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Permit
C ITY OF TIGARD MASTER PERMIT PERMIT #: MST1999 -00321 �1�A. DEVELOPMENT SERVICES DATE ISSUED: 10/01/1999 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 12376 SW QUAIL CREEK LN PARCEL: 2S103CB -09400 SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5 BLOCK: LOT: 052 JURISDICTION: URB REMARKS: PATH I: New single family dwelling w /attached garage & covered porch. BUILDING . REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 22 FIRST: 1,498 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,552 sf GARAGE: 686 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 11 VALUE: $ 229,272.98 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: sf REAR: 33 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: BOILJCMP < 3HP: ' VENT FANS: 4 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: 6 201 - 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 & STEREO: VACUUM SYSTEM: AUDIO & 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: $ 2,892.98 DON MORISSETTE HOMES DON MORISSETTE HOMES This permit is subject to the regulations contained in the 5000 SW MEADOWS LANE 4230 GALEWOOD STREET a l l o Municipal Code, State Specialty Codes and SUITE 100 all other applicable laws. All work will be done in LAKE OSWEGO, OR 97035 SUITE 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 0RIGINAL Rea 8: LIC 000355 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 lnsp Rain drain lnsp 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 lnsp 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 : .e. /1 ' L- Permittee Signature : - Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day \ c9CC) sewerage SANITARY* D [ agency enc � 155 N. First Ave., Suite 270, Hillsboro, ro, Or., 97124 SURFACE WATER � �J _ _ — _ — 503 648 -862. CONNECTION PERMIT ISSUE DATE 092499 EXPIRATION DATE 032200 EC EXP DATE 092301. PERMIT 117710 STRUCTURE ADDRESS 12376 PROJECT 0207 STRUCTURE STREET SW QUAIL CREEK LANE LOT 52 BLOCK TYPE CONNECTION- NEW OF QUAIL HOLLOW EAST TYPE INSTALLATION- (19) BLD SWR /ERO CON /SBC TYPE OCCUPANCY- (1 ) SINGLE FAMILY PARCEL 2S1 3CB 4901 QTR SEC 4416 MN 26319 OWNER VENTURE PROPERTIES ADDRESS 4230 GALEWOOD STREET TREATMENT PLANT DURHAM LAKE OSWEGO OR 97035 PHONE 387 -7538 WATER DISTRICT TIGARD 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 APPL NAME CDENA AFFILL-IATION REP REMARKS QUAIL HOLLOW EAST LOT 52 PROJ 8207 424 HOUR NOTICE FOR EROSION CONTROL INSPECTIONS REQUIRED :: 1 or I N (ION -- 844- -0444 ** * *** SIGNATURE � RE .,- PE ISSUED BY HUMPHREJ 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 ElY DATE CONTRACTOR /INSTALLER TYPE OF PIPE. DIAMETER OF PIPE Inspector, Please sketch below or attach the following information: 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 • CITY OF TIGARD Residential Building Permit Application Plan Check# 9 - yc, g e 131e5' SW HALL BLVD. Additions or Alterations Dec Recd f TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. -a" -r V 503=639 -4171 Date to DST 9%. 9 y F 503 - 684 -7297 I�,° Permit # /y15T/999 - Print or Type . Called l) 1 .11 / Incomplete or illegible applications will not be accepted Name of Project a me l�� � ^_ Job G.\ kLJ �avv �a�-�a . a �( z Address Architect vino dd ress . t d ro �l(v a uari I oat 4-,i . ) Clale a. Ak amen ��{/�Q1cc City /tj 1,..-2615. �7 7 J 4� 1 ` N Owner ai inn Ati rlrpm-S OW 'vv xt -. - ) Engineer Mailing Address qty /s to �����_ g 1 - i g 3 City/State Zip Phone General Name Contractor tbt -t. 7 Describe work FITWX Addition 0 Alteration 0 Repair 0 M iling Address to be done: Prior to permit ' . ) C . L letAaa -.• j(to Additional Description of Work: 1 e w t v_ issuance, a copy ity /St t Zip r one `KJV of all licenses �(.)o . 4 1 " 1T35 7 - , 3 are required if Oregon Cbnst. Cont. Board E p. D to PROJECT ex ice in COT Lic.# 3 3 61 110�(�3 VALUATION $ 2 ZA 2 73 Mechanical Name NEW CONSTRUCTION - - r RUUCTIION ONLY: . j Sub - ,t CCuiJ Ifs 1t.f R ? Sq. Ft House: Sq. Ft. Garage Looza Contractor 1 6 Mailing Address v _ Prior to permit ' C e ` = x 1244, Indicate the restricted energy installation by the electrical issuance, a copy /St e ip Pho a subcontractor in the following areas of all licenses ' A jgj. 6; oft., i`' -3115 Restricted Audio /Stereo are required if Oregon Const. C.nt. Board Exp. Date Energy System Alarms expired in COT Lic.# // __ 1 3 3 i� ons I Vacuum Irrigation database a'IYv System System Plumbing Name (check all that Other: Sub- -krorL3 i. -5 ?IU.rn124-5 apply) Contractor Mailing Address Corner Lot Y ES X10; Flag Lot YES 7 ...._ (check one) (check one ) 1 (I - 7 IQ v k nnau,r Has the Subdivision Plat recorded? N/A NO Prior to permit /State / Pho e , ' issuance, a copy _ of all licenses are T Oregon Cons Cont. Board Exp. Date, required if ,p.p co expired COT Lic.# mil/ !. q L I 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 9 w , ^ I 91ACICI of the owner, and that plans submitted are in compliance with ortli � regon State laws. r Name Si f Own er /Agt ,/ lie Electrical gal-) � ure � aerAler tact Pe - rs on Name e Sub- Mailing Address 0 > 7 Contractor awl 0 To Ln . City/State Zip Phone Prir a copy y V i t 1 _ w C^� 0 un a co �(� / FOR OFFICE USE ONLY: of all licenses are Oregon Const. Cont. Board Exp. Date Plat #: MaplTL #: required if Lic.# 1 Q � ,�q f i expired in COT database e (/l.E�- I ` �'1 ► r O� � / -� ash�✓��a' p v� � d cal ' L�iq. # x D o Setbacks: Zone: Solar ' ' ��I I t t b JZ- 5� (p17> X05 E " - -1 a . 5 or Lic. # bp D �t� ` ng L ng App v PlannyQg Ap TI �� 'l J� (J I (T / -i 2 'f F � i:\dsts \forms\sfaddalt.doc 11/20/98 01/05/2000 Activities for Case #: MST1999 -00321 10:58:17 AM • Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA005 APPlication received 09/16/1999 KP . RECD No Hold GEO 09/22/1999 MSTA008 Permit Created 09/22/1999 GEO DONE No Hold GEO 09/22/1999 . MSTA010 Check for prd. restrict. 09/22/1999 GEO DONE No Hold GEO 09/22/1999 MSTA012 Plans routed to Plans Examiner 09/22/1999 GEO SENT No Hold GEO 09/22/1999 MSTA026 Plans approved by Pln- Examiner 09/28/1999 BT2 DONE No Hold BT2 09/28/1999 • • MSTA030 Reviewed plans routed to DSTS 09/28/1999 BT2 DONE No Hold BT2 09/28/1999 • MSTA700 Erosion 844 -8444 09/28/1999 09/28/1999 No Hold BT2 09/28/1999 MSTA704 Sewer Inspection 10/07/1999 MS PASS No Hold AKJ 10/07/1999 MSTA705 Footing Insp 09/28/1999 09/28/1999 10/05/1999 GS PASS No Hold AKJ 10/05/1999 MSTA706 Foundation Insp 09/28/1999 09/28/1999 10/05/1999 GS PASS No Hold AKJ 10/05/1999 MSTA710 Post/Beam Structural 09/28/1999 09/28/1999 10/13/1999 KS FAIL No Hold AMS 10/14/1999 #1 Nail studs to beam at pony wall; #2 Add studs each side of waste at garage; #3 Provide P.T. Post at isolated piers at rear of garage. MSTA711 Post/Beam Mechanical 09/28/1999 09/28/1999 10/13/1999 . KS PASS No Hold AMS 10/14/1999 MSTA712 Underfloor insulation - 09/28/1999 09/28/1999 No Hold BT2 09/28/1999 MSTA713 Crawl Drain /Backwater valve 09/28/1999 09/28/1999 10/07/1999 MS PASS No Hold AKJ 10/07/1999 MSTA714 Footing/Foundation Drain • 09/28/1999 09/28/1999 No Hold BT2 09/28/1999 MSTA717 PLM /Underfloor 09/28/1999 09/28/1999 10/13/1999 TLP PASS No Hold AMS 10/14/1999 MSTA720 Mechanical Insp 09/28/1999 09/28/1999 11/05/1999 TLP FAIL No Hold VT 11/05/1999 not ready electrical not done MSTA722 Plumb Top Out 09/28/1999 09/28/1999 11/03/1999 GS PASS No Hold VT 11/03/1999 MSTA723 Electrical Service 09/28/1999 09/28/1999 11/05/1999 BP FAIL No Hold VT 11/05/1999 not ready for inspection. MSTA724 Electrical Rough In 09/28/1999 09/28/1999 11/08/1999 BP PASS No Hold VT 11/08/1999 signature farm has not been i returned. make sure panel is flush at final service, rough in and low volt are pass MSTA725 Framing Insp 09/28/1999 '09/28/1999 11/05/1999 TLP • FAIL • No Hold VT 11/05/1999 no addresses, called contractor and no reply. not ready • electrical not done MSTA726 Shear Wall Insp 09/28/1999 09/28/1999 10/25/1999 KBS DONE No Hold KBS 10/26/1999 ft 1- incomplete teriminated. • MSTA728 Low Voltage 09/28/1999 09/28/1999 No Hold BT2 09/28/1999 MSTA735 Gas Line Insp . 09/28/1999 09/28/1999 11/05/1999 TLP FAIL No Hold VT 11/05/1999 not ready, electrical not done MSTA736 Gas Fireplace No Hold BT2 09/28/1999 MSTA740 Insulation Insp 09/28/1999 09/28/1999 11/12/1999 KBS PASS No Hold VT 11/15/1999 . . Page 1 of 3 . 01/05/2000 Activities for Case #: MST1999 -00321 10:58:17 AM Assigned Hold Updated - Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA752 Rain drain Insp 09/28/1999 09/28/1999 10/07/1999 MS PASS No Hold AKJ 10/07/1999 MSTA760 Water Line Insp 09/28/1999 09/28/1999 10/07/1999 MS PASS • No Hold AKJ 10/07/1999 MSTA765 APPr /Sdwlk Insp v • _ 09/28/1999 09/28/1999 12/0 MW. PASS No Hold DGW 12/03/1999 2 1/2 " Curb exposure at driveway (not yet formed)...OK - • to pour after above MSTA767 Urb St Tree Certif Ltr Recd 09/28/1999 09/28/1999 12/29/1999 • AKJ RECD No Hold AKJ 12/29/1999 MSTA790 Electrical Final 09/28/1999 09/28/1999 12/21/1999 BRP PASS No Hold RB 12/21/1999 MSTA795 Mechanical Final 09/28/1999 09/28/1999 12/29/1999 DGW FAIL No Hold AKJ 12/29/1999 see bldg final 12/29 MSTA797 Plumb Final 09/28/1999 09/28/1999 12/21/1999 MRS PAQS No Hold MRS 12/21/1999 MSTA799 Building Final 09/28/1999 09/28/1999 10/19/1999 KBS PASS No Hold • JS 10/19/1999 MSTA032 DST Post- Review Completed 10/01/1999 BON DONE No Hold BON 10/01/1999 MSTA080 (F) Ready to issue 10/01/1999 BON • DONE No Hold BON 10/01/1999 MSTA095 Issue plumbing signature form 10/07/1999 SLT RECD No Hold ST 10/14/1999 Void - Change in contractor MSTA097 Issue electric signature form 11/08/1999 SLT RECD No Hold ST 11/08/1999 11/3/99 per letter. change in contractor, delete Ross and add - City Electric mailed to City Electric on • 11/4/99 MSTA092 (F) Issue combination permit 10/01/1999 BON DONE No Hold BON 10/01/1999 MSTA095 Issue plumbing signature form . 10/13/1999 SLT RECD No Hold ST 10/13/1999 MSTA726 Shear Wall Insp 10/27/1999 10/27/1999 10/27/1999 KBS PASS No Hold KBS 10/27/1999. MSTA097 Issue electric signature form , 11/04/1999 JMT V MAIL No Hold JMT 11/04/1999 change in contractor MSTA723 Electrical Service 11/08/1999.11/08 /1999 11/08/1999 BP PASS No Hold VT 11/08/1999 MSTA725 Framing lnsp 11/10/1999 11/10/1999 11/10/1999 KBS FAIL No Hold VT 11/10/1999 1. strap plates © rear bay 2. add stud @ tub valve 3. complete sway bracings © • roof truss.. MSTA735 Gas Line lnsp . 11/10/1999 11/10/1999 11/10/1999 KBS FAIL No Hold VT 11/10/1999 1. support B- vent,@ vertical 2. secure exhaust ducts @ roof . jack - 3. secure F.S. paper @ fireplace V 4. extend gas to fireplace MSTA725 Framing Insp 11/15/1999 11/15/1999 11/12/1999 KBS PASS No Hold VT 11/15/1999 strap plates © bays as indicated @ prior inspection. MSTA735 Gas Line Insp 11/15/1999 11/15/1999 11/12/1999 KBS FAIL No Hold VT 11/15/1999 pressure to low for P.T. test © gas pipings . MSTA720 Mechanical Insp 11/15/1999 11/15/1999 11/12/1999 KBS FAIL No Hold VT 11/15/1999 secure F.S. paper © fireplace MSTA725 Framing Insp 11/15/1999 11/15/1999 11/15/1999 KS PASS No Hold VT 11/15/1999 strap plate @ bay Page 2 of 3 • 01/05/2000 Activities for Case #: MST1999 -00321 10:58:17 AM • Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA735 Gas Line Insp 11/15/1999 11/15/1999 11/15/1999 KS PASS No Hold VT 11/15/1999 1. secure F.S. paper behind fireplace 2. gas piping P.T. Test = 34 P.S.I. for 15 minutes (tag) # 380008 MSTA799 Building Final 12/29/1999 12/29/1999 12/29/1999 DGW FAIL No Hold AKJ 12/29/1999 1) tape plenum joint below fumace - 2) firecaulk around supply duct from gar at wall 3) remove heat duct and branch , that supplies gar register repair wall • 4) complete insul certificate floors MSTA795 Mechanical Final 01/02/2000 01/02/2000 12/30/1999 GS PASS No Hold AKJ 01/02/2000 MSTA799 Building Final 01/02/2000 01/02/2000 12/30/1999 GS PASS No Hold AKJ 01/02/2000 MSTA960 (F) Issue Cert. of Occupancy 12/30/1999 INSP DONE No Hold JMT 01/05/2000 • • • • • Page3of3 • CITY OF TIGARD BUILDING INSPECTION DIVISION MST 1999 -00 zi 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested I / AM PM� BLD Location Q(A.A.t J & , &. Suite MEC Contact Person t5r)Cti -- Ph 7,6 PLM Contractor Ph SWR B� 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 /2./L.L ��� '� Fire Alarm / Susp'd Ceiling _Pc t.—I Roof Misc: SS FART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL IVECIEUCI Post & Beam Rough In Gas Line Smoke Dampers 'ASS 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 Approach/Sidewalk Other Date / Inspector 4 Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.