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12330 SW KELLY LANE N W W O cn m r r r D z I i 12330 SW KELLY LANE CITY OF TIGARD 24-Hour BUILDING Inspection Ling: (5-0),639-4175 rmsr,7)22 rCJ a INSPECTION DIVISION Business Line: (505)639-4171 BUP _ Received _ ! y� 2 I)ate Requested ` �� �J AM __ .__-_-PM __-___- BUP Location 233 J j-_- 126 Suite MEQ — 'l Cuntact Persor, 'f J - — - Ph PLM --- - -- - — Contractor _ -_ Ph SWR BUILDING_ Tenant'Jwner _ F L C Footing - --- - Acces,: Foundation "- ELC Ftp nrz;.. � � .: crawl Drain _ Slab Inspection Nates: SIT —_ Post&Beam SI-ar Anchors Ext Sheath/Shear I �, Int Shec'h/Shear Framing ---- --- Insulation Drywall Nailing - - - - - — Firewall Fire Sprinkler Susp'd Ceiling >'0.__. G S ---- Roof Other: -- - --- -- - --- - - L ASS PARTFAILUMBSNG _ —_ Post& Beam �— U,ider Slab Rough-In :Nater Service -- - ------- ---- Sanitr.ry Sewer Rain "rains --- - - - — - - -- -- Catch Basin/Manhole Storm Drain ------- -- - - -- - Shower Pan Other: -- Final —� PASS PAR'S FAIL _ — MECHANICAL Post&Beam - Rough-In Gas Line Smoke Dampers ----- - - -------- Final — PASS PART FAIL L. --- --- -- -- ----- --- - ELECTRICA -� ---_- - - - _ _- Service _.._ ---------------- - - --- Rough-In I ��1� �� --- -- ------- --- ---- Low Voltage F1w,-Aittrur --- - r RT FAIL Reinspection fee of$ - required befo next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE L� Please call for reinspection RE: _ - -- -__-_ - �, 0:able to inspect-no ak:,ess Fire Supply Line ADA > � Approach/Sidewalk Date� /`�'`% v ' —_ inspector �� Lr.l__�:-f r.3 / t �� Ext ._-- Other: / / // Final - DO NOT REMOVE this Inspection record `#ram the J" site. PASS PART FAIL CITY OF TIGARD 24-Hour B�4'i.DING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST BLIP Received Z 1 z- pate Requested az�'�3 �3 AM_ PM _ BUP Location _ /��2) 3 D Suite MEC Contact Person — _� Ph( v �2- I` LM Contractor eL,�L_ 02Z'_-, -_ Ph SWR _ BUILDING _ Tenant'Owner -- - - - - ---_- _._ -- ELC Footing Foundation Access' ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: -- SIT Post&Beam shear Anchors -- -- - Ext Sheath/Shear Int Sheath/Shear Framing —_- Insulation Drywall Nailing ---- - - - ---------- - - - -- --- - - — - -- - - - Firewall Fire Sprinkler - Fire Alarm Susp'd Ceiling Roof Other. - -- - --- — Final -- - ASS PART FAIL PLUMBING Post& Beam- —- Under Slab Rough-In Water Service --- - - Sanitary Sewer Rain Drains — -- - ----- -- -- Catch Basin/Manhole Storm Drain -- ------ -- _—_ -- — — --- - Shower n PART FAIL KA&NICAL Post& Eleam - Rough-In Gos Line Smoke Dampers Final PASS PART FAIL - ----- -�--- —_ _ -- --- —. _ 'ELECTRICAL Service Rough-In UG/Slab -------------- Low Voltage Fire Alarm Final F] Reinspection fee of$ _ equi-ed b0ore next ins on. Pay at r 'v Hall, 13125 SW Hall Blvd. PASS PAST FAIL SITE Please call for reinspection RE:.._- -_ Lri, He to insp^ci- no access Fire Supply Line ADA I r} _ -'7 - Ext Approach/Sidewalk Darty Inspector _�! Other: Final 00 NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TiG AHU 24-',our BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)6394171 MST BUP '2 Received _ r �_' Date Requested� _-_ _ AM_______� PM____ __ BLIP Location __�2 3_3Q A,_ L_eSe. .... Suite_- __- MEC Contact Person Ph ; ____ _ ) _ __ ___ PLM Contractor -- - -- --__.__ _-___-- Ph SWR -- -------_._-__ UILDING Tenant/Owner -__-___-_ ---. ___ ELC Foundation : ELC Access: Ftg Drain ELR Crawl Drain Slab insoection Notcs: SIT Post&Beam ---- --_---_--_ Shear Anchors - - --- - - - Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nalling - -- --- Fir­v; Fir, 3F i4ler -- - - Fire A'::rm Susp'd Ceiling Roof r: - - SS PART FAIL ---- - - - BING Post&Beam Under Slab ----- Rough-In Water Service Sanitary Sewer nein Drains - - - - - --- Catch Basin/Manhole Storm Drain - --- - --- - Shower Pan Other: _ —' -��-- Final - PASS PART FAIL -- - -� MECHANICAL Post& Beam ----- Rough-In ---.�_ ---- ---— -- Gas Line Smoke Dampers -- ------- --- - - ---- Final _PASS PART FAIL - - - --- -- E�ECTR;CAL Service -- - -- _ Rough-In - UG/S!ab Low Voltapp Fire Alarm ------WO--- � — -- Final 0 Reinspection fee of$ -__required before next inspection. Pay at City Hall, 13125 SW►-fail RIM PASS PARI' FAIL SITE Please call for reinspection RE:_. _ t' the to inspect-no a cess Fins Supply Line ADA Approach/Sidewalk Date Irl -�� -- Inspector - - Z'1�s Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspectir 'ne: (503)539-4175 MST INSPECTION DIVISION Buisine e: (503)639-41-1 ---- BUP - Received __ Date Requested----Zab" /C13 AM_.-_ PM_ _ BUP Location —1- -�SL!_ �/�,� IV, Suite MEC - Contc'Ct Person __ _. _— Ph( ) --_----- FLM Contractor -_-- —_-- Ph( ) — -__ -- SWR —_ --- - PU _ Tenant/Ovmer _ ELC Fogap ELC Foundation Access: Ftg Dmin ELF _ Crawl Drain __ _ Slab Inspection Notes SIT ist 3 Beam ihear Anchors - ---- xi Sheath/Shear Int Sheath/Shear Framing - - Insulation Drywall Nailing - - ----- - - - -- - -- Firewall Fire Sprinkler ----- - -- - --------- ---- Fire Alarm Suso'd Ceiling - -- Roof Other: - -- PART FAIL - P Post&Beam Under Slab Rough-In Water Service -- -_- --- Sanitary Sewer Rain Drains - -- -- Catch Basin/Manhole Storm Drain -- s- - — - ----- Shower Pan Other: -- Final _PASS _PART_ FAIL MECHANICAL Post& Beam Rough-In - -- ------ --------_._.__.__..-- Gas line — - Smoke Dampars -- - ------ ------ - - -- Final PASS PART FAIL — - - - - - -- --- - -- ---- ELECTRICAL Service Rough-In UG/Slab —_�-.-- Low Voltage Fire Alarm Fina; Reinspection fee of$ - required I.ehxe next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PA38 PART FAIL SITE _- _ - � Please call for reinspection RE:-_ — � Unable to inspect-no access Fire Suppiv Line ADAl Approach/Sidewalk Date / �� Inspector �� Other: _ Final DO NOT REMOVE this Inspection ricord from the job site, PASS PART FAIL De 04 03 11 : 07a dan edmonds :703-692-0768 P, 1 Plumbing Permit Application - ' ' ' --- _.--.-- �. � i Received Plumbing Pcrmit_No City of Tigard Planning App:uval Sewer Datr/p : _ OtherPeffnNo.: 1312$ $W 13411 1zlvd Plan Rcvicw -__- Other Tigard,Oregon 9''223 Permit No.: Phone: 503-6394171 17:x: 503-598-1960 Prot-Review land Use Internet: wwwci.iigard.or.us U0t01BY: Case No.:Contact See Page 7 tar 24-!lour Inspection Requez:: 503-639-4175 NaatrrJMcthod: Snpplanental lnfarmntian. _ TYPE OF WORKFEF:*SCIII?.DULE Ior special information use checklist) New construction 10 Demolition _ Description Qty. Fel{ta.) Tatai Additiontalteration/replacement Other: _ New 1-&Z-I'amily dwelungs CATEGORY OF CONSTRUCTION . '-.• dudes udes 100 IL for eaeb utflity co neetion &2-Family dwellingSFR 1 Lath 249.20 Commercial/Industrial SFR 2 bath _ 350.00 Accessory Building _ ylulti-Family SFR(3)bath 399.00 Master Builder_ )thee Each additional balWkitchen 45.00 JOB SfrE INFORMATION..nd LOCATION _ Fire s rinkler-sq.ft.:� Pae 2 Job site addres_s: .:Z330 .i w Ct l/ mac.,-A. T Site Utilities Suite#: Bldg./Apt.#' Catch basin/arca drain 16.60 _ ProLct Name:: (,UH,:S f/sra WC�.4.k Jd'J- ,1+. DrywclUlcnch lineJtrcnch drain 16.60 ) Page2 Gross street(Directions to job site: fLF22t 2Edr. .,no.linear Manufactured home wilitics _ 110.00 ,St; 1.J -C 3 !s7-' �'�- Manholes _ 16.60 Rain drain connector 16.60 _ Sanitary sewer(no.linear fl Pae 2 _Subdivision' i,L)YUs Jcfs L0a_0_ I Lot#:,5Ci Storm sewer no.linear R. Pn e 2 Tax map/parcel#: , -_ Water service no.linear fl. i Page 2 DESCRIPTION OF WORK Fimtre or Item -Absorption valve 1_6.60 LCLtII�SC' G �Gi.GIG 101[� G(�)lC p, W _Backflow pLcLventrr Pae 2 Backwater valve 16.60 Clothes washer 16.60 _Dishwasher _---^� 16.60 Drinking fmintain 16,60 ROPERTY OWNER TENANT _ L'cctoNsum _ �- p --- -- Name: is �'fe. 6/c+�y1�S 16.60Er. Expansion _ _ 16.60 - Address: A 3O -&LL) &,a t Q..tuo 0 4nu Fixlurc!sewer cap -� 16.60 - Cit /State/Zip:L&V-r. C54AJ_e Cf JO_S Floor diainMoor sink/hub 1_1.60 y -' Garbage disposal - 16.50 Phone: Fax: Ilose bib 16.60_ PPLIT CONTACT PERSON [cc maker - 16.66 Name: &I C01 c amain tolercTtorlgreostrapT -_16.60 t�ddress:/. .70 O 4-W Yryt M Medical gas-value: S Page 2 City/State/Zip:-rJA_ .i_�4*Jf - Cl R: �j�JO(d �, Primer 16.60 _ Roof drain commercial M60 Pholle9d3 Ro9u_ Fax{. a Oa._ 0769 Sink/bas'n/lavato 16.60 `V E-mail: Tub/shower/shower pan !o.60 :CONTRACTOR Urinal _ -- _ 16.60 Business Name: w -Water closet 16.60 [.o.i'1G(SCC.�aOQ �1"C�Qr `� heater �16.60 Address: la--ani Su3 �ji -` 's;he,r��,� other - Cit /State/Zi :'T'Vt`A._a.#,6^1 �- S�R -rU(o� Other. PhoneSaZ WJ S9y.S' Fax:9)3 09a -_Qrj(o ________ Plumbline Pa►imlt Fees* CCB Lic. #: -7AIq Plumb. Lit. 7 So total S Authorizer! Minimum Permit Foe$72.50 S Residential Backflow Minim!nn Fee 536.25 - Signatur!- 11� (L'l�I_�(� - Date:- (�j Plan Review 25%off'"..it Fee S Ellen�C,���r Sd1te$tucharRe 8%of Permit Fee r (Please print name:) - - TOTAL PERMIT_FEE S^�j�/ Notice- This permit application expires If a!term!t b not obtained within Alt new commercW buildmRs require 2 seta or plans with isometric or 140 days alter it has been a•eepted as comploe. river diel ram ror plan review. •Fee meUiorlalapy,rt by Tri-County 4ullding Industry Service Roard. / ��� _ MASTER PERMIT CITY OF T'GA PERMIT#: MST2003-00397 DEVELOPMENT SERVICE: DATE ISSUED: 8/29/03 13125 SW Hall Blvd., Tigard. OR 97223 (503) 39-4171 SITE ADDRESS: 12330 SW KELLY LN PARCEL: 2S103CC-08300 SUBDIVISION: WHISTLER'S WALK ZONING: R-4.5 BLOCK: LOT: 030 JURISDICTION: 116 REMARKS: Const. new SF detached residence. BUILDING REISSUE: DM134 STORIES: FLOOR AREAS REQUIRED SETBACKS REOUIREC CLASR )F WORK: KEW HEIGHT: 1 FIRST: .,:I1 sf BASEMENT: sf LEFT: SMOKE DETECTORSY TYPE OF USE: SF FLOOR LOAD: 4n SECOND: I u,1H at GARAGE: ',Ili of FRONT PARKING SPACES: TYPE OF CONST: CN DWELLING UNITS. TRRo sf RIGHT 5 p I,r,:vt3ii OCCUPANCY GRt': R3 BORM: ,> BATH: TOTAL �'1; VALUE:iI sl REAR: I(� PLUMBING SINKS, I WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: WO 'RAPS: LAVAICRIES: 4 DISHWASHERS: i FLOOR DRAINS: SEWER LINES: 100 SF-RAIN DRAINS. I CATCH BASINS: TUB/SHOWERS: 4 GARBAGE DISP 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR- GREASE TRAPS: OTHER FIXTURES: MECHANICAL _ FUEL TYPES _ FURN<100K: BOILICMP<3HP:� VENT FANS I CLOTHES DRYER. 1 r,Ag FURN—100K 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP. hip FLOOR FURNANCE.S. VENTS: 1 WOODSTOVES- GAS OUTLETS: I _ ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS A'01 INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FDR PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 6 201 - 400 amp: 201 400 amp: 1st WIO SVC/FDR SIGN/OUT LIN IT. PER HOUR LIMITED ENERGY: 401 • 600 amp: 101 600 amp: EA ADDL SR CIR SIGNAL/PANEL: IN PLANT. MANU HMISVCIFDP.: 601 - 1000 amp: 501♦amps-1000v: MINOR LABEL: 1000 amplvolt: I PLAN REVIEW SECTION Reconnect only: —4 RES UNITS: SVC/FDR--225 A.. >600 V NOMINAL: CLS AREAISPC OCC ELECTRICAL•RESTRICTED ENERGY A,SF RESIDENTIAL 0.COMMERCIAL AUDIO&STEREO VACUUM SYSTEM: AUDIO R STEREO: FIRE ALARM. INTERCOMWAGING: OUTDOOR LNDSC 1.1' BURGLAR ALARM OTH: BOILER: HVAC. LANDSCAPEIIRRIG: PROTECTIVE SIGNL: PAR%GE OPENER CLOAK: INSI RUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL a SYSTEMS: Owner. Contractor: TOTAL. FEES. $ 5,708.0E This permit is subject to the R:gulations contained in the DON MORRISETTE HOMES DON MORISSETTE F40MES INC Tigard Municipal Code,State of OR Specialty Codes and 5000 SW MEADOWS RD 4230 GALEWOOD ST,STE 100 all other applicable laws All wcrk will be dine in SUITE 151 LAKE OSWEGO,OR 97035 accordance with approved plans This permit will expire if LAKE OSWEGO,OR 97035 work is not started within 180 days of issuance or if the work is suspended for more than 180 days ATTLNTION. Oregon law requires YOU to follow rules adopted by the Phone: Phone: Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 thrcugh 952-001-0080 You Rena: �y 3R7'7 may obtain copies of these rules or direct questions to OUNC by calling(503)246 1987 a REQUIRED INSPECTIONS Erosion Control Insp 84 Post/Beam Mechanica Plumb Top Out Exterior Sheathing Insl Gyp h)arH Insp AppNSdwlk Insp Sewer Inspection Underfloor insulation Electrical Service Low Voltage Rain drain Insp Electrical Final Footing Insp Crawl Draln/Backwater Electrical Rough In Gas Line Insp Storm drain Insp Mechanical Final Foundation Insp PLM/Underfloor Framing Insp Gas Fireplace Water Line Insp Plumb Final PostiBeam Structural Mechanical Insp Shear Wall Insp Insulation Insp Water Service Insp Building Final I � Issued By :: . > _ �h _ Permittee Signature`r 4_ Call (50. 639-4175 by 7:00 p.m. for an inspection deeded the next business day ter_ CITYOF TIGA.RD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2003-00302 13125 SW Hall Blvd.,Tigard, OR 9)223 (503) 639-4171 DATE ISSUED: 8/29/03 PARCEL: 2S103CC-08300 SITE ADnRESS; 12330 SW KELLY LN SUBDIVISION: WIIISIII,k'SX AIK ZONING: IZ-4.5 BLOCK: LOT: 030 JURISDICTION: II(i TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF detached dwelling. Owner: FEES DON MORRISETTE HOMES Description Date Amount 3000 SW MEADOWS RD SUITE 151 1SWUSA) Swr Connect 8/29/03 $2,400.00 LAKE OSWEGO, OR 97035 ISWUSAI Swr Connect 8/29/03 $0.00 Phone: ISWINSI11 Sm Inspect 8/29/03 $35.00 ISWINSI'j ti\%r Inspect 8!29/03 $0.00 Contractor: - --� ---- — -- -— Total $2,435.00 Phone: Reg #: Required Inspections This Applicant agrees to comply with all tee rules ane' regulations of the Ck in Water Services. The permit expires 180 days from the date issued The total amount paid will be forfeited if the pe .,iit expires The Agency does not guarantee the accuracy of the side sewer laterals 'f the sewer is not locF,tec. at the measurement given, the installer shall prospect 3 feet in all directions iron the distance given If not so Iccateo, the installer shall purchase a"Tap and Side Sewer' Permit and the Agency rill it stall a literal 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 952-001-0100. You may obtain copies of these rules or direct questions, to OUNC by calling (503) 246-6699 Issued by: _ �Y"YL �'� Permittee Signature " - -- Call (503) 39-41 i5 i; 7:00 P.M. for an inspccti:on needed the next business day CITYOF TIGARD PLUMBING PERMIT _ DEVELOPMENT SERVICES PERMIT#: PLM2003-00610 13125 SW Hall Blv,+ , Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1^/9/03 SITE ADDRESS: 12330 SW KELLY LN PARCEL: 2S103CC-08300 SUBDIVISION: WHISTLER'S WALK ZONING: R-4.5 BLOCK: LOT: 030 JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFL JW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: _ FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: �— SINKS: URINALS: GREACE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: L7stall irrigation backflow preventer. F'EJ Owner: =---- ____ --._ -- Description Date Amount DON MORRISETTE HOMES ---' 5000 SW MEADOWS RD iI'I I %M1 I'IArnui I cc 12/9/03 $36.25 SUITE 15' i I,t\i ,� si,uc 12/9/03 $2.90 LAKE OSWEGO, OR 97035 Total $39.15 Phone : Contractor: LANDSCAPE OREGON, INC. '1 2200 SW MYSL ONY RD. T JALATIN, OR 97062 REQUIRED INSPECTIONS Phone : 503-0921-5945 RP/Backflow Preventer Final Inspection Reg #: I IC LCB: 7904 III.M ALL PHS+SFS-PLL This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OF, Specialty Codes and all other applicable laws. All work will be done in ;accordance '.v,,h approved pl.. :is. This permit will expire if work is not started within 180 days of issuance, or if work is .suspended for more than 180 days ATTENTION Oregon law regUires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 9520001-0010 through OAR 952-0001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246.6699. Issued By: �4-c �sl� - l --_- Permittee Signature: CTII (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day ) CITY OF TIGARD Residential. Ct rtificate O f* Occupancv Permit No.: 3 -yo3 9 ,'7 Addre Owner/Contractor: -1"'r �'c -S _______. .._ Date of Final Inspection: �z�/�f inspector: This structure has been found to be in substantial compliance with the prnvisio, ;of the State of Oregon One& Two Family V"elling S erialty Code and is hereby approved for occupancy.