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12160 SW MORNING HILL DRIVE-1 H4 llIH ONINHOW MS 09I ZI, i 0 J J a z � z O m � o c.i 12160 SW MORNING HILL DR ` CITY OF TIC�ARD MASTER PERMIT PERMIT DEVELOPMENT SERVICES DATES UED: 1 3 00517 1/21/03 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 SITE ADDRESS: 12160 SW MORNING HILL DR PARCEL: 2S104AB-01600 SUBDIVISION: MORNING HILL xO.1 ZONING: R-4.5 BLOCK: LOT: 022 JURISDICTION: TIG REMARKS: Const new SF detached residence. BUILDING REISSUE: VVA03 614 STORIES: FLOOR AREAS _REQUIRED SEI BACKS _REOUIRED CLASP OF WORK: NEVI HEIGHT, 70 FIRST: 1.898 Of BASEMENT: —rof LEFT: 5�- SMOKE DETFCIORS: Y TYPE OF USE: SI FLOOR LOAD: 40 SECOND: 147 of GARAGE. 595 of FRONT: 20 PARKING SPACES: 2 TYPE OF CONST 9N DWELLING UNITS: 1 Two of RIGHT: 15 OCCUPANCY GRP: R3 RDRM: 3 BATH: 4 TOTAL 7.640 of VALUE: 262,371.50 REAR: 5 PLUMBING �- SINKS: I WATER CLOSETS: 4 WASHING MATH: 1 LR.UNDRY TRAYS. RAIN DRAIN: Inn TRAPS: LAVATORIES: 5 DISHWASHERS-. 1 FI MR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUBISHOWERS: 4 GARBAGE nISP: I WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL —ECHANNIICAL FUEL TYPES FURN c 100K: BOIL/„MP<3HP: / VENT FANS: 5_! CLOTHES DRYER: 1 GAS FURN>-100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS, 1 MAX INP: btu FLOOR FURNANCESVENTS: I WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADO'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 200 amp: WISVC OR FDR: PUMP/IRRIGATION: PER INSPECTION: EA ADD'L.500SF: 5 201 - 400 amp- 201 400 snip: 1st W/O SVCIFDRSIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 son amp: 401 - 600 amp: EAADDL OR CIR: SIGNALIPANEL: IN PLANT: MANI)HM/SVC/FDR: 601 loop amu: sol-anpo-1000v: MINOR LABEL: 1000-amolvolt PLAN REVIEW SECTION Recannr^t only -- 1-4 RES UNITS: SVC/FDR>-221 A.: >600 V NOMINAL- CLS AREA/SPC OCC: ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO A STEREO, VACUUM SYSTEM: AUDIO A STEREO: FIRE ALARM: INTE.RCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: MVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAlTELE COMM: NURSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 8,280.75 TUCIO, I RAN&GARY BLACK DIAMOND HOMES INC This permit is subject to the reyulations contained in the GAT GAT UCC ON 14780 SW OSPREY UR Tigard Municipal Code,State of OR. Specialty Codes and SII other applicable laws. All work will be done In WEST LINN,OR 97058 STE 240 accordance with approved plans. This permit will expire if BEAVEF:TON,OR 97007 work is not started within 180 days of issuance,or to the work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the d Phons: 503_201-6304 Phons: 201-6104 Oregon Utility Notification Center. Those rules are set forth in OAR 953-001-0010 through 952-001-0080. You Rep N: LIC 109542 may obtain copies of these rules or direct questions to OUNC by calling(503)246-19E7 r REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Mechanica Plumb Top Out^ Exterior Sheathing Inst Gyp Board Insp Appr/Sdwlk Insp WSewer Inspection Underfloor insulation Electrical Service Low Voltage Rain drain Insp Electrical Final —� Footing Insp Crawl Drain/Backwater Electrical Rough In Gas Line Insp Storm drain Insp Mechanical Final Foundation Insp PLM/Underfloor Framing Insp Gas Fireplace Water Line Insp Plumb Final Post/Beam Structural Mechanical Insp Snear Wall Insp Insulation Insp Water Service Insp Building Final Issued By : Perm:ctee Signature` Call (503) 639-4175 bl 7:00 p.m.for an Inspection needed thee u nese day CITY OF TIGARD SEWER CO;INECTIONPFRMIT DEVELOPMENT SERVICES PERMIT#: SWR2003-00384 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 11/21/03 SITE ADDRESS; 12160 SW MORNING HILL DR PARCEL: 2S104AB-01600 SUBDIVISION: MORNING I11LL NO.I ZONING: R-4.5 BLOCK: LOT: 022 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS.- CLASS NITS:CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO.OF BUILDINGS: INSTALL TYPE: LTPSWR IMNERV SURFACE: Remarks: Sewer connection for new SF detached dwelling. Owner: SEES CATTUCIO, IRAN & GARY 2206 DILLON Description Date Amount WEST LINN, OR 97068 [SWUSA]Swr Connect 11/21/03 $2,400.00 [SWUSA]Swr Connect 11/21/03 $0.00 Phone: 503-201-6304 [SWINSI'] Swr Inspect 1101/03 $35.00 [SWINSP] Swr Inspect 11!21/03 $0.00 Contractor: --- - Total $2,435.00 Phone: Reg#: Rego-fired Inspections a oc U) m This Applicant agrees to comply with ail 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 —a 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 f Issued by: Permittee Signature. Call (503) 639-4175 by 7:00-P.M.for an rnsFcc!!c,n needed the*neineday s� Building Permit Application City of Tigard �v/ Datereceived: �� o Permit no.: City ip/TiRnrrl Address: 13125 SW Hall Bivasmi- ED Project/appl.no.: Expire date: Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 NOV 3 2003 Case file no.: Payment:ype: La �manproval: 1&2 family:Simple �� Camplex: A tlGAALJ L-- U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family P4'New construction U Demolition U Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other: Job address: (Z,(14QS ,1 (eel (( t Bldg.no.: Suite no.: Lot: _ Z?— Block: Suhdivisio , - —n� Tax map/tax lot/account no.: Project name:, Description Ing location of work on premises/specal conditions: Namc: ArJ rC t Mailing address: Z Co J)tL 1 &2 family dwellhig: City: State: 6k ZIP. Valuation of work........................................ $ Phone: . ' Fax: E-mail: No.of bedrooms/baths................................. Owner's representative: Total number of floors............................. . _ Pbone: _ Fax: E-mail: New dwelling area(sq.ft.) .......................... .,'� Garage/carport area(sq.ft.)......................... �1'me `L �t-( '- QiL�C _�tgvhynu Covered porch area(sq.ft.) ......................... Mailing address: I T180 SW W. I Tr Deck area(sq. ft.)................ ....................... f Ci►�� } Stale:p8 ZIP: 7�� Other sttucttit area(sq.ft.). Phone: Fax: 3- 7 QQ :mail: ('omtnelrciaUlnda:ttrlal/malt! family: Valuation of work........................................ $ Business Warne: -p1&k_3vtf) k mES A C Existing bldg.area(sq. ft.) .............. ........... Address: l.J O SV l TE Z40 New bldg.area(sq. ft.)................................ City: State: ZIP: Number of stories........................................ T _, -- Type of construction.................................... Phonc:50 _�p1- 3a Fa-� � E-mail: — CCB no.: . r2 / ,i �`'— Occupancy group(s): Existing: — New: City/metro lie.no.: Notice:All contractors and subcontractors are required to pie licensed with the Oregon Construction Contractors Board l,,ider Namc: provisions of ORS 701 and may he required to be licensed in the a Address: 101C) W Gr(GQKAYJjurisdiction where work is being performed. If the applicant is City: State: do- � �� exempt from licensing,the following mason applies: 7..IP- =—ll U) I Contact person: Plan no.: - --- Pltope,: 77 ZJ Fax: 14_3ot Email: -- — -- ,.J Name: Ria �,��L Contact person: Fees due upon application ................. ......... $ _ fJ Address: Date received: W —t City: State:_ ZIP: Amount received ......................................... $ Phone: Far.: E-mail: Please refer to fee schedule. _ I hereby certify!have read and examined this application and the Not all Jurisdictions accept crrdit cards,plena call jnrisdictinn far mese htenrnaron attached checklist. All provisions of laws and ordinances goveming this U visa O MasterCard work will Fe complied with, beth rd herein or not. credit card number: _. Fxpirrs Authorized 4ienatlrre:_0E 1 Date: J Z3 J Name of car&o'&r as shown on crrdit card Print name: �E�Fft2Er/ _ //UC�"U-1 s Cardholder signature _ — A,,,u,,,,, Notice-This permit application expirea if a permit is not obtained within 1 RV days after it has been acceN!rd as complete. 44M4613(h(OMM) t One-and Two-Family Dwelling uilding Permit Application Checklist Referencenu.: i Associated permits: City of Tiga•d L y of Tigard U Electrical O Plumbing U Mechanical Add ­;: !1125 SW Hail Blvd,Tigard,OR 97223 U(hher. Ph;net 503) 639-4171 f•ax: (50 598-1960 MOVE 1101FAMa I Land use actions comp) .See jurisdiction criteria for concurrent reviews. — 2 Zoning.Flood plain,solar klance points,seismic soils designation,historic district,etc. 3 Verification of approved plilloot. 4 hire district____approlki required. 5 Septic system permit or authors tion for remodel.Existing system capacity !_ 6 Sewer permit. 7 Water district approval. _ 8 Soils report.Must carry original appl able stamp and signature on file or with application. 9 Erosion control U plan U permit requ ed.Include drainage-way protection,silt fence design and location of catch-basin protection,etc. 10 _ Complete sets of legible plans.Mu, be drawn to scale,showing conformance to applicable local and state building codes. Lateral design details and c nections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross refere es between plan location and details.Plan review cannot be completrd if copyright violations exist. 1 r Site/plot plan drawn to scale."The plan in sh w lot and building setback,'rmensions;property corner elevations Of there is more than a 4-0.elevation differential pl must show contour lines at 24 intervals);location of easements and driveway;footprint of structure(including Ovation of wells/septic systems;utility locations;direction indicator;lot arca;building coverage area;percentage of cove ra ;impenious area;existing structures on site;and surface drainage. 12 Foundation plan.Show dimensions,anchor bolt any hold-downs and reinforcing pads,connection details,vent size and location. 13 Floor plans.Show all dimensions,room identifica'on,window size,location of smoke detectors,water heater,' furnace, ventilation fans,plumbing fixtures,balcon s and decks 30 inches above grade,etc. _ 14 Cross section(s)and detalls.Show all framing-mernotr sizes and spacing such as floor beams,headers,joists,sub-floor, wall construction,roof construction.More than one c s section may be required to clearly portray construction.Show details of all wall and roof sheathing,roofing,roof slo ceiling height,siding material,footings and foundation,stairs, fireplace construction, thermal ins dation,etc. 15 Elevation views.Provide elevations for new const uctiominimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the chi a in grade is greater than four foot at building envelope. Full-size sheet addendums s�iowing foundation elevations th cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis p n+.Must indicate details and locations;for non-prescr.ptive path analysis p ovide specifications and talc tions to engineering standards. _ 17 Floor/roof framing.Provide plans for all floors/roof assemblies, ' dieating member sizing,spacing,and bearing locations.Show attic ventilation. 18 Basement and retaining walls.Provide cross sections and details sh ing placement of rebar.For engineered systems,see iters 22,"Engineer'q calculations." 19 Beam calculations.Provide!wo se,.s of calculations using current code de values for all Creams and multiple joists IL over 10 feet long and/or any beat:✓joist carrying a non-uniform load. _ - 20 ManufaL'ured float/roof truss design details. i" 21 Energy Codi compliance.',dentifv the prescriptive pati or provide calculations. A s piping schematic is required for four or more appliances. L: 22 Engineer's calculations.When required or provided,(i.e.,shear wall,roof truss)L"allped by an engineer or J architect licensed in Oregon and shall be-shown to he applicable to the project under review. m1111111[so NIXON= 23 Five(5'site plans are required for Item 11 above. 24 25 26 27 28 _ Checklist must be completed before plan 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. 4*W14(booCont) Electrical Permit A licatioo Datereceived: permitno.*K�y� Cit of Tigard - i Y ggarFmject/epp1.no.: Expire date: CirvofTit;nrd Address: 13125 SW Hall Blvd,T§W OR'j7?M'j —� Phone: (503) 639-4171 Date issued: — By: Receipt no,: Fax: (503) 599-1960 (fin OF TIGARD Case file no.: Payment type: L,nd use approval: _ BU DING DIVISION U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement JR New construction U Addition/alteration/replacement U Other;_ U Partial Job address: SZlrV%V_ ( Bldg.no.: Suite no.: Tam map/tax lot/account no.: I,ot: Z.ZBlock: Subdivision. — u _ ProlCcl t1amC; — fiTeScrlpllt)n A Itxation of work — on premises �/p,t, Estimated date of completion/ins ction: — Masi"MR9114glumilms .lob no: Fee Man Business name: lj9E_— C-L �� �`�n(z -! Desai ion . (ea Total no.ins Address: - � � -'_— NewrsxtdeoNai-tdttglrorasaNj-faati �1 h p� W (2(-:' d-Hing mdt.Inchedrs aftecbrd garne. Stater ZIP: aZ 1 Z'�_ S-YlmkwhHlr& Phone: _ y Fax; Sys E-mail: Itx)fl sq.ft.or less a CCB no.: 14Z F..Icr,,bus.lic.no: ll�L�Si Fach additional 500 sq.ft.of portton thereof City/mctrolic.no.: (QRZ,-7� I -'�7 Limited enargy,residential 2 Limitedenergy,non•reaidenti11 2 Each manufactured home or_dwelling_ Signare tuof supervising ) DA1e electrician(required) Service and/or feeder 2 Sup.elect,name(print): u License no:L1421-.5' SeMcesfeedern- dlallon, alteration or relocation: 200 ars,"or less 2 Name(prints: aI P.y G A-Irt,e O 201 amps to 4tq amps — 2 Mailin address — — 401 amps to GW amps P. ZG(p ((,.IL 1 0 601 Drupa to 100(1 amps �-- 2 Over 1000 amps or volts Phone: IUs7-�7(C �g)j; ri mail: Reconnect only — 1 Owner installation:The instar: tion is being made on property 1 own Temporary services orfe-ederx- which is not intended for sale,base,rets.,or exchange according to Inetalhsdon,alte^Nlon•orrelocathm: ORS 447,455,479,670, 701. 200 amps or less 2 201 amps to 400 amps 2 Owners signature: Date: 401 to 600 am s 2 Branch circa(ls-new,alterst(on, Name: or extension per panel: -- A. Fee for branch circuits with purchase of Addrrss: service or feeder fee,each branch circuit 2 City: i State: ZIP; R. Pae for branch circuits without purchase d Phone: Fax: E-mail: of service or feeder fee,first branch circ.it: 2 R F:nc'r additional branch circuit: 1- Misc.(Service or feeder not ineladai): (n U Service over 22.'1 a•.,ps-rnmtnercial Cl health-care facility Fach pump or irrigation circle 2 U Service over 320 amps rating of 1&2 U linzardous location F,ach sign or outline lighting 2 family dwellings U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel, J_ U System over 600 volts nominal more residential units in one structure alteration,of extension* 2 m U Building over three storieq U Feeders,400 amps or more i U llccu tool lond over 99 *Description: i persons U Manufactured structures or Rt'park J ❑Fgtrss/IigMingplan ❑Other Each additional inspection orer the allowable In any of the above: _ Per inspection Su;,:nit___sets of plant with any of the above. ln,estigation fee The above are not applicable to temporary consttartlon servlce. other Not all judediclirxu accept credit csrtts,phase call jtaisdlrtlen for rtKxr infamelion. NOIjCe: hblS persalt application Permit fee. .. ............. U visa U Mastercard expires if n permit is not obtained Plan review(at _ %) f credit cam mrmhet:-- -L.—/__ within 180 days after it has been Slate surcharge(8%)....x __ Name of ce f O— accepted as complete. TOTAL $ _ --rd6 e.as shown nn a iAt circA -- - — S Cardholder siRrralure Amewnl — 440-1615(61001COM) Electrical ermit Fees: Limited Energy Fees: Complete Fee l�edule Below: umber of Inspections r It allowed TYPE OF WORK INVOLVED RESIDENTIAL ONLY � — ----- --- Restricted Energy Fee...................................................... $75.00 I t (FUR ALL SYSTEMS) Service Included: Items Cost Total ) Check Type of Work Involved: Residential•per unit 1000 sq ft or less $145 15 4 ❑ Audio and Stereo Systems Ea.h additional 500 sq it or portion thereof $33 40 1 Limited Energy $7500 ❑ Burglar Alarm Each Manufd Home or Modular Dwelling Service or Feeder $9090 2 ® Garage Door Opener' Services or Feeders Heating,Ventilation and Air Conditioning System" Installation,alteration,or relocation 200 amps or less $80.30 2 201 amps to 400 amps _ $106.85 2 ❑ Vacuum Systems' 401 amps to 600 amps $160.60 _ 2 601 amps to 1000 amps $240.60 2 ❑ Other Over 1000 amps or volts $454.65_ 2 Reconnect only _ $66,85 �� 2 Temporary Services or Feeders TYPE OF WORK INVOLVED i_,•-AMERCIAL ONLY Installation,alteration,or relocation Fee for each system....................................... ................. $75.00 200 amps or less _ $66.85 2 (SEE OAR 918.260-230) 201 amps to 400 amps $100.30 2 401 amps to 600 amps $133.75 _ 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. ❑ Audio and Stereo Systems Branch Circuits New,alteration or extension per panel ❑ Boiler Controls a)The fee for branch circuits with purchase of service or ❑ Clock Systems feeder fee. Each branch circuit _ 65 2 L J Data Telecommunication Installation b)The fee for br nch circuits y without purchase of service ❑ or feeder fee. Fire Alarm Installation First branch circuit $46. —�y �� Each additional branch ch cult j5.66 5 HVAC Miscellaneous ❑ instrumentation (Service nr feeder not included) Each pump or irrigation circle _ $53.40 Each sign or outline lighting ^� $53.40 ❑ Intercom and Paging Systems Signal circuit(s)or a limited energy panel,alteration or extension �' $75.00 ❑ landscape Irrigation Control" Minor Labels(10) $125,00 _ Each additional inspection over ' ❑ Medical the allowable In any of the above Per Inspection $62.50 ❑ Nurse Calls Per hour $62.50 r�—� In Plant $73.75 _ LJ Outdoor Landscape Lighting' Fees' Protective Signaling aEnter total of above fees $ ❑ er N 8%State Surcharge $ Number of Systems 25%Plan Review Fee ` See"Plan Review section on $ No licenses are require . nserr,are required for a4 other InstaNaCons m front of application. -- Fees: JTotal Balance Due $ Enter total of above fees ❑ Trust Account N_ 8%State surcharge Total Balance Due = i:ldstslfomv\rlc-fees.doc 10/09/00 Plumbing Permi ' Date received: Permit no.: 11(T 15 i i J City of Tigard Sewer per.•nit no.: Building permit no.: Address: 13125 SW Nall Blvd,Tiga" 97231003 City(if Tigard phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 CITY OF TIGARD Date issued: By: Receipt no.: Land use approval: BUILDING DIVISION_ Case rile no.: Payment type: U 1 &2 Tamil, ing or accessory U Commercial/industrial U Multi-family U Tenant improvement New constvi%- ...0 U Addition/alteratioi�':4placement U Food service U Other: Job address: LI(pQStr,l OftRlulq M bA- tloo Fee Total 1'( Bldg.no.: Suit o.: -- New I-and 2- am ly dwellingsonly: (includes 100 fl.for each utility comm tion) Tax map/tax lot/account no.: SFR(1)bath_ LAU: Z"j_ Block: — !Subdivision: mini Kit SFR(2)bath - Project name` "—__ SFR(3)bath -- City/county: TI&W 64W I ZIP: Q7 zZ3 Each additional bath/kitchen — Description and location of work on premises:_— Sltendlitles: Catch basin/area drain Est.date of completion/inspection: _ - Drywells/leach line/trnch drain Footing drain(no.lin. ft.) Manufactured home utilities Busi e: ( ►hCt Manholes Address: 5t,J1D-)Trj cae J Rain drain connector _ City: T1!aAtR0 _ State: ZIP: Sanitary sewer(no.lin.ft.) Phone:qp3- -Q -L I Fax:(02 -0 E-mail: Storm sewer(no. lin.R.) L- CCB no.: ( L Plumb.bus.reg.no: 3, -34 V13 ater service(no.lin,ft.) — City/metro tic.no.: _ 1011 O�— Fixture or Item: Contractor's representative signature_(, Absorption valve --_ Back flow preventer Print name: KePJ WWUate: Backwater valve 6 Basins/lavatory Name: Aew 2cu L(,I _ Clothes washer _ Address: f Dishwasher Drinking fountain(s) City: - State:0 ZIT': Drinking fou Phone: -?4 -b30`4 Fax: R E-mail: ump Expansion tank Fixturclsewer cap _ Name(print): A4 `L 6-110 ,y 1"-T cup r C) Floor drains/floor sinks/hub Mailing address: 'L (o �[l,(tl� I Garbage disposal City: L. State: ZIP: - Hose bib- U.l�.ST G t nl _�` �.�—_�f�(9� c3 e m Icer Phone: 3 ,5]-3W21 Fax:` _ �1 E-mail. Interceptor/grease trap 2 Owner installation/residential maintenance only: 'Me actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee — on the property I own as per ORS Chaptcr 447. Sink(s),basin(s),lays(s) Owner's signature: Date: Sump Tubs/showcr/shower pan _ Urinal _ Name: Water closes Address: Water heater City: State: ZIP: —__ Other: Phone: Fax: E-mail: Total! Nd all jurisdictions accept credit code,please call jutisdiction for mole information. ................Minimum fee $ Notice:This permit application - U Visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ Credit`ars number:— — ---�-- ecce as within 180 days after it has been State surcharge(8%) ....$ Name of cder a shown on credit card F xpires TOTAL ted complete. .......................s -- p p S _ Cards-Ver slanuure — Amount "GA616(MAOMM1 ✓ PLU SING PERMIT FEES: PRICE TOTAL ~New 1 and 2-famlly dwellings onyx FIXTURES I Ividual QTY ea AMOUNT (Includes all plumbing fixtures in PRICE TOTAL Sink 16.60 the dweiling and the first100 ft. QTY (ea) AMOUNT for taiiiutility connection) Tvato16.60 Ono) 1 ba'h 249.20 bryub/Stowe oni 16.60 Two 2 bath $350.00 _ Shower Only 16.60 Three(3)bath 399.00 Water C oset 16.60 _ SUBTOTAL Urinal 16.60 6X STATE SURCHARGE DAchin er 16.80 PLAN REVIEW 25%OF SUBTOTAI. TOTAL Gisposal 16.60 - Lray 16.60 WMachine 16.60 Flin/Floor Sink 2' 16.00 -- PLEASE COMPLETE: 3" 16.60q" 16.60 Water O convemion O like d i 16.60uant/ b Work Performed Gg requires a separate meche I Fixture Type: New Moved Replaced Removed/ Ce d Me New Water Sedvice 46.40 Sink Lavtory MFG Home New San/ Tub or Sewer 46.40 _. _ -- Tub or Tub/Shower Ho3e Bibc 16.60 Combination Roof Drains 16.60 Shower Only1 Drinking Fountain - 16.60 Water Closet _ Urinal Other Fixtures(Specify) 16.60 nishwasher Garbage Disposal Laundry Room Tray -- Washing Machine _ Floor Dra;n/Sink: 2" Sewer-1st 100' 55.00 3" Sewer-each additional 100' 46.40 4" Water Service-1st 100' 55.00 Water Heater Other Fixtures Water Service-each additional 200' _'4113 40 S ecl Storm&Rain Drain-1st 100' F5•DO Storm 8 Rain Drain-each additional 100' __413 40 - Commercial Back Flow Prey.anlion Device 46.40 -- Residential Backflow Prevention Device' 27.55 Catch Basin 16.60 _ Inspection of Existing PIi imbing or Speclady 72.50 Requested I,is e� ctions _ er/hr OMMENTS REGARDING ABOVE: Rain Drain, ;Ingle famil,r dwelling 65.25 _ -- Grease Traps 16.60 - '- (]UAtiTITY TOTAL IL Isometric or r ser diagram Is required If _Quantity To if Is >9 _ •SUBTOTAL W 8%STATE SURCHARGE -_ ""PLAN REVIEW 25%OF SUBTOTANF;;; L _ (n R ue iq red only it fixU;re�nty,!Mal is>a 0 TOTAL = W J *Minimum permit lee is$72.50 4 8%state surcharge,except Residential Backnow Prevention i ice,which is$341+8%state surcharge "All New C ammercel Bulldings require plans with Isometric or riser diagram and plan review i:tdsts\forms\plm-fees.doc 10/10/00 Mechanical Permit Application ADatereceived: Permitno.•1 City of Tigard nC ProiecUappl.no.: Expire date: CityofTigard Address: 13125 SW Hall Blvd,Tiga,.rd.VR 972)003 Date issued: By: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: CITY OF TI©ARD 'Land use approval: SUK-9 to r4ligiON I Building permit no.: ❑ I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement New construction U Addition/alteration/replacement U Other: Joh address: (Z Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: Suiten value of all mechanical mate,ials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ Lot: Block: Subdivision: 'See checklist for important application information and Project name: V jurisdiction's fee schedule for residential permit fee. City/county: f�TZIP: 7 z�,3 �awiiamixumnn�mi 1111111] D.cscrif tion and location of work on prr tscs: _ YtsRld A4 �,,fM�s�_ Nva �fA _ Fee(esJ Total Est,date of completion/inspection: Desai ion Res.only !es.only Tenant improve::rent or change of use: Air Is existing space heated or conditioned'?U Yes U No it conditioning unit --CFM—. (stir plan requireti) Is existing space insulated?U Yes ❑No fetation of existirg HVAC system of er compressors r0usiness name: State hoilzi permit no.: HP Tons _BTU/H ress: � 1Z�( Fir sins c amper ❑ctsmo a etectors : C O StaterZIP: - eatpup(site an required) p (,-12XJFx: nstrp ace urnac urner hoar: -Z ncluding ductwork/vent liner O Yes O No CCB no.: _ 471 /rep ace re ocate eaters-suspen e . City/tnetm lie.no.: or fl-or mounted Name(please print): Vent fora tante other than rumace isust sion units BTU/11Name: 5 IJV ^)l�l_L ( __ — HP Address: M2 t ssors HP menta ex ust an vent at on:City: 5t ce ventPhone: -2. -(p p Fax: Q r-ma;i: gust ypc res. tic a azmat e suppression system Name: 'Fk qi1 ,J '� (D 64Y LJ7"Cl 0 fan with sinngleduct(bath fans)Mailing address: z'Z l;fo ()lll,a t�J ts stem aim heating or C Cit State: ZIP: q d piping an en up to out cts _ - y� eve$7'(�ci111 _ -170(0 L� Type: LPG NG Oil N Phone. ax. E-mail: tic piping each additional over 4 outlets rocen pip ng(sc ematic quired) -� Name: Number of outlets _ Other 110ed appliance or equ pment: Address: Decorative fireplace WCity: —State. ZIP: _ nsert--type J Phone: Fax: -mail: Woodstovelre I let stove cr. Applicant's signature: Date: / .Q t l Name (print): NM all jurindictionx w.apt credit cart's•pleme call;nrisdirlion for more information. Permit fee........ ........... Ursa U MasterCard Notice:This permit application Minimum fee................ � 9h Credit card number: _ --I--L— expires if n permit i3 not obtained plan review(at( ) % — —`-- Fxpirrs within IRO days aR.r it has been State surcharge(9%)....$ Name or cardholdef as shown on credit card $ accepted as complete. TOTAL .......................S Cardholder signature Amount 440-4617(6100MM) MECHANICAL PERMIT FEES COMMERCIAL FEE CHEDULE: 1 &2 FAMILY DWELLING FEE SCHEDULE: . Description: Price Total TOTAL VALUATION: FEE: Table 1A Mechanical Code a+y (ta) Amt _ _51.00 to 55,00_0.00 Minimum fee$72.50 1) Furnace to 100,000 BTU $5,001.00 to 410,000.00 72.50 for the fist$5,000.00 and Inctudin ducts 6 vents 14,00 _ .52 for each;dditional$100.00 or -g ------ fr tion thereof,io and Including 2) Furnace 1(10,000 BTU* �,Inrluding ducts 6 vents _ 17.40 _ _ $1 OO.UO. - 3) Floor Furnace 3� ,001.00 to$25,000.00 $14 50 for the first 510,000.00 and including vent- 1400 $1.54 r each additional$100.00 or 4) Suspended hoater,wall heater 0 hereof,to and including or floor mounted heater 14.00 $25 _ $25 0. 5) Vent not Included in appliance permit $25,001.00 to$50,000.00 $379..5050 the first$25,000.00 and 6.00 ,$4,.45 for ch additional$100.00 or 6) Repair units fraction the of,to and Including 12.15 $50.00 .00, __ $50,001.00 and up $742.00 for th rst$50,060.00 and Check all that apply: Boiler Heat Air $1.20 for each ditlonal$100.00 or For Items 7-11,see or Pump Cond traction thereol. footnotes below. Comp* --- __ 7) 3HP;absorb twit to 100K BTU 1400 ASSUMED VALUATIONS PER APPLIAN 8)3-15 HP;absorb Value Total unit 100k to 500k BTU 25.60 - Descri tion: at Ea Amount_ 9)15-30 HP;absorb Furnace to 100,000 PTr.I,Including 955 unit.5-1 mll BTU 3r 0 _ ducts b vents 10)30-50 HP;absorb Furnace>100,000 BTU including 1,170 unit 1-1.75 mil BTU - 52.20 - d-w 8 vents - - 11)>50HP:absorb Floor furnace Including vent 955 _ _ unit>1.75 mil BTU - _ e7.20 Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM floor mounted healer 10.00 Vent not Included in applicance 445 13)Air handling unit 10,000 CFM+ e _ 17.20 permit Re air units _ 805 14)Non-portable evaporate cooler e 3 hp;absorb.unit, 955 - 10.00 to 100k BTU _ _ - 15)Vent fan connected to a single duct 3-15 hp;absorb.unit, 1,700 8.80 101k to 500k BTU _ 6)Ventilation system not included in 1E 30 hp;absorb.unit,501k to 1 2.310 a lianc:e ermit _ 1000 �_- mil.BTU 17 ood served by mechanical exhaust 30-50 hp;absorb.unit, 3,400 10.00 1-1.75 mil.BTU_ --- 18)Do estic Incinerators >50 hp;absorb.unit, 5,725 17.40 >1.75 mil.BTU19)Con rclal or industrial type Incinerator Alr handlin unit to 10,000 cfm 956 89.95 Air handling unit>10,000 cfm _ 11170 20)Other un ,Including wood stoves Non- ortabie evaporate cooler 656 _ 10.00 `/ent fan connected to a single duct 446 21)Gas piping to four outlets Vent system not included in 656 - 5.40 _ a pllance permit 22)More than 4-pe tlet(each) 00 Hood served by mechanical exhaust 656 _ _ ' Domestic incinerator 1 170Minimum Permit Fes .50 SUBTOTAL: 5902 Commercial or indu,trial Incinerator 4,59-0- 2 Other unit,Including wood stoves, 656 ---� 8%State Surcharge $ Inserts,etc. Gas I in 14 outlets -_ 360 25%Plan R as(of subtotal! $ Each additional outlet i 83 Required for ALL oomm at permits only 0 TOTAL COMMERCIAL - s TOTAL RESIDENTIAL�PE%ITFEE: s VALUATION: - - - Other Inswcllons iLnd Fees: 1 Inspections rndside of normal businesm charge-two hours) $72.50 per hour. 2 Inspections for which no fee is specifically Indicated (minimum charge-half hour) $72 50 per hour 3 Additional plan review required by changes,additions or revisions to plans(minimum charge ane-half hour)$72.50 per hour State Contractor Boller Certification required for units>200k BTU. "Residential AIC requires site plan showin11 placemert of unit. i\dsts\forms\mech-fees.doc 10/11/00 atsizuua uu:zz NAA UU35791336 BETi'INELLI 402 to-srZoo 3 —ccsl1 NOV 0 6 2003 Fi:LNumtw 35-76 Clearaw its- iS Our c:, imigmrnl B Sensitive Area P -Screening Site Assasament Jurisdiction Clr`C a6 4"9 Date I(' S-v 3 _ Map d-fax -ot 151466 144 Owner Site Addret s R_ V6- MA � � 1NC. ContactD&ywryio Proposed p ctivfty �LslatL. g4 Address Mir _A — Phone �'Q3—5 74 133k offlew U"only below V*&W Y N W Y N NA C_I Sensitive e*ve Area Comp!site Map Stormwater Infrastructure naps N L1 Locally adoplo,i studies or maps ❑ i7 Other 0 54 Spec - Specify Based on i review of thea ve information and tho requirements of Clean Walnr Services D nsign and Corea stun Standards W-solution and Order No. 03-11: l_] Sen/hive areas pots Itially exist on site or within 300'of the site. THE APPLICANT MU,",T PERFORM A I ITE CERTIFICATION PRIOR TO ISSUANCE OF A SERVICE PR(,VIDF-R LETTER R STORMd'WATER CONNECTION PEP.MIT.If Sensitive Areas axis I on the -tHe or m Ithin 200 feet on adjacent properties, s Natural Resources Ass essn"rit Report nay also be required. (4 ] Seri chive areas don t appear to exist on sift or wAthin YAC)' of the site.This pm- scn ening site asses ment does NOT eliminate the need to evaluate and protect wat,r quality sensitt me areas If they am subsequently discovered Rn your prol orty. NO FURTI, ER SITE ASSESSMENT OR SERVICE PROVIIJER LETTER IS RE(!UIRED. THIS FO IM WILL SERVE AS AUTHORIZATION TO ISSUE A STC RMWATER CON YECTION PERMIT. [] The proposed activit f does not meet the defin-tion of development. NO BITE A3!FSQ114ENT OR 81-RVICE PROVIDER LETTER 18 REQUIRED. Correrrtents p- —_ _p T r+�t;a l r y 4'N!•T.y e rn Reviewed By: /-1//7/b 3 J _.- ��-- --- - ------gate: / LU Returned to Appikent Man X_ Fax (-sl RIer _ 155 N Fina Mai ue,SlAte 270•Hlhbe Orepnn 97121 7 Phone' (! }!t ft W.)t+r-Ax MM) X576+.LYl�QhNNLWMkW/f,4N.9[R CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE PACIFIC NW PREMIER PLUMBING, INC. PO BOX 23338 TIGARD, OR 97281 Plumbing Signature Form Permit #: MST2003-00517 Date Issued: 11121103 Parcel: 2S104AB-01600 Site Address: 12160 SW MORNING HILL DR Subdivision: MORNING HILL NO.1 Block: Lot: 022 Jurisdiction: TIG Zoning: R-4.5 Remarks: Const new SF detached residence. Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Division. No plumbing inspections will be authorized until this completed form Is received OWNER: PLUMBING CONTRACTOR: GATTUCIO, FRAN & GARY PACIFIC NW PREMIER PLUMBING, IN( 2206 DILLON PO BOX 23338 WEST LINN, OR 97068 TIGARD, OR 97281 Phone #: 503-201-6304 Phone #: 503-624-0582 Reg #: LIC 135022 IL PLM 34-348PB oc va AN INK SIGNATURE IS REQUIRED ON THIS FORM -' Signature of Authorized Plumber If you have any questions, please call 503.718.2433. CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT- PERMIT NOTICE HOTWIRE ELECTRIC INC. PO BOX 2142 HILLSBORO, OR 97123 Electrical Signature Farm Permit #: MST2003-00517 Date Issued: 11/21/03 Parcel: 2 S 104AB-0161,'1 Site Address: 12160 SW MORi�::AG HILL DR Subdivision: MORNING HILL NO.1 Block: Lot: 022 Jurisdiction: TIG Zoning: R-4.5 Remarks: Const new SF detached residence. Your company has been indicated as the electrical contractor for the permit indicated above. In order for tho electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Division. No electrical inspections will be authorized until this completed form is received ,r OWNER: ELECTRICAL CONTRACTOR: GATTUCIO, FRAN & GARY HOTWIRE ELECTRIC INC. 2206 DILLON PO BOX 2142 WEST LINN, OR 97068 HILLSBORO, OR 97123 Phone #: 503-201-6304 Phone #: 303-846-1687 Reg #: LIC 146276 ELE 34-5490 L SUP 44875 2 AN INK SIGNATURE IS REQUIRED ON THIS FORM x Signature of S�:pervising Electrician It you have any questions, please call 503.718.2433. i k 1 i ii CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)634.4175 M87 INSPECTION DIVISION Business Line: (503)634-4171 BUP Received -_._Date Requested AM PM _ SUP Location 12 t Suite — MEC Contact Person , J _ Ph( ) PLM Contr . Ph( ) SWR _ BUILDING Tenant/Owner _ ELC Fd-MirELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Sheer Anchors Ext Sheath/Shear Int Sheath/Shear Framing - Insulation Drywall Nailing — Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: FirMIL LAS PART FAIL PL MBING Post$Bourn Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: _ Final FAIL ,MECHANICAW Post I beam Rough-In Gas Line a Smoke Dampers -- -- - � Fi H U) PASS PART FAIL -- E ICAL J Service m Rough-In _ — (3 UG/Slab J 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 accPsy Fire Supply Line ADA Approach/Sidewalk Date �--� — Inspoetor 6 - 4� �— ---Ut--- Other: Final DO NOT REMOVE this Inspa record from tho job efts. PASS PART FAIL d' p W � O WLu Q J o Z Z N co AOL Q w ~ a o W Q Q V Z o 0 U. I- ° o w QIlk z o ° W CO w � z V Q i Q w .� W w w . � W w �- j o w W CO U Z 00 LIJ W I- l � Z 1 } V 1 N � N C p _ CL _ (n w ' w w om CITY OF TIGARD 24-Hour BUILDING inspection Line: (603)63IM176 �`� MST Q 5/7 INSPECTION DIVISION Business Line: (503)639-4171 / SUP Received Z Date Requested—:2- .SAM_ PM. SUP Location 1 Z [�C2 Til n'1�ZG�I t ,' _ its MEC \` )h( ) PLM��l` (G1 �ci Contact Person � Contractor_ Ph( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post 6 Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing - Firewall Fire Sprinkler Fire Alarm ' r_1 Susp d Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post&Beam Under Slab — Rough-In Water Service ---- — Sanitary Sewer Rain Drains - '— Catch Basin/Manhoie Storm Drain ShowerPan Other: _ Final PASS PART FAIL MECHANICAL _ --- Post$Beam Rough-In — Gas Line �- Smoke Dampers — - — Final PASS PART FAIL - - ELECTRICAL Service m Rough-In (� UG/Slab WLow Voltage _j Flit-Alar -- — F RT FAIL IJ Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hell Blvd. F'A� A LJ Please call for reinspection RE: F]Unable to inspect-no access Fire Supply LineADA Approach/Sidewalk Date�v� � ���� u Other:— Final DO NOT REMOVE thils INGPO*dDR r8001"d from VW 10 WNW. PASS PART FAIL e� CITY' 01=TIGA rRD 24-Hour BUILDING . Inspection Line: (603)6314175 is INSPECTION DIVISION Business Line: (503)635.4171 MST � � SUP Roceived Date Requested7h(-) AM PM SUP Location _ Al OIALiZA Suite MEC Contact Person 2Z)/ z)Q S1 PLM Contractor Ph( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain 2) � ELR � Crawl Drain Y Slab Inspection Notes: SIT _ Post&Beam Shear Anchors .f ` Ext Sheath/SI•oar Int Sheath/Srrear Framing Insulation Drywall Nailing Firewall Fire Sprinkler - Fire Alarm Susp'd Ceiling Roof 115 Other: Final PASS PART FAIL PLUMBING , `- Post&Beam Under Slab _ Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain -- Shower Pan Otbet: - - Fi AS PART FAIL ANICAL Post&Beam Rough-In Gas Line Smoke Dampers Final PASS PART FAIL — --- ELECTRICAL_ Service Rough-In _ UG/Slab Low Voltage Fire Alarm Final Reins on fee of$ r uired before next Ins PASS PART FAIL Q i pection. Pery at Cfty Hell, 13126 SW Hall Blvd. SITE C1 Please call for reinspection RE: Unable to Inspect-no acme Fire Supply Line ADA Approach/Sidewalk ut Other: _ Flnal DO NOT REMOVE tlib appGaN __ x6001 Mm"M 1"It" RISS PART FAIL 00 a c o f V � 0 O J •� � 3 j b E . u Izu s Ne o A2 IKE o o w z u o a A � i