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12311 SW HOLLOW LANE N W C� C O O r w m 12311 SW Hollow Lane CITY OF TIGARD BUILDING INSPECTION DIVISION MST :?Ce/ 24-Hour Inspection Line: 6: 175 Business Line: G39 BUP Date Requested r/ AM PM BLP Location� Z 3 / / C Suite MEC Contact Person Ph � / c f �` �� PLM ---- Contractor Ph SWR BUILDING _ Tenant/Owner ELC Retaining Wali ELR _ Footing A xess: -- Foundation 1 FPS Ftg Drain ��1.../ - -' Crawl Drain Inspection Notes: SGN Slab _ SIT Post&Beam -- Ext SheathiShsar _ Int Sheath/Shear - Framing _-_-- Insulation Drywall Nailing -- Fire- 911 Fire Sprinkler -- Fire Alarm Susp'd Ceiling Roof Misc: Final - P -_-Pi4 FAIL _--- - - -- -- - �� UMBING -- Unde - Top Out �--�- _- ----- - -- Water Service Sanitary Sewer Rain Drains PA_R FAIL LAL' ----- - ----------- ----- ----- - Post &Beam --- Rough In Gas Line _ --- ---- - _--- ��---- Smoke Dampers in F PART FAIL. i Service Rough In -____----_---- _-- _ UG/Slab Low Voltage -^^ Fire Alarmjff� _- I S PART FAIL Backfill/Grading Sanitary Sewer Storm Drain I ( Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ! )Please call for reinspection RE:_� _�—__—__`__—_--_ ( J Unable to inspect no access ADA _ Approach/Sid-3walk Date I r Inspr"t;tor � Ext Other -- -- ---- Final PASS PART FAIL DO NOT REMOVE this inspection reco-d from the job site. CIT`! OF TIGARD BUILDING INSPECTION DIVISION MST �Z) 24-.Hour Inspection Line: 639-4175 Business Line: 639-4171 DUP _ _Date Re juested AM ,_--PM _ BLD Location �� {'___h / � 8►-�.cJ — Suite MEC --- - Contact Person _ �7 Ph o`� 7 PLM Contractor -_ Ph -- SWR BUILDING � Tenant/Owner � ELC Retaining Wall ELR Footing Access: FPS Foundation - Ftg Drain SGN Crawl Drain Inspection Nates: Slab SIT Post& Beam --- Ext Sheath/Shear Int Sheath/Shear Framing - Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm SusP'd Ceiling - Roof Misc: -- - - 'AS3 PART FAIL -.— PLIMBING Post R Beam Under Slab I op Out \Nater Service Sanitary Sewer Rain Drains Final PASS PART FAIL_ _ --- MECHANICAL Post&Beam Rough In Gas Line — Smoke Dampers Final ._— PASS PART FAIL ELECTRICAL Service —._.-._ Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL _� �---- ---SITE Backfill/Grading — — - Sanitary Sewer Storm Drain ( J Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW(tall Blvd Catch Basin Unable to Fire Supply Line ( J Please call for rein5p ,,tion RE inspect- no access _ _ I 1 ADA Approach/Sidewalk pate n 2 Inspector J � Ext Other - - Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. CITYOF T IGAR a' MASTER PERMIT„ /5/01 DEVELOP M-FN , SERVICE � PERMIT#: , U0431 DATE ISSUED: 99/5/U1 13125 SW Hall [,lvd., TIg2 J, OR 97223 (503) 639-4171 SITE ADDRESS: 12311 SW HOLLOW LN PARCEL: 2S103CB-06500 SUBDIVISION: QUAIL HOLLOW - EAST ZOIJING: R-4.5 BLOCK: LOT: 014 JURISDICTION: TIG REMARKS: New SF detached residence. BUILDING REISSUE: STORIES: 2 - FLOOR AREAS _ REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT 3: FIRST: 1,850 of BASEMENT: of LEFT: 5 SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAr,: 40 SECOND: 1,650 if GARAGE: 814 • FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: of RIGHT: 5 OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 3,300.00 sl VALUE: E 313.593.20 REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS. 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN:.002 TRAPS LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIU DRAINS: CATCH BASINS: TUBISHOWERS: GARBAGE DISE. I WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: MECHANICAL OTHER FIXTURES: 1 FUEL TYPES FURN<100K: 1 BOIL/CMP<3HP: VENT FANS: 3 CLOTHES DRYER: 1 GAS FURN>•100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS AnD'L INSPECTIONS 1000 SF OR LESS: 1 0 2P9 amp: 0 - 200 amo: WISVC OR FDR: PUMPIIRRIGATION: PER IN3.^F,CTION: EA ADD'L 800SF: 6 201 400,mp 201 - 400 amp: tet W1O SVCIFDR: 02 SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL OR CIR: I SIGNALIPANEL: IN PLANT: MANU HMISVCIFDR: 601 • 1000 amp: 601+@mne•t000v: MINOR LABEL: 1000~amp/volt Reconnect orw PLAN REVIEW SECTION >•4 RES UNITS: SVCIFDR>-225 A.: >600"NOMINAL: CLS AREA/SPC OCC ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO S,STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR L.ND'IC LT. BURGLAR ALARM: O1H: ALLENCOMB BOILER: HVAC: LANDSCAPEARRIG PROTECTIVE SIGNL: GARAGE OPENER. CLOCK: INSTRUMENTATION: MEDICAL: 01HR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES. $ 4,820.63 DON MORISSETTE HOMES DON MORISSETTE HOMES This permit is subject to the regulations contained in the 4230 GALEWOOD ST 100 4230 GALEWOOD STREET Tigard Municipal Code,State of OR. Specialty Codes and LAKE OSWEGO,OR 97035 SUITE 100 all other applicable laws. All work will be done in LAKE OSWEGO,OR 97035 accordance with approved plans. This permit will expire If work is not started within 180 days of Issuance,or if the work is suspended for more than 180 days. ATTENTION: Phone: Phone: Oregon Iqw requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules Pre set Rep 0: L C :155]3 forth In OAR 952-001-0010 through 952-001-0080, You may obtain copies of these rules or direct questions to REQUIRED INSPECTIONS OUNC by calling(503)246-1987. Erosion Control Insp 8, Post/Beam Mechanica Electrical Service Low Voltage Roof Nailing Mechanical Final Sewer Inspection Underfloor insulation Electrical Rough In Gas Line Insp Water Line Insp Plumb Final Footing Insp PLM/Underfloor Framing Insp Gas Fireplace Water Service Insp Final Inspection Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdwlk Insp Post/Beam Structural Plumb Top Out Exterior Sheathing Inst Rain drain Insp Electrical Final Issued By : � — Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an ,11spection needed the next business day _ SEWER CONNECTION PERMI'i CITY OF TIGARa � DEVELOPMENT SERVICES PERMIT#$: SWR2001-00219 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/5/01 SITE ADDRESS; 12311 SW HOLLOW LN I ARCEL: 2S103C13-06500 SUBDIVISION: QUAIL HOLLOW- EAST ZONING: R-4.5 BLOCK: LOT: 014 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer permit for new single family detached. Owner: - - - FEES— — — --- DON MORISSETTE HOMES —^ - 4230 GALEWOOD ST 100 Type _ By _ Date Amount Receipt LAKE OSWEGO,OR 97035 PRMT CTR 9/5/01 $2,300.00 27200100000 INSP CTR 9/5/01 $35.00 27200100000 Phone: 503-387-7539 v Total $2,335.00 Contractor: Phone: Reg#: Required Inspections 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 expi . The Agency does not guarantee the accuracy of the side sewer laterals. If the sewar is not located at the measurement given, the installer shall prospect 3 feel in all directions from the distance given. If not so located,the installer shall purchase a "Tap and Side Sewer' Perm Issued by: f�c '. �� Pennittge Signature: Lkf �� Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Building Permit Application ADatereceived: TrExpiredate: tno.: City of Tigard Cityoj�gard Address: 13125 SW Hall Blvd,Tigard,OR 97223 ProjecVappl.no.: Phone: (503) 639-4171 Date issued: Ay: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2 family:Simple Complex: ❑ 1 &2 family dwelling or accessory ❑Commercial/industrial U Multi-family , New construction ❑Demolition ❑/'ddition/alteration/replacement ❑Tenant improvement U vire sprinkler/alann U Other: .11011i'siff INFORMATION Job address: <' \/ y X _ Bldg.no.: Suite no.: Lot: Block: Subdivision:��, , —�� p C_ t L L Tax ma /tax lot/account no.: Project name: Description and location of work on premises/special conditions:` 1-011 Sill-11A.1, INI-0Ij2kl,%'Ij0N, USE ( Ill ( 1111,1 Name: (Floodwil ill,'Septic r'llpaelly,I solar,(,it.) Y t Mailing address: &2 tastily dwelling: City: r 0 State ZIP: Valuation of work........................................ $ Phone:. - - Fax: ""7 --mail: No,of bedrooms/baths................................. Owner's representative: _ Total number of floors................................. Phone: FaY: _ f•:-,Nail: New dwelling area(sq. ft.) T Garage/carport area(sq.ft.)......................... �Na�me: CVAY j Covered porch area(sq.ft.) I....................... Mailing address �� ( Deck area(sq. ft.). ...................................... City: State: ZIP: Other structure area(sq. ft.)............ ......... Phone: - ► �� -^ - r__mail: CommereiaUindustrlal/multi-family: Valuation of work........................................ $ -- Business name: i Existing bldg.area(sq.ft.) .......................... l .Z �, New bldg.arca(aq. tic.)................................ Address: ' Number of stories City: _ State: ZIP: Phone: Fax: E-mail: Type Of construction.................................... - Occupancy group(s;: Existing: CCB no.: New: City/metro lic.no.: Notice:All contractors and subcontractors are required to be Ulu I 111 t licensed with the Oregon Construction Contractors Board under Name. L t �, �_ —•,� q ( provisions of ORS 701 and may be required to be licensed in the Address: �(� ��^ jurisdiction where work is being performed. If the applicant is City: State: ZIP: exempt from licensing,the following reason applies: Contact person: Plan no.: — -- - —'-- Phnnc: Far E-mail: --- -- Name: Contact person: Fees due upon applicatiotr ........................... S Address: _ Date received: City: _ State: ZIP: _ Amount received ......................................... $_ Phone: Ftx: E-mttil: Please refer to fee schednlc. I hereby certify I have read and examined this application and the Na All jurisdictiorts swept credit cards,please call jurisdiction for mote information. attached checklist. All�rrovisions of laws and O dinances governing this 13 Visa o MasterCard work will be complyI wi ,whether cifl ere or not. Credit card number _. _ li — spirc+ Authorized si Hato j ate: 1( Name of cardholder as shown an credit c s Print name: cardholder si`nature Amount Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. amen(6t1arCOM) E: 3y5A5 Gine-and Two-Family Dwelling Building Permit Application Checklist Reference no.: Associated permits: City f Tid City City oan . `J �s C]Electrical O Plumbing t7 Mechanical Address: 13125 SW Hall Blvd,Tigard,OR 97223 U Other: Phone: (503) 639-4171 Fax: (503) 598-1960 'Fill", F01110WING/I IT-FUS ARE REQUIRED FOR PI,AN No N/A 1 Land use actions completed.See junsdiction critena for concurrent reviews. TT2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc. 3 Verification of approved plat/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 U plan U permit required. Include drainage-way protection,silt fence design and location of catch-basin protection,etc. 10 3 Complete sets of legible plans.Must be drawn to scale,showing conformance to applicable local and state h"Ading codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size she,.t 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,plan must show contour lines at 24t intervals);location of easements and driveway;footprint of stnicture(including decks);location of wells/septic systems;utility locations;direction indicator,lot arca;building coverage thea;percentage of coverage;impervious area;existing structures on site;and surface drainage._ _ 12 Foundat5n plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size and location. 13 Floor plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater, 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 constniction,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 height,siding material,footings and foundation,stairs, fireplace construction, thermal insulation,etc. 15 Elevation views. Provide elevations for 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 indicate details and locations;for non-prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing.Provide plans for all floordroof assemblies,indicating member sizing,spacing,and hearing locations.Show attic ventilation. __ 18 Basement and retaining walls.Provide cross sections and details showing placement of rebar. For engineered systems,see item 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 beant/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 21 Energy Code compliance.Identify the prescriptive pith or provide calculations. A gas-piping schematic is required for four or more appliances. 22 Engineer's calculations.When required or provided,(i.e.,5hcar wall,roof truss)shall he stamped by an engineer or architect licensed in Oregon and shall be shown to be applicable to the project under review. 23 Five.(5)site plans are required for Item 11 above. Site plans must be 8-1/2"x I V or I V x 17". 24 Two(2)sets each are required for Items 16, 19,20&22 above. 25 Building plans shall not contain red lines 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 may be in blue or black ink. Red ink is reserved for department us!only. 440.4614(NttWOM) Electrical Permit Application Date received: Pemtitno. : �T��i- r.-•', City of TigardProject/appl.no.: Expiredate: City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: I Receipt no.: Phone: (503) 639-4171 Case file no.: Payment type: Fax: (503) 598-1960 Land use approval: -- 1-77— TYPE Orb PERMIT ❑ I &2 family dwelling or accessory ❑Commercial/industrial ❑Multi-family ❑Tenant improvement New construction O Addi.ion/alteration/replacement ❑Other. ❑P-,.'ual 11 SITE INFOR51ATION Job address: , V 1 • Bldg.no.: Suite no.: Tax map/tax lot/account no.: Lot: Block: Subdivision: _ -- - - Description and location of work on premises: Project name: Estimated date of completion/inspection: al Fee M1t:a Job no: / — Description qty. (ra.) Total no.ins Business name: Nen roidentW•*%&or mWd-f=Uy Per Address: ?" dwetting"Includes attached parage. - Servioelnclnded: City: State: LIP: 4 E-mail: 1000 W�-or less Phone: �j I _ Fax Each additional 500 s .tt or room thereof CCB no.:, Elec. bus,lie. no:a1.,,,-r.2 Urnited energy,residential 2 2 C' _ l.indted energy,non-residential manufactured home or modular dwelling or feeder 2 rrature of supervarnetectrlcfan(r. Date Service and/ Services or[eeden-btstallalion, Sup sleet rain.. r License nn alteration or relocation: 200 amps or less 2 201 amps to 400 amps 2 Name (print) ` _ 2 401 amps to 600 amps Mailing address: _11 601 amps to 1000 amps 2 State c` . over 1000 amps or votts 2 Cay: — l -� mail: Reconnectonl _ Phone: - Fax: Temporary services or feeders- Owner installation:The installation is being made on property I own installation,alieration,orrcloation: tNhich is not intended for sale, lease,rent,or exchange according !O 200-mpsor less _ 2 ORS 447,455,479,670,701. 201 amps to 400 amps 2 2 Owner's signature, Date. 401 to 600 amps Branch rlr ---- cults-new,•alteration, --etctensl in per pant,: Name: A Fee for branch circuits with purchase of 2 Address: — service or feeder fee,each branch circuit �~ State: ZIP: B Fee for branch circuits without purchase 2 City_ _ _ -- of service or feeder fee.first branch circuit: Phunr' hax E-mail: Each additional branch circuit: Misc.(Service or feeder not included): 2 Each pump or irrigation circle 2 ❑service over 225 amps-wmnurcial U Healthar ce facility Ea.,h sign or outline lighting — O Service over 320 amps-rating of 1&2 O Hazardous hxauon Signal circuit(s)or a limited energy pant, family dwellings ❑Building over lo,000 square feet four or g 2 O System over 600 volts nonunal more residential u:sits in one structure alteration,or extension* O Building over three stories Cl Feeders,400 amps of more 'DescriPuolt O occupant load over 99 persons O Manufactured structures or RV park Each additional inspection o•er the allowable in any of the above: •Egress/lightingplan OOther ��—_- -- --- Perinspecuon Subunit—_sets of plans with any of the above. Invesugation fee The above are not applicable to temporary construction service, Other _ Permit fee............... .....S _._. Nd all iud"cuons accep credit curls.r4,ve call iunullcuon rot mrwe infornuuon Notice:This permit application Plae review(at %) $ U visa O MasterCard expires if a permit is not obtained within 180 days after it has been Stale surcharge(896) ....S ---- Cted t cud oumlw� __ -- — TOTAL .................. S _ p'pir" accepted as complete, "'-' Name d cardlrol .r U shows on.edit card _ s "G-4615(&MCOM) Cudholder silrtaturc�_ Amount Mechanical Permit Application -- -- ITawr.reived: %',� / Permit no.: City of Tigard ProjecL/appl.no.: Expire date: City pfTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 —' -- Phone: (503) 639-4171 Date issued: Fay: Receiptno.: _ Fax: (503) 598-1960 Case file no Paymcrt type: Land use approval: _ Buildingpermit.no.: 11 &2 family dwelling or accessory O Commercial/industrial O Multi-family U Tenont improvrment hew construction U Add ition/alteration/replaeement U Otho. JOBStft'INFORWATION1 Job address: - ( ,� '� { Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: rSuite no.: val•ie of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit. Value s Lot: •-L Block: I Subdivision: 1 'See checklist for important application information and Project name: e _ jurisdiction's fee schedule for residential permit fee. City/county: ZIP: 1 t EL. 1 Description and location of work on premises: _�__ t s I a' I ► a « t x 1 Fee(ea.) Total Est.date of completion/inspection: Description Cry. Rcs.only Res.only Tenant improvement or change of use: handling Is existing space heated or conditioned?U Yes U No Air handlin unit CFM Is existingspace insulated?U Yes U No Air conditioning(site plan required) p Alteration o existing A system Boiler/compressors State boiler permit no.: Business name: 1�1.�� : . HP Tons BTU/H Address: (' _ ire/smo a ampers/ uct smoke detectors City: - U State ZIP: eat pump(site p an required) Phone: Fax: E-mail: nsta replace furn�`ac 76uiner / CCB no.: Including ductwork/vent liner O Yes U No nsta rep ace relocate heaters-suspen et, C;ty/metro lic. no.:N/A wall,or floor mounted en t for app 1 nce other than urnace Name(please print): -� -- Refrigeration: Absorption units BTU/H Name: `� - L Chillers HP _ Address: � CIACom rcssors HP EUTIrOlatneU121 ethaust and ventilation: City: State: ZIP: _ Appliance vent Phone: Fax: E-mail: Dryerexhaust floods,Type V 11/re;. tchen/hazmat am hood fire suppression system Name: N r 1 Exhaust fan with single duct(bath fans) Mailing address: )_� u aust system a art from eating or AL City: � x �� _ 'ire piping an Ir ut on(up to 4 outlets) _state �: Zlri3 ) T . ype: -LPG NG Oil Phone: 7- Fax: E-mail: Fuelpipinpeacha iuona over 4outlets rocess piping(wi-,mauc requited) Name: Number of outlets t era�e7 p ante or equipment: Address: Decorative fireplace City: state: ZIP: risen-type Phonc: Fax: „nail; o stove/pelletstove Other: Applicant's signrrrur Other. Name(print- ): Not all Jurisdictions accept credit cards,please call)Jf14LCucN1 fd more mfarution. Permit fee.....................s _ O visa ❑onsNiaace pt cA Notice:This permit application Minimum fee................$ / expires if a permit is not obtained plan review(at _ %) $ Credocard number � - Expires E� within 180 days ager it has been _ p State surcharge(89F) ....S Name of cardholder a rhowu on credit cud e S accepted as complete. Cardholdet tigtamre —nt "414617(60YCOM) Plumbing Permit Application —` — Datereceived: Permit no.: �l,�^rbl ? Cit of Tigard City gSewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd.Tigard,OR 9723 CityojTigard phone: (503) 639-4171 ProjecVappl.no.: F_a.piredate: Fax: (503) 598-1960 Date issued: Ilya- -7Receiptno.: Land use approval: __ Case file ro.: Payment type: s x10 11 O 1 4c: larmly dwelling or accessory O Commercial/industnal 0 Multi-family ❑'Tenant improve tent I tic. onstruction ❑Addition/alteration/replacement ❑Food service Q Other: 1JOWSITF INFOR114ATIONa 71t 1r,b aJdre.;: rl ` Description _— Qty. Fee(ea.) Total � — Ncw I-and 2-family dwellings only: Bldg. no.: Suite no.: (inclades100ft.for"ch utility connection) Tax map/tax lut/account no.: __ SFR(1)bath Lot ck: SubdBloivision: SFR(2)bath Project name: SFR(3)bath City/county: ZIP: Each additional badiikitchen Description and location of work on premises: _ SiteutUles: Catch basin/area drain _ Est.date of completion/'inspection: Drywells/leach line/trench drain Footing drain(no.lin. ft.) Manufactured home utilities Business name L�ti Manholes Address: Rain drain connector City: �__ I State ZIP: - Sanitary sewer(no lin. ft_) Phone: --5Fax: E-mail: Storm sewer(no,lin. ft.) Water service(no.lin. ft.) CCB no.: L)';�-?L Plumb.bus. reg no: - Fixture or item: City/metro lic. no.:N/A Absorption valve Contractor's representative signature'r�'"� i Back[low pro•,enter - Print name: { U r Backwater valve -ET-.sins/lavatory Name: \ �c ��l tijE — Clothes washer ►T ,S� — Dishwasher Address: L�� "V Drinking fountun(s) Cit. State: ZIP: Ejector-,/sump 1'h rn: Fax: Email: Espy :ion tank Fixture/scwer ca Floor drains/floor sinks/hub Name (print): Garbage disposal _ Melling address: Al -1rHose bibb City: State ZIP:L Ice maker Phone: �` Far: 7-70 Email: Interceptor/grease trap Owner insj.:Latfon/resfdendai maintenance only: The actual installation Pnmerts) will be made b% me or the maintenance and repair made by m. "ular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sirtk(st, basin(s), lays(s) - Owner's si nature: Date _ Sump Tubc'shower/shower an Unnal _ Name: _ _ Water closet Address. Water heater City State: ZIP:__ Other. Phone Fax: F moil. lbtal Not all lunfd,ctioru xcco credit cadil.plesm call lun"cuon I'm crime mromuuon Notice:This permit application Minimum fee................$ O visa O MasterCard irtpires if a permit is not obtained Plan review(at %) $ ---- Credit:ad number within 180 dans ager it hu been State surcharge (80/0) ....$ spires TOTAI, . ..................•.$mLe �. Nae Cudtwlder U Shown on credit cad = accepted 15 complete du ulnarun Amount 440-S6 16(6QryCOM) Cadhoi 111kDON • MORISSETTE 013E : 1967 8 G m s 9 I N C O R P 0 R A T 6 D 4 2 3 0 G A L R W O O D 9 T R R R T LOT: 14 LAKs 091► ECO, OREGON 29066 DATE: 7/24/2001 (a0 '6) 6e7 - 7666 rA , (606) 657 - 7616 PROPERTY: QUAL-HOLLOW CITY: TIGARD SCALE: 1."=20' PLAN A1o.: 181. STANDARD ELEVATION 54.18' EL-2W 4 Patio /' 794' j ,s. lu 5 ALP, �,e.6' 5 bdrm. ,� 0 ® 2 1/2 bath _ FFF-. e �n 10'4' 614 sq. ft. 3 car gar. F.F.E. 2eA' M 2'4' 1 FL �? I I Driveway �e /j�, s1.•7sz L _ A each u 12311 �.O A L Ame �- LOT 014 5081 aq. ft. CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE CITY ELECTRIC 1 SUPPLY CO 8900 SW BURNHAM F-27 TIGARD, OR 97223 Electrical Signature Form Permit #- MIST2001-00431 Date issuet' +i5joli Parcel: ?S;03CB-06500 Site Address: 1 311 SW HOLLOW LN Subdivision QUAIL HOLLOW - EAST Block: L ol: 014 Jurisdiction: TIG Zoning: R-4.5 Remarks: New SF detached residence. Your company has been inl'icated as the eiectrical contractor for the permit indicated above. In order for the electrical permit to be valid, the sig~ialure 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 OWNF_R EL_ECTR!CAI_ CONTRACTOR: DON MORISSETTE HOMES CITY ELECTRIC + SUPPLY CO 4,230 GALEWOOD ST 100 8900 SW BURNHAM F-27 '_AKE OSVVFGO, OR 970,15 YI(;Apri nR 4722.1 Phone #: 503-387-7538 Phone #. 641-8012 Req #: suP 3592S LIC 42422 ELE 26-289C AN INK SIGNATURE IS REQUIRED ON THIS FORM X Signature of Supervising Electrician If you Piave any questions, please call (503) 639-4171, ext. # 310 09/06/2001 13: 45 15036302882 JAPDIIIE PLUMBING PAGE 01 CITY OF TIGARD 13125 S.W.T GARD, ORHAL 2BLVD. RECS`v�0 •i IMPORTANT PERMIT NOTICE JARDINE PLUMBING P O BOY. 166 ESTACADA, OR 97023 Piurrlbing Signature Form Permit #: )AST2001-00431 Date Issued: 9/5101 Parcel 2S103CB-065110 Site Address: 12311 SW HOLLOW LN Subdivision: QUAIL HOLLOW - EAST Block: Lot: 014 Jurisdiction: TIG Zoning: R-4.5 Remarks: New SF detached residence. 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 uidil this completed form is received OWNER; E-'► lWRINcG CONTRACTOR: DON MORISSETTE HOMES JARDINE PLUMBING 4230 GALF"WOOD ST 100 P O BOX 186 LAKE OSWEGO, OR Q7935 FSTAC'ADA, OR 97n?3 1"11-inrw: # 503-:387-7538 I linno #: 503-630-5436 Rata I IC 108747 PI M 3-320PB AN INTO SIGNATURE IS REQUIRED ON THIS FORM x Signature of Authorized mber I r you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection I-ine: 639-4175 Business Line: 639-4171 - RUP Date Requested——Z AM_ __PM BLD Location, I '' / 1 �� –�_� 4 c 1 S0e r k' C Contact Person _ C-4C C k�.r Ph +� ? O PLM yC'e C� `-T Contractor _ Ph SWR BUILDING Tenant/Owner ELC R3taining Wall ELR Footing Access. Foundation FPS Fig Drain SGN Crawl Drain Inspection Notes Slab - -- - ---------- SIT Post& Beam -------------.------_____.__--_-- Ext Sheath/Snear Int Sheath/Shear F ramino Insulation i Drywall Nailing 'r Firewall - Fire Sprinkler - Fire Alarm Susp'd Ceiling Roof Misc ----- Final PASS PART FAIL — -- - -- - PLUMBING Past& Beam _- Under Slab Top Out Water Service Sanitary Sewer Rain Drains ----- S; ARFAIL — --- — - — -- ANICAL Post& Beam - Rough In Gas Line -- Smoke Dampers Finrnl PASS PART FAIL. ELECTRICAL Service Rough In Ur/Slab Low Voltage Fire Alarm Final PASS PART FAIL - SI1 E Backfill,rGrading -- 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 Approach/Sidewalk `/ L r-- Other DatQ "� O , Inspector_ __. c3Y{' Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. ou ► n a d (� ► PIP `N i 10.% RI ► 44 Q- !r �■■■3 ► CD � � ► 4 �► b _ ► 4 I Q. o ► VD IA ► Poo4 , a- ► V, vii CrQ t �_ rT" 2 o ► Y Y o ► xx ► '/ t� M cel � .�• n O 7 0 v� ► ► 4 '-, -r ► f ,. ► t-f . 4 '� ► 4 o _ ► 4 b ► u ► 4 ► 4 , I► x -Al�,vvvvvvv�*vvvv**—*v*v—of*vrvvvv«vvrvvvvvvvvv� C7 Z N w o . con N LM 7 g `h x, O s n n � r Q y t� C p x ``V1\ CITY OF TIGARD PLUMBING PERMIT PERMIT#: PL00615 DEVELOPMENT SERVICES DATE ISSUED: 11120101 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S103C13•06500 SITE ADDRESS: 12311 SW HOLLOW LN ZONING: R-4.5 SUBDIVISION: QUAIL HOLLOW - EAST JURISDICTION: TIG BLOCK: LOT: 014 ___� — CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 FLOOR DRAINS: TRAPS: OCCUPANCY GRP: R3 CATCH BASINS: TORIES: WATER HEATERS: __FIXTURES LAU14DRY TRAYS: RAIN DRAINS: G SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUBISHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Irrigation backflow prevention device. _ ----- -- FEE_S_ _ Ownor: — Type By— Date Amuunt Receipt DON MORISSETTE HOMES PRMT CTR 11120/01 $36.25 27200100000 4230 GAL EWOOD ST 100 ,PCT CTR 11120/01 $2 90 27200100000 LAKE OSWEGO, OR 97035 Total — $39.15 Phone 1: 503-387-7538 Contractor: - PROGRASS LANDSCAPE SERVICES 29895 SW KINSMAN RD WILSONVILLE, OR 97070 REQUIRED INSPECTIONS J Final Inspection Phone 1: 6826076 Reg #: LIC 6136 PLM 11558 This permit is issued subject to the regula,ions contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. F,ll 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 jays. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules set or direct nOoto OUNC bcalling (03) 24 oy through OAR 619871-0080. rules You may obtain copies of these questions Issued By: „_ _ —_—�— Permittee Signature: Call (503) 639-4175 by '1:00 P.M. f ir an inspection needed the next business day 7�6 Plumbing Permit Application _ !/ 2 Daterecelved: Q Permit no.: City of Tigard [��Qqy2gDSewer permit Building permit no.: Address: 13125 SW Ifall F,Br- C.'tryof'1'i�ard phone: (503) 639-4171 Projecdeppl,no.: Expiredate: Fax: (503) 598-1960 NOV n 2001 Date issued: By: .(^ Receiptno.: Land use approval: _ iT Y of T IGAI�i Gase file no.: Payment type: U.I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement lew construction U Add ition/alteration/replacement U Fcmd service U Other. JOB SITE INFORMATION1ULIE(for special Information Job address: Descriplion _ Qty,IPec(ea.) 'Total New 1-,and 2-family dwellings only: i Bldg.no.: Suite no.. (Includes 100 ft.for each utility connection) Tax map/tax lot/account no.: o SS B S SFR(1)bath Lot: Black: I Subdivision:0 Q c^ ITIP" SFR(2)bath Project name:Q)t.L91_C_ k/lCt-10 ILI SFR(3)bath City/countyP7 i14(' Lkl&I ZIP: y 7 QLa I Each additional baathAitchen Description and locaCipn of work on premises: Siteutilities: A_ 1,gc4r oV_) Catch basin/area drain Est.date of completion/inspection: 1),1(7. j' 'yam Drywells/leach line/trench drain J 1 1 Footing drain(no.lin.ft.) PLUM Manufactured home utilities Business name: P (rU.S ' L.tU&eZZZ Inc., Manholes Address: c529 .5 ) J _ Rain drain connector City: IState:C) ZIP:9'7Q Sanitary sewer(no.fin.ft.) Phone Fax:/a$a-`29Z E-mail: Storm sewer(no.lin.ft.) CCB no.: (0/3 & Plumb.bus.reg.no; Water service(no.lin.ft.) Cit /metro lic.no.: ,3al Fixture or Item: Contractor's representative signature: Abse tion valve _AzouI Back flow preventer a _55 22,5 Print name //G�7 Date: Backwater valve PERSONCONTACT Basins/lavatory _ Name: ��• /(l-0 ------Dishwasher__ -Clothes washer ;Name ress:' 9 e �®aA �� Dishwas er Drinking fountain(s) : l & State; ZIP: 97670 Ejectors/sump ne: &Q-6,076 ' Fax:6ga-y E-mail: Expansion tank Fixturelsewer cap (print): Floor drains/floor sinks/hub p7��)eL1Lsse�'�'-�- Garbage dis sal ling address:tM30 S-!U voOL Sr- Hose bibb City: Q Stater Z1P. '7�3 Ice maker Phone: I Pax: E-mail: Interceptor/grease trap Owner installationlresidential 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 I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) — Owner's signature: Date: Sum Tubs/shower/shower pan Urinal Name: _ Water closet Address: _ Water heater City; State: ZIP: Other: Phone: Fax: E-mail: Total --_—._ Minimum fee................$ Not all jurisdictions accept credit cards,please call)urisartion for more Information, Notice:This permit application U Visa O MasterCard expires if a permit is not obtained Plan review(at __ 96) $ Credit cud number: within 180 days after It has been State surcharge(8%) ....$ --:2, 90 --- accepted as complete. TOTAL .......................$ Name or cardholder u sbown on credit car s Cardho; serrature Amount 440-4616(6WCOM; PLUMBING PERMIT FEES: -- „P_�tICE TOTAL New 1 aand 2-family dweilings„sonlY PRICE Y TAL° tf s ^" �inciuc�es all`lumbinp'h>tures In r y, " r ! ,ATY r ea AMOUNT �( , AMOUNT FIXTURE, n iv�I. 16.80 the dwellingand;tthei1rg �00 t+ r 4 Sink fog ea"chili connection * - '- $249.20 16.60 One 1 bath -___-- -- $350.00 Lavatory 16.60 T_ 2 b wo ath Tub or Tub/Shower Comb. 16.60 T-- hree 3 bath _$399.00 _ Shower Only16.80 - ----- SUBTOTAL Water Closet16.60 8%STATE SURCHARGE Urinal 1660 PLAN REVIEW 25•i:OF SUBTOTAL _ TOTAL _ Dishwasher 16.60 Garbage Disposal 16.60 LaundryTray 16.60 Washing Machine 16.80 - Floor Drain/Floor Sink 2" 1660 PLEASE COMPLETE: 3" 4,. 16.60 - -- quantit b W&k Performed r:' p conversion O like kind 16.60 Fixture Type Naw Moved r Replaced .Rertiovedl Water-Heater , "ri; "C ed Gas piping requires a separate mechanical ennit• 46.40 Sink - MFG Home New Water Service 46.40 Lavator L MFG Home New San/storm Sewer Tub or Tub/Shower 16.60 Combination Hose Bibs _ 16.60r Shower OnIY Roof Drains 16.60 Urinal Water Closet Drinking Fountain 16.60 _ Dishwasher Other Fixtures(Spec Ny) Garba a Dis"osal Laund Room H- _ Washin Machine --- . Floor Drain/Sink�2" - 55.00 3" Sewer-1st 100' 46.40 --4" sewer-each additional 100' 55.00 Water Heater _ Water Service-1st 100' 'Other Fixtures �r 46.40 r ;li-! $ eci Water Service-each additional 200' 55.00. Storm 6 Raln Drain-1st 100' 46.40 Storm b Rain Drain-each additional 100' 48 40 --__---- _ Commercial Back Flow Prevention Device , 27.55 ?7 5 5 - Residential Backflow Prevention Devlca16.60 Catch Basin 2.50 7 Inspection of Existing Plumbing or Specially er/hr COMMENTS REGARDING ABOVE: ` Re uested Ina actions 65.25 - Rain Drain,single family dwelling 16.60 - --� -" Grease Traps _ GWANTITY TOTAL ' t ^r Isometric or riser diagram is required If / k /• 4' - ouant Total la? 11i�E„'2001 10:22 5036246165 MORISSETTE+vv-zs-et wsiPAGE 01 sot 267 Tyre �,dt JAIME J GIM. Y.E. Consulting Srraclural tng/neep P.O. Box 12768.Portland, Oregon 97212 Tel: 503.269-7775 Fax: 503-534.556S lEmaY: MOM November 26, 2001 Don Morlwtte Homes Lake Oswego, Oregon Re: 12311 SW Hollow Lane, Tigard, Oregon 1 made a vi3ual Observation of the above pn:;Rct and tiJoted that •he "jack rafters” for the above project is acceptabi: 4milt, Jairst J. l.im, P,E. 7 o A Go" ,y h �A �.1 �1 E J. 0 _t..v a,