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Permit 0 i^ CITY OF TIGARD MASTER PERMIT PERMIT #: MST2002 -00071 DE VELOPMENT SERVICES '�4 DATE ISSUED: 3/6/03 =--' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 13275 SW KINGSTON PL PARCEL: 2S104DA -19600 SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: R -4.5 BLOCK: LOT: 022 JURISDICTION: TIG REMARKS: SF rowhouse,Unit #22, Bldg 3, As plan with deck 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: 162,203.80 OCCUPANCY GRP: 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: BOILJCMP < 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 FOR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 3 201 • 400 amp: 201 - 400 amp: 1st W/O SVC/F DR: 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: $ 5,531.33 BROWNSTONE QUAIL HOLLOW LLC BROWNSTONE HOMES, LLC This permit c to the regulations contained C in e the 12670 SW 68TH PKWY STE 200 12670 SW 68TH PKWY Tigard other Muni cal Code, laws. All work k OR. will b Specialty de Codes and all other applicable approved All work This i by done in PORTLAND, OR 97223 PORTLAND, OR 97223 it 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 Slab lnsp Plumbing Top Out Exterior Sheathing Insr Plumb Final Sewer Inspection Plm /undslb Insp Framing lnsp Firewall lnsp Mechanical Final Footing Insp Electrical Service Gas Line lnsp Water Line lnsp Building Final Foundation Insp Electrical Rough -in Insulation lnsp Smoke Detector Final inspection . Wtr Proofing Bsm't Wa Mechanical lnsp Shear Wall lnsp Electrical Final Issued By : 4l £1 Permittee Signature : / I_ i_1,I / ___1„ A-- Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day • , • Building Permit Application , , Date received: 'V , 0 A - Pennit no.: ! f r o j a 9 A . r7/ 11.11i. City of Tigard i Address: 13125 SW Hall :Il ? 1,,.y . , ,!?' ' � Project/appl. no.: �'re date: City of Tigard b , Phone: (503) 639 -4171 ' _._ Date is sued: Rece Fax: (503) 598 - 1960 Case file no.: Payment type: FEB s 4 2002 Land use approval: I &2 family: Simple Complex: ' i ILi 1?E I4F QERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ New construction ❑ Demolition ❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other: - JOB SITE INFORMATION Job address: � a 7, S&) R - .c..4-0,, 0 a_« Bldg. no.: Suite no.: Lot: _ Block: Subdivision: , it_ ,4j ,, ziJ ,SQayjf Tax map /t. lot/account no.: j ,, 0, .-0 a Project name: I ... 5 , Description and location of work on premises/special conditions: OWNER - FOR SPECIAL INFORMATION, USE CHECKLIST Name: Rrp C'C CsJ 1/L.1 L t, 0t, A �( nt,\ ( Floodplain ,septiccapacity,solar,etc.) Mailing address: 1 S 0 ) ' p:N P c _s ,1.1 & 2 family dwelling: City: P v .-4,- l. c, �State:pg ZIP: - e 7 a.a.3 Valuation of work $ Phone:,5 Fax: e p J7 E -mail: No. of bedrooms/baths Owner's representative: • . ,,.__ c Total number of floors Phone: o e Fax: 42 ._ f, E-mail: y New dwelling area (sq. ft.) APPLICANT Garage/carport area (sq. ft.) Name: r � ( Covered porch area (sq. ft.) 1 ` 6 � � ' S �� �� � ` � Deck area (sq. ft.) Mailing address: l ,2.69Q st:J t---)4----- ` S 4- - - 4 City: (J .. t „ck I State:0 ZIPte i)4 13 Other structure area (sq. ft.) Phone: -75 6_5 Fax: E -mail: CommerclaUindustriallmulti- family: CONTRACTOR Valuation of work $ Business name: _( , � Existing bldg. area (sq. ft.) B rio W iA.,SST O ltic_ bests L...LC-, New bldg. area (sq. ft.) Address: 0 S - S� .. r - - - op Number of stories City: ! - 4-k_ _ State:© II: 9 123 Type of construction Phone- it .- - _ 8 — Fax:6.20 -- A ,, mail: CCB no.: 6 Occupancy group(s): Existing: 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 6 Le) provisions of ORS 701 and may be required to be licensed in the Address: j �� r 5� A C. _ s �'} . p f jurisdiction where work is being performed. If the applicant is Ci State ;_ ZIP: exempt from licensing, the following reason applies: Contact person: . , y ;, 4tc y' Plan no.: , Phone: _ � MM.. E -mail: ENGINEER Name: 1 ,,, R- r L y , Contact person: . () . Fees due upon application $ Address: F, Q4,9 s (,v i4, ,,,,, i 4 v c.c4— Date received: City: ' ( c,_ (State: OR Z1P:) .2,D_3 Amount received $ Phone: 6 ..,1./.4/ o I Fax: I 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 'gvisa o MasterCard work will be complied . , whether ed herein or not. credit card number. 1 / Authorized sign. re: w .... Name of cardholder as shown cm credit card •Print•name: E . - - • $ C ardholder signature Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6V0PCOM) 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 -00071 Date Issued: 3/6/03 Parcel: 2S104DA -19600 Site Address: 13275 SW KINGSTON PL Subdivision: QUAIL HOLLOW - SOUTH Block: Lot: 022 Jurisdiction: TIG Zoning: R - 4.5 Remarks: SF rowhouse,Unit #22, Bldg 3, As plan with deck 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 : :' �� it Signature • oriz ''lumber If you have_any questions, pleas.e_call_503.718.2433. 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 -00071 Date Issued: 3/6/03 Parcel: 2S104DA -19600 Site Address: 13275 SW KINGSTON PL Subdivision: QUAIL HOLLOW - SOUTH Block: Lot: 022 Jurisdiction: TIG Zoning: R - 4.5 Remarks: SF rowhouse,Unit #22, Bldg 3, As plan with deck Your company has been indicated as the electrical contractor for the permit indicated above. I n 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 #: LIC 36051 SUP 2877S ELE 34 -119C AN INK SIGNATURE IS REQUIRED ON THIS FORM � AV Signature of Superv illictrician If you have_any questions, please_call_5.O3...7_1.8..2433. - - _ ____ ili T Z - croo 7 / L-,- Pv STREET .. T CERTIFICATION .. i .. i ,, .. .4 0- , I, 0-1+1U3 7.,N ICS , Owner /Agent fo T3�C�" NE r IZ�W1-5 C _, (PLEASE PRINT) (PERMIT HOLDER) Do hereby = ce ify tnata e following location 0. meets City� % County l and use and development standards for street tree installation. ADDRESS: /57-75 6V K N e6�N . LOT. 4 v7 SUBDIVISION: Qvc4 11 Ga A BY: DATE: 8/2.2/03 44 RECEIVED BY: DATE: 0. Ma..-.4.30 2006 11:29AM CLIMATE CONTROL INC 5039687224 p.3 .... ___-_-- CLIMATE CONTROL 16500 SW 72nd Avenue Portland,- OR 97224 Phone: 503-453-4822 l Toll Free: 866-453-4822 HEATING & MR CONDITIONING Fax: 503468-7224 I I i i I 1 1 ,4_15,_ 1 . 1 i /1 l 1 ....) i 1 — 1 I 1.—...j 1 1 ; I . f 111 1 1 ; 6c( e I t CA! 1 , . , -7--,.. — ---,_ ■ Z 1 . . 1 i 2 \ -/-‘\ i _ 1 SYSTEM DESIGN — INSTALLATION SERVICE MAINTENANCE Climatecontrolinc.com L.--r CITY OF TIGARD 24 -Hour BUILD* 1G Inspection Line: (503) 639 `. MST a"6OO 71 INSPECTION DIVISION Business Line: (503) • •.° 1 L » - 4 ' °O BUP Received j 2 Date Requested / l — 1 + . Li u f P BUP Location / 3 7s Suite 7— MEC Contact Person Ph ( ) (42 D- r PLM Contr Ph (0-0 .Qf 9 " 0 G l ?6 SWR ILDI . Tenant/Owner ELC Footing • Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes /� /� SIT Post & Beam M-1-;ii t e--/-10 - 1_) Shear Anchors Ext Sheath /Shear 1 Int Sheath/Shear / o L /..c7) Framing ' ii A 1 1 !.L Insulation Drywall Nailing Firewall ---- ef-IA/N j2--•<-1 - Z— \ 2--00 Fire Sprinkler Fire Alarm wL6- 5.',1/4-) �� Susp'd Ceiling Roof V Other: '' afro - ART FAIL D UMBI_∎. ,„ Post & Beam Under Slab Rough -In i . Water Service Sanitary Sewer Rain Drains , I Catch Basin / Manhole j `" Storm Drain K - Shower Pan , • Ot iii m PART FAIL CHANICAL `x :f,' Post & Beam Rough -In Gas Line Smoke Dampers Final Age- PASS PART FAIL ELECTRICAL_ a�:° _ `' 40 10/7. Service Rough -In UG /Slab Low Voltage Fire Alarm Final 111 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE . , E] Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line ADA Date — - Approach /Sidewalk 1 /‘(/\ y In spector � �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 i OCC7 INSPECTi . DIVISION Business Line: (503) 639 -4171 (6) o BUP Received „, v s t Date Requested ( G S/ (j AM a , 1: 0 0 BUP Location / 3 c,2 S� 4-7%12 Suite / MEC Contact Person Ph ( ) ) 93-- FieF4 PLM Contractor Ph ( ) SWR Tenant/Owner ELC #11510, oting ELC Foundation Access: Ftg Drain - ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear VV n „ I J „ J Framing r t �C �/ . Insulation 0`-f & 2 Q '-5 ,f M — \ SS-.S Drywall Nailing Firewall 0 \ \ . Fire Sprinkler Q Fire Alarm Susp'd Ceiling Roof Other: Am- P PASS PART Off S; oP der Slab (('' Si Rough -In � C' , C� z ' / 0 ( )l) \ S5 S” Water Service ` Sanitary Sewer ��� T \ . Rain Drains Catch Basin / Manhole wv` `-� 6 Storm Drain Shower Pan . v �flfl \ a S ,sL,( \ 'Z,o ° Other: _ P: _ :T hig JVIECH AL- . °.'_ - -,: Post & Beam , Rough -In ��� \ c_ ' — ' ; . Gas Line - \ S S ` _ /' \ C �� . • C -) (I-l� f� k e S Sm Dampers v 't) final �� ��A/l� �l PART FAIL TRICAL. . : 1 lit w-. i.).-- 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. J Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line ,1 / f �� ADA Approach /Sidewalk Date I. �� /b L Inspector \ (� - � Ext Approach/Sidewalk , Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OFTIGARD '24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST 3 - d aYL INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested 4 AM PM BUP Location 1 3 \< NoI\> � — - 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 "PLUMBING - Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain • Shower Pan lj , Other: Final PASS PART FAIL MECHANICAL ,' Post-& Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL • ELECTRICAL • . ' /t/o po t_ Service Rough -In UG /Slab it arm Reinspection fee of $ required before next inspection. Pay at City Hail, 1 125 SW Hall Blvd. PART FAIL SITE • 0 Please call for reinspection RE: ❑ Unable to inspect – no access Fire Supply Line -- — n ADA 'C ` -Z--k) L 'f `) • O3 Inspector Ext Approach /Sidewalk Date Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL