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13148 SW RAPTOR PLACE -13148 ,-i%V Raptor Place CITY OF TIGARD 24-Hour BUA'LDING Inspection Line: (50316:39-4175 INSPEC i-ION DIVISION Business Line: (503) 639-4171 MST -D')1'17- BLIP Received _ Date Requested 3 _�_�AM_ PMS'_ BLIPLocation. Suite __ MEC Contact Pers^n __. —_. Ph(�. ) ' PLM Contrac,or Ph( ) SWR _BUIL DING Tenant/Owner �- Footing - - -_ Foundation E LC Ftg Drain Access: ELR Crawl Drain Slab Inspection Note;: SIT Post& Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing _ Insulation Drywall Nailing -- Firewall Fire Sprinkler - Fire Alarm Susp'd Ceiling - Roof Other: _ Final SS PART FAIL PLUMBING Post&Beam Under Slab - Rough-In Water Service Sanitary SAWer Rain Drains -- — --- Catch Basin/Manhole Storm Drain - - ------ -- Shower Pan Other: - - - PA�r PART FAIL - MIECHANICAL Post 8 Beam - Rough-In - ----- - -- - - - Gas Line Smoke Dampers -- -- _- _ _ ---- Final PASS PART FAIL -- - - — ELECTRICAL Service --- - --- Rough-In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of$�. _.required before next inspection. Pay at City Hall, 13125 SAN Hall Blvd, PASS PART FAIL SITE Please call for reinspection RE:— - Unable to inspect--no access Fire Supply LineADA Approach/Sidewalk Daft �-F-y Inspector Other: Final — DO NOT REMOVE this Inspection recorr' from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST IZEL r DQ /S INSPECTION DIVISION Business Line: (503)639-4171 BLIP Received C(Date Requestea.-- 3 +° AM - PM BLIP _ Location L/ Suite_ _..T__. MEC T7� ,-�(�; _=--� PLM _.. . Contact Person — — Ph t SWR ( — ) _ Contractor —__—.__._� -------- Ph - BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain I LR Crawl Drain -- -" SIT Slab Inspection Notes: Post&Beam -- - - Shear Anchors Ext Sheath/Shear - - Int Sheath/Shear Framing -- Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -- ----- - Roof Other. - Final PASS PART FAIL PL_UMBINGi -� -- - -- Post t Beam Under Slab -- - - -- - Rough-In Water Service --^- -- Sanitary Sewer - -_ Rain Drains - -- Catch Basin/Manhole -_-- Storm Drain ----- ------______�� - Shower Pan - Other: _- Final PASS PART FAIL MECHANICAL ------ -- _! Post&Beam Rough-In - ------- __ ._. - -- - Gas Line Smoke Dampers Final PASS-PART FAIL ""---- -- _- Cl'RI L - e - Rough-In -- --- UG/Slab - Low Voltage -- - --- -_-- _ -_.- Fire Alarm Reinspection fee of$__- required before next inspection Pay at City Hall, 13125 SW Hall Blvd. PART FAIL SI -___ )L❑ Please call for reinspection RE:-__- LUnable to inspect-no access Fire Supply Line /ADA Date (l �"' InspetorIlExtApproach/SidewalkI 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 PLtJMBING CONT, INC PO BOX 2007 GRESHAM, OR 97030 Plumbing Signature Form Permit #: MST2001-00157 Date Issued: 7119/01 Parcel: 2 S 104f)A-06400 Site Address: 13148 SW RAPTOR PL Subdivision: QUAIL HOLLOW - WEST Block: Wt.. 050 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, pleasr, 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 abode, ATTN: Building Dept No plumbing inspections will be authorized until this completed form is received OWNFR. 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 #: 1 I(: 23847 PI M 26-208PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X Signature of Auth i ed Plumber I. 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 #: MST2001-00157 Date Issued: 7/19101 Parcel: 2S104DA-06400 Site Address: 13148 SW RAPTOR PL Subdivision: QUAIL HOLLOW - WEST Block: L-ot 050 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 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 18'rH STREET PORTLAND, OR 97223 VANCOUVER, WA 98661 Phone #: 503-598-7565 Phone #: 360-993-5060 Req #: LIC 116514 ELE 34-432C SUP --Mrs- // 62v- 2 /S AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Supervise g Electrician If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TII�IAR® _ MASTER PERMIT PERMIT#: MST2001-00157 DEVELOPMENT SERVICES DATE ISSUED: 7/19/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 13148 SW RAPTOR PL PARCEL: 2S104DA-06400 SUBDIVISION: OUAIt. HDI.LOW - WFS1- ZONING: R-4.5 BLOCK: LOT: 050 JURISDICTION: TIG REMARKS: Now SF _ielaclwd nowhnuse III EmIding tM Sethat;ks as per Sheet A10.10 Plan AS IW.LDING REISSUE: STORIES: 3 FI )ORARFA5 REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 31 FIRST: -,I nASEMI N I of LEFT: SMOKE DETECTORS: a TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 735 1 GARAGL 547 of FRONT: PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: 1 FINSSMENT: 890 of RIGHT: VAI `. �d�59000 OCCUPANCY GRP: R3 BDRM 3 BATH: 2 T07#-L: 1,48800 of REAR: PLUMBING SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 1 0UNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS CATCH BASINS: TUBISHOWERS: 2 GARBAGE DISP I WATER HEATERS: 1 WATER LINES: 100 BCK€LW PREVNTR GREASE TRAPS: OTHER FIXTURES: 1 MECHANICAL FUEL TYPES FURN<100K: 1 BOILICMP•7HP: VENT FANS: 3 CLOTHES DRYER: I GAS FURN>•100K: UNIT HEATERS: HOODS: OTHER UNITS I MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS. ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS _BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS_ 1000 SF OR LESS: 1 0 200 amp. 0 200 amp: WISVC OR FOR, 2 PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 3 201 400 amp: 201 400 amp tat WIO� C.PDR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp, 401 600 amp: EA Ar01 RR CIR: 1 SIGNALIPANEL IN PLANT: MANU HWSVCIFDR: 601 • 1000 amp: 601.ampe•11000v: MINOR LABEL: 1000+amnlvolt PLAN REVIEW SECTION _ Reconnect only: a.4 RES UNITS: SVCIFDR>•228 A.: >600 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY _ A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOMIPAOING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: ALL ENCOMB BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL OTHR, HVAC: DATA7TELE COMM: NURSE CALLS TOTAL N SYSTEMS: Contractor: TOTAL FEES: $ 5,696.13 Owner: This permit is subject to the regulations contained in the BROWNSTONE HOMES BROWNSTONE HOMES,LLC Tigard Municipal Code,State of OR SpecAlty 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 expire If work is not started within 180 days of issuance,or if the work Is suspended for more then 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 124627 forth in OAR 952-001-0010 through 952-001.0080 You may obtain copies of these rules or direct questions to OLINC by calling(503)246-1 REQUIRED INSPECTIONS Erosion Control Insp 8, Underfloor Insulation Plumb Top Out Exterior Sheathing insf Gyp Boardsp iter Service Insp Sewer Inspection Plm/undslab Insp Electrical Service Low Voltage Fire s A pr/Sdwlk Insp Footing Insp PLM/Underfloor Electrical Rough in Gas Line Insp In drain p EI ctrical Final Foundation Insp Mechanical Insp Framing Insp Gas Fireplace Roof Nailin PI b Final ISlab Insp Mechanical Insp Shear Wall Insp Insulation Insp Water Line Fin I Inspection Issued BY : Permittee 8lgnature . Call (503) 639-4175 by 710 p.m.for an inspection needed the nex business day /A CITY OF TIGARD _SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001-00099 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/19i01 PARCEL: 2S104DA-06400 SITE ADDRESS; 13148 SW RAPTOR PL SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R-4.5 BLOCK: LOT: 050 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 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 11.is Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. T e rmit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The ge Le,nalole guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measureme t give shall prospect 3 feet in all directicns from the distance given. If not so located, the installer sh purch Side Sewer" Permit and the Agency will install a lateral. ATTENTION. Oregon r es yob Toe by the Oregon Utility Notification Center. Those rules are set forth in OAR 95 -001-0u10�hrou I OAR You may obtain copies of these rules or direct questions to OUNC by calling 503) 2 6-1987. Issued by: _ Permittee Signature. Call {50 1) 639-4175 by 7:00 P.M. for an inspection needed the next usiness day wA200/ 067c^ Building Permit Application -- Uate receival:�. �:� Permit no../W CC/-,00/S;1 CityCit of Ti and ' g I'roject/appl.no.: Expire date: City of Tigard Address: 13125 SW I#all Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: By:L eceipt no.: Fax: (503) 598-1960 1 Case file no.: Payment type: Land use approval: 1 1&2 family:Simple Complex: Lf') &2 family dwelling or accessory U Commercial/industrial U Multi-family New construction U Demolition U Addition/alt(-ration/replacement U Tenam impnrvrtncnl U Fire sprinkler/alarm U Other: ,— JOUSITU INFORMATION Job address: 5 �� t Bldg.no.: Suite no.: Lot: Block: Subdivision: ` p►t L 1 ow T . Tax map/tax lot/account no.: _ Project name: Cil V AIL _ 110111 W Description and location of work on premises/special conditions: j�Lmt1 k9J:�E. r , Name: `Ttsr�1 = G3 M tsS O 106t` rL"&e (� 1l&2 family dwelling: Mailing address: 1Z y+^� y City: tJO State:Cr ZIP: X22 Valuation of work...................: ............ $ r Phone: Fax: 1A�a t Email: No.of bedrooms/baths............ _ Owners representative: /s�F 1� pAt'�t Total number of floors................ _ —..__ Phone: �77y Fax:5711'�'19'L1,n,;10 New dwelling area(sq.ft.) .....�..`.�.Q ......APPLICANT _ Garage/carport area(sq.ft.)......;�'��......... Covered porch area(sq.ft.) ........'"`............. Name; E � A-029fe - Deck area(sq.ft.) ................1.0 5.`.'..F.7...... Mailing address: State: ZIP: Other structure area(s ft.).........'.............. City: - CummereinUindustrial/multi-family: Fhone: Fax E-mail: $ Valuation of work........................................ Existing bldg.area(sq.ft.) .......................... ---- Business name: f3`� � GNew bldg.area(sq.ft.) ............................... — Address: Number of stories........................................ _— City: +� State: ZIP: Type©f construction _ .................................... -- Phone: Fax: E-mail: Occupancy group(s): Existing: CCB no.: New: _ City/metm lic.nn.: Notice-All contractors and subcontractors are required to he licensed with the Oregon Construction Contractors Board under Name: Q C-1 ,1 a provisions of ORS 701 and may be required to be licensed in the _ jurisdiction where work is being performed.If the applicant is Address: \�q `Cc>tiXJ t✓ �� exempt from licensing,the following reason applies: Cit State:W ZIP: hl Contact person: W _ Plan no.: F'hone: 6- 4(,7-%I.N I-ax:la-4j 7- E-mail: Name:W Q E61UN. Contact person; M) Wi 11, Fees due upon application ........................... $ Address: !45 S LO Q1 N e uJ b Date received: -- City: State:??- ZIP. Amount received ......................................... $ Phone; -9 b 33 Fax: E-mail: -- Please refer to fee schedule. 1 hereby certify 1 have read and examined this application and the Not tit WNUctiom wcW cmat was.pww cart wa&ction for more info m rim attached checklist. All provisions of In s and ordinances governing this Uvisa u bff: and Cadit crd aumba: work will be com lie` '\t whe ified herein or not. Expire) Authorized signature•.AV"�/� - Date: Ntme ore r .Mrt on c+ean cod $? I� Print name:_ 1 f*`1M� Q, c A n+ C.anotder sigulum Anwunt Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted as complete. aa-46l.1 I&W(:OM) Mechanical Permit App:icadnn ^— Date received: Permit no.://s7?o$/-oo/s7 Are k City of Tigard ProJecUappl,no.: 1-npire date: C'uyof'14gard Address: 13125 SW Hall Blvd,Tigard.OR 9722:1 Phone: (503)6394171 Date issued: _ By: Rec,eiptno Fax: (503)598-1960 Case file no.: Payment type: Land use approval: _ Building permit no.: ;Iob�sd�dmss; ;farmilylling or accessory 0 Commercial/industrial U MuIG-family U Tenant improvement U Arlditiretr/alteration/replacement U Other:1 I •4 1_ L k L, JL PL Indicate equipment quantities in box's bciow. Indicate the dollar Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: — y profit.Value$ - Lot: r Block: Subdivision:QUArI f-bl low LLo *See checklist for important application information and Project name: `1� VJ 'uizl\JF-btu�. jurisdiction's fee schrdlllc for residential permit fee. City/county: IC1AUD >�SI-� 21P: 'Z2 It r r Description and location of work on premises:. =t v I 1110 W 11H IN III Willt t _ Fee(ea.) Total Est.date of completion/inspection: IIVACIleceri ion (ry. R(K.only Res.only Tenant improvement or change of use: _ Air handling unit CFM Is existing space heated or conditioned?U Yes L7 No `tX_w Air conditioning(site plan required) Is existing space insulated?U Yes U No terauon o ex sting A .system __` of er compreaaors $usiness name: UU t A 1 ('eap)I Il • State boiler permit no.: HP „_Tons__BTUM Address: YO, U,G, tr smo a amper uct smoke detectors _ City: VtXLI i Arx Stater k ZIP: 7 290 cat pump(site plan required) Phone: S Fax:775 119) E-mail: nsta rep ace urnac burner Including ductwork/vent liner U Yes O No CCB no.: S2-15.3 _ nsta rep ac re ovate heaters-suspended, City/metro lic.no.: DD DO l OZ wall,or floor mounted ^ Name(please print): t ltP, M }105 IL/ Vent fora iance other than umace 9111011 Fix U Refrigeration: Absorption units BTU/II 1 Chillers 14P — Name: I U� kt►Q F --- Com tressots —_ Ftp Address: n. tnenton: --_-- City: State: ZIP: _ A pliancevent Phone: E-mail: [-Dryer!Xaust�--- I s, ype ?11/reslitcheiRFazmat hood fire suppression system Name: Exhaust fan with single duct(bath fans) Mailing address: x aust s stem a art from heating or --state ZIP, •ue piping an sty on up to outlets) City __ 1 _ Type _—LPG NO X_ Oil Phone: Fax: E-mail •ucpiping ach anal over 4 outlets Process piping(sc ematicrequr ) Number of outlets Name: �a 1a 1\A �.( J c'. -- ter sl app ance or equ pntrat: Address: _ Decorative fireplace City: -Mate: ZIP: nsert-ty Phone: — Fax: E-mail: tov pe et stove __ Mer: Applicant's signature: Date: I i — Name(print): _ piaradcaduep axtredil tardy,Acne call, far nwar fnfarmari«r Permit fee.................... $ Not VI Not s MasterCard Notice:This permit application Minimum fee................$ expires if a permit is not obtained plan review(at _%) $ Credit t.d number -- — --nx�- within ISO days after it has been 40�_ ----- — accepted as complete. State surcharge(896)....$ Name at cerdhaldrr u airorrn as c ; P '7 TOTAL .......................$ �— _Crdhatdrr dpwure Amom 4444611(fYW=M) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: FEE: Description: - Priro Total $1.00 to$5,000.00 Minimum fee$72.50 Table 1A Mechanical Code Oty (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 duds&vents^ 14.00 fraction thereof,to and including 2) Furnace 100,000 BTU+ _ _ _ _ $10,000.00. including duds&vents_ --- __ 1740 $10_,001_.00 to$25,0-00-00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$10.00 or includingvent 14.00 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 $1.45 for each additional$100.00 or 6.90 fraction thereof,to and including 6) Repair units _ __ _ $50,000.00. 12.15 _ $50,001.'10 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. Com ' " 7)<3HP;absorb unit ASSUMED VALUATIONS PER APPLIANCE: to 1005 BTU _ 14.00 - - --- ---- 8)3-15 HP;absorb Value Total unit 100k to 500k BTU 25.60 Description: 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 11)>50HP:absorb Floor furnace induding vent 955 unit>1.75 mil BTU _ 87.20 Susperded heater,wall heater or 955 12)Air handling unit to 10,000 CFM s floor mounted heater _ Vent not included In applicance' 445 ----- 10.00 rtnll 13)Air handling unit 10,000 CFM+ -- 17.20 Repair units 805 14)Non-portable evaporate cooler - <3 hp;absorb.unit, 955 _ 1000 to 100k BTU15)Vent fan connected to a single duct 3-15+hp;absorb.unit, - 1,700 � � 4 6.80 101k to 500k BTU 16)Ventilation sy:tem not Included In 15.30 hp;absorb.unit,501k to 1 2,310 appliance pen.It 10.00 mil.BTU 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 18)Domestic Incinerators _ 17.40 >1.75 mil.BTU 19)Commercial or industrial type incinerator Air handling unit to 10,000 dm 656 69.V Air Flandlinp unit>10,000 cfm 1,1170 - Non- rtable evaporate cooler 658 20)Other units,Including wood stoves 10'00 Vent fan connected to a single duct 448 Vent system not Included In 656 21)Gas piping one to four outlets 5.40 appliance pennit 22)More than 4-per outlet(each) - Hood served by mechanical exhaust 656 100 Domestic Incinerator 1,170 '(Minimum Pe.-mit Fee$72.50 SUBTOTAL: Commercial or Industrial Incinerator 4,590 ? $ Other unit,Including wood stoves, 658 -- 8%State Surcharge $ Inserts etc. Gas piping 14 outlets360 Each additionaloutlet� 83 25Y.Plan Review Fee(of subtotal) $ -n - Required for ALL commercial permits only >� TOTAL COMMERCIAL $ �- TOTAL RESIDENTIAL PERMIT FEE: VALUATION, _- 9ther Inm;j!9ns and Fae�: 1 Insp dions outside of normal business howl(minimum charge-two hours) $72 b0 per hour 2 Inspections for which no fee is spedfiically indicated (minimum rharg"alf hour) $72 50 par hour 3 Additional plan review required by changes,additions or revisions to plans(minimum diarge-one-half hour)$72 50 per hour 'State Contractor Boiler C"f1calhon required for units>200k 81U. "Rosidential AIC requires the plan showing placement of unit I:WstslifornWirnech•faes.doe 10/11/00 Electrical Permit Application City of Tigard Mneb/tppl.no mat: eaOMdate: C1ry Ak13121 SW Hall Blvd.Tl OR 97x23 -- tl/71Rartf �� Datcltelxd• �_ 8y: Roneiptno -- INatatte: (143)639.4171 Pax: ORM 39d 1960 Luc NO nn Pgetlall type. Land use approval: !?N"aMMwbOO ily dwellUS tx WTAKxy U CctmemislAnduithal la Multi-family U Tenam Irnrmwtrne,ntewcL]Acid,tion//lreraticxt/rrplacetnent D()IIICt U Partial Job widttiat: Vt 1 1- i Blda,uo._ j 1SUito no., T&A rn c In✓acaount no.: lett: Bkxk: Subdivblov: uf*t L H611w��WnL Project Hatt»: MI Ne I I ora petert lonlon�ine ;at -of work oe rmie�ex_s: N�eoOWMn&3 rimmed dal!of Mr etiott/lar t,gtl: roe Ptr� JOY IW peal ` row M Daunt omath' Ct raaml i nw R1 itri[` _ *&M.*4&w .1 1161. /pMit�tltta.ldlrha tl/tto>11tN/rltp Ow V neouv Bute: WA 99661 _ mail: icx h Ow�r l w I X15 3-r at' CCD no.:1 1 im twtuua►d soo n a tiei �s_ Irl aotJw.dE,tu CSI /�Ik.no.: _ L.ttnttr:eaar� moa-retldeMial ltaonmuNfK oratodulYdrtillq �,:natrn of •'_R doct Mma f: LIawlltro aNenatAatlt etlacatIM 71(14?turyN d 7616161 _ l uu�b 6100 am ' Ham(pel01: - _ 6afrnPta6ocrr.M - MUUn t►dd 161 ��' I UP—� !.�r 01 Y_To ...� � IF,mai I Ra>.w�c+aol aa�arttr� r tWeTl tF4+•ttet ns Issien' inetallROM t inp Me&on PFT'F Xtp I nwn wotrttA�l.taaMlttlta,«r.baateYt which is PM lfflimJed for tale,left OF aschanr accwordln6 to 1 CKtS 441,1!!,470• 1. xp`i MTV be__ _ Owmt't 11 Dwi 1 iol wf� r"M wrw,ObvrwoWft. .__ a anse tNa pa patch Nteme _._ +►- rw to tlrancn c,nr 1e tttldt pumohse of Adtirsst: — J r+.ioe a taadtt wrr h M0A a1rOtNl • tefartxantn dMv trtlhMrr ptMc ate City — • nd aw"ce or►aids he hitt bnneh c IVOIL 2 MON: f.tU&IMMUR&MM H�hrldYl�t>u aot�tieeuM. t w arae Mn++fof Iioncficle 1 0 4w o ks e.M w wr, ('"'cwt . 1 0 H9401%. QNYb N-M OI1R>I 0 itaAAoulltlMtn dWtllryt _ Q Irrnb a•Mr y70 tun /towUe)a t Tiled fnaly - htr.ilt dt►tllleytt O Nni"otrw 10 OM cTwe Ow fnw is = d�!w'tws b00 va n anitthul FRM MM'"MW tNb.n rntr IwMIHMMtttattan,a e+twlan+—_ U F I*ft' + dw-llfttt O Adan.6110 rete.w MM +[lagan U OMNM M that Tw VV retw ea U M68oworwd Ow"U to M W v We �t MN meter rI =r Mf.1 ft sum tM%g* we of Nr wpb stay of dw nb*". TMl ttMtrtN o tiA kit M/sat enrlrtpQt!ttorrk�. _- -- r 7s NtKioa Oto tEmit q(tcfhape nit fee...... .. .........._ MMter— -w r O Vita C M.wrGN eltpin:t If•permN b rho!t�ta*w 91t.p rrvir+lr(It li 1 s _ ! / within 1 to dart tRw it%a brow O t hatXt(high) S YNwI twee wMr - T W+t actor;,bd tr rnrnplato. IO/TO 30dd '0I2i10333 34TIWI.3d_ r'iav -U6-01 03 :05P Wc:rlcott PlUMbinc) 503 667 9891 P.01 u., nl;;ul :�� ,.t al WAX 50:1 SAH 1960 C1'rr OF TICARn f�oo2 Plumbing Permit Application ' City of Tigard ri Date cctved: RrrnitIQ.:nddren 13123 SW Hall Bitid.1l9w 1,OR. 9722? sewer pe„�;,^o.: n„tid;ngpermjt n�____- G,ryoj7,rard Mone: (S(13)(j3o-4171 Prulec✓appl.no,. gx _ piie date: Fan: (5(1.1)59ft 1960 Duri,wcd� _ By: Receipua 1AUW use approval: .__ —___-_ ccsrc file nu Paym isttype rU 1 &?family dwelling ur at c%.Rory U Cam rrnrteial/induatt,rl O Mu t-famely U I cnrnt i(r govtc m tit Q New wostruLuou O Additlr n/alterannalrcplocemet►t U Food w:rV we Ll()t,kr ----- _ Job addcas: /t. P, Dtscrlpdau (1vr. Feeler. Toto) Bldg.nu,; T Suits no.:~_ �� and 2-tarlilly dwelUnta ouTy Tax map/tax lo✓accouutIto (lemweeIce A.foratc6utiutyconse•ctloo) SFR(1)bath Wt. Block , - Project namr ( o th Cityicountyt Zits: that) Bonn att✓kuchen -^ Description and lucitUon of witk nn prcrrtieea: JlleaflUlieet Catch bmidarea dram Est•date orccm)m lt•tiorViosprcii'n - --�--' tywc lea- —In e 1.4 rain Fmtinr el Bushess carne: t,�o l C p 1�” �'l M wh _;,n . itAut home utilities tan o cs 2 0 0 7�- _ Rn druin connecinr tatty, re�1rs..�. State fl ;U' t31 sewer(no — Pltune Soj-�b�-t� ( rax 6�7-9tl 11 E•nwA; yu Cie-cw'4 Storm sewrr CCB no. �, g yl Plumb.bus.teR.oa't4.Lo y pp Water rtuvice no. n. t. Cltymtetm lic no.: _ - Ebttute or Nmwu Cuotractor's reprcaeruedvc Signature: Ab tion valve ack low reveotet Vriat name o.. b ; e� U. Ot water valve -- arin oval NanOe o s Wulict Addtesa IS wns er ty TGiJ State: tip; rt gtotintmn(t)c�c rump - — j Phone: Fax E-mail. Ex ansitm tank Name(print): Flair oor s u Mat�rddreai�-• -- --- --•-- � e t:��- Hose btbb City. _ -..__.--. 9tatc: x':IP: - Pbunc. Fun; F•mail nlOrce for terse(rap Ownr: iimallietiuNtesidenual muntenamm only; The acttW installation 1'rme77 will be made 1-y One or the maintenance and repair Ole de by my regular R60fdrRill commerrta,) _ employer on the p-.nprny I owa at pxr ORS Chapter 147 sirt�t baetn(s,iavo 1 0wncr's A nature, _ CKC• _ um u s owcr owo 77 _- Nuite: _ l'nnxi _ ntar xatcr _ City -1 SUlc l ZIP; Phunc _ rwe E null_ ora 1 ... .... . . -- dMd NI j�aNAe•Jaw xrer aadli unite.P4aaa call iuriraeaa•to mar�n arriuiien Yortu'•ntif permit eppliNbon Minimum rutS U vtu U Maiteicart expiry if a permit is nut obiaGied Plan review(at %; S i C�J1i eana•oiare _� _—� ..�._ within 190 days after it hos bleu Slate wnharpc(A96! S TOT,LL . .-.—.__�rQ er iu�•�•i id'I iMri eO ht�"' acu.pled tit:ornpkta �....�.........• •....5 ow% bq Mlb1��e,KV4Ci0') Mar-06-01 03:05P Wolcott. Plumbing 503 667 9891 P.02 03,"06/01 'PUE 11:12 VAX 527 5S)A 196) CIT) OF 'CICAkll 400 PLUMBING PERMIT FEES: 1-7-7 _ — RI � , TOTAL New I and246mil dwlN—Tlrpf only: --------- � FIXTURRS 1(_IldlvlOulila -_ A'TY !a r; AMOU+NT, (hchrdes all prumb;np'�IrturN In PNCE TOTAL LSlrk 18 6) Ih•dwentno and the fI ,100 iti1!,1 y •QTY (Fp :AMOUNT ISO) for each ulAy g000nn_ocyon 1 bi?r �?20 Tuba( ub/S"er romb16.e i yyo q b m _ O.GO Sh:w•r Ony i 18:8) -- Three(31 b+th 1399 00 agrClc+tel ,..- ` - T— UOTOTAL ! Urnil� _ 16, �`---------e•.:�AT'L'�URCIIAROF GiatMaoher 1a e0 _PLAN RCVIRW 45%OF SUBTOTAL '• -"I C:arbaye Gupntil 1 r,.�•�• Rrb�iIL L.eundry fray 1010 atrl�flg Miohlnr I t Floor 0n1 N got$ink r y 16 t0 PLEASE COMPLETE: 1" N6,10 wore+Nuts tJ comers on Ilk•kind 16 t ��j 11D f�uan o► Per onned Gal piping requires a separtlts trter;hkn+cat I l/n1+P` Fixture Type. New ' i 6- d Rep cod R"Ovodl or'TA tr _ pIld J MFG home New waw Service 10• Ink Mho Home New SaNStorm Sewer IB r 0 Latvst � - Hote H be - 1E Ia0 u or LtvShowet CombinaUon Root 0,21116hawo-la -- L� Onnx, Fountain I IB.IA Water closet Oma Fixtunn f;rpecilyl 1tI.110 nra _� Lound Room Tr#X — _ Washin Ms �n! sewer•131 100' E0 10 C loos rainf J" Sower-each eddUiuial 100' 46 10 a*'- wel.r Sim co•mat - 6. C wat Hamlet -- waler Service•mach ar� rdlt 100 k!$0 Olhlr t xlYra! S I_fwm_6 R•In Oroln• 'et 1pp'-- yb, '•- Storm 4 Rain rair•etch admi oval 100' 4E,F0 commer Back Flow ttrevonllan 06V 0 46♦D _...- -. F{•siden6A+Itpc+rAcw Flavtntlon LrivK�' 27 5G --- t afch Baan 16 80 Inspectlun of Exallng Plvmbmg or Specoly 2 Re ulsled InsCecuoru 041 1h. COMMtNITS 1490ARDINO ABOVE: Ra1n Drab,sing— i."i:rnay dw�sln8 a 2S _-•-- QUANTITY TOTA - lgwwtrlc or Isar dlegnm Is•qulr•d It I - -- - 'SUBTOTAL „1T — __-- 0%STATESURCNAROE _ -PLAN REVIEW 26%OF SL.RTOTAL RtWYr�rtfy it/ixlurt C�� rCll+�N`f r- TOTAL _ 'Minlr.r+m par.r•il IN It{r;!p•0'i NNh trrmhfrea,nwp Rr.A!MIN a•twler vgvar, h,ch,s Sse.L!.0%0010 t1,pthorge "'wi Naw cnmrnarolal aullf"ws nrquira Wait%vNh Immlit•rt M rtt it alaeran♦rd pl.h•r•law t\dahUorrnstplm•kea.doc �0/10/J0 i � h 5 N � n A c. o I � O o a� ^v C Z �C a' x I CITY OFTIGARD 24-Hour '' C�0 /-S-7 BUILDING Inspection Line: (503)639-4175 MST _ � 4 INSPECTION DIVISION Busine-s LinL: (503) 639-4171 BUP - -- - Received _-__---..__..__-,-Date Reque ted __ AM -- PM BUP Location Suite--- _ MEC PLM - - -- - " - - Contact Person y1��rd �d�T[.�—_ Ph ( _ ) ' - - SWR _ -__ ---- — --- — Tenant/Owner ELC Footing ELC - - Foundation Access: ELR - - Ftg Drain -- --- - --- Crawl Drain -- - - SIT - Slab Inspection Notes Post&Beam _ -- - Shear Anchors Ext Sheath/Shear Int Sheath/Shear - - - Framing Insulation -- - Drywall Nailing Firewall Fire Sprinkler _ - - Fire Alarm --_ Susp'd Ceiling -�-_-^- ^----� Roof _- - - - Other__—__--_ _----- __--- -- T ina --- S PART FAIL - Under Slab ---- - Rough-In Water Service Sanitary Sewer - - - Rain Drains Catch Basin/Manhole - Storm Drain ---�-- _ Shower Pan --_ Other: Final PASS PART FAIL _ — MECHANICAL `---- - _ --- Post S Beam ---- Rough-In Gas Line Smoke Dampers - -- Final - PASS PART FAIL _ELECTRICAL - _ — -- Service Rough-In UG/Slab Low Voltage -- ---- -_-"-- - Fire Alarm Final ❑ Reinspection fee of$_ -_ _required before next Inspection. Pay at City Hell, 13125 SW Hall Blvd. PASS PART FAIL Unable to inspect-no access SITE [� Please call for reinspection RE: ------ ❑ Fire Supply Line / ADA pats r I f - -- Inspector Ext --. Approach/Sidewalk - -t Other: - Final DO NOT REMOVE this InspoctiOn record from the Joh site• PASS PART FAIL