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Permit .` ?db. MASTER PERMIT CITY T I G A R D PERMIT #: MST2002 -00069 � DEVELOPMENT SERVICES DATE ISSUED: 3/6/03 A 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 13295 SW KINGSTON PL PARCEL: 2S104DA -19400 SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: R -4.5 BLOCK: LOT: 020 JURISDICTION: TIG REMARKS: SF rowhouse,Unit #20,BIdg 3, AS plan BUILDING REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: FIRST: 172 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SFA FLOOR LOAD: 50 SECOND: 733 sf GARAGE: 547 sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: 733 sf RIGHT: VALUE: 162 OCCUPANCYGRP: R3 BDRM: 2 BATH: 2 TOTAL: 1.638 sf REAR: PLUMBING SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 2 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL /CMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 1 LPG FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 1 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 3 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EAADDL BR CIR: SIGNAL /PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 5,500.08 This permit is subject to the regulations contained in the BROWNSTONE QUAIL HOLLOW LLC BROWNSTONE HOMES, LLC Tigard Municipal Code, State of OR. Specialty Codes and 12670 SW 68TH PKWY STE 200 12670 SW 68TH PKWY all other applicable laws. All work will be done in PORTLAND, OR 97223 PORTLAND, OR 97223 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: Oregon law requires you to follow rules adopted by the Phone: 503 - 598 - 7565 Phone: 503 - 598 - 7565 Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You Reg #: LIC 124627 may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Erosion Control Insp 8 Plm /Underfloor Mechanical Insp Shear Wall lnsp Smoke Detector Final inspection Sewer Inspection Slab Insp Plumbing Top Out Exterior Sheathing Insl Electrical Final Footing Insp Plm /undslb Insp Framing lnsp Firewall lnsp Plumb Final Foundation lnsp Electrical Service Gas Line lnsp Gyp Board Insp Mechanical Final Wtr Proofing Bsm't Wa Electrical Rough -in Insulation lnsp Water Line Insp Building Final Issued By : 6 4,.r. 7.:(A) Permittee Signature : 0 ( a-�� n`'"` "`�r'�' , Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day iuildingPermit Application 1 . ;, �� City Of Tigard l am, ® Datereceived::V' Permit no.: �S OO,? -DOD ? Address: 13125 SW Hall 4 '`87 Project/appl. no.: Expire date: City of Tigard Date issued: Receipt no.: Phone: (503) 639 -4171 y P Fax: (503) 598 -1960 FEB — 4 2002 Case file no.: Payment type: Land use approval: Q - y of IliirAFtp l &2 family: Simple Complex: s., i :a.. '..'r.. < _ III t. Ira . I..'c.i . TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ New construction ❑ Demolition ❑ Addition/alteration/replacement Cl Tenant improvement ❑ Fire sprinkler /alarm ❑ Other: • . JOB SITE INFORMATION Job address: 0.-# i` - 40 L.e. e ec_C.C. Bldg. no.: Suite no.: Lot: : «) Block: Subdivision: 0 tie G ffUL - fecc, Tax map /tax lot/account no.: ,5 4.0 d Project name: '— „S '. Description and location of work on premises/special conditions: OWNER FOR SPECIAL INFORMATION, USE CHECKLIST Name: /� ( Floodplain , septiccapacity,solar,etc.) Mailing address: 1 • • , 1 ! i • 1 & 2 family dwelling: City: �p, CA. � State:8g ZIP: - Valuation of work $ Phone: ' ; - Fax:. p '. i E -mail: No. of bedrooms/baths Owners representative: Mill v Total number of floors Phone: 0 8' Fax: 4. 24 ., f 1E-mail: New dwelling area (sq. ft.) APPLICANT Garage/carport area (sq. ft.) ;� r Covered porch area (sq. ft.) u Mailing address: , • • Deck area (sq. ft.) .S ti c _- . 0-L E/. ' • MIME MM. Z 9 . Other structure area (sq. ft.) Phone: - 8-- 63- Fax: E- mail: Commerclallindustrial/multi- family: - CONTRACTOR - Valuation of work $ Business name: Existing bldg. area (sq. ft.) �' "` '�- ° New bldg. area (sq. ft) Address: • • et Nj� _ M.�� Number of stories ��a _ StatelD� C ,I Phone. 11 ∎ - 4,.5 Fax:C 20 - ‘• .__ Imummimm . T ype of construction CCB no.: Occupancy group(s): Existing: iiimimmimium New: City/metro lic. no.: Notice: All contractors and subcontractors are required to be . ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under Name: 6. G LD provisions of ORS 701 and may be required to be licensed in the Address: Q - r . , �, t , _ S c, jurisdiction where work is being performed. If the applicant is ,� exempt from licensing, the following reason applies: A0- ZIP: _ O Contact person: . , t ,;, t 1 4 ,_ , Plan no.: , Phone:206 _ .. , E -mail: ENGINEER . IZENNEIMMIIMil Contact person: ' : • 4 ., i Fees due upon application $ Address: 6 4 • • 5 (.) .,,,, r . - 4,r.e c4- Date received: IEMIIIIKWPAIIMMMIMEMMITA ZIP: ' ARVAI Amount received $ Phone: _ - o Fax: E -mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information. attached checklist. All provisions of laws and ordinances governing this ❑Visa 0 MasterCard . work will be complied .., whether Nixed herein or not. Credit card number. PxPirc Authorized sig re: :. • Maine cardholder as ahowu On cndit card • S' Print name: a I 0 � • ( -c.0- Cardholder signature amt J •. Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6/0WCOM) CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE DAVID JEROME ELECTRIC PO BOX 751 HILLSBORO, OR 97123 Electrical Signature Form Permit #: MST2002 -00069 Date Issued: 3/6/03 Parcel: 2S104DA -19400 Site Address: 13295 SW KINGSTON PL Subdivision: QUAIL HOLLOW - SOUTH Block: Lot: 020 Jurisdiction: TIG Zoning: R -4.5 Remarks: SF rowhouse,Unit #20,BIdg 3, AS plan Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Division. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: BROWNSTONE QUAIL HOLLOW LLC DAVID JEROME ELECTRIC 12670 SW 68TH PKWY STE 200 PO BOX 751 PORTLAND, OR 97223 HILLSBORO, OR 97123 Phone #: 503 - 598 -7565 Phone #: 648 -5144 Reg #: LTC 36051 SUP 2877S ELE 34 -119C AN INK SIGNATURE IS REQUIRED ON THIS FORM 4 Signature of Supervising Electrician If you have any questions, please call 503.718.2433. CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE WOLCOTT PLUMBING CONTRACTORS PO BOX 2007 GRESHAM, OR 97030 Plumbing Signature Form Permit #: MST2002 -00069 Date Issued: 3/6/03 Parcel: 2S1 04 DA -1940 0 Site Address: 13295 SW KINGSTON PL Subdivision: QUAIL HOLLOW - SOUTH Block: Lot: 020 Jurisdiction: TIG Zoning: R Remarks: SF rowhouse,Unit #20,BIdg 3, AS plan Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Division. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: BROWNSTONE QUAIL HOLLOW LLC WOLCOTT PLUMBING CONTRACTOR: 12670 SW 68TH PKWY STE 200 PO BOX 2007 PORTLAND, OR 97223 GRESHAM, OR 97030 Phone #: 503 - 598 -7565 Phone #: 667 -1781 Reg #: LIC 23847 PLM 26 -208PB AN INK SIGNATURE IS REQUIRED ON THIS FORM x Signature . orize• Plumber If you have any questions, please call 503.718.2433. CITY OF TIG/ARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST Dop INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested 7 AM PM BUP Location 1 3 Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access Ftg Drain ELR Crawl Drain Slab • Inspection Notes: SIT Post & Beam Shear Anchors • Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS ' PART FAIL 4ftOMB1N.O: Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: F' PART FAIL v CHANICAL Post & Beam Rough -In Gas Line • Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA /� Approach /Sidewalk Date ` �` Inspector Other: —✓ Final DO NOT REMOVE this inspection record from the job site. PASS PART •FAIL CITY OF TIGARD 24 -Hour BUILDING 0 Inspection Line: (503) 639 -4175 0 Gam) Z- 00o � INSPECTION DIVISION Business Line: (503) 639 4171 BUP 1 Received Date Requested C/S — / o AM PM BUP Location I s , �� _ \ A.c SA Suite MEC Contact Person Ph ( ) PLM Contracto Ph ( ) SWR UILDIN Tenant/Owner ELC Foo ing Foundation ELC Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: SIT - Post & Beam Shear Anchors Ext Sheath /Shear Int She (10 ath /Shear } Framin g Insulation Drywall Nailing 4 t _ - , _: _ ___ .-:4L- :, ...w.- f Fire Sprinkler _ "� Fire Alarm +� r - O Susp'd Ceiling ' ibv �� - _- _ Roof k) ::1 ' � 0%is S C%∎.d -� Oti-r: "�, - i l /ma PART FAIL BING Post & UnderSlab "0` F J_} c / 1 C J Water Rough-In � � `� - �� Wate S x Sanitary Sewer V� L kv\o q _ l Rain Drains Catch Basin / Manhole -).\•/ Storm Drain Shower Pan - C---0 l•■/ma■ .. Other: Z Jx- Final , - v P ART FAIL ^^ ECHAN L. Post & Beam Rough -In Gas Line a 'i .._e Dampers 'ART FAIL ' - RICAL • Service Rough -In UG /Slab Low Voltage Fire Alarm Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: 0 Unable to inspect - no access Fire Supply Line / ✓ AppP roach/Sidewalk Date / � I nspector — C Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL - CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 a -000 (o INSPECTION DIVISION - Business Line: (503) 639 -4171 MST BUP Received Date Requested c ° AM PM BUP Location 13 � � • ' L Awn Suite MEC Contact Person Ph ( ) 7 7 . 3 - 5 8e) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner 6 ELC Footing Foundation ELC • Access: Ftg Drain • ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING. ` s :. , ;. Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL . . . Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In -N t O A� 0 UG /Slab e2 JIM i Fire Alarm Ear Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. . ' *ASS PART FAIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line Approach /Sidewalk Date Inspector " ' ` NOR x$ Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL