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Permit
CITY OF TIGARD MASTER PERMIT PERMIT #: MST2000 -00076 _�;� DEVELOPMENT SERVICES DATE ISSUED: 03/29/2000 �� I � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 1 UAIL HOLLOW EAST LN O ' ` I ZON NG: R -4 53CB -10900 SUBDIVISION: O BLOCK: LOT: 067 JURISDICTIONS - UtZB REMARKS: Path 1, single family detached. � � BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED ' CLASS OF WORK: HEIGHT: 26 FIRST: 1,245 sf BASEMENT: 0.00 sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: �� 888 FLOOR LOAD: 40 SECOND: 1,255 sf GARAGE: 440 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT:. 6 VALUE: $ 185,644.20 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2,500.00 sf REAR: 39 ' PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER UNES: 100. BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOILJCMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: 1 PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 4 201 • 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 00 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amps•1000v: MINOR LABEL: 1000+ amp/volt : ' PLAN REVIEW SECTION Reconnect only: . >=4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO 8 STEREO: VACUUM SYSTEM: . AUDIO 8 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: • TOTAL FEES: $ 2,597.24 DON MORISSETTE HOMES INC DON MORISSETTE HOMES This permit is subject to the regulations contained in the 4230 GALEWOOD ST #100 4230 GALEWOOD STREET Tigard Municipal Code, State of OR. Specialty Codes and , LAKE OSWEGO, OR 97035 SUITE 100 all other applicable laws. All work will be done in LAKE OSWEGO, OR 97035 accordance with approved plans. This permit will expire if • work is not started within 180 days of issuance, or if the • work is•suspended for more than 180 days. ATTENTION: Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Reg #: LIC 00035533 forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Erosion 844 -8444 Post/Beam Mechanical Mechanical Insp Shear Wall Insp Appr /Sdwlk lnsp Final inspection Sewer Inspection Underfloor insulation Plumb Top Out Gas Line Insp Urb St Tree Certif Ltr R Building Final Footing lnsp Crawl Drain /Backwater Electrical Service Insulation Insp Electrical Final Foundation Insp Footing /Foundation Dr; Electrical Rough In Rain drain Insp Mechanical Final PosVBeam Structural /Underfloor Framing Insp Water Line Insp Plumb Final . Issued By 912—A ca Permittee Signature : Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day CITY OF TJGARD Residential Building Permit Application Plan Ch 13125.SW HALL BLVD. Additions or Alterations Recd • TIGARD , Single Family (Dup OR 97223 Sin le Fil Detached or Attached Du 9 Date Recd , 3 /7 -O v ate to P.E. S-/ ? �O V 503 - 639 -4171 �j • ate to DST 3 - o v F 503 - 684 -7297 C Jv " ` _ d �df- �pC Permit # Ne-Ao7�0 Print or Type Called 3 -,27-06 Incomplete or illegible applications will not be accepted / Name of Project II .01 -0 ame l�ka �^ � Job l. A \J1(J\�( � 1 Architect Address . � (eD r Address 1 l ddress l L I (/ f ,_ , a '� C U i B � O • Nam J c X Vy 1 Citylte q„..2615. =�G 7 ' -Name � � � � � 7 - ✓�Y � �I� ` t �`^ `� Name • Owner 1 rai1in , Ad dross 'Ta VVC !0O Engineer Mailing Address it y j /Ste a ^` ^7 °} 9 • 'J'l�� ''' City/State Zip Phone General Name I Contractor ` l tint-tarp Describe work New Addition 0 Alteration 0 Repair 0 M i Mailing Address. to Prior to permit . 4-0W Gjr,d ,i AZZa ,. j(;t) j Additional Description of Work: I ei r L�� � issuance, a copy ity /St to Zi r one f of all licenses %.(), g707j =FYI) are required if Oregon Cbnst. Cont. Board p. D to PROJECT // /� �i " expired in COT Lic.# 2,G52Z �1 �+�/1 a l (Q Y" .e,J database ✓ J I�IIC.iJ VALUATION Mechanical Name NEW CONSTRUCTION ONLY: _- - Sub - A CCU'i.n-i ,ice? t: �C� Sq. Ft. House: �c/(i p 0 Sq. Ft. Garage4 Contractor Mailing Address � Prior to permit 1 1 4 j e ficryl h '.r Indicate the restricted energy installation by the electrical e ip Pho e subcontractor in the following areas issuance, a copy ' /St OZ. i • - 305 Restricted Audio /Stereo of all licenses �/ ,� , t , i• are required if Oregon Const. C•nt. Board Exp. Date nergy System Alarms expired in COT Lic.# 0.(0,3 0.(0,3 3 Installations Vacuum Irrigation database >Jl� - System System Plumbing Name (check all that Other: Sub- ,r�-� l�rnbr+� apply) - Contractor Mailing Address Corner O er Lot YES : Flag Lot YES -1 - (check one) (check one) 1 117 I 7 kmou r • Has the Subdivision Plat recorded? . N/A �F,S NO P a c op /State ^,� Zjp__ a y � issuance, a copy o� G� of all licenses are Oregon Const. Cont. Board Exp. Dat required if expired in COT mil/ 1 Lic.# (�p5pco q l I (10 I I hearby acknowledge that I have read this application, that the database Plumbing Lic. # . Exp. Date information given is correct, that I am the owner or authorized agent . o' , w. � 1 L i 21. of the owner, and that plans submitted are in compliance with tli I • regon State laws Name • ig : u e f ne Age . / %4��� Electrical j e(- -k (_.., ; ct Pe on N ne S Sub- Mailing Address , 111111:e 1 :e 7 5 Contractor ( 9 2 151 C) • City/State Zip Phone ,, Prior c , a copy M \'„ } _ _ A .— , , e a issuance, a co � / �-[ FOR OFFICE USE ONLY: • of all licenses are Oregon Const. Cont. Board Exp. Date Plat #: M /TL #: required if Lic.# Q ,� expired in COT 1 t D, I I t I r �1 o0 /0 35M 7x/ V/ 0 5 '63 `� / DO database ect ical L # x D to , Set cks: _ 4 Zone: Sola Electrical Supervisor Lic. # D to En i e6 'ng A pp oval: Planning Approval: TIF: ��o -et, • .w/�.1co --) 4,.,, cg �,—y Ae� i:\dstslforms\sfaddalt.doc 11/20/98 -de, --K .ry x & .."- JJ A ' k,.- .7 1-e- �- unified SANITARY • D o t w ' f � V a enc 155 N . First Ave., Suite 270, Hillsboro, Or., 97124 SURFACE WATER _ J _ - _ - - 503 648-8621 CONNECTION PERMIT ISSUE DATE 032400 EXPIRATION DATE 092000 EC EXF' DATE 032402 PERMIT 118495 STRUCTURE ADDRESS 12165 PROJECT 8207 STRUCTURE STREET SW QUAIL CREEK LN LOT 67 BLOCK TYPE CONNECTION- NEW OF QUAIL. HOLLOW EAST TYPE INSTALLATION- (19) BLD SWR /ERO CON /SDC TYPE OCCUPANCY- (1. ) SINGLE FAMILY PARCEL 2S1 3CB 10900 QTR SEC 4417 iIH 26946 OWNER DON MORISSETTE ADDRESS 4230 SW GALEWOOD TREATMENT PLANT ROCKCRr'E LAKE OSWEGO OR 97035 • PHONE 387-7538 WATER DISTRICT TUAI...ATIN VALL_ 7Y \ FIXTURE EQUIVALENT DWELLING RESIDENTIAL. UNITS SERVICE UNITS 0.0 UNITS 1 SERVICE UNITS 1 CONNECTION FEES SURFACE WATER DEVELOPMENT FEES SEWER CONNECTION 2300.00 WATER QUALITY 210.00 LESS CREDIT < 210.00? WATER QUANTITY 290.00 LESS CREDIT < 0.00: EROSION CONTROL INSPECTION 88,00 PLAN CHECK 57.20 SUBTOTAL 2300.00 SUBTOTAL 435.20 TOTAL 2735.2.0 APPL NAME DENA PHONE __..._ AFFILLIATION REP REMARKS LOT 67 PROJ 8207 QUAIL HOLLOW EAST *24 HOUR N TICE FOR EROSION CONTROL INSPECTIONS REQUIRED * * * ** Nuco r Q c 1.1 or N F'EC ION- -844 -8444 * * * * ** SIGNATURE 'A.- ._h/L -�L_., -- - - - - -_ ISSUED BY ANDERSOWL- Permit Conditions: The applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency, including those regarding erosion control. A 24 -hour notice is required for erosion control Inspections. The inspection request number is 844-8444. When calling for an Inspection, please refer to the permit, project and lot numbers. The permit expires one hundred eighty (180) days from the date of issuance. The Agency does not guarantee the accuracy of the location of side sewer lateral. 7/93 WHITE - USA, BLUE - Accounting, GREEN - Inspection, YELLOW - Customer INSPECTED BY DATE CONTRACTOR; INSTALLER TYPE OF PIPE DIAMETER OF PIPE Inspector, Please sketch below or attach the following information: I Street & nearest cross street 2 Location of structure being served 3 Route of service line from structure to property line where it connects to the service lateral. Include length & diameter of service line, depth at the structure & property line, dimensions referencing line to structure, property lines and /or corners, etc. 4 North arrow Ii 5/31/00 Activities for Case #: MST2000 -00076 1:30:50 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To - Done By Disp. Level By Updated Notes MSTA005 Application received 3/15/00 DEB RECD No Hold DEB 3/17/00 MSTA008 Permit Created 3/17/00 DEB DONE No Hold DEB 3/17/00 MSTA010 Check for prd. restrict. 3/17/00 DEB DONE No Hold DEB 3/17/00 This subdivision has a PD overlay. This is an interior lot, so standard front & rear yard setbacks do not apply except for the required 20' setback for the garage. MSTA012 Plans routed to Plans Examiner 3/17/00 DEB DONE No Hold DEB 3/17/00 MSTA026 Plans approved by Pln Examiner 3/21/00 BT2 DONE No Hold BT2 3/21/00 MSTA030 Reviewed plans routed to DSTS 3/21/00 , BT2 DONE No Hold BT2 3/21/00 . MSTA700 Erosion 844 -8444 No Hold BT2 3/21/00 MSTA704 Sewer Inspection 4/3/00 MRS PASS No Hold AKJ 4/3/00 MSTA705 Footing lnsp 3/30/00 - KBS PASS No Hold AKJ 3/30/00 MSTA706 Foundation lnsp 3/30/00 KBS PASS No Hold AKJ 3/30/00 MSTA710 Post/Beam Structural 4/3/00 RB PART No Hold AKJ 4/3/00 3) cover exp ground • 4) remove wood debris 5) center bearing posts on pads where on edge 6) block for crawl access MSTA711 Post/Beam Mechanical 4/3/00 RB PASS No Hold AKJ 4/3/00 MSTA713 Crawl Drain /Backwater valve 4/3/00 RB PASS No Hold AKJ 4/3/00 MSTA717 PLM /Underfloor 4/3/00 , MRS PASS No Hold AKJ 4/3/00 MSTA720 Mechanical lnsp 4/18/00 RB PART No Hold AKJ 4/18/00 see framing 4/18 MSTA722 Plumb Top Out 4/18/00 MRS PASS No Hold AKJ 4/18/00 MSTA723 Electrical Service 4/18/00 TLP PASS No Hold AKJ 4/18/00 MSTA724 Electrical Rough In 4/18/00 TLP PASS No Hold AKJ 4/18/00 Page 1 of 3 5/31/00 Activities for Case #: MST2000 -00076 1:30:50 PM . Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA725 Framing Insp 4/18/00 RB FAIL No Hold AKJ 4/18/00 2) soffited ductwork in gar needs to be insulated 3) do not embed gas line into gar concrete slab 4) atic access req at frontal • bedrooms 5) draft stop balloon framing at main entry 6) strap beams to plate where missed 7) add studs were missed 8) elec req prior to cover 9) block soffits at side wall 10) elec issues shall deem this insp failed ok app, ok to insul and recall framing /mech MSTA726 Shear Wall Insp 4/13/00 RB PASS No Hold RB 4/14/00 Nuts missed at various locations. (Minimal )-...will recheck at framing. MSTA735 Gas Line lnsp 4/18/00 RB PASS No Hold AKJ 4/18/00 MSTA740 Insulation lnsp 4/20/00 RB PASS No Hold RB 4/20/00 MSTA752 Rain drain Insp 4/3/00 MRS PASS No Hold AKJ 4/3/00 MSTA760 Water Line lnsp 4/3/00 MRS PASS No Hold AKJ 4/3/00 MSTA765 Appr /Sdwlk Insp 5/1/00 MW PASS No Hold AKJ 5/1/00 MSTA767 Urb St Tree Certif Ltr Recd 5/25/00 JMT RECD No Hold JMT 5/25/00 MSTA790 Electrical Final 5/24/00 CD PASS No Hold AKJ 5/24/00 MSTA795 Mechanical Final 5/24/00 MRS PASS " No Hold AKJ 5/24/00 MSTA797 Plumb Final 5/22/00 MRS FAIL No Hold AKJ 5/22/00 couldn't determine which house is where MSTA798 Final inspection No Hold BT2 3/21/00 MSTA799 Building Final 5/25/00 RB PASS No Hold AKJ 5/25/00 MSTA032 DST Post - Review Completed 3/24/00 GEO DONE No Hold GEO 3/24/00 MSTA080 (F) Ready to issue 3/27/00 GEO DONE No Hold GEO 3/27/00 Need USA Sewer permit & TIF voucher. Street Tree Certitication. MSTA092 (F) Issue combination permit 3/29/00 KJP DONE No Hold KJP 3/29/00 MSTA097 Issue electric signature form 4/3/00 AKJ RECD No Hold AKJ 4/2/00 MSTA095 Issue plumbing signature form 4/3/00 JMT RECD No Hold JMT 4/3/00 MSTA727 Exterior Sheathing Insp 4/13/00 RB PASS No Hold RB 4/14/00 MSTA720 Mechanical Insp 4/20/00 RB PASS No Hold RB 4/20/00 Page 2 of 3 5/31/00 Activities for Case #: MST2000 -00076 1:30:50 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA725 Framing Insp 4/20/00 RB PASS No Hold RB 4/20/00 MSTA797 Plumb Final 5/24/00 MRS PASS No Hold AKJ 5/24/00 pop up not dosing on lay main bathroom MSTA960 (F) Issue Cert. of Occupancy 5/25/00 RB DONE No Hold ST 5/31/00 5/31/00- mailed to owner /file • Page 3 of 3 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 7C60 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested /. /0() AM PM y BLD Location ) 7i( Ca S 0p1A AA / Suite p MEC Contact Person I 6 Ph 22 7 yh 3 y PLM Contractor Ph SWR BUILDING Tenant/Owner " e1 Retaining Wall 4 Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm i © o-n ` ` Susp'd Ceiling J (� Roof Misc: Final �L 2-6-49-0 0O /7 -- G' / /�.J PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL <LECTRICAD Service Rough In UG /Slab Low Voltage Fir- Alarm ana PART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date 3' ;Z(1 A---62 Inspector Ext Final PASS PART FAIL 0 NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 422. 1-000 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 3 /2 DD AM A PM BLD Location I 2. I Co 7 Qua., l vL i Suite MEC Contact Person CT/ / Ph 7n1' (4 g 39 PLM Contractor Ph SWR k UI I Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection otps Slab SIT Post & Beam I �,, n ,,'' Ext Sheath /Shear (LL 1/41 V—e- . ail f . Int Sheath /Shear Framing Insulation / i ' Q1z� Drywall Nailing , n� Firewall Fire Sprinkler Fire Alarm F Susp'd Ceiling ___— _--' Roof , 1� �' Q /\ ( 1� c1/Z,� �J� 1 lJ j _z PART 414 — MT BING 7.- Post & Beam /� Q Under Slab �/ c � lea e-c 9 1- S 'la_c-- C SL Top Out ` ' !� • ! Water Service i Sanitary Sewer Rain Drains Final i/ PASS PART FAIL MECHANICAL Post & Beam ?:. Rough In ZZ Gas Line Smoke Dampers // Final / PASS PART FAIL ELECTRICAL , ,./7 Service Rough In UG /Slab Low Voltage Fire Alarm Final \/ PASS,T FAIL -IT _ r Backfill /Grading ht anitary Sewer 1 %\••• Storm Drain C., X [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin h}QV Fire Supply Line v ' [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA l C r A.._ oach /Sidewalk✓ -• ate 5/2_ /0 d Inspector �; Ext 3 • the Vc Pc �� Final PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION Msr 2Oa0 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested S AM PM b _ BLD Location 12 / QLta4) c .QJ suite MEC Contact Person .r17 - Ph [ ' & 39 PLM 2Qpo'O 0 /S Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler a/ Fire Alarm ! `• 1 /� T _ w _ � �^ ■."/11411fflir Susp'd Ceiling / V!' l Roof f Misc: Final i� • PASS PART FA L fraIMBI1 G2 ohm Under Slab Top Out Water Service Sanitary Sewer R ain Drains OF? p A FAIL ECHANICAAI Post & Beam Rough In Gas Line Smoke Dampers A PART FAIL ECTRI Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date G U O Inspector 7 7 7 `( - ) `(-) Ext s Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.