13010 SW CADDY PLACE a,
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1301C SW CADDY RL.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-417'
\ _ BUP _
Date Requested Z- O I _AM—_—.__0 IBLE)
Location U Suite MEC
Contact Person / `�. �� - Ph ��' 3 - S^7 9 PLM
Contractor Ph —_ SWR
BUILDING Tenant/Owner ELC
Retaining Wall v ELR _
Footing Accec s:-
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
Susp'd Ceiling
Ror,`
Idisc:
Final
PASS PART FAIL -----------_-_..- --
LUMBI
Post&Beam - ----- --- -- -- - -- ----- ..
Under Slab
Top Out - -- -- -- - ---
Water Service
Sanitary Sewer - - �------ - --- --- --`----
Rain Drains
ART FAIL
MECHANICAL
Post&beam -- - ----- -_..- -
Rough In
Gas Line ----
Smoke Dampers
Final --__---
['ASS PART FAIL
I.EciRmAL - - -- - _ --- ----
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm
PART FAIL - ----- - --- ------
SITE
Backfill/Grading - --- -- ----
Sanitary Sewer
Storm Drain ( J Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( ]Please;call for e'�spection RE:- _ ( I Unable to inspect-no access
ADA
Approach/Sidewalk Date Xo L-Inspector Ext
Other _
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION BLIP
MST
:14-Hour Inspection Line: 639-4175 Business Line: 639-417� Z --AM 1— --
-----D�.rte Requested `" 4�/PM i--- --
� 8 L D
.�1 - _
I ovation l3 u �'U 54,, C4_j / Suite ----- —_ MEC _----
Contact Person -- _ Ph _,7 — S; �;7 _ PLP't __---
Contractor -----�__— —_-� Ph _ _ SWR —_
(IiUILD� - Tenant/Owner ELC
Retaining Wall —_�--- --- ELfl - _— -
Footing Access:
Foundation F P S
Fig Drain
Crawl Drain Inspection Notes: SGN
Slab
--- ----- ---- ------- --_-----�__..__ SIT
Post&Beam
Ext Sheath/Shear
Int Sheath!Shear —�
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling _
Roof
Misc: -
*—U'M
PART FAILNG _-------------
Post&Beam
Under Slab
Top Out --
Water Service
Sanitary Sewer
Rain Drains
Final -------- -----____
PA T rAlL
CHANICAL
Post R Beam
Rough In
Gas Line - --
Smoke Dampers
Fin [
PART FAIL
ELIEN'TRICAL - - - -------- -
Ser,ice
Rough In ---
UG/Slab
Low Voltage
Fire Alarm
Final — — ------ -- --- ----
PASS PART FAIL
SITE
Backfill/Grading -- -- -- — Y—�
Sanitary Sewer
Storm Drain [ j Reinspection fee of$ —_required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( j Please call for reinspection RE:-- — ( j Unable to inspect-no access
ADA
Approach/Sidewalk --
Other _ Date --: 26 Inspector_ Ext
Final
PASS _PART FAIT. DO NOT REMOVE this inspection record from the job site.
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CITY OF TIGAFD BUILDING INSPECTION DIVISION
24-Hour Inspection Linz: 639.4175 Business Line- 639-4171 ---- 7
/ BUP _
--.-_ _Date Requested �/- Z �f AM /----'-PM BLD
Location j,�G/ 0 '54., �- �! -� Suite�--- ---- ____ MEC
Contact Person — — _ Ph !_L -3 7Zf
PL _
Contractor Ph _ -- SWR ?If Z`0 -
BUILDING ��
Tenant/Owner ELC GAS
Retaining Wall 4,f1")
Footing
Foundation Access ELR Z�c ✓GJ----
FPS
Fig Drain
Crawl Dr. in 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
Final --- .------ --.-- ------
PASS RT
Po-sT& Beam —--— ----- ------- - - - - _ --- -- --
Under Slab ,� O1
t}j fiop Out , �r v ,�,,�, - -- -- ---- - _
------- ----
Water Servic
, I(-� '0\
Sanitary Sewe �I L��tl - ----- -------------.—_.__ ---- - -_ - ---- ._—.
rains ��, ___-------------- -------
ASS\ PART FAIL
IMEL"PANICAL --- --- ----_
Post& Beam - _.-----_- _
Rough In
Gas Line - - - ---- --- ---------
Smoke Dampers - —
Final -- _
PASS PART FAIL ---
ELECTRICAL
Service —
Rough In -------------- ----- ------ --
UG/Slab
Low Voltage --- ---_
Fire Alarm
Final ----- -- - --- _ --
PASS PART FAIL
SITE -- -- ------- ------
Backfill/Grading -- _ --- _ ----_-- — ----
Sanitary Sewer —
Storm Drain I J Reinspection fee of$ required, ire next inspection Flay at City Hail 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( I Please call for reinspection RE: _ - [ ) Unable to inspect-no access
ADA
Approach/Sidewalk ('
Other Date �Z Inspector 4xb- Jz— �
Final Ext,
PASS PART-- FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD --_E R PERMIT —
DEVELOPMENT SERVICES PERMIT#: MST1999-00397
DATE ISSUED: 10/25;00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 13010 SW CADDY PL MODEL HOME
SUBDIVISION: QUAIL HOLLOW- WEST PARCEL: 2S104DA 14000
(BLOCK: ZONING: R-4.5
LOT: 126 JURISDICTION: TIG
REMARKS: PATH I: New Single family-attached dwelling. Quail Hollow - West Model Home.
Unit desigination (BS)The pains lave been approved under Tigards Row House Policy
BUILDING
REISSUE: °".CRIES. I —� FLOOR AREAS
REQUIRED SETBACKS REQUIRE')
CLASS 0FWORK: NEW HEIGHT: 30 FIRST: 380 et BASEMENT --
af LEFT: SMOKE DETECTORS: v
TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 1,030 sl GARAGE: 41n n/ FROM'
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: 543 Of PARKING SPACES
VALUE: 5 11I,.7H10; RI
GhT
OCCUPANCY ORP: R3 BDRM; 3 BATH: 2 TOTAL: 1,988.00 of
REAR.
PLUMBING
SINKS: I WA i ER CLOSETS 2 WASHING Mo CH: 1 LAUN)RY TRAYS: I
RC.N GRAIN. IOn TRAPS:
LAVATORIES: 3 DISHWASHERS1 FLOOR DRAINS:
SEINER LINES: 100 SF RA N DRAINS. CATCH BASINS:
TUBISHOWERS: 7 GARBAGE DISP: I WATER HEATERS t
WATER LINES: 100 BCKFLW PREVNTR. GREASE TRAPS:
MECHANICAL OTHER FIXTURES:
FUEL TYPES FURN c 100K: BOIL/CMP<3HP:
VENT FANS: J CLOTHES DRYER: t
ELE FURN>•100K: UNIT HEATERS:
HOODS: OTHEa UNITS: 1
MAX INP: btu FLOOP FURNANCES: VENTS:
WOODSTOVE3: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS
1000 SF OR LESS: t MISCELLANEOUS ADD'L INSPECTIONS
0 200 _
amp: 0 •200 amp. WISVC OR FOR: 2 PUMP/IRRIGATION:
EA ADD'L$00SF: 3 PER INSPECTION:
201 400 amp: 201 400 amp, tatWlO SVCIFbR: 00
LIMITED ENERGY: BION/OUT LIN LT: PER HOUR:
101 •!00 amp: 401 $00 amp: EA ADDL OR CIR:
MANU HMISVCIFDR: t101 1000 SIGNAL/PANEL: PLANT:
amp: 301�ampa•1000v:
1000+amp/volt: MINOR LABEL:
Reconnect only: PLAN REVIEW SECTION
4 RES UNITS: SVCIFDR>.225 A.:
>300 V NOMINAL; CLS AREA/SPC OCC:
—' ELECTRIC A' •RESTRICTED ENERGY
A.9F RESIDENTIAL
B.COMMERCIAL
AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO
FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER:
HVAC: LANDSCAPE IRRIG
GARAGE OPENER: CLOCK: INSTRUMENTATION: PROTECTIVE SIGNL:
:
HVAC: DATArTELE COMM: MEDICALOTHR:
NURSE CALLS TOTAL N SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 2,870.96
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 of OR Specialty Codes and
PORTLAND,OR 97223 PORTLAND,OR 97223 all other applicable laws Ali work will he clone in
accordance with approved plans. This permit will expire N
work is not started within 180 days of issuance,or if the
Phone: Phone: work is suspended for more than 180 days ATTENTION:
Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Re0 e: LIC 124x; forth in OAR 952-001-0010 through 952-001.0080 You
may obtain copies of these rules or direct questions to
REQUIRED INSPECTIONS OUNC by calling(503)246-1987
_
FFootinglnsp
l Insp 8, Post/Beam Mechanica Electrical Rough-in Insulation Insp Water Line Insp Plumb Final
n PimlUndefioor Mechanical Ins
P Shear Wall Insp Water Service Insp Mechanical Final
Slab Inap Plumbing Top Out Exterior Sheathing Inst Urban Street Tree Con Building Final
p Underfloor insulation Framing Insp Firewall Inseamructural I ApprlSdwlk I s
Electrical Service Roof Nailing Gyp Board Insp Electrical Fi I
"I)
Issued By C!55
_ Permittee Signature :�� �• �
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR20GO-0022.8
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/25/00
SITE ADDRESS; 13010 SW CADDY PL MODEL HOME PARCEL: 2S104DA-14000
SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R-4.5
BLOCK: LOT: 126 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 I1;,P:Pv SURFACE:
Remarks: Sewer connection for new SFA.
Owner: — _ FEES _
BROWNSTONE HOMES LLC Type By Date Amount Receipt
12670 SW 68TH PARKWAY
PORTLAND, OR 97?23 PRMT CTR 10/25/00 $2,300.00 27200000000
INSP CTR 10/25/00 $35.00 21200000000
Phone: 503-598-7565 Total $2,335.00
Contractor:
Phone:
Reg #:
Required Ind;pections
Sewer Inspection
This 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 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 sh I p rchase a"Tap and
Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law r res y u to f I ow rules adopted
by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-00f-001Q thr g 952-001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling(5 246-107
Issued by: Permittee Signature:`
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
CITY OF TIGARD Residential Building Permit Application Plan Check# r
1:3125 SW HALL BLVD. Additions or Alterations Rec'd By &N _
Date Rec'd
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) j� (� Date to P.E._
V 503-639-4171 ,,L /Date to DST �I
F 503-634-7297 Permit#AMP f ff-003'17
Print or Type Called,e~//vy,�v�9
Incomplete or illegible applications will not be accepted
Name of Projec't11 ---__-_- --- --- --- --�- Name 1
Job &xil.- ttot_� - �.�E�.L ss L.L C .
Architect Mailing Address
Address Site Address -- �1 ser-01,ap AuE•. ` IIDSD
01 O C=AL L City/State Zip I r'hone
Name s t- G ----....._--- SEATRF- W&.
Name
Mailing Address _ e �El-1Ct� 1�
Owner IZ�o O S.w. lob --=-' Z�—��
Engineer Mailing Address
City/State ZI Phone g
ora- LP-%.3n 4"IZZ5 594-7sc. (09(a 9 S.l.., a►K Phone
_ _7__ City/State Zip Phone
General Name et20 of- 43wy' Z --700!9-
Contractor
poSContractor p)e-" a-)F vlD(Kc:.b L.L.C. Describe work NeW Addition O Alteration O Repair O
Mailing Addre sto be done:
Prior to permit MG70 S.L-). loS4,J p&,V_<j_vcL1_ Additional Description of Wirk:
issuance,a copy City/State Zi Phorr?�e --
of all licenses oR � 47ZZ'S 59
are
are required If Orejon Const.Cont.Board Exo. Date PROJECT n -7'Z- I
expired In COT Lic.#1? �Z g IIS/Wtc VALUATION
database _ -- I---- ---
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- J I F-,ay e C- US>:� Ilk Sq.Ft. House: lIA1g
O -UQX Sq. Ft.Garage
Contractor Mailing Address 'Zt l
Al I
Prior to permit 5L-3,< Indicate the restricted energy Installation by the electrical
Issuance,a copy City/State ZIp Phonc subcontractor In the followin areas
—
of all licenses W LLA Wli11J� DP A. 5,45-7317Restricted Audio/Sterno
are required If Oregon Const.Cont.Board Ex .Date Energy �JO System 0 Alarms
expired in COT LIc.# � Installations Vacuum Irrigation
/
database (P�-7� �O 0 System _ �o System
Plumbing Name rcheck all that Other:
Sub-- OZO Mi,,,)ELL t-Urn15t a I )
Contractor Mailing Address
--- -- -- -- Corner Lot YES I NO Flag Lot YES No
b� - S. �U F-F W1 �n (check one (check one)
Has the Subdivision Plat recorded? N/A YES NO
Prior to permit Cit I'State Z Phone
Issuance,a copy G_- �U A-101'5 Z" 790
of all licenses are Oregon Con t.Cont.Board Exp. Date
required If Llc.# �1
expired In COT -1�12- 3-3 I_b 1 hearby ackno edge that I have read this application,that the
database Plumbing Lic.# Exp.Date i information giv n is correct,that I am the owner or authorized agent
of the owner, d that plans submitted are in compliance with
Oregon St vi _
Name
Signature of /Agent
Electrical ZAW1t_tN� �LECs"cAt_' -- 1DZ
�` 4l
Sub- Mailing Address Contact Pe n Na C.
Phone#
Contractor (0611 - fAvi- la o —
City/State Zip Phone Jl�g'7�ps
Prior to permit V t I W�UVE , Wa.
Issuance,a copy FOR OFFICE USE ONLY:
of all licenses are Oregon Const Cont Board Exp.Date P- —
required If Lic# Plat#: MapfTL#:
expired In COT I It'.o51�} 5-20-2poc y y(. 42.re0vn_A -/yeeO
database Electrlcal Lic.# Exp.Date Setbacks- one: Sdar;�
2G
Ele_c'.rical Supervisor Lic # Exp.Date Engineering Approval: _P18nrgng Approval: TIF:
7-19"t 5 10-I�-2001 �_ ' -�------r� ._
i\dsts\forms\sfaddaR.doc 11/18/99
I
4 ?� L.�c l 3 "���° 1 ,0.71•
CITY OF TIGARD credit No.:
Date Issued: June 8, 2000
Engineering
Authorization
1, 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"de,*�
is entitled to $ 292254.91 in Traffic Impact Fee Credits that can be applied to TIF
EA'S'E Iwo
charges for development on lot's) SII of the Quail Hollow WEST Developments. To use
this credit, present this form at the time of issuance of the building permit.
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.
bglmvw•Ud09 i
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE RECEIVED
STREAMLINE ELECTRICAL NOV 8 2000
6017-B EAST 18TH STREET COMMUNITY DEVELOPMENT
VANCOUVER, WA 98
Electrical Signature Form
Permit #: MST1999-00397
Date Issued: 10/25/00
Parcel: 2S104DA-14000
Site Address: 13010 SW CADDY fel- MODEL HOME
Subdivision: QUAIL HOLLOW - WEST
Block: I ot: 126
Jurisdiction: TIG
Zoning: R-4.5
Remarks: PATH I: New Single family-attached awelling. Quail Hollow -West Model Home.
Unit desigination (BS) The pains have been approved under Tigards Row Hesse
Policy
Your company has been indicated as the electrical contractor for the permit indicated above. !n 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 uelow and return this Electrical Signature Form prior to the
start of the work to the address abuve, ATTN: Building Dept.
No electrical inspections will be authorized until this completed form is received
OWNER: EL-ECTRICAL CONTRACTOR:
BROWNSTOMi_ HOMES LLC STREAMLINE ELECTRICAL
12670 SW 68TH PARKWAY 6017-B EAST 18TH STREET
PORTLANID, OR 97223 VAltlCOUVER, :11.^ 98
Phone #: 503-598-7565 Phone #: 360-993-5080
Req #. LIC 116514
ELE 34.432C
Sur 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 BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
WOLCOTT PLUMBING CONT. INC
PO BOX 2007
GRESHAM, OR 97030
Plumbing Signature Form
Permit #: MST1939-00397
Date Issued: 10/25/00
Parcel: 2S104DA-14000
Site Address: 13010 SW CADDY PL MODEL HOME
Subdivision: QUAIL HOLLOW - WEST
Block Lot: 126
Jurisdiction: T;G
Zoning: R-4.5
Remarks: PATH I: New Single family-attached dwelling. Quail Hollow -West Model Horne.
Unit desigination (BS) The pains have been a,-proved kinder Tigards Row House
Policy
Your company has been indicated as the plumbing contractor for the permit 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 reccKed
OWNER: PLUMBING CONTRACTOR:
BROWNSTONE HOMES LLC WOLCOTT PLUMBING CONT. INC
12670 SW 68TFI PARKWAY PO BOX 2007
PORTL/:!`!I?, roc "'23' GPESHI—L ^..P. 9d .'.0
Phone #: 503-598-7565 Phone #: 667-1781
Reg #: I Ir 00023847
PI M 26-208PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature of Aut o ized Plumber
If you have any questions, please call (50 3) 639-4171, ext. # 310
February 8, 2000
Brownstone Homes, LLC CITY OF TIGARD
12670 SW 68`h OREGON
Pcrtlane,, Oregon 97223
RE: Model Home Permits— •0» �`__���
MST 1999-00396-13000 Caddy Place Y'
MST 1999-00397 -13010 Caddy Place
MST 1999-00398 -13020 Caddy Place
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 subject permits are iss,ied as model
homes only. Should these model homes be completed prior to the final sign ori 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,
oeskin, CIIO
Senior Plans Examiner
13125 SW Hall Blvd , Tigard, OR 97223 (503)639-4171 TDG (503) 6842772