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13275 SW KINGSTON PLACE i W N Cn O I 13275 SW Kingston Place CITY OF TIGARD 24-Hour 13�11LDIMG Inspection Line: (503)639-4175 LAST 7 _ �`�—� INSPEC,ION DIVISION Business Line: (503) 639-4171 BUP --a_ Received --- Date Requested '�� _ AM v_ PM . BUP Location )'L a_ . ► rv�� .�1`1 ( _-- SUItP.-- __-_ MEC _--- Contact Person Ph( ____) PLM Contractor—__._________ Ph(-----) _ a`NR _ BUILDING _ TenantJOwner — ELC Footing — Foundation ELC Ftg Drain ACC2SS: ELR Crawl Drain Slab Inspection Notes: SIT Post& Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shoat - - Framing insulation Drywall Nailing -... .- - - - - ------ ----- - ---- --- Firewall Fire Sprinkler -- Fire Alarm Susp'd Ceiling -- -- - — - - - -- -�.-.— -- Roof Other: -- - - i PASS PART FAIL --- `�_rr�._-- -- ------- P UMBING Post& Beam dpr Slab ---- -- - --- -- - -- -_ Rough In - Water Ser:iee - -- - - - --- _/ --- - --- - Sanitary SeW,:r -- V Hain Drains -- _. _- _ ------ - Catch Basin/Mant.ole Storm Drain -- -- - - Shower Pan Other Final - -. ---- PASS PART FAIL --- MECHANICAL Post& Beam Rough-in - _----_- -- Gas Line -------- Smoke Dampprs - - - --- --- --- _—�--- - - - - - — Final PASS PART FAIL — --- - ____-- ELECTRICAL - 2�c� Service - Rough-'n UG/Slab (Cow Voltage l Fife Alarm --- -- PASS PART FAIL ❑ R,411 lection ieee of$ required hefore next iispection. Pay at City Hall, 13125 SW Hall Blvd SITE Plot call for reinspection RE:_ n Unable to inspect-no access Fire Supply Line - ADA - Approach/Sidewalk Data � __,i.?_ Inspector Ext Other: - Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL. CITY OF TIGARD - ELECTRICALRESTRICTED ENERGY RMIT- /A RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2003-00;67 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/17/03 SITE ADDRESS: 13275 SW KINGSTON PL. PARCEL: 2S104DA-19600 SUBDIVISION: QUAIL HOLLOW- SOUTH ZONING: R-4.5 BLOCK: LOT: 022 JURISDICTION: TIG Project Description: All encompassing low voltage. A.RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: X AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: X BOILER: LANDSCA?E/IRRIGAT: GARAGE OPENER: X CLOCK: MEDICAL: HVAC: X DATA/TE'-E COMM: NURSE CALLS: VACUUM SYSTEM: X FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: ALL ENCOMP X HVAC: PROTECTIVE SIGNAL: - - INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: Owner: Contractor: BROW VSTONE QUAIL HOLLOW LLC AZIMUTH COMMUNICATIONS INC 12 N 68TH PKWY STE 200 P.O. BOX 508 POi ,_,,14D, OR 97223 WILSONViLLE, OR 97070 Phone: 503-598-7565 Phone: 503-639-01 10 Reg#: ELL" 36-94C'LE SUP 2312LEA LIC 145828 FEES Y�^ Required Inspections _Description Date Amount Low Voltage Inspection I I I'RM'I j LLR Permit 6/17/03 $75.00 Elect'I Final 1,1X1 R"S'Sate Tax 6/17/03 $6.00 Total $81.00 This Permit is issued subject to the regulF'ions contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. FII 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 952-001-0010 throuc Issued by _, L ( __��. �._,` j (, : Permittee Signature_ �'._ f f1,. >!� (r ,_ OWNER INSTALLAT!ON ONLY The installation is being made on property I own which is not intended for sale, tease, •�r rent. OWNER'S SIGNATURE: DATE:— CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ _ DATE:___—_____. - LICENSE NO: Call 639-4175 by 7:U0 P.M. for an Inspection needed the next business day Electrical Permit ApplYcation Date received: � Perrnitn^.r" � ,F•i)� City of Tigard Project/appl.no.: Expire data ---_ Cifyof'i'igard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: Hy 4�r l Receipt no.. Phone: (503) 639-4171 1--ax: (503) 598-1960 Case file no.: Payment type: Land use approval: U I d:2 family dwelling or accessory U Conuner ial/industrial U Multi-family U Tenant improvement New construction U Addition/alteration/replaccment U Other: J Partial JOB S11111'INFORMA TION Joh address: / $ ft, LI- I6110d Bldg. no,: Suite no.: Tax map/tax lot/uccount no.: _ Lot, Block: Subdivision: at,llflli t_ Project name: G L <- k.Trt. I Description and location of work on premises: Ut'tCt: -r,DLL; _ Estimated date of completion/inspection: FEE SC111-.1liul'I'l, CONT1AV1170111 APPLICATION Fre Mar Job no: Description Qly. (CIL) Total no.ins Business name'04 M L..TN C� >,ytMt.w LA i l s n�� - New residential•single or multi-family per Address: '3c", S'. ,ndweliingunit.inciudesatinc•Isedgnrape. Cil - Slule' ) Sctvkxhncluded: Y ✓ a Fax: r t E-mail' loan sq.n.or less — Phone: ',^ �i �� 5�' Each additional 500 s .I't or portion thereof' CCB no.l 1 lF C �' Ele hu• lic.no: r4 r r/n Limited energy,residential 2 City/rnetrolic.no.: it.)00C.)S c Limited energy,non-residential ' Each manufactured home or rnudular dwelling Si nature of su ervisin electrici re uired) Service and/or feeder _ Liaanseno. Zjt�l.rtl� Services or feeders-Installation, Su .elect.name(print): T L + alteration or relocation: 200 amps or less _ 201 amps to 400 amps _ Name(print): OI,tl at OE — 401 amps to 600 amps _ Mailing address: 601 amps to 1000 amps City: —_ State: ZIP: �— Over 1000 amps or volts Phone: Fax: E-mail: Reconnect only i Temporary services or feeders- Owner installation:The installation is being made on property I own Temp ntlon,aperatlan,orrelocaHon: which isnot intended for sale,lease,rent,or exchange according to lou amps or less _ ORS 447,455,419,670,70). 201 amps to 400 amps = —' O wner's si nature: Date: 401 to 600 ams ' Bench circuits-new,alteration, or etdenslun per panel : A Fee for branch circuits with purchase of s� service or feeder fee,each branch circuit Slide: IIP: B. Fea for branch circuits without purchase i -- of service or feeder fee,first branch circu: Fax: E mail: Each additional branch circuit, Mlsc.(Service ci feeder not Include(!): U Service over 225 amps commercial U Health-true facility Each pump ar irngmion circle UService over m,amps-rating of1&2 U Hazardous location Fachsign oroutlineIighting _-7 family d%4ellings U Building over Io,000 square feet four or Signal circuit(O or a limited energy panel. U System over 600 volts nominal more residential units in one structure alteration,or extension' U PaP.dingover three stories U Feeders,400 amps or more "Description. -- -- (krnpant load over 99 persons U Manufactured structures at P v park Fach additional Inspection over the allowable In an)of the abuse: fj Fgress/lightingplan J Other- _ Pc,aispecmmr _ Submit—Yens of plans with any of the above. Invesugatior.fee _ The above are not applicable to temporary construction service, Other Permit fee 1, �- Not 111 jurisdictions accept credit cards,please call jurisdiction for more Information Notice:This permit appli ration plan review(at — %) U visa U MasterCard expires if a permit is not obtained credit card number ___[_ _ within 190 days after it has been State surcharge(8%) ....$ r..,pires . accepted as complete. 'T'O'TAL .............•.•...... $ '�-"f�ame o�udltoldci.+!� own on ere it card � s A C'srdholrler signature nuwnr JJt).1615 tMtkC'U!.1i 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: 1327E '�"► KINGSTON PL Subdivision: OUAI, LOW - SOUTH Block: 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 I � X Signature riz . lumber If you have any question. please 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 nate Issued: 3/6103 Parcel: 2S104DA-19600 Site Address: 13275 SW KING 0l%jN 131 - Subdivision: QUAIL HOLLOW - SOUTH Block: Lot: 022 JL,risdiction: TIG Zoninq: R-4.5Ren,arks: SF rowhoL'se,Unit #22, Bldg 3, As plan with deck Your compan,,has been indir.ated 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 frr),rl your company sign below and return this Electrical Signature corm prior to the start of the wU. L thy,, addrass 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 68TI•I PKWY STE 200 PO BOX 751 PORTLAND, OR 97223 HILLSBORO, OR 97123 Phone #: 503-598-7565 Phone #: 648-5144 Req #: ►.Ic W51 SUI' 28775 ELF 34-11 9C AN INK SIGNATURE IS REQUIRED ON THIS FORM _,,��- Signature of Supero' - bctrician If you have any questions, please call 503.718.2433. CITY OF TIGARD MASTER PERMIT :(MIT#: MST2002-00071 s DEVELOPMENT SERVICES DATE ISSUED: 3/6/03 13126 SW Hall Blvd.,Tigard, 7R 97223 (603)P39-4171 SITE ADDRESS: 13275 SW KINGSTON PL PARCEL: 2S104DA-19600 SUBDIVISION: QUAIL HOLL OW- SOUTH ZONING: R-4.5 BLOCK: LOT: 022 JURISDICTION: "116 RF',AARKS: 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 of BASEMENT: of LEFT: SMOKE DETECTORS: Y I TYPE OF USE: SFA FLOOR LOAD: 50 SECOND: 733 of GARAGE: 517 of FRON r: PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: 1 THRI) 733 of RIGHT: 203 80 OCCUPANCY GRP: R3 BDRM: 2 BATH: 2 TOTAL•. 1,838 of VALUE: 162, REAR: PLUMBING SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 2 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB/SHOWERS: 2 r ARBAGE DISP: I 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 SRVCIFEEDERS BRANCH CIRCUITS _MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 1 0 200 amp: WISVC OR FD" PUMPIIRRIGATION: PER INSPECTION: EA ADD'L SOOSF: 3 201 400 amp: 201 400 amp: tat WIO SVCIFDRSIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 600 amp: EAADDL BR CIR: SIGNA.LIPANEL: IN PLANT: MANU HMISVCIFDR: 601 1000 amp: 601+ampa•1000v: MINOR LABEL: 1000+amp/volt: Reconnect only: PLAN REVIEW SECTION -- _ >-4 RES UNITS: 9VCIFDR>=225 A.: >800 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: 0TH: BOILER HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR•. HVAC: DATA7TELE COMM: NURSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 5,531 33 BROWNSTONE QUAIL HOLLOW LLC BROWNSTONE HOMES,LLC This permit is subject to the regulations contained in the 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 PhO1e 503-598-7565 Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 952-001-0080. You Reg 0 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 Insp Plumbing Top Out Exterior Sheathing Inst Plumb Final Sewer Inspection Pim/undslb Insp Framing Insp Firewall Insp Mechanical Final Footing Insp Electrical Service Gas Line Insp Water Line Insp Building Final Foundation Insp Electrical Rough-in Insulation Insp Smoke Detector Final Inspection Wtr Proofing Bsm't Wa Mechanical Insp Shear Wall Insp Electrical Final Issued By : K�La: lc t�' . �r._ Permittee Signature : l Call (503) 639-4175 by 7:00 p.m.for an Inspection needed the next business day i CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2002-00046 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/6/03 SITE ADDRESS; 13275 SW KINGSTON PL PARCEL: 2S104DA-19600 SUBDIWSION: QUAIL HOLLOW- SOUTH ZONING: k-4.5 BLOCK: LOT: tr_'-, .JURISDICTION: "I1( TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SFA NO. O� BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF rowhouse. Owner: FEES BROWNSTONE QUAIL HOLLOW LLC Description Date Amount 12670 SW 68TH PKWY STE 200 �— — PORTLAND, OR 972.23 1SWUSAI SwrConncct 3/5/0:3 $2,300.00 1SWI ISA I Swr Connect 3/5/03 $C.00 Phone: 503-598-7565 1SWINS11I S�%r Inspect 3/5/03 $35.00 ISWINSP) Swr Inspect 3/5/03 $0.00 Contractor: — --- — -- - Total $2,335.00 Phone: Reg #: Required Inspections This App!ca,:t;agrees to comply with all the rules and regulations of the Clean Water Services -rhe permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agencv 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"1 ap 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 952-001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to CUNC by calling (503) 246-6699 Issued by: �� r. '. L� Permittee Signature: Call (503) 639-4175 by 7:00 P.M. fo-an inspection needed the next business day Building Permit Application • IDalereceived: . �1 D�. Permit no.C>,ty of Tigard - Address: 13125 SW hall [3 1'rojecdappl.no.: re date: (:YtpufTignrJ e �d �-�l..s► I VE D Phone: (503) 639-4171 Date issuers: _ By�. y� Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2family:simply Complex: U 1 & 2 family dwelling or accessory U Connnercialhndustrial U 1\lulti-family U New construction U Demolition U Additiou/altcration/replacement U Tenant improvement U Fire sprinkler/alarm U Other: _ JOB SITE INFORMATION Job address: ��- ,.SCc l � is Bldg. no.: Suite no.: Lot; • Block: _ Subdivision: ��,� �. SCtc Tax ina /tax IoUaccount n2.: , Project name: �- - Description and location of work on premises/special conditions: 1 1 Name: 'f o�Lt1c�nI%_ IM11 1114161C IN111110141" _Mailing address: n _ 'c 1 &2 family dwelling: City: c-rJ� u State:(► lQ ZII': Valuation of work........................................ Phone - Fax:620 E-mail: No.of bedrooms/baths................................ Owner's representative: Total number of floors................................ f llonc: $ Fax: _ E-mail: New dwelling area(sq. ft.) .......................... Gamge/rarport area(sq. ft.)......................... Name: rCILL�1 c` _� � �� Covered porch area(sq. ft.) ......................... Mailing address: I — SW �. _ - Deck area(sq, ft.) ............. Other s!rurture area(s ft.). City: �_` � c. Statc: ZIf, c?)�3 y. Phone: �S_ fax: _ Email: - (Aommercial/indastriaUmulti-family: 1 Valuation of work........................................ $ ,(L Existing bldg.area(sq. ft.) .......................... Business name: ------ -- -- �6 w V`'�`t S New bldg.area(sq. ft.) Address: t� J �' - City: I- C..1�c - _ Number of stories —_--`— ZI ..................................... Type of construction........................... Phone• r�� Fac:;�p .c :mail: ......... - --�_ �— --- OCcupancy group(s): Existing: CCB nom.:—L,�_L6 ,�_- ----_ — Nein: City/metro lic.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: J. 6 L-0 provisions of ORS 701 and may be required to be licensed in the. Address: --`---^- jurisdiction where work is being performed. if the applicant is i 3 0� r -- U C. -S c, fe_ C��_ City: c� � Slate "l.IP: exempt front li�.cnsing'the following reason aPpIles • Contact person: Plan IM,one: _' r x: I E-mail: - --- -._- Name: Contact person: D_S!d�- Fees due upon application ........................... $ -- Address: �� U-) � ��}r ccd- Date received: Cit}_: r c _ Draft: 7,1P: 3 Amount received ......................................... $-----�____ Phone: �2Q Fax: - E-mail: _ Please refer to fee schedule. _ 1 hereby certify I have read and examined this application and the Nd all iuriadictirru accept credit cards.Treace call Juri,&cfi n for m re infornution RMIChed checklist. All provisions of laws and ordinances governing this t]visa t7 MasterCard work will be complied whether ' ed herein or not. credit card nurntxr: EXPiru Authorized signature:: - - Name or carder as u,n-w„cW ffAlf cera-- --� _ S Print name:-.� �. ,�— - l aratwtda dsn„urc Amount Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613(60"M) Plumbing Permit Application Date received: Permit Do.: City Of Tigard - `� � Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 9'7223 — CiryojTigard Phone: (503) 639.4171 Projcct/appl.no.� Expire date: Fax: 1503)598-1960 Date issued: By: Receipt no [.and use approval: - Case file no.: Payment type: TITE OF PERMIT ❑ 1 A 2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement ❑New construction ❑Addition/alteration/replacement U Food service U Other: jOB SITE OR Job address: c SUJ k16, jOLCL,< 1=ri lion I()t Y. Fcc(ea.) Total Bldg.no.: j Sutte no.: New 1-and 2-family dwellings only: Tax map/taY !ol/account tao.: (hxludes100t1.foreachtrtllhyconuection) _ SFR(1)bath I,ot: L2 Block: Subdivision: _ SFR(2)bath -- Project name: _ _ — SFR(3)bath City/county: _ c.IP: Each additional batlYkitchen Description and location of work on premises: - Sitea ities: _ Catch basin/area drain Est.date of completion/inspection: Drywells/Ieach line/trench drain - ONTRAC10111 Footing drain(no.lin.ft.) +- Manufactured(tome utilities Business name: Manholes . ., �__._-r__------_-_--- Rain drain connector — -- - - Wolcott 1'lunihing Sanitary sewer(no.lin. ft.) - PO Box 2007 Storm sewer(no.lin ft.) Gresham OR 97030-0594 Water service(no.lin.ft.) 503-607-1781 Fixture or Hem: CCB:23847 PLM 11:26-208PB Absorption valve Back flow preve.nter Print name: - -------- Date: I Backwater valve INISBasins/lavatory__ Name: Clothes washer Dishwashek -- - City: -�---------��e: ' ZIP. _- Drinking fountain(s) - --- -i- Ejectors/sum, Phone: Fax: F mail: I Expansion tank "-_- _ t Fixture/sewer cap- ----- Name(print): -- Floor drains/floor sinks/hub Garbage ci�sal -- Mailing address: ---� - - - -_- Flose Bibb City. _ ---_-- State:—_ Z1P: Icx maker — - -- "crone: --Treat: Emil: Interruepturl tram trap - Owner installation/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Rorf drain(commercial) employee on the property 1 own as per ORS Chapter 447. Sir:c(s),basin(s),lvs(s) Owner's signature: Dale: Sum — - -- Tubs/shower/shower man =r� Urinal Name: --��__.--.___-- ----------------- Water closet _ Address: _ Water heater -- - -- City: _ State: ZIP: Phone: — _ - Fax: -- E-mail: —+ — Total Na W}ciadirxiam crew m-&rar,*,pkw call iwirdicxim for roue 1dmmWari Notice:This permit application Minimum fee................$ _ U vin U MaXIMCard expires if a permit is not abtainecl Phan review(at — %) $ - CmAl card wn6 ___------------ --_ F- within ISO days atter It has been State sumharge(8%)....$ _---- _- -----_- --- -- accepted as complete. TOTAL .......................S Nwr nr amaotMr a Oows m aedk card s ---—– C:ardbakla dpopm— Aamm 4404616(6+"K-OA4) Mechanical Permit Application Date received: Ptarnit no.: City of 'Tigard Project/appl.no.: Expire date: CUyoJTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issue By: R=iptno.: Phone: (503) 639-4171 Fax: (5013) 598-1960 Case file no.: Payment type: Land use approval: _ —_ — Building permit no.: OF PERMIT O 1 ee 2 family dwelling or accessory C C ommcrciaUindustrial O Multi-f mily O Tenant improvement O New construction U AdJiuon/alteration/replacement O Other: JOB SIA INWRNI1 1MMERCIAL VALUATION SCIIEDULe Job address: 1 ,3 rj St,v ;L_��'� �l�<< Indicate equipment quantities in boxes below.Indicate the dollar Bldg.no.: Suite no.. value of all mechanical materials,equipment,labor,overhead, Tax mapitax lot/account no.: profit.Value S Lot: 7_ Bla:k: Subdivision: _ J 'See checklist for important application information and Project name: jurisdiction's fee schP.dt to for residential permit fee. City/coutlty: --� 1_IP: - 14 2FANIILV ISCHEDULE Description and location of work on premises:--. 7AItention Fee(es.) Tote!Est.date of completion/inspection: sai on Qty. Res.onl Res.oulTenan!improvement or change of use: CUM Is existing spate heated or conditioned?O Yes O Notre p'ln requ' ) Is existing space insulated?O Yes U Na g i system _ — MECHANICAL 1 Bot�pressors Stag boiler permit no.: JEROME ELECTRIC HP _—Tons BTU/11 — i stno a ilam uct smoke eterturs PO BOX 751 l t pump(site plan requires--- - — HILLSBORO OR 97123 nsta I/replace�umac canner__ 503-648-5 144 Including ductwork/vent liner O Yes Q No nsta rep a reocate eaters-suspen ed, CCB: 361)51 1�LC': 34-1190 SUP: ?877S wall,or floor mounted tvame(please pent). ent for aranceoiot er than furnace -- 1 e era Absrnption uni,.-__ BTWII Name: C7tillcxs-- -_-_,---- HP Address: - - ------ Cot n ressors_ _ _ HP --- - 11 Tme iexharnt su ventl6flout City — — - State: ZIP: Appliancewnt Phone: Fax: E-mail: Dryerexhaust -- 1 lMJs,Tf 'Mies. i�ic e- 1i azmat----+ - hood fire suppression system:Name-.. __ Exhaust fan with single duct(bath furs)ailing address: 'lust c stem a ar.froi�T aun or ACTpip ng mW on(up to ou etsityState: �ZIPPT LPC; NO Oil hone — Fax: _ E-mail: el piping each tucnadd Thou et-Tts - p p (scliernatic tui ) _ Name: Numbrr of outlets _ _ ter 1 a eceor pment: Address _ _ _ Ck-corativefnlare -�— City:_ ---- State: _ ZIP: risen-ry _ ___ �— -_ Phone: — FaxE- �Pooastov pellet stove: mail: -- ( U: Applicant's signature:_ -- _ Date: er- Name (print): No dl haiwdicrian amnw credit ratdc,ple we call ImvJictice ra"mr 4domwim --- Permit fee.....................$ O via ❑Maste,Cud Notice:This permit application Minimum fee................$ ezplres if a permit is not obtained within �RO days after it hce ixen Plan trview(at _ 'b) $ �M uu i6o�ve ted as om I State tart,harge(8%).... Dime $ - d ar�. on aedit cid � a'xx-T p Clt. ,�,0,�,/,'. Cardwtdxtlputure �� YAmomt ��. 4404617(6gUCXN,11 Electrical Permit Application Date received: Permit no.: City Of Tigard Project/appl.no.:`-_ Expire date:_ Cit'ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued. _ ey:— Free ipl no.: Phone: (503) 039-4171 Fax: (503) 598-1900 Case file no.. Paymenttypx: Land use approval: 1 U 1 & 2 family dwelling or accessory U Commercial/indusuial U Multi-f: y U Tenapt improvement U New construction U Addition/alteration/replacement U Other: _ U Partial -JOB SITE INFORMATION Job address: r j S ' -C L- Bldg.no.: Suite no.: Tax map/tax lot account no.: Lot: Block: Su ivision: _ -- —_ Project name: -- Description and location of work on premises: Estimated date of com letion/ins ction: CON]IIAVI Oil APPLICATION Job no: � I�aa ---- Description Qty. (vs.) Total no.fns Streamiinc iductric Newreddeatial-shwkorsnum-family per DBA LaValley Corporation dwellinCunit.Includes attached prvgr. Seryet 6025 Gast 18'i'St �e�ed 1000 sq ft.or less _ _ _4 Vancouver WA 98661 tach additional SW sq N or portion thereof 360-993-5080 Limited energy.residential _ 2 CCB:110514 ELCU: 34-4320 SUI'tt: Limited energy,nonresidential — 2 Fach manufactured home or nxxiular dwelling Signature of supervising electrician(required) Date — — Service and/or feeder — License no �otvim or feeders-installation, Sup elect namelprirul alteration orrviocation: PROPERTYOWNER 200 amps m less — 2 201 amps to 400 amps 2 Name(print): -- — 401 amps to 600 amps — -- -- 2 Mailing address: - 601 amps to 1000 amps _ 2 City: State: ZIP: C►ver 1000 amps or volts 2 Phone: _ Fax: E-mail: Reconnect onlyI Owner installation:The installation is being made on property I own Temporaryaeri-orfeedera- which is not intended for sale,lease,rent,or exchange according l0 hstallatio:n,alteration,or re.locotion:200 amps or las __- 2 0RS 447,455,479,670,701. 201 ampsio400amps -J i- 2 Owner's signature: _ -- _---- Date: 4u1 u,pal amps 2 y Branch circuits-new,alleratlon, or exlemlon per parcel: Name: _ _ A Fee lot branch circuits with purchase of ddress: service or feeder fee,each branch circuit 2 ZIPB Fix for branch circuits without purchaskA .IIy. __,_� 'ax.--� of service mfader fee,firs)branch circuit. 2 Phone FG r*tail: IEach additional branch circuit — Misc.(Serelce or feeder not Included): Each pump or irrigation circle 2 U service over 225 amps-commerrial U Health rare facility ------ 2 - U Service over 320 amps rating of 1&2 U Hazardous location Each signor outline lighting _- family dwell ings U BuiidinIt over 10,Otxi square feet fou r or Sipnnl circuigs)or a limited energy panel• U System over 6W votes nominal more residential unim in one structure adteration,orestension' 2 U Building over three stones U Feeders,40Yl amps or more •Descrition. — U Occupant load over 99 persons U Manufactured structures or R V,ark F'ich eddilMml knpecllon over the allowable to any —al' der above: U Egressllightingplan U Other _--_- __—_---.- ---- Pe inspection !,abmil__—sets of plant with any of the above. Investigation fee The aim a are not applicable to temporary construction service. other --_� - - Permit fee.....................S -- --- Not all jun"ctiom accept crrin cards,please call jurisdiction flw mtwe infewniatim Notice:This perrnil application .- U Visa U Mastercard expires if a permit is nil obtained Plan review(at 'b) $ Credo cud number: within 180 days after it his been State surcuarge(8%)....$ f.rpirec accepted as complete. TOTAL ....................... _.__. Nuoe d eudti.i er i alio en on emit card s — •(holder aifpWtue - -Amount 440 A61S(6,txsK'OMl CITY OF TIGARD 24-Hour BUILDING Inspection Line: (50' 9-4175 ;�GQ`' GOd �� INSPECTION DIVISION Business Line: (,5 71 MST ,,-x JJ 00 IUP Received / 2 Date Requested /�' AMI_ PM I BUP Location — Jo� suite MEC Contact __---� 'C' - Person �� Ph( .) �° � � � �S PLM Contrac — Ph( _) 7� g� SWR BUILDI _ Tenant/Owner ELC — Footirig Foundation Access: ELC Ftg Drain ELR Crawl Drain _ -- --- Slab Inspection Notes: --, SIT _ Post&Beam Shear Anchors Ext Sheath/Shear '' ri Int Sheath/Shear - - Framing --- ---- --- --- - -- Insulation Drywall Nailing Firewall Fire Sprinkler -- - ----- ----.-_- --_ Fire Alarm Susp'd Ceiling/ RoofOftL G --PART FAIL ---- ------- ----- Post&-Beam __— Under Slab — ---- . ---- _ —_—_- -- ------ Rough-In - Water Service --------------- - ---- -- ---- - _�— Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain --- - --- _ _ Shower Pen Lar- PART FAILNICAL Post& Beam - --- - ` —Rough-in Gas `-- Gas Line -- --- -_ Smoke Dampers ----- - —� —__ -_ Final - —�--_- PASS PART FAIL ELECTRICAL Service ---- - -- —__—_--- Rough-In LIG/Slab ------- Low Voltage Fire Alarm mFinal Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL _ rSITE -- Please call for reinspection RE: —_ -_ — ;,nable 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 ci*ry OF TIGARD 24-Hour BUILDING Inspection Line: (603)639-4175 MST 3 o op-i INSPECTION DIVISION Business Line: (603)639-4171 — BUP _ Received Date Requested u " 4- AM —PM.---- BUP — Location 1 3'Z-"1 S — Y-tr,0,,qTnt,) _ Q L 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 Post& Beam Shear Anchors -^ ---�--- Ext Sheath/Shear Int Sheath/Shear - - -- - Framing -------------- Insulation ---�- --�-- - T-- DrywallNailing Firewall Fire Sprinkler ---- ------ Fire Alarm Susp'd Ceiling --- —---- ----- ------------- Roof Other: --- Final PASS PART FA'l,. - ---- ----- --- - -- -- ---- PLUMBING ---- --- ------ Post&Beam Under Slab --� - ---- -- - -- -- ------- Water Service Sanitary Sewer RainDrains ------ - - ._-�-- ------- ------------ Catch Basin/Manhole Storm Drain -- ---- ---------- --_._-___- -. Shower Pan UL Other: - -- ----..------- -_--- - - - - Final - -- - -� PASS_ PART FAIL ------- - -----__-. -_-_-_._ MECHANICAL Post&Beam � ----- - ------- --- - - -- Rough-In Gas Lire ---- - -------- Smoke Dampers -- ------ - ---_------------- _�__.___- _. Final PASS PART FAIL - ---- 7� ----- - --- - ---- ELECTRICAL Service Rough-I-, UG/.�Iab Cow Voltage d j a G fl L� n I 172 Fir- Afarrff �- F C F 1-1 Reinspection fee of$ required before next inspection. Pay at City Ha;l, 14 5 SW Hall Blvd. ,RL4 ' PART FAIL SITE _ F] Please call for reinr,pection RE: -_ _ [_] Unable to inspect-no access Fire Supply Line ADA Cr- L Approach/Sidewalk Data - Inspector__-___r'--_--- ------ ------- _._-__Ext_----.___ Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PARI FAIL poll v ► o ► ► pool PLO 1 x V � U � ° ° ► G A ► 2 pol. H H bA ,� � � "- Q Q ► A ION. a� 7 ► v U Q I► 1Qj 71 p ► V (� � 4Un •� a : \ ► W In 71 � � cJ ► rJ N \ Poo. w ► ► Ald ► FTTTVVVVVVVVVVVVVVVVVvvvvvvvvvvvvvvvvvvvovv,I CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 T) Uv �_ Gca7 INSPECTIO1� DIVISION Business Line: (503)639-4171 — �� 1.G'wh-E BUP — Received ✓ � T Date/Requested La AM— � y BLIP -- Location 7 Sr ��-�^ -S TZ�- ----suite—__ MEC Contact Person _— —_ Ph(— -) 2' P:.M — -- Cimtractor —_—___ _ _ Ph(—) — SWR — t Tenant/Owner _____.—__ —__ — ELC -ooUng -- ELC Foundation Access: Ftg Drain ELR --- Crawl Drain Slab Inspection Notes: SIT Post&Beam ---- -------- - ---_._-- Shear Anchors -�- - Ext Sheath/Shear Int Sheath/Shear ` ^ - Framing 1 &'�� - Insulation -� 1 SsC Drywall Nailing -- - �`-- - Firewall G ( � �- Fire Sprinkler -�` --------- -- - Fire Alarm Susp'd Ceiling -- ---- -- --------- - - Roof Other: -_ -_------ ----- - - -- -- - PAS PART AI --- - - ----------_-_.-_--_ _(PLUMB44U -- Under Slab Hough-In � Z 11 Water Service Uv Of Sanitary Sewer � ` � Rain Drains - --- a - -_-_--- Catch Basin/Manhole Storm Drain - - -- --- - Shower Pan CA Other. --- -- -- ------- ------ - ECHAWAL Post&Beam Rough-In Gas Line �^ ,� -c , 7 d d Sr�p,�e Dampers -- � - ina PART FAIL -'�` ---- --- - -- ------ TRICAL 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 PAR' 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 Residential Certificate o f Occupancy Permit No.: aZ' L� ,,-? Lr�-�d 7 Address; ` — ``-'`�►'�l�l, 7 1 �' Owner/Contraclor: -- -- ( ' L A Date of Fina{ Inspection: Inspector: This structure has been found to he in substantial compliance with the provisions of the State of Oregon One do Two Family Dwelling Specialty Code and is hereby approved for e�ccupancy. --