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12251 SW HOLLOW LANE V r • I �., �'` i ., 1 ,�a �� CITYCITYOF T I G A R D CERTIFICA'!E OF OCCUPANCY PERMIT 1: MST1999-00384 DEVELOPMENT SERVICES DATE ISSUED- 11/23/1999 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: ')S103CB-06100 ZONING: R-4.5 JURISDICTION: URB SITE ADDRESS: 12251 SW HOLLOW LN SUBDIVISION: QUAIL HOLLOW - EAST FILE N? l BLOCK: LOT:010 CLASS OF WORK: NEW TYPE OF USE: SF TYPE OF CONSTR: 5N OCCUPANCY GRP: R TENANT NAME: REMARKS: PATH I: New single family dwelling w/attached garage and covered porch. Final Building Inspection and Certificate of Occupancy Approve 2/16/00 by Ken Schriendl, Building Inspector Owner: DON MORISSETTE HOMES 4230 GALEWOOD STREET SUITE 100 LAKE OSWEGO, OR 97035 Phone: 274-5223 C ontractor: DON MORISSETTE HOMES 4230 GALEWOOD STREET SUITE 100 LAKE OSWEGO, OR 97035 Phone: 50;;-387-7538 Reg #: LIC 000355 This Certificate grants occupancy of the above refjrenced building or por )n thereof and confirms that the building has been inspected for compliance with the —Eta," of Oregon Specialty Codes for the group, occupancy, and use unqqr which te efe hrenced permit was issued. 4- - - I t _ 414tj(k -- BUILDING INSPECTOR BUILDING 60ICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTiON DIVISION MST , 24-Hour inspection Line: 639-4175 Business Line: 639-4171 BLIP -- Requested AM 1 --- --- -PM �" EILD _ Location— `S( ll Suite MEC Contact Contact Person ✓�L(,�� Ph ZOO/- (D -2 PLM — Contractor Ph SWR H �f Tenant/Owner _ ELC Retaining Wall V ELR -- - Footing — --- Foundation Access. FPS Fig Drain Crawl Drain Inspection Notes: SGIN — —_ Slab Post&Beam ---- SIT -------- Ext Sheath/Shear Int Sheath/Shear -- _ Framing I Insulation - Drywall Nailing Firewall ---- Fire Sprinkler Fire Alarm Susp'd Ceiling Roof —...-------- --- -- - --- FASS1 PART FAIL PLUMBING Post& Beam - - - Under Slab Top Out -- Water Service Sanitary Sewer - Rain Drains Final✓PASS PART PART FAIL Post& Beam ---- - _ Rough In Gas Line - -- S,noke Dampers PART FAIL --.---- .c.__ ELECTRICAL --- -- - - _.—_� — -------- --- Service Rough !n -- ---__— UG/Slab Low Voltage ----- --- ----'-- Fire Alarm Final IJ ------------ PASS PART FAIL SITE — �- Backfill/Grading —---- --- —— -------- — -- _._-_, Sanitary Sewer Storm Drain [ ]Reinspection fee of$_-_ --_required before next inspection. Pay at City Hall. 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ] Please call for reinspection RE:— [ ]Unable to inspect-no access ADA Approach/Sidewalo Date .�— Other —L — Q:L" _ Inspector Fxt Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BLIP Date Requested_ AM_ PM BLD Location_ 1 Z 2<:, ` Lei Suite MEC Contact Person WkA-11 Ph PLM Contractor Ph SWR BUILDING -- J Tenant/OwnerELC Retaining'Nall - — ELa � Footing Access. I Foundation FPS Ftg Drain _ Crawl Drain Inspection Notes - SGN Slab SIT Post&Beam Ext Sheath Shear Int SheathrShear Framing Insulation -- ---- --- Drywall Nailing _ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - Roof Misc: - Final PASS PART FAIL _-. ___e . ---.----------_-- - --- -- _- __ .---_-__ _ PLUMBING Ilost& Beam -- --- - - -- ----- Under Slab Top Out Water Service Sanitary Sewer -- - - - Rain Drains Final PASS PART FAIL. MECHANICAL_. Post& Beam __-- Rough In Gas Line Smoke Dampers Final - --- -_ �— -- --- --.— - - - — PASS PART FAIL Service Rough In UG/Slab 'Z!Z;ZaEEjzi0 Fire Alarm (KASjjPART FAIL ---- --- _-STT-- Backfill/Grading - - -- -- _ — - --- Sanitary Sewer Storrs Drain ( J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ J Please call for reinspection RE -..__ _ [ J Unable to inspect- no access Fire Supply Line ADA 2 \ o� Approach/Sidewalk Date _ /vJ Inspector Ext Other -- — -- Final PASS PART FAIL. DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILUNG INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested o� } AM ___PM —_ BLD Location 12- (-Y,- Suite MEG Contact Person j�,Y)f( — Ph ,.L . U��} �� CPLM)�( U Contractor Ph SWR BUILDING 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/Shear Framing Insulation - Drywall Nailing Firewall Fire Sprinkler Fire Alarm — Susp'd Ceiling Roof Misc. __ ---- ---- — ---- -- -- Final PASS PART FAIL --- - UMBING Post& Beam -- - - - - --- __--—---- Under Slab Top Out Water Service Sanitary Sewer ..-------_— Rain Drains PART VAIL CHANICAL Post& Beam — — — —� ---—— - - Rough In Gas Line ---- --- Smoke Dampers Final - -- - PASS PART FAIL ELECTRICAL Service Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill/Grading -- Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before next inspection. Pay nt City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE: _,_ [ J Ung ble to inspect-no access ADA �r Approach/Sidewalk �( Other Date _ I v Inspector Ex Final PASS PART FAIL J InO NOT REMOVE this inspection record from the job site. CITYOF T I G A R D _ `PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT PLM2000-00031 �- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 02/07/2000 PARCEL: 2S103CB-06100 SITE ADDRESS: 12.251 SW HOLLOW LN SUBDIVISION: QUAIL HOLLOW- EAST ZONING: R-4.5 BLOCK: LOT: 010 JURISDICTION: URB 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: �vSINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS. WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of a residential backflow prevention device. FEES _ Owner: -- -- Type By Date Amount Receipt DON MORISSETTE HOMES PRM4 GEO 02/07/2000 $25.00 00-321613 4230 GALEWOOD STREET 5PC2 GEO 02/07/200( $2.00 00-321613 SUITE 100 1.'\'-"E OSWEGO, OR 97035 Total $27.00 Phone 1: 274-5223 Contractor: PROGRASS LANDSCAPE SERVICES 29895 SW KINSMAN RD WILSONVILLE, OR 97070 REQUIRED INSPECTIONS Phone 1: 682-6076 RP/Backflow Preventer Reg #: LIC 00006136 Final Inspection PLM 11568 ORIGINAL This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance. or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Orogon 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 question.:, to OUNC by calling (503) 246-1987. Issued By: Permittee Signature:( ' ' Call (503) 639-i, 75 by 7:00 P.M. for an inspection needed the next business day 06/06/09 111, 10:57 FAX 503 598 1960 CI'T'Y OF TIGARD ZoO-' CITY OF TIGARD RECEIVED PlumbingKermit Application pp Plan Creek: '.3125 SW HALL BLVD. Commercial and Residential Re:d e! TIGARD, OR 97223 FEB ��l��' t/%j e D�.e Re-- TIGARD, _` (503) 639.4171 t/l lam' —tea:e lc P E. _ COMMUNITY DEVELOPMENT print or Type Dee Ic C3- Incomplete or illegible applications w'll not be accepted Related SWR s Called _____, Name ofDaveopmenUFrojec: FIXTURES (Indlvi uel) QTY PRICE AMT Job D.l�2i� l#vllL LUQ sl.nk 1I.5f Address Street Address I Sull9 Lavatury _ 116C I• -' i bu (!1r 11 u v`' 1) �. Tub or Tub/Shower Comb. 11.SC Bldg 0 City/Stale Zip Shower Only 11.50 Name 1 i a�lli, I 1 Water Closet 11.50 1 7)c-n /1 m iK e-fle. Hme5 i lel washer 11 50 Owner Mail ng Address Suite Garbage Disposal 11.50 yaao S'w Gnttwood- Washing Medline 11.60 Cltyls'ate Zip Phone Floor Crali idOr Sink 2" 11.60 Lake oSi.vr a CC 79o- I,ySo 3" 11.80 Narre 4" 11 50 Occupant Melling Ad se SLlte Water Healer O conversion O like kind 11113 Ges piping requires a separate rnacheniaal permit. City/State Zip Phone Laundry Ruom Tray 11.53 Urinal —-� - 11.83 (�r)Cl sen �rb t�7ra SS L��1 sc G me ou,.r FI>Rurea(Specify) 1600 i Contractor Making Address sulte Fr 7 S S4v /G n f MQA � _ Prk r'a permit Citylstate Zip Phone GPs' Sewer•1x1 100' 38.00 Issuance,a copy j bQn vifle Q(Z97oo Lo7 0011 Sewer-each additional 100' 3200 of ell licenses are Orego Const.Cant.Board Uc.r Exp.Da'e Water Service-Iat 100' 3800 required If V P� ' 8 3l acro expired In COT Plumbing Lit.t Exp.Da:e Water Servim each addl!lonal 20C' 32.00 database Storm 6 Rain Drain-fat 100' 38.00 Name Storm 3 Rain Drain-as adddlonel 100' 3200. Architect Mobile Home Space 32.00 or Mating Address Suite Ccmmerclal Back Floes Prevention Devito or Antl• 3200 Pollution Device Engineer City/Slots Zip Phone Residential FfeCKfiow Prevention Device* 19.00 �y (Inigatlor t1miu6 devices require a separate — Desc:ibe work to be dcne; restricted energy rniL) _ Nov O Repair O Ren:aco with like kind: Yea 0 No 0 Any Trap or Waste Not Connected to a Flxwre 11.90 Resldenilsl O Commercial O Catch Basln 11.50 Additional description of work: Insp of Fx!sUng'luntbirg 50.00 eriIV � Specialty Requested IDSpeCllOra 50.00 Are yoll capping,moving or replacing any fixtures? Derin, ___j Yes 0 No O Rain Dram,single family dwelling 45.00 If yes,see back of form to indicate work performed by Grease Traps 11.50 fixture. FAILURE TO ACCURATELY REPORT FIXTURE WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL ` 4 I hereby acknowledge that:have read this application,the:the information loome•rie er riaar di■p•.m it required If Quantify Taal it -a given Is correct,that I am 11"owner or authorized agent of the owner,and *SUBTOTAL that plans svbml d are h comp-lance with Cre on State Laws. ro erlApent� Dot I l oa V9, S-A SURCHARGE : Contact Porso io Phone "PLAN REVIEW 26%OF SUBTOTAL i j Regu-ec fly ii It>rure qty total is t 9 1HATNH�U81afle ao� TOTAL �7 . 3 PafiH HbOt- no; - - $ ATtI Ht?t�S!a�a1,p0 SS 'Minimum permit fee is$53+5%surcharge,except Residerdia'Ba:kfiow f OFT �7c14ditirltl fd4lrlS r� Ytf itipsa ling nnd.tho fli til > Pre:eMlon Deice,whl.h is 525 5,1 surcharge e ;+ -All New Commercial Buildings require plans Win.somelric or tiger diagrain •5frototseni{a- seller>ttortrieweferihdwatiaRsefvlcu) and plan review .ldats'i:rmsolumMn dc:9r?'55 RMIT- CITY OF TIGARD _ ELECTRICALICrED NERG RESTRICfcD ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2000-00029 13125 SW Hall Blvd.,Tiaard, OR 97223 (503) 639-4171 DATE ISSUED: 02/07/2000 PARCEL: 2S103CB-06100 SITE ADDRESS: 12251 SW HOLLOW LN SUBDIVISION: QUAIL. HOLLOW - EAST ZONING: R-4.5 BLOCK: LOT: 010 JURISDICTION: UR Project Description: Installation of landscape irrigation controls. A. RESIDENTIAL _ B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATAITELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: IRRIGA CON X HVAC. PROTECTIVE SIGNAL: INSTRUMENTATION: Ol NER: —� TOTAL_#OF SYSTEMS: Owner: Contractor: DON MORISSETI'E HOMES PROGRASS LANDSCAPE SERVICES 4230 GALEWOOD STREET 29895 SW KINSMAN RD SUITE 100 WILSONVILLE, OR 97070 LAKE OSWEGO, OR 97035 "'`lone: 274-5223 Phone: 682-6076 Reg#: uc 6136 FEES Required Inspections —_Type By _ Date Amount Receipt Low Voltage Inspection PRM3 GEO 02/07/200C $60.00 00-321613 Elect'I Final 5PC2 GEO 02/071200C $4.80 00-321613 Total $64.80 �t 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--001-0010 t�hrougl. OAR 92 C101 0080. You may outain copies of these rules or direct questions to OUNC at (503) 246-1987 rj t Si " Permittee Signature �z t-.� 1� Issued by ----- �('' OWNER INSTALLATION-ON! Y_ The installation is being made on property I own which is riot intended for sale. lease, or rent. OWNER'S SIGNATURE: ——_ DATE: CON TRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ /L� �a DATE: " LICENSE NO: Call 639-4175 by 7:00 P.M. for ar, inspection needed the next business day 06-'06/99 TCI: 10:59 F.Lx--y.QL1f-b960 CITY OF TIGARI) Q004 CITY OF TIGARD 1I�SCCII++RCCEMMSTRICTED ENERGY ELECTRICAL APPLICATION Recd by:_ 13125 SW HALL BLVD /� � � Date Recd: TKAAR[) OR 97223 FEB l��`�� PRINT ORTYPE VI V-503-639-4171 X304 /�--'Permit#:Cl oeaOr00 F-503-598-1960 C"MUNI"""W8WLETEi OR ILLEGIF31 E APPLICATIO S �` Cust.Call'd_ WILL NOT BE ACCEPTED Name cf Oevelopmen�t Project /,, r TYPE OF WORK INVOLVED-RESIDENTIAL ONLY Restricted Energy Fee,......_.................. .........-. 580.00 tl(CLt- I-I-p-tilLlTV (FOR ALL SYSTEMS) JOE'S St•eet Address � Ste a -.� Check Type of AUE�r�Fss •�`�) �lU I{Cf�lfbl' T)htkr WcrklrnoNed: City/State Zip Phone s ❑ Audio and Stereo Systems ti oltj Of (0-)13 Name ❑ Burglar A!arrn I n Mo- t SSU1'fG CS' 1 il�ir�ryn Add ase ❑ Garage Door Opener OWNER 41 1y �w C,O(uvnoD Ct1nL_ CltylState Zip Phone is ❑ I-leahng,Ventilation and Air Conditioning Syssem- --_ (Alu, (l 0 9'7 U3 `l 7yU-G`l (�, ❑ L'ae.uunr5yslr'ut+' Na me ,,__''// lurlds(ly- Pm6m� (_0.ndSC_c�e I�,( Other �4yl�lSc'��r�. LL2�cT '7C� C:tS)►�72>//r CONTRACTORa'Iirtg fWres9 �C gr]6`/ > 5;1U ii Ywsmo& R D TYPE OF WORK INVOLVED-COMMERCIAL ONLY (Prior to Issuance a City/State Zip Phone A Fee for each system.................. ., Ee0.00 ..... ............... copy of all licenses W li I(as Ul I�L DR e,10")b 6 k;t--(r,0 (SEE OAR 918-260-260) are required if OregonC ntr. rd Lrr,.N E ate all expired in C.O.T. h $ I 20M Check Type of Work Involved. data base). Electrical Contr. LIC.# Exp.Date CAudio and titr+rnn Systems C U.T.orMitre Llc.0 F,kp.Date t l Boller Controls - - ----0wnoea-Tq@rM - —' ,_ ❑ Clock Systernti OWNER _. Mailing Address APPLICANT ❑ Da:aTelecommunication lnstellatloi City/State Zip Phone iY ❑ Fire AlarmIrrstallatbn This permit is Issued under 91E 9.32C-370 This applicant agrees to ❑ make only restricted energy InstaUstions(' 0 volt amps or tess)under this HVAC permll and to do the following ❑ InsGumenlatlon 1. Only use electrical Iloelsed persons tc do Instal!atlons where required Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paring Systems These have asierlsks(') All others need licensing; E] Landscape Irrgation CortrcP 2. Celt far inspections when Installationt.nder foie porrr,it are ready for Inspection at 603.0304176; ❑ Medical 3. Purchase separate permits for all installetions that are not ready for an ❑ Nurse Calls inspection when the inspector is out to inspect under this permit; 4 AbSX11e responsibility for assuring that all corrections required by the ❑ Outdoor Landscape L gh:ing• inspector are done,and; ❑ Protecttve"IgnaMg b, Assume resoonsini dy for calling for a final inspection when all of the corrections are completed. ❑ Other Per-nits are ncn-fr>onsferab.e and non-refundable and exp re if work is not started with n 190 days o'issuance or:t work is suspended for 180 days _Number of Systems 'The person signing for this permit must be the applicant nr a persun • No licensee are equired. Umses aro reputed for all other Instelletlom awhorized to bind the epplcard. - - ENTER FEFS S Cp(f Signature b 1, SURCHARGF(.05 X TOTAL ABOVE) $ Y Authority If other than Applicant -- TOTAL I:fists tbrmfvesele doe 3198 CITY �� I��D _ MASTER PERMIT _ PERMIT#: MST1999-00384 �...'s. DEVELOPMENT SERVICESt� � � � DATE ISSUED: 11/23/1999 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS. 12251 SW HOLLOW I N PARCEL: 2S,103CB-06100 SUBDIVISION: QUAIL HOLLOW - FAST ZONING: R-4.5 BLOCK: LOT:010 JURISDICTION: URB REMArKS: PAl i l I N(-,,w single family dwelling w/attached garage and covered porch. BUILDING REISSUE: STORIES: 2 _ FLOOR AREAS REQUIRED SETBACKS RECUIRED CLASS OF WORK: NEVV HEIGHT: 23 FIRST: 1,488 al BASEMENT: of LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,512 of GARAGE: 655 at FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: NI RIGHT: 5 VALUE: $225,964 60 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: at REAR: 23 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS. LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB/SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW Pr.EVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN 4 100K: BOILICMP 4 3HP: VENT FANS: 4 CLOTHES DRYER: 1 GAS TURN>•100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS CRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 100n SF OR LESS: 1 0 200 amp: 0 - 200 amp: WISVC OR FDR: 1 PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 5005F: 6 201 •400 amp: 201 400 amp: tat WIO SVCIFDR: 00 SIGNIOUT I.IN LT: PER HOUR: LIMITED ENERGY: 401 •600 amp: 401 600 amp: EA ADDL BR CIA: SIGNALIPANEL: IN PLANT: MANU HMISVCIFDR: 601 • 1000 amp: 601+8mpa-1000v: MINOR LABEL: 1000*amplvolt PLAN REVIEW SECTION Reconnect only: »I RES UNITS: SVCIFDR>•225 A.: >800 V NOMINAL: C'.S AREA/SPC OCC. ELECTRICAL•RESTRICI ED ENERGY A.SF RESIDENTIAL B.COMMERCIAL _ AUDIO d STEREO: VACUUM SYSTEM: i AUDIO 8 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION. MEDICAL: OTHR: HVAC: DATAITELE COMM: NURSE CALLS: rOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 2,88-1.8f) This permit is subject to the regulations contained In the DON MORISSETTE HOMES DON MORISSETTE HOMES Tigard Municipal Code,State of OR. F,paciafty Codes and 4230 GALEWOOD STREET 4230 GALEWOOD STREET all other applicable laws. All wo,k wll be done in SUITE 100 SUITE 100 accordance with approved plans This Derma will expire if LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 work is not started within 180 days of issuance,Lr if the work is suspended for more than 1 80days ATTENTION Phone: Phone. Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules ale set Rep N. LIC 000355 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 Eros'an 844-8444 Post/Beam Mechanica Mechanical Insp Shear Wal!Insp Rain drain Insp Plumb Final Sewer Inspection Underfloor Insulation Plumb Top Out Low Voltage Water Line Insp Final Inspection Footing Insp Crawl Drain/Backwater Electrical Service Gas Line Insp Appr/Sdwlk Insp Building Final Foundation Insp Footing/Foundation Dr; Electrical Rough In Gas Fireplace Electrical Final PosVBeam Structural PLM/Un erfloor Framing Insp Insulation Insp Mechanical Finai _� ��.� Issued By:,.,±j Permittee Siclnatur .__• L ' Call (503) 639-4175 by 7:00 p.m. for an inspection deeded the next business day U sevf�r ra�7e SAN ITARY9 0 MW agency U155 N. First Ave., Suite 270, Hillsboro, Or.,97124 SURFACE WATER _ 503 646.6621 10 fV PMT T i J:.ii_it'. LtA1 V. 1. 1.x 399 T:XI f `iI 10 N I)A 11..' 0521.0CJ EC 1;.XI�' BATE 11.21201 PERMT1 J, 1801 1 TRUCTI)RE ADDRESS 122ti';i r'h[i,iT'I::1 4T;"n7 TRUCTURL-: '..iTFEF, 1 I)W HOLLOW 1-N 1-01 10 8L.0CK i YF'C C11NN1.C' ,r! 14CW OF' 01JAII. HOLLOW EAST i YPE 145TALL A r r.ON-- ( 1 9) ULD SWF,'FRO CON; LIC TYPE. 0(1Cul'Ar4CY - c1 ; SINr11. 7 FAMTL. PARCEL 2.G1 4CP 600 0TR SI. C, 44.[6 MEI nWNER DON MORRIS TTL H[IME'S ,,)APES S b000 SW MEADOWS t11.51 TREAT1`iFNT PLANT R0CtXPV V_:t LAKE OSWEGn OR 97035 ��►�1c 6'A-7`J3E1 WATEK EIISTRIt: l TJOARL1 Ec4(J1VALENT LtwFt.L..TfaO RFS111UN1'1.AL UNITS '.)E'Rt1T.CC uNT r!:i (i.0 ONIIS I SIERV.TCE UNITS 1 C,qt-NF:.0 T ION FEES SURFACE. W6TE R rtF:vr OVMF6 T F( 'S 111 WE I.;I.INNE:CTVIN 2300400 14AIFR 0LJALI1'Y 21.0 . 00 LES" CRED11' 2t0000,> WAIFR 01JArN'T��I^ TY 290.00 LE5 S CkFD1 T 0000 EROSION CONTROL INSFECTTON 64 ►O0 P-AN CNEI;K 41 .60 SIZEIIll 7AL. ?30() 00 5910, )1'AL -7?C; f.(, TO T A L 26Y5< e.,o : t`L NAK D NA T'I40NI -aFF ILt.IA1 1 O REP �,E,MAPKS 1_01 10 PRO,) 8207 nIJAIL 14110. OW FA.1T *711 W]UR NIJ'TICF. FOR FROGIMN UJIN'TROL. INSPFCTTONS REOUTREEt > � M N .Im).ti�rn, t0 c'ta1.1 f rTN CTLU -044 E1444 Permit Conditions: The applicant agrees to comply with all rules and regulatiois of the Unified Sewerage Agency.including those regarding erosion control. A 24-hour notice is required for erosion control Inspections The Inrpectiun re4uesl number is 844.8444 Whet nailing for an inspection.please refer to the permit,project and tot numbers. the permit expires one hundred eighty(1801 days from the date of issue eco.The Agency does not guaran"Je the accuracy of the location of side sewer latera 7193 WHITE - USA, BLUE - Accounting, GREEN -Inspection, YELLOW - Customer f WSPEG7f.0 8Y 11ATE NIRVTOR/IN SI ALt1:R 1 Ypr !"Y: PIPE DI AME IFR OF PIPE Mr� - Inspector, Please sketch below or attach the following information. I Street & nearest cross street ? location of structure being served 3 Route of service 1inp from structure to property line where it connects to the service lateral . Include length & diameter of service line, depth et the structure & property line, diolensions referencing itine to structure, property lines anu/or corners, etc. 4 Neth arrow I I l I I I i r 1 f CITY n= TIGARD Reside,itial Building Permit Application Plan Check# 13125 SW HALL BLVD. Additions or Alterations Recd Bl�C TIGARD, OR 97223 Single f=amily Detached or Attached (Duplex) Date Recd t I � Date to P E. /-� V 503-639-4171 _ Date to DST( �" rj F 503-684-7207 ! ; Permit#/�/ T/frf/�� Print or Type 1' Called // / J /9 d 11: Z54" IncompIr''e or illegible applications will not be accepted '"fir`, I"' AkLNT A,� Name of Project ra ae Job t i" �� - Address S)a, e sC Architect r.M +lino Address - 1` ��-7�-- I ity/S e Owner i Phnnn Name Engineer Mailing Address — iry�s�ate t.,� `L�,1� 7^_�. _� City/State Zip I'hone_ General Name Contractor r� Eescnbe work New Addition O Alteration O Repair O M ilinq Addregs to be done _ Prior to permit �`� C.Xkte(�1,( LY �# r � Additional Description of Work issuance a copy tylSlat � Z e �a__ of all licenses �•-) --T— _i are required if Oregon C nst.Cnnt Board E p.Dato PROJECT expired in COT L;c.# database ,�3�J ilo I� n VALUATION $ 4, ' Mechanical Name - NEW CONSTRUCTION ONLY: Sub- Sq Ft. House: So. Ft. Garage Contractor Mailing Address /, _ ?��`� __L Prior to permit 5 _P'TYL _ Indicate the restricted energy installation by the electrical �i subcontractor in the following areas 1 issuance,a copy i /5t e p Phu a - --- of all licenses - ED Restricted Audio/Stereo are required if Oregon Const.C nt. Board Exp.Date Energy System Alarms expired in COT Lic# / ��3 (1+ Installations Vacuum Irrigation database (Qct J ��c(J System System Plumbing Name I (check all that Other: Sub- !- _mr , els ?lurnbt Contractor Mailing A dress s Corner Lot YES Flag Lot YES Q (check one) (check one) �- ��.1 Has the Subdivision Plat recorded? N/A 1r,FS NO Prior to permitry/State _2jp _ hoe issuance,a copy ClL 7 ]) of all licenses are Oregon Const Cont Board Exp DaL-1- database required if Lic.# ,p p/�/� G' expired in COT wl/ !cc i t I hearby acknowledge that I have read this application,that tF e Plumbing Lir, # Ex Date - information given is correct,that I am the owner or authorized agent of the owner,and that plans submitted are in compliance with Or on State laws. _ Name / ign tl e�Of wner gent Electrical -- f Sub- Mailing Address tact P rson Naog P one# Contractor W Prior to permit City/State Zip Phone Ih�AEL �� issuance,a copy "1L�� FOR OFFICE USE ONLY: of all licenses are Oregon Const ont Board Exp Date required if Lic.# PlaS Ma /TL# exoired in COT I ((J(�E�- I' 1 �J 95103 databaseect ical Liq.# D t Setbacks: Zon �- Solar; Electrica Su eS or Lic # IfwxR Data 1 girygler�g ljpP�val: Planning Approval: TIF: V I I _ f ( i Wsts\forms\sfaddalt doc 11/20198 Jf �f; )ii°7 �' ' �,�� (� f �� _ r I .�u� i _ J �'l r � yt`.•, A^r / TT.i/ �.. �;�� , ...� kyr. �i� �.• � i I torDON - MORISSETTE OBE: 1963 sores Ixcosros • * ss 4080 4aLRW00b BTURRT LOT.. i� i • ss o • Tsoo. ossoos osos • E�88�4p (892) SOT - 7638 PAZ (soa) s • ? - s • * o PWps1!'PY: ggAM-HOLWW CRY: M _ OPTION 6 ELEVATM WALIIZ: i•=�• FLId No.: 17C—OP7M-'6 3-CAM CbARAW Haf M-,-25[03C.R., Qt1E.ld 2 Vle KA1. 5 3O2 OY� 3O2 ------ ---------- f 1 I 1 f f I 1 mmw a' 1 I lw I 1 - � W I I 4 bcimm 2 U2 bath 2 FF.E_ 304' 3 car gar. FFE. 3b2' 302 a' I � I L 3022}.yl Cona'StAl i Orivomg 302 3w 3� roach 81 3m A 12-7-131 f)vv Noilow Ln . LOT W &~ 64 u DON MORISSETTE HOMES, INC. 4230 Galewood Street, Suite 100 (503) 387-7538 Phone Lake Oswego, OR 97035 (503) 387-7615 Fax LATERAL ANALYSIS for Job #: 1963 PLAN No. 17C 12251 SW Hollow Ln. Lot, #10 Property: Quail-Hollow City: Tigard Date November 1999 PROF a N e niuo� Expirm -----LIMITATIONS---- THE ENGINEER WAS RETAINED IN A LIMITED CAPACITY FOR THIS PROJECT NO RESPONSIBILITY AND/OR LIABILITY IS ASSUMED BY,OR IS TO BE ASSIGNED TO THE ENGINEER FOR ITEMS BEYOND THAT SHOWN ON THESE SHEETS. DISCLAIMER AND RELEASE BUYVR I ':REBY WAIVES,RELEASES AND RENOUNCES ALI.WARRANTIES(EXPRESS OR IMPLIED),OBLIGATIONS, AND LIABILITIES OF THE ENGINEER AND ALL OTHER RIGHTS,CLAIMS,AND REMEDIES AGIANST THE ENGINEER (EXPRESS OR IMPLIED)WITH RESPECT TO ANY NONCONFORMITY,IMPROPER INSTALLATION,WORKMANSHIP OR MAI'FRIALS.