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12321 SW QUAIL CREEK LANE i -12321 SW Quail Creek Lane CI'T'Y OF T'IGARD 24-Hour Inspection Line: (503)639-4175 /r� /" BUILDING G /`/V/ MST) INSPECTION DIVISION Business Line: (503)639-1171 BLIP Received Date Requested -� _5y AM- - PM BUP -- Location _ f�-- Z I c�C Ld.'�1� cf� �6uite--- MEC Contact Person Ph(.___) PLM ' �2� - - Contractor___-___ Ph( _) — SJVR BUILDING Tenant/Owner -_ —.--- ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain SIT -- Slab Inspection Notes: Post&Beam - - Shear Anchors Ext Sheath/Shear Int Sheath/Shoat Framing �- Insulation Drywall Nailing /y -- ----- Firewall �- _ � DI-J'-`7 Fire Sprinkler Fire Alarm _ Susp'd Ceiling Roof Other: - Q Final - - - -- ----_��.-- w PASS PART FAIL PLUMBING ( _' _ -�- ---------- - Post&Beam Under Slab --- -- - - Rough-In Water Service --- ----"" -- - Sanitary Sewer Rain Drains -- -- Catch Basin/Manhole i -- Storm Drain - --` - --"-- Shower n Other: SS PART FAIL A_NICAL ----- Post& Beam - Rough-In - ------ - Gas Line Smoke Dampers -- - -- ----- - --- _ --- Final --- PASS PART FAIL ----- E_LECTRICAL _ ------------ - - - Service - Rough-In - ----- - -------"__- UG/Slab _ Low Voltage �- Fire Alarm Final Reinspection fee of$ __-required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART_ FAIL_ Please call for reinspection RE: — _ �� Unable to it-no ac s Fire Supply Line ADA b y - EXt Approach/Sidewalk Date .. _ Inspector Approac JGCT Other: Final DO NOT REMOVE this Inspertion roe %srd farm the job site. PASS PART FAIL_ CITY OF TIGARD 24-Hour BUILMNG inspection Line: (503) 6394175 MST �.--� S" 7 Z INSPECTION DIVISION Business Line: (503) 639.4171 BLIP Received . --.----Date Requested -2 —d-5— AM PM_ BLIP Location [ L I Gam' uite. MEC Contact Person ._ _ Ph ) ,-y �i y�3S PLM Contractor _-_ — Ph ( _) __ __ SWR BUILDING _ _ Tenant/Owner _ - Footing — - - ELC Foundation E LC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors ------ — " Ext Sheath/Shear w _ Int Sheath/Shear Framing --- --_ — Insulation Drywall Nailing ---_-- --- -� -- Firewall �� L Fire Sprinkler - — ��i1_ --+�= Fire Alarm L'Q LA 0 I T4 on A A Susp'd Ceiling Roof Other:_ Final PASS PART FAIL _ PLUMBING Post&Beam Under Slab --- Rough.In Water Service Sanitary Sewer Rain Drains - Catch Rasin/Manhole Storm Drain - - Shower Pan Other. ___ —- — - -- — - - ---- -- Final -- _ PASS PART FAIL —_ — — --- MEC_HANICAL Post& Bearn _-- Rough-In --___---- ----- ------ Gas LInP ---- Smoke Dampers -- -----------.__—___—�.— _— -------.—_-_- -- Final PASS PART FAIL ELECTRICAL Service -- ------ Rough-In _ UG/Slab Low Voltage ,p4 ---------- — ------- — Fire Alarm ANO jffSS PARFAIL Reinspection fee of$____ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. _ Please call for reinspection RE:— _ Unable to inspect-no access Fire Supply Line ) Approach/Sidewalk Date `� _"� r` L Inspertof i lex'-l��` EXZ Other: Final - --�— DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL kh'AAAAAAIAAAAAAAAAAAAAAI►�►AAAAAAAAAA®J►AAAAAAAA pr g -- _ r 4-1 ► � w ► Ks�j f O p +A 1 o b i4 ► � � , '� o � w w ► Oki _ L � ► ► a - z a [� H ► -4 F1 ,, < ► A -4 .J -4 rn -4 ► '4 , ► ► J M ► N D pp. a � ► u � __ rveeeeeeeieee�ee� eeeeeeesvivivvvv**T eeeeeei CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BLIP ------ -- Date Requested_ Z - -2 - c7 -- AM-------.PM _ _. BLp Location_-_ 7'3 Z1 `' i� l h r c- �'�'' � Suite _---- MEC --------- Contact Person --_-_ ___ Ph _ --_--_-__-- PUM Contractor _. -_ ---- Ph ------- SWR - ---- -- BUILDING Tenant/Owner - --v ELC Retaining Wall [LR -- - -----___-- Footing Access: FPS Foundation Ftg Drain — — SGN Crawl Drain Inspection Notes. Slab - -- ---- ----....-- - - ----- -- --- - --- SIT — --- Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing -- - — - — -- Insulation Drywall Nailing - -- --- ----- -- - - - -- - - Firewall Fire Sprinkler - - - -- - - Fire Alarm Susp'd Ceiling -- - Roof Mac: _ -- Fina AS PART FAIL - MBING Post&Beam Under Slab - - Top Out Water Service Sanitary Sewer Rain Drains Final PASS--P RT FAIL MECHANICA Post" BeamRough In Gas Line Smoke Dampers in AS. � PART FAIL ELECTRICAL Service Rough In UG/Slab ------- Low ----Low Voltage Fire.Alarm - -----��—-- --.-� �- Final PASS PART FAIL - --`--- - SITE Backfill/Grading Sanitary Sewer Storn.Drain [ )Reinspection fee of$ required before next inspection Pay at City Hall, 13125^:N Hal!BI.d Catch Basin I ) PI.•ase call for reinspection RE -_ _—_- _-_ __ [ )Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date �� Ins ect�r �j __ Ext _ ?- �� 2.-__ P Other — Fina! PASS PART FAIL DO NOT REMOVE this inspection record from the job site. PLUMBING PERMIT DEVELOPMENT' SERVICE __ \ CITY �� ®S PERMIT#: P002-00058 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: PLM2LM2002 PARCEL: 2S103CB-08100 SITE ADDRESS: 12321 SW QUAIL CREEK LN SUBDIVISION: QUAIL HOLLOW- EAST ZONING: R-4.5 _BLOCK: LOT: 030 JURISDICTION: TIG _ CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: — SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUBISHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Residential irrigation backflow prevention device. FEES _ Owner: — Type By Date Amount Receipt DON MORRISSETTE PRMT CTR 2/22/2002 $36.25 27200200000 4230 SW GALEWOOD ST. 5PCT CTR 2/22/2002 $2.90 27200200000 LAKE OSWEGO, OR 97034 _ Total $39.15 Phone 1: Contractor: PROGRASS LANDSCAPE SERVICES 29895 SW KINSMAN RD WILSONVILLE, OR 97070 REQUIRED INSPECTIONS Phone 1: 682-6076 Final Inspection Reg #: LIC 6136 PLM 11558 This pert-nit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. 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 requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. % Permittee Si, nature: `" k / Issued By: 9 — --- Call (503) 9-4175 by 7:00 P.M. for an inspection needed the next business day ., '7 1"Jumlaing Permit Application Permitno.; (,qty of Tigard �gQQ �2�...D Sewer permit no.: Building permit no.: ��qAddress: 13125 SW Hall lv Project/appl.no.: Expire date: c'irvofTigard Phone: (503) (39-4171 ) By; Recuiptno.: Fax: (503) 598-1960 �r'j f 0 ?DOC Date issued: Case file no.: Payment type; Land use approval: CITY QF TIGAEQ 1 ' U Multi-family 17 Tenant-.-nprovement L l family dwelling or accessory U Commercial industrial ❑(iii,. r. construction 0 Add ition/alteration/replacement El Food service R 1 „ ,, _ � 11 IT 1t l cc(ca.) Total ])CBCs: tion Job address: ,' l.� t t' a,t.t C*C-L, �•/Y�lG crNew 1 and 2-family dwellings only: Bldg.no.: SttJ to no.: (includes 100 ft.for each utility connection) Tax map/tax lot/account no.: SFR(l)hath Lot: Block:Block: Subdivision tae u__J� t)w' SFR.(2)bath - SFR(3)bath Project name:(':l (�} (� t ' 30 Each additional bath/kitchen City/county: 7). {' a.t.'1 G�_ ZIP: CI.._„ , site utilities: Desc tion and location qon premises: Catch basin/area drain �f.}�fjgW MV-)1( Drywells/leach line%trtnchd! rain Est.date of compledowinspection: Footin drain(no.lin.ft-2)- rFE11mmilylityllul anufactured home utilities Manholes r Business name: Rain drain connector Address:�9�l`1 S SW ZIP: -70 d Sanitary sewer(',Io.lin.ft.) .. C .11 ity: j �a�nu,_� G StateG E-mail: Storm sewer(v�.lin.ft.) Phone:fc�d'Int)? 411 Fax: $ -qB7 Water service(no.lin.ft.) -- CCB no.: 13(o Plumb.bus.reg.no: Fixture or item: City/metro lic.no.: 003,'7 Absorption valve 7 S Contractor's representative signature: L Cin- 1— .r— Back flow prevewer — I tat a Backwater valve Print name: eI S Y p tA_ Basins/lavato 1 CIO les washer Name: kri _ ��►'�t�-1 Dishwasher -- - Address: ?q5 4W Drinkin fountains) City: 0% liG State:off, ZIP: 0 E'ectors/sump Phone:(DKa-1o0'No Fax•(0ta• QV 7 E-mail: Ex ansio—n tank Fixture/sewer cap �/,� Floor drains/floor sinks/hub Name(print):1)0yJ SStf_f4—, _fill< Garbage disposal Mailing address�y�.30 4W1.3 enc) ST �Ct� t r+U Nose bibb ty L� State: 1F ZIP:r{1 cemaker Phone: Fax: E-mail: Interceptor/grease tra P ione: installatiott/residcntial maintenance only: The actu1.111111111111111111 al installation Primer(s) will NN er made by me or the maintenance and repair made by my regular Roof drain(commercial) OR Chapter employee on the property I own as per r ate: Sum batsin(s), ays(s) Dace: Owner's signature, - -- T rinashower/shower an Urinal Name: _ ater c oset ;Vater heater Address: - ZIP. Other: City: _ State: Fax: E-mail: Tota Phone: Minimum fee................$ Not all Jur{sdicdoos accept credit crude,Please call Jurisdiction for more Inrormulon• Notice:This permit application Plan review(at _ %) $ �-- ❑Visa U MasterCard expires if a permit is not obtained State surcharge(8%) ....$ / / _ within 180 days after it hes been TOTAL -- Credit cud number: Expires accepted as complete. Nuns 01 e of u shown one t c S "o.1616(WDICOM) C r d store Amount PLUMBING PERMIT FEES: �;•,.. y,. - i'kICE i O AL" rNevid tifwa Fir FFIX-tlJR ,r � -- - uTY. 1660 .tt I. ts,a ur �+ a ink �� Z .. 16.60 One 1 bath $249.20 Tub or Tub/Shower Comb, 16.60 Two 2 bath $350.00 _ Shower Only 16.60 Three 3 bath $399.00 1 _ Water Closet 16.60 SUBTOTAL Urinal 16.60 8Y•STATE SURCHARGE + Dishwasher 16.80 25%OF PLAN REVIEW SUBTOTAL ' y --- --.__ TOTAL Garbage Disposal _ 16.60 - Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 21' 16.80 �" - 16.60 - PLEASE COMPLETE: 4- 16.60 k r y z;a: ';;►tQt riIII C;bT b bT P6 Water Heater O conversion O like kind 16.60 "I {urs:7yp �'N� . "'ved/ . Gas piping requires a separate mechanical , _ rg J;d J ennit. Sink -- MFG Home New Water Service 46.40 Lavatory MFG Home New SaNStorm Sewer 46.40 Tub or Tub/Shower Hose Bibs 16.60 Combination Roof Drains 16.60 Shower Onl 16.60 Water Closet - Drinking Fountaln Urinal Other Fixtures(Specify) 16.60 Dishwasher Gar bage Dls osal Laund Room Tra Washing Machine Floor Drain/Sink:2" Sewer-1 at 100' 55.00 3" Sewer-each additional 100' 46.40 Water Heater 4" 55.00 Water Service-let 100' Other Fixtures L[ Water Service-each additional 200' 46.40 S eci 9tonn&Rain Drain-1st 100' 55.00 Storm&Rain Drain-each additional 100' 46.40 Commercial Back Flow Prevention Device 46.40 Residential Backflow Prevention Device' 27.55 Catch Basin 16.60 -- Inspection of Existing Plumbing or Specially 72.50 Requested Inspections erlhr COMMENTS REGARDING ABOVE. Rain Drain,single family dwelling 85.25 __--- Grease Traps 18'80 QUANTITY TOTAL Isometric or riser diagram Is required It _ -- -- -- Quantity Total Is >!_-- ,SUBTOTAL 8%STATE SURCHARGE a"90 "PLAN REVIEW 25%OF SUBTOTAL Required only If fixture qty.total is>as TOTAL J _ . "Minimum per nit fee la$72 50+8%state surcharge.except Residential Rackllow Prevention C evice,which Is$38 25•s%state surcharge ~All New Commercial Buildings require plane with Isometric or riser diagram and plan review, I:\dsts\forms\plm-fees.doc 10/10/00 MASTE ERMIT C14TY OF TIGARD PERMIT : MST2 PERMIT #: MST2001-00572 DEVELOPMENT SERVICES DATE ISSUED: 12112./01 13125 SW Hall Blvd., Tigard OR 97223 (503) 639-4171 SITE ADDRESS: 12321 SW QUAIL CREEK LN PARCEL: 2S103CB-08100 SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R-4.5 BLOCK: LOT:030 JURISDICTION: TIG REMARKS: Construction of new SF detached residence.Path 1 BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,570 of BASEMENT: of LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.620 of GARAGE: 617 of FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: of RIGHT: 5 VALVE: S 305.666.50 OCCUPANCY GRP: R3 BORM: 5 BATH: 3 TOTAL: 3.190.00 of REAR: 25 PLUMBING _ SINKS: 1 WATER CLOSETS: 3 W iSHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: I CATCH BASINS: TUBISHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES. MECHANICAL FUEL TYPES FURN<100K: BOIUCMP<3HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN>•100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAI.UNIT SERVICE FEEDER TEMP SRVC'FEEOERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LLSS: 1 0 200 amp: 0 200 amp: WISVC OR FOR: 1 PUMP/IRRIGATION: PER INSPECTION: EA ADD'I R'oSF: 6 201 •400 amp: 201 400 amp: 101 WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 •600 amp: EA ADDL OR CIR: SIGNAUPANEL: IN PLANT: MANU HMISVCIFDR: 601 - 1000 amp: 601+ampo•1000v: MINOR LABEL 1000+omplvolt: PLAN REVIEW SECTION Reconnect only: a=4 RES UNITS: SVCIFDR>•225 A.: >600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY _ _ A.SF RESIDENTIAL B.COMMERCIAL AUDIO R STEREO: VACUUM SYSTEM: AUDIO S STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: 0TH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGN!.: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATArrELE COMM: NURSE CALLS: TOTAL,N SYSTEMS: TOTAL FEES: $ 5,492.68 Owner: Contractor: This permit is subject to the regulations contained In the DON MORRISSETTE DON MORISSETTE HOMES Tigard Municipal Code,State of OR. Specialty Codes and 4230 SW GALEWOOD ST. 4230 GALEWOOD STREET all other applicable laws. All work will be done In LAKE OSWEGO,OR 97034 SUITE 100 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. ATTENTION: Phone: Phone: Oregon law requ res you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Rag N: LIC 35511 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 MechanIca Plumb Top Out Exterior Sheathing Inst Rain drain Insp Final inspection Sewer Inspection Underfloor insulation E;ectrical Service Low Voltage Appr/Sdwlk Insp Footing Insp Crawl Drain/Backwater Electrical Rough In Gas Line Insp Electrical Final Foundation Insp Footing/Foundation On Framing Insp Gas Fireplace Mechanical Final Post/Bearr Structural PLM/Underfloor Shear Wall Insp Insulation Insp Plumb Final Issuer: By : t __ �r= Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an Inspection needed the next business day Building Permit Application '^ Date received: _ I —Q Permit no.: - ?;-- City of Tigard f'roJccUappl.no.: Expire date: Address. 13125 SW Hall Blvd,Tigard,OR�223 -- City of Tigard Phone: (503) 639-4171 Date issued: B" 1 Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2 family:Simple Complex: ❑ 1 &2 family dwelling or accessory 17 Commercial/industrial 0 Multi-family y ' New construction U Demolition U Addition/alt nr►tion/rep;ac:ement U Tcnant improvement 'J fire sprinklcr/alarm U Other: Job address: ( }� V 1l 2' V' t l K i Bldg.no.: Suite na: Lot: Block: ISubdivisiow. (, t Tax map/tax lot/account no.: Project name: Description and location of work on premises/special conditions: Mailing address: %L�) 1&2 family dweWng: `r gneie's; State ZIP: _2_ Valuation of work........................................ $ -jamG6 e mail: No.of bedrooms/baths..........................representative: Total number of floors................................. _ Phone: rax: — F"-mail: New dwelling area(sq.ft.) .......................... Garage/carport area(sq.ft.)......................... Name: 1 Covered porch area(sq.ft.) Mailing address: Deck area(sq. ft.) ........................................ State: ZIP: Other structure arca(sq.ft.).................I....... _ City' Commereial/Lndustrial/multi-family: Phone: Valuation of work............................... ........ S_, Existing bldg.area(sq, ft.) ........... Business name: V161 1, New bldg.aura(sq.ft.) ........... _—__.-- Address: Number of stories City: State: ZIP: -- -- --- Type of construction.................................. Phone: ax:._ FE-mail: Occupancy group(s): Existing: CCB no.: New: City/mew lic.no.: Notice:All contractors and subcontractors are required to be 16 1 Utulb-106.1 licensed with the licegon Construction Contractors Board under lAd7Ldress: 1, q Y.. (' provisions of ORS 701 and may be required to be licensed in the �� [�. —_ Jurisdiction where work is being performed.If the applicant is t : State: ZIP: exempt from licensing,the following reason applies: Contact person: flan no.: -- -- Phone: I . Y. E-mail: '-- - Name: Contact person: Fees due upon application ........................... $ Address: _ Date received: — — City: tate: ZIP: Amount received ......................................... $_ -- - -- Phone: J rax: Email: Please refer to fee schedule. 1 hereby certify I have read and examined this application and the Nd all juriadictionu weep credir cwt, please call junsdicuon for mexe infermetion attached checklist. rovisions of laws and o inances governing this U Visa U MasterCard work will be compl wt ,whether cifi er or no Credit card number L !e (�t apirei Authorized Si natu 1 late: Name of cardholder u rhown on credit cal s Print name:_ Ca�Nclef ripature _ Amnuni Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted as complete. 4404611(NOWOM) 0 — — 1 One-and Two-Family Dwelling Building Permit Application Checklist Reference no.: Associated permits: City of Tigard City of Tigard O Electrical ❑PlumbingU Mechanical Address: 13125 SW Hall Blvd,Tigard,OR 97223 Cl Other: Phone; (503) 639-4171 Fax: (503) 598-1960 THE' FOLLOWING ITEMS A11111-:11EQUIRE11) FOR PLAN RE�1,11--Iv Ves No N/A 1 Land use actions completed.See jurisdiction criteria for concurrent renews. _ 2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc. 3 Verification of approved platilot. 4 Fire district approval required. 5 Septic system permit or authorization for remodel.Existing system capLrity_ 6 Sewer permit. 7 Water district approval. _ 8 Soils report.Must carry original applicable stamp and signature on file or with application. 9 Erosion control U plan U permit required.Include drainage-way protection,silt fence design and location of catch-basin protection,etc. _ 10 3 Complete sets of legible plans.Must be drawn to scale,showing conformance to applicable local and state building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed k/ if copyright violations exist. '__F1_ Sitelplot plan drawn to scale.The plan must show lot and building setback dimensions;property corner elevations(if there is mote than a 4-ft.elevation differential,plan must show contour lines at 2-ft.i,rervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator,lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size and location. 13 Floor plans.Show all dimen^ions,room identification,window size,location of smoke detectors,water heater, furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(i)and details.Show all framing-member sizes and spacing such as floor beams,headers,joists,su"oor, wall construction,roof construction.More than one cross section may be required to clearly portray construction.Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs, fireplace construction, thermal insulation,etc, J` 15 Elevation views.Provide elevations for new construction;minimum of two elevat,.,os for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-site sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plana.Must indicate details and locations;for non-prescriptive ath analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing.Provide plans for all noors/roof assemblies,indicating member sizing,spacing,and hearing locations.Show attic ventilation. 18 Basement and retaining walls.Provide cross sections and details showing placement of rebar.For engineered systems,see item 22,"Engineer's calculations." 19 Beam calculations.Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any beant/joist carrying a non-uniform lost 20 Manufactured floor/roof trtm design details. 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required for four or more appliances. 22 Engineer's calculations.When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or architect licensed in Oregon and shall be shown to be applicable to the project under review. 23 Five(5)site plans arc required for Item I 1 above. Site plans must be 8-1/2"x 11"or 11"x 17". 24 Two(2)sets each are required for Items 16, 19,20&22 above. 25 Building plans shall not contain red lines or tape-ons. 26 No rolled,reversed or mirrored building plans will be accepted. 27 28 Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only. 44o-4614(60MCOM) Mechanical Permit Application Date received: Permit no.. City of Tigard Projecl/appl.no.: Expire dale: City(f Tigard Address: 13125 SW Hall Blvd.Tigard,OR 97223 Date issued: By: Receipt no, Phone: (503) 6394171 — Fax: (503) 598-1960 Case file no.: Payment type: — Land use approval: _ Building permit no.: t jam i1 &2 family dwelling or accessoty la Commercial/industnal O '4ulti-f.`unily O Tenant improvement Uri ❑Adclition/ai+cration/replacement ❑Other. It13 I 1*10%-01JO Fil ILL, t Job address: '� �I L 1, t� t - 1 • Indicate equipment quantities in boxes below.Indicate the dollar Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot account no.: profit.Value$ Lot: Blcx k: Subdivision: l >l�t 'See checklist for important application information and jurisdiction's fee schedule for residential permit fee. Project name: City/county: ZIP: ) x t Description and location of work on premises: t r I I x' + t s t w t x t Est.date of completion inspection: i Description (ry. H acs.only Rm.onl+ HVA—C Tenant improvement or change of use: Air handling unit Is existing space heated or conditioned?O Yes O No Air con i orung(site plan required) Is existing space insulated?C]Yes C]No Alteration of existing HVAC system Boiler compressors State boiler permit no.: Business name: 1 HP Tons BTU[" Address: _ IiUper smo a ams/duct smoke detectors City:' L>fY�� State- 71P: eatpump(sitepan ur ) Phone: Fax: Email: install/replace rnac urner / �7 -- --- Including ductwork/vent liner O Yes O No CCB no.: _ Install/replace/re ceateeaters-suspend, City/metro lic. no.: N/A wall,or floor mounted Name(please print): Vent for appliance other than urnace Refrigeration: c� ,, Absorption units _ BTUM Name: ` �Jy. VIVA - -- Chillers_ . HP - -- Comri-ssors _ HP Address: L t; t _ ___. Ear onmen(al exhaust an •enti at nn: City: State: ZIP: Appliancevent Phone — Fax F-mail: Dryerexhaust s, ype res. ache azmat hood fire suppression system — Name: Y_l^ t ' Exhaust fan with single duct(bath fans) _ Mailing address: l �,' Exhaust systema art from heaun or AC Fuel piping an 1st ut on(up to 4 outlets) City: State- ZIPType: LP(; NO Oil Phone: 7' Fax 1 [Tud1: Fuel piping each a Itiona over 4 out ets Process piping(schematic required) Number of outlets Name: ter tel app ance or equ pment: Address: _ Decorative fireplace City: _ State: Zip: nsen-ty stove/pe let stove Phone: Fax: F•mail: ,e Applicant's signotu Date: ` l l ) ter. Name(print) ,' .t1:C1t.11�—�-- Permit fee.....................E No ail juneticuoru accept credit carte.pie-ase call Iuriulkuon rur nxxe Intormn+on Notice:This permit application Minimum fee................$ U Visa u MasterCard expires if a permit is not obtained Credit cod number _ _ — within 190 days after it has been Plan review(at (8 96) $ - Expires > State surcharge(896)....S ._. .— Name or cardholder u shown on cmdit card accepted as complete. Cardholder eiRnmum Amount 440-1617(6rMMM) Plumbing Permit Application —'— Datereceived: Permit no.:ji r; - City of Tigard Sewer permit no.: Building permit no.: Ad'-ess: 13125 SW Hall Blvd,Tigard,OR 97223 City ojTigara 1 Phone: (503) 639-4171 ��aPP! no Expire date: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: Case rite no.: Payment type: U I &2 family dwelling or accessory a Commercial/industrial O Multi-family ❑Tenant improvement ew construction O tiditirn/alterauon/replacemeirt O Fo"J service O Other LISnAlillmorl t + - S Job address: `� J;),� rILU 1 4t( �-rl + Description Qh'• Fee(ea•) Total Bldg.no.: Suite no.: New I-and 2-[!roily dweWngs only: (Includes 100 ft.for each udUty coonectiou) Tax map/tax lot/account no.: SFR(1)bath _ Lot» Block: I Subdivision: 1 SFR(2)bath Project name: SFR(3)bath City/county: ZIP Each additional badulutchen Description and location of work on premises: Site utilities: Catch basit)larea drain Est.date of complebonrnspection: ' Drywells/leach lineltrench drain oniiiiiiii Footing drain(no.lin.ft.) Manufactured home utilities Business name N L Manholes Address: Rain drain connector City: State ZIP: Sanitary sewer(no.lin. ft.) Phone: -� tr. Fax: E-mail: Storm sewer(no.lin.ft.) Water service(no.lin.ft.) CCB no.: -7 L1-7 Plumb.bus. reg. no: - Elxture or item: City/metro Tic. no.:NiAi'�-� - Absorption valve Contractor's representative signature Back flow preventer ` Print name: }� U t Backwater valve Basins4avatory ` tis-1 `�� I. ` Clothes washer Name•`1 � h�� -- Dishwasher Address: Ir "V Dnnkine fountains) City: — State: ZIP: E)ectorslsump Phone: Fax: E-mail: E%pansion Luk Fixture/sewer cap Floor drains/floor sinks/hub Name (p 'dies �� Garbage dtspe�al Mailing address. Hose blob City: � State ZIP: Ice maker Phone: - Fax: 7-7ki E-mail: Interceptorigrew.e trap Owner instagadoalresidendal maintenance only: The actual installation Pnmens) _ will be made by me or the maintemurce and repair made by my regular Root drain(corrin- rciai) employee on the property I own as per ORS Chapter 447. Slnk(si.basinist,lays(sl Owner's signature: _ Date: Sum Tubs/shower/shower pan llnnal Name _ Water closet _ Address: _ Waterheater Cit} tate. ZIP i Usher Phone. Falc: — E-mail. Total Na alt uns&bctiwu accr credit cards.please call un"cuon tit mon mtamition Minimum fee............ ) s ) p i Notice This p�m)it application Pl;in review(at —,.. ck) S 0 Visa U 143slerCud e.xpi•e3 if.1 permit is not obulned State surcharge(8%) ....$ —_----- Credit cud number _ ap rr,_-- within 180 da.s aner it has been u:eptrd as complete TOTAL .......................S _.—_.--- N.une olcardholder v ihown on credtl card $ Cardholder Signature Am+wnt 440.4616(600com) Electric.-M Permit Application —� Date received: Pcrrttit no.: City of Tigard Projeet/appl.no.: Expiredate: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 9722; Date issued: t)y:_ cipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: 1 f aym ,r type: Land use approval: 1 � I &2 family dwelling or accessory 0 Commerciallindustrial U Multi-family U'Tenant improvement New construction 0 Addition/alteration/replacement U Other. ^__ U Partial .1011 SITE INFORNIATION Job address-. A-tFv dg.no.: Suite n� Tax map/tax lot/account r j.: Lpt: I Block: Subdivision: Project name: -I Description and location of work on premises: Estimated date of completion/inspection: FEE SGIEDULM Job no: Fee fAX t�� - Descriptloo qty. lea 1 Total no.In+p Business name: � ,�� New residential-single or ttashi-family per _ 1� ' Address: •�1t-rte_- _ � dwrtlrtqurtit.lnctudesattactredkaragr. City: State: ZIP: tcl Serviceituded: 1000 sq.ft.or less 4 Phone: -j- I Fax: E-mail: — - Exit additional 500 sq.ft.or portion thereof _ CCB no. °Itrc bus.tic.no: Urruted energy,residential _ 2 _ C; Uttuted,nergy,nou-residential 2 J J ^+ Each manufactured bottle of mcxlulu dwelling court o ser ervrstn rfectrlclService mid/or feeder an(required) Date license no Services or feeders-IrtslallaUon, Su .elect name(print) 1 alteration or relocation: 200 amps or less 2 201 amps to 400 amps 2 Name (pl int)• ` 401 amps to 600 amps 2 Mailing address: 7 b 601 amps to 1000 amps 2 City: s State ZIP: Over 1000 u21-0-01's 2 Phone: - Farr =-] :-mail Reconnect only Owner Installation:The installation is being made on property I own Temporary services or freders- which is not intended for sale. lease. rent,or exchange according to installation,alteration,orrelurtstion: 2 200 amps or less _ - ORS 447,455,479,670, 201 amps to 400 amps 2 — Owncr's signature: Date: 401 to 60o amps 2 1 Branch eirrults-new,dtrntion, B extension per panel: Name: _ A. Fee for branch circuits with vurchue of Addressservice or feeder fee,each branch circuit City: State: ZIP B Fee for branch circuits without purchase --- of service or feeder fee,first branch circuit: 2 Phone: (',x; E-mall: Eachaddiuonalbranch circuit, Mise.(Service or feeder not included): Each punt or irrigation circle 2 Q Service over 225 amps-commercial 0 Health-care facility - - - - 2 Ll Service over 320 amps-rating of 1&2 0 Hazardous location Each signor oadtne lighting farnilydwellings 0 Building over 10,000 square feet four or Signal circuit(sl or a limited energy panel, U System over 600 volts nominal more naidential units in one a.tucture alteration,or extension' U Building over three stories 0 Feeders,400&nips or moire 'Nscn tion _ - U Occupant load over 99 pemons U Alanutactured structures or RV park Each additional inspection over the allowable In any or the above: U Egress/lightingplan 0 other �� Per inspecuon ��— Submit_sets of plans with any of the above. Investigation fee The:+bore are not applicable to temporary construction service. Other _ Permit fee..................... s per.lit cation Not all ju„ f- MasterCard cards,please call jurisdiction for mare infornnton expires if at permit is nottobWined Plan review(at _ %) O I &edit card mM ^nr _1-1__ within ISO days after it has been State surcharge(89F) ....S Up1es accepted as complete. TOTAL tine of cardholder as sbown on credit card Cardholder tignalwe s Amount 1444615(t90alCOM) lotDON • MORISSEil %r/ -7 ;im _oma, 1 & GI) I87 - 7689 FAX (100887 - 761 6 souse INCOUPONATSD 4 • • 0 0AL ■ • O0D 8723 BT SD1Tfl 100 (QBE : 1983 LOT: 30 OPMON ION I ELEVATION DATE: 12/6/01 PROPERTY: QUAIL-HOLLOW CITY: TIGARD SCALE: 1"=20' 170 296 A� 300 Z-v vie. Li.5 10 0 I CO C. Id, ?91 p tic D 18' 300 3,190 sq. ft. 5 bdrm. 2 if1 bath '=.PE. 3005' I I � I 1 m 11 I I m 611 sq. ft. 3 car gar. FF.E. 300' 3 RECEIVE _ 0 •.�.. oa' 300 CITY UI' 7(iARI) dswa Ik _' K'r _ch WRDINO DMSION of Wfu z1 iia 12321 8 W- MAIL x LOT 030 6,070 •q. ft. CITYOF TIGARD SEWER CONNECTION PERMIT' DEVELOPMENT SERVICES PERMIT #: SWR2001-00322 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/12/01 SITE ADDRESS; 12321 SW QUAIL CREEK LN PARCEL: 2S103CB-08100 SUBDIVISION: QUAIL HOLLOW- EAST ZONING: R-4.5 BLOCK: LOT: 03C JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection permit for new SF residence. Owner: _ - - FEES DON MORPISSETTE 4230 SW GALEWOOD ST Type-8y Date Amount Receipt LAKE OSWEGO, OR 97034 PRMT CTR 12112/01 $2,300.00 27200100000 INSP CTR 12112/01 $35.00 27200100000 Phone: Total $2,335.00 Contractor: Phone: Reg#: Required Inspections This Applicant agrees to corn ply 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" Perm �, Issued by: ;T c. r � e� �, ,� r.4711 Permittee Signature: --- Call (1:03) 639-4175 by 7:00 P.M. for an im;pection needed the next business day CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BLIP --- - -- Received Date Requested_ `�� AM ___- PM _ _ --__ _ sUP Location 3'-2- t C'meSuite`. _ . _ MEC Contact Person -- —__ Ph( ) _ __ -- - (fLo Contractor _ - - Ph(--) _ - SWR _ BUILDING _ Tenant/Owner - -._ _ _ _,- - - __ ELC Footing Foundation ELC Ft Drain Access: 9 ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors - - - Ext Sheath/Shear _ Int Sheath/Shear Framing ►t'"'.- -� — - Insulation Drywall Nailing - - - Firewall Fire Sprinkler -- ----- — _ -_ Fire Alarm Susp'd Ceiling -- - Roof Other: - - ---- - ----- - Final .- _PASS PART FAIL PLUMBING _ Post&Beam Under Slab — --- - — _- - - Rough-In �, Water Service ----- Sanitary Sewer Rain Drains - -- —-- - Catch Basin/Manhole Storm Drain — -- - --- Shower Pan Other: FMALO -- - r SS PART FAIL ANICAL Post&Beam Rough-In -----. --- - - --- - Gas Line Smoke Dampers Final PASS PART FAIL. - ELECTRICAL ------------- Service - Rough-In UG/Slab Low Voltage Fire Alarm Final F1 Reinspection fee of required before next inspection. Pay at City Mall, 13125 SW Hall Blvd. PASS PART FAIL SITE Ej Please call for reinspection RE:. --_- -__ - _ �� Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk d�- �-�""— Inspector �� Fitt Other: Final _ DO NOT REMOVE this Inspection record front the joky site. PASS PART FAIL