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12391 SW HOLLOW LANE w N W :C v VC G :Z O O m I �I 1 CITY OF T IG A R d ____ MASTER PERMIT PERMIT#: VST2000-00241 DEVELOPMENT SERVICES DATE ISSUED: 9/12/00 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 12391 SW HOLLOW LN PARCEL: 2S103C13-06800 SUBDIVISiON. QUAIL HOLLOW- EAST ZONING: R-4 5 BLOCK: LOT: 017 JURISDICTION: TIG REMARKS: S/F PATH I BUU.DING REISSUE: STORIES: 2 FLOOR AREAS _ REO'JIREO SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 23 FIRRT• 1,488 9f BASEMENT at LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,E12 if GARAGE 985 at FRONT: 21 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: 1 NNBSMENT: of RIGHT: 5 VnLUE: $225.70500 OCCUPANCY GRP: R3 BORM: 4 BATH: 3 TOTAL: 300000 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: i LAUNDRY TRAYS: RAIN DRAIN: +00 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: I CATCH BASINS: TUB/SHOWERS: 2 GARBAGE D13P: 1 WATrR HEATERS: I WATER LINES: 100 BCKFLW PREVN'rR: I GREASE TRAPS: OTHER FI*.oRES: MECHANICAL FUEL TYPES _ FURN<100K: BOILICMP<3HP: VENT FANS: 4 CLOTHES DRYER: 1 (IAS FURN>=t00K: 1 UNIT HEATERS: 40005: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1 ELLCTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS 9RANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1900 SF OR LESS: 1 0 - 200 amp 0 200 amp: WISVC OR FDR: 1 PUMP/IRRIGATION: PER INSPECTION. EA ADD'L 500SF: 6 101 400 amp: 201 400 amp: let W.'O SVC/FDR: 00 SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 61+0 amp: FA ADDL BR CIR: SIGNAUPANEL: IN PLANT: MANU HM13VC1FDR 601 - 1000 amp: 601+amps.1000v: MINOR LABEL: 1009*amptvott PLAN REVIEW SECTION Reconnect only: >=0 RES UNITS: SVCIFDR>=225 A.: >600 V NOMINAL* CLS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 6 STEREO VACUUM SYSTEM: AUDIO 6 STEREO: RRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILFR. HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: MVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: lwner: Contractor: TOTAL FEES: $ 4,217.28 DON MORISSETTE H)MES DON MORISSETTE HOMES This permit Is subject to the—gulations cc , ned in the 4230 SW GALEWOOI ST 4230 GALEWOOD STREET TlMunicipal rude,State of OR Specialty Codes and STE 100 SUITE 100 alll other applicable. ws All work will be done in LAKE OSWEGG,OF 97035 LUKE OSWEr0,OR 9'035 accordance with app aved plain; This permit will expire d work is not started within 180 clays of issuance,or if the work is suspended for more Llan ',80 days. ATTENTION Phone: Phone: Oregon law requires you to follow rules adn.pted by the Oregon Utility Notification Center. Those rulis are set Reg N: LIC 00035533 forth in OAR 952-001-0010 throu3h 951"41121-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987 RFQJIRED INSPECTIONS Erosion 944-8444 Post/Beam Mechanica Mechanical Insp Framing Insp Gas Fireplace Electrlr;al Final Sewer Inspection Underfloor insulation Mechanical Insp Shea, Wall Insp Insulation Insp Mechanical Final Footing Insp Crawl Drain/Backwater Plumb Top Out Exterior Sheathing Insl Rain drain Insp Plumb Final Foundation Insp Footing/Founditlon Dr; Electrical Service Low Vr stage Water Line Insp Final,nspection Post/Beam Structural PLM/Underfloor Electrical Rough In Gas Line Insp Appr/Sdw!k Inap Building Final Issued BY : c 1)1-1E _ Permittee Signature Call (503) 639-4175 by 7.00 p.m. for an inspection needed the next business day I CITYOF TIGARD _ SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2000-00188 13125 SW Hall Blvd., Tigard, OR 97223 (503) 630-4171 DATE ISSUED: 9/12/00 PARCEL: 2S103CB-06800 SITE ADDRESS; 12391 SW HOLLOW LN SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R-4.5 BLOCK: LOT: 017 JURISDICTION: TIG TENANT NAPAE: 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: S/F PATH I Owner: _— _ FEES — DON MORISSETTE HOMES 4230 SW GALEWOOD ST Type By Date Amount Receipt --- - STE 100 PRMT CTR 9/12/00 $2,300.00 27200000000 LAKE OSWEGO, OR 97035 INSP CTR 9/12/00 $35.00 272.000000r- Phone: 503.387-7538 Total $2,335.00 Contractor: Phone: Reg#: Required Inspections Sewer Inspection This Applicant agrees to comply 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 Th 3 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 dnections trom 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 You may obtain copies of these rulPs or direct questions to OUNC by calling (503) 246-1987 4 Permittee Signature: _L j,- 1 Call (50) 639-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD Rep,idcntial Building Permit Application Plan r:he # 13125 SW HALL BLVD. New Construction Recd eyDate Recd O TIGARD, OR 97223 Single Family Detached Date to P E 7 .�12 V 503-639-4171 Date to DST 7 17-W F 503-684-7297 Permit#/r1 f,• t ci -cc - Print or Type Called 7-11-00 K,!P&t-q Incomplete or illegible applications will not bF accepted C Name of ProjectName Job , - �r� k)C-) �r i'`'d e s l L, Architect ur dress Address ' I "tau tA'___1S�S1 ------ - -- �rry/Stag 1 0 me �l a - Name L7WflE. hist;/ g ss I&VIVA / tj En ineer Mailing Address rty/s toe tune- 0 ..—_� `�a -7.1 City/State Zip Phone General Name ContractorDescribe work —­Ne-wX Addition O Alteration O Repair O a Irng Address to be done: Prior to permit Additional Description of Work: � � `tjj'1 issuance,a copy city/State Zip Phone _ of all licenses are requires if Oregon Const.Cont.Board E .Date PROJECT o;•yin d a uo.# 'j VALUATION $ �5 _da abse �/��� 1lo�t�Z — Mechanical Name - NEW CONSTRUCTION ONLY: Sub 1 U till` ��• -- Sq Ft. House C, Sq. Ft. G e Contractor Mail Address �'-%� �r Prior to permit ;JJ�Q( � �\ r, Indicate the restricted energy installation by the e'ectrical issuance,a copy city/ talc Phone subcontraciar in the fohowin areas of all licenses ��( - Restricted _T Audio/Stereo are required if Oregon Const CoO Board X2A02-- e Energy System Alarms expired in COT Lic# Installations Vacuum Irrigation dWabase _ 1 a�� System system Plumbing Name - >> � � (check all that Other: Sub- 4 1( xL) iLAM W app, ) - Number of Units in Building Unit Number Designation Contractor Mailing^A� pss1 n-/ 7 / IL-4 . riY0 _L1 1r Has the Subdivision Plat recorded? N/AX NO Prior to permit rty/State Zi Phone issuance,a copy V Ct a05 - of all licenses are Oregon Const Con' Board Exp Date required if Lic.# Co�co GjI III expired In COT l0 l-t..� V database Plumbing Lic.# Ex .Date I hearby acknowledge that I have read this application,that the ar �1 ���� " formation given is correct, that I am the owner or authorized agent l..< 'T of the owner, and that plans submitted are in compliance with NameDt on State laws. [ i n r of`Oer/ g en,� Electrical _� �l°c'1 1'►� 9 - ti Tie Sub- Mailing Address tact Perpon Nam y one# Contractor �Q(] jW��i !'A l �-� City/State Zip Phone Prior to permit �^ issuance,a copy {1 Jt� FOR OFFICE USE ONLY: of all licenses are Oregon Const.Cont. Board Exp Date Plat#: Map/TL#: required if Lia# 't �I I I �nl1 C/r t f , expired in COT l l•U —____ _ — databaseEledjicalcLi�4 C Exp/ Dqt�' Setback Zone. • Eie r Srv�sor i Lic # E D to Engineering Approval: Planning Approval: TIF: L i Wsts\forms\sfd-new doc 11/20/913 UNITED ENGINEERING, INC. Consulting Engineers * Civil * Structural * Environmental 922 N. Killingsworth, Suite 1 A Tel:503-3 41M Portland, Oregon 97217 Fax:503-283-4445 U S A e-mail:jaimelim@jttno.com PROJECT NAME 10T / 7/ v A I Lrcl- PROJECT LOCATION&,'�� P1 0r1--e, 6 C"~J DMH l7G i 197a - PROfFr IN TO 14, AIE J.EXCLUSION OF LIABILITIES I. DISCLAIMER AND RELEASE Buyer hereby waives, releases and renounces all warranties(express or implied), obligations and liabilities of United Engineering, Inc, and all other rights and claims an all other remedies against United EngMn ening, Inc. with respect to any nonconformity, improper installation, workmanship or material. 11, EXCLUSION OF CONSEQUENTIAL AND OTHER DAMAGES United Engineering, Inc. shall have no obligation of liability, whether arising in contract (including warranty), Tort (including active. passive, or imputed negligence) or other•vise, for loss or use, revenue or profit, or for any ether incidental or consequential damage DON ° MORISSETTE (OBE : 1970 H 0 M E S IN C0 RP 0 R A T E D LOT: 17 4Z 30 GALEWOOD STREET S U I T E 1 0 0 LAKE o9IN9G0, 0 R E G 0 N 97035 DATE: 06-22-2000 (5 0 3) 3 8 7 — 7 5 9 9 F A :( (." 0 3) 3 8 7 — 7 0 1 5 PROPERTY: QUAIL-HOLLOW CITY: TIGAP.D SCALE: I"=20' O�,= -TL TIONAL ELEVATION '3 PLAN i IL 17C ' pc 2Gre I°14 ' S EL 282 284 =28? � 60.6�' ---------- � EL 28 28 4 ba th f 31� bdrm, 22,8 � f + 2®' I EL.2>�o I IO — F�sr I 22'4 2 car 9 446 gq r 22-A gL. 82 281 !! ` I Y y'•t "�,�;� � -m! EL:282 J4. ��' I � ��,.�'; '•,� �� 12 3 1 5.UJ. O L L OUJ L 4N E very _ I Lv oil CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE HARRY + SON PLUMBING INC 7117 NORTH ARMOUR PORTLAND, OR 97203 Plumbing Signature Form Permit #: MST2000-00241 Date Issued: 9/12100 Parcel: 2S103CB-06800 Site Address: 17.391 SW HOLLOW LN Subdivision: QUAIL HOLLOW - EAST Block: Lot: 017 Jurisdiction: TIG Zoning: R-4.5 Remarks. S/F PATH I 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 plurrobing inspections will be authorized until this completed form is received OWNER PLUMBING CONTRACTOR: DON MORISSETTE HOMES HARRY + SON PLUMBING INC 4230 SW GALEWOOD ST 7117 NORTH ARMOUR STE -100 PORTLAND, OR 97203 LAKE OSWEGO OR 97035 Phone #: 503••381-7538 Phone #: Reg #: 1 it 00068900 PI M 26-448ob AN INK SIGNATURE IS REQUIRED ON THIS FORM X Signature Kf Authorized Plumber If you have any questions, please call (503) 639-4171, ext. # 310 O(J-20-00 FRI 07:25 AM PHOENIX ELECTRIC CO FAX NO. 15036843611 P. 01 CITY OF TIGARD 13126 S.W.HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE i PHOENIX ELECTRIC CO 7379 SW TECH CENTER DR, TIGARD, OR 97223 IlJ Electrical Signature Farm Permit # MST20^0.00241 Date Issued: 9/12/2006 Parcel: 2S103GB-06800 Site Address: 12351 SW HOLLOW LN Subdivision: QUAIL HOLLOW- EAST Black. Lot: 017 Jurisdiction: TIG Toning' R-4.6 Remarks: SIF PATH Yr1ur company has been indicated as the electrical contractor for the permit Indicated above. In order for the electrical pormit to be velirj, the slynature of the supervising electrician Ig r appropriate individual from your company sign below and return this Electrical $ignat req a ©F rm prior tot�the start of tho work to the address above, l3-1 N: Duiklinq Dept. No electrical inspoction9 will b,e authorized until this complated furrn is roceived OWNLR: E=LECTRICAL CON FRAC 1 OR: LOIN MORISSETI'E HOMES PHOENIX ELECTRIC CO 4230 SW GAL.EWOOD ST 7379 SW TECH CENTER DR, STE 100` TIGARD, OR 97223 LAKE OSWEGO, OR 97035 Phone #: 603-387-7638 honn#: 684-3600 Reg #: LIC 00053388 SUP 41409 ELL w1-247C AN INK SIGNATURE IS REQUIRED ON 'THIS FORM g3`eture o upnrL�Is-2---Ir-jajniElec If you have any r1uastions, please Cail (503) 1139-4 I'll, ext. # 310 1001�) paesriJ. X� tl{;) 07099COS XVJ LC40 0009/9T/OT I'llectrical Permit Applicatioa� -- "— RtUli. - Date received:/6 2!0 07) Permit no.: r City of Tigard Project/appl.no.: _ Expiredate: - —-- City,nJTigard Address: 13125 SW Hall Blvd,Tigard,OR 197122§ Date issued: By: Receipt no.: �— Phone: (503) 639-4171 Fax: (503) 598-1960 Ct)PltM,UNiIY u!Vkl1" f ase file race:_ Payment type: Land use approval: 1 ' Url &2 family dwelling or accessory U Commercial/industrial U Multi-family U'I'cnant intpm�rnu rat U New construction U Addition/alteration/replacement U Other: __ U Pallial 1 : SIA INFORMATI,1 Job address: /Ao l 131du. n„ Suite 11ax map/tax lot/account no.: Lot: Bloc k: _-_ Subdivision: Project name: k ,, rt h6j �'!�r��"' tiption and location of work of premises: L-)Lo VoHtk&,LOil let r r— k Estimated date of con letioa/ins.',t ALC c"� eco r7 7aKi 1 11 v. NLIN Job no: 1 Description (ra.) 'fatal no.ins, Business name: ,' rer 1 L (—L% l New residential-single or multi-family Per Address: k PC') 6o-t) ( dwellingunil.lnaudesanachedgarage. Qty. City: i 1 l Cc r It-I Slate:O(Z ZIP: 9-7 Qq,3 Seri Ice Included: L Fax: ' . E-mail: 1000 sq tt or less Phone: .lj� 55;$ � �•� Each additional 5oo sq,ft.or portion thereof CCB no.7 -(o 8 v L Elec.bus.lic.no: —Limited energy,residential _ 2_ City/metro lic.no.: C Limited energy,non-residential _ 2 �' �) J_ Each manufactured home or modular dwelling 06" Service and'or feederF2 Signature of supervising electrician(required) bate License no: I� ,�� Services or feeders—Installation, Sup.elect.name(print): { ' f i i, I r 1 alteration or relocation: 200 amps or less 2 201 amps to 400 amps 2 Name(print): — 401 amps to 600 amps 2 Mailing address: 601 amps to 1000 amps 2 City: Slate: ZIP: Over 1000 amps or volts 2 Phone: t o c: E-mail: P.-cconnect only — l Owner installation:The installation is being made on property I own Temporary services or feeders oo Installation,alteratiot,.or relocati, r which is not intended for sale,lease,rent,or exchange according to 200 amps or less 2 ORS 447,455,479,670,701. 201 amps to 400 amps— T 2 Owner's si nature: _ Date: 401 to 600 ams _ illo-72 Branch circuits-new,alteration, or extension per panel: Name: _ _ A. Fee for brancl.circuits with purchase of Address: service or feeder fee,each branch circuit 2 Cloy: State: ZIP: B. Fee for branch circuits without purchase of service or feeder fee,first branch circuit: 2 Fhone: Fax; t'on`al' Each additional brunch circuit. Misc.(Service or feeder not Included): Eiach signor pun or irti ation circle 2 U Service over 225 maps-comnrrcial U Health-care facility En or outline lighting 2 U Service over 320 amps-rating of 1&2 U Hazardous location g fandlydwellings U Iluilding over 10,(x10 square fr:t four or Signal circuit(s)or a limded energy panel, U System over 6130 volts nominal more residential units in one r.rucmre alteration,or extension• 15 ELS 2 U Building over three stories U Feeders,401 amps or more •I)escri tion: — U Occupmd load over 99 persons U Manufactured structures or RV park fwch additional inspection over the allowable in any�theve: U F.gressAightingplan U Other: —.._ -- Per inspection Submit__sets of plans with any of the alcove. Investigation fce _ The abore Are not applicable to temporary construction service. other _ Permit fee.....................$ 75 Not al4number: t cards,•'•a•.` all)urisdi for more information' Notice:This pannit application plan review(at _ 96) texpires if a permit is not obtained - ,� cti o,_/`� Nithin 190 d s after it has been Slate surcharge(896)....$ — TOTAL $ Credit , Expires accepted as cor,plele. "' """""" Aa n � L v a 11}l6naturc <� s Amount (� Q(l S Q �Y.`n I�f cL K 1 oral( 1 4444615(001COM) -SAP IVV_Q_c4 4k0 S+ari Aob 17r1R� 101W10D RECEIVL i. Electrical Permit Fees: Limited Energy Fees: - - — ---- - ( TYPE OF WORK INVOLVED - RESIDENTIAL ONLY Complete Fee Schedule Relow: --W--. --- 1F FLOE: Restii:ted Energy Fee........................................... .......... $75.00 Number of Inspections per plddMtMltd�r�rl (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit�r- 1000 sq It or less — $145 15 Audio and Stereo Systems tach additional 500 sq.ft.or portion thereof $33.40 _ 1 �urglar Alarm Limited Ener;y _ $75.00 Each Manufd Home or h!eduler [j Garage Door Opener' Dwelling Service or Feeder _ $9090 _ Services or Feeders Healing,'/entllation and Air Conditioning System' Installation,alteration,or rei(xation 200 amps or less _ $80.30 _ 2 Vacuum Systems' 201 amps to 400 amps $108.85 _ 2 401 amps to 600 amps $160.60 _ _ 2 L� Other c 601 amps to 1000 amps _ $240.60 2 L ALL C t�C p pa S S LIrl Over 1000 amps or volts _ $454.65 2 -- Reconnect only $96.85 _ 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation $75.00 200 amps or less _ $66.85 2 Fee for each system.................. 201 amps to 400 amps _ $100.30 2 (SEE OAR 918-260-260) 401 amps to 600 amps — $133 75 — 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. ❑ Audio and Stereo Systems ©ranch Circuits New,alteration or extension per panel Boller Controls a)The fee for branch circuits with purchase-f service or feeder lee. Clock Systems Each branch circuit $6 65 7 b)The fee for branch circuits v Data Telecommunication Installation wlthouf purchase of service or feeder fee. r__j Fire Alarm Installation rirst branch circuit $4695 _ Each additional branch circuit _ $6.65 _ F-] HVAC Miscellaneous (Service or feeder not included) F-1 Instrumentation Each pump or Irri ation circle $53.40 Each sign or ou .rit,lighting $53.40 Intercom and Paging Systems Signal circuits)or a limited energy panel,alteration or extension _ $75.00 Landscape Irrigation Control' Minor Labels(10) _ $125.00 Each additional Inspection over Medical the allowable In any of the above Per inspection _ ._._ $62.50 — Nurse Calls Per hour __ $62.50 In Plant $73.75 Outdoor Landscape Lighting' Fees: Protective Signaling Enter total of above fees $ Other 8%Stale Surcharge $ _Number of Systems 25%Plan Review Fr Sre"Plan Review"section on $ ' No licenses are required. Licenses are required for all other Installations front of application Total Balaace Due $ Fees: r-� Enter total of above fees s Is LJ Trust Account n — __ 8%State Surcharge l--- ---- Tota!9alanr:e Due i:\lsts\fomu\nlc-fees doc 10/09/00 ELECTRICAL - CITY OF TIGARD RESTRICTED ENRIGY DEVELOPMENT SERVICES PERMIT#: ELR2000-00250 13125 SW Hall Blvd., Ticlard, OR 97223 (503) 639-4171 DATE ISSUED: 10126/00 SITE ADDRESS: 12391 SW HGLLCW LN PARCEL: 2S103CF-0b800 SUBDIVISION: QUAIL HOLLOW - EASI ZONING: R-4.5 BLOCK: LOT: 017 JURISDICTION: TIG Project Description: All encompassing limited energy permit. A.RESIDENTIAL B.COMMERCIAL. AUDIO & STEREO: AUDIO& STEREO: _ INTERCOM & PAGING: BURGLAR ALI`RM: X BOILER: LANDSCAPE/IRRIGAI: GARAGE OP► R: CLUCK: MEDIrAL: HVAC: DATA./TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: ALL ENCOMP HVAC: PROTECTIVE SIG14AL: INSTRUMENTATION: OTHU-R: TOTAL #OF SYSTEMS _—_ Owner: Contractor: JOHN WAGENHOFER QUADRANT SECURITY 12391 SW HOLLOW I.N PO BOX 14833 TIGARD, OR 97223 PORTLAND, OR 97293 Phone: Phone: 234 5558 Reg #: SUP 121 ULE LIC 96806 ELE 2E 5650LE FEES Required Inspections Type By� Date Amount Receipt — Low Voltage Inspection PRMT CTR 10/25/00 $75.00 2720000000 Elect'I Final 5PCT CTR 10/26/00 $6.00 2720000000 Total $81.00 This Permit is ;slued 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 accnrdanc,= with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for n.ore than 180 days. ATTEN r iON. OrQgon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are se: forth in OAR 952-001-0010 through OAR 952-001-0080 You ma'. i btain copies of these rules or direct questions to OUNC at (503) 246-19Pt i- Issued by �'� Ly� ` �-`�' :F -. ---- Permittee Signature _OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION SIGNATURE OF SUPR. EI_EC'N DATE: LICENSE NO: Call 639.4175 by 7:00 P.M. for an inspection deeded the next business day CITY O F T I G A R D _ -- ELECTRICAL PERMIT- 11 RESTRICTED E 'ORGY DEVELOPMENT SERVICES PERMIT#: ELR2000-002f,3 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/28/2000 PARCEL: 2S103CB-06800 SITE ADDRESS: 12391 SW HOLLOW LN SUBDIVISION: QUAIL. HOLLOW - EAST ZONING: R-4.5 BLOCK: LOT: 017 JURISDICTION: TIG Proiect Descrintion: Installation of irrigation controller. A.RESIDENTIAL _ B.COMMERCIAL AUDIO & STEi<EO: AUDIO & ETERS"^: INTERCOM & PAGING: BURGLAR ALARM: BOILL R: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATAITELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: IRRIGATION X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL# OF SYSTEMS__ Owner: Contractor: DON MORISSETTE HOMES PROGRASS LANDSCAPE SERVICES 4230 SW GAL.EVVOOD ST 29895 SW KINSMAN RD STE 100 WILSONVILLE, OR 97070 LAKE OSWEGO, OR 97035 Phone: 503-387-7538 Phone: 682-6076 Reg #: LIC 6136 _ FEES LRequired Inspections__ Type By Date Amount Receipt I r ow Voltage Inspection PRMT CTR 11/28/200( �! $75.00 2720000000 Elect'I Final 5PCT CTR 11/28/200(_ $6.00 2720000000 _ Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, Stat( 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 i-3 not started within 180 days of issuanr;e, or if work is suspended for more than 1E0 'ays. ATTENTION: Oregon law requires you to follow i ules adopted L,v the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-00eu You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987 Issued byPermittee Signature 7741t/ - /1�16 OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: _ _ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ DATE: LICENSE NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day i�;lectrical Permit Appliclation Date received: /; , ,) Permit no.:rjX 2000_j 7.P City of Tigard Project/appl.no.: Expimdate: City of Tigard Address: 13125 SW ii,tll Illvd,Tipard,OR 97223 'E E I Date issued: By:1. Receiptno.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: U I &2 family dwelling or accessory U Commeicial1industrial U Mult:-family U Tenant improvenWill =New construction U Addition/alteration/r?placement U Other: U Partial �Ii];MAJXNVORMATION Job address: f t (f2c klldg.no.: Suite no.: Tax map/tax IoUaccount no.: Lot. - (.lt-(. I L('LL --- Project namet.- i,i tt, f 1 ' 14 I r Description and local ion of work on premises:[ Bill 1 Sec t ve / Estimated date of completion/ins coon: )t,UONTHACIQR A I'll 11,11 CATION . t Job no: fdr Mail I Business name: � �'�•-�/C;l S- t I( � t' C( ) Ikscriplion "y. (ca) 7otnl no.insp New residential-single or mulli-family per Address:,;�' "`/ _ t e' kit d t I dwelling unit.Includes attached garage. City: Wi(SCi)101/1 State: , ' ZIP: 1`1(�' ) Service Included: xj Phone j,� „1•• — �,c±J Pax:(c, L -cJQ' E-mail. 1000 sq.rt.or less a Each additional 500 sqr ft.or orhon thereof CCB no.: .) 3 Elec.bus.lie.no: Limited energy,residential 2 City/metro lic.no.: ('I r Limited energy,non-residential — 2 eL , 4, if I, t �)Z L /�• ,�(m C`r Each manufactured home or modular dwelling ' Signature of supervising lectrician(required) Date Service and/or feeder - r License no: Services or feeder-—Installation, Sup.elect.nerve(print): /('i F) 1 alteration or relocation: t 200 amps or less 2 r lY)C 1, l` �C t �,� _ 201 amps to 400 amps _ 2 Name(print): ! �- 401 amps to 600 amps _ 2 Mailing address: ;( CC- CI/f- t <: 11 601 amps to 1000 amps_ — 2 City: 1-L t 1t C. ( '�,!r ''� (_ State( /�- ZIP:��7C'�3 Over 1000 amps or volts _— 2 Phone: Pax: I E-mail: Reconnectonly Owner installation:The installation is being*made on property I own i Temporary services or feeders- Installalion,allcralion,nr relocallon: which is not intended for sale,lease,rent,or exchange according to 200 amps or less - ORS 447,455,479,670,701. 201 amps to 400 amps _ z Owner's si nature: _ _ Date: _ 1 401 to 6a)amQs IENGINEEII Smirch circuits-new,alteration, or extension per planet: Name: A Fee for branch circults with purchase of Address: service or feeder fee,each branch circuit City: State: ZIP:` B. Fee for branch circuits without purchase of service or fader fee,first branch circuit: 2 (�htrrtr — Fax: E-mail• Each additional branch circuit: Misc.(service orfeeder not Included): / •Service over 225 amps-commercial U Health-care facility Each pump or irrigation circle U Service over 320 amps-rating of 1&2 U Hazardous to scion Each signor outline lighting 2 family dwellings U Buildingover 10.000 squaw feet foutor Signal circuit(s)or a limited energy panel, U System over 600 volts nonunal more recidenlial ututs in one ctructure alteration,or extension• 2 U Building over throe stories Ci Feeders,400 amps or more "Description: U Occupant load over 99 persons ❑Manufactured structures or RV park FAch additional Inspection over the allowable in any of the above: U Egres./Iightingplall U Other _ per inspection Submit__sets of pians with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Permit fee.....................h Not all jurisdictions sct pt crMt cards,please call jurisdiction for more informstion. Notice:This permit application 7s U Visa U MasterCard expires if a permit is not obtained flan review(at _ %) $ _— credit crud number _1_L_ within 190 days after it has been State surcharge(8%)....$ Expires accepted as complete. TOTAL $ Name of e r as shown on crtria card Cardholder si`nature Amount 440.4615(60vc'onit Electrical Permit Fees: Limited Energy Fees: ------------- -- TYPE OF WORK INVOLVED -RESIDENTIAL ONLY mom lete Fee Schedule Below: P Restricted Energy Fee................. Number of Inspections per permit allow_ed (FOR AL.L SYSTEMS) Service included: Items Cost Total Check`•'ne of Work Involved: Residential•per unit 1000 sq ft or less $145 15 Audio Pnd Stereo Sysfo:ms Each^dditional 500 sq ft or portion thereof $3340 1 Burglar Alarm Limited Energy $75.00 Each Manurd Home or Modular ❑ Dwelling Ser%ice or Feeder $90.90 _ 2 L Garage Door Opener' Services or Feeders E] Heating,Ventilation and Air Conditioning System' Installation,alteration.or relocation 200 amps or less $80.30 2 El201 amps to 400 amps $106.85 _ 2 Vacuum Systems 401 amps to 600 amps $16060 2 % Other 601 amps to Ipo amps $240.60 2 Over 1000 amps or volts $454.65 2 Reconnect only $66.85! 2 )t / / o, Temporary Services or Feeders Installation,alteration,or relocation TYPE OF WORK INVOLVED -COMMERCIAL ONLY 200 amps or less _ $66.85 2 Fee for each system............................. .......... $75.00 ................... 201 amp:b 400 amps $10030 2 (SEE OAR 918-260-260) 401 amp,to'00 amps $133 75 2 Over 600 amps to 1000 volt _ Check Type of Work Involved: sec"b"above. ❑� Audio and Stereo Systema Branch Circuits New,alteration nr extension per panel f a)The fee for branch circuits L_1 Bulinr Contro:s with purchase of service or �- feeder lee. EJ-7 Clock Syslbms Each branch circuit $6.65 2 h)The fee for branch circuitsr Data Teleeommuniep!:.4.i in tallatior without purchase of service or feeder fee. ❑ Fire Alarm In-tallatlon F irsl branch arcuit _ _ $46.85 Fach additional branch circuit _ $665 FIVAC Miscellaneous fService or feeder not included) �-- �1 Each pump or irrigation circle �� $5340 i) 3 y(1 J Inst umentation Each sign or outline lighling $5340 Signal circuit(s)or a limited energy I dercom and Paging Systems panel,alteration or extension _ $7500 _ Minor i abets(10) $12500 Lan1scape Irrigation Control' Each additional inspe,;tic n over the allowable In any of tf-a above Medir�.l Per inspection $62.50 P.r hour — $62 50 Nurse.Ca!ls In Plant $73.75 —_�_- Outdoor Landscape Lighting' Fees: �3y r Protactivp Signaling Enter total of above fees $ ' r�] 8%State Surcharge $ Other � I --' --�--� 25%Flan Review Fee __ —__Numbur of Systems See"Plan Review section on $ front of application No licenses are required Licenses are required for all other installations Total Balance Due S D7 . c)f j Fees: lJ Trust Account# Enter total of above fees 84:State Surcharge $ tL' li� . Total Balance Due $ i:\dstslfomu\eic-fccs.doc I0r09/o0 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ---- — 6UP _ _— Date Requested— «/ AM �PM BLD MEC / � Suite _ Location---,L — Contact Person _ Ph PLM Contractor Ph SWR BUILDING Tenant/Owner _ ELC Retaining Wall ELR -ZE; j )41 Footing Access: Foundation FPS _ Ftg Drain SGN Crawl Drain Inspection Notes. -- Slav Post F.BeamSIT -_— Ext Sheath/Shear _ Int Sheath/Shear _ Framing -------- - - -_ -_ _ _------- Insulation Drywall Nailing .--..__-----•-- Firewall — __----------__---------- Fire Sprinkler FIrP,Alarm -- --- —_. - - - _-------------- — Susp'd Ceiling _- ------ Roof --Roof Misc -- Final PASS PART FAIL - -- -- --- -----.—� PLUMBING Post& Seam - - - Under Slab Top Out Water Service Sanitary Sewer -- Rain Drains F inal -- ---- ---- PASS PART FAIL MECHANICAL Post R Bean) -_ - -- - - ------ Rough In — T` Gos Line _ Smoke Dampers Final - - - _ -- - - P -Wkly-. FAIL E -C RICAL - Rough In _ - - -- ------- UG/Slab Low Voltage ---- ----------__..--- Fit�$'�rm I �S�-- ART FAIL SITE — Backfill/Grading --- - — ---- - ----___..— -- -_— Sanitary Sewer Storm Drain ( ] Reinspection fee of$_ —y_required before next inspec►ion. Pay at City Hall, 13125 SW Hali Blvd Catch Basin Please call for reinspection RE Fire Supply Lit I I p ____ _ [ ] Unable to inspect-no access ADA �--� Approach/Sidewa!k / Other Pate _��' Inspector--__1.• ---------_— Ext _— Final PASS PART FAIL BYO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - BUP . ,Date Requested J / / C)-L-) AM) PM BLD LocationL�f�`�� �� -t �r.0 ! 2 ,1lSuite MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/owner ELC 2EZT Retaining Wall ELR _ Footing Access. Foundation FPS Fig Drain Crawl Drain Inspection Notes: SGN --y Slab _ SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear -- Framing _.- ----- - Insulation -- ----------_____ Drywall Nailing Firewall Fire Sprinkler Fire Alarm --- Susp'd Ceiling Roof Mises --- - ---- -- - Final ------ ----- PASS PART FAIL PLUMBING -- ---_- ---_ --- ost& 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 ---- f� . FAIL ECTR CAL - - -- -- Sery ----- Rough In -- UG/Slab Low Voltage '- —`--� Fire Alarm - Fin -- - ASS )PART FAIL. SITE - -- ----- - - Backfill/Grading -- --- - Sanitary Sewer Storm Drain [ j Reinspection fee of$ requirnd before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ j Please call for reinspection RE: [ j Unable to inspect-no access ADA Approach/Sidewalk Other Date / t>~G Inspector �5' Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. Q• � � 5 n a w � ° N h w c a \ 7 � Y ti fb � i VV 1 � 0 O4 C '0 O a Q A CITY OF TIGARD BUILDINu INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _ Date Requested AM_ PM BLD _ Location_ Z �1 w �JOW 0,, Suite MEC Contact Person _ Ph 2 PLM Contractor Ph SWR Bl1�L- Tenant/Owner ELC Retaining Wall ELR Footing Access: J ' 1 ` I , FPS Foundation 1 ` Ftg Drain SGN Crawl Drain Inspection Notes: — -- Slab ----- - - - SIT -- - Post&Beam — Ext Sheath/Shear Int Shealh/Shear �- Framing - ---------- ---Insulation Drywall -�—_. '_--�---- -- Drywall Nailing Firewall Fire Sprinkler _._----_----- -_-- --_-. _ Fire Alarm Susp'd Ceiling Roof Mise -- - - - -- -- . 'ASr, ! PART FAIL_ -- - - -- -- ---...- - -- - ----- ----�.- - T op Out - Water Service Sanitary Sewer Rain Drains S PART FAIL i Posl& Beam - -- ---- - Rough In Gas Line Smoke Dampers S11� PART FAIL_ T'RICAL - - _- -_ ---------- -------------- ---.______..------ Service Rough In ----_.___�- UG/Slab Low Voltage - — - Fire Alarm Final PASS PART FAIL SITE HackfilllVrading -- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ _required betore 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 Date T L' Ins ector EXt Other _-- P _-___. _� 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 MSTCy -GG Blip Date Requested-1 AM PM _ BLD LocationSuite — ._� MEC Contact Person Ph USlfPLM _ Contractor _ t�`E'-au f _ Ph SWR BUILDING -Tenant/Owner _ e6le < -l/ ELC - Retaining Wall ELR %uc-u L :Z L Footing Access: Foundation Ftg Drain Crawl Drain Inspection Notes: SGN Slab ----- SIT Post 8 Beam -- --- ------- — ,. Ext Sheath/Shear Int Sheath/Shear --- Framing Insulation Drywall Nailing -- Firewall -- - Fire Sprinkler - Fire Alarm Susp'd Ceiling -- --- -- - -- Roof Misc: Final /9 t_cx 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 Dampens Final - - PASS PART FAIL_ ECT - - - — Service Rough In ---- - - UG/Slab Low Voltage F larm PASS ART 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 Fire Supply Line p _ _ ( j Unable to Inspect-no access ADA Approach/Sidewalk Date )-44"400 Ins Other actor - Ext Final PASS PART FAIL. 00 NOT REIVIOW. this inspection record from the job site,