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13375 SW KINGSTON PLACE c 13375 °W Kingston Place CITY OF TIGARD 24-Hour BUILDING Inspection L;ne: (503)63 75 MST ------------- INSPECTION DIVISION Business Line: (503)63194AW Received _ --Date Re u ted_ .. ___ AM___ PM— BUIP Location r .Suite-_------. EC —_!_.._.Z_,)_2�_ _.__ ___ _ _._ Contact Person - - -- --- Ph(---) --- __ -- PLM Contractor _ ____—_— Ph SWR BUILDING Tenant/Owner . _ _ - ELC — Footing ELC - _ -- Fjundation Access: Ftg Drain ELR Crawl Drain --- -- SIT slag Inspection Note;: _._ Port& Bears - - - Shear,Anchors Ext Sheath/S sear 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 P Q MAnT - - --- - --- ------ - CHA AL - -_ - - -- - ----- Post R Beam Rough-In �/� ---------- — Gas Line Smo a Darnpors ___ __-.._-_- __- -.------ -- — 4SS PART FAIL ---- --- -9KENCTRICAL _ Service Rough-In - - UG/Slab Low Voltage _ Fire Alarm Final Ij Reinspection fee of$_— _required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART ROL. 31Tt [:] Please call for reinspection RE: — F] Unable to inspect-no access =ire Supply Line A�,A is/t�(� Apprc,ach/Sidewafk Date ._�L___._ Inspoter -- - - Other: -.. Final DO NOT REMOVE this inspection record from We fob iib. PASS PARI FAIL. CITY OF TIGARD 24-Hour BUILDING Inspection Line: (5Q3 39-4175 MST" INSPECTION DIVISION Business Line: J501&#39-4171 BLIP F,eceivcd —_._ ____- Date Requested =G --- SAM---_.----- PM - BUP Location ��Y -_-- Su;te...______-_ __ MEC Contact Person Ph( ) - - ___ ._ __ PLM Contractor _-_-_ _--� - Ph( ) SWR - TPnant/Owner _ ELC noting ELC Foundation Access: Fig Drain ELR __-.— Crawl Drain -- Slab Inspection (Votes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation /c 3 Vj , Drywall Nailing -- -- —'— _ Firewall Firo Sprinkler — Fire Alarm (�. Susp'd Ceiling '- Roof ��0 3 ' 00 wC.+� Other: -- � .....— SS PART FAIL L GING - - -- - Poe+ &Beam UnderSlab -- - -- — Rough-In Water Service _ Sanitary Sewer Rain Drains _ ___-------_ — Catch Basin/Manhole Storm Drain _ - - -- Shower Pan ' Other: -- - -- --- — Final PASS PART FAIL NJ LPam Rough-in Rough-In -- -- — -- Gas Line Smoke Dampers -- — in ASS PART FAIL ----.__ _.__ ----_----- - ---- ----- - _E RICAL Service _ Rough-in - --- — UG/Slab Low Voltage ------- Fire — -- ----Fire Alarm Final Reinspection fee of required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL 8 E [� Please call for reinspection RE:—___ — L] Unable to inspect--no access Fire Supply Line b 1' `ADA mach/Sidewalk Date_ 1� !' _._ Inspector A PP Other: Final IDO NOT REMOVE this Inspection record from the job SM. PASS PART FAIL ► 1110. 44 law lot a- b ► . I y ► ry n t ► d �44 n ► 40 I p �, ► ► 011. All A � I( � � A ► . d r 0 ► ,w lot. 011. 44 •, ' b ., �^ ► .41 '�i��►i�ri��►��i�� iie� �f��iiiirii:s��i y �1 Q l�D H a � 1 S n Con. N o � � b a t s o o a i i Jun Is 03 08112a BROWNb fOnE HOMES 503-620-9865 p. 1 June 16",2003 City of Tigard Building Division Attu: kick Bolen, Building Inspector 13125 S.W.Rail Blvd. Tigard,OR 97223 RE: Bleach treatlnient on Building 1,Quuil Hollow South Deur Mr.Men, Per your request to Toni Kelly;Sib:Superintendent,the rollowinit sequence cutlines the bleach treatment used on Building 1,Quail Hollow South satisfviing your requirement: 1. All exposed mold on party walls was sprayed down with 15%gennicidal bleach solution. 2. Sprityed areas were then brushed downs and ulold panicles removed 3. Affected areas%titre again spraNed with 150/i,germicidal bleach sniuticm Pictures were taken at each phase and can be provided upon reyue>t. The oneimal letter is being sent to you:office inunedlately. it iu,nhor information ie required ple;4"contact tree immediately. Should you have any fult1r:r questions,please do not hesitate to call me at(503)793-2809. S' cerel�, ; •� r /. to Parke Project Administrator DCP cc, Site Superintendent Cotrarondcuce BROWNSTONE HOMES L.L.C. I1670SW 681A I'ARKWAI, SLUE 240 PU11rLAND. t)It 97223 I'll 101.198.7165 FX 1J.1.620.49111 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (:03)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST v` c BLIP _.__...._ --- Received ____ Date Requested__ _ 60 ` Z AM___ __.-- PM B%JP Location - -1 - -- /G �� - ----Dui(e-- - - -- MEC --- ----— Contact Person - _ Ph __ ( ) __ ---_ PLM Contractor- Ph( —) -- _-_- -_ SWR ---_ BUILDING Tenant/Owner —_ — CLC - -- Footing Foundation Access: —�� ELC Ftg Drain ELR Crawl Drain _ Slab Inspection Notes: — SIT Post& Boam Shear Anchors _--__--_-- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing -- — ---. - -- - --- Firewe.11 Fire Sprinkler - ---- - - - — Fire Alarm Susp'd Ceiling -- - - -- - - Root _ - - - Fina; PASS PART FAIL PLUMBING Post& Beam Under Slab Rough-In Water Service - -- - Sanitary Sewer Rain Drains ----- - - -- - -- — Catch Basin/Manhole Storm Drain Shower Pan Other Final PASS PART FAIL MECHANICAL Post&Beam P)ugh-In ------- - -----__..�_�_-- --- Pas Line Smoke Dampers -- ----- ---»—__..�----- _ Final — PASS PART FAIL -- -- .— -- ELECTRICAL — Service Rough-in ------- - ---— -- -- UG/Slab Low Voltage _ L 0-d G� Fire Alarm ---�-�---- ----------------.__..-- PART FAIL ❑ Reinspection fee of$--_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. ITE _ [ ] Please call for reinspection RE:—. -_—_ [� Unabig to Inct-no access Fire Supply Line �/J C ADA r '--- Approach/Sidewalk Date = = _ Inspee.or _ 1�t2s{ y21Fr - Ext Other: / Final DO NOT REMOVE th'is Inspection record from the Job site. PASS PART FAIL CITY OF T'IGARD 24-Hour BUILDING Inspection Lina: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BLIP ----_ — Received -- _ Date Reested ��-: —_ AM__—_ —_ PM �' BUP Location _ 37 Suite _ _.__ --_ MEC ----- Contact Person ---- - - --- -._ Ph (._ ._ j ... - -- ------ - - PLM -- Contractor.-- _ -_—T_ _ - - _ Ph (------ - ) -_._ - - ----- SWR __--- BUILDING Tenant/Owner _- _.- -------- -- ---- ---_--- _- _ ELC --- 7 Footing ELC oun ationI Access: Fig Drain ELR Crawl Drain Slab Inspection Notes:— _ SIT -- Post& Beam Shear Anchors --- Ext Sheath/Shear Int Sheath/Shear ---ir 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 tither: -- -Fl9i�b. — 1AS PART FAIL ,- ANICAL Post 8 Beam — Rough-In Gas Line Smoke Dampers --- --- _— —_ Final PASS PARTFAIL_ ------------ — ELECTRICAL_ Service — --— Rough-In --_ — - -- ----- - _— ------- ----- UG/Slab Low Voltage Fire Alarm Final Reinspection tee of$ .__.._ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvr'. PASS PART FAIL SITE Please call for reinspection RE:___._—______._.__�_.___—___ _.. __ L�l Unable to inspect-no a;cess -------1-1 Fire Supply Litre ADA Approach!Sidjwalk Date4gile-3. Inspector _ Eyt Other: Final Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD MASTER PERMIT PERMIT#: MST2002-00056 DEVELOPMENT SERVICES DATE ISSUED: 12/11/02 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 SITE ADDRESS: 13375 SW KINGSTON PL PARCEL: 2S104DA-18600 SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: R-4.5 BLOCK: LOT: 012 JURISDICTION: TIG REMARKS: SF rowhouse,Unit 12, Bldg 1, AS plan BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS RFOUIRED CLASS OF WORK: NEW HEIGHT: FIRST: of BASEMENT: 172 of LEFT: SMOKE DETECTORS: Y TYPE OF USE: SFA FLOOR LOAD, 50 SECOND: 733 of GARAGE: 547 of FRONT: PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: I TMPD 733 of RIGHT: OCCUPANCY GRP: R3 BDRM: 2 BATH: 2 TOTAL VALUE: 161,512 00 IA66 a1 REAP.: PLUMBING SINKS: 1 WAT-E.R CLOSETS: 2 WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 1 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS- TUB/SHOWERS: 2 GARBAGE DISP: I WATER HEATERS: 1 WATER LINES: BCKFLW PREVNTR: GREASE TRAPS. OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: BOILICMP<7HP: VENT FANS: 3 CLOTHES DRYER: I LPG FURN>000K: UNIT HEATERS: HOODS: I OTHER UNITS: MAX INP btu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: I 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: W/SVC OR FDR: PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 3 201 400 amp: 201 - 400 amp 1 at W10 SVC/F DR: SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY. 401 60 amp: 401 000 amp: EAADDL BR CIF SIGNALIPANEL: IN PLANT. MANU HMIS`/C/FDR: 601 1000 amu: 601+ampe•1000V: MINOR LABEL: 7000+amplvolt PLAN REVIEW SECTION Reconnect only: >•4 RES UNITS: SVCIFDR>•225 A.: >800 V NOMINAL: CLS AREAISPC OCC: _ ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 6 STEREO. VACUUM SYSTEM: AUDIO 3 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM. OTLI• BOILER: fIVAC: LANDSCAPENRRIG: PROTECTIVE SIGNL: GARAGE OPENER. CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 5,886.84 BROWNSTONE QUAIL HOLLOW LLC BROWNSTONE HOMES,LLC Thi-permit is al Co to the regulations contained in the 12670 SW 66TH PKWY STE 200 12670 SW 68TH PKWY Tigard Municipal Code,State o OR. 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 work Is suspended for more than 180 days ATTENTION: Oregon law requires you to follow rules adopted by the Phony. 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 R°�N° Lir 124G27 may obtain copies of these rules or direct questions to CLINIC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Slab Insp Plumbing Top Out Exterior Sheathing Inst Smoke Detector Final inspection 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 nsm't Ws Mechanical Insp Shear Wall Insp Water Line Insp Building Final / f Issued B L-tlCi�d��pB Permittee Signature : —A-4A. Call (503) 639-4175 by 7:00 p.m.for an inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2002-00036 13125 SW Hall Blvd., TiEard, OR 97223 (503) 639-Z'71 DATL ISSUED: 12/11/02 SITE ADDRESS; 13375 SW KINGSI ON PL PARCEL: 2S104DA-18600 SUBDIVISION: QUAII Ilul.l MV .ZONING: k-1 BLOCK: LOT: ail-' JURISDICTION: Ilrj TENANT NAME: USA NO: r 1XTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE:: SFA NO. OF BUILDINGS: INSTALL TYPE: L.TPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF rowhcuse. Owner: – --- �-�- BROWNSTONE QUAIL 1-101-1-0FEESU N LLC —'— _— i -- 12670 SW 68TH PKWY STE 200 Description Date Amount PORTLAND, OR 97223 ISWUSAJSwr Connect 12111/02 $0.00 [SWUSA]SwrConnect 12/11/02 $2,300.00 Phone: 503-598-7565 [SWINSP]Swr Inspect 12/11/02 $0.00 Contractor: [SWINSI11 Swr Inspect 12/11/02 $35.00 —� Total $2,335.00 Picone: Reg #: Required Inspections This Applicant agrees to comply with all the rule. and regulations of the Clean Water Services. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located,the installer shall purchase a"Tap and Side Sewer" Perm Issued by^• � tkytitiN -t _r Permittee Signature: Call (503) 639-4175 'jy 7:00 P.M. for i!n inspection needed the next business day `w '�eV _ce7o; Bu ffing Permit Application �/�vr t Tigard ?Datereceived: Permit no.: Addresitys: �l i lg$I�u GOV ED project/appl.no.: F x ' c date: Cit n Ti and Address: 13125 SW Hall Blvd ��-; Y f & Phone: (503) 639-4171 Date issued: y:i Receipt no Fax: (503) 598-1960 l Case file no.: Payment type Land use approval: y IRc2 family:Simple Complex: U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition U Adchlion/alteration/replacemcnt U Tenant improvement U Fire sprinkler/alann U Other: JOB SITE INFORMATION Bldg. no.: Suite no.: Job address: �� u r ^_ ---- Lot; Blrxk_ Subdivision: f l ft. /•/p; , - 'e(, ' Tax map/tax lot/accountno.: Project name: Description and location of work on premises/special conditions: - --- 1 11 1 I I Name: �- • � p�.1 Mailing address: CuJ, n 1 &2 family dwelling: City: _r u x._. State:C R ZIP: Q 7�-�.3 Valuation of work........................................ 4 - Phone - -7Fax: F,•niai1: No.of bedrooms/baths..................... ........... _ -_-- Owner's rc msentativc: ' Total number of floors............. .................. 1'hnnc: r . t'-r I ax:(,- I`, m:li N: New dwelling area(sq. t.) .................... .....Garage/carport area(sq. ft.)...........I............. r r r__ Covered porch area(sq. ft.) ......................... Nance: Q r�tai to 5k� _ Deck arca(sq.ft.) ........................................ Mailing address: Other structure area(s . ft. State 7.11. 4 �-3 _ )......................... City: Q - t_ - Com ner•ciallindustriaUmultl-family: Phone: - Fax: TL-mail: t 1 Valuation of work........................................ $ Existing bldg.area(sq.ft.) .......................... Business -name: rt -I�_ _ New bldg.area(sq.ft.)................................ _ Address: P� r '� Number of stories............................. ... ...... _ State0 Zi TYI a of construction.................................... Phone - Fax:6 mail: Occupancy group(s): Existing: —- CCB no.: �,Z �{ __ — New: - City/nietro lic. no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under _Name: & 6 L,p provisions of ORS 701 and may be required to be licensed in the jurisdiction where work i•. tieing performed.If the applicant is Add-.ss;: � j—- r;�,� V C a e Ee d exempt from licensing,the following reason applies: Cityc.. Stan ZIP: _ ,-- Contact person_ �H ix Plan no.: 1'.-mail Name: Contact peron: jam- Fees due upon application ............... ........... $ AddreV424 Date receiv°d: __--- city: , tate: ZIP: 3 Amount received ......................................... $ _ PhoneFax: E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Na all Jurisectiora soap credit card.,plow call Jurisdiction fat mace mtannuton attached checklist. All provisions of laws and oidinances governing thir U Visa ❑Motercam work will be compliedpyrh4wheth r ed herein cr not. Credit eW 0un'W hex irn p Authorized si re: Na°" d`r"'b0`°0 O0`ter cwd t Print aafne: Crdbotda sltuwe Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 1404613(bra"IM) Plumbing Permit Application ,a Datereceived: Pernutnc.: T City of Tigard Sewer permit no.: — Building permit no.: - Address: 13125 SW Hall Blvd,Tigard,OR 97223 Pro•ecU Luo.: Expire date: City of Tigard Phone: (503)639-4171 aPP -- -- Fax: (50.',)598-1960 Date issued---- By: Receipt no. Case file no.: Payment type Land use approval: _--�.—_— — -- oe ❑ 1 &2 7familywelling or accessory U C'omntercialfindustrial U M,16-family ❑Tenant improvement ❑New cion U Addition/alter.rtiordreplacemcnt U Fa>d service ❑Other: _ _ _ 1 914 JOB e ' e 1 t Descr ption Icc(es.) lots' lob ad tress:j �'� ��_W t c�- ,� y a `e - New l-and 2 ftumlly dwellings only: Bldg.!to.; — §L Re no.: (iududes loon.for each utility connection) Tax map/tax lot/account no.: SFR(1)Willi Block: Subdivlsion: —_ SIT.(2)btth _- Project name: ---� Sflt(3)oaoh City/county: T-.IP:� — Each��itchen Description and location of work on promises:--_ Site _ Catchh basin/ arca drain_ Drywells/leach Iine/trench drain Estdate of completion inspection: Footing drain(m.o.lin ft.) e t Manu[actured home ui:!Mics Business name Manholes ---- _--- -- —._— — �C'ul�un I'lumhiltt Rain drain connector _� _ pO l3ox 2007 Sanitary sewer(ne.lin. ft.) Storm sewer(no.lin. ft.) _ Greshuln OR17030-0594 Wates service(no.'liar.ft.) 503-667-1781i� ,6.�O8Pl; FlxtoreorItem: C't Ii:23817 I,LM — _ - --- Abso '�valves representative tignature: Back flote:n1 name: Backwat CONTACJ PEKSON avatory othes washer — Name_--^— -- shwasher _ _ __-- P.ddress: nkin frnrntain's)City; - Stratc: 7"7 ecio�sump — — Phone: Fax:— E-mail: F.x ion tank Fixttirelsewer cam Floor drainsHloor sinksthuh Name(print): -•----- Garbage dis xosal —_ Mailing address: Nosr Bibb State: TIP: __— Ice.mak'-f — Phan.: — Fax: Email: Inte" era az, e � (hvner installationlresidential maintenance only: The actual installation Prinier(s) — — will be made by me or the maintenan(x and repair made by my regular Roof drain(commercial) r"tpioyce on the property 1 own as per ORS Chapter 447. Sink(s)_basin(s),lays(s) _ Owner's signature:—_-,__ ____ Date: __ Sump f ubs/shower/shower`__ Urinal Name: ---- Water closet Address_---- _-— — Water heater State: �7JP: Other: Fax: 1--rttail: Total — Minimum fee................$ _ No all kvisetictinm wrq„cmbl card.,orm tali iwtaclirs+m for naue Idaamnba Notice:This permit a{q+lic stern - Flan review(at -- 96) $ �_— O Vita U MasterCard expires if a permit is not obtained State surcharge(8%)....$ - Cw&t cid amaaber _--—_---- — within ISO days after it has been accepted as complete TOTAL ............ $ com --- N�cic d aardtwtdea u almw+w arch card s -- Cl —_--- Ad— J51G ItitxYL70Ml i MechaWcalPern dt Application Date received: Pernil no.: City of Tigard Project/appl no.: Expiredate City of Tigard Address: 13!25 SW Hall Blvd,Tigard. OR 97223 -- I'hone: (503) 639A 171 Date issued. By: Receipt no.' Fax: (503) 598-1960 Case file no.: Payment type: Land use apptcival: — — Building pemut no.: — 1PLRMIT U I &2 family dwelling or accessory 1_1 Commercial/industrial ❑Multi-family ❑Tenant improvement U New construction U Add ition/alteration/rcplacerncnt U Other:._ Sh 1 INFORMATION 1MMERCIAL VA.LUATION SCHOULE !ob address:/ S t_U �-� a Inc;icatc equipment quantities in boxes below. Indicate the dollar Bldg.no.: -- Suuc no.: — value of all mechanical materials,equipment,labor,overhead, Tax maphax lot/account no.: profit.Value$ Lot: 12--77--Block Subxlivision. 'See checklist for important application information an,l R,ject name: jurisdiction's fex schedule: for residential pennit fox. City/county:-----T __ 7.11': — ► M t Description and location of work on premises: 11PIWI NQQ= 6AI 1210I Est.date of comple6on/inspection: _- _ pescriptioo Qty. Res.00llRes.only Tenant impmvement or change of use: t Is existing space heated or conditioned?U Yes U No Air handling unit _—CFM_ - Air conditioning(site p an required) Is existing space insulate<77 CI Yes U No �m1 1Q� Iilerkornpressors ., .• State boiler permit no.: Four Seasons Ileating& A/( `;ci i r Iu - HP Tons PO Box 66409 a smoke am duct smoke electors -- wt—pump(site p-Tan requite ) Portland Olt 97290-6409nsialUreplacefurna wrner-- --mo-,'/5-5919 Inclu.iing ductwork/vent liner U Yes U No CCB: 48283 Tristall/rep aceAe ocate eaters-suspended, — wall,of floor mounted Name(please titlt): int Ior a t—iiauce otFa thanfuumace e east CONTACT PERSON Absorption unitsB711M Name: Chillers----------_--� HP Address; ------ -- --- - Com rrssorc___ _ lip --- --`- -" ---- - — a onmea- to ex oast a> vetat -t on: City: State: zip: Applianceveni Phone: Fax: E-mail: ryiT ya xfiaust--- -- -- - �- 1 lT:oTfiypeU�._ _c r tTiaymat -- --- had fire supimssion system N.une: _ Exharst fan with single duct(bath tans) _ Mtuling address: — �— -- -- Ttaust i lieu ait�ro-m �eat.�or A City: --_ —� State:— Zl1_-- —— tle p p up to outlets) _ Type. __ _U'G NG _ Chi Plfone� Fax: E-mail:— Tinclii in eacTia oiticnalovet�ut—leu 1p p �schcmaticmquired) Number A outlets Name: -i Electrical Perinit Application Date received Permit no.: City of Tigard Pmjecl/appl. _ Expire date: ry CinfTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 1Yaic issued _ by R.;e pt no.: Phone: (503) 6394171 - - - Fax: (503) 598-1960 Case file o: Payment type Land use approval: OF PERMIT U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New construction J Addition/alterat ion/repliit:crncI'll U(kher: U Panial II SITE INFORMATION Job address: . Bldg. no.: Suite_no.: Tax map/tax lot/account no.. Lot: _ Block: _ SutA ivision: PrgJcct name:— _ Description and location of work on premises: Estimated dale of coin letionlinspection. -- Job no: IKaI Derr-i (fon Qty. (ea) Total no.lns Shrandinc Electric New rdeetMial•single orinuni-rai,Jlyper D13A LaValley Corporation dwetlingunit.I.eMesanacbedgarne. 6025 Cast 18t1i St bvio" Vancouver WA 98661 1000 sq ft o.less _ 4 360-993-5080 Each additional 500%q It or portio,i thereof Lirtuted anergy,residential 2 CCB:116514 f LC.'i: 34-'132(• SUIV: — �____ Limited energy•non residential 2 Each manufactured home or modulat dwelling Signature of supervising eltettician(required) _ I t,.. - Service and/or feeder_ 2 Sup elect name(print) t I,,.,i,,,.r,t, -- Services orfeeders-installation,1 OWNER - alleraHon or relocation: 2W amps or less 2 Name(print): 201 amps tri 400 amps_ —^- 2 Mailing address: 401 amps to 600 amps _ 2 n01 amps to 1000 amps -F-- City: --- State: ZIP: _ Over 1000 amps or volts 2 Phone: —-- I'ax- L-mail: Rrcc inectonly - l Owner iasu lkinon:'f`te installation is being made on property 1 own Trmporarys".1c sorferden- which is not intended for sale,lease,rent,or exchange according to t.taallallon aMeraliaa,orrrMc>,tion: ORS 447,455,479,670,701. 200 amps of leas _ 2 imps to 4(x)snips 2 Owner's signature: Date: rOUamps 2 Brat h dreaits-new,aheration, or extension per panel: Name: A flee for branch circuits with purchase of Address: _ _ _ service or feeder fee,each branch circuit 2 City: State: ZIP: �— n Fee for branch circuits without pumhasr of service or feeder fee,first branch circum 2 Phone: faX' E-mail: Each additiond branch circuitPLAN REVIEW(Please'dieck all flint j1pp19 ~ --- - - -- INisc.(Servke a feeder not Inc laded): G Scivicr over 225 amps-commercial U Ilealill-care faciluy tach pump or irrigation circle 2 U Service over 320 arnps-rating of I Ret U Hazzin ous location Each sign or outline lighting 2 farlldv dwelling' U Building over 10.(xxl squarr feel four or Signal circuit(%)or a limited energy palel. U Svsl�m over OM vnit.,nominal more residential units in one sttvclurc sherstio.,'Xextension* 2 U Nuilding over l"Ire stories U I-ecders.AIR)amps or more •Ur_scri tion U(k cupant Ioatl liver qt)persons U Manufactured structures or RV park Fach addlOosal YupMiosr over the allowable In nay of tie above: U Fg:es%Aightmfzplan U(Mer Per inspection Submit i sets of plans with any of the above. Investigatirmfee — -- 'lire above are not applicable to temporary construction service. Other - ---�-- Nts all jurisdice.rru wcepx credit cards,plea a call jurisdiction fix mrxe inforn tion Notice:This pemlit application PefTrtll fee.....................$ U Vi,a U MasterCard expires if a permit is not obtained flan rc%-iew (at %) $ Credo card number _ Bores a — within 180 days after it Its%been Stale min harpe --- _ accepted as complete 'I OTA 1, . . amen d ur�likr u shown m e 't end--- - - --� >i ---�Crdbolder si6wture Amount nun AA I S(fit)(K`Obt) 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 #: ME 172002-00056 Date Issued: 12/11/02 Parcel: 2S104DA-18600 Site Address: 13375 SW KINGSTON PL Subdivision: QUAIL HOLLOW - SOUTH Block: Lot: 012 Jurisdiction: TIG Zoning: R-4.5 Remarks: SF rowhouse,Unit 12, 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: 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 X Signature ut�Plumber If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF IOARD 13125 S.11. HALL, BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE DAVID JEROME ELECTRIC PO BOX 751 HILLSBORO, OR 97123 Electrical Signature Form Per nit#: MST2002-00056 Date Ksued: 12/11/02 Parcel: 2S104DA-18600 Site Address: 13375 SW KINGSTON PL Subdivision: QUAIL HOLLOW-SOUTH (dock: Lot: 012 JL1dsdictian: TIG Zoning: R-4.5 Remarks: SF rowhouse,Unit 12, Bldg 1,AS plan `'our company has been Indicated as the elecirleal contractor for the permit indicated above. In order far the f lect-ical permit to be valid, the signature a the supervising electrician is required Please have the oprmri:.te individual from your company sign below and return this Eiectrical Signature Form prior to the E tart of the work to the address above,ATTN. Building Division. t+o electrical Inspections will b@ authorized until thin completed form is received OWNER: ELFCTRICAL CONTRACTOR: BROWNSTONE QUAIL HOLLOW LLC DAVID JEROME ELECTRIC 12670 SW 68TH PKWY STE 200 PO BOX 751 PORTLAND, OR 97223 HILLSINGRO, OR 97123 Phone #: 503-598-7565 hone #: a48-5144 Reg #: 1,1r_ M051 SUP 22775 ELE 34.1190 AN INK SIGNATURE IS REQUIRED ON THIS FORM X; X12 gna ure org-upclvimrig Electrician 1,fau have any question&, please call (503) 635-4171, ext, #31P a�33 Idaa 94'16 ami! 10 M110 TQOCP19COS %Vd OS:ZT IMA M ZZ/TO CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2003-00101 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/12/03 PARCEL: 2S 104DA-18600 SITE ADDRESS- 13375 SW KINGSTON PL SUBDIVISION: �-.UAIL HOLLOW SOUTH ZONING: R 15 BLOCK: LOT: 012 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SFA UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: _ FUEL TYPES 0 - 3 HP: DOMES. INCIN: LPG 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 -50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN >=100K BTU: <= 10000 cfm: OTHER UNITS: t GAS OUTLETS: 1 > 10000 cfm: Remarks: Installation ot'gas firepl:10-and 2 gas outlets. Owner: _ FEES _I BROWNSTONE QUAIL HOLLOW LLC Description Date Amount 12670 SW 68TH PKWY STE 200 —2/ - PORTLAND, OR 97223 IMf{('ll1 11C111111 I or 3/12/03 $72.50 ("I'/ X1 8 Statc I:i\ 3/12/03 $5.80 Phone: 503-599-7565 __ _ Total_ $78.30_ Contractor: THERMAL FLO 14865 SW 74TH AVE.#190 TIGARD. OR 97224 REQUIRED INSPECTIONS Phone: 503-070-8383 Gas Line Insp 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 1Jlility 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 OUNC by calling (503)246-6699. / // Issued By: ( _�_ :� Ii _r .YJ-., Permittee Signature: _— Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Application ' ' Received Mechanical mte/B : IY PermitNo.: CitCit of Tigard aP(I Planning Approval Building y Date/B _ Permit No.:��>;RGc".it 13125 SW Ifall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review land Use Date/fInternet: www.ci.tigard.or.us Contacard.or.us Contac Case No Contact Juris. lice Pagr 2 for 24-hour Inspection Request 503-639-4175 Name/Meth al tSupplemental Information. TYPE OF WORK COMMERCIAL FEE*-SCHEDULE USE CHECKLIST New construction Demolition Mechanical permit fees*are based on the total value of the work ❑ Addition/alteration/replacement Other: perfonned. Indicate the value(rounded to the nearest dollar)of all CATEGORY OF CONSTRUCTION mechanical materials,equipment,labor,overhead and profit. 1 &2-Tamil dwelling Commercial/Industrial value: S See Page 2 for Fee Schedule Y- _ —�- Accessory Buildir. Multi-Family RESIDENTIAL EQUIPMENT/SYSTEMS FEE*SCHEDULE -- Master Builder _ Other: -_ Description Qty Fee ea. _ Total _ _ Ifeati"WC'ooling_ JOB SITE INFORMATION and,LOOCANN�TI Furnace-add-.on air conditioning" 14.00 Job site address: /_ l - ," rf� „� ;_Jp, ,- Gas heat pump - _ 14.00 Suite#: I Bld ./At,#;l Duct work _ 14.00 Project Name: H dronic hot waters stem_ _ 14,00 - -- Residential boiler Cross stiret/Direclions to job site: for radiator or h dronic 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:-----'---- _ Lot#: fair units i2.15 — Other Fuel Appliances Tax map/parcel #: Water heater 10.00 DESCRIPTION OF WORK Gas fireplace _ 10.00 Flue vent(water heater/ges fireplace) 10.00 Log lighter as 10.00 ---- - - --- -- Wood/Pellet stove 10.00 -- _—_ --_ Wood fire lace/insert 10.00 Chimney/]iner/flue/vent 10.00 PROP.RTY OWNER 1EITENANT Other: 10.00 _ ��py�� Environmental Exhaust&Ventllatton Name: bmj) r� Mange hood/other kitchen equipment 10.00 Address: (2�v)`n fit)to Ae( 15 U v — Cit /State/Zi y Clothes dryer exhaust 10.00 _ i r- � 5 - - Single duct exhaust Phtane: 5�1 Tax: (bathrooms,toilet compartments, =APPLICANT _ _LJ CONTACT PERSON utility rooms)_____ Name: Attic/crawl space fans Other: Address: -"- Filet 11 - Cit _'•05.40 for first 4,S1.00 cacti additional Phone: rax: Furnace,etc. •• Gas heat pump ___ •• E-mail: _ _ Wall/suspended/unit h_cater •• CONTRACTOR Water heater •• Business Name: - "ij „� Fireplace ___ _ '• C �,t.- �Ct) 7(F [ Ran a •• _Address: _ �- _ T" _ _ — -- CBq ity/State/Zip: I T6/W " 72`� Clothes d cr(_R2 ' •► Phone: A 3 Fax: 7a q � Other: __ •• _ CCB Lic. #_ _ _� Total: — Mechanical Permlt Ft eN Authorized Signature: _ _9A Date: IL — _ Subtotal: Minimum Permit Fee Si2.50 S 'I Plan Review Fee(25%of Permit Fee) S (Please print name) State Surcharge 8%of Permit Fee _TOTAL.PERMIT FEE S Notice: This permit rpplication expires If a pr-mit is not ohtalned within 'Fee methodolop�set by Tri-County Building Industry Service Board. Igo days after It has been accepted as com;.lete. —Site plan required for exterior A/C units. i V)sts\i,c nii IonnsUlecPcrmitAr•p.doc 0,103 CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: EI_R2003-00079 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639-4171 DATE ISSUED: 3/11/03 SITE ADDRESS: 13375 SW KINGSTON PL PARCEL: 2S104DA-18800 SUBDIVISION:QUAIL HOLLOW - SOUTH ZONING: R-4.5 BLOCK: LOT: 012 JURISDICTION: TIG Proiect Description: Voice/video: 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 WILSONVILLF, OR 97070 Phone: 503-598-7565 Phone: 503-639-0110 Reg#: ELE 36-94CLEs SUP 2312LEA FIC 145928 FEES Required Inspections — Description Date Amount Low Voltage Inspection �I-1I41M"I I f?LR Pcrmii 3/11/03 $75.00 Flecl'I Final I'AN 1 8°„state Tax 3/11/03 $6.00 Total $81.00 - J This Permit is issued subject to the regulations contained in the Tigari Municipal Code, State of OR. Specialty Codes and all other appli,? sic 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 reqs. res you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc Issued by e[_ L-t' ��_ Permittee Signature ` J 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 NO: —,__—�—_ _— — --- ---- -------- Call 639-4175 by 7:00 P.M. for an Inspection needed the next business day Electrical Permit Application �Datereceived: ", i -03 Fcrmitnu. 2.^.�UU3-l�0 City of Tigard Project/appt.no.: Expire date: ('try c./I iKard Address: 13125 SW Hall Blvd,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 I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement New construction U Addition/alteration/replacell will U Other: U Partial INFORMATION Job address: 375- 5.,-) be WiWz4v PL lHI no.: I Suite no.: Tax map/tax lot/account no.: Lot: /7j, Block: Subdivision:C;kvjt(_ 5 Ot0 m - Project name:0 u At t- Sea•i,a Description and location of work on premises: �yi Cr I r)rz' __ Estimated date of completion/inspection: 1011"VAN UJILVIAiIIIIIIIIIJILWA 1 l Fee Max Job no: 1)escriptiun Qty. Ira) lural un.iosp business name: 112_ir1AuTt4 Ot,vt,ntUoJk'Ail Nertresldentlal-singieormuItI fit nil lyper -- Address: A-rms� Iv�'t Ll L Q ZIP: )(, SerYtrrbtcluded: Phone: p 5` 0x(0 Fax:jps Email: 1000sq fl.or less 4 -,-- Each additional ss sq.ft.or onion thereof CCB no.: I H5 Elec.bus.lic.no: G. a C� Limited energy,residential t 2 City/m tm lic.no.: �Q(� S Limited energy,non-resident•at 4_ 2 r G Each manufactured home or nodular dwerimg [)ate Service and/or feeder 2 Signature of su ervismg ale cion(required) Servlcaorfeeders-Instal lauan, Sup rlecLname 1prinu �6;� t CLS -C License CC alteration or relocation: 200 amps or less _ 2 201 amps to 400 amps__ 2 Name(print _): 1.�;C ;�)Ll S J 1��I - -- - — 401 amps to 600 amps — Mailing address _ _ _— 601 amps to 1000 amps City: -- Slate: ZIP: over 1000 amps or volts — 2 Phone; I'ax: Email: Reconnect only -Temponry services or feeders- Owner installation:The installation is being made on property 1 own Installation,alteration,or relocation: which is not intended for sale,least:,rent,or exchange according to 200 amps or less _ 2 ORS 447,455,474,6/0,701. 201 amps to 400 amps _ hvnr,r's signature. Date: 401 to 600 nm s - Branch circuits-nese,alteration, nr extension per panel: Name: _ _ _ �._ A Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit ' City: - Itil;ur: ZIP: _ B Feeforbranchcircuitswithoutpurchase _of service or feeder fee,first branch circuit: '- Phone -- l ;t" rl 'tt'ttI fiochadditionolbranchcircuit Misc.(Service or feeder not Included): Fach pump or irrigation circle 2 IL Service over 22S amp%conunercrai J I icalth-care facility Each sign or outline lighting 2 Service over 320 amps-rating of IRe2 U Hazardous location Signal circuit(s)or a limited energy panel. fomllydwellings UBuildingoverlo,000sgraref:etfouror g gY1 Systemover600volts nominal more residential units in onestructurc allerstion,orestension• 1_ 2— U Building river three stories U Feeders,4t)n amps or mt.. '1 ks n w-n -- U occupant load over 99 person% U Manufactured structures ni RV park Each additional Inspection over the ellowrble In any of the abuse.Egress/lighting plan Uother: _- -- Permspectior_ Submit_sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. other --- - Permit fee..................... Not all jutlidictions accept credit cards,please call jurisdiction for more inGmnaticai Notice:This application plan review(at %) $ U Visa O MasterCard expires if a permitrmit is not obtained ____State surcharge(8%) ....$ _ __L,L._ within 190 days after it has been ----- Credit cud number accepted Expires a.+complete. 'TOTAL. .......................$ - _ a of cu o der u shown on credh cud S Cardholdet signature-- -_-_. -.- Amounr W-461!1 AKI rCU% i