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13272 SW Bigleaf Drive
CITY
OF
T I G A R D MASTER PERMIT
PERMIT#: MST2000-00184
DEVELOPMENT SERVICES DATE ISSUED: 8/2/00
13125 SW Half Blvd.,Tigard,OR 97223 (503) 639-4171
SITE ADDRESS: 13272 SW BIGLEAF DR PARCEL: 2S104DA-04800
SUBDIVISION: QUAIL HOLLOW-WEST ZONING: R-4.5
BLOCK: LOT:034 JURISDICTION: TIG
REMARKS: PATH I: New single family dwelling w/attached garage
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 23 FIRST: G90 of BASEMENT: `of LEFT: 3 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 825 of GARAGE: 400 of FRONT: 20 PARKING SPACES: 2
TYPE OF CONST: 5N DWELLING UNITS: I FINBSMENT: of RIGHT: 3
VALUE: S 115,559 31
OCCUPANCY GRP: R3 BORM: 3 BATH: 3 TOTAL: 1,523.00 or REAR: 33
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUBISHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTP.: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<100K: 1 BOIUCMP<3HP: VENT FANS: 4 CLOTHES DRYER: 1
GAS FURN>-100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1
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: 1 PUMP/IRRIGATION: PER INSPECTION:
II EA ADD'L 500SF: 2 201 •400 amp: 201 400 ornv, tat WIO SVCIFDR: 00 SIGN/OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 •600 amp: 401 •800 imp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HMISVCIFDR: 601 • 1000 amp: 601+AM09-16nov: MINOR LABEL:
1000+amplvolt:
PLAN REVIEW SECTION
Reconnect only:
>-4 RES UNITS- SVCIFDR>-225 A.: >600 V NOMINAL: CLS AREAISPC OCC:
ELECTRICAL-RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO S STEREO: VACUUM SYSTEM: AUDIO IL STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: 0TH: BOILER: HVAC. LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 3,310.95
IAN MATTEONI BROOKFIELD DEVELOPMENT INC This permit is subject to the regulations contained in the
BRIAN
BOX ATT 5335 SW MEADOW ROAD Tigard Municipal Code,State of OR Specialty Codes and
SUITE 365 all other applicable laws. All work will be done in
LAKE OSWEGO,OR 97035 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
Poona: Phone: Oregon low requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are^et
Reg 0: LIC 132229 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 Water Line Insp Final inspection
Footing Insp Crawl Drain/Backwater Plumb Top Out Gas Line Insp Appr/Sdwlk Insp Building Final
Foundation Insp Footing/Foundat' n Dr; Electrical Service Gas Fireplace Electrical Final
Post/Beam Structural PLM/Underfloor Electrical Rough In Insulation Insp Mechanical Final
Post/Beam Mechanica Mechanical Insp Framing Insp Rain drain Insp Plumb Final
Issued ����-d-�J T_ 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#: SWR2000-00149
13125 SW Hah Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/2/00
SITE ADDRESS; 13272 SW BIGLEAF DR PARCEL: 2S104DA-04800
SUBDIVISION: QUAIL HOLLOW -WEST ZONING: R-4.5
BLOCK: LOT: 034 JURISDICTION: TIG
TENANT NAME: BRIAN MATTEONI
USA NO: FIXTURE UNITS: 0
CLASS OF WORK: NEW DWELLING UNITS: I
TYPE OF USE: SF NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection for new single family dwelling.
Owner: ----
_
BRIAN MATTEONI FEES —
PO BOX 3468 Type By Date Amount Receipt
PRMT DEB 812!GO $2,300.00 0004180
INSP DEB 8/2/00 $35.00 0004180
Phone: 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 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 (503) 246-1987.
Issued tiy,�..�� �yh,(�. - _ Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for an inspection seeded the next business day
U l Y UF- IIUAKU " •°'^ unrn1lt Application rranunepcaK _
13125 SW HALL BLVD. �7`. Z P ms
V 503-6 , OR 97224 Recd By� J
Date Rec'd_ -
3 ached (Duplex) Date to P.E.
V 5C3-639-4171 - ,
F 503-684-7297 -to DST �u1.
Permit#/K o� -OOIt3
r'turr. ur : INe-' Calied_
Incomp:ete or illegible applications will not be -iccepted
—� Name f Project �— Name
- Job
Address Site Adoress
Ar 'hitect Mailing Address
Name ity/State /7 74PPhone
Name
Owner Mallina Address
Engineer Mailing Address
City/State Zi Phone g
Cfty/State Zip Phone
General Name /f
Contractor /-�`CI��rCO�IPAil •►�^� Describe work N jK-Addition O Alteration O Repair O
Mailing Address to be done:
Prior to permit ,f' ,�_-may, 1 /v- Additional Description of Work:
issuance,a copy City/State Zip Phone
of all licenses e L. _ 9,70.7 "5t-
are required if Oregon Cons(.Cont.Board Exp Date PROJECT
expired in COT Lic# ry
/���
database C y EVALUATION
Mechanical Name ,l NEW CC NSTRUCTIO_N ONLY: _-
Sub- , / —__ SqN
• Ft. ;niic�� Sq. Ft. rage
Contractor Mailing Aftess 5(.� G,A
Prior to permit Indicate the restricted energy installation by the electrical
Issuance,a copy City/State zip Phone subcontractor In the follc)wing areas
of all licenses Restricted Audio/Stereo
are required If Oregon Const.Cont.Board Exp.Date Energy S stem Alarms
expired Ir.COT Lk.# Installations Vacuum Irrigation
_ database- _ S stem System
Plumbing Name (check all that Other: -
Sub- ---
Contractor "ailing Addreso Comer Lot YES NQ Flag Lot YES N
check one - check one
Has the Subdivision Plat recorded? N/A SES NO
Prior to permit City/State Zip Phone
issuance,a copy - - -
of all licenses are Oregon Const Cont. Board Exp Date
required if Lic.# -_
expired In COT I hearby acknowledge that I have read this application,that the
database Plumbing Lk # Exp.Date information given is correct,that I am the owner or authorized agent
of the owner,and that plans submitted are in compliance with
_- Orion State laws. _
Name Signature of Owner/Agent Date
Eliectrical `� Y—Cqn
Sub- Mailing Address -- Contact Person Name Phone#
Contractor
City/Stale Zip Phone
Prior to permit
Issuance,a copy _ FOR OFFICE USE ONLY:
of all licenses are Jregon Const.Cont. Board Exp.Date -- - --�
required if Llc.# Plat#: Map/T
expired In COT �� D� 40)(3.3
database Electrical Lk.# Exp.Date Setbacks:
v
Electrical SuFervisor Lick Exp.Date -Engjgeerin Approval: Planning Approval: TIF:
�� �D I\dsts\fonms\sfaddah doc 12/10/99
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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 #: MST2000-00184
Date Issued: 8/2/00
Parcel: 2 S 104DA-048U0
Site Address: 13272 SW BIGLEAF DR
Subdivision: QUAIL HOLLOW -WEST
Block: Lot: 034
Jurisdiction: TIG
Zoning: R-4.5
Remarks: PATH I: New single family dwelling w/attached garage
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 star', 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:
BRIAN MATTEONI WOLCOTT PLUMBING CONT. INC
PO BOX 3468 PO BOX 2007
GRESHAM, OR 97030
Phone 11 625-1305 Phone # 667-1781
REg #: 1 Ir 00023847
P1 M 26-208PB
AN INK SIGNATURE IS REQUIRED O THIS FORM
X
Signatu of Authorized Plumber
If you have any questioi,s, piease call (503) 639-4171, ext. # 310
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FlPczrical Innov. , inc. 503 632-6564 Fa. 6
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IP 'ORTANT PERMIT NOTICE R�G�\vO)
ELECTRICAL INNOVATIONS
22300 S LEWELLEN RD
BEAVERCREEK, OR 97004-8733 * r, �
FVE
Electrical Signature Form
Permit # MST2000-00184
Date Issued: 812100
Parcel: 2S104DA-04800
Sitc Address'. 13272 SW BIGLEAF DR
Subdivision: QUAIL HOLLOW -WEST
Block: Lot: 034
Jurisdiction: TIG
Zoning: R-4.5
Remarks. PATH I: New single family dwelling wlattached garage
Your company has bAen 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 Flectrical Signature Form prior to the
Mart of the work to the address above, ATTN' Building Dept.
No electrical inspections will be authorized until this completed form is received
OWNLR. ELECTRICAL CONTRACTOR:
BRIAN MATTEONI ELECTRICAL INNOVATIONS
PO BOX 3468 223UO S LEWELLEN RD
BEAVERCREEK, OR 97004-8733
Phone # 625-1305 Phone #:
Req #: ELE ZU-699C
LIC 30066412
SUP 38213
AN INK SIGNATURE IS REQUIRED ON THIS FORM
le
Signat�f Supervising Electrician
I' u have any questions, please call (503) 639-4171, ext. # 310
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP _
Date Requested Z— /Z- AM PM BLD
Location 1 .37 24 Ot /PG Suite MEC _
Contact Person PhlG y-L 3 f 3 PLM
Contractor Ph SWR
,�13UILDIN1Tenant/Owner ELC _ — —
Retaining Wall ELR
Footing Access: —
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab
Post&Beam --- ---- SIT
Ext Sheath/Shear
Int Sheath/Shear - ---� —
Framing _
Insulation a --
Drywall Nailing
Firewall —__ -----
Fire Sprinkler
Fire Alarm
Susp'd Ceiling _
Roof
5�2 PART FAIL -_ - - -- _--
PLUMBING
Post& Beam - -
Under Slab
Top Out --- - ---
Water Service _
Sanitary Sewer
Rain Drains _
Final
PASS PART FAIL _
MECHANICAL
Post& Beam
Rough In
Gas Line -
Smoke Dampers
Final —
PASS PART FAIL
ELECTRICAL '—
SPrvice
Rough In
UG/Slab
Low Voltage
Fire Alarm _
Final
PASS PART FAIL _
81TL i
Backfill/Grading
Sanitary Sewer
Storm Drain ( )Reinspection fee of$ required before next Inspect Pay at City Hall, 13125 SW Hall Blvd
Catch Basin Please call for reinspection RE:
Fire Supply Li�oa ( ] P ( ]Unable to inspect no access
ADA
Approach/Sidewalk
Other _ Date _ _ (Z Inspector Ext
Final
PASS PART FAIL j DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 40
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
Date Requested — AM_ PM BLD
Location- 3 2 71- i2l y ��� _ Suite MEC
Contact Person _— _ Ph lr j 4, -3 y 3 PI-M
Contractor Ph SWR
ly�- Tenant/Owner _ _ _ ELC
Retaining WP1I EL_R
Footing Access: — —
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: -
Slab
IT
Post&Beam -- - —
Ext Sheath/Shear
Int Sheath/Shear —_
Framing
Insulation
Drywall Nailing _� —
Firewall
Fire Sprinkler
Fire Alarm —
Susp'd Ceiliny --
Roof
n {
ASS PART FAIL -- — ----- --- — -- —
PLUMBING �--
Post& Beam
Under Slab
Too Out ----- ----- - -- -----------__----
Water Service —. 1 -
Sanitary Sewer —
Rain Drains
Final
P PART FAIL
'MECHANIC ----- ----- -- __tl._ ----
st& Beam -- — ------- - - ---- ---------
Rough In
Gas Line -- ---- - ---- - ----- --- —_ _�_4_.
5ke Dampers
AS
zPART FAIL
ELECTRICAL - - - --- ---------- -- — —
Service
Rough In _
UG/Slab
Low Voltage
Fire Alarm —
Final
PASS PART FAIL -
SITE
Backfill/Grading --- --- --- —
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$--_—� _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin Please call for r ins ection RE:
Fire Supply Line [ [ P _ Aecord
[ J Unable to inspect no access
AGA
Approach/SidewalkOther DatQ _-_-_ Inspector_— f Ext
Final
PASSPART FAIL. 00 NOT REMOVE this Inspectiom the job site.
I —_
TIGARD BUILDING INSPECTION DI\/"-4ON MST
24-fiour inspection Line: 639-4175 Business Line: 639-4171
BLIPDate Requested G - —AM _PM BLD
Location ,3 Z �L �w ��y �- Suite MEC _
Contact Person ��� �_ Ph y� �_' �'�� � PLM
Contractor AIN10 7-f c�)^J; Ph SWR
BUILDING Tenant/Owner ELC __—
Retaining Wall —� ELR
Footing Access: --—
Foundation FPS
Fig Drain ---- SGN
Crawl Drain Inspection Notes -- ---
Slab -- --- - ---- --- - SIT
Post&Beam - --
Ext Sheath/Shear _
Int Sheath/Shear -
Framing _
-------------------
Insulation -- --
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc: -- --- - -
Final
PASS PART FAIL - ---
PLUMBING
Post& Beam
Under Slab
Top Out
Water Service _
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post& Beam - — --- —
Rough In
Gas Line --- - --- --
Smoke Dampers
Final ---- -- --------
P RT FAIL
Rough In --- - _...-------- -
UG/Slab _
Low Voltage
Fire Alarm
PAS PART FAIL
C
Backfill/Grading -
Sanitary Sewer
Storm Drain [ ]Reinspec� rn fee of$ required before next inspection, Pay at City Hall, 13125 SW Hall Blvd
Catch Basin Please call for reinspection RE:
Fire Supply Line [ 1 P J Unable to inspect-no access
ADA
OtheQach/Sidewalk Date �- D _Inspector_ '�-� _Ext
Final
PASS PART FAIL 00 NOT REMOVE this inspection record from the Job site.
'30ITY OF I IGARD BUILDING INSPECTION DIVISIONvlu_
�t�Gu/�
24-H6ur 'nspecti_-n Line: 639-4175 Business Line: 639-4171
P
_Date Requested. Z"/ C' AM PM
� 3Z7 � S -
uC2.+.c.�, � w.�i y /.�� I �r _ suite MEC
T
::ont:ict Person Ph PLM
C, l tractor_ Ph SWR
►31 L.a►!��u Tenant/Owner ELC _
' ening"/all
EL
IR R
II r.i+n'dation ��CC:;ss: - - -- —
FPS
F',;^rain --- --
Cra_P-ain Inspection Notes: SGN
S; _ --— -- — SIT
Pos, & Beam
Ext Sheath/Shear
Int Sheath/Shear --
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler _-
Fire Alarm --
Susp'd Ceiling
Roof —
Misc: —
Final
PASS PART FAIL
UMB!
Bost& Beam �'--
1,4"der"Sfab
Top Out —
ater Service
Sanitary Sewer -
Drains
Fin SS —
AART FAIL
M- 'HANICAL
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 ( ]Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin ( )Please call for reinspection RE:
Fire Supply Line _ ( J Unable to inspect-no access
ADA
Approach/Sidewalk1 1 `
Other Date Inspector t../� Ext
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the je o site.
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