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O O p O O O O O O O O O O O O O O O O O N yN N N N N N N N N N N N N N N 0 as a a O m Na N N f� UJ US O Oi f'7 C7 fl 10 01 Q1 " r 1+ U N N N N N O O O O OO O O N O ;z 117 0 O O O O N N d f7 •ter V Q y o c Cl. a cra c J U Q O 3 c ', rn c h w cm T fn $ a0 c 5 U iI d E c v m N c f, c u to is 8 E LL c ii O a �- Q c �- rn o m a (I ` c ° E c it rn p ch rn in tci m n M a � w a J - 'E � �i £ E v _ N l!7 a dl N c a N ; x m d T 0 N N U cG . _ Mi w m N t- N 1(1 h 1` to O 1n p 1� N fD to 0 r CT 0 (T fh a0 O O O N m N N N OI 01 07 01 fD O O O O I` h ti n I- n r, n 11 QQ77 V) r r w H u) F- cn � m v7 cn cn w � u� v) u) in v) m v) in m N In u)cn m in i v 0 z Tj oaoo o bo h .j D 01 O O O O a z zz ° ° z° z c� r O V a O O O o n a n o O T m .1 G U Q w ,Old O a m m C O O O O a U y N �Nj N N N_ O d O O y � Q f'd p o � 9 t0 Qi qi > a N C QO � U j N LL O M d LO O O f- N �," C) - NN ji 0 i N QI 0 z v o 0 0 0 o CN C14 04 o o 0 0 a � ro a a a a a S T I Z 2 _ �' z z° z° z° z° r C) 0 w w w 4 N w O a 0 0 d 1 0 a. 0 0 G? C% m N d J (n J u Q. a CD � aN rn 00 0 0 o d r ' O O O O O O ° 0 0 0 0 0 V) N N a, � Q I, a 0 4 TS W C c q a a s z U- N X64 .o Qsog L a a a a C ■•■Y CERTIFICATE OF OCCUPANCY 1 f " OF `T I G A R D PERMIT#: MST2000-00080 DEVELOPME14T SERVICES DATE ISSUED: 03/29/2000 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S103C8-11900 70NING: R-4 5 JURISDICTION: TIG SITE ADDRESS: 12202 SW HOLLOW L.N SUBDIVISION: QUAIL HOI-LOW - EAST BLOCK- LOT:077 CLASS OF WORK NEN/ TYPE OF USE: SF TYPE OF CONSTR: 5N OCCUPANCY GRP: R3 I LNAN I NAME: REMARKS: PATH I. New single family dwelling w/attached garage &covered porch. Owner: DON MORISSETTE HOMES 4230 GALEWOOD STREET SUITE 100 !-/,KE OSWEGO, OR 97035 Phone: 274-5223 Contractor: DON MORISSETTE HOMES 4230 GALEWOOD S'T'REET SUITE 100 LAKE OSWEGO, OR 97035 Phono: 503-387-7538 Reg#: LIC 00035533 This Certificate issued 00/211/2000 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupa4y, a►,.-. 0-je under which the referenced pe mit was issued. l BUILDING INSPECTOR BUILDING F CIAL POST IN CONSPICUOUS PLACE CITY OF T 'kRD BUILDING INSPECTION DIVISION 24-Hour Inspection Line. 639-4175 Business Lina: 639-4171 -- (� BLIP _ Date [Requested _� – 0 0 AMPM _—_ BLD Location �� y �-- IlC'I/U _ Suite MEC - -� �-y� - Contact Person `��'t-�` Ph�� PLM Contractor Ph SWR BUILDING i Tenant/Owner ELC Retaining Wall ELR Footing �__----------- - - Foundation Access Fr'S Ftg Drain — SGN - - -—-------- Crawl Drain inspection Notes: ----- ------ -- Slab IT Post&Beam — - Ext Sheath/Shear Int Sheath/Shear I taming Insulation Drywall Nailing Firewall - ---- --- -- Fire Sprinkler Fire Alarm Susp'd Ceiling - - - - -- - - - -- Roof Misc: &ING ART FAIL Post& Beam - -- - Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final - - PASS PART FAIL MECHANICAL Post& Beam Rough In Gas Line -- - - Smoke Dampers Final - --- PASS PART FAIL ELECTRICAL - -- �— Service _ Rough In UG/Slab Low Voltage -------- -------- ---- _..._-._.— Fire Alarm Final PASS PART FAIL SITE Backfill/Grading -- `- "-- -- Sanitary Sewer Storm Drain j j Reinspection fes of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line j j Please call for reinspe0on RE: _ _ j )Unable to inspect-no access ADA G Approach/Sidewalk Date U1 /1 � Inspector^ V Ext ( l Other 77 Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. j J �f cr- 0 0 c z U F u.i W LIJ �- CL O LL ~ _ Q F. LLLij LL! w Ll-O c s U w �� LL! i w W f— j G Z 'Z —"� U) Q Q F-- F— 0 Q � LLJ �, m w LIJ O v� U 7 co lIJ z Cal w ui O Q Cf) W Lu� CY W W Q m cl� CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 6394171 BUP Date Requested 1P (9ZQD—AM PMBLD � I Location t)C,4 Suite ME:. _ Contact Person Ph-Ztt --(-1632 — PLM ` Contractor Ph i SWR _ BUILDING Tenant/OwnerELC Retaining Wall ELR Footing Access FPS Fta Drain SGN Crawl Drain Inspec'-on Notes -- -- -- -- Slab - - - -- - -- --- SIT Post&Beam -�- Ext Sheath/Shear Int Sheath/Shear Framing --- — - _ -- --- Insulation ` _- Drywall Nailing _ Firewall •' Fire Sprinkler —, Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL — Post& Beam —` Under Slab Top Out -- - Water Service Sanitary Sewer -- Rai rains 'PAM PART FAIL Post& Beam - Rough In Gas Line Smoke Dampers 5 PART FAIL ECTRICAL -- Service _ Rough In — —~ UG/Slab Low Voltage ^� Fire Alarm Final --,-- -- PASS PART FAIL —� ---- ,_ SITE Backfill/Grading __ -- Sanitary Sewer Storm Drain [ ]Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE: [ )Unable to inspect-no access Fire Supply Line ADA r Approach/Sidewalk Other Date Inspector l,/7 Ext _ Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST - fU 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 t BUP _ ----.---��Date Requested �, P.M _PM - BLD - I.ocation 2. U� I.O Suite _ _ MEC Contact Person L Nom., Ph ��'� Sir PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS _ Ftg Drain SGN Crawl Drain Inspection Notes- Stab Stab -— �� I ��Q L( 51T Post&Ream ��F,p -• -- Ext Sheath/Shear V Int Sheath/Shear Framing Insulation Drywall Nailing Firewall - - - - Fire Sprinkler Fire Alarm Susp'd Ceiling --------- Roof ------Roof Misc: --- --------.- Final — PASS PART FAIL - - --- -_ PLUMBING _ Post&Beam - —- Under Slab Top Out - - -- Water Service Sanitary Sewer - Rain Drains Final ---- PASS PART FAIL MECHANICAL - ----- Post& Beam -- Rough In Gas Line Smoke Dampers Final - - --- _ P P T FAIL_ 'TRI AL' - -- — - - --- - - Service Rough In - - __- _ --------- --- UG/Slab v F� --- - Low Voltage _ -- - ------- --------.._��----- . .__-- _ FigAlsrm - - Ir _ ) PAR f FAIL Backfill/Grading -------- - Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin i ll f Please call reinspection RE: Fire Supply Line ( J p ( J Unable to inspect no access ADA Approach/Sidewalk Other Date _t10 - InspectorExt Final PASS PART FAIL DO NOT REMOVE. this inspection record from the job site. G i' CITY OF TIGARD __ PLUM.,SiNG PERMIT DEVELOPMENT SERVICES PERMIT#: PI_M2000-00191 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 06/08/2000 PARCEL: 2S103CB-11900 SITE ADDRESS: 12202 SW HOLLOW LN SUBDIVISION: QUAIL HOLLOW- EAST' ZONING: RA 5 BLOCK: LOT: 077 JURISDICTION. TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SI3ACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS; I RAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES _ _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: INA,LS: GREASE. 'TRAPS: LAVATORIES: OTHER FIX,JRES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: k"VATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Backflow prevention Device FEES Owner: —�" _ -- -- -- Type By Date Amount Receipt DON MORISSETTE HOMES PRMT JMT 06/08/2000 $50.00 0002795 4230 GALEWOOD STREET 5PCT JMT 06/08/2000 $4.00 0002795 SUITE 100 LAKE OSWEGO, OR 97035 Total $54.00 Phone 1: 274-5223 Contractor: PROGRASS LANDSCAPE SERVICES 29895 SW KINSMAN RD WILSONVILLE. OR 97070 REQUIRED INSPECTIONS Phone 1: 682-6076 RP/Backflow Preventer Reg#: LIC 00006136 PLM 11558 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit Will expire if work is not started within 180 days of issuance, or if work is Suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: Permittee Signature: Call ( 3) 639-4175 by 7:00 P.M. for an inspection needed the next business day 06/06,199 TM 10:57 FAX 503 598 1960 CITY OF TIGARD %W%0V- CITY OF TIGARD Pltambir-t Permit Application Plan Cne¢kt3 13125 GVV HALL BLVOF-CEIVED Commercial and Residential Redd By 1 IGARD, OR 97223 Date to o P (503 2(_m 639.4171 I�)N r 7 n Date tP E, Print or Type Dale tc 03' T Ct)IiIMUNIt'�t1 O 1 tS or ),Ilecgible applications will not be accepted Pemift0 f,.1}�'1�`'- I lI Related SWR e_ 1 Called Name of Deva opment/Proler. --� FIXTURE$i lodldl uil) e: ; OTEY�; .PhICE4 TAF# Job OAt t-a-. J- Sink 11.80 Street Address Sul Lavatury 17.60 Address (L f-}r.lI v ' �-anC Tub or Tub/Shower Comb. 11.60 Bldg 4 Zip Shower Only 11.60 j Water Cloaet 11.50 Name t 60 Darn mDYIS6e*4e.. PmeS Clahw1ashm .- Owner Mail ng Address 6ulte Garbage Naposal — 11.90 c�a3o sw Ga/uuood- Washing Machine 11.80 _ Clty1S'ate Zip Phone Floor CroWFloor Sink 2' 11.50 I tcaKe bswe D c 790- bg5o �. 11.60 Name\ 4• 17 s0 Occupant �U;Ad ss Sufte Water"eater Oconverslon O IhekindGes plyingrequ j a sepnrsle n_eharica 8-11Cityte 21p Phane Laundry Room Tray _ Urinal ---�- - —� 11.60 yame lOther Fixtures(Specify) 16,0)�x�scan KrO&rass La-/1)4sc 6 _ - I Contractor Mahn Address Sults —_— Prk:r:o permit Cityislate Zip Phone G p.7- Sewer•1st;01Y 311.00 issuance.a copy WI'l S-m Dille- 0297070 607(o a1`7 Saw".each odolllonel 100' -- 3200 of all licenses are Orego&Cnbt.Coit,Board Uc.N LV. .fDet 'o Water Servlcb-tat 100' 3800 required H ''�3 _ expired In COT Plumbing LIC.E E.V.Data* Water Service-each sdditional 32.00 20G' - database Storm A Rain Dan-1 al 100' 96.00 tVerrA Storm R Rein Drain-each eddillond 100' 32.00 Architect Mobile Home SDscs 32.00 p, MalrgAddress Suite Ccmmerclal Bede Flow Prevention DevF.:e or Anti- 3200 Pollution Device Engineer City/Slate Zip PWria Residential Hacxnow Prevention Devloe' ) 19_.00 �9 (Irrlgallor liminti eevlcas roqure a seperaba 1 Describe work to be dens: restricted energy perrtlt.) New O Repair O Rep;ace with like kind: Yes O No O Aiy Trap or Waste Not Connected to a Fixture 11.60 Res)deniis' O Commercial O Catch Basin 11.50 Add)tionel description of workInmp of Exisling'lumbirg 50.00 _ erPv Specially Requested Inspections 50.00 Are you capping,moving or replacing any fixtures? � pedir Yes 0 No D Rein Diair,single family dwelling 45.00 If yea,see back of form to Indicate work performed by Grease Traps 11.50 flxtur9. FAILURE TO ACCURATELY REPORT FIXTURE WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL A 4 1 hereby acknowledge that:have read this application,the,.vie Information learre7'r cr Hoot daprom Is required a OuWiy Tdal Is >o ' f I f given Is correct,that I am the owner or authorized agent of the owner,eno *SUBTOTAL that Plans submi:ted are h comp,lance with Creoon State Laws. - 31p+letattret w fAgent Q— Date v 9, 8'h SURCNx,i20E Phone "PLAN REVIEW ° 26%OF '-'o10TAL Contact Person Requiec anly H gxure qty total Is►9 TOTAL7 ? 'fi AT!{ND37t1T�0i M S 'd�'fiw=' r iE► Ird ,!lG�Db .'�`:i;;'nyEj>' B Residential Ba=kflow Minimu • m permit fee a:50 5%surcharge,except S.S ;1 1.+4.._:.i.:_._:_ ...t. ; •� t:" '�'? PrejLrffiqnD '+lc!ttiwbli�+Is�S2' •6;1 sun;haras lr�l'?clF'pN(► :� r > � �aS �smib _ ir • s i-A •• 11 Naw Ccmmerclal Buildings require plans with scmelric or riser dlagrain and pten review elda:at9rnu1a+unaoo dc:W-'S' 06/061 '99 I'll" 10:59 FAX 503 598 1960 1111 U1 I ltt.tinu i PLEASE CO PM LETS: lkixtu(e''�YP '`4 , �,> uan.! b Work,P6 Sink Tub or Tub/Shower Combination Shower Only _ Water Closet - Dishwasher Garbage Disposal - Washing Machine Floor Drain/Floor Sink 2" Water Heater --T_�— Laundry_Room Tray Urinal — O'ther Fixtures_(Sped - 8�c!c flmv �rr�x.-1 rxn-r 7Xu�cam, COMMENTS REGARDING ABOVE: 1'.dlsrbrrcdp i.ar.app dat:J11CG ELECTR CITY OF TIGARD RESTRICTS PERMIT- RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2000-00135 13125 S'N Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 06/08/2000 SITE ADDRESS: 12202 SW HOLLOW LN PARCEL: 2S103CB-11900 SUBDIVISION: QUAIL HOLLOW- EAST ZONING: R-4.5 BLOCK: LOT: 077 JURISDICTION: TIG Proiect Description: Inigation Controller A._RESIDENTIAL B._COMMERCIAL_ _— AUDIO& STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT: GARAGE OPENER: CLOCK:. MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: IRRIGATION k HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: _ TOTAL# OF SYSTEMS: Owner: - Contractor DON MORISSETTE HOMES PROGRASS LANDSCAPL- 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 PRMT JMT 06/08/2.00C $60 00 012793 5PCT JMT 06/08/200L $4.80 002793 Total $64.80 This Permit is issued subject to the regulation!, contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws All work will be Mone in accordance with approved plans. This permit will vrpire 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 tine Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952.-001-0087 You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987 --- ' Issued by — 1--a YyL � _ — _ Permittee Signature�- y�&- OWNER INSTALLATION ONLY 1 he installation is being made or 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 PA for an inspection needed the next business day 06/06/99 TLE 10:59 FAX 503 598 1960 l..lt1 Lill 101-Anu CITY OF TIGARD RE•C"#WTED ENERGY ELECTRICAL APPLICATION Recd by: � 13125 SW HALL BLVD date Rec_d: TIGARD OR 97223 PRINT OR TYPE cG" _ V-503-639-4171 X304 AN 7 Ann � Pew ft#:r&�ko00 - F -503-508-1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: COMNMINITY 1)FVFFOp WILL NOT BE ACCEPTED l Name ct Development Project TYPE OF WORK INVOLVED-RESIDENTIAL-ONLY' Restricted Energy Fee......._........................... $80.00 aL CI c..(✓ W-0-u(Tk.) (FOR ALL SYSTEMS) / JOB St'eet Address, Stell - ADDRESS .�C�� kU-' t�t'I IUv I ( I Check Type of Wcrk IrnoNee: CltylStete Phones ❑ Audio and Stereo Systems 1 III ;.t � �1 r,�J N21`166 ❑ SurglarA!arm Vern 0-orne-S OWNERiti q AddS ess E] Garage Door Opener' °3o w Ga(uvnc,O Cance ❑ rty StateZip cne A Healing,Ventilation and Air Condlk,nirrg System•• ; ja- 6�Ll 90 97 63 rI 710-&q :- ❑ vacuum Systems. Name (uYlctsLApe: Pm(-;,ruS-0, Lanr,LSca.pe. � Other �4r��SCca�G �-t�L�UO�lar�CeYlfr�l/r. CONTRACTQR Q-9'�� ' kin Slff-JA le-IJ OF WORK INVOLVED-COMMERCIAL ONLY (Prior to Issuance a Citx/stsle I Zip Phone A Fee for each system......................................._... $80.00 copy of all licenses 11111 X11 U'll e- 10k,11016 to SQ—(on to (SEE OAR 918.260-260) are required B Oregon C9nit.Qrd Lic.M ate a I expired in C.O.T. lD OR, Check Type of Work,nvolved: data base). Electrical Contr.Lic.p Exp. ate Audio and Sterno Systems C.O.T.or Metro Llr,.N Exp. )ate Boiler Cortrcis Owner's Name __ ❑ Clock Systema OWNER- Mailing Addrfss� APPLICANT ❑ De!e TelecommunicationInstellatlon C tyrtate Zip Phones N ❑ Fire Alarm Installation This permit is Issued under OAE 91&320.370 This applicanl agrees to make only restricted energy InO-I'Atlon,It co volt amps or less)under this HVAC permit and to do the folowl,g: ❑ Instrumentation 1 Oniy use electrical I"ised persons to do instal!abur.s where required Certain residential and other transactions are exempt ,om licensing. ❑ Intercom and Paging Systems These have asterisks(') All others need licensing; ❑ Landscape Irrgatlon Contrci- 2. Cell for irspr,ctions when Installation r,nder tnla perm'' .dy for Inspection at 603.8394176; C7 Medical 3. Purct see separate permits for all Installations that are not ready for an ❑ Nurse Colts inspection whrn the;. •nector b out to Inspect under this pernit; 4 Assume resoonsiblllty for assuring that all corrections required by the ❑ Outdoor Landscape Li h:ing' Inspector are done,and: ❑ Protective Slgnafing t, Assume resoonslm ity for calling far A final inspection whet all of the conedlons are complbted. ❑ Other__ Por-nits ere ncn tranaferab.e and non-refundable and exp re if work is not atoned with n 190 days or issuance or:f wcr's is suspenderl for 180 days _Ntgnber of Systems The person signing for this permit must be the applicant or a person No Icenses ere-eWlred Licenses are required for all other lnsttaflaWns authorized to bind the app' m. -- FEEG: ENTER FEES Sign3ture "'C SURCHARGE(.05 X TOTAL.ABOVE) �fl Authority If other than Applicant i TOTAL rasrs\rorrsvesda dol3lnie FROM : POSS EL_F-C. RIC PHONE N0. : Mar. 2E 2000 03:OBPM P4 CITY OF TIGARD 13126 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE FLOSS ELECTRIC STEPHEN LLOYD ROSS 23810 SW DRAKE LN HILLSBORO, OR 97123 Electrical Signature Form Permit#: MST2000-00080 Date Issued: 03129/2000 Parcel: 2S103CB-11900 Sito Address: 12202 SW HOLLOW LN Subdivision: QUAIL HOLLOW-EAST Block: 1.ot. 077 ,Jurisdiction: URB Zoning: R-4.5 Remarks: PATH 1: New single family dwelling wlattached garage S covered porch. Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid,the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above,ATTN: Building Dept. No electrical inspections will be authorized until this completed form is received OWNFR� ELECTRICAL CONTRACTOR: DON MORISSETTF_ HOMES ROSS ELECTRIC 4230 GALEWOOD STREET STEPHEN LLOYD ROSS LAKE10y4yy GGpp 2381�0,BSpW�DRAKE LN PhoneS27 -52�OR 97035 phone#. 84 '�aOQ 97123 Req#: ELE 34.4380 r.ic Mr lea SLIP 42326 AN INK SIGNATURE 14 REQUIRED ON THIS FORM X Signature of Supervising Electncien If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 `F 7r, IMPORTANT PERMIT NOTICE L13Y,"' 3 Zi?00 HARRY + SON PLUMBING INC 7117 NORTH ARMOUR PORTLAND, OR 97203 Plumbing Signature Form Permit #: MST2000-00080 Date Issued: 03129/2000 Parcel: 2S103CB-11900 Site Address: 12202 SW HOLLOW LN Subdivision: QUAIL HOLLOW - EAST Block: Lot: 077 Jurisdiction: URB Toning: R-4.5 Remarks: PATH I: New single family dwelling w/attached garage & covered porch. Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR.- DON ONTRACTOR:DON MORISSETTE HOMES HARRY + SON PLUMBING INC 4230 GALEWOOD STREET 7117 NORTH ARMOUR SUITE 100 PORTLAND, OR 97203 LAKE OSWEGO OR 97035 Phone #: 274-523 Phone #: Reg #: 1 Ir 00068900 PI M 26-448ob AN INK SIGNATURE IS REQUIRED ON THUS FORM X ry- �id ignature Authorized Plumber If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD MASTER PERMIT PERMIT#: MST2000-00080 DEVELOPMENT SERVICES DATE ISSUED: 03/29/2000 13125 SW Hall Blvd.,Tigard, OR 97223 (50IM61NAL 1 SITE ADDRESS: 12202 SW HOLLOW LN PARCEL: 2.S103CB-11900 SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R-4.5 BLOCK: LOT: 077 JURISDICTION: URB REMARKS: PATH INew single family dwelling w/attached garage & covered porch BUILDING REISSUE: STORIES 2 FLOOR AREAS _ REQUIRED SETBACKS REQUIRED _ CLASS OF WORK: NEW HEIGHT. '4 FIRST: 1.570 if BASEMENT: 11111, al LEFT: 5 SMOKE DETECTORS. TYPE OF USE: SF FLOOR LOAD: 411 SECOND: 1.620 if GARAGE: G45 if FRONT. :o PARKING SPACES T YPE OF CONST: 51 DWELLING UNITS: I FINBSMENT: 0 if RIGHT: 5 VALUE. $239(371 111 OCCUPANCY GRP: R3 BDRM: F, BATH. I TOTAL: 3.190.00 of REAR: 30 PLUMBING SINKS: I WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN. 100 TRAPS: LAVATORIES 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS, 1 CATCH BASINS: TUBISHOWERS: I GARBAGE DISP: I WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: I GREASE TRAPS: OTHER FIXTURES: MECHANICAL _ FUEL TYPES FURN<100K: BOIL/CMP<3HP. VENT FANS: 5 CLOTHES DRYER: I .q; TURN>=100K: 1 UNIT HEATERS: HOODS: I OTHER UNITS: I MAXINP Wit FLOORFURNANCES: VENTS: WOODSTOVES. GAS OUTLETS: 1 ELECTRICAL _ RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECT,ONS 1000 SF OR LESS: 1 0 - 200 amp: 0 200 amp'. WISVC OR FDR: I PUMPIIRRIGATION: PER INSPECTION. EA ADD'L 500SIF 5 201 - 400 amp: 201 400 amp: 1st W/O SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 600 amp. EA ADDL BR CIR: SIGNALIPANEL: IN PLANT. MANU HMISVCIFDR: 601 1000 amp: 601-amps-1000x. MINOR LABEL 1000♦amplvolt PLAN REVIEW SECTION Reconnect only: ?=4 RES UNITS. SVCIFDR>=225 A.- >600 V NOMINAL. CLS AREA/SPC OCC. ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO. VACUUM SYSTEM AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING. OUTDOOR LNDSC LT. BURGLAR ALARM OTH. BOILER: HVAC: LANDSCAPEIIRRIG. PROTECTIVE SIGNL GARAGE OPENER- CLOCK: INSTRUMENTATION: MEDICAL: OTHR. HVAC. DATA/TELE COMM NURSE CALLS. TOTAL 0 SYSTEMS Owner: Contractor: TOTAL FEES: $ 3,012.90 DON MORISSETTE HOMES DON MORISSETTE HOMES This permit Is subject to the regulations contained in the 4230 GALEWOOD STREET 4230 GALEWOOD STREET alMunicipal Cade, State of OR Specialty Codes and SUITE 100 SUITE 100 alll other applicable taws. All work will be done in LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 workac(mi an with approved plans This permit wexpire d work snott o started within 180 days of issuance,or if the work is suspended for more than 180 days ATTENTION Phone Phone Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set RegN Lu: 00035513 forth In OAR 952-001-0010through 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987 REQUIRED INSPECTIONS Erosion 844-8444 POSt/Bearn Mechanical Mechanical Insp Shear Wall Insp Water Line Insp Plumb Final Sewer Inspection Underfloor insulation Plumb Top Out Gas Line Insp Appr/Sdwlk Insp Final inspection Footing Insp Crawl Drain/Backwater Electrical Service Gas Fireplace Urb St Tree Certif Ltr F Building Final Foundation Insp Footing/Foundation Dn Electrical Rough In Insulation Insp Electrical Final Post/Beam Structural PLM/Underfloor Framing Insp Rain drain Insp Mechanical Final Issued BY : /1 f i L ]Ilk it, -- Pei-mitten Signature Call (503.1 639-4175 by 7:00 p.m, for an inspection needed the next business day CITY OF TIGARD Residential Building Permit Application Plan CheeR->n' C�-3 1"425 SW HALL BLVD. Additions or Alterations Read By / — rGDate RecdARD, OR 97223 Single Family Detached or Attached (Duplex) r - Date to P E. V 503-639-4171 / Date to DST F 503-684-7297 �j� Permit# Print or Type Called 3 Incomplete or illegible applications will not becepted ------_-� Name of Project ------------^'-Q me � — - Job PCZ ( 1 �1 , I �} �(t}7 -) C2 Architect wino ddress Address d` G- 1 �J, CaCL�?,�Lt2t3. 'fit - #I ' IL:__ y/S e rµ Pn^^P ame \Lttl �LiF�� _ ---- Na 7^7 1 Name Owner ailf^^ °�rt,pq� `) Engineer Mailing Address — City/State Zip Phone General Name Contractor s -Describe work NewK Addition O Alteration O Repair O MLa'ilinq Addregs to be done. Prior to permit lc_4a; (;qC1�'� � �( Additional Description of Worker issuance, a copy Ity/S't�a1to Zip _ ),rn�n- _ ___ of all licenses V`v. ]/rte, 'J are required if Oregon C nst Cont Board E p. Date PROJECT expired in COT Lic# database . � `) VALUATION $ ✓✓ J .— Mechanical Name -- _ NEW CONSTRUCTION ONLY: /.2v � Sub- CSq Ft. House ,) Sq. Ft. Gara e, Contractor Mailing Address -FdicaFthe restricted energy installation by the electrical Prior to permit issuance,a copy it /St a Ip Phone subcontractor in the followingareas of all licenses r -3 Restricted Audio/Stereo are required if Oregon Const Cont Board Exp Date Ene,gy System Alarms expired in COT Lic# 7 ^ 2 r Installations Vacuum Irrigation database _ -_ �� System System Plumbing Name (check all that Other: Plb11apply)q2Y `` Contractor Mailing A dry ess Corner Lot YES NQT Flag Lot YES (check one) (check one) f t Has the Subdivision Plat recorded? N/A SFS NO Prior to,permit ty/State Zjp hore issuance,a copyof all licenses are O,egon Const Cont Board Exp Dat required if Lic# Cl oxpired in COT �l/L' I l,t.� ` t k I 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 1941e ;�j ` fi I >1 of the owner, and that plans submitted are in compliance with j7 t on State laws. Name — — —--- =rer/jrn�Electrical COIR Sub Mailing Address —� — ntact P rson ame P one# Contractor ;� I G �ti �LL .. ` �-.'�� - - 1 x � CitylState Zip Phone Prior to per nit N;� _ Issuance,s copy tv11 `r �� ` _FOR OFFICE USE ONLY: of all licenses are Oregon Const ont Board Gp Date -- — required if Lic# Q�� Plat# MaprTL#. I expired in COT I(.' a f t A co �_� database ect"at LrG # 51 Df t� I Se ks Zone k)r Solar jL rElectrical supervisor 1.1( # l l U to Fngrn ring Approval. Planning Approv d TIF, 3- � � I ldsts\formsWaddalt doc 11/20/98 snWe$9e SANITARY•Va enc JIP11 155 N. First Ave., Suittee 270, Hillbro, Or.,97124 SURFArJE WATERJ 503 648-8621 I,;ONNF'CTION PERMIT ISSUE GAPE 032400 LXC IRATION GATE 092000 FC EXE' LIA'IE 032402 PERMIT 11.84'',, `:STRUCTURE ADDRESS 12.20' F'Rl1JFCT 8207 ;TCRUCTURE 5'TREE1 SW HOLLOW LN LOT 77 BLOCK I 'yPr CONNECTION- NEW OF' QUAIL, HOLLOW EAST r YPE INSTAL LATT.ON- ( 19) Elf-D SWR/FRO C1JN/SIIC OCC0F ANC`f - + 1. ? SI MOLE FAMIL.Y PARCEL, 2S I. 3CB 11900 QTR SF'C 4417 MH 26950 OWNER DOM MORI,SSF.TTE ADDRESS 4230 GW GAL..EWOOP TRFATMFNT PLANT ROCKCRE�. LAKE OSWFGO OR 97035 PHONE 387 ' 7538 WATFR DISTRICT TUALt1TiN VALI t'TXTURE: EQUIVALENT DWELLING RFSTGFNTIAL I_INI TS PE*RVICE UNITS 0.0 UNITS 1 SERVICE UNIT!' 1 CUNNEC'TTON F FE:'S SUR'F'ACE WATF'R DFVE L0F'MFN'T FFF S SEWER CONNE_('TIrlN 2:300. 00 WATER QUALI7Y 210. 00 LLSS CREDIT 121().00) WATER gUAM t'TY 290100 LESS CREDIT 0. 00 EROSION CONTROL. TNSPEC.TION 09.00 FLAN CHECK; 57 .20 9UFIT01 AL. 2300400 SUE+TOTAL. 435 . 20 TOTAL, 2735.2.0 ADPL NAME VENA F HONE fAFF'TLI_TATION REY PE:MARKS LOT 67 PROJ 8201 QUATL HMI L.OW EAST .'4 HOUR NOTICE: FOR EROSION CONTROL INSPECTIONS REQUIRED Numh tp ca f 1, �T _ r.:TT N---©44 8444 *�**** i ISSULD 111AtILIF-115UNL Permit Conditions: The applicant agrees to comply with aft rules and regulat.ons 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 944.9444.When nailing for an inspection.please refer to the permit,protect and lot numbers, The permit expires one hundred eighty(180)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, YCLLOW - CUatosier a a . INSPECTED BY DATE ['ON1RACIOR/INSTALLER I IYPC OF PIPE DIAMETER OF PIPE Inspector, Please sketch below or attach the following information: I Street & nearest cross street 7 Location of structure being served 3 Route of service line from structure to property line where it ` connects to the service lateral . Include length & diameter j of service line, depth at the structure & property line, dimensions referencing line to structure, property lines i and/or corners, etc. 4 North arrow I I i DON - MORISSETTE OBE : 2032 10 Y E S I N C 0 R P 0 l T E D 4 8 9 0 G A L E Q O O D S T R E E T LOT: 77 LAE1 09V9G0• 0 2 1 a 0 N 07036 DATE: 2/29/2000 (e0a) ae7 - 76ae FAX (505) 3e7 - 7eIe PROPERTY: QUAIL-HOLLOW CITY: TIGARD SCALE: 1"=20' STANDARD ELEvATfON PUN NQ :' 170? 12202 S.UJ. 4-I OLL OUJ LL �'. Ll . 'e rdewe Ik ��--'-`- approach ' . -..._. 30 300 6� b3� o Priv 298 1'6 t! 628 sq. Ft. 1§1_0• 3 car gar. FF.E. 3OO' ryO• 7'4' 3PC --- -- — __ 3's• � I Lp ' I 0 3,2-10 eq. Ft. 4 bdrm. ' 2 1/2 bath �'-o• FFF3O3' I 1 300 • 0'X10 34aO I GONG ' ATI I I ' I ' I ' I ' ---------- SGx1 T�1�1 � 0 300 300 LOT wll 6 3OCeq. Ft.