13365 SW KINGSTON PLACE 1 3365 SW Kinjston Place
CITY' OF TpGARD PERMMASTER PERMIT
DEVELOPMENT SERVICES DATE ISSUED: 2 00057
ED: 2/11/02
13125 SW Hall Blvd.,Tigard, OR 97223 (503)6394171
SITE ADDRESS: 13365 SW KINGSTON I'L PARCEL: ?S104DA-18700
SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: R-4.5
BLOCK: LOT: 01 t .JURISDICTION: Tic;
REMARKS: `:F rowhouse,Unit 13, Bldg 1,AS plan
BUILDING
REISSUE. STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: JEW HEIGHT: FIRST: 733 of BASEMENT: 172 of LEFT: SMOKE DETECTORS:
TYPE OF USE: S°A FLOOR LOAD: W SECOND: 733 of GARAGE 547 of FRONT: PARKING SPACES:
TYPE OF CONST: 5N )WELLING UNITS: I THF of RIGHT:
421 40
OCCUPANCY GRP: R3 ODRM: 2 BATH: 2 TOTAL: 1,460 at VALUE. 161, REAR:
PLUMBING
SINKS. 1 WATER CLOSETS: 2 W,ZHING MACH: I LAUNDRY TRPYs: RAIN DRAIN: TRAPS.
LAVATORIES: 2 DISHWASHERS: I I'LOOR)RAINS: SEWER LINES. SF RAIN DRAINS: CATCH BASINS
TUBISHOWERS: 2 GARBAGE DISP: I WATER HEATERS: I WATER LINES: BCKFLW PR17VNTR: GREASE TRAPS
OTHER FIXTURES
MECHANICAL
FUEL TYPES FURN<100W BOIL/CMP<AHP: VENT FANS: 3 CLOTH"CRYER: I
L.PO FURN>.100K: UNIT HEATERS. HOODS: I OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: I
___ ELECTRICAL
RESIDENTIAL UNIT _ SERVICL FEEDER TEMP SRVC/FF.EDERS BRANCH LIRCUITS MISCELLANEOUS _- ADO'L INSPECTIONS
1000 SF OR LESS: 1 0 200 an,:,: I 0 200 anlp: W/SVC OR FOR: PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 5008F: 3 201 - 400 amp: 201 400 amp: lot W/O SVCA-DR: SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 600 amp: 401 WD amp: EAADDL BR CIR SIGNAL/PANEL: IN PLANT.
MANU HMISVC/FDR: 601 1000 arnp: 801+amp%-t000v: MINOR LABEL.
1000.amp,volt
PLAN REVIEW SECTION
Reconnect only:
-4 I,ES UNITS. SVCIFDP.>:229 A.: >800 V vOMINAL: CLS AREA/SPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL __ B.COMMERCIAL
AUDI)A STEREO. VACUUM SYSTEM: A JDIO 6 STEREO: V FIRE ALARM: INTERCOWPAGING: OUTDOOR LNDSC LT':
B JRGLAR ALARM: 0TH: BOILES HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: 'lLOt;K. INSTRUMENTATION: MEDICAL: OTHR-
HVACDATAO OLE COMM: NURSE CALLS: TOTAL 0 SYSTEM&
Owner: Contractor: TOTAL FEES: $ 5,495.87
BROWNSTONE QUAIL HOLLOW LLC BROWNSTONE HOMES,LLC This permit is subject to the regulations contained in the
12670 SW 68TH PKWY STE?00 12670 S'1V 68TH PKWY Tigard Municipal Stale OR. Specialty Codes and
PORTLAND,OR 97223 PORTLAND OR 97223 all other applicablea laws All work will be ,one it
accordance with approved plans. This pe,Tnit will expire H
work is riot started within 180 days of issuance,or if the
work is Suspended for more than 180 days. ATTENTION:
Oregon law requires you to follow rules adopted by the
Phone. 503_598-7565 Phone: 503-5:?8-7565 Oregon Utility Notification Center. Those rules are set
forth,in OAR 952.001.0010 through 952-001-0082 You
Reg 0: LIC 124627 may obtain copies of tnese rules or direct questions to
OUNC by calling(503)246-1987.
REQUIRED!NSPECTIONS
Erosion Control Insp 8, Slab Insp Plumbing i op Out Exterior Sheathing Insr Electrical Final
Sewrlr Inspection Pimlundslb Insp Framing Insp Firewall Insp Plumb Final
Foothlg Insp Electrical Service Gas Line Insp Gyp Board Insp Mechanical Final
Foundation Insp Electrical Rough-in Insulation Insp Water Line Insp Building Final
Wlr Prooi nq Bsm't Wa Mechanical Insp Shear Wall Insp Smoke Detector Final Inspection
Issued B l,W�l f Permittee Signature :�6 Jr� -. 't ^ewe
Call (503) 6394175 by 7:00 p.m.for an inspection needed tho next business day
CITYOF T!GARD – SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2002-00037
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/11/02
SITE ADDRESS; 13365 SW KINGSTON PL PARCEL: 2S'104DA-18700
SUBDIVISION: 11 \IL HOLLOW - Sr)1'fll ZONING: i'.-4 S
BLOCK: LOT: 0:1 JURISDICTION: 11(,
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNIT',': 1
TYPE OF USE: SFA NO. OF BUILDINGS.
IN;;TALL TYPE: LIPSWR IMPERV SURFACE:
Remark,: Sewer connection for new SF rowhouse
Owner: ---- --- ---
-- _FEES
BROWNSTONE QUAIL HOLLOW LLC Description Date Amount_
12670 SW 68TH PKWY STE 200
PORTLAND,OR 97223 1SWUSAI Swr Connect 12/11/02 $0.00
[SWUSAI Swr Connect 12/11/02 $2 '90.00
Phone: 503-598-7565 [SWIN"PJ Swr Inspect 12/11/02 $0.00
(SWINSP)S%k r Inspect 12/11/02 $35.00
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. 1 he permit expires 180
days from the date issued. The total amount paid will be forfeited if the permit exp'res. 'The Agency does not guarantee
the accuracy of the side sewer laterals. If the sewer is not located 't 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: , 1 A (` Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
Building Permit Application
l Date received: '!� `= Permitno.:V'1,�,-- may^ " ,
�
City of Tigard (�� �� --
Address: 13125 SW Hall Blvd, i ;,Al e 3 .- ProjecUappl.no. Ex Predate:
Ciry njTigurd Phone: (503) 6394171 Date issued: Receipt no,:
Fax: (503) 598.1960 Case Ittie no.: Pn,ment type:
I,aml use approval: V �l � &2 family:Simple Co nplcx:
' 1
U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition
U Addition/alteration/replacer,ent U Tenant improvement L!Fire sprinkler/alarm
1 1
Job address: Bldg.no.: Suite no.:
Lot; Block: Subdivision: tt �" e y - ,,fete r'*' Tax map/tax lot/account no.:
Project name: / —
Description and location of work on premises/special cor,ditions:
OWNER 1 ' INFORMATION,
,
Mailing address: xw, z 1 & 2 family dwelling:
City: a,L4, � -, State:bRQ 'LIP: Valuation of work.............................. ......... 1,
Phone -9 Fax:620 JW&J1 E-mail: No.of bedrooms/baths.................................
Owner's representative: �.. ' Total number of floors.................................
I1x00c fax E-mail: New dwelling area(sq.ft.)
Garage/carport area(sq.ft.)......................... —�
Name: Covered porch area(sq. ft.) .........................
ya-
Mag address: s _ peck area(sq.ft.) ........................................
City: r \C � State: Outer structure area(sq.ft.).........................
Ptumc: Pax: Email: Commercialltudustrlallmultl-fattilly:
1 1 Valuation of work........................................ $
Existing bldg.area(sq.ft.)
..........................
Business name:
[3 re cel v t- New bldg.area(sq,ft.) v --
Address: sy. , + "
Statex-:,A� ZI Qi Number of stories........ .............................. - —
Phone• - 17ax:6.2o -< ' mail: Type of construction....................................
CCB no.: c��,
- ------ Occupancy group(s): Existing: — —
_ ___ -------- New: —
0!v/mcir(i lir. nn.
Notice:All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
7Addrcssa
, provisions of ORS 701 and may be required to be licensed in the
v� S�� jurisdiction where work is being performed. If the applicant is
State Zip: exempt from licensing,the following reason applies:
Contact person: to Han no.: _
Phone: CG mail: T
Name: , t=ro'1 vc L E Contact person: tj Fees due upon application ........................... $ _--
Address: 11J Date received: _
City: ( c` tate: IZIRY7513 Amount received ......................................... $
Phone: 4.aFax: E-mail: _ - Please refer to fee schedule.
I hereby certify I have read and examined this appheatiz)n and the Na all)uriWk6om omw credit m*,pkau cat iuri,dicuon ror more information
attached checklist. All provisions of laws and ordinances governing this UVila U Mesterf•n,d
work will be complied ,whetltc c t ed herein or not. C�tit care numtvx — -- -.
Fap
Authorized s m: — n : NAMW w�own oa cmdii card
Print flame: _ _-_ y.—-- tiputturt — s Amount
Notice:This permit application expires if a permit is not obtained within 180(lays after it has been accepted as complete. 440.413(WWOM)
Plumbing Permit Application
Datc received: P►,rmit no.:
City of Tigard Sewer permit no.: Buildi.nj;permit no.:
Address: 13125 SW Hall Blvd,Tigard,OR 97223 ---
City ojTigard phone: (503) 63911171 Project/appl.no.: E:xpircdate:
Fax: (503)598-1960 Date issued: By: � Receiptna: --�
land use approval: _ case file no: Payment tyre. - _J
TYPE OF
❑ d &2 family dwelling or accessory U Commercial/industrial ❑Multi-family U Tenant improvement
❑New construction U Addition/alterauon/replacement U Food service U(hher: __.
J013 O' SCHEDULE
lobaddress:/3j( .S�W -]���. a,cc — 1>reccription Qt Fee(ea. Tot
al
Bldg.no.: Swtc no.: — Ne" ll-and 2-family dwellings only:
Tax map/tax lot/a:ccwnt no.: (included 100 ft.toresch ntflity coruK.tdon)
--__ _ SFR(1)bath
Lot: /3J) ock:—Subdivision: SFR(2)bath -
Project name: _ SFR(3)bath J� —
City/co_umy: ZIP: Each additional batlArc hen
Desclipt on and location of work on premises ShetaWlties:
Catch basin/area drain _
t;t.date of compleuon/inspextion- --- ^-- - Drywells/leach line/trench drain -
Footing drain(no.lin.ft.) _
CONTRACTOR Manufactured home utilities
Wolcott I'lunhhitrg Rain drain connecto
PO hox 2007 Sanitary sewer(no.' n. ft.) -- - --- - _
Gresham OR 97030-0594 Storm sewer(no.lin 1
503-667-1781 Water service(no.I.n --
('('f�:23H47 PLM 0:26-2081'15 Fxtureorhem. ----
-- Absorption valve _
Contras tar's representative signature: Back flow preventer _
Print name: I)a1c: Backwater valve
cola
1 Basin/Isvatury T---- _
Name: Clothes washer
-- ----- --- Dishwasher
_Address: Drinking fountain(s)
City: ^ -- State. ZIP: _ EiPetors/sum� -
Phone: fax: L-mail: IExpansion tank —
Fixtum/sewer cap
Name(print): Floor drainch7oor sinks/frub -
Garbage dsal
Mailing address: Hose bibb
_City: 1 TM, -' -- - - — -
- _ _---_-.-- Ice maker _
Phone: Fax l?mail Interueptor/grca,e trap — - _-
Owner installation/residential maintenance only: The actual inoillation Primer(s)
will he made by me or the maintenance and rrvair made by my re,:.ular Roof drain(commercial) v�
employee on tie property 1 own m per ORS Chapter 447. Sink(s),basin(s),lays(s)
Owner's signature:_`. — tate: _ Sump
— Tubs/shower/shower pan -
Urinal
Name: _,-- -------- — Water closet —^ —
Address: —_ Water heater -__ ----- _
City: —_ ---- - _ Sta-.e�: ��P_— - - -- t.)ther.
Phone:-- -- -- Ivx: _-�E-mail: -- - Total
Na.0 jiaisdico m WOW arae rads,Mew catl hpWWtion ear nra•.wom.omNotoe:This peri-+it application Minimum fee................$
-
Q Vin U MuterCud expires if a permit is no(nblained Plan review(at -- 9d) $
witrin 180 days after it has been State surcharge(8%)....$
ter rad m� _ .____—___— ._._.l_�__ � —
F TOTAL ......................S ----
Na>r d rweowi,*t a exnn m Redd card acoeptet as ermplett.
f _
---- Lang-wee Aw— 440-4616(UMUM)M)
Mechanical•Permit Application
Date received: Permit no.:
City of Tigard Project/appl.no.: Expire date:
CiryojTigard Address: 13125 SW Ilall Blvd,Tigard,OR 97223 pate issued: - B Recei tno.:
Phone: (503) 6194171 — y p
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: Building permit no.
1 '
❑ 1 & 2 family dwelling or accessory L'CorimercialFndustrial U Multi-family U Tenant improvement
U New construction U AJdition/alteration/replacemcnt U Odier.
SCHEDULEJOH SITE INFORMATION COMMERCIAL VALUATION
Job address, (_� SSV- � e. �e��c Indicate equipment quantities in boxes below.Indicate die dollar
Bldg.no.: _ Suite no.: value of all mechanical materials,equipment,latxrr,overhead,
Tax map/tax lot/account no.: profit -Value S
Lot- 1 Block: - Subdivision: 'See checklist for important application inforniation and
Project name: jurisdiction's fee schedule for residential permit fee.
C,ty/county:_ �- _ ZIP: I
IX-scription and location of work on premises:- -._ 1 I 1 I
Fet(ea.) Total
Est.date of complelion/inspection• M 111"MIttlon 6y. Res.only Res.on]
Tenant improvement or change of use:
Is existing space heated or conditioned?U Yes ❑NoAir handling unit CFM Air conditioning(site plan required)
-� -- -
-
Is existinf space insulated?❑Yes U No Alteration of existing TN7{T system
1 A -SOI�CI ipm-wwr —--• -- —- - ---
%
State boiler permit no.:
HP _T'ons_-B'rT1fll
Fourseasoll� Ilcaung &A l �;ci%t:r Inc -F�rrio etlarnper-diuctsmoke elector,- ---
P0 Box 664011mai pomp(snc p aTn requires-- --
Porllaed Olt 97290-6409 lnstalUrepTace furnacc1hurner__B H
503 775-5919 Including ductwork/vent liner U Yes U No
CC:l3: 48211 �nstalUre�lacrJrecxatc heaters-suspended
wall,or floor mounted _
Name(please prini): t-Vent oi-applianceotherthanfurnacc-
t ON e eta ---
Absorption units_e MIMI
Name: Cftiller,_..__. fill -
-- ---�_._ .__..._-------------..�-- Comlressora__-- _ fit,
Address _
_ ,-- __ �a room :,. tut vm ton:
City: - --� -_1Stale -LLV'. —�- Appliance vent
Phone,: Fax: I -nlaiL rycr Cx tl aunt------ - _
1 �o d7%T pe res. tic c iazmat
hood fire suppression system
Narne: Exhaust tan with single duct(bath fans)
Mailing address: ----- _- - 'T�aust system n art from iieaun or�C
City -- --_-- _- State: ZIP: �P•PTng on up to outlets)
__---- �-- �� 7ype _ LPG _ NG Oil
Phone: Fax: E-mail: •uel�tn e-a Ti�diiicnal ov-uTouiieti- — -
Procen pfpiift(sematic trqu�iret, _
Number of outlets
Name: - ----- _ _ 75therr a reed ppUuice iW e_q_9pmeot:
Addrrss: Dmorative fireplace
City. ------ _ _ State: Z1P: -- nsse type -!-- - ---
Phone: - Fax F mail: t's'000siovapcileistove
PF
Applicant's signature: Date _ -- -
Name (print): ---
Not
_ ^-
Not all)<Riadi.tiam it M%credit anti,pknr call juriselw6m for www id rna im erinit fee.....................$
U Visa Q MasterCard Notice:This permit spoliation Minimum fee................$
expires if a permit is nM oMaincd
Plan review(at %) $
within IRO bays after it has been -_ -•_--
State MM11harge(8%)....$
-Fame of crosbtee--.d a on acM �
cad S P completeTOTAL .......................S --
— Cxdbokkt rltwum ------ — Amom — 4104617(6V11kW)
w
Electrical Permit Application
- Dau received: Permit no:
City of Tigard Project/appl.no.: _ Expire date: -
C'rn•ofTigard Address: 13125 SW Hall Blvd,Tiga gid,OR 97223 Ntcissued: Y --,_ By. Receipt no.:
Phone: (503) 6394171 -
Fax: (503) 598-1960 Gsefiterw.: Payment type
Lard use approval:
1
U I & 2 family dwelling or accessory U CommerciaUmdustrial U Multi-family U Tenant improvement
U New construction U Addition/alteration/repla enfant U Other -_ _ U Partial
JOBSITEINPORWTION
Job address:, _J(vJ Bldg. nu.: Sutic no.: Fax map/tax lot/account no.:
_----•_-_--
Project name: Description and location of work on premi.;s:
Estimated date of completion/inslxcticm:
l ",111iWATION FEE SCHEDULE
Job no: tier Max
Description (2ty. (ea.) b(al no. ns
Slreamlitic I'Ick-niC NewresidratLl-i+Rkurmutti-famllyper- — -
DDA LaValley Cotpoiation dwelling mik.Includes att di dRara6r.
6025 East 18i1'St Servicebwiuded'
Vancouver WA 98661 1000 sq h or leu
Each additional 500 iq h.or portion thereof __-
360-993-5080 Limited energy,residential 2 ._
('Ct3:116514 ULC#: 34-4320 SU1111: Umitod energy,non-residential _
Each nuinufadurrA home or modular dwelling
Si nature of supervising electrician(required) Dole G ice and/or feeder
- - -� 5errlcesorfeeden-4adallation,
Sot, ^Ir<i n:unr rinmi i I a rnse no:
allenI on or relocation:
Wilajl 200 amps or less
201 amps to 400 amps - 2-
Name(print): - 401 amps to tion amps-�`— _ 2
Mailing address: _ 601 amps to_IOW amps 2
City: _ dale: ZIP: (aver 1000 amps or volts - 2
Phone: --� Fax: Email' Reconnect only
Owner installation:The installation is being made on property 1 own Temporary alteaeso,orre relocation:bMallation,alteration,or rcloauon:
which is not intended for sale,lease,rent,or exchange according to 200 amps or less 2
ORS 447,455,479,670,701. 201 amps to 4110 amps _ -- 2--
Owner's
_Owner's signature: Date: 401 to 600 amps - 2
LIEN 1010 1 LE Branch circuits-at*,alteration,
or exlewtoa per panel• 1
Name: -�_ A Fee for brunch circuits with purchase of
Address: service or feeder tee,each branch circuit 2
City: T - Stale: ZIP: B. Fee for branch circuits without purchase
of serviceor feeder fee,first branch circuit: 2
Phone: Pax: I rliail Each additional branch circuit _
Misc.(Service or feeder not Included):
U Service over 225 amps-cnounercial U lieallh-carr facnbr} Each pump or irrigation circle 2
U Service over 320 amps-rating of 1&2 U Hazardous location Each sign or outline lighting _ 2
familydwellings U Building over 10,0(10 square reel tour or Signal circuit(i)or a limited energy parol.
U System over fi(1(1 volts nominal mare residential units r 1 one structure alteration,rx extension* 2
U Building over three stories U feeders,400 amps or more "Description:
U occupant load over 99 persons U Manufactured structures or RV park Fach additional baspe lm river the allowable In say of dr above:
U Egress/lightingplan U lather _—_ Per inspection _ _ �_�_
Submit—aeon of plant with any of the above. Investigationfa
The above are not applicable to temporary coustrvidloa aerrice.�- other
Nc all jurtadicnom accepi rmdo cards,please call}urisdicuon for mor information Notice This permit application Permit pec.....................$
U Visa 0 MasterCard expires if a permit is not obuined Plan review(at __%) --
c mdir card number �__�L._- within 190 days after it hie been State surcharge(816)....$
accepted as complete. TOTAL
Name of ar,aiolder u shown on it erd s
Cardlwlder Ngauure - Amount 410.4615(60UWOx()
CITY OF TIOARD 24-Hour
BUILDING Inspection Line: (503)6W175
INSPECTION DIVISION Business Line: (503) 71 MST
BUP —
f/
Received ------____--Date Requested_-/_ AM_._--__--- PPI .._- --__ BUP
Locations�? _----_�-��N _Suite—_ - EC2—
Contact Person Ph(—) _ -.— PLM
Contractor - -- Ph(- ) — SWR __--
BUILDING Tenant/Ownar --- _ - _-- -,- ELC —
Footing
EL.0
Foundation
Access:
Ftg Drain ELR -
Crawl Drain _—
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors
Ext Sheath/Shear -_--
-
Int Sheath/Shea
Frarrang - -------- -
Insulation
Drywall Nailing - --
Firewall
Fire Sp,inkler - - - ------
Fire Alarm
Susp'd Ceiling
Root
Other.
Final
PASS BART FAIL
PLUMBING
Post&Bram
Under Slab Ae
Rough-in
Water Service — -- --- --- - -
Sanitary Sewer
Rain Drains - - - - - - -..-_,—
Catch Pasin/Manhole
Storm Drain - - -� -- -
Shower Pan
Other: —
Final
ko-s
-_ PAR _ FAIL
A L
-Beam
Rough-In
Gas Line
Smoke Dampers — ---------- ------ _..____ -_ _
Fina
-1*SSJ PART FAI'L
ELECTRICAL
Service --- --- ------- -- __-
Rough-InUG/Slab
Low Voltage
Fire Alarm
Final F] Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
PASS PART FAIL
SITE Please call for reinspection RE __ __ Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Dsts -- ---_ Inspector `�_�-^ "' — - Ext.
Other:
Final -iA DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY 4F TIGA.RD 24-Hour
BUILDING Inspection Line: (50 ) Q�a
MST
52-
INSPECTION DIVISION Business Line: (503) 175
f3UP
Received _ /Date Requested-_ 6—/( -_ AM— PM 6f1P ----- --- --
Location +'► -. -- _— ___ Suite--_. ________ MEC
Contact Person — -- ---. _^ Ph(----- ) -- --- -- - PLM ------
Contractor
--Contractor --- — - Ph ( -------- 1 ---- - - SWR - —
LDI Tenant/Owner --------- -- —- ELG - ----
Footing - - 'ELC
Foundation Access.
Ftg Drain ELH
Cr:,wl Drain _ --
6tab Inspection Nates: SiT
Post&Beam
Shear Anchors —
Ext Sheath/Shear -
Int Sheath/Shear �Jar --
Framing
Insulation ✓ S �",(R..A �.SJ.�r �1 G L-�.,�., �Q �Q V V�7✓
Drywall Nailing ((—� � (� (-� -- -`—
FirewallS�l.SZQ�JC `.fL1.-[�' C ^ �• +
Fire Sprinkler l �V / _
Fire Alarmy QiV'• Sti`-L,c,✓� l� I Q� ��'
Susp'd Ceiling
Roof `rl)(y(i Q_- - ( 01 D
OtherA4&42
.
AS PART FAIL
MBING '
Post& Beam
Under Slab —
Rough-In
Water Service "`-
Sanitary Sewer
Rain Drains
Catch Basin Basin/Manhole "z) `� ✓�� (�� L a < Af
Storm Drain
Shower Pan /�? '�+ Cf -
Other _
Final
PASS PART FAIL
ha A-M
—
Vost B'Beam
Rough-In
Gas Line
Smoke Dampers -
rn
PART F,41L ----- -
L ICAL
Service --_ -_�.----- -----
Rough-In -- ----- --- -- --- __-------
UGiSlab
Low Voltage ---- --- ------ - _ _ - -- -
Fire Alarm
Final ❑ Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PARI' FAIL
Please call for reinspection RE:__ _- __._-- Lj
Unable to inspect-no access
Fire Supply Line
DDate -_ Inspector �� Ext
Approach/Sidewalk.
_-
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
1 _
Jun 16 03 09t12a BROWNb1-ONE HOMES 503-620. 9865 p, 1
100
June 1614,2003
City of Tigard Building Division
Attn: kick Bolen.. Building inspector
13125 S.W. Hall Blvd.
Tigard, OR 9722-
RE: Bleach treatment on Building 1,Quail Hollow Sooth
Dear Mr. Bolen,
Per your teques,to Tom Kelly, Site Sup.rimcndenl,the fo,lowing seclucrict:cuthnes the
bleach treatment used cn Building 1,Quail I-lollrw,South satisfVtq your requirement:
1. All exposed mold on party walls was sprayed down with 1511'o germicidal bleach
Solution.
2. Sprayed areas were then brushed dowrl and mold particles removed.
3. Affected arras were again sprayed with 1S%germicidal bleach soiutiun
Pictures were taken at each phase and can be provided upon rexlueit.
The oriOnea letter is being sent to you:office im i-nedlately,
Ir furthor infelmation is required pleuse contact me immediately. Should y'oa have Any
fullher questions,please do not hesitate to call me at(503)793-2809.
Si rcciely,
r /.
rtt�itc Parke
Project Administrator
DCF'
cc Site.5'upe, nteudent
Cotrctpondcucc
BRCYN-INSTONE HomEs L.L.C.
126711 SW (iRIH I'ARKWAI, 51'llh cl(1 r'ORILAND, 011 97229 I'H 109 198.71A1 FX 1;1.4.6211.9981
Ci P, t 14027
e
bLAA
OF
�i._� - - - _ - ►
GQ i° ►
rb ►
r (� a ►
CA
fr
CL
-, cr, o ro ►
d d ° 5' c ►.
►-� w -^ loll
-4 Or4
i4.1 r ro G � ►
r p, o
tI4C
I !
►
� � I
n
n O
cr C O
� p
0000
s.
r
g
� n
O
o
a
•3
.. I
CITY OF TIOARD Inspection Line: (503)639-4175
BUILDING MST
INSPECTION DIVISION Business Line: (503)639-4171 BUP _—
Received --- ___---Date Hequested_- _�� `--�_��- AM--- PM --- ---- BUP ---__ --
Location 1 Suite ._ - - - MEC - — -
Contact Person --- — — ---- Ph(----) — - PLM -- - --- _
Contractor _ — --- ---- - - --- - Ph(-- -) --- ---- ._- - SWR ---.----
_B_UILDIN_G Tenant/Owner ELC _
Footing ELC --
Foundation Access: cCZ7
Ftg Drain ELR
Crawl Drain — - SIT
Slab Inspection Nates:
Post& Beam -
Shear Anchors
Ext Sheath/Shear — - -- - - - —
Int Sheath/Shoar
Framing - - --
Insulation
Drywall Nailing
Firewall
Fire Sprinkler �`-�- - --1�-- Z7-�
42
---
Fire AlarmyyL�
Susp'd Ceiling -
Roof —-- —
Other:
- - ------------
Final
PASS PART FAIL
PLUMF3IN'i -- - —"^-
Post&Bean
Under Slab -
Rough-In
Water Service ------
Sanitary
---Sanitary Sewer
Rain Drains _
Catch BaGin/Manhole
Storm Drain
Shower Pan
Other.
Final _
PASS PART FAIL
M_E_CHANICAL _-----_.__--
Post&Beam
F,)ugh-In - - -- -
Gas Line
Smoke Dampers - -
Final --
PASS PART_, FAIL
ELECTRICAL -- -
�--- --
Service --- -----__
Rough-In ------------
UG/Slab
Low Voltage
Fire Alarm
incl El Reinspection fee of$____.----required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SITE_ ) Please call for reinspection RE. Unable to ins t-no access
Fire Supply Line
I
ADA (� "./ actor
' ItnsP
Approach/Sidewalk Data ' .. I !`�
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
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 #: MST2002-00057
Date Issued: 12/11/02
Panel: 2S104DA-18700
Site Address: 13365 SW KINGSTON PL
Subdivision: QUAIL HOLLOW - SOUTH
Block: Lot: 013
Jurisdiction: TIG
Zoning: R-4.5
Remarks: SF rowhouse,Unit 13, Bldg 1,AS plan
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: PLUMB �G CONTRACTOR:
BROWNSTONE QUAIL HOLLOW LLC WOLCOTT PLUMBING CONTRACTOR:
12670 SW 68TH PKWY STE 200 PO BOX 2007
PORTLAND, OR 97223 GRESHAM, OR 9-030
Phone #: 503-598-7565 Phone #: 667-1781
Reg #: LIC 23847
PLM 26-208PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X `�`
Signature? ut or&ed Plumber
If you have any questions, please call (503) 639-4171, ext. # 310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
NPORTANT PERMIT NOTICE
DAVID JEROME ELECTRIC
PO BOX 751
H ILLSBORO, OR 97123
Electrical Signature Form
Permit#: MST2002-00057
Date Issued: 12/11/02
Parcel: 2S104DA-18700
Site Address: 13366 SW KINGSTON PL
Subdivision: QUAIL HOLLOW- SOUTH
Block: Lot: 013
Jurisdiction: TIG
Zoning: R-4.5
Remarks: SE rowhouse,Unit 13, Bldg 1.AS elan
our company has been Indicated as the electrical cordmctor for the permit indicated above. In order for the
ulect,iral permit to be valid,the signature of the supervising electrician is required. Please have the
appropriate in�'vidual from your company sign below and return this Electrical Signature Form prior to the
Mart of the worts L.1 the address above,ATTN: Building Division.
V o electrical inspections will be authorized until this eomplete-1 form is roceived
OWNER- ELECTRICAL CONTRACTOR:
BROWNF;TONE QUAIL HOLLOW LLC DAVID JEROME ELECTRIC
1.2670 SIN BOTH PKWY STI:200 PO BOX 751
PORTLAND, OR 97223 HILLSBORO, OR 97123
Phone# 503-598-7565 hone#; 648-6144
Reg #: LIC 36051
SUP 1877S
E11 M-11 19C
AN INK S!GNATURE IS REQUIRED ON THIS FORM
nature o u eZgectrician
If ,ou have any questions, please call(503) 83"171, ext. # -
ro0�i1 '— Jd34 ST70 amix do xi1a 119M0009 YVd 09:7T o•3b CO/99/To
CITY OF: TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2003-00102
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2510 3
2S10
PARCEL: 4DA-18700
SITE ADDRESS: 13365 SW KINGSTON PI_
SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: R-4.5
BLOCK: LOT: 013 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: ',FA UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
_
FUEL TYPES _ 0 - 3 HP: DOMES. INCIN:
LING _ 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Remarks: Installation of gas fireplace and(2)gas outlets.
Owner: ��_ _ _FEES
BROWNSTONE QUAIL HOLLOW LLC Description Date Amount
12.670 SW 68TH PKWY STE 200 I MEC I l I Permit I cc 3/12/03 � $72.50
PORTLAND, OR 97223 1 I AXl 8 titatc I cis 3/12/03 $5.80
Total $78.30
Phone: 503-598-7565 - --
Contractor:
THERMAL_ FLO
14865 SW 74TH AVE. #190
TIGARD, OR 972.24 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 503-670-8393 Mechanical Insp
Reg#: LIC 151847 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
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 in the Oregon
Utility Notifrcatinn 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 OUNC by calling
(503)246-6699. ,
Issued By: I % j �, i l i _— Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for Inspections needed the next business day
FOR OFFICE USE6NLY
Melchanieal Permit Application Received Mechanical,
Date/By: / /. ! Permit No,
C� of Tigard Planning Approval Building
`J g Date/By: Permit No: 'V-A 'A^rr(_`_
13125 SW Hall Blvd. Plan Review Other
Tigard,Oregon 97223 Datc/B : _— P:rm t No..
Phone: 503-639-4171 Fax: 503-598-1960 Post-Revicw Umd Use
ard.or.us Date/B : —_- Case No.:
Internet: www.ci.ti -
g Contact Juris. See Page 2 For-
24-hour Inspection Request: 503-639-41754Namc/Mcthod Supplemental Information.
TYPE OF WORK COMMERCIAL FEE*SCHEDULE-USE CHECKLIST
New construction 10 Demolition Mechanical permit fees'arc based on the total value of the work
Addition/alteration/replacement Other: performed. Indicate the value(rounded to the nearest dollar)of all
CATEGORY OF CONSTRUCTION mechanical materials,equipment,labor,overhead and profit.
1 &2-Family dwelling Commercial/Industrial value: $ _ See Page 2 for Fee Schedule
Accessory Building I Multi-Family RESIDENTIAL EQUIPM_E_NT/SYSTEMS FEE*SCHEDULE
-- -- _- - Description - �Q1v Fee(ea.) Total
Master Builder Other: lleaum Conlin _—_
JOB SITE INFORMATION and JOCATIOK Furnace-add-on air conditioning" _ 14.00
Job site address:- Cas heat pump _ 14.00 _
Suite#: Bldg./Apt.#: Duct work 14.00
Project Name: --- H dronic hot waters stem — 14.00 _
Residential boiler
Cross street/Dircetions to job site: for radiator or hydronic system) 14.00
Unit heaters(fuel,not electric)
(in wall,in-duct,suspended,etc.) _ 14.00 _
Flue/vent for any of above 10.00
Subdivision: Repair units_ Lot#: Other Fuel illancm 12.15
Tax ma / arcel #: Water heater 10.00
DESCRIPTION OF WORK Gas fire lace -----� 10.00
Flue vent(water heater/gas fireplace) 10.00
Lo li htcr as 10.00
Wood/Pellet stove 10.00
Wood rireplace/insert _ 10.00 - -
Chimnc /liner/flue/vent IOAO
ROPTRTYOWNER I El TENANT Other: _ 10.00
Name: ,t 1!,,/^,r -// Environmental Exhaust&Ventilatlan
_ t wl1l A-�!- t ,VA--- 1 U Range hood/other kitchen equipment - 10.00 --
Address: r rr JJ _ — — — ---
Cit /StatC/Zi : �b-/7-Z�7 - Clothes dryer exhaust 10.00 - -----
-� -- - Single duct exhaust
Phone: 'j1 ax. _ (bathrooms,toilet compartments,
APPLICANT I LJ CONTACT PERSON utility rooms) 6.80
Name: Attic/crawl space fans - 10.00
10.00
Address: Other:— --
_ Fuel Piping
City/State/Zip: _ _ J - "(S5.40 for first 4,$1.00 each additional _
Fumace,ctc. •*
Phone: - ---- Fax: — -- Gas heat pump —
E-mail: Wall/suspended/unit ended/unit heater _ ___ •• -
CONTRACTOR Water heater •• e
Business Name_: 7: Fire lace _ _ ••
Address:
BBQ ��—
Cit /State/Zip: 7/ICQ_ J `Zz clothes d er as -- ••
Phone: '0 3 Fax: D qj)(--f Other: -- — —
CCB Lie. #: AY -- Total: --
Authorized ,1 -- Mechanical Permit Fm'
Signature: -__ Date: ,1 I?' ,� --Subtotal:
_
Minimum I crmit Fee$72.50 5 �O
-Plan Review Fec25°/a of Permit Fec S
--- - — State Surcharge 8%of Permit Fee
- (Please print name) _ _ J3
_ TOTAL PERMIT FEE
Notice: This permlt application aspires ire permit is not obtained is Rhin *Fee methodology set by TH-County Building Industry Service Board.
180 days after It has been accepted as complete. "Cite plan required for exterior A/C units.
i\I)sts\Pcrmit l'orrns\MccPcrmitApp doc 01/01
ELECTRICAL -
CITY OF TIGARD RESTRICTED EN RIGY
DEVELOPMENT SERVICES PERMIT#: ELR2003-00('80
13125 SW Hail Blvd., Tiaard, OR 97223 (503) 639-4171 DATE ISSUED: 3/11/03
SITE ADDRESS: 13365 SW KINGSTON PL PARCEL: 2S104DA-18700
SUBDIVISION: QUAIL HOLLOW- SOUTH ZONING: R 4.5
BLOCK: LOT: 013 JURISDICTION: TIG
Prosect Description: Voice/video: Install All Encompassing Low Voltage.
A.RESIDENTIAL _ B.COMMERCIAL _
AUDIO & STEREO: X AUDIO& STEREO: INTERCOM & PAGING:
BURGLAR ALARM: X BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: X CLOCK: MEDICAL:
HVAC: X DATA/TELE 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:
BROWNSTONE QUAIL HOLLOW LLC AZIMUTH COMMUNICATIONS INC
12670 SW 68TH PKWY STE 200 P.O. BOX 508
PORTLAND, OR 97223 WILSONVILLE, OR 97070
Phone: 503-598-7565 Phone: 503-639-0110
Reg#: ELE 30-')4('LE
SUP 231 1,FA
-- LIC 145828
FEES Required Inspections
Description Date —� Amount Low Voltage Inspection
I I.I'lmi-I Gl.lt 11rrn,ii 3/11/03 $75.00 Elect'I Final
I;\\1 li'%n Slak,Tax 3/11/03 $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 riot
started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENT'nN: Oregon law requires
you to follow rules adopted by the Oregon Utility Notification Center. Those rules are scA forth ii i OAR 952-001-0010 throuc
Issued by [cf �L. L_- Permittee Signature–
OWNER INSTALLATION ONLY _
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N DATE:
LICENSE N O: — --- -- --��-- ---� ----
Call 639.4175 by 7:00 P.M. for an Inspection needed the next business day
Electrical Permit Application
Date received 1 _ -� Permit no.
city Of Tigard Project/appl.no.: Expire date:
Cifvn('fiXard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: Receiptno.:
Phone: (503) 639-4171
Fax: (503) 598.1960 Case file no.: Payment type:
Land use approval:
❑ I &2 family dwelling or accessory ❑Commercial/industrial U Multi-family U'tenant improvement
New constnlction 1,Addition/alteration/replacement U Other: _ U Partial
1
Job address: 13 (e S" g"36S lbs` C Bldg. no.: Suite no.: 'tax rnap/tax lot/account no.:
Lot: Block: Subdivision: t(v}t t_ 50t,114
Project name:C u At t_ Sfx•ro Description and location of work on premises: u pJ Cc- 11)&-r-,
Estimated date of completion/inspection: FEE, St'll
'DULF
Job no: t,� a�TL' J_ Fee Max
^ � _ S Description Qty. (ea.) 7btnl no.fns
Business name: Z/Mit t4 lo%^lxejteA( 1tyu Nersrrsidentbal-single ormulti-famllylMr
Address: 'S L�) �'rIsL�L >Q dwellingunit.Includes attached garage.
City: LillLSO&t0iLL SlatC:p ZIP: ?b Scrsleeincluded:
11100 sq It.of Icss 4
Phone:c' i`l etto Fax:5o 35'eits E-mail: -
Each additional 5o0 sq,ft.or portion thereof
CCB no.: 145 k- Elec.bus.Iic.no: *3�. Cj CC- Limited energy,residential 2 \
City/met lie.no.: 1Q(� ,fir n Y_ Limited energy,non-residential 2
G $ Each manufactured home or modular dwelling
Date Service and/or feeder 2
Si nature of supervising eleclr' t(re wired) Services orfeeders-installation,
Sup elect.name(print, Cr I . LLS t`i!_C License no:' L�
after
or relocation:
I If laallillij 01 2W amps or less
201 amps to 400 amps 2
7Mai
ntC(pnntl:�����) �)LSJ70•Lit 401empsm6Wamps 2
ling address: bot arrds to 10( amps2
ly: Slate. A Z11' Over IOW amps or volts 2
Phone:
Fax: li mail: Rec,nnectonly
1
Owner installation:The installation is being madv on property l own Ten porvey services or feeders-
Insudlatlon,alteratlnn,orrelocattnn:
which is not intended for sale,lease,rent,or ev.t hange according to 200 Linits or less
ORS 447,455,479,670,701. 201 aro,s to 400 amps - ^
ntvnr•t�,, rnalun Hale: --_-- _— 401to6Wanr s Y 2
- ----
Branch circuli,-nen,alteration,
101101 or
extension per panel:
Name: -__ ____—_ A Fee for branch circuits with purchase of
Address: service or feeder fee,each branch circuit 2
City: State: ZIP: B Fee for branch circuits without purchase
- - - of service or feeder fee,first branch circuit: _ '
1,111 Ino I a� I'.-nlail: Each additional branch circuit
Mise,(Service orfeedernnt Included):
Each pump or irrigauou%':.ie _
UService over 225angscomnterclilt UHcallh-care facility Each sign or outline lighting _ -
❑Service over 320 amps-rating of 1&2 J Hazardous location nal circuits)or a limited ener anal,
familydwellings JBuilding over lo,000square feet four or Signal llyP
0 System over G00 volts nominal more residential units in one structure alteration,or extension, _
•Building over three stones U Feeders,400 amps or more •Ucscn tion _ —
U Occupant load over 90 person. U Manufactured structures or RV park Each additional Inspection over the allowable In any of the above;
U Egtess/lightingplan U other: -• -- ------ Per inspection r
6uhtnit_sets of plans with onv of the above. Investigation fee _ _—
The above are not applicable to temporary construction service. _A Other
.�. Permit fee...............'.$ -- _
Not all jurisdictions accept credit cards,pleme call naisdiction kir mute information Notice:This permit application
( )8% ••••$g h
expires if a permit is not obtained Plan review(at _,- %) $
r Visa Mastercard y State surcharge Credit card nuu mber within 180 days attar it hes been -
— Expires accepted as complete. TOTAL .......................$ __
Name of cardholder u shown on credit car S
holder si6natwe i� AmouAmount410-4613 tti WOM1
Card