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Permit ,A. CITY OF TIGARD MASTER PERMIT PERMIT #: MST1999 -00248 iii DEVELOPMENT SERVICES DATE ISSUED: 09/21/1999 - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 12522 SW QUAIL CREEK LN PARCEL: 2S104DA -00800 SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R - 4.5 BLOCK: LOT: 045 JURISDICTION: URB REMARKS: PATH I: New single family dwelling w /attached garage. BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,488 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,512 sf GARAGE: 440 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: ' 1 FINBSMENT: sf RIGHT: 11 VALUE: $ 221,129.20 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: sf REAR: 54 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: BOIL/CMP < 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: 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+ ampNolt : 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: LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL S SYSTEMS: Owner: Contractor: TOTAL FEES: $ 2,812.76 DON MORISSETTE HOMES DON MORISSETTE HOMES This permit is subject to the regulations contained in the 5000 SW MEADOWS LANE 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 0 R I G t iU A L Reg 5: LIC 000355 Oregon Utility Notification Center. Those rules are set 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 Insulation Insp Electrical Final Grading Inspection Post/Beam Mechanical Mechanical Insp Shear Wall Insp Rain drain lnsp Mechanical Final Sewer Inspection Underfloor insulation Plumb Top Out Low Voltage Water Line Insp Plumb Final Footing lnsp Crawl Drain /Backwater Electrical Service Gas Line Insp Appr /Sdwlk Insp Final inspection Foundation Insp Footing /Foundation Dr; Electrical Rough In Gas Fireplace Urb STree Ce =Ltr P Building Final Issued By : t •�t/ Permittee Signature : ► L. ft ' •r Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next ' iness da ,, unified ' f s SANITARY• - Pico L V agency enc -- F ° 1 55 N. First Ave., Suite 270, Hillsboro, Or., 97124 SURFACE WATER _ _ _ _ _ 503 648-8621 CONNECTION PERMIT ISSUE °Arc 092099 EXPIRATION DATE 0.31800 EC EXP DATE 091 901 PERMIT 117679 STRUCTURE ADDRESS 12522 PROJECT 8207 STRUCTURE STREET SW QUAIL CREEK LN LOT 45 BLOCK TYPE CONNECTION- NEW OF QUAIL HOLLOW EAST TYPE INSTALLATION- (19) FILE' CWR /ERO CON /SOC TYPE OCCUPANCY- (1 ) SINGLE FAMILY PARCEL. 291 3CB 4901 QTR SEC 4416 NH 27030 OWNER DON MOR:ISSETTE HOMES • ADDRESS 4230 SW GALEWOOEI TREATMENT PLANT DURHAM LAKE OSWEGO OR 97035 PHONE 307.7530 WATER DISTRICT TIGARID 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 KELLY PHONE ____________ AFFILL.IATION REP REMARKS LOT 45 PROJ 8207 QUAIL HOLLOW CAST *24 HOUR NOTICE FOR EROSION CONTROL INSPECTIONS REQUIRED *** ** Number C:a1;pfo .ISF'ECTION -° -044• -0444 )l * * * ** f; T i ;NATl lP a _, T c RI IFfi AY Am nrreSfNI 1 Permit Conditions: The applicant agrees to comply ith 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 N S P E C T E D 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. I f 4 North arrow R I s - CIT;' QF_Q IGARD Residential Building Permit Application Plan C 1 k. 13125 SW HALL BLVD. Additions or Alterations Recd �. TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date Recd - 9 '9 9 9 y � p � Date to P.E. 4 4 ' ¢' V t03- 639 -4171 l , Date to DST P - / I -9f F 503 - 684 -7297 u F Permit # Mr/ QoR4e$ Print or Type Called Incomplete or illegible applications will not be accepted Name of Project ]� 1,� 04. �la� ��, _ \ �. t J[JC� . Job Q � l �CJt 1UVN" tO 1 a r rs . Address Si s Architect MMa d i J t,l'g- 311\) & 1(Yeee. Dr ;�,,. / e i Ph e _Name • ►. i,,,C.IS - ti- . �. 620 Name Owner ai' Address JAY VV Engineer Mailing Address Gity'Siate �K ^„ 41 1 1 4 3 : 15_,.. 630 City /State Zip Phone General Name 1 Contractor ` -F ktt-tt7 Describe work Newk Addition 0 Alteration 0 Repair 0 Mailing A to be done: Prior to permit v re 15 j Additional Description of Work: t�� �� e.re issuance, a copy City/State to Zi �P �one c � � of all licenses .(),1 CA 6 1 7 035 WO - x.71 are required if Oregon Const. Cont. Board p. D t o PROJECT 7 expired in COT Lic.# G-.,G� ���en VALUATION $ c J - / v4 7 �' da � ✓✓ Mechanical Name NEW CONSTRUCTION ONLY: _ . Sub - A COUJT -( 113-'(7 Sq. Ft. House: .5ayo Sq. Ft. Garage . l • Contractor Mailing Address '" `F U ' _ Prior to permit l jJ � j]✓ f t n - iV.lr ga. Indicate the restricted energy installation by the electrical . issuance, a copy • /St e �p Pho a subcontractor in the following areas of all licenses ^ . (" 3� �� • Restricted Audio /Stereo are required if Oregon Const. Cont. Board Exp. Date Energy System Alarms expired in COT Lic.# �7 `., 3 3 1901C1) . K Installations Vacuum Irrigation database l a lvv` System System Plumbing Name (check all that Other: Sub - OCUM3 . "rl ?lurnbr5 apply) Contractor Mailing Address Corner Lot YES �VZ Flag Lot YES 1 1 � I (check one) Jam_ (check one) 1 I � -7 1 ∎+ v k LtY - Has the Subdivision Plat recorded? N/A T NO Prior t� /State Zip _ _ _ _, issuuanncee a copy a copy C�� �� of all licenses are Oregon Const.' Cont. Board Exp. Dat 6 required if ) e9 /:y> j r expired COT Lic.# / v/�/ L l.:C.� � 1 1, 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 j 7� (� 6 `Q L� of the owner, and that plans submitted are in compliance with 0 Oregon State laws.. • Name i ure of wner'Ag; 4v2./ -94 '41 1aq Electrical j (Ayr( .. ) ta Sub- Mailing Address ct P son Name Phone # Q Contractor ? i 0 V Dreac. Lrm . City /State Zip Phone P c p co 01 cx D � T 7 L l ea AS o b4 -� 1j issuance, a copy DO 0 � d of all licenses are Oregon Const. Cont. Board Exp. Date FOR OFFICE USE ONLY: J9 required if Lic.# Plat #: r Map/TL #: expired in COT t VC�f I a database ect 'cal Li . # an "121419 D to Se cks: Zone: Solar: / / Electrical Su ervisor Lic. # D to Engineering Approval: Planning Approval: TIF: �[0 S I � �O I To 1 / Z477 Pt.'13:1, is \dsts \forms\sfaddalt.doc 11/20/98 . AUG -25 -1999 1.4:47 598 7366 599 79E• P.02 • • CITY OF TIGARD Credit No.: Date Issued: August 11. 1999 • - < Engineering „4.1.4 f• Authorization C ate: August 11, 1999 TRAFFIC IMPACT FEE • CREDIT VOUCHER Land Use ..._ _ . Casefile No 97- 517- PD /S/DHA In accordance with Ordinance 379 Cypress Ventures POW er r) is entitled to $ 39,454.00 in Traffic Impact Fee Credits that can be applied to TIF charges for development bn lot(s) 1 - 81 of the Quail Hollow - East Development. To use this credit, present this form at the time of issuance of the budding permit. • I Date Permit Numbers Lot Numbers Credit Used Balance I Beginning Balance $ 39.454.00 gr 4s /1/sn ti-etiP 7 — ?o /0 35 q q . �- Z) 7-1 -to qt; y Zy Po L ai -24 - 1l ° 1 _. M ST I 7`?9 - Gb z Iq zo u, _ • 31 � y Balance carried forward to TIF Credit No. • Ordinance 379 provides for an expiration 7 years from authorization. • Use Additional pages if necessary. 1opir ,violauifba a • • 01/05/2000 Activities for Case #: MST1999- 00248. 11:52:57 AM • Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA007 Application received 07/09/1999 DEB RECD No Hold GEO 07/15/1999 • MSTA008 Permit Created 07/15/1999 GEO DONE No Hold GEO 07/15/1999 MSTA010 Check for prcl. restrict. 07/15/1999 GEO DONE No Hold GEO 07/15/1999 MSTA012 Plans routed to Plans Examiner 07/15/1999 GEO SENT No Hold GEO 07/15/1999 MSTA026 Plans approved by Pln Examiner 07/19/1999 BT2 DONE No Hold BT2 07/19/1999 hold until engineering ok's MSTA030 Reviewed plans routed to DSTS 08/11/1999 BT2 DONE No Hold BT2 08/11/1999 MSTA700 Erosion 844 -8444 07/19/1999 07/19/1999 No Hold BT2 07/19/1999 MSTA703 Grading Inspection No Hold BT2 07/19/1999 16% slope • MSTA704 Sewer Inspection 09/28/1999 GS PASS No Hold AKJ 09/28/1999 • MSTA705 Footing lnsp 07/19/1999 07/19/1999 09/24/1999 SW PART No Hold AKJ 09/26/1999 1) ufer installed 2) contractor decided to install . ' STB 28's at wingwalls of gar, plans indicated portal frame • eng specified nothing on plans, eng specifies HTT16 for type C but was not clear if req at gar 3) install 24x24x12 at liv room post supp ' 4) ftgs for pier pads have slopes of greater than 1:2 contractor will backfill with • compacted gravel to attain • . adeq slope. 5) setbacks site plan indicates 6' however 5' may be permitted • - since there will be no . . encroachment of ftgs for prop line retaining wall. contractor shall validate and obtain app from City MSTA706 Foundation lnsp 07/19/1999 07/19/1999 09/24/1999 SW PART No Hold AKJ 09/26/1999 see ftg 9/24/99 MSTA710 Post/Beam Structural 07/19/1999 07/19/1999 10/05/1999 GS PASS No Hold AKJ 10/05/1999 MSTA711 Post/Beam Mechanical 07/19/1999 07/19/1999 10/05/1999 GS PASS No Hold AKJ 10/05/1999 MSTA712 Underfloor insulation 07/19/1999 07/19/1999 No Hold BT2 07/19/1999 MSTA713 Crawl Drain /Backwater valve 07/19/1999 07/19/1999 09/28/1999 GS PASS No Hold AKJ 09/28/1999 MSTA714 Footing /Foundation Drain 07/19/1999 07/19/1999 No Hold BT2 07/19/1999 MSTA717 PLM /Underfloor 07/19/1999 07/19/1999 10/05/1999 GS PASS No Hold AKJ 10/05/1999 Page 1 of 3 01/05/2000 Activities for Case #: MST1999 -00248 11:52:57 AM Assigned . Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA720 Mechanical Insp 07/19/1999 07/19/1999 10/29/1999 KBS FAIL No Hold KBS 10/29/1999 #-1- see framing notes this date #-2- extend shear 2 garage ceiling as shown #-3- strap trimmers to garage header • #-4- strap plates to post © . garage #-5- add stud under double joist @ rear bay also support rafters • #-6- verify load points © din /rm #-7- truss clips missed © front girder truss #-8- extend eave baffles 17 inches above bottom chord • #-9- connect heat ducts @ attic #-10- strap plates above rear bedroom header #-11- positive connection girder truss front #-12- connect exhaust fan @ half bath • #-6- MSTA722 Plumb Top Out 07/19/1999 07/19/1999 10/29/1999 GS PASS No Hold GES 10/29/1999 MSTA723 Electrical Service 07/19/1999 07/19/1999 10/29/1999 BP PASS No Hold VT 10/29/1999 MSTA724 Electrical Rough In 07/19/1999 07/19/1999 10/29/1999 BP PASS No Hold VT 10/29/1999 MSTA725 Framing Insp 07/19/1999 07/19/1999 No Hold BT2 07/19/1999 MSTA726 Shear Wall Insp 07/19/1999 07/19/1999 ' No Hold BT2 07/19/1999 MSTA728 Low Voltage 07/19/1999 07/19/1999 10/29/1999 BP PASS No Hold VT 10/29/1999 MSTA735 Gas Line lnsp 07/19/1999 07/19/1999 10/29/1999 KBS FAIL No Hold KBS 10/29/1999 #-1- incomplete MSTA736 Gas Fireplace No Hold BT2 07/19/1999 MSTA740 Insulation lnsp 07/19/1999 07/19/1999 No Hold BT2 07/19/1999 MSTA752 Rain drain lnsp • 07/19/1999 07/19/1999 09/28/1999 GS PASS No Hold AKJ 09/28/1999 MSTA760 Water Line Insp 07/19/1999 07/19/1999 No Hold BT2 07/19/1999 • • MSTA765 Appr /Sdwlk Insp ' 07/19/1999 07/19/1999 12/02/1999 MW - PASS No Hold DGW 12/03/1999 Looks good MSTA767 Urb St Tree Certif Ltr Recd 07/19/1999 07/19/1999 No Hold BT2 07/19/1999 V MSTA790 Electrical Final 07/19/1999 07/19/1999 12/13/1999 GS PASS No Hold GES 12/13/1999 makeup x -mas light box at frt . porch MSTA795 Mechanical Final 07/19/1999 07/19/1999 12/16/1999 KBS FAIL No Hold KBS 12/16/1999 #-lsee bldg final this date. - MSTA797 Plumb Final 07/19/1999 07/19/1999 12/13/1999 GS PASS No Hold GES 12/13/1999 MSTA798 Final inspection 07/19/1999 07/19/1999 No Hold BT2 07/19/1999 . V • Page 2 of 3 01/05/2000 Activities for Case #: MST1999 -00248 11:52:57 AM • Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By .Disp. Level By Updated Notes MSTA799 Building Final 07/19/1999 07/19/1999 12/16/1999 KBS FAIL ' No Hold KBS 12/17/1999 #-1- need final erosion control app #-2- provide st tree cert . #-3- secure gas piping @ fireplace also range #-4 tall crawl provide access • • #-5- seal around all penetrations @ garage #-6- stairs © garage & front entry not built MSTA032 DST Post - Review Completed - 08/18/1999 - DEB DONE No Hold DEB 08/18/1999 MSTA050 Hold for 08/18/1999 DEB DONE No Hold DEB 08/18/1999 Hold for engineering release. In "HOLD" area in spare DST office. MSTA010 Check for prcl. restrict. 08/18/1999 DEB DONE No Hold DEB 08/18/1999 Checked fo•parcel restrictions on the recorded plat. MSTA095 Issue plumbing signature form 09/24/1999 SLT RECD No Hold ST 09/24/1999 MSTA097 Issue electric signature form 09/23/1999 AKJ RECD No Hold AKJ 09/23/1999 MSTA092 (F) Issue combination permit 09/21/1999 BON DONE No Hold BON 09/21/1999 MSTA761 Water Service Insp 09/29/1999 09/29/1999 09/29/1999 GS PASS No Hold AKJ 09/29/1999 MSTB751 Exterior Sheathing Insp 10/19/1999 KBS PART No Hold JS 10/19/1999 Replace over notched primmers @ garage wings wails. MSTA705 Footing Insp 11/02/1999 11/02/1999 11/02/1999 DGW PASS No Hold VT 11/02/1999 MSTA706 Foundation Insp 11/02/1999 11/02/1999 11/02/1999 DGW PASS No Hold VT 11/02/1999 • MSTA727 Exterior Sheathing Insp 11/02/1999 GGW PASS No Hold VT 11/02/1999 MSTA726 Shear Wall Insp 11/02/1999 11/02/1999 11/02/1999 DGW PASS No Hold VT 11/02/1999 MSTA740 Insulation Insp 11/02/1999 11/02/1999 11/02/1999 DGW PASS No Hold VT 11/02/1999 MSTA725 Framing Insp 11/02/1999 11/02/1999 11/02/1999 DGW PASS No Hold VT 11/02/1999 MSTA720 Mechanical Insp 11/02/1999 11/02/1999 11/02/1999 DGW PASS No Hold VT 11/02/1999 MSTA735 Gas Line Insp 11/02/1999 11/02/1999 11/02/1999 DGW PASS No Hold VT 11/02/1999 gas tag #340498 MSTA795 Mechanical Final 12/17/1999 12/17/1999 12/17/1999 KBS PASS No Hold KBS 12/17/1999 MSTA799 Building Final 12/17/1999 12/17/1999 12/17/1999 • KBS PASS No Hold KBS 12/17/1999 #-1- st tree cert provided MSTA050 Hold for 12/21/1999 JMT DONE No Hold JMT 12/21/1999 hold C/O for eIr1999- 00250, message to Ben on 12/21/99 MSTA960 (F) Issue Cert. of Occupancy 12/17/1999 KS DONE No Hold JMT 01/05/2000 • Page3of3 . • MST /c�4 �_� ��� CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested /4. 1 AM PM BLD Location / 15- 4).) -- 5W 6LUt L C".,R_ Suite MEC Contact Person &Wiu. {LOY] Ph '6 4 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 Framing r, �- Insulation / Drywall Nailing s S "� � C A-"rrr/Lct4 f71 Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Mis - ASS PART FAIL i 1'. :ING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains - Final PL FAIL Post & Beam Rough In Gas Line Smoke Dampers PART FAIL - 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 / Date - ate 1± /7--'S Insp - Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.