Permit CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2000 -00008
,A�A DEVELOPMENT SERVICES
L DATE ISSUED: 01/18 /2000
�'�" II 13125 SW Hall Blvd., Tigard, OR 97223 (503) h N A
SITE ADDRESS: 12565 SW QUAIL CREEK LN PARCEL: 2S1O4DA -00300 • SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R-4.5
BLOCK: LOT: 040 JURISDICTION: URB
REMARKS: PATH I: New single family dwelling w /attached garage and covered porch.
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW - HEIGHT: 23 FIRST: 1,570 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,620 sf GARAGE: 413 sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 5
VALUE: $ 234,600.66
OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: sf REAR: 21
•
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 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: $ 2,930.46
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 Code, State work will be Specialty in
Codes and
SUITE 100 SUITE 100 all oher applicable laws. All wok wl b 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 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 Structural PLM /Underfloor Framing Insp Insulation Insp Electrical Final
Grading Inspection 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 Line Insp Urb St Tree Certif Ltr R Building Final
Issued By : _AI L ` �% Permittee Signatur- i L. -1A _ I
II
Call (503) 639-41 - 7:00 p.m. for an inspection needed the next business day
L •�- sews age SANITARY* D fio
a enc
155 N. First Ave., Suite 270, Hill b ro, Or., 97124 SURFACE WATER
503 648-8621
CONNECTION PERMIT
ISSUE DATE 011800 EXPIRATION DATE 071600 EC EXP DATE 011702 PERMIT 118202
STRUCTURE ADDRESS 12 565 PROJECT 8707
STRUCTURE STREET SW QUAIL CREEK LN
LOT 40 BLOCK
TYPE CONNECTION- NEW OF QUAIL HOLLOW EAST
TYPE INSTALLATION- (19) BLD SWR /ERO CON /SDC
TYPE OCCUPANCY- (1 ) SINGLE FAMILY PARCEL 2S1 4DA 300
QTR SEC 4416 MH 26955
OWNER DON MORISSETTE HOMES
ADDRESS 4230 SW GAL.EWOOD TREATMENT PLANT ROCKCREEK
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 < :10.00:::
WATER QUANTITY 290.00
LESS CREDIT < 0.00 -
EROSION CONTROL.
INSPECTION 88.00
PLAN CHECK 57.20
SUBTOTAL 2300.00 SUB1 OTAL 435.20
TOTAL 2735.20
APPL NAME DENA PHONE __...- __ -...
r1FFIL.L.IATIDN REP
REMARKS LOT 40 QUAIL HOLLOW EAST PROJ 8207
*24 HOUR NOTICE FOR EROSION CON ROL INSPECTIONS REQUIRED
***** Numi� t,� l .l f r N ' " . ION-64 >r�**�X**
SIGNATURE _ �J.y.� \.._ 1. 1...x. .... __._,_._. -_ ' .. "_._ ISSUED BY ANDERSONI.
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
r --
INSPECTED 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
acid /or corners, etc.
4 North arrow
1
I
1
• CITY OF TIGARD Residential Building Permit Application Plan Che- —
1S/25 SW HALL BLVD. Additions or Alterations Recd By /,I
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date Recd C.) GARD
9 y ( p � Date to P.E. 1 - -00 -
V 503 - 639 -4171 Date to DST' -1 /.)
F 503 - 684 -7297 U 0 Permit #/7PT0 - oafs V
Print or Type Called
Incomplete or illegible applications will not be accepted
Name of Project L a�i1� ame
Job Address S A g Irk Y ,C Architect �!t Dina ddress .
,•,� 1 ahnnp
1 am •
1- �(�L n City /See C�� 7 7%
Name
Owner 2 4rlrlrpss
'vvv 100 Engineer Mailing Address
• "' 4 . 5 0 3 5 City/State Zip Phone
General Name
Contractor ;.4. f ffiME5 Describe work New Newk Addition 0 Alteration 0 Repair 0
M iling Addre$s_ to be done:
Prior to permit . 0W G7a,e,I 8, S} • -jel) j Additional Description of Work: 1 � w r l_
issuance, a copy ity /St to Zip one
of all licenses L• 6 1'1 / 35 3 7 -
are required if Oregon Const. Cont. Board p. D to PROJECT So
expired in COT Lic.# � r.j.3 Itp160 VALUATION $ (90 aa
database ✓✓ ✓✓
- Mechanical Name NEW CONSTRUCTION` NLY: . .
Sub - 710 Ccui. - IlEt1P. Sq. Ft. House: , LD Sq. Ft. Garage 21 I
• Contractor Mailing Address
Prior to permit 1.b/66' S E f kryt.lolf',r Pa. Indicate the restricted energy installation by the electrical
issuance, acopy /St- a ip Pho a subcontractor in the following areas
of all licenses • ,./ . S.111 • • #]' Iftly • -3 i r- Restricted Audio /Stereo
are required if Oregon Const. C•nt. Board Exp. Date Energy System Alarms
expired in COT Lic.# �7 at o` �1 �i� Installations Vacuum Irrigation
database / System System
•
Plumbing Name , c,,,� (check all that Other:
Sub- `� r �.c.1 �5 ��1.l.l�r/t apply)
Corner Contractor Mailing Add Coer Lot YES O Flag Lot YES ..X
(check one) (check one)
-7
1 ii -7 v kniou r - Has the Subdivision Plat recorded? N/A T NO
Prior /State Zjp • Pho ne y �
issuance, , a a cop y G��
of all licenses are T Oregon Const. Cont. Board Exp. Date,
required if Lic.# ( co o I
expired in CO T v/� L _ 1 L (} , 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
9 w , r j t t 19 of the owner, and that plans submitted are in compliance with
o'( ^ j �'D K.(J Oregon State laws.
Name ig = ture of • ner/ • . en
Electrical r' (, y Al e .M11'I\
=tact P
Sub- Mailing Address Person Na i.rOr P •ne #
%
Contractor
(33 51\1 Drat, Ln •
City/State Zip Phone
P to ance, a copy y k'„' _ _ A cr� 2
u a co �((�l FOR OFFICE USE ONLY:
of all licenses are Oregon Const. Cont. Board Exp. Date Plat #: Map�TL #:
required if Lic.# Q � �/y� act Lb
expired in COT I �V(iE� - � r �""r�v act — �Tt/ q ����¢D� -Q��
database ect 'cal LiG. # _ rem IT, I tbacks: Z l Solar:
Electrica SSu� Lic. # EX D tee gi ering Approval: Planning Approval: TIF:
1-/0.00 i:\dsts \forms\sfaddalidoc 11/20/98
06/08/2000 Activities for Case #: MST2000 -00008 •
3:56:45 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA005 Application received 01/05/2000 DEB RECD No Hold GEO 01/10/2000
MSTA008 Permit Created 01/10/2000 GEO DONE No Hold GEO 01/10/2000
MSTA010 Check for prcl. restrict. 01/10/2000 GEO DONE No Hold GEO 01/10/2000
MSTA012 Plans routed to Plans Examiner 01/10/2000 GEO SENT No Hold GEO 01/10/2000
MSTA026 Plans approved by Pln Examiner 01/10/2000 BT2 DONE No Hold BT2 01/10/2000
MSTA030 Reviewed plans routed to DSTS 01/10/2000 BT2 DONE No Hold BT2 01/10/2000
MSTA700 Erosion 844 -8444 01/10/2000 01/10/2000 No Hold BT2 01/10/2000
MSTA703 Grading Inspection No Hold BT2 01/10/2000 17% slope no fill with out
getotech approval
MSTA704 Sewer Inspection 01/24/2000 MRS PASS No Hold AKJ 01/24/2000
MSTA705 Footing Insp 01/10/2000 01/10/2000 01/20/2000 RB PART No Hold AKJ 01/20/2000 supp interior bearing pads and
or cuts closer than 2' to edge
to be viewed before deck cover
MSTA706 Foundation Insp 01/10/2000 01/10/2000 01/20/2000 RB PART No Hold AKJ 01/20/2000 see ftg 1/20
MSTA710 Post/Beam Structural 01/10/2000 01/10/2000 01/28/2000 TLP PASS No Hold AKJ 01/30/2000
MSTA711 Post/Beam Mechanical 01/10/2000 01/10/2000 No Hold BT2 01/10/2000
MSTA712 Underfloor insulation 01/10/2000 01/10/2000 No Hold BT2 01/10/2000
MSTA7•3 Crawl Drain /Backwater valve 01110/2000 01/10/2000 01/24/2000 MRS PASS No Hold AKJ 01/24/2000
MSTA714 Footing /Foundation Drain 01/10/2000 01/10/2000 • No Hold BT2 01/10/2000
MSTA717 PLM/Underfloor 01/10/2000 01/10/2000 01/28/2000 MRS PASS No Hold AKJ 01/30/2000 nail plates where mud sill is
penetrated
MSTA720 Mechanical Insp 01/10/2000 01/10/2000 02/22/2000 RB PART No Hold AKJ 02/22/2000 see framing 2/22
MSTA722 Plumb Top Out 01/10/2000 01/10/2000 02/15/2000 MRS PASS No Hold AKJ 02/15/2000
MSTA723 Electrical Service 01/10/2000 01/10/2000 02/22/2000 TLP PASS No Hold AKJ 02/22/2000
MSTA724 Electrical Rough In 01/10/2000 01/10/2000 02/22/2000 TLP PASS No Hold AKJ 02/22/2000
Page 1 of 4
06/08/2000 Activities for Case #: MST2000 -00008 •
3:56:45 PM .
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By - Updated Notes
MSTA725 Framing Insp 01/10/2000 01/10/2000 02/22/2000 RB PART No Hold AKJ 02/22/2000 2) strap offsets
3) post up under den header
3) nail trimmers at doorways
4) insul above den
5) block at 10' intervals at main
entry
6) studs missed at ext locations
7) stud missed at int main floor
location
• 8) clips missed upstairs
9) insul duct in gar
10) flamespread and insul
fireplace cavity
11) provide 2' slow of concrete •
under fumace plenum
12) close duct upstairs
13) seal holes in retum air
plenum
14) complete wing wall hd's
MSTA726 Shear Wall lnsp 01/10/2000 01/10/2000 02/11/2000 KS FAIL No Hold AKJ 02/13/2000 1) hd missed at wing wall gar
2) straps missed at gar
3) complete straps as shown
• 4) nail shear panels per schedul
• 5) install a35 as shown
MSTA735 Gas Line lnsp 01/10/2000 01/10/2000 02/22/2000 RB PASS No Hold AKJ 02/22/2000
MSTA740 Insulation Insp 01/10/2000 01/10/2000 02/25/2000 KS PASS No Hold AKJ 02/27/2000
MSTA752 Rain drain Insp 01/10/2000 01/10/2000 01/24/2000 MRS PASS No Hold AKJ 01/24/2000
MSTA760 Water Line Insp 01/10/2000 01/10/2000 01/24/2000 MRS PASS No Hold AKJ 01/24/2000
MSTA765 Appr /Sdwlk Insp 01/10/2000 01/10/2000 03/16/2000 MW PART No Hold AKJ 03/16/2000 may be a problem with water
service
ok to pour approach only
MSTA767 Urb St Tree Certif Ltr Recd 01/10/2000 01/10/2000 . No Hold BT2 01/10/2000 •
MSTA790 Electrical Final 01/10/2000 01/10/2000 04/03/2000 CD FAIL - No Hold AKJ 04/03/2000 1) provide access for hydro tub
2) install built in ironing board or
• J box nm cable
MSTA795 Mechanical Final 01/10/2000 01/10/2000 04/03/2000 MRS PASS No Hold AKJ 04/03/2000
MSTA797 Plumb Final 01/10/2000 01/10/2000 04/03/2000 MRS FAIL No Hold AKJ 04/03/2000 need permit for backflow device
sprinkler sys
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Page 2 of 4
06 /08 /2000 • Activities for Case #: MST2000 -00008 - •
3:56:45 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA799 Building Final 01/10/2000 01/10/2000 04/06/2000 KBS FAIL No Hold AKJ 04/06/2000 1) elec and plm app
2) need final erosion control
• and sidewalk app
3) seal all pen. at gar also apply
• gyp under man door
4) supp ac return lines also
cond line
5) insul exposed water pipe in
crawl
• 6) adjust under fl insul adj to
gas tubing
• 7) remove debris and recover
vapor in crawl
8) provide tree cert
MSTA032 DST Post - Review Completed 01/12/2000 BON DONE No Hold BON 01/12/2000
MSTA080 (F) Ready to issue 01/12/2000 BON DONE No Hold BON 01/12/2000 •
MSTA092 (F) Issue combination permit 01/18%2000 GEO DONE No Hold GEO 01/18/2000
MSTA095 Issue plumbing signature form • 01/24/2000 SLT RECD No Hold ST 01/24/2000
MSTA097 Issue electric signature form 01/20/2000 AKJ RECD No Hold AKJ 01/20/2000
MSTA727 Exterior Sheathing Insp 02/11/2000 KS FAIL No Hold AKJ 02/13/2000 see shear 2/11
MSTA728 Low Voltage 02/22/2000 02/22/2000 02/22/2000 TLP PASS No Hold AKJ 02/22/2000
MSTA726 Shear Wall Insp 02/22/2000 02/22/2000 02/22/2000 RB PART No Hold AKJ 02/22/2000 see framing 2/22 •
MSTA727 Exterior Sheathing Insp 02/22/2000 RB PART No Hold AKJ 02/22/2000 see framing 2/22
MSTA725 Framing Insp 02/27/2000 02/27/2000 02/25/2000 KS PASS No Hold AKJ 02/27/2000
MSTA726 Shear Wall Insp 02/27/2000 02/27/2000 02/25/2000 KS . PASS No Hold AKJ 02/27/2000
MSTA727 Exterior Sheathing Insp 02/25/2000 KS PASS No Hold AKJ 02/27/2000
MSTA797 Plumb Final 04/04/2000 MRS PART No Hold AKJ 04 /04/2000 1) it is questionable whether the
jacuzzi motor access is large
enough (need to see installation
manual)
MSTA790 Electrical Final 04 /06/2000 CD PASS No Hold AKJ 04/06/2000
MSTA799 Building Final 04 /07/2000 TLP PASS No Hold AKJ 04/09/2000
MSTA797 Plumb Final 04/07/2000 MRS PASS No Hold AKJ 04/09/2000 jacuzzi tub OK
MSTA050 Hold for 04/21/2000 JMT DONE No Hold JMT 04/21/2000 TLP approved bid final 4/7/00,
Hold C/O for approved
sidewalk, street tree cert. This
hold information sent to
TLP /Hap
MSTA960 (F) Issue Cert. of Occupancy 04/07/2000 TLP DONE No Hold JMT 06/08/2000
MSTA202 Hold Release to Issued Status 06/08/2000 JMT DONE No Hold JMT 06/08/2000 ok to process C/O per Hap
Page 3 of 4
06/08/2000 Activities for Case #: MST2000 -00008 •
3:56:45 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA960 (F) Issue Cert. of Occupancy 03/17/2000 ROC DONE No Hold JMT 06/08/2000
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Page4of4
T-6 PA--
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 2'OODO$
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested "[ / 7 a) AM PM BLD
Location � 2 S S Q U1 � I((( V lLQ)(_, Suite MEC
Contact Person /Y\, Ph 2 209- (4 3 9 PLM
Contractor Ph SWR
UILDI■ Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain �- SGN
Crawl Drain Inspection No
Slab �,, ^ ,, n n� ,I n () SIT
Post & Beam
Ext Sheath /Shear 1 w4 Ni" cl.�l/ h dib) -� 1` -
Int Sheath /Shear 10
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
- ZIT PART FAIL
•f H : . r7
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
- • •n Drains
WO PART FAIL
NICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final v
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alain
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 Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.