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13260 SW KINGSTON PLACE w N a �n ca 0 a d n rD i 13260 SW Kingston Place CITY OF "TIGARD 24-Flour BUILDING Inspection Line: (503) 639-4175 __77-- INSPECTION DIVISION Rusiness Line: (503) 639-4171 MST.- _ —o ng BJP __-- Received __--_ mate Requested-_/1__(/ - 2--_�NM�> PM BLIP _ Location �5�7` - L Suite --_ MEC Contact Person L -_ Ph(T'50 ? �3- � PLM -_ Contractor Y-1 7 T�_._��' ----- ---- Ph( ) --- _ SNR SUILDING Teriant/Owner ELC Footing - Foundation Access: --- ELC Ftg Drain ELF! Crawl Drain Slab Inspection Notes_ S,IT _ Post&Beam Shear Anchors - - - Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing -- Firewall L f Fire Sprinkler Fire Alarm Susp'd Ceiling - - -- _ Roof c Other: - Final _— L PASS ---PART _FP.P --- �_UMM-E NG-) Post& Bearn -��— Under Slab _ Rough-In - Water Service Sanitary Sewer Rain Drains I Catch D t/M nhole �- Storm D ,n Shows, an Other P ', PART FAIL -- +N ,:HANICAL st&Beam as Line poke Dampers ial 1) S _-POT F:4rl_ -- --- - _. ----- -- — -- CT A — rry ce - -- _ ....... — - -_— )udrin �4ta ` — IrO Ala rr - --- --- _- :1 " U Reinspection fee of$ -_`—_—' required before next inspection. Pay at City Hall, 13125 SW!left BlvdLASS PART FAIL SITE _ _-_ -_ n Please call for reinspection RE:----___ ❑ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date Inspector __- Ext -_--_ Other: Final - — - DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIG ` RE, Inspection Line: (503) 639-4175 BUILDING MST INSPECTION DIVISION Business Line: (503)639-4171 (,� BUP __. Received r Date Requ .,t _ �Q f a AM PM -_- BLIP 132-60 Suite_- __ MEC - -- - Contact Person — _- Ph( _) PLM — Contractor _ Ph( ) SWR BUILDING Tenant/Owner _-_ ELC Footing ELC Foundation Access: Ftg Drain ELF! Crawl Drain -Y SIT Slab Inspection Notes: 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 Other: Final PASS PART AL_FAIL EC MHANIC _ Post&Beam Rough-In Gas Line Sm D mpers i PAS PART FAIL. CTRICAL 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: Unablc to inspect-no access Fire Supply Line Approach!Sidewalk Date l Inspector _ _-Ext Other Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAI' _wa»wri CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BLIP — Received _ _Dale Requested D AM—__--- PM - BLIP Location _. �a d .t1ri Suite_- MEC - — - Contact Person Ph( ) ——_- _ - PLM Contractor Ph(_ ) SWR - --__ BUILDING Tenant/Owner -------- ELC Footing ELC Foundation Access: Ftg Drain ELR trawl Drain -- SIT lab Inspection Notes: - - lost&Beam ,--- - --- Shear Anchors Ext SheathJShear - ---- - Int Sheath/Shear Framing -- Insulation Drywall Nailing - - Firewall _ Fire Sprinkler - -- � Fire Alarm Susp'd Ceiling Root Other: - - - -- - Final PASS PART FAIL ------- Post&Benin Under Slab - ---- ---- -------__— Rough-In Water Service ------ -- — --- Sanitary Sewer Rain Drains ---------- '-.-- - -- Catch Basin/Manhole Storm Drain - -----" -- — --- Shower Pan Other. ------------____"._ — /?PA-p§ PART FAIL -- —.-- -.----_ �_-CH -.-- - - ._ ANICAL_ _ --- -- --- - 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$__ required before next inspection. Pay at Cfty Hall, 13125 SW Hall Blvd. PASS PART FIII_L SITE �� Please call for rein pection RE:— — Unable to inspect-no act ass Fire Supply line ----- /7 ADA Approach/Sidewalk Date _� _ Inspector Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST _2 - 6(no _— INSPECTION DIVISION Business Line: (503)639-4171 BLIP Received `-- _ Date Requested AM _PM SUP _ Location — 13 a_o Suite_ — MEC Contact Person ___-- Ph( ) PLM Contractor _ __. .. Ph(_ ) SWR _ BUILDING Tenant/Owner _ --__ ELC Footing ELC Foundation Access: Ftg Drain ELR -_ Crawl Drain Slab Inspection Notes: SIT �T _ Post& Beam _— Shear Anchors - Ext Sheath/Shear Int Sheath/Shear FramingInsulation Drywall Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling ---- - ----- ----- ---- _-. Roof Other: _..-- Final PASS_PART FAIL PLUMBING -�__�-- Post&Beam _.- Under Slab Rough-In Water Service - Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain - - - - - ------ - -- -- Shower Pan Other: ---------- Final PASS PART FAIL ------------------------__-- MECHANICAL Post& Beam Rough-In _-- Gas Line Smoke Dampers - -- -------_-_ - Final PASS PART FAIL ELECTRICAL _ service �� -- Rough-In -- UG/Slab --� Low Voltage rm ASS PART _FAIL Reinspection fee of$_— --required beton next inspection. Pay at City Hall, 13125 SW Hall Blvd. Please call for reinspection RE:-_ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date ,L0 InspotOttAZ-V4- Ext Other: Final DO NOt HIBMOVA this Inspection record from the job of. PASS PART FAIL CITY OF T I G A R D MASTER PERMIT DEVELOPMENT SERVICESDATEERMIITD: MST2002-00046 1/03 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 SITE ADDRESS: 13260 SW KINGSTON PL PARCEL: 2S104DA-17600 SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: R-4.5 BLOCK: LOT: 002 JURISDICTION: 'I'1(; REMARKS: SF rowhouse,bldg 5,unit 2,13S plan with a deck.STRUCTURAL FILL, REQUIRES GEO-TECH INSPECTION AND REPORT. 4/10/03, adding a/c& gas fireplace. BUILDING REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: FIRST: 172 of BASEMENT: of LEFT: SMOKE DETECTORS: Y TYPE OF USE: SFA FLOOR LOAD: 50 SECOND: 735 of GARAGE: 547 of FRONT: PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: 1 THrn 735 of RIGHT: OCCUPANCY GRP: R3 BDRM: 2 BA1VALUE: 162,566 20 H: 2 TOTAL: 1,6�? of REAR: PLUMBING SINKS: I 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: MECHANICAL OTHER FIXTURES: FUEL TYPES FURN,100K: BOILICMP<3HP: 1 VENT FANS: T CLOTHES DRYER: i GAS FURN»10014: UNIT HEATERS: HOODS: I OTHER UNITS: 1 MAX INP blu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS AOD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 1 0 200 ano. WI8VC OR FDR. PUMPIIRRIGATIOW - PER INSPECTION: EA ADD'L 500SF: 1 201 400 amp: 201 400 amp: 1 at W/O SVC/FDR SIGN/OUT LIN LT PER HOUR LIMITED ENERGY; 401 600 amp: 401 000 amp EAADDL OR CIR SIGNAL/PANEL' IN PLANT: MANU HMISVCIFDR: 601 • 1000 amp: 601*amps•1000v MINOR LABEL 1000*amp/volt: Reconnect only: PLAN REVIEW SECTION >-4 RES UNITS: SVCIFDR>-225 A.: >600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL S.COMMERCIAL AUDIO d STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM INTERCOM/PAGING: OUTDOOR LNUSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRR,u: PROTECTIVE SIGNLI GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL OTHR- HVAC: DATAITELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS Owner: Contractor: TOTAL FEES: $ 5,893.58 This permit ie subject to the regulations contained in the BROWNSTONE QUAIL HOLLOW LLC BROWNSTONE HOMES, LLC 12670 SW 68TH PKWY STE 200 12670 SW 68TH PKWY Tigard Municipal Code,State Specialty Codes and PORTLAND,OR 97223PR PORTLAND,OR 97223 all other applicable laws. All workork will be done i nn accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if the wirk is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Phone: 503-598-7565 Phone: 503-$98-7565 Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 952-001-0080. You Reg 0: I !C 124627 may obtain copies of these rules or direct questions to OUNC by calling(503)246.1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Footing/Foundation Dr; Electrical Rough In Insulation Insp Electrical Final Sewer Inspection Plm/undslab Insp Framing Insp Gyp Board Insp Mechanical Final Footing Insp Mechanical Insp Shear Wall Insp Firewall Insp Plumb Final Foundation Insp Plumb Top Out Exterior Sheathing Inst Rain drain Inso Fir, to action Slab Insp_---- Electrical Service Gas Line Insp Water Line Insp ildin Final Issue ,By : C U �,L Permittee Signature Call (503)639-4175 by 7:00 p.m. for an Inspection needed the next business day \ CITY OF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWP.2002-00025 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/11/03 PARCEL: 2S 104[x/1-17600 SITE ADDRESS; 13260 SW KINGSTON PL SUBDIVISION: QUA 11, 1JOLLOW-SOUTIl ZONING: k •1 BLOCK: LOT: oo -, JURISDICTION: I It TENANT NAME: USA NO: FIXTURE UNITS: :LASS OF WORK: NEW DWELLING UNITS: ? TYPE OF USE: SFA NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF rowhouS0. 7►wrier: - ----- FEES _- BROWNSTONE QUAIL HOLLOW LLC Description— Date Amount 12670 SW (381 H PKWY STE 200 PORTLAND,OR 97223PR JSWUSAJ Sv.r Connect 4/11/03 $2,300.00 [SWUSAJ Swr Conflect 4/11/03 $0.00 Phone: 501-598-7565 1SWINS111 S%�r In.pect 4/11/03 $35.00 �'-,1XINSI1J Swr Inspect 4/11/03 $0.00 Contractor: _ --- -- Total $2,335.00 Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 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" Perm Issued by: �.�_; ,, �� -. Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the hext business day Building Permit A lica,tio City of Tigard — ateraceived:Ji > Permtt no,:ll,To•�., ry7-r ; Address: 13125 SSV Ball lilvd,Tigard,OR 97223 Project/appl.no,: Exp)redate: City(if Tigard -- Phone: (503) 6394171 Date issued: * Receipt no.: Fax: (503) 598-1960C-11 l Y UP I1(.i Case file no.: Payment type: Land use approval: BOLDING DIVTSt 2 family:Simple Complex: U I &2 family dwelling or accessory U Coinrnercial/industrial U Multi-family U New construction O Demolition 0 Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other: O; SITE INFORMA71ON Job address: �k .} 1 :r a Bldg. no.: Suite no.: Lot: r,Z Block: �cu bdivision: f�CI •c �c, �j fax!pap/tax lotlaccountno.:� Project name: —. � /. ` Description and location of work on premises/special conditions: Name tn.s n k (i� g (LJ� 1 & 1 (amity drrk....);: Malin address: ��'Cti City: o r'��..1State:01?, ZIP: Valuation of work........................................ $ Phone — ax E-mail: No.of bedrooms/baths................................. Owner's represeptative: ' Total number of floors................................. Phone: 1 ax: _ E-mail: New dwelling area(sq.ft.) .......................... Garage/carport area(sq, ft.)......................... Name: C a .SQ tS t c Covered porch area(sq.ft.) _ - --_ Mailing address: .S(a) 6ti _ Deck area(sq. ft.)........... ......................... City: �. . State: Zli. Q Other structure area(sq. It .......................... Phone: Fax: L-mail Commercial/industriaUniulti-family: Valuation of work....................................... r Business name: Existing bldg.area(sq. ft.) .......................... r` v. LL — Address: - g New bldg.area(sq.ft.) ................................ Number of stories Cit Swtej ZI — y y Type of construction................ -- one• - _ Fax:(;zp� '-mall: CCB no.: Occupancy group(s): Existing: New: _ City/metro lie.no.: Notice:All contractors and subcontractors are required to be t licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: Fr _ E� p jurisdiction where work is being performed.If the applicant is exempt from lid nsing,the following reason applies: —city State ZIP: Contact person: Plan no.: Phone: _ x: E-mail: Nami �r�e l u D E Contact person: Fees due upon application ........................... $ Address: C 'W r c c�- Date received: City: 'LIQ C,.ef Istalc: ZIP: 3 Amount received ......................................... $ Phone: ,2 _ Fax: I E-mail: Please refer to fee schedule. 1 hereby certify I have read and examined this application and the Na al)utitdicaoot scLV ardit c",please call)uds&ceon for mme inrarmahoo. attached checklist.All provisions cf laws and ordinances governing this Ovisa OMasterCard work will be complied yii whethwieffed herein or not. Credit card number Authorized s l re: - None or cardholder u blown no credit card Print name: F—K, T7 ___— $ Cardhorder Amount Nods:This permit application expires if a permit is not obtained within 180 days atter it has been accepted as complete. 440.4613(WYCOW) Plumbing Permit Application Datereceived: Pernut no.:; City b of Tigard - Sewer f•_rmit no.: Building permit no. Addrrss: 13125 SW Hall Blvd,T'igar>3,OR 97223 - - City ojTigard I'Itone: (503) 639-4171 Projekt/app] no.: Expire date_ Fax: (503)598-1960 Date issued: By: Receipt no.: Land use approval: ease file no: Payment type TVPE dF PERMIT "I�& ily dwcllin€or accessory r' _.ommercial/industrie1 U Multi family U Tenant improvement U New construction U Addiuori/alteration/replacement U Food service U Other: A-_ JOB SITE INFO11MATION FEE h(*IIEI)tJI.E(for special information use clieckli%t) Job address: 13,,).(30 St�_1< ss. � ace 1)cwcription Qty.I Fee(ea.) 11Total Bldg.no.: _ Sutte no.: -- New 1-and 1-farall) dwellings only: tax (hoc ludrs 100 R for each utility co Tax mannection) N tut/account no.: _-- SFR(1)bath Lot: Block: Subdivision: SFR(2)bath - PMject name: SFR(3)bath City/county: Z1P, Each additional bath/kitchen Description and location of worst on premises: Site otitities: Catch basin/area drain Drywells/leach line/tmnch drain Est.date of complelion/insptxtion: - Footing drain(no.lin.fl.) Manufactured home utilities o••"''_. Manholes - - Wolcott Plumbing Rain drain connector 110 Box 2007 Sanitary sewer(no.lin.ft.) Gresham OR 97030-0594 Storm sewer(no,lin.ft.) _ 503-667-1781 Water service(no.lin.ft. CC13:23847 PLM 11:26-208PB )Fixture or hem: Contractor's representative signature: Absorption valve --- Back flow preventcr Print name: Date: Backwater valve t Basins/lavatory_ - _- Namc: Clothes washer _ ------ ------- ------_-�_.._- Dishc ostler Address: _ - - Drinking fountain(s) City: titate: l.11': --- --�- _._I Ejectors/swnp Phone: Fax: I':ntatl: Expansion iatrk 1 Fixtum/sewerrcam__ Name(print): Floor drains/floor sinks/hub Garbage disposal Mailing address: Hose Bibb -- City: —_ State: _I P_- Ice maker __ Phone: Fax: I E-mail: me or/gree a trate _- owner instal lation/rrsidential maintenance only: TTic actual installation I'rimer(s) will be made by m^or the maintenance and rrpai. made by my regular Roof drain(commercial) _ employes on the prnperty I own as per ORS Chapter 447. Sink(s),basin(s),lays(_s_) Owner's signature: _ Date: _ _ Sump Tubs/shower/shower pan Name. Urinal -- ---- ------ ---- -- - - ---- Water closet Address: Water heater -----� _ _ City:— - State:--- 71P_- Other. Phone: �� E-mail: Na all*66ctim WOW credit car*/tree cc hrisdictim fcw mart idmmrim Notice:This permit application Minimum fee...............$ -- Uvi►.. 0Mut«CudPlan review(at _— %) $ _--__-- expires if a permit is not ohtrtincd credit cord mmbet _ State. surcharge(8%) ....S — -�L— within 180 days after it has been �g - Now d drrmolAri r r>«WO•cceft erre accepted as complete TOTAL .......................S S Grd ww"slslsoonn —_ V Aa»r 4101616(60YWM) Mechanical Permit Application Datereceived: Permit no.: City of Tigard Project/appl.no.: Expire date: Cirt ofTip ord Address: 13125 SW Hall Blvd,Tigard,OR 97223 Datcissued. By: Receipt no.: Phone: (503) 619-4171 Fax: (503) 598-1960 Case file no.: Payment type: 1-and use approval: —__ Building permit no).: OF PERAI IT U 1 & 2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New construction U Adclttion/alteratiort/replacement U Other: JOB SITE INFORMATION1 7 1N SCIIEDULE !ob address: J,6C �� c _ �<< c Indicate equipment qur ities in boxes below. Indicate die dollar Bldg.no.: 2 Swte no.: —_ value of all mechanic materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value S s— lot: Block: -Subdivision: 'See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City/county: ��--- ZIP: _ _ I r Description and location of work en premises: s I 1 11f FPC(ea Iota] Est.date of completion/inspection: _ Description �y Re' O°I K�•�y Tenant improvement or change of use: Air handling unit Is existing space heated or conditioned?U Yes U Noan --- mr an3itionmg(site pireq ) _ Is existing space insulated?U Yrs U No Alteration of existing A .sysicrs ilex/comprestots State boiler permit no.: Four Seasons I Icaling&A,'('Service Inc -- HP --Tons BTU/11`1 or 64it smoke dampers/ductamo edetectors 110 Itoo 609 _ _-- 1'0l R (4 97290-6409 eat pump(sne p--Tan requi�a) _ nsta uteplace um_.;7burner—_ T /H 503-775-5911) Including ductwork/vent liner U Yes U No CCB: 48283 risialVrrpp a�TocateTaters—suspended, _ wall,or floor mounted _ Name(please print): —� Mora t hance otherthan furnace _ 1 1 e einstioic Absorption units—__ BTIMI Name: Chillers_ _— HP Com rt;ssors__ —.---- Ar"nanentsol exhatusi isad yea -ti ou: City: State: ZIP: ,tipphan,.event Phone: Fax E-mail: r, erexraust 1 ti -FI ssood jyp e t/IITres. ache mazmat --- ---- bond fire suppression system — Name: Exhaust fan with single duct(bath fans) Mailing address: Exhaust�s sterna art rc--f�m�tin or AC. -- - - - 7� - Furlp distribution(up to out ets) City: I'latc: ?.IPS Type IPG _,_ NG Oil Plionc: Fax: E-mail: Tiicl tt tng each additional over outlets rncesspiping(scematicrequirec) Name: Numlxr of outlets _ e_— -- brier Ilst—dc spill aaw— orr cquiIpmenl: Address: _ Decorative fueplace City: Slate: TIP: nsen type F'iumc: ____---- Fax - E-mail: oo3stove7peTeistove Other. Applicant's signature: Dale Other- Name (Print): -- --- - -- - Perrrmit fee............... .....S _ Na au},ni«Lcriw aoupt credit cartk,plane calf iet rim rt mere atcuuun Notice This permit application U V'aa U MasterCard Minimum fee............... $ expires a permit is not obtained tSedir card eamtxr: Plan review------ =�- within 180 days a"cr it has been (at _ 9<) S --- Starr surcharge(846).... Now a, as card accepted as ownplcte. = TOTAL ..................»...$i -- Cardt"der slsauui Aiwm 404617(&MrDW) Electrical Permit Applications Date received. Permit no.: City of Tigard Project/appl.no.: Expiredatc: Ott of Ispor,I Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no. Phone: (503) 639-4171 — --- l Fax: (503) 598-1960 Case file no.: Payment type Land use approval: I*VPL OF PERMIT ❑ I & 2 family dwelling or accessory ❑Commercial1industrial ❑Multi-family U Tenant improvement ❑New construction U Addition/alteration/replacemenl U 011lcr -__ U Partial JOB SITE INFORMATION Job address: " F31dg.no.: Suite no.: jTax map/tax lot/account no.: Lot' Z 1Block: Su ivision: _ Project name: I Description and location of work on premises: Estimated date of completion/inspection: CONTRACTOWAPPLICATION FEE SCIIEDULE Job no: -- - Description _ e>xy. (ei► IotsI no.in�i .I E ROM E E L LC 111 I C New residef*W-sIrW*or ayshi famiit per PO BOX 751 dwellirr4nth.lnc%dmattached prace. I III I SBORO OR 97123 1000 sq I t)()()s9 h.or Itxa 4 X03-()48-5144 Each additional 500 sq h.or portion thereof CCB: 36051 ELC: 34-1190 SUP: 28775 Limited energy,residential 2 UmitM energy,non-residential 2 Ench manufactured home or modular dwelling Signature of supervising electrician(required) date Service and/or feeder 2 Suis rlrri narnrrpnnu I nrnsrn0 Services or feeders-brstallation, alteration or relocation: 1 1 200 amps or las 2 Name(print): 201 amps to 400 amps — 2 401 amps to 600 amps 2 Mailing address: 601 amps to 1000 amps 2 City: _ State: ZIP: - Over 1000 amps or volts 2 Phone: TFa, I E-mail: Reconnect only I Owner installation:The installation is being made on property I awn Temporary aerrlesorfeeders- which is not intended for sale,lease,rent,or exchange according to Int ilatioa,aillesslloo,orrelocation: ORS 447,455,479,670,701. 20x1 amps or leas 2 201 amps to 400 amps 2 Owner's signature: Date: 401 to600 s 2 _--- —y Branch circahs.new,alleration, Name. or extension per PML A. Fee for branch circuits with purchase of Address service or feeder fee,each bra,ch:ircuil 2 City: Stale: ZIP: B Fee for Mara-h circuits without Vu-chase. ------ — of,ervioeor leeder fee,first br, .ch circuit. 2 19uonc: fax E-mail: - — Each uldrtiomal traich circuit. N.c.(Service or feeder not Incladed): O Service over 225 amps-rtmmewta) U Healdt-car-facility Each pump or imganon circle 2 O Service over 320 amps-raring of 1&2 O Hazardous location Each sign or twtline lirhtin 2 family dwellings O Building over 10,000 square feet four or Signal circuit(s)or a linuted energy panel. O System over 600 volts nominal more residential units in one structure alteration,or exteruions 2 O Building over three stories O Feeders,400 amps or more *Description.- O Occupant load over 99 persons O Manufactured structures or Rv park Fjch addh6_ml Ins"lon over the allowable In say of lire above: O Egresillightingplan U Other _-__- Per inspection Submit—sets of pleas with any of the above. Investigation fee -_-- The above are not applicable to temporary coactruction service. Othet Nix all jaritdictinrn accept credi cards,please cell jurisdiction for mbar information Notice:This permit application Permit fee.....................S — O visa O MaaerCard expires if a permit is not obtained Plan review(al _ %) S _ ciedit curd number- _ _ L_ within 190 days after it has been State suf charge(8%)....S 'arc' accepted as complete, TO'f1 AL . $ —i�urr—io ar iol� own one i c •••••••..••.••.••.•... S — Cardholder tigaarure Attiotitil 440-4615(60WONI) CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223RECEIVED IMPORTANT PERMIT NOTICE APR 1 ,") 7003 DAVID JEROME ELECTRIC DIVI�;IOty PO BOX 751 HILL.SBORO, OR 97123 Electrical Signature Form Permit ll: MST2002-00046 Date Issued: 4/11/0: Parcel: 2 S 104DA-17600 Site Address: 13260 SW KINGSTON PL r Subdivision: QUAIL HOLLOW - SOUTH Block: I.ot. 002 .Jurisdiction: TIG oningt R-4.5 Remarks: SF rowhouse,bldg 5,unit 2,13S plan with a deck.STRUCTURAL FILL, REQUIRES GEO-TECH INSPECTION AND REPORT. 4/10/03, adding a/c & gas fireplace. 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 i; 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 12t)70 SW 68TH PKWY STE 200 PO BOX 751 PORT[ AND, OR 972?'IPR HILLSBORO. OR 97123 Phoria 0 503.598-7565 Phone #: 648-5144 Req #: i R' 30051 SI 2877S iii .34-.1 I )C AN INK SIGNATURE IS REQUIRED ON THIS FORM 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 #: MST2002-00046 Date Issued: 4/11/03 Parcel: 2S',04DA-17600 Site Address: 13260 SW KINGSTON PL Subdivision: QUAIL HOLLOW - SOUTH Block: Lot. 002 Jurisdiction: TIG Zoning: R-4.5 Remarks. SF rowhouse,bldg 5,unit 2,13S plan with a deck.STRUCTURAL FILL, REQUIRES GEO-TECH INSPECTION AND REPORT. 4/10/03, adding a/c & gas fireplace. 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 iintil this completed form is received OWNLR PLUMBING CONTRACTOR: BROWNSTONE QUAIL HOLLOW LLC WOLCOTT PLUMBING CONTRACTOR! 12670 SW 68TH PKWY STE 200 PO BOX 2007 PORTLAND, OR 97223PR GRESHAM, OR 97030 Phone #: 503-598-7565 Phone #: 667-1781 Reg #: LIC 23847 PLM 26-208PB AN INK SIGNATURE IS REQUIRED ON THIS FORM SignatOr,a f AuuttHorized Plumbrr� If you have any questions, please call 503.718.2433. ELECTRICAL - CITY OF TIGARD RESTRICTEDENERIGY DEVELOPMENT SERVICES PERMIT#: ELR2003-00238 13125 SW Hall Blvd.. Tiqard. OR 97223 (503) 639-4171 DATE ISSUED: 8/6/03 SITE ADDRESS: 13260 SW KINGSTON PL PARCEL: 2S104DA-17600 SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: R-4.5 BLOCK: LOT: 002 JURISDICTION: TIG Project Description: Installation of limited energy for audio/stereo. A.RESIDENTIAL _ B.COMMERCIAL AUDIO& STEREO: X AUDIO& STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: _ TOTAL#OF SYSTEMS: Owner: Contractor: BROWNSTONE QUAIL HOLLOW LLC AZIMUTH COMMUNICATIONS INC 12670 SW 68TH PKWY STE 200 P.O. BOX 508 PORTLAND OR 97223PR WILSONVILLE, OR 97070 Phone: 5u 1.598.7;(,; Phone: 503-039-0 110 Reg#: ELE 36-94CLE SUP 23121.1:A LIC 145S-18 FEES — Required Inspections _ Description _ Dale, _ Amount_ Low Voltage Inspection II I I'It�1'I I LLlt Perniii' 8/6/03 $75.00 Elect'1 Final � IA\I 8",)SIa1c Tai 8/6/03 $6.00 Total $81.00 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. ATTENTION: Oregon law requires you to follgw-rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc Issue Permittee Signature L,4-'et `I OWNER INSTALLATION ONLY The installation is being made on property I own which is not i itended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: LICENSE NO: �� ---� --� -- ------i Call 639-4175 by 7:00 P.M. for an inspection needed the next business day / Electrical Permit Application Date received: (r C i- Permit no. !!! City Of Tigard Project/appl.no.: Expire date: Address: 13125 SW Hall Blvd,Tigard,()R97223('rry,rffrgnrrl Date issued: by: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ TYPE OF U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement New construction U Addition/alteration/replacement U Other: _ U Partial JOB SITE INFORMATION Job address: a S.W , ,S�ron/ L [31dg.no.j 1 Suite no.: Tax map/tax lot/account no.: Lot: Bluck: Subdivision: ( Project name: ' ' I Description and location of work on premises: Estimated(late of completinn/inspection: CONTRAffOR APPLICATION FEE SCHEDULE Job no: I-cc Mas --- — 1)cscriptlon Qty. es. Total no,Ins Business name: u- ILA , ---•71.711 New residential-single or nudti-family per Address: , Lt) 6 UT_ disellingunit.Includesatlachedgarage. City: kl OsjJLLL E Slate' ZIP: > Sem Ice Included: Phone:5o3(r,3q Ul l U Fax: % Off E-mail: 1000 sq.it.or less a Each additional 500 sit ft,or portion thereof CCB no.: ! 4 5Z Elcc.bus. lie.no: �b �j�{C'�_ Lilmtedenergy,residential City/metro lic.no.: n000l6�jI L.imitedenergy,non-residential _ Each manufactured home or modular dwelling -- —�`z � 2 Service and/or feeder Si noture o ifietvising cle ui_ci (re urrcd) Date — —� Sup.elect,namt onn � i ( ll EIC C. License no. 5ervlcesorfeedera-Imtallatlml, alteration or relocation: 200 amps or less = Name(print): 7 'Zfq,lC 201 amps to 400 amps _ -- -- 401 amps to 600 amps _ Mailing address: 601 amps to 1000 amps City: StatC: ZIP: Over 1000 am s or volts 2 Phone. Fax: [i mail: Reconnectonl I owr i installation:The installation is being made on property I own Temporary sen Ices orfeeders- which is not intended for sale,lease,rent,or exchange according to tnshrllatlnn,alteratlon,orrelocation 200 amps or less ORS 447,455,479, 0,701. ? bl 201 amps l0 400 amps — 1 Owner's signature: Date: —401 to 600 ams -' Nranch circuits-new,Alteration, or extension per panel: Name: _ A Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit City. Stale: i I I' B Fee for branch circuits without purchase _ of service or feeder fee,first brunch cucuit Phone: i I 111'x'I Each additional branch circuit Misc.(Service or feeder not Included) V Service uvet 225 amps-C0111111ULIal U Hcalth-care.facility Each pump or irrigation cln:le 2 U Service over 120 amps rating of 1&2 U Hazardous location Each signor outline lighting 2 familydwellings U Building over I10,000 square Sinal circuil(s)or a limited energy feet four or g k Panel, U system over 600 volts nominal more residential units in one structure alteration,or extrnsi,n' U Building over three stories U Feeders,400 amps or more •Descnpuon U Occupant load over 99 persons U Manufactured structures or 8V part. Each additional Inspection oyer the all,c"able In any of the glume: —� U Egress/lightingplan 'J(Other' _ — Per inspection Submit___sets of plans vvlih any otthe above. Investigation for The above are net applicable to temporary construction service, other vol all jurlsdicoons accept credit cards,please call Jurisdiction for more inrr,rtrlatlon. Notice:This permit application PCrmll lee................(.,. U visa a MasterCard expires il'a permit is not obtained Plan review(at Cada card number .u— _.� �. ssichin 180 days after it has been State surcharge(8%) ....$ Expires accepted as complete. TOTAI. ...................... Ss —' Nante of cardhol rot shown or ere iWi cad-- S c'ar holder si nmure Amount __ au1 u.ls rvtsvt'1lsl CITY OF TIG,ARD 24-Hour BUILDING inspection Line: (503) 639-4175 MST ?2 0 10SPECTION DIVISION Business Line: (5u3)639-4171 _—�- b / BLIP _ ___-- Received ------_----. Date Requested --- --_7-- - - --- __ BUP PM _._.. - -- "7Z(n 0 ��-�.✓� Ste` it- -- Location _-___—.2_-- __— _ Suite-_ - MEC Contact Person ___ -- _- ; '72 ___-- ._� PLM Contractor -_- --- - Ph( -) -. - - SWR BUILDING Tenant/Owner _ ELC Footing Ft undai , on ��ccess: ELC �� g ELR - 0 d �i3 b Crawl Drain _ _ - - Slab Inspection Notes: SIT Post&Beam Shear Anchors - - - - - Ext Sheath/Shear Int Sheath/Shear Framing _. Insulation Drywall Nailing Firewall i Fire Sprinkler Fire Alarm Susp'd Ceiling — - Roof Other: Finan PASS PART FAIL_ PLUMBING Post& Beam Under Slab Rough-In Water Service Sanitary Sower Rain (.)rains - - — Catch Basin/Manhole Storm Drain - - -- Shower Pan Other. -- - - Final _ PASS PART FAIL — MECH_AN_ICAL Post& Beam _ ---�- Rough-In --- -- Gas Line Smoke Dampers Final PASS P R_TFAIL -- - -- ECT AL Service Rough-In UG/Slab — - —� o a -- Fir a m ---_ -- -- - ----_� —._— SS PART FAIL 11 Reinspection fee of$_ __-_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. S _ [�] Please call for reinspection Rr- --. Unable to inspect-no access Fire Supply Line ADA n Approach/Sidewalk Date /�r��f— --- Inspector Ext Other:_ Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL AAAAAAAAAA♦AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAI, i e � t � -� rrD ► Un rb t l r ► d � n �- ► t �. r, O -, `� o rD . Z r ::3 �'h ► rD 44 ► .4M M U ' U13 ► '� • ► cro ► t o o ► ► 44 44 p ► 44 PON. 44 , M / ► Fir o rs o � r p cr y K � ^ a :z*l, n p n rQ 4 n �� O D o ; A lot a � n o � � ,y r F 0 b F R �a CITY OF TIGARD 24-Hour BUILDING Inspection Line: (5 9-4175 ST OOc� INSPECTION DIVISION Business Line: (.9- . 4171 BUP Received ____Date Rer uested_ 1 n1\ AM— PM BUP 2 — MEC _ Location- — �/� �S Suite -- - -- Contact Person -_ Ph( ) PLM Contractor Ph( ) SWR MDI ?: Tenant/Owner _ ��i� 15 `�" S ELC --------------_.__ F oting ELC —_ - --..-..--_---- Foundation Access: Ftg Drain ELR Crawl Drain - SIT Slab Inspection Notes: - - -- Post&Beam --- --- -- -- Shear Anchors Ext Sheath/Shear - --- Int Sheath/Shear Z k 'S '� C �► -- Framing Insulation Dryw, II Nailing ---- - - - Firewall Fire Sprinkler - Fire Alarm Susp'd Ceiling — ---- - - --- Roof Oth PART FAIL _-P4AMBING Post& Beam _-___--- Under Slab -- -------- ---- -- - - Rough-In Water Service --- --_- _ '- - — -- - - Sanitary Sewer lr Rain Drains -- Catch Basin/Manhole Storm Drain ---— --- Shower Pen Other:— — -- —. — —— —— Final PASS PART FAIL -- - _-_ -- MECHANICAL Post&Beam Rough-In -- - -_ - - Gas Line Smoke Dampers -- - - - - �._--- Final PASS PART FAIL - -- -ELECTRICAL Service Rough-In UG/Slab Low Voltage ------- ----- - - ---- -------- Fire Alarm Final Reinspection fee of$__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd PASS PART FAIL SITE � Please call for reinspection FIE: ____ .__.�___.._ ❑ Unable to inspect -no access Fire Supply Line ApPproach/Sidewalk Date ` /\�/U Inspector _` � ----- Ext P Other:_- Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL