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12182 SW HOLLOW LANE I � N 00 N C7 O r r O S r z w 12182 SW HOLLOW LN. C.'TY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 6394175 Business Line: 639-4171 --`�1-- -- - BUP —�_ _ --,----Date Requested__ tt ' O�_AM PM BLD Location _ _ l �' y _ }yi I LA ' Suits _ MEG _.--- Contact Person ��,—_ Ph PLM _-- Contractor Ph SWR BUILDING Tenant/Owner ELC _— Retaining Wall — ELR Footinc ACCesS: FPS Foundation Ftg Drain �.��-`'- /� Z- �._.. C � �� �/� ��,�1. ---------- Crawl Drain Inspection Notes: SGN _ _ — Slab Post&Beam --- -- -- —�---� SIT _ Ext Sheath/Shear Int Sheath/Shear Framing Insulatio r �- Drywall Nailing Firowall c, Fire Sprinkler - •t- .rt_. �� /i� :.T-1 / f--_,� Fire Alarm Susp'd Ceiling --- ---- - —. -- - W-- - -— RL_f Final PASS PART FAIL PLUMBING Bost& Beam ----- Under Slab Top Out --`--- Water Service Sanitary Sewer --------— - —_—____--- _ --- _ Rain Drains Final PASS PART FAIL_ MECHANICAL Post&Beam -._�-- -------�- -_-- --- ----- -- Rough In Gas Line - - —_ Smoke Dampers Final ------- P!�^ RT FAIL. c�cal - -- ----- _—_ --- service Rough In LIG/Slab Low Voltage in ASS I PART FAIL CSITE- Backfill/Grading - -` _--- - ----- — -- -- Sanitary Sewer Storm Drain ( )Reinspection fee of$ _— _^ required before next inspection Pav at City Hall, 13125 SVV Hall Blvd Catch Basin Fire Supply Line I I Please call for reinspection RE `— — — I Unable to inspect- no access ADA Approach/Sidewelk Other D;,te �. � ' -_ -_Inspector_ _ -rExt Final -- -- --- PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. CITYOF T I G A R D CERTIFICATE OF OCCUPANCY PERMIT#: MST1999-00371 DEVELOPMENT SERVICES DATE ISSUED: 02/24/2000 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S103C6-12100 ZONING: R-4.5 JURISDICTION: URB SITE ADDRESS: 12182 SW HOLLOW LN SUBDIVISION: BLOCK: JAIL HOLLOW EASTLOT:079 FILE C-Ony CLASS OF WORK: NEW TYPE OF USE: SF TYPE OF CONSTR: 5N OCCUPANCY GRP: F.3 TENANT NAME: REMARKS: Single family detached residence, Path 1. Owner: DON MORISSETTE HOMES 4230 GAL EWOOD ST#106 LAKE OSWE30, OR 97035 Phone: 387-7538 Contractor: DON MORISSETTE ' COMES 4230 GALEWOOD STREET SUITE 100 LAKE OSWEGO, OR 97035 Phone: 503-387-7538 Reg#: LIC 00035533 This Certificate issued 05/05/21101) grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and use under which the referenced {hermit was issued. BUILDING WSPECTOR 131-111-6 04G OFFICIAL POST IN CONSPICUOUS PI ACE �►r CITY OF TIGARD BUILDING INSPECTION DIVISION c4-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST BLIP _—Date Requested �> > AM PIv1 BLD Location- _T—�= 1 , Z r}Z.� I. dl � ]i Suite MEC Contact Person — 71m Ph 2rPLM Contractor —__-- — —_— Ph _ SWR BUILDING —__ Tenant/Owner _ EL$ Retaining Wall EI_R !ffiD '000 S (? Footing Access: Foundation FPS Fig Drain Crawl Drain Inspection ')tes SGN _ Slab - ---__...—_--- --- ------------ SIT Post a Beam - - - Ext Sheath/Shear Int Sheath/Shear - —"'— Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm _ _ --�— Susp'd Ceiling ----1r/Z � AIZZ-12 __�-- Roof Misc: t'y C.:r G ST Final ---------- -- PASS PART FAIT- if PLUMBING _ Post&Beam I - ----- — Under Slab Top Out - -- ----- Water Service Sanitary Sewer Rain Drains Final -------- PASS PART FAIL MECHANICAL Post&Beam Rough In Gas Line __---- Smoke Dampers Final P ART FAIL LECTRICA - - Izough In l W',/Slah I ow Voltage f ire Alarm PART FAIL --- Backfill/Grading --- -----— -- Sanitary Sewer Storm Drain ( J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( j Please call for reinspection RE: Fire Supply Line ( Unable to Inspect-no access ADA Approach/Sidewalk Other Date Inspector Ext F+r,al I PASS PART FAIL J DO NOT REMOVE this inspection record from the job site, CITY OF TIGARD BUILDING INSPECTION DIVISION MST ?4-H(Jjr Inspection Line: 639.4175 Business Line: 639-4171 BUP Date Requested S `� —AM PM< _ _ BLD Location —__ 7 Y 2l �-�,- l .1 Suite MEC Contact Person _ J] M Ph 21�1-y83q PLM 'ZDC6 C ;I ,3X Contractor Ph _ SWR ILDIN_ Tenant/Owner — ELG Retaining Wall ELR Footing Access: Foundation FPS __- Ftg Drain SGN Sravel Drain Inspection Notes: — SlabSIT Post& Beam /�p �/j ----- Ext Sheath/Shear C. ` `C K C� "Z 4)C -( l,i-�'-.• - Int Sheath/Shear Cr -� Framing Ins:11ation - Drywall Nailing Firewall Fire Spr`nkler -- - — Fire Alarm Susp'd Ceiling Roof Mise: m p RT FAIL -- - --- - - —---- LUMB N� Pos`I�Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains iris i- W PART FAIL— 'MECHANICAL Post& Beam - ---- -- - --- - - -- -- _- ----- _ �--- ----_ _- -- Rough In Cas Line ---- --- -- -- - --- Smoke Dampers Final - --- - - . - --- - - -- -___ _ . ---- ----__-_--_.----- -----_.- --------- PASS PART FAIL ELECTRICAL -- Service Rough In -- - - - - - -^ UG/Slab Low Voltage Fire Alarm -----_ --- ------- -- --------- -- - - Final 5 ART FAIL -- ------- --- - -- - - - -..--- IT Backfill/Grading Sanitary Sewer Storm Drain c; Reinspection fee of$- _—required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( j Please call for reinspection RE - __ _ ( ]Unable to inspect- no ar.cess ADA A�QR�,,oach/Sidewalk ate G �; Inspector v L� �� tx�� i0thel - - - --- -- A88 PART FAIL DO NOT REMOVE this inspection record from the job site. m U o IS m �' ° C \ mco r" - ) cn Z v u C (; a U � O m m � � r„ c j �', cn Z m z I C c D = r `n c cn 1_. . ; b - Z m z y m M m = X, M D m m 0 o z m D m D 11 O m . .rn -� --� S J? I1 O = z r ✓\ m 1— c. d c CITY Oi IGARD BUILDING INSPECTION DIVISION ► 24-Hour Irispection Line: 639-4175 Business Line: 639-4171 BUP _ — Date Requested_ AM— -PM BLD Location l✓> Suite MEC Contact Person 1✓�A _ Ph � a' Contractor _ Ph SWR a4 ILDIN Tenant/Owner ELC -- eTfiinrng Wall ELIR ---- Footing Access: - Foundation FPS _ _— Ftg Drain SGN Crawl Drain Inspection Notes: -- —-- - --- Slab SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear ^ Framing VII J in ` �� ,,0 tk ' Cis ' �- Insulation ` C,P-2m O S r I ` �� �1 Q, Drywall Nsiling C q _ G ��C� Firewall ^� "( / S Fire Sprinkler .— Fire Alarm tm ZC7Lt�_ jW'\ S S Susp'd Ceiling /; - Roof PASS PART -AIL - - PLUMBING Post&Beam Under Slab Top Out )� Water Service CJ Sanitary Sewer Rain Drains Final � - PASS PART FAIL rgi ANICAL,J Post& Beam - ---- -- Rough In Gas Line Smoke Dai-pers ma PART FAIL ELEMTRICAL Service Rough In UG/Slab Low Voltage Fire Alarm _ Final PASS PART I-AIL SITE Backfill/Grading -"--^ - Sanitary Sewer Storm Drain ) ]Reinspection fee of$ _required before next Inspection. Pay at City Hell, 13125 SW Hall Blvd Catch Basin ( )Please call for reinspection RE: — ( ]Unable to inspect-no access Fire S,ipply Line ADA t;) f(�.,� Approach/Sidewalk Date -I Q (/ Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PLN12000-00138 13925 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 05/03/2000 SITE ADDRESS: 12182 SW HOLLOW LN PARCEL: 2S103C13-12100 SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R-4.5 BLOCK: LOT: 079 JURISDICTION: URB CLASS OF WORK: ALT 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: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUBISHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installing a residential backflow prevention device _ ES Owner: ---- FEES — -- -- -� Type By Date Amount Receipt DON fv10RISSETTE HOMES PRM4 BON Obi/03/2000 $25.00 0001860 4230 SW GALEWOOD BON 05/03/200C $2.00 0001860 LAKE OSWEGO, OR 97035 5PC2 Total $27.00 Phone 1: 503-790-6456 Contractor: PROGRASS LANDSCAPE SERVICES 29895 SW KINSMAN RD WILSONVILLE, OR 97070 REQUIRED INSPECTIONS Phone 1: 682-6076 RP/Backflow Preventer Reg #: LIC 00006136 Final Inspection PLM 11558 ORIGINAL This permit is issued subject to the regulations contained in the Tigard Municipal Coda, 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 ,tarted within 180 days of i-suance, 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. Ycu may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. _ l Issued By: V�� Permittee Signature: 21,'L '2. ItCd(C171 - w4 Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next4r.11siness day aper-20,-00 07 :2 .5 RM PLS I 18036629675 P. 01 0510beV9 TCT 10167 FAC 803 5911 1960 CITY Cr TIGARD Q002 CITY OF TIGARD Plumbing Permit Application Plan erecx1 13125 SW HALL BLDG. Commercial end Residential nerd©'r TIGARD, OR 97223 Dr.e Ps^"j 11 Q(10 (503) 639.4171 D,'-e to P E. Print or Type °e1 I`°IT Incomplete, or Illegible applications will not be a,!ceptod r �v�y•� Relelad S/1R 6 f7w CaleQ - o013Sr� Name of Coveopmantl M18 - FIXjURE8 Indly u I ,' ' Q � P ISE•. /yIM lellac WT s1.U4 Job .4L- 81nk AddressI lAddress I Bulk Levetory f 1160 fX qI 111YI r1 r'- Tub or Tublghoyrer Ccmb. 11.50 Bldg 0 _rty/ lake ZIP -- Sharer Only Watur Close, 11.50 Numb 10 boy-I rTlerisl G�4e. �forn�5 Ctarwwner tl Owner k4oling Address suite Garbage Disposal � � T 11. 4 a ao SLU &a/e-,CC,,tL Wee 19 arltlne - 11.50 aryr3'Its ZIP Phone Floor CrowFloorSlnk 2' 11,60 Lard USWcrG OR. 790- rYS t 0� Nene 4• 11!0 Occupant 01111.,19 Ae 1 Rt Ite Water Nader O convenhn O the Lind 11..0 Cru pipling re ul.ee e u aete nechenlul errnit, _ Glyl kale - -gip P on�ii—� L"undry Room 713y 11.50 00 �p�iioSC 1'rU Gra SS LA114Sc G o .r Fbnr.a t poo s Contractor M6 Address Butts _ l aq F S W X(f)(trAA Prtr:o p"rrill aryalar" L Phone 10 p7 ewer•lot100' W 00 >.auencr.,1 copy _1 011 Ur�l{, 09701U (�P7(p ar7 Bawer cash"dOlQnal 100' - — of ell tcerreee eI re 0MG0 rI Cool.•3oerd Uc ll B 1Dais '0 avr c 00 required M SOC Wa re-to 1 expired In COT Plumbing Lia B e:r Water Servlcs earn additional 201• 72.00 dalsbasa storm 3 Faln DUn 1a1 100' 35 W -- NertM - farm 6�a n�do eachllond t00' Architect deal.Home Space a •00 - of 1 less Wle r X. Mwclal Bent Flor Ptooenllcn 0: vl o,Aral- - P lullal Devi-.0 Engineer dty/9bste 71V Phone Residential iiPrevnnelen pre lei' prilgaUar tHMI;devlcna rMilh a eeperol- Geecnbe work to be dero. �— - - raalncte0 enorgy perry_.) _ Now 0 Repair O WP;eco X40 like Wnd "am 0 No O A,y rrap or Wesie N!t Connected to FbrLrvi 1 L60 Resilentlal 0 Commerdol O CalLh 8e1110 d Itio�al dar�ptkn of we*: Insp a.'E:IaUng'Ivnblrg — 50.00 VVI _ Sli rlaly Requested Inapec,Iona 60 Am you capp'np,moving or repleelnp any flxturee7 P !n Yw 0 No O Rolm 01mir, &r,01,temay deco n9 $6.00 l If yes.see back of form to Indicate work performed by Cxaar,aTrapa 11.10 1 flttture. FAILURE TO ACCURATELY REPORT FIXTURE WORK COULD RESULT IN INCREASED SEWER FEE$, -- - QUANTITY TOTAL, � I ha•eby aeknowled9e that'have rose:this appilcatlon.the:tine Inlonnelian lurrrk or Haw doa•om to roqulrad if Own•1;.Tend In 0e given Is coned.Vxl 11m trte o"r or stAhorized agent or the owner,and •GUOT7TA1 l �h Vaens subrN:ed h m are cc 'lance with Creocn 31als Lows, nr*,ree W atptoo -- Q�te ads �pCi �l��, bb4 SURCHARGE ' gj Contact anon — - Plvone e1 I"W 26%Oe SUBTOTAL Hogg-" y A lxriufl ary Iotel—I--e _ ����jj-- � 'er y vs"'r .,. Inimurrt permit.ee is 150.6. aurehergs,eur�pt ReelderRtai r,M1ow T•�` d :'Z"" e { e 1' �t ` t Pntick¢t➢11J1d41.1IIt11:CIP) 'Q1V[ti�i n A� ' t cLatd ^IFINtrw Commerctsl Building+rogLlre DIaJa wMn llentelrlc ar rloet dllgralr and plan reyien ELECTRICAL PERMIT- CITY O F T I G A R D RESTRICTED ENERGY DEVLCLOPMENT SERVICES PERMIT#: ELR2000-00095 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 05/03/2000 PARCEL: 2S103CB-12100 SITE ADDRESS: 12152 SW H�:'_LOW L.N SUBDIVISION: QUAIL HOLLOW - EAST ZON:NG: R-4.5 BLOCK: LOT: 079 JURISDICTION: UR Proiect Descriotion: Landscape irrigation control A. RESIDENTIAL_ _ B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYS'rFM• FIRE ALARM: OUTDOOR LANDSC LITE. OTHER: IRRIGATION X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL #OF SYSTEMS: _ Owner: �^ Contractor: DON MOR,SSETTE HOMES PROGRASS INC 4230 SW GALFWOOD 29895 SW KINSMAN RD LAKE OSWEGO, OR 97035 WILSONVILLE, OR 97070 Phone: Phone: 682-6076 Reg#: uc 68445 _ FEESRequired Inspections____________ Type By Date Amount Receipt v Elect'I Service PRM3 BON 05/03/200C $60.00 0001860 Elect'I Firal 5PC2 BON 05/03/20CC $4.80 0001360 Total $64.80 ORIGINAL This Permit is issued subject to the regulations contained in the Tigard Municipal Cede. State of OR Specialty Codes and all other applicable laws. All work will be dor,.;in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended `or more than 189 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon U+ility Notification Center. Those rules are set forth in OAR 952-001-0010 It, )ugh OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987 Issued by Permittee Signature G'c f I�IC �ry� wC. -4' OWNER INb T;.'-LAI*ION ONLY _ The installation is being made on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: _ _ _— _ _ J DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N LICENSE NO: — --- - — — — ---- ---_— -- - Call 639-4175 by 7:00 P.M. for an inspection needed the next business day APF'--26-00 07 :27 AM PLSI 1 0?;5ff291375 F. r 08•'08/99 TtE 10:68 rAC 603 608 1960 CITY OF TMG XD ®00a GIT`!OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICA7?ON Rec'd by: 13125 SW HALL BLVD DatA Rcdu:�- TIGARD OR 97273 PRINT OR TYPE V•503.639-4171 X364 rl,_r~7M -0CV`6 F - 503-598-1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cjst Call'd. WILL NOT BE ACCEPTED Name of Development ProJtat TYPE OF WORK INVOLVED-RESIDENTIAL ONLY rlr/ Reatrleted neroy Fsa....,....,,...,,.,,,..,..,_,...._. MAOG)A_k_"U2 � r -v4A_L 1A,) (FOR ALL SYSif-MS) JOB Et'.et ores$ "- ate NN ALIURLSS )�)) 'ga SSU 40(uW Lan Check Type 0Wcr1Involved . Clryr9tatr. Zip Pne+rw 0 Audio and Steno Systeru Ile a i tt UR 91 l:Aa3 Na e / E3Surplat Alarm Ad see Oerage Dour Opener' OWNER `gyp us Coal uvo�0 l'.�t�,L 11y Q Stenea D Z1p U� Y `�pena Heatrnq,Vomulation and Air Conditioning byak+m' me _ 'J No.64 (00 Vocuum Systema' L/,a.14lscnFr. F}D6 rUSS LAndS�pe� ahar_C tlSc 14_tkyL1_:t1C)a_y)1V/lG CONTRACTOR �1g�I�r�,A�gqOr+ + — r`1 s �y(11) �Clylyrr>�� 0-D TYPE OF WORK iNVOLVED•COMMERCIAL ONL.Y (Prior to bnren e a h tate Flo Phone ce for each system,., •_........•••••................. .. teo.C41 rQFy cf all Iloori w 1 W Ur-��L 4Q 470�U tp tim (p (SEE OAR 9111.260-290) are requleed It Oregon Cynif, rd Lit 0 ide etrp rerl in C O't lD 3 (,hedr Type of Work Involved. dela Dare). Eleddeal Canv. Llc,0 Erp nalts rludln ono 6uree Syelem$ orelrol„cl� � ,�, els Boller Corbol$ nets Name _ Q Click Syaterin OWNER- Mallnij Addr.Is APPLICANT r7] Da'e felecomrrvnlcedon Instsli.tion Clty/stet. Ll tP� hone Y FII.Alarm Irehllat.an This permit t%losued under OA 91"2CJ70 This rapplfconr egnes to r-t melee only restrlceed energy Instal'alione 000 volt empe cr lees)under lhls t _1 HVAC perTlt and'o do Itis fodowing InelNmenlation I only use el.arkal 11wise(I persons to do insiva'mns where raqu;rtxl Certain ref.ldenflel and other tronaaalons aro asampr from rlcenoing ❑ Inlercam end Paging syefeme These have saterlah9r). All oth^ry need Ilcanalng; 1. C.II Io.Inspections when Inaall.don�n�4r lints permit ore ready for [J Landscape inoaUo,'a Cortrct' Inspecllon at 10]-l3911TG; El 1i 3 Purchase seperste pan-Nis for all inatslatloro that are not ready for on Nurse CsIS inspection when the Inspector s.wit(o Inepact under this permit, 4 Ass.lrna rasponelbIllty for assuring that all cornecllona required by the r] Ouldwr Landecape Ligh'Ing' in wctrr ars done and, C7 Protecttve SlanaMg t, AIILme r.sionaie.tty lot C.Ilrnp f^r a firtel liopeoiion when all of the carrecdlona are:rmplisted, n )that Pernlli are non inanefarob a and non refundable and exp'a if work Is not etsrted with n 190 days o'Issuance or;f work Is eueaended for 180 days. _ —Number of Sys»Ta The p ereon signing for this pefmll must be the.ppllcanl or a person No Ironsas are-emilree L"m"are repuren for oil W-er IroWiaUons owhorited to bind the opp Signature ENTER FEW"I SURCHARGE I all X TDTAL A6DVE1 O Authorlty If other than Appllcen( TOTAL '41'8 fC rfueserA de:1.1110 ^ ELECTRICAL PERMIT - CITYOF TIGA►RD " !zRESTRICTED ENERGY _- DEVELOPMENT SERVICES 41,; PERMIT#: ELR2000-00059 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/16/00 SITE ADDRESS: 12182 SW HOLLOW L.N r PARCEL: 2S103CB-12100 SUBDIVISION: QUAIL_ HOLLOW - EAST (" ZONING: R-4 5 BLOCK: LOT: 079 JURISDICTION: UR Proiect Description: Installation of burglar alarm system and coax, cat. 5. A. RESIDENTIAL _ B.COMMERCIAL _ AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: X. BOILER: LANDSCAPE/IRRIGAT GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: COAX, CAT X HVAC PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: _ TOTAL# OF SYSTEMS: Owner: _� _�---_-- Contractor:---_—�_ — ^— DFNNIS MITCHELL OWNER 10155 SW MURRAY BLVD APT#D223 BEAVERTON, OR 97008 Phone: 731-8218 Phone: Reg #: FEES Required Inspections Type By _Date Amount Receipt —V Low Voltage Inspection PRM3 DEB 3/16/00 $60.00 0000707 Elect'I Final 5PC2 DEB 3/16/00 $4.80 0000707 Total $64.80 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws Al: work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance. or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0 10' hrough OAR 952-0,01-0080. You may obtain copies of these rules or direct questioy�s to OUIJC at (5 '3) 246-1987 Issued bly Permittee Signature OV' NER INSTALLATION ONLY The installation is beilig made on property I )wn which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: LICENSE NO: Call 639-4175 by 7:00 P.M. for 3n inspection needed the next business day (i;i, 13 '00 MON 1 4:0: FAX 503 598 19110 C I'I'IOF 'I I CARD 16002 G4TY 0'- TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION, Recd liy:I_ 13125 SW HALL BLVD [date Ret.-'d:. -!C�-00 TIGARD OR 97223 /`��� ���� I PRINT OR TYPr /� V- 503-639-4171 X304 Permit# ���fXY)' 0, / F -503 598-1960 �) INCOMPLETE OR ILLEGIBLE APPLICAT'I(,1NS �A Cust.Call'd WILL NOT BE ACCEPTED Name of Development Project TY' E OF WORK JNVOLVEU -RESIDENTIAL ONLY 11 Restricted Energy Fee........................................ :60.00 11 C (FOR ALL SYSTEMS) 0 .JOB Street Address Ste# Check Type of Work Involved- ADDRESS nvolved ADDRESS - d J. 1A 0 o L.\ r�n�\ 1tvl9late 1 Phone# Audio and Stereo Syslemc, Name C `1 Burglar Alarm fj�jELQQM vil �� 1 T('�{—Lam. �C `V I Garage Door Openor' 000' OWNER Mailing Addre�s l`�u� (Ir it /S ZjP Phone# (�a�J heating,Ventilation and Air Condition ng System' !IJ p ; L Vacuum Systems' � Other c \ '— - -- CONTRACTOR Mailing Addruss TYPE OF WORK INVOLVED-COMMERCIAL ONLY _ Phone# Fes for each system...... $60.00 (Prior to Issuance a CitylState Z'p (SEE OAR 918-260 260) copy of all licenses are required if Oregon Contr.Bid Lic.# Exp Date Check Typo of Work Involved expired in C.O.T. data base). Electrical Contr Lic.# Exp. Date ❑ Audio and Stereo Systems C.O T.or Metro Lic.# ExpLL 1I ❑ Boiler Controls Owner's Name r c C ❑ Clods Systems � . OWNER- Mailing Address r ' / a� Data TelecommuniceNon Installation,APPLICANT �(a 1 `� y L'� A, fr 'Ci IState Zip Phone 1y , i ��, ; ❑ Fire Alarm Installation 1 This permM Is Issued under OAE 91 B 320-370.This applimilt agrees to ❑ HVAC make only restricted energy Installations(100 volt amps or less)under this permit and to do the following' Instrumentation 1 Only use electrical licensed persons to do installations where required Certain residential and other transactions are exempt from licensing Intercom and Paging Systems These have asterisks('). All others need licensing; ❑ Landscape Irrigation Control' 2 Cali for Insnectlons when installation under this permit are ready for r' inspection at 503-639-4176; LJ Medical 3 Purchase separate permits for all Inslallationn that are not ready for an ❑ Nurse Calls inspection when >inspector is out to inspect under this permit; Outdoor Landscape Lighting' 4 Assume responsibility for assuring that all corrections required by the inspector are done,and; ❑ Protective Signaling 5, Assume responsibility tot calling for s final inspectlon when all of the 1�1 Other corrections are completed. Permits are non-transferable and non-refundable and expl e H work is not Number of Systems started within 180 days cf Issuance or if work is suspended for 180 days. ��-_._--- The per'cos Hing for this permit must be(he gpplicant or a person No Iloenses are required L"nses are iequlred for nil other installations authorized to Ind th,,App ant 4 FEES: ENTER FEES $__ ._0. , Signa ure { 0%SURCHARGE(.Ol1X TOTAL ABOVE) $ -- TOTAL -��,- Authority R other than Applicant ` 11 :.tdathllormsvesele.doe 3/98 1 AI CITY OF TIGARD MASTER PE^MIT PERMIT#: MST1999-003 1 DEVELOPMENT SERVICES DATE ISSUED: 02/21/2000 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 r SITE ADDRESS: 12182 SW HOLLOW LN O i r S l` , L PARCEL: 2S103CB-12100 SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R-4.5 BLOCK: LOT: 0?9 JURISDICTION: URB REMARKS: Single family detached residence, Path I BUILDING REISSUE: `^ STORIES: 2 FLOOR AREAS -REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 23 FIRST: 1,498 of BASEMENT. of LEFT: 5 SMOKEDETECTORS: Y TYPE OF USE: SI- FLOOR LOAD- 40 SECOND: 1,552 of GARAGE. 686 of FRONT: 20 PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: of RIGHT. 6 VALUE, fi 229,27"2 90 OCCUPANCY GRP: 123 BURM: 4 BATH: 3 TOTAL. et REAR: 35 PLUMBING SINKS: 1 WATER CLOSERS: 3 WASHING MACH: i LAUNDRY TRAYS: 1 RAIN DRAIN. too TRAPS: LAVATORIES: 4 DISHWASHERS: i FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: i CATCH BASINS - TUBISHOWERS: 4 GARBAGE DISP. I `NATER HEATERS: WATER LINES: 100 BCKFLW PREVNTR 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K. BOIL/CMP<31-1P. VENT FANS. 5 CLOTHES DRYER: i GAS FURN-100K UNIT HEATERS FOODS: OTHER UNITS. + MAXINP: htu FLOORFURNANC£S: VENTS: WOODSTOVES: GAS OUTLETS. + ELECTRICAL _ RESIDENTIAL UN,T SERVICE FEEDER TEMP SRVCIFEEDERS- BRANCHCIRCUhS MISCELLANEOUS AOD'L INSPECTIONS 1000 SF OR LESS. 1 0 200 amp: 0 - 200 amp. WISVC OR FDR: 1 PUMP/IRRIGATION: PER INSPECTION EA ADD'L 500SF F 201 - 400 amp: 201 400 amp lot WIO SVCIFDR: N, SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY- 401 600 amp: 401 600 arnp EA ADDL BR CIR: SIGNAUPANEL: IN PLANT: MANU HMISVCIFDR 601 - 1000 amp: 601-en.Po.1000v MINOR LABEL: 1000•arn;;'-:;,;t FLAN REVIEW SECTION Rrconnect only: -- - -- >=4 RES UNITS: SVCIFDR> 225 A.: >600 V NOMINAL CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY ' A.SF RESIDE14TIAL B..:OMMCRCIAL AUDIO&STEREO. VACUUM SYSTEM: AUDIO&STEREO. FIRE ALARM: L ITERCOMIPAGING: OUTDOOR LNDSC LT. BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: MVAC: DA'ATTFLE COMM: NURSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 2,882.62 DON MORISSETTE HOMES DON V10RISSETTE HOMES This permit IS subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and 4230 GALEWOOD ST#100 4230 GALEWOOD STREET all cther applicable laws NII work will be done in LAKE OSWEGO OR 97035 SUITE 100 accordance with approved plans This permit will expire If Ll,KE 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 1 hos.-- rules are set Repo 11( 00035' forth in OAR P52-DO1-0010 Mrough 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 POSUBeam Mechanica Mechanical Insp Shear Wall Insp Water Line Insp Plumb Final Sewer Inspection Underfloor insu atien Plumb Top Out Gas Line Insp Appr/Sdwlk Insp Final inspection Fooling Insp Crawl Drain/Barkwater Electrical Service Gas Fireplace Urb St Tree Certif Ltr F Building final Foundation Insp Footing/Foundation Dr, Electrical Rough In Insulation Insp Electrical Final Post/Beam Structural PLM/Underfloor Framing Insp Rain drain Insp Mechanical Final u Issued By : Permittee Signature : .x � •' Call (503) 6394175 by 7:00 p.m. for as inspection needed the next business day CITY OF TIGARD Residential Building Permit Application Plan Check# C1 oaf 13125 SW HALL BLVD. Additions or Alterations Recd By TIGARD, OR 97223 Single Family Detached or Attached (Duplex) /� Date Recd 11^ t 7 V 503-639-4171 Date to P E. / :1- 1 Date to UST F 503-684-7297 �� Permit# Print or Type Called4-1 Incomplete or illegible applications will not be pted ------—�-- N,a��me of Project ------------ .__ ame —" Job C�,'� l.61.t �����/W ` /4 1� �.L(1' Address ite Adoless Architect ilinoddress ------ �r ) 1 ) L 1�_Lll V - GC B ph�n r,� Ity/$tatI� s• - arr'e 7_7c Owner nlll^ ���/rAcc 1 Name , , ,S ate Engineer Mailing Address ty — .,�_� rb " ��,- General Name City/State Zip Phone Contractor _ C E _ffiH� Descnbe work New Addition O Alteration O Repair O Mailinq Address to be done. Prior to permit q,3li ; (,X4-V ii,u��� -I$ _Additional Desr_-iption of Work.------- V, Issuance,a copyty/Stite Zi 1-{i7 e _ ��)C of all licenses ML �� --' are required It Orerlon Cbnst Cont Board E p � 3D to PROJECT expired ex fired in GOT Lic.# ' toC� VALUATION Ndatahase _ --` _ e Mechanical Name `- NEW CONSTRUCTION ONLY: _ Sub- ' / S Ft. House: S lam'! _.1 -- — q �� q. Ft. Garage �s Contractor Whiling Address Prior to permit fJj Gj _ Indicate the restricted energy installation by the electrical issuance,a copy i ISt a ip Pho.e subcontractor in the followin areas _ of all licenses ' tl� - 16 Restricted Audio/Stereo are required if Oregon Const Cdn; Board Exp Date Energy System Alarms expired in COT Lic# /- Installations Vacuum Irrigation _ database __7 �UJ� 3W]Z S stem _ S stem Plumbing Name (check all that O!her: Sub- PatVdres � Is -PJLd -nbjt apply) Contractor Mailing A Corner Lnt YES r Flag Lot YES (check one) 7 (check one) Has the Subdivision Plat recorded? N/A NO i Pnor',a,xmrmittyl tate 1 Z' hoe �. issuar,ce,a copy of all licenses are Oregon Const Cont. Board Exp Dat required if Lic# expired in COTt ) L l f I hearby acknowledge that I have read this application,that the database Plumbing Lic # Exq Date information given is correct,that I am the owner or authorized agent of the owner, and that plans submitted are in compliance with mon State laws. Name , gn ref ue of OArier/Agfitr �a �( l Electrical `^/ —` ----- 6 to t Pe on Name tone!E Sub- Mailing Address l e � c Contractor a�(�j \!_�(�',/,, �, City/State Zip Phone Prior to permit ```` Issuance,a copy t1 11 �� \ FOR OFFICE USE ONLY: of all licenses are Oregon Const Cont. Board Exp Date — — — required if Lic# I l p�pI— �„, t f{„ Plat MapITL#: expired in COT database ect Ical LiG # � pl D t� Sb3cks: / ' Zone Solar �n A Electrical Su ervisor Lic # I Dpte I Engineering Approval Planning Approval: TIF t Ilam 114 i\dsts\forms\sfaddalt dcc 11/20/98 setae age SANITARY• D o� agency ,55 N. First Ave..Suite270, Hillsboro, Or.,97124 SURFACE WATER I 503 648.8621 GONNF UIUN Pi:RMI L MUE VAT" 02.2�40a E XI!"MATMN DATE 082200 FC EXP DATE: 022302 r-ErRMIT 11.8376 1"FRUr.,TURE ADDRESS 12182 PROJECT 820'1" 5 FRUC.TUREr STREET SW 4OLL.OW LANE LOT 79 BLOCK TYPE: CONNECTION— NEW OF QUAIL. HOLLOW EAST i YPE IN"tALLATION- ( 19) ISI D SWC;/E"RO C'()N/S[IC TYPE OCCUPANCY- ( 1. ) SINGLE FAMILY PARCEL 2r1 3CE1 12100 QTR SFC 4417 MH 2694i OWNER DUN MORIGSET I'E: HOMES ADDRESS 4''30 BALE WOOn STREET TRFATMF-.N'I PLANT DURHAM LAKE OSWE 60 OR 97035 f I�f1NE 3F3'�- '7538 WATER DISTRICT TIGARD VTXTURE EQUIVALENT DWELLING RESIDENTIAL UNITS (;ERVICE UNITS 0 .0 UNITS 1 SERVICE UNITS I CONNECTION FEES SURFACE WATER IIF'VFLOPMf:NT FF'F'S SEWER CONNE_CTI11N 2300 .00 WATER MJALITY 210.00 LESS CREDIT 210 .00:::. WATER f.)UANTITY 270.00 LErSf; CREDIT 0.00"': EROSION C17NMOL INSPE:CIILIN 88.00 FLAN CHECK 57.20 IIH f UTAL.. 2-300, 00 9UEtI OT0L 4:35.20 I'OTAt. 2735 ,20 AFFL MAME TIENA PHONE �_..._._...__._._.._ nr-F TI L I n 10N R,U, K,E PiAF"h i41JIAII_ HOLLOW EAST (,Or 79 F'RO,J 6207 *21 HOUR OTICE F(IR FRO-'MN C N RRL Mjr,ECTIONS REQUIRED f, C tib 1 f(7 I T114(-1144-8444 . 1 \ _. _. 1(.)SUL .0 I+ ' HUMP{�I?L. ,J i Permit Conditions: The applicant agrees to compl;with all rules and regulations of the Unified Sewerage Agency,including those regarding erosion control. A 24-hour notice is required for erosion control inspections The inspei.:ion requ,at nllrlbRr Ic R44-8444 When calling for nn ncpection please rul the permtt,protect and lot numbers. The permit expires one hundred eighty i 1801 days from the date of Issuance The Agency does not guarantee the accuracv of the location of side sewer lateral, 7193 WHITE - USA, BLUE - Accounting, GREEN --Inspection, YELLOW - Customer INSPECIFO BY DAIS I;ON I R A.C.I OR/I NST Ai L F R IYPE. OF PIPE DIAMETER OF PIPE Inspector, Please sketch below or attacri the following information; 1 Street & nearest cross street i 2 Location of structure being served i 3 Route of service line from structure to property line where it connectF to the service lateral . Include length & diameter of service line, depth At the structure & property line, dimensions referencing line to structure, property lines and/or corner s, etc. 4 North arrow i i f f N DON MORISSETTE HOMES, INC. 4230 Galcwood Street, Suite 100 (503) 387•-7538 I'hone Lake Oswego,OR 97035 (503) 387-7615 Fax LATERAL ANALYSIS for Job #. 2034 PLAN No. 17B 12182 SW Hollow Lane Lot: #79 Property: Quail-Hollow City: Tigard Date: October 1999 AEU P R UFE 61 N E 4i Z Expires. Pali/—— -----LIMITATIONS---- THE ENGINEER WAS RETAINED IN A LIMITED CAPACITY FOR THIS PROJECT, NO RESPONSIBILITY AND/OR LIABILITY IS ASSUMED BY,OR IS TO BE ASSIGNED TO THE ENGINEER FOR ITEMS BEYOND THAT SHOWN ON THESE SHEETS. DISCLAIMER AND HELLASI BUYP.R HERFBY WAIVES.RELEASES AND RENOUNCES ALL WARRANTIES(EXPRESS OR IMPLIED),OBLIGATIONS, AND LIABILITIES OF THE ENGINEER AND ALL OTHER RIGHTS,CLAIMS,AND REMEDIES AGIANST THE ENGINEER (EXPRESS OR IMPLIED)WITH RESPECT TO ANY NONCONFORMITY.IMPROPER INSTALLATION.WORKMANSHIP OR MATERIALS. DON • MORISSETTE OBE : 2034 liar H a m 2 a I N C 0 2 P 0 2 A T 3 D sasa aALswooD e1TRsar LOT: 79 r. A19 08Os90. 0as90r a70ae DATE: 10/14/99 (ens) so7 �- yeas FAX (50s) 3e7 - 7816 PROPERTY: QUAII._HOLWW CITY: TIGARD OPTION S BLEVATIQN SCALE: i'=20' 3-GAR GAIRAC,E PLAN No.: 17B Htc ("I V-- Ll-r-*+-3cf3- Ki f1 12182 c-UJ HOLLOW LANE A 292 29m 293 aak eh 2 292 o Cor+�ta< 292+ orivrwiay ' 1 jZ 2'8 r ' 3 carr. b'2 FFE. 29b' 1'b' 7'i 2 20'4' r 64 rL r r 21'8' b m 0 r F 294' ill 2 22' 2O'xMY IDIti0 8' 292 r ' ' � r i �('2AAo,) 1�c-.CSA ?, , 20' LOT 019