Permit •
` MASTER PERMIT
4 I k- . - CITY OF T I G A R D PERMIT #: MST2000 -00093
�i� DEVELOPMENT SERVICES DATE ISSUED: 04/07/2000
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 12271 SW QUAIL CREEK LN PARCEL: 2S103CB -07800
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5
BLOCK: LOT: 027 JURISDICTION: URB
REMARKS: Path 1, single family detached residence.
BUILDING
REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 23 FIRST: 1,488 sf BASEMENT: 0.00 sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,512 sl GARAGE: 427 sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT: 5
VALUE: $ 222,319.96 •
OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3,000.00 sf REAR: 25
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 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 LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1
GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
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: 5 201 • 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: $ 2,873.75
This permit is subject to the regulations contained in the
DON MORISSETTE HOMES INC DON MORISSETTE HOMES
4230 GALEWOOD ST #100 4230 GALEWOOD STREET all other Municipal Code, State work k w l be Codes and
all other applicable laws. All work will be done in
LAKE OSWEGO, OR 97035 SUITE 100
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: oRIGINALPhone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Rep #: 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 Rain drain Insp Mechanical Final
Sewer Inspection Underfloor insulation Plumb Top Out Low Voltage Water Line Insp Plumb Final
Footing Insp Crawl Drain /Backwater Electrical Service Gas Line Insp Appr /Sdwlk Insp Final inspection
Foundation Insp Footing /Foundation Dr Electrical Rough In Gas Fireplace Urb St Tree Certif Ltr F Building Final
Post/Beam Structural PLM /Underfloor Framing Insp Insulation Insp Electrical Final
Issued By : Permittee Signature : / �, � . II��R�.�l L J
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
f :enifieerdage SANITARY 0 V
L
V agency
1 55 N. First Ave., Suite 270, Hillsboro, Or., 97124 SURFACE WATER _ J_ _ — — —
503 648-8621
CONNECTION PERMIT
ISSUE DATE. 040700 EXPIRATION DATE 100400 EC EXP DATE 040702 PERMIT 118581
STRUCTURE ADDRESS 12271 PROJECT 8207
STRUCTURE STREET SW QUAIL CREEK LN
LOT 27 BLOCK.
TYPE CONNECTION- NEW OF QUAIL HOLLOW EAST
TYPE INSTALLATION- (19) BL.[f SUR /ERO CON /SDC
TYPE OCCUPANCY- (1 ) SINGLE FAMILY PARCEL 281 3CB 7800
QTR SEC 4417 MH 26961
OWNER DON MORISSETTE HOMES
ADDRESS 4230 SW GALEWOOD TREATMENT PLANT DURHAM
LAKE OSWEGO OR 97035
PHONE 387 -7538 WATER DISTRICT TIGART.I
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 2735,20
AF'PL NAME DENA PHONE _._ ____
AFFILLIATION REP
REMARKS LOT 27 PROJ 8207 QUAIL HOLLOW EAST
*24 HOUR NOTICE FOR EROSION CONTROL INSPECTIONS REQUIRED
* * * ** Nun tr call Fo • INS CO .- -844 -8444 **: * ***
SIGNATUREN _ TI
,A ,,,2 -------- ISSUED BY ANDERSONL
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 - - -, -- - W�._ ^, DIAMETER OF PIPE - -��— -- - - - -�–
Inspector, Please sketch below or attach the following information;
1 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.
1 4 North arrow
•
•
• CITY OF TIGARD Residential Building Permit Application Plan Check# 3 - !o / �
1M5 'IN,I-IALL BLVD. Additions or Alterations Rec'd By 4-
Date Recd -5 - a 3 - - oc) •
TIGARD; OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. 3 PSr -oa,
V 503 - 639 -4171 Date to DST 3 -.2- r/' Gd
F 503 - 684 -7297 6/E F- Permit # H5r11i0
Print or Type Called Lf -I-
Incomplete or illegible applications will not be a epfed
ir Name of Proje ame ��
Address `�
Job s) u∎uV Cam-- 16-X) Architect . ��a dd res s .
� /l X V kV)] �.I(rPLL '^I ) Cl Jy'_ 1 Q)
L � Y /S�{ a Phnna
ame iV q,,..285. 57 7
int.i. ' `'^` L F l 1 0 `Ez) Name
Owner a��,nn dress -
a o, balevva -. 44 0d Engineer Mailing Address
City/State
ate ��1 410357-7--J30 ^� ^^ 9
e0 ., O ' City/State Zip Phone
General Name r
Contractor ... kt-tE5 Describe work New /k Addition 0 Alteration 0 Repair . 0
M iling Addre$s_ to be done:
Prior to permit . d [jam, , ,a, - . •t�C v Additional Description of Work: I e , r if y , - •
issuance, a copy city/We to `/ , Zip 4n one
1 T �
of all licenses L i "77 - y
are required if Oregon •nst. Cont. Board p. D to PROJECT ,..1, ,- - T- . pi expired in COT Lic.# ,54:753 ? 110 CD VALUATION $ � 0�. vd -% -
database
- Mechanical Name NEW CONSTRUCTION ONLY: /40 v Pdr;
Sub - A Cou m -- _ Sq. Ft. House: Sq. Ft. Garage -
Contractor Mailing Address ����
Prior to permit I 61 e bIPX 12a. Indicate the restricted energy installation by the electrical . .
-
issuance, a copy 1St a ip Pho a subcontractor in the following areas
of all licenses _ q �� ( - � - 3 Restricted Audio /Stereo
are required if Oregon Const. Cont. Board Exp. Date Energy System Alarms
expired in COT Lic.# va -3 r� CJ 1 �.0 Installations • Vacuum Irrigation
database a( System _ System
•
Plumbing Name .. (check all that Other:
Sub - X : 'S T urn b4-5 apply) •
Contractor Mailing Address
Corner Lot YES N Flag Lot YES
�1 (check one) (check one)
Ir Has the Subdivision Plat recorded? . N/A �(�S NO
P • 1State �, Zjp__ - y �
o � Gr i
issuance, a copy
of all licenses are Oregon Const.'Cont. Board- Exp. Oat •
required if Lic.# / �s9 o q I � C
expired COT tUU l C.�t.� L b 1. I I hearty 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
. au -" l i t+ . 1 of the owner, and that plans submitted are in compliance with
1 - ' on State laws.
Name • \•i n. r- •f ••wne Ag-n 1 I ,= e r Lti Electrical a 'P ( � 9 i u�I i j.„ P 0
Sub- Mailing Address v. a Person NamV e phone 1 _,��
Contractor 9 Gj/V Dom ,(.� (r1. �` 7
City/State Zip Phone • -
Prir 4h1 - M, (12 q 1 l612 S . •
issuance, a copy FOR OFFICE USE ONLY: •
of all licenses are Oregon Const. Cont. Board Exp. Date
Plat Map/T #:
required if Lic.# Q'� I ,�
expired in COT l i (/(ha- I ` I 00 is 3? -1 0 a 5 o3e6 --s:3$78-0o database ical ect Li . # x D to S � -434)-
fit ��I t �� I'b°'` v Zone: 5!
,
Electrical Supervisor Lic. # D to Engipeening A pro al: Planning Approval: TIF:
• is \dsts \forms\sfaddalt.doc 11/20/98
•
,4I5T;Z - vac 93
STREET TREE. CERTIFICATION
I, ('k - , , OWNER /AGENT FOR _0„,
(PLEASE PRINT) (PERMIT HOLDER)
DO HEREBY CERTIFY THAT THE. FOLLOWING LOCATION MEETS_
WASHINGTON COUNTY LAND USE AND DEVELOPMENT STANDARDS FOR
STREET TREE INSTALLATION.
ADDRESS: \ 22:1 I Cce)QC"
LOT: Z - 2 SUBDIVISION: • C
BY: DATE: // 06
SIG ATURE
RECEIVED BY: DATE:
SIGNATURE
ti
06/15/2000 Activities for Case #: MST2000 -00093
2:43:49 PM
Assigned Hold Updated .
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA005 Application received 03/23/2000 GEO RECD No Hold DEB 03/29/2000
MSTA008 Permit Created 03/29/2000 DEB DONE No Hold DEB 03/29/2000
MSTA010 Check for prcl. restrict. 03/29/2000 DEB DONE No Hold DEB 03/29/2000
MSTA012 Plans routed to Plans Examiner 03/29/2000 DEB DONE No Hold DEB 03/29/2000
MSTA026 Plans approved by PIn Examiner 03/29/2000 BT2 DONE No Hold BT2 03/29/2000
MSTA030 Reviewed plans routed to DSTS 03/29/2000 BT2 DONE No Hold BT2 03/29/2000
•
MSTA700 Erosion 844 -8444 No Hold BT2 03/29/2000
MSTA704 Sewer Inspection 04/12/2000 MRS PASS No Hold AKJ 04/12/2000
MSTA705 Footing Insp 04/10/2000 RB FAIL No Hold RB 04/11/2000 Mono Pour!
MSTA706 Foundation Insp 04 /10/2000 RB FAIL No Hold RB 04/11/2000 1. USA Erosion Required Prior
to Footing/Foundation Approval.
DO NOT POUR UNTIL
APPROVED""""""
2. Three ties req'd on foot of
ufer ground- UFER NOT
TAGGED.
3. Maintain seismic req'mts.
4. Provide anchor bolts as per
engineering.
MSTA710 Post/Beam Structural 04/17/2000 RB FAIL No Hold AKJ 04/17/2000 1) plm underfloor req
2) posts missed
3) nail gussets at splice joints
4) trench as needed route
standing water to low point drain
5) plug hole pipe adj to sanitary
line
6) repair tears in flex duct vapor
barrier
MSTA711 Post/Beam Mechanical 04/17/2000 RB FAIL No Hold AKJ 04/17/2000 see p &b struc 4/17
MSTA712 Underfloor insulation No Hold BT2 03/29/2000
MSTA713 Crawl Drain /Backwater valve 04/17/2000 RB PASS No Hold AKJ 04/17/2000
MSTA714 Footing /Foundation Drain No Hold BT2 03/29/2000
MSTA717 PLM /Underfloor 04/17/2000 MRS FAIL No Hold AKJ 04/17/2000 req co 5' off the main
MSTA720 Mechanical Insp 05/02/2000 TLP PASS No Hold AKJ 05/02/2000
MSTA722 Plumb Top Out 05/02/2000 TLP PART No Hold AKJ 05/02/2000 master bath area, shower head
not fastened to anything /control
valve needs to be resupported
MSTA723 Electrical Service 05/04/2000 CD PASS No Hold AKJ 05/04/2000
MSTA724 Electrical Rough In 05/04/2000 CD PASS No Hold AKJ 05/04/2000
Page 1 of 3
I
06/15/2000 Activities for Case #: MST2000 -00093
2:43:49 PM •
Assigned Hold Updated .
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA725 Framing Insp 05/04/2000 RB PART No Hold RB 05/05/2000 1. Main entry HD's ok for
insulation and sheathing for
interior.
. 2. Soffit ductwork in garage.
3. Plug holes in return air
plenum.
4. Add stud at bored out stud
in NW side wall.
5. Secure shower at master
bathrm.
6. Shield B -vent in attic in fwd
bedrm.
OK TO INSULATE nun
MSTA726 Shear Wall lnsp 04/28/2000 RB PART No Hold RB 04/28/2000 1. Nail left wing wall of garage
to mud sill.
2. Main entry HD's- interior
sheathing req'd- Not before
insulation and electrical
approval.
3. Nail studs (laminate) at all
HD's.
4. CS -16 strap upstairs need to
extend the entire width of
40 -feet.
MSTA728 Low Voltage No Hold BT2 03/29/2000
MSTA735 Gas Line Insp 05/02/2000 TLP PASS No Hold AKJ 05/02/2000
MSTA736 Gas Fireplace No Hold BT2 03/29/2000
MSTA740 Insulation Insp 05/05/2000 RB PASS No Hold AKJ 05/07/2000
MSTA752 Rain drain lnsp 04/12/2000 MRS PASS No Hold AKJ 04/12/2000
MSTA760 Water Line lnsp 04/12/2000 MRS PASS No Hold AKJ 04/12/2000
MSTA765 Appr /Sdwlk Insp • 05/25/2000 MW PASS No Hold AKJ 05/25/2000
MSTA767 Urb St Tree Certif Ltr Recd 06/13/2000 KBS RECD No Hold AKJ 06/13/2000
MSTA790 Electrical Final 06/07/2000 CD PASS No Hold AKJ 06/07/2000 ac not installed at this time
MSTA795 Mechanical Final 06/07/2000 TLP FAIL No Hold AKJ 06/07/2000 install mech barrier in front of
furnace, recall
MSTA797 Plumb Final 06/09/2000 MRS PART No Hold AKJ 06/11/2000 require permit for sprinkler
system
MSTA798 Final inspection No Hold BT2 03/29/2000
MSTA799 Building Final 06/12/2000 KBA FAIL No Hold AKJ 06/12/2000 1) final erosion app
2) need permit lawn sprinkler
3) seal all voids at gar also at
furnace plenum
4) fireplace not functional
5) provide tree cert
Page 2 of 3
06/15/2000 Activities for Case #: MST2000 -00093
2:43:49 PM '
Assigned Hold Updated
. Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA032 DST Post - Review Completed 04 /06/2000 BON DONE No Hold BON 04/06/2000 •
MSTA080 (F) Ready to issue 04/06/2000 BON DONE No Hold BON 04/06/2000 TIF voucher and USA sewer
permit needed.I
MSTA095 Issue plumbing signature form 04/12/2000 SLT RECD No Hold ST 04/12/2000
MSTA097 Issue electric signature form 04/10/2000 AKJ RECD No Hold AKJ 04/10/2000
MSTA092 (F) Issue combination permit 04/07/2000 BON DONE No Hold BON 04/07/2000
MSTA705 Footing Insp 04/11/2000 RB PASS No Hold AKJ 04/11/2000
MSTA706 Foundation lnsp 04/11/2000 RB PASS No Hold AKJ 04/11/2000
MSTA717 PLM /Underfloor 04/18/2000 MRS PASS No Hold AKJ 04/18/2000
MSTA710 Post/Beam Structural 04/18/2000 RB PART No Hold AKJ 04/18/2000 plug hole of pipe adj to sanitary
line
repair tears in flex duct/vapor
barrier
MSTA711 Post/Beam Mechanical 04/18/2000 RB PART No Hold AKJ 04/18/2000 see post beam struc 4/18
MSTA727 Exterior Sheathing lnsp 04/28/2000 RB PASS No Hold RB 04/28/2000 Nail left wing wall of garage to
mud sill.
MSTA726 Shear Wall lnsp 05/04/2000 RB PART No Hold RB 05/05/2000 Main entry HD's - OK to close
-up w/ sheathing.
MSTA725 Framing Insp 05/05/2000 RB PASS No Hold AKJ 05/07/2000
MSTA726 Shear Wall Insp 05/05/2000 RB PASS No Hold AKJ 05/07/2000
MSTA795 Mechanical Final 06/09/2000 MRS PART No Hold AKJ 06/11/2000 gas fireplace not hooked up
MSTA797 Plumb Final 06/12/2000 MRS PASS No Hold AKJ 06/12/2000
MSTA795 Mechanical Final 06/12/2000 MRS FAIL No Hold AKJ 06/12/2000 fireplace not hooked up
MSTA795 Mechanical Final 06/13/2000 KBS PASS No Hold AKJ 06/13/2000
MSTA799 Building Final 06/13/2000 KBS PASS No Hold AKJ 06/13/2000
MSTA960 (F) Issue Cert. of Occupancy 06/13/2000 KS DONE No Hold JMT 06/15/2000
•
Page 3 of 3
CITY.OF-T -IGARD BUILDING INSPECTION DIVISION M§T' tg
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
//
Date Requested 6 /t 3/00 AM PM. BLD
Location (22%/ I Q (/ J&A) Suite MEC
Contact Person Cfl 6 Ph 2 O "! - (/K 3 9 PLM
Contractor Ph SWR
ILDIN Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab /� SIT
Post & Beam d `-d`
Ext Sheath /Shear I
Int Sheath /Shear
Framing c� ..re = ar
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
SS PART FAIL
UMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
(CHANICAP
ost & -eam
Rough In
Gas Line
Smoke Dampers
' PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final L/
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 t..
Other Date Inspector ije Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.