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U g g g' r d o0 CD a A] J n 0 tLi `tD rp �D ^� (n -w o A (D N (a �pl oto m A a En N w Co xm [p Co OD 0 ch rn m (Q D0 D D D D D D -0 D D p m N O En vNi cin °'n c�'n u> O W CTt Z ho o o o 0 o o o 0 o i) r x I QoggQ9 Q o o a n ` a a n a a a 0. a C cn A i xo co m oxo m co oo � J C b C O 100 t7 W F 2 Q y 3 3 3. 0 N N d d � m CERTIFICATE OF OCCUPANCY CITY OF T I GA R D PERMIT#: MST1999-00352 DEVELOPMENT SERVICES DATE ISSUED: 10/21/1999 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S103CB-05200 ZONING: R-4.5 JURISDICTION: URB SITE ADDRESS: 12163 SW HOLLOW LN , SIIRMVISION: QUAIL HOLLOW - EAST BLOCK: LOT:001 ww CLASS OF WORK: NEW TYPE OF USE: SF TYPE OF CONSTR: 5N OCCUPANCY GRP: R3 TENANT NAME: REMARKS: PATH I: New single family dwelling w/attached garage Final Building Inspection and Certificate of Occupancy Approved 3/2/00 by Ken Schriendl, Building Inspector Owner: DON MORISSETTE HOMES 4230 GALEWOOD STREET SUITE 100 LAKE OSWEGO, OR 97035 Phone: 274-5223 Contractor: DON MORISSETTE HOMES 4230 GALEWOOD STREET SUITE 100 LAKE OSVVEGO, OR 97035 Phone: 503-387-7538 Reg #: LIC 000355 This Certificate grants occupancy of the above referenced building portion thereof and confirrns that the building has been inspected for compliance with the State of Oregon Specialty Codas fnr the gr up, occupancy, and use un er which the referenced permit was issued. ,�s_- t� 1 BUILDING INSPECTOR BUIL DINr FICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION -- MST 1115- C16 3,:2- 24-Hour Inspection Line 19•4175 Business Line: 639-4171 BUP Date Requested_ '5 - -ZnW AM PM �= BLD Location^ _ I Z ► Cv J l�o�-C�O�'_ �� Suite _— MEC Contact Person Ph PLM Contractor __— _ Ph _ SWR .�--�---- Tenant/OwnerELC ------- - Retaining Wall — M — ELR _ Footing Access. Foundation FPS Ftg Drain --- SIGN -------------------_- Crawl Drain Inspection Dotes: --------- Slab -----Slab _- _ M._. ---—w-- - SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing ) E A�-c/k 1.1 E J 5-7- Insulation 'TInsulation --- -Drywall Nailing �� lc�. er�� r��Qs�atil CD�.1 r72nL �I� Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof M SS' PART FAIL ---. -- — PLUMBING Post&Beam Under Slab Top Q, ; -----_-- ----- - --- Water Service Sanitary Sewer Rain Drains Final -- - _-----_----.� — —_—�_------- --- PA5 .-A4W FAIL Post& Beam - -- ---- - - ------ Rough In Gas Line -- - -- - -- Smoke Dampers A PART FAIL_ ELECTRICAL -----------------._ ------ — ----- --- Service Rough In UG/Slab Low Voltage Fire Alarm _ Final PASS PART FAIL SITE Backfill/(;lading Sanitary Sewet Stone Dra-n [ )Reinspection fee of$- —_required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch f1"IlaSln Fire 1ir Line [ ]Please call for reinspection RE: —_ [ )Unable to inspect-no access APA AphroachrSidewalk othel Date 7 - �� _ --- Inspector r Ext Final _ PASS PART FAIL 1 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST Cal S L 24-Hour Inspection Line: 639•-4175 Business Line: 639-4171 - -y ; CXR BLIP _ /Date Requested_- )) A S AM PM BLD Location 2 ( (4r Suite MEC Contact Person L Ph �,E'L Contractor Ph 2 17 SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access Foundation FPS Fig Drain Crawl Drain Inspection Notes SGN Slab --- - . -.. ---- - -- ------ SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear - Framing Insulation Drywall Nailing Firewall Fire Sprinkler -- --- ---,- , Fire Alarm Susp'd Ceiling Roof Final PASS PART FAIL --r---- UM6r 1 / Post& eam - -— ?- Under Slab Top Out Water Service Sanitary Sewer Rain Drains ASS PART FAIL_ _ ECHANICAL Post&Beam - Rough In Gas Line - Smoke Dampers Final - - -- PASS PART FAIL ELECTRICAL - -- Service Rough'n UGISIab Low Voltage - - -_- ---- _� Fire Alarm Final PASS PART FAIL SITE Backfill/Grading -- - - --- Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next inspection. Fay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( J Please call for reinspection RE:i ( ]Unable to inspect-no access ADA Approach/Sidewalk Other Date Inspector Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION �MsT)l q�f 24-Hour Inspection Line: 639-4175 Business Line: 63'-4171 '- BUP _ Date Requested_ AM PM BLD Location 1 2 _ Suite MEC Contact Person V) Ph - tQ PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall — FLR _ Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes. ----- Slab --- -- — -------- — S FT Post&Beam - Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fre Alarm / /__ — J Susp'd Ceiling __ ! Roof Misc: - - --.. ---- ------ Final ----------- ..., PASS PART FAIL -- PLUMBING Post& Baam Under Slab Top Out — Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL. [lost R Beam --- Rough In Gas Line Smoke Dampers Final PASS PART FAIL 10XCA Service Rough In UG/Slab _ Low Voltage Fire rm 1 ASS A.RI" FAIL Backfill/Gradino - - - Sanitary Sewer Storm Drain I I Reinspection fee of$-� required before t inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I J Please call for reinspection RE ( ] Unable to inspect- no access ADA Approach/Sidewalk Other Date 1 -Do _ Inspector fxt Final --'� PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ------ -- BUP _ Date /Requested –_��_AM_ PM BLD — Location l.o ]� �1� _-- Suite MEC Contact Person _ I LP-41, Ph 67g 2––SOU-7( PLM Contractor —__—_ _ rve me _ Ph x Zl-7 SWRIJ BUILBING -- Tenant/Owner ELC: Retaining Wall ELR Footing Access FPS Ftg Drain Crawl Drain Inspection Notes. SGN _ Slab -- - ..--- -- - — — -- SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear - -- Framing ------ Insulation — — ----- Drywall Nailing Firewall a Fire Sprinkler IS `_ C� _� Fire Alarm -- Susp'd Ceiling _w—�_ ,—�— --- —--- —---- ------ -- Roof Misc: Final PASS PART FAIL PLUMBING Pc st& Beam Ur der Slab Top Out - -- Water Service Sanitary Sewer -- `— -�- - Rain Drains Final -------___ — — PASS PART FAIL _- MECHANICAL Post& Beam Rough In Gas Line --- — -- -- Smoke Dampers Final - PASS PART FAIL CTRI 1 — Service Rough In — UG/Slay _ Low Voltage Fire Alarm _ — a SS FART FAIL �— SITE Backfill/Grading - — Sanitary Sewer Storm Drain [ I Reinspection fee of$_ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I )Please call for reinspection RE _ [ )Unable to inspect-no access ADA Approach/Sidewalk actor Date Inspector P1-��---Ext Final PASS PART FAIL_ I DO NOT REMOVE this Inspection record from the job site. ELECTRICAL - CITY OF TIGARD RESTRICTED ENERPERMITGY DEVELOPMENT SERVICES PERMIT#: ELR2000-00014 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 1/14/00 SITE ADDRESS: 12163 SW HOLLOW LN PARCEL: 2S103CB-05200 SUBDIVISION: QUAIL HOLLOW- EAST ZONING: R-4.5 BLOCK: LOT: 001 JURISDICTION: UR Proiect Description: Installation of a landscape irrigation control. A.RESIDENTIAL B.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 LANDSC LITE: OTHER. IRRiG CONT : ;; 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 GEO 1/1400 $60.00 00-321148 Elect'I Final 5PC2 GEO 1/14/00 $4.80 00-321148 Total $64.80 — ORIGINAL This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION- Oregon law requires you to follow rules adapted by the Oregon Utility Notification Center. Those rules are set fo! I in OAR 952-001-0010 thrpugh OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987. /, J Issued by - r L --_ Permittee Signature / -�� - iJ Alp- OWNER INSTALLATION ONLY The installation is being msde on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY_- SIGNATURE OF SUPR. ELEC'N 4� DATE: LICENSE NO: Cali 639-4175 by 7:00 P.M. for an Inspection needed the next business day { 06%08%99 Tli: 10:59 FAX 503 398 1960 CITY 03' TIGARD 111004 CIT(OFTIGARD RESTRICTED ENERGY ELEC'T'RICAL.APPLICATION Recd by:_ 13125 SW HALL BLVD Date Recd: TIGARD OR 97223 PRINT OR 1 YPE V-503-639-4171 X334 (ev PermfY#:F,-( ?7'aV -c%Y)l y F -E03-598-1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust Call'd_ WILL NOT BE ACCEPTED Name ct Development Prolecl TYPE OF WORK INVOLVED-RESIDENTIAL ONLY Restricted Energy Fee....................................... 560.00 G')u(L.LR- "-V a Lvi," (FOR ALL SYSTEMS) JOB 61'eat Address s`te a i ADDRESS .1 iV3 S f.L' /.-jo II ou+ i)It'a i, Check Type of Work Invotved: y City/State 71�P F°hone s� ❑ Audio and emo Systems J rLL t[l (`(cam [ J.j — Name ourylar A!arm Vim /Y1 rTr r S S t�fG /{r-rrn c� OWNER pnp ii Add sea ❑ C3arage Door Opener- W10, 0 6aire-tory ,0 Cane—_ -ily)State Zip phone# ❑ Heating,Ventilation and Air Conditioning System' ul/CQ- OW-Pe U q7 U3 4 "790-&'-1 -- — �f ❑ ams Vacuum systems. ( to y-jd -t�� (31-DG i✓LLS$ lana-.c-mve. Other lirl�l5cce�,e, Lt�t L.r�C1-�7c1Y1 Usy►t�/lc CONTRACTOR i�g�'� �'1U ktY)S rnQA TYPE OF WORK INVOLVED-COMMERCIAL ONLY (Prior to Issuance a City/Stale I Zip Phone d Fee for each system...,........................................ $80.00 ropy cf all licenses U)1 I w U1ll P 1 OR of 1070 (D to-&6 0 (SEL.OAR 910-2(0-2G0) are requlred if Oregon CQntr.Qrd Lrc.0E mate d 1� expired in C.O T _ Ur 3 31 �')M Ghecl:Type of Work Involved. data base) Electrical Cantor, L.1c.# Exp hate � Audio and Stereo Systems C 0 T.or Metro Llc.q xp.date Boilor Cortrcls Owner's Name '^ ❑ flock System`: OWNER_ Melling Address APPLICANT Data Telecommunication Installation City)State Zip Iphone M Fire Alarm Irlstaliatbn This permit Is issued under OAE 916-32C-370 This applicant agrees to L� make only restricted energy Installations(100 volt amps or less)under this HVAC permll and!o do tie following: ❑ RECEIVED Instruntentatbn 1. Only use electrical licensed persons to do Installations where required Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paging Systems JAN 14 2000 These have asterisks(') All others need licensing; 2. tall to'inspections when;nstallakon under tnia permit a ❑ Landscape irrgation cortrcl•re ready for COMMUNITY DEVELOPMENT inspection at 603.639.1176; ❑ Medioal 3. Purchase separate permits for all installations that are not ready for an ❑ Nurse Colts inspection when the Inspector is out to Inspect under this permit: 4 Ass.,me tesponelbil6y for assuring that all corrections required by the ❑ Outdoor Landscape Ligh�ing• insx-tor are done,and; ❑ Protective Signaling b. Assurno rasoonsini dy for calling for a final inspection when all of the corrections are:ompleted. ❑ Other — Permils are nen-Imnsfereb a and non refundable and exp re If work is not started with n 180 days o'issuance or 7 work Is suspended for 180 days. Ntxnber of Systems The person signing for this permit must be the applicant or a person N. ilcensee Pre'ecoulred Licenses are requhA rot all other IraWlaLOns authorized to bind the applicant _ Signature EYTER FEES ! '3 e SURCHARGF(.06 X TOTAL ABOVE) _ Authority if ether than Applicant TOTAL !j SU Casisirwrrsaesele do=311e 66 CITYOF -T IGARD _ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2000-00011 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE. ISSUED: 1/18/00 SITE ADDRESS: 12163 SW HOLLOW LN PARCEL: 251036-05200 SUBDIVISION: QUAIL HOLLOW - EAST ZONING- R-4.5 BLOCK: LOT: 001 JURISDICTION: URB CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW 13REVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: UR!NALS: GKEASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LIRE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of a residential backflow prevention device. _ Owner: F-,EEES -- Type By Date Arnount Receipt DON MORISSETTE HOMES PRM4 SS 1/18/00 $25.00 00-321148 4230 GALEWOOD STREET 5PC2 SS 1/18/00 $2.00 00-321148 SUITE 100 LAKE OSWEGO, OR 97035 Total $27.00 Phone 1: 274-5223 Contractor: PROGRASS LANDSCAPE SERVICES 29895 SW KINSMAN RD WILSONVILLE, OR 97070 REQUIRED INSPECTIONS Phone 1: 682-6076 RP/Backflow Proventer Reg #: LIC 00006136 Final Inspectior PL M 11558 aR This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules ,=re set forth in OAR 952-OOG1-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: „ Vim— Permittee Signature:! �—all (503) 6 9-4175 by 7:00 P.M. for an inspection needed the nex! business day 08/06/99 TIF. 10:57 FAX 503 598 1960 CITI' OF TIGARD 1002 CIT" OF "FIGARD Plumbing Permit Application Plan crocklt 13125 SW 114LL BLVD. Cornmercia! and Residential Read By TIGARD, OR 97223 RECEIVED Owe Re:'d (503) 639-4171 Dare It:P E. Print or TyFe JAN 14 ?_J 0 `'ate It:s3- Incomplete or illegihle applications will not be accepted Permit$f 41+1AXO-ocin COMMUNITY DEVFLOPME NT Related S'/.'R N Name of DaveopmenUProler, i c�) FIXTURE$ (indlvl uhl) QTY PRICE µMj Job ©l l c2A- i4vtic!tiU Sink Itw Address Street Addresssuits Lavatory 11 be i.1Ito Oft,,+. Tub orTublShowerComb. 11.5c Bldg M _ ! lata ZIu C d Shower Only 11.50 �a Name — Water Closet 11.50 barn M&yi%cfIe. HmncS clsnwasher i 11.50 Owner Mail ng Address 6ulto Garbage Disposal 11.50 ya30 SLo -�a/uL�G`C�ct- Washing Macioce - 11.50 CltylS'ate Zip Phone Floor Crain/Floor Sink2" 11.60 (PKC ostvirco 012, 790- toI/so 3" -- 11 tic Name 4" 11 50 Occupant Nailing Ad ss St.lte _ Water Heater O conversion O like kind 11.!0 _ Gus piping requires a se erste mechanical perrm. Gly/State Zip Peons Laundry Room Tray 1 L50 Urinal 1150 LCLYIC(SCo f rr0(gyro SS LArOsc G -OJWP Flxhxes(spaclty) 15,00 l Contractor Meiling Address Sure P`i 5 S10 lCrnsnlvl.R Pricr:o pe+rnit GtyNate Zip Phone L,P- Sewer-1st 100' 98.00 Issuance,a copy i in udle- 0&.97670 &P 74P RO Sawor each additional 100' 3200 of all licensee are Orego Const Cont.Board Uc,# EYp.Dere - - required 9 V3(10 $ 3i -)Oo p Water Service-1st 100' 36 00 expired In COT PRtmbing Lie.t E.V.Date water Service-each additional 20V 32.00 datahnce i Storm Q Rain Dain-1st IOU' 3600 I Nome Storm 6 Rein Drain-each additional 100' 3200. Architect Mobile Home Space 32.00 Or Mailing Address Suite Ccmmerclal Back Flan Prever-lon Devise or ANC 3200 _ Pollution Device Engineer CItyE /31ate Zip Phone Residential BacKOew Prev9ntam Device' 19.00 /,'+ (Inigalior tlmin6 devicas requirp a beparale Descnhe work to be dcne: rettrlcted energy errul.) New O Repair O Rep:ace with like kind ves 0 No O Any Trap or Waste Not Connected to a Fixture 11.50 Res)dant)al O Commercial 0 Catch Basin 11.50 Additional description or work — Insp or°xlsling?lumbirg ^� 50.00 eu'v I Are you ca In,,movie or re lacln an fixturesIf _ I Spe^tally Requested Inspections So.00 Y pp h a p 9 Y periv Yes O No 0 Rein Dialn,single Inertly dwelbug 45.00 If yea,see back of form to indicate work performed by Greasm Traps 11.50 flxture. FAILURE TO ACCURATELY REPORT FIXTURE WORK COULD RESU!.T IN INCREASED SEWER FEES, _ QUANTITY TOTAL a! I hereby acknowledge that.have read this applicalmr„tha:On informal on Isvra ria arias dipp-Am re regu red,r un,;,ti rn;,n >a �'T �'•' given Is correct,that I em the owner or authorized agent of the owner,and *SUBTOTAL that plans submitted are it ccmplance with Cregen State Laws. -;IiS' Signature of OwnerlAgenl Date s, &''A SURCHARGE L 1�_V Contact Parson me Phone,- a �. . , *'PLAID REVIEW 25%OF SUBTOTAL Regwec x,Iy h lbrure qty total Is>9 +� I BATH HOUSE 3(T6.00 t*rte+d 1 i'. TOTAL a�7_ 1 2SATttHOU3E123000;.' ixr.� tr y t3gTt{%40t85oo= _ -r ^ t 'Minimum permit fee a$53+5%surcharge,except Residential Bs;kftow (Thls,f�*)c)4dak all 140i¢J s h)dt! Pre v errtion Device,whl:h!s$23+5:t surcharge 700 foal et�inifir ar+e�T>(Erni sevrarar�d;w�taRiYt9t '�c "All Now Commercial Buildings regt.lre plans with scmelr c or riser diagrain 7, . .; • __ and plan review NO3':,rms`.olumwo dc:9+?S5 CITY OF T I GA R D _ MASTER PERMIT PERMIT#: MST1999-00352 DEVELOPMENT SERVICES DATE ISSUED: 10/21/1999 13.25 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 12163 SW HOLI.O'N LN PARCEL: 2S103CB-05200 SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R-4,5 BLOCK: LOT: 001 JURISDICTION: URB REMARKS: PATH I. New single family dwelling wlattached garage BUILDING ^ REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS _ REQUIRED CLASS Or WORK: NFW HEIGHT: 19 FIRST: 7,110 sf BASEMENTof LEFT: 5 SMOKE DETECTORS. TYPE OF(ISE: SF FLOOR LOAD: 40 SECOND: I o/n of GARAGE: 400 9f FRONT: 20 PARKING SPACES T`.'PE OF CONST: 5N DWELLING UNITS. I FINDSMENT: sf RIGHT: 5 VALUE: 5 233,156 60 OCCUPANCY GRP: P,3 BORM. 1 RATH: T TOTAL: sf REAR: ,'o PLUMBING SINKS I WATER CLOSETS I WASH114G MACH. LAUNDRY tRAYS: RAIN DRAIN: 100 TRAPS. LAVATORIES. 4 DISHWASHERS. I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS, I CATCH BASINS TUBISHOWFRS. 4 GARBAGE DISP: I WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR I GREASE TRAPS: OTHER FIXTURE MECHANICAL __FUEL TYPES _ FURN<100K: BOILlCMP<3HP:' VENT FANS. 'I CLOTHES DRYER: I llA:• FURN>.100K: 1 UNIT HEATERS: HOODS: I OTHER UNITS: 1 MAX INP. btu FLOOR FURNANCES: VENTS WOODSTOVES. GAS OUTLETS: I ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADO'L INSPECTIONS 1D00 SF OR LESS: 1 0 200 amp- D 200 amp: W/SVC OR FOR PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: r 201 400 amp- 201 400 amp: 1st WIO SVCIFDRm SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY-. 401 600 amp 401 600 amp: EA ADDL BR CfR: SIGNALlPANF.L: IN PLANT. MANU HMISVCIFDR. 601 - 1000 amp_ Bot-amps•1000V: MINOR LABEL: 1000.a••.,,,,.:!� PLAN REVIEW SECTION P:connect only — --- 41 WL q UNITS: SVC/FDR>-225 A. >600 V NOMINAL: CLS AREA/SPC OCC. E'.ECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO' VACUUM SYSTEM-. AUDIO&STEREO FIRE ALARM. INTERCOM/PAGING: OUTDOOR LNDSC'-T. BURGLAR ALARM- OTHHVAC LANDSCAPEIIRRIG: PROTECTIVE SIGNL. GARAGE OPENER: INSTRUMENTATION: MEDICAL: OTHR. HVAC. DATA/TELE COMM: NURSE CALLS: TOTAL N SYSTEMS. Owner: Contractor: TOTAL FEES: $ 2,949.42 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 Cade, State OR Specialty Codes and LAKE OSWEGO,OR 97035 SUITE 100 all other applcable laws. All woo rk will be done in TAKE OSWEGO,OR 97035 accordance with approved plans This permit will expire d work is not started within 180 days of issuance,or If the work Is suspended for more than 180 days ATTENTION P o PORIGINAL Pbo,e. Oregon law requires you to follow rules adopted by the Oregon Utl'ity Notification Center Those rules are set Rep 0: tic o003s1, forth in OAR 952-001.0010 through 952-001-0080 You may obtain copies of these rules or direct quest,ons to UNC by calling(503)246-1987 REQUIRED INSPECTIONS Erosion 844.8444 POSt/Bearn Mechanlca Mechanical Insp Shear Wall Inen Rain drain Insp Mechanical Final Sewer Inspection Underfloor insulation Plumb Top Out Low Voltage Water Line Insp Plumb Final Footing Insp Crawl Drain/Backwater Electrical Service Gas Line Insp ApprlSdwlk Insp Final inspection Foundation Insp Footing/Foundation Dr Electrical Rough In Gas Fireplace Urb St Tree Certif Ltr F Building Final Post/Beam Structural PLM/Underfloor Framing Insp Insulation Insp Electrical Final Issued BYy L �---_ _ Permittee Signature :I ' k- L • _ Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CI-171, O� TIGARD Residential Building Permit Application PtanChe 0- ' 'Ie - 13125 SW HALL BLVD. Additions or Alterations Recd By [_ TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date Recd ir.- Date to P.E. V 503-639-4171 Date to DST-/0 -� F 503-6$4••7297 1,4 Permit#J►1-41'/f ff-p0 3_W Print or Type Called—I% - 1 Incomplete or illegible applications will not be accepted Name of Project —� --�- --- ame Job � 1 1.1 I`� V�' l ' Lk�a r Architect aili Address bite dry•s no�ess ame /S ee I PhnnA !J Owner :3.11i-AArlrrav ^-�� Engineer f ailint Add,re s�—i1 ------ ity tS�ate'1L� 7 r ` City/State Zip Phone — _ General Name Contractor i Addition O Alteratio, Repair O M itinq Addreps to be done Pnc r to permit Additional Description of Work: issuz nce,a copy rty/St to ,�p Zi C t�+� one of all licenses �.��...L� 7 ?5P2j5 are required if Oregon CC nb st.Cont. Board E p DIto PROJECT database //expired in GOT Lic.# 1J �� ? �� VALUATION_ $ _ ) j / JPO, Mechanical Name ___-"--- NEW CONSTRUCTION ONLY: Sub- Sq, Ft. House: Sq Ft. Garage 4 Contractor Mailing Address - " 1 y—y___ J /t � Indicate the restricted energy installation by the electrical Prior to permit ( LJ subcontractor in the followin areas issuance,a copy i ISt a ip Pho e _ of alt licenses -3 Restricted Audio/Stereo are required if Oregon Const Ant oard Exp Date Energy System Alarms expired in COT Lic# 3 Installations Vacuum Irrigation database � 10 P 3 S stem System _ Plumbing Name (check all that Other: Sub- ��L Y Y ,' cam,` �I u Mbt apply)--__— _- Contrac tot Mailing Airdress^ Corner Lot YES �NQ Flag Lot YES O ' t (check one) x Z(check one) __�_-_ Has the Subdivision Plat recorded? N/A 1��S NO Prior to permit ty/State 1 Ph—o- ho e issuance a copy ) — — ---of all licenses are Oregon Const Cont Board Exp Dat required if Lic# — expired in COT W�i 1 1.CJ ` t (" 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 Oregon State laws. Name y — ^� 'r lure of Owner A ent _ Dat Electrical 9 Sub- Mailing Address fro tact P rson N me hone# Contractor City/State Zip Phone Prior to permit � ,..� ��- issue an^ ,a copy FOR OFFICE USE ONLY: of all licenses are Oregon ConA Cont Hoard Exp Date — required if Lic# I �f .� I I t 214-Ya Plat lav--- expired a# — -3s, — M�1p5� expired in COT /(�{,l LL/�'r�I database F4ect ical Lir; # _ ^pl D tem I Set ks: — Zones` vD SolRU ar Electrical Su e�or Lic # ��Ct� Oats noinp�ring P� �I Planning Approval. TIF. ----- -- �_-_ KJ 1 1 ` OCG - 0 ss 1 dsts\formsWaddalt doc 11/20/98 unified sewerage SANITARY41 agency UfI55 N. First Ave.,Suite 270, Hillsboro, Or.,Q.-7124 SURFACE WATER 503 648-8621 f 1 0 1)14 E F,T 1. 14 P r P14 I T ISSUE DAYr-.. 1021?9 EXI"IPAIJAIN T)AIE 041800 14:1L r-.YP DATE 10,2001 PERMIT 11767'. 'T F .) <UCTURV ADDRESS 12163 FIR.0'.4"Cl EP07 ,.1PULTUR17 STREE1 SW HfILLOW LANE 1-07 1 It L()C K I+L CONNFCTION NEW OF OIJAIL MOL -OW EAST lYPE INSIAL.L.ATION- ( 19) DI-11 SWR/ER0 GON/SDC I r VF U C("'I J PA 1`1 C I ) S I N G I E IAilILY PARCEL 2S1 3CP 4901 QTR SEC 441.6 MH 15 uWNFR, MORIGGETIE HOMES i)DDRESS 4230 DALE W00111 STREET TRFAT1`1FNT PLANT (10RH1011 LAKE OGWF--*GQ nR 9703!i I'HONE 381--7538 WATER DISTRICT TIGARD IXTURr FOUIVALENT DWELLING RESIDENTIAL to I T S y rF ON I f S 0 .0 UNIT `?, I SERVICE UNIT{ CONNECT ION FEES SUPFACF WATER 11F,VF*L0F'MFNT FIFES SEWER CONNr.CTTON 41300100 WATVQUOiLITY 210100 LEC1,11; CRELII I, 2 - 21(1. 00*:, WAIFR [ILIANTITY 2290400 LFSS CREDIT 0,00'" 1: ,00'!- 1:R 17)S 10 N CONTROL. I N'"P F CT ION 80 .00 PLAN CHECK S 7,20 SUB I 1VT AL 2.500, 00 61)F!T 0 T A L 4;55. 20 TOTAL 2735,20 NAME: DENA PH 0 N ;1FVII..LIAIION REP PFMARKS 00AIL HOLLOW EAST LOT I PROJ 9207 *24 HOUR, NOT [CE FOR FROSTON CONTROL INSPECTTOH" REgI.JTRFD f�r TNS qECT,1,0N-----84484-14 J Z A Permit Conditions: The applicant agrees In comply with all rules and 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 is 644-0444.When calling for an Inspection,please refer to the permit,project and lot numbers, i he permit expires one hundred eighty 1180)days from the date of issuance The Agency does riot guarantee the accuracy of the location of side sewer lateral 7/93 WHITE - USA, BLUE Accounting, GREEN -inspection, YELLOW Customer r i t NS PE C l k!) DY ____..._ DATE i r.:►N1RAC,lak/1 N°I1,ALLF.R ?vpE oi- PIPE DIAMEUR OF PIPE Inspector, Please sketch below or attach the following information. 1 `,treet & nearest cross street ?. Location of structure being served w 3 Route of service line I'vom structure to property line where it connects to the service lateral . Include length & diameter I of service line, depth at the structure A property lire, j dithensions referencing line to structure, property line, f and/or corners, etc. 4 North arrow I I i i i i I i I v I 1 DON - MORISSETTE 2SOYi6 INC01l0 ■ ATED U � 0000 LW. D2460. 0 60AN 6AIl2 101 LABS 06 • 260. O ana0x 07020liar -'Z'�--- (602) 620 - 762a ! . _ (600) 000 - 7400 OBE : 1954 LOT: 1 OPTION I ELEVATION DATE: 10/7/99 PROPERTY: QUAIL—HOLL011 CITY: TIGARD SCALLr: 10=20' PLAN No.: 169B 18050.001 2 cs� � �j . C5 280 ---940 282 g'�a �-------------- — 284 286 38'6 :,-j,.,: 994 per_ �------ I 46 iI O' 413' 3,-.W sq. fi Q1 3 bdrm. 0? 3bath ; _ F.FE. 286' I 4"1 Ln I 4.00 s f 2 car gar. e j 286-----J�'-a FF E. 2B5' zQ ` m. odc� 28A 12116 ?) � g� = 284 /�3 Ste : -.s' WIDE PLF. LOT M h. 5,48°3 sq. ft. �� C)D DON MORISSETTE HOMES, INC. 4230 Galewood Street, Suite 100 (503) 387-7538 Phone Lake Oswego, OR 97035 (503) 387-7615 Fax LATERAL ANALYSIS for Job #: 1954 PLAN No, 16913 12163 SW Hollow Ln. Lot: #1 Property: Quail-Hollow City: Tigard Date October 1999 �Ep P6�F GINF .�1 ac -----LIMITATIONS---- THE ENGINEER WAS RETAINED IN A LIMITED CAPACITY FOR THIS PROJECT. NO RESPONSIBILITY AND/OR LIABILITY IS ASSUMED BY,OR IS TO BE ASSIGNED TO THE ENGINEER FOR ITEMS BEYOND THAT SHOWN ON THESE SHEETS. DISCLAIMER 1ND RELEASE BUYE'R IIEREBY WAIVES,RELEASES AND RENOUNCES ALL WARRANTIES(EXPRESS Olt IMPLIED),OBLIGATIONS, AND LIABILITIES OF THE,ENGINEER AND ALI.OTHER RIGHTS,CLAIMS.AND REMUNES AGIANST THE ENGINEER (EXPRESS OR IMPLIED)WITH RESPEC1 TO.ANY NONCONFORMITY,IMPROPER INST,%LLATION,WORKMANSHIP OR MATERIALS.