13000 SW CADDY PLACE 0 �
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST (p
24-Hour Inspection Line: 639-4175 Business Lire: 639.4171
BLIP _
�� Date Requested 2, I _AM —__ BLD 1
Location rQ c) L- — Suite _L,1 — MEC
Contact Person — `r`Zykd vt-3�_ c Ph 7 2 - s� 7 PLn�
Contractor O Ph SWR —
BUILDING Tenant/Owner E-LC _
Retaining Wall —� - ELR
Footing Access:
Foundation FPS
Ftg Drain — — —'-
Crawl Drain Inspection Notes. SGN
Slab SIT
Post& Beam - --
Ext Sheath/Shear
Int Sheath/Shear - ---"T
Framing -- - ----- -- -
Insulation — `-
[Drywall Nailing _—
Firewall -
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof -
Mi"c: - ----- ----- - -
Final -
JPA"---PART FAILUii
Post& Beam ----- - -- .-. - ----- - — - ---
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
I S PART FAIL
MIMMANICAL
Post& Beam - -
Rough In
Gas Line - -- - - -— . - ---- -
Smoke Dampers
Final - ---- - - ----- — -- —
PASS-_PART FAIL
ET_r_-CTRLCA`L - - -- —--
Servi,:e
Rough In -- --- ._ --- -------- -
UG/Slab _
Low Voltage
Fire Alarm
PART FAIL
Backfill/Grading ---- --- - ---- - -- ---- -
Sanitaiy Sewer
Storm Drain [ J Reinspection fee of$_ _-required before nex' inspection Pal At City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]Please call for reinspection RE'_ — _ ( ]Unable to inspect-no access
ADA
Apr roach/Sidewalk k
Other Date �--- Inspector-- -TJ -- - ----Ext
Final —
PASS —PARI FAIL DO NOT REMOVE this Inspec'lion record from the job site.
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
.24-Hour Inspectimil Line: 639-4175 Blit-iness Line: 639-41'11
BLIP _
---Date Requested- Z� -_AM�' PM — BLD _ ---- --
LocationI3,oc,G_Sw ��gZ_ _—_ 3uite _ MEC — — �—
Contact Person e—_ _ Ph 7 '3 -,S? — PLM
Contractor Ph _ SWR
BUIL islA' - Tenant/(T+vner — — ELC
'Retaining Wall --- -_--^ ELR --
Footing Access -------------
Foundation FPS
Ftg Drain - ----- - SGN ----------
Crawl Drain Inspection Notes: --- - - ---
Slab
Post R Beam ---- - -- ------- --
Ext Sheath/Shear
Int ShealotShear -
FramingIJ-ZfZ� �tA• jQ�Ui���� a1V__OC��_ �j
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -_--
Roof
Misc: --- - -- ----- ------ --- - ---- ---- ---
SS PART FAIL -- - -- --- - -
PLUMBING
Post& Beam _.._.--.------ ---------__---
Under Slab
fop Out _ ..__ ---------------- --
Water Service
Sanitary Sewer — --
Rain Drains
Final --- --- -- ---.�_�.__.__--------------------------- --
---F%RT FAIL
MECHANICAL -
PostBBifp - - --- - - -- --------- _-- - ----- - -- --
Rough In
Gas Line
L§jnQke Dampers
YrSS PART FAIL
ELECTRICAL --- -- ------ - --- -- -- -
Gen;ice
Rough . i ----- --------------- ---
UG/Slab --- ---- - - --------- -- -----
t_ow Voltaae
Fire Alarm
Final --- - ------ -----___.-------- --------- --------------
PASS PART FAIL �— --_____- - ---------SITE
Backfill/Gradinu - --- -------- - -- ----
Sanitary Sewei
Storm Drain [ ] Reinspection fee of�, _-required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Suppiy Line ( ] Please c6 I for reinspection RE: -_- _ _-- ( ]Unable to inspect- no access
ADA
Other Approach/Sidewalk Date _. � Inspector__ -� —Ext
Final
PASS PART FAIL J DO NOT REMOVE thin inspnetion record from ,the job site.
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CITY OF TIGARD BUILDING INSPECTION DIVISION I \) MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 � �
"Up
__Date Requested_ G --__—AM � PM _ BLD
Location_ </U(J S w C4 S! SuitP MEC
Contact Person - -�— �� Z �
-- - Ph �S 7 7 PLM
Contractor — _ Ph -- — "W L�Q� - QQ 7
BUILDING Tenant/Owner ELC
Retaining Wall
Footing ELR I Z ( =011y\(
5>
Foundation Access: � V
FPS
Fig Drain --
GIdW! Urain Inspection Notes: SGN
Slab _
Post& Beam ----- ----- SIT
Ext Sheath/Shear
Int Sheath/Shear - �-
Framing _
Insulation — - — -- ---- -_ _.---.-- ---
Drywall Nailing
Firewall ------- ---- - - - ------
Fire Sprinkler - _------.
Fire Alarm ---- -- --------- -
Susp'd Ceiling -- - - -------- —_-- ----
Roof ---`..----------
Misc: -- — a ----- -- - ----- ---- --
Final
PASS PART FAIL
LUMB
T-Fsrk B a m ---- --- ----
``' Under Slab
L0J_Top Out - - ---
WaterServlre S
L�
Sanitary Sewer
U R rams a 1 ----
Fina � ----- ----- ---__-__-
P FA
pos;& Eleam - -----
RoughIn _-- - -_---- __ -_- ----- ---------------------
Gas Line
Smoke Dampers ---------------- _-----__--------___---
Final -
PASS PART FAIL ----_. �- ---------..---- --_
ELECTRICAL - -- -
Service I
- ----------
Rough In
UG/Slab
Low Voltage ---
Fire Alarm
Final -- -------- __.— �__ ----•----
PASS PART FAIL
SITE --- ------- -------____
Backfill/Grading ---- --- - --- -
Sanitary Sewer
Storm Drain I I Reinspection fee of$ - __:eq++ired before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin �
Fire Supp:y Line [ J Please call for reinspection RE:_ —_— [ J Unable to inspect-no access
ADA
Approach/Sidewalk C� - - -- ---�
Other Bate i+
.�_L Irysector Exts
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD
13125 S.W. HALL BLVD.
T GARD, OR 9722 �\��f>
4 pOp
IMPORTANT PERMIT NOTICE
STREAMLINE ELECTRICAL ro#�r\r
6017-B EAST 18TH STREET
VANCOUVER, WA 98
Electrical Signature Form
Permit #: MST1999-00396
Date Issued: 10/25/00
Parcel: 2S104UA-13,4U0
Site Address: 13000 SW CADDY PL MODEL HOME
Subdivision: QUAIL HOLLOW -WEST
Block: Lot: 125
Jurisdiction: TIG
Zoning: R-4.5
Remarks: PATH I: New single family-attached dwelling. Model Home for Quail Hallow -
West.
Nate: Foindations will require a survey to confirm building meets setbacks as
Your company has been indicated as the Electrical contractor for the permit indicated above. In order for the
electrical permit 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
start of the work to the address above, ATTN: Building Dept.
No electrical inspections will be authorized until this completed forrn is received
OWNER: ELECTRICAL CONTRACTOR:
BROWNSTONE HOMES LLC STREAMLINE ELECTRICAL
12670 SW 68TH PARKWAY 6017-B EAST 18TH STREET
POFITILAriD, OR 97223 VANCOUVER, WA 98
Phone #: 503-598-7565 Phone #: 360-993-5080
Req #: LIC 116514
ELE 34-432C
SUP 2197S
AN INK SIGNATURE IS REQUIRED ON THIS FORM
.........
X
Signature of Supervising Electrician
If you have any questions, please call (503) 639-4171, ext. # 310
CITY OF TIGARD
13125 S.W. HALL BL\eD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
WOLCOTT PLUMBING CONT. INC
PO BOX 2007
GRESHAM, OR 97030
Plumbing Signature Form
Permit #: MST1999-00396
Date Issued: 10/25/00
Parcei: 4 i 64DA-13900
Site Address: 13000 SW CADDY PL. MODEL HOME
Subdivision QUAIL HOLLOW - WEST
Block: I.ot. 125
Jurisdiction: TIG
Zoning: R-4.5
Remarks: PATH I: New single family-attached dwelling. Model Home for Quail Hollow -
West.
Note: Foindations will require a survey to confirm building meets setbacks as
Your company has been indicated as the plumbing contractor for the permit indicated above In order for the
plumbing permit to be \,alid, 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, AT'TN: Building Dept.
No plumbing inspections will be authorized until this completed form is received
GVVNFR PLlJME31NG CONTRACTOR:
BROWNSTONE HOMES LLC WOLCOTT PLUMBING CONT. INC
12670 SW 68TH PARKWAY PO BOX 2007
PORTLAND, OR x7223r,RccHnM, OR o7n?n
Phone #: 503-598-7565 Phone #: 667-1781
Reg #: I it 00023847
PI M 26•208PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Sig natu'rtrAuth ibf zed Plumber
If you have any questions, plea.,,e call (503) 639-4171, ext. # 310
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CITY OF T I G A R D _ MASTER PERMIT _
PERMIT#: MST1999-00396
,t DEVELOPMENT SERVICES DATE ISSUED: 10/25/00
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 13000 SW CADDY PL MODEL HOME PARCEL: 23104DA-13900
SUBDIVISION: OLIAII_ HOLLOW- WEST- ZONING: R-4.5
BLOCK: LOT: 125 JURISDICTION. TIG
REMARKS: PATE; is New single family-attached dwelling. Model Horne for Quail Ho;low -West.
Nate: Foindafions wiil require a survey to confirm building meets setbacks as approved under TUP
BUILDING
REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRE')
CLASS OF WORK: NEW HEIGHT: 30 FIRST: 360 of BASEMENT of LEFT: SMOKE CETE�tORS.
TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 1,080 at GARAGE: 410 of FRONT: PARKING SPACES
TYPE OF CONST: 5N DWELLING UNITS: I FINBSMENT: 508 et RIGHT:
VALUE: $123,484 68
OCCUPANCY GRP: R3 BDRM: 3 BATH: 2 TOTAL: 2,038 00 of REAR:
PLUMBING
SINKS: I WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN: ion TRAPS,
LA JATORIES. 3 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 106 SF RAIN DRAINS CATCH BASINS:
TUB/SHOWERS: GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<1001: BOIUCMP<3HP: VENT FANS: 3 CLOTHES DRYER: 1
o11I FURN-10011 0 UNIT HEATERS: HOODS: OTHER UNITS: 1
MAX INP: btu f"LOOR FURNANCES: VENTS: 1 WOODETOVES: GAS OUTLErs: o
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS __MISCELLANEOUS ADD'L INSPECTIONS
1000 SF LIR LESS: 1 0 200 amp: 0 - 200 amp: WISVC OR FOR: 2 PUM*/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 3 201 400 amp: 201 - 400 amp: tat W/O SVCIFDR: 00 SIG IIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 800 amp: 401 - 600 amp: EA ADOL BR CIR: SI INAUPANEL: IN PLANT:
MANU HMISVCIFDR: 601 • 1000 amp: 601+ampon1000v: A IINOR LABEL:
1000+amp/volt:
PLAN REVIEW SECTION
Reconnect only: —
>=4 RES UNITS: SVCIFDR>•225 A.: >600 V NOMINAL: CLS AREAISPC OCC
ELECTRIC 4L•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC DATA/TF.LE COMM: NURSE CALLS TOTAL a SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 2,960.66
BROWNSTONE HOMES LLC BROWNSTONE HOMES,LLC This permit is subject to the regulations contained in the
12670 SW 68TH PARKWAY 12670 SW 68TH PKWY Tigard Municipal Code, State OR specialty Codes and
PORTLAND,OR 97223 PORTLAND,OR 97223 all other applicable laws. All woo rk will be done i
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
Rog 0: LIC 124627 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 Control Insp 8, PIM/Underfloor Mechanical Insp Shear Wall Insp Urban Street Tree Con Building Final
Footing Insp Slab Insp r3lumbing Top Out Exterior Sheathing Insl P.ppr/Sdwlk Insp
Founoation Insp Underfloor insulation Framing Insp Firewall Insp Electrical F a
Post/Beam Structural Electrical Service Pre-roofing Inspection Gyp Hoard Insp Plumb Fin
Post/Beam Mechank:a Electrical Rough-in Insulation Insp Water Line Insp --�hanical in I
Issued By : Permittee Silgnature
Call (503) 639-4175 by 1:00 p.m. for an inspection needeJ the next business day
_ ,�iEwERCONNECTIONPERMIT
CITY OF TIGA,RD
DEVELOPMENT SERVICES PERMIT#: SWR2000-00227
13125 SW Hall Blvd.,Tigard, OR 972.23 (503) 639-4171 DATE ISSUED: 10/25/00
SITE ADDRESS; 13000 SW CADDY P._ MODEL HOME PARCEL: 2S104DA-13900
SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R-4.5
BLOCK: LOT: 125 JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SFA NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection for new SFA.
Owner: T_ _ FEES ---
BROWNSTONE HOMES LLC Type By Date Amount Receipt
12670 SW 68TH PARKWAY —
PORTLAND, OR 9722,s PRMT CTR 10/25 '0 $2,300.00 27200000000
INSP CTR 10/25/00 $35 00 27200000000
Phone: 503-598-7565 Total $2,335.00
Contractor:
Phone:
Reg#:
Required Inspections
Sewer Inspection
1-his Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency The permit expires
180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does riot
guarantee the accuracy of the side sewer laterals If the sewer is riot located at the measurement given, the installer
shall prospect 3 feet in all directions. from the distance given If riot so Ionated .he installer shalt purcnase a"Tap and
Side Sewer" Permit and the Agency w,ll install a lateral ATTENTION Oregon law requires yop to follow rules adopted
by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 throulgh,0 R 952-001-0080
You may obtain copies of these rules or direct questions to OUNC by calling (503)-24-198 .
Issued by: *� �!-�-� Permittee Signature:
Call (503) 639-4175 by 7.00 P M. for an inspection needed the next business day
CITY OF TIGARD f-ieside �',- Ittion Plan Che # --'L/P9 7V
N� � J �(� I i Recd B
1?125 e., HALL BLVD. - �i� UateRec'd. Ly-`121
TIGARD, OR 9"'23 Single ex) Date to P.E.
V 503-4139-4171 Date to DST 21n/rc
F 503-684-7297 --permit# ST1199-Ge
Print or Typ Caned 1—� �/A -
r{ ` Incomplete or illegible applications will not be accepted
I Name of Project — Name
Job C LWL, J0LL_0(_'- L"JE� Address
Address
L.L.C . ---
Architect Mailing Address
.Address sae Address �- �# ,
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3000 L.o•O D L-AGE� �L S+ -a .�p 14 E. Ie
-— - City/State Zip Phone
Name
SES lud. 98101 -71bG,•4,$9.
Owner MMailing Address Name
12co o S.t<�. (o�� c.rzr�.. 1►M R dress AI I u
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City/Stale Zi Phone Engineer (o9&DI _
od t-wJn ' -1223 59Q 7sc� City/State '-�zip Phone
General
ame Mel,&04 0.1.CMZ°5�(PZ,4=ZPP5
Contractor 6C0L_'4Dk)E_ �(ylEt� L.L_C_— Describe work New)C Addition O Alteration O Repair O
Mailing nddre s to be done,
Prior to permit IZ(o O S.LJ. (Pb''d PAIZWCL_WCsL1 Additional Description of Work:
issuance,a copy City/State Zip Phone � ' { �� �
of all licenses '8V_T AX* 472Z-5 549'7s!„ �Dw
are required if regonn Connst Cent Board Ex .Date2 PRO,JF_CT expired In COT uc.# 2lD2 SVALUATION v
database �i_-
Mec',anicsl Name - -- NEW CONSTRUCTION ONLY:
Sub_ I f�C�V L � —1 ���� Sq. Ft. House: ! Sq. Ft. Garage
Contractor Mailing Address
Prior to permit , 5 u)( I L, electrical
Cl I Indicate the restricted energy installation by the issuance,a copy City/State Zip Phone subcontractor In the following areas
of all licenses WILLAM10A 04, BAs-7317 Restricted Audio/Stereo
are required if Oregon Const.Cont Board Ex Date / Energy f.10 System _ _ 9JQ Alzrms
expired In COT Uc.# / ��� ��%j Installations — Vacuum — Irrigation
database lC — � X11 S stem �V stem
Plumbing Name (check all that Other:
Sub- LtZ0Vb1(,JELL '�-`�rne>> a I
Contractor Mailing Address
- -- Comer Lot YES NO Flag Lot YES NO
"U F--' -M AJ QO check one (check one
Has the Subdivision Plat recorded? N/A YES Np
Prior to permit G_y/State� O Z p^ 013 P�hone
O(o 79 L) X
Issuance,a co (� G) — —of all licenses are Oregon Con t.Cor t.-Board Exp.Date
required If Lic.# ^^-7 ,.
expired In COT �'1 l L _ -�I I hearby ackno ledge that I have read this application,that the
database Plumbing Ltc.# r xi> tare information giv n Is correct,that I am I,te owner or authorized agen:
,� I b� A 3b Ofd of the owner, d that plans submitted are in compliance with
_ _ Ore on St ws.
Name Signature of er/Agent U to
Electrical �_ �`I't�-�V'E EAXic�Cx�L- 1 2S 4`7
Sub- Mailing Address Contact Pe _ n Na LL_ C. Phone It
Contractor (Qbl"1 - e) f-APfl- I$
;/State Zip '- Phone
Prior to permit Cit
issuance,a copy VNyDV%Je1_ W&. gg5-5DFD R OFFICE USE ONLY:
FOR
of all licenses are Oregon Const.Cont Board Exp.Date Plat O Ma RL#.
required if Llc.# �j P
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expired in COT I I LDSI'I _ J��2�"2.00 ~ '� c,ZS'J`y, r� -J 90 C
database Electrical Lic.# Exp.Date Setbacks zol: ^ Solar-
51—
olar:3 — 32C o-1- 2000 i
Electrical Supervisor Lic # Exp.Date Engineering Approval: Plar)tlingApprova TIF:
Zlq-1 S Ib-I-Zoog qI ",�r
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Cr 111;;4 1 C lAdste-VormsWaddaR.doc 11118/99
February 8, 2000 ^�
Brownstone Homes, LLC CITY OF TIGARD
12670 SW 68" OREGON
Portland, Oregon 97223 n /
RE: Model Home Permits—
MST 1999-00396 -13000 Caddy Place,--"
MST 1999-00397 -13010 Caddy Place
MST 1999-00398 -13020 Caddy Plage
MST 1999-00399 -13030 Caddy Place
MST 1999-00400-13040 Caddy Place
MST 1999-00401 - 13050 Caddy Place
Dear Applicant:
Under the provisions of your Temporary Use Permit, the subjvcpermits are issued as model
homes only. Should these model homes be completed prior to the final sign off by our
Engineering and Planning Divisions, you will receive a final approval only, and no occupancy
permits will be issued.
Occupancy Permits will be issued at a later date, and will require your request for issuance.
If you have questions regarding these requirements, please feel free to call me at 639-4171 X392,
Sincerely,
&oert"Peoskin, CBO
Senior Plans Examiner
1312.5 SW Hall Blvd, Tlgard, OR 97223 (503)639-4171 TDD (503)684-2772 -