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13112 SW RAPTOR PLACE k N V? C d O .0 t11 n CD 13112 SW Raptor Place CITY OF TIGARD '13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE WOLCOTT PLUMBING CONT. INC PO LOX 2007 GRESHAM, OR 97030 Plumbing Signature Form Permit #: MST2001-00160 Date Issued: 7119101 Parcel: 2S104DA-06700 Site Address: 13112 SW RAPTOR PL Subdivision: QUAIL HOLLOW - WEST Block: Lot 053 Jurisdiction: TIG Zoning: R-4.5 Remarks: New SF detached rowhouse in Building #4. Setbacks as per sheet A10.10 Plan AS 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 receivers OWNFR: I'l-UMBING CONTRACTOR: BROWNSTONE HOMES WOLCOTT PLUMBING CONT. INC; 12670 SW 68TH PKWY #200 PO BOX 2007 PORTLAND, OR 97223 GRESHAM, `,R 97030 Phone #: 503-598-7565 Phone, #' 667-1781 Reg # I it 23847 P1 M 26-208PB AN INS( SIGNATURE IS REQUIRED ON THIS FORM X Signat Auth d Plumber !f 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 #: MST2001-00160 Date Issued: 7119101 Parcel: 2 S 104DA-06700 Site Address: 13112 SW RAPTOR PL Subdivision: QUAIL HOLLOW - WEST Block: Lot. 053 Jurisdiction: TIG Zoning: R-4.5 Remarks: New SF detached rowhouse in Building #4. Setbacks as per sheet A10.10 Plan AS Your company has been indicated as the electrical contractor fcr the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising elec' 1, is required. Please have the appropriate individual from your company sign below and ret,irn ,:iectrical Signature Form prior to the start of the work to the address above, AT-TN: Building Dept. No electrical inspections will be authorized until this completed form is received OWNER. ELECTRICAL CONTRACTOR. BROWNSTONE HOMES STREAMLINE ELECTRICAL_ 12670 SW 68TH PKV!!Y #200 6025 EAST 18TH STREET PORTLAND, OR 97723 VANCOUVER, WA 98661 Phone #: 503-598-7565 Phone #: 360-993-5080 Req #: LIG 116514 ELE 34d32C FUP 419T8 AN INK SIGNATURE IS REQUIRED ON THIS FORM X ( Signature of Supervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 CITYO F T I G A R® ___ MASTER PERMIT DEVELOPMENT SERVICES DATE SSUIED: MSg/001 00160 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 13112 SW RAPTOR PL PARCEL: 2S104DA-06700 SUBDIVISION: QUAIL HOLLOW-WEST ZONING: R-4.5 BLOCK: LOT:053 JURISDICTION: TIG REMARKS: New SF detached rowhouse in Building#4. Setbacks as per sheet A10.10 Plan AS 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 USE: SF FLOOR LOAD: 50 SECOND: 135 at GARAGE: 547 of FRONT: PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: t FINBSMENT: 580 of RIGHT: OCCUPANCY ORP: RJ 9DRM: 3 BATH: ? TOTAL: 1VALUE: E 141.590.00,489 00 of REAR: PLUMBING SINKS: 1 WATER CLOSETS: 2 WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 2 CATCH BASINS: TUBISHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: _ MECHANICAL OTHER FIXTURES: 1 FUEL TYPES FURN<100K: 1 BOILJCMP<3HP: VENT FANS: 3 CLOTHES DRYER: 1 OAS FURN�-100K: UNIT HEATERS: HOODS: OTHER UNITS: I MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FDR: 2 PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 3 201 •400 amp: 201 400 amp: tat W/O SVCIFDR: 00 SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY 401 • 600 amp: 401 •$00 amp: EA ADDL BP CIR: I SIGNAL/PANEL: IN PLANT: MANU HM/SVC/FDR: $01 • 1000 amp: 801+ampe•1000v: MINOR LABEL: 1000♦amp/volt. Reconnect only: PLAN REVIEW SECTION )-41 RES UNITS: SVCIFDR>•223 A. 601 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO b STEREO: VACUUM SYSTEM: AUDIO B STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: ALL FNCOMB BOILER: HVAC: LANDSCAPE/1RRIG: PROTECTIVE SIGNL: GARAGE OPENER CLOCK: INSTRUMENTATION: MEDICAL OTHR: HVAC: DATA(TELE COMM: NURSE CALI1 TOTAL 0 SYSTEMS. Owner: Contractor: TOTAL FEES. $ 5,696.13 BROWNSTONE HOMES BROWNSTONE HOMES, LLC This permit is sub)ect to the regulations contained in the 12670 SW 68TH PKWY#200 12670 SW 68TH PKWY Tigard Municipal Code,State Specialty Codes and PORTLAND.OR 9.?23 PORTLAND,OR 97223 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 the work 1s suspended for more than 180 days ATTENTION Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set Rap N: LIC 124827 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 8s Underfloor Insulation Electrical Service Low Voltage Firewall Inspp Sdwlk Insp Sewer Inspection Plm/undslab Insp Electrical Rough In Gas Line Insp Rain drain Insp Ele rical Final Footing Inso PLM/Underfloor Framing Insp Gas Fireplace Roof Nailing Mefhanlral Final Foundation Insp Mechanical Insp Shear Wall Insp Insulation Inspater L nsp PIp FLlilln nal Slab Insp Plumb Top Out Exterior Sheathing Insl Gyp Board Insp Water Servic In i al ection Issued By Permittee Signature Call (503) 6399-4175 by 7:00 p.m. for an inspection needed the net business day CITYOF TIGARD SEWERCONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2.001-00102 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/19/01 SITE ADDRESS; 13112 SW RAPTOR PL PARCEL: 2S104DA-06700 SUBDIVISION: QUAIL HOLLOW- WEST ZONING: R-4.5 BLOCK: LOT: 053 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 'MPERV SURFACE- Remarks: Sewer connection for new SF detached rowhouse Owner --- - - FEES BROWNSTONE HOMES Type By Date Amount Receipt 12670 SW 68TH PKWY#200 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 permit expires 180 days from the date issued. The total amount paid will be forfeited if the pennit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurementgiv n,, ie installer shall prospect 3 feet in all directions from the distance given. If not so located, the shall haseia 1 ap and Side Sewer' Permit and the Agency will install a lateral. ATTENTION: Oregon )9w require to f Ilow pules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952/001-0010 thr h O R 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling ( 03) 246-1987. Issued by: Q-yrt_ E' _ Permittee Signature: Call(503) 6 9-4175 by 7:00 P.M.for an inspection needed the ne business dal CITYOF TIGARD SEWER CONNECTION PERMIT ,.,. DEVELOPMENT SERVICES PERMIT#: SWR200-1-00102 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/19/01 SITE ADDRESS; 13112 SW RAPTOR PL PARCEL: 2S104DA-06700 SUBDIVISION: QUAIL. HOLLOW - WEST ZONING: R-4.5 BLOCK,: LOT: 053 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 rowhouse. Owner: -- _ - _ FEES _ BROWNSTONE HOMES Type By Date Amount Receipt 12670 SW 68 TH PKWY #200 _ 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 permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agenc does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement giv n, a installer shall prospect 3 feet in all directions from the distance given. If not so located, the shal tease a"Tap end Side Sewer' Permit and the Agency will install a lateral. ATTENTION Oregon w require to f Ilow ides adupted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 001-0010 thr h O R 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling ( 03) 246-1987 Issued by: syn Permittee Signature- Call(503) 9-4175 by 7:00 P.M. for an inspection needed the ne business da —�` Building Permit ApplicationMMOM06wi" Date &.z i e / Permit ('!ty o� Tigard Project/appl.no.: Expire date: 0(v n/TiAard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503)639-4171 Date issued: By:t,119fReceipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2 family:Simple Complex: OF PERMW C'fl &2 family dwelling or accessory ❑Commercial/industrial U Multi-family UdNew construction U Demolition U Add iuon/alteration/replacernent U Tenant improvement U Fire sprinkler/alarm U Other: _— JOB SIYE INFORMATION Job address: Bldg.no.: f Suitc no.: Lot: e. Block: Subdivision: Qyl,l.l(^ Noliov� tkv . 3_ Tax map/tax lot/account no.: �— Project name: Qty ALL {ic,I I UW Description and location of work on premises/special conditions: P1510 NnU`�e. I►.PDIt(AttOnJ 1 ' SPECIAL INFORMATION, Nanic. RtW lt�nll 11L3rA S Mailing address: 11x"010 e1w U6 1 do 2 family dwelling: City: lL? A nyp State:Gr ZIP: 27-3 Valuation of work........................................ —�-- — Phone: fax: 1 Email: No.of bedrooms/baths......................... Owner's representative: yl L,Ar,�"`a _ Total number of floors _ J Phone: W 5'J 5 Fax:57el 3191E E-mail: New dwelling area(sq.ft.) ----------- Garage/carport arca(sq.ft.)......LAS ......... Name: Covered porch area(sq.ft.) ........r............. 0 50 Mailing address: Deck area(sq.ft.)........................................ _r_ --- Other structure area(s .ft.) City: State: ZIP: ......................... Phone: Fax: Email: Commercial/industrial/multi-family: 1 1R. Valuation of work........................................ $ — ---- — -- Business name: /�4-' \«1tfE Existing bldg,area(sq.ft.) .......................... --_ -- New bldg.area(sq.ft.) - — Number of stories City: _ Statc: LIP: Phone: � Fax: 1:-.rt:iil: Type of construction.................................... -- --- - --- Occupancy group(s): Existing: - CCB no.: —" _ New: _ City/metro lic.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: Q4 C-, A d provisions of ORS 701 and may be required to he licensed in the Address: \j1 '(oNn E iL 14%) jurisdiction where work is being performed. If the applicant is Cit : State:tl1 ZIP: (a 101 - exempt from licensing,the following reason applies: Contact person: WM I Plan no.:i - 4� - I�ax:UC 4 7- E-mail: --- -- Name: Q E61C�. Contact person: t%v wi I I, Fees due upon application ........................... $ _- Address: ('0 AJ 13oDate received: — CiP:9'j Amount received ......................................... $ Phone gsp 1()33 1 Fax: E-mail: — Please refer to fee schedule. 1 hereby certify I have read and examined this application and the Nor all}uritdicrlooa occga r"I cards,rleaae all Jurisdiction for more inforrmfion attached checklist. All provisions of la s and ordinances governing this U visa U MaslerCul work will be complir v t ,whe ified herein or not. Credit card number `� Frplrcr Authorized signature: -16SC Date: : Name of cardholder as shown on credit card Print name:— d1A Q- L A 0ts Cardholder aisrruurc Amount Notice:This permit application expires if a permit is not c d within ISO days after it has been accepted as complete. 4ao-Ml3 try(WOMI Mechanical Permit/application �. ,. Date received: Permitno.%157� City of Tigard ProjecVeppl.no.: Expire date: CtryofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97221 Phone: (503) 639.4171 Date issued: By: Rccriptno.: Fax: (503) 59$-1960 Case file no.: Payment type: Land use approval: — Building permit no.: 1 0, &2 family dwelling or accessory U CommcrcIA/IndUlanal U Multi-family U Tenant improvement New construction U Addition/alteration/replacement U Other:._____JOB SITE __ INFORM,ATION1 1 1 ------ Job address: / % �_ 1. �� '; Indicate equipment quantities in boxes below.Indicate the dollar Bldg.no.: ' Suite no.: value of all mechanical matefi_als,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ _3Z= Lot: Block: Subdivision:Q Ad Poltmo *See checklist for important application information and Project name: DA FJpl 1po 112WRYK,tkF, jurisdiction's fee schedule for residential permit fee. City/county: I 1(:lA D flSH ZIP: 1L 1110r Description and location o work on premises: Ilk to mak' t�pf t 1 I?,!Jl11&WliW1J611X11INDIA lee(e,.) 7Mal Fvt.date of completion/inspection: DeKdptlkm _ cry. Res.only Res.only Tenant improvement or change of use: Is existing space heated or conditioned?U Yes U No Air handling unit ____crMo r can !t Is existing space insulated?0 Yes ❑No Alteration of eontng(site an req uire )x st ng WMIANICAL 1 o er compressors - - Business name: vUL - A;1 { Cq)f t State boiler permit no.: rJ nr HP Tons__BTU/H Address: (3 (oFire/smoke amper uct smoke detectors City: C(L-1 1 P* Statct,;r C I ZIP:97 290 eat pump(sur p an LgEir Phone: tj- r,�j Fax:'rte 1141 E-mail: nsta rep ace urnac umer .L Including ductwork/vent liner U Yes U No CCB no.: nsw I Urep ac relocate eaters-suspen , City/metro lic.no.: l�U OU 1 o wall,or floor rnounted Name(please print): '1 ) )V1 M »> int Ore liancc of to than urnace — Refrigeration: Absorption units_ BTU/H Name: I i LA i Chillers HP Address: � 1� �;, Compressors.,-- Hp 'AY r"nmenla eX aUSf an rent at on: City: Stale: ZIP: Appliance vent Phone: Fax: E-mail: erex—fiaust- j �-� Hoods,IIypc res. ►ice iazt zmat-- h( xi fire suppression system Name: 2AAA VtT- AQ) 16e , Exhaust fan with single duct(bath fans) Mailing address: x taunt s stem a art from heatiAC City: Stale: ZIP: uel p leng and distribution up to 4 outlets) Type: l•PG NO �_ Oil Phone: Fax: E-mail: "11c i in each additional over 4 outlets rorm p p ng(schematic requt ) Name: 'S s. r �; Number of outlets _fft er st sipplFanCe nr eq pu meot: Address: Decorati.e fireplace City:_ State: Z.IP: nsen--type Phone: Fax. E mail; stoveTpe etstove Applicant's signature: Date: er: Name(print): No all)urtadictlom wonw cmtll canla,p1mm call iudadicuon fm more infomwion. Permit fee.....................$ U visa U MasterCard Notice:This permit application Minimum fee................$ . expires if a permit is not obtained cn,d+�card numha. _._ L_L— Plan review(al _ 9h) $ --� rAr�oT u p�--- r:tpires within 1 BO days after it has been Stale surcharge(8%) ....$ Named ahown on c ti cud as complete. Cardbdder dpatme — $ Amount � TOTAL .......................$ - .—._- 440-4 11(60Wt'OM) y MECHANICAL. PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: Description: - -- �^ Price Total TOTAL VALUATION: FEE: Table 1A Mechanical Code oh' (Ea) Amt $1.00 to$5,000.00 _Minimum fee$72.50 1) Fumace to 100,000 BTU $5,001.00 to$10,L 00 $72.50 for the first$5,000.00 and Including duds&vents 1400 _ $1.52 for each additional$100.00 or -2) Furnace 100,000 BTU+ fraction thereof,to and including Including ducts&vents 1740 $101000.00. $10,001.00-to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or Inclu14.00 ding vent fraction thereof,to and including 4) Suspended heater,wall heater $25,000.00. 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 6.80 $1.45 for each additional!,100.00 or fraction thereof,to and including 6) Repair units 12.15 $50,000.00_ $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler Heat Air $1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond fraction thereof. footnotes below. Co_m ' 7)<3HP;absorb unit Io 100K BTU 14.00 ASSUMED VALUATIONS PER APPLIANCE: 8)3-15 HP;absorb -" Value Total unit 100k to 500k BTU 25.60 Descriphon; D Ea Amount 9)15-30 HP;absorb Furnace to 100,000 BTU,Including 955 unit.5-1 mil BTU 35.00 ducts&vents 10)30-50 HP;absorb Furnace>100,000 BTU including 1.170 unit 1-1.75 mil BTU 52.20 ducts&vents 111>50HP:absorb Floor furnace Indudin 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 applicance' 445 13)Air handling unit 10,000 CFM+ 17.20 _Rermil Repair units 805 14)Non-portable evaporate cooler <3 hp;absorb.unit, 955 10.00 to 100k BTU 15)Vent fan connected to a single dud 3-15 hp;absorb.unit, 1,700 6.80 _ 101k to 500k BTU 16)Ventilation system not Included in 15.30 hp;absorb.unit,501k to 1 2,310 appliance rmit 10.00 mil.BTU 17)Hood served by mechanical exhaust 30-50 hp;absorb,unit, 3,400 10.00 ,1-1.75 mil.BTU 5,725 18)►br,testic incinerators 17.40 >50 hp;absorb.unit, _ _ >1.75 mil.BTU 19)Conlmerdal or industrial type Incinerator Alr handling unit to 10,000 cfm 656 89.95 Air handling unit>10,000 cfm 1.170 1 20)Other units,Including wood stoves Non riable evaporate cooler 656 1 10.00 Vent fan connected to a single duct 446 21)Gas piping one to four outlets Vent system notIncluded In 656 _ M 5.40 a (lance rrnU 22)More than 4-per outlet(each) Hood served by mechanical exhaust 656 1 00 Domestic Incinerator 11170- Minimum Permit Fee$72.50 SUBTOTAL: $r!L Commercial or Industrial Incinerator 4,590 _ Other unit,Including wood stoves, 656 8%State Surcharge $ Inserts,etc. Gas piping 1.4 outlets 380 25%Plan Review Fee(of subtotal) E Each additlonal outlet 83 Required for ALL commercial permits only TOTAL COMMERCIAL TOTAL RESIDENTIAL PERMIT FEE: 5 VALUATION: - Other In eD Ctiopl and roes: t Inspections ordside or normal business hours(minimum charge-two hours) S72 50 par hour InspeA lions for which no fee is specifically Indicated (minirrKim charge-half Mur) $72 50 per hour 3 Additional plan review requited by changes,additions or revisions to plans(minirnum charge-one-half Mur)$72 50 per twur `Stats Contractor Boller Cprilfication required far units>200k BTU. "Residential A/C requires site plan showing placement of unit. I:\dsts\forrna'vn�-ch-fees.doc 10/11/00 Electrical Permit Application Nu received. ►tnwtno.: City of Tigard Mmeppl ho. _-_ PI�QMtdrtl: - roy,yne,,4 A 1drtes: 1312 SW Halt Blvd Tigutl,OR 9722.1 Uer•trsual —�� _ Ohone: (m3)0539-4171 pax! (501)5961960 Can aw no,: Payme d tne. LAnd use approval _ w. JAZ f�.t;1y d.�nlaa a.wu•a y Ucc�+r>xrcuusndr,rvlw U multi twnl:y U Tenm"improvmrnt New coramwition U AdditkWsIttrati yamplacenttnt U other. .. U Penial l nrti�fta•: Aluek:�^ Subd t7 tlld .ao.: $ulna no, 1'u,m ae Ir+t/�rn+nt t►o . b add m: ivl6x- nu,—,,L He lltrw wecr a mp"name: vtIm t,le I I Owl L)c r1 in Ion end locatxm of wtxk 00 mlrce: Id E1.N t•ONh124C rlW T tibmMtd date d ca ddoWftu on: iMr eat pw twa hkwiijB►alnw meta: Qau trW a ��►r Chy!w•s:V n c o u v JIMaw WA : 71sm- mom; 993- .�)k«•Liternr.tuor�.r ei.�ee I CCIt no.:1 F 1 P1ro.fl+tt.lk,ne: 3 4-9 3 2 n:aat�.,el wo N n,a-ruo,r tior Cl /maim 11C.no.: Lusrtor rrrt n xr rerMllrtUAt - _ lLah mrrwfr<wt w nndulM dr^rlllq N rY6svpr�e t 1rt+i�r°VuMwl� ` _ i Ore Servlt+r ddhx lerdv _ __� T 2 ase.Mnlr 7"", m •r r fwMrr--�TwilrlYflY. t en&"w mtovwlei y Herne(pM ANi� �, G ��,��ro Mal eddtrea; — n� idt irmpr to boo.rgr 2 C1pipe rm 2 — f'aK n &mad. pQ""too —� may' �w Amer. owttef ttaMlerinnr Nutauat)Otl s ipp muds on prtrR.Ry 1 owl, ��^' Which ie"IrtleMied f0•rale,I rx eaclwys wcontint to ��=-""b'okokorrotaatses ORS"7,ISl,a7v,r1,'90trJ _ ;en_7rwtom 2 7v - 2 w Orn'• seeon ...en..wrw, ,N.rMa•Isa re r.ee..0 Nanw, Foe for btwh trreaMs with p mhwe ry Addma: e•,vitro or feeder Ops,swb b,"A ernwh 2 C1 SUM ZIP •.n■eruth drer :nn pwc'T,ee t+t rer`tw or IeeAo tr flet txux h euAlr 2 �rfttMll: pact,eddMloa dr ciRYlt' �.� _ t•t.(i N•► aw M goo err►TA a nD►+e.t.rtretr G ileal Aare A•dkIr Q Mwha orre 1w w%%m-mW4 of I At 2 d Ruw*001Ia ow., Q AullAleM curt 10(POJ".Ears Ow*wr tr In4w etrcaaq U'x r IMerd r nrtyr pan D tyftwr ere e40 rola sewJrad nr,w reefdrauel rtwa.n not rmn�.e dtMertrsr.,n r}rorrl�er+" 2 D heWft e�ertt w sft+te U Meerlm..oa0 a-M"w nrmt D Onwp"taod war VO rMr" U Mm*fwumd wwtum er N v pot► U flpeeJll�hhry/ten Gl l7trn _.�.__ _....__ _ /Itch I oyer . atr�d - ht w oa 11N►eit. __.e•••H hie!wNY wf d the abew. -- t„�_ "�" --- 71r•as are Mil n�p6iaMa is l+m"my enm1 owme ra ok -� Permit fee........•,..........._ NM rM MAP:wrr W*pYsrr tri JWrree.*0eqm rw.e++ra t Nhtlo. This peftnit aN?llafinn ONrr q ateeerCaN ( eupk!•if a prm it n riot ebwi»d Plem o mutt"C" 4) S C7re.9411,01t omw ,1-_ *M in 120 drys tAM it hp bees) CtRt•lumhwp(11%).-SC) arra a rr=W rc-MWa r Pwa 1UTA .. L ..... ...._........$ t _ r. --�. 4"13 f1AIMR'OtRt 10/10 3F)ad ; a_i -13 3411WV3diS �E0SE6E09� 5,':Li tGE1�;'c0,'E13 Mar-06-01 03 :05P Walcott Plumbing 503 667 9897 P.CI1 U1!0U/UI :'C C 14 41 RAX 50:3 598 1960 CITY OF 'C1 CARD Vioo. Plurgbing Permit Application city Of Tigard irstercccivrv3 PermUop Addre+:e 13125 SW Hall Blvd,'I iear i,OR 97221 Scwet Fxrrtut,�--__ Butldingpermit Mo. l'1tyoJ7Jrord None: 001)4530.4171 Pro;ecvapt•I Eu pits(151.1) i9A-1960 --_ pus date: Dilr lr(urd BY; ReeripUri Y.wtd use approval: eEsc rile no Psyra--nt type U 1 l$2 family dwelling ur arcexsttxy QContmi teiaUtnduJlnrl p New cooatrucuun O.MU:u•rsrmlly G Tenant improvement 0 Additic n/alteratma/tcplacernent U Food service 4 Uther 1Qb addreer. ,j i j � ) lyeac r1 tloo Bid .nu.; Suitohn.: �;- -..-�-- QrY Fet(ea. Tohl Nei+!•and. WWl7 dNeWnce n y; -- TU map/tau loumccouUtIto (iWAWCytoon fwewcbut;L'tyconneedea) Lut. Block SFR(1)bath Subdivlaion: _ _ProJO`ct tllunt: ( a ddfr Cityicouni; ZQa, t(+. � (on' "I cn Dererlption and locauon of work on prrtniuec _ _�; Mite uUUtkes: - - -.. Catch basic/ares draLv Est.dote of ctxn Iciiordiu�_ii„n we leac iae uenc roto My Mimi IlixfKAug eotin dvrurain _Buaiacesname: t+JOACo�j F '.1 v� anurectu tineuttl.Ueaunit. .O Rain druln connectnr--' Ev"I'lle ;,fl a t ower(no, to�t�PhOtle'So3-6�7 17 ( Cax 6L7- E mail; yt aUx•arty form sewer(oo. in,R.' CCB noV`2 j g yL Plumb.boa.rsK.oo:2y-Zo p� Water etsrvlce no, in. l r Cityimetmlic no.: _ Fl+t[lue or NMI Cuotncwr'a rrptcattlNdvc si nature: . - Abs tion vK►ve Print name' j„' e1 rj -- gi k oW-Vrsveoter -- K water va ve _ aa, aunt Nnnit — _ ,3- ws was rc, --- , ddrr, t� was er - CIL— state IF— it_n4 kopurt mn-- gcctoro sum__rr E-olail xpantion uLn ixtu sewer ca _ Name(ptintl: Hair nor ai /hub Mailing xddress:� Gy. Stela !iP os bt b - Ptlune. PM. E:Tho :11%rCe�axe tin Qwnri to+tallellcevrtstdrnunl ma�ntenattt:e only: Thc act u.•J intrallatlon I'rrner(i wdl be inade:Fy Ineorthc maintenance and tepairrt„de by my mltutet aHati oo r�Ut 1, Icrxnme�`tcral-'— — — ` employee On the pmpeny I uwa as per URS Chapter 147 Clwnrt'r si nature; ��• um --�.__ ____�"� -,� �� V 44 0O ower pan NLne: l.nnxT” AJdrcaa. — —^--'•-�---- nice c oael City Stue�Z[p� - � a:cr ume PlCae- E•truul_ ote ,4V rl)WwavioM wri;mat urdr.�byr gall ruN�Ueaae tet nqk.n emuiinn Minimum fcr_ U V161 Maftercud Nloiix:This permit epplirabon - ez iro It r e Plan review(at LneJii Fwd suis►r� _—_,•— p t• tmVl u out obtained wlthln 180 days after it ho Dan State iter harms f 846`, $ •tea�y :lti::�i:neew owe nca pied a oOmpbte TOT L .... ........ .....S 'f! - -- —Y'aee iM �tr� nii�— A'iroom b�,� s«wie tanorr�, -� v ss 1 to Mer-06-01 03:05P Wolcott Plumbing 50, 667 9891 P .02 91 06:•ul 1'L'G 14!42 FAX 501 5014 1963 C171 OF '11CAkU (Q 003 PLUMBING PERMIT FEES: f' - " " RICA. 70TA6- rNew t end Sdhrnlly dWMMp•only: �~ flx'f1L{tE!'tlndlvidtAatl "' pT'Y'' ear AMOUNT (1,101Atles all ptumbing'�l,rtures In PRI4 T47TAL Sark _ 16 61 TZr� thrdwenfnb end In.nrstt oo n OTY (01Q AMOUNT rorour- nea02n $24e 20 ub or—umsht wer c;omi lees) wo z t),111360.00 _ Sh.wu Only 6.8) -- I Three(3)yath _— f39i00 . at Clcuel _ 1 ' ,�OTOTAi 1 SURCIIAROF Qishwa her 1e e� PLAN RLVIEW ZS•/.OF SUBTOTAL CarbagaGapoNl 1 pTv- ____ _ TOIL Wundry ray W�sh�ng Maoh'�ne I 1 Finor lkaltv1siout Sink — 16 t0 r -- PLEASE COMPLETE: 4" - telo w.leister O macorw it on uke Mand ' 10 a lip __ 4upn or tmld_ C as pipmp reQuMes•4epartrla tMrharncat Flxtm Type ! flew Mlov tl Rep ced Rimovedl ernef Cz ed MFG I+omO NOW W111pr Sarvlae! 46.6— ink Mr13 Nome rvew SeNStorm evnl —46,G Lawat - ie 1A u or uWShower ~1 Rote B b11 CaU —_� Room Dame te16."ohowornowor nl Ml Dnnk'ng Fountain Water Closet _ -OTiw Fi�Nrao Iepeclty) ish leh�ittaher Garbage Cie o•el -�' leund Room r -- ^- washing Ms ins _ lope rein/ '�rtk' _ Sewer-1st-- 1001 -� 44 m0 G 3. _ ,ower-ucr additiuial 100' 'i6 10 4" wafer 9arvc~ o— %1 too Vvet Mealer lee t0 Qlher F'>t1�tN yyym yeryirt•each ar,d tig111100 ` tqm 6 Ralf,Oroln• '9f 100' 45, $IDrm_--6 Rain Sfiir-each ad Il final 100' de.10 Cemmetd Back FIDw revenibn"-Oil 27 W kistident.al NxeOew,Ptevenik n .vice" 21 35 Coach Basiri 16 60 - Inspediun of Eatsting Plumbing orr pecalmy 240 111'n-'T', a ues!ed InipEcuDru— IT' COMMENTS REGARDING ABOVC oak,Orsi,single family dwelling 44 25 --�� Sr<aaeTraps _ 1660 --- -- - �1-- 6U-ANTITV TOTAL sorrwtrlc ft+leu mspam n ew w It 1-.---__ Oeanbtr I &I j% T— I- "6UtSTOTAL f Sy,STATE SURCHARGE I •'PLAN REVIEW 24'b OP RLSTOTAL r Rrq.Yrr�r,�irIhr,tursC'Y.rrT TAL f "Minlm+m p.enrl lee is4m:SO•8%staff,sr.r'harge,aoelr Rrs-d m1IM eeeMsea PgvsrEon Devre,whch 013613,s h stoic WKhollte ••A:1 l4sw cemnurerai sullatnes rpiquve p1au with rsomet-orlm if!loges,Ird 1-43h•r•iow. I Usfyflomutpim-fres doe 1,110/00 -------_ � � � � � F w � p• vi � � �. �" O ro � � ,.� ` .» � � �, n z � �' ° �' �' a � 5 � �,� � .� o � � _ '' � C. T � O n. � ., °' o � � o � �. ° � /~� N � � � Q' � f�+ R � � c w� (� � � , .._ r., � o $� .7 .Y ^r G n � ` J .� � � r s "' ': �; � � .» ,�� O � � i ti m {' O '� � ,J �' N � � �`�' c y O ' � � O � � _ O r. o � 4_ � N x �n o � .� O s ro �o i \►♦aoAAAAAAAAAAAAIAAAAA AeAAAAAAAAAAAAAAAAAA AAA r' 19 CD lop- r C ! PD rb � ► al "' ncm ► ^—! h O OPool ► a, ! ► CITY OF TIGARD BUII DING INSPECTION DIVISION MST 16L) l 24-Hour Inspection Line: 63S 75 Business Line: 639-4 .. BUP -Date Requested �� / AM PM BLD I-ocation Suite MEC Contact Person �Gl.c_,`-� Ph._3�• �' - PLM _ Contractor --te r. �',/r ��{'��L_ Ph -772- - "�4: ? SWR ---- --- BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access - ------------ Foundation FPS Ftg Drain -- -- SGN Crawl Drain Inspection Notes --- ----- Slab — -- SIT Post&Beam ___-------------_-... Ext Sheath/Shear Int Sheath/Shear Framing InsuiAion - - - - Drywall Nailing Firewall Fire Sprinklerl �` c 1iT/�Y1_ s7 Fire Alarm Susp'd Ceiling Roof -- Mise: -- --__--- Final PASS PART FAIL --- -- ----- ---- PLUMBING Post& Beam ---------- Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final -- - ------ PASS PART FAIL MECHANICAL_ I ost ft, Hearn _ - Rough In Gas Line - Smoke Dampers Final -- PASS PART FAIL ELECTRICAL - - Service Rough In --- UG/Slab Low Voltage Fire Alarm ui.L } PART FAIL -_ OT - Sl Backfill/Grading - --` -- - Sanitary Sewer Storm Drain [ ] Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( )Please call for reinspection RE - -- _ —� [ J Unable to inspect-no access ADA Approach/Sidewalk Other Date /.2— Z 9 Inspector , ._ � y(�� `� Ext Final �/ PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 7c. , 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested___ / i _AM PM BILD 1311 -- -- ---- ---- Location__ 11c11 _,LS Suite MEC Contact Person Ph 7 % ' `, 7 -78' PLM _ N Contractor Ph SWR BUILDING _ Tenant/Owner ELC Retaining\Nall ELR _ Footing Access' _ Foundation FPS Fig Drain Crawl Drain InsDection Notes: SGN -- Slab SIT -------------------------- Post 8 Beam _.—��----- _ -----------------___ Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: ------ --- - __ _ —� Final P RT FAIL -- -- - - -- - UMBING tnder Slab Top Out ----- - Water Service Sanitary Sewer Rain Drains _ Ina SS PART FAIL MEMNICAL Post&Beam - --- — ---- _— Rough In Gas Line -- --- — ------ — Smoke Dampers Final PASS PART FAIL ELECTRICAL ---- --" -' — —�—" Service Rough In ---�--- -- —� — UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill/Grading - -- — — Sanitary Sewer Storm Drain I ] Reinspection fee of$` required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line l ] Please call for reinspection RE: Unable to inspect-no access ADA Approach/Sidewalk Other Date `__-- I "I V _- Inspector �. Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BLIP Date Requested / 2. Z G' AM —PM BLS —_ Location`_,_-_ ! /1 "1_ _ C4 - -a - .—_ • Suite — •— MEC _ ----- Contact Person Ph PLM Contractor _ Ph SWR BUILDING Tenant/Owner ELC _ Retaining Wall ELR Footing Access: -- -- Foundation FPS Fig Drain --- __._._--- Crawl Drain Inspection Notes: e2 SGN - ------------------- Slabc 1 3 Post& Beam --_-..__ ----- -. SIT ---- - --- Ext Sheath/Shear Int Sheath/Shear -_- - ---� Framing _ Insulation Drywall Nailing d+ — Firewall T -- Fire Sprinkler 5_izi_f2 w P,) --n- Fire Alarm Susp'd Ceiling 2- 2R-a� 1 f Sic 2 2(7LQC-1 I = lr Roof Misc. IL PART FAIL 1 ��-- PLUMBING Post &Beam ------ ---- ---- - Under Slab Top Out _— Water Service Sanitary Sewer Rain Drains Final -_ ------------- PASS PART FAIL MECHANICAL -- Post & Beam Rough In --- ----------- -- Gas Line -- - --- - _ --- — - _ Smoke Dampers _�.-------_------------- PART FAIL ELECTRICAL --- - ---__ - - _ -- ----- ---- - Service Rough In _ - - - -._-.-.------ -- UG/Slab Low Voltage Fire Alarm Final — PASS PART FAIL SITE Backfill/Grading Sanitary Sewer Storm Drain ( J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ease call fUnable to inspect-no access or reinspection RE: [ J Fire Supply Line Pl [ J p - .— ADA Approach/Sidewalk Other Date Yk Inspector ---� _Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.