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CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 539-4171
, SUP
Date Requested `� y AM ---- / BLD
Location Suite fid`2 MEC
Contact PerFon �Tdvr.? Ph ��7 3_ `S'7 7 PLM
Contractor Ph SWR
BUILDING T^nant/Owner ELC —
Retaining Wall ELR
Footing
Foundation Access: FPS
1-tg Drain SGN
Crawl Drain Inspection Notes; --- ----
Slab — SIT
Post&Beam
Ext Sheath/Shear I _
Int Sheath/Shear
Framing
Insulation
Driwall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc: —
Final i
PASS PART FAIL ---- — ---
MSI
Po., earn —
Under Slab
Top Out
Water Service
Sanl'ary Sewer _
Rain Drains
AS PART FAIL
ANICAL - -- ---!-----
Post& Beam
Rough In
Gas Line
Smoke Dampers
Final - --- --- ----—
PA T FAIL
—
Service
Rough In - ------ ----- —
UG/Slab _
Low Voltage
Fire Alarm
ASS PART FAIL
Backfill!Grading �—
Sanitary Sewer
Storm Grain [ J Reinspection foe 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 Insl:e?ct-no access
ADA
Approach/Sidewalk Date �:� -/- /J Inspector ExtOther
Final I
PASS PART FAIL J DO NOT REMOVE this inspection record from the jots site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
_—Date Requested— czfZ G __ AM 4---"1 PM
—_ BLD —
Location /.,��i_ w CG�✓d _ Suite — -- MEC —
Contact Person _ _ _ Ph PLM _—
Contractor Ph SWR
UIL Tenant/Owner ELC --_--
Retaining Wall — —� ELR
Footing Access: -- -- -- ----
Foundation FPS
Fig Drain - - - SGN ---------------------
Crawl Drain Inspection Notes ------ - ---------
Slab SIT
Post& Beam ---- - -- ----_..__
Ext Sheath/Shear
Int Sheath/Shear l _
Framing
Insulation
Drywall Nailing
Firewall -- - - -
Fire Sprinkler
Fire Alarm
Susp'd Ceiling - ---.- - ---------�______..--_ �_---------..-..-
Roof
Misc
ur.T— —
A PART FAIL - - -- -- - -
PEUMBING
Post& Beare
Under Slab
TopOut - - - -- - --- ---- -- ---------.�-- - --
Water Service
Sanitary Sewer - -----_- - -----
Rain Drains
Final _ -- ---- -
PASS PART FAIL
HANK — _-._--
Post& Bear,i - - - -- - --- ---
Rough In
Gas Line --
Smoke Dampers
PART FAIL
EI-F CTRICA1. ----
Sr rvice
Rough In T —
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 [ J Please call for reinspection RE _ _ -_ [ J Unable to inspect- no access
ADA
Approach/Sidewalk
0!hGi Date Inspector _ '� J-vv Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the lab site.
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CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175
Business Line: 639-417
Cf L/--- BBLIP
Date Requested 2 —_AM _I'M
Location ?101541, CGLiLt7c(8 Suite MEC
Contact Person
- Ph 793577 _ PLM
Contractor - Ph - - 0���7
BUILDING Tenant/Owner _ ELC 1
Retaining Wall - - - 1 \
Footing kLR 1
Foundation Access' FPS
Ftg Drain -
t Orem. Inspection Notes: SGN
Slab
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear -
Framing
Insulation - --
Drywall Nailing
Firewall - -- -- -
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
htisc: - -- -- --- -- - -- - - -----------
Final _
PASA_ PART FAIL - -- - - - -- - -- .-.
PLUMB 1/ f, -- ---------�--.� _�--
Post&Beam
Under Slab --
al. Top Out - - --- ---- - - -- _ _-_.-
Water Service �(,9( p
dW Sanitary Sewer ---------------------
ain Drains
----
S' P
R '-JAI
ME RANI!CAL _ ---- —
Post&Beam -- --- - _
Rough In -_--- - �- �----
Gas Line ----- ---_
Smoke Dampers
Final -- -- -- - - -- -- _
PASS PART FAIL
ELECTRICAL -- - ----
Service
Rough In - --- -------- -- -- -
UG/Slab T-_
Low Voltage -- �- -- - -- -
Fire Alarm
Final -`- __-_--___--_------ -._------------- - -
PASS PART FAIL
SITE - -- --- --- - — ---- --------
Backfill/Grading -- --- ----- _ __-
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ re, ed before next inspection. Pay at City Hal!, 13125 SW Hall Blvd
Catch Basin -
Fire Supply Lins [ )Please call far re!nspectioo RF: - _ _ [ )Unable to inspect- no access
ADA
Approach/Sidewalk
Other Date __ Inspector Ext
Final --' —-
PASS PART FAIL _I DO NOT REMOVE this inspection record from the job site.
�Y OF 1 I G A R® ---MASTER PERMIT
C�
PERMIT#: MST1999-00398
DEVELOPMENT SERVICES DATE ISSUED: 10/25/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) b39-4171
SITE ADDRESS: 13020 SW CADDY PL MODEL HOME PARCEL: 2S104DA-14100
SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R-4.5
BLOCK: LOT: 127 JURISDICTION: TIG
REMARKS: PATH I: New single family-attached dwe'ling Quail Hollow - Wt,st, Model Home.
Unit esignation (BS)The plans have been approved under Tigards Row House Policy
BUILDING
REISSUE STORIES. J FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT 30 FIRST. 1.1.1 al BASEMENT: of LEFT: SMOKE DETECTORS: 1'
TYPE OF USE: SFA FLOOR LOAD: an SECOND: 720 SI GARAGE: 538 d FRONT: PARKING SPACES
TYPE OF CONST: 5N DWELLING UNITS: 1 FINDSMENT: 514 S/ RIGHT:
VALUE: E 115,383.62
OCCUPANCY GRP: R3 BDRM: 3 BATH: TOTAL: 1.47800 SI REAR:
PLUMBING _
SINKS. I WATER CLOSETS: WASHING MACH: I LAUNDRY TRAYS RAIN DRAIN: WO TRAPS:
LAVATORIES: 3 DISHWASHERS: I FLOOR DRAINS: SEWER LINES IUn SF RAIN DRAINS: CATCH BASINS:
TUBISHOWERS: GARBAGE DISP: 1 WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN�100K: BOIL/CMP c 3HP: VENT FANS: CLOTHES DRYER:
ELE FURN-100K. UNIT HE'4TERS. HOODS: OTHER UNITS 2
MAX INP: btu FLOOR FURNANCES: VENTS: 0 WOODSTOVES: GAS OUTLETS
ELECTRICAL _
RESIDENTIAL UNIT SERVICE FEEDER_ TEMP SRVC!F':EDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L.INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: U - 200 amp: WISVC OR FDR, PUMPIIRRIG ATION: PER INSPECTION:
EA ADD' 50USF: 3 201 - 400 amp: 201 400 amp: 1aIWIO SVCIFDR: 00 SIGNIOUT LIN LT. PER HOUR.
I IMITED ENERGY: 401 - 600 amp: 401 - 600 amp. EA ADDL BR CIR: SIGNAL/PANEL L IN PLANT.
MANU HMISVCIFDR: 601 - 1000 amp 601.amps-100ov: MINOR LABEL:
1000.amplvolt
PLAN REVIEW SECI ION
Reconnect only:
>=4 RES UNITS. SVC!FUR>=225 A.: >800 V NOMINAL CLS AREA/SPC OCC:
ELECTRICAL•RESTRICTED ENERGY
_ A.SF RESIDFNTIAI. B.COMMERCIAL
AUDIO S STEREO: VACUUM SYSTEM: AUDIO v 'TEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT.
BURGLAR ALARM. OTH. BOILER: HVAC- LANDSCAPEIIRRIG: PROTECTIVE SIGNIL
GARAGE OPENER: CLOCK: INSTRUMENTATION MEDICAL: OTHR:
HVAC: DATAITELE COMM: NURSE CALLS TOTAL 0 SYSTEMS.
Owner: Contractor: TOTAL FEES: $ 2,872.56
I his permit is subject to the regulations contained In the
BROWNSTONE HOMES LLC BROWNSTONE HOMES LLC Tigard Municipal Code.State of OR Specialty Codes and
-370 SW 68TH PARKWAY 12670 SW 68TH PKWY all other applicable laws All work will be done in
PORTLAND OR 97223 PORTLAND,OR 97223 accordance with approved plans This permit will expire if
work is not started within 180 days of issuance.or i`the
work is suspended for more than 180 days ATTENTION
Panne, Phonal: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center Those rules are set
Ree# I U ,.','`:' 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 8448444 Post/Beam Structural Electrical Service Insulation Insp Watar Line Insp Mechanical Final
Sewer Inspection Post/Beam Mechanical Electrical Rough In Gyp Board!nsp Water Serv;re Insp Plumb Final
Footing Insp Underfloor insulation Framing Insp Firewall Insp /kppr/SdwlkI Final inspection
Foundation Insp Mechanical Insp Shear Wall Insp Rain drain Insp Urb St Tree erti t,
Slab Insp Plumb Top Out Exterior Sheathing Ins{ Roof Nailing Electrical Fi al
Issued By : ���— Permittee Signature'\'
Call (5031 639-4175 by 7:00 p.m. for an inspection needed the next business day
A
CITYOF TIGA►RD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2000-00229
13125 SW Hall Blvd., Tigard, OR 97223 (503) 635-4171 DATE ISSUED: 10/25/00
SITE ADDRESS; 13020 SW CADDY PL MODEL HOME PARCEL: 2S104DA-14100
SUBDIVISION. QUAIL HOLLOW - WEST ZONING: R-4.5
BLOCK: LOT: 127_ JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SFA NO. OF BUILDINGS:
INSTALL. TYPE: 1-1-PSWR IMPERV SURFACE:
Remarks: Sewer connection for new SFA.
Owner:
BROWNSTONE HOMES LLC FEES
12670 SW 68TH PARKWAY _Type By Date Amount Receipt
PORTLAND, OR 97223 PRMT CTR 10/25/00 $2,300.00 27200000000
INSP CTR 10/25/00 1$35.00 27200000000
Phone: 503-598-7565 - -
Total $2,335.00
Contractor: � —�
Phone:
Reg #:
Required Inspections
Sewer Inspoction v
L
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 theermit expires The
p p Agency does not
guaranine the accuracy of the side sewer lateral:; If the sewer is not located at the measurem nt given, the installer
shall prospec' 3 feet in all directions from the distance given. If riot so located, the installO' sh II put se a"Tap and
Side Sewer" Permit and the Agency will install a lateral ATTENTION Oregon law requir s y� to(o I rules adopted
by the Oregon Utility Notification Center Those ru'es are set forth in OAR 952-CI61-0010 t r u h A 952-001-0080
You may obtain copies of these rules or direct questions to OUNC by calling (5 ) 24 -19 7.
Issuedby: 7 ,-a-: y 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#jl7L
13125 SW HALL BLVD. Additions or Alterations Recd Date Ra 9111 ____
ecd 11-2t'
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E.
V 503-639-4171 Q Date to DST '?-'Y -eo A�
F 503-684-7297 2/ Permit#AISr/�49-Cri3
Print or Type Called A-ICY jrl?
Incomplete or illegible applications will not be accepted
,SuJ2�000 - Doha �
Name of Proje-t r; '' arne
Job U D.\L C4�—O-L..�.C..
�- Architect Mailing Address
Address Site Address _ see-003
Aute, I[vSD
1 �nD —�AO'(�- ��. City/State Zip Phone
Name `
�D. Mol !o,
-Zl.Ne'to$9
Name -`
Owner (ailing Address W F12,c3eLICA EIllcl V)
Engineer Mailing Address
City/State Zi Phone (p9(p 9 ta,(J_ ACAM n
p�2 t-I�n �1ZZ3 $9Q-7s� _ City/State zip Phone'
General am_e I _ &z0 C.�Q-. 97ZZ�_L aPq
Contractor 6t_�(�_�+ a-��- VQDoAeS L.L.C- Describe work New Addition O Alteration O Repair O
Mailing Addre°s to be done:
Prior to permit 17 S-L . loam A2%C_Vih� Additional Description of Work:
issuance,a copy City/StateLip Pho
of all licenses 0V "A0 `172_23 -599.7S4o'5S
are required if regon onst.Cont.Board Exp Date PROJECT -7 '
expired in COT Lic.# (oZ g _S I21� VALUATION $ I
database - —�- -
Mechanical Name - --- NEW CONSTRUCTION ONLY:
Sub- �IRovE.� �ip[.tSE� Sq.Ft.11ouse: ,�..t Sq. Ft. Garage
Contractor Mailing Address J ----1-1 7 — "'
PJ O X �2 ( Indicate the restricted energy installation by the electrical
Prior to permit — subcontractor in the following areas
issuance a copy CiWStste Zip Phone Restdcted Audio/Stereo
of all licenses L,3ILLAw1 tJlA OF. Q4- 73i
are required If Oregon Const.Cont.Board Ex� Date Energy �O S stem 0 Alarms
expired in COT Lic.# (061-11 (
� �7�.�,.� Installations Vacuum Irrigation
p �.f1�� I I I GIiClt� S stem jUo System
database ,
Plumbing Name (check all that Other:
Sub- LT?OY I-)ELL P LLArAX51dil apply)
Contractor Mailing Address Comer Lot YE£ NO Flag Lot YES NO
de)s5e �U F f-M _pI (check one (check one)
✓. �'.1 Has the Subdivision Plat recorded? N/A 1'ES N�
Prior to permit cit /State zPhone X
Issuance.a copy a"01&1 OR, 41013 Zln,& 790
of all licenses are Oregon Const Cont Hoard Exp.Date
required If L`.;.# ^^e 3.3 l (� 1 hearby ackno ledge that—1have read this application,that the
expired in COT ^1 'T 12-
database Plur rbing Lic.# xp.Date information giv n Is correct,that I am the owner or authorized agent
of the owner, d that plans submitted are in compliance with
.3 1 — 1 107 F'P �-3d-�� Ore on St ws. -
Name r Signature of er/Agent D to
Electrical
Address Contact Pe n Nan Phone#
Mailing g RAlJont.-L- C- h►'��F ---
Contractor (W-7 I$ 1!5"• A�j
City/State Zip Phone (pp
Prior to permit ►,1�(OUVEaL
issuance,a copy FDP OFFICE USE ONLY:
of all licenses are Oregon Consi Cont.Board Exp Date Plat#: , ap/TL#:
required If LIr.,# ,�j s%: y? Yv y �1G `�7 y S �0 e/11) - /`//ert
expired to COT I S I I 6-Z13-
database Electrical Lic.# Exp.Date Setbacks: Zone: Solar
Electrical 5upervi>or Lic.# Exp.Date Engineering Approval: _Planning Approval: TIF:
21_�i'1 S 1 b-i-20o I U 1"4'tti (ri"
-I Z4.r,c 1:\dstsVorrnslafaddalt.doc 11/18/99
44L.7-1
CITY OF TIGARD Credit No.:
Date Issued: JunP 8, 2000_
Engineering
Authorization
Date: June 8, 2000
TRAFFIC IMPACT FEE
CREDIT VOUCHER Land Use
Casefile No.: — £7-517-PD/S/DHA
In accordance with Ordinance 379 Cypress Ventures
(n.,o d cWvNaq•r)
is entitled to $ 292,254.91 _ in Traffic Impact Fee Credits that can be applied to TIF
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.
Date Permit Numbers Lot Numbers _ Credit Used + Balance
Beginning Balance $ 292,254.91_
Balance carried forw-rd to TIF Credit No.
• Ordinance 379 provides for an expiration 7 years from authorization.
Use Additional pages if necessary.
1(�in\v,nla\ti109 ,
i
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
RECEIVED
IMPORTANT PERMIT NOTICE N10V 8 2000
STREAMLINE ELECTRIC 4L COMMUNITY DEVELOPMEM
6017-B EAST 18TH STREET
VANCOUVER, WA 98
Electrical Signature Form
Permit #: MST1999-00398
Date Issued: 10/25/00
Parcel: 2S104DA-14100
Site Address: 13020 SW CADDY PL MODEL HOME
Subdivision: QUAIL HOLLOW - WEST
Block: Lot. 127
Jurisdiction: TIG
Zoning: R4.5
Remarks: PATH I: New single family-attached dwelling. Quail Hollow - Wcc,, iiiodel Home.
Unit esignation (135) The plans have been approved under Tigards Row House
Policy
Your company has been indicated as the electrical contractor for the permit indicated above. In order for ti e
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 untii this completed form is received
OVVNLR ELECTRICAL CONTRACTOR:
BROWNSTONE POMES LLC STREAMLINE ELECTRICAL
12670 SW 68TH PARKWAY 6017-B EAST 18TH STREET
PORTLAND, OR 97223 VANCOUVER, WA 9
Phone #: 503-5984565 Phone #: 360-993-5080
Req #: LIC 116514
ELF 34432C
SUP 2197S
AN INK SIGNATURE IS REQUIRED ON THIS FORM
-----
Signature
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
F:umbing Signature Form
Permit #: MST1999-00398
Date Issued: 10/25/00
Parcel: 2S104DA-14100
Site Address: 13020 SW CADDY PL MODEL HOME
Subdivision: QUAIL HOLLOW - WEST
Block: Lot- 127
Jurisdiction: TIG
Zoning: R-4.5
Remarks: PATH I: New single family-attached dwelling. Quail Hollow - West, Model Home.
Unit esignation (BS) The plans have been approved under Tigards Row House
Policy
Your company has Ineen 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 received
OWNER. PLUMBING CONTRACTOR
BROWNSTONE HOMES LLC WOLCOTT PLUMBING CONT. INC
12670 SW 68TH PARKWAY PO BOX 2007
I'OP.TLf1 N0, OR 97223 GRESPA1101, OR 1;7030
Phone #: 503-59u-7565 Phone #: 667-1781
Reg #: I Ir 00023847
PI M 26-208PB
AN INK SIGs ENURE IS REQUIRED ON THIS FORM
X- - -
SignatOTL-4W6thWOed Plumber
If you have any questions, please call (503) 639-4171, ext. # 310
February 8, 2000
Brownstone Homes, LLC TOREGON
T IGARD
12670 sw 68th
Portland, Oregon 97223
RE: Model Home Permits -
MST 1999-00396 -13000 Caddy Place
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 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 ire at 639-4171 X392.
Sincerely,
o ert Poskin, CBO
Senior Plans Examiner
13125 SW Hall Blvd„ Tigard, 012 97223 (503)6394171 TDD (503)684-2772