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13030 SW CADDY PL
CITY OF TIGARD BUILDING INSPECTION DIVISION �� ,_n0 79'
24-Hour Inspection Line: 639-4175 Business Lin-9: 631 -4171
Date Requested__ 1�/Z AM PM
Location �_ � �L'> ��� ,.�,_� ;/ Suite _ 11EC
Contact Person Ph _ PLM
Contractor _ Ph _ SWR
BUILDING Tenant/Own.;r ELC
Li�"Wall � — ELR
Fouling Access:
Foundation FPS _
Ftg Drain - --- SGN ^-- -------
Crawl Drain Inspection Notes: ----— --- --
Slab I - SIT'
- --------
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear -i----- - -- ----_ --
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
EuspA Ceiling
Roof ___.--------. -
Misc --- -
PART FAIL
IN _
earn - -- --- ----
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
PAF T I-All_
Rough In _ -
Gas Line - -- - —_ -- --- ---
Smoke Dampers
F 79-4K
--P RT FAIL
ELECTRICAL ---- ---- -.__. _
Rough In __------------------------
UG/Slab
Low Voltage
Alarm
'nal
PART FAILSITE --
Backfill/Grading - ----- --- ---- ---- --
Sanitary Sewer
Storm Dr,in ( ] Reinspection fee of%_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line I ] Please call for reinspection RE. __- _ __ _—_ ( ] Unable to inspect- no a„c.,ss
ADAAppr _ `
Other Date
- Date !Z—Z Inspector_ / -Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
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�� �� �����D - MASTER PERMIT
PERMIT#: MST1999-00399
DEVELOPMENT SERVICES DATE ISSUED: 10/25/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 13030 SW CADDY PL MODEL HOME PARCEL: 2S104DA-14200
SUBDIVISION: QUAIL. HOLLOW- WEST ZONING. R-4.5
BLOCK: LOT: 128 JURISDICTION: TIG
REMARKS: PATH I: New single family-attached dwelling. Quail Hollow - West, Model Home.
Unit Designation (BN)The plans have been approved under Tigard Row House Policy
BUILDING
REISSUE: _ STORIES: 3 FLOOR 4REAS REQUIRED SETBACKS RLOUIRED
CLASS OF WORK: NEW HEIGHT: 3n FIRRT: 144 of BASEMENT: of LEFT: SMOKE DETECTORS: r
TYPE OF USE: SFA FLOOR LOAD: -10 SECOND: 700 sr GARAGE: 519 sl FRONT: PARKING SPACES
TYPE OF CONST: 5N DWELLING UNITS: I FINBSMENT: 596 sr RIGH R
VALUE: $112.090 54
OCCUPANCY GRP: R3 BDRM 3 BATH: TOTAL. 1,440 nu at REAR:
PLUMBING —
SINKS: i WATER CLOSETS: WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS. 2 CATCH BASINS
TOB/SHOWERS: GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFI W PREVNTR- GREASE TRAPS
OTHER FIXTURES.
MECHANICAL
_ FUEL T-YPES FURN<T00K. BOIL/CMP<311P: VENT FANS: CLOTHES DRYER: 1
I-LF FURN>•T00K: UNIT HEATERS: HOOCq OTHER UNITS: I
MAX INP: btu FLOOR FURNANCES VENTS: WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL.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: 2 PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L 500SF: ! 201 - 400 amp: 201 - 400 amp let WIO SVCIFDFL M SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY 401 600 amp: 401 - 600 amp EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANII HMISVCIFDR. 601 • 1000 amp: 601.amps•1000v: MINOR I-ABEL
1000.amp/volt
PLAN REVIEW SECTION
Reconnect only:
>=4 RES UNITS SVC:FUR>=225 A. >800 V NOMINAL CLS AREAISPC OCC:
_ ELECTRICAL RESTRICTED ENERGY -_
A.SF RESIDENTIAL B.COMMERCIAL _
AUCIO 8 STEREO: VACUUM SYSTF.P' AUDIO A STEREO. FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC Lf
BURGLAR ALARM: OTH: BOILER: HVAC. LANDSCAPEARRIG: PRO'!ECTIVE SIGNL:
GARAGE OPENER CLOCK: INSTRUMENTATION, MEnICAL* OTHR
HVAC DATArTFLE COMM: NURSE CALLS TOTAL r SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 2,851.50
BROWNSTONE HOMES LLC BROWNSTONE HOMES, LLC This d Mun is subject to She regulations S contained in the
12670 SW 68TH PARKWAY 12670 SW 68TH PKWY Tigard Municipal Code.State o OR Specialty Codes and
PORTLAND,OR 97223 PORTLAND, OR 97223 all other applicable laws All work will be done it
accordance with approved plans This permit will expired
work is not started within 180 days of issuance,or he
work is suspended for more than 180 days ATTENTION
Phone Ph3ne. Oregon law requires you to follow rules adopted by the
Oregon Utility Noiification Center Those piles are set
Roar: 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, Post/Beam lk' `lanica Electrical Rough-in Insulation Insp Rain Drain l sp Electrical Final
Sewe-Inspection Plin/Underfloor Mechanical Insp Shear Wall Insp Water Line(Insp 0 Plumb Final
Footing Insp Slab Insp Flumbing Top Out Exterior Sheathing Inst Water Se ry Ins Mechanical Final
Foundation Insp Underfloor insulation Framing Insp Firewall Insp Urian Streree o Building Final
Post/Beam Structural Electrical Service -Ioof Nailing Gyp Board!resp ppr/Sdwlk
N-)
Issued By : L Permittee Signature : -
Call (503) 639-4175 by 7:00 ,:.m. for an inspection needed the next busluess day
\ CITY OF TIGA,RD SEWER CONNECTION PERMIT—
DEVELOPMENT SERVICES PERMIT#: S /25/00R200 00230
DATE ISSUED: 10125/00
13125 SW Hall Blvd.,Tigard, OR 97223 (50?) 639-4171
PARCEL: 2S104DA-14200
SITE ADDRESS; 13030 SW CADDY PL MODEL HOME
SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R-4.5
BLOCK: LOT: 128 _ JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SFA PIO. OF BUILDINGS:
INS FALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection for new SFA
Owner: –
BROWNSTONE HOMES LLC –Type By Date Amount Receipt
12670 SW 68TH PARKWAY -- ---
PORTLAND, OR 97223 PRMT CTR 10/25/00 $2,300.00 27200000000
INSP CTR 10/25/00 $35.00 21200000000
Phone: 503-598-7565 Total $2,335.00
Contractor:
Phone:
Reg #-
Required Inspections
Sewer Inspection
This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires
180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not
guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given,the installer
shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and
Side Sewer' Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you tvf follow rules adopted
by the Oregon Utility Notification Center. Those rules are set forth in OAR 95' '.01-0010 th ough AD952-001-0080.
You may obtain copies of these rules or direct questions to OUN C by calling(-,N3) 2 -1
Issued by: _I '�E—_ Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
CITY OF TIGARD Residential Building Permit Applicaticip Plan Check# ll- ► '
13125 SW HALL BLVD. Additions or AlterationsRecd By�Y i
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date Recd /1
Date to P.E./2 •1R-��
V 503-639-4171 Date to DST
F 503-684-7297Permit#&6�01 &p/F99-DOJ
Print or Type Called/'ma y&9
Incomplete or illegible applications will not be accepted Ov e909 30
Name of Project 1- Name
Job _UA(L- b1_L taLJ - � �L0 L-.L
Address Site AddressA Arch'tect Mailing Address
22 rn� t.1 SES 0.30 , I t�so
�� - —��� — PL-,
Name City/State Zip Phone
I
OwnerMailing Address v Name
IZta-�p S.(J. (ogarzrJ.,� EI.IGA Et IV)
Gity/S/Stato liR Phone Engineer Mailing Address
_ oa��—MJ0 �t�223 S 9Q-7s(o (0961 _5-L3, VA g .►n n
City/State Zip Phone
General ame 11 '&eo Uri g7Z23
_ z -Zws
Contractor L.C. Describe work New)C Addition O Alteration O Repair O
Mailing Address to be done: _
Prior to permit I ZG70 S.(-J. (o$+ 4Iz<J NCC. Additional Description of Work:
issuance,a copy City/State Zip_ Pho�]e
of all licenses DQ ►�O 47ZZ-5 5921'7S(.
are required i1 regon Const Cont Board Exp.Date PROJECT
expired in COT Lir j# 1� VALUATION $ t O(�
database lZ� Z-- _ u lzc (o
Mechanical Nami NEW CONSTRUCTION ONLY:
Sub- J ISq, Ft. House: kk ,� Sq Ft. Garage, ~�
Contractor Mailing Address _ I `1_�_—'°
Prior to permit P. 0• fJO L_ 1( Indicate the restricted energy installation by the electrical
Issuance,a copy City/State Zip Phone subcontractor in the followini`areas —
of all licenses W I LLA W10A �, -13.7317 Restricted Audio/Stereo
are required if Oregon Const.Cont.Board Ex . Date Energy ►JO S srstern ____NO Alarms
expired in COT t ic.#
Install-;tions V Vacuum Irrigation
database (V91-71 �I i 0 S stem �d System
g Name x---- -�_�_
Plumbing (check all that Other:
Sub- LIQ0ftZEL L �LU1f1'\'t31 apply)
Contractor Mailing Address Corner Lot YES NO Flag Lot YES NO
�s u -F-MAlil Rp 'check one (check one
Prior to permit CState
b�? Phone Has the Subdivision Plat recorded? NIA YES NS)
�ityl � Zi�
Issuance,a copy C ACJ 09. 47013 ZW. 71 h 0 —_
of all licenses are Oregon Const Cont Board Exp Date
required if Lic.# �7
expired In COT —14 r I Z1-0-3 I-0 I hearby ackno ledge that I have read this application,that the
database Plumbing Lic.# Exp. Date information giv n is correct,that I am the owner or authorized agent
3 r I�2 P ,b by cf the owner, d that plans submitted are in compliance with
T Oregon St ws.
Name Signature of er/Agent D to
Flectrical � l,1tJ� l.�c..�Y ICALr -- - -------- ZS
Sub- Mailing Address - Contact Pe , n Nan Phone#
Contractor (W-7 - 5 �� R �- ----
City/Stale Zip Phone 3(pp S'9'9-7 SZoS
Prior to permit - D
Issuance,a copy V WuliuVFIL 9 9,5 UJ"h- S�
of all licenses are Oregon Const.Cont. Board I xp. Date FOR OFFICE USE ONLY: _
required If t.Ic.# Plat#: Map/TL#.
I l�l
ex-mired In COT 4 5-Z$-2PO "-'. "3 'v S '/c i' '?S/0`1 - - p
database Electrical Lic.# Exp.Date Setbacks: Zone: Solar:
31-_ 3' 0-1- ?moo *--*/ - y, - ,'L
Electrical supervisor Lic.# Date Engineering Approval planpjnq Approval: TIF:
�Exp.
0-r—tool Q _ I � I{('�r , s, �'�r?1:. ',
f A !( t(J6�4A « �.qs t t.8 do i\dstslformslsfaddalt doc I Ill 8/99
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/pHA
In accordance with Ordinance 379 Cypress Ventures _
(r.wo of a.,*o w)
is entitled to $_292,254.T - in Traffic Impact Fee Credits that can be. applied to TIF
CAS1 A..,o
charges for development on lot(s) all of the Quail Hollow v 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.
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
RECEIVEn
IMPORTANT PERMIT NOTICE
M10V 2000
STREAMLINE ELECTRICAL COMMUNITY DEVrtgp !=-!-,
6017-B EAST 18TH STREET
VANCOUVER, WA 98
Electrical Signature Form
Permit #: MST1999-00399
Date Issued: 10/25/00
Parcel: 2S104DA-14200
Site Address: 13030 SW CADDY PL MODEL HOME
Subdivision: QUAIL HOLLOW - WEST
Block: Lot: 128
Jurisdiction: TIG
Zoning: R-4.5
Remarks. PATH I: New single family-attached dwelling. Quail Hollow - West, Model Home.
Unit Designation (BN) The plans have been approved under Tigard Row House
Policy
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 ±o the address above, ATTN. Building Dept.
No electrical inspections w;Il be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
BROWNSTONE HOMES LLC STREAMLINE ELECTRICAL
12670 SW 68TH PARKWAY 6017-B EAST 18TH STREET
PORTLAND, OR 97223 VANCOUVER, WA 98
Phone #: 503-558-7565 Phone #: 360-993-5080
Req #: LIC 116514
ELE 34432C
SUP 2197S
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature of Supervising Electrician
If you have any questions, please call (503) 639-4171, ext. # 310
CITY OF TIGARD
13125 S.W. TALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
WOLCOTT PLUMBING CONT. INC
PO BOX 2007
GRESHAM, OR 97030
Plumbing Signature Form
Permit #: MST1999-00399
Date Issued: 10/25/00
Parcel: 2S1 U4DA-14200
Site Address: 13030 SW CADDY PL MODEL HOME
Subdivision: QUAIL HOLLOW -WEST
Block: Lot- 128
Jurisdiction: TIG
Zoning: R-4.5
Remarks: PATH I: New single family-attached dwelling. Quail Hollow - West, Model Home.
Unit Designation (BN) The plans have been approved under Tigard Row House
Policy
Your company has been indicated as the plumbing contractor for the permit indicated abovD. In order for the
plumbing permit to be valid, please have the appropriate individual from your company sign t elow and return
this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Bui.ding 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
PORTLAND, OR 97223 GRESHAM, OR 97030
Phone # 503-598-7565 Phone #: 667-1781
Reg #. 1 Ir 00023847
PI M 26-?0$PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signa uth�umber
If you have any questions, please call (503) 639-4171, ext. # 310
February 8, 2000 CORIEGON
Brownstone Homes, LLC F TIGARD
12670 SW 68`h
Portland, Oregon 97223
RE: Model Home Permits—
MST 1999-00396 -13000 Caddy Place
MST 1999-00397 -13010 Caddy Place
MST 1999-00398 -1.5020 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 me at 639-4171 X392,
Sincerely,
Cot'�ert Posktn, CBO
Senior Plans Examiner
13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD (503)684-2772 -