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13176 SW RAPTOR PLACE i 13176 SW Raptor Place 1 CITY OF TIGARD 24-Hour BUILDING Inspection Line. (503) 639-4175 MST INSPECTION DIVISION Business Line: (51?3) 639-4171 BUP Received - Date RequesVd_ •� AM____.___ PM _ BUP 1 1/ Location �--�/_-�-�` - Suite MEC _ Contact Person ------.--___ _. Ph(—) '-7q 3, 5.346- PLM _ Contractor Ph( ) SWR BUILDING Tenant/Owner ELC Footing Foundation FInspection cc-ss: ELC Ftg Drain Crawl Drain ELR Slab ----_.—__Notes: SIT Post& Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing -- -- ---- Firewall - Fire Sprinkler -_- iie Alarm --- Susp'd Ceiling ------- --- - Roof Other --- -__ Final PASS PART FAIL -- tL-UM-1 - Post&Bearn ---- Under Slab Rough-In — Water Service Sanitary Sewer -- Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: S _.PART FAIL CHA AL Post R Beam Rough-In Gas Line Smoke Dampers - T'ASS PART FAIL --- Service - - -- .`__-_ . -- ---- - --- Rough In UG/Slab --- Low Voltage Fire Alarm -- ;S,S' -__ T — j_J Reinspection fee of$__—_ required befors next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL ___ Please call for reinspection RE: Unable to inspect-no access upply Line -Y--� ADA Approach/Sidewalk Date ther: �' /(, '" . _-_. Inspector O •r1 --El(! -- Find DO NOT REMOVE this Inspection reo Orsi from the job site. PASS PART FAIL CITY OF TIGARD 2.4-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503)639-4171 l c-MST — ,, / fi BLIP -Received —Date Date —Sv. AM, ___ _- -__. PM BLIP Location _ �� _ __ Suite _-_ __ MEC Contact Person _ _ _ Ph( ) PLM -- Contractor -- C'h( ) -- -_-- _— SWR 8 IN_ Tenant/Owner _ —_ __-- ELC Footing"" Foundation ELC Access: Ftg Drain ELR - Crawl Drain Slab Inspection Noes: SIT Post&Beam Shear Anchors — _ --- Ext Sheath/Shear Int Sheath/Shear Framing --- ---- Insulation Drywall Nailing — - Firewall _ Fire Sprinkler - - - - -— — Fire Alarm Susp'd Ceiling --�--; Roof Other; -- SS, PART FAIL ---- - P_MBINQ Post& Beam --_ Under Slab - -- - --- Rough-In Water Service Sanitary Sewer Rain Drains --- ---- - Catch Basin/Manhole Storm Drain --- - ---- - --- — Shower Pan Other: Final PASS PART FAIT. _V A — Post& Beam Rough-In -- -- Gas Lint Smoke Dampers < 1a ► m.. SS PART FAIL EL CTRICAL Service Rough-In UG/Slab - —^�- ---_--- - Low Voltage -- ---_—_----------__ - Fire Alarm Final L] Reinspection fee of$_.._ ____--_--__required before next inspection. Pay at Citymall. 1315 SW Hall Blvd. PASS_ PART FAIL SITE _ �� Please call for reinspection RF: _ —_—_ Unable to inspect-no access F=ire Supply Line ADA Date �-— Inspector V Approach/Sidewalk Other: Final DO NOT REMOVE this, Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE STREAMLINE ELECTRICAL 6025 EAST 18TH STREET VANCOUVER, WA 98661 Electrical Signature Form Permit #: MST2001-00164 Date Issued: 10/30/01 Parcel: 2S104DA-5900 Site Address: 13176 SW RAPTOR PL Subdivision: QUAIL HOLLOW -VVEST Block: Lot: 045 Jurisdiction: TIG Zoning: R-4.5 Remarks: New SF detached rownouse in Buildinq #2.Setbacks as per sheet A10.10 Plan A-S 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 flim your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: BROWNSTONE HOMES STREAMLINE ELECTRICAL_ 12670 SW 68TH PKWY #200 6025 EAST 18TH STREET PORTLAND, OR 97223 VANCOUVER, WA 98661 Phone #: 503-598-7565 Phone #: 360-993-5080 RLQ #: LIG 116514 ELE 34-432C SUP 4081S AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Supervising Electrician If you have any questions, please call (503) 639-4171 , ext. # 310 CITY OF TIGAR® MASTER PERMIT TIGARD #: MST2001-00164 r DEVELOPMENT SERVICES DATE ISSUED: 10/30/01 13125 SIN Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDPESS: 13176 SW RAPTOR PL PARCEL: 2S104DA-5900 SUBDIVISION: QUAIL HOLLOW-WEST ZONING: R-4.5 BLOCK: LOT:045 JURISDICTION: TIG REMARKS: New SF detached rowhouse in Building#2.Setbacks as per sheet A10.10 Plan A-S BUILDING REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 31 FIRST: 173 of BASEMENT: of LEFT: SMOKE DETECTORS: i TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 706 of GARAGE: 541 of FRONT: PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: t FINBSMENT: 580 of RIGHT: VALUE: $141,59000 OCCUPANCY GRP: R3 BDRM: 3 BATH: 2 TOTAL: 1,45900 of REAR: PLUMBING SINKS: 1 WATER CLOSETS: WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: t FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 2 CATCH BASINS: TUBISHOWERSGARBAGE DISP: t WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS. OTHER FIXTURES: I MECHANICAL FUEL TYPES FURN c 100K: 1 BOILICMP c 3HP. VENT FANS: 3 CLOTHES DRYER: 1 GAS FURN>•100K: 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 FOR: 2 PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 3 201 400 amp: 201 •400 amp: tat WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 •600 amp: 401 600 amp: EA ADDL BR CIR: 1 SIONAUPANEL: IN PLANT: MANU HMISVCIrDR: 601 • 1000 amp: 110laampe•t000V: MINOR LABEL: 1000♦amplvoll PLAN REVIEW SECTION Reconnect only: �— >•4 RES UMTS: SVCIFDR>R225 A.: >600 V NOMINAL CLS AREA)SPC UCC. ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL S.COMMERCIAL AUDIO d STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC Lr. BURGLAR ALARM: OTH: ALL ENCOMB BOILER: HVAC: LANDSCAPE/1RRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATArfELE COMM: NURSE CALLS: TOT AL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 5,696.13 BROWNSTONE HOMES BROWNSTONE HOMES, LLC This permit Is subject to the regulations contained in the 12670 SW 68TH PKWY#200 12670 SW 68TH PKWY Tigard Municipal Code,Stale k Specialty Codes and PORTLAND,OR 97223 PORTLAND,OR 97223 all other applicable laws. All woo rk will be done i 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: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set Reg#: LIC 124e27 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 INSPEC?IONS Erosion Control Insp 8, Underfloor Insulation Electrical Service Low Voltage Firewall Insp Appr/Sdwlk Insp Sewer Inspection Rm/undslab Insp Electrical Rough In Gas Line Insp Rain drain Insp Electrical Final Footing Insp PLM/Underfloor Framing Insp Gas Fireplace Roof Nailing Mechanical Final Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Water Line Insp Plumb Final Slab Insp Plumb Top Out Exterior Sheathing Insl Gyp Board Insp Water Service Insp Final Inspection Issued By : _' �� _.� Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT #: SWR2001-00106 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/30/01 PARCEL: 2S104DA-5900 SITE ADDRESS; 13176 SW RAPTOR PL SUBDIVISION: ;.QUAIL HOLLOW-WEST ZONING: R-4.5 BLOCK: LOT: 045 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 Arnowit Receipt 12670 SW 68TH PKWY#200 ---- PORTLAND, OR 97223 PRMT CTR 10/30/01 $2,300.00 27200100000 INSP CTR 10/30/01 $35.00 27200100000 Phone: 503-598-7565 Total $2,335.00 Contractor: Phone: Reg #: Required Inspections I Thib ,'�uplicant 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 tc OUNC by calling(503) 2.46-1987 Issued by:c i �'. % Perr. ttee Signature: Call (503) 639-4175 by /.00 P.M. for an inspection needed the next business day A� 4 W r ^ �` n 71 r 'O ry tU S � d o � � w � n O / O N D O 0 Qe 6 G C ��,� �i��OD/•D4/D� Building Permit Application Date received: _ Permitno.;JyfJ'• /-QQ/(� City of Tigard Project/appl.no.: Expiredate: City of'Figard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: By 1, Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ _ l&2 family:Simple Complex: UfI &2 family dwelling or accessory U Commercial/industrial U Multi-family New construction U Demolition U Add ition/al leration/replacement U Tenant imprnvenu•nt U Fire sprinkler/alarm U Other: 11 SITE.INFOON Job address: /,_.I < 'U 1c. f c Bldg.no.: Z, Suite no.: Lot: 1 Block: Subdivision: N,r L as 11-1 x map/tax lot/account no.: Project name: QA L W Le Description and location of work on premises/special conditions: kPiJI3 P "1SC" PDI►CArW� 1 1 Name: I i "t Mailingaddress: 12.(010 Sw Lf9� Ii�W4✓ 200 _ 1 &2 family drelling: � City: �t A torp State:� ZIP: 70-3_ Valuation of work.................... .............. Phone: Fax: 8 9v9 1 I E-mail: No.of bedrooms/baths......................... Owner's representative: -IrM IZ OAOa'S Total number of floors...............3.............. _Phone: `77`1 Fax:57A 5WL F-mail: New dwelling area(sq.Mau tt.) .....1..x.44?••,•••• Oarage/carpnrt area(sq.ft.)......laC4......... Natne: Me _06 Afi3f?tlis • Covered porch area(sq.ft.) ....... ............. Deck ams(sq.ft.) 4U Mailing address: _-- ..........,�............ � - -- State: ZIP: Other structure area(sq.ft.)......................... City: _ — Phone: Fax: E-mail: Commerclal/fnduatrlaUmultf-family: 1 Valuation of work............. ......................... $ Existing bldg.area(sq.ft.) .......................... -- Business name: g �4 E • New bldg.area(sq.ft.) Address: Number of stories Cit _ State: _ZIP— Y Type of construction.................................... Phone: Fax: Email Occupancy group(s): Existing: CCB no.: _ New: City/metro tic.no.: 7NA contractors and subcontractors are required to be WNr th the Oregon Construction Contractors Board under 9 Name: '1 1 d of ORS 701 orad may be required to be licensed in the �� where work is being performed.If the applicant is Address: \1q\ `(t7ti�D t, m licensing,the following reason applies: Cit : Statc:WR ZIP: (010Contact person: Plan no.:Phone:' b` Q(o - Fax:�pE-4i:7- E-mail: Name:W Q -DcveN. Contact person: imp Wi 11, Fees due upon application ...........................$ — Address: Ai�o 0i 0i t3 15 Date received: City: Statet)(" ZIP: Amount received ................................:........ $ Phonecg -1t)33 Fax E mini �' Please refer to fee schedule. v_ 1 hereby certify I have read and examined this application and the Nd all jurisdiction~rcept cmfii cards,r4ew call jurisdiction fa more infmnation attached checklist. All provisions of la s and ordinances governing this U visa a MasterCard work will be compli tt whe ified herein or not. ''r"dit`.rd°°inter' -- — -- -1— (.spires Authorized signature: Date: IkL lName of cardWWW u shown oa credii card 1 Print name: r IM A Ot.S Cardholder"ai�a.iure Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4104613(MUCOM) j Mechanical Permit Application , Date mcei ved: Permit no./yrzrp/-00/(' c City of Tigard Projectlappl.no.: Expiredate: City njTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Rtxeiptno.: Phone: (503) 639-4171 Fax: (503) 598-1960 -Case fl". Payment type: Land use approval: — -- Building permit no.: e :0 2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement — 'New construction U Addition/alteratiordreplacemen( O Other: JOB SI I IL 1 1 1 Job address: �, 11 .) �_. 7 < Indican equil,nn ul quantities in boxes below. Indicate the dollar �vvalue of all mechanical mate als,equipment,Bldg.no.: � Suite no.: labor,overhead, Tax map/tax lot/account no.: v profit.Value$ Lot: s Block: Subdivision:QIjAd P ol jpV) *See checklist for important application information and Project name: QkA� Fjo jurisdiction's fee schedule for residential permit fee. Cit /county: I ICjA'tJD OAS ?l-1 ZIP: i Description and location o work on premises: =W -- 11 i 1 a t Fee(a.) Total f Est.date of completion/inspection: emi . Res.od aea.onl. Tenant improvement or change of use: Is existing space heated or conditioned?U Yes U No Ai:handling unit --CFMd Air conditioning(site plan required) Is existing space insulated?U Yes U No Alteration of existing IIVAC system oiler/compressors _ �c State boiler permit no.: Business name: t)U 1. �� X ,�, t�tr A v Ny� ) A CaD�iAr �.� - HP 'Tons BTUM Address: O lc(- . -r sic ac m� ct"smoke detectors Citv; ofL-1 Statetx l, ZIP:G17 2290 meat pump(site p'Tiequtre ) Phone: " tj- 51Fax:775 1141 E-mail: _, nste rep ace urnar. umer Including ductwork/vent liner O Yes 7 No CCB no.: $2. nsta rep ac re ocate heaters-suspen , City/metro lic.no.: DD Qq 1 o?-S wall,or floor mounted _ Name(please print): j%A M p�'trry Vent or appliance of er than furnace e Brat on: Absorption units _ BTU/H Name: -JI Chillers HP Address: �. =— JE Co ressors HP —,-- ntoenU a Iral an gent toe: City: Stale: ZIP: 7 Appliance vent Phone: Fax: E-mail: ryerex aust s, ypee 111 Ilres. «c a azn�mat-- hood fire suppression system Name: E QtvAF3 Qk-1 , 9 Exhaust fan with single duct(bath fans) Mailing address: x gusts stem apart from eaun orAC I Cit r: State: ZIP; ue piping up to out ets JTL LPO NO X_ OilPhone: Fax: E-mail e piping each addiuona over 4 outlets piping(schematic` requrc ) Name: iq 1U{� f�` _ E m, Num►xr of outlets t erNtappillarice or eQl pmeat: Address: _ Decorative fireplace City: State: ZIP: e.� nserl-ty Phone: Fax: E-mail: Woodsloveipellel stove ere Applicant's signature: Date: Name(print): _ Not WI juriedkaorr Weep credit ardr,place art juridktion for mm Warmsdon. Permit fee.....................$ U Visa O MasteaCard Notice:This permit application Minimum fee................$ Credit cacti number: expirim if a permit is not obtained Plan review(at ` %) $ '— within 190 days after it has been State surcharge(8cib)....$ 9 Now u on t eat-- s accepted as complete. TOTAL .......................$ Allow MO-417(GOMM) 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 -W my (Ea) Amt $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 100.000 BTU $1.52 for each additional$100.00 or including ducts&vents -_- 14.00 fraction thereof,to and Including 2) Furnace 100,000 BTU+ _ $10,000.00. including ducts 8 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 _tcluding vent _ i 14.00 fraction thereof,to and including 4) Suspended heater,wall heater $25,000.00. or floor mnunted 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 680 fraction thereof,to and Including 6) Repair units $50,000.00. _ 1215 $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 traction thereof. footnotes below. comp* 7)<31-IP;absorb unit ASSUMED VALUATIONS PER APPLIANCE: to 100K BTU 14.00 - 8)3-15 HP;absorb Value Total unit 100k to 500k BTU _ 25.80 Description: Q 1Ea Amount o)115-30 HP;absorb Fumace 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 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 _ enols 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 BTU -.____.- 15)Vent fan connected to a single duct 3-15 hp;absorb.unit, 1,700 q.. r.80 101 k to 500k BTU _ 15-30 hp;absorb.unit,501k to 1 2,310 16)Ventilation system not Included in mil.BTU _ appliance permit 10.00 30-50 hp;absorb.unit, _ 3,400 17)Hoo,'served by mechanical exhaust 10.00 1-1.75 mil.BTU 18)Domestic Incinerators >50 hp;absorb.unit, 5,725 _ 1740 >1.75 mll.BTU 19)Commercial or Industrial type Incinerator Air handling unit to 10,000 cfm 656 Air handling unit>10,000 cfm 1'170 wood Non-portable evaporate_cooler 656 20)Other unite,Including stoves 69.95 Vent fan connected to a single duct 4A 10.00 -- 10.00 Vent system not Included In 656 21)Gas piping one to four outlets 5.40 appliance permit Hood served b mechanical exhaust 658 22)More than 4-per outlet(each) • _ 1.00 Domestic Incinerator 1'170 Minimum Permit Fee$72.50 SUBTOTAL: q Commercial or Industrial Incinerator 4,590 E/2 Other unit,Including wood stoves, 656 ---- - --- . Inserts etc. 8/.State Surcharge s Gas piping 1.4 outlets360 - Each additional outlet _ 63 25'/.Plan Review Fee(of subtotal) s Required for ALL commerdal permits only TOTAL COMMERCIAL Z TOTAL RESIDENTIAL PERMIT FEE: 5 ltt._ VALUATION: Qthtr Inaoectl"n nd Eon: I Inspections outelde of normal t+usiness txwrs(minimum Charge-two hours) $72 50 per hour 2 Inspections for which no fee is specifically indicatM (minimum charge-half hour) $72 50 per hour 3 Additional plan review required b changes,scktibons or revisions to plans(minimum charge-one-half hour)$72 50 rx� our 'State Contractor Boiler Certlncatlen required for unRs a200k BTU. ~Residential AJC requires site plan showring placement of unit I:\dsts\formsVnech-fees.doc 10/11/00 FiectrieW Permit Application _T__.__ - aurtaxlvod: 1'"tno.; y70/m/6c City of Tigard ppq/oa4hppl.trt - Enptedate: c,rognle9�t Addrtea: 13121 SW HalI Blvd Tlarrd,OR 97227 Nteriaet ed By: Itwelofno.! Phrafe: (307)674-4171 Pat. (St)1)5961460 Lan l.0 no NrmrMtrpr lAnd we approval: -- _. sw �i..jA 2 family dwdllai ut m ces—Y 4 CommercialAruiutwd 0 Multi-family J Tensm imprtrvwn v New constroetitxe U AddAkW%lttrou<wJrrpleCGMcM 13 oflt r�._ J Perp al Job address _ i 1 Bld ,no., v 9uitv no.. ?.n rnup to.la/seasons no.: r IV:� ' Bkxk: SuldlvIII06: lauftIL qa 11vw WC4r _ pfrivca t►41ne kt�w.JJµe I Ion s �_ De>terl ion aV►d locat,on of work c+n sea'n7E1N to�ssll<�Icnrrl _ P4nmotcd date of r1m c6cxUlnl tion: to Job Im - P9• PAMAnLswIltawtl rrtnta S Sir r a-flljyll _GIP.i:S:C]t:.r -. w a ••+hrn row .� a dwtl"Ne.twos"aftowAprow Otr. V nrcuv .r Sett WA D0. 98661 Rwr1e: G 9 3-5..20 - "— Pwa�—_9_999 Ia1t� n M Iw I r PJrs.bta1.sic.no X13 4-9 3 2 wh uoeWl soo�k or men t M CC no.:11 4 i.inriud wknu - �s_ CI Halm 11c.tau.: Lttnttwt eatafM now-rHWentul - - h.t>n muwlanu w tttndulsr dwsllVq >lj6 wyry at.�wvUrn�e wttEF u ^i• DOE SMvkw rrUm IwAs1 7 LIwnM ro r fraMr� illwl.a .4190 soft 1: shrtrdott w noterafhc Gy! I W 4 0 (1 T Sleee t lr� LIP' «�i�oo..eve cv.r,_ Flout: -S pnR:�.aW V 6 Fi-tMil: Rtrtwj I (lwtaer noalkrdcxt' tnatallstian 1 in$meds nn pmp" nwn twt�wrl «earatle.. whnfi Is stat lffi mtled for ulc I for fu1et"wcoxtilni to IMY O.NM.MrMfwh.rv.s9ortAos mo fvtlp„k., � ORS 447,ASS,479.�(110t r,/ 2- L Dw' te tt9 MM, w aso"1MM(�pseh Now A. Fos(v btMsh crnrits rldt penhsr of or sortl kirwh WPM N fbt Efl9K'h este wnhctA pt«c -- Stere 'LI^Z1P: _ d awns nr sead�t hw Ips Gr9�h cttwlL 2 q�p��-- �'''�'' 8idi�t�c4t'4� (Iwo w hoodw w Q UFO"now 3"aneprNtlMllrsW O li9akl►sst+Naul4 9w ti P9�a cuck��^ 2 MIR2 O tfanrAwatNMat rnnvdire �- q ef►'im o.er770 tuttpaqst►ty slnwtl�)�t a IMf9d r n9mU►d"IIW p d Ault"over I OW)-I"—awns.t cw Mnr P d yrwww 9Vr000 vdto warAW ft"roodswnol.Md to one ttsrR fort .Iwtwoc o,to tswalon• 2 (�(kya ver�.w oyt 00 pMoy+ d Mawtt/wfeord mwwm a w v c-wk .— I y.9. ark sr U tyttlsMl^se Q gory _�. - -- M►trlwctLw Ifr11oi "a of ow"k M"of she&0". Im�+ef�!4M- . Tit.s"I "w"r rakY N Iwr esal�AN w►+kl. - r�p.Ni AMt.Rutter alt jwMas"Aor wr"06M NMloe 71utt penult�ppUs�tAicu Fla"ftvIt(!R. ..................S �� f'1ur review(ef ONN n MWeeCW -. ettl►ira If 1 pttttnit n 001 e1+u.r»d vont.awwttr *Mtn 110 days aAw it has bop SMW sutehffp(1%).. ! a _ `" wc�M�A rr nreplw4. TOTAL ........ ..._........ .S �1 ---�- tlerls wa�can IWO 39bd 016103-13 34I"IWV3diS cE09C6609E 60:Lt 100(190/(13 Mat--06-01 03 :05P Walcott Plumbing 503 667 9891 P .01 S19!00/ill "117 14 di WAX 50.1 504 1960 CI'T'Y OF TICARD Plumbing Permit Application City of Tigard 7parlwl : P-1 no.' �K no.: Building permit no„Adlew 13125 SW Halt Blvd.T igar 1,OR 97223I'lsone: (Sol)639.4171 o.: BapitsUse. I`ax: 10.1 i9R)960 ��- ( ) • By, RecriputuLund use approval: Payment typr U 1 ik i family dwelling ur acce4tio y U Conun,treial/industntJ O Mul(!•rar..rly U Truxt tmprovancnr a New wattructtou 0 A"M n/alterattnat/rcplasement U Fuad t,c:rvict tit OVirr Job Adtlras: /3/ _ c' 7 _ !)mrlPtlan Qty. Fee(arr. Tobl� BW .nv.: �" 3uiteno.: _— � new�•.aaz•(atrrllydw.eiunsanuly: — old map/tax Wt/accouutno (Vchsd�lood•forewcbuulityCall ectloto► SFR(l)bath Wt.. c; Block Subdivision: jam- --� _ Project name: (.) sth- - Cityieoun zip: l 3;_itJt�on-a—MA hehen w- - Descuption and location of work on premises: _ Sha uWHiaat Catch btrsm/area drain Est.date of ccin IedoNtus ecutrn ^ tywc l leas Itpe rnrtc�t�"-- t�otit�drun nu. n ManufactyrrA horne udlittei Busincssoame: l,,)O CO ��M ivy - _ an vcs --- - AddrrcR b, 6 Oft O O 7 a ti roln connectty C1ty. (Strebl-A.V 918wo :.IF' t fewer(no to A)+,-_ Plttutc !o;-`4�-tl ( fax G�7-9tl e( &maA: yt Ox-are Storm sewcr(no. in.F) _ CCB no.: 2a li,V ty1 Plumb,bus.reg.nn- "-to 4 PQ water arrvice no.lin - Cityanettc no.: Fbiwe or Merril Cuouactor's reptcsenladvc sttlR:r Absa boa vpve e, D ack ow preveotcr __ Ydat natno o.� a tearer vaye _ s al1nN avat - -- Nante o s wwthcr -- Addrea-R' n n fountarn(s) Ci �.�-- -_ --- Scute • lP. `----- .'cc Phone: Fax E OlaillExpill-Slon wnk faro ower a Name(print): plan oor rs u Maw ddtesst Hose DI b City. Stair t1P: ce m et Mune. I FFM Intacc tor/ Ms."tray Ownet moalluhurthatdential muntenatwe aril;•: The actanl installation 1'rmer will be matte Fy the or the maintenartce aW repair ma de by my regularoo-I'� commemial-'- - ---_ - cmployer on the p:nperty 1 viva as pet URS Chapter 447 t (s,bastn(y,iavx(1 _ Owner's Si nteure: Surne u s!s neer owcr�n _ _ Cnnx ater c cut _ AJJrc:+s� Hier atcr — Ctly Side LIP: Muni rtta: 1r•rnail, ot. Minimum roe _- rWrt atl)w..Jvj Meer• ,riot tall it, witaut ter Rett m emwtan. Not0e:'his permit application U Via$ a Maststratd expires if a perrnit u out obtained Klan review(at —'9b;- S CnLi uad oasatr -- _� Mthin 180 days oiler it hu been Slab%unhatge(8%', ... + ►igaru TOTAL ................ .....S rn.t:;:.,o.t nccevud ns cotnpbte - - - T'ardb del,tnttun Atro.a w.ae o araccw — p`7r �q IAll iD. -4 �� Mar-06-01 03:05P Walcott Plumbing 503 667 9891 P.02 13:06/(ll ITL•- 14:49 V. X 50.1 SOA 196) CIT1 (IF TICARV �f 0p1 PLUMBING PERMIT FEES: Rt�f TDTA6 New t and i4irn FlygwaMlri FIXT Rt n Ivldlldl) �,��". QTY" ea 1 AMOUNT (i)0lruiea all p(umbinp'JlKtures In PaICE TOTAL r I 61 the dweMnq and the flnt:I1Do ft QTY (eat AMOUNT " 11.0) forShCh•ulli(f oonnecgon LevH°f One III bar _ 4..20 Tub or-ub/Shuwer C'mb 1881 wo 2 batA _ $350.00 S��n^war Only 16.6) Tt ree(31 bath _ $399.00 �'etir CIaN 16.8> 18.8 ----&TJOTOTAI _ l tJnnsly L—A!, AT! 4URCHARO! _ _ r I Qis Danlr H ee1 PLAN REVIEW 45%OF SUBTOTALGarbage G!<pofel D F- -,---- �O�AL L Laundry roy IblO asking Mad*no FloorONi qut�llk 2" — 16l0 PLEASE COMPLETE'! C G Waler neater 0 CAnverf on like kind 10( I l. . .,, Duan _.�or 'Pa onnld Cal 01 ng requues a f0pereta m9f:harecal I /� FI:Wee Type. New Mwv tl Repl�cid Rimdvedf lr ( Can-- MFG Horho New-aw servlcar 4a: Sink MhQ Home New SarJStolm 'ewer 48 G Lsvel _ u or tib/Shower �I Hose d be - �' 1810 GnmbintUon �pool 0 aanf OMk'ng Fountain 16 10 Wtltl CIOelt O ixture: RPOC J -� ae F - 16.110 nrs ( N _ Ifhwasher -"— Lound Roum r --- — Wafttm Machne FI041 gin! Ink• 9ewN•1st 1— 00 bin.10 0 1. Sbwer each addilbial 100' 16 t0 4•- weler 9ury eo•t sr 5,)C �. VVat Hea►er �.- ws:m Service•each nod IonA Y00 4446 ID OU+er FaWref S form 6 R-1M 01alr• 'ft 100' 55.)D Sloan&Rain JFrilr-each ad 1111 on01 100' 06.10 _ CdMnlfri Bich 1to�noon Dev a 46/0 ---- -�=� Resbenlial Nxaflcw Preventbn .wa a' 260 16620 l;otoh Bilin 1rlapeCllun of E.+arinq Plumbing or pecaly 2 50 Re uef�W a0 COMMINTS RlOARDING ABOVE: Rain Ura1�,fingN urr+ty dwelin8 86 2S 2 �.�• ---_�`-- - .3fease Itaps _.._.--•--- ItgO . -- —__... 6U-ANTITV TdTAL IatkTatrlC el lflr d1a9rem Ouw h 0111 'BUBTOTAL ;II e'/,STATE SURCHARGE --- —_---- V A ''PLAN REVIEW5N4 2OP SI.BTOTAL - 'to4Vill,V'-Yil rIANre C�1•letrl n`S TOTAL y_ 'Minl"wri pemd eN le 12'b•a'G elate er-tw9r,nuapr Rr6rd•vilal Doom" Preva'r'n 0¢wrr,whch.a 246 39^1l%610+011-Rhalae "A:l Nate Carrmarclal tulldbpa r"uira Owls wkh lwe l•K or roe it j"farr End pla--aw. I\lsts'tornuiplm-kei doc Cr101J0