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13136 SW RAPTOR PLACE
1 o� V/ M 0 1 d 0 0 13136 SW Rapto; ^Mace CITY OF TIGAR D 24-Hour _ BUILDING Inspection Line: (503)639-4175 MST Z2U / oc/ INSPECTION DIVISION Business Line: (503) 639-4171 BUP Received —__ _ _ Date Requested_— Z __ Atli__-_ - _ PM -__- BLIP _ Location —L I_3� Suite_____ _ MEC Contact Person Ph( �' ) 5�� g U��— PLM Contractor--- -- _-- _ Ph( ) _ —_-- —_ SWR _ BUILDING Tenant/Owner _ ELC -_.—_— Footing Foundation ELC Access: Fig Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Hoof Other: _ Final PASS PART FAIL PLUMBING _--� Post& Beam ,— Under Slab -- ------ --_-----_--_- _.._ - --------------------------------- Hough-In Water Service — Sanitary Sewer Hain Drains ---- --- -- Catch Basin/Manhole Storm Drain . .. ..___-------_--- Shower Pan Other:.__ —__ ___.--._- _-_ —__—.__ — Final PASS PART FAIL -MECHANICAL Post 8 Beam Rough-In Gas Line Smoke Dampers -- — — Final PASS PART FAIL -- --- -- ---- ----- -- — _ELECTRICAL Service -___- - -------------------- -,—. � -- Rough-In _— UG/Slab Low Voltage Fir Alarm PART FAIL Reinspection fee of$_—___— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. �-1 Please call for reinspection RE:----.-__._-- � � Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Dots Other: Final -- DO NOT REMOVE this Inspection recd-d 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 #: MST2001-00158 Date Issued: 7/19101 Parcel 2S104DA-06500 Site Address: 13136 SW RAPTOR PL Subdivision: QUAIL HOLLOW - WEST Block: Lot- 051 ,Jurisdiction: TIG Z,)ning: R-4.5 Rei narks: New SF detached rowhouse in Building #4. Setbacks as per sheet A10.10 Your company has been indicate, 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 Fcrm prior to the start of the work 2 address above, ATTN: Building Dept. No plumbing inspections will be authorized until this completed Form is received O�,NNER: PLUMBING CONTRACTOR: BROWNSTONE HOMES WOLCOTT PLUMBING CONT. INC 12670 SW 68TH PKWY #200 PO BOX 2007 PORTLAND, (AR 972.23 GRE HAM, OR 97030 Phone #: 503-598=7505 Phone #: 667-1781 Reg #: 1 Ir 23847 PI M 26-208PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X Sign ru-Ft"1Auth .rued Plumber If 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 #: MST2001-00158 Date Issued: 7119/01 Parcel: 2S104DA-06500 Site Address: 13136 SW RAPTOR PL Subdivision: QUAIL HOLLOW - WEST Block: Lot: 051 Jurisdiction: TIG Zoning: R-4.5 Remarks. New SF detached rowhouse in Building #4. Setbacks as per sheet A10.10 Your company has been indicated as the electrical contractor for the permit indicated above. In order for ine 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 #200 602.5 EAST 18TH STREET PORTLAND, OR 972.23 VANCOUVER, VISA 98661 Phone # 503-598-7565 Phone #: 360-993.5080 Req #: LIC 116514 ELE 34d32C SUP --",979 Vr�-'CIY AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Supervi<ing Electrician If you have any questions, please call (503) 639-4171, ext. # 310 TY OF T I G A�� __ MASTER PERMIT PERMIT#: MST2001-00158 y DEVELOPMENT SERVICES DATE ISSUED: 7/19/01 13125 SW Fall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 13136 SW RAPTOR PL PARCEL: 2S104DA-06500 SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R-4.5 BLOCK: LOT:051 JURISDICTION: TIG REMARKS: New SF detar;hed rowhouse in BullOng#4. Setbacks as per sheet Al0.10 BUILDING REISSUE: STORIES 7 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: MEN HEIGHT 31 FIRST: 173 at BASEMENT: s1 LEFT: SMOKE DETECTORS: V TYPE OF USE: Sr FLOOR LOAD: 50 SECOND: 735 al GARAGE: 547 of FRONT: PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: 1 FINSSMENT: 580 of RIGHT: VALUE: $141,590 00 OCCUPANCY GRP: R3 BDRM: 3 BATH: 2 TOTAL: 1,488 00 of REAR: PLUMBING SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 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: OTHER FIXTURES: 1 MECHANICAL FUEL TYPES FUfiN<10OK: 1 BOIUCMP<3HP. VENT FANS: 3 CLOTHES DRYER: 1 GAS FURN s-t00K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: I ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER _ TEMP SRVCIFEEDERS BRANCH CIRCUITS M'iSCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FOR: 2 PUMPARRIGATION: PER INSPECTION: FA ADD'L 500SF: 3 201 400 amp: 201 •400 amp: tot WIG SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 000 amp: 401 900 amp: EA ADDL OR CIR: 1 SIGNAL/PANEL: IN PLANT: MANU HM/SVC/FDR: 901 1000 amp: 9014ampa-1000.: MINOR LABEL: 10004 amplvolt: PLAN RFVIEW SECTION Reconnect unly: s-4 RES UNITS: SVCIFDR>-226 A.: 9U0 V NOMINAL CLS AREA/SPC UCC' ELECTRICAL•RESTRICTED ENERGY A SF RESIDENTIAL a.COMMERCIAL AUDIO 8 STEREO: VACUUM SYSTEM, AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT BURGLAR ALARM: 0TH: ALL ENCOMB BOILER: HVAC: I.ANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAITELE COMM: NURSE CALLS TOTAL 0 SYSTEMS. TOTAL FEES: $ 5,696.13 Owner: Contractor: This perrnit 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 applicable laws. All work will be done in PORTLAND,OR 97223 PORTLAND,OR 97223 accordance with approved plans This permit will expired work Is not started within 180 days of issuance,or If the work is suspended for more then 180 days ATTENTION: Phone: Phone: Omgon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Rep#: LIC 120,27 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 84 Underfloor Insulation Electrical Service Gas Line Insp Roof Nailing Mechanical Final Sewer Inspection Pimtundsiab Insp Electrical Rough In Gas Fireplace Water Line Ins lumb Final Footing Insp PLM/Underfloor Framing Insp Gyp Board Insp W Service I sp Inal inspec&in Foundation Insp Mechanical Insp Shear Wall Insp Firewall Insp Appr/ wlk I S Slab Insp Plumb Top Out Exterior Sheathing Insl Rain drain Insp Electri FI Issued By : �._,_-,Q�t21 Permittee Signature Call (503) 39-4175 by 7:00 p.m. for an inspection needed the next business day 1. CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT' SERVICES PERMIT#: SWR2001-00100 in 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATF ISSUED: 7/19/01 PARCEL: 2S 104DA-06500 SITE ADDRESS; 13136 SW RAPTOR PL SUBDIVISION: QUAIL HOLLOW - WEST TONING! R-4.5 BLOCK: LOT: 051 JURISDICTION: TIG TENANT NAME: IISA NO: FIXTURE UNITS- CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE C)F USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new Si- detached rowhouse. Owner: — _ +---�- FEES ------v - BROWNSTONE HOMES Type By Date Amount Receipt 12670 SW 68TH PKWY#200 — -- -- PORTLAND, OR 97223 PRMT CTR 7/19/01 $2,300 00 2.7200100000 INSP CTR 7/19/01 $35.09 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 A ency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement ive installer shall prospect 3 feet in all directiDns from the distance given. If not so located, the ins a shall p rch a"Tap and Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law r uires �ou to foll I s adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001 010 througLAARyj- 01-0080. You may obtain copies of the3e rules or direct questions to OUNC by calling (503) 6-1 Q87. J Issued by: -Pi ttU _� _ Permittee Signature:- y Call (503) 6:39-41nfl 75 by , P.M. for an inspection needed the next bu iness day f Building Permit Application Date rm•.eived::' Z� D/ Permit no.: City of Tigard Project/appl.no.: Expire date: City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2 family:Simple Complex: TYPE OF.PIERMIT Ifl &2 family dwelling or accessory U Commercial/industrial U Multi-family New construction U Demolition U Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other: - O; uite no.: Job address: j /ti Il_f) 1• Bldg.no.t i S s Lot: Block: Subdivision: [3V tT T m=Pltax lot account no.: ----— Project name: Q L - to 1 t cArt�� --.--- Description and location of work on premises/special conditions: Name: - TQN = (-1t3 M e-s -- Mailing address: IoUaW Sty+ L8�` Rl+te�q✓ �200 1 & 1 family dncllinl;: City: Po d-'t 1 A►J+b _ State:t� ZIP: 'j22-3 Valuation of work...................:�............. $ Phone: Fax' >3 I E-mail: No.of bedrooms/baths............ Owner's representative: /►� pAtO�� Total number of floors................3.............. phone: c}3�-J�q I'ax 57J 519'L. F-mail: - - New dwelling area(sq.ft.) .....L`5-410...... Garage/carport ata(sq.ft.).......1°�..'. ......... Covered porch area(sq.ft.) ........"-............. ___ Name: A fit, Deck area(sq. ft.) .....................?...`....I F�.. .. _ Mailing address: — Other structure area(sq.ft.).........r........... City: i State: ZIP: - ------ Cummerciallindustrial/multi-family: Molle. Fax: Email: $ Valuation of work........................................ . Existing bldg.area(sq.ft.) .......................... — Business name: A Eit511G �.__ New bldg.area(sq.ft.)................................ --- — Address: ZIP:---- Number of stories........................................ City: State: Type of construction Phone: Faxes- E-mail: Occupancy group(s): Existing: r� CCB nn.: New: City/metro lie.no.: Notice:All contractors and subcontractors are required to be 13 licensed with the Oregon Construction Contractors Board under �, 1 provisions of ORS 701 and may he required to be licensed in the Name: jurisdiction where work is being performed.If the applicant is Address: \Iq 1 _ _W4,M t — exempt from licensing,the following reason applies: City: State:W ZIP: �IUI - _� Contact person: Plan no.: - Phone:fib Fax:'} (-41 7- F11E-mail: -- Name:WQO.A I Contactperson: Ml Wi I h Fees due upon application ......................... . $ _ Address: Lo kitM 3 Date received: __ — City: Stateor- ZIP: 1223 Amount received ......................................... $ Phone:ft'5 -.16 33 Fax: r- E-mail' Please refer to fee schedule. I hereby certify 1 have read and examined this application and the rva.n hai�edau accep moi'�ts,t+ rut;xiadkdon for mnR tnramatla,. attached checklist. All provisions of Iceks, ndordinances governing this U visa U MasteiCart t'rtN1 cad number: — f_xptwork will he complie�,whe fred herein or not. — Authorized signaaturre: . Date: ��_. Name°t cadholder n rb�n un rRdn cad — s Print name:— a- CAU — CadholdrriEnmwr —_ Amami Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted ae complete. 410 N 13 uyuwom) Mechanical Permit Application Date received: Permit no. City of Tigard Project/appl.no.: Expire date: Citv:O(Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 r` Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: i_ T Building permit no.: t 0 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement Ncw construction U Addition/alteration/replaccnuent U O(her: i ' Joh address: & Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: I Suite.no.: value of all mechanical mates,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value S ZL7n0rial Lot: ; Block: I Subdivision:QUA,l Pollouu *See checklist for important application information and Project name: VIC, to '"RY�N1bVu�. jurisdiction's fee schedule for residential permit fee. City/county: -�_�C�AtD ,WASI-1 ZIP: Description and location orwork on premises: A-14--W t s t t )III Fee(ee.) Total Est.date of completion/inspection: ]"'ripiion Qfy. Res.only Les.only Tenant improvr;ment or change of use: ' Air handling unit CFM I Is existing space heated or conditioned?U Yes U No - Is existing space insulated"U Yes U No Air conditioningoffexisting(sue plait reyuir ) _ Ieration system ut er compressors Business name: vU F�R` State boiler permit no.: L- �, _ ��(�A 11 1 C�ter, HP Tons BTUM Address: (7 u-fo i smo c ampers/ uct smo a electors City: 1VLXL1 [P*X ZIP:9-7,1-190 ticat pump(suep an require ) - Phone: _ nsta rep ace urnace/ urner tj S�_ Fax:775 1141 E-mail: -- Including ductwork/vent liner U Yes U No CCB no.: Z ni-sts Pt-cp ac re ocate heaters-suspended, City/metro lic.no.: lit)DO 1(D?-S wall,or floor mounted Nae(plase print): Vl Vent orappliance of er Tan furnace e eme Absorption unite BTU/H Name: 11 LA Chillers.___. — HP Address: C?gym ressors _ HP aur ronmenta exhaust an ventilation: City: Slate: ZIP: Appliancevent Phone: Fax: E-mail: Dryercxhnust Hoods,Tyim-ITUrr s. nc a azmat hood fire suppression system Name: cf— 4,L) t Exhaust fan with single duct(bath fans) Mailing address: :x aunts stem a art from heati g or AC City: State: ZIP: _ T piping a n(up to 4 outlets) Ty _LPG -_ NO X_Oil Phone: 'a X! 13 mail r-uclvi to enc a iuona over out eta rocmpiping(schematicre.quire ) Name: fUl /� ` /, C ��� Number of outlets �__�- _. - -- -._. t erli�ap-�mince or equipment: Address: Decorative fireplace ------ ---------- - - City: _ State: I ZIP: - Insert-type Phone: Fax: E-mail Other:stov eIstove Applicant's signature: Date: Name(print): Na W)uridicuum accept credit card,,plem call juridkdao for mm info mason. Permit fee....................$ _ O Visa U MasterCard Notice:This permit application Minimum fee................$ expires if a permit is not obtained Credit earl number: �� Plan review(al _ %) P.xpumr within 190 days eller it has been State surcharge(896) $ Name u d on c i $ accepted as complete. TOTAL .......................S 77 Amount 440.017(tilOtYl:.•OM) 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 RTU $1.52 for each additional$100.00 or Including duras&vents _- _ 14.00 fraction thereof,to and including 2) Furnace 100,00_ 1'U+ $10,000.00. including ducts&vents -__ 17.40 $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 including vent 14.00 fraction thereof,to and Including 4) Suspended heater,wall heater _ _ _ $25,000.00. or floor mounted heater - 14.00 525,001.00 to$50,000 00 $379.50 for the first$25,000.00 and 5) Vent rlol Included in appliance permit $1.45 for each additional$100.00 or 6.80 fraction thereof,to and Including 6) Repair units _ $50,000.00. _ 12.15 $50,001.00 and up W42.00 for the first$50,000.00 and Check all that apply: Boiler Heat Nr $1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond _ fraction thereof. footnotes below. Coin _ •' 7)<3HP,absorb unit ASSUMED VALUATIONS PER APPLIANCE: to 5 BTU 14.00 3-1 Value Total 8)3-15 HP;absorb Descri O al Amount unit 100k to 500k BTU 25.60 tion: - - �- 9)15-30 HP;absorb Fumare 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 11)>50HP:absorb Floor furnace Including vent 955 unit>1.75 frill BTU 87.20 Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM floor mounted healer 10.00 Vent not Included In applicance' 445 13)Air handling unit 10,000 CFM rmit 17.20 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 duct 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 permit 10.00 mil.BTU 17)Hood served by mechanical exhaust 30.50 hp;absorb.unit, u 3,400 1000 1-1,75 mil.BTU - 18)Domestic Incinerators >50 hp;absorb.unit, 5,725 17.40 _ >1.75 mil.BTU --- 19)Commercial or Industrial type inclnerator Alr handling unit to 10,000 cfm 658 69.95 Alr handlingunit>1_0,000 cfm 1 170 - Non- rtable eve to cooler 858 - 20)Other units,Including wood stoves 10.00 Vent fan connected to a single duct_ 448 Vent system not Included In 650 21)Gas piping one to four outlets 5.40 appisanoe_ermit _-_ 22)More than 4-per outset(each) Hood served by mechanical exhaust 656 100 Domestic Incinerator __ 1 170 Minimum Permit Fee:72.50 SUBTOTAL: Commercial or Industrial Inclneralor _ 4,59-0- _ V, E%2 Other unit,including wood stoves, 656 _- 8%State Surchr go $ Inserts,etc. _ P4 1-0 Gas piping 14 outlets 380 25%Plan Review Fee(of subt dal) $ Each additional outlet 83 Required for ALL mnimercial permits only TOTAL COMMERCIAL : TOTAL RESIDENTIAL PERMIT'�I%: $ VALUATION: Other Insper glons and re": I Inspections outsido it normal business hours(minimum charge-two hours) $72 50 per hour 2 Insroctlons lot which no fee Is spedricslly indicated (minimum charge-half hour) $72 50 per hour 3 Additional plan review required by changen,edditions or revisions to plans(minimum charge*ne-hall lour)572 50 per hour "Stale Contractor Boller Certification required for units 3-200k BTU, ktaldential AX requires the plan showing placement of unlL I klstsVrms4nech-fees.doc 10/11/00 Electrical Permit Application mom o.ureal�oa, hnwtno.;, ('City of TIg*M — - - - s�ro�hppl fro Eltptedate: Crrye/71pN Akmc 1312$SW Hall Blvd,TiRsrd,OR 97221 Date lesued Hyl lleoeblRo. - �- V%ow: (303)639.4171 --- - --- Pai ORM 3961960 Caw au _ �rnu.�rtie. Land use approval: 114 2!mtq a w ill dwrIUceesaq U Comff»roialllndusulsl U Multl•femily U Tenant tmpmYviom xlt W(New vVi sttuctica L)AddttknViltemioWmplaicentent U other: U PutiRI Job add": bili ,nu.. 9ula no,. Yam MAPUS Inrlaoeeunt tw.: Hlock: Subdlvillao: He 1!vw wl/ I loses Dtescri ton end Iocawn of work oo1nmises: N fW W%%Wru►:t L(imaw dale d canuliedolUine on: Tow ©walwsss tuo"! 4 AM•r 0..+�>r.+ A dresu ewiftaelt booedaeoer6d�w.st•� V neouv _ Lace. WA 98661 so 111*"166 5 P)wtnt+: 9 9 3-5 0 HIP-nail. l000sa n ) tsw —�•••---- saw Lk)"- 500 Kot ruon&-Fr-.a CCA flo-;1 1 5?� P x%c.bw.He.ntet 3 4 �,o,t',•b nr,ea,d. 7s- Cl - o — Llsutseeasq r�a�n-rei_ld�enwt mrril�olu�sd f�01et w module drwlllq _ �eat __ eM .e1.n,M1M roll' LNenw ro alerrdlaa K NIetNMM: to 400 Nnflte(pNat i.�6-6 a-6r, t�r a r+to rw. Md edd:r 4_� ? Np 9lare:C1'' L1P� - •rlbOG dvoT to t')wner nadMkian tfltptl.tlotl s inp meds on pmlxrw »wn r,�„11.tM..renMtw••••uoelcs.c whkh b"Intsww fw sale,I M.rx eactwAp aorordkn1 to I-3grw lm. 3 ORS 417,415,479, 1. r mt a w_ •na C1wns'eSi ir~+o, v 1 wi to - ataaleM&M F-comb A. Fir for bmuh c+TrNe wM1+/urcnw dt Addlftaa. _ ws.ioe a bedw wrn nr.soA arb�N� Sti — xdP a+rur btwnen dree :,ince paK uee — d eer+ia or ttoedw/r 1k>a braK h c;m of 2 E>•ftlail: gcl+rtdYl ead�circY� � - (. N o► ►age Me e Ottervle.o.M731ewp►aewrwweW Otrnelrl+awrheslNy -,T��'�,a,� UOnarck heal a ouUtr�e w- 1 �Irk+owx324utpntMl/t1 OHnrwdac,rloeMen - eroieurlxe Mf.arne.yy hail/dwelIMIN a Now"ova I OAoo wF"M kw a 3 D lyrww o'w w V*tw w m*W nvm m taeNal vrwu in ow sincom allttwlun,wito is rlra,' ^r„--- CJ t+wldN(te.olMu alaflre U lwafwt.One Mmo w rwrt •Owwn -- ro awe L)0ewePfn k d ors 40 re— U Mwrvhrtsni rfroousn a RV oark 1y,,d, 1 •nr rw).1 to tlVoeaPl/Mltry/tM O Uuw. -- --. _. M 1"Frdon lU•ttNn sHttlst IM w tv�� tr e4wirMLw esr lk _ - --«.�— _ hneit hr!.....•......... ..._ MM �te,;,.ey��.ereer.�v.�Y•aw�..aM. Nader Tfite pennN pR►Ildioa clvlw a►r wrGwl ettpira!f•PPMA ti nos ebosi»d StU fSurrh (et 941 ! _/ ,__ wMhla 1 et?days after it has bow, TOTAL h1f�! ,•.3 dM�eaM aalellwr.. — _ _- T wwpWd ea—�. tl� to 3:a� .tI�il:3�3 .311 ZUSE6E09c 6� :LL IOU/S0/E0 Mar-06-01 03:05P Walcott Plumbing 503 667 9831 P.01 UI'0(l/UI TU7 14.41 FAX 503 308 1960 cl'l•Y ok TICART) R. Plumbing Permit Application City of 'Tigard Daeruxtvo4. Narnuln0.?25- d0 . nddre::e: 13125 3W'Hall Dlvd,Tient 1,OR 97221 Sawa permit no,. Duildingperrrit no.. tarynJTiYnrd Phone: (503)630.4111 hujxt/appl.na.: Expuednte: Fax: (5(1.1)iy&1960 Drtelsaued- _ BY� RTeceipttKr Laud use approval: _ Cssc file no. payment type — U 1 tk 2 family dwelling ur aecen+try U C=InhlCinUindUatngl O Mu:t--(am-l)• G Trnsat tmprovernmt 4 New WnrtrucUft CI Additit n/altemnrWteplacerrent U Post•cryrce U(?cher Job address: 131'j�, :� r•h-' �-/I E! It i /_ Description 1(�_rt.j Feelsa. Tobl Bld .nu.. Suite no.: — now 1•aqd 2-!scally 47eltioil ZY 1 Tru mapJtax IoUnccouut n0' - — fitac In 100 R fwswtb utility ctvrOecaor,l __ SRR(1)bath j Lot. 81ock Subdivision; 4. --- - - ,.. Proiect tlal+Ic: SFT±(4)bath - C:tylcoun 'LIP: Each odditicnaTI Ito n -1 -" Description and location of work on prcmises: Site trt11l111sr: Catch bn_sin/arre d:wr Gu,dote of cc" letioNlaspect an- t we aseaI h lroe%ostia oolin colt+ no.lin. 0UMIcssdame, wo Cq S �w •` t,,� _ UVs`Wtzd omeUtlliges -Addre-w .O, G ZOO? Rain roan connector City. Pe�I,G,�.. __ 3tatcQd1' a tuyuaet(tw.ljp Now 30 3-64.1-11 tt Nat 641-91111 E tnaQ: y► 0!s-aw.q corm sewer(ao. inn fl. CCB nn -42L.-Al— L- I Plumb.bus.RR.no: L4-2 C d PQ Water uervice no. 'n I CCityanetro lic no.: FUttatre or New Contractor's epicsentadvc sizaahIR:r tre,�— _ AbstairpAy�k do volvtpreveater prlainatne. c,� 1.-; e�r Ut __ K waur vn ve �-- aarns/avrrotyo ��_ Note- .es wuhcr Addreva - it wns er `- L itr► _n4 fountwn(t) City. ------�crate. I, _ cc rum - - Phvr.r -- -- Fax E Otsll nnfitm wok ixtu taws=Gilt � Name/print) ri Flair Moor it M_atlinll.rddr-ss w e 41sposal Cry---- __ 5tste' !Ip ose br b ce m er Pbune. Pru; F mut acerae for Ra__ w Owrtr! hnetallsliurViesidentitd mnintename only: TTtt actu.•d insiallatio will be made Fy me at the maintenance and repair nu de by my rcgulru oo rUI,(cornmemial) - empkryre on the p-mpeny I uwa as per URS Chapter 141 5iWk(!t,botro(y;,lev�(t) Owncr's signature. Dote _ um u s rrwcr ower pan Urinal Nutx��----- -- ---- -..�_..------- stere tul�1 -- AJJreys. ___ _ ___ __� ntrnr star City ^- --- ---� SWe �t1P, _-__--- r. Phone - �NaI._,. [•nailTota tNM MI'o rdtuMh ret q�tilt+ratdt• ictal irdratar to mat.n orrnuien J Wotix This permit spplieaum U'hhs o MjSIVC'•" expim it s permit is out obtained Plan review(at _ 9b'• $ _ Ctyrad a•rrl�i __.__.` -�,.L._ within I80 days after it has been State wrchatpa uI _-_--.--_._.c �� .-- -M aea Atl - pred u compleu •••.• TOTAL ................. $ `Irrn .0hrw�+nit ptAll� Y Twe t ht n_ r Airream b/ «t�.whatacoTcw, 1 � 0 0 y t// Mar-06-01 03 :05P Wolcott. Plumbing 503 667 9891 P.02 03.006/01 FLE 14:49 FAX sot 598 1461 ciTl OF 1.1C4k1) PLUMBING PERMIT FEES: 1(,.Ft%T1�RE3 gndlvr PRICF TOTAL New 1 and 2JAmlly dWNlnpt+Only: ~ dual) �(9_aJ AMAIfNT (Igphid•sattPtumb;npp'fiMtvtefln pk4 I� TOTAL I r5`Irk 1G 61 d I lh•dwe0(ny and th•11r1It100 tt CTY (910 AMOUNT f �_ (of aaehu 1 nuol on ,� 1 (.a'�e1C1y yr te.e1 ' _ One ba _ 4e.zo� Idpa e.P $35000 b or-ub/S"er.ombj �$h;wer Only '16.81 Three t3)bsth $3999 00 rC'IaRT— t _ _.- - -R6TOTILL -i Urinsl� _ 6� e1. AT! URCHARO! E,wMyo,her le.eyPLAN RPV %OF SUB'OTAI -1O�fTi L OarbGarbageGispaHte..l _ - Lnundry fray iG f J iKr►nQ MiCh'�nr =� �� Floor OrdN wor9l�k PLEASE COMPLETE: a. �. N'ael Hpter O ctrnvf8 On Q UMe Mild I tet I �uznr-by Wolk Peter ortned., — 'Pe Gas 01D n9 requi es a eaporrr,s tnM:haroul 10 Flzlwsr Type:' " New: lrrery d Repla 'J Rem0vdl •mx -- -- MFG F+om New— nuN Service M•tj 7 Sink Mho Herne New SoNSbrm ev»r— a8 r G —IO,A u or ubvShower I Nose H Ge Combinaft Rnol Dame ta.1 showor nli _ Dnnk'ng Fountain 18,1 0 J Walar cle"t 1e or«Flxlurlr6lroecMy) Ishwai er —���- Garbage LYe oail -�"� --- Leund Room Tr --- - — Washing Machna iow DrtinInk Sewer-1st t—00' Sower each sddrllvist,(Ty 46 10 d' Y:elm 3sry eo•+s-"i i5o--- G K7t eal•r - __. WaverO ery c!•ca48—,ah aUd DhJ1100 ,0 lh•r F, Ivres SUM 6 Rain 68 f+• 'e,t o0' SG• -8kxm 8 Rain fear,-each 04-11 on 110G' 4E.10 __ { Commercla Sack Flow�rayenlbn Dev • ^- Rs►Men6nl t4v--flew P1ePlvenl R;7.—w 27 7G _ GOICh BaNn+_••• - 16 60 ___l_. .--_•J Insp%J to of Ealstlnp Plumbinp or peclely 2 SO R• ue!!ed Ins�•cllo,u ,fi' COMMENTS REUARpING ABOVE: Rain Oram,single umNy dwelling - Gree— eeaas - to eo -_ -- -- QUANTITY IOTA 4 watrlc a 4",dlepern H'"Wed n _OLYfI dr total�* >g —�-- 'SUBTOTAL 8%STAT!!lURGHARO! -- - •'PLAN REVIEW 25%OF gaTOTAL Re4kr!Q,.r N.rrrlun rethf N I S _ 1T-4 f 'M4nr*.m Psnelt its R.I:Se•a14 NNo 61-hwgr.seep+Read 411181 eee.row Prover".•r,0"".. h(N's fse 23,V'. $In halo* olhu N. „ernrMrC41 au,lelrp•rrquu!�ujs with gnrtwl•K or dw n lUgran srd rd —:.w 0:13m ernutplm•lees doc tQ/10/00 CITY OF TICA RD 24-Flour BUILDING Inspection Line: (503)639-4175 Z T- MST INSPECTION DIVISION Business line. (503) 639-4171 BLIP _— Received _ _.__ —.Date Requested _ �`� AM- --- PM BLIP Location _-__ -. - Z 31 `� � / -21---_--�—_Suite---.-_ _ _ . . MEC Contact Person -`�;--- _ Ph ( ) �—=55� PLM Contractor Ph(—) _ S W R BUILDING TenanV0wner ___ _ - - ELC Footing ELC Foundation Access: �') Ftg Drain c'-`-J /";C) ELR - Drain —_. Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing -- - — Insulation Drywall Nailing - Firewall Fire Sprinkler -- Fire Alarm � Susp'd Ceiling —- --�- Root - S ART FAIL. _— MBING _�— st&Beam Under Slab ---- - Rough-In Water Service - ---- -- Sanitary Sewer \ Rain Drains -- Catch Basin/Manhole Storm Drain - Shower Pan rn `�_ ASS ART FAIL ICAL ----___—._-- P & Beam Rough-In _..------__------• Gas Line Smoke Dampers — --- --��� na S PART FAIL -- -- - - - - — __ RICAL Service - -� _---- _ Rough-In _ UG/Slab - X- , O Low Voltage �_?1_ --- Fire Alarm Final ) Reinspection fee of s___-_ _.required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE — Please call far r spection RE:_—__ F] Unable to inspect .• no access Fire Supply Line C 1 /�� Approach/Sidewalk Date In�pOctOr ADA Iti d_ — — Other Final PO NOT REMOVE this Inspection record From the job site. PASS PART FAIL -01 Q w � O H I ^ � ry b � 5 � a v Q Q f c� F 0 O 5' 00