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Permit
2 A CITY OF TIGARD MASTER PERMIT PERMIT #: MST2000 -00065 * �� � ; ' DEVELOPMENT SERVICES DATE ISSUED: 03/23/2000 A. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 12284 SW QUAIL CREEK LN PARCEL: 2S103CB -09800 SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5 BLOCK: LOT: 056 JURISDICTION: URB REMARKS: Path 1, single family detached residence. BUILDING REISSUE: STORIES: 2 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 sf GARAGE: 690 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT: 6 VALUE: $ 226,976.80 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3,000.00 sf REAR: 26 • 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 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: 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: $ 2,928.56 DON MORISSETTE HOMES DON MORISSETTE HOMES This permit is subject to the regulations contained in the 4230 SW GALEWOOD ST 4230 GALEWOOD STREET a l l o Municipal Code, State Specialty Codes and STE 100 SUITE 100 all other applicable laws. All work will will l b b done 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 0R1G1NAL 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 Structural PLM /Underfloor Framing Insp Rain drain Insp Mechanical Final Grading Inspection Post/Beam Mechanical Mechanical Insp Shear Wall Insp Water Line Insp Plumb Final Sewer Inspection Underfloor insulation Plumb Top Out Gas Line Insp Appr /Sdwlk lnsp Final inspection Footing Insp Crawl Drain /Backwater Electrical Service Gas Fireplace Urb St Tree Certif Ltr F Building Final - Foundation Insp Footing/ : • datio e , Electrical Rough In Insulation Insp Electrical Final • ( i f Issued By j�� / i� // � Permittee Signature : II /I I A L Call (503) .39-4175 by 7:00 p.m. for an inspection needed the next business day �- sews age SANITARY• D V V agency 1 55 N. First Ave., Suite 270, Hillsboro, Or., 97124 SURFACE WATER _ J _ _ _ _ 503 648-8621 CONNECTION PERMIT ISSUE DATE 032200 EXPIRATION DATE 091900 EC EXP DATE 032202 PERMIT 118485 STRUCTURE ADDRESS 12284 PROJECT 8207 STRUCTURE STREET SW QUAIL CREEK LANE LOT 56 BLOCK TYPE CONNECTION- NEW OF QUAIL HOLLOW EAST TYPE INSTALLATION- (19) BLD SWR /ERO CON /SDC TYPE OCCUPANCY- (1 ) SINGLE FAMILY PARCEL 281 3CB 9800 QTR SEC 4416 MH 26319 OWNER DON MORISSETTE HOMES 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. 2735420 APPL NAME DENA AFFILLIATION REP REMARKS QUAIL HOLLOW EAST LOT 56 PROJ 8707 *24 HOUR NOTICE FOR EROSION CONTROL INSPECTIONS REQUIRED * * * ** Numce to 611 for --844- -I3444 * * * * ** SIGNATURE --.5...2_.. ■ C _____ 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 i I WSPECIE D BY DATE _ CONTRACTOR/INSTALLER TYPE OF P I P E DIAMETER OF PIPE ___.__ ____.___-r __-_-_ ___-_ _ 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 • f I It j CITY OF TIGARD Residential Building Permit Application Plan Cheer, — 1,31. SW HALL BLVD. Additions or Alterations Recd B TIGARD, OR 97223 Sin le Famil Detached or Attached Du • - Date Recd -� - Sing y � Date to P.E. 0-6 . --0 U V 503 - 639 -4171 Date to DST 3 / G ' F 503 - 684 -7297 I u A 6 Permit # Jibs -a o6.5" Print or Type Called - ZI - zo 5 Incomplete or illegible applications will not be accepted Name of Pro ed Job ame ka � �^ +�IOW (� ' "" " • ' � Architect . �^ailina ddress - _ Address I s d es c ilaas 02,'" � ) C.1U-ie a. 5 J'1'. 1 Q) • fri ' c' " :L IG 1 r-A `G Name i , 7 Owner a'I'^^ ArirlrPSS °� ba letNC E-. 41 X Engineer Mailing Address ity/S a te ^` g rb ��� City /State Zip Phone General Name / Contractor t'tE3 Describe work New Addition 0 Alteration 0 Repair . 0 Mailing Address_ to be done: , Prior to permit • 4 -1 (. W G-Y, i , • tia �J --. j(�) Additional Description of Work: L ' o ,� �- ���‘ - - issuance, a copy ity /St to Zi t.,}11 e on { T C 7 r of all licenses v() , 07D5 7 - , _ q Oregon Cb p. D to PROJECT are required if Or on nst. Cont. Board expired in COT Lic.# ,Sr-j,3 it,/ CO VALUATION 22 (D 9 77 � database • Mechanical Name NEW CONSTRUCTION ONLY: AYcc / /-5 Sub- / t CQu1J -1 • Sq. Ft. House: . -.. Sq. Ft. Garage O go Contractor Mailing Address � 1 � 1 L Prior to permit , ' 7 ` Vic F 21-, Indicate the restricted energy installation by the electrical . issuance, a copy /St e ip Pho a subcontractor in the following areas of all licenses j J.,fil 4 C: - t , .0 -305 Restricted Audio /Stereo are required if Oregon Const. Cont. Board Exp. Date Energy System Alarms expired in COT Lic.# . a �Dv 3 �i� Installations Vacuum Irrigation database System System Plumbing Name (check all that Other: Sub - ' Y n-S ?lurn19e5 apply) Contractor Mailing Address Corner Lot YES V Flag Lot YES $1) (check one) / - (check one) i 1 ti s krnatr Has the Subdivision Plat recorded? _ N/A � NO f it' to permit ,,- /State Z' issuance, a copy ii /g. 4.. 1 / f dr .0 4 _ .. %I. i 1.4.A of all licenses are Oregon Const. Cont. Board Exp. Date • required if .p /�y� I expired - in COT Lic. # toff? l co CI 1 0 f 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 . ata APO??? ;�j ` t , •- of the owner, and that plans submitted are in compliance with j �'D i -gon State laws. Name ign:t •ent 2 a Electrical �j th , � • ntact Person Name Phone # Sub- Mailing Address � u N- Milt �` Contractor a?bi 0 b.f./ • � Lf-, • City/State Zip Phone Prior to permit _ issuance, a copy Ail two $` i � ,u0 - IIW FOR OFFICE USE ONLY: • of all licenses are Oregon Const. ont. Board Exp. Date Plat #: Mapil L #: Q n �y ct required if ' expired in COT Lic.# i I C/(iE�- �' �- I I �'1 - oo , ' , / j - f, as i v C' 6 't,9X a database e ical Li . # x D to Setbacks: Zone: Solar: Electrical Lic. # E�C D�t� ` Engineering Approval: Planning Approval: TIF: 41 ICJlt is \dsts \forms\sfaddalt.doc 11/20/98 • 6/13/00 Activities for Case #: MST2000 -00065 1:29:49 PM Assigned Hold Updated ' Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA005 Application received 3/1/00 DEB RECD No Hold DEB 3/6/00 MSTA008 Permit Created 3/6/00 DEB DONE No Hold DEB 3/6/00 MSTA010 Check for prd. restrict. 3/6/00 DEB DONE No Hold DEB 3/6/00 MSTA012 Plans routed to Plans Examiner 3/6/00 DEB DONE No Hold DEB 3/6/00 MSTA026 Plans approved by Pln Examiner 3/15/00 BT2 DONE No Hold BT2 3/15/00 MSTA030 Reviewed plans routed to DSTS 3/15/00 BT2 DONE No Hold BT2 3/15/00 MSTA700 Erosion 844 -8444 No Hold BT2 3/9/00 MSTA703 Grading Inspection No Hold BT2 3/9/00 MSTA704 Sewer Inspection 4/3/00 MRS PASS No Hold AKJ 4/3/00 MSTA705 Footing Insp 3/29/00 RB PASS No Hold AKJ 3/29/00 MSTA706 Foundation Insp 3/29/00 RB PASS No Hold AKJ 3/29/00 MSTA710 Post/Beam Structural 4/4/00 KBS PASS No Hold AKJ 4/4/00 MSTA711 Post/Beam Mechanical 4/4/00 KBS PASS No Hold AKJ 4/4/00 MSTA712 Underfloor insulation No Hold BT2 3/9/00 MSTA713 Crawl Drain /Backwater valve 4/27/00 RB PASS No Hold RB 4/27/00 Located at front of the porch and through footing of main structure on south side. MSTA714 Footing/Foundation Drain No Hold BT2 3/9/00 MSTA717 PLM/Underfloor 4/4/00 MRS PASS No Hold AKJ 4/4/00 we on east side of house needs support MSTA720 Mechanical Insp 4/26/00 KBS PASS No Hold AKJ 4/26/00 1) conn exhaust fans MSTA722 Plumb Top Out 4/25/00 MRS PASS No Hold AKJ 4/25/00 need lateral brazing on sink vent MSTA723 Electrical Service 4/27/00 TLP PASS No Hold AKJ '4/27/00 MSTA724 Electrical Rough In 4/27/00 TLP PASS No Hold AKJ 4/27/00 MSTA725 Framing lnsp 4/27/00 RB PART No Hold RB 4/27/00 Electrical signed off 4 -27 -00 TLP. 1. Fur down stair landing to receive R -25 insulation. 2. Garage attic access req'd. 3. Seal return air thru hole penetrations. • 4. Block end of garage soffit adjacent to stairs. MSTA726 Shear Wall lnsp 4/21/00 KBS PASS No Hold AKJ 4/24/00 MSTA735 Gas Line Insp 4/26/00 KBS PASS No Hold AKJ 4/26/00 Page 1 of 3 6/13/00 • Activities for Case #: MST2000 -00065 1:29:49 PM Assigned Hold Updated . Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes • • MSTA736 Gas Fireplace No Hold BT2 3/9/00 MSTA740 Insulation lnsp 5/1/00 RB PART No Hold AKJ 5/1/00 block soffit in wall at staircase MSTA752 Rain drain lnsp 4/3/00 MRS PASS No Hold AKJ • 4/3/00 MSTA760 Water Line Insp 4/3/00 MRS PASS No Hold AKJ 4/3/00 MSTA765 Appr /Sdwlk lnsp 5/10/00 MW FAIL No Hold AKJ 5/10/00 remove curb at catch basin and form new wing ok to pour driveway and sidewalk on right side of app do not pour approach MSTA767 Urb St Tree Certif Ltr Recd 6/6/00 TLP RECD No Hold AKJ 6/6/00 MSTA790 Electrical Final 6/1/00 6/1/00 CD PASS No Hold CD 6/1/00 note: A/C unit not installed at this time. MSTA795 Mechanical Final 6/5/00 RB FAIL No Hold AKJ 6/5/00 see bldg final 6/5 MSTA797 Plumb Final 6/2/00 MRS FAIL No Hold MRS 6/2/00 req sprink permit no hot water MSTA•98 Final inspection • No Hold BT2 3/9/00 MSTA799 Building Final 6/5/00 RB FAIL No Hold AKJ 6/5/00 1) tree cert req 2) install vehicle barrier for gar appliances 3) seal holes in garage soffit 4) fireplace inoperative 5) ext landing off nook not installed 6) kitchen sink deanout needs to be accessible 7) range vent incomplete 8) no permit for backflow device 9) usa erosion final req insp terminated MSTA032 DST Post - Review Completed 3/21/00 BON DONE No Hold BON 3/21/00 MSTA080 (F) Ready to issue 3/21/00 BON DONE No Hold BON 3/21/00 MSTA092 (F) Issue combination permit 3/23/00 GEO DONE No Hold GEO 3/23/00 • MSTA095 Issue plumbing signature form 3/28/00 SLT RECD No Hold ST 3/28/00 MSTA097 Issue electric signature form 3/27/00 AKJ RECD No Hold AKJ 3/27/00 MSTA727 Exterior Sheathing Insp 4/21/00 KBS PASS No Hold AKJ 4/24/00 MSTA725 Framing Insp 5/1/00 RB PART No Hold AKJ 5/1/00 see insul 5/1 MSTA765 Appr /Sdwlk Insp 5/15/00 MW PASS No Hold AKJ 5/15/00 MSTA797 Plumb Final . 6/5/00 RB FAIL No Hold AKJ 6/5/00 see bldg final 6/5 c. MSTA795 Mechanical Final 6/6/00 TLP PASS No Hold AKJ 6/6/00 Page 2 of 3 6/13/00 Activities for Case #: MST2000 -00065 1:29:49 PM Assigned Hold Updated Activity Description Date 1 • Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA797 Plumb Final 6/6/00 TLP PASS No Hold AKJ 6/6/00 MSTA799 Building Final 6/6/00 TLP PASS No Hold AKJ 6/6/00 MSTA960 (F) Issue Cert. of Occupancy 6/6/00 TLP DONE No Hold ST 6/13/00 6 /13 /00- mailed to owner /file Page 3 of 3 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 0C6OS 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 r�," / BUP Date Requested W/ ►/W AM X PM BLD Location 71A 4L4j2 I 0112.a Suite pJ MEC Contact Person �) (✓' Ph 70f Y 3q PLM 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 ��11 � Framing 04/C_ (/AA. /1/$171 jiLs �/� ,4 / •s /�1 e Insulation Drywall Nailing Firewall Fire Sprinkler /2,1 : Lt Fire Alarm Susp'd Ceiling ` y Misc: : AtTt4 © �L/ ¢ , � �G � fs /A,/ C� jed Final �, e � - , E �/ PASS PART FAIL �DS� i�e l rt.c lt.� � ` / b1 1 ,4-71 PLUMBING s±fi9i12-j 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 RI Ar Service Rough In UG /Slab Low Voltage • Fire Alarm ti o, PART FAIL SI Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Supply [ ] Please call for reinspection RE: ] Unable to inspect - no access Fire Fire Supply Line ADA Approach /Sidewalk Other Date - e Inspector _ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST SCCO - OCO t`D 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP ` 1 Date Requested 69/ V 0 �� 0 �,, S,AM// PM BLD Location 7--?--g �.Gl.f / £ _Q L Suite MEC Contact Person CT1 AA- Ph 203-'4 Z I PLM 72)00 - 00) f � f Contractor Ph SWR ILDING 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 ^ �; Fire Sprinkler ( /7 CO crE ' �Di,S CO �y /_ /C Fire Alarm Susp'd Ceiling PP� ?Ft C /C a4.../, — Roof Misc: J _ART FAIL N13.2 Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains ASS PART FAIL NIECHANI A Post & Beam Rough In Gas Line Smoke Dampers PART FAIL — mow • ICAL 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 7(1 C 1' Ins s Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.