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13335 SW KINGSTON PLACE a � CA Ch N O O d i! 13335 SW Kingston Pace r a CITY OF TIGARD 24-Hour -- BUILDING Inspection Line: (503)639-4175 a MST INSPECTION DIVISION Business Line: (503)639-4171 BUP _ Received _Date Requested AM PM BUP Loration _ Suite--. _ MFC Contact Person Ph( ) —. PLM Contractor Ph( ) _ SWR BUILDING Tensat/Owner ELC Footing ELC - Fc.undation 0-tg Drain ' ELR _. Crawl Drain Slab ►nspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler r Fire Alarm +!, . ._ Susp'd Ceiling " Roof Other: Final _ PASS PART FAII - PLUMBING 1 Post&Beam Undor Slab - ----�� --+ - Rough-In Water Service Sanitary Sewer Rain Drains Catch Br-in/Manhole Storm r iln Shown Pan Oythc S$- PART FAIL c HANICAL ost&Beam Rough-In - — — -- -- Gas Line Smoke Dampers -- - Final PASS PART FAIL -- ELEC RIC Service Rough-In UG/Blab Low Voltage -- Fire Alarm Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ['j Please call for reinspection REE] Unable to inspect-ro access i Fire Supply LineADA 1 r r h Approach/Sidewalk bra ! Inspector ftt_ Other:__— ___�_P Final 00 NOt RIMdVIR this Inspection record from the job site. PASS PART FAIL ��� �) fav j ��h'�( / ���n �:r� CITY OF TIGA,RD 21.-Hour BUILDING Inspection L ne: (503) 639-4175 INSPECTION DIVISION Business I-ing: (503) 639-4171 MST Received _ — Date Re uested �� _ -_ AM - �'- PM _ ___ BLIP BLIP-� 3 _ Location Suite -_ MEC Contact Person _ Ph( ) PLM Contractor _ Ph(_ ) SWR BUILDING 1enan'/Owner ELC Footing Foundat;on ELC _ Access: - Fog Drain ELR Crawl Drain _ _ ---------- Slab Inspeclocii tvotr :,. - SIT Po. ' gam -- Sh,gr `r chors Ext Skaath/Shear _ Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm - Susp'd Ceiling - Roof Other: --- -- --_.. Final -_--Y - 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_ FALL_ MNI _ECHAC_AL _.._ Post& Beam -- Rough-In Gas Line Smoke Dampers Final PASS PART FAIL -- ELECTRICAL -- Service - - -- - --- -- Rough-In (JG/Slab Fire Alarm �_. --_- --__ --- —.--- --- PART FAIL Reinspection fee of required before next inspection. Pay at City Halt, 13125 SW Hall Blvd. SITE Please call for reinspection RE: __. � Unable to inspect-no access Fire Supply Line ADA Approach,'Sidewalk _— Other Final DO NOT REMOVE this inspection record from the jo site. PASS PARI' FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 _ �,� � MST ---- ----- - .. INSPECTION DIVISION Business Lh.Q- (503)639-4171 SUP Received _—Date Requested AM—___. _---PM1 -- " ----. BUP _ --- Location _ _ Suite . -- MEC - - -- Contact Person PLM Contractor____ Ph(— ) SWR BUILDING _. -- ELC - ---- Footing !� EL.0 -_ - Foundation Access. Ftg Drain ELR Crawl Drain ---- SIT Slab Inspection Notes: - - Post&Beam - - Sheat Anchors Ext She,ith/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.- FAIL -- MECAL PP�oR�A�B 18as Line _ Smoke Dampers Final PASS PART FAIL -� --- _- ELECTRICAL ------ --- -- ------- Low Voltage —--_�_— --.__ ---------—�_— Fire Alarm FinaL SRT FAIL [� Reinspo�.tion fee of$_ — required before ncxt ineoection. Pay at City Hall, 13125 SW Hall Blvd. —P—R-CS-- ----- cct-no access ins _SITE _ � Please call for reinspection RE: _. —/ __, —.•- Unable to P Fire Supply Line ADA Approach/Sidewalk Date' '— -- Inspector i s�1.1, ---- Other: Final DO NOT REMOVE this Inspection record from the jab site. PASS PART FAIL] .14 tcA7"zaoi—ootw, voot,-z-, 00061( PERMIT NO. 6 oe.6 r— EROSION CONTROL INSPECTION REPORT DATE -? - / 8 ,O _ INSPECTOR 0'AJ f (ti c.x r♦ CleanWater Services OWNEWPERMITEE &TLL,In S/'tV--�e Our commilmcnl is clear SUrsDIVISION4�-ua• I �ttf114GtJ SOa'F _ LOT SITE ADDR',SS I Z-311Z 133L t3)?;-'l 3-3/ F PPROVED FINAL INSPECTION r T HIS SITE MEETS THE POST-CONSTRUCTION ' EROSION CONTROL REQUIREMENTS SET FORTH IN CLEAN WATER SERVICES RESOLUTION AND ORDER NOTE~;: IF POST-CONSTRUCTION EROSION CONTROL MEASURES ARE STILL BEING EMPLOYED ON T!IIS SITE TO MEET CRITERIA FOR AN APPROVED FINAL INSPECTION, THE MEASURE(S)MUST REMAIN IN PLACE UNTIL LANDSCAPING IS COMPLETE OR PERMANENT GROUND COVER IS ESTABLISHED. A COPY OF THE FINAL EROSION CONTROL INSPECTION REPORT MUST BE FORWARDED TO THE NEW OWNER, AT WHICH TIME NEW OWNER ASSUMES THE RESPONSIBILITY FOR MAINTENANCE, REPAIR AND REMOVAL. OTHER THANK U FOR YOUR COOPERATION! INSPEC �- -��.��,, PHONE I�.AAAAAAAAAAAI '\AAAAAAAAAAAAAAAt ►AAAAAAAAAAAAA44 /., ► poll ONO . '� G ► Tt1 � ► 44 l C n �: i s r� r� ► L F ~ %, r 414 I-d TI , pill Ilk- 414 ► t+ A- i 0. 40 441 pop � a �: ► � _.�L tv {y7y s C. r � o p Lo] N Er N o o l r O n A � 4 c� n i� CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST — O 00(, INSPECTION DIVISION Business Line: (503) 639-4171 —� BUP — Received Date RequestedAN t�PM _ BLIP Location 3.�3 �_ Suite MEC Contact Person . _ Ph(----) —Sr7�� PLM _--- Contractor ----- - --- - - - Ph(—) - - --- SWR ---- ------ BUILDIN_G Tenant/Owner Footing __ Foundation E'`' Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT - - -- Post& Beam I Shp-,r Anchors - - -- --- - Fxt Sheath/Shear Int Sheath/Shear Framing ---- ---- Insulation r Drywall Nailing ---— Firewall n —� „ n n Fir©Sprinkler -- -- --- Fire Alarm Susp'd Ceiling - --- Roof /t / Other: - ---- - --- SS PART FAIL BING Post& Beam Under Slab Rough-In Water Service -- - Sanitary Sewer Rain Drains - - Catch Basin/Manhole Sturm Drain - - - -- -- --- Shower Pan Other. - -- _- - Final PASS PART FAIL M_ECHANICAL _ — Post&Beam Rough-In Gas Line Smoke Dampers Final PASS PART FAIL - ELECTRICAL Service - Rough-In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of$_ _ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: _ - � 1 Unable to inspect-no access Fire Supply Line ADA -7 Approach/Sidewalk Date � _ � _ Inspector '__- -_ _ Ex! _ Other: _ Final DO NOT REMOVE this Inspection record from the)oh site. PASS PART FAIL CITY O F T I C�A R ID —_� MASTER PERMIT PERMIT#: M ST2002-00062 DEVELOPMENT SERVICES DATE ISSUED: 2/19/03 13125 SW Hall Blvd.,Tigard, OR 97223 (503' 63911171 SITE ADDRESS: 13335 SW KINGSTON PL PARCEL: 2S104DA-19000 SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: R-4,5 BLOCK: LOT: 016 JURISDICTIOA: 'm REMARKS: S BUILDING REISSUE: STORIES: 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 iECOND 733 of GARAGE: 547 of FRONT: PARKING SPACES: TYPE OF CONST: 5N DVaFLLING UNITS: TroFd) 733 of RIGHT: VALUE: 162.20380 OCCUPANCY GRP: R3 BDRM: 2 BATH: TOTAL: 1,838 ofREAR: PLUMBING SINKS. I WATER CLOSETS: 2 WASHING MACH: i 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 HE',TERS: 1 WATER LINES: BLAFLW PREVNTR: CREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN c 100K: BOIL/CMP c 3HP: VENT FANS: 3 CLOTHES DRYER: 1 ' LPG FURN>-100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: MAX INF: 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 n 200 amp: 1 0 -200 arin) WISVC OR FOR: PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 3 201 400 amp: 201 400 arnp let W/0 SVC/F DR: SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 000 amp: 401 - 000 anp EAADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HMISVCIFDR: 501 - 1000 amu. 001+arnpe-1000v. MINOR LABEL: 1000+amp/volt PLAN REVIEW SECTION -_- Reconnect only: >-1 RES UNITS: SVC/FDR>-225 A.: >600 V NOMINAL: CLS AREAISPC OCC ELECTRICAL-RES rRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO, VACUUM SYSTEM AUDIO&STEREO: FIRE ALARM: INTERCOWPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIONL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS. TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 5,500,08 BPOWNSTONE QUAIL HOLLOW LL BROWNSTONE HOMES,LLC This permit is subjectCode, to the regulations contained in the 12670 SW 6'3TH PKWY STE 200 12670 SW 68TH PKWY Tigard other Municipal Code,State o k w Specialty Codes and PORTLAND,OR 97223 PORTLAND,OR 97223 all other applicable laws. All work will be done it accordance with approved plans. This permit will expire if work Is not started within 180 days of issuance,or If the w^rk Is suspended for more than 180 days. ATTENTION: Oregon law requires you to followrules adopted by the Pnon,: 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 0: Llf 124C127 may obtain copies of these rules or direct questlons to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Sewer Inspection Plm/undslb Insp Framing Insp Firewall Insp Electrical Final Footing Insp Electrical Service Gas Line Insp Gyp Board Insp Plumb Final Foundation Insp Electrical Rough-in Insulation Insp Rain Drain Insp Mechanical Final Wtr Proofing Bsm't We Mechanical Insp Shear Wall Insp Water Line Insp Building Final Slab Insp Plumbing Top Out Exterior Sheathing Insl Smoke Detector Final Inspection Issued By : _ ->l�,c, ?__ Permittee Signature : l �; Com' Call (503) 639-4175 by 7:00 p.m. for an inspection neoded the next business day CITYOF T'IGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: S 000ao 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/119!039/03 PARCEL: 2S 104DA-1900(1 SITE ADDRESS; 13335 SN,' KINGSTON PL SUBDIVIbION: QI!AII m i.l.ow -SOU'TI-I ZONING: It4 BLOCK: LOT: 01 JURISDICTION: I I(� TENANT NAME: USA NO: FIX i URE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SFA NO. OF BUILDINGS. INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: S Owner: _FEES BROWNSTONE QUAIL HOLLOW LLCFEES_ Date _ Amount 12670 SW 68TH PKWY STE 200 -- PORTLAND, OR 07223 [SWUSA] S%�i Connect 2/19/03 $2,300.00 [SWUSA] S%�rConnect 2/19/03 $0.00 Phone: 503-598-7565 [SWINSP]Sm Inspect 2/19/03 $35.00 [SWINSP)Swr Inspect 2/19/03 $0.00 Contractor:— Total $2,335.OU 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 ex-)ires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at thc measu. nt 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 l _ Issued by: a te Permittee Signature: �1 Call (503) 639-4175 by 7:00 P.M. for an im-pection needed the next business day �wea��-pyo Building Permit Application — Daterecelved: a os Permit ne.:ll�ro - City of Tigard �rr�^ Address: 13125 SW Hall Blvd,Tigard,OR 97223 it,of(igard ProJecdappl.no.: dale: Phone: (503) 639-4171RECE ���FM � Date issued: y:�•-� Receiptno.: Fax: (503) 598-1960 IL , Case file no.: Payment type: Land use approval: __ 1&2 family:simple Complex: 1 O 1 &2 family dwelling of accessory U Multi-family U New construction U Demolition C Addition/alteration/repli,:cment U Tcn.uit U Fire sprinkler/alarm ❑(Pher _ 11 SIA INFORMATION Job address: 3 ? = < ,, -' ek(. Bldg.no.: — Suite no.: Lot: Block: Subdivision: !� r��L et 4.ezc'_ _l !. Tax map/taY !cUaccovnt no,:A�/D b Project name: Description and location of work on premises/special condido'ts: Name: _-L Mailing address: 1 1 6t 2 family dwelling: City: p r-�r e�x. State:(t ZIP: _- - Valuation of work............. . ........................ Phone - — Fax: E-mail: No.of hedrooms/baths..................... ........ .. Owner's representative: _ _ Total number of floors................................. Phone: ZOI'LLfr E-mail: New dwelling area(sq.ft.) .......................... Garage/carport area(sq.ft.)..................... ...Namc: f Covered porch area(sq.ft.).. ... ...................Meiling address: se, Deck area(sq.ft.) ......... .. —_ City: �.: �, State: !_IF. Cj Other structure area(sq. ft.)......................... Phone: Fax E-mail: — Cmemerciat/ittdustrial/multi-family: 1 Valuation of work.................................. ..... f Existing bldg.area(sq,ft.) .......................... Business name: a(-& S New bldg.area(sq.ft.)................................ _ Address: - ........................................ —-- Cit State:�7 Z111:_ Number of stories - Type of construction Phone• -" Occupancy group(s): Existing: CCB no.: a 4 6-1._ —_ New: _ - City/mew lic.no.: Notice:A.i contra:-tors and subcontraktnrs are required to I e licensed with the Oregon Construction Contra-tors Board under Name: provisions of ORS 701 and may be required to be licensed in the ---�-"--����— -� --� jurisdiction where work is being performed. If the applicant is Address: _ !'y� Ay c. -S�. . Ee �_ exempt from licensing,the following reason applies: City. State 'LIP: 2Uo r Contact person:�y�H Plan no.: - Phone _ X. E mail: Name: pynz L u L g Contact person: D.0 6t Al Fees due upon application ........................... $_ Address: U-) �}�.• r 4v.If c� _ Date received: City: ITr 'tate:Q& IZIP:12,2a3 Amount received ......................................... $ Phone: ;2 _ ' 2 Fax: Email: Please refer to fee schedule. I hereby certify I have read and examined this application and the Na an luriwictioru hCCW er"I unis,Pk&W Call iur"caon ror mae iafarmuion attached checklist. All provisions of laws and ordinances governing this U Visa 0 Mastercard work will be complied whedie ed herein or not. Credll rand numbs _- --- — ExpLits Authorized si Ure: _ —_ Nunn d cardlwader u shown oa eredi:card Print name: l -- �� � r un Amount Notice:ThL permit application expires if a permit is not obtained within 190 days efter it has teen ecctpted as complete. 44a4613 eeaxyr'nMi I Plumbing Permit Application �+ — natereceived: Permit no.: City Of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard. OR 97223 — City oj7igard Mone: (503)639-4171 F'rojexUappl.no._ Lxpired- - atc: __ Fax: (503)59R 1960 Irate issued By: Receipt no Land use approval: Case file no.: Payment type: TVPE OF PERM IT , U 1 &2 family dwelling,or accessory U Commercial/indw trial U Muln family U Tenant improvement U New construction U Additi«rdalteratitm/replacement U Food service U Other. — Il 1 1 1 Job address I j s j S W t c�. y`El0.c c t>e�crlption Qty. I ee(ea.) 7bta! Bldg.no.: Suite no.: New 1-and 2-family dwellings only: (Includes 100 ft.for each utility conn tion) Tax map/tax lot/account no.: SFR(1)bath _ Lot: -_R' Block: Subdivision: SFR(2)bath — — - Project name: SFR(3)bath City/county:_ — IIP: Each additional bath/kitchcn Description and location of work on premises:_ __� sheutWtles: Duch basin/area drain _ Est.date of completion inspection: Drywells/leach hnehrench drainPLUM III Nib Footing drain(no.lin.ft.) CONTRACTOR Manufactured home utilities ^ Manitc:les _.__ Wolcott I'lunthing Rain drain connector _— PO Box 2007 Sanitary sewer(no. lin. ft.) _ Gresham OR 97030-0594 Storm sewer(no.lin. ft.) — 503-667-1781 Water service(no. lin. ft.)— C'CB:23847 PI.M 11:26-208111 lyxture or it?m: -- -- Absorption valve Contractor's representative signature: — Back(low preventer m _ Print nae: Date: Backwater valve - 1 1 Basins/lavatory Name: Clothes washer - ----- -.--- -- - Dishwasher Adder s: Drinking City —_� is i Z111' E'ectors/st•rip — --- _ P.ronc: Fax: E-mail: Expansion uuik Fixturelsewer cap - Floor drains/floor sinks/hub� Name(print)_ - Garbage dis sa! Hose -- __-- -- Mailing address: - R--'°. bibb _ GSty. —�Statc: 71P: la maker —_— - I'hone:- Fax: --- - L'-mail: -- Interceptor/grease trap Owner insWiation/residential maintenance. only: The actual installation Primer(s) --_ w?!i he.made by n,e or die maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) — Owner's signature: -- _ _ Date:Not — Tubs/ahower/shower pan v�_ Urinal Name: --.----_�-�--...._.---_�-- - — Water closet Address: _ _ _ Water heater City: _ State: ZIP.. _ Other: _ --- - PFicinc _ _ ---1_ - T-E-mail: Total --� -- r Minimum fee................$ - Na all j�atdicrian accetw aed�t cath iter:adr l�eidictian ra mae idamNrim Notice:This permit application t O Via U MasterCard expires if a permit is not obtained State review(al 8%%) $ _ ee;t card mmba _ — 1-1— within 180 days after it has Stale surcharge((8%)....$ c — acccpted as ermtpidir. TOTAL .......................$ Arms 4404616(GA)YOUhtl MechaniW Permit Application Date r=6ved: Permit no.: City of Tigard ProjecUappl.no.' Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: Ay: =Receipt no.. Phone: (503) 639-4171 - - Fax: (503) 598-1960 Carr;file no: Payment type: Land use approval: _ - Building permitne.: ❑ 1 &2 family dwelling or accessory U Commercial/indusuial U Multi-family U Tenant impruveme,t ❑New constnlction U Addition/alterationImplacement U Other: JOB S1 111'INFORMATION COMMERCIAL VALUATION SCHEDULE Job add_ress: 3 j j-J SSU < Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: I Suite no.; value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ Lot Block: Subdivision: *See checklist for important application information and Project name: - jurisdiction's Rx sehl�dule for residtrltial permit fee. City/county- V-� Z111: - Description and location of work on prrmises: Fee(ea.) ToW -F-,4t.date of completion/inspection: - Description Q( . Res.only Res.only Tenant improvement or change of use: Is existing space heated or conditioned'?U Yes U No Air handling unit - CFM - - Au conditioning(sneTi required) Is existing!,pace insulated?U Yes U No terauon of existing HVAC system _ -Fiil cirTc-or�pressors State boiler permit no.: HI' Tons BTII/H _ I i ur tieasuns Ilcating. N('Service Inc gismo c ampers!'uctsmo e ec7 etecwrs _ - -- I'O I lo.r 66409Meatt pumri(site p(site p an rryur-It ) foreland Olt 97290-6401) InstalUreplace uina urneF=. 503-775-5919 Including ductwork/vent liner U Yes U No ^,- _- ('('li 48283 nstaI re-pTa-ic7r-eocal- teheaters-suspended, wall,or floor mounted _ Name(please print): Vent for aT_ate other thin furnace 1 1 efr,- Absorpt �units— BTUM _— riame: Chillers. Hp - Address: - _-- ---_ �C,o�tnJ�n sots_ HF — ---_ FAFroma use gem t oa: City: -- -^�1 Mate: _ "LIP. Appliance vent Phone: Fax: F-mail: ThFe-r-ex Faust - s'fyjre UIl/res. tc a azmat hood fire suppression system __ _- Name: Exhaust fan with single duct(bath fans) Mailing address: _ Exhaust s�stcm start rom Mfing or AC City: State. ZIP:! FWeI pip dist up to ou ets Type: LPG NO Oil Phu'le: Fax: E-mail: nesEb additicnal over 4 outlets piping;ac emetic required) Number of outlets Name: .- -- ---.- Other �PPo_r_ �1nt: - - Address: Decontivefreplace City_ --State: ZIP. town-t - _---- - Phone: Fax: E-mail: alov pe et stove Other - - Applicant's signature: Date: Name (print): 711 Nd W)indiction mccq email ardr,nett all)�On fu mut Infmrweiac Permit fee.....................$ U Yrs Q Matte.Card Notice:This permit application Minimum fee_..............$ ._ expires if a permit is not obtained Ilan mvdew(at 9 $ - cmdRi cad sumtxr .- --_--�_-_- -�-1-- within 180 clays after it hes 1»en ) State ted as complete. teurcharge($'#)....S -F.me of ate.-oe aerie i c.e-- _ TOTAL ......S -- CatilmAdev d/aarr.e —� .Amami' 44DJ617(60 ODM) Electrical Permit Application rDateceived: Permitno. City of Tigard l'roject/appl no.: — Fxpiredate: - Cit-i-I Tigard Address: 13125 SW Hall BIvJ,Tigard,OR 97223 Date issued: By Receipt no. Phone: (503) 639-4171 - Fax: (503) 598.1960 Case file no.. Payment type. Land use approval: U=Newconstruction y dwelling )r accessory U Commercial/industrial U Multi-family U Tenant improvement U U Additiort/alteration/replacement U Other: -., U I artlal lob address:1,_ Suite no.: _ Tax map/lax lot/account no.: _� Lot:-1 - Block_-_ Suivision: Project name: �Ueicription and location of work on premises: — - Estimated date of completion/ins ;tion: VON'll It ACI Olt APIPLICA1 ION FEE Sit III Dt LL ]ob no: � Malt Description Qf . (ei) Total no.fns Streamline Electric Nwwr.rddenflail-Wni1eor.mtd-taaoityper DBA LaVallcy Corporation dwelling unli.Includes attached CurW_ i, Seerfoei cludelL• GU25 Last 1 t; St I(100 sq h or less 4 VallCltm'CI WA 98661 Gachadditional 500sq h.or portion_thereof 360-993-5080 Limited energy.residential — _ 2 CCB:116514 RUH: 34-4320 SI hell. Lrmitedenergy,non residential —_ 2 teach manufactured home or modular dwelling nature of s,neivising electrician(required) Date Set vice andlorfeeder -- Sup elect.name tl-int): License nn Services or feeders--Installation. alteration or relocation: 2(x1 amps ur less 2 Nance(Print): 7.01 amps to 40(1 amps —`�--— 2 -- ---- — — -- 401 amps to 600 amps 2 Mailing,address: 601 amps to Ilxz)Amps _ _ _ 2 City: Slate: LII': _ Over 100(1 amps or volts - - _ 2 - Phone: - Fax: �L matt. _ Rrnr_,.cfonly. Owner installation:The installation is being mad^on property I own Temportrysetilic orfeeders- which is not int-tided for sale,lease,rent,or exchange according to hstAlation,alteratlon.orrelocation: 200 a ops or las 2 ORS 44'),455,474 670, 701. - - - -- - 201 strips to 400 amps 2 Owner's Signature: Datc: —_ 401 to(300 VMS — 2 — — — Branch circuits-new,allenliun, or extension per pawl: Name_ A Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City' abate:— _LZIT P:-- H Fee for branch circuits without purchase of suvice or feller fee_first_branch circuit 2 Phone: Fax: E-mail: FJch additional brunch circuit Misc.(Service or feeder not included): U Service over 225 amps-commemi&I U Health-care facility Each pump or imgauon circle 2 U Service over 320 amps-ruing of 1&2 U Hazardous location Lich signor outline lihhung 2 fancily dwellings .J (,oitimg over 10,000 squarr fen four of Signal chcuo(s)or a limited rnergy panel, U System over 6(x1 volt•:nominal more residential units in one structurr sliersuon,oreatemion• 2 U Building over three stories U Feeders,400 amps or more *Description U(k.cupant load over 99 persons U Manufactured structures or RV park FAch additional ltupection over the allowable it may of lie above U ligre-ssllighungplan U tither —_ Per inspection - Submit---sets of plum;rrilh any of the above. Invesugationfee The above are not applicable to temporary construction service. Other - -- - Nall junsdicums accent rieda cardsau,ptecall jurisdiction for mire infomrl ration Notice:�rhis permit applacatioPCITrtll fee.....................S ot _ U visa U Mmiert'ard expires it a permit is not obtained Plan review(at ! %) S _ .- crreli,cord number -___-___________ _ �__L_ within 180 days after it has been State surcharge(8%)....$ -_ [.spier' accepted as complete. TOTAL . .....................S -_---__._-- Nurc d caroller.s Chown c r Lr card-- S Cardtwltler c Rnatuse Amoum 440 aM1I+1(rbn/(Osl 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 #: MST2002-00062 Date Issued: 2/19/03 Parcel: 2S104DA-19000 Site Address: 13335 SW KINGSTON PL Subdivision: QUAIL HOLLOW - SOUTH Block: Lot: 016 Jurisdiction: TIG Zoning: R-4.5 Remarks: S 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 compan y sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATT;J: 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 97-030 Phone #: 503-598-7565 Phone #: 667-1781 Reg #: LIC 23847 PLM 26-208PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X - Signature of uthori_ed Plumber If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD 13928 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE DAVID JEROME ELECTRIC PO 3OX 761 HILLSBORO, OR 97123 Electrical Signature Form PeiTnit#; MST2002-00062 Date Issued: 2/19/03 Parcel; 2S104DA-19000 Site Address- 13335 SW KINGSTON PL Subdivision: QUAIL. HOLLOW- SOUTH Block: Lot: 016 .Jurisdiction: TIG Zoning, R-4.5 Remarks: SF rowhouse, Unit 16, Bldg 2, AS plan Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid,the signature of the supervising electrician is required. PlAase 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 #. 503-398-7665 hone#: 648-5144 Reg #: LIC 36051 SLIP MIS LLE 3a-1,19C AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature o up® ising Llec dc-lan It you have any questions, please call 503.718,2433. 0001A jA3a 9cne QIINDI,L a0 ,t,LIo 199M0009 Avi WIT :IAL C al"CO ELECTRICAL PERMIT- CITY OF TI GAR[ RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2003-0( 27 13125 SW Hall Blvd., Tiqard, OR 97223 (5031639-4171 DATE ISSUED: 5/8/03 PARCEL: 2S104DA-19000 SITE ADDRESS: 13335 SW KINGSTON PL SUBDIVISION:QUAIL HOLLOW - SOUTH ZONING: R 4.5 BLOCK: LOT: 016 JURISDICTION: TIG Proiect Description: Installation of limited energy for voice/video. A.RESIDENTIAL B.COMMERCIAL r— �— AUDIO & STEREO: X AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT: 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 SYSTENIS: Owner: Contractor: BROWNSTONE QUAIL HOLLOW LLC AZIMUTH COMMUNICATIONS INC 12670 SW 68TH PKWY STE 200 P.O BOX 508 PORTLAND, OR 97223 WILSONVILLE, OR 97070 Phone: 50-598-7565 Phone: 503-639-0110 Reg#: I;LE 36-94C LE Sul' 2312LEA LIC 145829 _ FEES Required Inspectior s — Description Date Amount _ Low Voltage Inspection lil.l'Ith1"I F..I.I? I'L•rmit 5/8/03 $75.00 Elect'I Final 1'I AX 181�o State Tax 5/8103 $6.00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are srA for'h in OAR 952_-001-0010 throuc Permittee Signature Issued'by OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for saic, lease, or rent. OWNER'S SIGNATURE: _ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ DATE:____ LICENSE NO: -- -_�— — - --------- - — - Call 639-4175 by 7:'JO P.M. for an inspection needed the next business day Electrical Permit Application Datereceived: to/j,/C'5 Permit no.:ga City Of Tigard Project/appl.no.: o0xpke date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: B Receipt nu.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type. Land use approval: 'TVPF OF PERMIT J I &2 family dwelling or accessory U Commercial/industrial J Multi-family U Tenant improvement Y(New construction U Addition/alteration/replacement J Other: U Partial INFORMATIONJOB SITP Job address: , ,V .$ qN c ' I bldg. no.: Suite no.: Tax map/tax loUaccount no.: Lot: I Block: Subdivision: jQi,ft41j. !t;,,4, j4y Project name: ,, 504t N I Description and location of work on premises: Cstiniated date ol'conlpletion/inspection: CONTRACTOR1SCHEDULE Job not Fee Mat Business name: �,) �� — lo, rC• ;l(.',0S Description QtY. (ea) Total no.lns New residential-shsgle or multi-fandly tsar Address: •'J no L. - dwelllnRnnit.IncludesallnctKdgnragc. City:14,11L S n I 1 L i IState:4'e IZIP:' p Sen'IcelududMl: i Phone. r E-mail: -luooey ft ie„ Each additional 5UO sq n or portion thereof CCB no.: / Elec.bus.Idc. no: CC Limited energy,residential 2 , City/metrolic.no.: Cla(•�(i5 f`% Limited energy,non-residential 2 Each manufactured home or modular dwelling Signature of supervising lle-coi-ci—an t tuned) Date Servicesorfe and/or feeder 2 Sup elect name(print).� C'-)j L L �, License no: j1?L L)� Services nrree relocation:Installation, alteration or relocadlor: 200 amps or less Name(print)_ o,'1,, t d,Jc= 201 amps to 400 snips -- - — 401 amps ru GG^.amps Mailing address: 601 an:psto IWOamps City: State: ZIP: Over 1000 amps or volts 2 Phone: FaX: E-rllail: Reccnnectonly l Owner installation:The installation is being made on property I own Temporarvscrvicesorfeeders- which is not intended for sale,lease,rent,or exchange according to instalhnioti,aueratlon,orrelocallon: OItS 447,455.479,670,701. 20Uampor s 201 sops to 400 amps signature: Date: 40110 60o am s �- = Branch circuits-new,alteration, or extension per panel: A Fee for branch circuits,snhpurchase of Address: _ service or feeder fee,each blanch circuit City: SlalC:` 7IP: 13 Fee for branch circuits without purchase d — - -- of service or feeder fee,first brunch circus Phone: fax C I11alI: Fach additional branch ritcurt — - PLAN REVIEW(Please check all ilhat apply) Mlsc.(Sersice or feeder nuc Included): U Service over 22.5 amps-cornmercial U Health-care facility Each punip or nrnganon circle U Service over 320 amps-rating of 1 del U liarardouslocation Each sign or outline lighting family dwellings U Building over 10,0(X)square feet four or Signal circuit(s)or a limited energy point, JSystem over RX)volts morainal more residential utio;inone structure alteration,or extension* U Building over three stories U Feeders,400 snips or more •lkscrition _ J Occupant toad cover 99 persons U Manufactured structures of RV park Each additional inspection over the allowable In any of the taboo e: J figress/lightingplan IJ Other Per ui„ec11n1 Submit—sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other _ --- Not all jurisdictions neepn ctedh cards.please call jurisdiction for more mformation Notice:This permit application Permit fee. $ J visa U MasterCard expires it it pennit is not obtained Plan review(at l Credo cord numbet ___L 1_ within 180 days after it has been State surcharge(896) ....$ �_ rxpires accepted as complete. 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