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CITY OF TIGARD BUILDING INSPECTION DIVISION MST ? -�✓`
24-Hour Ir.�pectiorr Line: 639-4175 3usiness Line: 639.417' -- --
E3U? -----
-_Date Requested --AM PM LC5 ><r gLD _
Location 2`1�i�3LJ / l; ,� Suite MEC _ _ —
Contact Person _ Ph _ PLM —— —
Contractor _ v _ — _ Ph _^ SWR
-Tenant/Owner _ ELC _
Retaining Wall — ELR
Footing Access: —
Foundation FPS
Ftg Drain
Crawl Drain inspection Notes: l SGN
Slab
Post& Beam -- SIT
Ext Sheath/Shear
Int Sheath/Shear
Framing �•r,c �_c r CC a.�
Insulation f�
Drywall Nailing - `/1/\ PA_
Firewall 1
Fire Sprinkler -
Fire Alarm / ; , �� �1—�—" -
Susp'd Ceiling `- f� l �---2� �-'v`d
Roof
Mi
ina
FAIL
PLU
Post& Beam -- —' - —
Under Slab
Top Out --- "- ---
Water Service
Sanitary Sewer -
RaiQ-prains
ina J ---- -
S5 PART FAIL
'PMT& Beam - -- - - _
Rough In
Gas Line - - --- - ----
Smoke Dampers - -
ASS, PART FAIL
ELECTRICAL - - - ---------
St�ivice
Rough In -----_.--- --- - -_—
UG/Slab
Low Voltage --
Fire Alarm
Final
PASS PART FAIL - -- - --- -----___ ___--.---__---- _ --
SITE
Racklill/Grading
Sanitary Sewer
Sto m Drain [ j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch
Fire Stir.)ly Line ( )Please call for reinspection RE: —_ [ j Unable to inspect-no access
ADA
Approach/Sidewalk
Other Date --,�-� Inspecto�r
Final `
PASS PART FAIL DO NOT REPAOVE this hispe:rztion record from the job aeie.
CITY OF TIGARD B:.&DING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BIJP
- ---Date Requested_ �`t /Z-- AM L-" -PM _- --- BLD
location—/ 2 (,o 9,,-4 ' e Suite — W hIEC
Contact Perscn — Ph _ PLM
Contractor - N , Icy! — Ph — SWIR
BUILDING _ Tenant/Owner ELC
Retaining Wall ELR
Footing —'�`— --------
Foundation Acress �' ` FNS — — _—
Ftg Drain /
Crawl Drain Inspection Notes:`' / / SGN _-
Slab ---- - '-?/I v���� --- SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear — —
Framing
Insulation — --------- ---__.----- ------..----
Drywall Nailing
Firewall 7
Fire Sprinkler —-- - -------- _ `� t — --— - -- --
Fire Alarm
Susp'd Ceiling _._..__-----..-------.--.--_—__._._--.--
Roof — --------- -----------
Misc:
Final
PASS PART FAIL ---- — ---- ------------- — — -- ---
PLUMBING
Post&Beam _—
Under Slab
TopOut -------- -.___.—_--- ---__...__-- ---- ---
Water Service _
Sanitary Sewer ------'
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post& Beam
Rough In
Gas Line - - - _._... - -
Smoke Dampers
Final ---
PASS PART FAIL
Service -
Rough In
UG/Slab
Low Voltage
Fire m
in
ASa ART FAIL --- ----------- — --- --- -
S
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
Fire Supply Line
Approach/Sidewalk Date C� Inspector_ Ext
er I
Final
PASS PART FAIL 00�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_ �� -- AM —PM
BLD
Location_ T` c� Suite _ NIEC
Contact Person _� — Ph — PLM
Contractor Ph - SWR
1131 x! DING Tenant/Owner _ ELC
Retainir g Wall ---Y— ELR
Footing �—�
Foundation Access:
FPS
Fig Drain
Crawl Drain Inspection Notes SGN
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
PASS PART FAIL
'�,PLUMMS
Post& Beam -- - --
Under Slab
Top Out
Water Service
VhoeWP,
ns
PART FAIL.
.HANIGAL - --
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 FAIL
SITE
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 l (Please call for reinspection RE _ A —_ —` ( (Unable to inspect- no access
ADA
Approach/Sidewalk i�
Other Date Inspector � Ext
Final
PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.
CITY OF TIGAR® V MISTER PERMIT
PERMIT#: MST2000-00391
DEVELOPMENT SERVICES DATE ISSUED: 10/23/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 12961 SW BEAGLE CT PARCEL: 2S104DA-11600
SUBDIVISION: QUAIL HOLLOW-WEST ZONING: R-4.5
BLOCK: LOT: 102 JURISDICTION: 'FIG
REMARKS: SFU - Bldg 10 - Master Plan Review- Setbacks as approved on dwg A10.10
BUILDING
REISSUE. STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 26 FIRST: 324 or BASEMENT. st LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD, 40 SECOND: 747 of GARAGE. 410 of FRONT: PARKING SPACES
TYPE OF CON57: 5N DWELLING UNITS: 1 FINSSMENT: 567 of RIGHT:
VALUE. S 1,'J 484 F,F,.
OCCUPANCY GRP: R3 BDRM BATH 2 TOTAL: 1,63800 of REAR:
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS. RAIN DRAIN, ton TRAPS
LAVATORIES: 4 DISHWASHERS. 1 FLOOR DRAINS: :,EWER LINES: too SF RAIN DRAINS: I CATCH BASINS:
TUB/SHOWERS: 2 GARBAGE DISP: I WATER HEATERS: 1 WATER LINES: too BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN�1IGDK: BOIUCMP<3HP: VENT FANS. 1 CLOTHES DRYER: I
ELF FURN>•100K: UNIT HEATERS HOODS: 1 OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS:
_ ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FDR: I PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 3 201 400 amp. 201 - 400 amp: tat W/O SVC/FDR: on SIGN/OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 000 amp: 401 600 amp: EA ADDL BR CIR: SIGNAUPANEL. IN PLANT:
MANU HMISVCIFDR: 601 • 1000 amp: 601famps-100Dv: MINOR LABEL:
10004 amplvolt
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 K STEREO VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM OTH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL:
GARAGE OPENER CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC DATArrELE COMM: NURSE CALLS: TLI AL 0 SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 2,756.52
BROWNSTONE HOMES LLC BROWNSTONE HOMES,LLC This permit is Subject to the regulations contained in the
12670 SW 68TH PARKWAY 12670 SW 68TH PKWY Tigard Municipal Code,State of OR Specialty Codes and
PORTLAND,OR 97223 PORTLAND,OR 97223 all other applicable laws All work will be done i
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 Centel. Those rules are set
Rep$: UC 12413;7 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 Control Insp 8, Plm/undslab Insp Eleci�ical Rough In Gyp Hoard Insp Water Service Insp Final inspection
Sewer Inspection PLM/Underfloor Framing Insp Firewall Insp Appr/Sdwlk Insp
Footing Insp Mechanical Insp Shear Wall Insp Rain drain Insp Electrical Final
Slab Insp Plumb Top Out Exterior Sheathing Insl Roof Nailing Mechanical Final
Underfloor Insulation Electrical Service Insulation Insp Water I ine Insp F, A+b Fttlal
I
Issued By :ie� Permittee Signature AAA V
Call (503.1639-4175 by 7:00 p.m. for an inspection needed the next business day
� _ SEWER CONNECTION PERMIT
CITY OF TIGARD
DEVELOPMENT' SERVICES E ISSUED:
#: S /23/000 00272
13125 SW Hall Blvd., Tigard, OR 9'7223 (503) 639-4171
DATE ISSUED: 10/23/OU
PARCEL 2S104UA-11600
SITE ADDRESS; 12961 SW BEAGLE CT
SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R 4.5
BLOCK: LOT: 102 JURISDICTION: FIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SFA NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection for new SFA
Owner: — – FEES
BROWNSTONE HOMES LLC Type By Date Amount Receipt
12670 SW 68TH PARKWAY —
PORTLAND, OR 97223 PRMT CTR 10/23/00 $2,300.00 27200000000
INSP CTR 10/23/00 $35.00 27200000000
Phone: 598-7565 Total $2,335.00
Contractor: _
Phone:
Reg #:
Required Inspections
Sewer Inspection
1 his Applicant agrees to comply with all the rules and regu;ations of the Unified Sewage Agency The permit expire-,
180 days from the date issued The total amount paid will be forfeited if the permit expires. The Agency does not
guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurement given, the installer
shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and
Side Sewer' Permit and the Agency will install a lateral ATTENTION: Oregon law requires you to follow rules adopted
by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001=Q610-thro OAR 52-001-0080
You may obtain copies of these rules or direct questions to OUNC by calling (5th) 246-1981,
Issued by: u ' �__ Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the ne t businsss day
CITY OF TIGARD Residential Building Permit Application Plan Che -
13125 SW HALL BLVD. New Construction Recd By -
Date Recd 7
TIGARD OR 97223 Single Family Attached
V 503-639-4171 Date to P.E.
�6Date
F 503-684-7297 C Pet
rmoS
# C- % -Op 39/
Print or Type Called
Incomplete or illegible applications will not be accepted
su r/1 Teen — 7�
•_ � Nam of Project � ' Na _
�.;�+,[. l)� lir-�l--u-4.� ' IU2� f'Ll-�-
Jab �
Architect M ilin Address
Address Site des �, ,,,�f �Iggl g�Yown AW
Jtj) &-I. C7IC ! C}'�y/State Zip Phone '
ame b V3 Liz-, _ 00 TT7r ay-kg A 240/ 67-0"e1Z
Owner -ling Address f, N(/lJ.��
Engineer Mallin Address
71
it /State . Z� 3 Pg 7S 10�f3� .��lU lVii+7E�'S ✓c=
Name L� y/Stagt� — Zip Phone
General L�rt% 377-7-1 317,113
Contractor .6WNStZ90E lAmA=s LLL Describe a,,ork New Addition 0 Alteration O Repair O
Mailing Address p to be done:
Prior to permit W) 10Q>� l j�/1."AW Additional Desc,'iution of Work: _
34*1111idv- SR
issuance,a copy ity/State Zi Phone S �t9av11L1K1r
of all licenses 't(LT '�j�
are required if Oregon Const Cont. Board Exp. Date PROJECT
expired In COT Lir#
database �-15-610 VALUATION
—Mechanical Name NEW CONSTRUCTION ONLY:
Sub- Tvt1Q�7t 56N5 (lcAL-]4nmcl Sq. Ft. House: Sq. Ft. Garage
Contractor Mailing Address
Prior to permit .O. �I'Oq Indicate the restricted energy installation by the electrical
issuance,a copy Ci /State Zip Phone subcontractor in the followin areas_
of all licenses w-r OM 1172 '7"76-`3// Restricted Audio/Stereo
i
are required if Oregon Const Cont Board Exp.Date Energy System Alarms
expired in COT Lic.#/�,28 3 Installations Vacuum Irrigation
database T '� 7 ��/DO System System
Plumbing Name r� (check all that Other:
Sub- apply)
Contractor Mailing Address Number of Units in Building Unit Number Designation
36 KAuF"*N —
Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City/Slate Zip Phone 1�
issuance,a copy r 1*0' Oil �f 3 'Llob., 'f D
of all licenses are Oregon Const.Cont Board Exp Date
required if Lic# �
expired in COTW*M - 7 Z 31 V� I hearby 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 oNner, and that n submitted are in compliance with
Ore on S laws.
Name Signat o f Own / e t Dat
Electrical �jt }tlan,t� �tE a171. `�'" 27CIP/00
Sub- Mailing Address --- Co ;Persongne Phone#
Contractor
Gity/State Zip Pho
Prior to permit i K'e
issuance,a copy ()W IK• `UA6H , q � 3� G,
of all licenses are Oregon Const Cont Hoard Exp Date FOR OFFICE USE ONLY:
Plat#: M�a+]pITL#
required if Lic# rs p`S/0 y;,r9 --11.6 00i
expired in COT (��0� _T__ 2t __. --- - -
database Electrical Lic # Exp Date Setbacks. Zone
Electrical Supervisor Lic # Exp Date — Engineering Approval Planning Approval
i\dsts\forms\ifa-new doe 1112019EI
CITY OF TIGARC
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
WOLCOTT PLUMBING CONT. INC
PO BOX 2007
GRESHAM, OR 97030
Plumbing Signature Form
Permit #: MIST2000-00391
Late Issued- 10/?3/00
Parcel: 2S1 04DA-1 1600
Site Address: 12961 SW BEAGLE CT
Subdivision: QUAIL HOLLOW - WEST
Block. Lot: 102
Jurisdiction. TIG
Zoning: R-4.5
Remarks- SFD - Bldg 10 - Master Plan Review - Setbacks as approved on dwg A10.10
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 wc the address above, ATTN: Building Dept.
No plumbing inspections will be authorizes, unt°1 this completed form irs received
OWNL:R PLUMBING CONTRACTOR:
BROWNSTONE" HOMES LLC WOLCOTT PLUMBING CONT. INC
12670 SW 68TH PARKWAY PO BOX 2007
PORTLAND. OR 97'2123 GRESHAM, OR 97030
Phone #: 598-7565 Phone #: 667-1781
Reg #: I Ir 00023847
PI M 26-208PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signa bre Of x1-ize`I lumber
If you have any questions, please call (503) 639-4171, ext. # 31C
I
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
STREAMLINE ELECTRICAL
6017-B EAST 18TH STREET
VANCOUVER, WA 98
Electrical Signature Form
Permit #: MST2000-00391
Date Issued- 10/23100
Parcel: 2S104DA-11600
Site Address: 12961 SW BEAGLE CT
Subdivision: QUAIL HOLLOW -WEST
Block: Lot: 102
Jurisdiction- TIG
Zoning: R-4.5
Remarks: SFC - Bldg 10 - Master Plan Review - Setbacks as approved on dwg A10.10
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 Dept.
No electrical inspections will be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
BROWNSTONE HOMES LLC STREAMLINE ELECTRICAL
12670 SW 68TH PARKWAY 6017-B EAST 18TH STREET
PORTLAND, OR 97223 VANCOUVER, WA 98
Phone #: 598-7565 Phone #: 360-993-5080
Req #: LIC 116514
ELE 34432C
SUP 2197S
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature of Supervising Electrician
If you have any questions, please call (503) 639-4171 , ext. # 310
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