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12399 SW QUAIL CREEK LANE I i I i i 12399 SW Quail Creek Lane CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639.4175 Business Line: 639-4171 —�- -- BUP __—_Date Requested r!` AM_ PM --- BLD Location_ 3 9 &U� Suite MEC _ Contact Pei`,son t��--�r� Ph (c Z U 7 PI-M '� Contractor_ Ph �� - / i SWR BUILDING Tenant/Owner EL(; _ _— Retaining Wall ELR Footing Access: Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: ----- ---- -- _-- Slab _ _ —_ _ _ SP Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing —_— Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling — Roof Misc - :al PASS PART FAIL — PLUMBING Post&Beam Under Slab Top Out ---- - -- Water Service _ Sanitary Sewer -- - Rain Drains AS PART FAIL - -- -- ------------ --- - --- —WRIMANICAL Post&Beam _ _ - _ —_ ----- - ---- — --— Rough In Gas Line `---------- — Smoke Dampers Final - - - PASS PART FAIL ELECTRICAL Service -- —..— _�— Rough In UG/Slab Low Voltage ----- — Fire Alarm ------- --.—� — --- —— -- -- Fintl PASS PART FAIL _ -- ---SITE Backfill/GradingSanitary Sewer Sewer Storm Drain ( J Reinspection fee of$-----required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I ]Please call for reinspection RF: - --.___ [ ]Unable to Inspect-no Access ADA / Approach/Sidewalk Date �_Inspector i `' `Q Ext Other - Final PASS PART FAIL 00 NOT REMOVE this Inspection record from !ite job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line. .39-4175 Business Line: 6 4171 BUP —Date Requested r'�� Z AM ,--.-PM —_ BLD Location l`y S4J (a4tY CL4, ,e �C SuiteG MEC Contact Person Ph PLM Contractor Ph _— SWR 6111LDl— 'Tenant/Owner ELC —___- Retaining v>lall ELR __ - Footinf; Access- Founcation FPS Ftg Dain - SGN Crawl Drain Inspection Notes: — — Slab --__ - _- --- -- -- SIT _ Post&Beam — Ext Sheath/Shear I --_-_ Int Sheath/Shear Framing Insulation Drywall Nailing —_ l �>✓'.�'��''th-i ,�j�x� /f, t� �G�Y�?�r � Firewall _ Fire Sprinkler Fire Alarm 42,1 Susp'd Ceiling --- Roof Misc: -- ,,/� Final PASS PART W FAIL.-�L-1-�c--- PLUMBING Post 8 Beall) — -----.-.-- - - - -- Under Slab Top Out ---- ------ --- __ Water Service Sanitary Sewer — ^ Rain Drains Final PASS PART FAIL _-- MECHANICAL Post&Beam --- --- — -- --- Rough In Gas Line -- --- - - - - ----- Smoke Dampers Final - -- -- - -- ----- --- - --- - PASS PART FAIL Service ----._--.--- Rough In UG/Slob - — ------ - -- -- -- Low Voltage Fir larm --- - --------- ----`--__+— ---- ia � — PART FAIL _ _--- - ------ -- ----- - ----- ckflll/Grading --. ._- .—.- ----- ---- -- -.-- San ry S`ewer Storm Drain [ J Reinspection fee of$ required before next inspection Pay at City Hall, 1.3125 SW Hall Blvd Catch Basin Fire Supply Line ( 1 Please call for reinspection RE: ( J Unable to inspect-no access ADA _ Approach/Sidewalk DateJInspector 1 �� --Ext Other - - -4- - Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BU" DING INSPECTION DIVISION i MST 24-Hour Inspection Line: 63, 4175 Business Line: 639-4. 1 - BLIP -----------Date Requested //- 7 / -- ---AM____,PM BLD _ Location�_z � -�ti� kms_/ t.�C --- Suite _ MEC Contact Person ---__ _ Ph =S �(S"Z--= PLM Contractor ------- --_--- -- Ph - - _ SWR — --- -- -- BUILDING --- - Tenant/Owner —_ __ ELC Retaining Wall ELR Footing Access: FPS Foundation - - - — ----- Fig Drain SGN Crawl Drain Inspection Notes -- ----- Slab I - —. -------_. ___ _ �. SIT Post 8 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. Post&Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Fin AS -- ART FAIL �VWKNICAL Post& Beam Rough In Gas Line - Smoke Dampers Final -- PASS PART FAIL ELECTRICAL Service ------ --- -- - Rough In UG/Slab --- - --- --- - - ---- - - Low Voltage Fire Alarm - Final S „o� � PASS PART FAIL_ �� l✓�:��~' SITE — Backfill/Grading - Sanitary Sewer Storm Drain ( I Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin i ]Please call for reinspection RE: - ( Unable to inspect-no acces€ Fire Supply Line ADA i Approach/Sidewalk Date? ! ` Inspector �/ � Fxt Other --- Final PASS PART FAIL Do NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 7�,,� � 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP __Date Requested l�- .�-7 AM _PM BLD Location Z _�� rj �l'1��12 �_��.� LJJ Suite MF-.0 Contact Person Ph _� �T Co YSJZ PLM Contractor Ph —_ SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Dram 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 PAS$ PART FAIL PLUMBING Post& Beam Under Slab Top Out - - - Water Service Sanitary Sewer - Rain Drains Final PASS PARI FAIL — -- ----- — ----- MECHANICAL 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: r ( ]Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date Inspector for Ext Other - Final r PASS PART FAIL DO NOT REMOVE this; inspection record from the job site. LAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA � n ,_A � d V•+ R td � s Q, C V1 C3 t CD44 R o Poo �" „ ► lot ' � R cn ' ► Ul t`J d 0 R ► -] U, / v ► t r1 l?y p -��/ ► ► rD cta ► ► d ► R < !�I ► ► �FVVVVVVVVVVVVVVVVTVVivvvavvvvvvvvvviviiivvvvI co) O O n z •n ry "Q ^1 � () rytj O C c. t7 w27 (� o � a � o c J cp . G w• � R ` -y J R' �fnyy 4 n ry b 1 ,• rC r Lon A x � 0 a r CITYO F TIGAR D PLUMBING PERMIT 1;20/U DEVELOPMENT SERVICES DATE ISSUEISSUED. 1PERMIT#. 11/204 1 00613 ^ 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S',03CB-08400 SITE l-DDRESS: 12399 SW QUAIL CREEK LN SUBDIVISION: QUAIL HOLLOW - EAST ZONING: RJURISDICTION: TIG _ BLOCK: LOT: 033G— CLASS OF WORK: ALF GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS. 1 OCCUPANCY GRP: R:i FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: _ FIXTURES _ LAUND13Y TRAYS: SF RAIN DRAINS: �^ SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft "'ATER CLOSETS: WATER LINE: ft DISHWASHERS RAIN DRAIN: ft Remarks: Irrigation backflow prevention device. `— FEES Owner: --- Type By Date Amount Receipt DON MORISSETTE HOMES INC PRMT CTR 11/20/01 $36.25 27200100000 4230 GALEWOOD ST#100 5PCT CTR 11/20/01 $2.90 27200100000 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 Final Inspection Phone 1: 682-6076 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: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day /fill i Plumbing Perinit Applicatidjn' �I�� Datcreceived: I/ '" r l Permitno.: i. 2 City of T�iga � Sewer omit no.: Building Address: 131251 all vd, igard,OR 97223 p 8 permit no.: City ofTigard phone: (503) 639-4171Pro.jcct/appl no.: Expire date: Fax: (503) 598-1960 NOV I" 2'001 Date issued: ByYPT Receipt no.: Land use approval•. Cain" Case file no.: - Payment type: U 1 &2 funily dwelling or accessory 1]Commercial/industrial O Multi-family O Tenant improvement New construction ❑Addition/alteration/replacement 0 Food service ❑Other: li SITE INFORMATIONinformation Job address: , I, s'` ' C �r CZi.� C/�r.'K (, ,t Descri tion Qt . Fee ea. Total New 1-,and 2-family dwellings only: Bldg.no.: Suitdno.: Tax map/tax lodaccount no.: j�� F ' (includes 100 ft.for each utility connection) SFR(1)bath _ Lot: JBIock: I Subdivision: c4.Lk ! ,/1,` 1 SFR(2)bath Project named,t-t CU_0 ! t.TLV SFR(3)bath City/county:%74 A4 Lt_) h ZIP: C 7 _ Each additional bath/kitchen Description ariff loca* n of work on prequses: ___•, SiteutWtles: l�f,(t J�Ttt� cw_1)IGS Catch basin/arca drain Est.date of completion/inspection: J' r . V D wells/leach line/trench drain 1 Footin dr n(no.lin.ft.) PLUMBING Pi'D C Manufactured home utilities Business name: �f uSS � C_LeAG Xn G Manholes Address: q 5 (1 Rain drain connector City: i G State:('] ZIP: '7Q Sans sewer(no.lin.ft.) Phone -IdOL I Fax: 9d-987 E-mail: Storm sewer(no:lin.ft.) CCB no.: / Plumb.bus.reg,no: Water service(no.Iin.ft. City/metrolic.no.'. Lla/ Fixture or item: Contractor's repre,Pntative signature: Absorption valve Back flow wen ter _55 Print name: / - Date: /•/ Backwater v ve _ Basins/lavatory Name: C o es washer ��. l7rC.O Dis was er _ Address: Q ICu1 l2» finking fountain(s) City: f 6 State: ZIP: 97()70 Ejectors/sump Phone: Fax:b.1�-q E-mail: Expansion tank _ 1 110 Fixturelsewer cap Name(print): OTI /np-ri SSe7"7' Floor drains floor sinks/hub Oarba a disposal Mailing address: 3Cj S�U ocCL St` Hose bibb City: L_akC _( Statc:q�_ ZIP. D3 V _ Ice maker Phone: ax: E-mail: nterce tor/ cease trap owner installation/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and rep-' made by my regular Roof drain(commt:rcial) employee on the property I own as per ORS C( ter 447. Sin (s),basin(s), ays(s) _ Owner's si nature: Date: Sum _ Tubs/shower/shower pan _ Urinal __ Name: Water closet Address: Water heater City: State: 'LIP: Other: Phone: Fax: E-mail: 'Tota Not all iudildicdons wcept credit cards,please call jurisacdon for more inform ilon. Notice:This permi Minimum fee... . ..........$ t application O visa 0 MasterCard expires if a permit is not obtained plan review(at _ %) $ Credit cud number: within 180 days after it has been State surcharge(8%)....$ — irL .� . /s None or cardholder u shown on credit cud s accepted as complete. TOTAL .......................S Cardhold•r signature Amount 440-4616(WO(COM) PLUMBING PERMIT FEES: TOTAL N6W;1 and 2•famlly'drillinps only.. FIXTURES lridiJiduat) __ OTY 'ea ,.AMOUNT (li�c uc�es aflapjumbirip i>to PRICE "TOTAL Sink these 1 np end t 6' 10 it. CITY (ea) AMOUNT 16.60 *, ,. rr*r. 16.60 for" acit, iii .co nection Lavatory One 1 bath $249.20 Tub or Tub/Shower Comb. 16.60 Two 2 bath 5350.00 _ S 16.60 Three 3 bath $399.00 hower Only Water Closet 16.60 '- SUBTOTAL _ Urinal 16.60 8%STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 257.OF SUBTOTAL Garbage Disposal 16.60 - Laundry Tray 1660 Washing Machine _ 16.60 Floor Drain/Floor Sink r - 16.60 _ PLEASE COMPLETE: 3" 16.60 4" 16.60 - :Ousntl-y b LWoFk Perform ed Water Heater 0-conversion-6 like kind 16.60 Fixture 1 ype New Moved Replaced Removed/ Gas piping requires a separate mechanical 'Ca o ed pe mit. -- MFG Home New Water Service 46.40 ;;nk Lavalo MFG Home New San/Storm Sewer 48.40 Tub or Tub/Shower Hose Bibs 16.60 Combination _-- Roof Drains 16.80 Shower Onl 1680 Water Closet Drinking Fountain Urinal Other Fixtures(Specify) 1660 Dishwasher Garbage Disposal • Laundri Room ira ' Washing Machine _ Floor Drain/Sink: 2" i Sewer•1st 100' 55.00 - 3" - Sewer-each additional 100' 46.40 4" Water Service-1st 100' 55.00 Water Heater 'Other Fixtures Water Service-each additional 200' S ecl LL. „•:• Storm 6 Rein Drain-I st 100' 55.00 Storm 8 Raln Drain-each additional 100' 46.40 -- Commercial Back Flow Prevention Dev ce 46.40 - Residential Beckllow Prevention Device' / 27.55 ?7 5 S _ Catch Basin 16.60 Inspection of Existing Plumbing or Specially 72.50 ReQuested Inspocliona erlhr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 -- -__- - - Grease Traps 16.60 ��--_ QUANTITY TOTAL i;++�•s/l�I►t "� s °" _ - ---- -- Isometric or riser diagram Is required If / Os'h Quant Total Is >D - "SUBTOTAL -- 8%STATE SURCHARGE _- `"PLAN REVIEW 26%OF SUBTOTAL Required only If fixture qty total Is>D TOTAL $34 15 *Minimum permit fee is S o state surcharge,except Residential Backflow Prevention Device,whit is$3 225+ %state surcharge "All Now Commercial Buildings require plans with Isometric or riser dlagram and plan review. I:\dsts\forms\plm-fees.doc 10/10/00 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE CITY ELECTRIC + SUPPLY CO 8900 SW BURNHAM F-27 TIGARD, OR 97223 REC��vD Electrical Signature Foram Permit #: MST200'1-00326 COMMUN1,r pEVEIpPMEN� Date Issued: 8/24101 Parcel: 2S103CB-08400 Site Address: 12399 SW QUAIL CREEK LN Subdivision: QUAIL HOLLOW - EAST Block: Lot 033 Jurisdiction: TIG Zoning: R-4.5 Remarks- construction of new single family detached residence. Path 1 Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No electrical inspections will be authorized until this completed form is received �WNf-R: ELECTRICAL CONTRACTOR: DON MORISSETTE HOMES IMC CITY ELECTRIC + SUPPLY CO 4230 GALEWOOD ST #100 8900 SW BURNHAM F-27 LAKE OSWEGO, OR 97035 TIra.RD, nR 977.23 Phone #. 503-387-7538 Phone #: 641-8012 Req #: SUP 3592S Llc 42422 ELE 26-289C AN INK SIGNATURE IS REQUIRED ON THIS FORM X 1 - Signature of Supervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 08/27/2001 18:32 15036302882 JARDINE PLUMBING PAGE 01 CITY OF TIGARD 13125 S.W. HALL. BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE JARDINE PLUMBING P 0 BOX 186 ESTACADA, OR 97023 Plumbing Signature Form Permit #- MST2001-00326 Date Issued: 8/24/01 Parcel: 2S103CB-08400 Site Address: 12399 SW QUAIL CREEK LN Subdivision QUAIL HOLLOW - EAST Block, Lot 033 Juribdiction. TIC Zoning: R-4.5 Remarks, construction of new single family detached residence. Path 1 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 Plumbiny Signature I=_,rn prior to the start of the work to the address above, A-FIN. Buildiny Dept. No plumbing inspections will be authorized until this completed form Is received OWNC R: PLUMBING CON 1 RACTOR DON MORISSETTE HOMES INC JARDINE PLUMBING 4230 GALEWOOD ST #100 P O BOX 186 LAKE OSWEGO, OR 9707"A ESTACADA, OR 97023 Phone 9 503-387-7538 Phono #: 503-630-5436 Reg 8 l IC 108747 P1 M 3-320PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X �'_ Signature of Authors gum r f you have any questions, please call (503) 639-4171, ext # 310 CITY OF T I G/'1 R D _--_ MASTER PERMIT PERMIT#: MST2001-00326 DEVELOPMENT SERVICES DATE ISSUED: 8/24/01 13125 SW Hall Blvd.,Tigard, OR 9722.3 (503) 639-4171 SITE ADDRESS- 12399 SW .1UAIL CREEK LN PARCEL: 2S103CB-08400 SUBDIVISION: QUAIL HOLLOW- EAST ZONING: R-4.5 BLOCK: LOT: 033 JURISDICTION: TIG REMARKS: construction of new single family detached residence. Path 1 BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED 3?TRACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1,050 at BASEMENT: of LEFT: 10 SMOKE DETECTORS. r TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,350 of GARAGE: 452 of FRONT: 24 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: I FINBSMENT: of RIGHT: 5 VALUE: $217,38040 OCCUPANCY GRP: R3 13DRM: 3 BATH: 3 TOTAL: 2,40000 of REAR: 28 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 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: BOILICMP<3HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN>000W I UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: 1 cLECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCEL LANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 •200 amp: WISVC OR FDR: 1 PUMPIIRRIGATION: PER INSPECTION: EA ADO'L 500SF: 3 201 •400 amp: 201 •400 amp: tet W/O SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 •600 amp: EA ADDL SR CIR: SIGNALIPANEL: IN PLANT: MANU IIMISVCIFDR: 601 - 1000 anp: 601+81ripa-1000v• MINOR LABEL: 1000+amplvolt: PLAN REVIEW SECTION -_ Reconnect only: >-4 RES UNITS: SVCIFDR>-225 A.: >600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL-RES1 RICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL +AUDIO&STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING OUTDOOR LNDSC LT. BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAITEL E COMM: NURSE CALLS: TOTAL 0 SYSTEMS TOTAL FEES: $ 5,255.98 Owner: Contractor: Tr i5 permit is subject to the regulations contained in the DON MORISSETTE HOMES INC DON MORISSETTE HOMES Tigard Municipal Code, State of OR Specialty Codes and 4230 GALEWOOD ST#100 4230 GALEWOOD STREET all other applicable laws. All work will be done in LAKE OSWEGO,OR 97035 SUITE 100 accordance with approved plans. This permit will expire if LAKE OSWEGO,OR 97035 work is not started within 180 days of issuanoe,or if the work is suspended for more than 180 days. ATTENTION: Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Rog#: LIC 35531 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 Mechanical Mechanical Insp Exterior Sheathing Insl Rain drain Insp Plumb Final Sewer Inspection Underfloor insulation Plumb Top Out Low Voltage Water Line Insp Final Inspection Footing Insp Crawl Drain/Backwater Electrical Service Gas Line Insp Appr/Sdwik Insp Foundation Insp Footing/Foundation Dr; Electrical Rough In Gas Fireplace Electrical Final Post/Beam Structural PLM/Underfloor Framing Insp Insulation Insp Mechanical Final Issued By : Permittee Signature Call (503) 639-4175 by 7:00 p.m.for an Inspection needed the next business day SEWER CONNECTION PERMIT CITY OF TICARD PERMIT#: SWR2001 00184 DEVELOPMENT SERVICES DATE ISSUED: 8/24/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S103CB-08400 SITE ADDRESS; 1239:1 SW QUAIL CREEK LN ZONING: R-4.5 SUBDIVISION: QUAIL HOLLOW - EAST —_JURISDICTION. TIG BLOCK: _ LOT: 033 -- TE-NANT NAME: FIXTURE UNITS: USA NO: DWELLING UNITS: 1 CLASS OF WORK: NEW NO. OF BUILDINGS: 1 TYPE OF USE: SF IMPERV SURFACE: INSTALL TYPE: LTPSWR Remarks: Sewer connection permit for new single residence. Owner: — FEES DON MORISSEI-Tf: HOMES INC. Type By Date Amount Receipt 4230 GAI_EWOOD ST#100 PR CTR 8/24101 $2,300.00 27200100000 LAKE OSWEGO, OR 97035 INSP CTR 8124/01 $35_00 2720010000C Phone: 503-387-7538 _J r Total $2,335.00 Contractor: Phone: Reg#: Required Inspections This Applicant agrees to comply with all the i piles and regulations of the Unified Sewage Agency The permit expires 180 nays 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 %ewe laterals. If the sewer is not located at the measurement given,the installer stal a"Tap and shall prospect 3 feet in all directions fulm the distance l install a lateral ATTENTION located, Oeg lawlrlequiressyoul ou,followerules adopted ed Side Sewer" Permit and the Agency w by the Oregon Utility Notification rule.; direct questions to OUNC byOcalRng5 5030)1246110987 ugh OAR 952-001-0080. You may obtain wpies of \_ { 7 ! Permittee Signature: Issued by: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Building Permit ApplicationNEEWNE""fy Date received:t fl"l Permit no.: 9r;m/a,50 City of Tigard -- Address: 13125 SW liall Blvd,Tigard.OR 97223 Proyect/appl.no.: Expire date: CitynjTigard Phone: (503) 639-4171 , Date issued: By: Receipt no.: Fax: (503) 598-1960 A Case riileno.: Payment type: Land use approval _ l&2 family:Simple Complex: 0 1 &2 r;amily dwelling or accessory U Cummercial/industrial U Multi-family ,,&New constructiva 0 Demolition O 0 Addition/alteration/replacement U Tenant improvement J Fire,pnnklerialai n U Other. _ Job address: C0Lt.C2.c -t`_' _ i"1 Bldg.no.: Suite no.: Lot: , Block: Subdivision: [LL�L1t l Tax map/tax lot/account no.: ?' /. "_, Project name: Description and location of work on premises/special conditions: Ntune: Y `f 'ti'1Q.r11iddil.lihilic caps Mailing address: r(,\,• _ I &2 family dwelling:. ) ./ �' rt City: State ZIP: Valuation of work..............!e.,................. $ Phone: - 2±1 Fax: 7 mail: No.of bedrooms/baths................................ Owner's representative: Total number of floors................................. r Phone: Fax: E-mail: New dwelling area(sq. ft.) ....97YO..Q...... Garage/carport area(:,q.ft.)......................... Name: y Y 1 Covered porch area(sq. ft.) ......................... -- Mailing address: a �, __ Deck area(sq.R.)....................................... �— City: State: ZIP: Other stricture area(sq. ft.)_ ...................... Phone: Fax: E-mail: Commercial/industrial/multi-family: Valuation of work........................................ $ Existing bldg.area(sq. ft.) .......................... Business name: �"1 _ - Address: Z, New bldg.area'sq.ft.) ............................... — -- City: Sta ZIP. Number of stories........................................ Type of construction.................................... _ Phone: Fax: _ E-mail: Occupancy group(s): Existing: CCB nor—__ New: City/meter lic. mv, Notice:All contractors and subcontractors are required to be r P licensed with the Oregon Construction Contractors Board under Namr. �, l "•Y + �' provisions of ORS 701 and may be required to be licensed in the Ad,:es — ' _.. jurisdiction where work is being performed. If the applicant is �(' 4 - exempt from licensing,the following reason applies: City: State: Contact person: Plan no.: — iii Fax: I E-mail: -- Name. lContact person: Fees duc upon application ........................... $ Address: Date received: City: _ Statc: ZIP: Amount received ......................................... $ _— Phone: Fax: E-mail: _ Please refer to fee schedule. — I hereby certify I have read and examined this application and the No all joirdicuoru accep cre&cards,please call jurisdiction rot more information. attached checklist. A nrvisions of I ws and o dinances governing this d visa O MuterCanl work will be co fi wt ,whether cifi ere or n t. cr��rr�m —.-_ _� / P� _ _ p Authorized SI natu I ate: `-'_I b I Name of carOcIder u shown an credit card + S Print name: �_� Cardholder stgurure T Amount Notice: This permit application expires if a permit is not obtained%%idiin 190 days after it!las been accepted as complete. s+o-tslr(dt:O,coM) One-and Two-Family Dwelling Building Permit Application Checklist ReRrenceno.:i Associated permits: CiryofTigord City of Tigard Cl Electrical 0 Plumbing O Mechanical Address: 13125 SW Nall Blvd,Tigard.OR 97223 0Other: Phone: (503) 639-4171 Fax: (503) 598-1960 THE FOLLO WING RE REQUIRED1 ' PLANAEVIEW Ves, No NIA 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. _— Water district approval. 8 Soils report_. Must carry original applicable stamp and signature on file or with application. Erosion control '>plan Ci permit required.Include drainage-way protection,silt fence design and location of catch-basin protection,etc. 10 3_ Complete sets of legible plaits.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 t/ if copyright violations exist. _ J� I 1 Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if Utere is more.Ulan a 4-11.elevation differential,plan must show contour lines at 2-ft.intervals)-,location of easements and driveway;footprint of structure(including decks);location of wellslsr•pdc systems;utility locations;direction indicator,lot arra;building coverage ari a;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. - i t Floor plans.Slow all dimensions,room identification,window size,location of smoke detectors,water heater, furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. I Cross section(s)and details.Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-floor, wall construction,roof constriction. 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 constructiop, thermal insulation,etc. 15 Elevation views.Provide elevations for new construction;minimum of two elevations 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-size sheet addendttms 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 en ineering 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 Uoortroof truss design details. --� _1 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 enkineer or architect licensed in Oregon and shall be shown to be applicable r,die project un 1 i n i •� 23 Five(5)site plans are required for item I 1 above. Site plans must be 8-1/2" x 1 I"or I I'' x 17'. 24 Two(2)sets each are required for Items 16, 19,20& 22 above. 25 Building plans shalt 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 onh. a°°'ai',baarcoMi Mechanical Permit Application Date received: Permit no.: City of Tigard Project/appl.no.: — Expire date: Cityqf'rigard Address: 13125 SW Nall Blvd,Tigard,OR 97221 Dateissued:issued: BY Rcce pt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: --_- Land use approval: _ Building permit no.. TYPE OF PER311T F)O I &2 family dwelling or accessory U Commercial1industnal 0 Multi-family U Tenant improvement K,New construction U Addition/alteretion/replacement U Other:JOB SITE INFORNIATION COMMERCIAL 1 1 Job address: Indicate equipment quanuties in boxes below. Indicate the dollar Bldg.no.: I Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value S Lot: Block: Subdivision: til 'See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City/county: ZIP: 14 13 114,1111510111111 Description and location of work on premises:_ t t 1 s t DI 11 _ Fee(ea.) Total Est.date of completion/inspection: Description (hy. Ites.ouly Res.only Tenant improvement or change of use: Air handling unit CFh1 Is existing space heated or conditioned?0 Yes U No Air con iuoning(site planrequued) Is existing space insulated?7 Yes (]No 1. Alteration of existing HVAC system _ ui er/compressors State boiler permit no.: Business name NP Tons BTUM Address: r a Fire/smoke dampers/ Oct smoke detectors City: Lj StaTK�= eat pump(site pan requir )Phone: Fay: ail: nstalUrep ace fumacetbumcr_.._. including ductwork/vent liner U Yes❑No CCB no.: �._ nstalUreplace/relocate eaters-suspen ed, City/metro lie. no.: N/A wall,or floor mounted Name(pleaseprint): _ (`�� Vent orap Uanceo ter than urnace Refrigeratiun: Absorption units BTUM _ Name: �`t� � r, _ Chillers HP v Compressors_ HP nvironmenial exhaust and ventilation: City: State: 'LIP: Appliance vent Phone: Fay E-mail: ryerexhaust _ Dods,Type V res. tc a azmat hood fire suppression system - -- Name: Y1 Exhaust fan with single duct(bath fans) Mailing address: ) ;�,' Exhaust systema art _ eaun or _ Fuelpiping and distribution(up to 4 outlets) City. State. ZIP ) Type: LPC; NO Oil Phone:- Fax: E-mail 'uc ling ea- c—h add tional over 4 outlets rttcess piping I schematic required) Number of outlets Name: - Other listed ap-pante or equipment: Address: Decorative fireplace City' _- - --�----- State: 1113. - -- Insert-type — -------- --- --"— o stove/pelletstove Phone: E.•mail: Other: Applicant's r1gnat1, Date: t ter: Per _ Nttme(prints: (�L�Yi 1~ Ilf';► lac•/� - —�— Not all urisdlcdans acce or4b(canis,please•call jurisdscuon for mm mforrntuan Mini It m fee ................$ — i M Notice This permit application (Minimum fee................$ U Visa U MasterCard expires if a permit is not obtained Rrlit card number _ _�_ _ Plan review(at � %) $ c spirer' within Igo days after it has been State surcharge(8%) ....$ _-- — + Name of cardholder ii-shown on credo cud -- accepted as complete. TOTAL .......................$ S _ Cudholder silptamre Amount 4"0(60woM) Plumbing Permit Application _ - Date received: Permit no.: City of Tigard Sewer permit no.. Building permit no . Address: 13125 SW Hall Blvd,Tigard,OR 9723 Project/appl.no.: (xpiredatc: City of Tigard Phone: (503) 639-4171 -- Fax: (503)598-1960 Date issued: By- Recctp(no.A Land use approval: Case rte no.: 1'iyment type TYPE 1 l O 1 &2 family dwelling or accessory U Commercial/indust-m-i U ylulu-family U Tenant improvement ew construction U Addition/alteration/replacemer( U Food service U Other: 1 l 1 �t c. i - t t Description Qty 7ea,) Total Job address: )C) �/ L� New I-and 2-family dwelfings only: Bldg.no.: Suite no.: (includes 100 ft,foreach utility connection) Tax map/tax lot/account no.: SFR(1)bath -- Lot Block: I Subdivision: ( SFR(2)bath _ Project name: SFR(3)bath City/county: ZIP: Each additional bath/kitchen — Description and location of work on premises: Catch bet basasi Cainn// area drain _ Drywells/leach line/trench drain _ Est date of completion/inspection: Footin drain(no.lin. ft.) Manufactured home utilities_ Business name , ►-'LU i�1�L� Manholes Address: ain drain connector City: State ZIP: Sant tary sewer(no.lin,ft.) Storm sewer(no.lin.ft.) Phone: -45F I E-mail: Water service no.lin.ft.) CCB no.: t M-7 LJ-7 Plumb.bus. rcg. no: Flxlure or Item: City/metro lic. no.: N/A Absorption valve Contractors representative signature _ Back flow revcnter Print name: 1� - U Backwater valve Basins/lavatory _ Clothes washer Dishwasher -- Address: � �ax; ---- DunCityte. ZIP: Ejectors/sump Phone: Email: Expansion tank Fixture/sewer ca Floor drains/floor sinksthub Name(print): :� Garbage disposal Mailing address: - Hose bibb City: _. l , _ State 71P: t Ice maker Phone: - Fay: 7-7(Gf E-mail: Interco tor/ tease trap Owner insralladonlresidendal maintenance only:The actual installation Pnmer(s) _ will be.made b% me or the maintenance and repair made by my regular Roof drain(commercial) :it on the propem I own 1 rPr nRS Chapter 447. Sink(s),basin(s),lays(s) Date: Sump - Owner's si nature: Tubs/shower/shower an Urinal Name: Water closet Address: - - - 1'ate' r heater City: State: ZIP: Other: -- E-mail: __LL_ Phone: Fax: Minimum fee................$ --- Not all jurisdictions accept credit cards,pttaw call juriullcuon for more mfaswuon Notice:This permit application Plan review(at •,- %) S ---- - U Visa U MasterCard / expires if a permit is not obtained State surcharge(8%) ..••S ._---- Credit card number %ithin 180 da%saner it has been rapirn accepted u complete. TOTAL .......................s �._---- Nam d cardholder as shown on credit crd s _ 4464616(t%"Si t Cardholder urature Amwmt Electrical Permit Application Date received: Permit no.: City of Tigard Projecdappl.no.: Fxpiredate: -^^ -- City ojTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Dateissued: By: I Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Crse file no.: Payment type: Land use approval: tAl 110 11 ❑ I &2 family dwelling or accessory U(:onunt•rrtal/intlu.ansl U Multi-family ❑Tenant improvement New construction U Addition/alteration/replacement U Other. U Partial Job address: ) �( C��_ IBIig.no.: Scute no.: -1 ax map/tax lot/account no.: Lot: IIISubdivisiow - I I Project name: I Description and location of work on premises: Estimated date of completion/inspection' t Job no: Fee Mu --- — __Desaiprion vty. (ea.) Total no.lm%p Business name � New residential-single or multi family Per Address: �L y _ �, _ dwelling unit.lnclude-sattaelxvlgarage. city: State: 11 P G3` timiccinslurkri 2 1000 sq.ft.or less __ 4 _ Phone: J I Fax: (;'mall• Each additional 500 sq.ft or portion thereof _ CCB no.: Elec.bus. lic. no: Umttedenergy,residential _ 2 C i Limited energy,non-residential2 Each manufactured home or odular dwelling Service af�reajJYperyisingeleM►Idan(required) Dote s orfeeders feeder ' - �- n Services fe -Installation, Sup elect narneipnnt) 1 I icensrno 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: amps to 1000 amps 2 � ti 601 am Cin': s stale ZIP: Over 1000 wrips or volts 2 Phone: - Fyx. -"7 , moil: Reconnect only_ 1 Owner installation: I he installation is being made on property I oss n Temporary services or feeder- irufallallon,alteration,orrelocation: which is not intended for sale, lease,rent. or exchange according to 200 amps orlrss _ 2 ORS 447,455,479,670,701. 201 amps to 400 amps 2 0%%ner's si nature Date: 401 to 600 ams 2 a I Branch circuits-new,alteration, or rxternslon per panel: Name: A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: 1 State: ZIP: B Fee for branch circuits without purchase of service or feeder fee,first branch circuit 2 Phone: Fa,r E"mail: Each additional branch circuit Mise.(Service or reeder not Included): Each pump or tmgation circle 2 ❑Service over 2:5 antes-cotnnxrrtal t7 1lealth<arefacduy 2 ❑Service over 320 amps-rating of Ide2 O Ilarardous location Each sign or outline lighting (amity dwellings O Building over 10,000 syu.ue feet four or Signal cttcuitts)of a limited energy panel, 2 O System over 600 vols nominal more residential units In one structure alteration,or extension' _ ❑Building over three stones ❑Feeder,400 amps of more •Descri tion. Y_ ❑Occupant load over 99 persons ❑Manufactured structures or R V park Each additional inspection over the allowable In any of the above: 0 Egresslightingplan ❑Other Per inspection �_ Z sdbmit_sets of plans with any or the above. Imesucauon fee The above are not applicable to temporary cortstructlon service. other Permit fee.....................$ Nor all jurisdictions acepi credit canis.please call junsdicuoo for more information Notice This permit application Plan review(at __ 96) $ O Visa O MasterCard expires if a pertnit is not obtained Credit card number1 L within 180 days after it has been State surcharge(8%) ....$ _ --- Fxpues accepted as complete. TOTAL .......................$ Narrse of ranlholder u shown on credit erd s Cardholder ujmarurc _ Amount I46-46I5(RAdCOM) i DON - MORISSETTE H O H B S I N C O R P RAT E D OLE 1986 ♦ 2 9 0 G A L E R O O9 T R R E T S U I T2 1 0 0 L LASE O S R E G 0,. O R B CON 9 7 0 3 b (603) 987 - 7638 PAZ (503) 367 - 74 1 b LOT: 33 DATE: 5/25/2001 PROPERTY: QUAIL-HOLLOW STANDARD ELEVATION CITY: TIGARD SCALE: 1"=20' PLAN No.: 156 viacl 1z, 284 I 55.00' ------- 288 I �,a I �o ijr I 1 , 7ca I cone. I petro _ 3 bdrm. \V 3 bath • �86 .y � -� FFE. 2?0.5' 2 car car. -- . I -' 452 eq Ft. FFE- 290' y po \ CC11ClCte Driveway At_ 9 I \ \7 r\ 289 '4ppr'oach 3,.02- 90 V �, �t 1�,�v rc' , A 12399 SIU, QUAIL. C: z &EK Ln. LOT "33 B 5,430 e�. Ft.