The URL can be used to link to this page

12373 SW QUAIL CREEK LANE J 12373 SW Quail Creek Lane CITY GF= -'GAf�D 24-Hour BUILUING Inspection Line: (503)639-4175 MST _- INSPECTION DIVISION Business Line: (503)639-4171 SUP Received -_ _ Date Requested Z --- AM-__ PM _ BUP Location _j uite MEC Contact Person _ _— __ — Ph( ) `� G sZ.PLM Contractor-- — - - --- Ph ( - --- —_ SWR _ BUILDING - fenanUOwner - F.LC - - -- Footing ELC - Foundation Access: Ftg Drain ELR _- Crawl Drain - SIT Slab Inspection Notes: - Post&Beam Shear Anchors Ext Sheath/Shear -- - Int Sheath/Shear Framing - -- - - - Insulation [� S j 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: -- --- -------- ------ Final _-_----- ------- ---- PASS PART FAIL �-------- ---- --- - Post& Beam Rough-In -- ------------- --- Gas Line Smoke Dampers -------- -.._ _- - ---------- Final PASS PART FAIL ---------- - -- ----------- ELECTRICAL - Service ------ Rough-In -.�--------- - - ----- -- UG/Slab Mo eo ------- -------- ----- -----_ __- . ------- Fir•e Alarm VQt] [j Reinspection fee of$�-__--_.. required before next;nspection Pay at City Hall, 13125 SW Hall Blvd. 'FA �PART FAIL_ - -- -- n Please call for reinspection RE:_ Unable to inspect-no access Fire Supply Line ADA �, inspector ut Approach/Sidewalk ��-�'�-r�-�- P - Other: Final DO NOT REMOVE this Inspect!on record' from thl Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MSS' - - INSPECTION DIVISION Business Line: (503)639-4171 BUP Received Date fle ested__ �� -AM-- BLIP Location — -7Suite. -- MEC Contact Person _ ph(— —) -- 6M)�� Contractor_ _ -____ -- __� Ph SWR raUILDING Tenanl/Cwner F..LC ---_ Footing ELC - Foundation Access: Ftg Drain ELR Crawl Drain - SIT Slab Inspection Notes. Post&Beam - - - - - - Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler - Fire Alarm Susp'd Ceiling - Roof Other. - -- _ --- �---__---_ ------ Final PA ART FAIL UMBI 1767s &Beam Under Slab - ---- Rough InZZ - Water Service �j - ------- --- ---- r �— Sanitary Sewer / Rain Drains - - - - ----- ------ -- -- Catch Basin/Manhole Storm Drain ---___- -- - -- -` Shower Pan P AS _PART FAIL - --- �- _------_. _ - -- -- - ANICALL -- Post&Beam Rough-In - Gas Line Smoke Dampers --- ----- - --- Final _PASS PART FAIL _ --- - --- --"`-- —_---- ELE_C_TRICAL -- _ Service Rough-In --- UG/Slab Low Voltage Fire Alarm Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL _SITE i- F] Please call for reinspection RE:_- —__ Unable to inspect--no access Fire Supply LineADA Approach/Sid©walk Daft e-=�'d �" Inspwctor Ext �_l _ - Other:__-_- Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL \AAAAAAAAAAAAA kAAAAAAAAAAAAAAA • A,AAAAAAAAAAAA/, t � w � b irug ; CL i ro P i a o ► � ► c10 ► N i � � � as ;�' .. ► O oil- 44 t a s p J 4.4 y44 ► O ► > O "' ► i tri tTj t CDCD p ► n i `1> G ► CD i r A; ► N � `C i o' ► � � � � FSI ► 44 a � s 44 F e � 3 Q ► 44 � 4 ► 4 ► 'd� vvvvvvvvivviiievvvvviivvvviiivvviivvvI � a G n a rn A t Er o CZ a C s n I CITY OF TIGARD 24-Flour JIUILDING Inspection Line: (503)639-4175 ic,Cil C,�',5 -7 MST .L. INSPECTION DIVISION Business Line: (503) 639-4171 BLIP Received -_-_ _Date Requested C_ ABLIP -- Location _._�2�1 � C)U_'a � Suite MEC - - PLM��3 Contact Person . `��• — Ph 1----) �'�`� � --- Contractor.__ Ph(- ) -------.._-_- SWR _ - RUILDING Tenant/Owner __. ELC Footing - ELC Foundation Access: Fig Drain ELR Crawl Drain -- - Slab Inspection Notes: SIT Post& Beam ------ - --- Shear Anchors Ext Sheath/Shear - --- -- .� Int Sheath/Shear Framing Insuiation -- Drywall Nailing Firewall r-��,•V�.r 1�� G^� s l L �l,y'-�/� / (� / , d' _ Fire Sprinkler Fire Alarm Susp'd Ceiling ""- Roof Oth r: - na -- -- - AS PART FAIL -- Post&Bean Under Slab ---------..- - _._ - Rough-In Water Service -------- -._ --- - _ -- Sanitary Sewer Rain Drains - -Catch Basin Basin/Manhole Storm Drain -- --- - Shower Pan - Other: ----- Fin ' PART FAIL -- - -- MECHANICAL__ - Post& Beam _ Rough-In - —__--- Gas Line - Smoke Dampers -- -- -- SS ' PART FAIL - --- __ RICAL 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 SITE [� Please call for reinspection RE: Unable to Inspect-no access Fire Supply LineADA - Approach/Sidewalk Date 2 ��2.- Inspector ut Other Final DO NOT REMOVE this inspection record from tho job site. PASS PART FAIL \ CITY OF TIGARD PLUMBING PERMIT DEVEL OPNIFNT SERVICES PERMIT M PLM2002-00057 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/22/2002 PARCEL: 2S 103CB-08300 SITE ADDRESS: 12373 SW QUAIL CREEK LN SUBDIVISION: QUAIL HOLLOW- EAST ZONING- R-4.5 BLOCK: LOT: 032 _ JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSAL::;: 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: TUB/SHOWERS: 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 MORISSETTE HOMES PRMT CTR 2/22/2002 $36.25 27200200000 4230 GALEWOOD ST 5PCT CTR 2/22/2002 $2.90 27200200000 STE 100 LAKE OSWEGO, OR 97035 Total $39.15 Phone 1: 503-387-7538 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 permit 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. Issued By: Permittee Signature: - �1_.`c'�� -- Call (503)6*4175 by 7:00 P.M. for an inspection needed the next business day Pl11i11bim laPernlaitApp ' I 7ER"96 : 3 �=� Permltno.:f /rJ '' = City of Tigard 7�c� % no.: Building per mit no.: t+.ddress: 13125 SW lull Blvd,'Tigard,AR'97�73f) no.: Expired te: City Tigard phone: (503) 639-4171 CITY Fax: (503) 598-1960 OF TI By: -' A, Receipt no.: ►'LANNING/ENG N Payment type: Land use approval: .' '^ ' _ --- TY.OE.OF PERMIT U 1 &c 2 family dwelling or accessory ❑Commercial/industrial Cl Multi family U Tenant improvement `kNew constniction O Addition/alteration/replacement ❑Food service ❑Other: s i Descri'tint, . Fee ea. Total Job address: (ccZ CC C/ r '�" Gi / New 1.and 2-f y dwellings only: Bldg.no.: Suite no.: (includes 100 ft.foreach utility connection) Tax map/tax lot/account no.: — SFR(1)bath_ Lot: 3:i Block: tjStu:bdtivision-j('),1,.4 SFR(2)bath Project name: Q k t � `- F 'l l �.t_l SFR(3)bath Each additional bath/kitchen City/county: e ,i 6' ,La `/ Site utilities: Desctjpttona d 1ocati on qf work on premises:_ Catch basin/area drain _ Drywells/leach linUt-r—encE drain Est.date of completion/inspection: 'j 5; a Footing drain(no.lin.ft.) Manufactured home utilities Business name: ,rTL9 S L"Ij( Sf_� Manholes Address:a9 F� 4W Rain drain connector P City: 'I I ed StateO ZIP: 9`707 0 Sanitary sewer Storm sewer(no.. i lin.n.ft.)) Phone:fn$d-1007 all Fax: 8 -IV E-mail: Water service no.lin.ft.) CCB no.: 13 Plumb.bus.reg.no: Fixture or kern: City/metro lic.no.: 003 '7 Absorption valve — Contractor's representative signatut 11111, -�� Back flow preventer 7 55 Print name: fVS 'Rr Y r u` Uate:"' Backwatervalve CONTACT PERSON Basins/lavatory __ c _ Clothes washer Name: a kt'% �T,u r 1 Dishwasher Address:Q..94 5 Karl Drinkin$fountain(s) City: 1�1Tn�►Il G State:ntZ "Ll,: O_ E'ectors/sum Phone:tpgl-loe'7(o Fax (pgd-9 Email Expansion tank _ Fixture/sewer ca Floor drains/floor sinksthub 7dd int) 'sr1 !Y)mil sS� fe Garbage dia sal ddress:t}�,30�LU al2u�0011 ST Nose bibb -a 0 State: R ZIF:q�A�— Ice maker Fax: E-mail. Interce top r/grenstallation/residential ma'sitenance only: The actual installation Primers) ade by me or the maintenance and repair made by my regulare on the property I own ns perORS Chapter 447. Sin (s), asin(s), ays(s) Uate: _Sutnsignature: _ Tubs/shower/shower an Urinal Name: Water oset _ Address: __ ater heater _ City: State: ZIP: Other: Phone: Fax: E-mail: oto Minimum fee................$ 'Z Not 0 iuds&cdotu accept crrdlt cordo,please colt Jurlydlcdoa for more infomudon. Notice:This permit application plan review(at — %) S u Visa u MasterCard / / expires if a permit is not obtained State surcharge(8%) ....$ Crodrt cud number: — Eapirea within 180 days after it has been accepted as complete. TOTAL .......................S — Name or cardholder u rhnwn on credi�credit cam— _ C of er denaturo Amount w-4616(6=r.OM) PLUMBING PERMIT FEES: ---------------------- Ja RI E- �PRi� E u e ea T a ivid ES:(ind ual�- 16.bO FIXIUR Sink 16.60 Lavatory One(11 bath $249.20 Tub or Tub/Shower Comb 16.60 Two(2)bath $350.00 Shower Only 16.60 Three(3) 1h $399.00 Water Closet 16.60 SUBTOTAL jkj Urinal 16.60 6%STATE SURCHARGE 16.60 PLANREVIEW2T-i Dishwasher 16.60 TOTAL Garbage Disposal -Laundry Tray 16.60 -Washing-Machine 16.60 Floor Draln/Floor Sink 2" 16.60 PLEASE COMPLETE: 16.60 4- 16.60 Water - 0 conversion rs7on--011ke kind 16.60 ...... r" 0, 51 Gas piping requires a separate mechanicalla` 31 4- Sink Home New Water Service 0 Lavato MFG Home New San/Storm S9w8r 46.40 Tub or Tub/Shower Hose Bibs 16.60 Combination Roof Drains 16.60 Shower Only 16.60 Water Closet Drinking Fountain 16.60 Urinal (Specify)Other Fixtures(SpecDishwasher Garbage Disposal Laundry R22alray_ wasthltg_MEhlne - Floor Drain/Sink: 2- -ge-wer-I I I 100- 55.00 3" EFe-wer-eachadditional 100' 46.40 4' -65---- Water Heater .00 Water Service Other Fixtures 7Water-Service-each additional 200- 46.40 (specify) Storm b Rain Drain-1st 100' 55.00 Storm&Rain Drain.each additional To-o- 46.40 Commercial Back Flow Prevention Device 46.40 Residential Bac ow Prevention Device' 27.55 Catch Basin 16.60 Inspection of Existing Plumbing or Specially 72.50 Re uested InaDeCtIons erthr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 Grease Traps 16.60 QUANTITY TOTAL Isometric or riser diagram is required If Quantity Total Is `SUE i f JIT 8%STATE SURCHARGE 1� 9 C,- "PLAN REVIEW--2f-/-6-dF-SUBTOTAL Required only If fixture q!y total la?9 . R TOTAL U. $ *Minimum permit fee Is$72.50+a%state surcharge,except Residential Backflow Prevention Device,which Is$3925+6%state surcharge. "All Now Commercial Buildings require plane with Isometric or riser diagram and plan review i:Wsts\forms\plm-fees.doc 10/10/00 1 ��TY Y OF T I G 6PQM R® MASTER HERMIT \ PERMIT#: MST2001-00573 DEVELOPMENT SERVICES DATE ISSUED: 12/18/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639.4171 SITE ADDRESS: 12373 SW QUAIL CREEK LN PARCEL.: 2S103CE-08300 SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R-4.5 BLOCK: LOT:032 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: 25 FIRST: 1.510 at BASEMENT: of LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.620 of GARAGE: 646 at FRONT: 20 PARKING SPACES 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINSSMENT: of VALUE: S 306,540 40 RIGHT: 5 OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 3.190 00 of REA& 25 PLUMBING _ SINKS: I WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS: RAIN DRALV: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINF.: 1 CATCH BASINS: TUBISHOWERS: GARBAGE DISP: I WATER HEATERS: 1 WATER LINES: 100 SCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: BOILICMP<]HP: VENT FANS 5 CLOTHES DRYER: 1 GAS FURN>0001(: 1 UNIT HEATERS: HOODS. 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES GAS OUTLETS: I ELECTRICAL_ RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 10011 SF OR LESS: 1 0 200 amu: 0 200 amp: WISVC OR FDR: 1 PUMPIIR,"nATION: PER INSPECTION: EA ADD'L 500SF: 6 201 400 amp: 201 400 amu: lotWlO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 600 amp: EA AODL BR CIR: SIONALIPANEL: IN PLANT: MANU HM/SVC/FDR: 601 • 1000 amp 601+2mpo•1000v: MINOR LABEL: 1000•amplvoll: PLAN REVIEW SECTION Reconnect only: ,y RES UNITS: SVCIFDRo-225 A.: >600 V NOMINAL. CLS AREA/SPC OCC: ELECTRICAL•REST RIOTED ENERGY _ A.SF RESIDENTIAL B.COMMERCIAL AUDIO A STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: IN rERCOMIPAGING: OUTDOOR LNOSC LT: BURGLAR ALARM: OTH: BOILER: MVAC: LANDSCAPEIIRRIG. PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: Hvp'�: DATA/TELE COMM: NURSE CALLS: TOTAL N SYSTEMS: TOTAL FEES: $ 5,499.34 Owner: Contractor: This permit is subject to the regulations contained In the DON MORISSETTE HOMES DON MORISSETTE HOMES Tigard Municipal Code,State of OR. Specialty Codes and 4230'aALEWOOD ST 4230 GALEWOOD STREET all other applicable laws. All work will be done In srE 100 SUITE 100 accordance with approved plans. This permit will expire If LAKE OSWEGO,OR 97035 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 requires you t0 follow rules adopted by the Oregon Utility Notification Center. Those rules are set Rep N: LIr 35533 for In OAR 952-001-0010 through 952-001-0(80. You may obtain copies of these rules or direct questkns to 0UNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Insr Rain drain Insp Plumb Final Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Fine:Inspection Foundation Insp Footing/Foundation Dr; Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Pust/Bea[nStructUral PLM/Underfloor Framing Insp Gas Fireplace Electrical FIrcil ( _ Permittee Signature Issu d By : �, - 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#: SWR2001-C 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/18/01 SITE ADDRESS; 12373 SW QUAIL CREEK LN PARCEL: 2S103CB-08300 SUBDIVISION: (QUAIL HOLLOW- EAST ZONING: R-4.5 BLOCK: LOT: 032 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 MORISSETTE HOMES 4230 GAL.EVArOOD ST Type By Date Amount Receipt STE 100 PRMT CTR 12/18/01 $2,300.00 27200100000 LAKE OSWEGO,OR 97035 INSP CTR 12/18/01 $35.00 27200100000 Phone: 503-387-7538 Total $2.335.00 Contractor: Phone: Reg #: Required Inspections 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 net so located, the installer shall purchase a"Tap and Side Sewer" Perm Iss by: C �c p -�(. rk > � Permittee Signature: Call (503) 634-4175 by 7:00 P.M. for an inspection needed the next business day / building Permit Application City of Tigard Datereceived- Pem>jt no.: ry r_C'D.' City nj7igard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Projcct/appl.no.: Expircdate: \ Phone: (503) 639-4171 Date issued: By: j Receipt no.: V. Fax: (503)598-1960 Case file no.: Payment type: Land use approval: &2 family:Simple Complez: U I &2 family dwelling or accessory 0 Commercial/industrial U Multi-family XNew construction U Demolition U Addition/alteration/replacemcut U Tenant improvement U Fire sprinkler/alarm U Other. _ "Jobddress: Bldg.no.: Suite no.: Lot: Block: Subdivision: ��r ti ' Tax map/tax lot/account no.: Project name: Description and location of work on premises/special conditions: _ Namc: Y Mailing address: \) I &2 family dwelling: 30�/> 0, City: State ZIP: ). Valuation of work.... ................................... $ Phone: - Fax: 7 _.-mail: No.of bedrooms/baths................................. Owner's representative: Total number of floors................. ' ................ Phone: Fax: E-mail: New dwelling area(sq.ft.) ............. Carage/carpon area(sq, ft.)......................... Name: Y ( Covered porch area(sq.ft.) ......................... /z3 r_ Mailing address: Deck area(sq.ft.)........................................ City: State: ZIP: Other structure area(sq.ft.)......................... Phone: Fax: E-mail: CommerciaUlndustrial/multi-family: Vnation of work........................................ $ — Business name: y'l Exists area(sq.ft.) ...... ................. _ Address: — New bldg,area(sq. .. ........... ...... -- -- -- ' Number of stories City: State: ZIP: -- Phone: Fax: E-mail: Type of construction.......... __-- CCB no.: Occupancy groups j Existing: . -- New: City/metro lic.no.: Notice:All contractors and subcontractors are required to he licensed with the Oregon Construction Contractors Board under Name: F "C41,c provisions of ORS 701 and may be required to be licensed in the. AdL J — jurisdiction where work is being performed.If the applicant is City: State: ZIP:— exempt from licensing,the following reason applies: Contact person: Plan no.: Phone: Fax: E-mail: — —�_ _ —-- — -----_— - Name: Contact person: Fees due upon application .......... ................ S __ Address: _ Date received: City: State: ZIP: Amount received ......................................... $ Phone: Far: I E-mail: Please refer to fee schedule. I hereby certify I have rend and examined this application and the Not all iurisdictiau accept credn cards.please call iunsdictim for more irdonnar4on attached checklist. 61Lgrovisions of laws and n dinances governing this O Visa U Mastercard work will be compl wl ,whether cifi e t or not Credit card number __/ / Expires Authori7.ed si atu ate: �(. ( Name of cardholder as ahmn on credit card Print name —_ Cardholder sipanre s Amount Nowx 71its permit application expires if a permit is not c wined within 180 days after it has been accepted as complete. a.a-.wn(ISAMCOM) One-and Two-Faiaily Dwelling Building Permit Application Checklist Reference no.: -- — —"�— Associated permits: Citycry„/�'�,�,rt oTigard i�+ d C7 Electrical ❑Plumbing U Mechanical Address: 13125 SW Hall w\(i."figard,OR 97223 L'Other: Phone: (503) 639-4171 Fax: (503)598-1960 t LM , I Land use actions completed.See jurisdiction criteria for concurrent reviews. 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 capacity_ _^ 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 ❑permit requited.Include drainage-way protection,silt fence design and location of catch-basin protection,etc. _ f 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 he 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 t/ if copyright violations exist. J� _ I 1 Site/plot platy drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if' there is more than a 4-ft.elevation differential,plan must show contour lines at 2-R.intervals);location of easements and driveway;footprint of structure(including decks);location of wellr/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 dimensions,room identification,window size,location of smoke detectors,water heater, t furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details.Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-floor, 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, fire lace construction, thermal insulation,etc. 15 Elevation News.Provide elevations for new construction;minimum of two elevations for additions and remodels. EAterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for non-prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing.Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing 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 beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss 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 O.egon and shall be shown to he applicable to the project under review. 23 Five(5)site plans are required for Item 11 above. Site plans must be 8-1/2"x 1 I"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 acce fed. 27 28 Checklist must he completed before plan review start date Mincr chtmges or notes on submitted plans may be in blue or black ink. Red ink is reserved for lepartment use only. 410-4614(botvCOM) Mechanical Permit Application Date received: Permit no.:/;, City of Tigard Project/appl.no.: Exptre date. City ofTigard Address: 13125 SW Flall Blvd.Tigard,OR 97223 - --- Phone: (503) 639-4171 Date issued: By Receipt no- Fax: (503) 598-1960 Case file no.: Payment rvpe: Land use approval: _ __— Building perrmt no.: 1 ❑ 1 &2 family dwelling or accessory Ll Commercial/industrial O Multi-family ❑Tenant improvement Jew construction ❑Addition/altemtion/replacement ❑Other- JOB SITE INFORMATION1VALUXTION:SdiEDUL Job address- k' l L 'Ei (�{ " ([ Indicate equipment quantities, boxes below. Indicate the dollar Bldg.no.:o.: Suite no.: value of all mechanical materials,-quipmenr,labor,overhead, Tax ma tax lot/account no.: profit Value$ Lot: Block: I Subdiv $Sec checklist for important application information and Project name: :Z jurisdiction's fee schedule for residential permit fee. City/county: I ZIP: I & 2 FAMILY 16WELLINGSCHEDULE Description and location of work on premises: Tam, 1 a I 1 Fee(ea.) Tow Est.date of completion/inspectiow Dmription 01y. Res.only Res.only Tenant improvement cr change of use: Air handling unit ___ CFM Is existing space heated or conditioned?❑Yes ❑No r con iuoning(site plan required) _ Is existing space insulated?❑Yes ❑No Alteration of existing A system ors Business Business name: } t� State boiler permit no.: HP Tons__BTUM _ Address: (- ` , -Fvdsmo7tc damlier duct smoke detectors City: v Ll� State ZIP: eat pump(site plan required) nsta rep ace macelbumer__ Phone: Fa., E-mail' Including ductwork/vent liner O Yes❑No CCB no.: I nstal replace/re locate heaters-suspen e City/metro lic. no.:N/A _ wall,or floor mounted Name(please print): (� Vent for app] ce other than furnace - efrigeration: Absorption units _ BTU/H _Name: _ Y4"1, ,`" -I�_ Chillers HP Address �� 1 Com ressors HP --: - ---- v ronlnenJla taunt andt ientilatlon: Citv State: I_IP Appliance vent Phone: Fax: E-Mail: era aunt i H6-o-ds,Type res.kitchenihazmat hood fire suppression system - Name: I ' _ Exhaust fan with single duct(bath fans) _ Mailing address. ) ?�,' Exhaust system apart from heaun or (_ City: _ StateZIP ue piping anddistribution(up to 4 outlets) Type: LPG __ NG _ Oil Phone: 7- Fax: E-mail: uel2i- geach additional over out ets Process piping,%cbernaeu.equired) Name: Number of outlets ter int ap�ptiance or equ pment: Address: Decorative fireplace City. —�T—�-- -` State 7.1P:- - - Insert-type WoodPhone: Fa�c:� F•mail: slove/pelletsiov- ` ( her: _ �ppli ant's rignara" Date: 11 Other Name(printf Nd all)unsdlcnoru aeapl emIlt cards,please call)unsdicuon for mole inlcnruuan Permit fee.................. .. _ Notice:This permit application Minimum fee................S ❑Visa Cl MasterCard expires if a permit is not obtained Cred+r card number -- Expire-- within 180 days after it has been Plan review(at _ %) S _ accepted u com tete Stale surcharge(8%) ....S S Name or cardholder u shown an cmru^ -- P P TOTAL .......................S Crdholder siparme Anauar aK1J617(r,. WOM) Plumbing Permit /application Date received: Pernutno.aj) . �. City of Tigard Sewer permit no.: Building pennitno.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 CiryufTibu.d Phone: (503) 639-4171 ProjecVappl.no.: Expire date: Fax: (503) 598-1960 Date issued: ey Receipt no.: Land use approval: _ Case file no.. Payment type: TYPE OF PEIUVIIT O ! &2 family dwelling or accessory O Commercial/industrial 0 Multi-family 0 Tenant impmvement ew construction 0 Addition/alteratiori/mplacement 0 Food service ❑Other. INFORMATION E1 Job address: �? L- 'v ✓,;1 "1 L l;.Y-� L Y1 Description Qty. Fee..(ea.) Total Bldg. no.: Suite no.: New 1-and 2-family dwellings only: (includes 100 R.for each utility connection) Tax map/tax lot/account no.: SFR(1)bath Lot: Block: I Subdivision:CU, t SFR(2)bath Project name: SFR(3)bath ^_ City,'cuunty: ZIP: Each additional badukitchen r_ _ Description and location of work on premises: Si;-utWties: Catch basin/area drain _ Est.date of completioniinspection: Drywells/leach line/trench drain Footing drain(no. lin. ft.) Manufactured home utilities _ Business name: ;_� L Manholes Address: _ Rain drain connector City state, ZIP: Sanitary sewer(no.lin. ft.) Phone: -c' Fax: E-mail: Storm sewer(no.lin.ft.) Water service(no.lin.ft.) CCB no.: t)07 t_ us,Plumb.breg.no. Fixture or item: City/metro lic. no.:N/A f Abso einn valve Contractor's representative signature�� ! Back tlo�. preventer Print name: �- (� U Backwater valve Basins/la-,atory Name: f��- _�(� Clothes washer Dishwasher _ Address: r.y,L' ej,�) a ll V Dnakine founWn(s) City State: ZIP: Electors/sump Phone: Fax: E-mail: Ex ansion tank _ Fixture/sewer ca Floor drains/floor sinks/hub Name (print) � Garbage disposal Mailing address: f Hose btbb City: _ ) State ZIP: e- Ice maker Phone: - Fay 7--2ki E-mail: Interceptor/grease trap Owner insrallarlon/resid-enda/maintenance only: The actual installation Pnmensl will be made bs me or the maintenance and repair made by my regular Roof drain(commercial) _ employee on the property I own as per ORS Chapter 447. Sinklsl, basin(s),lays(s) 0%kner's signature Date: Sump - Tubs/shower/shower pan Unnal Water closet Address: Water heater City Mate. ZIP: Other Phone: Fax: E-mail: 170121 Not all unrdteuons xce crnbt cods•please call lun"cuon rrn mora inrmmwon Pllnl evictunt fee....... .... ) S -- 1 r« Notice:This permit application Plan review(ac _ %) $ ❑Visa ❑MasterCard expires if a permit is not obtained State surcharge(8%) ....$ Cmdit card number — -�— within ISO da)s after it has been •tpne' TOTAL ...... _ uccpted a complete ""'"""""""" Name��(CYdholdet L d10Wn OD credo card - S Cxdhoider sipaiue --- Amount axti K16(tilXLCOMI Electrical Permit Applicat-ion t)atereceiv":d: PernulnuA,7ob0/ City of Tigard Proje"a/appl.no: Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 639-4171 - Fax: (503) 598-1960 Case file no: Payment type: Land use approval: _ TYPE OF PEM111t U I &2 family dwelling or accessory LlCommercial/industrial Ll Nlulu-larnily O Tenant improvement New construction ❑ Addition/alterauur>/replaceinent 0 Other:_ Ll Partial IS SITE INFORMATION Jobaddress: �- ko &cription, k Bldg,no.: Suite no,: Tax map/tax lot/account no.: Lot: ) Block: VProject name,: and location of work on premises: Estimated date of completionifinspection: FEE SCHEDULE Job no: �� dee =1�—— —_ DcscripNrxr flty• (ea) Tovl no.lnsp Business nam e:�1—`t) New residential-single or mufti-family per Address: r �_ dr.ellinPunit.Include+atUctrdgarage. City: State: LIP: sentceinciuded 1000 sq.ft or less _,_ 4 Phone: 7j I Fax: E-mail: Each additional 500 sq.ft.or portion thereof — CCB no.: Elec, bus. lic.no: Uouted energy,residential _ 2 C _ L ad m energy,non-residential — 2 Each manufactured home or modular dwelling Nure o/tw ervnln NecrAcfan(required) Date Service and/or feeder 2 I icDaeno f Services or feeders—Installation, Sup elect name(print) 1 �G'1 alteration or relocation: 200 amps or less — 2 201 amps to 400 amps _ 2 Name(print): 1 401 amps to 600 amps 2 Mailing address: 11 601 amps to 1000 amps 2 city; ' State LIP: � Overl000ampsorvolts 2 Phone: - v Far: --7,& iail: Reconnect only I Owner Installation:The instillation is being made on property 1 own Temporary,services or feeders- irWalladon,alteration,or relocation: which is nut intended for sale, lease,rent,or exchange according to 200arnpsorless z ORS 447,455,479,670,701. 201 amps to 400 amps —_ 2 Owner's si naturc: Date: 401 to 600 amps 2 Branch circuits.new,alteration, or exueruion per panel: Namc: A Fee rot 1 ranch circuits with purchase of Address: service or feeder fee,each branch circuit 2 B Fee for branch circuits without purchase City: Stale; 7IP' of service or feeder fee.first branch circuit: _ 2 Phone: Fax: E-mail Each additional branch circuit: W RACE 114 WAIA 111111 W Mise.(Service or feeder not Included): Each pump or irrigation circle 2 O Service over 225 amps-commercial U Health-care facility 2 ❑Service over 320 amps-rating of 1&2 ❑ Ifaaardous location Each sign or outline lighting _ familydwellings G Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel, ❑System over 600 volts nominal more residential units to one structure alteration,or extension' 2 O Building over three stories O Feeders,400 amps nr more •Descri tion _Cl Occupant load over 99 persons O Manufactured structures or RV pule Each additional inspection over the allowable In any of the above: U EgressAightingplan O Other __ Per inspection _ Submit_sett of plans with any of the above. Investigation fee _— The above are not applicable to temporary construction service. Other Permit fee.....................$ Na all jurisdictions accept credit cards,please call iuriubctioo fur"nae infortnsnon Notice:This permit application Plan review(at %) S O Visa O MasterCard expires if a permit is not obtained anti"card numberL-1.-- within 190 days after it has been State surcharge(8%) ....$ Name of ardhnlder at shown—on credit c+d Exp1fes accepted as complete. TOTAL .......................$ s Cardholder eitnature Amount 4401615(6AdcoM) letDON • MORISSETTE a 0 Y • 0 1 N C O s P O f A T 1 D 4220 aALD • OOD ITBRIT • a1T / 100 4oi)s9ss ssii' PA02(2o ) Ns '► -Deis D pp OBE : 1985 LOT: 32 OPTION I ELEVATION DATE: 12/4/01 PRAPRRTY: QUAIL-HOLLOW CITY: TIGARD 3CAIZ: 1*=20' PLAN No.: 170 -- � 292 ------- -------------, --- I 'xlm' onrr. 14' ' 2W Patio 5'-0 3,W sq. ft. - 2 Irl bath FFF, 292 5' 4' a 611 sq. rt. 3 car gar. PF.E. 232' por 29'6' .6, ;n 2 mete 8' unpE P` E. _ _--- _ Drivewag . RECEIVED gra 8ldswe k ,Oe 291 CITY OF T:vAR.b) 7�- BUILDING DMS.I my ��~►� Ste. OJAIL LOT 032 bom sq. ft.