12290 SW QUAIL CREEK LANE N
N
A
c
a�
n
ro
ro
r
m
ro
Np`
'12290 SW Quail Creek Lane
CITY OF ,1 IAJARD --- MASTERf`ERMI"L
PERMIT#: MST2002-00218
DEVELOPMENT SERVICES DATE ISSUED: 7/11/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171
SITE ADDRESS: 12290 SUV QUAIL CREEK LN PARCEL: 2S103CB-09700
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R-4.5
BLOCK: LOT:055 JURISDICTION: TIG
REMARKS: New SF detached, Path 1
BUILDING _
REISSUE. STORIES: 2 FLOOR AREAS _ REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 26 FIRST: 1.600 at BASEMENT: of LEI T: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SFCOND: 1,670 at GARAGE: 420 at FROM 20 PARKING SPACES
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBEMENT: at RICHT 5
VALUE: 6 306,146.80
OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3,270.00 at REAR 30
_ PLUMBING _
SINKS: 1 WATER CLOSETS: 3 WASHING MACH. 1 LAUNDRY TRAYS: I RAIN DRAIN- 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS I CATCH BASINS
TIJBISHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNf R: + GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL _
FUEL TYFES _ FURN<100K: BOILICMP<3HP: YEN I FANS 5 CLOTHES DRYER: 1
GAS rURN>•IOOK: 1 UNIT HEATERS: HOODS: t OrHERUNIT9: 1
MAX INP btu FLOOR FURNANCES: VENTS: I WOODSTOVES GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LE95: 1 0 •200 amp: 0 200 amp: WISVC OR FDR: I PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 6 201 400 amp: 201 400 amp: tat WIO SVCIFDR: 07 SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 •600 amp: 401 600 amp: EA ADDL OR CIR: SIGNALIPANEL: IN PLANT:
MANU HM19VCIFDR: 6U1 • 1000 amp: 1101*amoe•1000v: MINOR LABEL:
10004 amolvoll:
PLAN REVIEW SECTION
Reconnect onto: -'
>•4 RES UNITS: SVCIFDR--225 A.: >600 V NOMINAL CLS AREA/SPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.9F RESIDENTIAL _ &C
AUDIO&STEREO VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT:
BURGLAR AL ARMGTH. BOILER: HVAC: LANDSCAPF ARIG: PROTECTIVE SIGNL•
GARAGL OPLNER. CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC. DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS:
Owner. Contractor: TOTAL FEES: $ 5,549.66
DON MORISSETTE HOMES DON MORISSETTE HOMES This permit Is subject to the regulations contained in the
4230 GALEWOOD ST#100 4230 GALEWOOD STREET Tigard Municipal Code,State OR. Specialty Coles and
LAKE OSWEGO,OR 97035 SUITE 100 all other applicable laws. All work will be done In
LAKE OSWEGO,OR 97035 accordance with approved plans. This permit will expire If
work is not started within 180 days of Issuance,or If the
work Is suspended for more than 180 dayr-,. ATTENTION:
Phone: Phone: Oregon law requires you to fallow rules adapted by the
Oregon Utility Notification Center. Thooe rules are set
Reba: LIC 35533 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 Control Insp 8, Post/Bean' Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final
Sewer Inspection Underfloc- Insulation Plumb Top Out Exterior Sheathing Ins{ Rain drain Insp Plumb Final
Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Final inspection
Foundation Insp Footing/Foundation Dr; Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Final inspection
Po s e— letural PLM/Underfloor Framing Insp Gas Fireplace Electrical Final
issu d B Permittee Signature -
Cali (503) 639-4175 by 7:00 p.m. for an i..1pection needed the next bLlsiness day
CITYOF TIGAR® _ SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2002-00148
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED 7/11/02
SITE ADDRESS; 12290 SW QUAIL.CREEK LN PARCEL: 2S103CB-09700
SUBDIVISION: QUAIL HOLLGbv- EAST ZONING: R-4.5
BLOCK: LOT: 055 _ _ JURISDICTION: TIG____
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection for new SF
Owner: — FEES
DON N'ORISSETTE HOMES Type By —Date Amount Receipt
4230 GALEWOOD ST#100 — —
LAKE OSWEGO, OR 97035 INSP CTR 7/11/02 $35.00 27200200000
PRMT CTR _ 7/11/02 $2,300.00 27200200000 _I
Phone: 503-387-7538 Total $2,335.00
Contractor:
Phone:
Reg tt:
Required Inspections
This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180
Jays from the date issued. 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 given. If not so Ionated,the installer shall purchase a "Tap and Side Sewer' Perm
Issueby: �,.. 1 (iCag ., Permittee :signature:
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
Building Permit Application
,
Date received: Permit no.: �� •,`± '=�e'1!�
City of Tigard -
Address: 13125 SW Hall Blvd,Tigard,OR 97223 . Prolecdappl.no: _^ Expire date: — �
City of rgard Phone: (503) 639-4171 Date issued: — By: Receipt no.:
Fax: (503) 598-1960 i',' Case file no.: Payment type:
1 �
Land use approval: _ 1&2 family:Simple Complex:
c-
;Jobaddress:
family dwelling or accessory 0 Commercial/industrial O Multi family y�Ncw construction ❑Demolition
ply
on/aiteratiotVi--placement U Tenant improvement U Fire sprinkler/alarm U Other: _—
t
�' i (. i `) Bldg.no.: Suite no..
Lot: Block: ISOdivision: Tax map/tax lot/account no.:
Project name:
Description and location of work on premises/special conditions:
Name: Y
Mailing address:Ila I 1 k 2 family dwelling: &,G
City: U 1 0 State ZIP: Valuation of work........................................ �d of •
Phone: - Fax: -7 -mail No.of bedrooms/baths................................ --- —
Owner's representative: r Total number of floors................................
Phone: __-- l,0: E- sil: New dwelling area(sq.ft.) .......................... '� �•
Garage/carport area(sq.ft.).........................
Name: i ' Covered porch area(sq.R) _
Mailing address: Deck area(sq.ft.) ........................................
--� Other structure area(s .ft.
City: State: ZIP: ).........................
Phone: Fax: E-mail: Commerclalllndn,trial/vniiltl-farnliv-
Valuation of work........................................
— •••
I__
Business name: Existing bldg.area(sq.ft.) .............
New bldg.area(sq.f.)................... .. •
— _—
......
Address: _
ZIP: --- Number of stories........•.............. r _
City: State: ........
Type of construction....................�•..
Phone: Fax: - E-mail: Occupancy group(s): Existing:
CCB no.: --_ _ New: _
City/metro lic.no.: Nodee:All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to be licensed in the
Address: �(�� — jurisdiction where work is being performed. if the applicant is
Cl!j: State: ZIP. exempt from licensing,the following reason applies:
Contact person: Plan no.: -- -- --
Phone: Fax: E-mail: --- ---
Milo 1011�M
Name: _ Contact person: Fees due upon application ........................... $
Address: - -- _ Date received:
City: State: ZIP: Amount received ...............•......................... $--_--
Phone: Fax: �E-mail: — Please refer to fee schedule.
I hereby certify 1 have read and examined this application and the Not all jurisdictions rrcept credit cads,pleam call jurisdiction for more information.
attached checklist.AH-provisions of I ws and o linances governing this ❑visa U Master(:ard
work will be compl�Cd wi ,whether cifled fiereA ruttit.` Credit card number —
AuthOrized si natu� , •��_—�J_.-1 5���- —- Name of uudlwlder na dicwn on credit card Expiress
Print name: 2 i�1 -- ____ Cir Colder alputwe _ ----=Amount
Notice:This permit application expires if a permit is not obtained within 190 days nffer it has been accepted as complete. "04613 l60WoMt
One-and Two-Family Dwelling �
CReference no.:
Building Permit Application heckliSt -
-- Associated permits:
City of fi.ranl City of Tigard 0 Electrical 0 Plumbing 0 Mechanical
Address: 11125 SW Hall Blvd,Tigard,OR 97223 OOther:
Phone: (503) 639-4171
Fax: (503) 598-1960
TO e REQU!I1111) FOR PLAN RUVIEA� Nes No N/A
I Land use actions completed.See Jurisdaction cntcna fot concutrent reviews.
2 Zoning.Flood plain,solar balance points,seismic sods designation;historic district,etc.......
3 Verificatlen of approved plat/lot.
4 Fire district__approval required.
5 Septic system permit or authorization for remodel.Existing system capacity
6 Sewer permit. --
7 Water district
h_Solls report.Must carry original applicable stamp and signature on file or with application.
9 Erosion control ❑plan 0 permit required. Include drainage-way protection,silt fence design and location of
catch-basii proteCtln etc. _-
10 ._ Complete sets of legible plans.Must he drawn to scile.showing conformance to applicable local and state
building codes.Lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details.Plan review cannot be completed tJ
ta, it'copycat violations exist.
11 Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if
there is mare than a 4-ft.elevation differential,plan must show contour line.;at 2-1L intervals);Itration of easements and
driveway;footprint of structure(including decks);location of l+rells/septic systems;utility locations;direction indicator,lot
arca;buHd'ang coverage area; 1>entage of coverage;impervious area;existingstructures on site;and surface drainage.
1 ,r any hold-downs ind reinforcing pads connection details,vent
1 nomedatloa plan.Show dimensions,anchor bolts,
size aid 4ocation.
f' 13 Floor plane.Show all dimensions,room identification,window size,location of smoke detectors,water heater,
furnace, ventilation fans,plumbing fixtures,balconies and decks 30 inches n1bove grade,etc.
14 Cross secdon(s)and details.Show all framing-member sizes and spacing suen as floor beams,headers,joists,sub fldwr,
wall construction,roof construction.More than one cross section may be required to clearly portray construction.Show
details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs, v
fireplace construction, thermal insulation,etc.
15 Elevation views.Provide elevations for new construction,minimum of two elevations for additions and remodels.
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
_Ful4-size sheet addendums showing foundation elevations with cross references are acceptable.
16 W-dl bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations-,for
Fico-prescriptive path analysis ptovide specifications and calculations to engineering standards. _
17 Floorlroof framing.Provide plans for all floots/roof assemblies,indicating member sizing,spacing,and hearing
Ixations.Show attic ventilation.
18 Basement and retaining wails.Provide cross sections and details showing pincement of rebar.For engineered
systems,see item 22,"Engineer's calculations."
19 Ream calculations.Provide two sets of calculations using current code design values for all beams and multiple joists
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof tnus design details. –
21 Energy Code compliance.Identify the prescriptive path or provide calculations. A gas-piping schematic is required
for four or more appliances. – - —
22 Engineer's calculations.When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or
architect licensed in Oregon and shall be shown to he applicable to the project under review.
23 Five(5)site plans are required for Item 11 above. Site plans must be 8-1/2"x 1 l"or 11"x 17". K
24 Two(2)sets each are required for Items 16, 19,20&22 above.
25 Building plans shall not contain red lines or tape-ons.
26 No rolled,reversed or mirrored building plans will be accepted. _
27 -
28 _
Checklist must be completed befor.- plan review start date. Minor changes or notes on submitted plans may be in blue or black ink.
Red ink is reserved for department use only. .404614(601 roMI
Mechanical Perinit Application
Datereceived: Permit no.:
CityCit of Tigard
Project/appl.no.: Expire date:
Cityof77gard Address: 13125 SW Hall Blvd,Tigard,OR 97223 — --
Phone: (503) 639-4171 Date issued: By: Receipt no.: _—
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: Building permit no.:
TYPE OF PERIMIT
0 l &2 family dwelling or accessory ❑Commercial/industrial Q Multi-family 0 Tenant improvement
�Iew construction O Additior>/altcrauon/replac:ement U Other.
/ 1 1 1 1 -
!ob i -a'C Indicate equipment quantities in boxes below.Ifndicate the dollar
Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.: profit.. Value S _ —
Lot: Block: Subdivision: 'See checklist for important application information and
Project name: jtuisdiction's fee schedule for residential permit see.
City/county: Z1P: t t
Description and location of work on premises: t t 121` u 114.1 C4 h, X1 a '110011 1
Fee(m) Total
Est.-date ofcompletion/inspection: Description Qty. Ret.only Rec.only
Tenart improvement or change of use: ACU
Air handling unit CFM__--
Is existing space heated or conditioned?0 Yes G No conditioning(site plan r umi�@)
Is existing space insulated?O Yes Q No - - -- --
teration o existing A system
i er compressors
Business name: -
- State boiler permit no.:
��- � -- HP Tuns BTU/H
Address: - --
_ a _ rreJsmo a dampers/duct smo a electors _
City L_R State' ZIP. eat Fp--(site plan required) -
Phone: Fax: F.-mail: nstaivrep acefurnace/bumer i — —
Including ductwork/vent liner U Yes O No _
CCB no.: - nsta rep ace/relocate eaters-susp�ed,
City/metro lic. no.:N/A wall,or floor mounted _
Name(please print): ' Vent ora lance n er than turnace -
e era on:
Absorption units BTU/II
fAddress.
am : � .`���, - Chillers_ HP _-
i �� Com ressors__ HP
- oementa exhaust an Ventilation:
ity: State: ZIP: Appliancevent
hone: Fax: E-mail: yerex aust ---" - --
s, ype / res. ache aamat
hood fire suppression system _
Nntne: Exhaust Can with single duct(bath fans)
Mailing address: _� j �,' Exhaust system a art m heating or AC
City
tie Piping andistribution up to out,cU)
State ZIP Ty . LPG NO Oil
Phone: 7- Fax; E-mail Fuelpiping each additional dditional overt ets ---
Process piping(schematicrequired)
Number of outlets
Name:
----- ter 1 app ante or equipment:
Address: — T - v_ Decorative fireplace
City' State: ZIP: ns1 cert-type
Phone: Fax .mail o stove-ipe let stove _
---
AppUcanr's signafu' Date: Ut er.
Name(Print): 1 PY;171110 -
Na all jurisdictioau accept credit cards,please till juriatkuon fat most information. Permit fee...... ..............S u
❑VisaMuterCard Notice:This permit application Minimum fee................$
expires if a permit is not obtained
Credit card number — —_—� --L1— Plan review(at _. %) S —_---
-- Fspires within ISO days after it has been State surcharge(8%) ....S
--�of cardholder as Mowe on credit card accepted as complete. TOTAL .......................$
_- —
S -
Cardholdiii dptature — —'—Amount
-. 410-46 t'!(tiOtYr'OM)
,
Plumbing Perant Application
- Dau;received: y/ 7 Permit
City of Tigaard
b Sewer permit no.: � Building permit no.:
Address: 13125 SW Hall Blvd.Tigard,OR 97223 —-
City ofTigard Phone: (503)639-4171 Project/appl.no.. - axpiredate:
Fax: (503)598-1960 Date issued: By Receipt no.:
Land use approval: _ _ Case Cde no.. -� Payment type_:
TYPE OF PERM
O 1 &2 farruly dwelling or accessory 0 Commercial/industnal 0 Multifamily U Tenant improvement
e construction Cl Addition/altei-auon/replacement O Food service ❑Other.
ale131
ne"-
Job address: �y � V r _ h I)e criptiot: _ Q Fee(es.) 'Total
Bldg.no.: Suite.-to.: New 1-and 2-f-Amity dweilivgs only:
Tax ma /tax lot/account no.: (includes 100 P..for each utility cmonection)
p _ SFR(1)bath
Lot C Block: Subdivision: t� SFR(2)bath - -
Project name: SFR(3)bath
City/county: ZIP: Each additional bad0utchen
Description and location of work on premises: _ SiteutWties:
_ Catch basird area drain
Est.date of completion inspection: Drywells/leach line/trench dnunFooling drain(no lin. ft.) _
Manufactured h::me utilities
Business name L t L�111�1.� Manholes
Address: Rain drain connector
City: State• ZIP: Sanitary sewer(no.lin. ft.) -
Phone: 1' Fax: E-mail: Storm sewer(no.lin.ft.) _
CCB no.: r L Plumb.bus. reg. no: - Water service(no.lin.ft.)
Fixture or item:
City/metro tic. no.:N/A j Absorption valve
Contractor's representative signature Back flow preventer
Print name: Q, T` I/' Backwater valve
Basins/lavatory
Name: `- - � _ tW'lothes washer
Dishwasher
-Address: G _ �:�
Drinking fountatn(s)
City Ejectors/sump
Fax: Expansion tank
Fixture/sewer ca _
Floor drains/floor sinks/hub
Name(print): Garbage disposal
Mailing address: Hose bibb
City . '� State ZIPR 2 5 Ice maker
Phone: - Fax:, E-mail: Interceptor/grease trap _
Owner inrtallationlreridendal maintenance only: The actual installation Pnmerts)
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),basins s1,lays(s)
0%vner's s,grature: Date: Sum
Tubs/shower/shower pan _
Unnal
Name: - _ _— Water closet
Address: _ Water heater
City State: ZIP Uther. _
Phone: -- - Fax: E moil: Total _
Na all tunuLcuoru atcep creel t cards,pleat call tunsdicuon fa e m
morforrruuon Notice:This permit application Minimum fee................ _—
Cl visa 0 Mastercard expires if a permit is not obtained Plan review(at _- %) $ ----
Credit card number within 180 days after it has been State surcharge(8`70) ....$ --
_' setter - TOTAL .......................S
--- accepted as complete.
Nuns of cudttol,kr u fhown on credit card
_ S
CudhoWer rrRtratum — Amount 410.1616(MC•OAt)
Electrical Permit Application
— Date received: O/' Pernut no.:
City Of 'rlgalyd Project/appl.no.: Expire date:
City ofTigard Address: 13125 SW[Jail Blvd,Tigard.OR 97223 Date issued: PY: Receipt no.:
Phone: (503) 639-4171 _ Payment type.
Case file no.: Y
Fax: (503) 598-1960
Land use approval:
0 I &2 family dwelling or accessory O Commercial/industrial Q Multi-family O Tenant improvement
New construction Addition/alteration/replacernent U Other. 0 Pial
JOWSMINFORIVIATION.
Job address: ) �" ,� w(, L( 7TT-7-`k ) Bldg.no.: Suite no.: __ Tax map/tax lot/account no.:
Lot: c Block: Subdivision: L i --
Project name: I Di cription and location of work on premises:
Estimated date of completion/inspecdon:
FEE 611611EDULIE
Fee Mat
Job no:
---- '—' be cripliors Qty. fn.) Tutsi no.In<p
Business name: �- � Newremential-Singleatmulti-family pet _
"�,� dwellin-Ludt.Includes attacked garaw
Address: �' ) r
State: ZIP. Sesvi«included
City: "1 (� 1000 sq.Ct or leu 4
Phone:44),3 I 1-ax: Email: ti
Each x,ditional 500 sq.h.or portion thereof _
Cf'B no.: -1_'4 _ Elec. bus. lie. Iutnitedenergy,raenH
ldal _ 2
C: Each ed energyfactu tonhr me or m 2
Each manufrcrureel home or modular dwelling
lYlt D o
sat en9tan elterticfn(required) .Service and/or feeder
a2
` — Vale L Services or feelers-Installation,
Sup elect.name(print) 1 License no 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
Cit-tea State ZIP: Over 1000 amps or volts 2
Y l.� V r I
Phone: - Fax:
-'� mail: Reconnectonly
Temporary service or feeders-
Owner installation:The installation is being made on property I own butallaHon,alteratlan,orrelonNon:
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 ams _ 2
Owner's 3i nature: Date: 401 to 600 ams 2
Branch circmita-new,alteration,
or ettenslon per panel:
Name: A. Fee for branch circuits with purchase of
-'— - service or feeder fee,each branch circuit 2
_Address: __ _ _ __
City: State: ZIP: B. Fee for branch circuits without purchase 2
_ of service or feeder fee.first branch circuit:
Phone: Fax: E-mail I Each additionalbranch circuit: ,-
,, Mbc.(Service or feeder not Included):
Each pun or irrigation circle 2
O Service over 225 amps-comrtrrcinl O Healthtue facility Each sign n or outline lighting 2
O Service over 320 amps-rating of 1&2 0 Hazardous location Signal circuit(s)orotars limited energy panel.
famtlydw•ellings O Building over 10,000 square feet four or B2
U System over 600 volts nominal more residential units in one structure alteration,or extension'
O Building over three stories 0 Feeders,400 amps or marc •I)escn don —
•Occupant load over 99 persons ❑Manufactured structures or RV park F,ch additional Inspection over the allowable N any of the above:
O Egress/lightingplan O Other. — perinspecdan —
Submit___.sets of plans with any of the above. Investigation fee
The above are not applicable to temporary constructlon service. Other
�— Permit fee.....I............... r-
Not all)utisdiictiom accept credit cards.please call jurisdiction ror marc'nto motion Notice: as permit application Plan teview(at %) $
O Visa O MasterCard expires if f a permit is not obtained
within 180 days after it has been State.surcharge(8%) ....$
Credit cad numbu — - F _
accepted as complete. TO'T'AL ....................... —
Nama of cardholder u shown on credit s
Cardholder signatuAmount 44G-4615(GAOaCOM)
re
DON • MORISSETTE
8 0 M 18 II C 0 R F 0 R A T R D
4130 CAL Z WO0 D 9T2IIT 3UITI 1 00
L A = I O B A 13 O, O R I 0 0 N 0 7 0 3 5
(60s) se7 - 76 3 B FAX (603) 387 b
OBE : 201. 0
OFTION 2 EL-FVATIC)N LOT: 55
DATE: 4,/12/02
PRO, lRTY: QUAIL--HOLL0W
CITY: TIGARD
SCALE: 1"=20'
PLAN .170
122130 S.W mp 1-1i���c� It }
WIC
LN.
of
I
9.2, roa �-
p 304
!Q P.0
306 rlv___
porch m 6 08
40r--
2
0r2 car !aar.
� 4
f=F.E. 30%!
D ill �
30c r� S 7 3,190 6q. ft.
4 bdrm.
1!1 hath
FE. 31O5' 1t)
I nelloc14 5
I �
L____
r,
A
LSGEND 3Ob
1:"' 310 310
—:' ACER RUES 1 LOT 'S5
� 5309 ea. Ft.
� PtlRY[llcAn.
DCITY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2002-00315
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/9/02
SITE ADDRESS: 12290 SW QUAIL CREEK LN
PARCEL: 2 S 103 C B-09700
SUBDIVISION: QUAIL HOLLOW- EAST ZONING: R-4.5
BLOCK: LOT: 055 JURISDICTION: T'G
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS:
'TORIES: WATER HEATERS: CATCH BASINS:
_ FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS):
SINKS: URINAI_C: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUBISHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Install residential backflow preventer.
FEES
Owner: — -- — — -- —___ .—--- -
- —
DON MORISSETTE HOMES Type By Date Amount Receipt
--- --
4230 GALEWOOD ST#100 PRMT CTR 8/91,'02 $36.25 27200200000
LAKE OSWEGO, OR 97035 5PCT CTR 8/9/02 $2 90 27200200000
Total $39.15
Phone 1: 503-387-7538 —
Contractor:
PROGRASS LANDSCAPE SERVICES
29895 SW KINSMAN RD
WILSONVILI_E, OR 97070
REQUIRED INSPECTIONS
Phone 1: 682-6076 RP/Backflow Preventer
Reg#: LIC; 6136
Final Inspection
PLM 11558
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 may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
Issued By: u"f tC{ i� Gf_ y Permittee Signature: KTX1 Az al
Call (503) 639-4175 by 7:00 P.M for an inspection needed the next business ay
� Plumbing Perinit Application
Date received: ' Permit no.: )( -fes 4
City of Tigard Sewer permit no.: Building permit no.:
Address: 13125 SW Hall Blvd,Tigard,OR 97223
rwof7`,zard Phone: (503) 639-4171 Project/appl.no.: Expire date:
Fax: (503) 598-1960 Date issued: By,k j > Rrceiptno.:
band use approval: _ Case file no.: Paymenrtype: —
❑1&2 family dwelling or accessory O Commercial/industrial Cl Multi-family 13 Tenant improvement
,New construction U Addition/alteration/replacement ❑Food service ❑ Other:
jon SITF INWIMATION FEE, SCHEDULE(for special Inforsniation use check ist)
Job address: 29[) Vc 1 . ` ( _ Descrl tion Qt I�ee(ea.) i Total
Bldg.no.: Suite no.: (includes
1-and 2-family dwellings only:
(includes 100 ft.for each utility connection)
Tax map/tax lot/account no.: 4p 5y J-7 SFR(1)bath _
Lot:G" c,- Block: Subdivision: SPR('2)bath
Project name: i `�j SFR(3)bath — _
City/county: _j!�old ) �; Each additional bath/kitchen
Des'
tion and location oqf work on premises:_ Siteuti(ities:
ACWCf1AuJ a(Wice-, _ Catch basin/area drain
Est.date of completion/inspection: ils/leach lin trench drain
Footing drain(no.lin.ft.)
I'llmnot el SolisManufactured home utilities _
Business name: Pro&ra-S S /St/)L(SCl� 4 %.. Manholes
Address:a-9 Fel S- 4W Rain drain connector
City: O G st'°cG ZIP_�7A'1 d Sari sewer(no.lin.ft.)
Phone:tOgd�lo07 317 Fax: $ -�jQ 1 h-mall: Storm sewer(no.lin.ft.)
Plumb.bus,reg.no: Water service no.lin.ft.)
CCA no.: I3(Q or kem:
City/metro lic.no.: 003ZFixture or
'y Fixture
Absorpvalve _
Contractor's representative signature: _ v Back flow preventer 7 5$
Print name: S Ar/ z*�'-i bate: _ Backwater valve_
CONTACT.PERSONB asins/lavaI ory
�{� C ILt'YC-tx7 Clashes washer
Name: _
- Dishwasher
Address:�R Q4 5 �Cl4j j &A Urinkin fountain(s)
City: �iUn43 1 G State:O//„ ZIP: O E'ectors/swn
Phone:(pgd-laorj(o Fax:(eta-Q E-mail: Expansion tank
Fix sewer ca
Name(print) M�_s •_C 1e, /t7n Floor-drains/floor sinks/hub
T � Garbe dis osal
Mailing address:y;l3D_�rw_6alau ooc) Sr Hose bibb
City: LA Kr, p State: R. zlp:r1 = Ice maker
Phone: Fax: I E-mail: Interceptor/grelse trap
Owner installation/residential maintenance only: The actual utstallation Primer(s)
will be made by me or the maintenance acid repair made by my regular Roof drain commercid)
employee on the property I own as per ORS Chapter 447. Sink(s),basin(s), ays(s) _
Owner's signature: Date: I Sum
Tubs/shower/shower pan
Urinal
Nie' ater closet
Address: Water heater
City: IState: ZIP: Other.
Phone: Fax: E-mail: Total
Not an jwtkficdoes accept credit cards.p)es a call iurmcdoo for moos tnfotnudon. Notice:This permit application Minimum fee............ ) $ ✓ '�
O Vlsa ❑MasterCard expires if a permit is not obtained Plan review(at — 96) $ _ D
Croat card no nb r: within 180 days after it has been State surcharge(89'0) ....$
Name of c, older u shown un credit card s
'rp accepted as complete. TOTAL .......................$ �—
Cardho der signature Amoeot 440-4616(6MO COM)
PLUMBING PERMIT FEES:
iT. AL-MRJnh.
11 des r�t�oS m�a
Sink 16.60
4
Lavatory 16.60 a II- �onnec __ �ic�_k�;`"� a._
.Q_�.y 1 _
�_.. ne 1 hath $2w9.2U�
Tub or Tub/Shower Comb 16.60 O
Two li'2�bath $350.00
Shower Only 10.60 Three 3 ball -_ $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 _,`
LaundryTray 16.60
Washing Machine 16.60
FloorDrainiFloorSink 2" 1660
16.60 PLEASE COMPLETE:
a,"
Water Heater O conversion O like kind 16.60
Gas piping requires a separate mechanical 3�ra. ype
y e U a, �, et 'Qvedl
MFG Home New Water Service 46.40 Sink
mm Home New San/Storm Sewer f 46.40 Levator _
1660 Tub or Tub/Shower
.
Hose Bib- Combination
Roof Drains 16.60 - Shower Only
Drinking Fountain 16.60 Water Closet___ -
Other Fixtures(Specify) 1E.60 Urinal - - - --_
_--- Dishwasher
Garbage Disposal
Laundry Room T 3�
------- ---- - Washinglklachine -
_ _ -.-- Floor Drain/Sink: 2"
Sewer-1 st 100'y 55.00 3" --"
Sewer-each additional 100' 48.40 - - _ 4" v _
Water Service-1 st 100' - ; 55.00 Water Heater
Water Service-each additional 200' 4640 Other Fixtures
_ _ S ocif_yL-
Storm&Rain Drain-1st 100 55.00
Storm 3 Rain Drain-each additional 100' 46.40 - _�_ ---
Commercial Back Flow Prevention Deice 46.40 -- -
Resldential Backflow Prevention Device' 27.55
Catch Basin 16.60 -
InsparUon of Existing Plumbing or Specially_ 72.50
Ra nested Inspections 0r/hr COMMENTS REGARDING ABOVE:
Rain Drain,single family dwell ng 65.25 _-
Grease Traps -- 16.60 -- _- - -
QUANTITY TOTAL -
Isometric or riser diagram Is required it
_ QuantHy Total Is >g ---- - -�---
'SUBTOTAL --
-- 8%STATE SURCHARGE --
"PLAN REVIEW 25%OF SUBTOTAL
Regulred only if tizturo qty toad le>9
TOTAL
Minimum permit fee Is$72.5e•a%state surcharge,except Residnntlal Backflow
orevartlon Device,which is$ae 25•a%state surcliarge,
All New Commercl°I Buillings require Vlans with Isometric or riser digp•2m grid
vien review.
is\dsh3\form9\plm-fee9.doc 10/10/00
CITY OF TIGARD I. on Line: (503)630-4175BUILDING MST Zed -yi-P Z 1
INSPECTION DIVISION 6-.';, Line: (503)639-4171
`. BUP
Received Date Requested.....� — AIA — PW1_ _ BUP —
Location Z L U Sw u 4 r ( C�_w/C --Suite _ MEC --
Contact Person —_ - - ---- Ph(—) Z-41 Yy PLM —
Contractor SWR
DtN Tenant/Owner ELC
Fuoting ELC -
Fuundation Access:
Ftg Drain EL 9 --
Crawl Drain
Slab Inspection Notes: SIT —
Post&Beam
Shear Anchors
Ext Sheath/Shear --- -
Int Sheath/Shear
Framing - -- -- --
Insulation
Drywall Nailing - r
Firewall
Fire Sprinkler -
Fire Alarm _
Susp'd Ceiling `--- - --- -
Roof -`-
Uther: __--_-
Fin
.)PART FAIL ------------------ - -----
Beam
Under Slab -- -- - - -
Rough-In
Water Service - ---___^----- ----- -----
Sanitary Sewer
Rain Drains _—
Catch Basin/Manhole
Storm Drain -' ---- `- -- - - -
Shuwer Pan
Other. -- - -------- ---- - -
PART FAIL -------- ---
Po & Beam -
Rough-In ---------- --- _ -- -_-- _-.- --- -
Gas Line
Smoke Dampers --- ----- ----------------- - -- ---
PART FAIL --__- -_-_. ------- --- -- --- - -
Sorvice
Rough-In -.- _- --_- - -- - ----
UG/Slab
Low Voltage --- --- - ---- -------- - ---
Fire!Alarm
7531 l n Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
S PART FAIL
Pleases call for reinspection RE:_ ------_-,_f� Ur;able to inspect-no access
Fire Supply Line /4
ADA /P /0 L /
Approach/Sidewalk Dab _-._- / Inspoeor-- - - - ----
Other: ---- - --
Final DO NOT REMOVE this Inspection record from thea job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
INSPECTIUN DWISION Business Line: (503)639-4171 FIST --- �_-- --
O BUP
Received ___ — Date Requested PM—_-___- BUP -�
Location L Z 3 w C ,A e ( G -_ Suite—_ -- -� MEC _
Contact Person _ � �yrr.S3 -_ Ph ( ) G z (lPLM
Contractor---- Ph (-- —) ;2- E(''----- SWR
BUILDING Tenant/Owner ____ _
Footing -- _—_—�--_-- ELC _
Foundation ELC
Ftg Drain Access: - ---- -
Crawl Drain ELR
Slab Inspection Notes: — -- SIT
Post&Beam -- -
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear --- - --- —
Framing
Insulation
Drywall Nailing _— - - _--_----- _
Firewall
Fire Sprinkler -- ------
Fire Alarm — -
Susp'd Ceiling -
Roof — _--- - - ---------
Other: --- --..
I Final --
PASS PART FAIL ---
— —.
MB - --
- --
osTR-Beam - --
Under Slab
- - - _-
Rough-In -- ------
Water Service
— - - _— -
Sanitary Sewer
Rain Drains
Catch Basin/Manhole -
Storm Drain - - - - ----
Shower Pen --
Final
PART FAIL
CHANICA' -- -
Post&Beam - ----
Rough-In
Gas Line --
Smoke Dampers
Final --
PASS PART FAIL
ELECTRICAL - -
Service
Rough-In
UG/Slab _
Low Voltage
Fire Alarm —"Final
PASS
PASS PART FAIL Reinspection fee of required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE — F� Please call for reinspection RE. _ C-1 Unable to inspect -•no access
Fire Supply Line 7
ADA � ( / -77
<
Approach/Sidewalk Date � 1nelpector �
Other:_
Final - DO NOT REMOVE this Inspection record from the job site.
PAYS PART FAIL
� o
G W ^^�•
n
a n
a
i
Er
a
O ol
r