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13290 SW BIGLEAF DRIVE I , y 'AO!!Tpl1 •e ~7 LC40AMN WAIM YKML owu rvapor TUVIVL Ow" 4• ITGAi IILCIvII.DSA!! ,36 _ dop 9.'85.. `•. do, 4• -• � `.T�'. .1 1, 1 MN � I :h or . ■ IOOjO(' :.f:. Z V i L A ELEVATION A rrt • WMI L57- 1 Q � � S I T S AN SCALE 4 or,*6 LOT 104 DUILC>M nw%ooa=11=Lp D9EvEL0PMEWT LOT 61ZE 4610 6a frr LOT �P — �— .. NOl16E PERIMETER WEAVE On 6a Fr �� • covERED popr..N 2b 60 FT , TOTAL LCAT 02YERAGE 1342 60 Fr r LOT cO,TRACW 4610 6Q. FTJL342 6Q FT . 26.5% LOT 3 3 _ .. n . NOTICE: IF THE PRINT OR TYPE ON ANY �T�� ( � � I � � It � ( ► IIS ill ( ! 1 ► ! ► Ill � ( � r 1 1.1_T_1 lT , 11ili ili ili ili ili il � ili ' il � Ali ila Ali i� r � � —iLr Ali ili i r i '✓ i i i i i t_,. i 1_ i i i i IMAGE IS NOT AS CLEAR AS THIS NOTICE, 1 2 4 rill ------ - - - - -- -_---- 12 IT IS DUE TO THE QUALITY OF THE � No.36 ORIGINAL DOCUMENTE sz Sz Lz 9Z 5Zz EZ _ z iZ Oz sT 8I LI 8i 5i fiT ET �zI T1 T s 8 AIIIIIIIIIIIIIIIII L 8 Q -.�.� T illi Illllillllllllllllllllllllllilll�llllllll1111. 1111 .11111111111111illlil 111111111111illllillllllllll lllllllllllllllll llllllllllll !! !!I i ! �I!! IlI1 I!l! 111E ll!! ' 111 l!( IIl� 1111. 1111 l.Ll1111, 11.�1.i� IIItT�1-1I 1 t I 1 II� I L� 13290 SW Bigleaf Drive CaTY OF TIGARD BUILDING INSPECTION DIVISION MST 2V6V 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 — -- BUP _ Date Requested AM _PM BLD LocationA�f U �S+-✓ "6/! lea �f,� L _ Suite MEC _ Contact Person Ph -(�3/�3 _ PLM — — Contractor Ph SWIR —. `BUILDING Tenant/OwnerELC Retaining Wall .� ELR Footing Access: — — Foundation FPS Ftg Drain -_----- SGN Crawl Drain Inspection Notes: - -- Slab _- SIT Post& Beam - - _xt Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing - ----- -- ------ - --------- Firewall Fire Sprinkler - _--- - - --. -_�- -__-- ---------------- --- Fire Alarm Susp'd Ceiling Roof Misc: - ------------- ----- - Final PASS PART FAIL - ----------- ------- --- - ---------- si& Beare Under Slab TopOut __ --- --- -- --------_------------------ -- Water Service Sanitary Sewer Rain Drains WS PART FAIL _ FIANICAL Post& Beam - --- - ---- --..._...__..__.. ----------- ----- Rough In Gas Line ---- --- ------- _- -- Smoke Dampers Final --- PASS PART FAIL ELECTRICAL ------- __--.-- ___ — —_ _-- _-_ — Service -------.—.��_-- ------- -- --._—T— --- -- Rough In UG/Slab - -------- -- - -- ---- ---- -- ------ Low Voltage Fire Alarm -- Final PASS PART FAIL --.-.__-- SITE Backfill/Grading ------ -----` ----- -.-- -_- ' --Sanitary Sewer Sewer Storm Drain [ ]Reinspection fee of$- _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin t J Please call for reinspection RE: Fire Supply Line ease _-_-__- -__- [ J Unable to inspect no access ADA Approach/Sidewalk tither Date l Inspector _ Ext - p -L!�`-_- -._- _ inal FPASS PART FAIL I DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspertion Line: 639-4175 Business Line: 639-4171 MST G'L)/ 3 _ Date Requested / AM PMBLIP `- Location / G -54.1 71' j — -- BLD �� Suite MEC Contact Person Ph PLM SWR Contractor <c "I(`6 < < <� ( „a SPh — ---- BUlLOING Tenant/Owner _ El_C —` — Retaining Wall - - — --- Footing -----__�...�. E L R Foundation Access: - Ftg Drain / �r FPS Crawl Drain Inspection Notes: SGN Slab Post&Beam --- ---..- SIT - Ext Sheath/Shear --- -- Int Sheath/Shear Framing -------------- — Insulation Drywall Nailing ------ --- - Firewall --� -_-- -- Fire Sprinkler Fire Alarm Susp'd Ceiling — Roof Misc: Final - - ---- --- - --� - ----- - - - PASS PART FAIL PLUMBING Post& Beam ----__ Loder Slab -_ — ------- Top Out _ Water Service Sanitary Sewer - --- Rain Drains ----- — -- Final ------- - PASS PART FAIL — -- MECHANICAL Post& Beam Rough In ----------- -- _ ---. Gas Line Smcke Dampers -�-- -T` -- -.-_ Final -- P FAIL - ---- _- ice --------- _- _ Rough In - - -_-- UG/Slab -- -- Low Voltage _~ --------- - Fire Alarm - - - A. PART FAIL — E o Backfill/Grading --- Sarntary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin - Fire Supply Line [ ]Please call for reinspection RE: ADA ----- ------_ I Unable to inspect- no access Approach/Sidewalk - ` � Other _ _ Date %� 3 �'/ Inspector L,�/ Final — �� ---_._.__.___ Fxt PASS PART FAIL DO NOT REMOVE this inspection record frorn the job site. CITY OF TiCARD MASTER PERMIT PERMIT#: MST2000-00183 DEVELOPMENT SERVICES DATE ISSUED: 8/2/00 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 13290 SW BIGLEAF DR PARCEL: 2S104DA-04700 SUBDIVISION: QUAIL HOLLOW-WEST ZONING: R-4.5 BLOCK: LOT:033 JURISDICTION: TIG REMARKS: PATH I: New single family dwelling w/attached garage BUILDING REISSUE: STORIES: FLOOR AREAS _ REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: FIRST: of BASEMENT: of LEFT: SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: SECOND: of GARAGE: of FRONT: PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: at RIGHT: VALUE: $1;7,419 73 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL, 000 of REAP: PLUMBING _ SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS, LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS' TU8I3HOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS' OTHER FIXTURES MECHANICAL ___FUEL TYPES FURN c 100K: BOIL/CMP<3HP: VENT FANS: CLOTHES DRYER: FURN>-100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL _ RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEOERS BRANCH CIRCUITS_ MISCEL-LANEOUS_ ADD'L INSPECTIONS 1000 SF OR LESS: 0 200 amp: 0 200 amp: W/SVC OR FDR: PUMPIIRRIGATION: PER INSPECTION, EA ADO'L 500SF: 201 400 amp: 201 400 amp: 1st W/O SVC1FDR. 9IGNIGUT LIN LT: PER HOUR: LIMITED ENERGY: 401 $00 amp. 401 600 amp: EA ADDL BR CIR: SIGNALIPANEL: IN PLANT. MANU HMISVCIFDR: $01 • 1000 amp: 601-amps-11000v: MINOR LABEL: 1000-amplvolt PLAN REVIEW SECTION Reconnect only. >=4 RES UNITS: SVCIFDR>•225 A.: >800 V NOMINAL. CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY _ A.SF RESIDENTIAL _ _ S.COMMERCIAL AUDIO d STEREO: VACUUM SYSTEM: Al IDIO 6 STEREO, FIRE ALARM: INTFRCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNI-: GARAGE OPENER: CLOCKS INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAITELE COMM: NURSE CALLS: TOTAL a SYSTEMS. Owner: Contractor: TOTAL FEES: $ 3,420.23 This permit is subject to the regulations contained in the BRIAN MAT TEONI BROOKFIELD DEVELOPMENT INC Tigard Municipal Code.State of OR Specialty Codes and PO BOX 33468 5335 SW MEADOW ROAD all other applicable laws All work will be done in SUITE 365 accordance with approved plans This permit will expired 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 These rules are set Reg tr: I iC 11222Q forth in OAR 952-001-0010 through 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987 REQUIRED INSPECTIONS Erosion 844-8444 Underfloor insulation Mechanical Insp Shear Wall Insp Rain drain Insp Plumb Final Footing Insp Crawl train/Backwater Plumb Top Out Low Voltage Water Line Insp Final inspection Foundation Insp Footing'Foundation Dr; Elect,ical Service Gas Line Insp Apr./Sdwlk Insp Building Final Post/Beam Structural PLM/Unlerfloor Electrical Rough In Gas Fireplace Electrical Final Post/Beam Mechanica Mechanil.al Insp Framing Insp Insulation Insp Mechanical Final 1 Permittee Signature Issued B - _ Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2000-00148 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/2/00 SITE ADDRESS; 13290 SW BIGLEAF DR PARCEL: 2S 104DA-04700 SUBDIVISION: QUAIL HOLLOW-WEST ZONING: R-4.5 BLOCK: LOT: 033 JURISDICTION: TIG TENANT NAME: BRIAN NIATtEONI USA NO: FIXTURE UNITS: 0 CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWP IMPERV SURFACE: Remarks: Sewer connection for new single family dwelling. Owner_ — _ FEES BRIAN MATTEONI Type By Date Amount Receipt PO BOX 33468 �. PRMT DEB 8/2/00 $2,300.00 0004180 INSP DEB 8/2/00 $35.00 0004180 Phone: Total $2,335.00 Contractor: Phone: Reg #: Required Inspections Sewer Inspection This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issin-cl. The total amount paid will be forfeited if the permit expires. The 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 directions from the distance gi%en If riot so located, the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Orogon 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 mons to OUNC by calling (503) 246-1987. Issuery � � �) Permittee Signature: %�— �,� Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TI ,BARD Credit No.: Date Issued: June 8. 2000 Engineering Authorization Date: June 8, 2000 TRAFFIC IMPACT FEE ' CREDIT VOUCHER Land Use Casefile No.: 97-517-PD/S/DHA In accordance with Ordinance 379_ Cypress Ventures Inamo a dwaopoq is entitled to $ 292.254.91 in Traffic Impact Fee Credits that can be applied to TIF FAST ^+.+o charges for development on lot(s) all of the Quail Hollowv- WEST Development3. To use this credit, present this form at the time of issuance of the building permit. Date Permit Numbers Lot Numbers Credit Used _ Balance Beginning Balance $_ 292.254.91 Balance carried forward to TIF Credit No. • Ordinance 379 provides for an expiration 7 years from authorization. login\viola\I409 1 Use Additional pages if necessary. r I Y UI- I IUAKU Keslaentlai tsuilainq Hermit Application Tian line 3125 5W HALL BLVD. Z _ Rec'd By rIGARD, OR 97223 Sin )uplex) Data Recd V 503-639-4171 Date to P.E./p oC? F 503-684-7297 Date to DST ('0 -3 o—Y-1 Permit 0`171200-0 Called Incomplete or illegible applications will not be accepted Name-of Project Name Job VQI"I STD✓� � _ ,Oe>'�-'- Address Ske Address Architect Mailing Address A 7C S O Jj/3 7'�d Name ky/State 7p Phone "6wner Maili Ad ressName City/State ip Phone Engineer Malling Address General Name Cky/Stat — Zip Phone Contractor ��4e ,.alt", 'G�'��9� Descr.be work Na � Addition O Alteration O Repair O Mailing Address to be done: Prior to permit ,S'?3�"`�,pJG ,i /1'� Additional Description of Work: issuance,a copy City/State Zip Phane _ of all licenses d-Z' QQ 9, �GL7/P are required k Oregon Const.�ContBoa:rd _ Exp. Date PROJECT expired In COT Lk:.0database , �- ; //-411& VALUATION $ 2 /. 7 Y Mechanical Na rne NEW CONSTRUCTION ONLY: Sub- ~�� Sq. Ft. House: Sq. Ft. Garage Contractor Mailing Addma f. 7 ! -� Prior to permit Indicate the restricted energy Installation by the electrical Issuance,a copy 60y/State Zip phone subcontractor in the following areas of all licenses __ Restricted Audio/Stereo are required k n C Oregoonst.Cant.Board Exp.Date — Energy _ System _ _ Alarms expired In COT Lic.0 installations Vacuum Irrigation database System Plumbing Name - (check all that Other er. System Sub- / .1/ , a XYZ-- Contractor Malll Address - Comer Lot YES NU Flag Lot YES Np �� deck ones X Prior to permit Cky/State Zip Phone Has the Subdivision Plat recorded? - N/A YEyS NO issuanc a copy of all licenses are Oregon Const Cont Board Exp.Date required If Lic.0 expired In COT I hearby acknowledge that I have read this arplie-ation,that the database Plumbing Lk:.ArExp. Date information given is con-ect,that I am the owirer or authorized agent of the owner.and that plans submitted are in compliance with - ---- _ Oregon State laws. _ Name Signature of Owner/Agent Date (Electrical /`)H t� of Z� Sub. Mailing Address Co.- Person Name-_ Phone# Contractor .–_..0 � � CkylState Zip Phone P.ior to permit Issuance,a copy of all licenses are Oregon Const.Cont. Board Exp.Date FOR OFF�I;9 HE required If Lio.N Plat#: / sag . --� expired In COT 2o 33 database Electrical LM.N Exp.Date Setba a: )Zone: _ Electrical Supervisor uc N Exp.Date 61gi ening A,oproval: nnin —1/ g Approval. TIF: G n i kists\fornns\sfaddalt doc 12/10/99 r t � ' I i CITY CF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 1 BIAS / BUF Date Requesteaj U AM PM _ BLD — A Location/ Z �� ,SL,, 3i ,x y — Suite MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall - -- ELR - Footing -_ Foundation Access.- Ftg Drain FPS — Crawl Drain Inspection Notes: SGN Slab _— SIT - Post&Beam - ---- --_ Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing CSG V\ Ci_$ Firewall , Fire Sprinkler Fire Alarm --/I Susp'd Ceiling _�_'�-� �-+ +✓1.1,.,Q �, L ✓ -Q Roof Misc: Final PASS PART FAIL PLUMBING Post& Beam -- Under Slab Top Out --_-- — - - Water Service Sanitary Sewer ---- -- - -- - -_ Rain Drains Final _.- ------- —— ---- - PASS PART FAIL (,)W Post& Beam ------ ---- ----- — - 6 Rough In - �— pV- Gas Line _-_- _--- -- --- _ Smoke4Aamers ;Fina --�_------------------------ S PART FAIL. 'EMTRICAL ---- ---------——_ ----------- --- - — Service Rough In ----- _ - - —— -- -- UG/Slab Low Voltage '- Fire Alarm Final -------.----- ------------------ - ---------__ PASS PART FAIL SITE - --- — Backfill/Grading - ----- ----- — - -- --- -- _--_. _—__-- Sanitary Sewer Storm Drain [ ] Reinspection fee of$— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin rare Supply Line [ ]Please call for reinspection RE:_ _ [ ] Unable to inspect-no access ADA rhlSidewalk Other � �j Other Date � \ - Inspector '4- L� Ext1� Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST 623, Date Requested �� AM PM BLIP BLD LocationZ -�-- r-�✓ _ - Suites MEC Contact Person / •� Ph �' U jj _ PLM _ Contractor _ Ph SWR _ BUIL — Tenant/Owner _ ELC - Retaining Wall -` Footing ELR Foundation Access: ---- ------- FPS Ftg Drain Crawl Drain Inspection Notes: SIGN Slab -------- Post&Beam -"-- - ------ SIT Ext Sheath/Shear -- Int Sheath/Shear Framing - Insulation Drywall Nailing --7 Firewall -_- Fire Sprinkler ---- Fire Alarmc- Susp'd Ceiling _—__- Roof --- -- --- - --_- Mi it . ------•- --- - --+ /�,�--�-y------ __.- --- AS FAIL L BIN - ost& Bedm -- -- ------ --- - __._ Under Slab - - Top Out ---- --------- -�__ __ Water Service -� Sanitary Sewer `-- - - ----_ -- _ _ Rain Drains - Final ---- --- _ ----------- PASS PART FAIL MECHANICAL - - -- -- _-_^--- ---__-_-_ Post&Beam _— Rough In -- _---- --- - _- -- -- Gas Line - --- ---- Smoke Dampers ------ Final PASS PART FAIL - ELECTRICAL -- ------ --- _ _ Service .--- Rough In - ---- -_ -- --- --._-_-_ ---- -- --- UG/Slab Low Voltage ---- -- ------ _- _-- Fire Alarm Final - - - - --- --------- PASS PART FAIL SITE - -- Backfill/Grading - --- ----- -- _-__ - Sanitary Sewer - Storm Drain [ ]Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin - Fire Supply Line [ )Please.call for reinspection RE:- [ ]Unable to inspect-ro access ADA , Approach/Sidewalk Other Date Inspector i Final --- ---- ----- ____ Ext � PASS PART FAIL_ i DO NOT REMOVE this inspection record from the job site. I U& Nl- W : �-- Q-. a z LLJ w V Qc o o j� LL J J ;� W z o 1 N uj < w L1! Lli z j � �l Z w cr R~ Lij Lq , m 111 U' co o `o CL W co O �r m U) N ci w J� �t LU W a o > w c CITYOF TI GA R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2000-00441 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/5/00 SITE ADDRESS: 13290 SW BIGLEAF DR PARCEL: 2S104DA-04700 SUBDIVISION: QUAIL HOLLOW-WEST ZONING: R-4.5 BLOCK: LOT: 033 JURISDICTION: TICS CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES- TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: --_FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREAOE TRAPS: LAVATORIES: OTHER I:IXTURES: TUB/SHOWERS: SE NER LINE: ft WATER CLOSETS: W 4TER LINE: ft DISHWASHERS: FAIN DRAIN: ft Remarks: Installation of residential backflow preventer valve. Owner: _ _ FEES BRIAN MATTEONI Type By Date Amount Receipt PO BOX 33468 PRMT CTR 12/5/00 $36.25 27200000000 5PCT CTR 12/5/00 $2.90 27200000000 _ Total $39.15 Phone 1: 625-1305 - Contractor: GROVER LANDSCAPE 5005 SW MEADOWS RD LAKE OSWEGO, OR 97035 REQUIRED INSPECTIONS Phone 1: RP/Backflow Preventer Reg #: LIC 7067 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. 'This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You y obtain Copies of these rules or direct questions to OUNC by caliing (503) 246-1987. I>rsuo Y: b\\ (/ /� Permittee Signature: Cell(503)69.4175 by 7:00 P.M. for an inspection needed the next business day 'a CITY OF TIOARD Residential Certificate of Occupancy Permit No.:5E —QD/P3 Address: 'Q-qlg eI L L ' Owner/Contractor: �'p�IUP.� C. (/ Date of Final Inspection: 1" , D Inspector: This structure has been found to be in substantial compliance with the provisions of the State( )regon One& Two Family Dwelling S eciaLty Code and is hereby approved for occupancy. _ Plumbing Perinit Application —— _ Date received: /,;: 1,,9 Permit no.:y g `1// o-0�/ Citof Tigard - `� ,,.dress: 13125 SW Hall Blvd,'figard,OR 97223 Sewer permit no.: Building permit no.: City r JTigard phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: — _ Case file no.. Payment type: U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New construction U Addition/alteration/replacement U Food service U Other: Job address: I1Mscri►Non Qty. Fee ea. Total _ .�— Bldg.no.: Suite New 1-and 2-family dwellings only: _ � 1.: _ (includes 100 ft.for each utility connection) Tax map/tax lot/account no.: _ SFR(1)bath Lot: k: _ Subdivision: SFR(2)bath -- -- - -- Project name: -�' _f � �, SFR(3)bathCity/county: IP: Each additional batln/kilchcn Description and looliflop of work on premises:_ Sheutilltles: Catch basin/area drain _ Est.date of completion/inspection: -- Drywells/leach Iineltrench drain Footing drain(no.lin. ft.) Manufnclured home utilities Business name: ' r (! /,,. ' llq- Marholer -- - Address: �" /2Rain drain connector City State: ZIP: _ Sanitary sewer(no. lin.ft.) Phon Fax: E-mail: - Storm sewer(no.lin. ft.) - Water service(no. lin. ft.) CCB no.: — Plumb.bus.reg.no: �'/�� `�7 fixture or Item: City/metro lic.no.: Contractor's representative signature: Absorption valve _ - -- Back flow preventer rin Pt name: Date: Backwater valve _ Basins/iavatory Name: Clothes washer _- Y — ---- Dishwasher _ Address: Drinking fountain(s) —— City: �—_ State: ZIP: EJectors/sum P Fa : E-mail:Phone: Expansion tankFixturelsewer cap Name(print): Floor drains/floor sinks/hub Garbage dis Mailing address: -- - std— — liose bibb City_— _ State: 'LIP: —_ Ice maker Phone: Fax E-mail: Interceptor/grease trap _ Owner installation/residential 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 si nature: Date: Sum — _ Tubs/shower/shower pan — Urinal Name: — — Water closet --- — Address: Water heater _City: State: ZIP: Other. — M!-)nc: Not oil lurisdictinns accept credit card.,,please call jurisdiction for mcue inr«maaon. Notice:This permit application Mininnum fee................$ U Visa U MasterCard expires if a pennit is not obtained Plan review(at _— %) $ Credit card numtwr --- ---_-- _—(�— within 180 days alter it has been State surcharge(8%)....$ Expires ---—-- ---------- accepted as complete. TOTAL .......................$ Nnme or ridholdn a+shown on credit card — s _ --- --Cardholder signature -- — — Amaaat 4401616(6MCOM) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES lndividuaa_ QTY ea AMOUNT (includes all plumbing fixtures in PRICE TOTAL Sink 16.60 - the dwelling and the first100 ft. QTY (ea) AMOUNT Lavatory 16.60 for each utility connectlon _ One 1 bath _ $249.20 Tub or Tub/Shower Comb. 16.60 Two 2 bath $350.00 - Shower Only - 16.60 Three 3 bath $399.00 Water Closet 16.60 ------ --- _ SUBTOTAL _ Urinal 16.60 _ 8%STATE SURCHARGE Dishwasher - 16.60 _- PLAN REVIEW 25%OF SUBTOTAL Garbage Disposal 16.60 -TOTAL Laundry Tray 16.60 -- Washing Machine 16.60 Floor Drain/Fioor Sink 2" 16.60 3" - 16,60 PLEASE COMPLETE: 4" -- 16.60 Water Heanor O conversion O like kind 16.60 - - _ t�uantit b Work Performed Gas piping requires a separate mechanical Fixture Type: New Movel Replaced Removed/ permit. _ - _ Capped MFG Home New Water Service 46.40 Sink - - MFG Home New San'Stoiat Sewer 46.40 Lavatory Tub or Tub/Shower Hose Bibs 16.60 Combination_ _ Roof Drains 16.60 Shower Only - Drinking Fountain 16.60 Water Closet - Other Fixtures(Specify) �- 16.60 Urinal - - - Dishwasher Garba-e Disposal -- - Laundry Room Tray -_ Washing Machine Floor Drain/Sink: 2" Sewer-1 at 100' 55.00 3„ -- Sewer-each additional 100' 46.40 -- _4" Water Service-1st 100' 55.00 Water Heater _ Water Service-each addllional 200' 46.40 Other Fixtures (Specify)_ Storm G Rain Drain-1st 100' _ 55.00 Storm&Rain Drain-each additional 100' 46.40 -- - Commercial Back Flow Prevention Device 46.40 --- ----- Residential Backflow Prevention Device' 27.55 - Catch Basin - 16.60 Inspection of Existing Plumbing or Specially 72.50 Requested Inspectionspet/hr COMI"ENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 Grease Traps 16 60 - -�-- QUANTITY TOTAL -- Isomeldc or riser diagram is required it -�-�- --�--- Quanlfty Total is >8 - - -- `SUBTOTAL ---- -- 8%STATE SURCHARGE - - ---- -- - "PLAN REVIEW 25%OF SUBTOTAL Required only if fixture qty total is>9 TOTAL S "Minimum permit fee is$72 50"8%state surcharge,except Residential Backflow Prevention Device,which is$ae 25-8%state surcharge "`All New Commercial Buildings require plans with Isometric or riser diagram and plan review l:ldstslfonns\plm-fees.dor, 10/10/00 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE ~n WOLCOTT PLUMBING CONT. INC AUG 1 0 7000 PO BOX 2007 LBY:--,. GRESHAM, OR 97030 Plumbing Signature Form Permit #: MST2000-00183 Date Issued: 812100 Parcel: 2S104DA-04700 Site Address: 13290 SW BIGLEAF DR Subdivision: QUAIL HOLLOW -WEST Block: Lot: 033 Jurisdiction: TIG Zoning: R-4.5 Remarks: PATH I: New single family dwelling w/attached garage Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN- Building Dept. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR.- BRIAN ONTRACTOR:BRIAN MATTEONI WOLCOTT PLUMBING CONT. INC PO BOX 33468 PO BOX 2007 GRESHAM, OR 97030 Phone #: 625-1305 Phone #: 667-1781 Reg #: I Ir 00023847 PI M 26-208PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X SignatxG of Authorized Plumber If you have any questions, please call (503) 639-4171, ext. # 310 Electrical Innov. , Inc. 503-632-6564 P. 5 CITY OF T'—_ 13125 S.W. HALL BLVD. TIGARD, OR 97223 Ir- 'ORTANT PERMIT NOTICE 'at'c ELECTRICAL INNOVATIONS Ep 22300 S LEWELLEN RD SAN 1 G 2QQ BEAVERCREEK, OR 97004-8733 pEV��pEN Electrical Signature Form Permit#: MST2000.00193 Date Issued: 8/2/00 Parcel: 2S104DA-04700 Site Address* 13290 SW BIGLEAF DR Subdivision: QUAIL HOLLOW -WEST Block: I_ot: 033 Jurisdiction: TIG Zoning: R-4.5 Remarks: PATH I: New single family dwelling w/attar hod garage Your company has been indicated as the electrical contractor for the permit indicated above. In order for the elertrical permit to be valid the Signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No electrical inspections will be authorized until this completed form is received OWNER: ^LECTRICAL CONTRACTOR: BRIAN MATTEONI ELECTRICAL INNOVATIONS PO BOX 33468 22300 S LEWELLEN RD BEAVERCREEK, OR 97004-8733 Phone #: 625-1305 Phone #: Req #: uc 2"99C 0066 12 SUP 36215 AN INK SIGNATURE IS REQUIRED ON THIS FORM Signatur Supervising Electrician I' u have any questions, please call (503) 639-4171, ext. # 310