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12160 SW HOLLOW LANE
a A a Z O r r C.) r -- 12160 SW HOLLOW LN. n - � � � � 8 -4 -4 -4 r n o u C) w rn T dN N co 0N Q a a ED a Q y o o N ; 0 9 T) a 13 J Z r 0 0 a J O IJ o o CO CDD cn ° a � ccnncn c ri Z Z ° in d T I �n O D p D D D Z ccn cn n n cn Q Cl N 'J 0 cZ 0 0 0 o r ^, 2 0 o i7_ 2 T T O EL a a n n a a C m �W CL v 0 O A N N r CL t(pp 9 Or7. 0 (OD cCi cOL� n g:C) ` C it Dm ➢ C g 1 N o OP E .-0 �. N C L (� C O g Q CIL p fi N b N a Uf fn V7 In n fn N N 0 0 W 0 W (n N 0 N N M U, 0 0 D A A D j U O <DDVA N V V VV N CN N P N N O UQ7 LnW jA jW N CO ui W � rn m_ m o m n c v v m T m v 0 T > v N C g $ g 8 N ro ro N N 9 V �p Nz. 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FLM -- — --- Contractor Ph SWR 'IJJ1L ITS Tenant,-7wner __ ELc Retaining Wall ELR Footing Access - ---- --- --- Foundation FPS Ftg Drain -----—--__ --_-_ Crawl Drain inspection Notes. SGN - -- --- ----- Slab SIT Post&Beam -- Ext Sheath/Shear l �•�" _ Int Sheath/Shear -- Framing Insulation -- Drywall Nailing _ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: in ASS P,191 FAIL PL BING —_ Post&Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final - PASS PART FAIL MECHANICAL_ — - Post&Beam - - -- -- - Rough In Gas Line Smoke Dampers Final -- -- -- PASS PART FAIL ELECTRICAL _ `--- Service Rough In -- UG/Slab - -- Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill/Grading -- -- Sanitary Sewer Storm Drain ( j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection RE: _ _ ( j Unable to inspect no access ADA Approach/Sidewalk Other Date I Inspector, � Ext Final I PASS PART FAIL DO NOT REMOVE this inspection record from the job site. / CITY OF TIGARD PLUMBING PERMIT _^ (� DEVELOPMENT SERVICES PERMIT#: PLM1999-00425 '"■ 1312.5 SW Hall Blvd., Tigard, OR 97223 (503) 639-41'71 DATE ISSUED: 12/13/1999 PARCEL: 2S103CB-12300 SITE ADDRESS: 12160 SW HOLLOW LN SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R-4.5 BLOCK: LOT: 081 JURISDICTION: URB CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACE=S: 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 backflow prevention device FEES Owner: __ -- -- Type By Date Amount Receipt DON MORISSETTE HOMES PRM4 BON 121131199 $25.00 99-320370 4230 GALEWOOD STREET 5P:2 BON 12/13/199 $2.00 99-320370 SUITE 100 1.AKE OSWEGO, OR 97035 � Total $27.00 J Phone 1: 274-5223 Contractor: PROGRASS LANDSCAPE SERVICES 29895 SW KINSMAN RD WILSONVILLE, OR 97070 REQUIRED INSPECTIONS RP/Backflow Freventer Phone 1: 682-6076 Final Inspection Reg #: LIC 00006136 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: �, ) (� ( Lit t _---_-.--_---- Permittee Signature: G'1 — Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day /CF-- 'I'll' In ,7 1'd1 S0 (1598 190 CITY OF TICXRU 9JO02 SOF TIGARD Plumbing Permit Application Plan cre = _ 93' .5SW HALL BLVD. Commercial and Residential RoldBy TidARD, OR 97223 Da:e Re-i 12,• 10 r, _ (503) 639-4171 Da:e to P E. Print or Type Date le:,3' Incomplete or M4gible applications will not be accepted Permit V - Related SWR p__�_ Called --` Name of Dav©opmanUPmler. FIXTURES (Indlyidual) QI'f PRICE,; AMT JobSink it.sc Address Street Address I SUM Lavatory 1150 tL) !loll rn•L! (w /t Q- Tub or Tub/Shower Comb, 11.50 Bldg 0 Cltymate Zip Shower Only 11.50 Water Closet 11.50 Name _ 7)ar1 Marwasher 11.50 ` Owner Maiing Address butte Garbage Deposal 11.50 q. 3o SIU Washing Machire 11.50 CItyB:ate Zip Phorte FloorCroWFloorSink 2" 11.60 LaKe c�Sltirgy ORS 79�- lov5�+ --- Nart•e\ _ 3„ 11.60 4" 11 51 OccupantN8111ng Ad 9S s�lle Water Ilea(er 0 conversion O like kirxl 11113 Gas piping re uims a separate mechanical permit. CltylState� 21p Phone Laurdry Room Tray 11.53 _ Urinal _ J 11.85 U erne Other Fixtures(Specify) 1600�r►Usca/' 1r0&1-ass La,1 sccc 6 Contractor Mulling aidreaa Suhe 6`1 5 u lCffifirn .k Pricr;o permit Cltylstato Zip Phone f,7•- Sourer•isl 100' 38.00 Issuance,a copy l S=ln ullk O(Z97010 &04o a0 Sewer each additional 100 3200 of all licenses are GregoConst.Cont.Board Uc.* F_V.00:e required 9 V V 3 d)x-)e> Water Service-lit 100' 3800 expired In COT Plumbing uc x LV.Date Water Service-each additional 20C' 3200 database _ 1 Storm d Rein Drain-1at 100' 38.00 Name V Storm&Rain Drain-each additional 100' 32 00 ArchitectMoMbm Hoe Space 32.00 Or Mailing Adores, _ Suite Ccmmerclal Back Flo v Prevention Devise or Anil. 3200 Poilutlon Device Engineer Oity/9lata �Zlp Phone Residential Baci,low Prevention nevlce' 19.00 (Irrlgatlor tirr'ng devlc,a require a separate restricted er 3rgy r-11t.) Dascr be work to be done: ,— New O Repair O RepAce with like kind: res O No O A•ty Trap of 'Neste Not Connected to a Fixture 11.60 Residential 0 Commercial O _ _ Catch Basin 11.80 Additional description of work: Insp of Existing"lumbirg 50.00 er/'v Speclally Requested Inspections 50.00 Are you capping,moving or replacing any fixtures? —� _ Per/if Yes O No 0 Ruin Dtair,single termly dwelling 46.00 If yes,see back of form to Indicate work performed by Grease Traps 11.50 fixture. FAILURE TO ACCURATELY REPORT FIXTURE WORK COULD RESULT IN_IN_cREASED SEWER FEES. QUANTITY TOTAL. I hereby acknowledge that.have read this application,the:tite InfOrtriat,on la,ma•r�c crriser "ail-sm it required If Quan•ity Tgal Is �a ' 1' given is correct,the(I am Pre owner or authorized agent of the owner,and *SUBTOTAL o that plans submi::ed are Ir comp lance with Cregcn State Laws. A. Signet wnerl ant Data V9, U1 SURCHARGE . t Intact Poi eon Name Phone "PLAN REVIEW 25%OF SUBTOTAL Requrec Ay li 11 rule qty total Is>0 I?, IBR MNirtU6lrj 7lOO;i: :� �t,ta s,.. iFic F ` , T 'UAlnimum permit tss is$53+0 surcharge,except 4esldemia'8e.kilow ( tfl�d�tifl(pltfIriBi{ orIFIFIft� �� t j -� Prevention De-Ace,w,: i,k S23+5%surrherge Cvs6at>tlinHa aw�ee ltwrt w(r strand vra6aR9Pryii�a,�....' ' All New commercial Buildings requlre plans with,scmptric or 6ser elagrain and pli:nreview 1ds:s,'xmsblum�o dc:W.—IS ELECTRICAL PERMIT- CITY OF T I G A R D RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR1999-00303 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 12/13/1999 SITE ADDRESS: 12160 SW HOLLOW LN PARCEL: 2S103CB-12300 SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R-4.5 BLOCK: LOT: 081 JURISDICTION: UR Proiect Description: Landscape irrigation control A. RESIDENTIAL 3.COMMERCIAL AUDIO & STEREO_ AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR L.ANDSC LITE- OTHER: IRRIGA►ION X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL #OF SYSTEMS: Owner: -- ���--- Contractor. ----- ------ DON MORISSETTE HOMES PROGRASS LANDSCAPE SERVICES 4230 GALEWOOD STREET 29895 SW KINSMAN RD SUITE 100 WILSONVILLE, OR 97070 LAKE OSWEGO, OR 97035 Phone: 274-5223 Phone: 682-6076 Reg #: LIC 6136 FEES _ Required Inspections ____ Type By Date Amount_ Receipt Low Voltage Inspection PRM3 BON 12/13/19d� $60.00 99-320370 Elect'i Service Elect'I Final 5PC2 BON 12/13/199 $4.30 99-320370 1 Total $64.80 I I 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 riot 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 fortl. OAR 552-001-0010 through OAR 952-001-0080 You may obtain copies nf these rules or direct questions to OUNC at (503) 246-1987. Issued by �'1 ��l_t=� 1 lr �i _ Permittee Signature� � OWNER INSTALLATION ONr_Y The installation is being made on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N �{� _ DATE:- LICENSE NO. Call 639-4175 by 7.00 P M. for an inspection needed the next business day 06:'06199 I(F 10:59 FAX .503 598 IOGn C1"I} 111 "r. \I�l 0004 C Y OF TIGARD RICTED ENERGY ELECTRICAL APPLICATION Recd by:QJJ 1 15 SIN HALL.BLVD RECEI Date Rec'd: II,?-- 11D jT RD OR 97223 PRINTOR TYPE V-503-639-417'1 X304 DEC 1 199 Permit F-503-598-1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'dJAIINIIY 1 WILL NOT BE ACCEPTED m,�Thi DTZ Name Cf Development Project G l 'i/ TYPE OF WORK INVOLVED-RESIDENTIAL ONLY -_.._ —.-.-_-- — _. Resirl;,ted Energy Fee...................................... S60,00 bt CLA-Q.. 4V4-�LTw (FOR ALL SYSTEMS) JOB St'eet Address Sfe p 1i( C` `i t1r ldl 1101�L1 f 4 E... Check Type of Wcrk Irrvofved; ADDRESS C17"State Ztp Phones �`� Audlo and Stere.,Systema r� , K�- cl-� Name E] 6urglarA!srm ►)aY1 (Y)cy I k H ern�S Garage Not Opener- OWNER Vp iii Add ase ❑ 7��t1 ��O (jU(U UOC�D 1+ l c� J Healing,Ventilation and Air Conditioning System' CnvfState zip Phone 1f -_ taK�. 6S- C3 U-G`t i� ❑ Vacuum Systems, Name lur�c(sc,y,<. FAL KASg LCLndSci: pe, Other I(t4 0-t7 yL-4j /1V//eI CONTRACTOR Aaihg7A. dress -q VIM kty)Srry)OA. R Q TYPE OF WORK INVOLVED-COMMERCIAL ONLY— (Prior io Issuance a City/State Zia Prone 0 Fee for each system,....._...................................... $woo copy cf all licenses W 1 I!if�71 Ur h c- 0� �l�Ol U (D%A-(Do' 0 (SEF OAR 916-260.260) are required if Oregon Our, rd Lic 0 �E 3.1 ate �1j expired in C.O.T. 11 -� _ Check Type of Work Invotvrd. data base). Electrical Contr, Llc 0 Exp.pate I— Audio and Stersa Systems . eioc $ , otoC CT.or hlri �❑ t3niler Cortrcls -- OwneegNome -- ❑ _ Clark Systerty OWNER - Matlinq Address APPLICA14T [� Data Telecommunication Installation City/State Zip Phone 0 ❑ Fife Alann Installation T7his permit is issued under OAE 916-32C-370 This applicant egrces!o C hIVP,C make only restricted energy Installations(100 volt amps or less)under this per-nit and to do tie tollowing- ❑ instru-nenlatbn 1. Only use electrical iicensed pe.,suns to do Instal!atlons where required Certain residential and other transactions are exempt from licensing. ❑ Interum and Pagirig Systems These have asterlsks(') All others neod licensing; ❑ Landscape In gallon Contra' 2. Call tot innpec!bns when install0on Linder tnis permit are ready for Inspection at 603.6394175; ❑ Medical 3. Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls inspection when the inspector is out to inspect under this permit, 4, Assuma rbsponsibllity,for"assuring that all corrections required by the ❑ Outdoor Landscape Lighting' rasDector at a done,anJ; ❑ Protective Signaling 5. Assume resnonsini dy for calling for a final inspection when all of the ❑ eorri,ctlons are completed, Other_ Permits are ncn Imnsfereb.e and non-refundable and exp is if work is not started with n 190 days ar issuance or'f wort is susp'ndad for 180 days _..._ Number of Systems The person sinning for this permit must be the applicant or a person Ne Rema,s are•eaulred Licenses are reputed for all other InsuleUons authorized to bind the applicant -- FEES- ENTER FEES $ T _ Signature F y >� "'L SURCHARGE(.05 X TOTAL ABOVE) S 1t O Authority If other than Applicant TOTAL $ I:'•dltslrorrrrlVesele do.,alae CITYO F T I G A R D MASTER PERMIT PERMIT#: N1ST1999-00272 DEVELOPMENT SERVICES DATE ISSUED: 10/01/1999 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 12160 SW HOLLOW LN (� r. (PARCEL: 2S103CB-12300 SUBDIVISION: QUAIL HOLLOW- EAST "' 1' ' ONWG: R-4.5 BLOCK LOT: 081 JURISDICTION: URB REMARKS: SF PATH I BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED C'-ASS OF WORK: NEW HEIGHT: 24 FIRST: 1,498 of BASEMENT: at LEFT: 9 SMOKE DETECTORS Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,552 a1 GARAGE: 702 of FRONT: 31 PARKING SPACES: 2 TYPE OF CONST. 5N DWELLING UNITS: 1 FINBSMENT: III RIGHT: 5 OCCUPANCY GRP: R3 BORM: 5 BATH: 3 TOTAL: of VALUE: S 132.930 56 REAR 2�, PLUMBING SINKS 1 WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS, I RA.N DRAIN' 100 TRAPS. LAVATORIES: 4 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 OF RAIN DRAINS I CATCH BASINS: TUBISHOWERS: 4 GARBAGE DISP: I WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR I GREASE TRAPS. MECHANICAL OTHER FIXTURES: FUEL TYPES F1JRN<100K BOIL/CMP<3HP: VENT FANS: 4 CLOTHES DRYER: 1 GAS FURN>•100K: I UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL _ RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIPEEOERS BRANCH CIRCUITS _ MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 -200 amp: 0 - 200 amp WISVC OR FOR: I PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 6 201 400 amp: 201 400am, tat WIO SVC/FDR: 00 SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 •600 amp: 401 -600 amp: EA ADD( OR CIR; SIGNAL PANEL: IN PLANT: MANU HMISVCIFDR: 601 • 1000 amp: 101+8mpe•1000y: MINOR LABEL: 1000.amplvolt: Reconnect only: PLAN REVIEW SECTION —4 RES UNITS: SVCIFDR»225 A,: >600 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMEICiAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO d STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLUCK: INSTRUMENTATION: MEDICAL: OTHRI HVAC: DATAITELF COMM: NURSE CALLS: TOTAL a SYSTEMS: Owner: Contractor: TOTAL. FEES: $ 2,912.32 DON MORISSETTE HOMES DON MORISSETTE HOMES This permit is subject to the regulations contained in the 5000 SW MEADOWS LANE 4230 GALEWOOD STREET Tigard Municipal Coule,State of OR Specialty Code'•and LAKE OSWEGO,OR 97035 SUITE 100 all other applicable laws All work will be done in LAKE OSWEGO,OR 97035 accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or i`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 Reg Ir: I IC O00135 forth in OAR 952-001-0010 through 952.001-0080 You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987 REQUIRED INSPECTIONS Erosion 844.8444 Post/Beam Mechanica Mechanical Insp Shear Wall Insp Appr/Sdwik Insp Final inspection Sewer Inspection Underfloor Insulation Plumb Top Out Gas Line Insp Urb St Tr.e Certif LIT F Building Final Footing Insp Crawl Drain/Backwater Electrical Service Insulation Insp Electrical Final Foundation Insp Footing/Foundation Dr; Electrical Rough In Rain drain Insp Mechanical Final Post/Beam Structural PLMIUndernoor Framing Insp Water Line Insp Plumb Final Issued By ; •'� Permittee Signature : " Call (503) 639-4175 by 7:00 p.rn. for an inspection needed the next business day f155 sunifiedewerage SANITARY*agency N. Firs, Ave., Suite 270, Hillsboro, Or.,97124 SURFACE WATER Till j 503 648.8621 J 141 :114 PE P lil T I bei TL 0i>3099 r'.'XP IRA I ION DA IT 0328-,')0 LL. LXT DAI'L 092901 PERMIT I1;' 3TRUCHME. ADDRESS 12160 PRDJFCI' 020- sp'r P i,j c r u R r7. STREET 11W HOLLOW 1.14 1.01 81 PL OCK iYPE CONNECTION NEW OF (11JAIL. HOLLOW FAST rYPE INSTALLA11ON.- ( 1.9 ) Fil D SWR./t.',.PO CON/GIsC vyF,E uccur'ANCY ( I FAMILY PARCEL 261 Hit 491"Ki 0'TR SUT 4416 MP 27031 OWNER 110N MOOR ISETrE ADDR155 42"'10 SW BALEWOOD TF(EATMFN'1' PLANT 11UP'fli-im LAKE OSWEGO lip 97035 0iONE 387-7538 WAiFk DVITRUJ TIGARD I IATUPE EOUIVALFNT D W VA.1, 1 N(I R r 5 1 D F N T I L N 1*1 S G L.R V t C'E 1.)N I TS, 010 1.11`111!'." 1. SERVICE_ UNITS 1 CONNECtION FEES 5URFACE WATER ['UrVFLUPMVNT FEES SEWER r(li"INF.LTION 2300 . 00 WATER (MALITv 210 . 00 LESS CRFDIT .!10 .00;! WATFP 011JANTITY 290400 LES',', CRELITT 0100` EROSION cnNTROL I NSIPECT !ON 88100 PLAN GHFCK �,7*20 stjl[� I �; I fit 2300400 SOBI 0'I'm 435.20 TO T A 1. 2735120 A F'V-'L N A M L TJ L 14 A PHONT ArFILLIATION PEP DARKS LOT 81. PROJ 8207 011AI1... HOLLOW FASI 1 HOOP NOTICE r0k FRUSTUN CONTROL INSPECTIONS PFOUIRED 14 *** Ninrib-sx to cail t'' IN PUTTION-- 84-1, 84-44 *,I;P*** 6 M A I &E I-qczLLL'I) r4'J AL411ra!'I, 'JI PerinitConditions The applicant agrees to comply with ail rules Pod regulations of the Unified Sewerage Agency,Including those regarding erosion control. A 24-hour notice is required for erosion control Inspections. The inspection request number 15 944-8444.when calling for an inspection,please refer to the pormll,project and lot numbers. The,permit e,,plr.S one 1,ndred ogli,1!101 da,,from the date of issuance The Agency does not guarantee the accuracy of the location of side sewer lateral 71193 WHITE - USA, FLUE - Accounting, GREEN -Inspection, YELLOW - Customer CITY OF TIGARD Residential Building Permit Application Plan Check 13125 SW.HALL BLVD. Additions or Alterations Recd By � TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date Recd Date to P E. S- V 503-639-4171 Date to DST F F 503-684-7297 �f Permit# Print or Type Called_ Incomplete or illegible applications will not be accepted Name of Project Nam' Job i,l,'i( t _ ;��L !�} (,;.••t. �6`(o Architect if ,1� yv�7 �� 1 Address SileAddress� i' `dress ame ity/S�e-Y_ �„ ip; Ph nP-7 �� - - - Name Owner _,Mailipq Address I Engineer Mailing Addressrit - _-- y'Siate 1t Ln Ijpy_� P ne U� J�--C1 �� City/State Zip Phone General Nam Contractor Describe Describe work New Addition O `Alteration O Repair 0 Mailing Addre s to be done Prior to permit . IS Additional Description of Work �,�r issuance,a copy ity/St to ,�,/) Zi C Phone... of all licenses �_.(�_, / are required if Oregon , nst`.`-Coonnt.Board E p D to PROJECT expired in COT c.# )���J �� ?� 1 VALUATION database Mechanical Name — NEW CONSTRUCTION ONLY: �_i- ��� Sub_ ccu rTJ 'j J Sq. Ft. House ]--yam 14-_ , Sq. Ft. Gage Contractor Mailing Address f L—� ` ' 1 Prior to permit ! L Indicate the restricted energy installation by the electrical I subcontractor in the following areas_ issuance,a copy City/stale Pe - — - of all licenses p Pho�' Restricted Audio/Stereo are required if n,^;nn C ons: Cont. Board Exp Date Energy System___.___Alar_ms_ _ expired in COT Lic# -�,^� Installations Vacuum Irrigation database _— ,- ^— F )�C System _ System Plumbing Name (check all that Other: Sub- pa1 y : �W-.`J_Turn bl apply) Mallin A dress T` Corner Lot YES NO Flag Lot YES tJ(3 Contractor ,V (check one) _(check one) _ 1-1— r :1� Has the Subdivision Plat recorded? fv/A Y�t;S NO r'uan-; permita rap tylSta_ to 1 ! Pho e �� ssuan e,a rap, Il{/.3L�4v ,all licenses are Oregon Const Cont. Board Exp Dat required if Lir,.# expired in COT 1.C.� ` I hearby acknowledge that I have read this application,that the database Plumbing Lic # Exp Date information given is correct,that I am the owner or authorized agent of the owner, and that plans submitted are in compliance with �(�_�q Oregon State laws. -- Name �iqn Ore of ner/ g�It V Da� Electrical �_.0` v ( ; �� optact Per on Name , =h-rone# Sub- Mailing Address T � ` a Contractor I G L" ` Lr1• �_ City/State Zip Phone Prior to permit issuance, a copy 1�I1 �[�-��_ FCR OFFICE USE ONLY: of all licenses are Oregon Const Contont Board Exp Date Plat{o, Map/TL#: required if Lic# Q�Q�"� 111 l tl l i expired in COT I 1�- I 12t*fl' C� k ---- databese ert ical Li # � p D to— Setbacks: Zone.,- Solar. � r. _ Electrical Su erwsor Lic # I Datb 1 Engineering App�pval: Planning Approval. TIF i\dsts\formslsfaddalt doc 11/20198 DON - MORISSETTE IR, 5000 S. W. MEADOWS ROAD SOITE 1 51LI -L A K E 0 S W E G 0, O R E G O N 9 7 0 3 5 Ll.-oe• (5 0 3) 8 2 0 - 7 5 3 8 FAX (5 0 3) 8 2 0 - 7 % 85 OBE : '2 ^J1 3 6 LOT: 8 t �l 3 CAR GARAGE DATE: 7-30-99 CPTfGN 2 ELEvA'ICN PROPERTY: QUAIL-HOLLOW CITY: TIGARD SCALE: 1"=20' PLAN No.: 217B-OPTION-2 z�` lu v 4�praa�' kv 8 /� Cc�crsce j .4 � 285 ZS �• X92 eq. Dt. 7 � � ^'� Cb" / s 44, 46 1i2 'Cath 38 290 \� x(c CNG. a e' Zuo � • m S LOT 0V ��• � 9,016 sq. ft. � �r