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12263 SW HOLLOW LANE a idu i v v W cnr r r z 1 i l i N 12263 SW FOLLOW LN. \ CITY OF TIGARD _ =`LUMBINGPERMIT DEVELOPMENT SERVICESPERP11T#: PL!02000-00032 DATI=. ISSUED: 02/07/2000 13125 SW Hall Blvd ,Tigard, OR 97223 ,03) 639-4171 PARCEL: 2S103C13-06200 SITE ADDRESS: 12263 SW HOLLOW L.N SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R-4.5 BLOCK: LOT: 0'11 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 FRAYS: SF RAIN DRAINS: SINKS: k':;.INALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE. ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN ft Remarks: Installation of a residential backflow prevention de,.ice FEES Owner: - Type By Date Amount Receipt DCN MORISSETTE HOMES PIRM4 GEO 02/07/200C $25.00 00-321614 4230 GAL EWOOD STREET 5PC2 GEO 02/07/2000 $2.00 10-3216+4 SUITE 100 - LAKE OSWEGO, OR 97035 L_ _ Total $27.00 Phone 1: 274-5223 Contractor: PROGRASS LANDSCAPE SERVICES 29895 SW KINSMAN RD WILSONVILLE• OR 9770 REQUIRED INSPECTIONS RP/Backflow Preventer Phone 1: 682-6076 Final Inspection Reg#: LIC 00006136 PLM 11558 nIGINAL This permit is issued subject to the regulations contained in the Tigard Municipal Code, State o; OR. Specialty Coder, and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if w( , is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted , y the Oregon Utility Notification Center. Those rules are set forth in OAR 952-: 001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: l ! �{�- Permittee Signature:_ - ,uZc G� Ca0503) 639-4175 by 7:00 P.M for an inspection needed the next business day 06%L5 99 7'1T. 10:57 FAX 503 396 1960 CITY OF TIGARD 2002 CITY OF TIGARD RECEIVFPlumbing Permit Application Plan Creckx 13125 SW HALL BLVD. Commercial and Resieentlal Re.d©y TIGARD, OR 97223 vp 4 Mlf. Dasa Re:b (503) 539.4171 (�2 Da:e tic P E. — CpMMUNITY I)FVFLOPMFN) Print or Type Date Ic c37 Incomplete o-- Illegible applications will not be accepted pormits e-' Related$'/;R e Called Name ofDeveopment/Protec LC.1 I, _FJXTURE8 (lndlvi�ual) QTY, PRICE-. AMT Job �LI-Qi2 olLLt-1143 Sink 11.50 Address Street Address I Suite lavatory �- 1150 r •; ) L. I Tub or Tub/Shower Comb, 11.50 Bldg 0 City/ late zip Shower Only 11.50 14i Ltd ar. Water ater Closet 11.50 nc-n n` M%e*4e.. ffr"eS Clahwasher 11.60 Owner Mail ng Address 6j+te i Garbage Disposal 11.50 q;3o S'w &4letecocL _ -- Washing Machine — 11.50 CltylS'ate zip Phone Floor Cr9 WFloor Sink 2" 11.60 A LaKe- vSu [ b OR 790- OYSO _ Narre 3" 11.60 4- I1 80 Occupant Mailing Adss ±Ph.r1;_ Weler Healer 0 conversion 0 Ilke kind 1t.".;Ces I in re uires a se erste mechanical ermlt.City/State zip Laundry Rooth Tray 11 g:, 1• Urt- —_— --- — 11.03 SC arae Other Fixtures(Specify) 16 P) °p ro&ra Ss LAllidsrr e, Contractor Meiling Address olqrrliS Sw l�rns vt^R Pricr!o penult CltylSlate z+p Phone L Pa` Sewer-1st 100' 3a.00 Issuarce,a copyI'�M Milt 0297o7o &07 a17 Sewer-each additional 100' 3200 of all Frenses are Grego. Const.Cont.Board Uc.« [xp.Da!e re juired H (1-13(p g -3l 1)QU O Water Services-1st 100' 3800 expired In COT Plumbing Lic 8 Exp.Dale Water Service.each additional 70C' _ 3200 datahaso Storm d Rain Drain-1 st 100' 38.00 Nana' Storm 3 Rain Drain-each additional 100' 32.00 Architect Mobile Home Space 32.00 Or Mailing Address Suite Ccmmerclal Back Flow Prevention Devise o!Anti. 3200 Pollution Device Enginoer City/Slete Z') Phone Residential F1111 w Prevantlon Device• 19.00 (Irrlgatior timing devices requke a separate Describe work to be dcne: restricted -porgy permit) Nene O Repair 0 Rep:ocs•.vith like kind: Yea 0 No 0 Aly Trap or Waste Not Connected to a Fixture 11.50 Resldentral 0 Commercial 0 Gatch Basin 11.50 Additional description of work: Insp of Existing 31umbivg 50.00 r/t1r I Are you capping,moving or replacing any fixtures?—� Specialty Requested nspectlons 50.00 perMr Yes 0 No O Rein Dior,single tarnlly dwelling 45.00 If yes,see back of form to indicate work performed by Grease Traps 11 'o fixture. FAILURE TO ACCURATELY REPORT FIXTURE _ WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL I hereby acknswledge that have read this application,tha: he information Imma,r'e"riser ding^am Is required if Ouan•Iry Tdal it >9 ' 1 gin to Is correct,that I em the owner or authorized agent of the owner,and — *SUBTOTAL .> that plans b ':!ed are it cam lance with Cre en State Laws. S u C_ ro of NAgent -�2, E.eA SURCHARGE : __._,_-1 D eO cond4ct Parson phone "PLAN REVIEW 25%OF SUBTOTAL •cU 7 ti�r J Requree arir h 4zure qty total Is>9 .LB NiIUBJi'i!Tlb °s a 1! n sof(. wTi+ s : TOTAL r7 ,_ ;� `•,.t a��r•r .: .•;r+ � �, ss.^ �,ki�1;i��,' •Minimum permit fare is 790+5'b surcharge,except Resrderrtia Ba.kllow Pre:enbon Do-Ace,whl:h is$25 5,1 surcharge E ' • ' '- .ya , r —All New Commerclo l buildings regUre plass whh:semetric or riser diagram arr5 plan review 1det•urralalumsporlc:9r!'SS i I R n. CITY OF TIGARD PERMIT- RRESTEST RICTECTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2000.00030 13125 SW Hall Blvd..-i iaard, OR 97223 (503) 639-4171 DATE ISSUED: 02/07/2000 SITE ADDRESS: 12263 SVb' HOLLOW LN PARCEL: 2S103CB-06200 SUBDIVISION: QUAIL HOLLOW- EAST ZONING: R-4.5 BLOCK: LOT: 011 JURISDICTION: UR Proiect Description: Installation of landscape irrigation controls. 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: V aCUUM SYSTEM: t IHk ALARM: OUTDOOR LANDSC LITE. IRRIG A CON : X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: _ Owner: Contractor: DON MORISSETTE HOMES PROGRASS LANDSCAPE SERVICES 4230 GALEWOOD STREET 29395 SW KINSMAN RD SUI rE 100 WILSOI IVILLE, OR 97070 LAKE OSWEGO, OR 97035 Phone: 274-5223 Phone: 682-6076 Reg #: LIC 6136 FEES � _ Required Inspections Type By Date `Amount Receipt I Low Voltage Inspection PRM3 GEO 02/071200( $60.00 00-32'614 Eiect'I Final 5PC2 GEO 02/07/200( $4.80 00-321614 Total $64.80 ORIGINAL This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTEN i ii,N: Oregon law requires you to follow rules adopted by the Oregon Utilit 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 direc' questions o OUNC at (503) 246-1987 Issued by � /' �� �� Permittee Signature .��� r r' T __ 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. ELEC'N / ` _ DATE:` LICENSE NO: Call 639-4175 by 7:00 P.M.for an inspection needed the next business day 06 '08,,'99 'itF 10:59 FAX 503 598 19a0 CITY OF TIGARD gj004 CITY Of TIGARD RECEIN&VhICTED ENERGY ELECTRICAL APPLICATION Rer,'d 13125 SHALL BLVD Date TIGARDUR 9722.3 PRINT OR TYPE `0 V-503-639-4171 X304 F FIS 0 Pem,It f#: (-fe;? MO —r160-3d F-503-598-1960 �(y� NPLETE OR ILLEGIBLE APPLICAT N,4 Cost Cali--^_ COMMUNIly UEVF.�.ilt - WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED•RESIDENTIAL ONLY Restricted Energy Fee........... $60.0'--0 —�—'— C�Lt Cl LIP_ 14-at Ln,) (FOR ALL.SYSTEMS) JOB Stlect Address Ste Or ADDRESS S Lir ��}llLfu. urz Chock Type of Wcrk Involved: CltytState Zip Phones C�12- (1' 4.� Audio and Stereo Systems I C Gc�c1 3 �— — Name ❑ Burglar Alarm 1)0-h ���SSv1fG Hut'11�5 OWNER I ili Address ❑ Carage Duor Opener- cny,statezip Prone a _1 Heating.Ventilation and Air Conditioning System* La-Ya- 6Vk)egU 9� U,, y 1 -710-61-1,-�„ ❑ VacuumSystems- Name l undSc.Ittoe Pro 6,ruS-& LaLnd5 eo-Pe ( Other �liyl tlsrc � LL t [i 7c� CaY►f7v//� CONTRACTOR MailinglVdress .1 �`ss �S'l1J 0k1S1y1C'A kU TYPE OF WORK INVOLVED-COMMERCIAL ONLY (Prior io Isauanco a C tylStata I Zio Phone# Fee for each system............................................ $60.00 copy of all licenses W k I W 01 11 L Ole ei-10-R) 6 U-too 4n (SEE OAR 918-260.260, are required N Oregon CgMr. rd Lic.N ate d l ] expired in C.O.T. lip_ f( 31 a0A0 Check Type of Wurk Involved. data case). Electrical C,ulr.LIC.# Exp Bate _ _ [� Audio and St+reo Systems co or Metro Llc.# Exp.Date Boiler Coctrzas Ow noes Nomire ❑ clack Syster>s OWNER - Moping Address APPLICANT I F-1 Date Tehcomn•unicetion Instelliti Cily/Stato -- Zip Phone# � [_] Fire Alarm InstaLbtbn This permit Is Issued under OAE 916-32C-370 This applicant agrees to make only restricted energy InstoUations(100 volt amps or less)under this L1 HVAC pemtll and!o do tie toflowing ❑ Instrumentatbn 1. Only use electrical iiceised persons to do Installations where required Certain residential and other transartlons are exempt from Ilconsing. ❑ Intercom and Paging systems These have asterisks(') An Others need licensing; ❑ 2. tall far inspections wh?n installation r,nder tnia permit ata toady for Landscape Ingatlon control- Inspection at 603.6394176; Medical 3. Purchase separate permits for all installations that are not ready for an r7 Nurse Celle insoection when the inspector Is out to Inspect under this permik 4 Assume responalbigty for assming that all corrections iequlred by the L_I Outdoor Landscape Llgh:ing- Ini are done,and; ❑ Protective Signaling 6. Assume resoonsioi ity for calling for a final iiapection whet all of the corrections are completed. ❑ Other�_� Permits are ncn Imnsferaba and non-refundable and exp're if work Is not started vdth n 190 days o`issuance or Y work is suspended for 180 days. — Number of Systems The person signing for this permit must be the gpplicsnt or a person No Mortems are zqulred Uccnses are required for all other Ir sWistions authorized to bind the Ikant. /�- FEES: ENTER FEES 5igneture SURCHARGE(.06 X TOTAL ABOVE) f Y Authority If other than Applicant TOTAL aT LrJ " C'4et6llbrrr's"sele doc 3198 CITY OF TIGARD BUILDING INSPECTION DIVISION cni 24-Hour Inspection Line: 639-4175 Business Line: 63y- 171 =.-- BUP _ _Date Requested1. �OAM _PM BLD _ ,� i� t Location- rTy I 1 _ Suite MEC Contact Person _ �� a �, _ Ph Z��-�� � -] 1 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR `—_-- Footing Access: Foundation FPS Ftg Drain _--___--- Crawl Drain Inspection Notes: SIGN ---- -- --- ---- Slab SIT Post& Beam -y- --- - --—---- Ext Sheath/Shear Int Sheath/Shear __..------_-----_ ..._----_---- Framing Insulation - - --- - - Drywall Nailing Firewall - -- - Fire Sprinkler Fire Alarm Susp'd Ceiling - Roof Misc. - Final --- - PASS PART FAIL. -- - -- - -- PLUMBING Post& Beam _--- ------ Under --Under Slab 1 op Out Water Service Sanitary Sewer ------— Rain Drains Final -- PASS PART FAIL_ MECHANICAL _ ---- ----v--____------ Post& Beam - -- Rough In Gas Line ---- - Smoke Dampers Final - - - ---- - PASS PART FAIL Service _ Rough In -_ __._�.- .----------- -- ------------------- UG/Slab L.ow Voltage — Fire Alarm 694 ASS) PART FAIL -_ Backfill/Grading - - Sanitary Sever Stone Drain [ [ Reinspection fee of$^ _ required hefore next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( Please call for reinspection RF Unable to inspect-no access ADA Approach/Sidewalk L 1 ) Other _ —� Date — _ Inspector _ vExt Final PASS PART FAIL_ DO NOT REMOTE this inspection record from the job site. C171 Y OF TIGARD BUILDING INSPECTION DIVISION 1 y`��03V 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST 1 )�� BLIP _ Date Requested_ ;.411 AM _ PM - __ `SLD — Location 12-� (c> �->LO L� Suite tr;EC - Contact Person 614 Ph ' Ou-(o277 PLM - - Contractor Ph SWR LOINGT— Yenant/Owner ELC Retaining Wall ELR Footing Foundation Access: FPS Ftg Drain Sr'N ��_— -- -- Crawl Drain Inspection Notes. ---------- - --- Slab SIT Post& Beam ___..------- Ext Sheath/Shear _G�\►' Int Sheath/Shear - Framing S.=E. A7-m4Ct-��yLL, -- Insulation Drywall Nailing Firewall - ----- Fire Sprinkler Fire Alarm Susp'd Ceiling ------- Roof -----Root - - Misc. — Slim 1 PART FAIL. _-- GING _ Post&Beam _-- Under Slab Ton Out --- Water Service Sanitary Sewer Rain Drains Final- .---- ---- ---------_------------- - PASS P,Af3j FAIL ME2ANI Al Pos . m --- - Rough In Gas Line -- - --- -- - - Smoke Dampers FART FAIL ELECTRICAL. --- — -- --- - --- - — Service Rough In UG/Slab — — --- -------- - — ----- -- Low Voltage Fire Alarm FinaM PASS PART FAIL SITE Backfill/Grading -- - - - Sanitary Sewer Storm Drain ( J Reinspection fee of$_,- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Please call for reinspection RE: Fire Supply Line I 1 P _ [ J Unable to inspect no access ADA Approach/Sidewalk Other Date Z—/S--�D spector Ext Final PASS PART FAIL I DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _—_Date Requested lnn\\ HM PM BLD _ Lo%;ation_ _— 2-6,9 l A-A/ Suite MEQ Contact Person fla y1iI6A Ph L4 to 2 P Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab __- SIT Post& Beam — - --------- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: — Final - PA PART FAIL --- --- - --- .LUMBING Post&Beam — — --- — Under Slab Top Out - --- ---- --- -------- __ _ _._ Water Service Sanitary Sewer Rain Drains PART FAIL CHANICAL _ Post& Beam - - - - Rough In Gas Line Smoke Dampers Final - - PASS PART FAIL ELECTRICAL Service --__ - Rough In UG/Slab _ Low Voltage Fire Alarm Final PASS PART FAit SITE Backfill/Grading __ ------.__._. ------_-.-- �_- Sanitary Sewer Storm Drain ( J Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection RE [ ]Unable to inspect no access ADA Approach/Sidewalk Date ,Inspector Ext Other Final PASS PART FAIL DO NO REJMOVE this Inspection record from the job site. �AMV4 __ CERTIFICATE OF OCCUPANCY CITY ®F T i GA R D PERMIT#: MST 999-00349 DEVELOPMENTSERVICES DATE ISSUED: 11/04/1999 13125 SW Wil Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S103CB-06200 ZONING: R-4.5 JURISDICTION: URB SITE ADDRESS: SW HOLLOW LN FILE COPY SUBDIVISION: QUAIL HOLLOW - EAST BLOCK: LOT:0'11 CLASS OF WORK: NEW TYPE OF USE: SF TYPE OF CONSTR: 5N OCCUPANCY GRP: R3 TENANT NAME: REMARKS: PATH New single family dwelling w/attached garage and covered porch Final Building Inspection and Certificate of Cccupancy Approved 2/15/00 by Ken Schriendl, Building inspector Owner: DON MORISSETTE HOMES 4230 GALEWOOD STREET SUITE 100 LAKE OSWEGO, OR 97035 Phone: 274-5223 Contractor: DON MORISSETTE .OMES 4230 GALEWO`D STREET SUITE 100 LAKE OSWEGO, OR 97035 Phone: 503-:387-7538 Reg #: LIC 000355 This Certificate grants occupancy of the above referenced building or portion thereat and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and use undermhick the r ferenced permit was issued. I r BUILDING IN3PECTOR BUILDING OF0IG4AL. POST IN CONSPICUOUS PLACE r CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MSS_ --- BLIP Date Requested_ d� AM PM —_ BLD Location Suite MEC Contact Peron e Ph(p g x'(,10 76 PLM Contractor —__ _ Ph k 21 SWR BUILDING � Tenant/Owner _ ELC Retaining Wall rE Footing Foundation AcceSS Ftg DrainCrawl Drain Inspection Notes:Slab Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing - --- - - - Insulation -- Diywall Nailing Firewall Fire Sprinkler 1 Fire Alarm -- r Susp'd Ceiling Roof Misc:_ Final � ------ PASS PART FAIL ------- PLUMBING Post&Beam ----- ------ -- - --_—� Under Slab Tup Out Water Service Sanitary Sewer -`- —"---" Rain Drains _ Final PASS PART FAIL MECHAWCAL Post 813E rn ------- Rough In r Gas Line Smoke Dampnis Final PASS PART FAIL TRIC Service Rough In — L Volta,Le� Fir Alarm -- -- ------ ---- --- -- -- S RT FAIL _-_-__.- S Backfill/Grading -- Sanitary Sewer Storm Drain ( ] Reinspection fee of$ — required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE. _ [ ) Unable to inspect-no access ADA el Approach/Sidewalk Other Date Inspector [ _— Ext _ Final PASS PART FAIL DO NOT REMOVE this inspection record from the JPS site. ITYOr ������® MASTER PERMIT rr PERMIT#: MST1999-00349 DEVELOPMENT . SE RVICE DATE ISSUED: 11/4/99 13125 SW Hall Blvd.,Tigard, OR 97223 (50 ' 4 SITE ADDRESS. 12263 SJ HOLLOW _N S �414 PARCEL: 1S103C6 06_00 SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R-4.5 BLOCK: LOT:011 JURISDICTION: URB REMARKS: PATH I: New single f;unlly dviciling w/attached garag9 and covered porch BUILDING REISSUE: STORIES FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NL W HEIGHT: 23 FIRST: 1,488 at BASEMENT. at LEFT: 5 SMOKE DETECTORS. v TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,512 at GARAGE. 421 at FRONT 20 PARKING SPACES TYPE OF CONST, 5t' DWELLING UNITS: I FINBSMENT: ar R;GHr: 5 VALUE, $220.888 30 OCCUPANCY GRP: BORM: 4 BATH: 3 TOTAL: at REAR: 23 PLUMBING SINKS: I WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS: I RAIN DRAIN: tui, TRAPS: LAVA)DRIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS• TUBISHOWERS: 3 GARBAGE DISP: I WATER HEATERS: I WATER LINES: 100 SCItFI.W PREVNTR: I GREASE TRAPS MECHANICAL OTHER FIXTURES. FUEL TYPES FURN<100K: BOILICMP<3HP: VENT FANS: 4 CLOTHES DRYER: I GAS FURN>=100K: I UNIT HEATERS: hOODS: 1 OTHER UNITS: 1 MAX INP btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: I ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMPSRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 - 200 amp: WISVC OR FOR: I PUMPrIRRIGATION: PER INSPECTION EA ADD'L SOOSF: 5 201 400 amp: 201 400 amp: 1st WIO SVCIFUR: 00 SIGN/OUI LIN LT: PER HOUR. LIMITED ENERGY: 401 800 amp: 401 - 800 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT. MANU HM/SVCIFDR 801 • 1000 amp: 801+ampe-loacv: MINOR LABEL: 1000•amplvolt PLAN REVIEW SECTION Reconnect only. >-4 RES UNITS: SVCIFDR>-225 A.: >800 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 8.STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT. BURGLAR ALARM: 01 H: BOILER: HVAC: LANDSCAPEiIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAITELE COMM: NURSE CALLS: TOTAL a SYSTEMS: Owner: Contractor: TOTAL FEES: $ 2,823.56 DON MORI5SETTE HOMES DON MORISSETTE HOMES This permit is subject to the regulations contained in the 5000 SW MEADOWS LANE 4230 GALEVVOOD STREET Tigard Municipal Cod®,State Specialty Codes and LAKE OSWEGO,OR 97035 SUITE 100 all other applicable laws. All woo rkk will be done in LAKE OSWEGO,OR 97035 accordance with approved plans. This permit will expire 0 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 rul6s PrinDted by the Oregon Utility Notification Center Those rules are set Rego: 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 Post/Beam Mechanical Mechanical Insp Shear Wall Insp Rain drain Insp Plumb Final Sewer Inspection Underfloor insulation Plumb Tcp Out Low Voltage Water Line Insp Final inspection Footing Insp Crawl Drain/Backwater Electrical SerAce Gas Line Insp Appr/Sdwlk Insp Building Final Fourrdatlorl Insp Footing/Foundation Dr; Electrical Rough In Gas Fireplace Electrical Final Ptost'Beam Structural PLM/Underfloor Framing Insp Insulation Insp Mechanical Final Sued By i Pormittee Signature Call (503) 639.4175 by 7:00 p.m. fnr an hispection needed tho next business day CITY OF TIGARD Residential Buildin7 Permit Application Plan check 131?5 SW HALL BLVD, Additions or Alterations Recd ey Date Rec'd' 10-111, _ TIGArtDv, OR. 97223 Single Family Detached or Attached (Duplex) ----,Pate to P E./0 V 503-639-4171 ate to DST /fa-�f.N 9 F 503-684-7297 �� ermit#1V5r?f5 f'M.-rV7 Print or Type Called 1 r6 Incomplete cr illegible applications will not be a-cited Name of Probed fog, Name Jon �� 1 ��,�1�C,�l' �U�- 1 1Gt1 ,_ �C�►� _ Address Site Addrgss Architect ai)ino ddress . .. �• ��.�� `` rtylS e I PhnnP ame Name OwnerL4 fa rnn AriHrocc is Engineer^�-�• } Engineer Mailing Address ------ r`=�� �� ��-� City/State Zip Phone General Name --- Contractor }�� � t Describe work New Addition O Alteration O Repair O Mailinq Addregs to be done Prior to perms, �� � ��I(��'iy - :t� Additional Description of Work: ► (Q, ,, f issuance,a copy I sty/St to Zi 1f vone wco ry of all licenses V 10 �/7 are required if Oregon C nst.Cont Board ''ENp D to PROJECT expired in COT l-ic# �C2J Ilo�t'x� VALUATION �� database Mechanical Name - — NEW CONSTRUCTION ONLY: Sub- t COQ - _--lor-P. _ Sq Ft House: '2?C(- Sq. Ft.Garage 1 Contractor Marling Address -, Indicate the restricted energy installation by the electrical Prior to permit �� It? r- issuance,a copy it /St a zip Phu a subcontractor in the followin areas_ of all licenses I� Restricted Audio/Stereo are required if Oregon Const.C nt.Board Exp Date Energy System Alarms expired in COT Lir,# Installations vacuum Irrigation database -7 x(033 S stem System Plumbing Name (check all that Other: Sub- l,YY `. -t t'lurnbt aRRILerLot YES NO Fla Lot YES Contractor Mailing A dress g (check one) check one) • 1'�t >�i� _____,_ Has the Suhdivision Plat recorded? N/A 1,F,S NO Priorto permit ty/State Zjp Phor a issuance,a copy _ ) of all licenses are Oregon Const Cont. Bodrd Exp Dat required if Lir,# i �y n Cy) I expired in COT l(JL 1 ( L l I hearby acknowledge thret l have read this application,that the database Plumbing Lic #� Exi Date- information given is corre •t,that I am the owner or authorized agent of the owner, and that plans submitted are in cornplianr-,with re on State laws. Name Si npture o A! rlAgel Electrical t ---- ntact Perso Na Phone# $Ub_ Msiling Address 1� Contractor p1 I Gam' `,. City/State Zip Phone Prior to permit `` issuance,a copy tVl l FOR OFFICE USE ONLY: of all licenses are Oregon ConstCont Board Exp Date required if Lic.# I Q� Plat#: 2�J Map/TL#: expired in COT I I V ua I I( � � J / �•� � �� database ect ical Lic # xp D to Set ks: Zon/e Sol Fal: Electrical Su ervisor Lic # l i DR n inMn,Apyrg Planning Approval: TIF: _ -.-- SCJ I --- � -1-------- i\dststforms\sfaddalt doc 11/20/98 DON • MORISSETTE OBE : 1964. SO O A L 2 W O O D INCu d T =T RD 4 4 a It R T LOT: 11 L A 1 3 09W200. Oasa011 41 • sa DAA. prg��� (a $) s • y - s e s • e x (GO a) a a s - 'r • a pRopE : QUAEL-HOLLOW CITY: TIGARD SCALE: 1"=20' OPTION 3 ELEVATION PLAN No.: 17C-OPTION-2 rla-VI I t- 0;l)(6— Zrn� Li 302 k-e 6 haJ i 4' � IdSclp' 3~ sq. Ft. nw B 4 bdrm. ® 2 1/2 bath F.F.E. 3m3' I1'4' 2 car gar. FF.E. 302' i N 3®1 ��f , priwwway .81p� �4L 301 roach 3 .uu1 HOLLOW LANE A LOT all , ft. 4 �.9 k C unified sewerage SANITARY* I agency 1155 N. First Ave., Suite 270, Hillsboro, Or..97124 SURFACE WATER 50' 648-8621 L)'I" Is(I f 1] 1. 1.0 4 9 9 r-A V'I R'6 f M 111 050200 iALXP DATF, 110301 FJ-.Rl4TT 1. 1 " )TR L)C 111 R V A 1)11 R L S,3 12 26 3 PROJECT 81207 I.U V .11 D L()f:K f Y PV. 1.,0 N N r C T 10N MEW OF 00ATL HOLLOW FASI t fTE M'JALLATION-- 19 ) IM) ! I Pli' OC(.A)PANCY - SINGLE' FAMILI 1"A R C F.L. 2 S I 3CB 12100 OTR ")I:C 4416 MH 26319 t1WNFR 1100 MORRISETIV HC MLI ?)LAi9l",,S 4230 GALLWOOD ST INFATKOT, 1`11ANT, III)RHAM LAI*,E OSWEGO OR 970354 i-VIONE .587 --7538 WATER DISTRIC!" rIGARD I IXTURE EQUIVALENT 1.1 W I I i I 1\1 G RESTDFOTTAL N", TS !-iERVIC,[ 11NITT, 0 . 0 0111 I C .1 SERVUE UNITS I CONNUITION FEES Sli.)PFACU WA*1-Lk-jLFV[-1A)1'111M1 FF 1'S SEWEr (11 N N L UT 11)N 2300*00 WATER 0 L)A I-I I''Y' 2 10. 00 1.,FS5 CREA111, -p 210 00 WA'TFP 0WA*IFP 00ANTITY 290.00 IA. '-S CREDIT 0 .00" EPFIP-ION CONTROL I NSPE V TION 64 ,00 PL AN (;1.1 E C6 41. ,60 b 0 1)T TA L :'_.500 . 00 SLIP I QTAL. 395.00 TOTAL_ 7f„"1-S0 N.)111 F. 1)E N A 1f I TL L I A T 1014 R IF P LOT It F'P('.).J 8207 QUAIL. HOLLOW U)SI 4(^ 1 HOUR NOME vnp FPCISION cmjiRfA. TNUTMILINS REQUIRED V*#** 011filtIN �t,o for f TON - i; il 04.11-1 Permit Conditions: The applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency,Including those regarding erosion control A 24-hour notice is teqjired for erosion control insppctlnns The Inspection requeit number is 844.0444.When calling fut an Inspection,please I C,'f the permit,projecil and lot numbers. 1 lie permit expires one hundred eighty 1180)days from the date of issuance The Agency does not guarantee the iccuracy of the location of side sewer lateral. 7%93 WHITr - USA, BLUE - . ccounting, GREEN -Inspertion, YELLOW - Customer INSPECTED BY ._.__ DATE CONTRACTOR/INSIALLE.R i IYPc OF PIPE _T__._.------- --•--._._ ._._. DIAMETER OF PIPE - Inspector, Please sketch below or attach the following information: 1 Street & nearest cross street j 2 Location of structure being served 3 Route of service line from structure, to prc,)erty line where it connects to the service lateral . Include length & diameter of service line, depth at the structure 6 property line, dimensions referencing line to structure, prop(.•rty lines I and/or corners, etc. I North arrow I