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LOT 6IZE 2136 bQ.FT �,IP' ilk �p I•U�
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LOT C0IIMAGE
WOUM MWETER WEAVE 1316 eQ FT
COYEI-D Flomw ID bQ FT
TOTAL LOT COVERArsE 1326 60 FT
LOT COYE,t,064E MW 6a "A326 6Q F's • 0% LOT 2
NOTICE: IF THE PRINT OR TYPE ON ANYI � 1fr]l- rjTIT[ f 1.1-fT � �"I �1�� I � � � � JIl � � 1 I � ill � l I � Illll l � t ( 111 III ( I � ! II7� rlI L� 1 �� � ISI-Illi T11L1 �1111111 � 1 I � III � I I � I � III I � III � i Ilill � l
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IT IS DUE TO THE QUALITY OF THE No.36
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12720 sw Cafield Court
CITY OF TIGARD BUILDING INSPECTION DIVISION yy
24-Hour Inspection Line: 639-4175 Business Lins: 639-4171 MST
_-- Date Requested_ 5 AM rm BUP BUIP
ULD
Location-/Z 7 Z 3 u� '-Gi I �� - Suite
_ MEC
Contact Person Ph PLM _
Contractor A- Ph SWR
BUILDING Tenant/Owner ELC _
Retaining Wall — ELR
Footing Access: -
Foundation FPS
Ftg Drain --
Crawl Drain Inspection Notes: SGN —
Slab I _—_-- _-- SIT
Post& Beam --- `_-- ---
Ext Sheal.�/Shear
Int Sheath/Shear — ---
F raming ---�--- __
Insulation -- - --- ----
Drywall Nailing —
Firewall — -- -- Y ► ----- - —— —— --
Fire Sprinkler
Fire Alarm — - — -----�
Susp'd Ceiling —
Roof -- --
Misc: —
Final
PASS PART FAIL
PLUMBIN(3_ — _-�---
Pust& Hearn ---------- -- - — __ ---___--
Under Slab
Top Cut ----- -- ---_ -- -- —
Water Service
Sanitary Sewer ------ --____ — —_ ---- —
Rain Drains
F inal ---- — - ------_ -- -— ---- ---
PASS PART FAIL
MECHANIICAL _ --
Post& Beam ------- --------- ---___ -- —— __ _ _
Rough In — —
Gas Line - ---- ---
Smoke Dampers — -- —
Final
EA§S PART FAIL _ _—
Service
Pough In --- —. - -- ------- ----- -
UG/Slab _
t_)w Voltage —- — - -- — -
'JAk.,AIarm
' FART FAIL __--_-
SITE --- ---__-_ --.-___--
Backfill/Grading --- ---- --- ----- --- —
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ — —required before next inspection. Pay at City Hall, 13125 SW Hall Bhid
Catch Basin
Fire Supply Line ( J Please call for reinspection RE ---_ [ ] Unable to inspect- no access
ADA -'
Approach/Sidewalk /
Other —_ Date Inspector -_ "���C-�.�� - Ext --
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the? job site.
C0 ' OF TIGARD BUILDING INSPECTION DIVISION \ MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 1 ---
"I BUP
T.— Date Requested %—/ a AM 61536 PM BLD
Location L ?.,)y SL✓ C16 Suite MEC
Contact Person ire-G_ Ph ` 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 ------
Insulation —
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm n
Susp'd Ceiling
Roof
Misc: — -- ----- — _---- ---
Final
PA§§ PART FAIL
P
ost& Beam
Under Slab
TopOut ------- -- ------ ------- ------
Water Service
Sanitary Sewer - --- `�—'---— -- �-
Rain Drrirrs
Final - ..------------- -- — �_—� _._ ..—
S ART FAIL
Pest& Beam - ------ - -- --- --------
Rough In
GasLine - _- --- ---- - ---------- --------
Smoke Dampers
Fina --- __--- — _--- .__-- --------------------_--R
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG/Slab
Low Voltage -------___--____-__—.—
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill/Grading - ----- ___—__ �__ ------W_--_ ----- --._-.
Sanitary Sevier
Storm Drain I ) Reinspection fee of$- -�,required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ 1 Please call for reinspection RE -__� __ -_ [ 1 Unable to inspect- no access
ADA
Approach/Sidewalk (r-1 ; �!__ l
Other bate , 1 Inspector Ext —_
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-d1Y5 Business Line: 639-4'171 —
.� Bl1P _
—_Date Requested Z
AM PM BLD
Location S w C , i� �- Suite
--_ —� —14— _-- _ MEC
Contact Person Ts'o 6 -- Ph _�G f 3 _ PLM
Contractor _ -- Ph — SWR _ -
-- Tenant/OwnerELC
Retaining Wall — -- ELR
Footing Access:
Foundation FPS
Fig Drain _ --
Crawl Drain Inspection Notes: SGN —
Slab SIT
Post8 Beam - -------------------- ------- ------------ - --- -`
Ext Sheath/Shear
Int Sheath/Shear - -- -
raming _
Insulation --- --— --- -
Drywall Nailing _ -_-
Firewall ------�--- -------
Fire Sprinkler -- - ---- _-- ------- ...-.-------
Fire Alarm -
Susp'd Ceiling - - -- - -------- ---- - ---- - - ---
Roof
Misc
PART FAIL
PLUMBING
Post& Beam - -- -� - —,-- _--- -----
Under Slab
Tap Out -- --- -- -- -
Water Service
Sanitary Sewer - -^ ----- - ---��
Rain Drains
Final --____ ----_ --- -- - -----
PASS PART FAIL
MEC 1. —--- --- --�---- –
Post$ Beam
Rough In
Gas Line ----- -------
Smoke Dampers
F ---- ------
PAS PART FAIT_
ELECTFI_IC:AL - _ ----- -- --- --------
Service M
Rough In �---
UG/Slab
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 Basii
Fire Supply Line I )Please all for reinspection RE' -- _-_ _-_ ( ) Unable to inspect- no access
ADA
Approach/S dewalk
Other I Date 12 — Inspector _ _Ext —_
Final
PASS i), FAIL DO NOT REMOVE this inspection record from the job site.
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CITY OF TIGARD MASTER PERMIT
DEVELOPMENT SERVICES DATE SS PERMIED: 7/13/0000 00168
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 12720 SW CAFIELD CT PARCEL: 2S104DA-01600
SUBDIVISION: QUAIL HOLLOW- WEST ZONING: R-4.5
BLOCK: LOT: 002 JURISDICTION: TIG
REMARKS: S/F PATH I
BUILDING
REISSUE: STORIES: FLOOR AREAS REQUIRED SET13ACKS REQUIRED
CLASS OF WORK: NF W HEIGHT 24 FIRST: 698 84 BASEMENT: sf LEFT 3 SMOKE DETECTORS y
TYPE OF USE: St FLOOR LOAD: 40 SECOND: 625 of GARAGE: 4011 if FRONT. I') PARKING SPACES
TYPE OF CONST: 5N DWELLING UNITS: I FINBSMENT: of RIGHT: 3
-
OCCUPANCY GRP: R3 00RM: 7 BATH: 3 TOTAL: 1.5VALUE: 5 115.559 1 12700 sf FILAR. 1S
PLUMBING
SINKS: 1 WATER CLOSETS. 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS. SEWER LINES: 10n SF RAIN DRAINS: 1 CATCH BASINS:
TUBISHOWERS I GARBAGE DISP. 1 WATER HEATERS: 1 WATER LINES: 100 RCKFLW PREVNTR: 1 GREASE MAPS'
MECHANICAL OTHER FIXTURES:
rUEL TYPES _ FURN<1001K 1 BOIL/CMP<3HP: VENT FANS: 4 CLO`rh"S DRYER: 1
'AS FURN,-100K: UNIT HEATERS, HOODS, OTHER UNITS I
MAX INPbtu FLOOR FURNANCES VENTS. 1 WOODSTOVES: GAS OUTLETS: I
ELECTRICAL
RLSIUENTIAL UNIT SERVICE FEEDER _TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 200 amp WISVC OR FDR: 1 PUMP/IRRIGATION: PER INSPECTION
EA ADD'L 500SF: 2n1 400 amp: 201 400 amp: let W/O SVCIFDR: On SIGN/OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 600 amp: EA ADDL OR CIR: SIGNALIPANEL. IN PLANT
MANU HM/SVC/FDR. 601 • 1000 amp' 601.amps-1000v: MINOR LABEL,
1000*amp/volt
Reconnect only PLAN REVIEW SECTION
s4 RFS UNITS: SVCIFDR,-225 A. 600 V NOMINAL: CLS AREA/SPC UCC:
ELECTRICAL.-RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO&4TFRE0 VACUUM SYSTEM AUDIO&STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT,
BURGLAR ALARM. OTH BOILER: HVAC: LANOSCAPEARRIG: PROTECTIVE SIGNL
GARAGE OPENER. CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC'. DATA/TFLE COMM, NURSE CAI LS TOTAL 0 SYSTEMS
Owner: Contractor: TOTAL FEES: $ 3,310.95
J &S CONCRETE INC ECK CONSTRUCTION INC This permit is Subject to the regulations contained in the
19600 S LELAND RD PO BOX 204 Tigard Munlcipel Code. State of OR Specialty Codes and
OREGON CITY, OR 97045 SHERWOOD,OR 97140 all other applicable laws All work will be done in
accordance with approvea plans This permit will expire 0
work is not started within 180 days of issuance,or if the
P�- 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 0: LIC 114755 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 Underfloor insulation Mechanical Insp Shear Wall Insp Rain drain Insp Plumb Final
Footing Insp Crawl Drain/Backwater Plumb Top Out Low V)Itage Water Line Insp Final inspection
Foundation Insp Footing/Fcjndation Dr Electrical Service Gas Li,le Insp Appr/Sdwlk nsp Building Final
Post/Beam Structural PLM/Underfloor Electrical Rough In Gas Fireplace Electrical Final
Post/Beam Mechanica Mechanical Insp Framing Insp Insulation Insp Mechanical Final
(iyIssued 'N'Leo_III Permittee Signature
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day
CITYOF TIGA.RD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2000-00127
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-1171 DATE ISSUED: 7/13/00
SITE ADDRESS; 12720 SW CAFIELD CT PARCEL: 2S104DA-01600
SUBDIVISION: QUAIL HOLLOW- WEST ZONING: R-4.5
BLOCK: LOT: 002 _ JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: S/F PATH I
Owner: ------
- - FEES
J & S CONCRETE INC
19600 S LELAND RD Type By Date Amount Receipt
OREGON CITY, OR 97045 PRMT DEB 7/13/00 $2,300.00 0003693
INSP DEB 7/13/00 $35.00 0003693
Phone: Total $2,335.00
Contractor:
Phone:
Reg #:
Required Inspections
Sewer Inspection
L --- —
Q�N
I his Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The perrr,i; expires
180 days from the date issued The total amount paid will be forfeited if the permit expires The Agency does not
guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurement given, the installer
shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and
Side Sewer' Permit and the Agency wil! install a lateral ATTENTION Oregon law requires you to follow rules adopted
by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080
You may obtain copies of these rules or direct questions to OUNC by calling f 5031 '46-1981'
Issued 4 7'yt 4-f1.% Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
x.11 1 VI IIVHRL/ fil:�lUt'llllill 1'111111111111 F'PffTlll saV�tt�;aiton rvan%.na
13125 SW HALL BLVD. 1, Recd B _
TIGARD, OR 97223 -f'' 0 Date Re
(Duplex) cd
l0 o p
V 503-639-4171 O �
Date to P.t.�- %- e v
Z Lf I Date to DST -3✓ -Ci U
F 503-684-7297 Permit#^5t a oco-o of 6$
• �• •I r-- Called -
Incomplete or illegible applications will not be accepted
Na a of Project/! Name
Job u.r.�j� cxy ���r� —
Address Site Adftss Architect Mailing Address
Name - /Slate Zip Phone
Owner Mailing Address Name
City/State - Zipphone Engineer Mailing Address
General Na ---- city/stat zip P n
Contractor �c�f��Irt/lGcof, �' ` ��' ��` r8j�
Describe work NeyjX Addition O Alteration O Repair O
Ma'' Addres to be done:
Prior to permitOX Additional Description of Won-:
issuance,a copy C /State Zip Phone
of all licenses 7 are required If Oregon Const.Cont.Board Exp,Date FROJECT 3!-
expired In COT Lic.# ,�.
database 7-/- VALUATION_
Mechanical Name - - NEW CONSTRUCTIONONLY:-
Sub- � � Sq. Ft.Ho Sq. Ft.Garage
Contractor Mailing Address �� Y
Prior to permit Indicate the restricted energy installation by the electrical
Issuance,a copy City/Gtate Zip Phone subcontractor in the following areas
of all licenses Restricted Audio/Stereo
are required If Oregon Const.Cont. Board Exp Date Energy _ S stem _ _ Alarms
expired In COT Lic .0 Installations Vacuum Irrigation
abase S stem _ S stem
Plumbing Name (check all that Other. —�
Sub- - _
Contractor Mailing Address Comer L.ot YES NO Flag Lot YES NO
check ones (check one
Prior to Has the Sub�.livision]Plat recorded? �N/A —YES; NO
permit City/State !Zip Phone G�.-
issuance,a copy
of all licenses are Oregon Const.Cont Board Exp Date
required H Lic.#
expired in COT I hearby ac'Knowledge that I have read this application,that the
database Plumbing Lic # — ExA,Date information given is correct,that I am the owner or authorized agent
of the owner, and that plans submitted are in compliance with
_—� Ore on State laws.
Meme ,) _ Signature of OwnerhA nt Date ^
Electrical � '--�--�-�-r_ � _�Mailing d Address — m Contact Person Name
Sub- g � Phone#
Contractor 'e
City/State Zip PhonePrior to permit
issuance,a copy
of all licenses are Oregon Const.Cont Board Exp bate FOR OFFICE USE ONLY:
required _-
if Lic 0 Plat
expired in COT # 1 ( �' - — t Map/ `0 �
database Electrical Llc 0 Exp.Date Setbacks: Zone- Sola/:
Electrical Supervisor Lrc.# Exp Dade Engineering Approval: Plannpg pproval: TIF:
I\dsts\forTns\sfaddah doc 12/10/99
/d f .Z.
CITY OF TIGARD Credit No.: 9
Date Issued: _ June 8, 2000
Engineering
Authorization
Date: June 8, 2000
TRAFFIC IMPACT FEE
CREDIT VOUCHER Land Use
Casefile No.: 97-517-PD/S/DHA
In accordance with Ordinance 379 _ Cypress Ventures
(n.ms d dew aper)
is eniitled to $ 292.254.91_ in Traffic Impact Fee Credits that can be applied to TIF
EAST two
charges for development on lot(s) all of the Quail Hollow - WEST Developments. To use
this credit, present this form at the time of issuance of the building permit.
Dlact
Date Permit Numbers Lot Numbers Credit Used Balance
Beginning Balance $ 292.254.91
Balance carried forward to TIF Credit No.
• Ordinance 379 provides for an expiration 7 years from authorization.
Use Additional pages if necessary
CITY OF TIGARD Credit No.: 3 _
Date Issued: .June 8, 2000
Engineering
Authorization
Date: June 8, 2000
TRAFFIC IMPACT FEE
CREDIT VOUCHER Land Use
Casefile No.: _ 97-517-PD/S/DHA
In accordance with Ordinance 379 _ Cypress Ventures
(name of dwe"r) _
is entitled to $ 2921.254.91 in Traffic Impact Fee Credits that can be applied to TIF
WAS1 M+o
charges for development on lot(s) all of the Quail Hollow" WEST Development3. To use
this credit, present this form at the time of issuance of the building permit.
04A'-Zt7 �.,,._,...._
arae+
Date Permit Numbers Lot Numbers u Credit Used Balance I
Beginning Balance $ 292.254911
Balance carried forward to TIF Credit No. _
Ordinrince 379 provides for an expiration 7 years frorn authorization.
Use Additional page:., if necessary.
log mwola\U109 1
4
ti
Date Permit Numbers Lot Numbers Credit Used Balance
Beginning Balance
Balance carried forward to TIF Credit No.
• Ordinance 379 provides for an expiration 7 years from authorization.
H\engd(x\TIF09 1 C
SEE 35MM
ROLL# 22
FOR
LARGE
DOCUMENT
i
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE Up- '-Ii vrF. -
JUL. 2 4
WOLCOTT PLUMBING CONT. INC
PO BOX 2007
GRESHAM, OR 97030
Plumbing Signature Form
Permit #: MST2000-00168
Date Issued: 7113100
Parcel: 2S104DA-01600
Site Address: 12720 SW CAFIELD CT
Subdivision: QUAIL HOLLOW -WEST
Block: Lot: 002
Jurisdiction: TIG
Zoning: R4.5
Remarks: SIF PATH
Your company has been indicated as the plumbing contractor for the permi'! 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:
J & S CONCRETE INC WOLCOTT PLUMBING CONT. INC
19600 S LELAND PD PO BOX 2007
OREGON CITY, OR 97045 GRESHAM, OR 97030
Phone #: 656-9992 Phone #: 667-1781
Reg #: I Ir 00023847
PI M 26-208PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Sig ature of Authorized Plumber
If you have any questions, please call (503) 639-4171, ext. # 310
Elo,cr,rical Innoi . , Inc. 503-632-6564 p. 2
CITY OF TIGARD
1312S S.W. HALL BLVD.
TIGARf), OR 9722.3
1, ORTANT PERMIT NOTICE
ELECTRICAL INNOVATIONS
22300 S LEWELLEN RD
BEAVERCREEK, OR .7004-8733
Electrical Signature Form
Permit #- MST2000-00168
Date Issued: 7112100
Parcel: 2S104DA-01600
Site Address 12720 SW CAFIELD CT
Subdivision: QUAIL HOLLOW -WEST
Block: L ot: 002
Jurisdiction, TIG
Zon„Ig: R-4.5
Remarks: SIF PATH I
Your company has been indicated as the electrical con*ractor for the permit indicated above. in order for the
eiec.trical per it to be valid, 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
,,v- of the work to the address above, ATTN: Building Dept
No electrical inspections will he authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
J & S CONCRETE INC ELECTRICAL INNOVATIONS
19600 S LELAND RD 22300 S LEWELLEN RD
ORhGON CITY, OR 97045 BE,AVERCREEK, OR 97004 8733
Phone #: 656-9992 phone #.
Req #: ELL 26.699c
LIC 00066411
SUP 36215
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X z4
Signatu Aku0ervi—sing Electrician
ju have any questions, please call (503) 639-4171, ext. # 310