspect- no access Fire Supply Line ADA Approach/Sidewalk Dat _ __- Inspector__-- -- _.��� -- Ext Other Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL GITY OF TIGAR© 24-Hour Inspection Line: (503)639-4175 BUILDING INSPEDTION DIVISION Business Line: (503)639-4171 BLIP / BUP Received �Jv �i�7?�D to Requested ,[ AM PM BLIP t.ocation ��!__ ?_ Suite _ _-- MEC Contact Person a — Ph( ) U -r�l � PLM __-_-- Contractor Ph( ) _ SWR —_-___-- BUILDING')' Tenant/Owner --__-- ELC -- -_- -- Footing _- ELC ----_-_._ __--- Foundation Access: Ftg Drain ELR Crawl Drain �- Slab Inspection Notes: SIT - Post& Bearn Shear Anchors Ext Sheath/Shear -------- - - Int Sheath/Shear Framing - - - ----- ------- --- -- -- -- Insulation Drywall Nailing -- - --� - ---� _.. ----- -_ ------ Firewall Fire Sprinkler e- ---- - Fire Alarm Susp'd Ceiling -- -- --_ --s-- _-_-------- -_- __ . .---- Roof ZSS PART FAIL _P NG_ -- - -- ----- ---- -- ..- --- - - Post&Beam Under Slab - -------- --— --- --- - Rough-In Water Service --—----- ----- ---- - Sanitary Sewer Rain Drains -- ------- ---------- ------ _ - Catch Basin/Manhole Storm Drain ---- ---- -------------- .- ---- - - Shower Pan Other: - _ -- --- -_ _ -------- —------------ ---- ------ Fina: PASS PART FAIL MECHA111CAL - ---------- - --- Post& Berm -- -- - Rough-In --- - Gas Line Smoke Dampers Final - - --- - PASS P FAIL - - cEl_ _cTRll.� = - --- -- ---- -- Service Rough In _ UG/Slab - - ----- Low Voltage -- -- — ----_. Fire Alarm Tr Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall P:vd. SS PART FAIL F] Please call for reinspection RE: __ [� Unable to inspect-ra access Fire Supplv Line 'v 6VADA Date t - Inspector Z;-RXt Other: -- - _ Fnal DO NOT REMOVE this Inspection record from the job site. I'M I PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST _.------ -- INSPECTION DIVISION Business Line: (503)639-4171 BUP Received- 'S____� 55 Date Requested —3 �� AM--_.__.— PM __._____— BUP --- Location9- - Suite MECContact Person ---- -- -- -- - Ph Contractor -- 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 _ -� ----- ----------_-_ --------- -------- 7 -- Root Other: - -- - - ---- - ---- ----- --------- ------ -- - -- Final PASS PART FAIL Post R i?edm Under Slab - - - - -- -- --------. Rough-In Water Service ---- - --.-- - ---- Sanitary S9wer Rain Drains - - - --- ---- —-- Catch Basin/Manhole Storm Drain _— -- ---- -- ------ Shower Pan O er: -- - i P S PART FAIL MECHANICAL - -- --- — Post& Beam Rough-In ---- Gas Line Smoke Dampers --- - ---- ----- - Final PASS PART FAIL --- ---- -� ELECTRICAL ServicF, Hough-in UG/R!ab Low Voltage - Fire Alarm �— Final Reinspection fee of$_- required before nQxt inspection, Pa at Cit Hall, 13125 SW liar! Blvd PASS PART FAIL L-� p - �' I Y' Y SITE [] Please or reinspection RE:_ _ _ [J Unable to enspecl -no access Fire Supply Line ADA Dente 7,1d _ Approach/Sidewalk « Inspector — Other: Final — DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY O F 'rI GARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2004-00413 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/28/2004 PARCEL: 2S103CC-07900 SITF ADDRESS: 13705 SW HATHAWAY TERR SUBDIVISION: WHISTLER'S WALK ZONING: R-4.5 BLOCK: LOT:026 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS- OCCUPANCY ANSOCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPE& � 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UN1T3: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 * HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1 FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: A/C Install,do urt place within the required setbacks Owner: --- _ FEES __— DEVIN KOOPMAN Description Date Amount 13705 SW HATHAWAY TERR f,vtl:Cll� I'ermit I-ee 6126/20Cz $72.50 TAX] R"rb State Surchart 6/28/2002 $5.80 Phone: SU?-S?'r-r,7ul - --- Tota! $78.30---- _^--• Contractor: COLUMBIA HEATING & COOLING INC P O. BOX 230397 TIGARD, OR 9722,, REQUIRED INSPECTIONS Phone: 503-624.2704 Final Inspection Reg #: LIC 76359 This permit is issued subject to the regu!at.ions contained in the Tigard Municipal Code, Sta-ie of Ore. 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 clays. ATTENTION. Oregon law requires you to follow rules adopted in 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 by calling (503)246 63699. l Issued By: _Ir _� Permittee Signature: Cr Call ( 9-4175 by 7:00 P.M. for Inspections needed the net Ilusiness day Jun 24 04 03: 10p FHM DHLBY 503-598--0270 p- 2 Mechanical Permit Application FOR O Received Permit No. city Ut Tigard DateBy: - 7 13125 SW Hall 81vd.,Tigard,OR 9727> ---- - B Plan Review Prone 503.63S,4171 Fax: 503.598.1950 nate/ay OtherPecmrt. Inspection Line: 503 639.4175 nate Rcsdy/By. — Jew 0 Sec Page 2 for —� Internet vrvnv.ci.ttgard or.us Noutled/Method: Supptemeatal Information t'C6l%WtRCTA.L'FkV SCHFOULLr USE CHECKLIST Mechanical permit fees'are based on:he value of the work (�New construction L;Zg'lkddition/alterauon/replacement performed.Indicate the value(rounded to the nearest dollar)os'all emelition ❑Other: mechanical materals,equipment,labor,overhead.and rot'i� 1-_-_ _ -r-----^-c^---- - ya ue.5 _�11 )M,goky.OF0 ONS'I Ku TIUN l $1ljElv4IAL EQtJCPMENT/SYSTEMS FEES' [ 1.and 2-family dwelling ❑Commercial/industnal ❑ Accessory building For special information use checklist!� l ❑Multi-family []Master builder ❑Other Description Qty. Ea Total �---- OS1 '�!$ ktif�TO ° g 4t64A7tON fieatin coolin Job site address sw_ �r J - -' (reconditioningfiresiAlshowing heat pump !� + I �1J1/l�.LGJ (requires alis Ian shownn Iacensenl �--�— f City/siate/ZIF - Furnace 100,000 BTU(ducts/veno) 14.00 Furnace 100,000+BTU(ductsrvenu) Lj 17 90 c;rt,:eibWg,apt.no. - P;o3ec1 nart,r _ - __-,� Cas heat pump �--1 14.00 Cross sneetldirectons to job site: Duct work H dronlc hot waters stem 1400 Residential boiler(radiator or 14.00 Unit heaters(fuel type,not elecmc), in-wall,in-duct,suspended,etc 10.00 Flue/ven!for any of 15ove 10 00 Subdivision: !' — Lot no.: Other: r Other fuel r Iiat crs 10.05 Tax map parcel no.: -pp-_ ., Water heater — �r;.` `�';pESCRII?'fIOV;Q� �VORIC'ka..,.;,, ° +4d►' t�, �. Gag fill! t, c IL'00 Flue-•.ent for water heater or gas fireplace e 1000 Lo lighter 10.00 -- - -- Wood; ellet stove 10.00 - -1-�--- Wood replace/insert ---�1100.0000-� �i;', ,• 'PAItOPSifTY OWNER '` 't` —ity':,TE[�(ANT .fir ; . Chimney/liner/flue/vent /liner/flue/vent i 1000 --- Other: 10 00 - - ,.� __ _ Name: Environmental exhaust anti ventllatlon Range hood/other kitchen - address: equipmentI 1000 _ / 2,o S SQL"_..� reJr���t ._lelva a - -FCttyrStetdLIP: Clothes dr r exhaust — 10.00 C 7ty Ir��— -- -- - - Single-duct exhaust(brahrooms, Phone ( A ) /Jy �_ � I Fax f ) —T toilet compartments,uhii roo+ns 6.80 1-.' ]t APYL1f A`I'1 _- - t t)NJ.AC'1`'1'EItS,O Attie/crawl ap ce fans 10.00 -- - - -- ---- r -i- Other 10.00 _ Business name: - _ _ _ Fuel piping _ Contact name: _— �M � �b - $5.40 for flrst four;51.00 or epch additional -`- Address. Furnace etc "--'-` ---- - - - - --- - - - --- nu heat pump _ City/State/ZIP: WalUsus ended/unit heater --r- Water heater �Phone Fax (J�3) arts c' ' Fireplace __-- F-mail: Range I O I -t IOR ..,z 1� ,_ ^'r cW Barbecue,—�W Bu<tness name Clothes At ar as /� /� -� Other: l� Address �� a `3 6.3 �'� - - - --- -- :': .iii' r4lli tIANICAj.#'ERMI T FEE5• City/State/ZIP: Subtotal —� �- t�2+ - `-p 2 �"�" _ Minimum per fee(E72.50_) Phone: ,rD ) G Fax.( p3) Ga D Plan review(25%of permr,°ee) i CCB lie. - 3' - T- - --_ r State surcharge(8%of permit fee) �� TOTAL PERMIT FEE 1 Authorized signature: Q/!'7����—"r^ Q'� A This permll application explrer If a permit it not obt°Ined althln days after It has been accepted pt comptere LPrint name-- /�j f/ t Date Vit,-j � Fee methcdology set by Tri.County Building Indusav Ser.ice Bo. ,t8uddingVerrml-..MBC.PerrnuAppdoe IVO) "� eaa•4e17T(IU02rCOtd/WE9) t Jun 24 04 03: 10p PAM DALHY 503-598-0270 p. 3 �a'eUW47 HEATING & COOLING, INC., 8900 S.W. BURNHAM ROAD, SUITE E110 TIGARD,OR 97223 (503) 6242704 FAX (503) 598-0270 i Ei« �l act SITE PLAN FOR AC OUTDOOR. U141T LOCATION CITY OF T-IGARD 24-Hour BUILDING Inspection Line: (503 439-4175 INSPECTION DIVISION Business Line: (5 )639-4171 MST BUP _ Received ?! L_Date Requast d_� d AM PM — BUP T — Location �'`� Suite _ MI_C.s(C�'�'- c��y� Contact Person h ( �3) .1�2 l/ v� �Lt r/__ Pt M Contractor__.— _ L� Ph SVR _— BUILDING_ _ Tenant/Owner —_____._______.____ —_ _ ELC Focting -- � Vl/lJl_ Foundation ELC Access: cb<<y G 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 ----- - i----- - fir• ----- PLUMBING_ Post& Beam Under Slab .--_-__-- Rough-In Water Service - -- - - — Sanitary Sewer i Rain Drains - - -- ----- _. __-- Catch Basin 1 Manhole Storm Drain ----- --- -- - Shower Pan Other: — - Final PASS PART FAIL - -- --- MECHANICAL Post&Beam Rough-In Gas Line S e Dampers PASS.— PART FAIL - I RICAL _ Service Rough-In UG/Slab T_....._ ---- ------ - - ------ --- Low Voltage Fire Alarm Final Reinspection fee of$__ required before next inspection. Pay at City Hall. 13125 SW Hall Blvd. PASS_ PART FAIL SITE _ Please call for reinspection RE: __... ..._.�__.__ —_ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date --- �. ' Q Insr)ector __ 'w • Ext Other:_ Final DO NOT REMOVE this Inspection recor .fr m the jots site. PASS PART FAIL. CITY OF TIOARD Residential Certljficate of Occupancy Permit No.: 3 — S Address: Owner/Contractor: Date of Final Inspection: 3 Inspector: Imo' 'rh t.tnicture has been found to be in substantial compliance with the provisions of the State of Oregon One& Two Family Dwelling _Snerialty Code and is hereby approved for occupancy. _ J t