13100 SW RAPTOR PLACE �.1
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13100 SW Raptor Place
�a ������ _ V MASTER PERMIT
CITY w
(�-s) PERMIT#: MST2001-00161
DEVELOPMENT SERVICES DAZE ISSUED: 7/19!01
13125 SW Mall Blvd., Tigard, OR 9722.3 (503) 639-4171
SITE ADDRESS: 13100 SW RAPTOR PL rARCEL 2S10.1DA-06800
SUBDIVISION: QUAIL HCLLOW -WEST ZONING. R-4.5
BLOCK: LOT:054 :URISDICTION: TIG
REMARKS: New SF detached rowhouse in Building#4. Setbacks as per Sheet Al 010
Plan D-S3
BUILDING _
REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 31 FIRST: 173 of BASEMENT: of LEFT: SMOKE DETECTORS: Y
TYPE OF USL. 3F Fl OOR LOAD: 50 SECOND: 735 of GARAGE: 5/7 of FRONT: PARKING SPACES:
TYPE OF CONST. 5N DWELLING UNITS: 1 FINBSMENT: 561 of RIGHT:
VALUE. S 140.209.00
OCCUPANCY GRP: R3 BDRM: 3 BATH: 2 TOTAL: 1,475.00 of REAR:
PLUMBING
SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: V,0 TRAPS:
LAVATORIES: 4 r4SHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: CATCH BASINS:
TUBISHOWERS• 2 JARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES: 1
MECHANICAL
FUEL TYPES _ FURN<100K: 1 BOIL/CMP AHP: VENT FANS: 3 CLOTHES DRYER: 1
GAS FURN>•100K: UNIT HEATEPS HUOnS: OTHER UNITS: I
MAX INP btu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: 1
_ ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 Sr OR LESS: 1 0 200 amp: 0 2D0 amp: W/SVC OR FOR: 2 PUMPIIRRIGATION: PER INSPECTION:
EA ADO'L 500SF: 3 201 •400 amp: 201 400 amp: tel W/O SVC/FDR: 00 SIGN/OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL BR CIA: 1 SIGNALIPANEL: IN PLANT:
MANU HM/SVCIFDR: 601 • 1000 amp: 6Ut+ampe 1000v: MWOR LABEL:
1000+amplvolt
PLAN REVIEW SECTION
Reconnect only:
>•4 RES UNITS: w BVCIFDR»225 A.: >800 V NOMINAL: CLS AREA/SPC OCC.
ELECTRICAL•RESTRICTED ENERGY _
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT
BURGLAR ALARM: OTH: ALL ENCOMB BOILER: MVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL#SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 5,691.92
This permit is subject to the regulations contained in the
BROWNSTONE HOMES BROWNSTONE HOMES, LLC Tigard Municipal Code,State of OR. Specialty Codes and
12670 SW 68TH PKWY#200 12670 SW 68TH PKWY all other opplicuble laws All work will be done in
PORTLAND,OR 97223 PORTLAND,OR 97223 accordmice with approved plans. This permit will expire if
work is not started within 180 days of issuanoe,or if the
work is suspended for more than 180 days ATI ENTION:
Phone: Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Reg#: LIC 124627 forth in OAR 952-001-0010 through 952-001-0080 You
may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Erosion Control Insp 8, Underfloor nsulatian Electrical Service Low Voltage Firewall Insp ppr/Sdwlk Insp
Sewer Inspection Pim/undslab Insp Electrical Rough In Gas Line Insp Rain drain Ins Iectrical Final
Footing Insp PLM/Underfloor Framing Insp Gas Fireplace R ailing echanical Final
Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp I L e Ins lumb Final
Slab Insp Plumb Top Out Exterior Sheathing Insl Gyp Board Insp Water S ice sp final inspection
Issued By : e� Permitfee Signature
Call (503) 639-4175 by 7:00 p.m. for an inspection needed then t bush ss day
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2001-00103
13125 SW Hall Blvd.,Tigan', uR 97223 X503) G39-4171
DATE ISSUED: 7/19ic I
PARCEL: 2S1 U4DA-06800
SITE ADDRESS; 13100 SW RAPTOR PL.
SUBDIVISION: QUAIL HOLLOW-WEST ZONING: R-4.5
BLOCK: _ LOT: 054 JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO, OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection for new SF detached ro%rhouse
Owner: F- FEES
BROWNSTONE HOMES
12670 SW 68TH PKWY#200 Type By Date Amount Receipt
-
PORTLAND, OR 97223 PRMT CTR 7/19/01 $2,300.00 27200100000
INSP CTR 7/19/01 $35.00 27200100000
Phone: 503-598-7565 Total $2,335.00
Contractor:
Phone:
Reg #:
Required Inspections
This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The rrnit expires
180 days from the date issued. The total amount paid will be forfeited if the permit expires. Th nc does not
guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurem nt en the installer
shall prospect 3 feet in all directions from the distance given. If not so located, the installer sha I p r ha e a"Tap and
Side Sewer" Permit and the Agency will install a lateral. ATTENTION Oregon law req o t f I rules adopted
by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0 10 thr u h 52-001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 46-x198
Issued by: J_ T-0-721 _ 6� Permittee Signature:
Call (503) 63;6175 by 7:00 P.M. for an inspertion needed the next business day
Building Permit Application
City of Tigard Daterec:eivedaI I'crmitnoyf-�
C! Ti Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: Expire date:
rY of Tigard Phone: (503) 639-4171 Dateissued: B
_ Y� cceipt no.:
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: _ 1&2 family:Simple Complex:
TWE OF PERMIT
EdIl &2 family dwelling or accessory U Commercial/industrial U Multi-family 41 New construction U Demolition
U Addition/alterationImplacement U Tenant improvement U fire sprinkler/alarm U Other:
ItNFORWIATION
]ob address: Suite no.:
LoL Block: Subdivision: MIL pz 1 Im.0 OC-'W, Tax map/tax lot/account no.:
Project name: Q0AI!_ 14c)IIt W
Description and location of work on premises/special conditions:- Qlst23_�10USC
Name:
Mailing address: 10b(o?0 yw Lf3t�b P"A.0 11 Qpp 1 &2 family dwelling:
City: State:tr- ZIP: 7- 'A Valuation of work......................... C�r
['hone: P,751,5 Fax: 8 Soft ) E-mail: — No.of bedrooms/baths............ !
----�- - —
Owner's representative: IbM btgnc'S Total number of floors
Phone: 7J_-7)57?9 Fax:5_M 5'19'f.- 113--mail: New dwelling area(sq. ft.) .....1.1 .Q-(:%
--------- ---
U Li
Garage/carport area(sq. ft.)...... .........
Name: F_ 4e Covered porch area(sq.ft.) ....... ............. _ —
Mailing address: Deck area(s ft.) I
q. .................
_Cit _ Other structure area(sc ft.
Y� _ State: ZIP: 1 ).........................
Phone: — — Fax f:-mail: CommerciaUindustrial/rnulN-family:
CONTRACt011i Valuation of work........ _.......... .................. $
Business name: 56ML-A`l A Existing bldg.area(s(l it.) ..........................
Address: New bldg.area(sq.ft.) . ..............................
City: State: ZIP: Number of stories........................................ - —
Phone: Far.: E-mail: Type of construction....................................
—�— Occupancy CCB no.: g rou
P(s): Existing:
City/metro lic.no. New:
Notice:All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
Namc• tQ4 C1 A d provisions of ORS 701 and maybe required to be licensed in the
Addrms: t J: fo50 ---- jurisdiction where work is being performed. If the applicant is
city: State:WA ZIP: fp 1 exempt from licensing,the following reason applies:
Contact person: p6kjW Plan no.: _-
Phone:�b- ro Fax:' 4 E-mail:
Nam7e.- ,bEr.,lW. Contact rson:
— Pe t6N Wtlh Fees due upcm application ........................... $Addr �w, Ai��SUS Date received:City: _ StatcD(- ZIP: Amount received
.......................................... $
Phone: -1 e 33 Fax: E-mail: _ Please refer to fee schedule.
I hereby certify 1 have read and examined this application and the No all)uriadictiom wceM�t cards,pkau call Jurisdiction Im more imam adon.
attached checklist. All provisions of la s and ordinances governing this U visa U MasterCard
work will be complie +ttTl,whe ified herein or not. ( Credit card nemner
t , � F.�ircr
Authorized signature: Date: C None or cardholder u drown on credit card
Print name:s �A tZ
Cwdhatder sipwure Amount
Notice:This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. 440-4619( rCOM)
Mechanical Permit Application
�— Date received: 1'ertnitno.•
City of Tigard Project/appl.no.: Expire date:
city toJTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.
Phone: (501) 639-4171 —
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: Building permit no.:
ilk&2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement
OdNew construction U Addition/alteration/replacement U Other:,
el t t
Job address: ` 2 r� �� /'<=. Indicate equipment quantities in boxes below.Indicate the dollar
Bldg.no.: i i Suite no.: _ value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.: — profit.Value$ �� `
Lot: / Block: Subdivision: Arl oau *See checklist for important application information and
Project name: DA\ Ejp 0 '_T(4wpooAE- - jurisdiction's fee Schedule for residential permit fee..
22 '
City/county: 1C=1A't.0 1-1 ZIP: _ UQUI
Description and location o work on premises: 20 1 t ► t t
lrtl[ym.) 1[Nal
Est.date of completion/inspection: Ikwc7i Irm11 Qt Res.only Resonly
Tenant improvement or change of use: Air handling unit CFM
Is existing space heated or conditioned?U Yes U No w
"Air conditioning «�
g(site plan required)
�
Is existing space insulated?U Yes U No Alteration o##existing IWAC system
of er compressors
State boiler permit no.:
Business name: {oUrt ��E�yt �, k't%PI11 1 t C�tHP Tons BTU/H
Address: to(o . it smoke ampers/ uct smoke etectors
City: cv-i �J statet�r tr 2-To--7 ZIP.c(7cat pump(site plan required) _
rata rep ace urnac urner i
Phone: -?It _�j Fax: 7?$ 1141 E-mail: Including ductwork/vent liner U Yes U No _
CCB no.: 4 S 2b5nsta rep ac relocateheaters- - uspen ,
City/metro tic.no.: 0 1 t72 wall,or floor mounted _
Name(please print): I<'t M f } � ver ora plianccother than furnace
1 e crap on: �
Absorption units __ BTU/H
Name: I V1�11( Chillers—� HP _
Com ressors HP
Address: _- _ nr ronmenU ex ustaan ant ton:
City: Stale: ZIP: Appliance vent
Phone: Fax: E-mail: jryerex aunt I
t s, ype res. tc a azmat
hood fire suppression system — —
Narne: 1�tAA cf— _ �� �G,-___ Exhaust fan with single duct(bath fans)
ailing_address:
MExhaust system a art from heati-;nj or
State: ZIP: oe piping a distribution(up to outlets)
City:_ _ Typpe�� LfG NO X-- Oil _
Phone: Fax: E-mail: vT iiia,each additional
over out ets
rncrss piping(sc ematic requited)
Number of outlets
Name: S.A MOther listed appliance or equpment:
Address: Decorative fireplace
City: State: ZIP: nsert-ty
Phone: Fax: E-mail: Woodstove/pellet stove _
Other:
Applicant's signature: -_` Date:
Name (print):
Not all+urldicaon,weeo ctetar cards,please call jurisdiction tar mare intbtnurtion Permit fee.....................$
Notice:This permit application Minimum fee......... $
U Visa U MasterCard expires if a permit is not obtained
Credit cab number:._ --1..—.-1—... Plan ICVICW(af � $
Fxp+,�, within 180 days after it has been State surcharge(8%) $
NY1t of -u na apart
ad — s accepted as complete.
TOTAL .......................$
Cmdhul41 it j;I' r run —� Amount 1.101617(6MOCOM)
rur a�
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
TOTAL VALUATION: FEE_: _ Description: Price Total
$1.00 to$5,000-00 Minimum fee$72.50 Table 1A Mechanical Code ` Qty---(Ea) Amt__
5,001.00 to$10,000.00 :72.50 for the first$5,000.00 and 1) Furnace to 100,000 BTU
$1.52 for each additional$100.00 or Including ducts 8 vents 14.00
fraction thereof,to And Including 2) Fumace 100,000 BTU+
_
$10,000.00. Including ducts 8 vents 1740
$10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace
$1.54 fol each additional$100.00 or Includin vent 14.00 -
fraction thereof,to and Including 4) Suspended heater,wall heater
$2`5X0.00. or floor mounted heater_ 14.00
$25,001.00 to$50,000.00 $379.50 for the first$25,000 00 and 5) Vent not Included in appliance permit
$1.45 for each additional$11'0.00 or 6.80
fraction thereof,to and including 6) Repair units
$50,000.00. 12.15
$50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler Heat Alr
$1.20 for each additional$100.00 or For Items 7-11,soe or Pump Cond
fraction thereof. footnotes below._ Com • _"
7)<3HP;absorb unit
ASSUMED VALUATIONS PER APPLIANCE: to 100K BTU _ 14.00
Value Total 8)3-15 HP;absorb
Description: Q Ea Amount unit 100k toBTU 25.80
-�- 9)15-30 HP;;absorb
Fumace to 100,000 BTU,Including 955 unit.5.1 mil BTU 35.00
ducts 8 vents 10)30-50 HP;absorb
Fumace>100,000 BTU including 1,170 unit 1-1.75 mil BTU 52.20 _
ducts 8 vents 11)>50HP:absorb
Floor fumace Including vent _ 955 unit>1.75 mil BTU 87.20
Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM
floor mounted heater 10.00
Vent not Included in appliennce' 445 13)A'r handling unit 10,000 CFM+
permit
17.20
Repair units 805 14)Non-portable evaporate cooler
<3 hp;absorb.unit, 955 1000
to 100k BTU 15)Vent fan connected to a single duct
3-15 hp;absorb.unit, 1,700 6.80
101k to 500k BTU
15-30 hp;absorb.unit.501k to 1 2,310 16)Ventilation system not Included In
mil.BTU appliance permit 10.00
30.50 hp;absorb.unit, 3,400 17)Hood served by mechanical exhaust
10.00
1-1.75 mll.BTU
>50 hp;absorb.unit, 5,725 s 18)Domestic incinerators
17.40
>1.75 mil.BTU 19)Commercial or Industrial type incinerator
Air handling unit to 10,000 cfm _ 656 e9.95
AR handlin unit>10,000 cfm _1,170 20)Other units,Including wood stoves
Non-portable evaporate cooler _ 656 _ 1000
Vent fan connected to a single duct 446 21)Gas piping one to four outlets
Vent system not Included in 656 5.40
appliance mrilt _ 22)More than 4-per outlet(each)
Hood served by mechanical exhaust 658 _ 1,00
Domestic Incinerator 1 170 Minimum Permit Fee$72.50 SUBTOTAL:
Commercial or Industrial Incinerator 4.590
Other Including wood stoves, 656 - 0%State Surcharge
Gas piping 1.4 outlets_ _ 380
Each additional outlet 83 _ - -ygy.pian Review Fee(of subtotal)
_ Required for ALL commercial permits only
TOTAL COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE:
VALUATION:
Olhllr Insutctions and Faes:
1. Inspections outside of normal business hours(minimi charge-two flours)
$72 50 per hour
2. Inspections for which no fee Is specifically indicated (minimum charge-half horns
$72,50 per hour
3 Additbnal plan review required by charges.additions or revisinna to plans(rrvr,mnim
charge-one-half hour)$72 50 per hour
'St-,e Contractor Boller Certification required for units>2001k BTU.
**Residential A/C rtqulros aIle plan showing placement of unit.
1:ldsteVomatIrrtech-fees.doc 10/11/00
Electrical permit Application
City of Tigard
�i�pi't.�.. EapMed•te:
r"d71N+r Addttea: 13125 9W Hall 191v0l,1'laard.OR 91221 l
teaatled:
i1IKM: (501)639-4171 Desy: R�oebeeo
Pax (503)59&1960 t sat r,1.t►o.: Paymem IY
Land use approval: _
}A 3 family dwelliah or&0'eJnwy U Comtnvrcialrndustrtai U Multi-family U Tenanttvw
impment
New conuumbon U A(ld tloNahrr&tj(W Gp)a wwrlt U C�hcr: .- . U Partial
EM M111M
doh / e Brno. 9uig no. lar rn r lor/�uat so.:
I�x: Block; Subdiviaipp: u�t L He Iluw w � .•.•.•`" `�
"ere nalnr UUM/ hoe I I0tA3J ],d�cct ton alsd iaatmn oP woh on miler New ew%1wwrlw
Estimated(late d cw e6on/Ina ter n:
Jeri so t•.
- Elsa�.bete.lk�.ne: ry Il.t•nwtaoI•Qnbtlnlo�so�in�reit•�ws
oso wn eawlT�«iA�w�
hre
rte•
--
od
s' y
DUSIMMItiamt Iwgwe.bAMdw AAfisaw
City: Va ncouv 98661
Row9 9 3- 0 r : r rWl: a
6
CI Ateus Ur,M.: 14-932
- -••. �tw"nn�' t�a.�u �� �s_
LIA,urewq��,�ncrn,�rr,.eklltNto!
merwtecrt'+ted hc+mr w nridil•r Eweolllaa �•
•reaprvatne �.,tiipv ,l�""` o.r _ _ — S.niawyo►t..ev 1
soon.•sae Y• !"me m r t�na' iihiMa --
awfueHla or 101"1•w: of
G
Nnme -- -RI jugg b400 _ 1 _
M+1JIWa ardilhasi I P Ck
inreso entre 7
K_1RNA 31rke'Ll"' up 0, aro n
tMp r
f'ftOM + � ut: b F.tnui: aaa
O%"fw tgawllMfiM 7 ttutallatlOft a inp mala on p*r+petty own
which Is eta Inter:ed for isle.I M ruchdtrl�a mxordIng to so 4w sk
()RS
"7,455,4179.r1 I w%pjwWas
e� ;
Ownda ei D.,
Ne.rrw,
or•at•aMw 1R a+oKU
Now _.. _ A. Fue toe btwN trrmits wrtS pamhlw et
Ad*w: _ an Vic!.!!Iwd« •w-h brach ereun
Ci --- r Sus T.]F 7 Wa rot br•nrh dre• wih wt —
E nt eer�tw or%or toe nm t-wh ayrwlc t
w w a•t
Q�atrte•trral?�J rep►tw�taMrolM 0 11•ee'1►+•r•heYh� y_t�a i cock 3
0 tke+iee o+wl7O rgMt«itt f sf 1 Ri D Natndou,toaMbn a evmnr1
full dtwo O MCI"over IOIOMkr%Vt AW Ia In
Mn e set(s)ate IM�
swy
D/yma&-wt GM rdn wefflow "M rMlaean•I 01143+n(ww InK411e a1t•tsston,u as urrl•ns 3
U 1WW's erw#dly ON"" O"awkn 40 segs w mora e
D 0MIP"ww ww"ps"UM ❑Ma mhmrrd mroM M a N v pelt, tM - �pg�s�ewa""o
U%MWA&Woy par O rAwr _•— .'^ esistwii crepe writ•�.rw r e M•\�t e/ Mr
Iteeaet_.,..•ta of galea t,11r my Ord*aA.r.. -
ISO Nish we tees le&to as 06ft eel d"w.+a. oft _
t•« ..�ae+r mow.ow»a�l•�sw bt.�,.w+.n,e... Nods,-This pe mh 4"lie.tiau Pond►fee.», ..........
DMI• 12Mawcard •apirer Ira t H not t,builae Plus"At"(10 _
east aid.sleet-. — _. .� (_ wlhla 110 dayt Afw k ha boot St><te rutshee�e(!9ti)... S 0
aoeepladac(noow, TOTAL ..........._....„,..t
•16UI!(MeaR'0�1
I&Tf1 39Vd Dldl7313 34I-1Wd3&S ZEOGUE09L 6C :LT TGIF
Mar-06-01 03 :05P Wulcott Plumbin47 503 667 9891 P . 01
0-Vo16/01 ruR 14 41 W'Ax 50:1 508 1960
CITY (1F' TI CARi;
lei
Plumbing Permit Application
City of Tigard n°te rrccty� Penmt
Addrrns: 13121 SW Hall Blvd,Ticar 1,OR 97223 Sewn permit no. W+tlaintpermit no.
vvJ'fieard I'ltone: (501)0539.4171
RultxVapsLna li+cputdtte:
Fax: (50.1)39R-1960 D�trle�ued
By. ;Rtceipuru
Ltutdiseapproval: Lrscrile nu Payment type —_
U 1 $2 family dwelling ur acce4+txy Umrrn
Co ,reial/trldualn+l U.Mu'6damrl
(�New c(soltrut:uon U Additir n/aiteranndreplacetnent U Frog ecrvice, L3 0dwrTenant improvement
lob address: /jLLv Dm
t� teno.;4 1\en I aodz tarrl(yldpellLi io Fee(ea. Tota!
TRA map/tax IOUaccOUut 110 �� llfckatrV 100 It Gxear-6r utility tunn"d")
Block' SuMllnalon: SFIt(1)bath
Pro�ect tlatnc; --"'�—
cityimun7--
aithtkiiohen
Description and location of work on pr mJses. `— _ 91batWlleat -
___ Catch bruin/arta drun
Est,data of erten letloNins ruin ISardtary
ywc tear, tae tienc
�n dram no n, ,
busincasname: l+v)O Co v�M imulfactu omeuttliuea
n v cs
Rain Taut connectnr
dsewer(no, io
P11rne 3o3-i47 i7 ( Far 4irl-9Mf 1 E marl: ..yL.ft-a++Y toren ae,�cr no. in.7t'—"
CCB no. 2 J 14 Plumb,boa.Wg o0 2!.-2 o d pp Water sarvice
f Citynnetro lic no.: -- FUWe or NeOtI
Cuatraclor's repr(-emadvc :xaaature:r Aburapdioa valve
Prwt nwnr �c•. .,i e� ""`e "�� ac ok t1 w nveptet
Usickwater va ve
gain avat7l—t"-��=
Name othCs wlaw
Addien- is was er
City; nLvn(e)
Fat JeCtDMinj
Phone T-1LD- an k
tu sewer c�a
F7oNae(Print): +r oor a
Mkdesto a du
_
- ---1
'-
C'ry• --- State :IP: ose b+bb
---�._ ce m Cr
Pbutle. fnx: Email ,truce forfjrexse
Ower) m5talluhurvres+dtnunl maintename only; Tht actual installation 1'rme► ; ----------++
will be irtade 1-y rite or the maintenance and tepairrnade I+y my regular no rull Commercial) --
employee on the p vperiy 1 uwa as 1xr URS Chapter 141 IriT(s),btutn(a!, a -
Owner's sl nature.
- -- -- pKe' ump
WIVIu W31nwer ower pan
Mune: l'nn-a
I- att.r aver "-"
Ptwne: ___ 1''ta E•nttt;l, �_
Total
W MI jWxdcgam WW—:114 Mrd+,rMare tall iuriruear r«mare in on+urllM 1t'llnImllm rcc...
N
U Ylrs OMrt+M ere NwIX nil permit apptttalon - _
Plan review(at
e:pirp it r rermit is nut obtained
cRu evd a°w►" __— -�-��— within 180 days ager it has batn Cyte:urchatgc 18%) E
V.ra a im +i+nr::�a ae rh eau rcapted ria complete TOTAL ...................S
_� •.'-iWb r dtnuun �ApuorM
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Mar-06-01 03:05P Wolcott Plumbing 503 667 9891 P.U2
03.,,06/01 ill 14 4-11 KAX 503 598 1960 CITY OF 'c1CARD X 003
PLUMBING PERMIT FEES:
l•---- -�-
PRI O� TdTAL New S and 24MmIly dWaMlnps only:
FI`,TURti3 (Mdlvrduei�__, �1 ` QT ` ea r AMOUNT, (Irlcludas all istumb;np'(I,Mtwes In MftIGE TOTAL
10.61 the dwelltnd and the f1rIl11P�, QT'y 1lgl' AMOUNT.
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LwMory ry te.e) �1 bia I 49.20
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ub of i0
18.6) T�rea t3)bath —-- f399 00 _
Shawar Only _ _ �-
-841 Clad 1 S = �OTOTAL
-r•1�-- 10. 6% AT1�uFtC11AROF.
t1rn
Qu o�ner l0 C 1 PLAN FtEVI/1N Ze'/.OF IU�a _
Garbage Dlspol4l
la-�ndry�Fray 10 f D
ash np MaWns, I r
FluaCktli PLEASE COMPLETE'
4. 16.10 - --
tet M 4usn i hvW Pamir onned. _4
Water M•atar 0 wmero nn ult•s+na I �� Fixture iype�. '^� New Mow,e� Rep aid Remdvedf
Gas piping requites I soparyts mer:hanical I Cap d
eerr+a. M,0—�- - Sink _
MFG Homo Now�rvice - Laval
Mht)Horne New San/starm 'aunt �'G u or LWShuwer
NOte d tr• is 1,0 Combination ____�___ _• _
Rool D'a!n4 te,1 0 ho-r rnl
willar Closet
DMII FOJnlarn I UlI
O a Pla!uia6lrPeclry) 16.110 Iehwa�fher _
-- Loundry Room Iffy
Washrn Ma ne _
loor rtinf
9swu•1u. t��_ br!l0 G Y
A s 10 4 --
Sower-Iae additiLiaf loo' Wallis heater ----..
Vidor 3afveo.is, 5 -
Other r.wres
Wi tx 5erv:ce•earh and tmoiI 46 10 $
tam 6 Rim Drain• '�t 100'
Storm 6 Rain fair•eai
h adrlll onel 100'
•6.10
Canitterci BacA FIOwtew�lbn OW • - - -�
Ftes10•m'rt)ipc c}Icw ventbn wKa' 21 46
L;etCh Batin� - 16 60
Inepectiun of Exist lnq PNmbinq or Specomy T2 50
COMMENTS REGARPINt3 ABOVE.
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i REVISION
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FILE COPY
APPROVED
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 635. 75 Business Line: 639-41' MST
BLIP Date Requested_ AM PM _ BLD
Location_ h/C, c' L - ._ Suite MEC ---- —
Contact Berson r Ph C — PLM _
Contractor _ Ph �,� — S7,. d i�. SWR.47
BUILDING Tenant/Owner ELC _
Retaining Wall ELR
Footing Access: - --
Foundation FPS
Ftg Drain -
Crawl Drain Inspection Notes: SGN
Slab --
Post&Beam ---- SIT _
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation -- ------ __._ _
Drywall Nailing Firewall -- -- -
Fire Sprinkler
Fire Alarm - --' --
Susp'd Ceiling
Roof -
Misc:
Final --
PASS PART FAIL
PLUMBING
Post& Beam __—
Under Slab
Top Out - -- ---- _-- _ - �---
Watpr Service /
Sanitary Sewer
Rain Drains /
Final - -- \
PASS PART FAIL
MECHANICAL -
Post& Beam ----_,. -_ -
Rough In
Gas Line ---------- _-.----_._.__
Smoke Dampers
Final
f RT FAIL
ELECTRICA
Rough In
UG/Slah
Low Voltage
Fire Alarm
.,in -__ ------- - - ---- -_- _.� --
'PASS PART FAIL
Backfill/Grading - -- ----- _- _
Sanitary Sewer
Storm Drain [ ) Reinspection fee of$ �-required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ J Please call for reinspection RE:_-`-- [ )Unable to inspect- no access
ADA
Approach/Sidewalk
Other _ Date Ilpectgt __ Ext
Final
PASS PART FAIL. DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175 Gni
INSPECTION DIVISION Business Line: (503)639-4171 MST
,.
Received _ -- __ M� BUP
__Date Re uested_ --_.
AM_— — PM - BUP _
Location /U U ' I)
,
Suite __ MEG
Contact Person = Ph PLM
Contractor Ph(�y) SWR
FFtgDrain
NG Tenant/Owner ELC
_—._.
--
on Access: ELC
-
ain ELR
Slab Inspection Nola S:T
Post&Beam --- -
Shear Anchors --
Ext Sheath/Shear
Int Sheath/Shoar
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: - ----_-- _- -_
QSSA—ICAL
PART FAIL
Rough-In — -- .—_- -
Gas Line -" --- —_
Smoke Dampers ---..-__------
Final --- —.— - - _.--
PASS PART FAIL
ELECTRICAL �—
Service
Rough-In
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL Reinspection fee of ____— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE —` [� Please call for reinspection RE:—____.__ D Unable to inspect-no access
Fire Supply Line -
ADA /
Approach/Sidewalk Dato -1
Other. _ IinspsctOr � C
_ IEXt
_ - —
Final - ----- DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
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CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175 MST
INSPECTION DIVISION Business Line: (503) 639-4171
BUP — —.
Received Date Requested - _- AM PM -__ BLIP
Location �� �/ I� _ Suite---__. _ MEC -_.--
r
Contact Person x"77` PLM
____ �X�`'�►'�� - _ Ph(__—__) _-_ _._._�-
Contractor __ - __ -- Ph SWR
BUILDING Temnt/Owner —____ _�— - ELC -- ------
Footing ELC
Foundation Access.
Ftg Drain ELR _ -
Crawl Drain
Slab Inspection Notes: SIT
Post& Beam
Shear Anchors
Ext Sneath/Shear
Int Sheath/Shear
Framing -
Insulation
Drywall Nailing
Firewall
Firc Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
i
_ SS ART FAIL -_ _ - --—- - - - --
PLUMBING_
Post& Beam
Linder Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain
Shower Pan
Other:
Final -------
PA_SS PART FAIL
MECHANICAL
Post&Beam - --- --Rough-InGas Line
Smoke Dampers - - -
'Fin
IHSS PART FAIL
FL TRICA_L
Service
Rough-In
UG/Slab
Low Voltage
Fire Alarm
Final C] Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hail Blvd.
PASS PART FAIL.
SITE �- L� Please call for reinspection RE: _____ Unable to inspect-no access
Fire Supply Line -------
ADA Date -_ Inspector -_--Ext
Approach/Sidewalk
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 CONT. INC
PO BOX 2007
GRESHAM, OR 97030
Plumbing Signature Form
Permit #: MST2001-00161
Date Issued: 7/19/01
Parcel: 2S104DA-06800
Site Address: 13100 SW RAPTOR PL
Su)division: QUAIL HOLLOW -WEST
Block: Lot: 054
Jurisdiction: TIG
Zoning: R-4.5
Remarks: New SF detached rowhouse in Building #4. Setbacks as per Sheet A10.10
Plan D-SB
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 Dept.
No plumbing inspections will be authorized until this completed form is received
OWNER: PLUMBING CONTRACTOR:
BROWNSTONE HOMES WOLCOTT PLUMBING CONT. INC
12670 SW 68TH PKWY #200 PO BOX 2007
PORTLAND, OR 97223 GRESHAM, OR 97030
Phone #: 503-598-7565 Phone #: 667-1781
Reg #' I Ir 23847
PI M 26-208PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signatl,lre--nfAdthorkdd Plumber
It you have any questions, please call (503) 639-4171, ext. # 310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
STREAMLINE ELECTRICAL
6025 EAST 18TH STREET
VANCOUVER, WA 98661
Electrical Signature Form
Permit #: MST2001-00161
Date Issued: 7/19101
Parcel: 2S104DA-06800
Site Address: 13100 SW RAPTOR PL
Subdivision. QUAIL HOLLOW -WEST
Block: Lot: 054
Jurisdiction: TIG
Zoning: R-4.5
Remarks: New SF detached rowhouse in Building #4. Setbacks as per Sheet A10.10
Plan D-SB
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. Please have the
appropriate individual from your company sign below and return this Electrical Signature Form prior to the
start of the work to the address above, ATTN Building Dept.
No electrical inspections will be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
BROWNSTONE HOMES STREAMLINE ELECTRICAL
12670 SW 68TH PKWY #200 6025 EAST 18TH STREET
PORTLA.ND, 'JR 472.: V!kNrC+Lr\/ER, !A/A 98561
Phone #: 503-598-7565 Phone #: 360-993-5080
Req #: LIC 116514
ELE 34-432C
SUP -tP't"&
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X
Signature of of Supervising Electrician
If you have any questions, please call (503) 639-4171, ext. # 310