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12190 SW HOLLOW LANE 4 l I I MW in Nam 0 ELECTRICAL PERMIT- CITY OF TIGA,RD RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: E-LR1999-00279 13125 SW Hall Blvd., Ticiard, OR 97223 (50311639-4171 DATE ISSUED: 11/2"`D99 SITE ADDRESS: 12190 SW HOLLOW LN PARCEL: 2S103CB-12000 SUBDIVISION: QUAIL. HOLLOW - FAST ZONING: R-4.5 BLOCK: LOT: 078 JURISDICTION: UR Proiect Description: Install landscape irrigation controller. A. RESIDENTIAL _ B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING- BURGLAR ALARM: BOILER: LANDSCAPE/IR.RIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: I-DOOR LANDSC LITE- OTHER: L.ANDSCAPE.. X HVAC: PROTECTIVE SIGNAL: INS1 RUMENTATION: OTHER: TOTAL #OF SYSTEMS: _ Owner: Contractor: DON MORISSETFE HOMES PROGRASS LANDSCAFESERVI13ES 4230 GALEWOOD STREET 29895 SW KINSMAN RD SUITE 100 WILSONVILLE, OR 97070 '_AKE OSWEGO, OR 97035 Phone: 274-5223 Phone: 682-607(3 Rog #: LIC 6136 ORIGINAL FEES _ Required Inspections —Type By Date Amount Receipt Low\/nitage Inspection PRMT �,JF' 11/23/199E $60.00 99-319978 Elect'I Final 5PCT KJP 11/23/199E $4.81`1 99-319978 Total $64.80 I J This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Cod;s and all other -pplicable laws All work will ',)P done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance. -r if work is suspended for Fiore than 180 days. ATTENTION Oregon law requires you to follow rules adopted L, the Oregon Utility Notification Center. Those rules are set forth in O^, 952-001-0010 throughR 952-001-0080 You may obtain copies of these rules or diract questions to OUNC at (503, 246-19P7 Issued by _ kQ�'t�n�.� Permittee Signature L _OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. EI_EC'N ���_ _ DATE: LICENSE NO: ----- Call 633-4175 by 7:00 P.M. tier an inspection needed Che next business oay Off/08/91 11G IoRr.Irl�yNFD 5913 19ti0 CITY 0r T1GM?1) Zool CITY OF-;IGARD CCII.• RESTRICTED ENERGY ELECTRICAL APPLICATION Recd 13125 SW HALL TIG RD OR 9723VIVO� 2 2' 199 DateRec'i PRINTOR IYPE V-503-639-4171 X304 F•503-598-1960 COMMUNITY INCOMPLETE N I Pf?rm�t»: EL c�t� -lit:'.� -7 y INCOMPLETE OR ILLEGIBLE APPLICATIONS Cu I Call'd WILL NOT BE ACCEPTED Naine cf Deve'opinent Pr;Iect TYPE OF WORK INVOLVED-,77r)ENTIAL ONLY 1.1 Cl.l r --------------- U 1It Ulu 7 k Restricted Fnorcy Fee., ,....»...................... JOB St•ee?Adaress Ste M, (FOR ALL SYbTEMS) ADURESS I� 00 Sit) HD No-yo pk I Check Type of Wcrik Involved: Citylstate zip Phore s E] Audio and Stereo Systems TOC t.r.Z� 'CJ Name D Gurglai A'arm I-(Tn ;OWNER (v1Arli Addis ae ❑ Garage Door C,)ener- '-1 kb LU tt U t L'o C)C) Ll l/1 ❑ plylstate Yip phons Heeling Verrilatlon and Air CondiUonrr±g System" me Vacuum Systems- I'r t,,&,Y CtS�, Lct r,tA.S (,7 Cifrc'_ Other L Ll I Ii)Sc c c 4� �h vr- i^_t1�1 rYn CONTRACTOR elfin Agra �i`� .Ito` K-i rk t��� V TYPE OF WORK INVOLVED-COMMERCIAL ONLY (Prior to leeuancs a Cityl tate ZID phone 0 4-1 ) Fee for each system......_....... ............................. e0.00 copy of all licenses �►i 1. s Or iJ l( t � `t 7u 1 (o o 7(„ �—_-_- (SEE OAR 91&260.260) ere requlred if Onion� ntr.DM Lie.M .Date expired in C O.T. lL`1 J tc 3 r (-L, Check Type of Worx)nvoNbd: data Dale). Electrical Contr.Lir ;. Exp.Date C Audio and Stereo Systems CO T.or titntro Lb.tl RP, ale Boilor Cortrcls Owner's PT'.,,�c Clock Systems OWNER - Meling Address APPLICANT ❑ Da's Telecommunication Instellatian City/�ta;e Zip Phons k ;❑ Fire Alarm Iristallatbn fhia permit is-issued under OAL 918.32C-370 This applicant agrees to --77 make only restricted energy Instelgtions 1100 Volt em;xi or less)under this L r HVAC permit and fo do tie following' ❑ Inefrumentetbn 1. Only use electrical i ice,sed pe•sons to do,nsta!!atlons where requlred Certain residen',a acrd other transactions are exempt from licensing Intercom and Paging Systeme These have este iaikS(') All others need Ilrensing, 4. Call for inspections when installation under tnia permit are ready for Landscape Irrgatlon Contrcl- inspection at FO-430.4176; ❑ Medinal 3. Purchase seperate pwmlts for all irlste0abon3 that are not ready for an Nurse Celle inspection when the inspector is out to inspect unde,IMS permit. 4 Assume reapuosibllity for assuring that all corrections recuired by u,e ❑ Outdoor Landscape Ligh-,ing• rnsDector are done,and; ❑ Pr:)tective Signaling b. Assume rer nn)r,,dy for caCrng for a final iispertion what all of the corrediona aid completed. Other Permits are kion fran:nfereb,e and non-refundable and exp ie if work is not started with n 1 S0..tys o'issuance or f work Is suspennxt for 180 days Number of SN stens he person signing for this permit must be the applicant or a person N,licenses P.m eoulred Uce,sce are requree for all other instelrenons authorized to bind the applicant. _ Signature J ENTER FEES = - 9%SURC14ARGE(.06 X TOTAL ABOVE) S Authority If other than Applicant TOTAL, - ea,te�rorrrriveseie aor alae CITYOF TIGARD MASTER PERMIT PERMIT#: MST1999-00143 DEVELOPMENT SERVICES DATE ISt HIED: 8/27/99 Let 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-OV (�I L SITE ADDRESS: 12190 SW HOLLOW LN ((�� `v PARCEL: 2S103CB-1200(' SUBDIVISION: QUAIL HOLLOV(- EAST ZONING: R-4.5 BLOCK: LOT:078 JURISDICTION: URB REMARKS: PATH I: New single family dwelling w/altached garage and covered porch. Model BUILDINC REISSUE: STORIES: 2 FLOOR AREAS _ REQUIRED SETBACKS _ REQUIRED CLASS OF WORK: NEW HEIGHT: 23 FIRST: 1,512 a/ BASEMENT: of LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,438 of GARAGE: 470 of FRONT: 2!` PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: of RIGHT: 5 VALUE: S 218.141 10 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: of REAR: ze PLUMBING_ SINKS: 1 WATER CLOSETS: 3 Vv.*HIND MACH: 1 LAUF 3RY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS* TUBISHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<10OK: BOIL/CMP<3HP: VENT FANS: 4 CLOTHES DRYER: 1 GAS FUSIN>=100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES VENTS: WOODSTOVES: OAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W/SVC OR FDR: t PUMPIIRRIGATION: r PEP INSPECTION: EA ADO'L 500SF: 4 201 400 amp: 201 400 amp: tat W/O SVCIFOR: 00 SIGNIOUT LIN LT. PER HOUR: LIMITED ENERGY: 401 -640 amp: 401 000 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM/SVCI.OR: 001 - 1000 amp: 001+3mos•1000v: MINOR LABEL: 10004 amp/volt: PLAN REVIEW SECTION Raronnect only: -4 RES UNITS: SVCIFDR>=225 A.: >000 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM INTERCOMIPAGING OUTDOOR LNDSC LT: BURGLAR ALARM: 0TH: BOILER HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATArrELE COMM: NORSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 2,764.77 DON MORI5SETTE HOMES DON MORISSETTE HOMES Tnis permit is subject to the regulations contained in the 5000 SW MEADOWS LANE 4230 GALEWOOD STREET Tigard Municipal Code,State o Specialty Codes and LAKE OSWEGO,OR 97035 SUITE 100 all other applicable laws. All workk will be done in LAKE 05WEG0,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 days ATTENTION. Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Ron a: LIC 000355 forth in OAR 952-001-0010 through 952.001-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion 844-8444 Underfloor Insulation Plumb Top Out Low Voltage Water Line Insp Plumb Final Footing Insp Craw;Drain/Backwater Electrical Service Gas Line Insp Appr/Sdwlk Insp Final Inspection Foundation Insp Footing/Foundation Drl Electrical Rough In Gas Fireplace Urb St Tree Certif Ltr F Building Final Post/Beam Structural PLM/Underfloor Framing Insp Insulation Insp 6ectrical Final Post/Bealn Mechanica Mechanical Insp Shear Watt Insp Rain drain Insp Mechanical Final Issued By : Permittee Signature : '-- pi Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CIT' TIGARD Residential Building Permit Application Plan Check# 131125 !'M HALL. BLVD. Additions or Alterations Rec'd By -rIGARO, OR 97223 Single Family Detached or Attached (Duplex) Date Rec'd_ Hiro rn P F —/3 Rr V 503 /�;�9-��171 Date to DST R �1 F 503-684-7297 Permit#/`?ilri9Q9-a43' Print or Type Called Incomplete or illegible applications will not be al c�Ofe_d_ Name of Project me Na Job � I -� 0—LA .rtx Address sit Ad s Architect M i Address ` wl Nal I r�I --_ ^- CV ! ip, Ph ne ame V 1 "7 -141N . ' I NameOwner -MailingAddress /SPno Engineer Mailing Address ye C4/StateZip Phone General Name T_ Contractor Describe work New Addition O Alteration O Repair Addre s to be done: Mailin Prio !n permit 1S Additional Description of Work: Q,,� issuance,a copy ity/St to Zi Pone 1�K/1r of all licenses L_ -X are requr ed If Oregon C nst. 6-nt. Board E p D to PROJECT ,. expired in COT Lic.# C" database ?710 C VALUA'TiC�N � ��/ ---- Mechanical Name NEW CONSTRUCTION ONLY: Sub- (' u Sq. Ft. House: ISq. Ft.Garage Contractor Mailing Address - 7 Prior to permit , Indicate the restricted energy Installation by the electrical Issuance,a copy it /St a IpPhone. subcontractor in the following areas of all licenses 05 Restricted Audio/Stereo are required if Oregon Const.C nt. Board Exp.Date Energy I System Alarms expired in COT Lic.# 3I.,� Installations Vacuum Irrigation database -1 �' 93 _V JZ S stem System _ Plumbing Name I (check all that Other: Sub- V,fY ` �—,MS ?lurnbl apply) Contractor Mailing AcTdress Corner Lot YES N�Q Flag Lot YES Nip (check one 7 check one) / Has the Subdivision Plat recorded? N/A �(FS NO Prior'o permit 'ty/ tate Z' hoe issuance,a copv 9. )of all licenses are Oregon Const.Cont Board Exp Dal required if Lic.# � ,,pp /-� + expired'in COT �vC, �C ` I,kigg I hearby acknowledge that I have read this application,that the database PIumLing Lic.# Exp.Date information given is correct, that I am the owner or authorized agent of the owner,and that plans submitted are in compliance with -Oregon State laws. Name ign ;yre of Owner/Att TIteElectrical - l L �. Sub- Mailing Address tact Pe son Name Phone# � _ Contractor �G �- �. N cl I``y- City/State Zip Phone Prior to permit issuance,a copy !1 L+ FOR OFFICE USE ONLY: JCS —/2 d e'o of all licenses are Oregon Const Cont. Board Exp Date plat#: Map/TL#: required if Lic.# pp��¢¢,, ,� �y�—lee.i 11f expired in COT (V(.f� a4o I database ect ical Liq.# _ �p�D t� I SAWCks: 70ae: 4 � Solay: Electrics Su eS or L c # Ex� Dpt� I �ECngir}Q ng F� ova F iin p roval: TIF t(7 ` _ l �•� s: i���tforrnsUfaddalt doc 11'2019P �ap�_ unified UJ155SANITARY0 r%ol N. First Ave.. Suiagencyte 210, Hillsburo, Or.,97124 SURFACE WATFR L�\` /L1 �h 503 648-8621 D AT611 11 I Od WATER 111 5.;T R T.C I ' :A_-1 v.t PERMIT NUMBER '0­j6'j1 ' _W 7 PROJECT # I- L.OT T Ell 1.0 CK - OF OWNI".] I T Y S TA T E (if--N. OWNER PHONE (,',0NNr-.1'T10N ADDRE',33 -TAX MAP Z�LL�,L.�., , TAX 1.01_-�(-J �,,,! SURCHARGE DIST TREATMENT PLANT Q'TR SFC 'J-411'a. 111-GIRm MH ,�2,Zb4i T Y PV* OF TYPE OF TYPE 0 F CONNECT INSTALLATION OCCUPANCY CONNKCT ION VF:ES SITE FEES RESIDENTIAL. COMMFRCIAI. I TMPRV SO F1 DWELLING I'Nl*fs FIXIIIRs:' I-INtTS ACREAGE .__.____-__ SERVICE UNITS A- IMPV GQ FT t PUBLIC PRIVATF PUTH DEmnLIPION PLAN CHECK SANT SURCHARGE F-1. AN CHFCK SWM SANI LINE IAP SWM LINE 1AP t SYSTEM DEVF1 POMF NT F'RE FX (OF') I MISCELLANEOUS I WATER QUALITY SEWER CONNECTION LESS CRFUIT TEMP CONNECTION WATFR QUANI ITY P R 0 C E(S-3 I N 0 LESS CRFDIT SURFACE WATER !V(STEMS I FRnPION CONTROL rFES t W WATLR OUAI.IfY I INSPECTION - 44-- LESS CREDITI P1 AN CK CK 74 �y L WATER 111JANT11 LESS CREDIT I I IMF. TAP INSP TOTAI E X P-DA I E I TSSUED P Y S 10 N A TU R E A P P..P 110 N f APP-NAME - --- ----- AFFILLIATInN REMARKS Permit (Axw1litions: The avoinart agrees to conVy with all rules and regulaficrts of the Unified Sewerage Agency, When calling for an insmmlion, please voter to the Pe"I Nontr.r. The Forte "res one hLindied eighty(fH')) Jays from the date of issuance T1,e Agency does not guarantee the accuracy of the location of We sewer laterals. 93 WHITE - I).-,A, BLUE - Accounting, GREE. -Inspection, YELLOW - Customer r' A >i� 1 „ � I Y•raN 1r FY i� Y ' N�' +'�(��al� I p �,Ll.�niSf �p �At i'edu .I ,591..i?�ar;�fi� Y}�• �ft �'Y!4 ti�Y! i.fi aY'�► � ,,. ., w,,a.,..,u ,. ..4 a .r w ..�yN,;...xtyaaq�,.•,.�,,,.,w.•wey,Nrwm '.n.•..n ron-..e.rwwa.na.�w+rw..,,ruw�..*...+,rrm�'..,.�.sr o.o «w, .m., 1�E. « ..._ .._._..__ ' f • .....___.I...__.........__. -... .�.._.»..�., Imo.__ ' n� I. C Yi , ! ��4� ,� ,�i ��R7 E N!P AC;'j l�R/1,t�:Y I AL f.:f"R , Inspector, Ple_Ve Si,etck hq.iow or atPsc�h the Fi Ilowingl irtiOrmat'iON, 1 , `atreQL � rl►�al�r'.p�t� cr�yo� ;�t�.r,r,-i: �,, Iocation of structure being Serve<} 'lojto of 'ev-j ice I inp i•rom striv,,tury to property t ine where it ozlr,bl:t�s, T.�:f hp � rrvic,o lAteral . Inr but}e length A AiYthprM_r of s,!srvii:ie depth eit the stY1.1C'turp I. property dilnpnt,il)n, rolerpnciny` 1ioe to ;trurturp,, oro itrlp�Nt'y iinY.!s ' Po' c;ur rio� �., O't,C." ' North ari'()w i f ' 6 E r � ' •;a��,1 t�:r Y - ' f t , 4^,I.' n ,,�i�' q• s'R�e .,Y , Y�dY1' fl,l. � : d�i' �':�F •%'I,E. ryQ die. !•' -�: 9 7 ��4r m„. ,w ,.,,,,..... _..,..�..,lYw,w... '•xslr.r..'o- ....., ..,. .. �...... ...,. ,.,..•„,.. nn wroo , .� . wla .•-.Yy.i, ..,� ......�......,_ ,.:a .., .• ... .... r, ",J IN 17-i{ b •.M I4"4p„Y;,"u .141 911 ..+Egr` R'1 ' W liftDON • MORISSETTE OBE : 2033 80 1 5 I N d 0 Rp 0 2 A T I D a000 T. 1[ = 1110111 ! 0A SUIY! 101 LOT: 78 LAK ! 0O • 9a0, 0 ! lda0N 970aa DATE: 8/24/99 (508) 6X0 - 7536 FAX 603) 6X0 - 7466 PROPEMY: QUAIL-HOLLOW CITY: TIGARD C,PTION 3 ELEVATION PLAN No.: 139-OP7'iTION--9 12'W 'S-W- HOLD ow � u � o P -13' WIDE -- - Approec.F 296 L- N 293 Concrete - I Drivaway 296 - �o --- n 41 e9_ ft- 2 4 11 51'0' 2 car gar. F=,FE. 297' KOrch 22'2' I 1 4 *110 3' 3' 4110 5'4' Q ------2i ,2;— f) 2,950 eci. ft 4 bdrm. 34 a' 2 112 bath 4 '2' t() F,)=-F-. 298' Q ncort� - __ 5 ,0. i ------------ 01,N ----- i Y n 50.0,5' 198 - 294 L.©T "'i8 5,250 eco, ft. 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C L M d �i1 "O TJ m n J C W OO�D W W W a r r Z E 3 2 r- > > § > f / § f f } ) 2 / \ ) k § ) ) \ \ ^ ~ / Cl) \ � § W / E { g _ » o to ( 0 \ ƒ y 2 E: o 0 � 0 \ \ $ { ( � e \ \ k ƒ # E D to To ) ) ) ) ) ) ) to ZP3 ( § d � � a to ) ƒ ) ( k ) ) ) m « m / °ƒ � r § § f f » § § » 2 0 a r , ic (D � \ / I T e � c / \ / \ k Cl m \ � Cl w � F f F ƒf F E f 0 rI I = I I = I I I = < � c \ ƒ ƒ I \ \ I \ \ 77 K \ \ \ \ \ \ \ \ \ w § § § § § § § § \ k 2 w � $ - J T \ E (A ( ( % ? 0 ( CERTIFICATE OF OCCUPANCY CITY OF TIG.ARD PERMIT#: MST1999-00243 DEVELOPMENT SERVICES DATE ISSUED: 08/27/1999 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S'03CB-12000 ZONING: R•4.5 JURISDICTION: URB SITE ADDRESS: 12.190 SW HOLLOW LN SUBDIVISION: QUAIL HOLLOW - EAST BLOCK: LOT:078 FILE �oe CLASS OF WORK: NEW TYPE OF USE: SF TYPE OF CONSTR: 5N OCCUPANCY GRP: R3 TENANT NAME: REMARKS: BATH I: New SF dwelling w/attached garage and covered porch. Model Horne Final Building Inspection and Certificate of Occupancy Approved 12/30/99 by Ken Schriendl, Building Inspector Owner: DON MORISSETTE HOMES 4230 GALEWOOD STREET SUITE 100 LAKE OSWEGO, OR 97035 Phone: 274-5223 Contractor: DON MORISSETTE HOMES 4230 GALEWOOD STREE"f SUITE 100 LAKE OSWEGO, OR 97035 Phone: 503-387-7538 Reg #: LIC 000355 This Certificate 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 permit was issued., ; BUILDING INSPECTOR BUILDING FICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION MST �``�`/ C>>C: %G .: ' 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - BLIP Date Requested l 2' AM PM BLD Location ( ?� � Suite MEC Contact Person 1`,� (( .� Ph 1 –40 PLM Contractor Ph SWR — UILDI > Tenant/Owner ELC _ Retaining Wall ELR _— Footing Access. Foundation FPS Ftg Drain SIGN Crawl Drain Inspection Notes — Slab -------- --- --- - -- -- _ - - SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear - l Framing fes,. c r:r,'-GT7eiuc- "Irl.or� - Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - - - - - - - --- - --- — Roof Misc _ - -- - - - - rn ASS -PART FAIL - - ----------- - --- - PLUMBING fosl& Beam - - --- -- -- -_ -__--- --- Under Slab Top Out - - -- -- _ ---_----------------- Water Service Sanitary Sewer Rain Drains Final /`ASS PART FAIL CHANICA Rough In Gas Line - -- - - --- -- ------ ------- Smoke Dampers PASG, PART FAIL ELECTRICAL - - - - Service Rough In UG/Slab Low Voltage Fire Alarm Final PASS PAR';_FAIL SITE __----- ----------. --_--� - SITE Backfill/Grading - - --- -- - --- Sanitary Sewer Storm Drain i I n.her; nr tie cif$ -�_r:quired before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch BasinI I please call for rc�ins Fire Supply Line nerarun F1F [ ]Unable to inspect no access ADA Approach/Sidewalk Ext Other Inspector Date /� 30- _ _ _- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITYOF T I G A R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM1999-00399 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 11/23/1999 PARCEL: 2S103CI3-12000 SITE ADDRESS: 12.190 SW HOLLOW LN SUBDIVISION: QUAIL_ HOLLOW - EAST ZONING: R-4.5 BLOCK: LOT: 078 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: TUB/SHOWERS: SEWER L'NE• ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Install residential backflow prevention device. _FEES _ Owner: _ Type By Date Amount Receipt DON MORISSETTE HOMES PRMT KJP 11/23/199E $25.00 99-319984 4230 GALEWOOD STREET 5PCT KJP 11/23/199E $2.00 99-319984 SUITE 100 _ — LAKE 0:3WEGO, OR 97035 Total $27.00 Phone 1: 274-5223 Contractor: PROGRASS LANDSCAPE SERVICES 29895 SW KINSMAN RD WILSONVILLE, OR 97070 REQUIRED INSPECTIONS RP/Backflow Prevenler Phone 'I: 682-6076 Final Inspection Reg M LIC 000OC136 PLM 11558 iRIGINAL 1 his 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. 1 his 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: _A k-C�-'( �vt_ct.y� Permittee Signature: /)I "C � L_____` Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day 06'06, 99 'I I I: 10:57 rAX 1103 098 1960 CITY (IF TIGARD 91002 CITY Oil' TIGARD RECEIVED Plumbing Permit Application Pian check:_ __- 13125 SW HALL BLVD. Comrnercia' ar'd Residential Redd By TIGARD, OR 97223 NOV 22 1999 Date Rec'a (503) 639-4171 Date toPE UOMUNIiY UEVELUYMENI Print or Type Dale tc D3: Incomplete or illegible applications will ;lot be accopted Permit#��a/q,77- - - Related SWR a Called Name of DoveopmenUProlect FIXTURES (Individual) QTY PRICE AMT Job r , „ , ( f,jC'(/cft<-) [cNT '1 s1.1k I 11.50 Address Street Address , 3uIWi Lavalury 1150 ub or Tub/Shower Ccmb. it.5C Bldg M Cf1y1 lata Zip Shower Only -11 30 _ 7t ce1(l 0K. ).111j Nemo Water Closet 11.50 _ , Ii4 WZr)nr.� Ctsrwasher 11.50 Owner Ma l n3 Address Surto Garbage Disposal 11.50 v t• t-A ile Washing Machine 11.60 CItylSate tip Phone - Floor CrskVF!oor Sink 2" 11.60 Nerre - - 3" _ 11.50 4' 11 5o Occupant Waill"QAnd'esa EPh—,,e — Waterfiealer Cconversicn G like-ind 11.80Gas i in requi-es a-e efate mechanical permit.Citylatate 21p Laundry Room Tray 11.33 Unna) - i --v— 11 50 Narne Other Fixtures(Spacdy) � C•r:�' `, L.Ul1(A�(_Ct )E �>r 1C 1600 Contractor Mailing Address Suite _ Pricr to permit C1fyrSla1e Zip Phone Bawer•1st 100' 38.00 issuance.a copy 11' Lu LI C 1,` 11 I[Z `j(C 1 / Sawer ooch additional 100 32 00 of ail licenses ere Oregon Corset.Cont.3eard Ue.M Exp :Ws. required H l 1 ( 3(o a Water Service-tst'iJ0' 3800 expired In COT Plumbing LIC.t ENp.Date Water Seivloe-each adcttlonal 20C' 32.00 datnhase Storm&Rain Dain-1st 100' 3800 I Name Storm 8 Rain Drain each additional 100' 32.00 Architect kloblis Home Space32.00 Or Melling Address Suite Commercial Back Flox Prevention Devise or Arai. 3700 Pollution Device Engineer Oty/Slate Zip Phone Residential HArxllow P•avgntinn Drwloe' r 19.00 �� n (Irrigallor thning nevicas requin a separate Gascnbe work to be done: restricted energy r"I.) N" O Repair O Rep,acs with like kind: vas 0 No O Any Trap or Waste Not Connected to a Fixture 11.50 Residential C Commercial O _ _ Catch Basin 11.50 Additional description of work: Insp of-Exisbng'lunibn g 50.00 I _ rlhr ------- Specially Requested Inspections 50.00 Are you capping,moving nr replacing any fixturee7 pertir Yes 0 No 0 Rein Dialr,single tamely dwelling ._ 45.00 If yes,see back of form to indicate work performed by I Grease Traps 11.50 fixture. FAILURE TO ACCURATELY REPORT FIXTURE WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL t <_• I hereby acknowledge that hove read Ih!s s^ppiicabon,diet tlse inforn ialion 1;-..wi r rr neer d og-am is ro4uired If Qusn•�y Thal,, >9 given is correct,that I am the owner or authorized agent of the ovmer,and 'SUBTOTAL tFat plans submitted are Ir comp lance with-Cre on State Laws. _ ,. Signature of Owner1A9 I D SURCHAR13E ContactPorso�NarT"io one •*PLAN REVIEW 25%OF SUBTOTAL Ra uTc x1y ii 4x•ure 7tv total Is>9 1 BATH HOU51$178MV. --- °-! �'?;; TOTAL r,, 2 BATH►iOU3E 1210.00 3 tsATH HOUSPE 3265,00 ^r ;T' 'Minimum permit fee is 253+5%surcharge,except 4esidersua! a_KOuw 11 his.11"i)cjudeii all I)KIlnb(i>g RAW, sF(t $1.:aNf(rgngJ�igfilbf:} a Pre.ention Device,whl;h Is$25+5%surcharge •'00 iveRotashite ewetralangseMflnQ-wataxwfvl��j' "All New Corrnnerc(al Buildings regLlre plans with isometric or riser diag,a n _.� '. and plzn review 1ds's`x•nsldiumepo do.V..'SS