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Permit
■ ,,J • •t CITY OF TIGARD MASTER PERMIT PERMIT #: MST2000 -00401 -•pl v, DEVELOPMENT SERVICES DATE ISSUED: 9/12/00 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 ' SITE ADDRESS: 12287 SW QUAIL CREEK LN PARCEL: 2S103CB -07900 • SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R-4.5 BLOCK: LOT: 028 JURISDICTION: TIG REMARKS: S/F Path 1 BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1,062 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,346 sf GARAGE: 480 sf FRONT: 28 PARKING SPACES : 2 . TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 5 VALUE: $ 180,998.80 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,408.00 sf REAR: 42 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: 2 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: 1 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 FOR: 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: • UMITED ENERGY: 401 • 600 amp: 401 • 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT: MANU HM/SVC/FOR: 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 0CC: 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: . LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 3,833.09 DON MORISSETTE HOMES DON MORISSETTE HOMES This permit is subject to the regulations contained in the 4230 GALEWOOD STREET 4230 GALEWOOD STREET all other Municipal applicable Code, State ble laws. All work w il l b e Specialty in lte Codes and SUITE 100 . SUITE 100 all oher applica wl be done LAKE OSWEGO, OR 97035 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 Control Insp 8 Post/Beam Mechanical Mechanical Insp Framing Insp _ Gas Fireplace Electrical Final Sewer Inspection Underfloor insulation ' Mechanical Insp Shear Wall Insp Insulation lnsp Mechanical Final Footing Insp Crawl Drain /Backwater Plumb Top Out Exterior Sheathing Insr Rain drain lnsp Plumb Final Foundation Insp Footing /Foundation Dr; Electrical Service Low Voltage Water Line Insp Final inspection Post/Beam Structural PLM /Underfloor Electrical Rough In Gas Line Insp Appr /Sdwlk Insp Building Final L Issued By : /s---e-Mt Q Permittee Signature : \_ j Ai\t' j l Call (5 3) 639 -4175 by 7:00 p.m. for an inspection needed the next business day • CITY OF T(4RD Residential Building Permit Application PlanChedc 13125 S W HALL BLVD. New Construction Date Rec'd k l b -0 e.) TIGARD, OR 97223 Single Family Detached Date to P.E. VP - s - (0 V 503 - 639 -4171 Date to DST 9 - 4 F 503 -684 -7297 A-d Permit # ri 5•0490 - ao (lei Print or Type Called Pei a - 91Z -e° Incomplete or illegible applications will not be accepted at _ 24),Z20 ©4 (9027 Name of Project Vame Job Ca`JLQ - W, laz ark lr� 6o� s' e d ess Architect u��a�� f��� dre s sli\ Address f n3. ? � Q l AJ Tz1G. levj1 J O D tyir C'U Jh Name I Owner li g 2 00.11eA to Cv 4- I OD Engineer Mailing Address E ity/Sjate og. 4 11 0 .. - . City/State Zip Phone General Name i `� ' . Contractor ta)1..1 t I � E, `1 Describe work NewA Addition 0 Alteration 0 Repair 0 Wiling Address _ be done: Prior to permit VY' C ato Ve Additional Description of Work: \s f ►_i.3. . issuance, a copy City/State Zip - Phone 1 �� �+ �� of all licenses are required if Oregon Const. Cont. Board �. Date PROJECT /9-0.fyio. of expired in COT Lic.# 33 /p4 OZ VALUATION $ database Mechanical Name NEW CONSTRUCTION ONLY: Sub- \ coV.r `a-t?. Sq. Ft. House: p ` `.,G Sq. Ft. Garage s Contractor Mailing Address cam'_ V v `"� Prior to permit 13 f O c f.N°( ar. Indicate the restricted energy installation by the electrical issuance, a copy <� I fate 3�� Ir Phone subcontractor in the following areas of all licenses `► �7 J7 2 Restricted Audio /Stereo are required if Oregon Const. C . Board Ex p. Date Energy System Alarms expired in COT Lic.# --/ O�� 3 `� — Installations Vacuum Irrigation database System - System Plumbing Name (check all that Other. Sub - g \ 3or truk r. n5 Ournbk6 apply) Contractor Mailing AckItess n_/ Number of Units in Building Unit Number Designation 1 1 1 I4 • PY v 1014_ v Has the Subdivision Plat recorded? N/A Y NO Prior to permit ity / State Ph one ,, y�-��� issuance, a copy S`ti of y l,C C (�aQ�jr��D dam` of all licenses are Oregon Const. Cont. Board Exp Date required if Lic.# / _ e Gi' l I I0 I expired in COT 1 O (J i�c/1 J (3' database Plumbing Lic. # Ex. Date I hearby acknowledge that I have read this application, that the at, _ -i -i s l , I 1 60 information given is correct, that I am the owner or authorized agent f of the owner, and that plans submitted are in compliance with Name egon State laws. ,( � Electrical {` j et C.- i-C-, ig ure of Owner/ gent MID ( l Sub- Mailing Address - 1 /, SW -� ^ tact Person ame am in . e Contractor o �J "D1( � tA. �/ City/State Zip Phone . - permit �- (� � 01710 i�� - issuan ce , a copy 4J J :at) FOR OFFICE USE ONLY: of all licenses are Oregon Const. Cont. Board l Exp Date Plat #: Map/TL #: required if Lic.# 1 l I 1 121.0100 (2 c(- 3 1 -rhea (4 / 251 03 cS- 0 7g0 0 • expired in COT database ect 'cal Li E p D to Setbacks: Zone: P D �LpG i�11 0'N Z.9. Eieptl,SupP,rrv Lic. # l�tp) D�t� EngineerirLq�� Planning Approval_ TIF` -- . i:\dsts \forms\sfd- new.doc 11/20/98 • CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE HARRY + SON PLUMBING INC 7117 NORTH ARMOUR PORTLAND, OR 97203 Plumbing Signature Form Permit #: MST2000 -00401 Date Issued: 9/12/00 Parcel: 2S103CB -07900 Site Address: 12287 SW QUAIL CREEK LN Subdivision: QUAIL HOLLOW - EAST Block: Lot: 028 Jurisdiction: TIG Zoning: R-4.5 Remarks: S/F Path 1 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 Dept. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: DON MORISSETTE HOMES HARRY + SON PLUMBING INC 4230 GALEWOOD STREET 7117 NORTH ARMOUR SUITE 100 PORTLAND, OR . 97203 LAKE OSWEGO OR 97035 Phone #: 274 -523 Phone #: Reg #: LAC 00068900 PLM 26-448ob AN INK SIGNATURE IS REQUIRED ON THIS FORM x 7 Signature o Authorized Plumber If you have any questions, please call (503) 639 -4171, ext. # 310 OCT -20 -00 FRI 07:26 AM PHOENIX ELECTRIC CO FAX NO, 15036843611 P. 02 CITY OF TIGARD 13126 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE • PHOENIX ELECTRIC CO L, 3 7379 SW TECH CENTER DR. TIGARD, OR 97223 Electrical Signature Form Permit #: MST2000 -00401 Date Issued: 9/12/2000 Parcel: 2S103CB -07900 Site Address; 12287 SW QUAIL CREEK LN Subdivision: QUAIL HOLLOW - EAST Block: Lot: 028 Jurisdiction: TIG Zoning: R-4.5 Remarks: S/F Path 1 Your company has been indicated as the electrical contractor for the permit indicated above, In order for the electrical permit to be vaUd, 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 Dept. No electrical inspections will be authorized 'until this completed form is received OWNER: ELECTRICAL CONTRACTOR: DON MORISSETTE HOMES • PHOENIX ELECTRIC CO 4230 GALEWOOD STREET 7379 SW TECH CENTER DR. SUITE 100 TIGARD, OR 97223 LAKE OSWEGO, OR 97035 Phone #: 274 -5223 hone #: 684 Reg #: uc OOO 2288 • SUP 41405 ELE 34-247G . • AN INK SIGNATURE IS REQUIRED ON THIS FORM • TAA • X Signature of Supervising Electrician If you have any questions, please call (503) 639 -4171, ext. # 310 7D- • 200 l pJBS j Jo C1Ta L6ZLr99COS %d3 LS :90 0002/6T/OT CITY OF TIGARD BUILDING INSPECTION DIVISION - rk ev i R) —00 / 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -417 - BUP • Date Requested \ IY a AM PM BLD Location [2.241 CSuite MEC Contact Person Ph PLM Contractor Ph SWR (RUlLDZP 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 Fire Alarm Susp'd Ceiling Roof Misc: gig) • 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 ELECTRICAL 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 O � Approach /Sidewalk Date 1 � �/ Inspector —S _ ' L�l Ext Other [ Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 0,20v) v 1 (6 ( 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested Z — / 'L� AM PM / 5-317) BLD Location / 2 1 S w QA G if CA- -a Suite MEC Contact Person Ph ?� 9 — L I (l v PLM Contractor Ph SWR �BWLD Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Ins 'on No — SGN Slab IT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing .� = ] r1 / t 0 "kg Insulation i Drywall Nailing k U 'MS Firewall • Fire Sprinkler '� -� /� / G Fire Alarm &1 -� I (, Q - 3 C� Susp'd Ceiling (�3� �" U V ai Roof Final 11V YA S PART (Ai) LIP I V � � 1 _1 ' 0 Post & Beam Under Slab Top Out r Water Servi nGS Sanitary Sewer l' Rain Drains l S� ,C1ti don E PART —Few_ ECHAN L ost & Beam Rough In Gas Line Smoke Dampers PART FAIL TRICAL 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 Othe Date oach /Sidewalk 1 Z/1 O (J Inspector �" 21. A C. EXt S /J Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. ITY OF TIGARD BUILDING INSPECTION DIVISION 5 / MST �e--e y - 07 / G 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested / 1_ AM PM BLD Location /Z Z 67 5 I CPU G (- / CV.LA Suite MEC Contact Person ./y Ph f 9 o f cF t PLM Contractor ''MI AA/ Ph 19 ^�J 9� 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 Fire Alarm Susp'd Ceiling Roof Misc: Final 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 Service Rough In UG /Slab Low Voltage Fire Alarm 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: _ [ nable to inspect - no access ADA _ er Adi Approach /Sidewalk Other Date /Z f - calf) Inspector _ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.