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12299 SW QUAIL CREEK LANE 12299 SW Quail Creek Lane CITY OF TIGARD 24-Haar BUILDING Inspection Line: (503) 539-4175 MST INSPECTION DIVISION Business Line: (503)639-1171 BUP Received _ _Date Requested AM_._.__ PM— _ SUP _— a � Location � -2. "7,.`%/ . � �.1� .�,.�.'11J�- .�te Z-- MEC Contact Person ✓',-2".' k.0 _ Ph(—) -,2- ' ` PLM C — Ph( _) SWR BUILDING Tenant/Owner ._—.. — ELC _--_ --_ ° irigELC Foundation Access: — Ftg Drain ELR — Crawl Drain Slab Inspection Notes: ��r � . SIT Post&Beam __.......__ — Shear Anchors --- Ext Sheath/Shear Int Sheath/Shear Framing --- ----- -------- Insulation Drywall Nailing _- Firewall ✓ L�'I� G<<^'1/� '" c c �.� C. Fire Sprinkler - - Fire Alarm Susp'd Ceiling -- --" Roof in PASS _PART FAIL Post& Beam Under Slab - — ---- - - Rough-In Water Service - - -- -- Sanitary Sewer Rain Drains --- ----- - --- ---- -- Catch Basin/Manhole Storm Drain -- - --- -- - --- ----- Shower Pan Other:._ _- - --- - — ------ - Fna _ T FAIL -------_ _ -- — __._ MECHANIC- -- -- -- -- — --- --- Rough-In — -- - ------ - - ---_ Gas Line Smoke Dampers --- ---- --- -- ---- ia• T FAIL -- -- -- --- --_ _.--- -—-- Rough-In --- - ----- -- UG/Slab Low Voltage -- -- --- -- _ -- --- Fire Alarm fi S PART FAIL [] Reinspection fee of 5— - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. A SI _-- [] Please call for reinspection RE:_- _-. - E] Unable to inspect-no access Fire Supply Line Approach/Sidewalk Date ~ ,- ^ �nspeator,— __-.-._ —Bxt PP - -- Other: Final DO NOT REMOVE this inspection rec%,ed from the job site. PASS PART FAIL w 0 y � d H 7. O = ' a � � � o � O TC Cl N � � CL rD o � V 1 � n o. N3 Q H OQ 1 Q a V •na CITY OF TICAR13 24-Hour BUILDING Inspection Line: (503) 639-4175 MUT INSPECTION DIVISION Business Line: (50:3)639-4171 F1d1P Received - Date Requested / — AM -_ - PM BLIP I �l L! �/ r�/} Suite MEC Location __ —7-- �. _- - ---- -- Contact Person -- Ph(_ } _ PL Contractor Contractor_—_ __—_ Ph( ) U? SWR BUILDING Tenant/Owner _-_ 7 ELC Footing ELC _ Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post& Beam ---------- - _—. Shear Anchors - Ext Sheath;Shear —_- ---_----- Int Sheath/Shear Framing - - - - — ------ ---- -- - ------------ Insulation Drywall Nailing -'---- -----_-^ Firewell 1 Fire Sprinkler - — — - -----— - Fire Alarm Susp'd Ceiling - - - Roof Other: .-�.__ Final _PASS PART FA — - PLUMBING — -- _ — -- - ---- I lost& Berim Under Slab -- Rough-In Water Service -- --- - Sanitary Sewer Rain Drains - - Catch Basin/Manhole Storm Drain Shower Pan ' Other: - PART FAIL C_H_ANIG.AL_ __ Post&Beam Rough-In ---._.---- --- -- -- - - Gas Line Smoke Dampers -- -- -- - -- Final PASS PART FAIL_ ----- ----------- - - _- ELECTRICAL Service Rough-In ------ - -- ____-------- -- - - UG/Slab Low Voltage — __s._- ----- --- - — Fire Alarm Final Reinspection fee of$ _.--_required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE -- F1 Please call for reinspection RE: _ ❑ Unable to inspect-no access Fire Supply Line _ ADA Date 7-e7 Insprctor � l �t Ext - Approach/Sidewalk Other: Final DO NOT REMOVE tlils Inspection record from Use job site. PASS PART ►-AIL CITY OF TIGAR D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PLM2002-00146 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/3/02 PARCEL: 2S 103C B-08000 SITE ADDRESS: 12299 SW QUAIL CREEK LN SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R-4.5 BLOCK: LOT: 029 JURISDICTION: TIG C!_ASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE SF ' JASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: 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: W/ TER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of residential backflow preventer. FEES Owner: -- Type By Date Amount Receipt DON MORI . HOMES PRMT CTR 5/3102 $36.25 27200200000 4230 GALEWOOD OOD ST#100 LAKE OSWEGO, OR 97035 5PCT CTR 5/3/02 $2.90 27200200000 Total $39.15 Phone 1: 503-387-7538 Contractor: PROGRASS LANDSCAPE SERVICES 29895 SW KINSMAN RD WILSONVILLE, OR 97070 REQUIRED INSPECTIONS RP/Backflcw Preventer Phone 1: 682-6076 Final Inspection Reg #: LIC 6136 PLM 11558 This permit is issued subject to the regulations contained in the Tigard Municipal Cnde, Slate 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: ti/G(.CCfIt IC/Gi � Permittee Signature: tit • _ Call (503) 639-4175 by 7:00 P.M. for an inspection needed the Text business ay Plumbing Permit Application Datereceivcd: r % �.' Prrmitno.:c`�,• it L City Of Tigard Sewerpertnitno.: Building parmitno.: V Address: 13125 SW Hall Blvt;i 3 CiryofTigard phone: (503) 639-4171 ® Pro)ecdappl.no,: Expire date: 9ft Fax: (503)-598-1960 Date issued: By: Recelpt no.: Land use approval: Case file no.: Payment type: II &2 family dwelling or accessory O Commercial/indus ' C1 Multi-family CJTenant improvement ew construction U Addition/alteration/replacement O Food service ❑Other: It ]INFORMATION information Job address: i, /y Description Qt Fee ca.) Total Bldg.no.: Suitt no.: New 1-and 2-family dwellings only: (includes 100 ft.for each utility connection) Tax map/tax lot/account no.: SFR(1)bath Lot: Block: Subdivisions.DVO, ; _ SFR 2)bath �- - Project name: _ r r' <� -- SFR(3)bath --- City/county' ! r, 7-B': _ Each additional bath/kitchen Desc tion and location of work on premises:— SiteutWties: fi J 0l�U1CP1 Catch basinlarea chain _ Est.date of completion/inspection: - Dtywetls/kaeh4in trsachdrain--. 1 Footingdrain(no.lin.ft.)PLUMBING Manufactured home utilities _ )3usiness name: Pr p{,mS S I-tMG/.9Y1fC. Manholes Address:*9 Pq9- 4W air drun connector Citwjjsznu416 Stateb ZIP: 9`70 7 0 Sanitary sewer(no.lin.ft.) Phone:69 ,-o0'7 all Fax:k$ -'10 E-mail: Storm sewer(no.lin.ft.) CCB no.: L3(v Plumb.bus.reg.no: Water service no.lin.ft. Fixture or item: City/ lie.no.: 003Z- 7 Absorption valve Contractor's representative signature: v Hack flow reventer 7 55 Print name: / S Rfl`z*uJ Date: i Backwater valve _ CONTACT1 Basins/lavatory Name: p.r�-3 Clothes washer - Address: 's washer I 45 k-tOSm'tN Drinkin fountain(s) _ City: Ot X L _ State:C ZIP:_r p'�0 Ejectors/sump Phone1oK.1-bo?b Fax:lata-Q E-mail: Expansion tank _ Fixturelsewer cs, Floor drains/floor sinks/hub Name(print): -stf-fe. Garbage disposal _ Mailing address:i4j,3D 0.1f t F7 Hose bib City: Lar r' Q iQ,State: ZIP:q� t-q _ ce m er Phone: I Fax: E-mail: Interceptor/grease trate Owner installation/residential maintenance only: The actual installation Primers) will be made by me or the maintenance and repair made by my r--gular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Si s),basin(s), ays(s) Owner's signature: Date: Sum Tubs/shower/shower pan Urinal _ Name: ater closet AddressWater heater City: State: ZIP: Other' Phone: Fax:� _ E-mail: Tota Not all jorladlcdom accept credit catch,pteaw all jurmcdon for mora Inromudoo. Notice:This permit application Minimum fee................$ _ D'vua O NluterCsrd expires if a permit is not obtained Plan review(at _, %) $ �_� ctedlt card number, —__ —��_... within 180 days after it has been State surcharge(8%) ....$ Hxpirea me ."""""" TOTAL —w� accepted as complete. Nao cardholder u tbon on credit cud $ Cardholder dptatutt Amount Mt1+1614( COM) PLUMBING PERMIT FEES: AE',*`r Q IALt, p�t�ewt `�� a°`�Ifygd lif gfu �n°fZv t 1 " '' T�^'I a . d s,IA nU r'c udes a pl in9ure .nt Q Sink 11, 16.60 dv a efir3l. r LL .;A '4' Lavatory 16.60 One III bath $249.20 Tub or Tub/Shower Comb. 16.60 Two 2 bath __ $350.00 16.60 Three 3 bath $399.00 Shower Only Water Closet 16.60 - SUBTOTAL V,+'�ti".` Urinal 16.60 8%STATE SURCHARGF 1 .60 PLAN REVIEW 25%OF SUBTOTAL Dishwasher Garbage Disposal 16.60 - -- - ""- Laundry Tray 16.60 Washing Machine 16,60 Floor Draln/Floor Sink 2" 16.80 r-- 16,60 PLEASE COMPLETE: 4" 16.60 - --- U ''ti J.b Vie"o e Vater Heater 0 corverslon O like kind 16.60 T Gas piping requires a separate mechanical MFG Home New Water Service 46.40 Sink -- ao.40 Lavatory -_- -- MFG Home New San/Storm Sewer Tub or Tub/Shower Hose Bibs 18.60 Combination Roof Drains 16.60 Shower Only --- Drinking Fountain 16.60 Water Closet -=-=--= Urinal 16.bo Other Fixtures(Specify) Dishwasher Garbe o Disposal - Laund Room Tre __. Washing Machin j Floor Drain/SInit.: 2" _.- Sewer-1 st 100' 55.00 3" _ Sewer-each additional 100' 46.40 - 4- Water Service-1st 100' 55.00 Water Heater -- 46.40 Other Fix tu )a Water Service-each additional 200' S eci L_ Storm&Rain Drain-1 at 100' 55.00 Storm&Rain Drain-each additional 100' 48.40 - ---- Commercial Back Flow Prevention Device 46.40 -_ Residential Backflow Prevention Device' 27.5 J� Catch Basin 16.60 Inspection of Existing Plumbing or Specially 72.50 Requested Inspectlona erRdr COMMFN'fS REGARDING ABOVE' Rain Drain,single family dwelling 65.25 - Grease Traps 16.60 ----- -__ pUANTITY TOTAL - isometric or riser diagram Is required IfIt Quantity Total Is >9 - `SUBTOTAL 8%STATE SURCHARGE 7a 90 - -PLAN REVIEW 25%OF SUBTOTAL Required only If fixture qty.total Is)'Q TOTAL u' a _E , *Minimum permit fee Is$72.30•g%state surcharge,except Residential Ba'kllow Prevention Device,which Is$36.25+q%elate surcharge. "All New Commercial Buildings require plans with Isometric or riser diagram and plan review. I:\dsts\forms\pim-fees.doc 1019/00 CITY OF T I G A R D MASTER PERMIT CITY PERMIT#: MST2002-00150 ' DEVELOPMENT SERVICES DATE ISSUED: 2/27/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 12299 SW QUAIL CREEK LN PARCEL: 2S103CB-08000 SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R-4.5 BLOCK: LOT:029 JURISDICTION: TIG REMARKS: New SF dwelling. Path 1 BUILDING REISSUE STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED _ CLASS OF WORK: NEW HEIGHT: 23 FIRST: 1.532 of BASEMENT: of LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.490 of GARAGE: 462 of FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINSSMENT: of RIGHT: 5 OCCUPANCY GRP: R3 BDRfA: I S.T'1: 3 TOTAL: 3.022VALUE: $280,31940.00 sl REAR: i 1 PLUMBING SINKS: I WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: I CATCH BASINS: TUBISHOWERS. 4 GARBAGE DISP: 1 WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: _ MECHANICAL OTHER FIXTURES. FUEL TYPES FURN<100K: BOILICMP<3HP VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN>-10014: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 0 MAX INP- btu FLOOR FURNANCES: VENTS: : WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANFOU9 ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FDR: 1 PUMPIIRRIGATIOW PER INSPECTION: EA AOD'L 5003F: 5 201 400 amp: 201 400 amp: 1st W/O SVC/FDR: 00 SIGNIOUT LIN LT PER HOUR- LIMITED ENERGY: 401 •600 amp: 401 •600 amp: EA ADDL BR CfR: SIGNALIPANEL: IN PLANT: MANU HMISVCIFDR: 601 • 1000 amp: 601.arnpa•1000v: MINOR LABEL: 1000.amolvolt: Rocomloct only: PLAN REVIEW SECTION 4 RES UNITS: SVCIFDR>-225 A.: >600 V NOMINAL: CLS ARENSPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO 6 S? 'EO: FIRE ALARM, INTERCOMIPAGING: OUTDOOR LNDSC Lr: BURGLAR ALARM: 0tH: BOILER HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAITELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 7,578.66 DON MORISSE rTE HOMES DON MORISSETTE HOMES This permit Is subject to the regulations contained in the 4230 GALEWOOD ST#100 4230 GALEWOOD STREET Tigard Municipal Code,Stale of OR. Specialty Codes and LAKE OSWEGO,OR 97035 SUITE 100 all other applicable laws. All work will be done in LAKE OSWEGO,OR 97035 accordance with approved plans. This permit will expire it work Is not started within 180 days of IssuanGo,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 Rep#: LIC 35533 forth 1n OAR 952-001-0010 through 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503)248.1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Machanica Mechanical Insp Shear Wall Insp Gyp Board Insp Mechanical Final Sewer Inspection Underfloor insulatirn Plumb Top Out Exterior Sheathing Insf Rain drain Insp Plumb Final Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Final inspection Foundation Insf Footing/Foundation Dr; Electrical Rough In Gas Line Insp Appr/Sdwik Insp Post/Boam Structural rLMIUnderfloor Framing Insp Insulation Insp Electrical Final Issued By :�`��.1.!wL- l L U<1 L Permittee S'gnatur !• 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#: SWR2002-00104 1312.5 SW Hall Blvd., Tigard, OR 97223 003) 639-4171 DATE ISSUED: 2/27/02 SITE ADDRESS; 12299 SW QUAIL CREEK LN PARCEL: 2S103CB-08000 SUBDIVISION: QUAIL HOLLOW- EAST ZONING: R-4.5 BLOCK__ LOT: 029 JURISnIC rION: TIG TENANT NAME: USA NO: FIX,rURE UNiTS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection fo-new SF detached dwelling. Owner: DON MORISSETTE HOMES —. FEES 4230 GALEWOOD ST#100 Type By Date Amount Receipt LAKE OSWEGO,OR 97035 PRMT CTR 2/27/02 $2,300.0027200200000 INSP CTR 2/27/02 $35.00 27200200000 Phone: 503-387-7538 Total $2,335.00 Contractor: Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit 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 located, the installer shall purchase a"Tap and Side Sewer" Perm Issued by: Z /'I << Permittee Signatur \ �� Call (503) 639-4175 by 7.00 P.M. for an inspection needed the next business day Bl w"ding PqK9AJAAp#Won Uatereccived: City of 'Tigar vmacl Address: 13125 SW Hall BI d, tgard OR. �� Project/appl.no.: Expire date: Cir,e)f Tigard Phone: (503) 639-4171 �' ) 1 Date issued: BY;. Receipt no.: Fax: (503)598-1960 Cl.l-'Y USF t 1(_IA D Case file no.: Payment type:— _ _ V Land use approval BUILDING DIVISION I&2 family:Simple — Complex: Y U I c&.2 family dwelling or accessory U Commercial/industrial U Multi-family XNew construction 0 Demolition ❑Addition/alteration/replacement U Tenant improvement U fire Sprinkler/alarm U Other. Job address: �/ -� '' t Bldg.no.: _ Suite no.: Lot: Block: SubrJivision: Tax map/trx lot/account no.: S%a? ' Project name: Description and location of work on pmmises/special conditions: %i,Ile Y Mailing address: I&2 family dweWng: City: 0State ZIP: Valuation of work...................................... S Phone: - - Fax: -7 -mail: No.of bedrooms/baths • ��'LrI Owner's representative: _ t/t Total number of floors................................. Phone: 1'ax: E mail: New dwc.11ing area(sq.ft.) null Garage/carport area(sq.ft)....... ..... ` - r Covered porch area(sq.f.) .......1.. 4......... "Name: _ Deck area(sq.ft.) Mailing address: a"��,�ry y- , ........................................ ----- - --- Other structure area(sq.ft.)........... _ State: ZIP: """"""" City: — Phuue: Far: Email: Commerclslitndustrlallmulti-fatally: Valuation of work..................................... $ --.- -- Xm Existing bldg.area(sq.ft.) ................. ...... !—_-.-. Business name: �'1 New bldg.area(sq.ft.) /� Address: ...............(......... Number of stories...................... ........ -- - ------ City; State: L[F: Type of consWcdon Phone: Fax: F.-mail ------ - -- — (kcupancy group(s): Existing: CCB no.: New: City/malar lig no Notlee:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Nanta: provisions of ORS 701 and may be required to be licensed in the Address: �(,. jurisdiction where work is being performed.If the applicant is Cit _ State: ZIP: exempt from licensing,the following reason applies: Contact person: — Plan no.: _—i-- Phone: f •r� [:-mail — - - Name: lcontact person Fees due ulx)n application ........................... S Address: Date received: City: --- State: ZIP_ Amount received ......................................... S Phone: I�ax: E-mail: Please refer to fee schedule. I herby certify I have read and examined this application and the Na all Jurisdictions weep credi rods,pkat call Jurisdktia ror more intonrutlan attached checklist. rovisions(Al ws and o�finances governing this Ultisa UMasterCmd work will be comp) wl ,whether. cifieii Herein reyrot. Credit cwd number—___ __---- J' ' _ _ -- i Authorized si atU+ ' INA 1� : _ � Nune of cardhordn u ihown on c i-rem,fwd — _ Print name: ��1 1 Z �l.r.__ — c.rdhulder rTpwure —fit Notice:This permit application expires if a pefmit is not obtained within 180 dais after it has been accepted as complete. 440-4613 ted COM) SOMEONE I One-and Two-gamily Dwelling ' ,Vk Building Permit Application Checklist Referenceno.: (.'ir,�,>>I.g,�.d Ci of Tigard Associated permits: City g Q Electrical O Plumbing ❑Mechanical Address: 13125 SW Hall Blvd,Tigard,OR 97223 U Other: Phone: (503) 639-4171 -- Fax: (503)598-1960 t1101VING-ItON ARE UQUIRIEWFOR 1 land use actions completed.See jurisdiction criteria for concurrent reviews. _ 2 7.oning.Flood plain,solar balance points,seismic soils designation,historic district,etc. 3 Verification of approved plaMot. 4 Fire district approval required. 5 Septic system permit or,authorization for remodel.Existing system capacity 6 Sewer permit. — 7 Water district approval. 8 Soils report.Must carry original applicable stamp and signature on file or with application. 9 Erosion control ❑plan U permit inquired.Include drainage-way protection,silt fence design and location of 4- r catch-basin rotection,etc. 10 L K Com lete sets of I ible plans.Must be drawn to scale,showing conformance to applicable local and state P 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 t/ if copyright violations exist. 11 Site/plot plum drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.interval..;,location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator,lot area;building coverage ilea;perxxntage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent sl` size and location. 13 Floor plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater, furnace,ventilation fans, lum,,in fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details.Show all framing-member sites and spacing such as floor beams,headers,joists,sub-floor, 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. _ J� 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 foul foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations,for non-prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing.Provide plays for all floors/roof assemblies,indicating member sizing,spacing,and hearing locations.Show attic ventilation. 18 Basement and retaining walls.Provide cross sections and details showing placement of rebar.For engineered systems,see item 22,"Engineer's calculations." 19 Beam calculations.Provide two sets of calculations usi ig 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 floorlroof truss 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 be applicable to die project under review. MENNEEN 23 Five(5)site plans are required for Item 1 I above. Site plans must be R-1/2" x I I"(it I I" x 17 24 Two(2)sets each are required for Items 16, 19,20&22 above. — 25 Building plans shall not contain red lines or tape-ons. 26 No rolled,reversed or mirrored building plans will be accepted. 27 ----- ---- --- 28 Checklist must be completed before plan review staat date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only. 4404614(600WO"t' Mechanical P ation Date received: Permit no.:/ City of Tiga Project/appl.no.: Expire date: CiryojTiga►d Address: 13125 SW Hall Blvdt Tigard,OR 97223 pateicsued: By: Receiptno,: Phone: (503) 639-4171 - Fax: (503) 598-1960 Qfy Ut I WAKD Case file no.: __Payment type: Land use approvaPLYLDTNd D1"""'n _ Building pernut no.: t 0 1 &2 family dwelling or accessory 0 Commerciallindustrial ❑Multi-family LlTenatlr improvement X"construction 0 Additi(,fi/altemtion/replacement 0 Other. JOBSITE INFORNIATkON' tSCHEDULE lob address: l c��V tL� L( C" 1 . Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax ma tax lot/account no.: profit.Value$ Lot: Block: Subdivision: vL , 1 "See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City/county: ZIP: t I '► r fill Description and location of work on pmmiscs:_._-,—_—. r t 1 + t st 13111110 _ _ Fee(m) Total Est.date of comp letion/inspecLion: ---, an _De wi-iption "v. Res.only Rrs.only Tenant improvement or change of use: Air handling unit CFM Is existing space heated or conditioned?0 Yes O Na I Air conditioning(site Flan requtr ) Is existing,i Ice insulated?0 Yes 0 No I Alteration of existing A system Boiler/compressors State boiler permit no.: Business name: _ HP Tons BTU/H Address: ire/smo a ampers/ uct smo me-detectors _ City: LI State 7_IP_ eatpump(sneplan ur __. Phone: - Fax: Y Email: usta rep acefumac urner / Including ductwork/vent liner O Yes O No CCB no.: nsta replacdre crate eaters-suspen e City/metro lic. no.: N/A wall,or floor mounted Name(please print): Vent for appliance other than fumace Refrigeration: Absorption units BTU/H Name: T-Dpr('� --LL_- CI(Illerx _ HP Address: s Cpm rcssnrs—__ HP ouirnentai exhaust and ventilation: City: State: ZIP: Appliancevent Phone: F:L. E-mail: erex ausi' res.IutcheNhazmat hood fire suppression system -- Name: �7- i ' Exhaust fan with single duct(bath fans) Mailing address: ) N ' aust system a an tom eating or Fuel piping an t ut on(up to 4 outlets) City: L _ Jtate ZIPqX%� — Type: LPG NG Oil E-mailvel ipmp each a ttiona over 4 outlets roceszp p ng(schematic requlre ) Number of outlets Name: Ut er app once aorrequipment: Address Decorative fireplace - Cit% State ZIP:—_ nsen-type Phone. f= x: F•mail: stuvUpe Ile(stove _-- Appfil•an►'s signafu" Date• •� �• Other. Name(print): (�',_ Y! f Nal all;uri"Cuona a=r,credit cards,?lease call(unxficuon for more information Permit fee.....................$ Notice:This peffnit application Minimum fee................$ 0 Visa 0 MasterCard expires if a permit is not obtained Plan review(at _ %) $ Credit card number — Expires — within 180 days aflet it has been ted as complete. State surcharge(8%) ....S Name o cardholder a rha*n on credit car ecce s P TOTAL .......................$ _ Cardholder signature -- --Amount 4444617(WYCOM) Plumbing Permit lication mr- Dace received: Permit no. �; r�SA Cit of Tigard City g Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,T" ard,OR 97223 City of Tigard phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 C11-Y OF f WAKU Date issued: By: Receipt no.: Land use approval: •13MLDTNO I NTSION, Ctse file no.. Payment type: 1Iff O l 8c 2 fatuity dwelling or accessory O Commercial/industrial U Multi-family O Tenant improvement ew construction O Additiort/alteradon/replacement O Food service O Other. JOB SITE INFORMATIONE1ULE(for wpeciall Job address_: L ( t C 1 rt y� . Desert tlon Fee ea. Total Bldg. no.: - Suite no.. Nen 1-and 2-family dweftgs only: Tax ma /tax lot/account no.: (Includes 1001t.for each utility connection) SFR(1)bath Lot: .2Block: I Subdivision: i- ' X1 SFR(2)bath Project name: _ " 1. aFR(3)bath _ City/county: 7..(P: Each additional badvkitchcn Description and location of work on premises: Site utilities: Catch basin/arca drain EDrywells/leach line/trench drmn Est date of completion(nspecdon: Footing drain(no.lin. ft.) _ Manufactured home utilities Business name• ` L Manholes Address: Rain drain connector Sanitary sewer(no.lin. ft.) City: state, ZIP: _ �Y _ Phone Fax: E-mail: Storm sewer(no.lin.ft-) Water service(no.tin.ft.) CCB no.: 'Z L Plumb. bus. reg. no: - Fixture or item: City/metro lie. no.: N/A �'� Absorption valve _ Contractor's representative signature �i Back flow preventer Print name: 1=` I l rr if L Backwater valve Basins/lavatory Name Clothes washer �, i � _VI�� -- Dishwasher Address: �C "V Dnnkine fountains) Cit". _ State: ZIP _ E)ectors/sump Phone: IFax: L-mail: i.kj.msion tank Fixture/sewer ca Flexr—drains/floor sinks/hub _ Name(print : � Garbage disposal Mailing address: Hose bibb _ City: VIce maker Phone: - Fax: 7-7E-mail: Interceptor/grease as Owner instabiadon/residenda/maintenance only: The actual installation Pnmerfs) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own 3s per ORS Chapter.147. Sink(s), asin(s),lays(s) wner's rigrature Date: Sum Tubs/shower/shower pan Unnal _ Name --� Water closet Address: Water heater _ Cit% _ State: ZIP: Outer. _ Phone ----_— _ ^_ Fax -- E-mail: TWO Not all lunrLatoro accept credrt cards.please call iunuhcuon ror more information Notice:This,ermit application Pfee............ ) $ O Visa O MasterCanf expires if a , pern is not obtained Plan ini an revvieie w(at _ %) E Cmdit card number•amdhwithin I80 da,s atter it has been State surcharge(8C16) ....$ � Ne tit carolder 31 shown on credit caM ptp�res -- accepted as complete TOTAL ................ ......S S -- Grdholdu sipsturr +— Am mint 4404616(60WOM) I:lectdcvJ Permit Application �7 Date received: Permit no.:H%,0 0d_00/SD City Of 11g Project/appl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By:—_ Receipt no.: — Phone: (503) 639-4171 Far: (503) 598-1960 Case file no.: Payment type:--� Gl1-Y OF 1IUAKU Land use approVt31TJDING TM101' U I &2 family dwelling or accessory U Commercia.Uinduslrtal U Multi-family O'renant improvement New constriction U Additior/alterauon/replacement U Other. U Partial i0IIIIISMINFORr AT16N Job address: �e �/ (, ( ill Lt 1. Bldg.no.: Suite na.:— Tax map!1; x lot/account no.: --------- Project name: Description and location of work on premises Estimated date of com letionrna tion: 1 Job no: _ Fee Max _,J•scrirrlorr Qty. (�.) Total no.lnsp Business name: Neve residential tinrk or multi family per Address: dweWng unit-Includes Attached garage. City: State: ZIP: Serviceinduued: TWO sq.ft.or leas —_ - 4 Phone: 1j- 1 Fax: Email: Each additional 500 sq.ft-or portion thereof CCB no.: Elec.bus. lic. no: umitedenergy,reaidenuel _ 2 Umitedenergy,non-residential 2 Fach manufactured home or modular dwelling -- Service and/or feeder 2 oture ojsupervlsfn(efectrtelan,(required) - Date C --• - t I censeno ^� Servlcaorfeedero-Installatlon, Sup elect namerpunn Q` alterallonorrelocation: 200 amps or less 2 201 amps to 400 amps 2 Name (print): ` C 401 amps to 600 amps 2 Mailing address: _ 601 amps to1000 amps 2 City: t , _ State ZIP: Ovel 1000 amps ortolu _ 2 Phone:!"E7-- Fait: ) -�] mail: Recnnnectonl I Owner ins(alladon:The installation is being made on property I own Tempon.7 seryices nor feeders- which is not intended for sale, lease,rent,or exchange according to 200.litsuTsorless on,orrolontlon: 2 200 amps or less ORS 447,455,479,670,701. 201 amps to 400 amps 2 Owner's si nature: Oate: 4ftl o 600 ams 2 Branch circuits-drew,alteration, or extension per panel: Name: A. Fee for brunch circuits with purchase of Address: service or feeder fee,each branch circuit 2_ City- ---Tta_E ZIP: - t3. Fee for branch circuits without purchase of service or fader fee,fiat branch circuit: 2 Phone: Fax: C mail: Each additional branch circuit: Nlsc.(Service or feeder not Included): Each pump or imgauon circle 2 C1 Service over 225 ampscn tunercnal U Healthlane fsciht} 2 O Service over 320 amps rating of I&: o Hazardous location Each signor outlin !ighung familydwellings O Budding over 10,000 syuam feet four or Signal circuits)or a limited energy panel, O Systemover 600 vols nominal more residential units in one stricture alteration,or extension' 2 O Building over three stories O Feeders,400 amps or mora *Description - � --- O Occupant load over 99 persons U Manufactueed structures or RV pat Each odditlonral inspection over tete allowable in asy of the above: O Egress/lighungplat n Other -- Perinspectnon Submit—sets of plans with any or the above. Investigation fee _— The above are not appilcithle to temporary construction service. _ Omer —.— _._ Permit fee..................... _ Nd jurisdiction accept jurisdictioaccept nadir carie,please call juriubction r«mac Infomuum Notice:This permit application Plan review(al _ %) $ t7 Visa 0 MasterCard expires if a permit is not obtained Credit card numl+er within 180 days after it has been State surcharge(8%) ....$ � — ---� Expires accepted as complete. TO'T'AL .......................S Name of cartaroldttr u shown on crtdit card s -- Cardholder slRruture — Amounn 440A11(&MCOM) brDON - MORISSETTE f �a HO M B9 1NC0RP0RAT8D fl,]1YU� 11(JAIU) L A K0 G O S it B G 0, 3 0 RE G 0 N U I T Q 7 0 a S BUILDING DIMON (5D3)ltae7 - 7sae VAX (503) 3e7 - fele OBE : 1982 I.OT: 29 OPTION 3 ELEVATION DATE: 2/14/02 PROPERTY: QUAIL—HOLLOW CITY: TIGARD SCALE: 1"=20' PLAN No.: 139 301 50.001 taa `^ 30 P f � 2,950 eq t. Q n 4�\ bdrm. r w =; 2 1r1 ba lh 1 �� FF.E 304.5' 3c" T' 4693 eq. rt. RED MAPLE. wuERE porch .1 . 2 car gar. AF?ROPRIATE l -� F.F.E. 304 i 1 30 8 WIDE P.UE I 3mYast 304 _App Approe vl 4 .25'-307', Mu z agn 12.2 C3 �.U1. o� 1-- CREEK LOT '2,3 5,000 e�q. ft. / CITY OF T I G A R D _^ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2002-00150 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/7/02 SITE ADDRESS: 12299 SW QUAIL CREEK LN PARCEL: 2S103C13-08000 SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R-4.5 BLOCK: LOT: 029 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DI`POSALS: 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: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE. ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of backflow preventer. FEES Owner: — —-- Type By Date Amount Receipt DON MORISSETTE HOMES ------ 4230 GALEWOOD ST#100 PRM�T CTR 5/7!02 $36.25 27200200000 LAKE OSWEGO, OR 97035 SPCT CTR _517%02 $2.90 27200200000 Total $39.15 Phone 1: 503-387-7538 Contractor: PROGRASS LANDSCAPE SERVICES 29895 SW KINSMAN RD WILSONVII LE, 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 riot started within 180 days of issuance, or if work is suspended for r-nore 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: _ Permittee Signature: _ . f I j��t ('r ,f Gall (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Plumbing Permit Application Z. ` -- IDatereceived: py Permit no.: ' ,� -Q / (,1ty" of Tigard Sewer permit no.: Building permjtno.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 City nJ l igurd Phone: (503) 639-4171Project/appl.no.: Expire date: _ Fax: (503) 598-1960 RECEIVED D Date issued: By.� Receipt no.: 1�'••1+•/ Case file no.: Payment type: Land use approval: �-'�L s _ 7'ANew 1&2 family dwelling or accessory Q Cammercial/in�ltlstdal ❑Multi-family U Tenant improvement construction 0 Ad(itiotn/alteration/mplacrmetit U Food service U Other- _ 1 1 1 r Job adK r� Description Fee ea. Total )` Suite no.: New 1-and 2-family dwellings only: Bldg.no.: (includes 100 ft.for each utility connection) Tax map/tax lot/account no.: 'S 6-cSFR(1)hath Lot: C" Block: Subdivi9ior;.t.A.4LkI * CAU SFR(2)bath _ Project name:Clutt-CC 11 c,LU c SFR(3)bath _ City/county: e,a i s L.L)(LJ _ ZIP: 7.)e;- Each additional bath/kitchen Description and location of work on premises: Cae h ba in/ a� fi�—r4WIC eV — _ Catch basin/area drain t Drywells/leach lin trench drain _- Est.date of compietion/inslk.cti +n: t_v Footing drain(tio.lin.ft.) <� Manufactured home utilities ousiness name: Prp -r-&SS SC Man o es Address:�9��lS Rain drain connector City: ij G StateG ZIP: x'70 d Sanitary sewer(no.lin.ft.) Phone:(o&a-1007 ail Fax: $ -qQ7 E-mail: Storm sewer(no.lin. ,ft Plumb.bus.reg.no: Water service(tic.lin,ft.) CCB no.: 6 J 3 Fixture or Item: City/metro lie.no.: 003,-'7 Absorption valve Contractor's representative signature: L ti•tK vBack now preventer `7 5 Print name: .940 A7 -1 natf' Backwater valve CONTACT—PERSON 'Basins/lavatory Clothes washer Natne �,Ja•t'?'L`��-� __ Dishwasher Address:�q QRS fwW ►Cj2i Drinking fountain(s) _ — City�_�n�l 1 t State:Oft ZIP: p'7 O E•ectors/sum _ Pirone:(Ulyd-io07(o Fax:ip$a- gVr7 Email: Expansion tank p Fixture/Sewer cap Floor drains/floor sinks/hub Name(print): _(jarbag^disposal _ Mailing address: 73D U) &ICku docl tT �LHose bibb _ City: L yt ()f6LState: JL ZIP: -)0.31 ce maker Phone: Fax: E-mail: Interce tor/ reale trap _ Owner installation/residential maintenance only: The actual installation Primer(s) _will be made by me or the maintenance said repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sin (s),basin(s), ays(s) Owner's signature: Date: Summa _ Tubs/shower/shower pan Urinal _ - Na_nte: -- Water closet — — Address: Water heater City: - State: ZIP: Other: Phone: Fax: E-mall: ota ----- lean eali urisdlcN�n for more information. Minimum fee................� -- Not all jutisdicdon accept credit cards,p i Notice:This permit application plan review(at %) $ _ — O visa U MasterCud expires if a permit is not obtained State surcharge(8%) ....$ c) credtt cud number. - - •- within 18o days after it has been $ xpircs TOTAL ....................... Na.ne or cardholder u shown on credit cud S -'(udliolde Amount 4404616(6,061COM) PLUMBING PERMIT FEES: sPRIGE: AL1 ew ha d 'f'mll�7iw�r� I Vii!' of ;.;.Ix� Utc lrtclude�s�a•"p�urr`�61,xg�fiztures r Sink w i 16.60 _ p a llrty�n oreCt o tir '� r `" 16.60 6249.20 Lavatory One1lLbath _ _ 16.60 Two 2 bath _ $350 Tub or Tub/Shower Comb. a---- _ 6399.00 • 16.60 Three bath Shower Only Water Closet 16.60 — SUBTOTAL 16.60 8%STA TE SURCHARGE Urinal Dishwasher 16.80 PL-AN--"--25%REVIEW OF SUBTOTAL TOTAL . Garbage Disposal Laundry Tray 16.60 Washing Machine 16,60 Floor Drain/Floor Sink 2" 16'80 PLEASE COMPLETE: 3" , 18,60 4" 16.60 - 18.60 ',� aritil b o K'Peo �" Water Heater O conversion O Ilke kind ') to e o ace " bvedl . Gas piping requires a separate mechanical ed ormit. 46.40 Sink — MFG Home New Water Service Lavato MFG Horne New SaNStorm Sewer 46.40 Tub or Tub/Shower — FIose Bibs 16.60 Combination Roof Drains 16.60 Shower Onl 18 60 Water Closet — — Drinking Fountain Urinal — Other Fixtures(Specify) 16.60 Dishwasher '. arba a Dis osaI -- Laundry Room Tra — — Washin Machine — --- Floor Drain/Slnk: 2" Sewer-1st 100' 55.00 — _ --- 40 Sewer-each additional 100' 46. Water Heater 4" Water Service-1st 100' 55.00 Other Fixtures Water Service 48,40.each additlonal 200 — S eel Storm Rain Drain-1st 100' 55.00 Storm 6 Rain Drain-each additional 100' 46.40 Commercial Back Flow Prevention Device 46.40 — Residential Backflow Prevention Device' 1 27.55 Catch Basin 16.60 -- -- Inspection of Existing Plumbing or Specially 72.50 Re uested Ins actions 9r/hr COMMENTS REGARDING ABOVE: __-- Rain Drain,single family dwelling 85.25 Grease Traps 18.60 — ()UANTITY TOTAL — Isomelrlc or riser diagram Is roqulred if 1 — Quantity Total is >A 8%STATE SURCHARGE cfn "PLAN REVIEW 25%OF SUBTOTAL E 1a ^ 4 ;.. � Ruired only It flzturo qty.total re>e + eq �^ TOTAL fa - S�j,�j Minimum permit roe Is$72.50•8%state surcharge.except Rnsklential Backliew Prevention Device,which Is$36 25•8%state surcharge. "All Now Commercial Buildings require plans with Isometric or riser diagram and pian review. !ldsts\forms\plm-fees doc 10110/00