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12275 SW HOLLOW LN. —
�� O� �����D M MASTER PERMIT
PERMIT#: MST1999-00320 ,
DEVELOPMENT SERVICES DATE ISSUED: 09/2.9/1999
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 11275 SVV HOLLOW LN ORIGINAI PARttL: 2S103CB-06300
SUB7IVISION: (OUAII_ HOLLOW - EAST ZONING: R-4.5
FLOCK: LUT:012 JURISDICTION: URB
REMARKS: PATH I: New single family dwelling w/attached garage and covered porch.
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS _ REQUIRF0 SETBACKS REQUIRED v+^
CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,498 at BASEMENT: sf LFFTSMOKE DETECTORS: 1
TYPE OF USE: SF- FLOOR LOAD: 40 SECOND: 1,552 of GARAGE: 477 sr FRI)4T: ''''o PARKING SPACES:
TYPE OF CONST: 5N DWELLING UNIT 1 FINBSMENT of RIGItT
VALUE: 6::I ',4
OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL of REAR —1
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: i LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINSSEWER LINES: 100 SF RAIN DRAINS. 1 CATCH BASINS:
TULISHOWERS: 3 GARBAGE DISP: I WATER HEATERS, I WATER LINES: 100 8U.FLW PREVNTR: 1 GREASE TRAPS
OTHER FIXTURES'
MECHANICAL
FI;:L TYPES FURN c 100K: BOIL'CMP<3HP: VENT FANS: 5 CLOTHES DRYER: 1
GA; FURN>•100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS. 2
MAX INP: btu FLOOR FURNANCE9: VENTS: WOODSTOVES: GAS OUTLETS: 1
ELECTRICAL_
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDE.RS BRANCH CIRCUITS MISCELLANEOUS _ ADD'[.INSPECTIONS
1000 9F OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FOR; 1 PUMPIIRRIGATIOW PER INSPECTION:
LA ADD'L BOOSF: 5 201 400 amp: 201 400 amp: 1st WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR.
LIMITED ENERGY: 401 •800 amp: 401 800 amp: EA ADDL BR CIR, SIONALIPANEL: IN PLANT:
MANU HMISVCIFDR: 801 1000 amp: 801.8mpe-100dV: MINOR LABEL:
'I D004 amplvolt:
PLAN REVIEW SECTION
Reconnect only:
=+-4 RES UNITS: SVClFLR>=225 A.: > V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL-RESTRICTED ENERGY _
A.SF RESIDENTIAL B.COMMI:RCIAL
AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT:
BURGLAF ALARM: O7H: DATA.COM BO:LER: HVAC: LANDSCAPE/it RIG: PROTECTIVE SIGN-
GARAGE OPENER: CLOCK: INSTPUMENTATION: MF.OICAL: 07HR:
HVAC: DATAITELE COMM: NURSE CALLS: TOTAL N SYSTEMS:
Owner. Contractor: fOTAL FEES' $ 2,866.97
DON MORIS5ETT[ HOMES UON MORISSETTE HOMES This perms;Is subject to the regulations contained in the
Tigard Municipal Code,State of OR Specialty Codes and
5000 SW MEADOWS LANE 4230 GALEWOOD STREET all other applicable laws All work will be done in
LAKE OSWEGO,OR 97035 SUITE 100 accordance with approved plans. This permit will expire If
LAKE 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 fol'3wrules adopted by the
Or;gun Utility Notification Center Those rules are set
Rep B: LIC 000355 forth in OAR 952-001-0010 through 952-001-0080 Ycu
may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Erosion 844-8444 Post/Beam Mechanica Mechanical Insp Shear Wall Insp Rain drain Insp Plumb Final
Sewer Inspection Underfloor insulation Plumb Top Out Low Voltage Water Line Insp Final Insperficrl
Footing Insp Cr:nwl Drain/Backwater Electrical Service Gas line Insp AppriSdwlk Insp Building Final
Foundation Insp Footing/Foundation Dr; Electrical Rough In Gas Fireplace Electrical Final
PosIJBeam Structural PLM/Un erfloor Framing Insp Insulation Insp Mechanical Final
Issued By L h __ Permittee Signature ' _�
�i'
Call (503) 639-4175 by 7:00 p.m. for an i-ispection needed the next business day
CIW OF TIGARD Residential Building Permit Application Plan Check#' -�sP-
111125 SW HALL BLVD. Additions or Alterations Recd 8y
'
ecd�f
w � _
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date Date RR d— -:t6''9q
"1503-639-417'. �', Date to DST rl- 2?
F 503-6$4-7297 1 f' Permit#00 F-1 fff-00-670
Print or Type caned
Incomplete or illegible applications will not be accepted
Name of Project l Ejq'! arae
Job r 7pJ 1 �' 1�� y r C . ! ,Q1
Architect rlina Address
Address I� tlt� v / -� Cac, le
ity/S e i Phn—
Name
Owner
Engineer Mailing Address --
ity1bite
^p` ^7^ ,may
_ __ _ (1 � 3& –Xz fJ City/State Zip Phone —
General Name y�-
Contractor ffit-A(-Z- D Describe work New Addition G Alteration O Repair O
M ailinq Addregs to be done
Prior to permit �3 ; ( ��?� ' 16DAdditional Description of Work ,� f
issuance,a copy ity/S,tr•{to qZip
of all licenses •V 1 �
are required if Oregon C nst.Cont. Board E p Dto PROJECT j t
expired in COT Lic.!' 6�JrJ3�J I��/'y^, VALUATION
database w
Mechanical Name - NEW CONSTRUCTION ONLY:
Sub- kSq Ft. House: ,_ Sq Ft. Garage
Contractor Mailing Address
Indicate the restricted energy installation by the electrical
Prior to,a co subcontractor in the followingareas _
issuance,a copy i .St a ip Ph e ,�' Restricted – I Audio/Stereo
of all licenses _
are required Oregon Const Cont Board Exp Date Energy _ System _ Alarms
expired in COT Lic# 3 Installations Vacuum Irrigation
_databaseI O'�� _ �V System S stem
Plumbing Name (check all that Other:
Sub- 4�z Y Y l�- a
Contractor Mailing Address Comer Lot YES Flag Lot YES NQ
check one check one)
�_N,P� YYlcl Has the Subdivision Plat recorded? N/A i(,FS NO
Prior to Permit ty/Mate qa Pho a
issuance,a copyi
of all licenses are Oregon Const.Cont Board Exp Dat
required if Lic.# p��/y�
expired in COT &?) l CJ ` t J I hearty acknowledge that I have read this application,that the
database Plumbing 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
(1re on State laws.
Name ig ture of Qwner gen
Electrical .'.� 4�t
Sub- Mailing Address
Contact P rson Name _ hone#
Oontractor p7
City/State Zip Phone
Prior to permit �^ � I 1�
issuance,a copy 1 �!T a FOR OFFICE USE ONLY:_
of all licenses are Oregon Const ont Board Exp Date Plat#: Ma /TL#.
required if Lic# I 21 ,l�r-a IR
/` 3 a 5100 B_OG p a
expired in COT � �(J(�E�1- LT'S r '7 ._
database -ect cal LIG.M _ IE-0p)It 1 S91hacks: I,Qnr n)` Solar
Electrics Su eS or Lic It � pF Ile I Eng ring Approval: Planning Approval: TIF:
9 �7 Odsts\forrnslsfaddalt doc 11120198
N��
�S� S��J� ��.�r..f
rye age SANITARY*
155 N. First Ave., Suite 270, Hillsboro, Of.,97124
Uf agency SURFACE WATER
503 648-8C2'
0' 2 09 1:X P I k A 1 1.F)N b A'T E 0.124"0 0 117C [..X' DAIL 09230:1 PERM11 I V"
PR0,1FUT 01,107
R U L'T U I ADDRESS 12275
TRAKTURr GTF'A'LE'lflM HOLLOW I.ANE
L 0 1 1 1". BLOCK
CONW-CTION NEW or OLJOTL H011.01W FAS31'
'4 L I
N 5 1,1, -A 1*1 ON 191 FILD SWR/E*RO C EIN/'('('CIL;
0(11(-L)P A N CY - ( 1, S1 N G L E F i)M 11,-Y PAPUL 2SI UP 4?01
(11'F; S( C 44 .16 PI!]fJ
OWNER VENTURE PRM'ERTILS
i0DRIE13S 4230 GALFWOOD l':'JREET IRFAIME.141 11 ANT DURWA
LAKE 0SWIF60 OR Y7035
WATFR DU)'TRICT '11GARD
I IXTUPF DWELLING
UN J I S :;EKVtr'r-. 1114ITS 0. 0 UNT I*G I G)ERVICE L)011 '�,
CONNECTION FEFG SURFACE WA1FR DEVELOPME.NT FFE5
L 14[:R C,Q N N C-C1 t 1)N 2300100 VJA1'rR 0LJ()1_IT 1 .1 1()1 0 0
LES'li CREDIT 210 .00.;-
WA'TFR' QUANT TlY 290 00
LFS5 cRrnIT 0 . 00'..
EROGr(ON CONTROL
INSPECIJON 88
PLAN CHE(J'. 57 2t"l
u P'r n'r A L. 2:100.00 91JEA TO T(0- 435420
'r o'r A L 2735.20
N M;-.. TI V.,N A PH 0 N E
f,,F:F ILLIA1,10N, REP
1J'MA'Rt,,S (MAIL 1401-1 OW E*f)Sl* 1..0'r 12 PPOJ 0207
424 HOL11' NOT IU'F FOR ERnsioq CONTPOL 1WSPIEC11ONS PEOUIRED
tk*** Numb r�. t-il c�_] I �1t'uA r.�hC!P '
T104-- 84/l.. (1444 **Yt***
NAIIIEL � �1 �i 7, kfsr'�
III- 1, rjY
-
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 required for erosion control inspections.Thi Inspection rt,juest number Is 844-8444.When calling for an inspection,0!,se rotor o
the permit,project and lot numbers
The permit expires one hundred eighty(180)days from the date of issuance,The Agency does not guarantee the accuracy of the location of side sewer lateral
L
93 WHITE - USA, BLUE - Accounting, GREEN -Inspection, YELLOW - Customer
v
IN'IPE(111•1) BY DATE
C9NIRACI0Ri I NS1 ALI.F.R
IYPf ;1F R1 PF DIAMETER OF PIPE
Inspector, Please sketch below or attach the rollowing information:
1 street R nearest cross street
Location of structure being served
3 Route of service line from structure to property line where it
connects to the service lateral . Include length & diameter
of service line, depth at the structure & property ine,
dimensions referencing line to structure, property lines
and/or corne► ,, etc.
A North arrow
Y
I
7
DON - MORISSETrf:E OBE : 1 ;�65
'a * " 12 ' NCOIIt0312
4 21 a o a A L s w o o s S T R a e': T LOT:
LA = e osvioo. 0Rsoow otiose DATg; 8/25/tap
(sos) as7 — less vA , (sss) asv — v611{
PROPERTX': QUAII.—H0110W
crff: TIGARD
3CALB: 10=20'
OPTION 1 ELEVATION PLAN No.: 177—OPTION-2
ZDV" IQ'�1,cj
302
02
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patio r s
3A*O sq, rt.
4 bdrm.
0 2 lit beth
0 FF.E. 3O3'
sr
77'4' i
411 sq. rt. •4•
2 car ger.
FFP_ 302' s, s,
� 1�s conc. 4r�« ay j
�I 6.rr.J�1GrI AtA
I�riVAltlAt, 1 :o
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122075 SZ. Qi — WIDE rUE.
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ELECT RICAL PERMIT-
/ CITY OF TIGARD _ RESTRICTED ENERGY
DEVELOPMEMT SERVICES PERMIT#: ELR1999-00305
13125 SW Hall Bivd., Tiqard, OR 9722.3 (503) 639-4171 DATE ISSUED: 12/13/1999
SITE ADDRESS: 12275 SW HOLLOW LN PARCEL: 2S103CB-06300
SUBDIVISION: QUAIL HOLLOW- EAST ZONING: R-4.5
BLOCK: LOT: 012 JURISDIC rION: UR
Proiect Description: Landscape; irrigation control
A.RESIDENTIAL _ B.COMMERCIAL
AUDIO Pm STEREO: AUDIO & STEREO: INTERCOM & PAGING-
BURGLAR
AGING•BURG!AR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL.
HVAC: DATA/TELE COM,'rl: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: IRRIGATION X HVAC: PROTECTIVE SIGNAL:
_ — INSTRUMENTATION: — OTHER:
TOTAL #OF SYSTEMS: J
Owner: Contractor:
DON MORISSETTE HOMES PROGRASS LANDSCAPE SERVICES
4230 GALEWOOD STREET 29895 SW KINSMAN RD
SUITE 100 WILSONVILLE, OR 97070
LAKE OSWEGO, OR 97035
Phone: 274-52: Phone: 682-6076
Reg #: LIC 6136
_ FErES Required Inspections
_Type By Date Amount Receipt Low Voltage Inspection
PRM3 BON 12/13/199 $60.00 99-320372 Elect'I Service
Elect'I Final
5PC2 BON 12/13/199 $4.80 99-320372
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 2xplre 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
952-001-0010 through OAR 952-001.-0080 You may obtain copies of these rules or direct questions to OUNC at (503)
246-1987
Issued by ) I ��t /;{�2� _ Permittee Signature ^1
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 iNS7ALLATION ONLY
SIGNATURE OF SUPR. ELEC'N DATE:��_V_
LICENSE NO:
Call 639-4175 by 7:00 P.M. for an inspection needed :he next business day
Od Oh 99 TIT 10:59 FAX 503 59h 1900 CITY OF TIGARD � I Qj004
._G4:TA(OF TIGARD1C'TED ENERGY ELECTRICAL APPJCATION Recd by:,t�.1
13125 SW HALL BLt/D REGE J Date Recd: tl ID'
TIGARD OR 9722? PRINT OR I YPE
V-503-639-4171X3-_4 DEC m 1999 Perm;t#:-C-L e
F•503-598-1960 INCOMPLETE OR ILLEG19LE APPLICATIONS Cutit CAM
k )+ ;•,uo( M WILL NOT BE ACCEPTED
k� Name cf Development Project „A e r r. < + TYPE OF'WORK INVOLVED-RESIDENTIAL ONLY
Restricted Enemy Fee......_........................... 160.00
l41 ST 11 I L ( 111 0- (FOR ALL SYb;TF.MS;
JOB •set Ada rase tate N
ADDRESS /-�W r) ) Sit) HP I 1610 LaneCheck Type of Work Ir1VONeti
City,State ZIp )xk� Phone 1' ❑ Aud'o and Stereo Systems
) 1, t a (1I� __
Name I.i t t 1,Y)0-'I"S e ti'If Nernr':, ❑ BurglarA!arm
OWNER Mailing Address ❑ C3araye Door Opener
�/073 O �IA1�±C4lP�L�CtUD lAn f_. J te Healing,Van'ilaticn and Air Conditioning System*
I�ylSteZip hOM
k n;u (1 ort '790- LIQ
Vacuum Systems'
Other r C/1 cY a !L[/[)< t t ;
CONTRACTOR Wing Andress
! r_S U'k kit /gyp _TYPE GF WORK INVOLVED-COMMERCIAL ONLY
("Or 10 Issuanco a C tylStale ZIa„ Phone 0 Fea for each system..........................................•. $60.00
copy cf all licenses 4l I (SEE OAR 918.2110.260)
are reauired i1 Orogon Cotern %� e•M Exp.Dale 0!'j
expired;n C O.T. L ( ' 9't3l .> ' . Check Type or Work Involved.
data case) Electrical Contr.Llc.# Exp data
C Audio and Sterno Systems
C O.T.or Matra Lic # 1 Ecp.bale
Bo.lor Cortrcls
Owner's ame
Clack Systems
OWNER - IV14ng Address
APPLICANT ❑ Dwii Telecommunication Instellatlo•t
CityiState Zip Phone M ❑
Fire Alarm Installation
This permit is issued under OAE 918-3211.370 This applicant agrees to -1
make only restricted anergy instal stions(100 volt amps or less)w'.!er tills L-1 14VAC
permit and'o do t 1e following
❑ Instrumentation
t. Only use eletdrlcal licensed pe,suns to do Installations where raclulrod
Certain residential and other transactions are exempt from liconsing. ❑ Intercom and Paging Systems
These have asterlsks(') All others need licensing;
❑ Landscape Ire gallon Contrcl-
2. Call for inspections when inslaliahcn under tots permit are ready for
inspection at 503-0304175; ❑ Madinat
3. Purchase separate petrnits for all installations that are not ready for an ❑ Nurse Cells
insoection when the Inspector is out to inspect under this permit,
n Assume rasponsibility for assuring that all corrections reauired by the ❑ Outdoor Landscape Ligiring'
inspector arc done!.and.
❑ Pr;tective Slgnafiriq
b Assume resoonsln,dy for calling for a final rispection when 0 of...e
correctlons are completed. ❑ Other
Permits are non Iranufereb a qnd non-refundable and exp re if work is not
started with in 180 days o`issuance or If work is euepended for 180 days -----Number of Syste-rc•
The person signing for this permit must be the aopGcant or a person No Ilcer ses are-poured Licenses are required for all Other Ins•alntAns
authorized to bind thin applicant �—
�� FEES: �Lm
Signature ENTER FEES $
S%SURCHARGE 1,08 X TOTAL ABOVE) >< C,
I i
ati
TOTAL
Authority if other than Applicant
r dsrscro•rrsvesae do=:crus
CITYOF TIGARD _ PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM1999-00427
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/13/1999
SITE ADDRESS: 12275 SW HOLLOW LN PARCEL: 2S103CB-06300
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R-4.5
BLOCK: LOT: 012. JURISDICTION: URB
CLASS OF WORK. ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE'. SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS, TRAPS:
STORIES: WATER HEATERS: CATC1,' BASINS:
_ FIXTURES LAUNDRY TRAYS: SF RAIN D'TAINS:
SINKS: y URINALS: GREASE Tt:APS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISH::ASHERS: RAIN TRAIN: ft
Remarks: Residential backflow prevention device
FEES _
Owner: —'
Type By Date Amount Receipt
DON MORISSETTE HOMES PIRM4 BON 12/13/199 $25.00 99-320372
4230 GALEWOOD STREET 5PC2 BON 12/13/199 $2.00 99-320372
SUITE 100
LAKE OSWEGO, OR 97035 Total $27.00
Phone 1: 274-5223
Contractor:
PROGRHSS 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
nRIrINAI._
This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR.
Specialty Codes ac-�d all other applicable laws. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance. or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
(( ova
,-
Issued By: �btIIya[ Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next' usiness day
06 0h 99 TI l: 10:57 FAX 500 598 1960 CITY nr T16ARD 0002
CITY OF TIGARD RECEIVED Plumbing Permit Application PlanCrecks
1425 SW HALL BLVD. Commercia and Residan;ial Reed D/ �
TIGARD, OR 97223c Date Rsc'd 2-10`
(503) 639-4171 DEC, (I ) 1999
Dave to P E.
Type COMMyNITV OEV�LUPMFPrint or TNT YF Date Ic Parmda-7Lf�1 'Or`(L'J
ncornp ete or illegib;e applications will not be accepted
Related FlJ;R a
Called---
Name
alled_--Name of Deve opment/Projec: FIXTURES (individual) CITY PRICE ANT
Job r' (Ito SI,1k 11,50
Addressgee etA�dreea -`I Suite Lavatory _ 1150
.5 .� t�LU iiollnu� rrtr'_. Tub orTub/6howerComb. I 11.96 '
i t31dgM City! Its � �_ —
I Ir ll t i•1 (' Shower Only 11,SO
_ �— Walz '�Ics6t 11.50
Name i
f 7)) I 11 0) 1%1I y < ill')Yt r Clsrwasher 11.50
Owner Mad ng Address it i . Suite Garbage Dlsposm 11.50
„x,r , l 'crux Washirg Machire - 11.50
City/Slate ZIP Phone Floor CrsiNF!oor Sink 2" 11.60
I l (r r ) 1 rI L�(c�l
3" 11.60
J 4" i 150
Occupant Ring Aed-nes Si lie Water Heater O conversion C We kind 11!0
Ges piping re ul ee a se arste rnechaniul permit.
City/61ate Zip Phone Laund•y Room Tray
urinal — it 50
I
Name r. Other F xtures(Spacify) 1600
�„ i � ,il;C
Contractor fde16ng Add,em 9ulte
��l , � r , , i„ t,,�,,� t,.•� l�• ,ail
Prcr'o permit CIIy/Slate Zip Pfigne P. Sewer•1st 100' 3a 00
issuance,9 copy Sawtr uoch edolNonei 100' 3200
� - _
of eu licenses ere Orr, 01 Cc!�I� Cont.Board Uc s D 'e Watx Service-I at 100' 3i1 00
requlred 9 g l! l 7 • b 3! )i
expired In COT Plumbing Lia t Exp.Dass W"er Service-each amMonsl 20C' 3200
dntahase t Storm A Rein Drain-15t 100' 36,00
Meme Storm b Rein Drain each additional 10W32.00
[Architect Mobile Home Space 32.00
Or Mating Adddreas Suite Cemmerclal Back Flex Prevention Devl:e or Arai- 3700
_ Pollution Device
Engineer CIty191a1e Zip Phone ReaiCentlal8acdlowP,eventrmDevice” I 1900 I�>
(Irrigatior tknlnG eevices requkn a separat! /
Gascribs w:nc to tie done: restrcted energy parr-dt I
Nev O Ro5air O Rep.are nith like kind: ves 1) No O Aly Trap or Waste Not Connected to a Fixtu,a 11 so
Reaidentlal C Commercial O Ca1C,Basin 11.50
Aedltional description of work fri of Exisling°lurtito y "n C:+
nv
Socc ally Requested Inspections 50.00
Are you capping,moving or replacing any fixtures? per/nr
Yes 0 No 0 I Rein 7tarr.tangle lamdy dwelling 45.00
If yes,see!lark of form to indicate work performed by Grease Traps 1150
fixture. FAILURE TO ACCURATELY REPORT FIXTURE _
WORK COULD RESULT IN INCR_E:kSED SEWER FEES. QUANTITY TOTAL ' /c
I hereby aO iowledge that have me4 this application,t r.the informePon laorra•rt"nam lap am n raqutrad d Cusn,irr Taal it >9
given is cor-ect,that I am the ovr,er or authorized agent of the owner,and �—� *SUBTOTAL
tot plans sutmil ed are Ir com lance with Creon State Laws. _ _ ;� �
3lgnat nor! ant Oats s� 6y,SURC14AROE ^
�---
Contact Person Nae Phone
m PLAN REVIEW 25%OF SUBTOTAL
Rea.,cc xdr n 9rrwc qtv total Is>e ---_
'BATH HOUSE 3176.00 _ „ i TOTAL ��T
2 BATi1 HUV3E 3290.00 -- -- -
3 MATH HOUSR$285,00 •Mimmurn permit fae a 83D+516 surcharge,except ResklerEta'Bv:;Oow
iThls too klNudvs all pkaabbtll RxLnes_�jly dY1, 11r1S, f,t�s-�Yt Pre.ention Osdce,whl:h is$25+5!S surcharge
;100 faatotatdrllsra(sewar.alann sewer and water serviCgl- Wt= "Alt New Cormnerclal Buildings require plena with somelnc or riser diagram
ard plan review
tds'f`�rmatalumspo doe Brl.S9
/ CITY OF T I G A R D -CERTIFICATE OF OCCUPANCY
PERMIT#: MST1999-00320
DEVELOPMENT SERVICES DATE ISSUED- 09/29/1999
13125 SW Hall Blvd., 1 igard, OR 97223 (503) ,1339-4171 PARCEL: 2S103CB-06300
ZONING: R-4.5
JURISDICTION: URB
SITE ADDRESS: 12275 SW HO'._LOW LN FILE
SUBDIVISION: QUAIL HOLLOW- EAST
BLOCK: LOT:012
CLASS OF WORK: NEW
TYPE OF USE: SF
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: PATH I: New single family dwelling w/attached garage and covered porch.
Final Building Inspection and Certificate of Occupancy
Approved 12/23/99 by George Steele, Building Inspector
Owner:
DON MORISSETTE HOMES
4230 GALEWOOD STREET
SUITE 100
LAKE OSWEGO, OR 97035
Phone: 2.74-5223
Contractor:
DON MORISSETTE HOMES
4230 GALEWOOD 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 thereof and
confirms that the building has been inspected for compliance with the State of Oregon
Specialty Cods for the group, occupancy, and use u der which the referenced permit was
issued. /
BUILDING INSPECTOR / BUILDING OI-FiCiAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24.Hour Inspection Line: 639-4175 Business Ling.,639-4171
13UP
Date Requested / AMJ.� Phi SLID _
Location � �I / , ,�c.� — Suite MEC
Contact Person 'T y-al / Q /"t Ur) S:Se Fh o�7`f S 3� PLM T�
Contractor Ph SOUR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access.
Foundation FPS
Ftg Drain JGN
Crawl Drain Inspectio-i Notes: -
Slab L��C� �' SIT
Post&Beam -T`--`-- -
Ext Sheath/Shear _
Int Sheath/Shear
Framing —
Insulation
Drywall Nailing r t1�c.'te�C�C�t C,ls'1ivC,L� `^--�-�-: N 2
Firewall
Fire Sprinkler _ :,�;! Is'r .j
Fire Alarm
Susp'd Ceiling
Roof
Misc: ----- --- --
AS -YAI1T FAIL ------
PLUMBING
Post& Beam _--
Under Slab _
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL _
MECHANICAL
Post&Beam - — ----- - -- - - ----- ------ — _�
Rough In
Gas I.ine --- --- — --- ---------
Smoke Dampers
Final - - - - -- - - --
PASS PART FAIL
ELECTRICAL ------- - ---
Service
Rough In -
UG/Slab
Low Voltage - -- -
Fire Alarm
Final
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' ___________ [ )Unable to Inspect no access
Ftre Supply Line
ADA
Approach/Sidewalk
Other Data ? ` ' 2l Inspector__ --., �j? Ext
Final
PASS PART FAIL 00 NOT REMOVE this inspection record from the jai) site.