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12201 SW HOLLOW LANE N N O a cn G O c r- c� 1 l 9 A C f� 12201 `:W Hollow Lane CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6. 075 Business Line: 639 1 MST 2A'7i1 BUP Requested -' AM PM Location2BILD --ZGo / �}- �� ; ! Suite •eF v c Contact Person Ph J pLtA -� Contractor _ _ Ph SWR —_ BUILDING J- Tenant/Owner _ ELC Retaining Wall — �,� ELR _ Footing Access: Foundation I FPS Ftg Drain Crawl Drain Inspection Notes SGN Slab _ _ SIT Post&Beam - - Ext Sheath/Shear Int Sheath/Shear L/ Framing Z-c` `^��` L..X�.� l e—"e .�(��_-c-.� Insulation l �� Drywall Nailing Firtwall Fire Sprinkler _or a Q k--T-- Fire -T- -Fire Alarm Susp'd Ceiling Roof Misc: ___-- Final PASS PART FAVI_ PLUMBING Post&Bearn - - - -- -- Under Slab Top Out - - - -- - --- Water Servict Sar:uary Sewer - - - - --- Rain Ur ina ASS PART FAIL_ MECHANICAL Post&Beam _ — ----- - ------------ __ Rough In Gas Line _ _...-. ------- Smoke Dampers T y Final ---_ ------___. _ PASS PART FAIL ELECTRICAL _.. - — - _ - --- -- ---- ----- Service _ Rough In a- 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 r;re Supply Line f 1 Please call for reinspection RE: [ )Unable to Inspect-no access ADA Appriach/Sidawalk Other -� Date G� ' Inspector_____ ce -AJ Ext Final PASS PART FAIL nO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUII "ING INSPECTION DIVISION MST `�-Go/ �_ 3 24-Hour Inspection Line: 639-4,15 Business Line: 639-41 3Z BUP —______—___--_—Date Requested_ AM— PM --- BLD Location_ l Z`C� � Suite MEC -- Contact Person Ph NLN! - Contractor Ph SWR BUILDING Tenant/Owner _ ELC Retaining Wall V Et.R Footing Access - - ---- - ------ Foundation FPS Ftg Drain - --` Crawl Drain Inspection Notes: SGN _ Slab ------ - -- -- — —_ ------- GIT Post&Beam ----- -— Ext Sheath/Shear Ir Shea'h/Shear Framing Insulation --------------_____.__. Drywall Nailing Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Mise — Al ca__ —.—.- ----__. �•�-C-�==---L�t:�1�Z Final PASS PART FAIL PLUMOING Post&Beam _-- --- _-- Under Slab Top Out. Water Service Sanitary Sewer Rain Drains Final f PASS PART' FAIT_ MECHANICAL Post& Beam Rough In Gas Line - -- Smoke Dampers Final -- - — PASS PART FAIL ELECTRICAL Service Rough In UG/Slab Low Voltage _ Fire Alarm 1 P SS ART FAIL ----- -- ------__.. -- Backfill/Grading -------- -------- -- ------ - Sanitary Sewer Storm Drain ( ] Reinspection fee of$ —_ _required before next insperti:)n Pay at City Hall, 13125 SW Hall Blvd Catch Basin ) ) e rail for reinspection RE: inspect- no access Fire Supply Line nspec - ----_— _ I ]Unable to ADA /1 Approach/Sidewalk Date y Inspector l-t `�-` �_ _. Other Ext Final PASS PART FAIL nO 140T REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6 4175 Business Line: 639- 1 MST GBUR ___-^,Da;e Requested / AM PM BLD LocationL? LLQ I '�.� � Suite �_ MEC Contact Person Ck -cPh 6P PLM Contractor Ph SWR BUILDING+� Tenant/Owner _ _ ELC Retaining Wall ELR _ Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspectior Notes: SGN Slab SIT Post&Beam - — - - ---- --- --- Ext Sheath/Shear Int Sheath/Shear w --- Framing Insulation -- --- Drywall Nailing Firewall ---�---- -- --- ---- -- Fire Sprinkler - --- ---- --- -- ---- _..------ -- - -- —- -- Fire Alarm ` Susp'd Ceiling Roof M ------ - ---- ---------- ---— ASS' PART FAIL -- - -- - - - -- ---- - - --- -. --- ING Post& Beam -- Under Slab TopOut -- --- ._-..... - �� - -------------- --- Water Service Sanitary Sewer -- Rain Drains Final - - ---- PASS PART FAIL _�- MECHANICAL _ Post& Beam ----____ ----- __ Rough In Gas Line ------ -- Smoke Dampers ASS PART FA! - �,�L /I rn WW Tb (A 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 Fire Supply Line [ 1 Please call for reinspection RE: [ j Unable to Inspect no access ADA Approach/Siriewalk �'�.�,_ Other Date � � Inspector Ext _ Final F.,SS PART FAIL J DO NOT REMOVE this inspection record from the job site. A♦AAAAAA♦AAAA♦eAAAAAAAAAAAAA AAAAAAAA AAAAsa� t- 6 10. t a ' s 01. ,� sem. M � ► r ► r d ► 4 � d � N n v� lip- i44 }. o NO. ► poll �, �., > b > o ' a ► 44 �Gloo- fD )00 �` ► lio- N O O ► ° `) p ► t On ► ► a CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST BUFF Date Requestedc- f AM PM �� —�— _ ---- BLD _ Location_ -2 Z U 1 Suite MEC Contact Person Phi?- _ PLIM :_3Gc>( U D 3 7 Z Contractor _ Ph }( :7 SWR BUILDING _ Te,�dnt/Owner _ ELC Retaining Wall ELR Footing _-__-------____-_----- Fou,daticn Access: FPS Ftg Drain SGN Crawl Drain Inspection Notes ----,-_- ------ ---- Slab _ SIT Post&Beam - Fxt Sheath/Shear Int Sheath/Shear — --------�--- Framing -- Insulation ---- ----- Drywall Nailing Firewall Fire Sprinkler Fire Alarm _ -- ------ ------ ---_ Susp'u Ceiling Roof Misr Finn) - P,45§"S PA FAIL. --- ---- -- IJMBING Post ------- ------._..--- — — — - -- Under Slab Top Out Water Servic Sanitary Sewer Rain Drains e- ZQ PART FAIL- ANICAL Post& Beam - ---._ - -- - - Rough In - ---_-i Gas Line - - ------ -- -^� Smoke Dampers Final -- —— ----- PASS PART FAIL ELECTRICAL - -.-_-- Service Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART FA!L SITE Backfill/Grading -- Sanit"Sewer Storm Drain [ ]Reinspection fee of!$ requirer':,erore next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Please call for reins ection RE: Fire Supply Line ( j p [ j Unable to inspect-no access ADA Approach/Sidewalk Other Date Ext Final ` PASS PART FAIL DO NOT REMOVE this Inspection record from the ;ob site. Plumbing Permit Application Date received: Permit no..fW�Sy•lXl Cil of Tigard City � Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 City ofTigard Phone: (503) 639.4171 Project/appi.no.: Expire date: Fax: (503) 598-1960 Date issued: By: Receipt no Land use approval: Case Pile no.:y Payment type: 'FYPE OF PERMIT O 1 &2 family dwelling or accessory ❑Commercial/industrial O Multi-family O Tenant improvement ew construction U Addiuon/alteymmidrehl,,rino a U F(xA service 0 Other: 1 1 1 1information Job address: kV\1CNV' L.+ 't Dmilly tion Qty. Fee(ca.) Total Bldg.no.: Suite no.: New 1-and 2-tatnfly dweWngs oNy: (Includes 100 R.for each utility connection) Tax map/tax lot/account no.: SFR(1)bath Lot Block: Subdivision: Lt i i ti_� SFR(2)bath Project name: SFR(3)bath City/county: ZIP: Each addiuunal badv'kitchen Description and location of work on premises: Siteudilties: Catch basin/area drain Est.date of completion/inspecdon: Drywells/leach line.'utnch drain Footing drain(no.lin. ft.) Manufactured home utilities Business name• –_Se�� N'anholes Address: Rat;drain connector City: State' ZIP: Sanitary sewer(no.lin. ft.) Phone: – Fax: E-mail: Storm sewer(no.lin.ft.) _ CCB no.: -7 L Plumb.bus.reg.no: – Water service(no,lin.ft.) Fixture or Item: City/metro lic. no.:N/A / \ / Absorption valve Contractor's representative signature'►s � Back flow preventer Print name: Q.` D IU - ( Backwater valve Basins(lavatory Name: Clothes wash.r Dishwasher Addre-.s: Y Dunking fountain(s) City: State: Z1P Ejectors/sump Phone: Fax: E-mail: Expansion tank Fixturelsewer cap Name(print): ( Floor drains/floor sinks/hub-Name inks/hub Garbage disposal Mailing address: < Hose bibb City71—: l State ZIP: 27C Ice maker F Phone: :'T� ar -7k1 E-mail: Interceptor/grease tra Owner insmlladon/residen/9a/maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property 1 own as per ORS Chapter 447. Sink(s), asin(s),lays(s) Owner's signature: I u.u. Sump Tubs/shower/shower pan Urinal _ Name: , Water closet Address: Water heater City State: ZIP: Mer. Phone: Fax: E-mail: Tota Na di lunsd1cu04u accept crekbl cods,please call jurisdiction for mote infamatian Notice This permit application Minimum fee................$ O visa ❑Msster!and expires if a pe–nit is no(obtained Plan review(at %) $ State surcharge(8°Jo) ....S Clain card number �.� within 180 days after it has been Expires TOTAL . $ _ . """""""""""' "`-- Name or catdholdet u shown on cmdol cud accepted as complete S Cardholdet so gnat ire Am caul 446.1616(W)COM) i t f Electrical Permit Application Date received: Permit no.# City of Tigard Projer_t/appl.no.: Expire date: City nj'ri,Iard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: gy: Receiptri _ Phone: (503) 639-4171 -- Fax: (503) 598-1960 Case file no. Payment type: Land use approval: TYPE OF PERMIT IlLU 1 &2 family dwelling or accessory L3Commercial/industrial J Multi-family O Tenant improvement New construction ❑Addition/alteration/replacement U Wier: ❑Partial It SITE INFORMATION Job address: Ct W 777' t`1 Dldg.no.: Suite no.: j Tax map/tax lot/account no.: Lot: C Block: Subdivision: 6 l,, fy lJ _ Project name: Description and location of we,k on premises: Esdmated date of completo nst Sction: Job no: Fa Ma:t Business name: _��-�-C Description qty. (ca.) Total no.Insp � New rtesidential-sirwie or mWd-farnily per Address: - dwelling wsit.includes attachedgarai". City: Slate: ZIP: Semi«Included: Phone: 3- 1 ): Fax: E-mail: loon sq.ft or less 4 Each additional 500 sq.ft or portion thereof CCB no.: I Elec. bus.lic. no: Um -- — — ited energy,residential 2 C` r-< ^ cenergy, l Z Each manufactured home at modular dwelling arulE DJSLprNfJln r/eeYrlefan(required) Date Service and/or feeder 2 Sup elect name(pnntl 1 License no Services or feeders-Iristollation, alteration or relocation: 200 amps or less 2 7Name I: ` 201 amps to 400 amps 2 01 amps to 600 amps 2_ress: 11 601 anrps to 1000 amps 2 e s State LIP' Over 1000 amps or volts Phone: mail. Reconnectonl e I Owner installation:11)e installation/is being made on property I own Temporary services or feeders- which is not intended for sale. lease,rent,or exchange according to Installation,alteration,orrelocation: URS 347,455,479,670,701. 200 amps or less 2 201 amps to 400 amps Owner's signature: Date: 401 to 600 ams 2 Branch circuits-new.alteration, or extension per panel: Name: A. Fee fir branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: State: ZIP: B Fee Por branch circuits without purchase Phone: Fax: Email: of service or feeder fee,first branch circuit: 2 Each additional branch circuit PLAN REVIEW(Please clieck all 111311 apply) Misc.(Service or feeder not included): O Service ova.225 amps-commercial 0 Healthcare 'rcility Each pump or irrgation circle 2 0 Service over 320 amps-rating of 1&2 CI Hazardous location Each sign or outline lighting 2 familydwellings 0 Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel. 0 System over 600 volts nominal more residential units in one structure alteration,orextension• 2 0 Building over thea stones 0 Feeders,400 amps or more •Oestririon. 0 Occupant load over 99 persons 0 Manufactured structures or RV park Each additional Inspection over the.(towable in any of the above: 0 Egress/lightingplan 0 Other — Per inspection —� Submit._sets of plans with any of the above. In.esugauon fee The above are not applicable to temporary construction service, O&..er Permit fee.....................S Not all iunsdictiont accept credit cards,please call iurisdicuoe fa rneve infumuuon Notice:This permit application 0 Visa 0 MasterCard expires if a permit is not obtained Plan review(at — 96) S �_ Credit card number within 190 days after it has been State surcharge(8%) ....S _ pins accepted as complete. TOTAL .......................S Name of canitwldet u shuWn on crertit card S _ Cardholder signature Amount 440.4615(60001COM) I DON - MORISSETTE F 0 11 = 61 N C 0 2 P 0 2 A T 2 9 4 a30 OAI XWOOD aTavITx 10q LAt3 48 V XG0, 0 2 i00N 97036 (503) 367 - 7636 PAZ (503) 367 - 7615 OTT : 1. 958 STANDARD ELEVATION LOT: 1Nf,," TATE: 5/24/01 PkOPERW: QUAIL—HOLLOW CITY: TIGARD SCALE: 1"=20' PLAN No.: 182 G2rU- '7:2 2W 292 50.001 294 Ell 2-W 2-W __. 9 296 -� N r I -- 5'-m' 11'15' 4 ch41 -- "' 3 2j eq. ft! Q 5 bcirm. f 2 1/2 bath I porch ' 12'7' I116' y4' "'96 29c, 5. I h40 sq. r , ., I Concr'eNa 2 car gar. Driveway ,E. 295' 76 u 13 4'9' 2014 r 4 293 I Approach Sidewalk r' T--- - 12201 SM. HOLLOW LOT • 5 :� �•� 5�>a eq. Ft. 1 Mechanical Permit Application Date received ) Permit no.) [, , .ao3 AU City of Tigard Project/appl.no.: Expire date: City of Tigard Addr Fs: 13125 SW Hall Blvd,Tigard,OR 97221 Phone: (503) 639-4171 Date issued: By t no.: Receip Fat: (503)598-1960 1 Case file no.: Payment type: Land use approval: _ Building permit no.: TYPE OF PERNIIT O l Sc 2 family dwelling or accessory 0 Cot nmercial/industnal ❑ Multi-family 0 Tenant improvement >QNew construction 0 Addition/alteration/replacement ❑Odicr: ,- JOB 1 ' 1 1 1 ' 1 Job address: _ � �� yV ��• Indicate equipment quantities in boxes bele:w.Indicate the dollar Bldg.no.: Suite no.: value of all mechanical materials equipment,01jor,overhead, Tax map/tax lot/account no.: profit. Jue S . Lot. C*) block: Subdivision: L. 'il >r 'See checklist for important application information and Project name: jurisdiction's fee schedule for rc,idcntial ptnnit fee. City/county: ZIP: 11111IN 1 4al t Description and location of work on premises:_ _ 1 t x' t t x t 11 _ Fee(m) Total Est.date of completion/inspection: Description Qty. Res.only Res.on]y Tenant improvement or change of use: ham Is existingspace heated or conditioned?0 Yes 0 No Air handling unit CFM P Atr con itioning(site plan require ) _ Is existing space insulated?0 Ycs Q NciA iemtlon o existing HVAC system _ Boiler/compressors Business name: L Slate boiler permit no.: ( ' �X.• HP Tons BTU/H Address: ire/smoke dam rs/ uct smoke detectors City: L! State 7_(P eat pump(site plan required) Phone:, ��. yj Far: Email: nsta Ureplace furnac urner Including ductwork/vent liner Q Yes Q No CCB no.: 4 ^_ nsta Urep acelrelocate eaters-suspende , City/metro lie. no.: NiA wall,or floor mounted Name(please print): _ ; :1 �._r • ent fir appliance o er an furnace e erat on: Absorption units _ BTU/H _ Name: lT � �f� L Chillers_ HP Address: . LT Com terrors_ HP _ . oviroamenta exhaust an vendlat on: City: SU ZIP APPliancetent _ Phone: Fax: rt. r til Dryere gust H000d ,'l`��res. tcc�i cen/hazmat ` hood fire suppression system Nae: v �� l `1 " mExhaust fan with single duct(bath fans) Mailing address: ) �,' chaust system apart from heatiriF or At. City: State ZIP ) tie p p g an t ut on(up to�utlets) _ Type: __LPC, NG Oil Phone: - FarV� E-mail: u�eT-i m eac additional over 4 outlets rocesspiping(schematic required) Name: Number of outlets t er edapp�ance or equipment: Addrr-s: _ Decorative fireplace Clt} State:� _ "LIP: nsert-type Phone s f.: E'•maiL o stove/pelletstove Cher: Applicant's slRnatu L. Date: t 1DOt er Name(print!: f, I -el—L t I I)r Na all lar rsdicuou acctpl credri cards,please call)uns.Lctran fat more infamauan Permit fee.....................S -- Q visa Q oMasterCardu Ctpf cd Notice:This permit application Minimum fee.............._$ expires if a permit is not obtained Plan review(at _ °6) S Credit card number _ —L— within 1 BO days after it has been Expires State surcharge(8%)....$ —_..._.-- Name or cardholder u ktown on credit car f accepted as complete. TOTAL .......................$ — Csrdholder signature Amount 4404617(6001COM) 17 7 CIZ-Z Building City of T>< .g 'eceived: �p 4 dldA ( PermiSTdao/-O`.3.3' — City uJTigard Address: 13125 5W sass usvu, d tgafU,'JK Y11LJ ,_cdappl.no.: Expire date:----- --- Phone: (503) 639-4171 Date issued — By: Receipt no.: Fax: (503) 598-1960 Case file no.: Paymentrype: Land use approval: 1&2 family:Simple Complex: — U I &2 family dwelling or accessary U Commercial/industrial U Multi-family >CNew construction U Demolition Q Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alann U Other: 1ON "Jobdress: _ Bldg. no.. Suite no.: Lot: I Block: ISI I Tax map.'tax lot/account no.: _ Project name: ,;7 Description and location of work on premises/special conditions: OWNER Name: ^'Y ir- 1'1( ' ' Mailing address: W I &2 fwrlly dwelling: � Cit•/: Stated ZIP:T• Valuation of work.....s ..�. $ 1 ZI JS _ Phone: Fax: 7 -mail: ) No.of bedrooms/baths.................................. Z Owner's_representative: Total number of floors................................. ^� Phone: Fax: E-mail: New dwelling area(sq. ft.) ..........................APPLICANi — ?7 Garage/carport area(sq. ft.)......................... l Name: Uc,n ii-AFY i4f--�e4. Covered porch area(sq,ft.) ...............I......... i C� M:ulin2 address: , Deck area(sq.ft.) ....................................... City: State:_ I'LIP: Other structu.e area(sq. ft.)......................... _ Phone. Fax: E-mail: Commerciati ndtrstrial/multi-family: 1 Iu 1 Valuation of work........................................ $ —.- Business name: . - Existing bldg.area(sq. ft.) .......................... 1 New bldg.area(sq. ft.) _ Z,� L ........................... Address: ... Number of stories........................................ City: -tate: ZIP: w -- FE-mail: TYF�of construction..... ............................. Phone: ax_ CCB no.: — Occupancy group(s): Existing: New: City/metro lic.no.. Notice:All contractors and subcontractors are requir"d to be licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address c3A_AZ'�_ jurisdiction where ,�,)rk is being performed.If the applicant is Citv: _ State: JZIP: exempt from licensing,the following reason applies: Contact jwrson: Plan no.: - Phore: Fax: I E-mail: Name: Contact person: Fees due upon application ........................... S Address: Date received: Citv: _ State: TZ Amount received ......................................... S Phone: Fax: I E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not At jurisdictions rcept credit cards,please call jurisdiction for mote infonnariots. attached checklist. A rosisions of IEAnances governing this JVsa D MasterCard work will he compli svd ,whetherre' or n& Credit card numtier epircs— _ Authorized si natu ate: Name of csrdhol r u shown on credit card! Print name.- s Cardholder siguture Amount Notice:This permit application expires if a permit is not obtained wiQun 190 days after it has been accepted as complete 440-4613 t61)oWos+' One-and Two-fanuly Dwelling Building Permit Application Checklist Reference no.: Cir, )ITigurdLI f Tigard Associatedpermits: `3 OganU Electrical ❑Plumbing U Mechanical Address: 13125 SW Hall 13;v.1,� k':ird,OR 07-22 i LJ Other: Phone: (503)639-4171 Fax: (503) 598-1900 I 11E F40LLOWING ITEINI.VARE RFQIqIREi) 1 land uses ons completed.See lunsdiction criteria for concurrent reviews. 2 Zoning,Mcod plain,solar balance points,seismic soils designation,historic district,etc. 3 Verification of approved plot/lot. _ 4 Fire district approval required. 5 Septic system permit or authorization for remodel. Existing system capacity 6 Sewer permit. 7 Water district approval. 8 Soils report. Must carry original applicable stamp and signature on file or with application. 9 Erosion control 0 plan ❑permit required. Include drainage-way protection,silt fence design and location of catch-basin protection,etc. _ 10 J_ Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state building codes.Lateral design,details and connections must 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� 11 Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if there is more than a 4-ft.elevation differential,plant must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of we[Wseptic systems;utility locations;direction indicator;lot I area;building coverage area;percentage of coverage;impervious area;existing strucmms on site;and surface drainage. 12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size and Iocat. 1,. 13 Floor plans.Show all dimensions,room identification,window size,location of smoke detectors,water hearer, furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross sectlon(s)and details.Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-floor, wall construction,roof construction.More than one cross section may be required to clearly portray construction.Show details of all wall and roof sheathing,roofing,roof slope,ceiling he:ght,siding material,footings and foundation,stairs, fireplace construction, thermal insulation,etc. 15 Elevation views. Provide elevations°or 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 addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indican details and locations;for non-prescriptive path analysis provide specifications and calculations to engineerin 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 itern 22,"Engineer's calculations." 19 Beam calculations.Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 21 Energy Code compliance.Identify the prescriptive bath or provide calculations.A gas-piping schematic is required for four or more appliances. 22 Engineer's calculations,When required o.pros tded,(i.e.,shear wall,roof truss)shall be-,tamped by an engineer or architect licensed in Oregon and shall be show,,to he applicable to the project under revs:w. JURISDICTIONAL 2Z Five(5)site plans are required for item I I above. Site plans must be 8-1/?"x 11"or I1"x 17". 24 Two(2)sets each are required for Items 16, 19,20&22 above. ~ 25 Building plans shall not contain red line: 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 ma) be in blue or black ink. Red ink is reserved for department use onlN. 4+0-4614 t&MCoM1 CITYOF TIGARD SEWER CONNECTION PERMIT_ DEVELOPMENT SERVICES PERMIT#: SWR2001 00180 13125 SW Hall Blvd., Tigard, OR 97223 1503) 639-4171 DATE ISSUED: 6/8/01 SITE ADDRESS; 12201 SW HOLLOW LN PARCEL: 2S103CB-05600 SUBDIVISI-ON. QUAIL HOLLOW EAST 70NING: R-4.5 BLOCK: LOT: 005 _ JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS- CLASS OF WORK.: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INGTALL TYNE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection permit for new single family residence. Owner_ FEES DON MORRISSETTE Type By Date Amount Receipt 4230 SW GALEWOOD ST. - --- -- LAKE OSWEGO, OR 97034 PRMT CTR 6/8/01 $2,300.00 27200100000 INSP CTR 6/0/01 $35.00 27200100000 Phone: _ Total 92,335.00 Contractor: Phone: Reg #: _ Required Inspections _l _ 1 This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given,the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral. 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 OAR 952-001-0080 YoLA tray obtain co;)ias of these rules or direct questions to OUNC by calling(503) 246.1987. IssAd by: 1 `'" !� d - Permittee Signature:,, Call (503) 639•4175 by 7:00 P.M. for an inspection needed the next business day /\ CITY OF TIGARD MASTER PERMIT PERMIT#: MST2001-00323 DEVELOPMENT SERVICES DATE ISSUED: 6/8/01 13125 SW Hall Blvd.,Tigard, OR 97"23 (503) 639-4171 SITE ADDRESS: 12201 SW HOLLOW LN PARCEL: 2S103CI3-05600 SUBDIVISION: QUAIL HOLLOW- EAST ZONING: R-4.5 BLOCK: LOT: 005 JURISDICTION: TIG REMARKS: S/F Path 1 NUILDING REISSUE V STORIES: FLOOR AREAS REQUIRED SETBACKS i_REQUIRED CLASS OF WORK: NEIN HEI:HT: "I FIRST. 1.330 st BASEMENT: of LEFT: F, SMOKE DETECTORS: Y TYPE OF USE: Sf FLOOR LOAD Ali SECOND: 1,662 sl GARAGE: 640 of FRONT: 20 PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: I FINBSME.NT: of RIGHT: 5 VALUE: 5 275,055.50 OCCUPANCY GRP: R3 BDRM: 5 BATH- TOTAL: 3.000.00 of REAR. 15 PLUMBING SINKS: I WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUBISIIOWERS: 7 GARBAGE DISP: I WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: I GREASE TRAPS: OTHER FIXTURES: MECHANICAL. FUEL TYPES -7RN 100K: BOIL/CMP�7HP: VENT FANS: 5 CLOTHES DRYER: I :4A5 FURN>•100K. 1 UNIT HEALERS: HOODS. I OTHER UNITS I MAX INP: Mu FLOOR FURNANCES: VENTS: I WOODSTOVES GAS OUTLETS. I _ _ELECTRICAL _ _ RESIDENTIAL UNIT_ _SERVICE FEEDER` TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS` ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 - 200 amp: WISVC OR Fr'R: 1 PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 5 201 400 amp- 201 - 400 amp: isf WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 - 600 amp: EA ADDL SR CIR: SIGNALIPANEL: IN PLANT. MANU HMISVCIFDR: 601 - 1000 amp. (101+amps-1n00v: MINOR LABEL, 1000.amplvolt PLAN REVIEW SEC[ION ft„cunnecr^nlv. 4 RES UNITS. 3VCIFDR>r225 A. `600 V NOMINAL.. CLS AREAISPC OCC: ELECTRICAL-RESTRICTED ENrRG" A.SF REfIOENTIAL _ y B.COMMERCIAL AUDIO&STEREO. VACUUM SYSTEr.' AUDIC&STEREO: FIRE A-ARM INTERCOMiPAGING: OUTDOOR LNDSC LT. BURGLAR ALARM. OTH: BOILER: HVAC. LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTA130N: MEDICAL.: OTHR: HVAC. DATA/TELE COMM. NORSE CALLS: TOTAL 0 SYSTEMS: Owner: c mtractor: TOTAL FEES: $ 5,753.26 DON MORRISSETTE )ON MORISSETTE HOMES This permit is subject to the regulations contained in the 4230 SW GALEWOOD ST 4230 GALEWOOD STREET Tigard Municipal Code, State LR Specialty Codes and LAKE OSWEGO,OR 97034 SUITE 100 all other applicable laws All woo rk will be done In LAKE.OSWEGO,OR 97035 accordance with approved plans This permit will expire 4 work is not started within 180 days of issuance,or if the work is suspended for more than 180 days ATTENTION PhUne Phone: Oregon law requires you to follow rules adopted by the Oreg^^Utility Notificraion Center Those rules are set Rep N: 1I 35533 forth in OAR 952-001-0010 thiough 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, PosVBeam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Sewer Inspection Underfloor Insulation Plumb Top Out Exterior Sheathing Inst Rain drain Insp Plumb Final Fooling Insp Crawl Drain/Ba:kwater Electrical Service Low Voltage Water Line Insp Final inspection Foundation Insp Footing/FOundation Or; Electrical Rough In Gas Line Insp Appr/Sdwik Insp Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Electrical Final Issued By -',,j ( ��. Cf!-� / _ Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2001-00372 13125 SW Hall Blvd., Tigard, OR 97227 (503) 639-4171 DATE ISSUED: 08/09/2001 PARCEL: 2 S 103C 13-05600 SITE ADDRESS: 12201 SW HOLLOW LN SUBDIVISION: QUAIL HOLLOW - EAST TONING: R-4.5 BLOCK: LOT: 005 JURISDICTION: TIG ' CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 (OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of backflow preventer. _ FEES Owner: — Type By Date Amount Receipt DON MORRISSETTE PRMT CTR 08109/2001 $36.25 7.7200100000 4230 SSV GALEWOOD ST. 5PCT CTR 08/09/2001 $2.90 27200100000 LAKE OSWEGO, OR 97034 _ Total $39.15 Phone 1: Contractor: PROGRASS LANDSCAPE SERVICES 29895 SW K!Nbrv]A;4 RU WILSONVILLE, OR 97070 REQUIRED INSPECTIONS RP/Backflow Preventer Phone 1: 682-6076 Final Inspection Aeg#: 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. Issuer) By: w c7 L _ Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next �wsiness day Plumbing Permit Appl!pat-ion ltj' Of Tigard f(? Datcrcceivcd: Permit no.: ,(I 2M _c0i Address: 13125 SW Hall Blvd,Tigard, CiryrtfTigard Phone: (503) 639-4171 1 Sewer permit no.: Building permit no.: -I`JFD Projectlappl no.: Expire date: -- Fax: (503) 598-1960 Date issued: B � f Y: Receipt no.: Laird use approval: AUG �_ —_� Y Ype — Case file no.: Pa ment t ❑ 1 & family dwelling or accessory O Commercial/industrial U Multi-family U Tenant improvement New construction U Addition/al(eration/replacement U Food service U Other: Job address: (,(,' 1�ju) Description�� "U - New I-and 2-Mandl dwepin s onl ree(ea. Total Bldg.no.: Suite no.: Y g� y: Tax map/tax lot/account na. ,�� ' ' (includes 1000.for each utility connection) SFR(1)bath Lot: Block: I Subdivisio ' ,Ctal-Qi1b IQW SFR(2)bath Project name:(S) t 1A-k., n) All - SFR(3)bath - ------ City/county:tUASh- eA.kA_ I ZIP: ({rJ,}),8 Each additional bath/kitchen - Description andlocation o work on premises: _ Sheutilliles: 8 1'CIC,low 4)C-0 rC Catch basialarea drai Est.date of completion/inspection: ;/ (1 -- Dry welIs/leacli line trench drain Footing drain(,lo.lin.ft.) �,',r Manufactured horse utilities Business name: Pt-0Cras L.4,'CN('r2/�, an C., Manholes - - --- --� —__� Address: C�/� l� _ Rain drain connector City: i j C, Statc:C)_('� ZIP:��'7(r��d Sanitary sewer(no.lin.ft.) - Phone Fax:je&j, - �7 , E-mail: Storm sewer(no.lin.fl.) - --I Plumb.bus.reg.no: -- Water service(no.lin.ft.) -- - City/metro lic.no.: I7xture or Item: Contractor's representative signature: ,tom. Absorption valve > Back flow�mvcnter Print nameY_ _ _55 : //fin Date: s` ("`I ail Backwater valve Basins/lavatory '- Name: �,�_�f i (t I )Z C� Clothes washer -- Address: --' Dishwasher - �� Drinking fountains) City: Ind J �1 bw liter, state: ZIP: �j'7(170 Drinking faun - --- ump Phone: Fax:baa `f 7 Email: Expansion tank Fixture/sewer cap -- Name(print):j) /7-)a-rj Floor drains/floor sinks/hub _ Mailing address: 30 UV uta 31- Garbage disposal rHose abkibebCit : State:C� ZIP. I03 Phone: r -- 'ax: E-mail: Interceptor/grease trap - Owner installation/residential maintenance only: The actual installation Primers) -will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employe on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s)_ Owner's signature: _ _ Date: Sump -` -y--- Tubs/showcr/shower pan - Name: Urinal _ W -Td - ---- --- _ ater closet ` dress: Water heater City: _ _ State: _ ZIP - -__ Other: Phone: Fax: E-mail: 7ota1 Not all jurisdictions accept credit ends,please call jurisdiction for more Information. Minimum fee................$ . oZ5 Notice:71tis permit application O Visa O MasterCard expires if a permit is not obtained Plan review(at _ %) $ credit card number:_ _ _-1.-.-._L--__ within 1 SO dayseller it has been State surcharge(8%)....$ �.� 96 Expires within TOTAI. ................. Narne of cardholder as shown on credit card — accepted AS Complete $ _ S Cardholder signature _Amount 440P416(&WICOSt) 1 PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES Individual QTY ea AMOUNT pncludpii all plumbing Natures)n PRiCE Sink 16.60 - the i.. Ing and.Ithe firsllo0,ft. .QTY (ea) 4 AMOUNT fo'r each utility coiinectlon) Lavatory 16.60 Ong oath - $249.20 - Tuh or TublShower Comb. 16.60 Two 2'`•airt $350.00 _ 16.60 Three 3 bF.,h $399.00 Shower Only Water Closet 16.60 - _ SUBTOTAL Urinal 16.60 6%STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL _ _ _ ___i6 -- - TOTAL Garbage Disposal .60 - LaundryTray _ 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2- 1660 PLEASE COMPLETE: 3^ 5.60 4^ 19.60 - Quanti b Work Performed Water Heater O conversion O like kind 16.60 Fixture Type: New Moved - Replaced Removed/ Gas piping requires a separate mechanical Ca. ed -Permit. MFG Home New Water Service 46.40 Sink Lavatory MFG Homo New San/Stcnn Sewer 46.40 Tub or Tub/Shower Hose Bibs 16.60 _ Combination Roof Drains _i6 6-0 Shower Only - Drinking Fountain 16.60 a Water Closet _ Urinal _ - Other Futures(Specify) 16.60 Dishwasher _ -' Garbage Disposal _ Laundry Room Tray- Washing Machine _ Floor Draln/Sink: 2" _ Sewer-1st 100' 55.00 -- 3^ - Sewer-each additional 100' _46_40 V~ 4" Water Sorvice-1st 100' 55.00 Water Heater _ Other Fixtures Waley Service-each additional 200' 46.40 Specify Storm b Rain Drain-1st 100' 55.00 _ Storm&Rain brain-each additlonal 100' __415 40 Commercia1 Back Flow Prevention Device A6.40 -- `- Residential Backflow Prev, ntion Device' 27.55 -17 5 S - Catch Basin '6.60 _ Inspection of Existing Plumbing or Specially -72 50 Requested Inspections er/hr COMMENTS REGARDING ABOVE: Rain Drain,slnnle family dwelling 65.25 Grease Traps 16.60 - ---- _ --"' - -QUANTITY TOTAL r� ry ��_. Isometric or riser diagram Is required If / p?/. 5S �/, 5s quantity Total "SUBTOTAL - P s - 8%STATE SURCHARGE "PLAN REVIEW 25%OF SUBTOTAL. Required only if fixture qty total is>9 _ -- TO1AL $3�1. iid Minimum permit fee Is 550 °6 state surcharge,except Residential Backflow r'reventlon Device,which i`$36.25+ %state surcharge "All New Commercial Buildings require pla^s with isometric or riser diagram and plan review 1:\dsts\fomes\plm-fees.doc 10/10/00 CITY OF TIOARD Residential Certificate of Occupancy Permit No.: Address: _I 2 ZO 1 �__..----- Owner/Contractor: Date of Final Inspection: 11- 1—dl Inspector: ,_ this structure has been found to be in substantial compliance with the provisions of the State of Oregon One& Two Famill,Duelling Sfrcialq Code and is hereby approved for occupancy. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Flour Inspection Line: 63 175 Business Line: 639-4 -- �-� BUP ---.—Date Requested. ��p AM—, PM — _ F ILD Location -2- -2. Suite MEC Contact Person PhPLM Contractor _ _ Ph _ SWR _ — _— [BUILDIN Tenant/Owner ELC Retaining Wall ELR Footing Access Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes' --- — --- Slab _ -- -------- — _-- SIT Post& Beam Ext Sheath/Shear Int Sheath/Shea Framing r I -_ LNr -- Insulation Orywall Nailing Firewall Qom, 1 1 0 �,, ✓` Fire Sprinkler Fire Alarm Susp'd Ceiling — ------- Roof / e� �..� I - ,� Misr., _ _ 6 �— {—.S �..�.�.�.�.�.�.lr.�..�.�.�� — iri 5-- -15-ASS PART i _� � PLUMBING Post& Beam Under Slab �,/U Top Out — Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL ---.-- --�� — ----- --- ----- -- -- MECHANIC Post&Beam -- —_ ---- -- - ------ --- — Rough In Gas Line -- ---- — ---- -- -----..-----— — ---- SmqKg Datppei s FinaLJ, LA --- --- — - — ---—_.._— —-- ------ _-- (fA—SV PART FAIL E mL TRICAL ---- --- ------- --- -- — — _ ---._. Service _ Rough In — UGISlab Low Voltage Fire Alarm Final PASS PART FAIL - - - - - -- -— - -- -- SIT - - ackfill/Grading -- — - �—' Sanitary Sewer I f — Stone Drain UN � )Reinspection fee of$ —required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Please call for reinspection RE:-- �_— _ [ ] Unable to inspect no access Fire Supply Line kq"' ADA Ap roach/Sidewalk''� bate th Cy tInspector Ex FI ` ) PART FAIL (, ISO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 26,L,i oc; 3 2- 24-Hour Inspection Line: 639-4175 Business line: 639-4171 BUP —, __------Date Requested ( " AM �PM _ BLD _ Location_^ 1 z 1 f -�Jyj Suite _ MEC Contact Person o Ph �1 tel' Z PLM --- �_— -- Contractor - Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access. -.__a__—_----- Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes - ----- --- Slab --- ---w---�._-_ --- —-- - ----- —. SIT Post&Beam --� Ext Sheath/Shear Int Sheath/Shear -----------�-�-- Framin9 -- -- ------- Insulation Drywall Nailing Firewall �- -- Fire Sprinkler Fire Alarm Susp'd Ceiling _____ - ._-- -_. ----.-__.__-.—__.._-----.._. .,.___ Roof --__-- _ nay ---------- ,M79 S ' PART FAIL GING Post&Beam Under Slab TopOut _- _ ------ -------__.__.... ---_ ---__-----___._—�._-_----__-- ____--------- Water Service _ Sanitary Sewer -- _ Rain Drains Final PASS PART FAIL _ MECHANICAL [lost R Beam --- -- --- -- -- --.—_.. Rough In Gas Line --- - - --- --- -- - Smoke Dampers Final --- -- —- ------ PA,SS PART FAIL ELECTRICAL _-_- --- - . - -_----- -- _ --- - -------------__ ------ _ _�.__---- servict Rough 1: - _ 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 Fire Supply'Line [ J Please call for reinspection RE: ( ]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.