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12435 SW HOLLOW LANE a w cn (n S O r r- r z 12435 SW HOLLOW LN TTY OF TIOi1RD MECHANICAL PERMIT r DEVELOPMENT SERVICES PERMIT#: MEC2001-00152 13121, SW Hall Blvd., Tigard, OR 97223 1503) 639-4171DAT't ISSUED: 2S 01 PARCEL: 2S103CB-07000 SITE ADDRESS: 12435 SW HOLLOW LN SUBDIVISION: OLIAIL HOLLOW- EAST ZQNING: R-4.5 BLOCK: LOT: 019 JURISDICTION: TIG CLASS OF WORK: ALT VLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HFnTr S. VENT FANS: OCCUPANCY GRP: VF":i S W/O ADPL: VENT SYSTEMS: STORES: BOILERS/COMPRESSORS _ HOODS: FUEL TYPES 0 - 3 HP: � � DOMES. INCIN: 3 15 HP. COMML. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSUI,E: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1 TURN >=100K BTU- <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Install exterior PJC unit. Do not place within the requ;red settirk. Owner•. FEES STAN MORA Type By Date Amount Receipt 12.435 SW HOLLOW LANE PRMT CTR 5/8/01 $72.50 2720010000 5PCT CTR 5/8/01 $5.80 272001000C Total $78.30 Phone:503-579-2520 - —�-�� -- Contractor: CENTRAL_ VALLEY AIR 1355 DAVIS ROAD SOUTH SALEM, OR 97303 _ Rti.IJIRE-D INS PEC TIONS ___ _ Mechanical Insp Phone:503-351-7541 Final In:vection Reg #:LIC 1,-7032 This permit is issued subject to the regulations contained in the Tigard Municipal Cate, State of Ore. 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 SU-pend for more than 180 days. ATTENTION: Oregon law requires you to follow rules/1adopted in th Ore n Utility Notification Center. Those rules are set forth in OAR 952-001-0010 thCo gh OAR 95 01- 80. You may obtain copies of these rules or direct questions to OUNC by callinj� 03)246.9.18 Issue By: YYL �L Permittee Sig.�ature: Call ( 03) 639-4175 by 7:00 P.M. for inspections needed the n-xt business day �b Mechanical Permit Appikation n/y�� Datereceived: �-e-0I Permit rt o E d Uri I- 40 l�y City of Tigard Projectlappl.no.: Expire date: Cityu('/'igard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: By: Itcceipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use Approval; _ Building permit no.: `14 1 & 2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New construction U Addition/alteration/replacement U 011ier: __ _— __ .1onsult IN.10101 N ON COMMERCIAL 1 1 !oh address: of ��� e'l 'er".Kl !2/CA Indicate equipment quantities in boxes below.Indicate Il:.;dollar Bldg,no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: pm' t.Value Q' _ Lot: Block: Subdivision: *See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City 2:IP - Description and to son of work on premises: 4. -,I 1 Fee(ea.) 'Iotal Est.date of completion/insnection: s f O Deseri fon "y. Res_only Res.only Tenant improvement or change of use: Air handling snit AFM Is exi ung space heated or conditioned? U No a conditioning(site plan required)--- Yes Is e xv,ung spare insulated')aYes U No Iteralion o existing HVACsystem oiler compresc"ors State boiler permit no.: _Business name: Ce'.4)c/ /jo//,y i✓ Hp Tons BTU/H Address: _ it smo c dampemduct smo edetectors City; gtr.e State: /.' ZIP T3�' eatpump(sitepanrequire eT) Phoi:e: � 3�.-� Sc) Fax: E-mail: nsta rep.ace urnnre urner_- l Including ductwork/vent liner U Yea U No CCB no.: ! aJ Tp 3 J Insta rep ac re ovate eaters-suspenUed, , city/metrolic.no.: �� 4 '�� wall,or fluor mounted Name(plr ase print): S e+' ant Cor ap li,mcc otr t an furnace e erat on: Absorption units __ BTU/H Name: �,'lA+ h'S �' �' Chillers HP Com ttrssors_ i:P Address: v,�o✓f _ ,nv ronmenla ez oust an rens ton: City: Slate: 7IP: _ Appliance vent Phone: Drverexhaust _ to s,Type / /res. itc a azmat hoof fire suppression system Name: ';vt Y fey t•l �J cJr Exhaust fan wiCi single duct(bath fans) — Mailing address: L 9(o( LJ q.rn.f ro+t tXhaustsy ( +-- m art rota eaten or AC piping fitdistribution(up to nu t et s) City: ; Stale: Je Zip: Type: LPCNG Oil outlets Phone: E-mail: Fuel piping each additional over _- - Process pip ng(sc emaucrequire ) Number of outlets Name: t ef�lsl-ed app truce or equ pment: Address: _ _ Dccorntive fireplace City State: ZIP: — insert-type _ Phone: I Fax: E-mail' oodstovelpelletstove Ot er: Applicant's signature: , ate_ o _ -Name (print): --'" r�S" r — Not all jurisdictions accept credit cards,please can jurisdiction for tare information. Permit fee..................... U visa U MasterCard Notice: Phis permit application Minimum fee................$ _ expires if a permit is not obtained Plan review(at — %) $ Credit card number .. _ —___.-. ___-L—L-.-. wit 180 dayseller it has been Espites State surcharge(8%)....$ Name of ca Wt as shown on credit card accepted as complete. TOTAL .......................$ Cardholder siptattur Amount 440-4617 MMICOM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: ------ ---- -- Description: TOTAL VALUATION: FEE: _ Price. Total Table 1A Mecham/; i Code t]ty (Ea) Amt _ $1.00 to$5,000. 0 Minimum fee$72.50 1) Fumaze to 100,000 BTU - $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and including ducts&vents 114.00_ $1.52 for each additional$100.00 or 2) Furnace 100,000'BTU+ fraction thereof,to and Including including ducts&vents 1740 $10000.00. 3) Floor Furnace $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and including veni _ 1400 $1.54 for each additional$100.00 or 4 Suspended heater,wall heater fraction thereof,to and Including ) 14 n0 $25,000.00. or floor mounted heater $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not Included in appliance permit 680 $1.45 for each additional$100.00 or fraction thereof,to and including 6) Repair units 12.15 _ _ $50,000.00 $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler Heat Air $1.20 for each additional$100.00 or Fir Items 7-11,see or Pump Cond fraction thereof. footnote.below. Comp* " 7)<3HP;absorb unit to 100K BTU 14.00 ASSUMED VALUATIONS PER APPLIANCE: 8)3-15 HP;absorb Value Total unit 100k to 500k BTU 25.60 Description: Qt Ea Amount 9)15-30 HP;absorb Furnace to 100,000 BTU,Including 955 unit.5-1 mil BTU 35.00 - ducts&vents _ 10)30-50 HP;absorb Furnace>100,000 BTU Including 1,170 unit 1-1.75 mil BTU 52.20--- ducts 2.20 -ducts&vents 11)>50HP:absorb Floor furnace includingvent 955 unit>1.75 mil BTU 87.20 _ Suspended heater,wall heater or 955 12)Air handling unci to 10,000 CFM floor mounted heater 10.00 Ve;1t not Inducted In applicance 445 13)Air handling unit 10,000 CFM+ permit 17.20 Repair units 805 14)Non-portable evaporate cooler <3 hp;absorb.unit, 955 10.00 to 100k BTU - 15)Vent fan connected to a single duct 3-15 hp;absorb.unit, 1,700 _ 6.80 101k l0 500k BTU 16)Ventilation system not included in 15.30 hp;absorb.unit,501k to 1 2,310 appliance permit 1000 Intl.BTU 17)Hood served by mechanical exhaust 30-50 hp;absorb.urdt, 3,400 10.00 1-1.75 frill.BTU _ _ 18)Domestic indnerators >50 hp;absorb.unit, 5,725 17.40 >1.75 mil.BTU - 19)Commercial or industrial type incinerator Air handling unit to 10,000 cfm 69.95 656 _ Air handling unit>10,000 cfm 1,170 _ 20)Other units,Including wood stoves Non-portable evaporate cooler 656 10.00 Vent fan connected to a single duct 446 - 21)Gas piping one to four outlets Vent system not Included in 656 5.40 appliance permit 22)More than 4-pr,r outlet(each) Hood served b mechanical exhaust 656 1.00 _ Domestic Incinerator 1 170Minimum Permi,Fee 572.50 SUBTOTAL: $ Commercial or industrial incinerator 4,590 _ Other unit,Including wood stoves, 656 - 6%State Surcharge $ Inserts,etc. Gas piping 1-4 ovets 360 250/.Plan Review Fee(of subtotal) $ Each additional outlet, 63 _ Required for ALL commercial permits only TOTAL COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE: $ EVALUATION: _ ---- Other Inspections and Fees: I Inspections outside of normal business hours(minimum charge-two hours) $72 50 per hour 2 Inspections for which no fee is specifically indicated (minimum charge-halt hour) $72 50 per hour 3 Additional plan review required by cfianges,additions or revisions to plans(minimum charge one-Iralf hour)$72 50 per hour 'State Contractor Boller Certification required for units>2001k BTU. "'ResidenUal AIC requires site plan showing placement of unit. I\dsN,\forms`mech-fees.doc 10/11/00 oQ ' i �fjI ull u III " cr; a ILS u u c� ri tr �) C>C, L i X Lo rt t. untitled _ 1 Document Home: 04/27/D ?age; _ _ _ _ ._ .__ ...._.�- nd _ . ... _._.._-..3 isItes NPS _ Lti,p, my/Update Service Me cha 606g3656mLoc: 1 ET: Cc NW729203 MR POU(3 JOHNSONres6s Enter. To update, modl-fy the info below oCnerwiee, type action code and p Action code (].Audit informar.ion 4vCr®ategshopeSO) 3=Create on-6 its 90 Mdse deer. XL1400 HP COND 2T Wise code : AIRCEN2Y5P10 Type Brand . . TR.ANE Sears purc )age Y (Y/N1 Reason Instal]./receipt date 03 12 2001 purch date 03 12 2001 serial # . . 431 Model # , . TWY0249100A Putch loc 00041.56 (unal C-Camlit #) Laet pitch: usage type R (R-Residentipromote other Y Reactor. Fromote MA Y Reason Expires (mm dd ccyy) Reason Length (2 Y/ p/ Y) Warranty 03 12 2003 5 Y Labor 03 12 2006 10 Y Pal-7.3 D3 12 206 # additional SP: Excep parte Exp: Latest 5P: plan: Enter Fl-Help F36Exit F12=Prev screen Cate:-q/�7� o1 'I�mc : 03 :02 :02 PM ZQ 7-Mcl 1699 S&d3S U99L6EL08 Le:b1 10eL/WL CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - BUP Date Requested —7 AM PM BLD Location /f '> ' SuiteMEc -D-66 l 0015"Z Contact Person Ph .a 7! -9'2_ PL.M Contractor Ph SWR BUILDING Tenant,104 _ ELC Retaining Wall ELR Footing Access: --- -- Foundation FPS Fig Drain SGN _...�_..._�_ Drawl Drain Inspection Notes --- ----- Slab -_-- ._---------____ SIT Post&Beam -- —----�-- Ext Sheath/Shear Int Sheath/Sheer — Framing Insulation -- Drywall Nailing Firewall Fire Sprinklor Fire Alarm Susp'd Ceiling -_ Roof —— - --.n--- _ Misc - - - -- -- Final PASS PART FAIL -- -_ - - - --- --- - PP_UMBING Pos:& Beam -- --- - I h rder Slab Top 01 t ---- -- Water Service Sanitary Sewer i - --- _ -- Rain D fins Final PASS PART FAIL _ MECHANICAL Pest& Beam - -- ---- Rough In Gas Line lbalgItuampars PART FAIL t~TRICAL -- - ._.. . --- - -- ------- Service --- Service -- _ - Rough In UG/Slab Low Voltage.Ek _-- p-Alarm — -. PASS PART FAIL SITE Backfill/Grading - ---- - ------._. - --- --- Sanitary Sewer Storm Drain [ )Reinsriection fee or g ,required before next inspection. Pay at City Hell, 13125 SW Hall Blvd Catch Basin Fire Supply Line I ) Please c:aI for r inspe0inn RE _ [ ]Unable to Inspect-no access ADA �- Approach/Sidewalki Other Date Inspector _ Ext Final i" PASS PART FAIL DO NOT REMOVE this inspection record from the job trite. AUG-25-1999 14:47 598 7966 599 79F� ?.02 CITY OF TIGARD credit No.: Crate Issued: E:nginsering Auf'.iorization Fate'. _—_-- Auaust 1 i_1999 TRAFFIC IMPACT FEE CREDIT VOUCHER land Use C,asefiie No.: _ 9T-517-PD/S/0HA In acwrdance with Ordinance 379. (�Wfess Ventures (n~et�f vftmw) is entified to $ 39 a54_UU in Traf is impact "Fee Credits that can to applied to TIF rharges for development nn lot(s) 1__.Aj of th,e. Quail HgZQI w_ -_. iSt Development, to use this credit, present this form the time of issuance of the building permit. Date Permit Numbers I.ot Numbers Credit Used Balance Beginning Balance $ 3.9.454.0 Bala,nc3 cam 3d forward to 1 it Credil No. • Ordloence 379 provides for an expiration 7 years fiorn authorizat an Usa Adettional pages it necessary. IopY.viaErt6R9 1 �- unified SANITARY* �J sewerage1 agency 155 N Fiarst Ave., Suite 270. Hillsboro. Or.,97124 SURFACE WATERu 503 648-8621 ' (INN1.(.'I T CIrJ F'F R111 T 1at.31JC" l + Tl: 09 0?9 t;:;{1IRAIJON DAR Q;jIti00 (:''C CXF' I.IATC. 091901 PERMIT 11761)(:, STF ULI URE ADDREG"o 124""" F'RCI,.IFC:7 Ft:'Q7 f5'Tf01JCTUkE c Tr;EET 5W Ir01_t..r)(d L.rr L0*1 1.;' lit (.ICK IYPI: CONNI:C I TON NEW O1= C1IJAIL HOLLOW EAST TYPE. INS) ALLATION- ( 19 ) ,EII,D 1"tWFe,,1RO CON/SCIC 'T'rr'L; IM"I.)I'ANI"i i 1 ) G LNt3(,1 FAM CI_Y r'a1reUL :!S1 UP 4901 t1Tk Sr`C 441.6 MI( 2,103(1 OWNR~R TION - 14 1411)MU.S r=IC'nFtLS13 4230 :3W UALEWOOD TRF:61 MF.N'T PLANT 00101AM LAKE 0GWFG0 ON 9"1"035 PH(ME: 30'7. 75313 WAILR III1,.0RI ;T 1'TGAREI F TX'TURE E11t11VALF'NT 1.1Wf L1_ I146 hF';1.DFNt IF'L UtiIT's G(7RVTI;E" U N 1 Tf; 0 .0 ON lt;i 1 ;F:.FiI)I !;F UFdT CONNE:C; T T.ON Fk.V 3 ISURFAGF. WAl F'R 11F V1'1.0114 Ni F-F.E`5 !iLWE I? C ONNI:t;T ION 1113 00 WA'TE'R QUAL l'TY 7110.00 VISS CRF PT'T ?'10. 00 WAfF:R IJI.. AN'TITY 490 .00 LESS CREDIT < 0.00 EFtC1GII:1N CONTROL IN5PC:.CT 10N 61 All 100 PLAN CHECK 41. .60 r , ;'r01At. .'..300.00 sop TOTOL 395560 TOTAL 269epi.c'O APP1. Nl..Y PF10N1: AF'F ILLTAT10N PEI--' REMARKS 1.0T 19 F ROJ 0 0'7 11(.1A I 1 i 11.1 L L.0W E:+a.".i T *211 IiOMR N0CTCF T* -.ro-)'atotq I'i1N1Rot_ INSPECTIONS REOUM ti !S F L ..I LIN P,411- 0414 ?+:S;llt Ii Ir r :,rJjtC�_ lrrdi Permit Conditions. The applicant agrees to comply with 11 rules and regulations of the Unified Sewerage Agency,incoding those rogarding erosion control A 24-hour nodre is required for erosion control Insoe+,f'oos. The inspection request number is 844-8444 When calling lot an inspection,please refry+ the permtt,oru)ect and lot+cumbers Th9 permit expires one hundred eighty(18C)days from the dais of issuance The Agency does not guarantee the accurary of the location of side sewer lateral 793 WHITE - USA, BLUE - Accounting, GREEN -Inspection, YELLOW - Customer I NSPFCIF D hY DATE (:ONTRACTOP/INST ALLER TYrlF OF PPE DIAMETFh OF PIPE _-_-- lospector, Please sketch below or attach the Following information. I Street & n(4arest cross Street I j ? tocat ,on of structure being served 3 Route of service line .'rum structure to property line where it I connects to the service lateral . Include length & diameter of service line, depth at the Structure, & property line, dimensions referencing line to structure, property lines and/or corners, etc. 4 North arrow I r I M i DON - MORI�� SETTE R 0 m 1 I0B IIORATND I 2 LA = R 00V3Q0, 0RId0 97095 (aoa) eao - 763e FAX (603) e20 - 74e5 OBE : 19'7 OPTION 2 ELEVATION LOT: i9 DATE: 13/3/99 211 ro-71-'1213 PROPERTY: QUAM—HOLLOII CITY:: TIGARD OCAM 1 w='7o► PULN 1\o.: 168 / 1-'1(" I )L. p51 03C.p-�,- o I r------------ --- ------------ --------- � u � ` m A l � 7© 'W 2,�4 W eq, rt. `,1 215 4 bdrm_ '4' \ 2 1/2 bath 4W eq. rt_ 210 PFS 219' 2 car gar. � z FF.E- 218' 46' zm' 4' ,. •t s 2 214 ��� 6' 21 218 28® s �`'� ``y 280 dd^^ LOT 019 8,232 e , rt. a CI"i = T!CARD Re,,identiai Building Permit Application Plan Check#� 13125 SW HALL BLVD. Additions or Alterations Recd By o� TlGARD, OR 97223 Single Family Detached or Attached (Duplex) Date Rer.'d41D��a,e�e)✓P).E. V 503-63941i 1 Q [7�1e(o(�sT � F 503-684-7297 U Permit#Nf �9►�9"a3J�.?S Print or Type Called, `— Incomplete or illegible applications will not be accepted Name of Project —� -- --�' Name Job �.t,�; ,�( I ~�- `1 56-LkkL Architect Mai ddress Address site a dre g c- / G -- __., --- i� a LtLY,tlf=..i:� "!Y/S Ph ne .Name GiR ` Owner Mail Address n �� a k- I Engineer Mailing Address M rt /S ate I Pf ne j g y'b. ,�. 6Y--X""`� City/State Zip Phorie General Name Contractor " � ='�1-l CL Describe work New Addition O Alteration O Repair O -- Mailing Addre s to be done. Prior to permit � � SCJ" �_ Additional Description of Work: , I Q�vr ►1�Y ,� issuance,a copy ity/St to Zi Phone of all licenses are required if Oregon Cbnst.Cont Board E p Date PROJECT expired in COT Lic.# f� _ database (v VALUATION Mechanical Name NEW CONSTRUCTION ONLY: Sc.tb_ 1 . (�/'� ��j � -� Sq. Ft. ouse: r Sq. Ft.Garage Contractor MailingAdd`r'esss Prior to permit F_�e. ' Indicate the restricted energy installation by the electrical issuance,a copy �t /St e lip Phope subcontractor in the followin areas 11` of all licenses ' ' Restricted Audiu/Stereo are required If Oregon Const.C nt.Bosrd Exp.Date Energy S stem Alarms expired in COT Lic# ^ 2 3 Insidllations Vacuum Irrigation database _ -7 OLIW9.J �� System System Plumbing Name _ (check all that Other: Sub- AVIA `. lboac- -VJLuMbt� apply) Contractor Mailing F,rdress Corner Lot TTEIS Flag Lot YES NQ check one) (check one) / l Has the Subdivision Plat recorded? N/A NO Prior to Hermit ty/State 1 hoe I issuance,a copy )of all licenses are Oregon Const Cont Board Exp Date required if Lic.# /�/ expired'in COT �-0 t I i I hearby acknowledge that I have read this application,that the database Plumbing Lic # Exp. Date information given is correct that I am the owner or authorized agent 1� 1 of the owner, and that plans submitted are in compliance with Ie on State laws. Name me 1 ,igrtplure of Owner/A ntkt P l j Electrical I - ntact P rson Name , Phone# Sub- Mailing Address � � Contractor 9 , 1 G C- <� '' �. City/State Zip Phone Prior to permit ';� -� Issuance,a copy �f l l / FOR OFFICE USE ONLY: � G!3 - A" G' of all licenses are Oregon Const Cant.Board Exp Date — required if Lic.# p,p, Plat#: ' / b1ap/TL# expired in COT ' (Ma a I 11' �a`7 _ c �� database Ejecttical LIG # pl D t� I S backs Zone: 5, pD Solar; r Electrical Supervisor Lic # �E�CpI D te ` Engineering Agprva: Planning Approve T. TIF. S U 1 Yy P. .. i _?F" j.y t I�+� ij'f'?�� i:ldsts\fortns\sfaddall doc 11120/98 Alt) 1 y IHECft i6 4,r r f �j f � r#,r-x) 1 Oft P ( r CITY O F A I G A�D MASTER PERMIT PERMIT#: MST1999-00225 DEVELOPMENT SERVICES DATE ISSUED: 09/21/1999 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 12435 SW HOLLOW LN PARCEL: 2S103CB-07000 SUBDIVISION: QUAIL HOLLOW- EAST ZONING: R-4.5 BLOCK: LOT:019 JURISDICTION: URB REMARKS: PATH I: New single family dwelling w/attached garage & covered porch. BUILDING REISSUE: STORIES: 2 _FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 23 FIRST: 1.050 of BASEMENT: at LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND 1 350 at 3ARAGE: 492 at FRONT: 20 PARKING SPACES: TYPE.OF CONST: 5N DWELLING UNITS: 1 FINBSMENT al RIGHT: 7 VALUE: 5 116.104 20 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: a' REAR: 40 PLUMBING RAIN DRAIN 100 TRAPS: SINKS: 1 WATER CLOSE78: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 LAVATORIES: 3 DISHWASHERS: 1 r-LOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: t CATCH BASINS: TUBISHOWERS: 2 GARBAGE DISP. I WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREV'NTR. 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: 0 BOILICMP<3HP: VENT FANS: 4 CLOTHES DRYER: 1 GAS FURN>-100K: 1 UNIT HEATERS: HOODS: I OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 0 WOODSTOVES: GAS OUTLETS: I ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMF SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEQ'7S ADD'L INSPECTI( 1S 1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FDR: 1 PUMPIIRRIGATION PER INSPECTION: EA ADD'L 500SF: 3 201 400 amp: 201 - 400 amp: 191W/O SVCIFDR: 00 SIGNIOUT LIN LT•. PER HOUR: LIMITED ENERGY: 401 600 amp: 401 -600 amp: EA ADOL BR CIR: SIGNAUPANEL: IN PLANT: MANU HMISVCIFDR: 601 - 1000 amp: 601+4mpa•1003v: MINOR LABEL: 1000+amplvolt: PLAN REVIEW SECTION Reconnect only: >0 RES UNITS: SVCIFDR>•225 A.: >600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY _ A.SF RESIDENTIAL R COMMERCIAL AUDIO 9 STEREO VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING OUTDOOR LNDSC LT: BURGLAR ALARM: 0TH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATArfELE COMM: NURSE CALLS. TOTAL N SYSTEMS: TOTAL FEES: $ 2.513.52 Owner: Contractor: This permit is subject to the regulations contained in the DON MORISSETTE HOMES DON MORISSETTE HOMES Tigard Municipal Code,State of OR. Specialty Codes and 5000 SW MEADOWS LANE 4230 GALEWOOD STREET all other applicable laws. All work will be done In LAKE OSWEGO,OR 97035 SUITE 100 accordance with approved plans This permit will expire it LAKE OSWEGO,OR 97035 work is not started within 180 days of issuance,or if the work is suspended for more than 180 days ATTENTION Phone Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set ORIGINAL Rep N UC 000355 forth in OAR 952-001-0010 through 952-001-0080. You may obtain copies of these rules or direct questions t0 OUNC by calling(503)246-1987 REQUIRED INSPECTIONS Footinp Insp Underfloor Insulation Electrical Rough In Gas Fireplace Appr/Sdwlk Insp Plumb Final Foundation Insp Crawl Drain/Backwater Framing Insp Insulation Insp Urb Sl Tree Certif Ltr R Final inspection Slab Insp Footing/Foundation Dr; Shear Wall Insp Rain drain Insp Backflow Preventor Post/Beam Structural PLM/Underfloor Exterior Sheathing Insr Roof Nailing Electrical Final Post/Beam Mechanical Mechanical I- ;p Gas Line Insp Water Line Insp Mechanical Final Permittee Signature : I Issued By . __ - Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next bua ness dilly CITYOF TIGARD PLUMBING PERMIT _ DEVELOPMENT SERVICES PERMIT#: PLM1999-00423 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/13/1999 SITE ADDRESS: 1 2?s5 SW HOLLOW LN PARCEL: 2S 103CB-07000 SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R-4.5 BLO';K: LOT: 019 JUgISDICTION: URB CLPSS OF WOR!(: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF MASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRN: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE;TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Residential backflow prevention device FEES Owner: —" — Typo By Date Amount Receipt DON MORISSE TTE HO�JIES 5PC2 BON ~12/13/199 $2.00 99-320368 4230 GALEVJOOD STREE I SUITE 100 PRM4 BON 12/13/199`: $25.00 99-320368 LAKE OSWEGO, OR 97035 Total $27.00 Phone 1: 274-5223 Contractor: PROGRASS LANDSCAPE SERVICES 29895 SW KINSMAN RD WILSONVILL.E, OR 97070 REQUIRED It•'SPECTIONS Phone 1: 682-6076 RP/Backflow Preventer Reg #: LIC 00006136 F nal Insp(ction PLM 11558 n R This permit is issued subjeO to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be :lone 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 adoptee; by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080 You may obtain copies of these rules or direct quest,ons to OUNC by calling (503) 246-1987. / Issued By: 1) Permittee Signature: *' � . " t' k tl,VIL Call(503)639-4175 by 7:00 P.M. for an inspection needed the n�ss day 06.0&�99 I'M 10:57 FAX 503 598 1980 CITE' OF TIGARD x]002 CITY OF TIGARD Plumbing Permit Application Finn Creck7 13125 SW HALL BLVD. Commercial and Residential 9e.dDf P'l-ij TIGARD, OR 97223 ]a:eRaoa I�' (503) 639-4171 Dz'e tc P E. Print or Type Dole IC 037, Incomplete or illegible applications will not be accopted FermaaPPiM— c( Related SIrR k_ Called— Name of Daveopment/Projec. -FIXTURES tlndlvidusl) QTY PRICE- AMT:, Job OL( ez_:#­ Rji,lLyto SlOk 11.50 Address reatAodress SuItR Lavatuiy 11 oc' 91dp a City/Stats Zip --I a 3 Shower Only 11.50 Name water Closet - 11.50 7)sl rY)M%e*4e_ h'r''ne_ Clshwasher 115:1 Owner Mailn,TAddress Still(, OarbapeDlaposal 1170 LIQ30 Sw C-A1e-t+.'CC.c_ Mashing Machina - —` 11.50 cltyl5'ate Zip Phcne Floor Crnln/Floor Sink 2" 11.50 C.urre L+ wecl, og,, '790- !r'/So _ I Narre 3" 11.50 4" 1150 Occupant NBIIIng Ada! SLlte Nlaler fleeter O converslLn O like kind I 1t Gas I inn requi ea a separ3te machenical permit. ,I City/State Zlp Phone LaunJry Roon,Tray 11 5 —� Unnal - ----- ------ - - 11 53 dime LOL)Ilscop f'I'C7C�rC�SS l�''14SC G Other Fixtures(Spocfy) 160.) Contractor Mailing Address Suite _, 1 02'- 1r 1 5 S40 kitiStnrutk 1 _ Prkr to permit GtyrSlate Zip Phone L,€.7- Sewer•13t 100' 38 OJ issuance,a copy �I'ISM udle M,97o1q &1,71 01/7 Sewer each additional 100' 32O'3— of all license!are OtagoC L Cont.Board Uc 0 Exp Date -- required if 1�013 i ate,a Water service-list 100' 3800 expired In COT Plumbl y c'#' E.V.pats Water Service-each adel!lonal 20C' 3200 database ) [ 30 � Storm d Rain Drain-1st 100' 3800 Nome Storm d Rain Drain-each additlonaf 100' 32 OD Architect Mobile Home Space T2.DD —1 Or Melling Address Suite Commercial Back Flo#Prevention Devise or Ant. 3700 Poflullcn Device Engineer C!;y19191e Zip Phone Residential Har<Oow Prevention Device* 19.00 (Irrigat(or tk Nn6 devices require a separate g rr11t.) restrlcled energy Gee�nbe work to he done: _ Ne.v O Repair O Rep:ace•.vith like kinr': yes o O Any Trap or Waste Not Connected to a Fixture 11.50 Resldentlal O Commercial O _ Catch Basin 11.50 Additional description of work: -- Insp of Existing lurritllrg 50,00 erl`v Specially Requested Inspections 50.00 Are You capping,moving or replacing an fixtures per/if Yos 0 NO O Rein Dtair,single family dwelling 05.00 If yes,see back of form to indicate work performed by Grease Traps 11.50 fixture. FAILURE To ACCURATELY REHCF) FIXTURE _ WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL _ ae I Helsby acknowledge that.have read this application.that the Information I"move a filar dlae,om Is required It Quamly Taal is a 9 given Is correct,that I am the owner or authorized agent of the owner,and *SUBTOTAL tr 3t pians submi:!ed are Ir comp lance with Cre cn Slate Laws, Signatu�_wner'ty r Date �7, 3J6 SURCHARGE —+ ontsot Parson Name Phone "PLAN REVIEW 25%OF SUBTOTAL Reewec xlr h hrure qtv lo.' le>p _ _ (_ Y BRTNHi7UlslC_37e�0, a r Y .*Er� s TOTAL T, rr-� z!'JA t1ctJ3F b01o0ez ! 3 STN NQtJl3l3263 00 ! t 'J s J ,, s; '" 'M(nimurn permit falls is$53+5%surcharge,except Residential BackYow i i?hls'fge�c)tjdrYl all}Efu i4ln9�x tIL6s" Ih aw llt�1-fitr��l,�b { -'� Prevention De-Ace,which Is 825+5:1 surcharge 100 fvet gPsatn►tsrx sawer>ttonn r'4rilnr(watauRsptvi $p t` "All New Coironerclal buildings regLlre plans w to isometric;or riser diagram - .,1 and plan review tce'E':,�nstalrrmapa dcc S'?S= CITY O F T I G A R D --- ELECTRICAL PERMIT- RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR1999-00299 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/13/1999 SITE ADDRESS: 12435 SW HOLLOW LN PARCEL: 2S103CB-07000 SUBDIVISION: QUAIL_ HOLLOW - EAST ZONING: R-4.5 BLOCK: LOT: 019 JURISDICTION: UR Proiect Description: Landscape irrigation control A._RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE 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 INC 4230 GALEWOOD STREET -9895 SW KINSMAN RD SUITE 100 WILSONVILLE, OR 97070 LAKE OSWEGO, OR 97035 Phone: 274-5223 Phone: 682-6076 Reg #: LIC 68445 _ FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRM3 BON 12/13/1995 $60.00 99-320368 Elect'I Service Elect'I Final 5PC2 BON 12113/1995 $4.80 99-320368 Total $64.80 OR I G IN' nt I his 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 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987 l Issued by �� I 1�',� c-- Permittee Signaturert OWNER INSTALLATION ONLY I he installation is being made on property I own which is not intended for sale. lease, or rent. ()WNER'S SIGNATURE: _ DATE: CONTRACTOR INSTALLATION.ONLY SIGNATURE OF SUPR. E!EC'N \ _ _ _ DATE: I ICENSE NO: _— Call 639-4175 by 7:00 P.M. for an inspection needed the next business day JB 05;'99 711; 10:59 IAX 503 598 196(, CITY 6F TIGARD IiII004 CITY OF TIGARD RECEIV&VTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by: fi1J 13125 SW HALL BLVD Date Recd: I Z H 1 TIGARD Off 97223 PRINT OR TYPE V-503-639-4171 X394 DEC I I .1 1999 Permit k F-603-598-1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust Call'd COMMUNITY ULVELUNMENI WILL NOT BE ACCEPTED f(�`�+( �•,_>._5 Name cf Development Project TYPE OF WORK INVOLVED-RESIDENTIAL ONLY ( Restricted Friorgy Fee.... CJ LA-a I e- "—atL L"l (FOR ALL SY:TEMS) JOB Svect Adaress Ste b ADURESS /,,2 Le 35 S,CL) JJt11[LrllJ ) IIOLAP— Check Type ofWcrklnvolved: CItyty)State Zlp Phone s ❑ Audio and Stereo Systems Name ❑ Elurglar NormDoti Mor t SSV 1t �forncs OWNER Mp �pdi Address ❑ (3aiage Duor Opener- OWNER W vGr(eLL70C.r p [ra t)e- 01 ❑ Heating,Ven9lation and Air Conditioning System' t:nylStato Zip Phone L y (rt/CL b�uJt U (17 U3 �l -7y_()-_(_n�( (/' ❑ vactrumsystems• ' Name i ctridsCstref other r�y7�lScr�t,� L- 1c ci[z�7c�13 fiYt}yZ>//t CONTRACTOR a,ir�g reg9 k kis mo& len TYPE OF WORK INVOLVED-COMMERCIAL ONLY (Prior to Issuance a City/State 7_io Ph no N Foe for each system......_...................................... $80.00 copy cf all licenses W 1�bDR odl f✓ Ok of 70�u (p ka (po 0 (SEI_OAR 918.260.260) are required if Oregon CQntr. rd Lrc.k E p. ate d i� expired in C O.T. 14 I $ 31 a0(�p Check Type of Work Involved, data base). Eleclrlcal Conti.Llc.# Exp Uate F_!_ Audio and Stereo Systems M C 0.T.or a—Ir o Lic.q gip.Rafe r-1 Boilor Cortrcis Owner's Name ❑ clock Systema OWNER- Mailing Address APPLICANT D3'a Telecomrrun)cobon Instailatioa City/,tate Zip Phone M� Fire Alarm installation This permit 13 issued under OAE 918-32C 370 This applicant agrees to make only restricted energy Instal'ations(100 volt amps or less)under Lh!s ❑ HVAC perm and!o do tie following ❑ Instru-nenlatlon i. Only,use electrical iiceised pe,sons tc do Insta!'atlons where required Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paging Systems These have esterlsks(') All others need licensing: ❑2. Call fo•inspectgns when installation under tots permit are ready for Landscape In gation Cortrcl• Inspection at 603.6394176; ❑ Medical 3. Purchase sepere!e permits for all instanahons that are not reaey for an ❑j Nurse Calls inspection when the inspector is out to inspect under this pemtit. n Assume iesponsibIlIty!ur assuring that all corrections required by the ❑� Ou!door Lan rscape Ligh:ing• nsxctor are done,and, ❑ Protective Slgnellrtp 5 Assume resoonsmty for calling f-ir a final rtspection whet all of the corrections are complelod. ❑ Other.--- Per-nits ther_ _Permits are ncn Iransfercb a and non-refundable and exp re if work is not darted with n I go days o'issuance or f wcr.(Is suspended for 180 days. Number of Syste ns Th!-person signing for this permit must be the applicant or a person No licensee ere roulred. Licenses are mquree for en otnerr IrtsWarons awrionzed to bind the appLcant, rtes' Signature ENTER FEES S, "S'C SURCHARGE(.05 X 1 OTAL ABOVE) S __ L Sb Authority If other than Applicant TOTAL 1:4st6lforrisVesele do.,3/98 CITY OF TIGARD BUILDING INSPECTION DIVISION MST !YDS— 24-Hour Inspection Line: 639-4175 Business Line: 539-4171 SUP _ Date Requested /off�(S�4 _ AM _PM SLD Location /2 -05 �ck) ���� dl� JLW"' - v Suite �^_ MEC Contact Person Cc �bY`t SSC Ph ��� �a PLM _ Contractor Ph SWR BUILDING Tenant/Owner F.LC _ Retaining Wall ELR _ Footing Access: Foundation FPS _ Ftg Drain SGN - Crawl Drain Inspection Notes: -- ----- Slab SIT Post&BeBeami�_.__.-------- -- Ext Sheath/Shear Int Sheath/Shear Framingtf _ �.M�:� ; 771-.:6 C.:��� ,i4TTicez,�-/L� ----- - Insulation Drywall Nailing -- - -------------------���_�— -- — -- -- Firewall Fire Sprinkler Fire Alarm Susp'd Ceilinc. ---------- -- --- --— Roof --__--M s-': Find► SAS§ PART FAIT_ - - - - - - - -- ----- PCLWBING Post& Beam _- - _ - -----_-_..._._-.---- ---_._—.------_�.__ Under Slab I op Out Water Service Sanitary Sewer Rain Drains Final PA64 -- ART FAIL MECHANIC ---- Rough In Gas Line - - - Smoke Dampers S PART FAIL ELECTRICAL ---- - - - Service ------------ ---- Rough In - --�-- UGISlab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill/Grading - -- - ----- - Sanitary Sewer Storm Drain ( Poin spection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( 1 Plesse call for reinspoction PE — _ [ ]Unable to inspect-no access ADA Approach/Sidewalk Other Date _`'�_ e 1 __.... Inspector �- Ext Final PASS PART FAIL DO 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 T , AM __PM BLD Location .,C / LZ_ Suite r _ MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC _ Retaining Wal) ELR Footing - - Foundation ACCeSS: FPS F tg Drain — Crawl Drain Inspection Notes: SGN Slab __-- – SIT Pest& Heam ------ Ext Sheath/Shear int Sheath/Shear — - Framing _ Insulation y —�— Drywall Nailing - ` 1.4 FirewallFire Sprinkler Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBIN Post& Beam -- Under Slab 2—; Top Out Water Service Sanitary Sewer / Rain Drains PART FAIL 99MHANICAL — Post& Beam ------ — Rough In '_- Gas Line Smoke Dampers Final -- --- -- ..------- PASS PART FAIL ELECTRICAL –- Service Rough In UG/Slab ---- -- - -- - I_ow Voltage Fire Alarm Final - -- — PASS PART FAIL SITE backfill/Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of$_ i required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RF [ ]Unable to inspect-no access ADA Approach/Sidewalk G Other I}ate I� Inspec:tor `_Y Ext Final PASS PART FAIL r IUO NOT REMOVE this inspection record from the jolt site. ti CITY OF TIGARD BU" DING INSPECTION DIVISION MST 24-Hour inspection Line: 63b -4175 Business Line: 639-4 j BUP Date tRequested �( AM PM _ _ BLD Location f , -I > 5 /T 'L Suite MEC ! Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner Z C ELC Retaining Wall 'LGL. (j ELR Footing A 6ces4ei. ---- Foundation �l ����w1 FPS Fig Drain Crawl Drain Insp tion Notes: / SGN Slab --__.Z..L�.e_ 11 _ SIT Post&Beam - -- Ext Sheath/ShFar Int Sheath/Shear — Framing - Insulation Drywall Nailing Firewall ----� -'--- —�--- Fire Sprinkler --- --- _.-,- -- —- �Fi;"':r:, I,Iusp'd Ceiling Ruof Misc:— - - - --- Final PASS(-AN FAIL - --- -- I �'`rl � - . ------ PLUMl§ff4G Post& Beam Under Slab Top Out - Water Service _ Sanitary Sewer _ — Rain Drains Final _ -- PASS PART FAIL MECHANICAL Past& Beam - Rough In Gas Line - _- --- -- --- - Smoke Dampers PASS A T FAIL ELECTRICAL Service _ Rough In UG/Slab Low Voltage FireAlarm ---- ---- - - ---------�_._ ��...----- - Final PASS PART FAIL �__ — --------- ---------.-__-_----____---�.._ SITE Backfill/Grading -- — --------- ----- ---- Sanitary Sever Storm Drain [ ) Reinspection fee of$ required betore 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/Sidewalk Other Date 21 Inspector ------ ------------ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. __CERTIFICATE OF OCCUPANCY CITY O F T I G A R C� PERMIT#: MST1999-00225 DEVELOPMENT SERVICES DATE ISSUED: 09/21/1999 13125 SW Hail Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S103CB-07000 ZONING: R-4,5 JURISDICTION: URB SITE ADDRESS: 1.2435 SV'/ HOLLOW LN FILE C SUBDIVISION: QUAIL HOLLOW- EAS BLOCK: LOT':019 CLASS OF WORK: NEW TYPE OF USE: SF 'TYPE OF CONSTR: 5N OCCUPANCY GRP: R3 TENANT NAME: REMARKS: PATH r New single family dwelling w/attached garage & covered porch. Final Building Inspection and Certificate of Occupancy Approved 12/15/99 by Ken Schriendl, Building Inspector Owner: _ DON MORISSETTE HOMES 4230 GALEWOOD STREET SUITE 100 LAKE OSWEGO, OR 97035 Phone: 274-5223 Contractor: — DON MORISSETTE HOMES 4230 GALEWOOD STREET SUITE 100 LAKE OSWEGO, OR 97035 Phone: 503-387-7538 Reg#: LIC 000355 This Certificate grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and use nder whi h the referenced permit was issued. .. �� • ,� .Esti• BUILDING INSPECTOR BUILp! G OFFICIAL POST IN CONSPICUOUS PLACE