14287 SW 128TH PLACE 1
t
14287 SW 128'x' Place
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE �1c, 0 9 2000
PRAIRIE ELECTRIC INC BY;
6000 NE 88TH STREET
VANCOUVER, WA 98665
Electrical Signetare Form
Perm,; MST2000-00247
Date I:;sut d: 814/00
Parc�.;i: 2S109AA-04600
Site Address: 14287 SW 128TH PL
Subdivision: ELK HORN RIDGE ESTATES
Block: Lot: 012
Jurisdiction: TIG
Zoring: R-7
Pemi.rks: S/F PATH
Your company has been indicated , the electrical contractor for the permit indicated above. In order for the
electrical permit to be valid, the signature of the supervise n 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 D( pt.
No electrical inspections will be authorized until this completed form is received
0WNF R: ELECTRICAL CONTRACTOR:
QUAIL CONSTRICTION PRAIRIE ELECTRIC INC
4501 NE MINNEHAHA ST 6000 NE 88TH STREET
VANCOVER, WA 98661 VANCOUVER, WA 98666
Phone #: 360-694-2446 Phone #: 360-573-27 50
Req #: SUP 35(-2s
LIC 60178
ELE 37a191C
AN INK SIGNATURE IS REQUIRED ON THIS FORM
x — V-� —---) 4 A —
Signature bf Sup rvising Ele rician
If you have any questions, please call (503) 639-4171, ext. # 310
CITY OF TIGARD
13125 S.W HALL BLVD.
TIGARD, Oe' 97221
G 2000
IMPORTANT PERMIT NOTICE
EK PLUMBING
PO BOX 1898
BATTLEGROUND, WA 98604
Plumbing Signature Form
Permit #: MST2000-00247
Date Issued: 814100
Parcel: 2S109AA-04600
Site Address: 14287 SW 128TH PL
Subdivision: ELK HORN RIDGE ESTATES
Block: Lot: 012
Jurisdiction: TIG
Zoning: R-7
Remarks: SIF PATH 1
Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the
plumb ng perrn;t to be valid, please have the appropriate individual from your company sign below and return
this PI-, nbir.g 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:
QUAIL CONSTRUCTION EK PLUMBING
4501 NE MINNEHAHA ST PO BOX 1898
VANCOVER, WA 98661 BATTLEGROUND, WA 98604
PI-jone # 360.694-2446 Phone #: 360-687-4648
Reg #: I IC 129363
PI M 37-430PB
AN INK aIGNA'TURE IS REQUIRED ON THIS FORM
X
Signature of Authorized Plumber
If you have any questions, please call (503) 639-4171, ext. # 310
�� �� �I���� MASTER PERMIT
PERMIT#. MST2000-00247
DEVELOPMENT SERVICES DALE ISSUED: 8/4/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SffE ADDRESS: 14287 SVV 128TH PL PARCEL: 2S109AA-04600
SUBDIVISION: ELK HORN RIDGE ESTATES ZONING: R-7
BLOCK: LOT: 012 JURISDICTION: TIG
REMARKS: S/F PATH I
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS _ REQUIRED SETBACKS_ REQUIREL
CLASS OF WORK: NEW HEIGHT: 28 FIRST: 1,909 at BASEMENI: cr LEFT: 1, SMOKE DETECTORS: Y
IYPE OF USE: SF FLOOR LOAD: 40 SECOND: 2.175 at GARAGE. 7'2 at FRONT: 20 PARKING SPACES
rYPE OF CONST: SN DWELLING UNITS: 1 FINSSMENT: at RIGHT: 15
VALUE: $303,141.54
OCCUPANCY GHP: R3 BDRM. 5 BATH: 3 TOTAL: 4.084 00 at REAR: 34
PLUMBING -
SINKS 1 WATER CLOSETS: 3 WASHING MACH. I LAUNDRY TRAYS: 2 RAIN DRAIN: Wo TRAPS:
LAVATORiES 1, DISHWASHERS: I FLOOR DRAINS: SEWER LINES 100 SF RAIN DRAINS: I CATCH BASINS:
TUBISHOWERS. 4 GARBAGE DISP: 1 WAI-R HEATERS: i WATER LINES: 1011 BCKFLW PREVNTR I GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES !-URN<100K: BOIUCMP�3HP: VENT FANS: 5 CLOTHES DRYER: 1
G"S FUNN>•10DK: 1 UNIT HEATERS: HOODS: I OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOOO1 '°S: GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH G MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp. 0 200 amp: WISVC OR FDR: 1 PUMP 11RRIGATION: PER INSPECTION:
EA ADWL 5005F: 8 201 400 amp. 201 400 amp: let WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR:
LIMITEL ENERGY: 401 600 amp: 401 • 600 amp: EA ADDL BR CIR: SIGNALIPANEL IN PLANT:
MANIJ HMISVCWDR: 601 1000 amp: 501+amp�-Iou0v: MINOR LABEL:
1000.amplvolt
PLAN REVIEW SECTION _
Reconnect only:
>•4 RES UNITS: 9VCIFDR»220 A.: >600 V NOMINAL: CLS AREAl9r'C OCL':
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL _ B.COMMERCIAL
AUDIO 6 STEREO: X VACUUM SYSTEM. x AUDIO 6.STEREO: FIRE ALARM INTERCOMIPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: X OTH: BOILER: HVAC LANDSCAPEIIRRIG. PROTECTIVESIGNL:
GARAGE OPENER. CLOCK: INSTRUMENIATIOW MEDICAL: OTHP.:
MVAC: DATA/TFLE COMM: NURSE CALLS: TOTAL a SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 7,156.01
This permit is subject to the regulations contained in the
QUAIL.CONc7RUCTION QUAIL CONSTRUCTION,INC Tigard Municipal Code,State of OR Specialty Codes and
4501 NE M(Q+,'U/.nh ST 4501 MI NNEHAHA all other applicable laws All work will be done in
VANCOVER,1'.'. 98b61 VANCOUVER,WA 98881
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 days ATTENTION
Phone Phone: Oregon law requires you to followrules adopted by the
r)maon Utility Notification Center. Those rules are set
Rep N: LIC 104093 , :;n CAR 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 Wtr Proofing Bsm't We Footing/Foundation Dri Eler!ICal Service Low Voltage Water Line Insp
Grading Inspection Post/Beam Structural PLM/Underfloor Electrical Rough In Gas Line Insp Appr/Sdwlk Insp
Sewer Inspection Post/Beam Mechanica Ftng Drain Bsm't Walls Framing Insp Gas Fireplace Electrical Final
Footing Insp Underfloor Insulation Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final
Foundatlon Insp Crawl Drain/Backwater Mechanical Insp Exterior Sheathing Ins{ Rain dreln Insp Plumb Final
Issued By x __�.� ti _ Permittee Signature
Call (503) 639-417F, by 7:00 p.m for an inspection needed the next business day kt
Cild'Y OF TIGARD SEWER rf NNECTION PERMIT
1115 DEVELOPMENT SERVICES E ISSUED: 8/4/00SWR2U 00193
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
DATE ISSUED: 8/4/00
PARCEL. '-109AA-04600
SITE ADDRESS; 14287 SW 128TH PL
SUBDIVISION: ELK HORN RIDGE ESTATES ZONING: R-1
BLOCK: _ LOT: 012 JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS: 1
INSTAL!_TYPE: LTPSWR IMPERV SURFACE:
Remarks: S/F PATH I
owner FEES --
QUAII. CONSTRUCTION Type) By DF,-P Amount Receipt
4501 NL MINNFHAHA ST --
VAN(;OVF f:. WFC 98GFi 1 PrMT DEB 8/4/00 $2,300.00 0004234
INSP DEB 8/4/00 $35.00 0004234
Phone: 300-694-2446 Total $2,335.00l�
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 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" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted
by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
Issued _ Permittee Siqnature: .0d
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business da
CITY OF TIGARD Residential Building Permit Application Plan Ch
Recd B
13125 SW HALL BLVD. New Construction Date Redd 7-13zxS
TIGARD, OR 97223 Single Family Detached Date to P.E.
V 503-639-4171Date to DST
F 503-684.7297 ' � Perrnit#)*e13J:.1I. -00 7+1
Print or Type Called
Incomplete or illegible applications will not b accepted <.
C9�-
-- - Name of Project -- Name
Job �\� �Cr`^ �i� LS —'^ - --- I Mailing Address
Site Address .� I 1rchltect
Address P
Is 0 ��� 1 ��A City/State Zip Phone
P;
e, l
Y"C Name
Ownar Mailing Address
Engineer Mailing Address
City/State Zip Phone
WN x WA S 1 "
City/State Zip Phone
JGeneral N e n _
Contractor Describe work
New? Addition O Alteration O Repair O
�
Ma Ing Address to be done:
Prior to permit �l t e`1 j i „��nr a ��� Additional Description of Work:
issuance,a ropy City/State Zi Phone 3LU -of all licenses L LP r . , ,r SUb I y yy
are required if Oregon Const.Cont.Board Exp.Date PROJECT
expired in COT Lic# / Z Y_ VALUATION _
database 10 Z/O q 3 ��ti` l � _
Mechanical Name NEW CONSTRUCTION ONLY: _
Sub yt �'�+► ---- Sq.Ft. H�u1AC Sq. Ft.Garage
Contractor Ing Address ---
-7 Indicate the restricted energy Installation by the electrical
Prior to permit / subcontractor in the following areas
issuance,a copy Cjty/State'f Zip Phone Restricted Audio/Stereo
of all licenses •0 S UrL 7 1 Y �Y�
are required if Oregon Const.Cont Board Exp.Date Energy S s
expired In COT Lic'#
/ Installations Vacuum Irrigation
Alarms
database r'Vy �<< 1`#-��p System System
Pl—um bin
g Name Y / Z o l (check all that Other:
SU - µr.� rY�. 2 apply)
I.
Contractor iling Address Number of Units in building Unit Number Designation
r P)L ( `� [Has theSubdivision Plat recorded? N/A `S NO
Prior to permit City/State Zipc j ' Phone
issuance,a copy }! "J
of all licenses are Oregon Const Cont.Board Exp Date
required If Lic#
expired In COT1'�i 3 kr7 O �.�lvi�0 3 ---
database Plumbing Lic.# Exp.Date I Nearby acknowledge that I have read this application,that the
information given is correct,that I am the owner or authorized agent
0�R r I?SOI�t of the owner,and that plans submitted are in compliance with
Name Oregon State laws.
DMe QiUwnerlAg t \ D
JElectrical r 4r�t' +1hv
Sub- Mailing Address � contact Person Name I rPhone 11
Contractor 67L" All J� r 1i�11- -��yy�1�
City/State Zip Phone 31
Prior to permit
issuance,a copy V vet. ti>^ �f� (EkC FOR OFFICE USE ONLY:
of all Ilcenses are Oregon Co��ggt1 ion oard Exp Date Plat tt -- MaprfL#: /a `
required if Lic 0- t l'1 --
expired in COT ,
database in Elect al Lic A Exp Da Setbacks: Zone:
Electrical Supervls Lick Exp at Enpi�erin9`,,�oval: Planning Approval: TIF: �I
C o v T-' ��
I\dsts\forms\std-new dor. 11120/98
zri �
`CITY OF TIGARD
OREGON /
INTENT TO HAUL EXCAVATION
(LOTS STEEPER THAN 20%)
I,�{? o✓k_ _____ (print name), hereby certify that ALL. excavation
mate;ial on the subject property will be removed from the site and not be placed as fill,
except for that amount necessary to back-fill the foundation ONLY. I understand
that failure to remove the excavation material will result in the requirement to remove
the material or obtain a grading permit by submitting grading pians prepared by a
licensed engineer accompanied by a geo-technical report regarding the placement of
the excavation material as fill.
I further understand that my footing inspectior will be denied it that inspection
reveals that excavated material has not been hauled, and that work will be
stopped and no further inspections conducted until the City has received and
approved a plan and report from a geo-technical engineer regarding placement of
the fill material.
rr.ct�► Vv Yu(.l 1�
Signature Date
Permit #:
Job Address:
Subdivision: �LK Qti �r��� Lot: I "
I haul doc(DST)7/98
13125 SW Hall Blvd„ Tigard, (JR 97223 (503)639-4171 TDD (.503)684-2772 —
s 109146 .. 6 ,1600
CONSTRUCTION ENTRANCE AND EROSION CONTROL
MEASURES ARE REQUIRED TO PROTECT PUBLIC AND
PRIVATE PROPRETY. SPOILS FROM EXCAVATED
FUNDATIONS WILL BE PROTECTED FROM EROSION
WHEN NECESSARY BY HAY BALES OR SILT FENCES.
I�
i
SW GREENFIELD DRIVE
`SSI --,—�1'71-
65.23' w
SETBACK _ I ✓ ccpp ETBACI;
LINE \� LINE
fv ...�..�/A ./J/............. /..................... ...... 1.
40
670 -- -- - — —
Q E.
W
F.F7 Ewev. W
cv �( F—
RIDGE EL - 31.5'
C�R.Su►e �-'
RIDGE H70,0'
PUE
0..
PORCH 6NrRr 45 '.5C(n�M
............ .. .. ........
o
c CONE. DRIVE +— -- o
N 1
o ,FETDA, I
EL $' 65.15'
`(-
►gzJP7 SW 128 th PLACE
STORM
S�weA
ADDRESS:
LOT # 12 ELK HORN RIDCrE ESTATES
CITY OF rrIGATD
THE HIG 110115;E
QUAIL CONSTRUCTION PLAN # I(M4 3
CITY OF TIGARD BDILDiNG iNSPECTIGN DIVISION . �„���p _�•.,?C�
24-Hour inspection Line: 639-4175 Business Line: 639-4171 bUP -
_ _Date Requested l AM —PM ism' 8LD
Location J Y - (2'h•t'f1 i Suite — _ MEC
Contact Person ` Ph _ PLM
Contractor Ph SWR
— — SWR
�
CA
ELC ,Tanant/Owner - - 61,
Retaining Wall ELR '��U �S>
0 Footing Access: FPS
0,4 Foundation
Fig Drain -- SGN
Crawl Drain Inspection Notes:
Slab ----- — SIT _
dam' Post&Beam
i X Ext Sheath/Shear —
Int Sheath/$hr ar v Q U Q(] Z
Frame• ..r/°r t/Oi _04_ �.
biywall Nailing
Firewall �� \
Fire Sprinkler
Fire Alarm ��� -- r'l •�
Susp'd Ceiling '
Roof
Misc: U .
na
^ RT Al r
U Post 8 Beam (� _
U"der-ftb _
bu Top Out 'A --
(oti- Water Service L.,.r
A Sanitary Sewer � _ � r
�v Rain Drains `J
p PART FAIL ,��(,,,.•4-��-�
M C JAN AL A?�. V-�
Post& E7am —
Rough In
Gas Line `
Smoke Dampers __—
� na —
PART F IL _
ELECTRIC:,
Service —
Rough In —
UG/Slab — --
Low Voltage
Fire Alarm ---- -'
614-4rinal
PASS PART FAIL
SITE --- —
Backfill/Grading
Sanitary Sewer
re wired before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Storm Drain ( ]Reinspection fee of$ q
Catch Basin ( ]Please call for reinspection RE: _—�____-- ] ]Unable to Inspect-no access
Fire Supply Line
DA
5 11
Approach/Sidewalk Date ` T _6l Inspector U �-� �^ _Ext
Uther
Final
pqg$ PART FAIL 00 NOT REMOVE this inspection record from the job site.
f
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24-Hour Inspection Lina: 639-4175 Eusiness Line: 639-4171 --
3UP _
_ --_`Da'e Requested AM PM BI D
Location.
Suite _
MEC
Contact Person Ph _ PLM
Contractor rn ty ( ,c �a c Ph SWR
BUILDING --� Tenant/Owner _ _ ELC ---_
Retaining Wall ELR
Footing Access:
Foundation / FPS
Ftg Drain 'U l t( 1 rtl - L t Y <+�� <<.�i��..� --- —
Crawl Drain Inspection Notes 13SGN
Slab
Post& Beam SIT -----
Ext Sheath/Shear
Int Sheath/Shear _
Framing ---
Insulation
Drywall Nailing _ --__
Firewall
Fire Sprinkler �r�i�L et i("y' --____`
Fire Alarm
Susp'd Ceiling -- ._—.-- ---- --- — — __. -- -----
Roof
Misc: ---
Final
PASS PART FAIL
PLUMBING
Post&Beam ---- -- -- ------
Under Slab
Top Out -
Water Service
Sanitary Sewer - ------- -
Rain Drains
Final
PASS PART FAIL _
MECHANICAL
Rough In
Gas Line -
Smoke Dampers
Final
PA$S FAIL
LE IC
6-_
Rough In
UG/Slab
Low Voltage
Fire Alarm
,AKSS PART FAIL -
Backfill/Grading
Sanitary Sewer
Storm Drain [ ]Reinspection fee 3f$ required before next Inspection. Pay at City Hall, 13125 3W Hall Blvd
Catch Basin
Firo Supply line I ]Please call for reinspection RE Unable to Inspect-no access
ADA
Approach/Sidewalk -
Date
ate " /G / Inspector -- Ext_ _ -
F'nal
PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.
^.IT'Y OF TIGARD BUILDING INSPECT),. 4 DIVISION s�'
2 Hour Inspection Line: 639-4176 Business Line: 639-4171
BUP
_ Date
Requested PM — BI-D
Location Suite _ — MEC
Contact Person — Ph PLM
—`_�--
Contractor _ Ph -- SWR
UtL T-enant/Owner ELC
Retaining Wall ELR
Footing Access: FPS
Foundation —`— -
Ftg Drain SGN
Crawl Drain Inspection Notes.
Slab -- -----..—-- ------- - -- - SIT --_---_—_-�—
Post&Beam
Ext Sheath/Shear ----- --- ----
Int Sheath/Shear \16
Framing
Insulation
Drywall Nailing
Firewall /, � `/ __ -, -/ ,
Fire Sprinkler —
. re
Fire Alarm �� �-f— p Y �' _�„
Susp'd Ceiling
Roof buf.L —
Misc: - - ---
PASS PART FAIL — —
PLUMBING
Post&Beam
Under Slab —
Top Out
Water Service —
Sanitary Sewer
Rain Drains '- �-7--- --
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
P PART FAIL ------- — —. __-
ckflll/Grading b
Sanitary Sewer
Storm Drabs ^�Iy\ „� 1 rr-it,1tpe :on fee cf$ required before next inspection. Pay at City Hall, 13125 SW Hell Blvd
Catch Basin
Fire Supply Line Please call for reinspection RE: _ Unable to inspect-no access
ADA v it
A ach/ idewalk S Date Z` d \ Inspector `��'' ^- Ext t
the r _- _
Fin
8S PART FAIL DO NOT REMOVE this inspection record from the job site.
R
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