12175 SW HOLLOW LANE ui�'i��AW uL.i,.J1LwwiWei�'LIW' �'a - r.'S" Wl••• �a��.'�-a -
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12175S
_ CERTIFICATE OF OCCUPANCY
CITY OF T t 0,03A R _
PERMIT#: MST99-00114
DEVELOPMENT SERVICES DATE ISSUED: 5/3/99
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 23103CB-053'
ZONING: R-4 5
JURISDICTION: TIG
SITE ADDRESS: 12175 SW HOLLOW LN
SUBDIVISION: QJAIL HOLLOW- EASTILE
'i1 e W%
BLOCK: LOT:002
CLASS OF �NEW
TYPE OF USE: SF
TYPE OF CON TR• 5N
OCCUPANCY GRP: R3
TENANT NAME.
REMARKS- New SF - Path 1 Model home NEED ACCESSIBLE LAYOUT PLACED ONTO A SITE PLAN
Owner:
DCN MORISSETTE HOMES
5000 SW MEADOWS RD#151
LAKE OSWEGO, OR 97035
Phone: 620-7538
Contractor.
DON MORISF=TE NnA0'S
5000 SW MEADOWS RD�
STE 151
LAKE OSWEGO. OR 97035
Phone: 620-7538
Reg#:
This Certificate issi.►ed 0/15/99 grants occupancy of the above referenced building or portion
thereof and confirms that the buiNing has been inspected for compliance with the State of
Oreq(,n Specialty Codes for the group, occupancy, and use under which the referenced permit
was issued.
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST q9 24-Hour Inspection Line: 639-417£ Business Line: 639-4171 —
2'7/
BLIP -
-___---Date Requested` � r' _AM PIM _ _. BLD
Location !�� (; w _ Suit�e7 MEC _
Contact Person _—` L _ Ph ZZ ( N�52�L�i� PI.M
Contractor — Ph SWR _
moi-ILD _ _Tenant/Owner ELC
Retaining Wall ELR
Footing Accpsc -
Foundation FPS
Fig Drain
Crawl Drain Inspection Notes: SGN
Slab
Post&Beam SIT _--
Ext Sheath/Shear
Int Sheath/Shear ---- Y--
Framing
Insulation � � �� �� � -
Drywall Nailing
Firewall
Fire Sprinkler 1�19(�t h h4, S�
Fire Alarm -'
Susp'd Ceiling
Roof
MIs : _ ---,_--
P1
IfPAS5,1PART FAIL ---------
PieWBING
Post& Bearn -
Under Slab �p/
Top Out
Water Service
Sanitary Sewer - - -
Rain Drains
Final - - .- -
PASS .P.-AR-�T- FAIL
Post& Beam ------ __
Rough In
Gas Line -
Smoke Dampers
SlFAIL
EkIrCTIRICAL - - --- - __- __--
Service
Rough In -- -` — -
UG/Slab
Low Voltage -- `-
Fire Alarm _
Final _ ---
PASS PART FAIL
SITE
Backfill/Grading ---- - —--- -
Sanitary Sewer
Storm Dain [ J Reinspection fee of$_ —required before next inspec',oij. ^ay at City Hal+, 13125 SW Hall Blvd
Catch Basin
[ J Please call or reinspection RE. nable to
Fire Supply Line f -�� _ [ [ inspect no access
ADA
Approach/Sidewalk �-
Other 13�te _. Inspe or _Ext
Final --
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD _ MASTER PERMIT
PERMIT M MST99-00114
DEVELOPMENT SERVICES DATE ISSUED: 5/:3/99
13125 SW Hall Blvd„ Tigard, OR 97223 (5031639-4171
SITE ADDRESS: 121/5 SW HewAR[)SST PARCEL: 2S103CB-04901
SUBDIVISION: u� , '� ,- � i i ZONING: R-4 5
BLOCK: LOT: JURISDICTION: URB
REMARKS: New SF- Path 1. Model hotne.NEED ACCESSIBLE LAY OUT PLACED ONTO A SITE PLAN
BUILDING
REISSUE: STORIES: 2 _ FLOOR AREAS _REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 23 FIRST: 1,488 of BASEMENT: 0.00 if LEFT 1, SMOKE DETECTORS.
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,512 of GARAGE: 427 of FRONT 'n PARKING SPACES
TYPE OF CONST: 5N DWELLING UNITS: 1 FINSSMENT: 0 It RIGHT: 5
VALUE: S 438,110.45
OCCUPANCY GRP: R3 13DRM: 4 BATH: 3 TOTAL: 3,OUe^n of REAR. 21
PLUMBING
SINKS: 1 WATER.CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 0 RAIN DRAIN: 100 TRAPS: 0
LAVATORIES: 4 DISHWASHERS: I FLOOR DRAINS: 0 SEWER LINES: 100 :.IRAIN DRAINS: 1 CATCH BASINS:
TUBISHOWERS: 3 GARBAGE DISP I WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR 1 GREASE TRAPS: 0
OTHER FIXTURES: 0
MECHANICAL
_ FUEL TYPES FURN<IOCK: 0 BOIL1CMP<3HP: 0 VENT FANS: 4 CLOTHES DRYER: 1
GA' FURN 1-000K: 1 UNIT HEATERS: 0 HOODS: 1 OTHER UNITS: 1
MAX INP: 0 btu FLOOR FURNANCES: 0 VENTS: 0 WOODSTOVES: 0 GAS OUTLETS: I
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 snip: 0 0 -200 amp: 0 WISVC OR FDR: 1 PUMPIIRRIGATION: 0 PER INSPECTION: 0
EA ADD'L SOOSF: 5 201 - 400 amp: 0 201 •400 amp: 0 1st WIO SVCIFDR: 00 SIGNIOUT LIN LT: 0 PER HOUR: c
LIMITED ENERGY: 0 401 600 amp: 0 401 600 amp: 0 EA ADOL BR CIR: 0 SIGNALlPANEL: 0 IN PLANT: 0
MANU HMISVCIFDR: 0 601 - 1000 amp: 0 601+amps-1000V: 0 MINOR LABEL: 0
1000+amplVoll: 0
PLAN REVIEW SECTION
Reconnect only: 0
a.4 RES UNITS: 9VCIFDRI•225 A.: >600 V NOMINAL: ('.LS AREA/SPt',OCC'
_ ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIA L _ B.COMMERCIAL
AUDIO A STEREO: VACUUM SYSTEM: AUDIO A STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: 0TH: BOILER. HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: x CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA7TELE COMM: NURSE CALLS: TOTAL N SYSTEMS: 0
Owner: Contractor: TOTAL FEES: $ 2,049.61
DON MORISSETI'� HOMES DON MORISSETTE H )M1AES This permit Is subject to the regulations contained in the
5000 SW MEADOWS RD#151 5000 SW MEADOWS RD Tigard Municipal Code,State k Specialty Codes and
LAKE OSWEGO,OR 97035 STE 151 all other applicable laws. All woo rk will be done In
LAKE OSWEGO,OR 9'035 accordance with approved plans. This permit will expire if
work is not started within 180 days of issuance,or if the
work is suspended for more than 180 days. ATTENTION:
Phone: Phone: 620-74851FAX Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center Those rules are set
Reg 0: 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 Crawl Drain/Backwater Electrical Rough In Insulation Insp Mechanical Final
Footing Insp PLM/Underfloor Framing Insp Rain drain Ins13 Plumb Final
Foundation Insp Mechanical Insp Shear Wali Insp Water Service Insp Building Final
Post/Beam Structural Plumb 1 op Out Low Voltage Appr/Sdwlk Insp
PO3t/Beism Vech2nica_ Electrical Service Gas Line!nap Electrical Final
I ued By : . ,a �k L o Permittee Signature :
h L41 +
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next bu net; ay
Plan Check irG)
CITY OF TIGARD Residential Building Permit Application Recd By
13125 6-W HALL BLVD. Nev., Construction Additions or Alterations Dat:Recd
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E.
V 503-639-4171 Date to DST
F 503-684-7297 Permit N 01(r
Print or Type C� Called�N/�
Incomplete or illegible applications will not ccepted
Name of Project Name
Job 0J A-t L HD LL OW
Address site Address Architect Address
�w �__ A � lam.
Name pp ,ty/.Late Zip C. I Phone
Owner Mailing AF r- � me
ress A(_JA
_ , I
C t /State H� Zip Phone ( i Engineer Ma g A,dress
General Name a e _ ip Phone
Contractor �-(���` _ - � Describe work New• Addition O Alteration O Repair 0
ailln Address to be done:
Prier to permit � 4^ Additional Description of Work: ���
Issuanc-7. a copy itylS ate Zi f h n®
of all Iicsnses
are regr.ired;f Oregon Co st.Cont.Board Exp. Date PROJECT / U >
expired n COT Lic# J 1 I,CC, VALUATION
� database
Mechanical Name NEW CONSTRUCT N-ONLY:
Sub- C���� '� Sq. Ft House: Sq. Ft. Garage 142:7ontractor Mailing Address l�u v
Prior to permit 1� I 5 Corner Lot YES NO Flag Lot YES NO
issuance, a copy S ity/Ste ei ne (check one) (check one.)
of all licenses '� 4A_Tlper -j Restricted _ Audio/Stereo Burglar
are required if Oregon Const.Cc t.Board Exp. Date
expired in CUT L;c.x 2 Energy _ System Alarm _
_ database U�3 313�,� Installation _ Garage Door HVAG 4
Plumhing Name _ x Opener Systems
Sub- 7l �liV Ut—t�jl ��� (check all that Other:
Contractor Mailing Address — - apply)
Will the electrical subcontractor wire for all YES NO
c�tli _ restricted energy installations?
Prior to permit City/State in ,p Phone
issuancs, a copy c Has the Subdivision Plat recorded? NiA ,YE$ NO
) `I Je
of all licenses are Cregon Const.C nt.Board Exp. Dale _
required if Lir_.# Reissue if MST#: 3LA A Solar Compliance
�1
expired in COT L��� �� I l �` _ _ (calculation Attached)`- �
database Plumbing Lic.# Exp. Date I hearby acknowledge that I have read this application, that the
L-II�> ���) I �� information given is correct, that I am the owner or authorized
Name -- - agent of the owner, and that plans submitted are in compliance
Electrical _f r�.s 1. iv Ci RIC, with Oregon State laws
Date
Sub-
Mailing Address �
Contractor ��v 5�-` _')V A T- nnfam PQa tnn mama ��
Phe a ti `
City/State Zip Phone
Pnor to permit t FOR G FI USE ONLY:
issuance, a copy t I I LL-s �"���C' ! •r 1?- lat Ma /TL#:
Z ffp�
#: r I -�of all licenses are Orego•,Const.Cont.Board Exp. Date ) ? ` /rlu
required d :_ic# -+ _
j I �I 1 (^t ��h Setbacks' Zcne: Solar:
expired in COT �� ,
J
database Electrical Lic.# Exp. Date 'rte- � r �'
la y Z 3 Z !` En ineerin Aprovel: Planning Approval: �:
/J..4 e�5Ir351146
51L _ I:SFREM.DOC (DST) 4/97
I l
�' �• • � A
� � r� ��
�...
. , ,..
unified
sewerage SANITARY* 61-
•
agency
UfI55 N. First Ave,Suite 270, Hillsboio, Or,,97124 SURFACE WATER
503 648-8621
CO N 1`1 E LI 10N FE.P M
IS!'ME SATE 0421399 EXPI.PAI ON DATE 102599 FC F-.xF, I)AIF 04.'2101 X11,6734
f;TPLICTURE Al"ILIFESS 12175 J FC T t!07
T R 1.1("11.1 R F.: S T K E ET 5W H 10 14 Rt,t, I't R
1.01 2 8 L.0 C,f;
I YPV CONNECI ION- NEW OF OUAIL HOI.I-.UW EAST
[ YPE INS'l AtA.AT YON-- 19 ) FILD 5WR,,,FF?0 CON/1131)C
I (FE 0 C C 0 PA N C Y- 1 6 1 N(.0.E F A M 1�1- 't PARCEL 25I, 3CP 4901
OTR SEC 4417 MI 21A9119
OWNER DON MORISSETTE HOMEb
,,4VDRk'SG 5000 M EA D 13 W IS RO A 1:1 I'R F A I'M F.N'T PL A 0 T 11 Ll R H A M
LAKE OSWE.00 DID 97035
PHONE 620-7538 WATER DISTRICT' TIGARTI
F I X I URE EQUIVALENT 0WFt- LING RFSTUNT) AL
UN 11 S G)r.R V1 C E, IJNI'1w 0 . 0 UNITS I SMICE 01`41'fr, I
(A)NMEC-T ION FEES SURFACE* Wt)TER UVEJ-OPME:NT FEES
SEWER CONNILCTIOM 2300 - 00 WArF,': P 01JAt ITY 1210100
LESS CRED11 210. 00
WATER 01JANT1 I Y 290,00
t.rs5 cpirvi'r 0.00
V-k 0 SI 1)N C 1.N'T R 0 1..
1:1`4 i3 PE Ul 10 N 89 00
[J. AN CHECK 57 .2i;)
2?00. 00 'i 11.1 E(T 0 T A L 4 it 5 4 2 0
TOTAL. 273n# 20
011 HAML DENA PHONE.
Ar V1 1-1, 1 A t I ON RLY
REMARS IDUAIL HOLLOW FAST LOT 2 (MODEL. HOME ) PIRO
#24 HOUR NOT CCF FOR EROSION CONTROL INSPF.C.11ONS REQUIPF-D
Nim q '*n cull for TN.9
Permit Conditions: The applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency,including those regarding erosion control.
A 24-hour notice Is required tot erosion control inspections the Inspectton reqtjef;t flLlMhfL-r Is 844 8444 When calling for an inspection pl.-nse refer
the permit.project and lot numbers.
The permit expires one hundred eighty t 1801 days from the date of issuance.The Agency does not guarantee the accuracy of the location of side sewer lateral.
7/93 WHITE - USA, BLUE - Accounting, GREEN --Inspection, YELLOW - Customer
lNSFrt_i' fEf� 13Y _.___..__._,.---_ ._•____ __---....__..__._.__..__. _.... DATE
i,(ildlh{,i Tr.1k,<
IN')T i11.l V.R
1P ,;I PIPE 01AMF.�TER OF PIP.L
Inspector, Please sketch below or attach the Following information.,
r i ')-'drat : neare5;t cross street I
I
r,cat. :.oo o f str,jc tore be i rig served
3 Route f seri ice line from structure to property line where it
connects to the sericts lat,?raI . Inclury length & diameter
of service line, depth at the striactiire & property ling.
dimensions referencing 11rie to st,ruCture, property lines
and/or earners, SCC .
A North arrow
I
I
i
i
i
I
I
DON o MORISSETTE
9 O it E 9 I N C 0 A P 0 B A T 9D
600 1 L *. YL AD0W6 30AL 8UITI 161
ar LA ! = 0 RITE Q 0, 01190011/ 67036
(603) 660 - '7636 FAX (603) 680 •- 7466 OBE : 1955
LOT: 2
STANDARD EL.EVATI014 LATE: 3/25/99
PROPERTY: QUAIL—HOLLOW
CITY: TIGARD
SCALE: 1"=20'
PLAN No.: 1.7C
411
50.00' 410
a J
- 1
IV'x10' 4
410 p tto B' 6 ' = 0.
22'B' 300 6q. Ft.
5 bdrm. 0�
0� 2 1/2 bath tt
ts'Im� F.F.E. 4105 61
41'
421 6q. rt.
2 car gar. 161m�
Fr-E. 469'
19 5 6 4,
d68 P � 6
9 Grlveway o __
o�. era NOTE
Q m� Qr°av�I ro f HANDICAP ACCESS
a6E 468 �0 p LIMITED TO
10 GARACsE ONLY
A 469
46
-
� 1CIO HAN7ICAP
2D' PARKIN-,
(PANT STRIPING)
Wpt z
jet--)
�.J > LOT 02
LAI
/J
April 19, 1999
a
CITY OF TIGARD
Ms. Kelly Ritz
Venture Properties, Inc. OREGON
5000 SW Meadows Drive, Suite 151 /
Lake Oswego, OR 97035
VIA FAX: 620-0947
RE: QUAIL HOLLOW—CAST
MODEL HOME PERMIT ON IAT
Dear Kelly:
Pursuant to our previous discussions, I am willing to work with Venture Properties in the
issuance of one model home permit in this project under a special exception to our Model
Home Policy. Venture Properties has asked that they be allowed to build the model home
prior to the public improvements being substantially complete. Below arc special
conditions that I will expect to be satisfied prior to my sign-off for this permit:
1. The City must receive a letter from Venture Properties, Inc. which will
completely release the City from responsibility for any problems that arise due to
construction of the model home. Items to note in this letter shall include:
a. City will not resolve conflicts between the developer and builder
b. Venture will accept responsibility for any damage they cause to the
developer's improvements
C. Parking for the employees of the builder shall be provided on the
subdivision site, not within existing public rights-of-way.
2. The City must receive a letter from Cyprus Ventures, the developer, indicating
ti.at they do not object to Venture Properties, Inc. constructing the model home on
Lot 2 prior to substantial completion of the public improvements. This letter sha'I
also contain a statement that covers the issue raised as Item #l.a above.
3. Venture Properties, Inc. shall submit a letter to the City that explains how they
have satisfied the conditions of their Temporary Use Permit. As we discussed in
the meeting held on April 8, 1999, there are certain conditions that could be
waived until final inspection of the house. For instance, Con6tion #3, which
pertains to disabled parking and access,could be waived until final. Other
conditions that would fall under this category include Condition #10(public
improvement completion), and Condition #11 (access to the model).
13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD (503)684-2772
Kealy Ritz
April 19, 1999
Page 2
a. 1 spoke with Randy Cunningham with USA, and we agreed that the City
would not release the permit for the model ur.til a connection permit is
issued by USA. Therefore, I will need to see a copy of the connection
pennit from USA hcfore i will be satisfied that USA is"OK"with
issuance of the model home permit.
b. I spoke with Mikc Miller with the City's Public Works Department,
concerning the public water system. Mike has indicated that he will
support the issuance of a model [ionic permit as soon as lie receives an
estimate of the value of the public water line improvements on the project.
4. in order to assure against any damage that may be caused to the subdivision
improvements, as a part of this model home construction, Venture Properties, inc.
shall submit a cash assurance to the City in the amount of$10,100.0t,. This dollar
amount is roughly equivalent to 1/81 of the estimated value of the public
improvements ($818,000/81 lots = $10,100).
When Vernturc Properties. Inc. has satisfied the above conditions, 1 will be willing to sign
off for the one model home permit. if you have any questions about this, feel free to call.
Sincerely,
nan D.)Rager,
Development Review Engin:er
C: Randy Cunningham, USA, VIA FAX: 640-3525
Mike White, Engineering
Mike Miller, Public Works Department
Bob Poskin, Building Division
Fii.F.: Quail Hollow - E.'st
1engV±nanrknn rspa,ArntNqu�il.tgsl{„rx1NfI6 t 61999 brh doe
CITY OF TELECTRICAL. PERMIT
.- DEVELOPMENT SERVICES r,ERM I T #: ELC99--0188
ik 13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 DATE ISSUED: 0410 1. 19
PARCEL: 2S I03CB--04901
5I TF ADDRESS. . . : 1 175 SW j4UWAf4&-ST l r L� c
SUBDIVISION. . . . : 0� ZONING:R 4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: URB
P'r,o.j ect Des>cr i pt i.on: Installation of temporary service for model home.
-- RESIDENTIAL. IJNIT-.--- ----TEMP SRVC/FEEDERS-.----- ~-- --MISCELL_ANEL1lJS- --
1000 SF OR LESS. . . . 0 0 - 2O0 amp. . . . . . . : 1 PUMP/IRRIGATION. . . . 0
EACII ADD' I_ '=,00SF. . . : 0 201 -- 400 amp. . . . . . . : 0 SIGN/OUT L..INE. I_.TG. . 0
LIMITED E.NERGY. . . . . 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANF. FIM/ SVC:/FDR. . : 0 601+amps - 1.O00 volt S. : 0 MINOR LABEL ( 10) . . . : 0
_..____SERV I CE/FEEDER------ ____.BRANCH C I RCI.I I TS- __.__. - . .-ADI)' L. INSPECTIONS—
0
NSPECTIONS-0 - 2,00 amp. . . . . . : 0 W/!jFRVILE OR FEEDER: 0 PER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : (A
401 - 600 camp. . . . . . : 0 FSA ADD' L. BRNC'H CIRC- 0 T N F'I..ANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . : 0 --___-_--._---____.._..__P'L.AN REVIEW SECTION.---------
1.000+
ECTION_.___--_.-__.1.000+ amp/volt. . . . . : 0 ) =4 RFS UN T Tr. . . . . . . . : ) 600 VCL.T NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR > = 225 AMP'S. . : CLASS ArtEA/SPEC OCC. :
Ownei^: __.__..___.___.._._.____._..____..__..._._._.._..__.________.._____________._ FEES
DON MORISETTE HOMES INC type amal.int by dente recpt
5000 SW MEADOWS PRMT' $ 50. 00 DEB 04101 /99 99-314- 27
LAKE OSWEGO OR 97035 SPCT $ 2. 50 DEB 04 /01/99 39--3140 :7
phone #:
RICHARD ROSS f 52. 50 TOTAL.
A907 SW HILLSBORO HWY
------- REDUI RED INSPECTION!;
HTI._.L..SBORO OR 77127,, Rough-in Elect' 1 Find
I'>honP #: Elect' 1 Service
Rey #. . : 0007,04
This pe,-mit is issued subjE.-I to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other
applicable lairs. All wort will be done in accordance with approved plans. This permit will expire if worth is not started within 180
days of issuance, or if wark is suspended for more than 180 days. ATTENTION: Oregon law��'lgvires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952 001-0010 pfirough DAR 952-001-1987. You may obtain a copy
of these rules or direct questions to OUNC by calling (503)246-1987,
f''(�r,m i t t e e S i g n a t�.(r e : �` m s s�.(e d R y
INSTALLATION
Tl,(? instal lation is being made on property I awn which is t of i.ntende(i for,
'-Ile, lease, or rent.
ntANF R' S SIGNATURE* _ __. DATE.:
INSTAL_LATIONN ON`_Y- -__
S T rir,If1TIJRE OF SUG'R. EL..EC' N: L l �^C'��,/c DATE•
LICENSE NO:
+-1-+++++++++++++i-+++++++++-M++++++++++4++++++++++++f++++++++++++++++++++++•+.++++++
Call 639-4175 by 7:00 p. m. far an inspection needed the next bi.(siness day
+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++.;+ +
FROM : ROSS ELECTRIC PHONE NO. Mar. 30 1999 02:35PM Pi
v6. ... .1 .A...w wl�e[IIr4VT 'CN
F=�aE IJl
na nI 99 rut' 09:14 V4X 103 091 1980 CITY nc TTc,Rn rd 001
CITY CF TIGARD Electrical Permit Application
13126 SW HALL BLVD- Reea _ �e
T1GARD OR 17223 Dor%c'c
phone(Sol)63"171,t30-1 o\u:c P 1 �._._
In/poetion(9^�3)%34+4'75 Print or Type pots I,j AT .
Fax(507)see-1940Incatrplete or Moplbfa will not be accep,. r"" `r-
.�
C�V-,r 1. Job Addre" r - - —
/
Norio 01 Devoloprnontc V1�.� wurntwr rg irA»alwos per P" 6110*44
1 NMwt p r>tne M bueirtgrl sierYlta Ineludl0' home Coll Sum
AdCrye3- - — N, IbVI*MtMI-W uMl
ty751iWIlp
+010 sq.r,v ass t 1 r�ro •-
IJP) d ) -- 1
COt»tM/Etr a RUIIIId�r ttel {rRNn vomew" sa _
tr\r11 ttrur,r sadd M oo _ s
MOM Mwile Homy or Mecru,r
2s, ContmeW 1ns*P* lr,n only I I OVA"41n°'°'•••,•'
h�ehCOMM \NfNr1tl + ! IIyrIW.�i1lerlber sf.,.bcatlon I
t:leCUksl _ �
fee.,.a..t..► s1a 00 z
�1N�s 1 15P 119, o*to ame — lIC oo �
CIN.- ftt- _ISP at wr""\re Me �_ 112000 - s
Ma*Na _ I 901 trtI011D 1{IGG Imo\ 1110.00 p
JCDNo. I VNRIf'COO amolsrvNs _� aS1000
EIaC.Cont lbe.NS p -/. i oenn\ee�Ir �_ M oo i I
OR bob C05 f ago Ne.1/ EAP Oso Ac Tamporwy Svrwom or P&$A"
C0T I9Lxir @s Tiu v.1 Metro NO,S(�-e;V,, w L�' InVoK1elr1,#vsrllon,o•..ivwion
ww,1 01 W1 —L 110.oD
SI neture o/8utx Elec rl cti• Q/f� xl rmrt w e00\rtye 1•e o4 s
A -- dl\fhof 0eve\+Ip\
wfi1C9Cp t
h C4wemv.la loop vnu
r
L n w No �_ 3 d��{�T Ekl
,o U*v -l 9�._ am W above.
Ad eftwh Grwl►
Netv,1:00,09M of arlsnwen,M FORM
2b. Par evowr hail 1Neti 1n!' b Tao w to,owm ofr.,ts-M
oppohm o1 awke N
Pnr%owners h'4rre hallrAw
At]i 44 lseN MP10 d x111 so Cp p
�...-____ 11P ute►w/wakwoof to
Ph"No „ wrVr s u bpor Mrr
W` '• rinnevoldldles7 1117 C0 ��� 7
The Inehrlador, It;sing Ir7ede or vropwty 1 own v^ie+ o net e.cf+01000 w aero c+ec tt Is yr i
Irtta7dw b.see,baso ormmi ~tlav\\lan,ea\r _
Ownses 6lgrulure Lush pun r rr wyeawr cwdo _ I4C C0
' 4Uh Up, 'n n,d'n1 Ilry1tr1/ iMC.Ct.
J. Aeras Mvftw seedon(f raqulr.d),e i f
puss Chae1 spis/eerfao font snd anis'he In owtiom h. I M.Guh etWvmtI Ireoeetbn own
AV non WICVW JW11 Cas\leNd11r\ th1 iiw.iiv In\my st the oboe I
Smco one bow ng ITO a nal Pa nlPedan illi M _- 1
_
$0111111,111 ewr ow ora nelRktY For row low
ds\N\e oNd or w*t1ok"IbMa v awio ,eeueerey In Pla-t SUM
N d wvurl+In N!C.choom•a
a. Imo:
lelynn 7\a1\of Air.e•,eI ptlllvdten vfhas snr of the\beW neN e►easier tsar of rturu.ti+•+ 1
No,n\pWNe%r 161n64MY v\rteML~v\fvle\s. P%suM,rp,of x t911/*es) , ..._
ate.L ev 1aN of Ma so M
j ot6Rra rS 91COW VOID;r VMft OP C044"UC-ION A1TNp1t U b ;rte t I�Ia+e s) s -
ypT 010W LNCE,71MT•1W 110 RSK,OR IF CDN9TIRM-OV OR'A10P11(
I Rltune►/ND/DORAlwW01�/OAarfybodor�eo�.IrsaT.Yur 4 T�wtAa�sunte�_�, • ` r
'TAR AFTSR NKRbt 6 COWAENCID _
real b.ALse.Poe
7K�C4�C1/•40C Rfv ♦!111 _. _ J
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
-- -Date Requested_ U�C� �f AM__'>4� PM _-_ BLD
Location !' I > _ y �(,' Suite � ) _ MEC
Contact Person �Gtl✓� Ph `7��� 2 PLM —
Contractor Ph SWR �--
BUILDING - Tenant/Owner — ELC
Relaining Wall ELR —
Footing Access: . ,
Foundation FPS
Ftg Drain44 / SGN
Crawl Drain Inspection Notes: r -- ----
Slab __.--------'=� — --__ SIT ---- —.
Post&Beam
Ext Sheath/Shear _— --
Int Sheath/Shear
Framing
Insulation
Drywall Nailing _ --__--____-- 'f,�'�'z �� ----__----.--__._-_--
Firewall
Fire Sprinkler --- ----
Fire Alarm
Suep'd Ceiling
Roof
Mlso: --- ----_ - ------ — - --- - ---— __... --------------
Flnet — - --
PASS PART FAIL -- - --- — ------ --- ------------- -- -------
PLUM13ING
Post& Beam
Under Slab
fop Out
Water Service --- -— -- -- -- ----- —
Sanitary Sewer
Rain Drains --------- - — -- — -- —�,_— -- -
F incl
PASS PART FAIL
MECHANICAL
Post& Beam —--- — -- ----i -----_
Rough In
Gas Line - -- -- ---- --- -- -- .--.—
Smoke Dampers
Final -- — -- ---
PASS PART FAIL
KIXCTR A - - -- -
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm -- ----- --- - - —
i
S PART FAIL_ —_---_-
E
Clackfill/Grading
Sanitary Sewer
Storm Drain ( ]Reinspection fee of$--_,_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 Ext
-_LE'. �_—_Inspector _
Final -
PASS PARI FAIL DO NOT REMOVE this inspection record from the job site.
ELECTRICAL -
CITY Y OF TIGARD _ RE TRICTEDPEN ENERGY
DEVELOPMENTDEVELOPMENT SERVICES ~� PERMIT#: ELR1999-00146
13125 SW Hall Blvd.,Tiqard. OR 97223 (503) 639-4171 DATE ISSUED: 6/15/99
SITE ADDRESS: 12175 SW HOLLOW LN PARCEL: 2S103CB-QHE02.
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R-4.5
BLOCK: LOT: 002 JURISDICTION: UR
Prolect Description: Landscape irrigation control
A.RESIDENTIAL B.COMMERCIAL _ ^�
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: X
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL#OF SYSTEMS:
Owner: Contractor:
DON MORISSETTE HOMES PROGRASS LANDSCAPE SERVICES
5000 SUV MEADOWS LANE 29895 SW KINSMAN RD
LAKE OSWEGO, OR 97035 WILSONVIi_LE, OR 97070
Phone: 274-5223 Phone: 682-6076
Reg#: LIC 6136
FEES Required Inspections _
Type By Date Amount Receipt Low Voltage Inspection
PRMT GEO 6/15/99 $60.00 99--316118 Elect'I Final
5PCT GEO 6/15/99 $3.00 99-316118
Total ^ $63.00 ORIGINAL
This Permit is issued subject to the regulations contained in t'e Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All work will be done in accordan::e with approved plans This permit will expire it 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
952-001-0010 through 0952-001-0080 You may obtain copies of these rules or direct questions to OUNC at (503)
246-1987
Issued by Z 4 Permittee Signature_w
OWNER INSTALLATION ONLY
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
rt-t 1r-1-415 -99 08 :34 AM PI_5I 15036929$76 P. nal
00, 06 99 TlE 10;69 FAX 603 59b 19Un CM' 01' TIGARD 2001
J
CI-Y OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by;
13125 SW HALL BLVD n D Date Recd;
TIGARD OR 97223 PRINT OR TYPE I� '(L' /�J
V-503.639.-4171 X304 vl Permit 4; G,Q /q�� .- oo,yG
F 503-598-1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Crnet.Cail'd
WILL NOT BE ACCEPTED
Name cf Development amlecl TYPI OF WORK INVOLVED.RESIDENTIAL ONLY
Ilea Acted SYSTEMS
F".......
...........
.............
._..... f o
(FON ALL SYSTEMS)
JOB volt A (ireas Ste A
ADDRESS /?-1-? S SW N0110M.,LAr 4. Check Type of Work Involved,
r-ry19t1te Ip Pne'ne t i__.J Audio and SleMo Syatema
�g�K 0R. 77y•sz�,
Name
Nit,, NI p'ytfSC f#4 4eini ❑ Burp(arXiorm
OWNER M..�nfl Addrae.
❑ Garage Door Opener•
SOOO .w m4'&'a4 X LtLAO !SI (�
CIIyrStatg I zip one a Half,%Ventilation rnd Air Conditluning Gyetem-
l.G;i �a'y4 Or 7�4 512, ❑ Vacuum Systems'
ems
P ft.)Co ru S 5 La-P,0'S c m-oo.A. Other La n eI6 CST/r_�17 o►� �Oy Lt-10(,
CONT1lACTORb1r�Ilr�AgdrM) ernslru^ ?to TYPE OF WORK INVOLVED-COMMERCIAL ONLY
(PMor to laauanesa City/ late 210 Ph9no4ee or eae eye nt..._.
a _............................. 10.00
copy of all licenses lV u11I4 U2 �� -100x/ (SEE OAR 918.280.2150)
are(eQwfed i1 regorr,ctmtr Brd Lit.N sV D e
etpired in C O T I Check Tree of Work involved:
data Dale), EMtlrical Con V.Llc,4 Gap.Data
C Audio end 3lerea sysferna
tro
D T or aLZ-8 ---'Exp. ofo
,03;2 1_ ❑ Bailor Curtrols
— - neOw r'e Name
OWNER- Mulling Address ❑ Cloak Systems
APPLICANT [] Da:a Telecomrrirnlcation Installorlon
ityl Iri --_. .p hone N
_ ❑ Flrs Alerrn Instollatbn
T,iis permit ra issued under OAE 19-32r.-370 This amileanl agrees to
metes only restilctied energy inateUet!me(I CC volt amps er less)under thlb ❑ HVAC
psrllf and'o do fv falowingt ❑
Instru'nanlatbn
1 only use elea•Ical tensed parsons to do Inata!latlona wners required
Certain iss'dentlai and other Iransaatlons are exempt from licensing. ❑ Inlarcom and Paging Gyetems
These have esterlsks(') NI others need IlcwMing;
2, Ce'I In,inspections*bon installation coder lois permit are ready for [] la idocspe Irrgatioi Cortrci-
Inspection at 603.111`34.4175; ❑ Medlael
J Purchase eeperCe,perrMhl wr sr %rrstalatioti that are not ready for on Nures Celle
inspection ashen the Inspeelor is oil to inspect under this pemtll,
4 Assume responet!wIty for assuring that all mrmclions replrlred by tha L� Outdoor Landscape Ligh'ing'
ms5eetot are dome,and; ❑
PrDtectlw Signaling
Assume resoenan,dy for calling for a final napecG'om when all of the ❑
oo �-—' -
nettlons are completed, Other
Pernik ore nnn trensl'exab.s and non refundable and exp re 0 work Is not
eterted vrth n 180 days of Issuance or f work Is suspended for 180 days. __ Number of Sy sterna
The person slgning for this permit must be the epoliaatrt or s person No fcwnwa are•ararlrsn 1-1r*A,4 a are mpulec for ell otrer Irulniteuen¢
awhonzed 1a bind the epplltwrrt.
FF,�•0�
Firpnetur! �y eNTER FEES s- (.0 C) _
o�
8%SURCHARGE 1.05 X TOTAL ABOVE) y 3
A,;thorlty it other then Applicant TOTAL 1 ea
I dsuWrrretrefals Doc 3101
� . ,
00'04'06,'99 TUE 1018 � 101096 IWO I'I'I IIP '1,16AR0
�/ 1 IJ n 0 a
CITY(IF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by:_
13125 SW HALL BLVD
TIGARD OR 97223 SUN PRINT OR'TYPE Date Recd
V-503-639-4171 X304
F-503.598-1860 COMMUNITY OFVflUl' 66MPLETE OR ILLEGI®LE APPLICATK)N3 Permit#: ��?wff-
----
WILL NOT BE ACCEPTED Cust Call'd
Name cf Development Prnlect TYPE OFD INVOLVED•RESIDENTIAI.ONLY
Rw►ricted Ensrpy Fes,.....•••„ ,,,, ,•„ 580,00
JOB
—�-"
............. ..
r� .�_ (FOR ALL SYSTEMS)
Ste to
AUUMES5 Check Typo Of Work Involved.
l9tnta
zip
phone-*
c /1' [� Audio and Stereo Systems
Nai!1e
I.Vrl f"V-r1SS;eii"x 0-e-mr '_, ❑ Burglar Alarm
OWNER Paih q Addrase ❑ Qarage Door Opener'
Ci,yrStat�r c y L '
zip
r f c ions ❑ Heahng,Ventilation and Air Conditioning System*
- I l'7 S me
L._1 I---�
Vacuum Systems'
LArrf)S/'�r� f'r"DCyiasS L.tl•u/bc•c:,,C kik,
Q Other1: ',•r it
TYPE OF WORK INVOLVED-COMMERCIAL ONLY
(Prior to Issuance a 0ty/State Ip
Fee for each system................ ...
ropy of all licenses Ll I',C.rl�. i l U( 17f'l r:5,! 'cu /p- 650.00
are required if Oregon 0p_r, prd Lac.N (SEE OAR 918-260-260)
expired m C O T 1•I ( • psi°
1�/ Check Type of Work Involved
data easel cledii%et Conte Llc.k Exp Date
Audio and Steran,5ystrrnt
A
:
C t)T qr Mslro L�.N ata
- - ! i Q Bollor Cortrols
Owner's Name _ `-
OWNER- MzBing Address'
Clock System-
El
01,,w
71 Date Telecommunicehor Installation
City/hats ZO
Zip Phone N Alarm histallalkln
Tnra permff is issued underOAE919-32is appllcanl agrees to _
make inly restricted energy natal anions;100 volt amps or less)under Oris HVAC
permit and'o do tie following' IIL-�
1 Only use electik;al nce ised pe,sons to do Installations where required L-1 Insbuiieniatlon
Certain residential and other transactions are exempt from incensing ❑ Intercom and pegino Systems
have asteilskw) All others need Ilcensing, --77
2 fall to,inspections when insiaffat on Lnder tils permit are ready for C_1 Landscape In,gatlu i Cor'hcl'
inspection at 603.6394176;
❑ Medical
3 Purchase seperwe permits fo;all installations thioi are not readv for an
inspection when the inspector is out to inspect under ibis permit ❑ Nurse Celle
4 Assunrn 1espu"51WINy for assuring that an corrections required by the E] Outdoor Landscape Ligh-,ng'
ins3ector are done,and,
bAssume rasionsin 'ty for calling tar a final napection whet all of the �� Protective Signaling
corrections are ComPletad. ❑ Othar
Per-nils are non Imnafwcb a find V10111-fetundstle and exp re if work is not R
startod witty n 190 days o"•ausnce or f wcrt is suspended for ISO days
Number of System
The person s'gning for th:,permit must be the anplirant or a person
authorized to bind the appicam Ne Da+r see are equired ucenscs ere tqulec for all otherns;el!atbns
FEES,
Signature _—_-V - ENTER FEES
5%SURCHARGE 1.05 X TOTAL ARrOVE)
Authority i'other than Applicant TOrAL
L a615.1p-rr5�rp4lNe do,wi8