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13162 SW Raptor Place
CITY OF TIGARD
13125 S.W. HALL. BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
WOLCOTT PLUMBING CUNT. INC
PO BOX 2007
GRESHAM, OR 97030
Plumbing Signature Form
Permit #: MST2001-00155
Date Issued: 7/19/01
Parcel: 2.S104DA-06200
Site Address. jW Fii uR Pl
Subdivision: QUAIL HOLL OW - WEST
Block. Lc,t: 048
Jurisdiction: TIG
Zoning: R-4.5
Remarks: New SF detached row!iouse in Building #4. Setbacks as per sheet A10.10
Plan C-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
ONTRACTOR:BROWNSTONE HOMES WOLCOTT PLUMBING CONT. INC
12670 SW 68TH PKWY #200 PO BOX 2007
rORTLAND, 01.1. 372230 r". t';, n�.^,3L'
Phone #: 503-598-7565 Phone #: 667-1781
Reg #: 1 it 23847
PI M 26-208PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signaturre4Autho�i Plumber
If you have any questions, please call (503) 639-4171, eXtr # 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 #: MST2001-001 55
Date Issued: 7119/01
Parcel: 2S104DA-06200
Site Address: 13162 SW RAPTOR PL
Subdivision: QUAIL HOLLOW - WEST'
Block: Lot: 048
Jurisdiction: TIG
Zoning: R-4.5
Remarks: New SF detached rowhouse in Building #4. Setbacks as per sheet A10. 10
Plan C-SB
Your company has been indicated as the electrical contr ,-)r the permit indicated above. In order for the
electrical permit to be valid, the signature of the super+isi, Clectrician 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, AT-TN: Building Dept.
No electrical inspections will be audiurized until this completed form is received
OWNER ELECTRICAL CONTRAC'fOR.
BROWNSTONE HOMES STREAMI.INE ELECTRICAL
12670 SW 68TH PKWY #200 6025 EAST 18TH STREET
PORTLAND. OR 97223 VANCOUVER, WA 98661
Phone #: 503-598-7565 Phone #: 360-993-5080
Req #: LIC 116514
ELE 34.432C
SUP -Mrs
,Z) /
AN INK SIGNATURE IS REQUIRED ON THIS FORM
x f
Signature of Supervi<ing Electrician
If you have any questions, please call (503) 639-4171, ext. # 310
CITY
�� �'���� MASTER PERMIT
PERMIT#: MST2001-00155
DEVELOPMENT SERVICES DATE ISSUED: 7/19/01
13125 SW Hall Blvd., Tigard, OR 97223 (1103) 639-4171
SITE ADDRESS: 13162 SW RAPTOR PL PARCEL: 2S104DA-06200
SUBDIVISION: QUAIL HOLLOW- WEST ZONING: R-4.5
BLOCK: LOT: 048 JURISDICTION: TIG
REMARKS: New SF detached rowhouse In Building #4. Setbacks as per sheet A10.10
Plan C-SB
BUIL DING
REISSUE: STORIES. i _ FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 31 FIRST: 324 if BASE:AFN r el LEFT: SMOKE DETECTORS. Y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 727 of GARAGE: 410 at FRONT: PARKING SPACES
TYPE OF CONST: 5N DWELLING UNITS: 1 FINSSMENT: 567 of RIGHT:
VALUE: E 141,!i90 00
OCCUPANCY GRP: R3 BDRM: 3 BATH: 2 TOTAL: 1.616.00 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 FURN<100K: 1 BOILICMP<3HP: VENT FANS: 3 CLOTHES DRYER: 1
GAS FURN>•1100K: UNIT HEATERS: HOODS: OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1
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 FDR: 2 PUMIMRRIGATION: PER INSPECTION:
EA ADD'L SOOSF: 3 201 - 400 amp: 201 •400 amp: tat W/O SVC/FDR: 00 SIGN/OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 600 amp: 401 •600 amp: EA ADC'.OR CIR: 1 SIGNAUPANEL: IN PLANT
MANU HMISVCIFDR: 601 • 1000 amp: 601.8mos•1000V: MINOR LABEL:
1000.amplvolt. PLAN REVIEW SECTION _
Reconnect only: >600 V NOMINAL. CLS AREA/SPC OCC
>•4 RES UNITS: 9VCIFDR>•22S A.:
ELECTRICAL•RESTRICTED ENERGY
0 SF RESIDENTIAL B.COMMERCIAL
A•IDIO 6 STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGINO: OUTDOOR LNDSC LT:
BURGLAR ALARM* OTH: ALL F.NCOMS BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIONL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL a SYSTEMS
TOTAL FEES: $ 5,698.62
Owner: Contractor: This permit IS Subject to the regulations contained in the
BROVO4STONE HOMES BROWNSTONE HOMES, LLC Tigard Municipal Code,State of OR Specialty Codes and
12670 S% 68TH PKWY#200 12670 SW 68TH PKWY all other applicable laws. All work will be done in
PORTI A":D,OR 97223 PORTLAND,OR 97223 accordance with approved plans. This permit will expire H
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
Reg N: LIC 1246:- 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 insulation Electrical Service Low�31lage Firewall Insp Appr/Sdwlk Insp
Sewer Inspection Plm/und:lab Insp Electrical Rough In Gas Line Insp Rain drain Insp
Footing Insp PLM/Underfloor Framing Insp Gas Fireplace Roof Nailing
Foundstlon Insp Mechanical Insp Shear Wall Insp Insulation Insp Water Line Insp
Slab Insp Plumb Top Out Exterior Sheathing Insl Gyp Board Insp Water Service Insp
r--
Issued By : _ Permittee Signature
Cal1-(501) 639-4175 by 7:00 p.m.for an Inspection needed the next business day
CITYOF T'IGA,RD _ SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR7001 00097
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/19/01
SITE ADDRESS; 13162 SW RAPTOR PL PARCEL: 2S104DA-06200
SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R-4 5
BLOCK: LOT: 048 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 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 7/19101 $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 Agency does not
guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given,the installer
shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and
Side Sewer' Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted
by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling(503) 246-1987.
Issued by: e _ Permittee Signature:----
Call (5 3) 639-4175 by 7:00 P.M. for an inspection needed the next business day
Building Permit Application
Date received:_ �% Permit no.: -/(>,:lI7/-Gb
cit of Tigard y g ProjccUappl.no.: Expire date: �
Address: 13125 SW (tall Blvd,"Tigard,OR 97223 ('
City nj'I igurd Phone: (503)6394171 Date issued: By2 ff I Receipt no.:
Fax: (503)596-1960 Case file no.: Payment type:
Land use approval: I&2 family:Simple Complex:
Or, &2 family dwelling or accessory U Commercial/industrial U Multi-family New construction U Demolition
❑Addition/alteration/replacement U Tenant improvement U l'in sprirklcr/alnmt U Other. —
e 1 /
Job address: / /C MOST 17-P r Bldg.no.: Suite no.:
v.
LAX: Block: Subdivision: tM•l L_ I, ow T. Tax map/tax lot/account no.:
Project name: Q A L LU
Description and location of work on premises/special conditions: "LJ3 UNY
Natnc��Q�.�tanl� l-1vr�t� —
rtr � r
Mailing address: I'rUo'l0 Sw (08 ` 2ILU A✓ 200 1 &2 family dwelling:
City: State:Cr ZIP: �2�3 Valuation of work................... ............ $
Phone: fax: 8 goe f E-mail: No.of bedroomslbaths............ 1-O—
Owner's representative: p0 G,AatES Total number of floors................3.............. —
N:w dwelling area(sq.ft.) .....1..`?. ......
Phone: q.3�7 9 ft+x:57a1319'L E-mail: —
---
aarage/carport area(sq.ft.)...... .........
Covered porch area(sq.ft.) ........`.............
Name: A
-- Deck area(sq.ft.) V F7
Mailing address: Other structure area(s...ft.)..........-.....
City: State: ZIP:
C
fes• E-mail: ammercialflndustriaUmultl-family:
Phone: Valuation of work $
1 � 1
Existing bldg.area(sq.ft.) ..........................
Besiness name: 56N&_ A , -Ar rr New bldg.area(sq.ft.) ...............................
Address: Number of stories...................... .................
City: State: ZIP: Type of construction.................................
Phone: Fax: E-mail: Occupancy group(s): Existing:
CCB no.: —_— New:
City/metro lic.no.: Notice:All contractors and subcontractors ar-,required to be
licensed with the Oregon Construction Contractors Board under
"Name:"�411 d provisions of ORS 701 and may be requited to be licensed in the
jurisdiction where work is being performed.If the applicant is
Address: \�C�\ exempt from licensing,the following reason applies:
Cit State:W ZIP: fo I _
Contact person: WM Plan no.:
Phone: 6- 4(0 -t1 fax:Uk qF7- Email:
Natne:WQ/tc� 'DE61C Contact person: FN 0I h Fees due upon application ........................... $
Address: G Sty' �1i h t� _ Date received: $`
City: — Statcor ZIR C1 Amount received ...........
Phone �p 9633 Fax: E-marl: Please refer to fee schedule. j
No all juriufktinna crept credit cards,please call)uriadktlon for mr re information
I hereby certify 1 have read and examined this application and the N vasa U MasterCard
cr
attached checklist.All provisions of la s and ordinances governing this mania card number:
Ma -
work will be eomplic¢ vit�,whe ified herein or not. _ Expires
t
Authorized Slgn?at,U�fC _ Date: -- None of cudmldef as shown on credit card
Print name: Cardholder atRnattue Ott
Notice:This permit application expires if a permit is not 0tained within 180 'ays after it has been accepted as complete. 4404613(6MUCOM)
Mechanical Permit Application
Date received: Permjt no.:/��S7i 00 �0/S,$
City of Tigard Project/appl.no.: Expire date:
City of Tigard Address: 13125 SW Ila'I III A,Tigard,OR 97223 Date issued: By: Receiptno.:
Phone: (503) 639-4171
Fax: (503) 595-1116+0 Case rile no.: Payment type:
Land use approval: Building permit no.:
t
{J &2 family dwelling or accessory U Commercial indu:drial U Multi-family U Tenant improvement
New construction U Addition/alteriticm/replac•ement U Other:.1011
t '
Job address: 7- �, ' lk-�,t t I(L LIndicate equipment quantities in boxes below. Indicate the dollar
Bldg.no.: �/ Suite no.: value of all mechanical materials,equipment,labor,overhead,
profit.Value$
00
Tax map/tax lot/account no.: ���� "
Lot: Block: Subdivision: uAil Na11oW 'See checklist for important application information and
Project name: DA1 V)d 60 TIy1.1\) btu • jurisdiction's fee schedule for residential permit fee.
City/county: -11(aAtD ,V)A51- ZIP: 2'L 1 I
Description and location o work on premises: =tA 1 t WOW a 1
Fee(a.) ToW
Est.date of completion inspection: tkuri ttm Qt . Res.onl Re+.oel
Tenant improvement or change of use: Air handling unit CFM
Is existing space heated or conditioned?U Yes U No irconditioning(site plan require ) _
Is existing space insulated?U Yes U No Alteration o extsung system
t of cr compressors
State!x)ilcr permit no.:
Business name: vU Lam` 'J�+, �t P 1T C�t►�� HP __Tons BTUM
Address: ,O, L,(o�{r,°� ir^smo ke dampersiduct smoke detectors
City: v(L1 Statet�r t ZIP:��7 Zq0 eat pump(sue plan required)
Phone: " c� 5`1 Fax:775' 1141 E-mail: _ Install/replace urnac urner
Including ductwork vent liner ❑Yes U No
CCB no.: 4SVb5assts rep ac re ocate heaters-suspend
City/metro lic.no.: D I)Das 1 O Z5 wall,or floor mounted
Name(please print): M�OFtr - Vent ore tante other an umace
e Brat oe:
t Absorption units BTUM
Name: --:�I Chillers____ HP
` _a_ _. _ Com res"I s�--, HP
Addtr s: __ _ - ?n ronmetotal�-uuRl an reef t oto:
City: State: ZIP: Appliance vent
Phone: Fax: E-mail: Dryercxhaust _
Tl~ s,Type res. tc en/ azmat
hood fire suppression system
Name: e- Exhaust fan with single duct(bath fans) _
eaten or r
Mailing address:
x gusts stem a tart rom
--_ ----- --- -" -Fuel piping a oto(up to 4 outlets)
City: State: T/l(' Type: —_LPO NO �_Oil
Phone: ► .i' E-mail: uel t m cat a t Hasa over 4 outlets
roc— piping(schematic required)
Number of outlets
Name: P_1 f\A 1� fl ` A Rile , _ thio Rded appliance q-?pment-
Address: Decorative fireplace
City: State: ZIP: Insert-t
Phone: Fax: E-mail: stav et stove
Other:
Applicant's signature: Date: 3
Name (print): 1
t
c
Nor Vl JuridkUaro atxeptcredit comb, ill jurlblcdon for mar inrnmutlm
NPermit fee.....................
Notice: rhis permit application Minimum fee................$
O Visa U MasterCard
expires if a permit is not obtained r
Plan review(a! � 96)
Credit era Dumber: -- — within 180 days after it has been $
Near s 0 oo e t e accepted as complete. State surcharge(896)....
s TOTAL.......................$S
Amosm 41t1dd17(6UPCOM)
Electrical Permit Application
City of T1gxM PM?.KI n*no- _._ &pftaete:
cl�q/nc•� Addeca: 13125 SW HW Blvd,Tiled.OR 972.23 Date1swed: As: l Rano"0
Pletme: (503)639.1171
Paz: ORM 59&1960
L6nd use eppmval
r. =,
deer.111*!w&MuK'Y q co merewArviustrrel O Muld-family U Tenam trnpMvwI
ectirx+
U Additkrt/elt[r itm/rt�latsnxnl C]Ottt r ---.�- U pante
Joh eddlp�; i`j Illd .no.. 9ulle no,. Tan m r le✓acaellRt 110.:
Bbck Su eim wl d;
uAt L Ho llrtv�� %r
Nedtt4lta; w+l I low) Dried ion and IcratM of work oa
timmcd dsx d can eb6W1n1 0n,
4
tre ntr'
r«r IN.wF
l(OAIAM/flM11r: S Qlllll� t T QpM11 IIM
IV par I —
dfwe: - awel�.elt t.dele..l�:+.dr+t•""
'Q'1 : r nuvco _ WAI.M. 98661
Ptscme�9 9 3-5„H 0 - :nf�il: 1000 A or lep o
11 WdIUawN!00 N R,or n,nn wit
Ct"i1"x►.: ? 1 4 5? 4 .bw.ue.net_�3 4-432 �tR.�w ems •Au
r,► --+teri
C11 hnr+tm Ik.ra.; Lrrutec e"r nft r'i J"ttal
Lwe — be*, .
r.n eeme 1). LIIMRKRe' ehemb"K rnNrvtiaw-
G'
no OR"M Ner 3
31 u�veo!0o _
Nam(psi l l L io'r rn fi a Iir 0111"
Matt (rsldrtar:� r, LK =-► — t � �
C'1 T
SMI ow� �p _r� m vo n
t'hollt: Pu> b F"nail. R�`"w,•au•� arse-"-�
t Mebane
(pwttOr egr(Iwri6n'' rnKailahott a inlr mtde on M"►'outY 1 rnvn brrlelkrtlew.aM+wtt)r0�«r�etlee■
whkh ie not int WW for esrle.I rx eechMtje ecaxdk"l to
ORS 447,1!5,474. to)'y01 T t two a."--
D : AOI
at a"*wawa pe r wb
Nam: a A Fw rM brWh n,v,he wwdt purchrt6f '
Mlurbnw4t dnoft welt, of
Ci Stager 71P el ea."oe or breiei he fkv terenrh crr ou �2
i,ma11' (�eddW�ltin"�c:inY f, —J
61 (. M M ea MM l
414eYb crw haW+I /Int'P."� etn k t
0lwlweeN79ttrgt►ewnwte"Mr aourhnc
Q Mv1ee o.er17C emW+KMI oB 1R2 Q K �O1 ' a ro.uU or a IRdteu rner�r
M+y ew.ttl"tp o R•t"eies gear to.aoo 4w that r ele>fi""an,o,e+�tan• _ Y
p$yaw"&%w 600 VI w^rrrrrl nww eMNetlel irwd errWISI
ratee n f4wden eMI n0 w Rom •!)wan
O M„ rtistttree
p pecrprw�aw1 Weer ,�+ O MrwrMened euwourn a R V pestle Ihd m 1 Yr►.w ....t ears aw/.1 a Na-
Per Lisarwoo"
_._. i�rrreit fee...... . ...........i
a r•-,wt.rer.ee. .o.wr,r,.wwe. N�tl� m.r pcnnl"rp►+ueairet Ilan review(it` !
MM ■rM enpira If a{rormN n 1101 ebo nW
Ohre dMeMrGrrr wkCUd 110 day dbr N ku bewr Son sumhttge(e�)....! It
am&end 9M ter. - s 1-- TOTAL ....,....._....
r ~ � �M11(IrE6R'OW1
10/T0 3E)ad 01810313 3411WV3diS ZE0SE6609E 5Z:LT
Mir--06-01 03: 05P Wulcntt Plumbing 503 667 9891 P .O1
us nG%01 -1.17 14 41 VAX 50:1 504 1960 CITY OF TICARD
�jGU1
Plumbing Permit Application
City of Tigard D.tcruxt"°°: (�ertrritne.: / /
sewer perr¢ir _ Owidinipeftj no..
ndldrer:H. 13123 SW Mau Dlvd,Tian),OR 97221
OryofTirard (+hone: (604)699.4171 Rolecl/sppl.na,. enpusdete:
Fax: (51.1).199.1960 Date ir.ucd By: ReeeipuK,
—--
L,wW use approval: Ctsc f0<nu_ p ymenitype:
UI &2 family dwciling or weesstury U Conun,an,d ciavindlut0 Multifamily Cl Tenrz(Improvement
C,
New cuottrucuon O Additi,nhhcnnrm/repixement U Fr>W scryWe 0 1 Wwr
Jot,,tdtltels: - (C) I�_ 4tr Fee t es. Kahl
Bld .nu- 1 r--- Suite no.: - - �'I"I•and z•fanl y -w-*!Wrics owy: �-
Tait m*/tax IotJaccouut no. ...0--ft.rt>r ped.m;ury caosecCoe)
WI. / Block _ Subdivision: SFR(1)batt,- - - _
-
Project name;
Cttyicoun Zds: l 1 atTdiilona ath/1c,tchen '---- --
Description and location of work on premises: _ Site uU1111m:
Catch basin/areis draw
Est date of ciao leticn/lus ectl„nmini 11101112SIMI LOW tywc leac I+ne/wane Pau+ -
oetint drawl na
snulactvs w ne unhbea
Addoew, P0. e'o'x— ?.00?_ IMM drain connectnr --
City; .918tro I:1P at sewe�l(op,Iia R.5 - i
Pllone'So l-441-11 ( Cax y0-91111 i E male: torm sewer(no.lin.R.) _
Mann z g y1 Plumb.bus.rrR.oo:'L4-to y Pp water srrvice no,lin.tt
City/metro lie no.: Fbttnte or News
Aburpt�ion valve
t'untnuorb rcptcsenlativc s turc: _ ack aw pteveotcr
Print nalne7 C' 1.. e\, U K water valve
tasi jlo-Aivat
Nan1e �s wasixr -`-- -
IA wn7er
Addreta:— r�il town-vn(t)
ec tum
Plwnr: - Fax
Exkarnjon wnk sewer ca
Nome(print)__
Floor driiiWfloin ri Poo
-Z—Ut Ne it
ose br b _
Cary. Stara SIP. cc m et w
PUune, Fan: E rnatl mace for reau tr1 t
Ownct in+talluthurt/ree•dential maintenuwc only: Tht actual irislallanon llnmer(.) _
will be made 1-y me or the maintenance ad repair tau de by my regular oe r tar, commercial _
crnploycr on the p rpcny I own at per URS Chapter 147 r (s),boa►n(s;Law f _
Ownrr's signature. D1tc- - um
Win U-- u &'s nwcr ownr pan
US-,na`
Nude; stet c r+sa1
AJJrtas; a'�i+ter Welter _
Cdy -_ - 4lale LIP; r
Pitons'w -`rata: E-mail: ore
trw wl je,Ndeuael►sear Vii.n+amu r'+1i,ad.ue►..r«nwr nanu+l« NWix•This pmnit application Min,mvm fee... S _ a --
u vise O Merurr',rd expires If s perrnh u out obtained flan review(at _
cnJfi sea ae.►e, _-- _ / within 180 days after it has bran
State%Ywhairc(11%) .11 -
I,
; .
►a rT u
- _ ._ ncavtedw.umpkte 1'UTAI, .,.....,......,.....,.5
-'•.`•—T'rnfY �Y+�mtun � Mta+M MlW,erdMqCIY+;
CP
� e/
- 0 1
Mar- 06-01 03 :05P Wolcott Plumbirlc7 503 667 9891 P.02
�3.'Oti!Ul I'l'G 14.41 I'.hX Sol SAA 19G0 CITh lif• TiC.h)<U o01
PLUMBING PERMIT FEES:
{.—_�---
PRI��; 70TA6 Naw I and 246mily dWeNl t pnlYt -��
FIXTURES_(Indlvldud!) Cn ea i AMOUNT (I�chldes all ptumb;np'(la:vrts in MkICB TOfAI
';Sick 16 bi d
the dwelltnpand I a fira110C N. y -GTY lea) AMOI�NT
Lor qtt!uliflt nedlort
L "'tole 1641 r °�f1-
ub w—t Shuwar,omb 10.61 One 4?2U
( e�L} wo�2)bang _ O.GO
war0niy
v418.4) Thee baba T__ i39`QO r��
'at:r c1cwti 16.4) :j
Urinal ;6'a _r--UOTOTAL —74
_ _ ��—e8 Alf—SURCIIARGE _ --Y4
Ga w-ntr
is 60 PLAN REVINW Z11%OF SUBTOTAL _
Garbays fiispc/ll 1 „0
I.aundr�Floy IO EO
nsltitlg Maah`.nr I 1 .
Floor UN N aur Vik 2' 16 t0
PLEASE COMPLETE:
4^ +e to
lhdar N6t1e1 G convers on IIAe Niki m3 t0 T Auxn( tlr''Pe ormtd _
Get plp'ng requites a separate mmOulttal I '/n Fixture Type. I New Mov d• Rep cad Nlemdvedf
—ern!` in _ G
Mfr.larho New ler Service 46-0 Sink
MhU Home Nrw 86NgtOrm 'ewer 48 r 0
Lavatory _
11019 8 be 141q u or ulY3hower
Combination
Rod 0-8111e 17Jq Showor only
onnit ng Fountain 1s"o water Closet
O401 fit viw(Specify) 14110 nra J
_ D-10-washer ���-_•lJ
Garbage Disposal
Laundry Room Pay
— — --
Washing Ma me _
love tying I
Sewer-1ar 1 ��s bb 10 G 3,
sewer•tach rddillulrl 100' A6 10 T 4' __ t
Wrier 3ary eo•1 sr - 5.)C Wet Neater
Wsirr Service•each and tAnJl;1:0 0 46 t0 Mar F"aiures
ioim A Rijn Oraln• 's1 100'
Storm 6 ROin Nle•each Od— tfIIIOL.1 100' 46.10
CoMnletct Back Flow pteve;tlon Oev a 46/0 --
at►ioYnLLt ItOCKncw Preoentkm Lew ca' 27 SS
Gakh 9asm �� 18 60 ��J
Inspooiun of Editing P�+moinp or SpeclrMy 72 b0
Re ueeted InepecllOfu IRI' COMMENTS REGARUING ABOVE:
Rain Otah,single lam4y dwell-09
Gmaee rap+ — Is e0 -- — —
QUANTITY TgTA '.._-. -
limulnc ow iw dlWom n-04u,1441111
----
*SUBTOTAL — —'
Q7�STATE 9URGMARG — --
LPl AN REVIEW 26Nt op,,LBTOTIIL
Rrtq,�frrd rV y it luturt�-rt'111 N`S __ _
►- TAL s
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Pyvanr;,n Ocrcc,wn cn s!1a 1,+t�111t10 WKharal
+SAL No.Cnrnnuwibl aullalr`9l"M-ut 01611 with 100n41'K M�7r ilagtan� d
Non•r itw.
I\dstsVormslplm-lees doc 10110/00
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 63! 75 Business Line: 639-4, "—'
BUP
r
Date Requested �� _ r"f�AM PM BLID —
Location— �- - �� l� 'i_ — Suite MEC _
Contact Person _._ CLI. Ph .� �� Z PLM
Contractor f ,JoYi r t-�y�f-i'iC _ Ph h12,-?=22 -5c> SWR
ELC
BUILDING tenant/Owner __ ---- -
Retaining Wall ELR
Footing Access
Foundation FPS
IFtg Drain SGN
Crawl Drain Inspection Notes:
Slab — - -- - -- SIT
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing _
Insulation
Drywall Nailing - - --- - ------_ ------- -
Firewall
Fire Sprinkler -____.._._.._____—
Fire Alarm
Susp'd Ceiling F r _--
Roof
Misc: -- -- -- ------- �_ - ---- -
Final �-- -�----
PASS PART FAIL -----. _ �_____ — ��---------- --- ----
PLUMBING
Post& Beam
Under Slab
I op Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Gast&Beam -
Rough In
GasLine �_� � -__ __.�__ -_ ----------------------- -_ _--- ----._
Smoke Dampers
Final ------ ___—_.. - -- -- _ _____ - - __._-------------- ------ -- -
PASS PART FAIL
------
ELECTRICAL - - _ ----- --_ _------------------ - ----- --- ..--- ---__ ___ -------Service -
Rough In
UG/Slab --
l_ow Voltage
Fire Alarm
InaT
PART FAIL- ------__-- -- - -- ---STff
Backfill/GradingSanitary Sewer
Sewer
Storm Drain [ Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin ( Please call for reinspection RE' - - ( ) Urable to inspect- no access
Fire Supply Line -- -- --�--
ADA _
Approach/Sidewalk. Date F 2 _ r
Other' �! IIIS1�1'Cf!�r - '
_ -�./I�.r _— —.�.Ext _
Final v
LPASS PARTFAILDO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BU,' 71NG INSPECTION DIVISION MST Z4u/5
24-Hour Inspection Line: 635--.175 Business Line: 639-41,
BUP
Date Requested _AM _ PM BLD
Location .3/ �= % (�� - Suite - MEC
Contact Person ��X1/1 Ph 2! 3 -5 7 7 ) PLM
Contractor Ph SWR
BUILDING -� Tenant/Owner ELC
Retaining Wall — ELR
Footing -- ----------__.------
Foundation Access FPS
Ftg Drain SGN - --- ----'--
Crawl Drain Inspection Notes -------- - -----
Slab
SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear --- -- -_ _-_ --
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler -- T
Fire Alarm
Susp'd Ceiling
Roof
Misc: - -
Final
PASS PART FAIL
PLUMBING
Post& Bearn
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
--PASS PART FAIL
A N ICA L -- -_ - _.—._-- ---- --- --- �—. _
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:fewer
Storm Drain [ ]Reinspection fee of$_--i_required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ I Please call for reinspection RE: — — [ ]Unable to inspect-no access
ADA
Approach/Sidewalk date
Inspector otherI` ' Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
a
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 539-5175 Business Line: 639-4171
BLIP
_ Date Requested I Z - 2.. ` AM PM BLP
Location—. 1 .3 ( � Z Suite MEC _
Contact Person Ph �� ?� S�7'7 `/ PLM
Contractor Ph SWR
BUILDING TenantiOwner _ ELC ._-
Retaining Wali ELR
Footing Access:
Foundation FPS
Ftg Drain _ SGN
Crawl Drain Inspection Notes: --
Slab _ _ SIT
Post& Beam
Ext Sheath/hear
Int Sheath/Shbar
Framing P ��U t�S>r. 1`�1t1.1jf �� 1�,tsULCS�I Oi�
Insulation
Drywall Nailing 13 C-4 l /V.�, 'vim 5 �W 02_ ���� r )P V C'L1,X�_
Firewall
Fire Sprinkler 114 4s, p e
Fire Alarm
Susp'd Ceiling
Roof �►� Dar C1 ._�? U L 1,atAf'In 75D
��l
Misc: �
1717i
S PART FAIL
PLUMBING
Post&Beam
Under Slab
TopOut ----------_—__T_�_�_.__�..___ _
Water Service
Sanitary Sewer
Rain Drains --- --------- ---� _ __—___.--�.--- ----------___._
Final
PASS PART FAIL. --Can (ZOt✓1p�.
MECHANICAL
Post& Beam --- —--- --- - — --.
Rough In
Geis Line _—
Smoke Dampers
-PASS')PART FAIL
EIZEMICAL
Service
Rough In
UCI'Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill/Grading —
Sanitary Sewer
Storm Drain ( )Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line I )Please call for reinspection RE —__ _ ( J Unable to inspect-no access
ADA _
Approach/Sidewalk `�.,
Other Date �Z-1 2� f nsptsc:tor Ext
Final 1
PASS PAF T FAIL DO NOT REMOVE this inspection record from the job site.
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